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The lingering shadow of epidemics: post-acute sequelae across history. 流行病挥之不去的阴影:跨越历史的急性后后遗症。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-01 Epub Date: 2025-12-04 DOI: 10.1016/j.it.2025.10.010
Christine M Miller, Janna K Moen, Akiko Iwasaki

The SARS-CoV-2 pandemic has drawn global attention to post-acute infection syndromes (PAIS), with millions affected by post-acute sequelae of COVID-19 (PASC, or Long COVID). While Long COVID is newly defined, PAIS have been described for over a century following epidemic infections. Multiple pathogens - including influenza, Epstein-Barr virus, and Borrelia burgdorferi, among others - can precipitate persistent, poorly understood symptoms. Chronic illnesses such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) have long been linked to infectious triggers. This recurring association highlights critical knowledge gaps and underscores the need for systematic investigation. Unlike prior pandemics, the current era offers advanced technologies and analytic tools to address these gaps. Defining the biology of Long COVID may yield broader insights into host-pathogen interactions and mechanisms of chronic illness.

SARS-CoV-2大流行引起了全球对急性后感染综合征(PAIS)的关注,数百万人受到COVID-19急性后后遗症(PASC,或Long COVID)的影响。虽然长冠状病毒是新定义的,但在流行病感染后的一个多世纪里,人们一直在描述PAIS。多种病原体——包括流感、爱泼斯坦-巴尔病毒和伯氏疏螺旋体等——可以引发持续的、鲜为人知的症状。慢性疾病,如肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS),长期以来一直被认为与传染性诱因有关。这种反复出现的联系突出了关键的知识差距,并强调了系统调查的必要性。与以往的大流行不同,当前时代提供了先进的技术和分析工具来解决这些差距。定义长冠状病毒的生物学可能会对宿主-病原体相互作用和慢性疾病的机制产生更广泛的见解。
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引用次数: 0
Targeting γδ T cells for immunotherapies against colorectal cancer. 靶向γδ T细胞免疫治疗结直肠癌
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-20 DOI: 10.1016/j.it.2025.11.009
Joanna Mikulak, Paolo Marzano, Valentina Cazzetta, Domenico Mavilio

The advancement of immunotherapy faces significant challenges, including extending its benefits to a growing number of patients and enhancing its efficacy across different tumor types. In this context, γδ T cells emerge as particularly promising candidates owing to their distinctive biological features such as MHC-independent activation, potent cytotoxicity, and capacity to bridge innate and adaptive immunity. Recently, advanced single-cell techniques have allowed detailed γδ T cell characterization in the tumor microenvironment (TME) and have emphasized their heterogeneity, mechanisms of activation, and response to immune checkpoint blockade (ICB). This review provides a comprehensive summary of recent advances in understanding γδ T cells in colorectal cancer (CRC), with a particular emphasis on their prognostic and therapeutic relevance in both primary tumors and metastatic disease.

免疫疗法的进步面临着重大挑战,包括将其益处扩展到越来越多的患者,并增强其对不同肿瘤类型的疗效。在这种情况下,γδ T细胞由于其独特的生物学特性,如mhc非依赖性激活、强大的细胞毒性和连接先天免疫和适应性免疫的能力,成为特别有希望的候选者。最近,先进的单细胞技术已经允许在肿瘤微环境(TME)中详细表征γδ T细胞,并强调了它们的异质性、激活机制和对免疫检查点阻断(ICB)的反应。本文综述了γδ T细胞在结直肠癌(CRC)中的最新进展,特别强调了它们在原发性肿瘤和转移性疾病中的预后和治疗相关性。
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引用次数: 0
Group 3 innate lymphoid cells: guardians of intestinal homeostasis. 第三组先天淋巴样细胞:肠道内环境平衡的守护者。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-19 DOI: 10.1016/j.it.2025.11.008
Jiacheng Hao, Xiaohuan Guo

Intestinal homeostasis is crucial for overall health, and its maintenance relies on a complex and delicate interplay between intestinal epithelial cells, the gut microbiota, and the immune system. Among immune components, group 3 innate lymphoid cells (ILC3s), which primarily reside in the intestinal microenvironment, play a crucial role in maintaining gut homeostasis. Through the expression of multiple effector molecules such as interleukin (IL)-22 and major histocompatibility complex class II (MHCII), ILC3s orchestrate intestinal epithelial responses and regulate innate and adaptive immunity, thereby collectively promoting a symbiotic host-microbiota relationship, supporting immune tolerance, and providing protection against pathogens. This review summarizes current understanding of ILC3 functions in gut homeostasis, highlights their interactions with the microbiota and other cell types, and outlines how aberrant ILC3 activity contributes to disease pathogenesis.

