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Indoleamine 2,3-Dioxygenase Activity Increases NAD+ Production in IFN-γ-Stimulated Human Primary Mononuclear Cells. 吲哚胺2,3-双加氧酶活性增加干扰素γ刺激的人原代单核细胞NAD+的产生。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2018-01-08 eCollection Date: 2018-01-01 DOI: 10.1177/1178646917751636
Ross S Grant

IFN-γ activation of mononuclear phagocytes significantly increases indoleamine 2,3-dioxygenase (IDO) and flux through the kynurenine pathway (KP). However, the effect of IDO on NAD+ synthesis, the end product of KP metabolism, is unknown. To investigate this, primary human peripheral blood mononuclear cells were cultured up to 10 days and activated with IFN-γ in the presence or absence of a poly(ADP-ribose) polymerase (PARP) inhibitor. Day 10 macrophages had significantly higher NAD+ levels compared with monocytes. IFN-γ activation of macrophages resulted in the highest induction of IDO but decreased intracellular NAD+ concentrations at both 24 and 48 hours. However, IFN-γ activation of both day 6 and day 10 macrophages in the presence of a PARP inhibitor resulted in significantly higher intracellular NAD+ levels at 24 hours. This study provides evidence for the first time that an immune-mediated increase in IDO activity increases NAD+ biosynthesis concomitantly with an increase in NAD+ catabolism in primary human macrophages.

IFN-γ激活单核吞噬细胞显著增加吲哚胺2,3-双加氧酶(IDO)和通过犬尿氨酸途径(KP)的通量。然而,IDO对KP代谢的最终产物NAD+合成的影响尚不清楚。为了研究这一点,将人外周血单个核细胞培养10天,并在存在或不存在聚(adp -核糖)聚合酶(PARP)抑制剂的情况下用IFN-γ激活。第10天巨噬细胞的NAD+水平明显高于单核细胞。IFN-γ激活巨噬细胞可在24和48小时内诱导最高的IDO,但降低细胞内NAD+浓度。然而,在PARP抑制剂存在下,第6天和第10天的巨噬细胞的IFN-γ激活导致24小时内细胞内NAD+水平显著升高。本研究首次提供证据表明,免疫介导的IDO活性增加增加了原代人巨噬细胞中NAD+的生物合成,同时增加了NAD+的分解代谢。
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引用次数: 17
Tryptophan Metabolism in Patients With Chronic Kidney Disease Secondary to Type 2 Diabetes: Relationship to Inflammatory Markers. 继发于2型糖尿病的慢性肾病患者的色氨酸代谢:与炎症标志物的关系
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2017-01-01 DOI: 10.1177/1178646917694600
Subrata Debnath, Chakradhar Velagapudi, Laney Redus, Farook Thameem, Balakuntalam Kasinath, Claudia E Hura, Carlos Lorenzo, Hanna E Abboud, Jason C O'Connor

Objective: Type 2 diabetes (T2D) is the primary case of chronic kidney disease (CKD). Inflammation is associated with metabolic dysregulation in patients with T2D and CKD. Tryptophan (TRP) metabolism may have relevance to the CKD outcomes and associated symptoms. We investigated the relationships of TRP metabolism with inflammatory markers in patients with T2D and CKD.

Methods: Data were collected from a well-characterized cohort of type 2 diabetic individuals with all stages of CKD, including patients on hemodialysis. Key TRP metabolites (kynurenine [KYN], kynurenic acid [KYNA], and quinolinic acid [QA]), proinflammatory cytokines (tumor necrosis factor-α [TNF-α] and interleukin-6 [IL-6]), and C-reactive protein were measured in plasma. The KYN/TRP ratio was utilized as a surrogate marker for indoleamine 2,3-dioxygenase 1 (IDO1) enzyme activity.

Results: There was a significant inverse association between circulating TRP level and stages of CKD (P< 0.0001). Downstream bioactive TRP metabolites KYN, KYNA, and QA were positively and robustly correlated with the severity of kidney disease (P < 0.0001). In multiple linear regression, neither TNF-α nor IL-6 was independently related to KYN/TRP ratio after adjusting for estimated glomerular filtration rate (eGFR). Only TNF-α was independently related to KYN after taking into account the effect of eGFR.

Conclusions: Chronic kidney disease secondary to T2D may be associated with accumulation of toxic TRP metabolites due to both inflammation and impaired kidney function. Future longitudinal studies to determine whether the accumulation of KYN directly contributes to CKD progression and associated symptoms in patients with T2D are warranted.

