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Geographic Location Determines Differentially Methylated Gene Expressions in Autoimmune Diseases 地理位置决定自身免疫性疾病中甲基化基因的差异表达
Pub Date : 2021-12-01 DOI: 10.3390/immuno1040037
J. Pers, Hajar Bahane, C. Le Dantec, N. Foulquier, M. Alarcón-Riquelme, P. Youinou
Further observations support the role of environmental factors in autoimmune diseases via the alteration of the epigenetic machinery. In this context, ultraviolet light, smoking, chemicals, and psychological stress have been described as likely examples of this phenomenon. For this study, we took advantage of the PRECISESADS IMI project, which gathered joint data from 2500 individuals with systemic autoimmune diseases, including systemic lupus erythematosus (SLE), systemic sclerosis (SSc), primary Sjögren’s syndrome (pSS), rheumatoid arthritis (RA), primary antiphospholipid syndrome (PAPS), and mixed connective tissue disease (MCTD), and aimed to determine such epigenetic modifications in SLE, SSc, pSS, and RA patients. Here, we performed a set of measures in several countries from the north and south of Europe. We observed that autoimmune patients from the north of Europe presented a higher hypomethylated profile associated with an increased gene expression than patients from the south. These genes were associated with interferon (IFN) pathways, immunity, and the pathways associated with cellular metabolism. Since the IFN scores were increased in this population, these patients presented a more inflammatory profile. To conclude, the geographical location of patients with autoimmune diseases has an impact on DNA methylation, RNA expression, and immunological profiles.
进一步的观察支持环境因素通过改变表观遗传机制在自身免疫性疾病中的作用。在这种情况下,紫外线、吸烟、化学药品和心理压力被认为是这种现象的可能例子。在这项研究中,我们利用PRECISESADS IMI项目,该项目收集了2500名系统性自身免疫性疾病患者的联合数据,包括系统性红斑狼疮(SLE)、系统性硬化症(SSc)、原发性Sjögren综合征(pSS)、类风湿性关节炎(RA)、原发性抗磷脂综合征(PAPS)和混合性结缔组织病(MCTD),旨在确定SLE、SSc、pSS和RA患者的表观遗传修饰。在这里,我们在欧洲北部和南部的几个国家执行了一套措施。我们观察到,来自欧洲北部的自身免疫性患者比来自南部的患者表现出更高的低甲基化特征,与基因表达增加相关。这些基因与干扰素(IFN)途径、免疫以及与细胞代谢相关的途径有关。由于该人群的IFN评分增加,这些患者表现出更多的炎症特征。综上所述,自身免疫性疾病患者的地理位置对DNA甲基化、RNA表达和免疫谱有影响。
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引用次数: 0
Plasticity of Proinflammatory Macrophages Depends on Their Polarization Stage during Human MSC Immunomodulation—An In Vitro Study Using THP-1 and Human Primary Macrophages 人间充质干细胞免疫调节过程中促炎巨噬细胞的可塑性取决于其极化阶段——THP-1和人原代巨噬细胞的体外研究
Pub Date : 2021-11-24 DOI: 10.3390/immuno1040036
Constantin Ißleib, Susanne Kurz, Samuel Scholl, Bettina Amberg, J. Spohn
Human mesenchymal stem cells (hMSCs) are well-known for their immunomodulatory potential. In recent clinical trials and in vivo studies, hMSCs were used as therapeutic measures to dampen inflammation. In this context, their effect on macrophages in vivo has been described to induce a phenotype change shifting from a proinflammatory to an anti-inflammatory environment. Despite several in vitro studies that investigated the potential of hMSCs to inhibit the polarization of macrophages into the proinflammatory M1 subtype, it is still unclear if hMSCs affect polarized M1 macrophages or if they control the environment by inhibiting the M1 polarization of unpolarized macrophages. Here, a comparative in vitro investigation of hMSC immunomodulation via soluble factors concerning the influence on the polarization of macrophages to M1 and on polarized M1 macrophages is presented. Human primary monocyte-derived macrophages (hMDMs) as well as THP-1 cells were used for this investigation. The macrophage subtype was analyzed by gene expression as well as cytokine secretion. hMSCs affected cytokine secretion of polarizing macrophages, while changes in gene expression were evident in polarized M1 macrophages. These effects were observed in THP-1 and hMDM macrophages. In conclusion, we suggest that hMSCs implement their immunomodulatory effects on polarizing and polarized macrophages in different ways.
