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Plasmodium berghei Hsp90 contains a natural immunogenic I-Ab-restricted antigen common to rodent and human Plasmodium species 伯氏疟原虫Hsp90含有啮齿动物和人类疟原虫常见的天然免疫原性I-Ab限制抗原
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.06.002
Matthias H. Enders , Ganchimeg Bayarsaikhan , Sonia Ghilas , Yu Cheng Chua , Rose May , Maria N. de Menezes , Zhengyu Ge , Peck Szee Tan , Anton Cozijnsen , Vanessa Mollard , Katsuyuki Yui , Geoffrey I. McFadden , Mireille H. Lahoud , Irina Caminschi , Anthony W. Purcell , Ralf B. Schittenhelm , Lynette Beattie , William R. Heath , Daniel Fernandez-Ruiz

Thorough understanding of the role of CD4 T cells in immunity can be greatly assisted by the study of responses to defined specificities. This requires knowledge of Plasmodium-derived immunogenic epitopes, of which only a few have been identified, especially for the mouse C57BL/6 background. We recently developed a TCR transgenic mouse line, termed PbT-II, that produces CD4+ T cells specific for an MHC class II (I-Ab)-restricted Plasmodium epitope and is responsive to both sporozoites and blood-stage P. berghei. Here, we identify a peptide within the P. berghei heat shock protein 90 as the cognate epitope recognised by PbT-II cells. We show that C57BL/6 mice infected with P. berghei blood-stage induce an endogenous CD4 T cell response specific for this epitope, indicating cells of similar specificity to PbT-II cells are present in the naïve repertoire. Adoptive transfer of in vitro activated TH1-, or particularly TH2-polarised PbT-II cells improved control of P. berghei parasitemia in C57BL/6 mice and drastically reduced the onset of experimental cerebral malaria. Our results identify a versatile, potentially protective MHC-II restricted epitope useful for exploration of CD4 T cell-mediated immunity and vaccination strategies against malaria.

深入了解CD4 T细胞在免疫中的作用可以通过对特定特异性反应的研究得到极大的帮助。这需要了解疟原虫衍生的免疫原性表位,其中只有少数已被确定,特别是小鼠C57BL/6背景。我们最近开发了一种TCR转基因小鼠系,称为PbT-II,其产生CD4+ T细胞特异性针对MHC II类(I-Ab)限制性疟原虫表位,并对孢子虫和血期柏氏疟原虫均有反应。在这里,我们鉴定了P. berghei热休克蛋白90中的一个肽,作为PbT-II细胞识别的同源表位。我们发现感染柏氏假体的C57BL/6小鼠可诱导内源性CD4 T细胞对该表位的特异性反应,这表明naïve库中存在与PbT-II细胞相似的特异性细胞。过继转移体外激活的TH1-,特别是th2极化的PbT-II细胞,可改善C57BL/6小鼠对伯氏疟原虫病的控制,并大大减少实验性脑型疟疾的发病。我们的研究结果确定了一个多功能的、潜在的保护性MHC-II限制性表位,可用于探索CD4 T细胞介导的免疫和针对疟疾的疫苗接种策略。
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引用次数: 7
Prime-boost with Chikungunya virus E2 envelope protein combined with Poly (I:C) induces specific humoral and cellular immune responses 基孔肯雅病毒E2包膜蛋白与Poly (I:C)联合的Prime-boost可诱导特异性的体液和细胞免疫反应
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.03.001
Marcelo Pires Amaral , Fernanda Caroline Coirada , Juliana de Souza Apostolico , Nádia Tomita , Edgar Ruz Fernandes , Higo Fernando Santos Souza , Rosa Maria Chura-Chambi , Ligia Morganti , Silvia Beatriz Boscardin , Daniela Santoro Rosa

