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The Ability of Neonatal Mice to Develop Immunity to Mycobacterium tuberculosis Shows Sex Differences, with Females Displaying Evidence of an Enhanced Immune Response. 新生小鼠对结核分枝杆菌产生免疫力的能力显示出性别差异,雌性小鼠表现出增强的免疫反应。
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.225
Mrinal K Ghosh, Ameae M Walker

Using four core genotypes (FCG) mice, we have previously shown a larger number of CD4+ and CD8+ T cells in the spleens of female mice, a sex difference that develops by postnatal day 7 and is retained through adulthood. This difference in splenic T cell number is a consequence of reduced thymic egress and reduced splenic seeding in male mice, caused in part by the male-specific perinatal surge of testosterone, and in part by Sry, which is overexpressed in this model. Here, we used the background strain for FCG mice (C57BL/6J) to ask whether sex influenced actual immunity in the postnatal period. Pups were immunized on postpartum days 1 or 3 with Mycobacterium tuberculosis (Mtb), challenged on day 7 with Mtb purified protein derivative (PPD), and sacrificed on day 8. Subsequent ex vivo challenges of splenocytes showed PPD-stimulated CD8+ responses (increased CD8+, increased CD8+CD44hi, decreased CD8+CD44hiCD127-/lo) but no differences between males and females. However, when CD8+ T cells were analyzed for IFN-γ and IL-2 production, although there was no sex difference in mono-functional IFN-γ+ (100%) or IL-2+ (67%), only females (0% of males and 42% of females) produced bi-functional (IFN-γ+IL-2+) cells. Ex vivo PPD-stimulated responses of other relevant cells from the spleen showed no sex differences in dendritic cells (CD11c+CD86+IL-6+) but females had more (3-fold) IL-6-producing macrophages (F4/80+CD86+IL-6+) and reduced T regulatory cells (CD4+CD25+Foxp3+). We conclude that some sex differences in immunity are evident at one week of age in Mtb immunized mouse pups, with females exhibiting qualitatively superior Mtb-specific immune responses.

使用四种核心基因型(FCG)小鼠,我们之前已经发现雌性小鼠脾脏中CD4+和CD8+ T细胞数量较多,这种性别差异在出生后第7天就出现了,并一直保持到成年。脾脏T细胞数量的差异是雄性小鼠胸腺输出减少和脾脏播种减少的结果,部分原因是雄性特异性围产期睾酮激增,部分原因是Sry在该模型中过度表达。在这里,我们使用FCG小鼠的背景菌株(C57BL/6J)来研究性别是否会影响出生后的实际免疫。产后第1天或第3天接种结核分枝杆菌(Mtb),第7天接种Mtb纯化蛋白衍生物(PPD),第8天处死。随后的离体脾细胞攻击显示ppd刺激的CD8+反应(CD8+增加,CD8+CD44hi增加,CD8+CD44hiCD127-/lo减少),但在男性和女性之间没有差异。然而,当分析CD8+ T细胞是否产生IFN-γ和IL-2时,尽管单功能IFN-γ+(100%)或IL-2+(67%)没有性别差异,但只有女性(0%的男性和42%的女性)产生双功能(IFN-γ+IL-2+)细胞。脾脏其他相关细胞的体外ppd刺激反应显示树突状细胞(CD11c+CD86+IL-6+)没有性别差异,但女性有更多(3倍)产生IL-6的巨噬细胞(F4/80+CD86+IL-6+)和减少的T调节细胞(CD4+CD25+Foxp3+)。我们得出的结论是,免疫过Mtb的小鼠幼鼠在1周龄时,免疫的一些性别差异是明显的,雌性表现出质量上优越的Mtb特异性免疫反应。
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引用次数: 0
Inflammatory, Functional, and Compositional Changes of the Uterine Immune Microenvironment in a Lymphangioleiomyomatosis Mouse Model. 淋巴管平滑肌瘤小鼠模型中子宫免疫微环境的炎症、功能和组成变化
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.227
Danielle S Stiene, Andrew R Osterburg, Lori B Corsarie, Nick R Balzarini, Mario Medvedovic, Michael T Borchers

