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Molecular pathology of type 1 diabetes. 1型糖尿病的分子病理学。
Pub Date : 1990-08-01
I L Campbell, L C Harrison

Evidence from epidemiological and histopathologic studies in humans with autoimmune type 1 (insulin-dependent) diabetes suggests that beta-cell destruction within the islets of Langerhans progresses through a number of stages. In this review we draw on recent experimental evidence in an attempt to define the molecular pathology of these stages. Stage 1 is postulated to be initiated by modification of the beta cell by virus, chemical or other factors, leading to the production of interferon-alpha, hyperexpression of major histocompatibility complex (MHC) class I molecules and induction of MHC class II molecules. Experiments in transgenic mice suggest that overexpression of MHC molecules is in itself detrimental to beta-cell function. Shedding of antigen(s) from dying beta cells in combination with hyperexpression of MHC molecules may be a powerful immunogenic stimulus. Stage 2 commences with infiltration of the islets by immuno-inflammatory cells (termed insulitis). It is proposed that production of cytokines from the infiltrating cells induces "phenotypic switching" in beta cells, with further upregulation of MHC molecules and the induction of intracellular adhesion molecule-1 expression and interleukin-6 production. Together, these properties are seen as a prerequisite for the presentation of autoantigen by beta cells to adherent T lymphocytes and autoimmune activation. The final stage encompasses autoimmune-mediated destruction of the beta cells by the targeted delivery of cytotoxic cytokines and other mediators.

来自自身免疫性1型(胰岛素依赖型)糖尿病患者的流行病学和组织病理学研究的证据表明,朗格汉斯胰岛内的β细胞破坏经历了多个阶段。在这篇综述中,我们借鉴了最近的实验证据,试图定义这些阶段的分子病理学。第1阶段被认为是由病毒、化学物质或其他因素对β细胞进行修饰而引发的,导致干扰素α的产生、主要组织相容性复合体(MHC) I类分子的高表达和MHC II类分子的诱导。转基因小鼠的实验表明,MHC分子的过度表达本身就对β细胞功能有害。垂死的β细胞的抗原脱落与MHC分子的高表达可能是一种强大的免疫原性刺激。第二阶段开始于免疫炎症细胞浸润胰岛(称为胰岛素炎)。我们提出浸润细胞产生的细胞因子诱导β细胞的“表型转换”,进一步上调MHC分子,诱导细胞内粘附分子-1的表达和白细胞介素-6的产生。总之,这些特性被认为是β细胞向粘附的T淋巴细胞呈递自身抗原和自身免疫激活的先决条件。最后阶段包括通过靶向递送细胞毒性细胞因子和其他介质对β细胞进行自身免疫介导的破坏。
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引用次数: 0
Tolerance to self-antigens in transgenic mice. 转基因小鼠对自身抗原的耐受性。
Pub Date : 1990-08-01
T E Adams

Transgenic mice represent a versatile experimental approach for understanding the pathways by which the immune system regulates responsiveness to self-antigens, thereby establishing self-tolerance. The introduction of immunoglobulin and T cell receptor genes with specificity for self-antigens into the germline of mice has enabled the fate of self-reactive lymphocyte precursors to be followed in vivo. The influence of both developmentally regulated, and tissue-specific gene expression on tolerance to self-antigens has been addressed using transgenic mice expressing novel self-antigens under the transcriptional control of heterologous gene promoters. The generation of transgenic mice expressing structurally altered forms of self-antigens has allowed the role of antigen-processing in the induction of tolerance to be examined. Significantly, while these studies have confirmed the classically derived principles of immunological self-tolerance, they also point to the existence of pathways, as yet undefined, by which tolerance to self-antigens may be implemented and maintained.

