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Antibody-dependent immune responses elicited by blood stage-malaria infection contribute to protective immunity to the pre-erythrocytic stages 血液阶段疟疾感染引起的抗体依赖性免疫反应有助于红细胞前阶段的保护性免疫
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2022.100054
Irene Tumwine-Downey, Katrien Deroost, Prisca Levy, Sarah McLaughlin, Caroline Hosking, Jean Langhorne

Advances in transcriptomics and proteomics have revealed that different life-cycle stages of the malaria parasite, Plasmodium, share antigens, thus allowing for the possibility of eliciting immunity to a parasite life-cycle stage that has not been experienced before. Using the Plasmodium chabaudi (AS strain) model of malaria in mice, we investigated how isolated exposure to blood-stage infection, bypassing a liver-stage infection, yields significant protection to sporozoite challenge resulting in lower liver parasite burdens. Antibodies are the main immune driver of this protection. Antibodies induced by blood-stage infection recognise proteins on the surface of sporozoites and can impair sporozoite gliding motility in vitro, suggesting a possible function in vivo. Furthermore, mice lacking B cells and/or secreted antibodies are not protected against a sporozoite challenge in mice that had a previous blood-stage infection. Conversely, effector CD4+ and CD8+ T cells do not seem to play a role in protection from sporozoite challenge of mice previously exposed only to the blood stages of P. chabaudi. The protective response against pre-erythrocytic stages can be induced by infections initiated by serially passaged blood-stage parasites as well as recently mosquito transmitted parasites and is effective against a different strain of P. chabaudi (CB strain), but not against another rodent malaria species, P. yoelii. The possibility to induce protective cross-stage antibodies advocates the need to consider both stage-specific and cross-stage immune responses to malaria, as natural infection elicits exposure to all life-cycle stages. Future investigation into these cross-stage antibodies allows the opportunity for candidate antigens to contribute to malaria vaccine development.

转录组学和蛋白质组学的进展表明,疟原虫的不同生命周期阶段共享抗原,从而有可能引发对以前从未经历过的寄生虫生命周期阶段的免疫力。使用小鼠疟疾的夏氏疟原虫(AS株)模型,我们研究了血液期感染的孤立暴露,绕过肝脏期感染,如何对孢子虫攻击产生显著保护,从而降低肝脏寄生虫负担。抗体是这种保护的主要免疫驱动因素。血期感染诱导的抗体识别子孢子表面的蛋白质,并在体外损害子孢子的滑动运动,这表明其在体内可能具有功能。此外,缺乏B细胞和/或分泌抗体的小鼠在先前血液期感染的小鼠中不能抵抗子孢子攻击。相反,效应CD4+和CD8+T细胞似乎在保护先前仅暴露于夏氏疟原虫血液阶段的小鼠免受子孢子攻击中不起作用。对红细胞前阶段的保护性反应可以由连续传代的血期寄生虫以及最近蚊子传播的寄生虫引发的感染诱导,并且对不同的夏氏疟原虫菌株(CB菌株)有效,但对另一种啮齿动物疟疾物种约氏疟原虫无效。诱导保护性跨阶段抗体的可能性主张需要考虑对疟疾的阶段特异性和跨阶段免疫反应,因为自然感染会导致暴露于所有生命周期阶段。未来对这些跨阶段抗体的研究为候选抗原的开发提供了机会。
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引用次数: 0
Smad7 as a positive regulator of intestinal inflammatory diseases Smad7作为肠道炎症性疾病的正调节因子
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100055
Giovanni Monteleone, Federica Laudisi, Carmine Stolfi

In physiological conditions, the human gut contains more immune cells than the rest of the body, but no overt tissue damage occurs, because several regulatory mechanisms control the activity of such cells thus preventing excessive and detrimental responses. One such mechanism relies on the action of transforming growth factor (TGF)-β1, a cytokine that targets both epithelial cells and many immune cell types. Loss of TGF-β1 function leads to intestinal pathology in both mice and humans. For instance, disruption of TGF-β1 signaling characterizes the destructive immune-inflammatory response in patients with Crohn’s disease and patients with ulcerative colitis, the major human inflammatory bowel disease (IBD) entities. In these pathologies, the defective TGF-β1-mediated anti-inflammatory response is associated with elevated intestinal levels of Smad7, an antagonist of TGF-β1 signaling. Consistently, knockdown of Smad7 restores TGF-β1 function thereby attenuating intestinal inflammation in patients with IBD as well as in mice with IBD-like colitis. Up-regulation of Smad7 and reduced TGF-β1 signaling occurs also in necrotizing enterocolitis, environmental enteropathy, refractory celiac disease, and cytomegalovirus-induced colitis. In this article, we review the available data supporting the pathogenic role of Smad7 in the gastrointestinal tract and discuss whether and how targeting Smad7 can help attenuate detrimental immuno-inflammatory responses in the gut.