Chikungunya virus (CHIKV) is an arbovirus transmitted to humans mainly by the bite of infected Aedes aegypti and Aedes albopictus mosquitoes. CHIKV illness is characterized by fever and long-lasting arthritic symptoms, and in some cases it is a deadly disease. The CHIKV envelope E2 (E2CHIKV) glycoprotein is crucial for virus attachment to the cell. Furthermore, E2CHIKV is the immunodominant protein and the main target of neutralizing antibodies. To date, there is no available prophylactic vaccine or specific treatment against CHIKV infection. Here, we designed and produced a DNA vaccine and a recombinant protein containing a consensus sequence of E2CHIKV. C57BL/6 mice immunized twice with the E2CHIKV recombinant protein in the presence of the adjuvant Poly (I:C) induced the highest E2CHIKV-specific humoral and cellular immune responses, while the immunization with the homologous DNA vaccine pVAX-E2CHIKV was able to induce specific IFN-γ producing cells. The heterologous prime-boost strategy was also able to induce specific cellular and humoral immune responses that were, in general, lower than the responses induced by the homologous E2CHIKV recombinant protein immunization. Furthermore, recombinant E2CHIKV induced the highest titers of neutralizing antibodies. Collectively, we believe this is the first report to analyze E2CHIKV-specific humoral and cellular immune responses after immunization with E2CHIKV recombinant protein and DNA pVAX-E2CHIKV vaccine platforms.

基孔肯雅病毒(CHIKV)是一种主要通过受感染的埃及伊蚊和白纹伊蚊叮咬传播给人类的虫媒病毒。CHIKV疾病的特点是发烧和长期关节炎症状,在某些情况下是一种致命的疾病。CHIKV包膜E2 (E2CHIKV)糖蛋白对于病毒附着于细胞至关重要。此外,E2CHIKV是免疫优势蛋白,是中和抗体的主要靶点。迄今为止,还没有针对CHIKV感染的预防性疫苗或特异性治疗方法。在这里,我们设计并生产了含有E2CHIKV一致序列的DNA疫苗和重组蛋白。在佐剂Poly (I:C)存在的情况下,用E2CHIKV重组蛋白免疫C57BL/6小鼠可诱导最高的E2CHIKV特异性体液和细胞免疫应答,而用同源DNA疫苗pVAX-E2CHIKV免疫可诱导特异性IFN-γ产生细胞。异种启动-增强策略也能够诱导特异性细胞和体液免疫应答,总体上低于同源E2CHIKV重组蛋白免疫诱导的应答。此外,重组E2CHIKV诱导了最高滴度的中和抗体。总的来说,我们认为这是第一份分析E2CHIKV重组蛋白和DNA pVAX-E2CHIKV疫苗平台免疫后E2CHIKV特异性体液和细胞免疫反应的报告。
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引用次数: 5
Gamma-tocotrienol modifies methylation of HOXA10, IRF4 and RORα genes in CD4+ T-lymphocytes: Evidence from a syngeneic mouse model of breast cancer γ-三烯醇修饰CD4+T淋巴细胞中HOXA10、IRF4和RORα基因的甲基化:来自癌症同基因小鼠模型的证据
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.10.001
Ammu K. Radhakrishnan , Jeya Seela Anandha Rao , Shonia Subramaniam , Premdass Ramdas

DNA methylation plays a crucial role in polarising naïve lymphocytes towards their various sub-populations to fight against many immune challenges including establishment of tumour. Gamma-tocotrienol (γT3) is a natural form of vitamin E, reported to possess anticancer and immunomodulatory effects. This study reports the anticancer effects of γT3 through modulation of DNA methylation in several genes in CD4+ T-lymphocytes using a syngeneic mouse model of breast cancer. Female BALB/c mice were fed with γT3 or vehicle (soy oil) for two-weeks via oral gavage before they were inoculated with 4T1 mouse mammary cancer cells. Supplementation continued until the mice were sacrificed. At autopsy, blood was collected via cardiac puncture and CD4+ T-cells were isolated for DNA extraction. The DNA was analysed using the EpiTech Methyl II mouse T-helper cell differentiation PCR array. γT3 supplementation reduced tumour growth in the tumour-induced animals and modulated host immune system by inducing changes in DNA methylation patterns of the HOXA10, IRF4 and RORα genes, which are involved in differentiation and clonal expansion of CD4+ T-cells. Results suggest that γT3 may enhance cell-mediated immune response in mice with breast cancer by inducing changes in DNA methylation pattern.

