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Long Covid brain fog: a neuroinflammation phenomenon? 长冠脑雾:一种神经炎症现象?
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac007
Emma Kavanagh

Neuroinflammation is a process triggered by an attack on the immune system. Activation of microglia in response to an immune system challenge can lead to a significant impact on cognitive processes, such as learning, memory and emotional regulation. Long Covid is an ongoing problem, affecting an estimated 1.3 million people within the UK alone, and one of its more significant, and as yet unexplained, symptoms is brain fog. Here, we discuss the potential role of neuroinflammation in Long Covid cognitive difficulties. Inflammatory cytokines have been found to play a significant role in reductions in LTP and LTD, a reduction in neurogenesis, and in dendritic sprouting. The potential behavioural consequences of such impacts are discussed. It is hoped that this article will allow for greater examination of the effects of inflammatory factors on brain function, most particularly in terms of their role in chronic conditions.

神经炎症是由免疫系统受到攻击引发的一个过程。在免疫系统受到挑战时,小胶质细胞的激活会对认知过程产生重大影响,比如学习、记忆和情绪调节。长期新冠肺炎是一个持续存在的问题,仅在英国就影响了大约130万人,其中一个更重要的、尚未解释的症状是脑雾。在这里,我们讨论神经炎症在长期认知困难中的潜在作用。炎性细胞因子已被发现在LTP和LTD的减少、神经发生的减少和树突发芽中发挥重要作用。讨论了这种影响的潜在行为后果。希望这篇文章将允许更深入地研究炎症因子对脑功能的影响,尤其是它们在慢性疾病中的作用。
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引用次数: 2
Is 'Long Covid' similar to 'Long SARS'? “长Covid”与“长SARS”相似吗?
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac002
John Patcai
Is “Long Covid” similar to “Long SARS” (Severe Acute Respiratory Syndrome)? In 2019, a new pandemic started, and is still ongoing. The causative virus is the only known close relative of the SARS coronavirus (SARS-CoV-1), and is accordingly called SARS-CoV-2. Follow-up for between 2 and 10 years of 50 post SARS patients in a rehabilitation setting led to publications and clinical impressions that are summarized here regarding significant permanent disability for some of these patients. Similarities between permanent symptoms post SARS, and the reported so-far unresolving symptoms of Long Covid are remarkable. This makes it possible to predict that some Long Covid symptoms will be permanent.
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引用次数: 3
Correction to: Molecular mimicry among human proteinase 3 and bacterial antigens: implications for development of c-ANCA associated vasculitis. 更正:人蛋白酶3和细菌抗原之间的分子模拟:c-ANCA相关血管炎发展的意义。
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac011

[This corrects the article DOI: 10.1093/oxfimm/iqac009.].

[此更正文章DOI: 10.1093/oxfimm/iqac009.]。
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引用次数: 0
COP27 Climate Change Conference: urgent action needed for Africa and the world: Wealthy nations must step up support for Africa and vulnerable countries in addressing past, present and future impacts of climate change. COP27气候变化会议:非洲和世界需要采取紧急行动:富裕国家必须加强对非洲和脆弱国家的支持,以应对气候变化过去、现在和未来的影响。
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac008
Lukoye Atwoli, Gregory E Erhabor, Aiah A Gbakima, Abraham Haileamlak, Jean-Marie Kayembe Ntumba, James Kigera, Laurie Laybourn-Langton, Bob Mash, Joy Muhia, Fhumulani Mavis Mulaudzi, David Ofori-Adjei, Friday Okonofua, Arash Rashidian, Maha El-Adawy, Siaka Sidibé, Abdelmadjid Snouber, James Tumwine, Mohammad Sahar Yassien, Paul Yonga, Lilia Zakhama, Chris Zielinski
No abstract available.
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引用次数: 2
Isolation of single cells from human uterus in the third trimester of pregnancy: myometrium, decidua, amnion and chorion. 妊娠晚期人子宫单细胞的分离:子宫肌层、蜕膜、羊膜和绒毛膜。
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac010
Alexander T H Cocker, Emily M Whettlock, Brendan Browne, Pei F Lai, Jonathan K H Li, Sivatharjini P Sivarajasingam, Nesrina Imami, Mark R Johnson, Victoria Male