目的:2型糖尿病(T2D)是慢性肾脏疾病(CKD)的主要病例。炎症与T2D和CKD患者的代谢失调有关。色氨酸(TRP)代谢可能与CKD结局和相关症状有关。我们研究了T2D和CKD患者TRP代谢与炎症标志物的关系。方法:数据收集自一个特征明确的2型糖尿病患者CKD的各个阶段,包括血液透析患者。检测血浆中关键TRP代谢物(犬尿氨酸[KYN]、犬尿酸[KYNA]、喹啉酸[QA])、促炎因子(肿瘤坏死因子-α [TNF-α]、白细胞介素-6 [IL-6])、c反应蛋白。KYN/TRP比值作为吲哚胺2,3-双加氧酶1 (IDO1)酶活性的替代指标。结果:循环TRP水平与CKD分期呈显著负相关(P< 0.0001)。下游生物活性TRP代谢物KYN、KYNA和QA与肾脏疾病的严重程度呈正相关(P < 0.0001)。在多元线性回归中,在调整估计的肾小球滤过率(eGFR)后,TNF-α和IL-6都与KYN/TRP比值无关。在考虑eGFR的影响后,只有TNF-α与KYN独立相关。结论:继发于T2D的慢性肾脏疾病可能与炎症和肾功能受损引起的毒性TRP代谢物积累有关。未来有必要进行纵向研究,以确定KYN的积累是否直接导致T2D患者的CKD进展和相关症状。
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引用次数: 86
Tryptophan Metabolism in Rat Liver After Administration of Tryptophan, Kynurenine Metabolites, and Kynureninase Inhibitors. 色氨酸、犬尿氨酸代谢物和犬尿氨酸酶抑制剂对大鼠肝脏色氨酸代谢的影响。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-08-11 eCollection Date: 2016-01-01 DOI: 10.4137/IJTR.S38190
Abdulla A-B Badawy, Samina Bano

Rat liver tryptophan (Trp), kynurenine pathway metabolites, and enzymes deduced from product/substrate ratios were assessed following acute and/or chronic administration of kynurenic acid (KA), 3-hydroxykynurenine (3-HK), 3-hydroxyanthranilic acid (3-HAA), Trp, and the kynureni-nase inhibitors benserazide (BSZ) and carbidopa (CBD). KA activated Trp 2,3-dioxygenase (TDO), possibly by increasing liver 3-HAA, but inhibited kynurenine aminotransferase (KAT) and kynureninase activities with 3-HK as substrate. 3-HK inhibited kynureninase activity from 3-HK. 3-HAA stimulated TDO, but inhibited kynureninase activity from K and 3-HK. Trp (50 mg/kg) increased kynurenine metabolite concentrations and KAT from K, and exerted a temporary stimulation of TDO. The kynureninase inhibitors BSZ and CBD also inhibited KAT, but stimulated TDO. BSZ abolished or strongly inhibited the Trp-induced increases in liver Trp and kynurenine metabolites. The potential effects of these changes in conditions of immune activation, schizophrenia, and other disease states are discussed.

在急性和/或慢性给药犬尿酸(KA)、3-羟基犬尿酸(3-HK)、3-羟基苯甲酸(3-HAA)、Trp和犬尿酸酶抑制剂benserazide (BSZ)和卡比多巴(CBD)后,对大鼠肝脏色氨酸(Trp)、犬尿酸途径代谢物和酶进行了评估。KA激活Trp 2,3-双加氧酶(TDO),可能是通过增加肝脏3-HAA,但抑制犬尿氨酸氨基转移酶(KAT)和以3-HK为底物的犬尿氨酸酶活性。3-HK抑制犬尿氨酸酶活性。3-HAA刺激TDO,但抑制K和3-HK的肌尿酸酶活性。色氨酸(50 mg/kg)增加了犬尿氨酸代谢物浓度和来自K的KAT,并对TDO产生暂时性刺激。犬尿酶抑制剂BSZ和CBD对KAT也有抑制作用,但对TDO有刺激作用。BSZ消除或强烈抑制色氨酸引起的肝脏色氨酸和犬尿氨酸代谢产物的增加。这些变化对免疫激活、精神分裂症和其他疾病状态的潜在影响进行了讨论。
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引用次数: 27
Assessment of the Human Kynurenine Pathway: Comparisons and Clinical Implications of Ethnic and Gender Differences in Plasma Tryptophan, Kynurenine Metabolites, and Enzyme Expressions at Baseline and After Acute Tryptophan Loading and Depletion. 人类犬尿氨酸途径的评估:基线和急性色氨酸负荷和耗竭后血浆色氨酸、犬尿氨酸代谢物和酶表达的种族和性别差异的比较和临床意义
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-08-10 eCollection Date: 2016-01-01 DOI: 10.4137/IJTR.S38189
Abdulla A-B Badawy, Donald M Dougherty