Lymphangioleiomyomatosis (LAM) is a rare, female-dominated pulmonary cystic disease. Cysts that develop in LAM are characterized by the presence of smooth muscle-like (LAMCore) cells in the periphery. These cells harbor mutations in Tuberous Sclerosis Complex 1 or 2 (TSC1/2), driving uncontrolled proliferation through the mTORC1 pathway. LAMCore cells originate from an extrapulmonary source. Published data supports the uterine origin of LAMCore cells that metastasize from the uterus to precipitate pulmonary function destruction. Immune evasion is hypothesized to occur to allow seeding of the lungs from the uterus. This evasion specifically involves dysfunctional NK cells to allow aberrant proliferation and migration from the tissue. Single-cell RNA sequencing revealed changes in chemokine and cytokine protein and receptor expression in uterine NK (uNK) and other immune cell populations in a uterine-specific Tsc2-knockout mouse model of LAM. ELISA data revealed increased concentrations of multiple pro-inflammatory cytokines in the sera of aged Tsc2-knockout mice. Flow cytometry, IHC, and functional assays identified compositional and functional insufficiencies of the uNK cells in Tsc2-knockout mice. Furthermore, depletion of NK cells led to the increased development of pulmonary metastases. These data suggest an inflammatory feedback loop affecting multiple cell types including uNK cells, macrophages, and neutrophils. This leads to alterations in immune cell function and composition which allow for LAMCore cell metastasis from the uterine tissue, which may provide a novel mechanism for LAM development.

摘要淋巴管平滑肌瘤病是一种罕见的、以女性为主的肺部囊性疾病。在LAM中形成的囊肿以周围存在平滑肌样(LAMCore)细胞为特征。这些细胞在结节性硬化症复合体1或2 (TSC1/2)中携带突变,通过mTORC1途径驱动不受控制的增殖。LAMCore细胞起源于肺外。已发表的数据支持LAMCore细胞从子宫转移到肺功能破坏的子宫起源。假设发生免疫逃避,允许从子宫播散肺。这种逃避特别涉及功能失调的NK细胞,允许异常增殖和从组织迁移。单细胞RNA测序揭示了子宫特异性tsc2敲除小鼠LAM模型中子宫NK (uNK)和其他免疫细胞群中趋化因子、细胞因子蛋白和受体表达的变化。ELISA数据显示,老年tsc2基因敲除小鼠血清中多种促炎细胞因子浓度升高。流式细胞术、免疫组化和功能分析鉴定了tsc2敲除小鼠中uNK细胞的组成和功能缺陷。此外,NK细胞的消耗导致肺转移的发展增加。这些数据表明炎症反馈回路影响多种细胞类型,包括uNK细胞、巨噬细胞和中性粒细胞。这导致免疫细胞功能和组成的改变,从而允许LAMCore细胞从子宫组织转移,这可能为LAM的发展提供了一种新的机制。
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引用次数: 0
Serum Cytokines During Acute Respiratory Infection and Relationship to Age. 急性呼吸道感染血清细胞因子及其与年龄的关系
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.234
Aanya Gupta, Holden T Maecker

Influenza and other seasonal respiratory viruses affect millions annually. While age is generally known to be correlated with risk and outcome, the mechanisms underlying these differences, especially in the infected, have been poorly defined. Previous studies have focused primarily on cell-subset shifts in older adults, leaving a gap in understanding of how cytokine responses vary across the full age spectrum. Cytokine data from Luminex assays were compiled from Stanford clinical studies and after batch control filtering, the dataset included 181 healthy individuals (ages 4-97) and 27 symptomatic individuals (mostly confirmed influenza, ages 14-77). Ordinary least squares regression was applied to assess cytokine differences due to infection status, age, and their interaction, with statistical significance defined as p<0.05. The results illustrated that pro-inflammatory cytokines were found to be significantly elevated in infected individuals, with a trend of stronger effects in the young supported by comparison of intercepts between the regressions for the healthy and infected cohorts. The concept of inflammaging was also seen through several biomarkers with significant non-zero slopes in healthy cohorts that were not well-established in prior research. Our findings reveal both expected and novel cytokine behavior in influenza infection across a wide range of ages. By incorporating younger individuals and including age as a continuous variable, the study makes progress towards a deeper understanding of the changes in the immune system and its response to influenza across the lifespan.

