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Dust Mite Allergen Der F 8 Promotes Th2 Polarization via Modulating Chromatin Structure at the TIM4 Gene Locus in Dendritic Cells 尘螨过敏原Der f8通过调节树突状细胞TIM4基因位点的染色质结构促进Th2极化
Pub Date : 2016-05-02 DOI: 10.4172/1745-7580.10000113
Mohamoud Lh, Yang Lt, L. Zeng, Xu Lz, Zhang Hp, Li Lj, Liu Jq, Xiao Xj, Liu Zg, Yang Pc
Dust mites are an important source of allergens. The mechanism by which dust mite allergens induce allergic diseases is to be further investigated. This study aims to elucidate the role of one of the components of dust mite allergens, the Dermatophagoides farinae-8 (Der f 8), in the induction of airway allergy. In this study, the expression of T cell immunoglobulin and mucin domain 4 (TIM4) in dendritic cells (DC) s was analyzed after stimulating with Der f 8 in the culture. The role of Der f 8 in the induction of T helper (Th) 2 inflammation was assessed with an airway allergy mouse model. We observed that, in 34 subtypes of dust mite allergens, Der f 8 uniquely and markedly induced high levels of the TIM4 expression in DCs by modulating the chromatin at the TIM4 promoter locus. Der f 8 played a critical role in the expansion of the Th2 response in the mouse airway via inducing DCs to produce TIM4. Administration with Der f 8-null dust mite extracts (DME) efficiently inhibited the allergic inflammation and induced regulatory T cells in the airway of mice. We conclude that Der f 8 plays an important role in the pathogenesis of dust mite allergy. Vaccination with the Der f 8-null DME is more efficient to inhibit the dust mite allergic inflammation in the airway than the wild DME.
尘螨是过敏原的重要来源。尘螨过敏原诱发过敏性疾病的机制有待进一步研究。本研究旨在阐明尘螨过敏原成分之一Dermatophagoides farinae-8 (Der f8)在诱导气道过敏中的作用。本研究在培养的树突状细胞(DC)中,用Der f8刺激T细胞免疫球蛋白和粘蛋白结构域4 (TIM4)的表达。通过气道过敏小鼠模型评估Der f8在诱导辅助性T (Th) 2炎症中的作用。我们观察到,在34种尘螨过敏原亚型中,Der f8通过调节TIM4启动子位点的染色质,独特而显著地诱导dc中TIM4的高水平表达。Der f8通过诱导dc产生TIM4,在小鼠气道Th2反应的扩大中发挥了关键作用。DME可有效抑制小鼠气道变应性炎症,诱导调节性T细胞的产生。我们认为f8基因在尘螨过敏的发病机制中起重要作用。与野生DME相比,接种Der f8 -null DME对气道尘螨变应性炎症的抑制效果更好。
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引用次数: 1
Positive-Negative Feedback Loop between miR-197 and IL-17A Signaling in Human Keratinocytes 人角质形成细胞中miR-197和IL-17A信号之间的正负反馈回路
Pub Date : 2016-05-02 DOI: 10.4172/1745-7580.10000111
E. Elharrar, Moamen Masalha, G. Lerman, R. Leibowitz-Amit, R. Kassem, M. Harats, Y. Sidi, D. Avni
Psoriasis is a chronic inflammatory skin disorder which results from pathological interactions between activated immunocytes and keratinocytes. Recent studies implicated the role of IL-17 and IL-22, secreted from Th17 and Th22 in the generation and propagation of the psoriatic plaque. Previously, we and others have shown that the expression of miR-197 is significantly decreased in psoriatic lesions. We further showed that miR-197 targets IL-22RA1 and that ectopic expression of miR-197 prevent IL-22 induced proliferation and migration of keratinocytes. Since the 3'UTR of the IL17RA subunit mRNA contains a putative binding site for miR-197, our aim was to expand our understanding of the miRNA-mediated crosstalk between immunocytes and keratinocytes by studying the effect of miR-197 expression on IL-17A signaling pathway. Luciferase reporter assays along with Western blot analysis revealed that miR-197 directly targets the 3'UTR of IL17RA. Furthermore, ectopic expression of miR-197 led to a significant decrease in IL-17A-induced expression of CCL20, a known downstream effector of IL-17A. Interestingly, the addition of IL-17A to keratinocytes led to a rapid and transient increase in the expression of miR-197. Chromatin immuno-precipitation assays showed that keratinocytes' treatment with IL-17 leads to C/EBP binding to the promoter region of miR-197, and that the expression level of miR-197 is directly proportional to the extent of C/EBP binding to the promoter. Moreover, following treatment with IL-17A, the histone acetylation pattern at the miR-197 promoter turns to become characteristic of transcribed chromatin. Taken together, our results suggest that a positive-negative feedback loop exists between IL-17A and miR-197 in keratinocytes; the cytokine induces the binding of C/EBPα to miR-197 promoter sequences, enhances miR-197 expression that negatively attenuates IL-17 receptor and decreases the input along the IL-17A pathway. Our work suggests that in psoriasis, decreased expression of miR-197 may prevent the miR-197-induced attenuation of the IL-17 cascade, leading to its over-activity.
