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HLA alleles and haplotype frequencies in Iranian population. 伊朗人群HLA等位基因和单倍型频率。
Q3 Medicine Pub Date : 2022-03-18 DOI: 10.3233/hab-220004
S. Ghafouri-Fard, Bahdar Mahmud Hussen, Sara Pashmforoush, M. Akbari, S. Arsang-Jang, Naghme Nazer, A. Hamidieh, A. Hajifathali, Marcel E. Dinger, A. Sayad, M. O. Dehaghi
BACKGROUNDHLA genotyping is a prerequisite for selection of suitable donors in the process of bone marrow transplantation.METHODSIn the current study, the frequencies of HLA-A, -B, -C and -DRB1 alleles and A-B-C-DRB1 haplotypes were assessed in 855 healthy Iranian persons using a low-resolution sequence specific primer (SSP) kit.RESULTSFrequencies were compared between 11 subpopulations including Armani, Balouch, Bandari, Turk, Turkaman, Arab, Fars, Kurd, Gilaki, Lor and Mazani. In total, 17 HLA-A alleles were detected, one of which (HLA-A*74) was present only among Lors. HLA-A*23 and -A*26 were the most frequent HLA-A alleles among Armanis. HLA-A*23 was also common among Turkamans. HLA-A*11 and -A*26 were most frequent among the Balouch subpopulation. The former allele was also frequent among Bandaris. HLA-A*02 was identified as the most common HLA-A allele among Turk, Arab and Fars subpopulations. HLA-A*30 were strongly enriched among Gilakis. A total of 31 HLA-B alleles were detected across the target population. While all alleles were present among Fars subgroup, Armanis and Turkamans had the lowest degree of diversity among the alleles examined. Moreover, HLA-B*35 and B*49 alleles were strongly enriched among Armanis and Turkamans, respectively. A total of 13 HLA-C alleles were identified across the population, all of which were present in the Fars subpopulation. HLA-C*03 and C*04 were the only HLA-C alleles identified among the Bandari subpopulation. HLA-DRB1*08 was not detected in any subpopulation other than Fars. HLA-DRB1*16 was significantly enriched among Bandaris.CONCLUSIONThese data have practical significance in anthropological studies, disease association investigations and bone marrow transplantation.
背景HLA基因分型是骨髓移植过程中选择合适供体的先决条件。方法在本研究中,使用低分辨率序列特异性引物(SSP)试剂盒评估了855名健康伊朗人的HLA-A、-B、-C和-DRB1等位基因和A-B-C-DRB1单倍型的频率。结果比较了阿玛尼、俾路支、班达里、土耳其人、土库曼人、阿拉伯人、法尔斯人、库尔德人、吉拉基人、洛尔人和马扎尼人等11个亚群的发病率。总共检测到17个HLA-A等位基因,其中一个(HLA-A*74)仅存在于Lors中。HLA-A*23和-A*26是阿曼人中最常见的HLA-A等位基因。HLA-A*23在土库曼人中也很常见。HLA-A*11和-A*26在俾路支亚群中最常见。前一个等位基因在Bandaris中也很常见。HLA-A*02被确定为土耳其人、阿拉伯人和法尔斯人亚群中最常见的HLA-A等位基因。HLA-A*30在吉拉基人中高度富集。在目标人群中总共检测到31个HLA-B等位基因。虽然所有等位基因都存在于Fars亚群中,但在所检测的等位基因中,Armanis和Turkamans的多样性程度最低。此外,HLA-B*35和B*49等位基因在阿曼人和土库曼人中分别富集。在整个人群中共鉴定出13个HLA-C等位基因,所有这些基因都存在于Fars亚群中。HLA-C*03和C*04是班达里亚群中唯一的HLA-C等位基因。在Fars以外的任何亚群中均未检测到HLA-DRB1*08。结论这些数据对人类学研究、疾病相关性研究和骨髓移植具有实际意义。
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引用次数: 0
The seroprevalence of celiac disease in patients with symptoms of irritable bowel syndrome: A cross-sectional study in north of Iran. 肠易激综合征患者乳糜泻的血清患病率:伊朗北部的一项横断面研究
Q3 Medicine Pub Date : 2022-03-16 DOI: 10.3233/hab-211516
F. Joukar, S. Yeganeh, A. Shafaghi, Alireza Mahjoob, Soheil Hassanipour, L. Santacroce, Sara Mavaddati, F. Mansour-Ghanaei
BACKGROUNDCeliac disease (CD) is a common cause of malabsorption that is definitively diagnosed by abnormal bowel biopsy, symptoms and histologic changes to gluten free diet. The symptoms of irritable bowel syndrome (IBS) are common in our community as the majority of people in Guilan, north of Iran, consume rice daily. Also, a number of celiac patients are unknown, and IBS are mistakenly diagnosed.OBJECTIVEThis study aimed to evaluate the prevalence of CD among IBS patients.METHODSA total of 475 consecutive patients with IBS, confirmed by Rome IV, underwent celiac serological tests antitissue transglutaminase antibodies (IgA-tTG, IgG-tTG) after obtaining a written consent form. In case of positive serological tests, biopsy was performed from small intestine after endoscopyRESULTS: Thirty-one (6.53%, 95% CI: 4.55-9.22) patients were positive for celiac serology. Based on Marsh-Oberhuber criteria, out of 9 patients with positive pathology 77.78% (95% CI: 40.19-96.05) had marsh IIIc. In IBS patients cramp (0.009) and stomach fullness (0.021) were two statistically significant IBS symptoms.CONCLUSIONSWe suggest physicians to consider celiac examinations for all patients with IBS symptoms, even for patients with no obvious celiac symptoms.
背景:乳糜泻(CD)是一种常见的吸收不良的原因,通过异常的肠活检、症状和无麸质饮食的组织学改变来确诊。肠易激综合征(IBS)的症状在我们的社区很常见,因为在伊朗北部的吉兰,大多数人每天都吃米饭。此外,许多乳糜泻患者是未知的,肠易激综合征被误诊。目的本研究旨在评估肠易激综合征患者中CD的患病率。方法连续475例经Rome IV确认的IBS患者,在获得书面同意后接受了抗组织转谷氨酰胺酶抗体(IgA-tTG, IgG-tTG)的乳糜泻血清学检测。结果:31例(6.53%,95% CI: 4.55-9.22)患者乳糜泻血清学阳性。根据marsh - oberhuber标准,9例病理阳性患者中77.78% (95% CI: 40.19-96.05)为marsh IIIc。在肠易激综合征患者中,痉挛(0.009)和胃饱(0.021)是两种具有统计学意义的肠易激综合征症状。结论我们建议医生对所有有肠易激综合征症状的患者进行腹腔检查,即使对没有明显腹腔症状的患者也是如此。
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引用次数: 1
Cytometric analysis and clinical features in a Moroccan cohort with severe combined immunodeficiency. 摩洛哥严重联合免疫缺陷队列的细胞分析和临床特征。
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-211510
Aicha El Allam, Sara El Fakihi, Hicham Tahoune, Karima Sahmoudi, Houria Bousserhane, Youssef Bakri, Naima El Hafidi, Fouad Seghrouchni

