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The gut-lung axis: the impact of the gut mycobiome on pulmonary diseases and infections 肠道-肺轴:肠道霉菌生物群对肺部疾病和感染的影响
Pub Date : 2024-07-24 DOI: 10.1093/oxfimm/iqae008
Emily Sey, A. Warris
The gastrointestinal tract contains a diverse microbiome consisting of bacteria, fungi, viruses and archaea. Although these microbes usually reside as commensal organisms, it is now well established that higher abundance of specific bacterial or fungal species, or loss of diversity in the microbiome can significantly affect development, progression and outcomes in disease. Studies have mainly focused on the effects of bacteria, however, the impact of other microbes, such as fungi, has received increased attention in the last few years. Fungi only represent around 0.1% of the total gut microbial population. However, key fungal taxa such as Candida, Aspergillus and Wallemia have been shown to significantly impact health and disease. The composition of the gut mycobiome has been shown to affect immunity at distal sites, such as the heart, lung, brain, pancreas, and liver. In the case of the lung this phenomenon is referred to as the “gut-lung axis”. Recent studies have begun to explore and unveil the relationship between gut fungi and lung immunity in diseases such as asthma and lung cancer, and lung infections caused by viruses, bacteria and fungi. In this review we will summarise the current, rapidly growing, literature describing the impact of the gut mycobiome on respiratory disease and infection.
胃肠道含有由细菌、真菌、病毒和古细菌组成的多样化微生物群。虽然这些微生物通常是共生生物,但现在已经明确的是,特定细菌或真菌物种的丰度升高或微生物组多样性的丧失会对疾病的发生、发展和结果产生重大影响。研究主要集中在细菌的影响上,但在过去几年中,真菌等其他微生物的影响也受到越来越多的关注。真菌仅占肠道微生物总数的 0.1%。然而,主要的真菌类群,如念珠菌、曲霉菌和瓦勒真菌已被证明会对健康和疾病产生重大影响。肠道真菌生物群的组成已被证明会影响远端部位的免疫力,如心脏、肺部、大脑、胰腺和肝脏。就肺部而言,这种现象被称为 "肠肺轴"。最近的研究已经开始探索和揭示肠道真菌与肺部免疫之间的关系,如哮喘、肺癌等疾病,以及由病毒、细菌和真菌引起的肺部感染。在这篇综述中,我们将总结目前快速增长的、描述肠道真菌生物群对呼吸系统疾病和感染影响的文献。
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引用次数: 0
The emerging role of effector functions exerted by tissue-resident memory T cells. 组织驻留记忆 T 细胞发挥效应功能的新作用。
Pub Date : 2024-06-14 eCollection Date: 2024-01-01 DOI: 10.1093/oxfimm/iqae006
Norifumi Iijima

The magnitude of the effector functions of memory T cells determines the consequences of the protection against invading pathogens and tumor development or the pathogenesis of autoimmune and allergic diseases. Tissue-resident memory T cells (TRM cells) are unique T-cell populations that persist in tissues for long periods awaiting re-encounter with their cognate antigen. Although TRM cell reactivation primarily requires the presentation of cognate antigens, recent evidence has shown that, in addition to the conventional concept, TRM cells can be reactivated without the presentation of cognate antigens. Non-cognate TRM cell activation is triggered by cross-reactive antigens or by several combinations of cytokines, including interleukin (IL)-2, IL-7, IL-12, IL-15 and IL-18. The activation mode of TRM cells reinforces their cytotoxic activity and promotes the secretion of effector cytokines (such as interferon-gamma and tumor necrosis factor-alpha). This review highlights the key features of TRM cell maintenance and reactivation and discusses the importance of effector functions that TRM cells exert upon being presented with cognate and/or non-cognate antigens, as well as cytokines secreted by TRM and non-TRM cells within the tissue microenvironment.