转基因小鼠为理解免疫系统调节对自身抗原的反应从而建立自身耐受性的途径提供了一种通用的实验方法。将具有自身抗原特异性的免疫球蛋白和T细胞受体基因引入小鼠种系,使体内的自我反应性淋巴细胞前体的命运得以遵循。利用在外源基因启动子转录控制下表达新型自身抗原的转基因小鼠,研究了发育调控和组织特异性基因表达对自身抗原耐受性的影响。表达自身抗原结构改变形式的转基因小鼠的产生使得抗原加工在诱导耐受性中的作用得以检验。值得注意的是,虽然这些研究已经证实了免疫自身耐受性的经典衍生原则,但它们也指出存在尚未定义的途径,通过这些途径可以实现和维持对自身抗原的耐受性。
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引用次数: 0
Interferon-gamma and the sexual dimorphism of autoimmunity. 干扰素- γ与自身免疫的两性二态性。
Pub Date : 1990-08-01
N Sarvetnick, H S Fox

The sexual difference in the incidence of autoimmune diseases has remained an enigma for many years. In the examination of the induction of autoimmunity in transgenic mice, evidence has been obtained further implicating the lymphokine interferon-gamma in the etiology of autoimmunity. Sex steroid regulation of the production of this molecule, as well as other cytokines, may help explain the gender-specific differences in the immune system, including autoimmunity.

多年来,自身免疫性疾病发病率的性别差异一直是一个谜。通过对转基因小鼠自身免疫诱导的研究,进一步证实了淋巴因子干扰素参与自身免疫的病因学。性类固醇调节这种分子的产生,以及其他细胞因子,可能有助于解释免疫系统的性别特异性差异,包括自身免疫。
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引用次数: 0
Development of antigen-specific therapies for autoimmune disease. 自身免疫性疾病抗原特异性疗法的发展
Pub Date : 1990-08-01
L Steinman

Reversal of autoimmune disease with monoclonal antibodies to polymorphic determinants associated with class II gene products of the major histocompatibility complex (MHC) and to T-cell receptor variable region segments has been demonstrated in animal models. Recent studies have shown that it is also possible to use mutant peptides to block recognition of self-antigen associated with MHC by T-cells that mediate autoimmune disease. These mutant peptides have been used to prevent the model autoimmune condition experimental allergic encephalomyelitis. The possibility of extending these approaches to human disease is discussed.

在动物模型中已经证明,针对主要组织相容性复合体(MHC) II类基因产物的多态性决定因素和t细胞受体可变区片段的单克隆抗体可以逆转自身免疫性疾病。最近的研究表明,也有可能使用突变肽来阻断介导自身免疫性疾病的t细胞对MHC相关自身抗原的识别。这些突变肽已被用于预防模型自身免疫性疾病实验性过敏性脑脊髓炎。讨论了将这些方法扩展到人类疾病的可能性。
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引用次数: 0
Characterization of human centromeric regions using restriction enzyme banding, alphoid DNA and structural alterations. 利用限制性内切酶带、脂蛋白DNA和结构改变对人类着丝粒区进行表征。
Pub Date : 1990-08-01
P H Arn, E W Jabs

Studies of banding induced by restriction enzymes may provide insight into banding mechanisms and chromosome structure. We examined whether or not the sizes of chromosome-specific alphoid DNA fragments created by digestion with various restriction enzymes relate to the presence or absence of C-like bands produced by these same enzymes. We sized alphoid DNA fragments from five different chromosomes, digested with each of six different restriction enzymes. There was no obvious correlation between the length of alphoid restriction fragments at specific human centromeric regions and the production of C-like bands. We used the enzyme AluI and traditional staining (CBG) techniques to band centromeres with conformational alterations. These included dicentric chromosomes, chromosomes from a patient with Roberts syndrome, and 5-azacytidine-treated prometaphase chromosomes. In all cases bands produced by AluI resembled CBG banding. We found that markedly decondensed portions of centromeric regions induced by 5-azacytidine did not band. Our studies demonstrate that restriction endonuclease C-like banding is not strictly related to the presence of restriction sites in alphoid DNA, and the condensed chromatin conformation at the centromeric region may play a role in banding.