银屑病是一种慢性炎症性皮肤病,由活化的免疫细胞和角质形成细胞之间的病理相互作用引起。最近的研究暗示了由Th17和Th22分泌的IL-17和IL-22在银屑病斑块的产生和繁殖中的作用。之前,我们和其他人已经表明,miR-197在银屑病皮损中的表达显著降低。我们进一步发现miR-197靶向IL-22RA1,并且miR-197的异位表达可以阻止IL-22诱导的角质形成细胞的增殖和迁移。由于IL17RA亚基mRNA的3'UTR含有miR-197的推测结合位点,我们的目的是通过研究miR-197表达对IL-17A信号通路的影响来扩大我们对mirna介导的免疫细胞和角质形成细胞之间的串音的理解。荧光素酶报告基因分析和Western blot分析显示,miR-197直接靶向IL17RA的3'UTR。此外,miR-197的异位表达导致IL-17A诱导的CCL20表达显著降低,CCL20是IL-17A的已知下游效应物。有趣的是,在角质形成细胞中添加IL-17A会导致miR-197的表达迅速而短暂地增加。染色质免疫沉淀试验显示,IL-17处理角质形成细胞导致C/EBP结合到miR-197的启动子区域,并且miR-197的表达水平与C/EBP结合到启动子的程度成正比。此外,在IL-17A治疗后,miR-197启动子上的组蛋白乙酰化模式变成了转录染色质的特征。综上所述,我们的研究结果表明,在角质形成细胞中,IL-17A和miR-197之间存在一个正负反馈回路;该细胞因子诱导C/EBPα与miR-197启动子序列结合,增强miR-197的表达,从而负向减弱IL-17受体,减少IL-17A通路的输入。我们的研究表明,在银屑病中,miR-197的表达降低可能会阻止miR-197诱导的IL-17级联的衰减,导致其过度活性。
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引用次数: 7
Cancer Treatment in the Checkpoint Inhibitor Era 检查点抑制剂时代的癌症治疗
Pub Date : 2016-04-25 DOI: 10.4172/1745-7580.10000E105
G. Razavi
Cross talk between antigen presenting cells, effector T cells and immune regulatory cells through co-stimulatory and inhibitory signals orchestrates the anti-tumor immune response that eventuates in either the effective tumor directed immune activity leading to the tumor removal or an immune suppressed tumor microenvironment leading to the tumor progression and metastasis. The co-stimulatory signals have been shown to be mediated by CD28 and members of the tumor necrosis factor receptor (TNFR) family, such as CD40, OX-40, 4-1BB, CD30, and CD27, while the regulatory signals are generally mediated through cytotoxic T lymphocyte activator-4 (CTLA-4) and programmed death -1 (PD-1) receptors that share structural homology with the CD28 co-stimulatory class and also bind to the B7 family members. Despite the observed similarities in their structure and receptors, CTLA-4 and PD-1 show the main regulatory role and considered as checkpoints. Targeting these co-stimulatory or inhibitory receptors with either stimulating or blocking antibodies may lead to the enhanced immune response within tumor microenvironment and clinical benefits.
