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Results of therapy of chronic urticaria in patients with IgE-dependent and IgE-independent disease profile ige依赖型和非依赖型慢性荨麻疹患者的治疗结果
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-rot-2764
N. N. Zhukova, K. Mazokha, M. Manzhos, E. Aseeva
The main mechanism for the occurrence of urticaria is the degranulation of mast cells. It has been proven that, regardless of the activation pathway, clinical manifestations will not differ. According to the literature, up to half of cases of chronic spontaneous urticaria are autoimmune in nature, can be combined with autoimmune thyroid disease, SLE, etc., and have a more severe course.In therapy, antihistamines are traditionally used. However, some patients do not respond to the treatment, even with a multiple increase in doses. In the treatment of urticaria resistant to traditional antihistamines, the use of Omalizumab is recommended. The purpose of the study: to determine the profile of patients with chronic urticaria, as well as to evaluate the effectiveness of treatment with Omalizumab in patients with IgE- dependent and IgE-independent chronic urticaria.Eight-one patients with chronic urticaria (60 adults, 21 children) were examined. Patients before the start of therapy had a long history of CU: from 1 to 20 years. Patients before the start of therapy were treated with antihistamines, but no control was obtained. An increase in the level of serum IgE was detected in 51.7% of cases in adults and 42% in children. Concomitant sensitization was determined in 48.3% of adults and 76.2% of children. In children, food, epidermal and pollen sensitization was the most common. Pollen and epidermal sensitization were more common in adults. The level of eosinophilia in the group with IgE-dependent was more pronounced than in other group (p = 0.0097). After 6 months, the group with IgE-dependent showed an improvement in the symptom score (UCT) from 3.1 CI (1.5-4.6) to 12.2 CI (10.8-13.7), (p = 0.0001). In other group, symptoms improved from 0.63 CI (0.36-1.6) to 8.1 CI (5-11.2) after 6 months (no control). After 6 months of genetically engineered biological therapy (GIBT), complete control over the symptoms of CU in group 1 was obtained in 66.7% of patients, partial — in 33.7%. In the second group, in 33.3% of cases, positive treatment results could not be achieved. Thus, genetically engineered biological therapy with Omalizumab increases the control over the course of CU. Treatment outcomes are higher in patients with an IgE-dependent disease profile.
荨麻疹发生的主要机制是肥大细胞的脱颗粒。事实证明,无论激活途径如何,临床表现都不会不同。据文献报道,多达一半的慢性自发性荨麻疹是自身免疫性荨麻疹,可合并自身免疫性甲状腺疾病、SLE等,病程更为严重。在治疗中,传统上使用抗组胺药。然而,一些患者对治疗没有反应,即使剂量增加了几倍。在传统抗组胺药耐药的荨麻疹治疗中,推荐使用Omalizumab。该研究的目的:确定慢性荨麻疹患者的概况,以及评估Omalizumab治疗IgE依赖型和IgE非依赖型慢性荨麻疹患者的有效性。对81例慢性荨麻疹患者(成人60例,儿童21例)进行了检查。治疗开始前患者有较长的CU病史:从1年到20年。在治疗开始前,患者接受抗组胺药治疗,但没有对照组。51.7%的成人和42%的儿童血清IgE水平升高。在48.3%的成人和76.2%的儿童中发现伴随致敏。在儿童中,食物、表皮和花粉致敏最为常见。花粉和表皮致敏在成人中更为常见。ige依赖组嗜酸性粒细胞水平明显高于其他组(p = 0.0097)。6个月后,ige依赖组的症状评分(UCT)从3.1 CI(1.5-4.6)改善到12.2 CI (10.8-13.7), (p = 0.0001)。另一组6个月后症状从0.63 CI(0.36-1.6)改善至8.1 CI(5-11.2)(无对照组)。基因工程生物治疗(GIBT) 6个月后,组1中66.7%的患者症状完全控制,33.7%的患者症状部分控制。在第二组中,33.3%的病例无法获得阳性治疗结果。因此,用Omalizumab进行基因工程生物治疗可以增加对CU病程的控制。患有ige依赖性疾病的患者的治疗效果更高。
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引用次数: 0
Functional activity of the monocyte immune link in gastric adenocarcinoma 单核细胞免疫链在胃腺癌中的功能活性
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-fao-2687
O. Smirnova, E. S. Ovcharenko
Stomach cancer is in the top ten in terms of prevalence and ranks 4th in terms of causes of death worldwide. The most common and most aggressive variant of gastric cancer is adenocarcinoma. The monocytic link of immunity provides the main line of the body's fight against malignant cells, while in patients with adenocarcinoma it is insufficiently studied. The purpose of the study was to evaluate the functional activity of monocytes in patients with gastric adenocarcinoma at different stages of the disease.Individuals (n = 164) were examined, among whom 85 were diagnosed with stage I-IV stomach adenocarcinoma. The study also involved 79 apparently healthy donors. The functional activity and oxygen-dependent phagocytosis of monocytes were assessed by the chemiluminescent method. Luminol was used as a chemiluminescence inducer. The respiratory burst was activated with opsonized zymosan.In patients with stomach adenocarcinoma, at rest (spontaneous chemiluminescence), an increase in the time the curve reached the maximum intensity of chemiluminescence (Tmax = 7957 s), the area under the chemiluminescence curve (Squr = 0.2 x 106), the activation index (1.89 c. u.) and a decrease in the maximum value of chemiluminescence intensity (Imax = 424 c. u.) relative to the control group (Tmax = 5533 s, Squr = 0.011 x 106, activation index = 0.88 c. u., Imax = 424 c. u., p < 0.05) were seen. When chemiluminescence is induced in patients with stomach adenocarcinoma, a statistically significant predominance of Squr is fixed (0.46 x 106, in the control group Squr = 0.031 x 106). Also, in the group of patients with stomach adenocarcinoma, monocytic phagocytosis was reduced by more than 2 times (29% vs 84% in the control group, p < 0.05). When analyzing the studied parameters, depending on the stage of the disease, it was found that the violation of the chemiluminescent reaction in patients with stomach adenocarcinoma is fixed already at an early stage. At the same time, in patients with stage IV stomach adenocarcinoma, the indicators of spontaneous and induced chemiluminescence are more than 2 times different from those in the control group and patients at stage I of the disease. The identified features indicate a decrease in the effectiveness of immune reactions of the monocytic link in stomach adenocarcinoma already in the early stages of the disease and can be used to detect early signs of immune disorders and optimize therapeutic approaches in this disease.
