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Recent advances in antifungal immunity. 抗真菌免疫的最新进展。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-06-24 DOI: 10.1016/bs.ai.2025.04.003
Rebecca A Drummond

Fungal infections are increasingly recognised as a major threat to global human health, with several million preventable deaths each year now attributable to fungal diseases. Climate change, global pandemics and increased use of antibiotics and immune-suppressing drugs in modern medicine have all contributed towards recent rises in the number of cases of life-threatening fungal infections. To circumvent these trends, it is imperative that we develop a deeper understanding of the immune responses that operate to protect against fungal invasion if we are to develop adjunctive immune-based therapies for these infections. Recent work has already demonstrated how mechanistic insights into antifungal immune responses can yield therapeutic benefits. This chapter covers the major processes, cells and receptors that are required for successful antifungal immune responses, focusing on recent developments that have driven significant new step-changes in our understanding of how these pathogens are detected and removed from the body.

真菌感染日益被认为是对全球人类健康的主要威胁,现在每年有数百万例可预防的死亡可归因于真菌疾病。气候变化、全球流行病以及现代医学中抗生素和免疫抑制药物的使用增加,都导致了最近危及生命的真菌感染病例的增加。为了避免这些趋势,如果我们要开发针对这些感染的辅助免疫疗法,我们必须对免疫反应进行更深入的了解,以防止真菌入侵。最近的工作已经证明了抗真菌免疫反应的机制见解如何产生治疗效益。本章涵盖了成功抗真菌免疫反应所需的主要过程、细胞和受体,重点介绍了最近的发展,这些发展推动了我们对这些病原体如何被检测和从体内清除的理解的重大新变化。
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引用次数: 0
DNA and mRNA vaccines: Significant therapeutic approach against cancer management. DNA和mRNA疫苗:对癌症管理的重要治疗方法
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-10 DOI: 10.1016/bs.ai.2024.10.007
Aniruddha Sen, Vijay Singh, Sumel Ashique, Jagriti, Sombuddha Biswas, Anas Islam, Iman Ehsan, Naheed Mojgani

Cancer's complex nature and personal variety make it among the toughest cancers to conquer. Innovative treatment strategies can be achieved through new biotechnology developments. DNA and mRNA vaccinations deliver an opportunity to take a new path for cancer. The ways in which DNA and mRNA vaccinations generate immune reactions that specifically focus on cancer cells are discussed in this section. This chapter focuses on the development and creation of these vaccines. We will focus on the latest research that proves the effectiveness of these vaccines and their safety over different types of cancer. Also, we discuss the technological and biological barriers in the process of vaccine development that hinder the development of these vaccines, such as the stability of delivery methods and a patient-specific design for vaccines. DNA and mRNA vaccinations are an important therapeutic approach against cancer with genetic information. They offer an opportunity for the future to develop tailored as well as more efficient treatment options.

巨蟹座复杂的天性和多变的个性使其成为最难征服的癌症之一。创新的治疗策略可以通过新的生物技术发展来实现。DNA和mRNA疫苗接种为癌症提供了一条新的途径。本节将讨论DNA和mRNA疫苗接种产生特异性针对癌细胞的免疫反应的方式。本章的重点是这些疫苗的开发和创造。我们将重点关注证明这些疫苗的有效性及其对不同类型癌症的安全性的最新研究。此外,我们还讨论了疫苗开发过程中阻碍这些疫苗开发的技术和生物障碍,例如递送方法的稳定性和疫苗的患者特异性设计。DNA和mRNA疫苗接种是利用遗传信息治疗癌症的重要手段。它们为未来开发量身定制且更有效的治疗方案提供了机会。
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引用次数: 0
Nanoparticles for mRNA-based cancer immunotherapy. 纳米颗粒用于基于mrna的癌症免疫治疗。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1016/bs.ai.2024.10.012
Rakesh Pahwa, Gulshan Sharma, Rohil Panwar, Neeraj Mishra