抗原提呈细胞、效应T细胞和免疫调节细胞之间的串扰通过共刺激和抑制信号协调抗肿瘤免疫反应,最终导致肿瘤的有效免疫活性,导致肿瘤的切除或免疫抑制的肿瘤微环境,导致肿瘤的进展和转移。共刺激信号已被证明是由CD28和肿瘤坏死因子受体(TNFR)家族成员介导的,如CD40、OX-40、4-1BB、CD30和CD27,而调节信号通常是通过细胞毒性T淋巴细胞激活因子-4 (CTLA-4)和程序性死亡-1 (PD-1)受体介导的,这些受体与CD28共刺激类具有结构同源性,也与B7家族成员结合。尽管观察到它们的结构和受体相似,但CTLA-4和PD-1表现出主要的调节作用,并被认为是检查点。用刺激或阻断抗体靶向这些共刺激或抑制受体可能会增强肿瘤微环境内的免疫应答和临床效益。
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引用次数: 2
Insights into Gene Expression of Activated Pathogenic Autoimmune T Cells - Studies in Experimental Multiple Sclerosis-like Model 活化致病性自身免疫T细胞基因表达的深入研究——实验性多发性硬化症样模型的研究
Pub Date : 2016-03-28 DOI: 10.4172/1745-7580.10000108
E. Kozela, A. Juknat, F. Gao, G. Coppola, N. Kaushansky, Z. Vogel
Multiple Sclerosis (MS) and its animal model, experimental autoimmune encephalomyelitis (EAE), are autoimmune diseases driven by pathogenic memory T cells. Using myelin oligodendrocyte glycoprotein (MOG) 35-55-specific encephalitogenic T cells (TMOG) isolated from MOG35-55-immunized EAE mice we describe here their gene expression profile following antigen specific activation. A vast number of pro-inflammatory genes including cytokines, chemokines and growth factors (e.g., Csf2, Il3, Ccl1, Ccl3) as well as signaling pathways (e.g., iNOS, MAPK, JAK/STAT, NFκβ) were dramatically upregulated following MOG35-55 stimulation of TMOG cells. A number of Th17-related pathways were induced confirming potent Th17-like activation of TMOG. Interestingly, genes known for their anti-inflammatory role (Sit1, Hsd11b1, Pias3, Pparg, Lgmn, Klk3, Tnfaip8l2) were down-regulated in response to MOG35-55 suggesting that silencing of intrinsic suppressory mechanisms may underlie the hyperactivation of memory T cells. MOG35-55 activation led to lower transcription of pro-apoptotic/autophagic genes (Ddit4, Bbc3, Dapk2, Wbp1) and to enhanced level of anti-apoptotic transcripts (Bcl2l1). Transcripts related to toll-like receptors and MyD88-signaling were induced, revealing the involvement of innate immunity pathways in T cell driven autoimmunity. This study reveals the transcriptional events that lead to enhanced cytotoxicity, proliferation and resistance to apoptosis of activated autoimmune T cells. We suggest that encephalitogenic T cells may serve as a reliable in vitro model for screening for possible therapeutics against T cell driven autoimmune diseases.
多发性硬化症(MS)及其动物模型实验性自身免疫性脑脊髓炎(EAE)是由致病性记忆T细胞驱动的自身免疫性疾病。利用从mog35 -55免疫的EAE小鼠中分离的髓鞘少突胶质细胞糖蛋白(MOG) 35-55特异性脑源性T细胞(TMOG),我们描述了抗原特异性激活后它们的基因表达谱。MOG35-55刺激TMOG细胞后,大量促炎基因包括细胞因子、趋化因子和生长因子(如Csf2、Il3、Ccl1、Ccl3)以及信号通路(如iNOS、MAPK、JAK/STAT、NFκβ)显著上调。许多th17相关的通路被诱导,证实th17样激活TMOG是有效的。有趣的是,已知具有抗炎作用的基因(Sit1, Hsd11b1, Pias3, Pparg, Lgmn, Klk3, Tnfaip8l2)在MOG35-55的作用下被下调,这表明内在抑制机制的沉默可能是记忆性T细胞过度激活的基础。MOG35-55的激活导致促凋亡/自噬基因(Ddit4、Bbc3、Dapk2、Wbp1)的转录水平降低,抗凋亡转录物(Bcl2l1)水平升高。与toll样受体和myd88信号相关的转录本被诱导,揭示了先天免疫途径参与T细胞驱动的自身免疫。本研究揭示了导致活化自身免疫T细胞增强细胞毒性、增殖和抗凋亡的转录事件。我们认为,脑源性T细胞可以作为一种可靠的体外模型,用于筛选针对T细胞驱动的自身免疫性疾病的可能治疗方法。
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引用次数: 5
Factor V Leiden Mutation as a Novel Marker in Children with Cerebral Palsy 因子V Leiden突变作为脑瘫儿童的新标志物
Pub Date : 2016-03-22 DOI: 10.4172/1745-7580.10000107
Doaa M Mahrous Alshareef, H. Kamel, W. M. A. E. Hameed, A. H. E. Amin