Tryptophan (Trp) metabolism via the kynurenine pathway (KP) was assessed in normal healthy US volunteers at baseline and after acute Trp depletion (ATD) and acute Trp loading (ATL) using amino acid formulations. The hepatic KP accounts for ~90% of overall Trp degradation. Liver Trp 2,3-dioxygenase (TDO) contributes ~70% toward Trp oxidation, with the remainder achieved by subsequent rate-limiting enzymes in the KP. TDO is not influenced by a 1.15 g Trp load, but is maximally activated by a 5.15 g dose. We recommend a 30 mg/kg dose for future ATL studies. ATD activates TDO and enhances the Trp flux down the KP via its leucine component. Higher plasma free [Trp] and lower total [Trp] are observed in women, with no gender differences in kynurenines. Kynurenic acid is lower in female Caucasians, which may explain their lower incidence of schizophrenia. African-American and Hispanic women have a lower TDO and Trp oxidation relative to free Trp than the corresponding men. African-American women have a potentially higher 3-hydroxyanthranilic acid/anthranilic acid ratio, which may protect them against osteoporosis. Future studies of the KP in relation to health and disease should focus on gender and ethnic differences.

在基线和急性色氨酸耗竭(ATD)和急性色氨酸负荷(ATL)后,使用氨基酸制剂评估正常健康美国志愿者通过犬尿氨酸途径(KP)的色氨酸代谢。肝脏KP占总色氨酸降解的约90%。肝脏Trp 2,3-双加氧酶(TDO)对Trp氧化的贡献约为70%,其余部分由KP中随后的限速酶完成。TDO不受1.15 g色氨酸负荷的影响,但在5.15 g剂量时被最大激活。我们建议在未来的ATL研究中使用30mg /kg的剂量。ATD通过其亮氨酸成分激活TDO并增强色氨酸沿KP的通量。在女性中观察到较高的血浆游离色氨酸(Trp)和较低的血浆总色氨酸(Trp),犬尿氨酸无性别差异。女性白种人的犬尿酸较低,这可能解释了她们患精神分裂症的几率较低。非裔美国人和西班牙裔女性的TDO和Trp氧化相对于游离Trp比相应的男性低。非裔美国女性的3-羟基苯甲酸/邻苯甲酸比例可能更高,这可能保护她们免受骨质疏松症的侵害。今后对KP与健康和疾病的关系的研究应侧重于性别和种族差异。
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引用次数: 47
Effects of Various Kynurenine Metabolites on Respiratory Parameters of Rat Brain, Liver and Heart Mitochondria. 犬尿氨酸代谢产物对大鼠脑、肝、心线粒体呼吸参数的影响。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-05-17 eCollection Date: 2016-01-01 DOI: 10.4137/IJTR.S37973
Halina Baran, Katrin Staniek, Melanie Bertignol-Spörr, Martin Attam, Carina Kronsteiner, Berthold Kepplinger

