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Uncomplicated and Complicated Acute Appendicitis Induce Different Cytokine Patterns 单纯和复杂急性阑尾炎诱导不同的细胞因子模式。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-19 DOI: 10.1111/apm.70168
Tatu Han, Tuomas Borman, Sanja Vanhatalo, Leo Lahti, Eliisa Löyttyniemi, Saija Hurme, Eveliina Munukka, Teemu Kallonen, Antti Hakanen, Maija Hollmén, Paulina Salminen

Although acute appendicitis is one of the most common reasons for emergency surgery, the immunopathogenesis of appendicitis is unclear. The aim of this prospective pre-defined subgroup analysis study was to characterize serum cytokine profiles and their diagnostic potential in distinguishing between appendicitis severity to offer further insight into the immunopathology of appendicitis. We analyzed 48 cytokines from the serum samples of patients with either uncomplicated or complicated appendicitis. Out of the 113 patients included in the study, 72 patients presented with uncomplicated and 41 patients with complicated acute appendicitis. Compared to uncomplicated appendicitis, complicated appendicitis showed statistically significantly elevated levels in interleukin 6 (IL-6) (p < 0.001), hepatocyte growth factor (HGF) (p = 0.003), and monocyte chemoattractant protein 1 (MCP-1) (p < 0.001). IL-6 had the best performance (area under curve 0.785) in predicting complicated acute appendicitis. The immune response is notably different between complicated and uncomplicated appendicitis, underlining the two different diseases within acute appendicitis. IL-6 may be utilized as a diagnostic biomarker for complicated appendicitis.

Trial Registration: Clinicaltrials.gov NCT03257423

虽然急性阑尾炎是急诊手术最常见的原因之一,但阑尾炎的免疫发病机制尚不清楚。这项前瞻性预先定义的亚组分析研究的目的是表征血清细胞因子谱及其在区分阑尾炎严重程度方面的诊断潜力,以进一步了解阑尾炎的免疫病理学。我们分析了48个细胞因子从患者的血清样本,无论是单纯或复杂的阑尾炎。在纳入研究的113例患者中,72例为无并发症急性阑尾炎,41例为并发症急性阑尾炎。与非复杂性阑尾炎相比,复杂性阑尾炎的白细胞介素6 (IL-6)水平显著升高(p
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引用次数: 0
Allicin Targets Carbapenemase and Efflux Pump Activity in Klebsiella pneumoniae to Mitigate Meropenem Resistance 大蒜素靶向肺炎克雷伯菌碳青霉烯酶和外排泵活性以减轻美罗培南耐药性。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-17 DOI: 10.1111/apm.70164
Luxiang Liu, Feifei Lin, Jinxiang Wu, Siqin Long, Jiaojian Lv

Antimicrobial resistance in Klebsiella pneumoniae (KP) has become a major global public health threat. Allicin, a natural antimicrobial agent, has demonstrated antibacterial activity against KP, but its effect on drug resistance remains unclear. To investigate whether allicin can weaken KP's resistance to meropenem (MEM) and reveal its synergistic mechanism, this study treated KP strains with gradient concentrations of MEM. Resistant strains were identified using the broth microdilution method and viable bacterial counting. Checkerboard assay, time-kill kinetics and isobologram analyses were used to analyse the antibacterial effect of different concentrations of allicin and MEM combined treatment. Molecular docking and cellular thermal shift assay (CETSA) were employed to evaluate the binding of allicin to carbapenemase and efflux pump-related proteins. A mouse model of KP pneumonia was established to investigate the therapeutic effect of allicin combined with MEM. Compared with MEM monotherapy, allicin + MEM acted synergistically, lowering the effective MEM dose by targeting carbapenemase and efflux pumps and mitigating KP-induced pneumonia. This study suggests that the combination of allicin and MEM may be a potential method for reducing bacterial resistance and exerting antibacterial efficacy.