Severe combined immunodeficiency (SCID) is a form of primary immunodeficiency disease (PID). It is characterized by a serious abnormality of the cellular and sometimes humoral system due to a deficiency in development of T cells, B cells and/or NK cells. The early diagnosis of SCID improves the prognosis. Typically, the initial consideration of SCID is made based on low lymphocyte counts. Notwithstanding, the heterogeneity of lymphocyte count presentation makes the diagnosis of SCID a significant challenge. The objective of this cross-sectional retrospective study was to analyze the lymphocyte subpopulation counts along with clinical manifestations within a Moroccan cohort diagnosed as SCID compared to children diagnosed with non-PID diseases. Thirty-five SCID confirmed patients were selected in the period between 2008 and 2018 and compared with non-PID patients. Results of peripheral blood T, B, and NK lymphocyte subpopulation counts were measured by flow cytometry for each SCID subtype. As expected, T cell count was less than 300 cells/μL in most patients with SCID (85.5%). Unexpectedly, significantly higher T cell counts were detected in some patients with a confirmed clinical diagnosis and family history of SCID. 5.7% of our SCID Moroccan cohort had T cell numbers in the range between 300 and 500 cells/μL. 8.7% of our SCID Moroccan cohort had T cell numbers higher than 500 cells/μL. Of the SCID subtypes, the proportion of SCID with B cell deficiencies was highly represented in our cohort. 71.4% of Moroccan SCID patients (25 out of 35 patients) were of T-B-subtype. Furthermore, 40% of the patients (14 out of 35 patients) had a T-B-NK+ profile and 31.4% had a T-B-NK- profile (11 out of 35 patients). The most common clinical manifestations observed in our SCID cohort were pneumonia, failure to thrive, candidiasis, diarrhea, bronchitis and urinary tract infections. Our results not only highlight the relatively frequent presence of atypical SCID in the Moroccan population with unexpectedly high T cell numbers, but also describes the incidence pattern of common SCID subtypes in Morocco. Physicians in Morocco may find this local region-specific difference in SCID important for making improved early diagnosis of this disease.