流感和其他季节性呼吸道病毒每年影响数百万人。虽然人们普遍认为年龄与风险和结果相关,但这些差异背后的机制,特别是在受感染人群中,一直没有明确定义。以前的研究主要集中在老年人的细胞亚群变化上,在了解细胞因子反应如何在整个年龄谱上变化方面存在空白。Luminex检测的细胞因子数据来自斯坦福大学的临床研究,经过批量对照过滤后,数据集包括181名健康个体(4-97岁)和27名有症状的个体(主要是确诊的流感患者,14-77岁)。应用普通最小二乘回归评估感染状态、年龄及其相互作用导致的细胞因子差异,统计学意义定义为p
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引用次数: 0
From Bench to Body: Protective Candida-specific Monoclonal Antibodies Show In vivo and Translational Potential. 从实验台到人体:保护性念珠菌特异性单克隆抗体显示体内和转化潜力。
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.231
Hong Xin

Candida auris is a multidrug-resistant fungal pathogen that presents a growing global health challenge, particularly due to its ability to cause invasive bloodstream and deep-seated infections in vulnerable patients. Monoclonal antibody (mAb)-based immunotherapy offers a novel and targeted approach to overcoming the limitations of current antifungal treatments. This commentary highlights the protective efficacy of Candida-specific mAbs, C3.1, 6H1, and 9F2, in in vivo mouse models of disseminated candidiasis. These antibodies target distinct, conserved surface antigens and significantly reduce fungal burden while improving survival outcomes. Their translational potential lies in their specificity, low toxicity, and ability to enhance host immune responses, making them strong candidates for future development as adjunct or alternative therapies for invasive fungal infections in humans.

耳念珠菌是一种多重耐药真菌病原体,对全球健康构成日益严峻的挑战,特别是由于它能够在脆弱患者中引起侵入性血液和深层感染。基于单克隆抗体(mAb)的免疫治疗为克服当前抗真菌治疗的局限性提供了一种新的靶向方法。这篇评论强调了念珠菌特异性单克隆抗体C3.1、6H1和9F2对体内播散性念珠菌病小鼠模型的保护作用。这些抗体针对不同的、保守的表面抗原,显著减少真菌负担,同时提高生存结果。它们的翻译潜力在于它们的特异性、低毒性和增强宿主免疫反应的能力,使它们成为未来发展作为人类侵袭性真菌感染的辅助或替代疗法的强有力候选者。
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引用次数: 0
Salivary Lymphocyte Phenotypes Differ from Blood and Serve as a Model for Other Mucosal Fluids. 唾液淋巴细胞表型不同于血液,可作为其他粘膜液体的模型。
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.233
Muruganantham Lillimary Eniya, Shervin Dokht Sadeghi Nasab, Albert Judith, Frederick Clasen, David Moyes, Saeed Shoaie, Newell Johnson, Priya Kannian, Stephen Challacombe

Background & objectives: The oral cavity is part of the mucosal immune system of the body, embracing all mucosae including lungs, gut and nose. The oral mucosa is the gateway for a plethora of gastrointestinal and respiratory antigens and is capable of mounting a very strong mucosal immune response. Mucosal immunity is structurally and functionally similar in all mucosae and, soluble mediators including cytokines, chemokines, immunoglobulins and other proteins have been well studied in many diseases. However, the roles of mucosal immune cell phenotypes remain less studied causing setbacks in our understanding of the disease pathogeneses.

Methods: We have reviewed the importance of immune phenotyping of the cells in mucosal secretions and the employment of flow cytometry as a reliable tool for this purpose. We previously showed that CD3, CD4, CD8, Th1, and Th2 cells can be detected in stimulated whole mouth fluid (SWMF) in a reproducible and consistent manner, and their ratios may differ from those in the peripheral circulation. We now show for the first time that other salivary lymphocytes Th17, Th22, Tfh, Tregs, NKT, NK, ILC1, ILC2, and ILC3 cells can also be detected and quantified using flow cytometry. PBMC and SWMF from 119 participants were tested by flow cytometry.

Results: Mean frequencies of all the immune cells were detected in a reproducible and consistent manner. In the SWMF the mean frequencies of Th17, Th22, Tfh and NK cells were greater than PBMC. These phenotypes in SWMF showed a negative correlation with PBMC suggesting mucosal origin and specificity.

Conclusions: Our findings strongly suggest that flow cytometry can be employed to detect a wide range of lymphocyte phenotypes in SWMF, a hypotonic secretion. Due to the similarities among the various mucosal secretions, this technique could be explored as a promising tool for understanding immunopathogenesis of infectious and non-infectious diseases using mucosal secretions.