During pregnancy, interactions between uterine immune cells and cells of the surrounding reproductive tissues are thought to be vital for regulating labour. The mechanism that specifically initiates spontaneous labour has not been determined, but distinct changes in uterine immune cell populations and their activation status have been observed during labour at term gestation. To understand the regulation of human labour by the immune system, the ability to isolate both immune cells and non-immune cells from the uterus is required. Here, we describe protocols developed in our laboratory to isolate single cells from uterine tissues, which preserve both immune and non-immune cell populations for further analysis. We provide detailed methods for isolating immune and non-immune cells from human myometrium, chorion, amnion and decidua, together with representative flow cytometry analysis of isolated cell populations present. The protocols can be completed in tandem and take approximately 4-5 h, resulting in single-cell suspensions that contain viable leucocytes, and non-immune cells in sufficient numbers for single-cell analysis approaches such as flow cytometry and single cell RNA sequencing (scRNAseq).

在怀孕期间,子宫免疫细胞和周围生殖组织细胞之间的相互作用被认为对调节分娩至关重要。具体启动自然分娩的机制尚未确定,但子宫免疫细胞群及其激活状态在足月妊娠分娩期间观察到明显的变化。为了了解免疫系统对人类劳动的调节,需要从子宫中分离免疫细胞和非免疫细胞的能力。在这里,我们描述了我们实验室开发的从子宫组织中分离单细胞的方案,该方案保留了免疫和非免疫细胞群以供进一步分析。我们提供了从人肌层、绒毛膜、羊膜和蜕膜中分离免疫和非免疫细胞的详细方法,并对分离的细胞群进行了代表性的流式细胞术分析。该方案可以串联完成,大约需要4-5小时,产生含有活白细胞和足够数量的非免疫细胞的单细胞悬液,用于流式细胞术和单细胞RNA测序(scRNAseq)等单细胞分析方法。
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引用次数: 0
Naive and memory T cells TCR-HLA-binding prediction. 幼稚T细胞和记忆T细胞tcr - hla结合预测。
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac001
Neta Glazer, Ofek Akerman, Yoram Louzoun

T cells recognize antigens through the interaction of their T cell receptor (TCR) with a peptide-major histocompatibility complex (pMHC) molecule. Following thymic-positive selection, TCRs in peripheral naive T cells are expected to bind MHC alleles of the host. Peripheral clonal selection is expected to further increase the frequency of antigen-specific TCRs that bind to the host MHC alleles. To check for a systematic preference for MHC-binding T cells in TCR repertoires, we developed Natural Language Processing-based methods to predict TCR-MHC binding independently of the peptide presented for Class I MHC alleles. We trained a classifier on published TCR-pMHC binding pairs and obtained a high area under curve (AUC) of over 0.90 on the test set. However, when applied to TCR repertoires, the accuracy of the classifier dropped. We thus developed a two-stage prediction model, based on large-scale naive and memory TCR repertoires, denoted TCR HLA-binding predictor (CLAIRE). Since each host carries multiple human leukocyte antigen (HLA) alleles, we first computed whether a TCR on a CD8 T cell binds an MHC from any of the host Class-I HLA alleles. We then performed an iteration, where we predict the binding with the most probable allele from the first round. We show that this classifier is more precise for memory than for naïve cells. Moreover, it can be transferred between datasets. Finally, we developed a CD4-CD8 T cell classifier to apply CLAIRE to unsorted bulk sequencing datasets and showed a high AUC of 0.96 and 0.90 on large datasets. CLAIRE is available through a GitHub at: https://github.com/louzounlab/CLAIRE, and as a server at: https://claire.math.biu.ac.il/Home.