The emergence of mRNA-based cancer immunotherapy has transformed the avenue of cancer treatment, offering an innovative strategy that leverages the body's immune system to identify and eradicate tumor cells selectively. Effective delivery of mRNA to specific organs and cells is limited by its instability, low cellular uptake efficiency, and degradation during extracellular transport and endosomal escape. Significant advancements in nanoparticle design have driven the rapid progress of mRNA-based immunotherapies. Nanocarriers have emerged as vital delivery systems, providing enhanced stability, resistance to enzymatic degradation, and efficient mRNA delivery to target cells. This chapter investigates the design, synthesis, and functionalization of different types of nanoparticles, including lipid-based, polymeric, and hybrid nanoparticles and also highlights their unique characteristics and mechanisms for mRNA delivery in cancer immunotherapy. This chapter explores cellular uptake mechanisms, strategies for endosomal escape, and the subsequent translation of mRNA into therapeutic proteins that elicit a vigorous anti-tumor immune response. Recent advances in nanoparticle-based mRNA vaccines are also explored, with an emphasis on research findings and clinical trials that reveal both their potential and challenges. The chapter aims to provide a thorough overview of nanoparticle integration in mRNA-based cancer immunotherapy and also offer insights into future developments and emerging trends in the field.

基于mrna的癌症免疫疗法的出现改变了癌症治疗的途径,提供了一种利用人体免疫系统选择性地识别和根除肿瘤细胞的创新策略。mRNA向特定器官和细胞的有效递送受到其不稳定性、低细胞摄取效率以及在细胞外运输和内体逃逸过程中的降解的限制。纳米颗粒设计的重大进步推动了基于mrna的免疫疗法的快速发展。纳米载体已成为重要的递送系统,提供增强的稳定性,抗酶降解和有效的mRNA递送到靶细胞。本章研究了不同类型纳米颗粒的设计、合成和功能化,包括脂质纳米颗粒、聚合物纳米颗粒和杂交纳米颗粒,并强调了它们在癌症免疫治疗中mRNA传递的独特特征和机制。本章探讨了细胞摄取机制、内体逃逸策略以及随后将mRNA翻译成治疗性蛋白,从而引发强烈的抗肿瘤免疫反应。本文还探讨了基于纳米颗粒的mRNA疫苗的最新进展,重点介绍了揭示其潜力和挑战的研究结果和临床试验。本章旨在提供基于mrna的癌症免疫治疗中纳米颗粒整合的全面概述,并提供对该领域未来发展和新兴趋势的见解。
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引用次数: 0
Recent progress, challenges (stability and in vivo distribution), and opportunities of DNA & mRNA vaccine in cancer immunotherapy. DNA和mRNA疫苗在癌症免疫治疗中的最新进展、挑战(稳定性和体内分布)和机遇。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-30 DOI: 10.1016/bs.ai.2024.10.008
Monika Kaushik, Prathap Madeswaraguptha, Murugesan Vanangamudi, Vijayaraj Surendran, Sumel Ashique, Anas Islam, Naheed Mojgani, Afzal Hussain

Cancer immunotherapy recently has emerged as a revolutionary method in oncology. It takes the help of the body's immune system in fighting against tumor cells. Amongst the various approaches, DNA and mRNA vaccines are novel modalities with the potential to revolutionize cancer treatment. They represent one such approach that can result in potent immune responses against tumor-specific antigens. The few but serious translation bottlenecks at the clinical level have been related to stability, in vivo distribution, and efficient delivery systems for DNA and mRNA vaccines. It is against this salient background that this chapter takes readers through recent success stories of DNA and mRNA vaccines, right from the formulation of the vaccine to delivery mechanisms, stability, and bioavailability in cancer immunotherapy. The further challenges that are discussed in this chapter are those of effect in vivo distribution and how such challenges impact therapeutic efficacy. In addition, the new emerging technologies for in vivo distribution and opportunities for optimization of emerging vaccines to clinical use are approached, with the main focus placed on new delivery platforms. The aim of this chapter is to help understand the current landscape and future directions toward DNA and mRNA vaccines in designing more effective and personalized cancer therapies.