记忆 T 细胞效应功能的强弱决定了其对病原体入侵、肿瘤发生或自身免疫和过敏性疾病发病机制的保护作用。组织驻留记忆 T 细胞(TRM 细胞)是一种独特的 T 细胞群,可长期驻留在组织中,等待再次遇到它们的同源抗原。尽管TRM细胞的重新激活主要需要同源抗原的呈现,但最近的证据表明,除了传统概念外,TRM细胞还可以在没有同源抗原呈现的情况下被重新激活。交叉反应抗原或多种细胞因子组合(包括白细胞介素(IL)-2、IL-7、IL-12、IL-15 和 IL-18)可触发非同源TRM细胞活化。TRM细胞的活化模式可加强其细胞毒性活性,并促进效应细胞因子(如γ干扰素和肿瘤坏死因子-α)的分泌。本综述强调了TRM细胞维持和再激活的关键特征,并讨论了TRM细胞在出现同源和/或非同源抗原时发挥效应功能的重要性,以及TRM细胞和非TRM细胞在组织微环境中分泌的细胞因子。
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引用次数: 0
Early interferon lambda production is induced by double-stranded RNA in iPS-derived hepatocyte-like cells iPS 衍生的肝细胞样细胞在双链 RNA 诱导下产生早期干扰素 lambda
Pub Date : 2024-06-06 DOI: 10.1093/oxfimm/iqae004
Vasile Mihai Sularea, Ruchi Sharma, David C Hay, Cliona O’Farrelly
Hepatotropic viruses are amongst the most ubiquitous pathogens worldwide, causing significant morbidity and mortality. As hepatocytes are among the primary targets of these viruses, their ability to mount early effective innate defence responses is of major research interest. Interferon lambda (IFNL) is produced early in response to viral stimulation in other cell types, but hepatocyte production of this interferon is little investigated. Due to the difficulty and significant costs in obtaining and culturing human primary hepatocytes, surrogate systems are widely sought. Here we used induced pluripotent stem (iPS)-derived hepatocyte-like cells (HLCs) to investigate hepatic IFNL expression in response to viral-like ligands. We demonstrate that hepatocytes rely on cytoplasmic pattern recognition receptors (PRRs) such as Protein Kinase RNA-dependent (PKR) and retinoic acid-inducible gene-I (RIG-I)-like receptors (RLR) for the detection of double stranded RNA. Stimulation of HLCs by viral-like RNA ligands activating cytosolic RNA sensors resulted in thousand fold increase of type III interferon gene expression. These results are in contrast with type I IFN expression, which was induced to a lower extent. Concomitant induction of interferon stimulated genes, such as interferon-stimulated gene 15 (ISG15) and CXCL10, indicated the ability of HLCs to activate interferon-dependent activity. These results demonstrate that HLCs mount an innate antiviral response upon stimulation with viral-like RNA characterised by the induction of type III IFN.
致肝病毒是全球最普遍的病原体之一,会导致严重的发病和死亡。由于肝细胞是这些病毒的主要攻击目标之一,因此它们能否及早做出有效的先天防御反应是研究的重点。其他类型的细胞在受到病毒刺激后会及早产生λ干扰素(IFNL),但肝细胞产生这种干扰素的情况却鲜有研究。由于获取和培养人类原代肝细胞存在困难且成本高昂,人们广泛寻求替代系统。在这里,我们使用诱导多能干细胞(iPS)衍生的肝细胞样细胞(HLCs)来研究肝脏IFNL表达对病毒样配体的反应。我们证明肝细胞依赖细胞质模式识别受体(PRR),如依赖蛋白激酶RNA(PKR)和类视黄酸诱导基因-I(RIG-I)受体(RLR)来检测双链RNA。激活细胞膜 RNA 传感器的病毒样 RNA 配体刺激 HLCs 后,III 型干扰素基因的表达量增加了数千倍。这些结果与 I 型 IFN 的表达形成了鲜明对比,后者的诱导程度较低。同时诱导的干扰素刺激基因,如干扰素刺激基因 15(ISG15)和 CXCL10,表明 HLCs 有能力激活干扰素依赖性活性。这些结果表明,HLCs 在受到病毒样 RNA 刺激时会产生先天性抗病毒反应,其特点是诱导 III 型 IFN。
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引用次数: 0
Kinetics of cardiovascular and inflammatory biomarkers in paediatric dengue shock syndrome 小儿登革热休克综合征中心血管和炎症生物标记物的动力学研究
Pub Date : 2024-06-03 DOI: 10.1093/oxfimm/iqae005
Chanh Ho Quang, Trieu Huynh Trung, Tam Dong Thi Hoai, Tran Kim Hung, Huynh Ngoc Thien Vuong, Phan Tu Qui, Huyen Vu Ngo Thanh, Alexandra Moncada, Thanh Kieu Nguyen Thi, Duyen Huynh Thi Le, Ngan Nguyen-Lyle, Vuong Nguyen Lam, Lam Phung Khanh, Angela McBride, Bridget Wills, Sophie Yacoub