Background: Gene mutations are known to play a role in the development of cerebral palsy (CP). The aim of this study was to determine the frequency of factor V Leiden (fVL) mutation as an etiological novel marker in Egyptian children with cerebral palsy. Methods: The study included 70 children; 50 patients with cerebral palsy (Group I) and 20 healthy subjects (Group II) matched age and sex as a control group. Venous blood samples were used for DNA extraction using PCR testing. Polymerase chain reaction (PCR) primers were designed based on exon 10 sequence of human factor V gene. Key findings: There was insignificant difference between both groups regarding comparison of demographic characteristics and risk factors except for pre-term birth (26% in study group versus 5% in control group with P = 0.04). The frequency of fVL mutation was 42% in the study group, 15% in control group with significant difference between study and control groups. There was a significant association and for the first time between homozygous fVL mutation and severe type of cerebral palsy; 60% of homozygous mutations associated with severe CP versus 9% of heterozygous mutations. Conclusions: The fVL mutation is one of the major risk factors that may increase the likelihood of cerebral thrombo-embolism and subsequent cerebral palsy in Egyptian children.
背景:已知基因突变在脑瘫(CP)的发展中起作用。本研究的目的是确定因子V莱顿(fVL)突变的频率作为一个新的病因学标记在埃及脑瘫儿童。方法:研究对象为70例儿童;50例脑瘫患者(第一组)和20例符合年龄和性别的健康受试者(第二组)作为对照组。静脉血标本采用PCR检测提取DNA。根据人因子V基因外显子10序列设计聚合酶链反应(PCR)引物。主要发现:两组在人口统计学特征和危险因素的比较中,除早产外,差异不显著(研究组为26%,对照组为5%,P = 0.04)。研究组fVL突变发生率为42%,对照组为15%,两组差异有统计学意义。纯合型fVL突变与重度脑瘫有显著相关性,这是首次发现;60%的纯合子突变与严重CP相关,而9%的杂合子突变与严重CP相关。结论:fVL突变是增加埃及儿童发生脑血栓栓塞和脑瘫可能性的主要危险因素之一。
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引用次数: 1
Influence of Gut Microbiota on Inflammation and Pathogenesis of Sugar Rich Diet Induced Diabetes 肠道菌群对富糖饮食诱导糖尿病炎症及发病机制的影响
Pub Date : 2016-03-22 DOI: 10.4172/1745-7580.10000109
P. Jena, Bhumika Prajapati, P. Mishra, S. Seshadri
Type 2 diabetes is characterized by peripheral insulin resistance. Besides immune and inflammatory mechanisms, other pathways involve interaction between gut microbiota and metabolic syndrome. The present study was designed to understand gut microbiota alteration following High Sugar Diet (HSD) and its effect on physiology and gastrointestinal immunology. Male wistar rats were fed with high fructose and HSD for 60 days. Composition of fecal microbiota by DGGE and proinflammatory cytokines in serum was investigated. Expressions of genes such as TLR2, TLR4 and NF-kB in various tissues were also studied. The bacteria coliforms and clostridium level were higher and Lactobacillus was lower in both sugar rich diet fed rats. Highly diverse and densely populated bands were observed in HSD group by DGGE fingerprint. The band profiles of sugar fed group have clustered together. Elevated mRNA expression of TLR2, TLR4, and NF-kB were observed in HSD groups. Increased inflammation was confirmed by blood and tissue biochemical assay and enhanced serum pro-inflammatory cytokines in HSD diet groups. Gut microbiota strongly influenced the metabolic profiling of individuals fed with high calorie intake. The diverse microbial population and increased coliforms and clostridium may affect host gene expression. Targeting TLRs and microbiota could be promising therapeutic approach