近年来,肿瘤免疫治疗已成为肿瘤学中一种革命性的治疗方法。它需要人体免疫系统的帮助来对抗肿瘤细胞。在各种方法中,DNA和mRNA疫苗是具有彻底改变癌症治疗潜力的新模式。它们代表了这样一种方法,可以导致针对肿瘤特异性抗原的有效免疫反应。在临床水平上,少数但严重的翻译瓶颈与DNA和mRNA疫苗的稳定性、体内分布和有效递送系统有关。正是在这个突出的背景下,本章向读者介绍了DNA和mRNA疫苗最近的成功故事,从疫苗的配方到癌症免疫治疗中的传递机制、稳定性和生物利用度。本章讨论的进一步挑战是体内分布的影响以及这些挑战如何影响治疗效果。此外,还探讨了用于体内分布的新兴技术以及优化新兴疫苗以供临床使用的机会,主要重点放在新的交付平台上。本章的目的是帮助理解DNA和mRNA疫苗在设计更有效和个性化的癌症治疗方面的现状和未来方向。
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引用次数: 0
mRNA-based cancer vaccines: A novel approach to melanoma treatment. 基于mrna的癌症疫苗:黑色素瘤治疗的新方法
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1016/bs.ai.2024.10.010
Pranav Kumar Prabhakar, Tarun Kumar Upadhyay, Sanjeev Kumar Sahu

Malignant melanoma is one of the most aggressive forms of cancer and a leading cause of death from skin tumors. With the rising incidence of melanoma diagnoses, there is an urgent need to develop effective treatments. Among the most modern approaches are cancer vaccines, which aim to enhance cell-mediated immunity. Recently, mRNA-based cancer vaccines have gained significant attention due to their rapid production, low manufacturing costs, and ability to induce both humoral and cellular immune responses. These vaccines hold great potential in melanoma treatment, yet their application faces several challenges, including mRNA stabilization, delivery methods, and tumor heterogeneity. The recent success of mRNA vaccines in combating COVID-19 has renewed interest in their potential for cancer immunotherapy. In particular, mRNA cancer vaccines offer high specificity and better efficacy compared to traditional treatments. They can target tumor-specific neoantigens, prompting a robust immune response. This chapter reviews the mechanism of action of mRNA vaccines, advancements in adjuvant identification, and innovations in delivery systems such as lipid nanoparticles. It also discusses ongoing clinical trials evaluating the efficacy of mRNA-based vaccines in melanoma, highlighting promising early-phase results. Despite their potential, the development of mRNA cancer vaccines faces significant obstacles. Tumor heterogeneity, immunosuppressive tumor microenvironments, and practical issues like vaccine administration and clinical evaluation methods are major barriers to success. By addressing these challenges and advancing innovations, mRNA cancer vaccines hold promise for transforming melanoma treatment. A careful balance between the opportunities and challenges will be key to unlocking the full potential of mRNA vaccines in cancer immunotherapy.

恶性黑色素瘤是最具侵袭性的癌症之一,也是皮肤肿瘤导致死亡的主要原因。随着黑色素瘤发病率的上升,迫切需要开发有效的治疗方法。其中最现代的方法是癌症疫苗,其目的是增强细胞介导的免疫。最近,基于mrna的癌症疫苗由于其快速生产、低制造成本和诱导体液和细胞免疫反应的能力而引起了极大的关注。这些疫苗在黑色素瘤治疗中具有巨大的潜力,但它们的应用面临着一些挑战,包括mRNA稳定、递送方法和肿瘤异质性。mRNA疫苗最近在抗击COVID-19方面的成功,重新引起了人们对其癌症免疫治疗潜力的兴趣。特别是,与传统治疗方法相比,mRNA癌症疫苗具有高特异性和更好的疗效。它们可以靶向肿瘤特异性新抗原,从而引发强大的免疫反应。本章综述了mRNA疫苗的作用机制,佐剂鉴定的进展,以及脂质纳米颗粒等递送系统的创新。它还讨论了正在进行的评估基于mrna的疫苗在黑色素瘤中的疗效的临床试验,强调了有希望的早期结果。尽管具有潜力,mRNA癌症疫苗的开发仍面临重大障碍。肿瘤异质性、免疫抑制肿瘤微环境以及疫苗施用和临床评价方法等实际问题是成功的主要障碍。通过应对这些挑战和推进创新,mRNA癌症疫苗有望改变黑色素瘤的治疗。仔细平衡机遇和挑战将是释放mRNA疫苗在癌症免疫治疗中的全部潜力的关键。
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引用次数: 0
Neuroimmunology beyond the CNS: Nerve-macrophage interactions in peripheral tissues. 中枢神经系统以外的神经免疫学:外周组织中神经-巨噬细胞的相互作用。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2025-06-23 DOI: 10.1016/bs.ai.2025.04.001
Erin Watson, Elaine Emmerson