肠道内稳态对整体健康至关重要,其维持依赖于肠上皮细胞、肠道微生物群和免疫系统之间复杂而微妙的相互作用。在免疫成分中,主要存在于肠道微环境中的第3组先天淋巴样细胞(ILC3s)在维持肠道内稳态中起着至关重要的作用。通过表达多种效应分子,如白细胞介素(IL)-22和主要组织相容性复合体II类(MHCII), ILC3s协调肠道上皮反应,调节先天免疫和适应性免疫,从而共同促进宿主-微生物群的共生关系,支持免疫耐受,并提供对病原体的保护。本文综述了目前对ILC3在肠道内稳态中的功能的理解,强调了它们与微生物群和其他细胞类型的相互作用,并概述了异常的ILC3活性如何促进疾病的发病机制。
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引用次数: 0
Immune cellular homeostasis and its breakdown at the maternal-fetal interface. 免疫细胞稳态及其在母胎界面的破坏。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-16 DOI: 10.1016/j.it.2025.11.006
Nardhy Gomez-Lopez, Eva Kareus, Seungbaek Lee

Pregnancy requires dynamic immune adaptations that balance tolerance, homeostasis, and defense at the maternal-fetal interface. Recent advances integrating findings from human placental samples with those from refined animal models now enable a detailed analysis of how cellular responses in mid and late gestation contribute to major obstetrical complications - with distinct clinical manifestations - such as preterm birth, fetal growth restriction, and pre-eclampsia. In this Opinion article we propose a unifying paradigm: the breakdown of maternal-fetal immune homeostasis. We highlight regulatory T cells and decidual macrophages as complementary regulators of antigen-specific tolerance and nonspecific homeostasis, whereas effector T cell infiltration in chronic placental inflammation and neutrophil-driven inflammation in acute chorioamnionitis exemplify pathological immune activation. Together, these examples illustrate how immune programs that sustain mid-to-late pregnancy, when dysregulated, drive pathology and open new therapeutic opportunities.

怀孕需要动态的免疫适应来平衡母体-胎儿界面的耐受性、体内平衡和防御。最近的研究进展整合了人类胎盘样本和精细动物模型的发现,现在可以详细分析妊娠中期和晚期的细胞反应如何导致主要的产科并发症-具有不同的临床表现-如早产,胎儿生长受限和先兆子痫。在这篇观点文章中,我们提出了一个统一的范式:母体-胎儿免疫稳态的破坏。我们强调调节性T细胞和蜕膜巨噬细胞是抗原特异性耐受和非特异性稳态的互补调节因子,而慢性胎盘炎症中的效应T细胞浸润和急性绒毛膜羊膜炎中的中性粒细胞驱动的炎症则是病理性免疫激活的例证。总之,这些例子说明了维持妊娠中后期的免疫程序在失调时如何驱动病理并开辟新的治疗机会。
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引用次数: 0
Neuronal inflammasomes: balancing immunity, neuroinflammation, and homeostasis. 神经炎性小体:平衡免疫、神经炎症和体内平衡。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-12 DOI: 10.1016/j.it.2025.11.007
Juan Pablo de Rivero Vaccari, Robert W Keane

Recent discoveries reveal that inflammasome signaling in neurons extends beyond host defense to influence fundamental aspects of brain function, including synaptic plasticity, axon remodeling, and exosome-mediated intercellular communication. This review explores how basal neuronal inflammasome activity contributes to central nervous system (CNS) homeostasis and how heightened signaling in neurons drives neuroinflammatory and degenerative processes. Understanding these dual roles of neuronal inflammasomes provides new insights into neuroimmune crosstalk and identifies potential targets for modulating repair and inflammation in CNS injury and disease.