重度联合免疫缺陷(SCID)是原发性免疫缺陷疾病(PID)的一种形式。它的特点是由于T细胞、B细胞和/或NK细胞发育不足而导致细胞和有时体液系统的严重异常。SCID的早期诊断可改善预后。通常,对SCID的初步考虑是基于低淋巴细胞计数。尽管如此,淋巴细胞计数表现的异质性使得SCID的诊断面临重大挑战。本横断面回顾性研究的目的是分析诊断为SCID的摩洛哥队列中与诊断为非pid疾病的儿童相比的淋巴细胞亚群计数和临床表现。在2008年至2018年期间选择35例SCID确诊患者,并与非pid患者进行比较。流式细胞术检测各组SCID亚型外周血T、B、NK淋巴细胞亚群计数。正如预期的那样,大多数SCID患者(85.5%)的T细胞计数小于300个细胞/μL。出乎意料的是,在一些临床确诊和有SCID家族史的患者中检测到明显较高的T细胞计数。5.7%的SCID摩洛哥队列患者T细胞数量在300 - 500细胞/μL之间。8.7%的SCID摩洛哥队列患者T细胞数量高于500细胞/μL。在SCID亚型中,伴有B细胞缺陷的SCID比例在我们的队列中有很高的代表性。71.4%的摩洛哥SCID患者(35例患者中有25例)为t - b亚型。此外,40%的患者(35例患者中有14例)具有T-B-NK+特征,31.4%的患者具有T-B-NK-特征(35例患者中有11例)。在我们的SCID队列中观察到的最常见的临床表现是肺炎、生长不良、念珠菌病、腹泻、支气管炎和尿路感染。我们的研究结果不仅突出了非典型SCID在摩洛哥人群中相对频繁的存在,而且还描述了摩洛哥常见SCID亚型的发病率模式。摩洛哥的医生可能会发现SCID的这种局部区域特异性差异对改善这种疾病的早期诊断很重要。
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引用次数: 0
Non-invasive monitoring associated with B lymphoma cells in post-transplant lymphoproliferative disorder (PTLD) patients: Systematic review. 移植后淋巴细胞增生性疾病(PTLD)患者B淋巴瘤细胞的无创监测:系统综述
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-220016
Naser Honar, Iraj Shahramian, Mohammad Hadi Imanieh, Maryam Ataollahi, Masoud Tahani, Shiva Rakhshaninasab, Amin Javadifar

Background: One of the most severe side effects of solid-organ transplantation is posttransplant lymphoproliferative disease (PTLD). People with human immunodeficiency virus infection (HIV), an immunosuppressive disease comparable to HIV, have a higher chance of developing lymphoma when their peripheral blood contains elevated levels of the immunoglobulins kappa and lambda free light chains (FLCs).

Methods: This systematic review's objective was to monitor associated B lymphoma cells in PTLD patients. In order to find relevant studies published between 1/1/2000 and 1/9/2022, two independent researchers conducted searches (MT, AJ). A literature search of English language publications was conducted using MEDLINE through PubMed, EMBASETM through Ovid, the Cochrane Library, and Trip. In addition to Magiran and SID, we searched KoreaMed and LILACS for literature published in other languages. sFLC or PTLD, transplant, or Electrophoresis are terms used in the search strategy.

Results: A total of 174 studies were selected. After analyzing their correspondence with the required criteria, a final review of five studies was conducted. The manuscript presents current findings on the potential benefits of the clinical applicability of sFLCs in PTLD. While the preliminary results appear promising, the only consistent result is that early-onset PTLD is predicted within the first two years after transplant, a biomarker that could be used to diagnose the condition.

Conclusions: Therefore, PTLD has been predicted by using the sFLCs. There have been contradictory results to date. Future research could include assessing the quantity of sFLCs and their quality in transplant recipients. In addition to PTLD and complications after transplantation, sFLCs may provide insight into other diseases. To confirm the validity of sFLCs, more studies are needed.

背景:实体器官移植最严重的副作用之一是移植后淋巴细胞增生性疾病(PTLD)。人类免疫缺陷病毒感染(HIV)是一种类似于HIV的免疫抑制疾病,当患者外周血中免疫球蛋白kappa和游离轻链(FLCs)水平升高时,患者发生淋巴瘤的几率更高。方法:本系统综述的目的是监测PTLD患者的相关B淋巴瘤细胞。为了找到2000年1月1日至2022年1月9日之间发表的相关研究,两位独立研究人员进行了搜索(MT, AJ)。使用PubMed的MEDLINE、Ovid的ememetm、Cochrane图书馆和Trip对英文出版物进行文献检索。除了Magiran和SID,我们还在KoreaMed和LILACS上搜索了其他语言出版的文献。sFLC或PTLD、移植或电泳是搜索策略中使用的术语。结果:共纳入174项研究。在分析了它们与所需标准的对应关系后,对五项研究进行了最后审查。本文介绍了目前关于sFLCs在PTLD临床应用的潜在益处的研究结果。虽然初步结果看起来很有希望,但唯一一致的结果是,早发性PTLD可以在移植后的头两年内预测,这是一种可用于诊断这种疾病的生物标志物。结论:因此,使用sFLCs可以预测PTLD。迄今为止,有一些相互矛盾的结果。未来的研究可能包括评估移植受者体内sFLCs的数量和质量。除了PTLD和移植后的并发症外,sFLCs可能为其他疾病的研究提供线索。为了证实sFLCs的有效性,还需要更多的研究。
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引用次数: 0
The comparison of IL-17 levels in patients with unstable angina before and after medical treatment. 不稳定型心绞痛患者用药前后IL-17水平的比较
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-210446
Ahmad Boluri, Hosseinali Khazaei, Narjes Sargolzaei, Hanie Olfat Miri, Bahman Khazaei