人间充质干细胞(hMSCs)因其免疫调节潜能而闻名。在最近的临床试验和体内研究中,间充质干细胞被用作抑制炎症的治疗措施。在这种情况下,它们对体内巨噬细胞的作用已被描述为诱导从促炎到抗炎环境的表型变化。尽管有几项体外研究调查了hMSCs抑制巨噬细胞向促炎M1亚型极化的潜力,但目前尚不清楚hMSCs是否影响极化的M1巨噬细胞,或者它们是否通过抑制未极化的巨噬细胞的M1极化来控制环境。本研究通过可溶性因子对hMSC免疫调节对巨噬细胞向M1极化和对M1极化巨噬细胞的影响进行了体外比较研究。人类原代单核细胞来源的巨噬细胞(hMDMs)和THP-1细胞被用于这项研究。通过基因表达和细胞因子分泌分析巨噬细胞亚型。hMSCs影响极化巨噬细胞的细胞因子分泌,而基因表达在极化M1巨噬细胞中变化明显。这些作用在THP-1和hMDM巨噬细胞中观察到。综上所述,我们认为hMSCs对极化和极化巨噬细胞的免疫调节作用是通过不同的方式实现的。
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引用次数: 2
Disruption of Alternative Splicing in the Amygdala of Pigs Exposed to Maternal Immune Activation 暴露于母体免疫激活的猪杏仁核中选择性剪接的破坏
Pub Date : 2021-11-19 DOI: 10.3390/immuno1040035
B. Southey, Marissa R. Keever-Keigher, Haley E. Rymut, L. Rund, Rodney W. Johnson, S. Rodriguez-Zas
The inflammatory response of gestating females to infection or stress can disrupt gene expression in the offspring’s amygdala, resulting in lasting neurodevelopmental, physiological, and behavioral disorders. The effects of maternal immune activation (MIA) can be impacted by the offspring’s sex and exposure to additional stressors later in life. The objectives of this study were to investigate the disruption of alternative splicing patterns associated with MIA in the offspring’s amygdala and characterize this disruption in the context of the second stress of weaning and sex. Differential alternative splicing was tested on the RNA-seq profiles of a pig model of viral-induced MIA. Compared to controls, MIA was associated with the differential alternative splicing (FDR-adjusted p-value < 0.1) of 292 and 240 genes in weaned females and males, respectively, whereas 132 and 176 genes were differentially spliced in control nursed female and male, respectively. The majority of the differentially spliced (FDR-adjusted p-value < 0.001) genes (e.g., SHANK1, ZNF672, KCNA6) and many associated enriched pathways (e.g., Fc gamma R-mediated phagocytosis, non-alcoholic fatty liver disease, and cGMP-PKG signaling) have been reported in MIA-related disorders including autism and schizophrenia in humans. Differential alternative splicing associated with MIA was detected in the gene MAG across all sex-stress groups except for unstressed males and SLC2A11 across all groups except unstressed females. Precise understanding of the effect of MIA across second stressors and sexes necessitates the consideration of splicing isoform profiles.
妊娠雌性对感染或应激的炎症反应会破坏后代杏仁核的基因表达,导致持久的神经发育、生理和行为障碍。母亲免疫激活(MIA)的影响可能受到后代性别和以后生活中暴露于额外压力源的影响。本研究的目的是研究与MIA相关的替代剪接模式在后代杏仁核中的破坏,并在断奶和性的第二次应激背景下描述这种破坏。在猪病毒诱导MIA模型的RNA-seq谱上测试了差异选择性剪接。与对照组相比,MIA在断奶母鸭和公鸭中分别与292个和240个基因的差异选择性剪接相关(经fdr调整的p值< 0.1),而在对照组母鸭和公鸭中分别与132个和176个基因的差异选择性剪接相关。大多数差异剪接(fdr调整p值< 0.001)基因(例如,SHANK1, ZNF672, KCNA6)和许多相关的富集途径(例如,Fc γ r介导的吞噬,非酒精性脂肪性肝病和cGMP-PKG信号传导)已被报道在包括人类自闭症和精神分裂症在内的nia相关疾病中。除非应激雄性外,所有性别应激组的MAG基因中均检测到与MIA相关的差异选择性剪接;除非应激雌性外,所有性别应激组的SLC2A11基因均检测到与MIA相关的差异选择性剪接。准确理解MIA对第二应激源和性别的影响需要考虑剪切异构体剖面。
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引用次数: 4
Probiotics against Viral Infections: Current Clinical Trials and Future Perspectives 抗病毒感染的益生菌:目前的临床试验和未来的展望
Pub Date : 2021-11-17 DOI: 10.3390/immuno1040034
P. Reyes-Castillo, R. González-Vázquez, E. Torres-Maravilla, M. Tello, L. Bermúdez-Humarán, L. Mayorga-Reyes
Viral infections represent a major health problem worldwide. Due to the wide variety of etiological agents and their increasing resistance to anti-virals and antibiotics treatments, new strategies for effective therapies need to be developed. Scientific evidence suggests that probiotics may have prophylactic and therapeutic effects in viral diseases. Indeed, these microorganisms interact harmoniously with the intestinal microbiota and protect the integrity of the intestinal barrier as well as modulate the host immune system. Currently, clinical trials with probiotics have been documented in respiratory tract infections, infections caused by human immunodeficiency viruses, herpes, human papillomavirus and hepatic encephalopathy. However, the benefits documented so far are difficult to extrapolate, due to the strain-dependent effect. In addition, the dose of the microorganism used as well as host characteristics are other parameters that should be consider when advocating the use of probiotics to treat viral infections. This review addresses the scientific evidence of the efficacy of probiotics in clinical strains perspective in viral infectious diseases in the last 10 years.