肺炎克雷伯菌(KP)的抗微生物药物耐药性已成为一项重大的全球公共卫生威胁。大蒜素是一种天然抗菌剂,已证明对KP具有抗菌活性,但其对耐药的影响尚不清楚。为了研究大蒜素是否能减弱KP对美罗培南(MEM)的耐药性,揭示其协同作用机制,本研究采用梯度浓度的MEM处理KP菌株。采用微量肉汤稀释法和活菌计数法鉴定耐药菌株。采用棋盘法、时间杀伤动力学和等线图法分析不同浓度大蒜素与MEM联合处理的抑菌效果。采用分子对接和细胞热移法(CETSA)评价大蒜素与碳青霉烯酶和外排泵相关蛋白的结合。建立KP肺炎小鼠模型,观察大蒜素联合MEM治疗KP肺炎的疗效。与MEM单药治疗相比,大蒜素+ MEM协同作用,通过靶向碳青霉烯酶和外排泵降低MEM的有效剂量,减轻kp诱导的肺炎。本研究提示,大蒜素与MEM联用可能是降低细菌耐药性、发挥抗菌作用的一种潜在方法。
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引用次数: 0
The Role of Human Microbiota in Autoimmune Diseases: Exploring Dysbiosis and Mechanisms 人类微生物群在自身免疫性疾病中的作用:探索生态失调及其机制。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-16 DOI: 10.1111/apm.70159
Shangyu Liu, Sarvin Sanaie, Hamed Abdollahi, Fatemeh Yazdanfar, Shakiba Khaki, Siavash vadaye kheiri, Ahmad Mobed

Humans host between 10 and 100 trillion microbial cells, engaging in a mutually beneficial relationship with their microbiota. This intricate ecosystem supports both the microbes and their hosts, provided the body remains in good health. Estimates indicate that the human microbiota comprises over 1000 unique species of microorganisms, which play a crucial role in maintaining immune balance. They help modulate responses to harmless antigens and maintain the integrity of the intestinal mucosal barrier. When the gut microbiota becomes disrupted, a condition known as dysbiosis, it can lead to a range of immune disorders, including autoimmune diseases. Dysbiosis can influence the development and progression of inflammatory and autoimmune conditions by affecting immune system function and inflammatory responses. The present study aims to provide a comprehensive analysis of the relationship between microbiota and autoimmune diseases. It delves into how microbiota imbalances can contribute to autoimmune conditions and explores the underlying mechanisms involved. By integrating recent research and data, this study seeks to enhance our understanding of the microbiota's impact on autoimmune disease mechanisms and offer insights into potential therapeutic strategies.

人类拥有10到100万亿个微生物细胞,与他们的微生物群保持着互利的关系。这个复杂的生态系统既支持微生物,也支持它们的宿主,只要身体保持健康。估计表明,人类微生物群由1000多种独特的微生物组成,它们在维持免疫平衡方面发挥着至关重要的作用。它们有助于调节对无害抗原的反应,并维持肠粘膜屏障的完整性。当肠道微生物群被破坏时,这种情况被称为生态失调,它会导致一系列免疫紊乱,包括自身免疫性疾病。生态失调可以通过影响免疫系统功能和炎症反应来影响炎症和自身免疫性疾病的发生和进展。本研究旨在全面分析微生物群与自身免疫性疾病之间的关系。它深入研究了微生物群失衡如何导致自身免疫性疾病,并探讨了相关的潜在机制。通过整合最近的研究和数据,本研究旨在增强我们对微生物群对自身免疫性疾病机制的影响的理解,并为潜在的治疗策略提供见解。
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引用次数: 0
Pathogenic Role of β-Endo-N-Acetylglucosaminidase (LytB) in Streptococcus pneumoniae: Functional Insights Into a Choline-Binding Cell Wall Hydrolase β-内切- n -乙酰氨基葡萄糖苷酶(LytB)在肺炎链球菌中的致病作用:对胆碱结合细胞壁水解酶的功能见解。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-15 DOI: 10.1111/apm.70162
Divya, Anjana Pandey

