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Type 1 Diabetes: A Disorder of the Exocrine and Endocrine Pancreas 1 型糖尿病:胰腺外分泌和内分泌失调
Pub Date : 2023-11-24 DOI: 10.33696/immunology.5.177
Brittany S. Bruggeman, Desmond A. Schatz
Type 1 diabetes has historically been described as an endocrine (β-cell) specific autoimmune disease. However, a substantial reduction (20-50%) in pancreas organ size and subclinical to symptomatic exocrine pancreatic insufficiency are present at diagnosis and may begin even prior to the development of islet autoimmunity. The mechanisms of exocrine loss in type 1 diabetes are not well understood, but leading hypotheses include developmental defects, β-cell loss resulting in exocrine atrophy, or autoimmune or inflammatory destruction of exocrine cells. Inflammatory changes including acute and chronic pancreatitis, exocrine T cell infiltration and classical complement activation, and serum exocrine autoantibodies within type 1 diabetes individuals suggest that an autoimmune or inflammatory process may contribute to exocrine pancreatic dysfunction. Exocrine pancreas atrophy primarily occurs prior to the onset of clinical disease. Indeed, recent work implicates exocrine-specific alterations in gene and protein expression as key in type 1 diabetes development. Measures of exocrine size and function could be useful additions in the prediction of disease onset and in identifying potential therapeutic responders to disease therapies, however, this is an underdeveloped area of research. Additionally, exocrine pancreatic insufficiency is underdiagnosed in individuals with type 1 diabetes and individualized treatment protocols are lacking. Much work remains to be done in this area, but we can definitively say that type 1 diabetes is a disorder of both the exocrine and endocrine pancreas likely from the start.
1 型糖尿病历来被描述为一种内分泌(β 细胞)特异性自身免疫疾病。然而,胰腺器官大小的大幅缩小(20%-50%)以及亚临床或无症状的胰腺外分泌功能不全在诊断时就已存在,甚至可能在胰岛自身免疫发生之前就已开始。1 型糖尿病外分泌功能丧失的机制尚不十分清楚,但主要假说包括发育缺陷、β 细胞丧失导致外分泌萎缩,或外分泌细胞的自身免疫或炎症破坏。炎症变化包括急性和慢性胰腺炎、胰腺外分泌 T 细胞浸润和典型补体激活,以及 1 型糖尿病患者血清中的胰腺外分泌自身抗体,这表明自身免疫或炎症过程可能导致胰腺外分泌功能障碍。胰腺外分泌萎缩主要发生在临床发病之前。事实上,最近的研究表明,胰腺外分泌特异性基因和蛋白表达的改变是 1 型糖尿病发病的关键。测量胰腺外分泌的大小和功能可作为有用的补充,用于预测疾病的发病和识别潜在的疾病疗法应答者,然而,这是一个尚未充分开发的研究领域。此外,1 型糖尿病患者的胰腺外分泌功能不全诊断不足,缺乏个性化治疗方案。在这一领域仍有许多工作要做,但我们可以明确地说,1 型糖尿病很可能从一开始就是胰腺外分泌和内分泌失调。
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引用次数: 0
Commentary on Updated Insight into the Role of Th2-Associated Immunity in Systemic Lupus Erythematosus th2相关免疫在系统性红斑狼疮中的作用的最新见解
Pub Date : 2023-10-17 DOI: 10.33696/immunology.5.176
Xinyue Hou, Jinjin Chu, Shuhao Liu, Shuyu Jin, Jiamei Sun, Hui Wang, Haibo Li, Wei Liu, Chunxiang Chai, Sue Zhang, Donghua Xu
Systemic lupus erythematosus (SLE) is a common autoimmune disease caused by multiple factors. The pathogenesis of SLE remains unclear. Helper T cell 2 (Th2 cell) is essential for humoral immunity, which participates in regulating type 2 immune response by producing typical cytokines of interleukin (IL)-4, IL-5, and IL-13. It is well known that Th2-associated immunity plays a vital role in autoimmune diseases, including SLE. However, current progress on the role and potential mechanism of Th2-associated immunity in SLE remains largely unknown. The work by Wang et al. have provided an in-depth association of Th2-associated immunity with SLE and the clinical application perspectives. We provide a more comprehensive and up-to-date commentary on Th2-associated immunity in regulating SLE to explore new therapeutic targets.