病毒感染是世界范围内的一个主要健康问题。由于各种病因及其对抗病毒药物和抗生素治疗的耐药性日益增加,需要制定有效治疗的新策略。科学证据表明,益生菌可能对病毒性疾病有预防和治疗作用。事实上,这些微生物与肠道菌群和谐地相互作用,保护肠道屏障的完整性,并调节宿主的免疫系统。目前,益生菌在呼吸道感染、人类免疫缺陷病毒、疱疹、人乳头瘤病毒和肝性脑病引起的感染方面的临床试验已被记录。然而,由于菌株依赖效应,迄今为止记录的益处很难推断。此外,在提倡使用益生菌治疗病毒感染时,应考虑使用微生物的剂量以及宿主特征等参数。本文综述了近10年来益生菌在病毒性传染病临床菌株方面疗效的科学证据。
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引用次数: 4
Obeticholic Acid Improves Aminotransferases Early during Treatment in Patients with Primary Biliary Cholangitis Not Responding to Ursodeoxycholic Acid: A Study in Clinical Practice 奥比胆酸对熊去氧胆酸无效的原发性胆管炎患者治疗早期改善转氨酶的临床研究
Pub Date : 2021-11-16 DOI: 10.3390/immuno1040033
S. Labanca, V. Cacciato, P. Borro, S. Marenco, G. Pieri, A. Picciotto, M. C. Plaz Torres, E. Giannini
Obeticholic acid (OCA) improves cholestasis and is generally well tolerated in patients with primary biliary cholangitis (PBC) not responding, or intolerant, to ursodeoxycholic acid (UDCA). As PBC is mainly a cholestatic disorder, less attention is paid to aminotransferase behavior in the course of treatment. In this study we evaluated, in clinical practice, the efficacy of OCA treatment on both alkaline phosphatase (ALP) and alanine aminotransferase (ALT) using updated healthy ranges for aminotransferases. Fifteen PBC patients, non-responders to UDCA, were evaluated at baseline and during OCA treatment with serial measurement of cholestasis indexes and ALT, that were also assessed using updated normal ranges (<30 IU/L in males, <19 IU/L in females). Median ALP and ALT decreased from 2.16 to 1.27 × upper limit of normal (p = 0.003) and from 0.93 to 0.78 × upper limit of normal (p = 0.008), respectively, in the course of OCA treatment. At treatment day-15, median ALT decreased by 29.7% and ALP by 8.8%. Bilirubin and albumin were unmodified throughout treatment. Using updated normal ranges, ALT levels were normal in 6.7% of patients at baseline and in 33.3% of patients at 18 months of treatment. OCA treatment improves cholestasis and, also, indexes of hepatocyte necrosis, with a decline in necro-inflammatory activity even predating the improvement in cholestasis. Use of recalibrated healthy ranges for aminotransferases might be a useful tool to assess hepatic histological activity and its improvement with OCA treatment.