Background: Interleukin (IL)-17 plays a central role in orchestrating the cytokine cascade and accelerates atherosclerosis and plaque vulnerability in animal models. However, epidemiological data evaluating the role of IL-17 levels in unstable angina are lacking. The aim of our study is to evaluate and compare the IL-17 levels in unstable angina (UA) cases before and after treatment.

Methods: This cross-sectional study was performed from July to October 2018 in Ali Iben-abitaleb heart center, Zahedan, Iran. 48 patients with UA in the age range of below 50 years entered the study. All demographic, past medical history, physical examination, electrocardiogram (EKG or ECG), and transthoracic echocardiogram (TTE) data were collected. Serum level of IL-17 was measured using enzyme-linked immunosorbent assay (ELISA) method. In all the tests, P< 0.05 was considered as statistically significant. All data analyses were performed using the SPSS 13.0 software (SPSS Inc., Chicago, Illinois, USA).

Results: In this study, 48 UA patients, including 34 women and 16 men with a mean age of 56.60 years were included in the study. The mean serum level of interleukin 17 after treatment (65.13 ± 53.29 pg/dl) was significantly lower than Its level before treatment (94.89 ± 51.25 pg/dL) (P< 0/05).

Conclusion: Our findings point towards a role of inflammation in the form of increased activity of IL-17 in UA patients and thus suggest that IL-17-driven inflammation may play a role in the promotion of clinical instability in patients with coronary artery disease.

背景:在动物模型中,白细胞介素(IL)-17在协调细胞因子级联和加速动脉粥样硬化和斑块易损性中起核心作用。然而,评估IL-17水平在不稳定型心绞痛中的作用的流行病学数据缺乏。本研究的目的是评估和比较不稳定型心绞痛(UA)患者治疗前后的IL-17水平。方法:本横断面研究于2018年7月至10月在伊朗扎黑丹Ali Iben-abitaleb心脏中心进行,纳入48例年龄在50岁以下的UA患者。收集所有人口统计、既往病史、体格检查、心电图(EKG或ECG)和经胸超声心动图(TTE)数据。采用酶联免疫吸附法(ELISA)检测血清IL-17水平。所有检验均以P< 0.05为差异有统计学意义。所有数据分析使用SPSS 13.0软件(SPSS Inc., Chicago, Illinois, USA)进行。结果:本研究纳入48例UA患者,其中女性34例,男性16例,平均年龄56.60岁。治疗后血清白细胞介素17的平均水平(65.13±53.29 pg/dl)显著低于治疗前(94.89±51.25 pg/dl) (P< 0/05)。结论:我们的研究结果指出炎症在UA患者中以IL-17活性增加的形式发挥作用,因此表明IL-17驱动的炎症可能在冠状动脉疾病患者的临床不稳定中起促进作用。
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引用次数: 0
Assessment of cancer prevention effect of exercise. 运动防癌效果的评估。
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-210454
Reza Vafaee, Mostafa Rezaei Tavirani, Sina Rezaei Tavirani, Mohammadreza Razzaghi

There are many documents about benefits of exercise on human health. However, evidences indicate to positive effect of exercise on disease prevention, understanding of many aspects of this mechanism need more investigations. Determination of critical genes which effect human health.GSE156249 including 12 gene expression profiles of healthy individual biopsy from vastus lateralis muscle before and after 12-week combined exercise training intervention were extracted from gene expression omnibus (GEO) database. The significant DEGs were included in interactome unit by Cytoscape software and STRING database. The network was analyzed to find the central nodes subnetwork clusters. The nodes of prominent cluster were assessed via gene ontology by using ClueGO. Number of 8 significant DEGs and 100 first neighbors analyzed via network analysis. The network includes 2 clusters and COL3A1, BGN, and LOX were determined as central DEGs. The critical DEGs were involved in cancer prevention process.