Streptococcus pneumoniae, which imposes the highest burden on children under 2 years of age, immunocompromised individuals and the elderly in developing countries, causes a range of diseases including pneumonia, meningitis, bacteraemia and septicaemia. Its virulence is driven by an array of surface proteins categorised into four families: non-classical surface proteins, LPXTG-sequence proteins, lipoproteins and choline-binding proteins. The different choline-binding proteins include LytA, LytB, LytC, PspA, CbpA, CbpD, CbpL and CbpF, each with varying numbers of choline-binding repeats in their domains. This review focuses on β-endo-acetylglucosaminidase (LytB), a non-autolytic peptidoglycan hydrolase, emphasising its pivotal role in the pathogenic mechanisms of S. pneumoniae. LytB, with its multiple functional domains (CB, SH3B, WW and GH73), facilitates adhesion to host tissues, promoting initial colonisation, immune evasion and subsequent bacterial dissemination. These functions enable the bacterium to establish invasive diseases. LytB's interactions with host cells and extracellular matrix components underscore its importance in S. pneumoniae pathogenicity. In summary, LytB is a multifaceted choline-binding protein critical to pneumococcal virulence. A detailed understanding of its mechanisms and domain-specific interactions offers promising avenues for the development of novel chemical and plant-based therapeutic strategies, including drugs and vaccines, to combat pneumococcal infections.

肺炎链球菌对发展中国家两岁以下儿童、免疫功能低下者和老年人造成的负担最重,它会导致一系列疾病,包括肺炎、脑膜炎、菌血症和败血症。它的毒力是由一系列表面蛋白驱动的,这些表面蛋白分为四个家族:非经典表面蛋白、lpxtg序列蛋白、脂蛋白和胆碱结合蛋白。不同的胆碱结合蛋白包括LytA、LytB、LytC、PspA、CbpA、CbpD、CbpL和CbpF,每种蛋白在其结构域具有不同数量的胆碱结合重复序列。本文综述了β-内切乙酰氨基葡萄糖酶(LytB),一种非自溶肽聚糖水解酶,强调其在肺炎链球菌致病机制中的关键作用。LytB具有多个功能域(CB、SH3B、WW和GH73),可促进与宿主组织的粘附,促进初始定植、免疫逃避和随后的细菌传播。这些功能使细菌能够建立侵入性疾病。LytB与宿主细胞和细胞外基质组分的相互作用强调了其在肺炎链球菌致病性中的重要性。总之,LytB是一个多方面的胆碱结合蛋白,对肺炎球菌的毒力至关重要。详细了解其机制和特定领域的相互作用,为开发新的化学和植物治疗策略(包括药物和疫苗)提供了有希望的途径,以对抗肺炎球菌感染。
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引用次数: 0
XIST Improves Mitophagy and Exerts Perioperative Myocardial Protection Through miR-212-3p/CALCOCO2/OPTN XIST通过miR-212-3p/CALCOCO2/OPTN改善线粒体自噬并发挥围手术期心肌保护作用。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-11 DOI: 10.1111/apm.70157
Lili Zhou, Hang Qi, Liping Zhu, Dongcai Feng

Acute coronary syndrome (ACS) is a high-risk disease among cardiovascular diseases. This study is to screen for lncRNA ceRNA regulatory network in acute coronary syndrome associated with percutaneous coronary intervention (PCI) and to validate the XIST/miR-212-3p/CALCOCO2/OPTN axes. lncRNA, miRNA, and mRNA expression microarray data were retrieved and downloaded from the GEO database. Dysregulated lncRNAs and miRNAs were collected using the GEO database. Target genes were predicted and subjected to KEGG pathway analysis. The serum levels of lncRNA XIST, miR-212-3p, CALCOCO2, and OPTN were detected by RT-qPCR. The H9C2 hypoxia-reoxygenation (H/R) injury model was established. The cell viability was detected. The related indicators of mitophagy were detected by flow cytometry and Western blot. Six PCI-related lncRNAs were identified in ACS, linked to 44 PCI-associated miRNAs and 159 PCI-associated mRNAs. KEGG pathway analysis suggested the mitophagy pathway, which involved XIST/miR-212-3p/CALCOCO2/OPTN axes. The levels of XIST, CALCOCO2, and OPTN were increased while the level of miR-212-3p was decreased in PCI patients. Taken together, our results suggest that lncRNA-miRNA-mRNA networks associated with PCI in ACS were presented. In the H/R cell model, XIST promoted mitophagy through miR-212-3p/CALCOCO2/OPTN. XIST can promote mitophagy through the miR-212-3p/CALCOCO2/OPTN axis, thereby alleviating myocardial cell injury.