奥贝胆酸(OCA)改善胆汁淤积,对于对熊去氧胆酸(UDCA)无反应或不耐受的原发性胆道炎(PBC)患者通常耐受性良好。由于PBC主要是一种胆汁淤积性疾病,在治疗过程中对转氨酶行为的关注较少。在这项研究中,我们在临床实践中评估了OCA治疗对碱性磷酸酶(ALP)和丙氨酸转氨酶(ALT)的疗效,使用最新的转氨酶健康范围。15例对UDCA无反应的PBC患者在基线和OCA治疗期间通过一系列测量胆汁淤滞指数和ALT进行评估,并使用更新的正常范围(男性<30 IU/L,女性<19 IU/L)进行评估。在OCA治疗过程中,ALP和ALT的中位值分别从2.16 ×正常上限(p = 0.003)和0.93 ×正常上限(p = 0.008)下降到1.27 ×正常上限(p = 0.003)。治疗第15天,ALT中位数下降29.7%,ALP中位数下降8.8%。胆红素和白蛋白在整个治疗过程中未发生改变。使用最新的正常范围,6.7%的患者在基线时ALT水平正常,治疗18个月时33.3%的患者ALT水平正常。OCA治疗改善了胆汁淤积,也改善了肝细胞坏死指数,坏死炎症活性的下降甚至早于胆汁淤积的改善。使用重新校准的转氨酶健康范围可能是评估肝脏组织活性及其在OCA治疗中的改善的有用工具。
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引用次数: 0
Immunological Mechanisms of Vaccine-Induced Protection against SARS-CoV-2 in Humans 疫苗诱导的人类对SARS-CoV-2的免疫机制
Pub Date : 2021-11-15 DOI: 10.3390/immuno1040032
Keshav Goyal, Harsh Goel, Pritika Baranwal, Anisha Tewary, Aman Dixit, A. Pandey, Mercilena Benjamin, P. Tanwar, A. Dey, Fahad Khan, P. Pandey, P. Gupta, Dhruv Kumar, S. Roychoudhury, N. Jha, T. Upadhyay, K. Kesari
The SARS-CoV-2 infection spread rapidly throughout the world and appears to involve in both humoral and cell-mediated immunity. SARS-CoV-2 is attached to host cells via binding to the viral spike (S) proteins and its cellular receptors angiotensin-converting enzyme 2 (ACE2). Consequently, the S protein is primed with serine proteases TMPRSS2 and TMPRSS4, which facilitate the fusion of viral and cellular membranes result in the entry of viral RNA into the host cell. Vaccines are urgently required to combat the coronavirus disease 2019 (COVID-19) outbreak and aid in the recovery to pre-pandemic levels of normality. The long-term protective immunity is provided by the vaccine antigen (or pathogen)-specific immune effectors and the activation of immune memory cells that can be efficiently and rapidly reactivated upon pathogen exposure. Research efforts aimed towards the design and development of vaccines for SARS-CoV-2 are increasing. Numerous coronavirus disease 2019 (COVID-19) vaccines have passed late-stage clinical investigations with promising outcomes. This review focuses on the present state and future prospects of COVID-19 vaccines research and development, with a particular emphasis on immunological mechanisms of various COVID-19vaccines such as adenoviral vector-based vaccines, mRNA vaccines, and DNA vaccines that elicits immunological responses against SARS-CoV-2 infections in humans.
SARS-CoV-2感染在全球迅速传播,似乎涉及体液和细胞介导的免疫。SARS-CoV-2通过与病毒刺突(S)蛋白及其细胞受体血管紧张素转换酶2 (ACE2)结合而附着在宿主细胞上。因此,S蛋白被丝氨酸蛋白酶TMPRSS2和TMPRSS4引物,它们促进了病毒和细胞膜的融合,导致病毒RNA进入宿主细胞。为抗击2019冠状病毒病(COVID-19)疫情,并帮助恢复到大流行前的正常水平,迫切需要疫苗。长期保护性免疫是由疫苗抗原(或病原体)特异性免疫效应器和免疫记忆细胞的激活提供的,免疫记忆细胞可在病原体暴露后有效而迅速地重新激活。旨在设计和开发SARS-CoV-2疫苗的研究工作正在增加。许多2019冠状病毒病(COVID-19)疫苗已通过后期临床研究,并取得了可喜的成果。本文综述了COVID-19疫苗研究与开发的现状和未来展望,重点介绍了各种COVID-19疫苗(如腺病毒载体疫苗、mRNA疫苗和DNA疫苗)对人类SARS-CoV-2感染产生免疫反应的免疫学机制。
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引用次数: 9
Class-Switching of B Lymphocytes by DNA and Cell Immunization for Stereospecific Monoclonal Antibodies against Native GPCR B淋巴细胞的DNA转换和抗GPCR立体特异性单克隆抗体的细胞免疫
Pub Date : 2021-11-12 DOI: 10.3390/immuno1040031
Yushi Isozaki, K. Tsumoto, M. Tomita
To develop efficient applications of monoclonal antibodies for therapeutic purposes, stereospecific recognition of the target antigens is needed. DNA immunization is one of the best methods for sensitizing B lymphocytes that can produce conformation-specific antibodies. Here we verified the class-switching of monoclonal antibodies by DNA immunization followed by cell immunization for the generation of stereospecific monoclonal antibodies against native G protein-coupled receptor (GPCR) using the optimized stereospecific targeting (SST) technique. This technology facilitates the efficient selection of sensitized B lymphocytes through specific interaction with the intact antigen via B-cell receptors (BCRs). We demonstrate that multiple DNA immunizations followed by a single cell immunization in combination with a longer sensitization period (three to four months) are an appropriate sensitizing strategy for the generation of IgG-type stereospecific monoclonal antibodies by class-switching, and the characteristics of antibody production could be transferred to hybridoma cells provided by the optimized SST technique.