胃癌的发病率在全球排名前十,死亡原因在全球排名第四。最常见和最具侵袭性的胃癌是腺癌。免疫的单核细胞联系提供了身体对抗恶性细胞的主线,而在腺癌患者中,对它的研究还不够充分。本研究的目的是评估胃腺癌不同阶段患者单核细胞的功能活性。对164名患者进行了检查,其中85人被诊断为I-IV期胃腺癌。这项研究还涉及79名看起来健康的捐赠者。用化学发光法测定单核细胞的功能活性和氧依赖性吞噬能力。采用鲁米诺作为化学发光诱导剂。呼吸爆发是由调理酶激活的。胃腺癌,患者在休息(自发的化学发光),提高化学发光的强度时间曲线达到最大(达峰时间= 7957年代),化学发光曲线下的面积(Squr = 0.2 x 106),活化指数(1.89 c u。),减少化学发光强度的最大值(Imax = 424 c u)。相对于对照组(达峰时间= 5533年代,Squr = 0.011 x 106,活化指数= 0.88 c . u。Imax = 424 c . u。P < 0.05)。胃腺癌患者诱导化学发光时,Squr的优势有统计学意义(0.46 × 106,对照组Squr = 0.031 × 106)。同时,胃腺癌患者组单核细胞吞噬减少2倍以上(29% vs对照组84%,p < 0.05)。在分析研究参数时,根据疾病的分期,发现胃腺癌患者化学发光反应的破坏在早期就已经固定。同时,在IV期胃腺癌患者中,自发和诱导化学发光的指标与对照组和I期患者相比差异大于2倍。所确定的特征表明,单核细胞连接免疫反应的有效性在已经处于疾病早期阶段的胃腺癌中下降,可用于检测免疫紊乱的早期迹象并优化该疾病的治疗方法。
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引用次数: 0
Antigen presenting subset of СD66b+CD16+CD33+HLA-DR+ neutrophilic granulocytes in acute osteomyelitis in children: Immunomodulating effects of immunotropic hexapeptide in an in vitro experimental system 儿童急性骨髓炎中СD66b+CD16+CD33+HLA-DR+中性粒细胞抗原呈递亚群:免疫性六肽在体外实验系统中的免疫调节作用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-aps-2776
I. Nesterova, G. Chudilova, Yu. V. Teterin, E. A. Chicherev, V. N. Chapurina, M. Mitropanova
Inclusion of neutrophilic granulocytes (NG) in inflammation depends on the expression of receptors providing the functions of NG. Acute osteomyelitis (AOM) occupies a central place among purulentinflammatory diseases in children. AOM purulent-necrotic process proceeds in the bone, bone marrow – the site of hematopoiesis. It is interesting to determine the functionally significant NG subsets, their phenotype in OM and evaluate the effect of immunotropic substances for the correction of dysfunctions. Aim: to specify the variants of changes in quantitative and phenotypic characteristics of CD66b+CD16+CD33+HLA-DR-, CD66b+CD16+CD33+HLA-DR+ NG subsets at AOM in children and evaluate the possibility of their immunomodulation under the influence of hexapeptide (HP) – Arginyl-alpha-Aspartyl-Lysyl-Valyl-Tyrosyl-Arginine in vitro.Peripheral blood (PB) of 24 children 8-15 years old AOM were the study group (SG). The comparison group (CG) – 13 healthy children. HP (10-6 g/L) were incubated with PB SG (60 min, 37 °C) to evaluate the effects (SG1). The number of NG subsets CD66b+CD16+CD33+HLA-DR+, CD66b+CD16+CD33+HLA-DR- (FC500, Beckman Coulter, USA), receptor expression density (MFI), phagocytic activity before and after incubation with HP were determined.The NG subset expressing HLA-DR – 29.9 (18.4-43.6) % CD66b+CD16+CD33+HLA-DR+ was registered in children with AOM. The number of CD66b+CD16+CD33+HLA-DR+ was 1.5 times lower (p > 0.05), of CD66b+CD16+CD33+HLA-DR+ was 1.2 times higher (p > 0.05) than before incubation with of HP. The redistribution of subsets apparently occurs due to the binding of HPs to HLA-DR on the NG membrane. Also MFI HLA-DR was low (p > 0.05); the 1.3-fold increase in MFI CD66b, 1.4-fold decrease in MFI CD16 were revealed (p < 0.05).The study was the first to demonstrate the presence of NG subset of CD66b+CD16+CD33+HLA-DR+ in the PB of children with AOM. Subset of CD66b+CD16+CD33+HLA-DR+NG in AOM indicates the appearance of an activated subset of NG in PB with the properties of APC. The positive influence of HP on the phenotypic characteristics of subsets СD66b+CD16+CD33+HLA-DR-, СD66b+CD16+CD33+HLA-DR+. Restoration of phagocytic function of NGs under the influence of HP is connected with the increase of CD66b expression, which influences the effector function of NGs and decrease of CD16 molecule hyperexpression that stipulates decrease of damaging cytotoxic activity of NGs.