系统性红斑狼疮(SLE)是一种常见的由多种因素引起的自身免疫性疾病。SLE的发病机制尚不清楚。辅助性T细胞2 (Th2细胞)在体液免疫中起着至关重要的作用,它通过产生白细胞介素(IL)-4、IL-5和IL-13等典型细胞因子参与调节2型免疫应答。众所周知,th2相关免疫在包括SLE在内的自身免疫性疾病中起着至关重要的作用。然而,目前关于th2相关免疫在SLE中的作用和潜在机制的进展仍然很大程度上未知。Wang等人的工作提供了th2相关免疫与SLE的深入关联以及临床应用前景。我们提供了一个更全面和最新的评论,th2相关免疫调节SLE,以探索新的治疗靶点。
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引用次数: 0
Antimicrobial Prophylaxis in Lymphoma by Chemotherapy Regimen 化疗方案对淋巴瘤的抗菌预防作用
Pub Date : 2023-10-17 DOI: 10.33696/immunology.5.175
Kamen W. Kossow, Joseph G. Bennett, Marc S Hoffmann
Treatment of lymphomas involves a wide variety of chemotherapy, immunotherapy, and targeted-agents tailored to disease biology and patient characteristics. Each of these regimens carry their own risk of opportunistic infections in an immunocompromised population. In addition to the treatment associated immunosuppression, lymphoma itself is immunosuppressive. Lymphoma associated immunosuppression is secondary to increased production of abnormal lymphocytes resulting in decreased production of normally functioning lymphocytes. Additionally, lymphoma cells induce both humoral and cellular immunosuppression through effects on numerous cytokines, T-cells, myeloid-derived suppressor cells, and macrophages. Clinical trials, patient co-morbidities, and institutional preferences all play a role in determining the preferred antimicrobial prophylaxis. While there is a paucity of data on systematic reviews and guidelines for standardized chemotherapy regimens in lymphoma patients, the efficacy and recommendations for antimicrobial prophylaxis in specific chemotherapy regimens for lymphoma has not been fully reviewed. According to the National Comprehensive Cancer Network, lymphoma is generally regarded as an ‘intermediate risk’ cancer with regards to overall infection risk. This results in discordance between research data and clinical practice. This is reiterated in the SIGNIFICANT trial which reported that while guidelines previously advised against fluoroquinolone prophylaxis in lymphoma and solid cancers, a survey of 3,600 physicians revealed that 45% routinely used fluoroquinolone prophylaxis despite these recommendations. This review article analyzes numerous research studies with summarization of findings and antimicrobial prophylaxis recommendations based on specific lymphoma chemotherapy regimens. With regards to each specific chemotherapy regimen assessed, indications for antibacterial, anti-viral, anti-fungal, and Pneumocystis jiroveci pneumonia (PJP) prophylaxis were determined for each regimen. The degree of immunosuppression and the necessary prophylaxis varies across different regimens and lymphoma subgroups; and thus, an individualized approach is necessary to optimize the supportive care during lymphoma treatment.