关于运动对人体健康的好处有很多文献。然而,有证据表明运动对疾病的预防有积极作用,对这一机制的许多方面的理解还需要进一步的研究。影响人体健康的关键基因的测定。从基因表达综合数据库(GEO)中提取了12周联合运动训练干预前后健康个体股外侧肌活检组织的12个基因表达谱GSE156249。通过Cytoscape软件和STRING数据库将具有显著意义的deg纳入互作组单元。对网络进行分析,找出中心节点子网簇。利用ClueGO对突出聚类的节点进行基因本体评估。通过网络分析分析了8个显著deg和100个第一邻居的数量。该网络包括2个集群,COL3A1、BGN和LOX被确定为中心deg。关键deg参与癌症预防过程。
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引用次数: 0
COVID-19 pandemic: Insights into genetic susceptibility to SARS-CoV-2 and host genes implications on virus spread, disease severity and outcomes. COVID-19大流行:对SARS-CoV-2的遗传易感性和宿主基因对病毒传播、疾病严重程度和结局的影响
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-211506
Saba Dastar, Jalal Gharesouran, Deniz Mortazavi, Hassan Hosseinzadeh, Seyed Jalal Kian, Mohammad Taheri, Soudeh Ghafouri-Fard, Elena Jamali, Maryam Rezazadeh

The outbreak of the newly emerging severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) all over the world has caused global public health emergencies, international concern and economic crises. The systemic SARS-CoV-2 disease (COVID-19) can lead to death through causing unrestrained cytokines-storm and subsequent pulmonary shutdown among the elderly and patients with pre-existing comorbidities. Additionally, in comparison with poor nations without primary health care services, in developed countries with advanced healthcare system we can witness higher number of infections per one million people. In this review, we summarize the latest studies on genes associated with SARS-CoV-2 pathogenesis and propose possible mechanisms of the virus replication cycle and its triggered signaling pathways to encourage researchers to investigate genetic and immune profiles of the disease and try strategies for its treatment. Our review shows that immune response in people with different genetic background might vary as African and then Asian populations have lowest number of affected cases compared with European and American nations. Considering SARS-CoV-2 pathogenesis, we put forward some potentially important genetic gateways to COVID-19 infection including genes involved in the entry and replication of SARS-CoV-2 and the regulation of host immune response which might represent explanation for its spread, severity, and morality. Finally, we suggest that genetic alterations within these gateways could be critical factors in influencing geographical discrepancies of the virus, so it is essential to fully study them and design appropriated and reliable therapeutic agents against COVID-19.

新出现的严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)在全球范围内爆发,引发了全球性突发公共卫生事件、国际关注和经济危机。系统性SARS-CoV-2疾病(COVID-19)可在老年人和已有合并症的患者中引起无节制的细胞因子风暴和随后的肺关闭,从而导致死亡。此外,与没有初级卫生保健服务的贫穷国家相比,在拥有先进卫生保健系统的发达国家,我们可以看到每百万人的感染人数更高。本文综述了与SARS-CoV-2发病机制相关基因的最新研究,提出了病毒复制周期的可能机制及其触发的信号通路,以鼓励研究人员研究该疾病的遗传和免疫特征,并尝试治疗策略。我们的综述显示,不同遗传背景的人的免疫反应可能会有所不同,因为与欧洲和美洲国家相比,非洲和亚洲人群的感染病例数量最少。考虑到SARS-CoV-2的发病机制,我们提出了涉及SARS-CoV-2进入和复制以及宿主免疫反应调控的一些潜在的重要遗传通道,这可能解释了其传播、严重和道德的原因。最后,我们认为这些通道内的遗传改变可能是影响病毒地理差异的关键因素,因此有必要对它们进行充分研究,并设计合适和可靠的治疗药物来对抗COVID-19。
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引用次数: 1
Transcript levels of cytokine coding genes in peripheral blood and tissues of patients with periodontitis. 牙周炎患者外周血和组织中细胞因子编码基因的转录水平。
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-211507
Mohammad Taheri, Leila Gholami, Fwad Nicknafs, Bashdar Mahmud Hussen, Shahram Arsang-Jang, Arezou Sayad, Soudeh Ghafouri-Fard

Periodontal diseases are common conditions in almost all age groups and a public health problem. Numerous risk factors have been demonstrated for this condition. The main mechanism of tissue destruction in the periodontitis is the functional interactions between microbial pathogens and host immune responses, thus cytokines have crucial roles in the pathogenesis periodontitis. Our previous study has demonstrated the susceptibility role of HLA-DRB1*04 allele in development of this disease. So, the individuals who were positive for HLA-DRB1*04 allele were excluded. We aimed to appraise the function of cytokines in the pathogenesis of periodontitis via assessment of tissue and blood levels of a number of cytokine coding genes, namely IL-1B, CXCL8, IL-17, IFNG, TGFB and TNFA1. Expressions of IFNG, IL-17, TGFB and TNFA1 were significantly higher in the peripheral blood of individuals with periodontitis compared with unaffected persons (Posterior beta = 1.91, P value = 0.043; Posterior beta = 1.84, P value = 0.033; Posterior beta = 0.713, P value = 0.009 and Posterior beta = 2.85, P value = 0.001, respectively). Moreover, expression of IL-17 was higher in females compared with males (Posterior beta = 1.47, P value = 0.036). As the interaction effect between gender and group was remarkable for IL-17 expression, we further conducted subgroup analysis within gender group. Expression of IL-17 was higher in male patients compared with unaffected males (Posterior beta = 1.9, P value = 0.048). We did not detect any significant difference in the expression of these cytokines in tissues obtained from affected individuals and unaffected controls. Therefore, our results imply dysregulation of cytokine coding genes in patients with periodontitis and warrant further mechanistical studies.