为了开发有效的单克隆抗体用于治疗目的,需要对靶抗原进行立体特异性识别。DNA免疫是致敏B淋巴细胞的最佳方法之一,可以产生构象特异性抗体。本研究利用优化的立体特异性靶向(SST)技术,通过DNA免疫和细胞免疫,验证了单克隆抗体的类别转换,生成了针对天然G蛋白偶联受体(GPCR)的立体特异性单克隆抗体。该技术通过B细胞受体(BCRs)与完整抗原特异性相互作用,促进了致敏B淋巴细胞的高效选择。我们证明,多次DNA免疫后再进行单细胞免疫,并结合较长的致敏期(3至4个月),是通过类别转换产生igg型立体特异性单克隆抗体的合适的致敏策略,并且优化的SST技术可以将抗体产生的特性转移到杂交瘤细胞中。
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引用次数: 1
Therapeutic Potential of Cancer Vaccine Based on MHC Class I Cryptic Peptides Derived from Non-Coding Regions 基于非编码区MHC I类隐肽的癌症疫苗的治疗潜力
Pub Date : 2021-11-09 DOI: 10.3390/immuno1040030
S. Tokita, T. Kanaseki, T. Torigoe
MHC class I molecules display intracellular peptides on cell surfaces to enable immune surveillance under pathological conditions. The source of MHC class I antigens responsible for cancer protection is not fully understood. Here, we explored the MHC class I peptidome in mouse colon cancer cells using a proteogenomic approach. We showed that cryptic peptides derived from unconventional short open reading frames accounted for part of the MHC class I peptidome. Moreover, cancer growth was significantly prevented in mice immunized with a cocktail of synthesized cryptic peptides. Together, our data showed that the source of cancer antigens was not limited to fragments of consensus proteins. Cryptic antigens were displayed by MHC molecules and mediated anti-cancer effects, suggesting their therapeutic potential for cancer prevention.
MHC I类分子在细胞表面显示胞内肽,使病理条件下的免疫监视成为可能。负责癌症保护的MHC I类抗原的来源尚不完全清楚。在这里,我们使用蛋白质基因组学方法研究了小鼠结肠癌细胞中的MHC I类肽丘。我们发现来自非常规短开放阅读框的隐肽占MHC I类肽穹的一部分。此外,在用合成的隐肽鸡尾酒免疫的小鼠中,癌症的生长被显著阻止。总之,我们的数据表明,癌症抗原的来源并不局限于共识蛋白的片段。通过MHC分子显示隐蔽性抗原并介导抗癌作用,提示其在预防癌症方面具有潜在的治疗潜力。
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引用次数: 2
Moving towards the Future of Radio-Immunotherapy: Could We “Tailor” the Abscopal Effect on Head and Neck Cancer Patients? 走向放射免疫治疗的未来:我们能“定制”头颈部癌症患者的体外效应吗?
Pub Date : 2021-11-05 DOI: 10.3390/immuno1040029
M. De Felice, Mariagrazia Tammaro, D. Leopardo, G. Ianniello, G. Turitto
The abscopal effect (AbE) is defined as radiation-induced shrinkage of distant, non-treated, neoplastic lesions and it is considered the best clinical picture of the efficient immune stimulation by irradiation. The first report about abscopal tumor regression upon radiotherapy dates back to the beginning of the 20th century. The growing preclinical and clinical synergism between radiation and immunotherapy gave birth the purpose to more easily reproduce the abscopal effect, nevertheless, it is still rare in clinical practice. In this review we summarize immunological modulation of radiotherapy, focusing on the well-balanced equilibrium of tumor microenvironment and how radio-immunotherapy combinations can perturb it, with particular attention on head and neck squamous cell cancer. Finally, we investigate future perspectives, with the aim to “tailor” the abscopal effect to the patient.