T细胞通过其T细胞受体(TCR)与肽-主要组织相容性复合体(pMHC)分子的相互作用来识别抗原。胸腺阳性选择后,外周初始T细胞中的tcr有望结合宿主的MHC等位基因。外周克隆选择有望进一步增加抗原特异性tcr与宿主MHC等位基因结合的频率。为了检查TCR库中MHC结合T细胞的系统偏好,我们开发了基于自然语言处理的方法来预测TCR-MHC结合,而不依赖于I类MHC等位基因的肽。我们在已发表的TCR-pMHC结合对上训练了一个分类器,在测试集上获得了超过0.90的高曲线下面积(AUC)。然而,当应用于TCR曲目时,分类器的准确性下降了。因此,我们开发了一个基于大规模幼稚和记忆TCR库的两阶段预测模型,称为TCR hla结合预测器(CLAIRE)。由于每个宿主携带多个人类白细胞抗原(HLA)等位基因,我们首先计算了CD8 T细胞上的TCR是否与来自宿主i类HLA等位基因的MHC结合。然后我们进行了一次迭代,在那里我们预测与第一轮中最可能的等位基因的结合。我们证明,这个分类器对记忆比对naïve细胞更精确。此外,它可以在数据集之间传输。最后,我们开发了一个CD4-CD8 T细胞分类器,将CLAIRE应用于未分类的批量测序数据集,并在大型数据集上显示出0.96和0.90的高AUC。CLAIRE可以通过GitHub访问:https://github.com/louzounlab/CLAIRE,作为服务器访问:https://claire.math.biu.ac.il/Home。
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引用次数: 5
Molecular mimicry among human proteinase 3 and bacterial antigens: implications for development of c-ANCA associated vasculitis. 人蛋白酶3和细菌抗原之间的分子模拟:c-ANCA相关血管炎发展的意义
Pub Date : 2022-01-01 DOI: 10.1093/oxfimm/iqac009
Y Chavez, J Garces, R Díaz, M Escobar, A Sanchez, E Buendía, M Múnera

Wegener's granulomatosis is an autoimmune disease where autoantibodies target human autoantigen PR3, a serine protease locates on the neutrophil membrane. This disease affects blood small vessels and could be deadly. The origin of these autoantibodies is unknown, but infections have been implicated with autoimmune disease. In this study, we explored potential molecular mimicry between human PR3 and homologous pathogens through in silico analysis. Thirteen serine proteases from human pathogens (Klebsiella pneumoniae, Acinetobacter baumannii, Salmonella sp., Streptococcus suis, Vibrio parahaemolyticus, Bacteroides fragilis, Enterobacter ludwigii, Vibrio alginolyticus, Staphylococcus haemolyticus, Enterobacter cloacae, Escherichia coli and Pseudomonas aeruginosa) shared structural homology and amino acid sequence identity with human PR3. Epitope prediction found an only conserved epitope IVGG, located between residues 59-74. However, multiple alignments showed conserved regions that could be involved in cross-reactivity between human and pathogens serine proteases (90-98, 101-108, 162-169, 267 and 262 residues positions). In conclusion, this is the first report providing in silico evidence about the existence of molecular mimicry between human and pathogens serine proteases, that could explain the origins of autoantibodies found in patients suffering from Wegener's granulomatosis.

韦格纳肉芽肿病是一种自身免疫性疾病,其自身抗体针对人自身抗原PR3,一种位于中性粒细胞膜上的丝氨酸蛋白酶。这种疾病影响小血管,可能是致命的。这些自身抗体的来源尚不清楚,但感染与自身免疫性疾病有关。在这项研究中,我们通过计算机分析探索了人类PR3与同源病原体之间潜在的分子相似性。来自人类病原体(肺炎克雷伯菌、鲍曼不动杆菌、沙门氏菌、猪链球菌、副溶血性弧菌、脆弱拟杆菌、路德维希肠杆菌、溶藻弧菌、溶血葡萄球菌、阴沟肠杆菌、大肠杆菌和铜绿假单胞菌)的13种丝氨酸蛋白酶与人类PR3具有结构同源性和氨基酸序列一致性。表位预测发现唯一保守的表位IVGG,位于残基59-74之间。然而,多重比对显示了可能涉及人类和病原体丝氨酸蛋白酶交叉反应的保守区域(90-98、101-108、162-169、267和262个残基位置)。总之,这是第一份提供人类和病原体丝氨酸蛋白酶之间存在分子模仿的计算机证据的报告,这可以解释在韦格纳肉芽肿患者中发现的自身抗体的起源。
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引用次数: 1
Neutrophilia, lymphopenia and myeloid dysfunction: a living review of the quantitative changes to innate and adaptive immune cells which define COVID-19 pathology. 中性粒细胞增多症、淋巴细胞减少症和骨髓功能障碍:先天性和适应性免疫细胞定量变化的生动回顾,COVID-19病理学的定义。
Pub Date : 2021-07-15 eCollection Date: 2021-01-01 DOI: 10.1093/oxfimm/iqab016
Amy S Codd, Stephanie J Hanna, Ewoud B Compeer, Felix C Richter, Eleanor J Pring, Ester Gea-Mallorquí, Mariana Borsa, Owen R Moon, D Oliver Scourfield, Awen M Gallimore, Anita Milicic