牙周病是几乎所有年龄组的常见病,也是一个公共卫生问题。许多危险因素已被证明会导致这种情况。牙周炎组织破坏的主要机制是病原微生物与宿主免疫应答的功能相互作用,因此细胞因子在牙周炎发病中起着至关重要的作用。我们之前的研究已经证实了HLA-DRB1*04等位基因在本病发生中的易感性作用。因此,排除HLA-DRB1*04等位基因阳性的个体。我们旨在通过评估组织和血液中一些细胞因子编码基因的水平,即IL-1B、CXCL8、IL-17、IFNG、TGFB和TNFA1,来评估细胞因子在牙周炎发病机制中的功能。牙周炎患者外周血中IFNG、IL-17、TGFB和TNFA1的表达明显高于正常人群(后验β = 1.91, P值= 0.043;后验贝塔系数= 1.84,P值= 0.033;后验β = 0.713, P值= 0.009;后验β = 2.85, P值= 0.001)。IL-17在女性中的表达高于男性(Posterior beta = 1.47, P值= 0.036)。由于性别和组间对IL-17表达的交互作用显著,我们进一步在性别组内进行亚组分析。男性患者IL-17的表达高于正常男性(后验β = 1.9, P值= 0.048)。我们没有发现从受影响个体和未受影响的对照组获得的组织中这些细胞因子的表达有任何显著差异。因此,我们的结果暗示牙周炎患者的细胞因子编码基因失调,需要进一步的机制研究。
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引用次数: 0
Interferon gamma, interleukin 6 and tissue necrosis factor alpha levels among asymptomatic HIV patients in Benin City, Nigeria. 尼日利亚贝宁市无症状HIV患者的干扰素γ、白细胞介素6和组织坏死因子α水平
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-220014
Godwin Aigbedo Aikpitanyi-Iduitua, Isaiah Nnana Ibeh, Nosakhare Lawrence Idemudia, Rosemary Osamede Aikpitanyi-Iduitua, Richard Omoregie

Background: Morbidity and mortality associated with HIV infection is immune-mediated, and an understanding of HIV immunology will be beneficial in the management of HIV infectionOBJECTIVE: The objective of this research was to measure the levels of TNF-α, IL-6 and IFN-γ in asymptomatic HIV patients and non-HIV subjects, as well as their relationship with CD4 count.

Method: Blood samples were collected from 173 subjects, consisting of 125 asymptomatic HIV patients (44 HAART-naïve and 81 on HAART) and 48 non-HIV subjects. The IFN-, IL-6, and TNF- levels in the blood were determined using enzyme-linked immunosorbent assays, and the CD4 count of all participants was determined using flow cytometry.

Results: Regardless of treatment status, the IFN-γ levels of non-HIV subjects were significantly higher than those of HIV patients (p< 0.001). The opposite was true for IL-6, as the levels of IL-6 in non-HIV subjects were significantly lower than those in HAART-naïve HIV patients (p< 0.001) and those on HAART (p< 0.01). TNF-α levels did not differ between HIV patients and their non-HIV counterparts. Generally, the levels of these cytokines was not affected (p> 0.05) by immunosuppression (measured by CD4 count < 200 cells/μL) and there was no significant correlation between CD4 count and these cytokines (p> 0.05).

Conclusion: In conclusion, asymptomatic HIV infection decreased IFN-γ, increased IL-6, and had no effect on TNF-α levels, regardless of treatment status. Immunosuppression had no impact on these cytokine levels, and there was no relationship between them and CD4 counts.