急性冠脉综合征(ACS)是心血管疾病中的高危疾病。本研究旨在筛选与经皮冠状动脉介入治疗(PCI)相关的急性冠状动脉综合征的lncRNA ceRNA调控网络,并验证XIST/miR-212-3p/CALCOCO2/OPTN轴。从GEO数据库中检索并下载lncRNA、miRNA和mRNA表达微阵列数据。使用GEO数据库收集失调的lncrna和mirna。预测靶基因并进行KEGG通路分析。RT-qPCR检测血清lncRNA XIST、miR-212-3p、CALCOCO2、OPTN水平。建立H9C2缺氧再氧合(H/R)损伤模型。检测细胞活力。流式细胞术和Western blot检测线粒体自噬相关指标。在ACS中鉴定了6个pci相关的lncrna,与44个pci相关的mirna和159个pci相关的mrna相连。KEGG通路分析提示有丝分裂通路涉及XIST/miR-212-3p/CALCOCO2/OPTN轴。PCI患者XIST、CALCOCO2、OPTN水平升高,miR-212-3p水平降低。综上所述,我们的结果表明,lncRNA-miRNA-mRNA网络与ACS患者PCI相关。在H/R细胞模型中,XIST通过miR-212-3p/CALCOCO2/OPTN促进线粒体自噬。XIST可以通过miR-212-3p/CALCOCO2/OPTN轴促进线粒体自噬,从而减轻心肌细胞损伤。
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引用次数: 0
In-Silico Characterisation of Burkholderia pseudomallei K96243 Pathogenic Islands: Unveiling Novel Targets for Therapeutic Development 假马氏伯克氏菌K96243致病性岛的硅表征:揭示治疗发展的新靶点。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-10 DOI: 10.1111/apm.70161
Nidhi Verma, Anmol Srivastava, Shubham Sharma, Vishnu Agarwal

Burkholderia pseudomallei is a deadly bacterium responsible for melioidosis, which is challenging to treat because of its antibiotic resistance and ability to evade the immune response. This study is focused on in silico analysis to identify novel drug targets. The B. pseudomallei K96243 strain, we have identified seven pathogenicity islands with 138 genes. Subsequent filtering based on criteria such as the data present, essentiality, lack of human homology, and uniqueness narrowed this to 24 promising targets, with eight top candidates. These include proteins involved in energy production (ctaB, BPSL1454, BPSS0086, petB, BPSL1260 and BPSL1259), immune evasion (BPSL1655 and BPSS1780), and the porin efflux pump. Computational interaction analysis revealed a connection between these targets and human immune and respiratory pathways. Prominently, all eight potential drug target candidates showed no homology to human proteins, highlighting their promising role in drug development against melioidosis. This work provides an important framework for identifying novel therapeutics and vaccines against B. pseudomallei.

假性伯克霍尔德菌是一种致命的细菌,导致类鼻疽,由于其抗生素耐药性和逃避免疫反应的能力,治疗具有挑战性。本研究的重点是在硅分析,以确定新的药物靶点。假芽孢杆菌K96243菌株鉴定出7个致病岛,共138个基因。随后根据现有数据、必要性、缺乏人类同源性和独特性等标准进行筛选,将其缩小到24个有希望的目标,其中有8个候选目标。这些蛋白质包括参与能量产生(ctaB, BPSL1454, BPSS0086, petB, BPSL1260和BPSL1259),免疫逃避(BPSL1655和BPSS1780)和孔蛋白外排泵的蛋白质。计算相互作用分析揭示了这些靶点与人类免疫和呼吸途径之间的联系。值得注意的是,所有8个潜在的候选药物都与人类蛋白没有同源性,这突出了它们在治疗类鼻疽的药物开发中的重要作用。这项工作为鉴别假芽孢杆菌的新疗法和疫苗提供了重要的框架。
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引用次数: 0
Latent Pathogens and Quasi-Latent Pathogens—The Differences and Similarities 潜伏病原体与准潜伏病原体的异同。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-08 DOI: 10.1111/apm.70160
Kevin Roe