Macrophages are now recognised to be highly heterogeneous, with diverse ontogenies, anatomical locations and characteristics, all of which inform their function. Nerve-associated macrophage subpopulations have been found to exist across tissues, and whilst they appear to have roles in neuronal maintenance and repair, their function is still being elucidated. Although nerve-associated macrophage functions in the Central Nervous System have taken centre-stage, nerve-associated macrophages also interact with peripheral nerves and this field remains relatively understudied. This review discusses recent studies into nerve-associated macrophages across peripheral tissues. These studies identify populations of nerve-associated macrophages in many peripheral tissues, and reveal elegant neuroimmune communication pathways which coordinate functions from infection defence and anti-inflammatory actions to neuronal maintenance for homeostatic tissue function and nerve repair. We highlight nerve-associated macrophage interactions with nerves in peripheral tissues as a rapidly evolving field which could revolutionise our understanding of macrophage function in both homeostasis and disease.

巨噬细胞现在被认为是高度异质性的,具有不同的个体发生、解剖位置和特征,所有这些都决定了它们的功能。神经相关巨噬细胞亚群已被发现存在于组织中,虽然它们似乎在神经元的维持和修复中起作用,但它们的功能仍在阐明中。尽管神经相关巨噬细胞在中枢神经系统中的功能已经占据了中心地位,但神经相关巨噬细胞也与周围神经相互作用,这一领域的研究相对较少。本文综述了近年来外周组织中神经相关巨噬细胞的研究。这些研究确定了许多外周组织中的神经相关巨噬细胞群体,并揭示了从感染防御和抗炎作用到神经元维持稳态组织功能和神经修复的协调功能的优雅神经免疫通讯途径。我们强调神经相关巨噬细胞与周围组织神经的相互作用是一个快速发展的领域,它可以彻底改变我们对巨噬细胞在体内平衡和疾病中的功能的理解。
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引用次数: 0
Revolutionizing cancer treatment: Exploring novel immunotherapeutics, checkpoints, bispecifics, and vaccines in development. 革新癌症治疗:探索新的免疫疗法、检查点、双特异性和正在开发的疫苗。
3区 医学 Q2 Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1016/bs.ai.2024.10.005
Anas Islam, Vijay Singh, Pooja S Murkute, Sumel Ashique, Shriyansh Srivastava, Mohammad Yousuf Ansari, Sabina Yasmin

This chapter focuses on the groundbreaking advances in the treatment of cancer via the development of innovative immunotherapies, which include immune checkpoint inhibitors, bispecific antibodies, and cancer vaccines. The chapter begins with an overview of current cancer treatment paradigms and the pressing need for innovative therapeutic strategies. It then explores the principles and latest trends in immunotherapy, highlighting the mechanisms of action and key players in checkpoint blockade therapy. The discussion extends to bispecific antibodies, focusing on their unique mechanisms, developmental challenges, and current clinical applications. The chapter also explores the frontier of cancer vaccines, distinguishing between preventive and therapeutic approaches, and examining the development of personalized vaccines. Finally, the chapter provides insights into future directions in cancer treatment, offering a comprehensive perspective on the evolving landscape of immunotherapy and its potential to transform patient outcomes.

本章重点介绍通过发展创新免疫疗法在癌症治疗方面的突破性进展,包括免疫检查点抑制剂、双特异性抗体和癌症疫苗。本章首先概述了当前的癌症治疗模式和对创新治疗策略的迫切需要。然后探讨了免疫治疗的原理和最新趋势,重点介绍了检查点阻断治疗的作用机制和关键参与者。讨论扩展到双特异性抗体,集中在其独特的机制,发展挑战,和目前的临床应用。本章还探讨了癌症疫苗的前沿,区分预防和治疗方法,并检查个性化疫苗的发展。最后,本章提供了对癌症治疗未来方向的见解,提供了一个全面的视角来看待免疫治疗的发展前景及其改变患者预后的潜力。
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引用次数: 0
Unravelling the contribution of lymph node fibroblasts to vaccine responses. 揭示淋巴结成纤维细胞对疫苗反应的贡献。
3区 医学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-08-12 DOI: 10.1016/bs.ai.2024.07.001
Isabella Cinti, Kassandra Vezyrgianni, Alice E Denton

Vaccination is one of the most effective medical interventions, saving millions of lives and reducing the morbidity of infections across the lifespan, from infancy to older age. The generation of plasma cells and memory B cells that produce high affinity class switched antibodies is central to this protection, and these cells are the ultimate output of the germinal centre response. Optimal germinal centre responses require different immune cells to interact with one another in the right place and at the right time and this delicate cellular ballet is coordinated by a network of interconnected stromal cells. In this review we will discuss the various types of lymphoid stromal cells and how they coordinate immune cell homeostasis, the induction and maintenance of the germinal centre response, and how this is disorganised in older bodies.