限制性内切酶诱导的显带研究有助于深入了解显带机制和染色体结构。我们研究了由各种限制性内切酶消化产生的染色体特异性阿尔法体DNA片段的大小是否与这些酶产生的c样带的存在与否有关。我们测定了来自五条不同染色体的阿尔法体DNA片段的大小,分别用六种不同的限制性内切酶进行消化。在特定的人类着丝点区域,蛋白限制性片段的长度与c样条带的产生没有明显的相关性。我们使用AluI酶和传统染色(CBG)技术来标记构象改变的着丝粒。这些包括双中心染色体,来自罗伯茨综合征患者的染色体和5-氮杂胞苷处理的中期染色体。在所有情况下,AluI产生的条带与CBG条带相似。我们发现5-氮杂胞苷诱导的着丝粒区明显去致密的部分没有带。我们的研究表明,限制性内切酶c样带化与脂蛋白DNA中限制性内切位点的存在没有严格的关系,着丝点区域的浓缩染色质构象可能在带化中起作用。
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引用次数: 0
Interleukin 6 is a negative regulator of the acute phase alpha 1-inhibitor III gene. 白细胞介素6是急性期α 1抑制剂III基因的负调节因子。
Pub Date : 1990-06-01
L J Abraham, A D Bradshaw, R G Fletcher, G H Fey

The broad-range proteinase inhibitor alpha 1-inhibitor III (alpha 1I3), a member of the complement C3/alpha 2-macroglobulin protein family, is the prototype of a negatively regulated acute phase protein. During an acute inflammatory reaction alpha 1I3 plasma protein and liver mRNA concentrations are decreased three- to fourfold in rats, and in chronic inflammations the protein concentration is reduced between ten- and 20-fold. In search of a cell culture model to study the regulation of the alpha 1I3 gene by mediators of inflammation, five well-established rat hepatoma cell lines were examined. All five lines constitutively expressed the gene, a marker for a highly differentiated hepatic phenotype, although at less than one-tenth the level of its expression in vivo. In the three hepatoma lines FAZA, FTO2B and FAO1, alpha 1I3 mRNA was decreased by treatment with interleukin 6 (IL6) and glucocorticoids. Among these lines untreated FAO1 cells produced the highest constitutive concentrations of alpha 1I3 mRNA and in FAO1 cells alpha 1I3 mRNA concentrations were decreased up to fourfold in a dose-responsive and time-dependent manner after treatment with IL6 alone or with combinations of IL6 and the synthetic glucocorticoid dexamethasone. Thus, IL6 alone was sufficient to negatively regulate alpha 1I3 mRNA levels in hepatoma cells with similar characteristics as occur during an inflammatory response in the liver. A number of other acute phase mRNA species, including alpha 1-acid glycoprotein, T2-kininogen, gamma-fibrinogen and alpha 2-macroglobulin were induced to higher levels by the same hormonal treatments in FAO1 cells. The fourfold reduction of alpha 1I3 mRNA concentrations in FAO1 cells could be reversed by treatment with 1 microM of a water-soluble derivative of forskolin, an activator of the cyclic AMP pathway. Thus, the effect of IL6 on the expression of the alpha 1I3 gene may involve the activation of the cyclic AMP pathway. In contrast, T2 kininogen mRNA levels were not altered by treatment of FAO1 cells with forskolin, suggesting that IL6 may act on this gene through a different mechanism.