在生理条件下,人类肠道比身体其他部位含有更多的免疫细胞,但不会发生明显的组织损伤,因为有几种调节机制控制着这些细胞的活性,从而防止过度和有害的反应。其中一种机制依赖于转化生长因子(TGF)-β1的作用,转化生长因子是一种靶向上皮细胞和许多免疫细胞类型的细胞因子。TGF-β1功能的丧失会导致小鼠和人类的肠道病理。例如,TGF-β1信号的破坏是克罗恩病患者和溃疡性结肠炎患者破坏性免疫炎症反应的特征,溃疡性结肠炎是人类主要的炎症性肠病(IBD)实体。在这些病理中,TGF-β1介导的抗炎反应缺陷与肠内Smad7水平升高有关,Smad7是TGF-β1-信号传导的拮抗剂。一贯地,Smad7的敲除可恢复TGF-β1的功能,从而减轻IBD患者和IBD样结肠炎小鼠的肠道炎症。Smad7的上调和TGF-β1信号的减少也发生在坏死性小肠结肠炎、环境性肠病、难治性乳糜泻和巨细胞病毒诱导的结肠炎中。在这篇文章中,我们回顾了支持Smad7在胃肠道中致病作用的现有数据,并讨论了靶向Smad7是否以及如何帮助减轻肠道中有害的免疫炎症反应。
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引用次数: 0
Acute to post-acute COVID-19 thromboinflammation persistence: Mechanisms and potential consequences 急性至急性后COVID-19血栓炎症持续:机制和潜在后果
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100058
Remy Martins-Gonçalves , Eugenio D. Hottz , Patricia T. Bozza

Concerns for the long-term effects of COVID-19 infection have grown due to frequently reported persisting symptoms that can affect multiple systems for longer than 4 weeks after initial infection, a condition known as long-COVID-19 or post-acute COVID-19 syndrome (PACS). Even nonhospitalized survivors have an elevated risk for the development of thromboinflammatory-associated events, such as ischemic stroke and heart failure, pulmonary embolism and deep vein thrombosis. Recent findings point to the persistence of many mechanisms of hypercoagulability identified to be associated with disease severity and mortality in the acute phase of the disease, such as sustained inflammation and endotheliopathy, accompanied by abnormal fibrin generation and impaired fibrinolysis. Platelets seem to be central to the sustained hypercoagulable state, displaying hyperreactivity to stimuli and increased adhesive capacity. Platelets also contribute to elevated levels of thromboinflammatory mediators and pro-coagulant extracellular vesicles in individuals with ongoing PACS. Despite new advances in the understanding of mechanisms sustaining thromboinflammation in PACS, little is known about what triggers this persistence. In this graphical review, we provide a schematic representation of the known mechanisms and consequences of persisting thromboinflammation in COVID-19 survivors and summarize the hypothesized triggers maintaining this prothrombotic state.

人们越来越担心新冠肺炎感染的长期影响,因为经常报告的持续症状可能会在首次感染后影响多个系统超过4周,这种情况被称为长期新冠肺炎或急性新冠肺炎后综合征(PACS)。即使是未住院的幸存者,发生血栓性炎症相关事件的风险也很高,如缺血性中风和心力衰竭、肺栓塞和深静脉血栓形成。最近的研究结果表明,在疾病急性期,许多高凝状态机制与疾病严重程度和死亡率有关,如持续的炎症和内皮病变,伴有纤维蛋白生成异常和纤维蛋白溶解受损。血小板似乎是持续高凝状态的核心,表现出对刺激的高反应性和增加的粘附能力。在进行PACS的个体中,血小板也有助于提高血栓性炎症介质和促凝血细胞外小泡的水平。尽管在理解PACS中维持血栓性炎症的机制方面取得了新的进展,但对引发这种持续性的原因知之甚少。在这篇图形综述中,我们提供了新冠肺炎幸存者持续血栓炎症的已知机制和后果的示意图,并总结了维持这种血栓形成前状态的假设触发因素。
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引用次数: 5
Novel insights in the clinical management of hyperimmune patients before and after transplantation 移植前后超免疫患者临床管理的新见解
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100056
Vincenzo Grimaldi , Martina Pagano , Giusi Moccia , Ciro Maiello , Paride De Rosa , Claudio Napoli