DNA甲基化在naïve淋巴细胞向其不同亚群极化以对抗包括肿瘤建立在内的许多免疫挑战中起着至关重要的作用。γ -生育三烯醇(γT3)是维生素E的一种天然形式,据报道具有抗癌和免疫调节作用。本研究利用同基因乳腺癌小鼠模型,报道了γT3通过调节CD4+ t淋巴细胞中几个基因的DNA甲基化而具有抗癌作用。雌性BALB/c小鼠分别灌胃γ - t3或大豆油,灌胃2周后再接种4T1小鼠乳腺癌细胞。继续补充,直到小鼠被处死。尸检时,通过心脏穿刺采集血液,分离CD4+ t细胞进行DNA提取。采用EpiTech Methyl II小鼠t辅助细胞分化PCR阵列对DNA进行分析。在肿瘤诱导的动物中,补充γ - t3可通过诱导参与CD4+ t细胞分化和克隆扩增的HOXA10、IRF4和RORα基因的DNA甲基化模式改变,降低肿瘤生长,并调节宿主免疫系统。结果表明,γ - t3可能通过诱导DNA甲基化模式的改变来增强乳腺癌小鼠细胞介导的免疫应答。
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引用次数: 0
Immunopathogenesis of alopecia areata 斑秃的免疫发病机制
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.02.001
Jadesola (Jadé) Temitope Olayinka , Jillian M. Richmond

Alopecia areata (AA) is an autoimmune disorder resulting in hair loss. It has numerous variants or patterns, including diffuse type, patchy type, AA totalis, AA universalis, and more. In this graphical review, we provide an overview of AA immunopathogenesis, highlighting loss of immune privilege in the hair follicle as well as key immune cell types, cytokines and chemokines that drive autoimmune attack of the hair follicle. We also summarize recent literature identifying agents that block these pathways that could serve as new immunomodulatory treatments for AA.

斑秃(AA)是一种导致脱发的自身免疫性疾病。它有多种变体或模式,包括弥漫性、斑片状、全身性、普遍性等。在这篇综述中,我们概述了AA的免疫发病机制,强调了毛囊中免疫特权的丧失以及驱动毛囊自身免疫攻击的关键免疫细胞类型、细胞因子和趋化因子。我们还总结了最近的文献,发现阻断这些途径的药物可以作为新的AA免疫调节治疗方法。
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引用次数: 14
Physiological substrates and ontogeny-specific expression of the ubiquitin ligases MARCH1 and MARCH8 泛素连接酶MARCH1和MARCH8的生理底物和个体发育特异性表达
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.10.004
Patrick Schriek , Haiyin Liu , Alan C. Ching , Pauline Huang , Nishma Gupta , Kayla R. Wilson , MinHsuang Tsai , Yuting Yan , Christophe F. Macri , Laura F. Dagley , Giuseppe Infusini , Andrew I. Webb , Hamish E.G. McWilliam , Satoshi Ishido , Justine D. Mintern , Jose A. Villadangos

MARCH1 and MARCH8 are ubiquitin ligases that control the expression and trafficking of critical immunoreceptors. Understanding of their function is hampered by three major knowledge gaps: (i) it is unclear which cell types utilize these ligases; (ii) their level of redundancy is unknown; and (iii) most of their putative substrates have been described in cell lines, often overexpressing MARCH1 or MARCH8, and it is unclear which substrates are regulated by either ligase in vivo. Here we address these questions by systematically analyzing the immune cell repertoire of MARCH1- or MARCH8-deficient mice, and applying unbiased proteomic profiling of the plasma membrane of primary cells to identify MARCH1 and MARCH8 substrates. Only CD86 and MHC II were unequivocally identified as immunoreceptors regulated by MARCH1 and MARCH8, but each ligase carried out its function in different tissues. MARCH1 regulated MHC II and CD86 in professional and “atypical” antigen presenting cells of hematopoietic origin, including neutrophils, eosinophils and monocytes. MARCH8 only operated in non-hematopoietic cells, such as thymic and alveolar epithelial cells. Our results establish the tissue-specific functions of MARCH1 and MARCH8 in regulation of immune receptor expression and reveal that the range of cells constitutively endowed with antigen-presentation capacity is wider than generally appreciated.