背景与目的:口腔是机体粘膜免疫系统的一部分,包括肺、肠、鼻等所有粘膜。口腔黏膜是大量胃肠道和呼吸道抗原的通道,能够产生非常强的粘膜免疫反应。在所有粘膜中,粘膜免疫在结构和功能上都是相似的,包括细胞因子、趋化因子、免疫球蛋白和其他蛋白质在内的可溶性介质在许多疾病中都得到了很好的研究。然而,粘膜免疫细胞表型的作用仍然较少研究,导致我们对疾病发病机制的理解受挫。方法:我们回顾了粘膜分泌物中细胞免疫表型的重要性,并将流式细胞术作为一种可靠的工具。我们之前的研究表明,CD3、CD4、CD8、Th1和Th2细胞可以在受刺激的全口液(SWMF)中以可重复和一致的方式检测到,并且它们的比例可能与外周循环中的比例不同。我们现在首次表明,其他唾液淋巴细胞Th17, Th22, Tfh, Tregs, NKT, NK, ILC1, ILC2和ILC3细胞也可以用流式细胞术检测和定量。流式细胞术检测119例受试者的PBMC和SWMF。结果:所有免疫细胞的平均频率以可重复和一致的方式检测。在SWMF中,Th17、Th22、Tfh和NK细胞的平均频率高于PBMC。SWMF的这些表型与PBMC呈负相关,提示粘膜起源和特异性。结论:我们的研究结果强烈表明,流式细胞术可以用于检测SWMF(一种低渗分泌物)中广泛的淋巴细胞表型。由于各种粘膜分泌物之间的相似性,该技术可以作为利用粘膜分泌物了解传染性和非传染性疾病的免疫发病机制的有前途的工具。
{"title":"Salivary Lymphocyte Phenotypes Differ from Blood and Serve as a Model for Other Mucosal Fluids.","authors":"Muruganantham Lillimary Eniya, Shervin Dokht Sadeghi Nasab, Albert Judith, Frederick Clasen, David Moyes, Saeed Shoaie, Newell Johnson, Priya Kannian, Stephen Challacombe","doi":"10.33696/immunology.7.233","DOIUrl":"10.33696/immunology.7.233","url":null,"abstract":"<p><strong>Background & objectives: </strong>The oral cavity is part of the mucosal immune system of the body, embracing all mucosae including lungs, gut and nose. The oral mucosa is the gateway for a plethora of gastrointestinal and respiratory antigens and is capable of mounting a very strong mucosal immune response. Mucosal immunity is structurally and functionally similar in all mucosae and, soluble mediators including cytokines, chemokines, immunoglobulins and other proteins have been well studied in many diseases. However, the roles of mucosal immune cell phenotypes remain less studied causing setbacks in our understanding of the disease pathogeneses.</p><p><strong>Methods: </strong>We have reviewed the importance of immune phenotyping of the cells in mucosal secretions and the employment of flow cytometry as a reliable tool for this purpose. We previously showed that CD3, CD4, CD8, Th1, and Th2 cells can be detected in stimulated whole mouth fluid (SWMF) in a reproducible and consistent manner, and their ratios may differ from those in the peripheral circulation. We now show for the first time that other salivary lymphocytes Th17, Th22, Tfh, Tregs, NKT, NK, ILC1, ILC2, and ILC3 cells can also be detected and quantified using flow cytometry. PBMC and SWMF from 119 participants were tested by flow cytometry.</p><p><strong>Results: </strong>Mean frequencies of all the immune cells were detected in a reproducible and consistent manner. In the SWMF the mean frequencies of Th17, Th22, Tfh and NK cells were greater than PBMC. These phenotypes in SWMF showed a negative correlation with PBMC suggesting mucosal origin and specificity.</p><p><strong>Conclusions: </strong>Our findings strongly suggest that flow cytometry can be employed to detect a wide range of lymphocyte phenotypes in SWMF, a hypotonic secretion. Due to the similarities among the various mucosal secretions, this technique could be explored as a promising tool for understanding immunopathogenesis of infectious and non-infectious diseases using mucosal secretions.</p>","PeriodicalId":73644,"journal":{"name":"Journal of cellular immunology","volume":"7 4","pages":"133-138"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7618796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estrogen Receptor Alpha Contributes to Intestinal Inflammation in a Murine Model of Ileitis. 雌激素受体α参与小鼠回肠炎模型的肠道炎症。
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.232
Alyssia V Broncano, Wendy A Goodman
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引用次数: 0
Mechanisms and Therapeutic Strategies to Overcome Immune Checkpoint Inhibitor Resistance in Melanoma, Head and Neck, and Triple-Negative Breast Cancers. 在黑色素瘤、头颈部和三阴性乳腺癌中克服免疫检查点抑制剂耐药性的机制和治疗策略。
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.235
Iryna Voloshyna, Apoorvi Tyagi, Stanzin Idga, Nicole Wang, Tazrif Amin, Madonna Hanna, Adil Mukhtar, Francesca Torres, Farah Kabir, Dominic Florian, Chloe Wang, Yury Patskovsky, Michelle Krogsgaard