Despite improvements in anti-Human Leucocyte Antigens antibody detection, identification, and characterization offer a better in peri-operative management techniques, antibodies remain a serious cause of morbidity and mortality for patients both before and after organ transplantation. Hyperimmune patients are disadvantaged by having to wait longer to receive an organ from a suitably matched donor. They could benefit from desensitization protocols in both pre- and post-transplantation period. Clinical studies are underway to highlight which best desensitization strategies could be assure the best outcome in both heart and kidney transplantation. Although most clinical evidence about desensitization strategies by using anti-CD20 monoclonal antibodies, proteasome inhibitors, anti-CD38 monoclonal antibodies, interleukin-6 blockade, cysteine protease and complement inhibitors, comes from kidney transplantation studies, many of the debated novel concepts can be easily applied to desensitization also in heart transplantation.

Here, we discuss the candidates and recipients’ management by using most common standard of care and novel therapeutics, desensitization endpoints, and strategies for future studies.

尽管抗人白细胞抗原抗体的检测、鉴定和表征有所改进,提供了更好的围手术期管理技术,但抗体仍然是器官移植前后患者发病率和死亡率的严重原因。高免疫患者的处境不利,因为他们必须等待更长的时间才能从匹配合适的捐赠者那里获得器官。他们可以在移植前和移植后受益于脱敏方案。临床研究正在进行中,以强调哪些最佳的脱敏策略可以确保心脏和肾脏移植的最佳结果。尽管大多数关于使用抗CD20单克隆抗体、蛋白酶体抑制剂、抗CD38单克隆抗体、白细胞介素-6阻断剂、半胱氨酸蛋白酶和补体抑制剂进行脱敏策略的临床证据来自肾移植研究,但许多有争议的新概念也可以很容易地应用于心脏移植中的脱敏。在这里,我们通过使用最常见的护理标准和新的治疗方法、脱敏终点和未来研究的策略来讨论候选人和接受者的管理。
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引用次数: 1
Characteristics and sources of tissue-resident memory T cells in psoriasis relapse 银屑病复发组织驻留记忆T细胞的特征和来源
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100067
Canbin Dong , Lanmei Lin , Juan Du

Tissue-resident memory T cells (Trm) are a sub-population of memory T cells that reside in skin tissue. Recent studies have revealed potential role of Trm in the reoccurrence of psoriasis, as these cells tend to be profusely infiltrated in the lesions observed during psoriasis relapse. Trm can be classified into CD8+ Trm cells that are distributed mainly in the epidermis and CD4+ Trm cells in the dermis. CD8+ Trm is derived from circulating memory T cells and CD49aCD8+ Trm takes a crucial role in psoriasis relapse. In contrast, CD4+ Trm may originate from exTh17 cells and exTreg cells emerging from the inflammatory process. Since IL-23 can activate Trm, neutralizing antibodies against IL-23 are suggested to be more effective in clinical treatment. This review will focus on Trm cells in psoriasis relapsed lesions to reveal their mechanisms in the pathogenesis, relapse and transformation of psoriasis.

组织驻留记忆T细胞(Trm)是驻留在皮肤组织中的记忆T细胞的亚群。最近的研究揭示了Trm在银屑病复发中的潜在作用,因为在银屑病复发期间观察到的病变中,这些细胞往往大量浸润。Trm可分为主要分布在表皮中的CD8+Trm细胞和真皮中的CD4+Trm细胞。CD8+Trm来源于循环记忆T细胞,CD49a−CD8+Trm在银屑病复发中起着至关重要的作用。相反,CD4+Trm可能来源于炎症过程中出现的exTh17细胞和exTreg细胞。由于IL-23可以激活Trm,因此抗IL-23的中和抗体在临床治疗中更有效。本文就Trm细胞在银屑病复发性病变中的作用机制进行综述。
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引用次数: 1
Nanoparticles cellular uptake, trafficking, activation, toxicity and in vitro evaluation 纳米颗粒的细胞摄取、运输、活化、毒性和体外评价
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100073
Fernanda Toscano , Marbel Torres-Arias