Glycocalyx disruption and hyperinflammatory responses are implicated in the pathogenesis of dengue-associated vascular leak, however little is known about their association with clinical outcomes of patients with dengue shock syndrome (DSS). We investigated the association of vascular and inflammatory biomarkers with clinical outcomes and their correlations with clinical markers of vascular leakage. We performed a prospective cohort study in Viet Nam. Children ≥ 5 years of age with a clinical diagnosis of DSS were enrolled into this study. Blood samples were taken daily during ICU stay and 7–10 days after hospital discharge for measurements of plasma levels of Syndecan-1, Hyaluronan, Suppression of tumorigenicity 2 (ST-2), Ferritin, N-terminal pro Brain Natriuretic Peptide (NT-proBNP), and Atrial Natriuretic Peptide (ANP). The primary outcome was recurrent shock. 90 DSS patients were enrolled. Recurrent shock occurred in 16 patients. All biomarkers, except NT-proBNP, were elevated at presentation with shock. There were no differences between compensated and decompensated DSS patients. Glycocalyx markers were positively correlated with inflammatory biomarkers, haematocrit, percentage hemoconcentration, and negatively correlated with stroke volume index. While Syndecan-1, Hyaluronan, Ferritin, and ST-2 improved with time, ANP continued to be raised at follow-up. Enrolment Syndecan-1 levels were observed to be associated with developing recurrent shock although the association did not reach the statistical significance at the P < 0.01 (OR = 1.82, 95% CI 1.07–3.35, P = 0.038). Cardiovascular and inflammatory biomarkers are elevated in DSS, correlate with clinical vascular leakage parameters and follow different kinetics over time. Syndecan-1 may have potential utility in risk stratifying DSS patients in ICU.
糖萼破坏和高炎症反应与登革热相关血管渗漏的发病机制有关,但它们与登革热休克综合征(DSS)患者临床预后的关系却鲜为人知。我们研究了血管和炎症生物标志物与临床预后的关系及其与血管渗漏临床标志物的相关性。 我们在越南进行了一项前瞻性队列研究。临床诊断为DSS的≥5岁儿童被纳入本研究。在重症监护室住院期间和出院后 7-10 天每天采集血样,测量血浆中的辛迪加-1、透明质酸、抑制肿瘤生成 2 (ST-2)、铁蛋白、N 端脑钠肽(NT-proBNP)和心房钠肽(ANP)水平。主要结果是复发性休克。 共纳入 90 名 DSS 患者。16 名患者出现了复发性休克。除 NT-proBNP 外,所有生物标志物在休克发生时均升高。代偿期和失代偿期 DSS 患者之间没有差异。糖萼标记物与炎症生物标记物、血细胞比容、血液浓缩百分比呈正相关,与卒中容量指数呈负相关。随着时间的推移,Syndecan-1、透明质酸、铁蛋白和 ST-2 均有所改善,而 ANP 在随访时继续升高。据观察,入院时的 Syndecan-1 水平与发生复发性休克有关,但在 P < 0.01 时,该关联未达到统计学意义(OR = 1.82,95% CI 1.07-3.35,P = 0.038)。 心血管和炎症生物标志物在 DSS 中升高,与临床血管渗漏参数相关,并随着时间的推移呈不同的动力学变化。Syndecan-1可能有助于对ICU中的DSS患者进行风险分层。
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引用次数: 0
In-Vitro assessment of cutaneous immune responses to aedes mosquito salivary gland extract and dengue virus in cambodian individuals 体外评估柬埔寨人对伊蚊唾液腺提取物和登革热病毒的皮肤免疫反应
Pub Date : 2024-04-01 DOI: 10.1093/oxfimm/iqae003
David Guerrero, Sokchea Lay, E. Piv, Chansophea Chhin, Sokkeang Leng, Ratana Meng, Kim Eng Mam, P. Pean, Amelie Vantaux, Sebastien Boyer, Dorothée Missé, T. Cantaert