Immunotherapy, particularly immune checkpoint inhibitors (ICIs), has revolutionized cancer treatment by harnessing the host immune system to target malignancies. Melanoma, head and neck squamous cell carcinoma (HNSCC), and triple-negative breast cancer (TNBC) were among the first solid tumors to gain regulatory approval for ICIs due to their immunogenicity and unmet clinical needs. Melanoma exemplifies the success of ICI therapy, with durable responses driven by its high mutation burden and neoantigen landscape, yet both primary and acquired resistance remain major challenges. In contrast, HNSCC demonstrates clinically meaningful but modest responses in the context of a highly immunosuppressive tumor microenvironment, while TNBC derives limited benefit from ICI, often requiring combination strategies to achieve efficacy. Resistance to ICIs arises from complex tumor-intrinsic, microenvironmental, and systemic mechanisms that collectively undermine effective anti-tumor immunity. This review highlights both shared and cancer-specific mechanisms of ICI resistance across melanoma, TNBC and HNSCC. We also discuss emerging strategies, including combination therapies, neoantigen-based vaccines, adoptive T cell therapies, and precision oncology approaches, to overcome resistance and improve clinical outcomes. Together, these insights provide a framework for optimizing immunotherapy and advance durable benefit in these challenging malignancies.

免疫疗法,特别是免疫检查点抑制剂(ICIs),通过利用宿主免疫系统靶向恶性肿瘤,已经彻底改变了癌症治疗。黑色素瘤、头颈部鳞状细胞癌(HNSCC)和三阴性乳腺癌(TNBC)是首批获得ICIs监管批准的实体肿瘤,因为它们的免疫原性和未满足的临床需求。黑色素瘤是ICI治疗成功的典范,其高突变负担和新抗原景观驱动了持久的反应,但原发性和获得性耐药仍然是主要挑战。相比之下,HNSCC在高度免疫抑制的肿瘤微环境中表现出有临床意义但适度的反应,而TNBC从ICI中获得的益处有限,通常需要联合策略才能达到疗效。对ICIs的耐药性产生于复杂的肿瘤内在、微环境和系统机制,这些机制共同破坏了有效的抗肿瘤免疫。本综述强调了黑素瘤、TNBC和HNSCC中ICI耐药的共同机制和癌症特异性机制。我们还讨论了新兴的策略,包括联合疗法、基于新抗原的疫苗、过继性T细胞疗法和精确肿瘤学方法,以克服耐药性和改善临床结果。总之,这些见解为优化免疫治疗提供了一个框架,并在这些具有挑战性的恶性肿瘤中推进持久的益处。
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引用次数: 0
Modeling TCIRG1 Neutropenia by Utilizing Patient Derived Induced Pluripotent Stem Cells. 利用患者来源的诱导多能干细胞建模TCIRG1中性粒细胞减少症。
Pub Date : 2025-01-01 DOI: 10.33696/immunology.7.228
Vahagn Makaryan, Merideth L Kelley, Audrey Anna Bolyard, Chris Cavanaugh, Jennifer Hesson, Julie Mathieu, Michael J Lenaeus, David C Dale