淋巴瘤的治疗包括多种化疗、免疫治疗和针对疾病生物学和患者特征量身定制的靶向药物。在免疫功能低下的人群中,每一种方案都有其自身的机会性感染风险。除了治疗相关的免疫抑制外,淋巴瘤本身也是免疫抑制的。淋巴瘤相关的免疫抑制是继发于异常淋巴细胞的产生增加,导致正常功能淋巴细胞的产生减少。此外,淋巴瘤细胞通过对多种细胞因子、t细胞、髓源性抑制细胞和巨噬细胞的影响,诱导体液和细胞免疫抑制。临床试验、患者合并症和机构偏好都在确定首选抗菌药物预防方面发挥作用。虽然缺乏关于淋巴瘤患者标准化化疗方案的系统评价和指南的数据,但尚未对淋巴瘤特定化疗方案中的抗菌药物预防的疗效和建议进行全面审查。根据美国国家综合癌症网络,就整体感染风险而言,淋巴瘤通常被认为是一种“中等风险”癌症。这导致了研究数据和临床实践之间的不一致。这在一项重大试验中得到了重申,该试验报告称,虽然以前的指南建议在淋巴瘤和实体癌中不要使用氟喹诺酮类药物预防,但对3600名医生的调查显示,尽管有这些建议,45%的医生仍常规使用氟喹诺酮类药物预防。这篇综述文章分析了大量的研究,总结了研究结果和基于特定淋巴瘤化疗方案的抗菌预防建议。对于评估的每个特定化疗方案,确定每个方案的抗菌、抗病毒、抗真菌和肺囊虫肺炎(PJP)预防适应症。免疫抑制的程度和必要的预防在不同的方案和淋巴瘤亚群中有所不同;因此,个性化的方法是优化淋巴瘤治疗期间的支持护理的必要条件。
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引用次数: 0
Would It be Possible for a SARS-CoV-2 Infection to Affect the Male Reproductive System? SARS-CoV-2感染会影响男性生殖系统吗?
Pub Date : 2023-10-03 DOI: 10.33696/immunology.5.173
Kaveh Rahimi, Akram Ebrahimifar, Mehri Rahimi
The male reproductive system may be affected by the systemic infections of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The precise mechanisms of male reproductive impairment are not well known. There are two possible mechanisms for the effect of SARS-CoV-2 on the male reproductive system either directly through the impact of the angiotensin-converting enzyme 2 (ACE2) receptor on testicular tissue or indirectly through the effect of the secondary autoimmune response on testicular functions. The second mechanism is more likely. Extensive studies need to be conducted on the impact of SARS-CoV-2 on the functional characteristics of sperm and the results of natural fertilization or assisted reproductive technology.
男性生殖系统可能受到严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)全身感染的影响。男性生殖功能障碍的确切机制尚不清楚。SARS-CoV-2对男性生殖系统的影响可能有两种机制,一种是直接通过血管紧张素转换酶2 (ACE2)受体对睾丸组织的影响,另一种是间接通过继发性自身免疫反应对睾丸功能的影响。第二种机制更有可能。SARS-CoV-2对精子功能特征的影响以及自然受精或辅助生殖技术的结果需要进行广泛的研究。
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引用次数: 0
Fluoxetine is Antimicrobial and Modulates the Antibiotic Resistance Status of Bacteria 氟西汀具有抗菌作用,可调节细菌对抗生素的耐药性
Pub Date : 2023-09-28 DOI: 10.33696/immunology.5.172
Alison M Mackay
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引用次数: 0
The Regulation Impact of Naringenin-loaded Chitosan Nanoparticles on Succinate Dehydrogenase Activity in Cancer Cells 柚皮素壳聚糖纳米颗粒对肿瘤细胞琥珀酸脱氢酶活性的调控作用
Pub Date : 2023-09-27 DOI: 10.33696/immunology.5.169
Eman M. Ragab, Abeer A. Khamis, Doaa M. El Gamal, Tarek M. Mohamed
Oxidative phosphorylation dysregulation (OXPHOS) has been demonstrated to be essential for the development of cancer. Therefore, it may be argued that chaperone and deacetylase activities modulate OXPHOS activity. For instance, a complicated network of interactions connects a cell’s bioenergetic features and neoplastic potential through the imbalance of sirtuin 3 (SIRT3) and succinate dehydrogenase (SDH) enzymatic activity in mitochondria. The studies outlined in this review indicate that targeting SDH regulators is a promising novel therapeutic strategy for this extremely resistant disease. Additionally, a viable therapeutic strategy may involve triggering the cell death mechanism in cancer cells by blocking mitochondrial metabolism with a natural substance. A naturally occurring flavonoid called naringenin (NAR) has been extensively investigated for its pharmacological properties, which include anti-tumor actions. However, due to its low bioavailability in this situation, nanoencapsulation is designed to improve NAR anticancer efficacy. NAR can be encapsulated by chitosan nanoparticles-TPP conjugates, thereby improving NAR cellular absorption and cytotoxicity against cancer cells. Consequently, we proposed naringenin nanoparticles as a novel therapeutic target for SDH regulators in cancer.