2型糖尿病以外周胰岛素抵抗为特征。除了免疫和炎症机制,其他途径涉及肠道微生物群和代谢综合征之间的相互作用。本研究旨在了解高糖饮食(HSD)后肠道菌群的变化及其对生理和胃肠道免疫的影响。雄性wistar大鼠分别饲喂高果糖和HSD 60 d。研究了DGGE和血清促炎因子对粪便微生物群组成的影响。研究了TLR2、TLR4、NF-kB等基因在各组织中的表达情况。两种富糖饲料喂养的大鼠大肠杆菌和梭状芽孢杆菌水平均较高,乳酸杆菌水平较低。HSD组DGGE指纹图谱显示条带高度多样且密集。含糖基团的谱带分布聚集在一起。HSD组TLR2、TLR4、NF-kB mRNA表达升高。血液和组织生化分析证实,HSD饮食组炎症增加,血清促炎细胞因子升高。肠道微生物群强烈影响高热量摄入个体的代谢谱。不同的微生物种群和增加的大肠菌群和梭菌可能影响宿主基因表达。靶向tlr和微生物群可能是一种很有前途的治疗方法
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引用次数: 18
An update on Dendritic Cell-Based Cancer Immunotherapy 基于树突状细胞的癌症免疫治疗的最新进展
Pub Date : 2016-02-15 DOI: 10.4172/1745-7580.10000106
S. Shimodaira, K. Hirabayashi, Terutsugu Koya, Y. Higuchi, R. Yanagisawa, M. Okamoto, S. Koido
Although treating advanced cancers that affect organs with distant metastasis remains challenging, the pace of recent advances has accelerated; these advances have particularly focused on the inhibitors of key immune potentiates. Research on therapeutic vaccination involving active dendritic cell (DC)-based immunotherapy is also being performed for the induction of an effi cient immune response against cancer-associated antigens by the acquired immune system. Cancer vaccines prepared with autologous monocyte-derived mature DCs have been generated using granulocyte–macrophage colony-stimulating factor and interleukin-4, which are principally attributed to the presence of tumor-associated antigens. Wilms’ tumor 1 (WT1) is an attractive target antigen that is widely detected in many cancers. DC-based immunotherapy targeting WT1 may elicit a strong therapeutic response to cancers. DC vaccines primed with HLA class I/II-restricted WT1 peptides (WT1-DC) are a feasible option for patients with advanced cancers. Immune response monitoring using tetramer analysis and/or enzyme-linked immunosorbent spot assay has been applied to determine the effi cacy of WT1-DC. The inhibition of immune suppressors and acceleration of anti-cancer immunity with WT1-DC may comprise a promising future therapeutic strategy for treating advanced cancers.
尽管治疗影响远处转移器官的晚期癌症仍然具有挑战性,但最近进展的步伐已经加快;这些进展特别集中在关键免疫增强剂的抑制剂上。治疗性疫苗接种的研究也正在进行,包括基于活性树突状细胞(DC)的免疫疗法,以诱导获得性免疫系统对癌症相关抗原产生有效的免疫反应。利用粒细胞-巨噬细胞集落刺激因子和白细胞介素-4制备了由自体单核细胞来源的成熟dc制备的癌症疫苗,这主要归因于肿瘤相关抗原的存在。Wilms ' tumor 1 (WT1)是一种有吸引力的靶抗原,在许多癌症中被广泛检测到。针对WT1的dc免疫疗法可能会引发对癌症的强烈治疗反应。用HLA I/ ii类限制性WT1肽(WT1-DC)引物的DC疫苗是晚期癌症患者的可行选择。免疫反应监测采用四聚体分析和/或酶联免疫吸附斑点试验已被用于确定WT1-DC的有效性。WT1-DC对免疫抑制因子的抑制和抗癌免疫的加速可能是治疗晚期癌症的一个有希望的未来治疗策略。
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引用次数: 2
Rose Bengal Plate Test (RBPT) Based Sero-prevalence of Bovine Brucellosis in and around Chench, Gama Goffa, Southern Ethiopia 基于玫瑰孟加拉板试验(RBPT)的牛布鲁氏菌病在埃塞俄比亚南部Gama Goffa Chench及其周边地区的血清患病率
Pub Date : 2016-01-31 DOI: 10.4172/1745-7580.10000105
Melese Yilma
Across sectional study was conducted with objective to determine sero-prevalence bovine brucellosis occurrence from Dec 2009 to Feb 2010 at Chencha district of Gamo Gofa zone. Total of 384 serum samples were collected from cattle and tested for the presence of brucell antibodies using Rose Bengal Plate Test (RBPT). Overall seroprevalence of 4 (1.04%) was recorded in the area. Among the risk factors Abortion and RFM (Retain Fetal membrane) were found significantly associated with sero-positivity (p<0.05). In conclusion the present work generally showed low sero prevalence of bovine brucellosis in the study area and brucellosis was clinically associated with abortion and retained fetal membrane.