Many pathogens have evolved capabilities for maintaining chronic infections by entering one or more stages of latency to avoid immune system detection and attack. Several latent pathogens are capable of periodic reactivations decades after their initial infections. However, other pathogens have not evolved intrinsic capabilities for latency to maintain chronic infections, but several of these pathogens can maintain chronic infections by what herein will be called “quasi-latency” in response to suppressions or nutrient deprivation. When later events reduce such suppressions, the quasi-latent pathogens can achieve “resurgent” infections. These quasi-latent pathogens can quickly achieve resurgent infections, which are severe and frequently lethal. This raises the question of how some pathogens can be suppressed into quasi-latency, and how they can become resurgent. Besides innate and adaptive immune cell actions that kill pathogens or pathogen-infected cells, pathogens can be suppressed by nutritional deprivation. Iron deprivation is frequently effective, since iron is essential for pathogens. For instance, hemolytic protozoan parasite infections can provide heme and iron for the resurgence of quasi-latent, iron-deprived pathogens. This could explain the pathogenesis of two puzzling, sometimes lethal pregnancy disorders, pre-eclampsia and eclampsia, which have caused the deaths of millions of women for centuries.

许多病原体已经进化出通过进入一个或多个潜伏期阶段来维持慢性感染的能力,以避免免疫系统的检测和攻击。一些潜伏的病原体在初次感染几十年后能够周期性地重新激活。然而,其他病原体并没有进化出内在的潜伏期来维持慢性感染,但是这些病原体中的一些可以通过这里所说的“准潜伏期”来维持慢性感染,以应对抑制或营养剥夺。当后来的事件减少这种抑制时,准潜伏病原体可以实现“复活”感染。这些准潜伏的病原体可以迅速实现重新感染,这是严重的,往往是致命的。这就提出了一些问题,即一些病原体是如何被抑制到准潜伏期的,以及它们是如何复活的。除了先天和适应性免疫细胞的作用,杀死病原体或病原体感染的细胞,病原体可以抑制营养剥夺。缺铁通常是有效的,因为铁是病原体所必需的。例如,溶血性原生动物寄生虫感染可以为准潜伏的缺铁病原体的复活提供血红素和铁。这可以解释两种令人费解的、有时是致命的妊娠障碍——先兆子痫和子痫——的发病机制,几个世纪以来,这两种疾病导致了数百万妇女的死亡。
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引用次数: 0
Pathogen Distribution and Antimicrobial Resistance Patterns in Pediatric Lower Respiratory Tract Mycoplasma pneumoniae Pneumonia 小儿下呼吸道肺炎支原体肺炎病原菌分布及耐药模式。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-08 DOI: 10.1111/apm.70158
Boying Wu, Zhe Zhang, Chenbo Zhu, Qiaoyi Xie, Huali Shao