中性粒细胞(NG)在炎症中的包含取决于提供NG功能的受体的表达。急性骨髓炎(AOM)在儿童化脓性炎症性疾病中占有中心地位。AOM的化脓性坏死过程发生在骨骼、骨髓——造血的部位。确定功能性显著的NG亚群及其在OM中的表型和评估免疫物质对纠正功能障碍的作用是很有趣的。目的:明确儿童AOM时CD66b+CD16+CD33+HLA-DR-、CD66b+CD16+CD33+HLA-DR+ NG亚群数量和表型变化的变异,并评价其在体外六肽(HP) -精氨酸- α -天冬氨酸-莱氨酸-缬氨酸-酪氨酸-精氨酸影响下免疫调节的可能性。24例8 ~ 15岁AOM患儿外周血(PB)为研究组(SG)。对照组(CG):健康儿童13例。HP (10-6 g/L)与PB SG(37°C, 60 min)孵育,评价效果(SG1)。测定NG亚群CD66b+CD16+CD33+HLA-DR+、CD66b+CD16+CD33+HLA-DR-的数量(FC500, Beckman Coulter, USA)、受体表达密度(MFI)、HP孵育前后的吞噬活性。AOM患儿中表达HLA-DR - 29.9 (18.4-43.6) % CD66b+CD16+CD33+HLA-DR+的NG亚群。与HP孵育前相比,CD66b+CD16+CD33+HLA-DR+的数量减少了1.5倍(p > 0.05), CD66b+CD16+CD33+HLA-DR+的数量增加了1.2倍(p > 0.05)。亚群的重新分配显然是由于HPs与NG膜上的HLA-DR结合而发生的。MFI HLA-DR也较低(p < 0.05);MFI CD66b升高1.3倍,MFI CD16降低1.4倍(p < 0.05)。该研究首次证实在AOM儿童的PB中存在CD66b+CD16+CD33+HLA-DR+的NG亚群。AOM中CD66b+CD16+CD33+HLA-DR+NG的亚群表明PB中出现了具有APC特性的活化NG亚群。HP对СD66b+CD16+CD33+HLA-DR-、СD66b+CD16+CD33+HLA-DR+亚群表型特征的积极影响。HP作用下NGs吞噬功能的恢复与CD66b表达的增加有关,CD66b表达的增加影响了NGs的效应功能和CD16分子高表达的降低,从而降低了NGs的破坏性细胞毒活性。
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引用次数: 1
Clinical and immunological analysis of the effectiveness of local application of vitamin D3 in experimental colitis 局部应用维生素D3治疗实验性结肠炎的临床及免疫学分析
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-cai-2685
M. Boyko, M. Osikov, A. Fedosov, I. Grekova
The pathogenesis of inflammatory bowel diseases has not been fully studied, and the therapies used have side effects that limit their use.The purpose of this study is to conduct a clinical and immunological analysis of the effectiveness of vitamin D3 in the original rectal suppositories in experimental colitis (EC).EC was modeled with oxazolone. Original suppositories with vitamin D3 in group 3 and 5-ASA in group 4 were used per rectum. The clinic was evaluated on the Disease activity index scale. The expression of MPO and TNFa, the content of neutrophils, lymphocytes, eosinophils, histiocytes, plasmocytes, fibroblasts, ulcerative defect, tissue damage index were determined in the focus of colon injury. The study was carried out on days 2, 4 and 6.With EC, DAI increases for the entire day, MPO and TNFa increase in the lesion, ulcerative defect isfixed, neutrophil-lymphocytic infiltration increases, and TDI increases. When comparing the morphometric parameters of the alteration zone in EC under the conditions of vitamin D3 use, in contrast to the use of 5-ASA, a decrease in the number of lymphocytes, an increase in fibroblasts was revealed on day 2, a decrease in the number of plasmocytes and an increase in fibroblasts on day 4, an increase in the number of histiocytes and fibroblasts on day 6. The diameter of the ulcerative defect and the TDI index have no significant differences between the compared groups. When comparing the effectiveness of vitamin D3, in contrast to the use of 5-ASA, the MPO content is higher on day 6; the TNFa content is higher on day 4.In EC, the effects of using rectal suppositories with vitamin D3 on clinical signs, the size of the ulcerative defect, the content of MPO and TNFa in the lesion are comparable to the effects of using rectal suppositories with 50 mg of 5-ASA; more pronounced with respect to the dynamics of the cellular composition of the lesion of the colon.