Previously, we demonstrated that the endogenous glutamate receptor antagonist kynurenic acid dose-dependently and significantly affected rat heart mitochondria. Now we have investigated the effects of L-tryptophan, L-kynurenine, 3-hydroxykynurenine and kynurenic, anthranilic, 3-hydroxyanthranilic, xanthurenic and quinolinic acids on respiratory parameters (ie, state 2, state 3), respiratory control index (RC) and ADP/oxygen ratio in brain, liver and heart mitochondria of adult rats. Mitochondria were incubated with glutamate/malate (5 mM) or succinate (10 mM) and in the presence of L-tryptophan metabolites (1 mM) or in the absence, as control. Kynurenic and anthranilic acids significantly reduced RC values of heart mitochondria in the presence of glutamate/malate. Xanthurenic acid significantly reduced RC values of brain mitochondria in the presence of glutamate/malate. Furthermore, 3-hydroxykynurenine and 3-hydroxyanthranilic acid decreased RC values of brain, liver and heart mitochondria using glutamate/malate. In the presence of succinate, 3-hydroxykynurenine and 3-hydroxyanthranilic acid affected RC values of brain mitochondria, whereas in liver and heart mitochondria only 3-hydroxykynurenine lowered RC values significantly. Furthermore, lowered ADP/oxygen ratios were observed in brain mitochondria in the presence of succinate with 3-hydroxykynurenine and 3-hydroxyanthranilic acid, and to a lesser extent with glutamate/malate. In addition, 3-hydroxyanthranilic acid significantly lowered the ADP/oxygen ratio in heart mitochondria exposed to glutamate/malate, while in the liver mitochondria only a mild reduction was found. Tests of the influence of L-tryptophan and its metabolites on complex I in liver mitochondria showed that only 3-hydroxykynurenine, 3-hydroxyanthranilic acid and L-kynurenine led to a significant acceleration of NADH-driven complex I activities. The data indicate that L-tryptophan metabolites had different effects on brain, liver and heart mitochondria. Alterations of L-tryptophan metabolism might have an impact on the bioenergetic activities of brain, liver and/or heart mitochondria and might be involved in the development of clinical symptoms such as cardiomyopathy, hepatopathy and dementia.

在此之前,我们证明了内源性谷氨酸受体拮抗剂犬尿酸对大鼠心脏线粒体的剂量依赖性和显著性影响。本文研究了l -色氨酸、l -犬尿氨酸、3-羟基犬尿氨酸、犬尿氨酸、邻氨基苯胺、3-羟基邻氨基苯胺、黄嘌呤酸和喹啉酸对成年大鼠脑、肝、心线粒体呼吸参数(即状态2、状态3)、呼吸控制指数(RC)和ADP/氧比的影响。将线粒体与谷氨酸/苹果酸盐(5 mM)或琥珀酸盐(10 mM)以及l -色氨酸代谢物(1 mM)存在或不存在的情况下孵育作为对照。在谷氨酸/苹果酸存在的情况下,犬尿酸和邻氨基苯酸显著降低了心脏线粒体的RC值。黄嘌呤酸显著降低谷氨酸/苹果酸存在时脑线粒体的RC值。此外,3-羟基犬尿氨酸和3-羟基氨基苯酸对谷氨酸/苹果酸能降低脑、肝和心脏线粒体的RC值。琥珀酸、3-羟基犬尿氨酸和3-羟基氨基苯酸影响脑线粒体的RC值,而在肝脏和心脏线粒体中,只有3-羟基犬尿氨酸显著降低RC值。此外,琥珀酸、3-羟基犬尿氨酸和3-羟基氨基苯酸存在时,脑线粒体ADP/氧比降低,谷氨酸/苹果酸存在时,ADP/氧比降低程度较小。此外,3-羟基氰酸显著降低了谷氨酸/苹果酸暴露的心脏线粒体的ADP/氧比,而在肝脏线粒体中仅发现轻度降低。l -色氨酸及其代谢物对肝脏线粒体复合体I影响的实验表明,只有3-羟基犬尿氨酸、3-羟基氨基苯酸和l -犬尿氨酸能显著加速nadh驱动复合体I的活性。结果表明,l -色氨酸代谢物对脑、肝、心线粒体有不同的影响。l -色氨酸代谢的改变可能对脑、肝和/或心脏线粒体的生物能量活动产生影响,并可能参与心肌病、肝病和痴呆等临床症状的发展。
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引用次数: 24
Diet Versus Exercise in Weight Loss and Maintenance: Focus on Tryptophan. 减肥和维持体重的饮食与运动:关注色氨酸。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-05-10 eCollection Date: 2016-01-01 DOI: 10.4137/IJTR.S33385
Barbara Strasser, Dietmar Fuchs

An association between mood disturbance, the inability to lose or to stop gaining weight, and a craving for carbohydrates is manifested by many people who are overweight or are becoming so. In a recent study, we observed that low-calorie weight loss diet lowered not only levels of leptin but also levels of essential amino acid tryptophan (TRP) significantly. The disturbed metabolism of TRP might affect biosynthesis of serotonin and could thereby increase the susceptibility for mood disturbances and carbohydrate craving, increasing the cessation probability of weight reduction programs. Alternatively, moderate physical exercise - a potent stimulus to modulate (reduce/normalize) proinflammatory cytokines, which may affect TRP levels - could be helpful in improving mood status and preventing uncontrolled weight gain. In contrast, excessive physical exercise may induce breakdown of TRP when proinflammatory cascades together with TRP-degrading enzyme indoleamine 2,3-dioxygenase-1 are stimulated, which may lead to neuropsychiatric symptoms such as fatigue and low mood.