Nanoparticles (NPs) physicochemical properties, such as size, shape, surface chemistry, charge, etc., play a critical role in biological systems interactions, which include NPs' cellular uptake, trafficking, activation, and toxicity. Although nano-bio interactions are multifaceted and complex, their assessment is essential for future therapeutic and diagnostic use since being carriers that deliver specific molecules (i.e., active pharmaceutical ingredients and imaging agents) in intracellular sites. The journey of NPs begins by reaching the plasma membrane and entering the cell mainly through endocytosis. After vesicles pinch off the cell membrane, the intracellular trafficking is mediated by a network of cellular endosomes which direct NPs to the different cellular components. Otherwise, NPs or their contents are released into the cytoplasm. In both cases, NPs can pass undetected or be recognized by the cell leading to a pro or anti-inflammatory response. Indeed, the cell response mostly depends on cell type and NPs physicochemical properties. The principal mechanism by which NPs activate the cell response is RONS production. Other mechanism includes signaling pathways modulation related to metabolic and enzymatic reactions, cell transduction, and immune modulation. Hence, the underlying mechanisms of cellular and subcellular interactions in vitro should be performed to provide insights into NPs' effect. This information helps us to improve their synthesis and design to maximize the clinical benefits while minimizing side effects. Most in vitro tests to evaluate NPs' effect in cells were developed focusing on cell dysfunctions, cytotoxicity, genotoxicity, immunogenicity, and cell death.

纳米粒子(NPs)的物理化学性质,如大小、形状、表面化学、电荷等,在生物系统的相互作用中起着至关重要的作用,包括NPs的细胞摄取、运输、激活和毒性。尽管纳米生物相互作用是多方面和复杂的,但由于它们是在细胞内部位传递特定分子(即活性药物成分和显像剂)的载体,因此对它们的评估对于未来的治疗和诊断用途至关重要。NPs的旅程从到达质膜开始,主要通过内吞作用进入细胞。在囊泡挤压细胞膜后,细胞内运输由细胞内体网络介导,该网络将NPs引导到不同的细胞成分。否则,NPs或其内容物被释放到细胞质中。在这两种情况下,NPs可以不被检测到或被细胞识别,导致促炎或抗炎反应。事实上,细胞的反应主要取决于细胞类型和NPs的物理化学性质。NPs激活细胞反应的主要机制是生成RONS。其他机制包括与代谢和酶反应、细胞转导和免疫调节相关的信号通路调节。因此,体外细胞和亚细胞相互作用的潜在机制应该被执行,以提供对NPs作用的见解。这些信息有助于我们改进它们的合成和设计,以最大限度地提高临床效益,同时最大限度地减少副作用。大多数评估NPs在细胞中的作用的体外试验都集中在细胞功能障碍、细胞毒性、遗传毒性、免疫原性和细胞死亡方面。
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引用次数: 0
Battle royale: Immune response on biofilms – host-pathogen interactions 大逃杀:生物膜的免疫反应-宿主-病原体相互作用
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100057
Sandra Pamela Cangui-Panchi , Anahí Lizbeth Ñacato-Toapanta , Leonardo Joshué Enríquez-Martínez , Gabriela Alexandra Salinas-Delgado , Jorge Reyes , Daniel Garzon-Chavez , António Machado

The research interest of the scientific community in biofilm-forming microorganisms is growing due to the problems caused by their infections affecting humans and animals, mainly because of the difficulty of the host immune system in eradicating these microbial complex communities and the increasing antimicrobial resistance rates worldwide. This review describes the virulence factors and their interaction with the microbial communities of four well-known and highly biofilm-forming pathogens, more exactly, Pseudomonas aeruginosa, Escherichia coli, Staphylococcus spp., and Candida spp. The innate and adaptive immune responses caused by the infection with these microorganisms and their evasion to the host immune system by biofilm formation are discussed in the present work. The relevance of the differences in the expression of certain virulence factors and the immune response in biofilm-associated infections when compared to planktonic infections is usually described as the biofilm architecture protects the pathogen and alters the host immune responses, here we extensively discussed these mechanisms.