疫苗接种是最有效的医疗干预措施之一,挽救了数百万人的生命,降低了从婴儿到老年的整个生命周期的感染发病率。产生浆细胞和记忆性 B 细胞以产生高亲和力的转换类抗体是这种保护的核心,这些细胞是生殖中心反应的最终输出。最佳的生殖中心反应需要不同的免疫细胞在正确的时间和正确的地点相互作用,而这种微妙的细胞芭蕾是由相互连接的基质细胞网络协调的。在这篇综述中,我们将讨论各种类型的淋巴基质细胞,以及它们如何协调免疫细胞的平衡、生殖中心反应的诱导和维持,以及这种协调在老年机体中是如何被打乱的。
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引用次数: 0
Mechanisms and functions of lncRNAs linked to autoimmune disease risk alleles. 与自身免疫性疾病风险等位基因相关的 lncRNA 的机制和功能。
3区 医学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-03-29 DOI: 10.1016/bs.ai.2024.03.006
Ruxiao Tian, Sankar Ghosh

Recent advances in human genomics technologies have helped uncover genetic risk alleles for many complex autoimmune diseases. Intriguingly, over 90% of genome-wide association study (GWAS) risk alleles reside within the non-coding regions of the genome. An emerging new frontier of functional and mechanistic studies have shed light on the functional relevance of risk alleles that lie within long noncoding RNAs (lncRNAs). Here, we review the mechanisms and functional implications of five evolutionarily conserved lncRNAs that display risk allele association with highly prevalent autoimmune diseases.

人类基因组学技术的最新进展有助于发现许多复杂自身免疫性疾病的遗传风险等位基因。耐人寻味的是,超过 90% 的全基因组关联研究(GWAS)风险等位基因位于基因组的非编码区。新出现的功能和机理研究前沿揭示了长非编码 RNA(lncRNA)风险等位基因的功能相关性。在这里,我们回顾了五个进化保守的 lncRNA 的机制和功能意义,这些 lncRNA 显示出风险等位基因与高发自身免疫性疾病的关联。
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引用次数: 0
Innate immune sensing of macromolecule homeostasis. 先天免疫对大分子平衡的感知
3区 医学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-03-30 DOI: 10.1016/bs.ai.2024.03.004
Kun Yang, Devon Jeltema, Nan Yan

The innate immune system uses a distinct set of germline-encoded pattern recognition receptors to recognize molecular patterns initially thought to be unique to microbial invaders, named pathogen-associated molecular patterns. The concept was later further developed to include similar molecular patterns originating from host cells during tissue damage, known as damage-associated molecular patterns. However, recent advances in the mechanism of monogenic inflammatory diseases have highlighted a much more expansive repertoire of cellular functions that are monitored by innate immunity. Here, we summarize several examples in which an innate immune response is triggered when homeostasis of macromolecule in the cell is disrupted in non-infectious or sterile settings. These ever-growing sensing mechanisms expand the repertoire of innate immune recognition, positioning it not only as a key player in host defense but also as a gatekeeper of cellular homeostasis. Therapeutics inspired by these advances to restore cellular homeostasis and correct the immune system could have far-reaching implications.

先天性免疫系统使用一套独特的种系编码的模式识别受体来识别分子模式,最初认为这是微生物入侵者独有的,被命名为病原体相关分子模式。后来,这一概念进一步发展,将组织损伤过程中宿主细胞产生的类似分子模式也包括在内,称为损伤相关分子模式。然而,最近在单基因炎症性疾病机理方面取得的进展突显了先天性免疫所监控的细胞功能的范围要广得多。在此,我们总结了在非感染或无菌环境下,当细胞中的大分子平衡被破坏时触发先天性免疫反应的几个例子。这些不断发展的传感机制扩大了先天性免疫识别的范围,使其不仅成为宿主防御的关键角色,也成为细胞平衡的看门人。受这些进展的启发,用于恢复细胞平衡和纠正免疫系统的治疗方法可能会产生深远的影响。
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引用次数: 0
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