Destabilization of balanced immune cell numbers and frequencies is a common feature of viral infections. This occurs due to, and further enhances, viral immune evasion and survival. Since the discovery of the Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2), which manifests in coronavirus disease 2019 (COVID-19), a great number of studies have described the association between this virus and pathologically increased or decreased immune cell counts. In this review, we consider the absolute and relative changes to innate and adaptive immune cell numbers, in COVID-19. In severe disease particularly, neutrophils are increased, which can lead to inflammation and tissue damage. Dysregulation of other granulocytes, basophils and eosinophils represents an unusual COVID-19 phenomenon. Contrastingly, the impact on the different types of monocytes leans more strongly to an altered phenotype, e.g. HLA-DR expression, rather than numerical changes. However, it is the adaptive immune response that bears the most profound impact of SARS-CoV-2 infection. T cell lymphopenia correlates with increased risk of intensive care unit admission and death; therefore, this parameter is particularly important for clinical decision-making. Mild and severe diseases differ in the rate of immune cell counts returning to normal levels post disease. Tracking the recovery trajectories of various immune cell counts may also have implications for long-term COVID-19 monitoring. This review represents a snapshot of our current knowledge, showing that much has been achieved in a short period of time. Alterations in counts of distinct immune cells represent an accessible metric to inform patient care decisions or predict disease outcomes.

破坏免疫细胞数量和频率平衡是病毒感染的一个常见特征。这种情况的出现是由于病毒的免疫逃避和生存能力进一步增强。自从发现表现为 2019 年冠状病毒病(COVID-19)的严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)以来,大量研究描述了这种病毒与免疫细胞数量病理性增加或减少之间的关联。在本综述中,我们将讨论 COVID-19 中先天性免疫细胞和适应性免疫细胞数量的绝对和相对变化。特别是在病情严重时,中性粒细胞会增加,从而导致炎症和组织损伤。其他粒细胞、嗜碱性粒细胞和嗜酸性粒细胞的失调是一种不常见的 COVID-19 现象。相反,对不同类型单核细胞的影响更倾向于表型的改变,如 HLA-DR 表达,而不是数量上的变化。然而,SARS-CoV-2 感染对适应性免疫反应的影响最为深远。T 细胞淋巴细胞减少与入住重症监护室和死亡的风险增加有关;因此,这一参数对临床决策尤为重要。轻度和重度疾病在病后免疫细胞计数恢复到正常水平的速度上有所不同。跟踪各种免疫细胞计数的恢复轨迹也可能对 COVID-19 的长期监测产生影响。本综述是我们现有知识的一个缩影,显示了我们在短时间内取得的巨大成就。不同免疫细胞计数的变化是一种可用于为患者护理决策提供信息或预测疾病预后的指标。
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引用次数: 0
Protease inhibitor plasma concentrations associate with COVID-19 infection. 蛋白酶抑制剂血浆浓度与新冠肺炎感染相关。
Pub Date : 2021-07-07 eCollection Date: 2021-01-01 DOI: 10.1093/oxfimm/iqab014
Nicholas R Medjeral-Thomas, Anne Troldborg, Annette G Hansen, Rasmus Pihl, Candice L Clarke, James E Peters, David C Thomas, Michelle Willicombe, Yaseelan Palarasah, Marina Botto, Matthew C Pickering, Steffen Thiel