许多超重或正在变胖的人都表现出情绪紊乱、无法减肥或停止增重以及对碳水化合物的渴望之间的联系。在最近的一项研究中,我们观察到低热量减肥饮食不仅降低了瘦素水平,而且显著降低了必需氨基酸色氨酸(TRP)水平。TRP代谢紊乱可能影响血清素的生物合成,从而增加情绪紊乱和对碳水化合物的渴望的易感性,增加减肥计划停止的可能性。另外,适度的体育锻炼——一种调节(减少/正常化)促炎细胞因子的有效刺激,可能会影响色氨酸水平——可能有助于改善情绪状态和防止体重失控增加。相反,过度体育锻炼可引起促炎级联反应,同时刺激TRP降解酶吲哚胺2,3-双加氧酶-1,导致TRP分解,导致疲劳、情绪低落等神经精神症状。
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引用次数: 17
Organ Correlation with Tryptophan Metabolism Obtained by Analyses of TDO-KO and QPRT-KO Mice. TDO-KO和QPRT-KO小鼠色氨酸代谢的器官相关性分析
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-04-28 eCollection Date: 2016-01-01 DOI: 10.4137/IJTR.S37984
Katsumi Shibata, Tsutomu Fukuwatari

The aim of this article is to report the organ-specific correlation with tryptophan (Trp) metabolism obtained by analyses of tryptophan 2,3-dioxygenase knockout (TDO-KO) and quinolinic acid phosphoribosyltransferase knockout (QPRT-KO) mice models. We found that TDO-KO mice could biosynthesize the necessary amount of nicotinamide (Nam) from Trp, resulting in the production of key intermediate, 3-hydroxyanthranilic acid. Upstream metabolites, such as kynurenic acid and xanthurenic acid, in the urine were originated from nonhepatic tissues, and not from the liver. In QPRT-KO mice, the Trp to quinolinic acid conversion ratio was 6%; this value was higher than expected. Furthermore, we found that QPRT activity in hetero mice was half of that in wild-type (WT) mice. Urine quinolinic acid levels remain unchanged in both hetero and WT mice, and the conversion ratio of Trp to Nam was also unaffected. Collectively, these findings show that QPRT was not the rate-limiting enzyme in the conversion. In conclusion, the limiting factors in the conversion of Trp to Nam are the substrate amounts of 3-hydroxyanthranilic acid and activity of 3-hydroxyanthranilic acid 3,4-dioxygenase in the liver.