MARCH1和MARCH8是控制关键免疫受体表达和运输的泛素连接酶。对其功能的理解受到三个主要知识空白的阻碍:(i)尚不清楚哪些细胞类型利用这些连接酶;(ii)其冗余程度不明;(iii)大多数假定的底物已经在细胞系中被描述,通常过表达MARCH1或MARCH8,并且尚不清楚哪些底物在体内受这两种连接酶的调节。在这里,我们通过系统地分析MARCH1-或MARCH8缺陷小鼠的免疫细胞库,并应用原代细胞质膜的无偏见蛋白质组学分析来鉴定MARCH1和MARCH8底物来解决这些问题。只有CD86和MHC II被明确鉴定为受MARCH1和MARCH8调节的免疫受体,但每种连接酶在不同的组织中发挥其功能。MARCH1调节造血来源的专业和“非典型”抗原呈递细胞的MHC II和CD86,包括中性粒细胞、嗜酸性粒细胞和单核细胞。MARCH8仅作用于非造血细胞,如胸腺和肺泡上皮细胞。我们的研究结果确定了MARCH1和MARCH8在调节免疫受体表达中的组织特异性功能,并揭示了具有抗原呈递能力的细胞组成范围比通常认为的要宽。
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引用次数: 5
Exposure to the gut microbiota from cigarette smoke-exposed mice exacerbates cigarette smoke extract-induced inflammation in zebrafish larvae 暴露于香烟烟雾的小鼠的肠道微生物群会加剧斑马鱼幼虫的香烟烟雾提取物诱导的炎症
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.12.001
Simone Morris , Kathryn Wright , Vamshikrishna Malyla , Warwick J. Britton , Philip M. Hansbro , Pradeep Manuneedhi Cholan , Stefan H. Oehlers

Cigarette smoke (CS)-induced inflammation leads to a range of diseases including chronic obstructive pulmonary disease and cancer. The gut microbiota is a major modifying environmental factor that determine the severity of cigarette smoke-induced pathology. Microbiomes and metabolites from CS-exposed mice exacerbate lung inflammation via the gut-lung axis of shared mucosal immunity in mice but these systems are expensive to establish and analyse. Zebrafish embryos and larvae have been used to model the effects of cigarette smoking on a range of physiological processes and offer an amenable platform for screening modifiers of cigarette smoke-induced pathologies with key features of low cost and rapid visual readouts. Here we exposed zebrafish larvae to cigarette smoke extract (CSE) and characterised a CSE-induced leukocytic inflammatory phenotype with increased neutrophilic and macrophage inflammation in the gut. The CSE-induced phenotype was exacerbated by co-exposure to microbiota from the faeces of CS-exposed mice, but not control mice. Microbiota could be recovered from the gut of zebrafish and studied in isolation in a screening setting. This demonstrates the utility of the zebrafish-CSE exposure platform for identifying environmental modifiers of cigarette smoking-associated pathology and demonstrates that the CS-exposed mouse gut microbiota potentiates the inflammatory effects of CSE across host species.

香烟烟雾(CS)引起的炎症导致一系列疾病,包括慢性阻塞性肺病和癌症。肠道微生物群是一个主要的环境调节因素,决定了吸烟引起的病理的严重程度。来自cs暴露小鼠的微生物组和代谢物通过小鼠共享粘膜免疫的肠-肺轴加剧肺部炎症,但这些系统的建立和分析成本很高。斑马鱼胚胎和幼鱼已被用于模拟吸烟对一系列生理过程的影响,并提供了一个合适的平台,用于筛选香烟烟雾引起的病变的调节剂,其主要特点是成本低,视觉读数快。在这里,我们将斑马鱼幼虫暴露于香烟烟雾提取物(CSE)中,并表征了CSE诱导的白细胞炎症表型,肠道中嗜中性粒细胞和巨噬细胞炎症增加。暴露于cs暴露小鼠粪便中的微生物群会加剧cse诱导的表型,而对照组小鼠则不会。微生物群可以从斑马鱼的肠道中恢复,并在筛选环境中进行分离研究。这证明了斑马鱼-CSE暴露平台在识别吸烟相关病理的环境调节剂方面的效用,并证明了cs暴露的小鼠肠道微生物群增强了宿主物种中CSE的炎症效应。
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引用次数: 0
Tissue macrophages and interferon-gamma signalling control blood-stage Plasmodium chabaudi infections derived from mosquito-transmitted parasites 组织巨噬细胞和干扰素- γ信号控制来自蚊子传播寄生虫的血期夏伯疟原虫感染
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.07.002
Katrien Deroost , Christopher Alder , Caroline Hosking, Sarah McLaughlin, Jing-Wen Lin , Matthew D. Lewis, Yolanda Saavedra-Torres, John W.G. Addy, Prisca Levy, Maria Giorgalli, Jean Langhorne