We aimed to characterize the distribution of respiratory pathogens and antimicrobial resistance profiles in children with lower respiratory tract Mycoplasma pneumoniae pneumonia (MPP) and to identify clinical factors associated with multidrug-resistant (MDR) infection. A retrospective analysis of 125 pediatric MPP patients was conducted. Microbiological identification and antimicrobial susceptibility testing were performed on bronchoalveolar lavage fluid isolates. Based on susceptibility results, patients were categorized into an MDR group (n = 25) and a non-MDR group (n = 100). Multivariate logistic regression identified independent predictors of MDR infection. Among Gram-negative isolates, Klebsiella pneumoniae had the highest resistance to cefotaxime (40%), Escherichia coli to piperacillin (50%), and Pseudomonas aeruginosa to aztreonam (54%). For Gram-positive bacteria, resistance to penicillin was most pronounced in Staphylococcus aureus (76%) and Streptococcus pneumoniae (83%). Staphylococcus epidermidis showed elevated resistance to clindamycin, levofloxacin, and penicillin (43% each). Multivariate analysis identified prolonged hospitalization (≥ 14 days), antibiotic exposure for ≥ 7 days, and invasive respiratory procedures as independent risk factors for MDR infection (p < 0.05). Co-isolated bacterial pathogens from children with lower respiratory tract MPP show notable antimicrobial resistance. Routine pathogen testing and susceptibility profiling are crucial for guiding targeted therapy and curbing multidrug resistance.

我们的目的是表征呼吸道病原体的分布和下呼吸道肺炎支原体肺炎(MPP)儿童的抗微生物药物耐药性概况,并确定与多药耐药(MDR)感染相关的临床因素。对125例小儿MPP患者进行回顾性分析。对支气管肺泡灌洗液分离株进行微生物学鉴定和药敏试验。根据易感结果将患者分为MDR组(n = 25)和非MDR组(n = 100)。多因素logistic回归确定了耐多药感染的独立预测因子。革兰氏阴性菌株中,肺炎克雷伯菌对头孢噻肟的耐药性最高(40%),大肠埃希菌对哌拉西林的耐药性最高(50%),铜绿假单胞菌对氨曲南的耐药性最高(54%)。对于革兰氏阳性菌,对青霉素的耐药性在金黄色葡萄球菌(76%)和肺炎链球菌(83%)中最为明显。表皮葡萄球菌对克林霉素、左氧氟沙星和青霉素的耐药性升高(各43%)。多因素分析发现,住院时间延长(≥14天)、抗生素暴露≥7天和侵入性呼吸手术是耐多药感染的独立危险因素
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引用次数: 0
Rapid Automated Immunohistochemistry on Frozen Sections Enables Real-Time Surgical Pathology Decisions 冷冻切片快速自动免疫组化可实现实时手术病理决策。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-03 DOI: 10.1111/apm.70145
Camilla Christine Qvist, Mie Bruun Elmbak, Julie Smith, Josefine Staldgaard, Gry Lipczak, Majbritt Wagner-Eckert, Tina Klitmøller Agander

Intraoperative frozen section (FS) analysis is critical in surgical pathology, but conventional hematoxylin and eosin (H&E) staining has limitations in poorly differentiated neoplasms and resection margins. Immunohistochemistry (IHC) provides higher diagnostic specificity, yet has traditionally been too time-consuming for intraoperative urgency. This study aimed to optimize, validate, and evaluate Fast Frozen Rapid Automated Immunohistochemistry (FFRA-IHC) using the Q-Stain X Autostainer to improve surgical diagnostics. After optimization with antibodies CKAE, CK5, CK7, CD45, and Synaptophysin, 44 tissue samples from patients undergoing surgery at Rigshospitalet, Copenhagen, were analyzed by FS H&E, FFRA-IHC, and standard formalin-fixed paraffin-embedded (FFPE) methods. Automated FFRA-IHC showed high diagnostic accuracy and supported immediate clinical decision-making: of 37 tumors not classifiable by FS H&E alone, 25 (68%) were classified into specific tumor types, and all five ambiguous resection margins were resolved. A cost–benefit analysis indicated efficiency gains with reduced hands-on time compared to manual IHC. In conclusion, FFRA-IHC demonstrated promising results for enhancing intraoperative diagnostics, leading to its implementation in the daily workflow at our department. Future studies should expand antibody panels and assess the broader clinical impact to further improve intra- and perioperative care.