Congenital neutropenia is characterized by a reduced neutrophil count, decreased innate immunity and increased susceptibility to recurrent infections. While congenital neutropenia has various genetic causes, recent studies have linked TCIRG1 mutations to this condition. TCIRG1, a key component of the vacuolar ATPase (V-ATPase) complex, is essential for osteoclast function, but its role in hematopoiesis remains unclear. We previously identified heterozygous TCIRG1 mutations, including R736S, R736C, R736P, and E722D, in individuals with congenital neutropenia. However, the mechanism by which these mutations lead to impaired granulopoiesis remains unknown. To investigate the functional consequences of TCIRG1 mutations, we generated induced pluripotent stem cells (iPSCs) from affected individuals and healthy controls. Using in vitro differentiation protocols, we assessed hematopoietic progenitor formation, proliferation, survival, and neutrophil differentiation. We observed significant defects in myeloid differentiation and increased cell death in patient-derived iPSC lines. CRISPR/Cas9-mediated correction of the R736C mutation restored normal neutrophil differentiation, confirming its pathogenic role. Immunofluorescence analysis revealed reduced expression and altered intracellular localization of the TCIRG1 protein, characterized by a more diffuse cytosolic distribution in the mutant cell lines. Our findings suggest that TCIRG1 mutations impair neutrophil development, likely through structural and functional disruption of the V-ATPase complex. This study provides new insights into the molecular basis of TCIRG1-associated neutropenia and highlights potential avenues for therapeutic intervention.

先天性中性粒细胞减少症的特点是中性粒细胞计数减少,先天免疫功能下降,对复发性感染易感性增加。虽然先天性中性粒细胞减少症有多种遗传原因,但最近的研究将TCIRG1突变与这种疾病联系起来。TCIRG1是空泡atp酶(v - atp酶)复合物的关键组分,对破骨细胞功能至关重要,但其在造血中的作用尚不清楚。我们之前在先天性中性粒细胞减少症患者中发现了杂合子TCIRG1突变,包括R736S、R736C、R736P和E722D。然而,这些突变导致颗粒生成受损的机制尚不清楚。为了研究TCIRG1突变的功能后果,我们从受影响的个体和健康对照中产生了诱导多能干细胞(iPSCs)。使用体外分化方案,我们评估了造血祖细胞的形成、增殖、存活和中性粒细胞分化。我们观察到骨髓分化的显著缺陷和患者来源的iPSC系细胞死亡的增加。CRISPR/ cas9介导的R736C突变纠正恢复了正常的中性粒细胞分化,证实了其致病作用。免疫荧光分析显示,突变细胞系中TCIRG1蛋白的表达降低,胞内定位改变,其特征是胞质分布更分散。我们的研究结果表明,TCIRG1突变可能通过v - atp酶复合物的结构和功能破坏损害中性粒细胞的发育。这项研究为tcirg1相关的中性粒细胞减少症的分子基础提供了新的见解,并强调了治疗干预的潜在途径。
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引用次数: 0
Personalized Neoantigen DNA Cancer Vaccines: Current Status and Future Perspectives 个性化新抗原 DNA 癌症疫苗:现状与未来展望
Pub Date : 2024-03-30 DOI: 10.33696/immunology.6.188
Nadia Viborg, Daniela Kleine-Kohlbrecher, Birgitte Rønø
Tumor mutation-derived neoantigens are considered promising targets for cancer immunotherapy. Personalized vaccines have emerged as an approach to deliver neoantigens and thereby trigger the induction of specific T-cell responses that can find and eliminate tumor cells based on the cell-surface presence of neoantigens. To this end, several neoantigen vaccine formats have provided encouraging results in clinical trials, resulting in neoantigen immunogenicity and clinical benefit. DNA offers a versatile and safe platform to deliver neoantigens and immune stimulants in a single entity through vaccination. Herein, we provide an overview of how DNA vaccines are being used as a means to deliver personalized neoantigens to cancer patients. We summarize the developments in DNA vaccine formulation and delivery technologies that contribute to elicit robust immune responses after vaccination. We outline the main results from central preclinical and clinical investigations, showing that neoantigen DNA vaccines induce a specific immune response directed against tumor neoantigens. Lastly, we discuss the opportunities and challenges for neoantigen DNA vaccines as an individualized approach to immunotherapy of cancer.
肿瘤突变衍生的新抗原被认为是很有希望的癌症免疫疗法靶点。个性化疫苗已成为提供新抗原的一种方法,从而诱导特异性 T 细胞反应,根据新抗原在细胞表面的存在找到并消灭肿瘤细胞。为此,几种新抗原疫苗形式在临床试验中取得了令人鼓舞的结果,产生了新抗原免疫原性和临床益处。DNA 提供了一个多功能且安全的平台,可通过疫苗接种将新抗原和免疫刺激剂整合为一个整体。在此,我们将概述如何利用 DNA 疫苗为癌症患者提供个性化的新抗原。我们总结了 DNA 疫苗配方和递送技术的发展情况,这些技术有助于在接种疫苗后激发强大的免疫反应。我们概述了临床前和临床研究的主要结果,这些结果表明新抗原 DNA 疫苗可诱导针对肿瘤新抗原的特异性免疫反应。最后,我们讨论了新抗原 DNA 疫苗作为一种个体化癌症免疫疗法所面临的机遇和挑战。
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引用次数: 0
Cytoreductive Nephrectomy Following Immunotherapy: Evolution, Pearls, and Pitfalls of Treatment. 免疫治疗后的细胞减少性肾切除术:发展,珍珠和治疗陷阱。
Pub Date : 2024-01-01 DOI: 10.33696/immunology.6.202
Laura E Davis, Adam Calaway, Eric A Singer, Shawn Dason