Natural infection with Plasmodium parasites, the causative agents of malaria, occurs via mosquito vectors. However, most of our knowledge of the immune response to the blood stages of Plasmodium is from infections initiated by injection of serially blood-passaged infected red blood cells, resulting in an incomplete life cycle in the mammalian host. Vector transmission of the rodent malaria parasite, Plasmodium chabaudi chabaudi AS has been shown to give rise to a more attenuated blood-stage infection in C57Bl/6J mice, when compared to infections initiated with serially blood-passaged P. chabaudi-infected red blood cells. In mouse models, the host immune response induced by parasites derived from natural mosquito transmission is likely to more closely resemble the immune responses to Plasmodium infections in humans. It is therefore important to determine how the host response differs between the two types of infections.

As the spleen is considered to be a major contributor to the protective host response to P. chabaudi, we carried out a comparative transcriptomic analysis of the splenic response to recently mosquito-transmitted and serially blood-passaged parasites in C57Bl/6J mice. The attenuated infection arising from recently mosquito-transmitted parasites is characterised by an earlier and stronger myeloid- and IFNγ-related response. Analyses of spleen lysates from the two infections similarly showed stronger or earlier inflammatory cytokine and chemokine production in the recently mosquito-transmitted blood-stage infections. Furthermore, tissue macrophages, including red pulp macrophages, and IFNγ-signalling in myeloid cells, are required for the early control of P. chabaudi recently mosquito-transmitted parasites, thus contributing to the attenuation of mosquito-transmitted infections.

The molecules responsible for this early activation response to recently-transmitted blood-stage parasites in mice would be important to identify, as they may help to elucidate the nature of the initial interactions between blood-stage parasites and the host immune system in naturally transmitted malaria.

疟疾病原体疟原虫的自然感染是通过蚊子媒介发生的。然而,我们对疟原虫血液阶段的免疫反应的大部分知识来自于通过注射连续血液传代的受感染红细胞引起的感染,导致哺乳动物宿主的生命周期不完整。啮齿动物疟原虫chabaudi chabaudi AS的媒介传播已被证明在C57Bl/6J小鼠中引起的血期感染比连续血传代chabaudi感染的红细胞引起的感染更弱。在小鼠模型中,由蚊子自然传播的寄生虫诱导的宿主免疫反应可能更接近于人类对疟原虫感染的免疫反应。因此,确定宿主对两种感染的反应有何不同是很重要的。由于脾脏被认为是宿主对chabaudi的保护性反应的主要贡献者,我们对C57Bl/6J小鼠的脾脏对最近蚊子传播和连续血传寄生虫的反应进行了比较转录组学分析。最近由蚊子传播的寄生虫引起的减毒感染的特点是更早和更强的髓系和ifn γ相关反应。对两种感染的脾脏裂解物的分析同样显示,在最近蚊子传播的血期感染中,炎症细胞因子和趋化因子的产生更强或更早。此外,组织巨噬细胞(包括红髓巨噬细胞)和骨髓细胞中的ifn γ信号是早期控制恰氏疟原虫蚊传寄生虫所必需的,从而有助于蚊子传播感染的衰减。确定导致小鼠对新近传播的血期寄生虫产生这种早期激活反应的分子是很重要的,因为它们可能有助于阐明在自然传播的疟疾中,血期寄生虫与宿主免疫系统之间最初相互作用的性质。
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引用次数: 2
Heterologous vaccine therapy associated with half course of Miltefosine promote activation of the proinflammatory response with control of splenic parasitism in a hamster model of visceral leishmaniasis 异源疫苗治疗与半疗程米替福辛促进促炎反应的激活,控制内脏利什曼病仓鼠模型的脾寄生
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.10.003
Lívia Mendes Carvalho , Francielle Carvalho Ferreira , Miriã Rodrigues Gusmão , Ana Flávia Pereira Costa , Rory Cristiane Fortes de Brito , Rodrigo Dian de Oliveira Aguiar-Soares , Alexandre Barbosa Reis , Jamille Mirelle de Oliveira Cardoso , Cláudia Martins Carneiro , Bruno Mendes Roatt Ph.D