炎症性肠病的发病机制尚未得到充分研究,所使用的治疗方法有副作用,限制了它们的使用。本研究的目的是对原直肠栓剂中维生素D3治疗实验性结肠炎(EC)的有效性进行临床和免疫学分析。用恶唑酮建立EC模型。第3组采用维生素D3原装栓剂,第4组采用5-ASA原装栓剂。采用疾病活动指数量表对诊所进行评估。测定结肠损伤灶MPO、TNFa表达、中性粒细胞、淋巴细胞、嗜酸性粒细胞、组织细胞、浆细胞、成纤维细胞含量、溃疡缺损、组织损伤指数。研究在第2、4和6天进行。随着EC的发生,DAI全天升高,病变内MPO和TNFa升高,溃疡缺损固定,中性粒细胞淋巴细胞浸润增加,TDI升高。在比较维生素D3使用条件下EC改变区的形态计量参数时,与使用5-ASA相比,第2天淋巴细胞数量减少,成纤维细胞数量增加,第4天浆细胞数量减少,成纤维细胞数量增加,第6天组织细胞和成纤维细胞数量增加。两组间溃疡缺损直径及TDI指数差异无统计学意义。在比较维生素D3的有效性时,与使用5-ASA相比,第6天MPO含量较高;第4天TNFa含量较高。在EC中,使用含维生素D3的直肠栓剂对临床症状、溃疡缺损大小、病变中MPO和TNFa含量的影响与使用含50 mg 5-ASA的直肠栓剂的影响相当;更明显的是结肠病变的细胞组成的动力学。
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引用次数: 0
Microscopic and elemental analysis of jaw bone tissue in injury 损伤颌骨组织的显微及元素分析
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-mae-2738
N. N. Kataeva, N. G. Sarkisyan, N. S. Chumakov, K. A. Khlystova, O. Medvedeva, A. S. Shmygalev
Since the jawbone tissue is injured at the stage of metal dental implant introduction, the problem of inflammatory complication development leading to a breakdown in osseointegration remains relevant. Of interest are the immunological mechanisms of inflammatory process development during the emission of metal nanoparticles, as well as the mechanisms of its subsidence after the removal of a metal object. Microscopic and elemental analysis of the bone tissue of the Wistar rat lower jaw after artificial traumatization was carried out. During the experiment, the situation of presence of a metal foreign body in the bone bed was simulated. An insulin needle was injected into the connective tissue of the lower jaw, followed by its removal after seven days. Microscopic analysis of bone tissue was performed using a Tesscan Vega 4 scanning electron microscope. The teeth alveoli cortical layer surface, connection of the jaws with a gap, stratification of the cartilaginous layer were determined at low magnification in direct projection. Using higher magnification in the direct projection there are visible dense-structural crystalline inclusions, foci of necrosis in the area of junctions of the jaws alveolar processes. The elemental composition of bone tissue was obtained by atomic emission spectroscopy by iCAP 6300 Duo. In the test sample, the quantitative ratio of calcium and phosphorus was 1.68, which slightly exceeds the optimal value of 1.67. An upward change in this ratio indicates a decrease in phosphorus level, which can be interpreted as local osteoporosis. In addition, the following elements were found: Bi, Ga, Pb, Ti, Zn in the amount of 0.03-0.06 mass percent. The list of these elements corresponds to the chemical composition of an insulin needle, indicating the penetration of metal particles into bone bed tissues. The emission of nanoparticles and their subsequent association to micro- and submicron sizes, their persistence, as well as biocorrosion in areas of active bone formation can be a trigger for the development of an aseptic inflammatory process. This effect is due to both a direct damaging factor and an indirect effect through specific signal molecules produced in response to tissue damage.
由于颌骨组织在金属种植体植入阶段受到损伤,炎症并发症的发展导致骨整合的破坏仍然是相关的问题。令人感兴趣的是在金属纳米颗粒发射过程中炎症过程发展的免疫学机制,以及金属物体移除后其沉降的机制。对人工创伤后Wistar大鼠下颌骨骨组织进行了显微和元素分析。在实验过程中,模拟了骨床中存在金属异物的情况。将胰岛素针注射到下颚的结缔组织中,7天后取出。使用Tesscan Vega 4扫描电子显微镜对骨组织进行显微分析。低倍镜下直接投影测定牙槽皮质层表面、颌骨间隙连接、软骨层分层。用高倍镜直接投影可见结构致密的结晶包裹体,在颌骨牙槽突连接处可见坏死灶。采用icap6300 Duo原子发射光谱法测定骨组织的元素组成。在试验样品中,钙磷定量比值为1.68,略高于最佳值1.67。该比值上升表明磷水平下降,可解释为局部骨质疏松。此外,还发现了Bi、Ga、Pb、Ti、Zn等元素的质量分数为0.03 ~ 0.06%。这些元素的列表对应于胰岛素针的化学成分,表明金属颗粒渗透到骨床组织中。纳米颗粒的发射及其随后与微微米和亚微米尺寸的关联,它们的持久性以及活性骨形成区域的生物腐蚀可能是无菌性炎症过程发展的触发因素。这种影响是由于直接的损伤因素和通过响应组织损伤而产生的特定信号分子的间接影响。
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引用次数: 0
Study of the adjuvant properties of preparations containing recombinant human granulocyte-macrophage colony stimulating factor 重组人粒细胞-巨噬细胞集落刺激因子制剂的佐剂特性研究
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-sot-2833
T. I. Esina, E. Volosnikova, N. V. Volkova, O. Kaplina, E. Danilenko
The relevance of the search for new vaccine adjuvants is growing along with the increase in the number of current vaccine preparations, especially those developed on the basis of proteins. Some cytokines are known to exert adjuvant properties. The present work is devoted to the study of adjuvant activity of recombinant human granulocyte-macrophage colony stimulating factor (rhGM-CSF) and constructs based on it. Earlier, we developed a technology for isolation and purification of GM-CSF from the E. coli SG20050/p280_2GM producer strain, as well as a technology for conjugating polyglucin:spermidine complexes with rhGM-CSF. Double-stranded RNA was used to obtain molecular constructs on the basis of rhGM-CSF conjugate. To assemble constructs, the ratio of the components was calculated for one dose of the preparation to contain 5-40 mg of rhGM-CSF and 100 mg of double-stranded RNA. The effectiveness of the formation of molecular constructs was evaluated by dsRNA electrophoretic mobility shift in a 1% agarose gel. The effectiveness of the resulting adjuvants was determined in ELISA assays by measuring the titers of specific antibodies in mouse sera against ovalbumin or recombinant receptor-binding domain of the surface S protein of the severe acute respiratory syndrome coronavirus 2 (Delta variant (B.1.617.2). The experiments were carried out in 100 male BALB/c mice weighing 16-18 g. Mice were immunized twice, with a 14-day interval, by intramuscular injection of 200 mL per animal. Recombinant receptor-binding domain of the surface protein of SARS-CoV-2 was administered at a dose of 50 mg/animal, ovalbumin – at two doses – 1 mg or 5 mg/animal. Corresponding antigen was used as a positive control, a saline solution – as a negative control. It was shown that the maximum effect was achieved by immunization with a construct based on double-stranded RNA and rhGM-CSF conjugated to polyglucin-spermidine. The use of a conjugate without double-stranded RNA as an adjuvant also improved humoral response. The use of native rhGM-CSF did not increase the titers of specific antibodies. Thus, it was found that rhGM-CSF being a part of a polysaccharide conjugate or a molecular construct exerted an ability to enhance the humoral immune response to protein antigens.