最近的发现表明,神经元中的炎性体信号传导超越宿主防御,影响脑功能的基本方面,包括突触可塑性、轴突重塑和外泌体介导的细胞间通讯。这篇综述探讨了基底神经元炎性体活动如何促进中枢神经系统(CNS)的稳态,以及神经元中信号的增强如何驱动神经炎症和退行性过程。了解这些神经元炎症小体的双重作用为神经免疫串扰提供了新的见解,并确定了中枢神经系统损伤和疾病中调节修复和炎症的潜在靶点。
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引用次数: 0
Maternal diet shapes the development and identity of tissue-resident macrophages. 母体饮食塑造了组织巨噬细胞的发育和身份。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-06 DOI: 10.1016/j.it.2025.11.005
Hao Huang, Elvira Mass

The developmental origins of health and diseases concept posits that early-life exposure to environmental adversities increases risks for diverse noncommunicable and infectious diseases. Among these adversities, maternal malnutrition is a critical determinant of offspring health trajectories. Maternal malnutrition from preconception to lactation can durably alter cellular and tissue function in the offspring. We propose that tissue-resident macrophages (TRMs) act as central mediators of this developmental programming. Seeding tissues during embryogenesis, integrating metabolic and hormonal signals, and persisting throughout life, TRMs can encode maternal nutritional states into lasting tissue adaptations. We summarize how specific maternal diets program distinct TRM subsets and how programmed TRMs link maternal nutritional statuses to disease susceptibility. TRMs may offer early intervention targets to improve offspring health.

健康和疾病的发展起源概念认为,生命早期暴露于环境逆境会增加患各种非传染性疾病和传染病的风险。在这些逆境中,孕产妇营养不良是影响后代健康轨迹的关键因素。母亲从孕前到哺乳期的营养不良会持久地改变后代的细胞和组织功能。我们认为组织内巨噬细胞(TRMs)在这一发育过程中起着中心介质的作用。trm在胚胎发生期间播种组织,整合代谢和激素信号,并持续一生,可以将母体营养状态编码为持久的组织适应。我们总结了特定的母体饮食如何规划不同的TRM亚群,以及程序化的TRM如何将母体营养状况与疾病易感性联系起来。trm可能为改善后代健康提供早期干预目标。
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引用次数: 0
IEL-IEC circuit in barrier immunity and beyond. 屏障抗扰及以上的IEL-IEC电路。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-05 DOI: 10.1016/j.it.2025.11.004
Siyan Che, Yue Wang, Zi Wang, Yulong Yin, Miaomiao Wu

The intestinal epithelium functions as an immune-metabolic interface, integrating environmental signals to maintain systemic homeostasis. Intraepithelial lymphocytes (IELs), interspersed within the epithelial layer, form a highly interactive network with intestinal epithelial cells (IECs) to coordinate barrier defense, immune tolerance, and metabolic regulation. IECs orchestrate IEL development, positioning, and functional programming. Reciprocally, IELs modulate epithelial physiology, nutrient uptake, and epithelial repair. Dysregulation of the IEL-IEC unit contributes to intestinal and extraintestinal pathologies. This review discusses current advances in IEL-IEC bidirectional communication, highlighting the influences of diet, microbial metabolites, and immune checkpoints on this interface. We propose a paradigm in which the IEL-IEC interplay functions as a key immunometabolic regulatory unit and represents a promising therapeutic target for systemic diseases.

肠上皮作为免疫代谢接口,整合环境信号以维持系统稳态。上皮内淋巴细胞(IELs)分布在上皮层内,与肠上皮细胞(IECs)形成高度互动的网络,协调屏障防御、免疫耐受和代谢调节。iec协调IEL的开发、定位和函数式编程。反过来,IELs调节上皮生理、营养摄取和上皮修复。IEL-IEC单元的失调会导致肠道和肠外病变。本文综述了IEL-IEC双向通信的最新进展,重点介绍了饮食、微生物代谢物和免疫检查点对该接口的影响。我们提出了一个范例,其中IEL-IEC相互作用作为一个关键的免疫代谢调节单元,代表了一个有希望的全身性疾病的治疗靶点。
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引用次数: 0
Decoding immune aging at single-cell resolution. 以单细胞分辨率解码免疫老化。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-25 DOI: 10.1016/j.it.2025.09.001
Yankai Wang, Da Ke, Yifan Chen, Chensheng Zhang, Wenhua Liu, Lei Chen, Jun Pu