氧化磷酸化失调(OXPHOS)已被证明对癌症的发展至关重要。因此,可能认为伴侣和去乙酰化酶的活性调节了OXPHOS的活性。例如,通过线粒体中sirtuin 3 (SIRT3)和琥珀酸脱氢酶(SDH)酶活性的失衡,一个复杂的相互作用网络将细胞的生物能量特征和肿瘤潜能联系起来。本综述概述的研究表明,靶向SDH调节因子是治疗这种极具抗性疾病的一种有希望的新治疗策略。此外,一种可行的治疗策略可能涉及通过用天然物质阻断线粒体代谢来触发癌细胞的细胞死亡机制。一种天然存在的类黄酮被称为柚皮素(NAR),其药理特性已被广泛研究,包括抗肿瘤作用。然而,由于其在这种情况下的低生物利用度,纳米胶囊被设计用于提高NAR抗癌效果。壳聚糖纳米颗粒- tpp缀合物可以包封NAR,从而提高NAR的细胞吸收和对癌细胞的细胞毒性。因此,我们提出柚皮素纳米颗粒作为SDH调节因子在癌症中的新治疗靶点。
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引用次数: 0
Dysregulated CXCL12 Expression in Osteoblasts Promotes B-lymphocytes Preferentially Homing to the Bone Marrow in MRL/lpr Mice 成骨细胞中CXCL12表达失调促进MRL/lpr小鼠b淋巴细胞优先归巢到骨髓
Pub Date : 2023-08-02 DOI: 10.33696/immunology.5.168
Wenjuan Zheng, Yu Tang, Mengwei Cheng, Cui Ma, X. Fei, W. Shi
Peripheral circulating B-lymphocytes and B-lymphocytes in the bone marrow (BM) show different responses to lymphotoxic or immunosuppressive agents. We explored the existence of a dysregulated distribution of B-lymphocytes between peripheral and BM compartments and the underlying mechanisms. The percentage of CXC chemokine receptor 4+ B (CXCR4+ B) cells was decreased in the peripheral blood (PB) and increased in the BM of MRL/lpr mice and SLE patients. CXC chemokine ligand 12 (CXCL12) production by BM osteoblasts (OBs) derived from MRL/lpr mice and SLE patients was higher than that obtained with C57BL/6 mice or healthy subjects. MRL/lpr-derived OBs demonstrated stronger chemotactic ability toward B-lymphocytes than control OBs, and more B-lymphocytes colocalized with OBs within the periosteal zone in MRL/lpr mice. Moreover, the CXCR4+ B cell percentages were negatively correlated with the serum immunoglobulin G concentration, and the BM CXCL12 levels were positively correlated with the systemic lupus erythematosus disease activity index score and anti-double stranded DNA titer and negatively correlated with the serum complement 3 concentration. In conclusion, our results indicate a shifted distribution of B-lymphocytes between the BM and peripheral compartments in SLE patients and MRL/lpr mice and that the upregulation of CXCL12 in OBs likely contributes to enhanced chemotactic migration and anchorage of B-lymphocytes to OBs.