随着当前疫苗制剂数量的增加,特别是基于蛋白质的疫苗制剂的增加,寻找新的疫苗佐剂的重要性也在增加。已知一些细胞因子发挥辅助特性。本研究旨在研究重组人粒细胞-巨噬细胞集落刺激因子(rhGM-CSF)的佐剂活性,并以此为基础进行构建。在此之前,我们开发了一种从大肠杆菌SG20050/p280_2GM生产菌株中分离和纯化GM-CSF的技术,以及一种将多葡聚糖:亚精胺复合物与rhGM-CSF结合的技术。在rhGM-CSF偶联物的基础上,采用双链RNA获得分子结构。为了组装构建体,计算每剂量制剂中含有5-40 mg rhGM-CSF和100 mg双链RNA的组分的比例。通过dsRNA在1%琼脂糖凝胶中的电泳迁移率转移来评估分子结构形成的有效性。通过ELISA检测小鼠血清中针对严重急性呼吸综合征冠状病毒2 (δ变异(B.1.617.2))的卵白蛋白或表面S蛋白重组受体结合域的特异性抗体的滴度,来确定所制备佐剂的有效性。实验以100只体重16-18 g的雄性BALB/c小鼠为实验对象。每只小鼠肌肉注射200 mL,免疫2次,间隔14天。SARS-CoV-2表面蛋白的重组受体结合域以每只动物50毫克的剂量施用,卵清蛋白以每只动物1毫克或5毫克的剂量施用。阳性对照采用相应抗原,阴性对照采用生理盐水溶液。结果表明,以双链RNA和rhGM-CSF偶联聚葡聚糖-亚精胺为基础的构建体免疫效果最佳。使用无双链RNA的缀合物作为佐剂也改善了体液反应。使用天然rhGM-CSF不增加特异性抗体滴度。因此,我们发现rhGM-CSF作为多糖偶联物或分子结构的一部分,能够增强对蛋白质抗原的体液免疫反应。
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引用次数: 0
Immunological aspects of the use of melatonin in experimental thermal trauma 褪黑素在实验性热创伤中的免疫学应用
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-iao-2706
M. Osikov, A. Ageeva, M. Boyko, Yu. I. Ageev
The prevalence of thermal trauma, the high risk of infectious and non-infectious short- and long- term complications, and the limited effectiveness of the therapeutic approaches used are prerequisites for the search and pathogenetic justification of new therapies, among which the endogenous homeostasis regulator with pleiotropic properties melatonin attracts attention.The aim of the work is to investigate the immunological aspects of intraperitoneal use of melatonin (MT) in experimental thermal trauma (TT).The work was performed on 158 rats of the Wistar line, grade III TT and a relative area of 3.5% were simulated by skin immersion in water at 98-99 °C for 12 s. MT was administered intraperitoneally daily at a dose of 10 mg/kg for 5 days. The quantitative composition of blood cells was evaluated on a hematological analyzer. Plasma concentrations of IL-4, TNFa, IFNg, and CRP were determined on an automatic enzyme immunoassay using rat-specific test systems, and MT by capillary electrophoresis.With experimental TT, against the background of a progressive increase in the number of leukocytes in the blood from 5 to 20 days due to neutrophils, monocytes, basophils, the number of lymphocytes decreases. With TT, the concentration of CRP increases in serum on days 5 and 10. The content of TNFa, IL-4 increases on days 5, 10 and 20 in the absence of significant changes in the concentration of IFNg. The concentration of serum MT does not change significantly. Intraperitoneal use of MT in TT leads to a partial restoration of the number of lymphocytes in the blood on day 5. Evaluation of the cytokine profile in serum revealed a decrease in the concentration of TNFa on days 10 and 20, no significant changes in the concentration of IL-4 and IFNg were recorded, the concentration of CRP decreased on day 5. The concentration of serum MT increases by 5 days.With TT on the 5th, 10th, 20th day of the experiment, the number of neutrophils, monocytes, basophils in the blood increases, decreases – lymphocytes, the serum content of CRP, TNFa, IL-4 increases, the content of IFNg and melatonin does not change. Intraperitoneal use of MT in TT partially restores the number of lymphocytes in the blood, the concentration of CRP, TNFa. A decrease in serum concentrations of TNFa and CRP in TT under the conditions of MT use suggests a limitation of the acute phase response as a consequence of the antioxidant, anti-inflammatory effect of MT, which can accelerate healing and reduce the area of the lesion of TT.