Dengue virus (DENV) poses a global health threat, affecting millions annually with no specific therapy and limited vaccines. Mosquitoes, mainly Aedes aegypti and Aedes albopictus worldwide, transmit DENV through their saliva during blood meals. In this study, we aimed to understand how Aedes mosquito saliva modulate skin immune responses during DENV infection in individuals living in mosquito-endemic regions. To accomplish this, we dissociated skin cells from Cambodian volunteers and incubated them with salivary gland extract (SGE) from 3 different mosquito strains: Ae. aegypti USDA strain, Ae. aegypti and Ae. albopictus wild type (WT) in the presence/absence of DENV. We observed notable alterations in immune skin cells phenotypes subsequent to exposure to Aedes salivary gland extract (SGE). Specifically, exposure lead to an increase in the frequency of macrophages expressing chemokine receptor CCR2, and neutrophils expressing CD69. Additionally, we noted a substantial increase in the percentage of macrophages that became infected with DENV in the presence of Aedes SGE. Differences in cellular responses were observed when Aedes SGE of three distinct mosquito strains were compared. Our findings deepen the understanding of mosquito saliva's role in DENV infection and skin immune responses in individuals regularly exposed to mosquito bites. This study provides insights into skin immune cell dynamics that could guide strategies to mitigate DENV transmission and other arbovirus diseases.
登革热病毒(DENV)对全球健康构成威胁,每年影响数百万人,但没有特效疗法,疫苗也很有限。全世界的蚊子主要是埃及伊蚊和白纹伊蚊,它们通过唾液在血餐中传播登革热病毒。在这项研究中,我们旨在了解生活在蚊子流行地区的人在感染 DENV 期间伊蚊唾液如何调节皮肤免疫反应。为此,我们分离了柬埔寨志愿者的皮肤细胞,并将其与 3 种不同蚊子品系的唾液腺提取物(SGE)一起培养:埃及姬蚊 USDA 株、埃及姬蚊和白线姬蚊野生型(WT)。我们观察到,接触伊蚊唾液腺提取物(SGE)后,皮肤免疫细胞表型发生了显著变化。具体来说,接触后,表达趋化因子受体CCR2的巨噬细胞和表达CD69的中性粒细胞的频率增加。此外,我们还注意到,在有伊蚊涎腺提取物存在的情况下,巨噬细胞感染 DENV 的比例大幅增加。在比较三种不同蚊株的伊蚊 SGE 时,我们观察到了细胞反应的差异。我们的研究结果加深了人们对蚊子唾液在 DENV 感染中的作用以及经常被蚊子叮咬的人的皮肤免疫反应的了解。这项研究提供了对皮肤免疫细胞动态的深入了解,可以指导减少 DENV 传播和其他虫媒病毒疾病的策略。
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引用次数: 0
Coronin 1-dependent cell density sensing and regulation of the peripheral T cell population size 依赖于冠状病毒蛋白 1 的细胞密度感应和外周 T 细胞群规模的调节
Pub Date : 2024-03-22 DOI: 10.1093/oxfimm/iqae002
Tohnyui Ndinyanka Fabrice, Mayumi Mori, Jean Pieters
The establishment and maintenance of peripheral T cells is important to ensure appropriate immunity. In mammals, T cells are produced in the thymus before seeding the periphery early in life, and thereafter progressive thymus involution impairs new T cell production. Yet, peripheral T cells are maintained lifelong at approximately similar cell numbers. The question thus arises: what are the mechanisms that enable the maintenance of the appropriate number of circulating T cells, ensuring that T cell numbers are neither too low nor too high? Here, we highlight recent research suggesting a key role for coronin 1, a member of the evolutionarily conserved family of coronin proteins, in both allowing T cells to reach as well as maintain their appropriate cell population size. This cell population size controlling pathway was found to be conserved in amoeba, mice and human. We propose that coronin 1 is an integral part of a cell-intrinsic pathway that couples cell density information with prosurvival signalling thereby regulating the appropriate number of peripheral T cells.