Advances in single-cell sequencing have transformed our understanding of immune aging by enabling high-resolution dissection of age-associated changes in cellular composition and function. Recent years have seen a surge in studies leveraging single-cell multi-omics to chart immune trajectories across the human lifespan, uncovering previously unrecognized heterogeneity and functional shifts in peripheral immune cells. While these technologies offer unprecedented insights, they also pose significant technical and analytical challenges, including data integration across platforms and populations. In this review, we critically examine landmark studies, compare emerging immune aging clocks, and highlight opportunities for clinical translation. By decoding immune aging at single-cell resolution, we move closer to early detection of immunosenescence, personalized immunomodulation, and precision strategies to extend healthspan in aging populations.

单细胞测序的进步改变了我们对免疫衰老的理解,使细胞组成和功能的年龄相关变化的高分辨率解剖成为可能。近年来,利用单细胞多组学绘制人类一生免疫轨迹的研究激增,揭示了以前未被认识到的外周免疫细胞的异质性和功能变化。虽然这些技术提供了前所未有的见解,但它们也带来了重大的技术和分析挑战,包括跨平台和人群的数据集成。在这篇综述中,我们批判性地检查了具有里程碑意义的研究,比较了新兴的免疫衰老时钟,并强调了临床转化的机会。通过在单细胞分辨率上解码免疫衰老,我们更接近免疫衰老的早期检测,个性化免疫调节和精确策略,以延长老龄化人群的健康寿命。
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引用次数: 0
Transcriptional control of natural killer cell antitumor activity. 自然杀伤细胞抗肿瘤活性的转录调控。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-18 DOI: 10.1016/j.it.2025.08.007
Barbara L Kee

Natural killer (NK) cells protect from viral infection, cancer, and metastasis, and are emerging as valuable therapeutics for cancer treatment. NK-cell control of viral infection has been studied intensively, but less is known in the context of cancer. Multiple associative, preclinical, and early phase clinical studies have revealed the ability of NK-cell-based therapies to contribute to cancer control. Development of effective NK-cell therapeutics will be facilitated by a deeper understanding of the mechanisms controlling NK cell function across an array of cancer types and states. This review will focus on recent studies of the transcription factors that control NK cell function and their response to leukemia, solid tumors, and metastasis.

自然杀伤(NK)细胞保护免受病毒感染,癌症和转移,并正在成为癌症治疗的有价值的治疗方法。nk细胞对病毒感染的控制已被深入研究,但在癌症的背景下所知较少。多项联合、临床前和早期临床研究表明,基于nk细胞的治疗有助于癌症控制。通过对一系列癌症类型和状态下控制NK细胞功能的机制的深入了解,将促进有效NK细胞疗法的发展。本文将对近年来控制NK细胞功能的转录因子及其对白血病、实体瘤和转移的反应进行综述。
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引用次数: 0
Myeloperoxidase transforms chromatin into an immune weapon. 髓过氧化物酶将染色质转化为免疫武器。
IF 13.9 1区 医学 Q1 IMMUNOLOGY Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1016/j.it.2025.11.001
Hannah Garner

Burn et al. reveal a previously unrecognised, non-catalytic function of myeloperoxidase (MPO) in neutrophil extracellular trap (NET) formation; integrating super-resolution microscopy and biochemical approaches, they demonstrated that MPO's oligomeric state governs chromatin decondensation, redefining MPO as a structural chromatin modifier with implications for diseases driven by dysregulated NETosis.

Burn等人揭示了髓过氧化物酶(MPO)在中性粒细胞胞外陷阱(NET)形成中的一种以前未被认识到的非催化功能;结合超分辨率显微镜和生化方法,他们证明了MPO的寡聚状态控制染色质去浓缩,重新定义了MPO作为一种结构染色质调节剂,与NETosis失调驱动的疾病有关。
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引用次数: 0
期刊
Trends in Immunology
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