热创伤的普遍存在,感染性和非感染性短期和长期并发症的高风险,以及所使用的治疗方法的有限有效性是寻找新疗法和病理合理性的先决条件,其中具有多效性的内源性体内平衡调节剂褪黑激素引起了人们的关注。这项工作的目的是研究实验性热创伤(TT)中腹腔内使用褪黑激素(MT)的免疫学方面。研究对象为158只Wistar系大鼠,采用98-99°C水浸泡12 s的方法模拟III级TT和3.5%的相对面积。MT每天以10 mg/kg的剂量腹腔注射,连续5天。在血液学分析仪上评估血细胞的定量组成。血浆中IL-4、TNFa、IFNg和CRP的浓度采用大鼠特异性检测系统进行自动酶免疫测定,MT采用毛细管电泳。在实验TT的背景下,从5天到20天,由于中性粒细胞、单核细胞、嗜碱性粒细胞的作用,血液中白细胞的数量逐渐增加,淋巴细胞的数量减少。随着TT的增加,血清CRP浓度在第5天和第10天升高。tnf - fa、IL-4含量在第5、10、20天升高,IFNg浓度变化不明显。血清MT浓度无明显变化。在TT中腹腔使用MT可导致第5天血液中淋巴细胞数量的部分恢复。血清细胞因子谱评估显示,tnf - fa浓度在第10天和第20天下降,IL-4和IFNg浓度无明显变化,CRP浓度在第5天下降。血清MT浓度增加5天。在实验第5、10、20天TT后,血液中中性粒细胞、单核细胞、嗜碱性粒细胞数量增加,淋巴细胞数量减少,血清CRP、TNFa、IL-4含量升高,IFNg、褪黑素含量无变化。腹腔注射MT可部分恢复TT患者血液中淋巴细胞数量、CRP、TNFa浓度。在使用MT的情况下,TT患者血清中TNFa和CRP浓度的降低表明,由于MT的抗氧化、抗炎作用,急性期反应受到限制,MT可以加速TT的愈合并减少病变面积。
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引用次数: 0
Study of phenotypic and cytotoxic properties of erythroid cells of the spleen under hematopoiesis-stimulating effects 促造血作用下脾红细胞表型及细胞毒性的研究
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-sop-2730
Yulia Shevchenko, K. Nazarov, S. V. Sennikov
In recent years, research has revealed a wide variety of erythroid cell functions, including modulation of innate and adaptive immune responses. Anemic or hypoxic stress stimulates a physiological response in the form of stress erythropoiesis, aimed at increasing oxygen delivery to tissues. Stress erythropoiesis activates progenitor cells and uses mechanisms that differ from stationary bone marrow erythropoiesis. To consider the role of erythroid cells in the regulation of hematopoiesis, hematopoiesis-activating states were modeled: chemically induced hemolytic anemia, acute blood loss, hypoxia. A series of experiments was carried out on first-generation hybrid mice CBA C57Bl6. Isolation of erythroid cells was performed using magnetic separation for the CD71 marker. The stages of differentiation of erythroid cells were determined by the combination of expression of TER-119 and CD71 markers and direct light scattering parameters in the population of both CD45-positive and CD45-negative spleen cells. To study the immunoregulatory activity of erythroid cells, we investigated the mediated cytotoxicity of splenocytes against tumor cells of the mouse melanoma B78 line after cultivation with conditioned spleen media after various hematopoiesis-stimulating effects. With various hemopoiesis-stimulating effects, the quantitative and qualitative composition of the spleen cells is reorganized depending on the compensatory mechanism for restoring homeostasis. An analysis of the cellular composition of the spleen showed that under hematopoiesis-stimulating effects, a redistribution of populations with the CD45 marker occurs: during hypoxia, the number of CD45-negative cells sharply decreases and the number of CD45-positive cells increases. The population of basophilic erythroblasts is the least susceptible to quantitative changes under all hematopoiesis-stimulating effects. During hypoxia, the most noticeable change in the cellular composition of the spleen is observed due to the increased accumulation of CD45-positive erythroid cells in the spleen. Mediators of erythroid cells of the spleen of mice after hypoxia do not lead to an increase in the cytotoxic proapoptotic effect of splenocytes on tumor cells, in contrast to the erythroid cells of the normal spleen, spleen with anemia and blood loss. Thus, it is tissue hypoxia that is the process that not only stimulates erythropoiesis, but also leads to the maximum change in the suppressive properties of surrounding cells. We assume that the implementation of compensatory mechanisms under the studied hematopoiesis-stimulating effects is aimed at activating the mechanisms of innate immunity and local immunosuppression to prevent local inflammation, accumulate nutrients, and attract cellular elements to the focus of hematopoiesis to restore homeostatic functions.