外周 T 细胞的建立和维持对于确保适当的免疫力非常重要。在哺乳动物中,T 细胞是在胸腺中产生的,然后在生命早期播种到外周,此后胸腺逐渐萎缩,影响了新 T 细胞的产生。然而,外周 T 细胞终生保持着大致相同的细胞数量。由此产生的问题是:是什么机制使循环 T 细胞保持适当的数量,确保 T 细胞数量不会过低或过高?在此,我们重点介绍最近的一项研究,该研究表明,冠状蛋白 1(进化保守的冠状蛋白家族成员)在使 T 细胞达到并维持其适当的细胞数量方面起着关键作用。研究发现,这种控制细胞数量的途径在变形虫、小鼠和人类中都是保守的。我们提出,冠状蛋白 1 是细胞内在通路的一个组成部分,它将细胞密度信息与促生存信号结合起来,从而调节外周 T 细胞的适当数量。
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引用次数: 0
Post-acute sequelae of SARS-CoV-2 infection in health care workers from South Africa 南非医护人员感染 SARS-CoV-2 后的急性后遗症
Pub Date : 2024-03-09 DOI: 10.1093/oxfimm/iqae001
Sthembile Mbotwe-Sibanda, G. Kwatra, S. Madhi, Marta C. Nunes
Health care workers (HCWs) are primary health providers therefore ensuring their protection and recovery from Covid-19 is of high interest. We investigated post-acute sequelae of SARS-CoV-2 infection (PASC) in HCWs who had previously been infected with SARS-CoV-2. Overall, 68 HCWs were classified as PASC according to duration in days of persisting symptoms. The 68 HCWs with PASC were split into two groups according to their mean duration of symptoms which were (8 PASC) 122 and (60 PASC) 641 days. The frequencies of common symptoms reported by HWCs with PASC were continuous headaches (45), mild cough (41), fatigue (37), myalgia (25) and shortness of breath (14). When Using the Medical Research Council (MRC) Dyspnoea Scale to examine the degree of breathlessness in relations to activity in the 68 out of the 104 HCWs with PASC we found that 4 (5.9%) reported having difficulty breathing after strenuous exercise, 19 (27.9%) were identified with shortness of breath when walking fast or when walking up a slight hill, 2 (3.0%) reported walking slower than most people on level or stopping after 15 minutes walking at own pace, 1 (1.5%) reported stopping to breath after walking 91 meters, or after a few minutes on level ground and 1 (1.5%) reported being too breathless to leave the house, or breathless when dressing/undressing. Our results highlight concern for HCWs with long-term persisting symptoms which may negatively impact their health this represents an emerging public health priority. HCWs with prolonged Covid-19 symptoms especially breathing difficulties need better diagnostic tests and treatments.
医护人员是主要的医疗服务提供者,因此确保他们得到保护并从 Covid-19 中康复是非常重要的。我们对曾经感染过 SARS-CoV-2 的医护人员进行了 SARS-CoV-2 感染急性后遗症(PASC)调查。根据症状持续的天数,共有 68 名高危工人被归类为 PASC。这 68 名有严重急性呼吸系统综合症的高危工人按其症状持续的平均天数分为两组,分别为(8 天)122 天和(60 天)641 天。患有急性呼吸系统综合症的华工报告的常见症状频率为持续头痛(45)、轻微咳嗽(41)、疲劳(37)、肌痛(25)和呼吸急促(14)。当使用医学研究委员会(MRC)的呼吸困难量表来检查 104 名患有帕金森病的高危产妇中的 68 人的呼吸困难程度与活动的关系时,我们发现 4 人(5.9%)报告在剧烈运动后呼吸困难,19 人(27.9%)在快步行走或步行上小山时发现呼吸急促,2 人(3.0%)报告比步行慢。2人(3.0%)报告在平地上行走时比大多数人慢,或按自己的步速行走 15 分钟后停止,1 人(1.5%)报告在行走 91 米后或在平地上行走几分钟后停止呼吸,1 人(1.5%)报告气喘得不敢出门,或在穿衣/脱衣时气喘。我们的研究结果凸显了对长期持续存在症状的高危工人的关注,这些症状可能会对他们的健康产生负面影响,这也是一个新出现的公共卫生优先事项。有长期 Covid-19 症状(尤其是呼吸困难)的高危职业人群需要更好的诊断测试和治疗方法。
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引用次数: 0
Malaria and tuberculosis co-infection-a review. 疟疾与肺结核合并感染综述。
Pub Date : 2023-11-15 eCollection Date: 2023-01-01 DOI: 10.1093/oxfimm/iqad008
Else M Bijker, Sanjay Deshpande, Padmini Salgame, Rinn Song