背景:与HIV感染相关的发病率和死亡率是免疫介导的,了解HIV免疫学将有助于HIV感染的管理。目的:本研究的目的是测量无症状HIV患者和非HIV受试者中TNF-α、IL-6和IFN-γ的水平,以及它们与CD4计数的关系。方法:采集173例患者血样,其中无症状HIV患者125例(HAART-naïve 44例,HAART治疗81例),非HIV患者48例。采用酶联免疫吸附法测定血液中的IFN-、IL-6和TNF-水平,采用流式细胞术测定所有参与者的CD4计数。结果:无论治疗状态如何,非HIV受试者的IFN-γ水平均显著高于HIV患者(p< 0.001)。IL-6的情况正好相反,非HIV受试者的IL-6水平显著低于HAART-naïve HIV患者(p< 0.001)和HAART患者(p< 0.01)。TNF-α水平在HIV患者和非HIV患者之间没有差异。免疫抑制(CD4计数< 200 cells/μL)对上述细胞因子水平无显著影响(p> 0.05), CD4计数与上述细胞因子之间无显著相关性(p> 0.05)。结论:综上所述,无论治疗状态如何,无症状HIV感染均可降低IFN-γ,升高IL-6,对TNF-α水平无影响。免疫抑制对这些细胞因子水平没有影响,它们与CD4计数之间没有关系。
{"title":"Interferon gamma, interleukin 6 and tissue necrosis factor alpha levels among asymptomatic HIV patients in Benin City, Nigeria.","authors":"Godwin Aigbedo Aikpitanyi-Iduitua,&nbsp;Isaiah Nnana Ibeh,&nbsp;Nosakhare Lawrence Idemudia,&nbsp;Rosemary Osamede Aikpitanyi-Iduitua,&nbsp;Richard Omoregie","doi":"10.3233/HAB-220014","DOIUrl":"https://doi.org/10.3233/HAB-220014","url":null,"abstract":"<p><strong>Background: </strong>Morbidity and mortality associated with HIV infection is immune-mediated, and an understanding of HIV immunology will be beneficial in the management of HIV infectionOBJECTIVE: The objective of this research was to measure the levels of TNF-α, IL-6 and IFN-γ in asymptomatic HIV patients and non-HIV subjects, as well as their relationship with CD4 count.</p><p><strong>Method: </strong>Blood samples were collected from 173 subjects, consisting of 125 asymptomatic HIV patients (44 HAART-naïve and 81 on HAART) and 48 non-HIV subjects. The IFN-, IL-6, and TNF- levels in the blood were determined using enzyme-linked immunosorbent assays, and the CD4 count of all participants was determined using flow cytometry.</p><p><strong>Results: </strong>Regardless of treatment status, the IFN-γ levels of non-HIV subjects were significantly higher than those of HIV patients (p< 0.001). The opposite was true for IL-6, as the levels of IL-6 in non-HIV subjects were significantly lower than those in HAART-naïve HIV patients (p< 0.001) and those on HAART (p< 0.01). TNF-α levels did not differ between HIV patients and their non-HIV counterparts. Generally, the levels of these cytokines was not affected (p> 0.05) by immunosuppression (measured by CD4 count < 200 cells/μL) and there was no significant correlation between CD4 count and these cytokines (p> 0.05).</p><p><strong>Conclusion: </strong>In conclusion, asymptomatic HIV infection decreased IFN-γ, increased IL-6, and had no effect on TNF-α levels, regardless of treatment status. Immunosuppression had no impact on these cytokine levels, and there was no relationship between them and CD4 counts.</p>","PeriodicalId":53564,"journal":{"name":"Human Antibodies","volume":"30 4","pages":"177-182"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9464902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of HIV on the risk of COVID-19 death among hospitalized patients. HIV对住院患者COVID-19死亡风险的影响
Q3 Medicine Pub Date : 2022-01-01 DOI: 10.3233/HAB-220011
Mehdi Azizmohammad Looha, Nazanin Taraghikhah, Maedeh Amini, Pegah Salimi Pormehr, Negin Talaei, Mahmood Khodadoost, Saeid Gholamzadeh, Reza Vafaee, Gohar Mohammadi

Background: Little is known about the association between Human Immunodeficiency Virus (HIV) infection and risk of death among hospitalized COVID-19 patients. We aimed to investigate this association using a multicenter study.

Material and methods: This multicenter study was conducted using the registry database of Coronavirus Control Operations Headquarter from March 21, 2021 to January 18, 2020 in the province of Tehran, Iran. The interest outcome was COVID-19 death among hospitalized patients living with and without HIV. The Cox regression models with robust standard error were used to estimate the association between HIV infection and risk of COVID-19 death. The subgroup and interaction analysis were also performed in this study.

Results: 326052 patients with COVID-19 were included in the study, of whom 127 (0.04%) were living with HIV. COVID-19 patients with HIV were more likely to be female, older, and to have symptoms such as fever, muscular pain, dyspnea and cough. The death proportion due to COVID-19 was 18 (14.17%) and 21595 (6.63%) among HIV and non-HIV patients, respectively. Patients living with HIV had lower mean survival time compared to those without HIV (26.49 vs. 15.31 days, P-value = 0.047). Crude risk of COVID-19 death was higher among HIV patients than in non-HIV group (hazard ratio[HR]: 1.60, 1.08-2.37). Compared to those without HIV, higher risk of COVID-19 death was observed among patients with HIV after adjusting for sex (1.60, 1.08-2.36), comorbidities (1.49, 1.01-2.19), cancer (1.59, 1.08-2.33), and PO2 (1.68, 1.12-2.50). However, the risk of COVID-19 death was similar in patients with and without HIV after adjusting for age (1.46, 0.98-2.16) and ward (1.30, 0.89-1.89).