近年来,研究揭示了红细胞的多种功能,包括先天和适应性免疫反应的调节。贫血或缺氧应激以应激性红细胞生成的形式刺激生理反应,目的是增加向组织的氧气输送。应激性红细胞生成激活祖细胞并使用不同于固定骨髓红细胞生成的机制。为了考虑红细胞在造血调节中的作用,我们模拟了造血激活状态:化学诱导的溶血性贫血、急性失血、缺氧。在第一代杂交小鼠CBA C57Bl6上进行了一系列实验。用磁分离方法分离红系细胞的CD71标记物。在cd45阳性和cd45阴性脾细胞群体中,结合TER-119和CD71标记物的表达和直接光散射参数来确定红细胞的分化阶段。为了研究红细胞的免疫调节活性,我们研究了脾细胞在各种造血刺激作用下对小鼠黑色素瘤B78细胞系肿瘤细胞的毒性作用。脾细胞具有多种造血刺激作用,其定量和定性组成根据恢复体内平衡的代偿机制进行重组。对脾脏细胞组成的分析表明,在造血刺激作用下,发生了CD45标记人群的重新分布:在缺氧期间,CD45阴性细胞数量急剧减少,CD45阳性细胞数量增加。在所有造血刺激作用下,嗜碱性红细胞的数量变化是最不敏感的。在缺氧期间,脾脏细胞组成的最显著变化是由于脾脏中cd45阳性红细胞的积累增加。小鼠缺氧后脾红细胞的介质不导致脾细胞对肿瘤细胞的细胞毒性促凋亡作用增强,与正常脾红细胞、贫血和失血的脾不同。因此,组织缺氧不仅是刺激红细胞生成的过程,也是导致周围细胞抑制特性发生最大变化的过程。我们认为,在造血刺激效应下,代偿机制的实施旨在激活先天免疫和局部免疫抑制机制,以预防局部炎症,积累营养物质,吸引细胞元素到造血中心,恢复稳态功能。
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引用次数: 0
T regulatory lymphocytes and FoxP3 nuclear translocation in various adipose tissue depots in patients with coronary artery disease 冠状动脉疾病患者各种脂肪组织库中的T调节性淋巴细胞和FoxP3核易位
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-trl-2688
I. Kologrivova, A. Dmitriukov, O. Kharitonova, E. Kravchenko, N. V. Naryzhnaya, O. Koshelskaya, T. Suslova
T regulatory lymphocytes (Treg) are present is adipose tissue. Their frequency, as well as the level of FoxP3 nuclear translocation, in epicardial and thymus adipose tissue remains unexplored. Properties of adiposeresident Tregs may be of high significance in patients with coronary artery disease as potential pathophysiological factor in the development of atherosclerosis. The aim of the study was to compare frequency of FoxP3+Tregs and FoxP3 nuclear translocation in epicardial, thymus, subcutaneous adipose tissue and peripheral blood in patients with coronary artery disease. A pilot study was conducted in 11 patients with coronary artery disease scheduled for the coronary artery bypass graft surgery after prior selective coronary angiography. Frequency of CD4+CD25hiFoxP3+ and CD4+CD25loFoxP3+ lymphocytes and FoxP3 nuclear translocation were evaluated by imaging flow cytometry in peripheral blood and in stromal vascular fraction of epicardial, subcutaneous and thymus adipose tissue. Frequencies of CD4+CD25hiFoxP3+ and CD4+CD25loFoxP3+ lymphocytes were higher in epicardial adipose tissue compared to blood (3 and 5 times higher, p = 0.020); CD4+CD25loFoxP3+ cells frequency in subcutaneous adipose tissue was 4 times higher than in blood (p = 0.028). The level of FoxP3 nuclear translocation was the highest in blood and decreased in epicardial, subcutaneous and thymus adipose tissue (p = 0.020 both for CD4+CD25hiFoxP3+ and CD4+CD25loFoxP3+ lymphocytes). Frequency of CD4+CD25loFoxP3+ cells was directly related to age in thymus (rs = 0.818; p = 0.002), and inversely in epicardial adipose tissue (rs = -0.618; p = 0.043). Frequencies of CD4+CD25hiFoxP3+ and CD4+CD25loFoxP3+ with FoxP3 nuclear translocation in subcutaneous adipose tissue negatively correlated with age (rs = -0.827; p = 0.002 and rs = -0.648; p = 0.031, respectively). Frequency of CD4+CD25loFoxP3+ cells with FoxP3 nuclear translocation in thymus adipose tissue negatively correlated with waist-to-hip ratio (rs = -0.700; p = 0.016). The severity of atherosclerosis was related only to the frequency of CD4+CD25loFoxP3+ cells in subcutaneous adipose tissue (rs = -0.655; p = 0.029). Thus, epicardial and subcutaneous adipose tissue are enriched with Tregs, but factors that influence Treg accumulation and FoxP3 nuclear translocation in these fat depots may be different. The obtained results may further be used for personalized immunomodulatory therapy in patients with atherosclerosis.
脂肪组织中存在T调节性淋巴细胞(Treg)。它们在心外膜和胸腺脂肪组织中的频率以及FoxP3核易位水平仍未被研究。脂肪驻留Tregs的特性可能在冠状动脉疾病患者中作为动脉粥样硬化发展的潜在病理生理因素具有重要意义。本研究的目的是比较冠心病患者心外膜、胸腺、皮下脂肪组织和外周血中FoxP3+Tregs和FoxP3核易位的频率。我们对11例冠心病患者进行了一项初步研究,这些患者在事先进行选择性冠状动脉造影后计划行冠状动脉搭桥手术。采用显像流式细胞术评价外周血和心外膜、皮下及胸腺脂肪组织间质血管部分CD4+CD25hiFoxP3+、CD4+CD25loFoxP3+淋巴细胞及FoxP3核易位的频率。心外膜脂肪组织中CD4+CD25hiFoxP3+和CD4+CD25loFoxP3+淋巴细胞频率高于血液(分别高3倍和5倍,p = 0.020);皮下脂肪组织中CD4+CD25loFoxP3+细胞频率是血液中CD4+CD25loFoxP3+细胞频率的4倍(p = 0.028)。血液中FoxP3核易位水平最高,心外膜、皮下和胸腺脂肪组织中FoxP3核易位水平降低(CD4+CD25hiFoxP3+和CD4+CD25loFoxP3+淋巴细胞p = 0.020)。胸腺CD4+CD25loFoxP3+细胞频率与年龄直接相关(rs = 0.818;P = 0.002),心外膜脂肪组织呈负相关(rs = -0.618;P = 0.043)。皮下脂肪组织中CD4+CD25hiFoxP3+和CD4+CD25loFoxP3+与FoxP3核易位的频率与年龄呈负相关(rs = -0.827;P = 0.002, rs = -0.648;P = 0.031)。胸腺脂肪组织中携带FoxP3核易位的CD4+CD25loFoxP3+细胞的频率与腰臀比呈负相关(rs = -0.700;P = 0.016)。动脉粥样硬化的严重程度仅与皮下脂肪组织中CD4+CD25loFoxP3+细胞的频率有关(rs = -0.655;P = 0.029)。因此,心外膜和皮下脂肪组织富含Treg,但这些脂肪库中影响Treg积累和FoxP3核易位的因素可能不同。所得结果可进一步用于动脉粥样硬化患者的个体化免疫调节治疗。