为了解2009年12月至2010年2月加莫戈法地区陈茶区牛布鲁氏菌病的血清流行情况,进行了横断面研究。共收集384份牛血清样本,使用玫瑰孟加拉平板试验(RBPT)检测布鲁氏细胞抗体的存在。该地区总血清阳性率为4(1.04%)。流产和胎膜保留(RFM)与血清阳性有显著相关性(p<0.05)。总之,目前的工作总体上表明,研究地区牛布鲁氏菌病的血清患病率较低,布鲁氏菌病在临床上与流产和胎膜保留有关。
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引用次数: 6
Metabolic Changes of Aflatoxin B1 to become an Active Carcinogen andthe Control of this Toxin 黄曲霉毒素B1成为活性致癌物的代谢变化及其控制
Pub Date : 2015-12-28 DOI: 10.4172/1745-7580.10000104
M. Carvajal-Moreno
Although aflatoxins are unavoidable toxins of food, many methods are available to control them, ranging from natural detoxifying methods to more sophisticated ones. The present review englobes the main characteristics of Aflatoxins as mutagens and carcinogens for humans, their physicochemical properties, the producing fungi, susceptible crops, effects and metabolism. In the metabolism of Aflatoxins the role of cytochromes and isoenzymes, epigenetics, glutathione-S-transferase enzymes, oncogenes and the role of aflatoxins as mutagens of the tumor suppressor gene p53, and the Wnt signaling pathway are briefly explained, as well as these toxins as biomarkers. The last section includes the Aflatoxin control methods, from the protection of the crop from the Aspergillus fungi, the biocontrol solution, the AFB1-DNA adduct control with the natural repair rates of adduct removal, induction to resistance to AFB1, the detoxification enzymes, recombinant yeasts, pre-exposure to Aflatoxin M1, the inhibition of AFB1 lesions by different compounds, chemoprevention and protective chemical compounds, cruciferous vegetables, dietary dithiolethiones, glucoraphanin, indol-3-carbinol, oltipraz, phenols (butylated hydroxytoluene and ellagic acid), indomethacin, selenium, natural nutrients, coumarin chemoprevention, cafestol and kahweol, terpenes and monoterpenes, grapefruit juice, vitamins, traditional Chinese medical plants (Oldenlandia diffusa and Scutellaria barbata), chlorophyllin, probiotic bacteria and additives as aluminosilicates and glucomannans are described here. Finally, the aflatoxin international legislation was briefly described.
虽然黄曲霉毒素是食物中不可避免的毒素,但有许多方法可以控制它们,从自然排毒方法到更复杂的排毒方法。本文综述了黄曲霉毒素作为人类诱变物和致癌物的主要特征、理化性质、产生真菌、易感作物、作用和代谢。在黄曲霉毒素的代谢中,细胞色素和同工酶的作用、表观遗传学、谷胱甘肽- s -转移酶、致癌基因和黄曲霉毒素作为肿瘤抑制基因p53的诱变剂的作用,以及Wnt信号通路,以及这些毒素作为生物标志物的作用。最后一节包括黄曲霉毒素的防治方法,从保护作物免受曲霉真菌的侵害,生物防治溶液,AFB1- dna加合物控制与加合物去除的自然修复率,诱导对AFB1的抗性,解毒酶,重组酵母,预暴露于黄曲霉毒素M1,不同化合物抑制AFB1损伤,化学预防和保护性化合物,十字花科蔬菜,饮食二硫代乙硫酮,葡萄糖苷,吲哚-3-甲醇、oltipraz、酚类(丁基羟基甲苯和鞣花酸)、吲哚美辛、硒、天然营养物质、香豆素化学预防、咖啡醇和咖啡豆醇、萜烯和单萜烯、葡萄柚汁、维生素、中药植物(白花玉兰和五花芩)、叶绿素、益生菌以及铝硅酸盐和葡甘露聚糖添加剂。最后简要介绍了黄曲霉毒素的国际立法。
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引用次数: 22
The Frequency of Influenza-Like Illness in Patients with Allergic Asthmaon Immunotherapy 变应性哮喘患者流感样疾病的发生率
Pub Date : 2015-12-07 DOI: 10.4172/1745-7580.10000103
Neziri-Ahmetaj Luljeta, Bakir MehiÄ, R. Gojak, N. Arber