Malaria and tuberculosis remain highly prevalent infectious diseases and continue to cause significant burden worldwide. Endemic regions largely overlap, and co-infections are expected to occur frequently. Surprisingly, malaria-tuberculosis co-infection is relatively understudied. Malaria has long been known to have immunomodulatory effects, for example resulting in reduced vaccination responses against some pathogens, and it is conceivable that this also plays a role if co-infection occurs. Data from animal studies indeed suggest clinically important effects of malaria-tuberculosis co-infection on the immune responses with potential consequences for the pathophysiology and clinical course of both infections. Specifically, rodent studies consistently show reduced control of mycobacteria during malaria infection. Although the underlying immunological mechanisms largely remain unclear, an altered balance between pro- and anti-inflammatory responses may play a role. Some observations in humans also support the hypothesis that malaria infection skews the immune responses against tuberculosis, but data are limited. Further research is needed to unravel the underlying immunological mechanisms and delineate possible implications of malaria-tuberculosis co-infection for clinical practice.

疟疾和结核病仍然是高度流行的传染病,并继续在全世界造成重大负担。疟疾和结核病的流行区域在很大程度上是重叠的,预计会经常出现合并感染。令人惊讶的是,疟疾-结核病合并感染的研究相对不足。人们早就知道疟疾具有免疫调节作用,例如会导致对某些病原体的疫苗接种反应减弱,可以想象,如果发生合并感染,疟疾也会起作用。动物研究数据确实表明,疟疾-结核病合并感染对免疫反应有重要的临床影响,可能会对两种感染的病理生理学和临床过程产生影响。具体来说,啮齿类动物研究一致表明,疟疾感染期间对分枝杆菌的控制能力下降。虽然基本的免疫学机制仍不清楚,但促炎和抗炎反应之间的平衡改变可能起了作用。在人类身上的一些观察结果也支持疟疾感染会扭曲针对结核病的免疫反应的假设,但数据有限。还需要进一步的研究来揭示潜在的免疫学机制,并确定疟疾-结核病合并感染对临床实践可能产生的影响。
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引用次数: 0
A targeted approach to vaccine hesitancy 针对疫苗犹豫的针对性方法
Pub Date : 2023-10-28 DOI: 10.1093/oxfimm/iqad007
Meredith Leston, Simon de Lusignan, F D Richard Hobbs
Abstract This short communication makes the case for targeted vaccine research when attempting to counter hesitancy, especially amongst vulnerable or rarefied patient groups. Far from disincentivising vaccination, the freedom to research and publicise the limitations of these technologies for certain groups and personalising dosing, pacing, adjuvants, and time-sensitive alternatives in response is essential for optimising health outcomes while neutralising the vaccine research landscape itself. Vaccine evangelism only arouses suspicion when it is not tempered by rigorous research into differential vaccine benefit-risk in this way. That said, the long-standing politicisation of vaccination – a topic vulnerable to misinterpretation and media sensationalism – along with the commercial incentives associated with universal adoption makes more comparative and critical research difficult to fund and promote in practice. Likewise, a prescriptive approach to vaccination does little to address the issues of vaccine inequality that contribute to both hesitancy and conspiracy globally and will likely prove financially prohibitive in certain markets. These obstacles are not insurmountable, however, provided that comparative research is centrally subsidised, regulations ensure that vaccine development trials explore differentiated outcomes, especially amongst high-risk or rare groups, and findings are used to prioritise global vaccine allocation to those that stand to benefit most from them.