科学界对形成生物膜的微生物的研究兴趣正在增长,因为它们的感染会影响人类和动物,这主要是因为宿主免疫系统难以根除这些微生物复杂群落,并且全球范围内的抗微生物耐药性不断增加。这篇综述描述了四种众所周知的高度形成生物膜的病原体的毒力因子及其与微生物群落的相互作用,更确切地说,是铜绿假单胞菌、大肠杆菌、葡萄球菌和念珠菌。本文讨论了这些微生物感染引起的先天和适应性免疫反应,以及它们通过生物膜形成逃避宿主免疫系统。与浮游感染相比,生物膜相关感染中某些毒力因子表达和免疫反应的差异的相关性通常被描述为生物膜结构保护病原体并改变宿主免疫反应,在这里我们广泛讨论了这些机制。
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引用次数: 5
Role of inflammasome in severe, steroid-resistant asthma 炎性小体在严重类固醇抵抗性哮喘中的作用
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100061
Bariaa A. Khalil , Narjes Saheb Sharif-Askari , Rabih Halwani

Purpose of review

Asthma is a common heterogeneous group of chronic inflammatory diseases with different pathological phenotypes classified based on the various clinical, physiological and immunobiological profiles of patients. Despite similar clinical symptoms, asthmatic patients may respond differently to treatment. Hence, asthma research is becoming more focused on deciphering the molecular and cellular pathways driving the different asthma endotypes. This review focuses on the role of inflammasome activation as one important mechanism reported in the pathogenesis of severe steroid resistant asthma (SSRA), a Th2-low asthma endotype. Although SSRA represents around 5–10% of asthmatic patients, it is responsible for the majority of asthma morbidity and more than 50% of asthma associated healthcare costs with clear unmet need. Therefore, deciphering the role of the inflammasome in SSRA pathogenesis, particularly in relation to neutrophil chemotaxis to the lungs, provides a novel target for therapy.

Recent findings

The literature highlighted several activators of inflammasomes that are elevated during SSRA and result in the release of proinflammatory mediators, mainly IL-1β and IL-18, through different signaling pathways. Consequently, the expression of NLRP3 and IL-1β is shown to be positively correlated with neutrophil recruitment and negatively correlated with airflow obstruction. Furthermore, exaggerated NLRP3 inflammasome/IL-1β activation is reported to be associated with glucocorticoid resistance.

Summary

In this review, we summarized the reported literature on the activators of the inflammasome during SSRA, the role of IL-1β and IL-18 in SSRA pathogenesis, and the pathways by which inflammasome activation contributes to steroid resistance. Finally, our review shed light on the different levels to target inflammasome involvement in an attempt to ameliorate the serious outcomes of SSRA.

综述目的哮喘是一组常见的异质性慢性炎症性疾病,具有不同的病理表型,根据患者的各种临床、生理和免疫生物学特征进行分类。尽管临床症状相似,哮喘患者对治疗的反应可能不同。因此,哮喘研究越来越关注于解读驱动不同哮喘内型的分子和细胞途径。这篇综述的重点是炎症小体激活作为一种重要机制在严重类固醇抵抗性哮喘(SSRA)发病机制中的作用,SSRA是一种Th2低哮喘内型。尽管SSRA约占哮喘患者的5%-10%,但它是大多数哮喘发病率和50%以上哮喘相关医疗费用的原因,且明显未满足需求。因此,解读炎症小体在SSRA发病机制中的作用,特别是与中性粒细胞对肺部的趋化性有关的作用,为治疗提供了一个新的靶点。最近的发现文献强调了炎症小体的几种激活剂,它们在SSRA期间升高,并通过不同的信号通路释放促炎介质,主要是IL-1β和IL-18。因此,NLRP3和IL-1β的表达与中性粒细胞募集呈正相关,与气流阻塞呈负相关。此外,据报道,NLRP3炎症小体/IL-1β的过度激活与糖皮质激素抵抗有关。综述在这篇综述中,我们总结了关于SSRA过程中炎症小体激活剂、IL-1β和IL-18在SSRA发病机制中的作用以及炎症小体激活导致类固醇抵抗的途径的报道文献。最后,我们的综述阐明了针对炎症小体参与的不同水平,试图改善SSRA的严重后果。
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引用次数: 0
High baseline frequencies of natural killer cells are associated with asymptomatic SARS-CoV-2 infection 自然杀伤细胞的高基线频率与无症状的SARS-CoV-2感染有关
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100064
Elizabeth K. Graydon , Allison M.W. Malloy , Kawthar Machmach , Peifang Sun , Dominic Paquin-Proulx , Stephen Lizewski , Rhonda Lizewski , Dawn L. Weir , Carl W. Goforth , Stephen K. Anderson , Andrew G. Letizia , Edward Mitre