Visceral leishmaniasis (VL) is a serious and neglected disease present worldwide. Chemotherapy using pentavalent antimony (SbV) is the most practical and inexpensive strategy available for the VL treatment today, however, it has high toxicity. Alternatively, other drugs are used as viable leishmanicidal therapeutic options. Miltefosine is the only anti-leishmanial agent administered orally, however, it has been reducing its effectiveness. In this sense, there is no ideal therapy for VL since the drugs currently used trigger severe side effects causing discontinuation of treatment, which carries an imminent risk for the emergence of parasite resistance. With that, other therapeutic strategies are gaining prominence. Among them, immunotherapy and/or immunochemotherapy, which the activation/modulation of the immune system can redirect the host's immune response to an effective therapeutic result. Therefore, this work was designed to assess an immunochemotherapy protocol composed of half course of Miltefosine associated with LBSap vaccine (Milt+LBSap) using the hamster Mesocricetus auratus as an experimental model for VL treatment. When evaluating the main hematobiochemical, immunological and therapeutic efficacy parameters, it was demonstrated that the treatment with Milt+LBSap showed restoration of hematobiochemical condition and reduced serum levels of IgG-anti-Leishmania compared to animals infected non treated (INT). Beyond that, an increase in the number of CD4+ lymphocytes producers of IFN-γ in relation to INT or to animals treated with miltefosine during 28 days, and TNF-α increased compared to INT were observed. Also, it was found a reduction of IL-10-production in relation to INT, or animals that received LBSap vaccine only, or miltefosine, following by a reduction in the splenic parasitic burden. These results demonstrate that the immunochemotherapy protocol used can stimulate the immune response, inducing an expressive cellular response sufficient to control spleen parasitism, standing out as a promising proposal for the VL treatment.

内脏利什曼病(VL)是目前世界范围内一种严重且被忽视的疾病。使用五价锑(SbV)化疗是目前治疗VL最实用和最便宜的策略,然而,它具有高毒性。或者,其他药物被用作可行的利什曼尼治疗选择。米特福辛是唯一一种口服抗利什曼原虫药物,然而,它的有效性一直在降低。从这个意义上说,目前还没有理想的VL治疗方法,因为目前使用的药物会引发严重的副作用,导致停药,这有可能导致寄生虫耐药性的出现。与此同时,其他治疗策略也越来越突出。其中,免疫治疗和/或免疫化疗,它们通过激活/调节免疫系统,使宿主的免疫反应重定向到有效的治疗结果。因此,本研究旨在评估一种由半疗程米替福辛联合LBSap疫苗(Milt+LBSap)组成的免疫化疗方案,以仓鼠aurusricetus作为VL治疗的实验模型。当评估主要的血液生化、免疫学和治疗效果参数时,结果表明,与未治疗的感染动物(INT)相比,Milt+LBSap治疗显示血液生化状况的恢复和血清igg抗利什曼原虫水平的降低。除此之外,观察到与INT或米替福辛治疗28天的动物相比,CD4+淋巴细胞产生IFN-γ的数量增加,TNF-α增加。此外,还发现il -10的产生减少与INT相关,或仅接受LBSap疫苗或米替福辛的动物,随后脾脏寄生虫负担减少。这些结果表明,所使用的免疫化疗方案可以刺激免疫反应,诱导足以控制脾脏寄生的表达性细胞反应,这是一种有希望的VL治疗方案。
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引用次数: 1
Immune and cellular damage biomarkers to predict COVID-19 mortality in hospitalized patients 免疫和细胞损伤生物标志物预测住院患者COVID-19死亡率
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.09.001
Carlo Lombardi , Elena Roca , Barbara Bigni , Bruno Bertozzi , Camillo Ferrandina , Alberto Franzin , Oscar Vivaldi , Marcello Cottini , Andrea D'Alessio , Paolo Del Poggio , Gian Marco Conte , Alvise Berti

Early prediction of COVID-19 in-hospital mortality relies usually on patients’ preexisting comorbidities and is rarely reproducible in independent cohorts. We wanted to compare the role of routinely measured biomarkers of immunity, inflammation, and cellular damage with preexisting comorbidities in eight different machine-learning models to predict mortality, and evaluate their performance in an independent population. We recruited and followed-up consecutive adult patients with SARS-Cov-2 infection in two different Italian hospitals. We predicted 60-day mortality in one cohort (development dataset, n = 299 patients, of which 80% was allocated to the development dataset and 20% to the training set) and retested the models in the second cohort (external validation dataset, n = 402).