Conclusion: We found no strong evidence of association between HIV infection and higher risk of COVID-19 death among hospitalized patients. To determine the true impact of HIV on the risk of COVID-19 death, factors such as age, comorbidities, hospital ward, viral load, CD4 count, and antiretroviral treatment should be considered.

背景:人类免疫缺陷病毒(HIV)感染与住院COVID-19患者死亡风险之间的关系尚不清楚。我们的目的是通过一项多中心研究来调查这种关联。材料和方法:本多中心研究于2021年3月21日至2020年1月18日在伊朗德黑兰省利用冠状病毒控制行动总部的登记数据库进行。感兴趣的结局是感染和不感染艾滋病毒的住院患者中COVID-19死亡。使用具有稳健标准误差的Cox回归模型来估计HIV感染与COVID-19死亡风险之间的关联。本研究还进行了亚组分析和相互作用分析。结果:共纳入326052例COVID-19患者,其中127例(0.04%)为HIV感染者。COVID-19感染艾滋病毒的患者更有可能是女性、年龄较大,并出现发烧、肌肉疼痛、呼吸困难和咳嗽等症状。在HIV和非HIV患者中,因COVID-19死亡的比例分别为18例(14.17%)和21595例(6.63%)。HIV感染者的平均生存时间比未感染HIV的患者低(26.49天比15.31天,p值= 0.047)。HIV患者的COVID-19粗死亡风险高于非HIV组(风险比:1.60,1.08-2.37)。经性别(1.60,1.08-2.36)、合并症(1.49,1.01-2.19)、癌症(1.59,1.08-2.33)和PO2(1.68, 1.12-2.50)校正后,HIV患者的COVID-19死亡风险高于未感染HIV的患者。然而,在调整年龄(1.46,0.98-2.16)和病房(1.30,0.89-1.89)后,感染和未感染艾滋病毒的患者的COVID-19死亡风险相似。结论:我们未发现住院患者中HIV感染与COVID-19死亡风险较高之间存在强有力的关联。要确定艾滋病毒对COVID-19死亡风险的真正影响,应考虑年龄、合并症、医院病房、病毒载量、CD4计数和抗逆转录病毒治疗等因素。
{"title":"The impact of HIV on the risk of COVID-19 death among hospitalized patients.","authors":"Mehdi Azizmohammad Looha,&nbsp;Nazanin Taraghikhah,&nbsp;Maedeh Amini,&nbsp;Pegah Salimi Pormehr,&nbsp;Negin Talaei,&nbsp;Mahmood Khodadoost,&nbsp;Saeid Gholamzadeh,&nbsp;Reza Vafaee,&nbsp;Gohar Mohammadi","doi":"10.3233/HAB-220011","DOIUrl":"https://doi.org/10.3233/HAB-220011","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the association between Human Immunodeficiency Virus (HIV) infection and risk of death among hospitalized COVID-19 patients. We aimed to investigate this association using a multicenter study.</p><p><strong>Material and methods: </strong>This multicenter study was conducted using the registry database of Coronavirus Control Operations Headquarter from March 21, 2021 to January 18, 2020 in the province of Tehran, Iran. The interest outcome was COVID-19 death among hospitalized patients living with and without HIV. The Cox regression models with robust standard error were used to estimate the association between HIV infection and risk of COVID-19 death. The subgroup and interaction analysis were also performed in this study.</p><p><strong>Results: </strong>326052 patients with COVID-19 were included in the study, of whom 127 (0.04%) were living with HIV. COVID-19 patients with HIV were more likely to be female, older, and to have symptoms such as fever, muscular pain, dyspnea and cough. The death proportion due to COVID-19 was 18 (14.17%) and 21595 (6.63%) among HIV and non-HIV patients, respectively. Patients living with HIV had lower mean survival time compared to those without HIV (26.49 vs. 15.31 days, P-value = 0.047). Crude risk of COVID-19 death was higher among HIV patients than in non-HIV group (hazard ratio[HR]: 1.60, 1.08-2.37). Compared to those without HIV, higher risk of COVID-19 death was observed among patients with HIV after adjusting for sex (1.60, 1.08-2.36), comorbidities (1.49, 1.01-2.19), cancer (1.59, 1.08-2.33), and PO2 (1.68, 1.12-2.50). However, the risk of COVID-19 death was similar in patients with and without HIV after adjusting for age (1.46, 0.98-2.16) and ward (1.30, 0.89-1.89).</p><p><strong>Conclusion: </strong>We found no strong evidence of association between HIV infection and higher risk of COVID-19 death among hospitalized patients. To determine the true impact of HIV on the risk of COVID-19 death, factors such as age, comorbidities, hospital ward, viral load, CD4 count, and antiretroviral treatment should be considered.</p>","PeriodicalId":53564,"journal":{"name":"Human Antibodies","volume":"30 4","pages":"165-175"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9457546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Human Antibodies
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