广谱蛋白酶抑制剂α 1-抑制剂III (α 1I3)是补体C3/ α 2巨球蛋白蛋白家族的成员,是负调控急性期蛋白的原型。在急性炎症反应中,大鼠α - 1I3血浆蛋白和肝脏mRNA浓度降低3 - 4倍,而在慢性炎症中,蛋白质浓度降低10 - 20倍。为了寻找一种细胞培养模型来研究炎症介质对α 1I3基因的调节,我们对5种成熟的大鼠肝癌细胞系进行了研究。所有5个品系都组成性地表达该基因,这是一种高度分化的肝脏表型的标记,尽管其在体内的表达水平不到十分之一。在FAZA、FTO2B和fa01三种肝癌细胞系中,白细胞介素6 (IL6)和糖皮质激素均可降低α - 1I3 mRNA的表达。在这些细胞系中,未经处理的FAO1细胞产生最高的α - 1I3 mRNA组成浓度,在FAO1细胞中,单独使用IL6或与合成糖皮质激素地塞米松联合使用IL6后,α - 1I3 mRNA浓度以剂量反应和时间依赖性的方式降低了四倍。因此,仅il - 6就足以负向调节肝癌细胞中的α - 1I3 mRNA水平,其特征与肝脏炎症反应相似。在fa01细胞中,许多其他急性期mRNA物种,包括α 1-酸性糖蛋白、t2 -激肽原、γ -纤维蛋白原和α 2-巨球蛋白,在相同的激素处理下被诱导到更高的水平。FAO1细胞中α 1I3 mRNA浓度的四倍降低可以通过1微米的福斯克林水溶性衍生物(一种环AMP途径的激活剂)进行逆转。因此,IL6对α - 1I3基因表达的影响可能与激活环AMP通路有关。相比之下,用forskolin处理fa01细胞时,T2激肽原mRNA水平没有改变,这表明IL6可能通过不同的机制作用于该基因。
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引用次数: 0
Hepatitis B virus as an insertional mutagene in a human hepatocellular carcinoma. 乙型肝炎病毒在人肝细胞癌中的插入诱变作用。
Pub Date : 1990-06-01
A Dejean, H de Thé

Chronic hepatitis B virus (HBV) infection is etiologically related to human hepatocellular carcinoma (HCC). Most HCCs contain integrated HBV DNA in the liver cellular DNA, suggesting that the integration may be involved in carcinogenesis. From a comparison of a single HBV integration site present in a hepatoma with the corresponding unoccupied site in the non-tumourous tissue of the same liver, we have shown that HBV DNA inserted in a putative cellular exon with striking similarity to the DNA-binding domain of the thyroid/steroid hormone receptors. The corresponding cDNA has been isolated (hap gene) and shown to encode the retinoic acid receptor. In the original patient, integration took place so that the first codons of the viral surface protein gene became fused in frame with most of the hap gene. Because retinoic acid is known to regulate the transcription of target genes crucial for cellular growth and differentiation, it is most probable that consequent to the HBV insertion, hap, usually transcribed at a very low level in normal hepatocytes, became inappropriately expressed as an altered chimaeric retinoic acid receptor, thus contributing to the cell transformation. These results strongly support the possibility that HBV may play a direct role in liver carcinogenesis by insertional mutagenesis.

慢性乙型肝炎病毒(HBV)感染在病因学上与人类肝细胞癌(HCC)有关。大多数hcc在肝细胞DNA中含有整合的HBV DNA,这表明这种整合可能参与了癌变。通过比较肝癌中存在的单个HBV整合位点与同一肝脏非肿瘤组织中相应的未占用位点,我们发现HBV DNA插入到一个假定的细胞外显子中,与甲状腺/类固醇激素受体的DNA结合域惊人地相似。已分离出相应的cDNA (hap基因),并证实其编码维甲酸受体。在最初的患者中,整合发生了,使得病毒表面蛋白基因的第一个密码子与大部分hap基因融合在框架中。由于已知维甲酸可以调节对细胞生长和分化至关重要的靶基因的转录,因此很可能由于HBV的插入,通常在正常肝细胞中转录水平很低的hap作为嵌合维甲酸受体的改变而不适当地表达,从而促进细胞转化。这些结果有力地支持了HBV可能通过插入突变在肝癌发生中起直接作用的可能性。
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引用次数: 0
Molecular and cellular biology of serum amyloid A. 血清淀粉样蛋白A的分子和细胞生物学。
Pub Date : 1990-06-01
H Y Rienhoff, J H Huang, X X Li, W S Liao

Serum amyloid A (SAA) is one of the major acute-phase proteins in humans and mice. It is synthesized predominantly by the liver and secreted as a major component of the apolipoproteins in the high density lipoprotein particle. While the major physiological function of SAA is unclear, prolonged elevation of plasma SAA levels, as in chronic inflammation, however, results in the pathological condition amyloidosis affecting the liver, kidney and spleen. The expression of SAA mRNA is dramatically elevated in response to infection or systemic inflammation and is due primarily to the increased rate of SAA gene transcription. Studies in vitro and in vivo demonstrated that the expression of SAA genes is regulated by the inflammatory cytokine interleukin-1. Moreover, both the interleukin-1-induced expression and the enhanced liver-specific expression of the SAA gene are controlled by the binding of nuclear proteins to specific DNA sequences upstream from the structural gene.