Introduction: Renal Cell Carcinoma (RCC) is among the most frequently diagnosed malignancies in both genders with over 81,000 estimated cases in 2024. Despite increasing incidence of renal cell carcinomas <4 cm, up to 1/3 of patients diagnosed with RCC exhibit metastatic disease (mRCC) at time of diagnosis. Cytoreductive nephrectomy (CN), a procedure which encompasses the surgical removal of the primary tumor in patients with metastatic disease, was offered upfront as standard of care during the cytokine era; however, as systemic treatment has evolved, the role of CN in mRCC patients has become less clear.

Purpose of review: We sought to review the evolution of CN in mRCC patients from historical treatments through current standard of care considering ongoing clinical trials and perioperative considerations for CN in patients treated with tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors (ICI).

Conclusion: CN following immunotherapy is safe and beneficial in appropriately selected patients. The choice to perform CN in patients with mRCC amidst an ever-changing treatment landscape is nuanced. Clinical trial enrollment is critical to refine selection criteria and timing of CN. As treatment options continue to progress, shared decision-making and multidisciplinary collaboration remain paramount in selecting the optimal treatment course for each patient.

肾细胞癌(RCC)是男女中最常见的恶性肿瘤之一,2024年估计病例超过81,000例。尽管肾细胞癌的发病率越来越高,但综述的目的:我们试图回顾mRCC患者CN的演变,通过当前的护理标准,考虑到正在进行的临床试验和使用酪氨酸激酶抑制剂(TKI)和免疫检查点抑制剂(ICI)治疗的患者CN的围手术期考虑。结论:在适当选择的患者中,免疫治疗后CN是安全有益的。在不断变化的治疗环境中,对mRCC患者进行CN的选择是微妙的。临床试验入组对于完善CN的选择标准和时机至关重要。随着治疗方案的不断进步,共同决策和多学科合作在为每位患者选择最佳治疗方案方面仍然至关重要。
{"title":"Cytoreductive Nephrectomy Following Immunotherapy: Evolution, Pearls, and Pitfalls of Treatment.","authors":"Laura E Davis, Adam Calaway, Eric A Singer, Shawn Dason","doi":"10.33696/immunology.6.202","DOIUrl":"10.33696/immunology.6.202","url":null,"abstract":"<p><strong>Introduction: </strong>Renal Cell Carcinoma (RCC) is among the most frequently diagnosed malignancies in both genders with over 81,000 estimated cases in 2024. Despite increasing incidence of renal cell carcinomas <4 cm, up to 1/3 of patients diagnosed with RCC exhibit metastatic disease (mRCC) at time of diagnosis. Cytoreductive nephrectomy (CN), a procedure which encompasses the surgical removal of the primary tumor in patients with metastatic disease, was offered upfront as standard of care during the cytokine era; however, as systemic treatment has evolved, the role of CN in mRCC patients has become less clear.</p><p><strong>Purpose of review: </strong>We sought to review the evolution of CN in mRCC patients from historical treatments through current standard of care considering ongoing clinical trials and perioperative considerations for CN in patients treated with tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors (ICI).</p><p><strong>Conclusion: </strong>CN following immunotherapy is safe and beneficial in appropriately selected patients. The choice to perform CN in patients with mRCC amidst an ever-changing treatment landscape is nuanced. Clinical trial enrollment is critical to refine selection criteria and timing of CN. As treatment options continue to progress, shared decision-making and multidisciplinary collaboration remain paramount in selecting the optimal treatment course for each patient.</p>","PeriodicalId":73644,"journal":{"name":"Journal of cellular immunology","volume":"6 4","pages":"163-170"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of cellular immunology
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