This study tested the hypothesis that high frequencies of natural killer (NK) cells are protective against symptomatic SARS-CoV-2 infection. Samples were utilized from the COVID-19 Health Action Response for Marines study, a prospective, observational study of SARS-CoV-2 infection in which participants were enrolled prior to infection and then serially monitored for development of symptomatic or asymptomatic infection. Frequencies and phenotypes of NK cells (CD3CD14CD19CD56+) were assessed by flow cytometry. Individuals that developed asymptomatic infections were found to have higher pre-infection frequencies of total NK cells compared to symptomatic individuals (10.61% [SD 4.5] vs 8.33% [SD 4.6], p = 0.011). Circulating total NK cells decreased over the course of infection, reaching a nadir at 4 weeks, while immature NK cells increased, a finding confirmed by multidimensional reduction analysis. These results indicate that NK cells likely play a key role in controlling the severity of clinical illness in individuals infected with SARS-CoV-2.

这项研究验证了一种假说,即高频率的自然杀伤细胞对有症状的严重急性呼吸系统综合征冠状病毒2型感染具有保护作用。样本来自新冠肺炎海军陆战队健康行动反应研究,这是一项针对SARS-CoV-2感染的前瞻性观察性研究,参与者在感染前登记,然后连续监测有症状或无症状感染的发展。通过流式细胞术评估NK细胞(CD3−CD14−CD19−CD56+)的频率和表型。与有症状的个体相比,出现无症状感染的个体在感染前的总NK细胞频率更高(10.61%[SD 4.5]vs 8.33%[SD 4.6],p=0.011)。循环总NK细胞在感染过程中减少,在4周时达到最低点,而未成熟NK细胞增加,这一发现得到了多维还原分析的证实。这些结果表明,NK细胞可能在控制严重急性呼吸系统综合征冠状病毒2型感染者的临床疾病严重程度方面发挥关键作用。
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引用次数: 1
Role of chemotherapeutic drugs in immunomodulation of cancer 化疗药物在肿瘤免疫调节中的作用
Q4 Immunology and Microbiology Pub Date : 2023-01-01 DOI: 10.1016/j.crimmu.2023.100068
Oishi Mukherjee, Sudeshna Rakshit, Geetha Shanmugam, Koustav Sarkar

The immune system has a variety of potential effects on a tumor microenvironment and the course of chemotherapy may vary according to that. Anticancer treatments can encourage the release of unwanted signals from senescent tumor cells or the removal of immune-suppressive cells, which can lead to immune system activation. Hence, by inducing an immunological response and conversely making cancer cells more vulnerable to immune attack, chemotherapeutic agents can destroy cancer cells. Furthermore, chemotherapy can activate anticancer immune effectors directly or indirectly by thwarting immunosuppressive pathways. Therefore, in this review, we discuss how chemotherapeutic agents take part in immunomodulation and the molecular mechanisms underlying them. We also focus on the importance of carefully addressing the conflicting effects of chemotherapy on immune responses when developing successful combination treatments based on chemotherapy and immune modulators.

免疫系统对肿瘤微环境有多种潜在影响,化疗的过程可能会因此而不同。抗癌治疗可以促进衰老肿瘤细胞释放不需要的信号,或清除免疫抑制细胞,从而激活免疫系统。因此,通过诱导免疫反应并反过来使癌症细胞更容易受到免疫攻击,化疗剂可以破坏癌症细胞。此外,化疗可以通过阻断免疫抑制途径直接或间接激活抗癌免疫效应物。因此,在这篇综述中,我们讨论了化疗药物如何参与免疫调节及其分子机制。我们还关注在开发基于化疗和免疫调节剂的成功联合治疗时,仔细解决化疗对免疫反应的冲突影响的重要性。
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引用次数: 0
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Current research in immunology
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