这篇简短的交流说明了在试图对抗犹豫时进行有针对性的疫苗研究的理由,特别是在脆弱或罕见的患者群体中。研究和宣传这些技术对某些群体的局限性的自由,以及个性化剂量、速度、佐剂和时间敏感替代方案的自由,不仅不会削弱疫苗接种的积极性,而且对于优化健康结果,同时消除疫苗研究本身的不利影响至关重要。疫苗布道只有在没有以这种方式对不同疫苗的益处-风险进行严格研究的情况下才会引起怀疑。也就是说,疫苗接种的长期政治化——一个容易被误解和媒体炒作的话题——以及与普遍采用相关的商业激励,使得更多的比较性和批判性研究难以在实践中得到资助和促进。同样,对疫苗接种采取规定性的做法对解决疫苗不平等问题几乎没有帮助,疫苗不平等导致全球犹豫不决和共谋,而且在某些市场可能在财务上令人望而却步。然而,这些障碍并非不可克服,只要比较研究得到中央补贴,法规确保疫苗开发试验探索不同的结果,特别是在高风险或罕见群体中,并且研究结果用于优先将全球疫苗分配给最可能从中受益的群体。
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引用次数: 0
The current state and future of T-cell exhaustion research. t细胞耗竭研究的现状与未来。
Pub Date : 2023-07-08 eCollection Date: 2023-01-01 DOI: 10.1093/oxfimm/iqad006
Edward Jenkins, Toby Whitehead, Martin Fellermeyer, Simon J Davis, Sumana Sharma

'Exhaustion' is a term used to describe a state of native and redirected T-cell hypo-responsiveness resulting from persistent antigen exposure during chronic viral infections or cancer. Although a well-established phenotype across mice and humans, exhaustion at the molecular level remains poorly defined and inconsistent across the literature. This is, in part, due to an overreliance on surface receptors to define these cells and explain exhaustive behaviours, an incomplete understanding of how exhaustion arises, and a lack of clarity over whether exhaustion is the same across contexts, e.g. chronic viral infections versus cancer. With the development of systems-based genetic approaches such as single-cell RNA-seq and CRISPR screens applied to in vivo data, we are moving closer to a consensus view of exhaustion, although understanding how it arises remains challenging given the difficulty in manipulating the in vivo setting. Accordingly, producing and studying exhausted T-cells ex vivo are burgeoning, allowing experiments to be conducted at scale up and with high throughput. Here, we first review what is currently known about T-cell exhaustion and how it's being studied. We then discuss how improvements in their method of isolation/production and examining the impact of different microenvironmental signals and cell interactions have now become an active area of research. Finally, we discuss what the future holds for the analysis of this physiological condition and, given the diversity of ways in which exhausted cells are now being generated, propose the adoption of a unified approach to clearly defining exhaustion using a set of metabolic-, epigenetic-, transcriptional-, and activation-based phenotypic markers, that we call 'M.E.T.A'.

“衰竭”是一个术语,用于描述慢性病毒感染或癌症期间持续暴露于抗原导致的原生和重定向T细胞低反应状态。尽管在小鼠和人类中有一种公认的表型,但在分子水平上的衰竭仍然定义不清,并且在文献中不一致。这在一定程度上是由于过度依赖表面受体来定义这些细胞并解释详尽的行为,对衰竭是如何产生的不完全理解,以及对衰竭在不同情况下是否相同缺乏明确性,例如慢性病毒感染与癌症。随着基于系统的遗传方法的发展,如应用于体内数据的单细胞RNA-seq和CRISPR筛选,我们正在向衰竭的共识迈进,尽管考虑到体内环境的操作困难,理解衰竭是如何发生的仍然具有挑战性。因此,体外生产和研究耗尽的T细胞正在蓬勃发展,使实验能够大规模、高通量地进行。在这里,我们首先回顾了目前已知的T细胞耗竭以及它是如何被研究的。然后,我们讨论了如何改进它们的分离/生产方法,以及检测不同微环境信号和细胞相互作用的影响,现在已经成为一个活跃的研究领域。最后,我们讨论了分析这种生理状况的未来,并考虑到耗竭细胞产生的方式的多样性,建议采用一种统一的方法,使用一组基于代谢、表观遗传学、转录和激活的表型标记,我们称之为“M.E.T.a”,明确定义耗竭。
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引用次数: 2
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Oxford open immunology
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