术中冷冻切片(FS)分析在外科病理中是至关重要的,但传统的苏木精和伊红(H&E)染色在低分化肿瘤和切除边缘有局限性。免疫组织化学(IHC)提供了更高的诊断特异性,但传统上对术中急症诊断过于耗时。本研究旨在优化、验证和评估使用Q-Stain X Autostainer的快速冷冻快速自动免疫组织化学(FFRA-IHC),以提高外科诊断。经抗体CKAE、CK5、CK7、CD45和Synaptophysin优化后,采用FS H&E、FFRA-IHC和标准福尔马林固定石蜡包埋(FFPE)方法对哥本哈根Rigshospitalet手术患者的44份组织样本进行分析。自动FFRA-IHC显示出较高的诊断准确性,并支持即时的临床决策:在37个无法单独用FS H&E分类的肿瘤中,25个(68%)被分类为特定的肿瘤类型,所有5个模糊切除边缘都得到了解决。成本效益分析表明,与手工IHC相比,减少了动手时间,从而提高了效率。综上所述,FFRA-IHC在加强术中诊断方面显示出良好的效果,因此在我科的日常工作中得以实施。未来的研究应扩大抗体组,并评估更广泛的临床影响,以进一步改善术中和围手术期护理。
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引用次数: 0
miR-5701 Drives Bone Fracture Repair in Osteoporosis Through TP53 Regulation miR-5701通过TP53调控促进骨质疏松症骨折修复。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2026-02-02 DOI: 10.1111/apm.70153
Sinan Liu, Yuan Ruan, Ganggang Wang, Ningning Zhang, Huiling Qin

This study identified miR-5701 and TP53 through bioinformatics analysis utilizing the GEO, GeneCards, and miRDB databases. The serum expression levels were quantified via Reverse Transcription Quantitative Real-time Polymerase Chain Reaction (RT-qPCR). The binding relationship between miR-5701 and TP53 was confirmed using dual luciferase reporter assays. Subsequently, MC3T3-E1 cell differentiation was induced with Bone Morphogenetic Protein 2 (BMP2), and the expression changes of miR-5701 and TP53 after cell differentiation were detected. Subsequently, after overexpression of miR-5701 and TP53, the expression levels of key osteogenic differentiation markers Alkaline Phosphatase (ALP), Osteocalcin (OCN), and type I collagen were evaluated by ELISA. Serum miR-5701 expression is downregulated in osteoporotic fracture patients, while it increases after osteoblast differentiation. TP53 is a negative regulatory binding factor downstream of miR-5701. The mRNA expression of TP53 in the patient serum and the differentiated osteoblast cells is exactly opposite to that of miR-5701. Overexpression of miR-5701-mediated promotion of osteoblast proliferation and differentiation can be reversed by TP53. miR-5701 was found to facilitate osteoblast proliferation and differentiation through negative regulation of the target gene TP53 expression, suggesting that miR-5701 could serve as a promising therapeutic target for promoting fracture healing.

本研究利用GEO、GeneCards和miRDB数据库通过生物信息学分析鉴定出miR-5701和TP53。通过逆转录定量实时聚合酶链反应(RT-qPCR)测定血清表达水平。双荧光素酶报告基因检测证实了miR-5701与TP53的结合关系。随后,用骨形态发生蛋白2 (Bone Morphogenetic Protein 2, BMP2)诱导MC3T3-E1细胞分化,检测细胞分化后miR-5701和TP53的表达变化。随后,过表达miR-5701和TP53后,通过ELISA检测成骨分化关键标志物碱性磷酸酶(ALP)、骨钙素(OCN)和I型胶原蛋白的表达水平。骨质疏松性骨折患者血清miR-5701表达下调,成骨细胞分化后miR-5701表达升高。TP53是miR-5701下游的负调控结合因子。TP53 mRNA在患者血清和分化成骨细胞中的表达与miR-5701完全相反。过表达mir -5701介导的成骨细胞增殖和分化的促进可被TP53逆转。研究发现miR-5701通过负调控靶基因TP53表达促进成骨细胞增殖和分化,提示miR-5701可作为促进骨折愈合的有希望的治疗靶点。
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引用次数: 0
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