体外效应(abscopal effect, AbE)被定义为放射引起的远处、未治疗的肿瘤病变的收缩,它被认为是放射有效免疫刺激的最佳临床表现。第一个关于体外肿瘤放疗消退的报道可以追溯到20世纪初。放疗与免疫治疗的临床前和临床协同作用日益增强,产生了更容易再现体外治疗效果的目的,但在临床实践中尚属罕见。在这篇综述中,我们总结了放疗的免疫调节,重点是肿瘤微环境的良好平衡以及放射免疫治疗联合如何扰乱它,特别是头颈部鳞状细胞癌。最后,我们探讨了未来的观点,目的是为患者“量身定制”体外效果。
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引用次数: 3
Identification of Serum Cytokine Biomarkers Associated with Multidrug Resistant Tuberculosis (MDR-TB) 耐多药结核病(MDR-TB)相关血清细胞因子生物标志物鉴定
Pub Date : 2021-10-30 DOI: 10.3390/immuno1040028
G. Mensah, A. N. Boakye, Anthony Basingnaa, E. Owusu, S. Antwi-Baffour, M. Ofori, K. Addo, D. Jackson-Sillah, T. Adékambi
Existing tools (including GeneXpert) for diagnosis of multidrug resistant TB (MDR-TB) have limited utility when sputum samples for microbiological analyses cannot be obtained. There is the need for immunological biomarkers which could serve as putative diagnostic markers of MDR-TB. We measured and compared the serum cytokine levels of inflammatory cytokines (IFN-γ, TNF-α, IL12p70, IL-17A, granzyme B) and anti-inflammatory cytokines (IL-10, IL-6, IL-4) among MDR-TB, drug-susceptible (DS)-TB and healthy controls (no-TB) using the Human Magnetic Luminex Multiplex Immunoassay. Levels of IFN-γ and IL-4 were respectively 1.5 log lower and 1.9 log higher in MDR-TB compared to DS-TB cases. Moreover, IFN-γ, TNF-α, IL-10, IL-6, and IL-4 levels were significantly higher in individuals with MDR-TB and DS-TB cases compared to healthy controls. Pairs of cytokines, IL-4 and IFN-γ (p = 0.019), IL-4 and TNF (p = 0.019), and Granzyme B and TNF-α (p = 0.019), showed significant positive correlation in MDR-TB. Serum cytokine profiles can be exploited for immunodiagnostics, as made evident by the Interferon Gamma Release Assays (IGRAs) for TB infection. Using area under the curve values, no single or multiple cytokine combinations could discriminate between DS- and MDR-TB in this study. Studies with a larger sample size and more cytokines could better address the issue.
当无法获得用于微生物分析的痰样本时,用于诊断耐多药结核病(MDR-TB)的现有工具(包括GeneXpert)效用有限。需要免疫生物标志物作为耐多药结核病的推定诊断标志物。我们采用人磁Luminex多重免疫分析法测定并比较了耐多药结核病、药敏(DS)结核病和健康对照(no-TB)血清中炎症因子(IFN-γ、TNF-α、IL12p70、IL-17A、颗粒酶B)和抗炎因子(IL-10、IL-6、IL-4)的水平。与DS-TB病例相比,耐多药结核病患者的IFN-γ和IL-4水平分别低1.5 log和高1.9 log。此外,与健康对照相比,耐多药结核病和DS-TB患者的IFN-γ、TNF-α、IL-10、IL-6和IL-4水平显著升高。对细胞因子IL-4与IFN-γ (p = 0.019)、IL-4与TNF (p = 0.019)、颗粒酶B与TNF-α (p = 0.019)与MDR-TB呈显著正相关。血清细胞因子谱可用于免疫诊断,如干扰素γ释放试验(IGRAs)对结核病感染的证明。使用曲线下面积值,在本研究中,没有单一或多种细胞因子组合可以区分DS- tb和MDR-TB。更大样本量和更多细胞因子的研究可以更好地解决这个问题。
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引用次数: 4
期刊
Immuno-Analyse & Biologie Specialisee
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