外周血b淋巴细胞和骨髓b淋巴细胞(BM)对淋巴抑制剂或免疫抑制剂表现出不同的反应。我们探讨了b淋巴细胞在外周和骨髓间室分布失调的存在及其潜在机制。MRL/lpr小鼠和SLE患者外周血(PB)中CXC趋化因子受体4+ B (CXCR4+ B)细胞百分比降低,BM中CXCR4+ B细胞百分比升高。来自MRL/lpr小鼠和SLE患者的BM成骨细胞(OBs)产生的CXC趋化因子配体12 (CXCL12)高于C57BL/6小鼠或健康受试者。MRL/lpr衍生OBs对b淋巴细胞的趋化能力强于对照OBs, MRL/lpr小鼠骨膜带内OBs共定位的b淋巴细胞较多。CXCR4+ B细胞百分比与血清免疫球蛋白G浓度呈负相关,BM CXCL12水平与系统性红斑狼疮疾病活动性指数评分和抗双链DNA滴度呈正相关,与血清补体3浓度呈负相关。总之,我们的研究结果表明,在SLE患者和MRL/lpr小鼠中,b淋巴细胞在基底细胞和外周腔室之间的分布发生了转移,而ob中CXCL12的上调可能有助于b淋巴细胞向ob的趋化迁移和锚定增强。
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引用次数: 0
Sharing Weal and Woe: A Commentary on “Gasdermin E Regulates the Stability and Activation of EGFR in Human Non-Small Cell Lung Cancer Cells” 同甘共苦:《气皮蛋白E调控人非小细胞肺癌细胞EGFR的稳定性和活化》述评
Pub Date : 2023-07-17 DOI: 10.33696/immunology.5.167
Limei Xu, Xiangguo Liu
Abnormal activation of epidermal growth factor receptor (EGFR) promotes the development of Non-Small Cell Lung Cancer Cells (NSCLC). Chemoresistance to tyrosine kinase inhibitors (TKIs), which is elicited by EGFR mutations, is a key challenge for NSCLC treatment. In the present study, we demonstrate a critical role of gasdermin E (GSDME), an important protein for pyroptosis, in the maintenance of EGFR stability and activation. We found that GSDME depletion suppressed the EGFR-mediated proliferation of NSCLC cells in vitro. GSDME knockdown downregulated the protein level of CCND1 and inhibited the phosphorylation of ERK1/2 in NSCLC cells. Mechanistically, both GSDME-FL and GSDME-N fragment physically interacted with EGFR. GSDME interacted with cytoplasmic fragment (CT) of EGFR. GSDME knockdown inhibited EGFR dimerization and phosphorylation at tyrosine 1173 (EGFRY1173), which could activate ERK1/2. GSDME knockdown promoted EGFR degradation and phosphorylation at tyrosine 1045 (EGFRY1045). Importantly, GSDME-FL increased the stability of EGFR, while the GSDME-N fragment induced EGFR degradation. Together, our results demonstrate that the GSDME-EGFR interaction plays an important role in NSCLC development, reveal a previously unrecognized link between GSDME and EGFR stability and offer new insight into cancer pathogenesis.
表皮生长因子受体(EGFR)的异常激活促进非小细胞肺癌细胞(NSCLC)的发展。由EGFR突变引起的酪氨酸激酶抑制剂(TKIs)的耐药性是NSCLC治疗的一个关键挑战。在本研究中,我们证明了pyroptosis的重要蛋白gasdermin E(GSDME)在维持EGFR稳定性和活化中的关键作用。我们发现GSDME耗竭抑制了体外EGFR介导的NSCLC细胞的增殖。GSDME敲低下调NSCLC细胞中CCND1的蛋白水平并抑制ERK1/2的磷酸化。从机制上讲,GSDME-FL和GSDME-N片段都与EGFR发生了物理相互作用。GSDME与EGFR的细胞质片段(CT)相互作用。GSDME敲低抑制EGFR二聚和酪氨酸1173磷酸化(EGFRY1173),后者可以激活ERK1/2。GSDME敲低促进EGFR降解和酪氨酸1045磷酸化(EGFRY1045)。重要的是,GSDME-FL增加了EGFR的稳定性,而GSDME-N片段诱导了EGFR降解。总之,我们的研究结果表明,GSDME-EGFR相互作用在NSCLC的发展中起着重要作用,揭示了GSDME和EGFR稳定性之间以前未被认识的联系,并为癌症的发病机制提供了新的见解。
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引用次数: 0
Exploring the Potential of Probiotics in Boosting the Immune System's Response to Reduce the Severity of Malaria 探索益生菌在增强免疫系统反应以降低疟疾严重程度方面的潜力
Pub Date : 2023-05-24 DOI: 10.33696/immunology.5.166
Bamgbose Timothy, J. de la Fuente
. Exploring the Potential of Probiotics in Boosting the Immune System's Response to Reduce the Severity of Malaria. J Cell Immunol. 2023;5
.探索益生菌在增强免疫系统反应以降低疟疾严重程度方面的潜力。细胞免疫学杂志。2023年;5.