Viral infections augment immediate and late allergic responses in the lungs of patients with allergic asthma. Certain viruses that typically exacerbate asthma have been noted to induce release of the cytokine interleukin-11 (IL-11) which is associated with airway hyperreactivity (AHR). The aim of study: To determine the frequency of influenza-like illness in patients with allergic asthma on immunotherapy compared to the patients with allergic asthma receiving only antiasthmatic pharmacotherapy during the period of 1-year follow up. Methods: In our study, we included 60 patients with allergic asthma, both genders who were subsequently divided into two treatment groups. Study group included 30 patients who received immunotherapy (immunotherapy group) and control group included 30 patients treated with standard pharmacotherapy, but not with immunotherapy (GINA proposal). Results: There was a significant difference in influenza-like illness (ILI) between immunotherapy and control group of patients. A significantly higher percentages of patients in control group experienced cold and/or flu syndrome compared to immunotherapy group, which was observed at the 2nd, 3rd and 4th trimester (X2= 20.480 p=0.0001). During the first trimester there was no difference in the number of patients with the cold/flu symptoms between the immunotherapy and control group. During the 2nd trimester, there was a significant decrease in the number of patients with cold/flu symptoms 3/30 (10%) in the immunotherapy group, while in the control group there was significantly higher number of patients with the cold/flu symptoms (11/30 (36 %)). In the 3rd and 4th trimester the frequency of patients with cold/flu symptoms was unchanged compared to the 2nd trimester in the immunotherapy group, while in the control group the frequency of patients with cold/flu symptoms increased from 20/30 (66%) at the 3rd to 27/30 (90%) in the 4th trimester. The number of patients reported to the physician due to bronchial hyperreactivity was dependent on the immunotherapy treatment (p=0.0001) Conclusions: The frequency of influenza-like illness occurrence was significantly lower in patients treated with immunotherapy during one year of follow-up compared to the patients treated with antiasthmatic pharmacotherapy. The percentage of patients with influenza-like illness was 10% in the patients treated with immunotherapy at third and fourth trimester of the follow-up, whilst in patients on antiasthmatic pharmacotherapy, the percentage of patients with influenza-like illness increased from 66% in the third to 90% in the fourth trimester.
病毒感染增加了过敏性哮喘患者肺部的即时和晚期过敏反应。某些通常加剧哮喘的病毒已被注意到可诱导与气道高反应性(AHR)相关的细胞因子白介素-11 (IL-11)的释放。研究目的:在为期1年的随访期间,比较接受免疫治疗的过敏性哮喘患者与仅接受平喘药物治疗的过敏性哮喘患者发生流感样疾病的频率。方法:在我们的研究中,我们纳入了60例过敏性哮喘患者,男女均可,随后分为两个治疗组。研究组包括30例接受免疫治疗的患者(免疫治疗组),对照组包括30例接受标准药物治疗但不接受免疫治疗的患者(GINA方案)。结果:免疫治疗组与对照组流感样疾病发生率有显著性差异。与免疫治疗组相比,对照组患者在妊娠2、3、4个月出现感冒和/或流感综合征的比例明显更高(X2= 20.480 p=0.0001)。在怀孕的前三个月,免疫疗法组和对照组之间出现感冒/流感症状的患者数量没有差异。在妊娠中期,免疫治疗组出现感冒/流感症状的患者数量显著减少3/30(10%),而对照组出现感冒/流感症状的患者数量显著增加(11/30(36%))。在第3和第4个妊娠期,与第2个妊娠期相比,免疫治疗组出现感冒/流感症状的患者频率没有变化,而在对照组中,出现感冒/流感症状的患者频率从第3个妊娠期的20/30(66%)增加到第4个妊娠期的27/30(90%)。由于支气管高反应性而向医生报告的患者数量依赖于免疫治疗的治疗(p=0.0001)。结论:在一年的随访中,接受免疫治疗的患者发生流感样疾病的频率明显低于接受平喘药物治疗的患者。在随访的第三和第四妊娠期接受免疫治疗的患者中,流感样疾病患者的百分比为10%,而在接受平喘药物治疗的患者中,流感样疾病患者的百分比从第三妊娠期的66%增加到第四妊娠期的90%。
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引用次数: 1
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Immunome research
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