本文的目的是通过分析色氨酸2,3-双加氧酶敲除(TDO-KO)和喹啉酸磷酸核糖基转移酶敲除(QPRT-KO)小鼠模型,获得色氨酸(Trp)代谢与器官特异性相关性。我们发现,TDO-KO小鼠可以从色氨酸生物合成必要量的烟酰胺(Nam),从而产生关键中间体3-羟基苯甲酸。尿液中的上游代谢物,如犬尿酸和黄尿酸,来自非肝组织,而不是肝脏。在QPRT-KO小鼠中,色氨酸到喹啉酸的转化率为6%;该值高于预期值。此外,我们发现异源小鼠的QPRT活性是野生型(WT)小鼠的一半。在异源和野生型小鼠中,尿喹啉酸水平保持不变,色氨酸到Nam的转化率也未受影响。总的来说,这些发现表明QPRT在转化过程中不是限速酶。综上所述,肝脏中3-羟基苯甲酸的底物量和3-羟基苯甲酸3,4-双加氧酶的活性是制约Trp向Nam转化的因素。
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引用次数: 5
Tryptophan Metabolism and Its Relationship with Depression and Cognitive Impairment Among HIV-infected Individuals hiv感染者色氨酸代谢及其与抑郁和认知障碍的关系
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-01-01 DOI: 10.4137/IJTR.S36464
Michael R. Keegan, S. Chittiprol, S. Letendre, A. Winston, D. Fuchs, A. Boasso, J. Iudicello, R. Ellis
Objective Cognitive impairment (CI) and major depressive disorder (MDD) remain prevalent in treated HIV-1 disease; however, the pathogenesis remains elusive. A possible contributing mechanism is immune-mediated degradation of tryptophan (TRP) via the kynurenine (KYN) pathway, resulting in decreased production of serotonin and accumulation of TRP degradation products. We explored the association of these biochemical pathways and their relationship with CI and MDD in HIV-positive (HIV+) individuals. Methods In a cross-sectional analysis, concentrations of neopterin (NEO), tumor necrosis factor-alpha, TRP, KYN, KYN/TRP ratio, phenylalanine (PHE), tyrosine (TYR), PHE/TYR ratio, and nitrite were assessed in the cerebrospinal fluid (CSF) and plasma of HIV+(n = 91) and HIV-negative (HIV-) individuals (n = 66). CI and MDD were assessed via a comprehensive neuropsychological test battery. A Global Deficit Score ≥0.5 was defined as CI. Nonparametric statistical analyses included Kruskal–Wallis and Mann–Whitney U tests, and multivariate logistic regression. Results Following Bonferroni correction, NEO concentrations were found to be greater in CSF and TRP concentration was found to be lower in the plasma of HIV+ versus HIV– individuals, including a subgroup of aviremic (defined as HIV-1 RNA <50 cps/mL) HIV+ participants receiving antiretroviral therapy (n = 44). There was a nonsignificant trend toward higher KYN/TRP ratios in plasma in the HIV+ group (P = 0.027; Bonferroni corrected α = 0.0027). In a logistic regression model, lower KYN/TRP ratios in plasma were associated with CI and MDD in the overall HIV+ group (P = 0.038 and P = 0.063, respectively) and the aviremic subgroup (P = 0.066 and P = 0.027, respectively), though this observation was not statistically significant following Bonferroni correction (Bonferroni corrected α = 0.0031). Conclusions We observed a trend toward lower KYN/TRP ratios in aviremic HIV+ patients with CI and MDD.
在接受治疗的HIV-1疾病中,认知障碍(CI)和重度抑郁障碍(MDD)仍然普遍存在;然而,发病机制仍然难以捉摸。一个可能的机制是免疫介导的色氨酸(TRP)通过犬尿氨酸(KYN)途径降解,导致血清素的产生减少和TRP降解产物的积累。我们探讨了这些生化途径的关联及其与HIV阳性(HIV+)个体CI和MDD的关系。方法采用横断面分析方法,测定91例HIV阳性和66例HIV阴性患者脑脊液和血浆中新蝶呤(NEO)、肿瘤坏死因子- α、TRP、KYN、KYN/TRP比值、苯丙氨酸(PHE)、酪氨酸(TYR)、苯丙氨酸/TYR比值和亚硝酸盐的浓度。CI和MDD通过综合神经心理测试进行评估。CI定义为Global Deficit Score≥0.5。非参数统计分析包括Kruskal-Wallis检验和Mann-Whitney U检验,以及多元逻辑回归。结果经Bonferroni校正后,发现HIV+与HIV-个体相比,脑脊液中NEO浓度更高,血浆中TRP浓度更低,包括接受抗逆转录病毒治疗的HIV+参与者(n = 44)的病毒血症亚组(定义为HIV-1 RNA <50 cps/mL)。HIV+组血浆中KYN/TRP比值升高趋势不显著(P = 0.027;Bonferroni修正α = 0.0027)。在logistic回归模型中,血浆中较低的KYN/TRP比值与HIV+整体组(P = 0.038和P = 0.063)和病毒血症亚组(P = 0.066和P = 0.027)的CI和MDD相关,尽管在Bonferroni校正(Bonferroni校正α = 0.0031)后,这一观察结果无统计学意义。结论:我们观察到合并CI和MDD的病毒血症HIV+患者有较低的KYN/TRP比率的趋势。
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引用次数: 41
The Kynurenine Pathway Is a Double-Edged Sword in Immune-Privileged Sites and in Cancer: Implications for Immunotherapy 犬尿氨酸途径是免疫特权部位和癌症的双刃剑:免疫治疗的意义
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2016-01-01 DOI: 10.4137/IJTR.S38355
J. Routy, B. Routy, Gina M. Graziani, V. Mehraj
The term “immune privilege” was originally coined to describe the suppression of inflammatory responses within organs protected by anatomic barriers, ie, the eyes, brain, placenta, and testes. However, cellular and metabolic processes, which orchestrate immune responses, also control inflammation within these sites. Our current understanding of tolerogenic mechanisms has extended the definition of immune privilege to include hair follicles, the colon, and cancer. By catabolizing tryptophan, cells expressing the enzyme indoleamine-2,3-dioxygenase produce kynurenine metabolites, which orchestrate local and systemic responses to control inflammation, thus maintaining immune privilege. This review highlights the double-edged role played by the kynurenine pathway (KP), which establishes and maintains immune-privileged sites while contributing to cancer immune escape. The identification of the underlying molecular drivers of the KP in immune-privileged sites and in cancer is essential for the development of novel therapies to treat autoimmunity and cancer and to improve transplantation outcomes.
“免疫特权”一词最初是用来描述受解剖屏障保护的器官(如眼睛、大脑、胎盘和睾丸)内炎症反应的抑制。然而,协调免疫反应的细胞和代谢过程也控制着这些部位的炎症。我们目前对耐受性机制的理解已经扩展了免疫特权的定义,包括毛囊、结肠癌和癌症。通过分解色氨酸,表达吲哚胺-2,3-双加氧酶的细胞产生犬尿氨酸代谢物,其协调局部和全身反应以控制炎症,从而维持免疫特权。这篇综述强调了犬尿氨酸途径(KP)所起的双刃剑作用,它在促进癌症免疫逃逸的同时建立和维持免疫特权位点。确定免疫特权部位和癌症中KP的潜在分子驱动因素对于开发治疗自身免疫和癌症的新疗法以及改善移植结果至关重要。
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引用次数: 126
Chronic Antipsychotic Treatment in the Rat - Effects on Brain Interleukin-8 and Kynurenic Acid. 大鼠慢性抗精神病药物对脑白介素-8和犬尿酸的影响。
IF 4.4 Q3 NEUROSCIENCES Pub Date : 2015-09-20 eCollection Date: 2015-01-01 DOI: 10.4137/IJTR.S25915
Markus K Larsson, Lilly Schwieler, Michel Goiny, Sophie Erhardt, Göran Engberg