Demographic, clinical, and laboratory features at admission, treatments and disease outcomes were significantly different between the two cohorts. Notably, significant differences were observed for %lymphocytes (p < 0.05), international-normalized-ratio (p < 0.01), platelets, alanine-aminotransferase, creatinine (all p < 0.001). The primary outcome (60-day mortality) was 29.10% (n = 87) in the development dataset, and 39.55% (n = 159) in the external validation dataset. The performance of the 8 tested models on the external validation dataset were similar to that of the holdout test dataset, indicating that the models capture the key predictors of mortality. The shap analysis in both datasets showed that age, immune features (%lymphocytes, platelets) and LDH substantially impacted on all models' predictions, while creatinine and CRP varied among the different models. The model with the better performance was model 8 (60-day mortality AUROC 0.83 ± 0.06 in holdout test set, 0.79 ± 0.02 in external validation dataset). The features that had the greatest impact on this model's prediction were age, LDH, platelets, and %lymphocytes, more than comorbidities or inflammation markers, and these findings were highly consistent in both datasets, likely reflecting the virus effect at the very beginning of the disease.

COVID-19住院死亡率的早期预测通常依赖于患者先前存在的合并症,并且在独立队列中很少可重复。我们希望在八种不同的机器学习模型中比较常规测量的免疫、炎症和细胞损伤生物标志物与先前存在的合并症的作用,以预测死亡率,并评估它们在独立人群中的表现。我们在意大利两家不同的医院招募并随访了连续感染SARS-Cov-2的成年患者。我们预测了一个队列(开发数据集,n = 299例患者,其中80%分配给开发数据集,20%分配给训练集)的60天死亡率,并在第二个队列(外部验证数据集,n = 402)中重新测试了模型。入院时的人口学、临床和实验室特征、治疗和疾病结局在两个队列之间有显著差异。值得注意的是,淋巴细胞百分比(p <0.05),国际标准化比率(p <0.01)、血小板、丙氨酸转氨酶、肌酐(p <0.001)。主要结局(60天死亡率)在开发数据集中为29.10% (n = 87),在外部验证数据集中为39.55% (n = 159)。8个被测试模型在外部验证数据集上的性能与holdout测试数据集相似,表明模型捕获了死亡率的关键预测因子。两个数据集的形状分析显示,年龄、免疫特征(淋巴细胞百分比、血小板百分比)和LDH对所有模型的预测都有很大影响,而肌酐和CRP在不同模型中有所不同。表现较好的模型为模型8 (holdout组60天死亡率AUROC为0.83±0.06,外部验证组为0.79±0.02)。对该模型预测影响最大的特征是年龄、LDH、血小板和淋巴细胞百分比,而不是合并症或炎症标志物,这些发现在两个数据集中高度一致,可能反映了疾病初期的病毒效应。
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引用次数: 2
Neurokinin receptors and their implications in various autoimmune diseases 神经激肽受体及其在各种自身免疫性疾病中的意义
Q4 Immunology and Microbiology Pub Date : 2021-01-01 DOI: 10.1016/j.crimmu.2021.06.001
Amrita Mishra, Girdhari Lal

Neurokinin receptors belong to the GPCRs family and are ubiquitously expressed throughout the nervous and immune systems. Neurokinin receptors in coordination with neurokinins playing an important role in many physiological processes, including smooth muscle contraction, secretion, proliferation, and nociception. They also contribute to various disease conditions such as inflammatory bowel disease, rheumatoid arthritis, multiple sclerosis, psoriasis, and cancer. Neurokinin receptors antagonist are potent and highly selective and showing success in treating chemotherapy-induced nausea and vomiting. In this review, discuss the various neurokinin receptor expression on immune cells and their importance in various inflammatory and autoimmune diseases and their therapeutic importance.

神经激肽受体属于gpcr家族,在整个神经系统和免疫系统中普遍表达。神经激肽受体与神经激肽协同作用,在平滑肌收缩、分泌、增殖和伤害感受等许多生理过程中发挥重要作用。它们还会导致各种疾病,如炎症性肠病、类风湿性关节炎、多发性硬化症、牛皮癣和癌症。神经激肽受体拮抗剂是有效的和高度选择性的,并显示成功治疗化疗引起的恶心和呕吐。本文就神经激肽受体在免疫细胞上的各种表达及其在各种炎症和自身免疫性疾病中的重要性及其治疗意义进行综述。
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引用次数: 12
期刊
Current research in immunology
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