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引用次数: 1
Is Interstitial Macrophage Mainly Responsible for Lung Injury in SARS-CoV-2 Infection? 间质巨噬细胞是严重急性呼吸系统综合征冠状病毒2型感染肺损伤的主要原因吗?
Pub Date : 2023-04-29 DOI: 10.33696/immunology.5.165
José Guillermo Cabanillas López
The course of the COVID-19 pandemic has led to high mortality rates worldwide, which justifies the development of various research studies aimed at elucidating the physiopathological mechanisms involved in the development of lung injury associated with this disease. The angiotensin-converting enzyme 2 (ACE2) receptor plays a leading role as the viral anchoring point necessary for viral replication to begin, so a thorough understanding of the regulatory mechanisms of this receptor is vital. Similarly, the distribution of ACE2 will justify the injury caused by SARS-CoV-2. Macrophages play a more significant role in lung injury since they allow the SARS-CoV-2 virus to reach tissues lacking ACE2 receptors and cause significant tissue damage. Therefore, all factors that influence macrophage migration and mobilization will be considered risk factors for the development of severe lung injury in COVID-19.
新冠肺炎大流行的过程导致了世界各地的高死亡率,这证明了开展各种研究的合理性,这些研究旨在阐明与该疾病相关的肺损伤发展所涉及的生理病理机制。血管紧张素转换酶2(ACE2)受体作为病毒复制开始所必需的病毒锚定点发挥着主导作用,因此彻底了解该受体的调节机制至关重要。同样,ACE2的分布将证明严重急性呼吸系统综合征冠状病毒2型造成的伤害是合理的。巨噬细胞在肺损伤中发挥着更重要的作用,因为它们使严重急性呼吸系统综合征冠状病毒2型病毒能够到达缺乏ACE2受体的组织,并导致严重的组织损伤。因此,所有影响巨噬细胞迁移和动员的因素都将被视为新冠肺炎严重肺损伤发展的危险因素。
{"title":"Is Interstitial Macrophage Mainly Responsible for Lung Injury in SARS-CoV-2 Infection?","authors":"José Guillermo Cabanillas López","doi":"10.33696/immunology.5.165","DOIUrl":"https://doi.org/10.33696/immunology.5.165","url":null,"abstract":"The course of the COVID-19 pandemic has led to high mortality rates worldwide, which justifies the development of various research studies aimed at elucidating the physiopathological mechanisms involved in the development of lung injury associated with this disease. The angiotensin-converting enzyme 2 (ACE2) receptor plays a leading role as the viral anchoring point necessary for viral replication to begin, so a thorough understanding of the regulatory mechanisms of this receptor is vital. Similarly, the distribution of ACE2 will justify the injury caused by SARS-CoV-2. Macrophages play a more significant role in lung injury since they allow the SARS-CoV-2 virus to reach tissues lacking ACE2 receptors and cause significant tissue damage. Therefore, all factors that influence macrophage migration and mobilization will be considered risk factors for the development of severe lung injury in COVID-19.","PeriodicalId":73644,"journal":{"name":"Journal of cellular immunology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47370156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of cellular immunology
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