Schizophrenia is associated with activation of the brain immune system as reflected by increased brain levels of kynurenic acid (KYNA) and proinflammatory cytokines. Although antipsychotic drugs have been used for decades in the treatment of the disease, potential effects of these drugs on brain immune signaling are not fully known. The aim of the present study is to investigate the effects of chronic treatment with antipsychotic drugs on brain levels of cytokines and KYNA. Rats were treated daily by intraperitoneally administered haloperidol (1.5 mg/kg, n = 6), olanzapine (2 mg/kg, n = 6), and clozapine (20 mg/kg, n = 6) or saline (n = 6) for 30 days. Clozapine, but not haloperidol or olanzapine-treated rats displayed significantly lower cerebrospinal fluid (CSF) levels of interleukin-8 compared to controls. Whole brain levels of KYNA were not changed in any group. Our data suggest that the superior therapeutic effect of clozapine may be a result of its presently shown immunosuppressive action. Further, our data do not support the possibility that elevated brain KYNA found in patients with schizophrenia is a result of antipsychotic treatment.

精神分裂症与脑免疫系统的激活有关,这反映在脑尿酸(KYNA)和促炎细胞因子水平的增加上。虽然抗精神病药物已经用于治疗该疾病数十年,但这些药物对大脑免疫信号的潜在影响尚不完全清楚。本研究的目的是探讨抗精神病药物慢性治疗对脑细胞因子和KYNA水平的影响。大鼠每天腹腔注射氟哌啶醇(1.5 mg/kg, n = 6)、奥氮平(2 mg/kg, n = 6)、氯氮平(20 mg/kg, n = 6)或生理盐水(n = 6),连续30天。与对照组相比,氯氮平治疗的大鼠脑脊液(CSF)白细胞介素-8水平明显降低,氟哌啶醇或奥氮平治疗的大鼠则没有。在任何一组中,全脑的KYNA水平都没有改变。我们的数据表明氯氮平优越的治疗效果可能是其目前显示的免疫抑制作用的结果。此外,我们的数据不支持精神分裂症患者脑KYNA升高是抗精神病药物治疗的结果的可能性。
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引用次数: 15
期刊
International Journal of Tryptophan Research
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