血清淀粉样蛋白A (SAA)是人类和小鼠急性期的主要蛋白之一。它主要由肝脏合成,并作为高密度脂蛋白颗粒中载脂蛋白的主要成分分泌。虽然SAA的主要生理功能尚不清楚,但血浆SAA水平的长期升高,如慢性炎症,会导致肝、肾和脾淀粉样变的病理状态。SAA mRNA的表达在感染或全身性炎症反应中显著升高,这主要是由于SAA基因转录率的增加。体外和体内研究表明,SAA基因的表达受炎性细胞因子白细胞介素-1的调控。此外,白介素-1诱导的SAA基因表达和肝脏特异性表达的增强都是由核蛋白与结构基因上游特定DNA序列的结合控制的。
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引用次数: 0
G to A substitution in the promoter region of the apolipoprotein AI gene is associated with elevated serum apolipoprotein AI and high density lipoprotein cholesterol concentrations. 载脂蛋白AI基因启动子区域G到A的取代与血清载脂蛋白AI和高密度脂蛋白胆固醇浓度升高有关。
Pub Date : 1990-06-01
M Jeenah, A Kessling, N Miller, S Humphries

We have determined the sequence of 250 bases 5' of the transcriptional start site of the apolipoprotein AI gene in a human individual with high serum concentrations of apo AI. One of the alleles contained a G to A substitution at position -75, between the CACAT sequence and the TAAATA box, creating a tandem repeat, CAGGGC-CA*GGGC. The substitution destroys an MspI cutting site, and the polymerase chain reaction and MspI digestion were used to identify the presence of the A or G base. The frequency of the A substitution in 96 healthy men from Bristol was 0.11 and this was increased to 0.25 in men with serum apo AI concentrations greater than 180 mg/dl. Men with the A allele had significantly higher serum concentrations of apo AI, high density lipoprotein (HDL) cholesterol and HDL2 than those with the G allele. In this sample, variation associated with the G to A substitution accounted for 6% and 4.6% of the total variance in apo AI and HDL cholesterol concentrations, respectively. Although there is as yet no functional proof, it is possible that the A substitution may be having a direct positive effect on the rate of apo AI gene transcription and thus be associated with increased apo AI and HDL cholesterol concentrations because of increased production of apo AI protein from the liver or intestine.

我们已经确定了载脂蛋白AI基因转录起始位点250个碱基5'的序列,在一个血清载脂蛋白AI浓度高的人身上。其中一个等位基因在CACAT序列和TAAATA盒之间的-75位含有G到a的替换,形成串联重复序列CAGGGC-CA*GGGC。取代破坏了一个MspI切割位点,并使用聚合酶链反应和MspI酶切来鉴定A或G碱基的存在。布里斯托尔96名健康男性的A替代频率为0.11,在血清载脂蛋白AI浓度大于180 mg/dl的男性中,这一频率增加到0.25。携带A等位基因的男性血清载脂蛋白(apo)、高密度脂蛋白(HDL)胆固醇和高密度脂蛋白(HDL2)浓度明显高于携带G等位基因的男性。在这个样本中,与G到A替换相关的变异分别占载脂蛋白AI和高密度脂蛋白胆固醇浓度总变异的6%和4.6%。虽然目前还没有功能性的证据,但有可能A取代可能对载脂蛋白AI基因转录率有直接的积极影响,从而与载脂蛋白AI和高密度脂蛋白胆固醇浓度的增加有关,因为从肝脏或肠道中产生的载脂蛋白AI蛋白增加。
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引用次数: 0
Hepatic gene function in health and disease. 肝脏基因在健康和疾病中的作用。
Pub Date : 1990-06-01
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引用次数: 0
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Molecular biology & medicine
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