Protease inhibitors influence a range of innate immunity and inflammatory pathways. We quantified plasma concentrations of key anti-inflammatory protease inhibitors in chronic haemodialysis patients with coronavirus disease 2019 (COVID-19). The samples were collected early in the disease course to determine whether plasma protease inhibitor levels associated with the presence and severity of COVID-19. We used antibody-based immunoassays to measure plasma concentrations of C1 esterase inhibitor, alpha2-macroglobulin, antithrombin and inter-alpha-inhibitor heavy chain 4 (ITIH4) in 100 serial samples from 27 haemodialysis patients with COVID-19. ITIH4 was tested in two assays, one measuring intact ITIH4 and another also detecting any fragmented ITIH4 (total ITIH4). Control cohorts were 32 haemodialysis patients without COVID-19 and 32 healthy controls. We compared protease inhibitor concentration based on current and future COVID-19 severity and with C-reactive protein. Results were adjusted for repeated measures and multiple comparisons. Analysis of all available samples demonstrated lower plasma C1 esterase inhibitor and α2M and higher total ITIH4 in COVID-19 compared with dialysis controls. These differences were also seen in the first sample collected after COVID-19 diagnosis, a median of 4 days from diagnostic swab. Plasma ITIH4 levels were higher in severe than the non-severe COVID-19. Serum C-reactive protein correlated positively with plasma levels of antithrombin, intact ITIH4 and total ITIH4. In conclusion, plasma protease inhibitor concentrations are altered in COVID-19.

蛋白酶抑制剂影响一系列先天免疫和炎症途径。我们量化了2019冠状病毒病(新冠肺炎)慢性血液透析患者中关键抗炎蛋白酶抑制剂的血浆浓度。在病程早期采集样本,以确定血浆蛋白酶抑制剂水平是否与新冠肺炎的存在和严重程度相关。我们使用基于抗体的免疫测定法测量了27名新冠肺炎血液透析患者的100份系列样本中C1酯酶抑制剂、α2-巨球蛋白、抗凝血酶和α间抑制剂重链4(ITIH4)的血浆浓度。ITIH4在两种测定中进行了测试,一种测定完整的ITIH4,另一种也检测任何片段的ITIH4(总ITIH4)。对照组为32名无新冠肺炎的血液透析患者和32名健康对照组。我们比较了基于当前和未来新冠肺炎严重程度的蛋白酶抑制剂浓度以及C反应蛋白。对重复测量和多次比较的结果进行了调整。对所有可用样本的分析表明,与透析对照组相比,新冠肺炎患者的血浆C1酯酶抑制剂和α2M较低,总ITIH4较高。这些差异也出现在新冠肺炎诊断后采集的第一份样本中,诊断拭子平均4天。重症患者的血浆ITIH4水平高于非重症新冠肺炎患者。血清C反应蛋白与血浆抗凝血酶、完整ITIH4和总ITIH4水平呈正相关。总之,血浆蛋白酶抑制剂浓度在新冠肺炎中发生改变。
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引用次数: 0
Lymphoid stromal cells-more than just a highway to humoral immunity. 淋巴基质细胞——不仅仅是通往体液免疫的高速公路。
Pub Date : 2021-05-24 eCollection Date: 2021-01-01 DOI: 10.1093/oxfimm/iqab011
Isabella Cinti, Alice E Denton

The generation of high-affinity long-lived antibody responses is dependent on the differentiation of plasma cells and memory B cells, which are themselves the product of the germinal centre (GC) response. The GC forms in secondary lymphoid organs in response to antigenic stimulation and is dependent on the coordinated interactions between many types of leucocytes. These leucocytes are brought together on an interconnected network of specialized lymphoid stromal cells, which provide physical and chemical guidance to immune cells that are essential for the GC response. In this review we will highlight recent advancements in lymphoid stromal cell immunobiology and their role in regulating the GC, and discuss the contribution of lymphoid stromal cells to age-associated immunosenescence.

产生高亲和力的长寿命抗体应答依赖于浆细胞和记忆B细胞的分化,而浆细胞和记忆B细胞本身是生发中心(GC)应答的产物。GC在次级淋巴器官中形成,响应抗原刺激,并依赖于多种类型白细胞之间的协调相互作用。这些白细胞聚集在一个相互连接的特化淋巴样基质细胞网络上,为免疫细胞提供物理和化学指导,这是GC反应所必需的。在本文中,我们将重点介绍淋巴样基质细胞免疫生物学的最新进展及其在GC调节中的作用,并讨论淋巴样基质细胞在年龄相关性免疫衰老中的作用。
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引用次数: 0
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Oxford open immunology
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