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引用次数: 0
Differentiated disorders of the immune system in acute hematogenic and acute posttraumatic osteomyelitis in children 儿童急性血液病和急性创伤后骨髓炎的免疫系统分化紊乱
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.15789/1563-0625-ddo-2759
G. Chudilova, V. Tarakanov, E. A. Chicherev, Yu. V. Teterin, N. Barova, M. Mitropanova
Osteomyelitis is an inflammation of bone and bone marrow caused by the spread of S. aureus from a local focus by the hematogenous route or from an open traumatic fracture; it is difficult to treat and remains a serious problem. The condition for spreading of the infectious process into bone is the effect of S. aureus and its impaired elimination due to immune system (IS) dysfunction. Controversial information on the immunopathogenetic mechanisms of acute osteomyelitis needs study, which would allow the development of sound immunotherapy. Purpose of the study: to specify the variants of antibacterial immune protection disorders in children with acute hematogenous and acute posttraumatic osteomyelitis. Materials and methods. Children 8-15 years old (n = 22) were studied: Study Group 1 (SG1, n = 12) – with acute hematogenous osteomyelitis (AHO); Study Group 2 (SG2, n = 10) – with acute post-traumatic osteomyelitis (APTO). The comparison group (CG) – 13 healthy children. Tested: Tlymphocytes (CD3+CD19- , CD3+CD4+, CD3+CD8+), B lymphocytes (CD3- CD19+), NK (CD3- CD16+CD56+) and TNK (CD3+CD16+CD56+) lymphocytes, neutrophil granulocytes (NG, CD16, CD32, CD64) (FC-500 Beckman Coulter, USA); the level of serum IgA, IgM, IgG (ELISA). Phagocytic function of NGs in relation to S. aureus was assessed: the number of actively phagocytizing NGs (%PhAN), capture processes (PhN, PhI) and killing activity (%D, DI). Results. In both groups was revealed a decrease of T lymphocytes, T helpers, TCTL and NK quantity (p1-4 < 0.05). In AHO, the levels of IgA, IgM, IgG did not differ from that in GS, while in APTO the levels of IgA and IgG increased (p1, 2 < 0.05). The density of CD64, CD16, CD32 receptor expression on NG in the studied groups has been a different equipping, predetermining an incompetence of the phagocytic function: in AHO associated with abnormalities in the function capture and killing, in APTO only with the S. aureus digestion. Conclusion. The revealed combined defects of IS functioning necessitate the development of new approaches in the treatment of AHO and APTO in children, pathogenetically substantiating the use of immunotherapy in the complex etiopathogenetic treatment. This approach will contribute to the restoration of mechanisms of anti-infective immunity, timely elimination of pathogens, improve the clinical course of the diseases, prevent the chronic inflammatory process.
骨髓炎是一种骨骼和骨髓的炎症,由金黄色葡萄球菌通过血液途径从局部病灶扩散或开放性创伤性骨折引起;它很难治疗,仍然是一个严重的问题。感染过程向骨扩散的条件是金黄色葡萄球菌的影响及其由于免疫系统功能障碍而受损的消除。关于急性骨髓炎的免疫发病机制的争议信息需要研究,这将允许健全的免疫治疗的发展。研究目的:明确急性血液性和急性创伤后骨髓炎患儿抗菌免疫保护功能紊乱的变异。材料和方法。研究对象为8-15岁儿童(n = 22):研究组1 (SG1, n = 12) -患有急性血液性骨髓炎(who);研究2组(SG2, n = 10):急性创伤后骨髓炎(APTO)患者。对照组(CG):健康儿童13例。检测:t淋巴细胞(CD3+CD19-、CD3+CD4+、CD3+CD8+)、B淋巴细胞(CD3- CD19+)、NK淋巴细胞(CD3- CD16+CD56+)、TNK淋巴细胞(CD3+CD16+CD56+)、中性粒细胞(NG、CD16、CD32、CD64) (FC-500 Beckman Coulter, USA);血清IgA、IgM、IgG水平(ELISA)。评估了NGs对金黄色葡萄球菌的吞噬功能:活性吞噬NGs的数量(%PhAN),捕获过程(PhN, PhI)和杀伤活性(%D, DI)。结果。两组患者T淋巴细胞、辅助性T淋巴细胞、TCTL、NK含量均降低(p1-4 < 0.05)。在who中,IgA、IgM、IgG水平与GS无显著差异,而在APTO中,IgA、IgG水平升高(p1, 2 < 0.05)。在研究组中,NG上CD64, CD16, CD32受体的表达密度是不同的,预先确定了吞噬功能的无能:在who中与功能捕获和杀死的异常有关,在APTO中仅与金黄色葡萄球菌消化有关。结论。已发现的IS功能的综合缺陷需要开发治疗儿童who和APTO的新方法,从病理学上证实了在复杂的病因学治疗中使用免疫疗法。这种方法有助于恢复机体抗感染免疫机制,及时清除病原体,改善疾病的临床病程,预防慢性炎症过程。
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引用次数: 1
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Medical Immunology (Russia)
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