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Clinical Study evaluating the Diagnostic Value of Cardiac Ultrasound Parameters Combined With Serum miR-324-3p in Septic Cardiac Dysfunction 心超参数联合血清miR-324-3p对脓毒性心功能障碍诊断价值的临床研究
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70095
Xueqing Fu, Liu Yin

Ultrasonic examinations showed significant limitations in the early detection and prognostic prediction of sepsis-induced myocardial dysfunction (SIMD), needing assisting biomarkers. The diagnostic and prognostic potential of miR-324-3p in SIMD was evaluated in this study, aiming to explore a novel biomarker. The functional role of miR-324-3p in regulating myocardial cell injury was assessed in H9c2 cells. The study enrolled 210 sepsis patients, including 98 patients diagnosed with SIMD. The significance of miR-324-3p in SIMD risk prediction, screening, and prognosis prediction was evaluated. Moreover, ultrasonic parameters, involving LVEF, LVDd, LAD, and FS, were compared between sepsis and SIMD patients, and the diagnostic and prognostic values of these parameters were also assessed. Silencing miR-324-3p exerted significantly protective effects on myocardial cell injury. Increasing serum miR-324-3p was observed in SIMD patients and was positively correlated with Dallas grades. LVEF, LVDd, LAD, and FS also showed significance in discriminating SIMD patients, but a single parameter cannot possess both satisfactory sensitivity and specificity. Serum miR-324-3p could help improve the diagnostic accuracy, sensitivity, and specificity of ultrasonic parameters in screening SIMD, and miR-324-3p was also identified as an independent risk factor for the adverse prognosis of SIMD patients.

超声检查在脓毒症诱导心肌功能障碍(SIMD)的早期发现和预后预测方面存在明显局限性,需要辅助的生物标志物。本研究评估了miR-324-3p在SIMD中的诊断和预后潜力,旨在探索一种新的生物标志物。在H9c2细胞中评估miR-324-3p在调节心肌细胞损伤中的功能作用。该研究招募了210名败血症患者,其中98名被诊断为SIMD。评价miR-324-3p在SIMD风险预测、筛查及预后预测中的意义。比较脓毒症与SIMD患者的LVEF、LVDd、LAD、FS等超声参数,并评估这些参数的诊断和预后价值。沉默miR-324-3p对心肌细胞损伤具有显著的保护作用。SIMD患者血清miR-324-3p升高,且与Dallas分级呈正相关。LVEF、LVDd、LAD、FS对SIMD患者的鉴别也有显著意义,但单一参数不能同时具有满意的敏感性和特异性。血清miR-324-3p有助于提高超声参数筛查SIMD的诊断准确性、敏感性和特异性,miR-324-3p也被认为是SIMD患者预后不良的独立危险因素。
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引用次数: 0
MUC1 in Colorectal Carcinoma: Association With Prognosis and Putative Anoikis-Resistant Structures 结直肠癌MUC1:与预后和推测的耐气味结构的关系。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70105
Taneli T. Mattila, Madhura Patankar, Juha P. Väyrynen, Kai Klintrup, Jyrki Mäkelä, Anne Tuomisto, Pentti Nieminen, Markus J. Mäkinen, Tuomo J. Karttunen

Mucin 1 (MUC1) is overexpressed in colorectal cancer (CRC), yet its prognostic value is controversial. In vitro, MUC1 promotes anoikis resistance. Putative anoikis-resistant (AR) structures are clusters of carcinoma cells surviving without matrix contact, and are associated with adverse prognosis. We explored the prognostic role of MUC1 in CRC and its association with putative AR structures. We studied 118 patients with CRC, including 52 with nodal metastases. Immunohistochemical MUC1 expression was analyzed in primary tumors and nodal metastases by estimating the proportions of MUC1-positive carcinoma cells within different subpopulations. In primary tumors, MUC1 expression was increased in most putative AR structure types, and abundant AR structures were associated with elevated MUC1. MUC1 in primary tumors was not prognostic. In nodal metastases, MUC1 levels correlated with those in primary tumors but were lower. High MUC1 levels in both primary tumors and metastases were associated with worse prognosis as compared with expression decreasing in nodal metastases. High MUC1 expression in nodal metastases was associated with synchronous distant metastasis and adverse prognosis. In conclusion, primary tumor MUC1 is not prognostic. In nodal metastases, high MUC1 associates with distant metastasis and poor outcomes. Putative AR structures show high MUC1 expression supporting its role in anoikis resistance.

粘蛋白1 (MUC1)在结直肠癌(CRC)中过表达,但其预后价值仍有争议。在体外,MUC1促进anoikis的抗性。假定的抗气味(AR)结构是癌细胞簇在没有基质接触的情况下存活,并与不良预后相关。我们探讨了MUC1在结直肠癌中的预后作用及其与推测的AR结构的关系。我们研究了118例结直肠癌患者,其中52例有淋巴结转移。通过估计不同亚群中MUC1阳性癌细胞的比例,免疫组织化学分析MUC1在原发性肿瘤和淋巴结转移中的表达。在原发肿瘤中,MUC1在大多数推测的AR结构类型中表达增加,而丰富的AR结构与MUC1的升高有关。MUC1在原发肿瘤中与预后无关。在淋巴结转移中,MUC1水平与原发肿瘤相关,但较低。MUC1在原发肿瘤和转移瘤中的高表达与较差的预后相关,而在淋巴结转移瘤中表达降低。MUC1在淋巴结转移中高表达与同步远处转移和不良预后相关。总之,原发肿瘤MUC1与预后无关。在淋巴结转移中,高MUC1与远处转移和不良预后相关。推测的AR结构显示MUC1高表达,支持其在抗anoikis中的作用。
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引用次数: 0
Knockdown of LncRNA PART1 Inhibits Nerve Injury Caused by Ischemic Stroke by Regulating the Expression of miR-638 LncRNA PART1敲低通过调节miR-638的表达抑制缺血性脑卒中神经损伤
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-02 DOI: 10.1111/apm.70096
Guangfei Xu, Hewen Li, Ting Huang, Liang Xu, Danian Liu, Bo Ji

Ischemic stroke (IS), a life-threatening disease, carries a high risk of disability and death. Reverse transcription quantitative real-time polymerase chain reaction was utilized to measure the PART1 and miR-638 expression in patients with IS and oxygen–glucose deprivation/reoxygenation (OGD/R) model. Superoxide dismutase (SOD), malondialdehyde (MDA), lactate dehydrogenase (LDH), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) levels were determined by enzyme-linked immunosorbent assay kit. Cell viability was assessed using the cell counting kit-8 assay. Apoptotic cells were analyzed by flow cytometry. To explore the interaction between PART1 and miR-638, luciferase reporter and RNA immunoprecipitation (RIP) assays were carried out. In patients with IS and OGD/R-treated cells, PART1 exhibited upregulation, whereas miR-638 showed downregulation; there was a negative correlation between these two molecules. Knockdown of PART1 increased cell viability, decreased apoptosis, lowered MDA, LDH, IL-6 and TNF-α levels, and increased SOD activity. PART1 negatively regulated miR-638 expression, and inhibition of miR-638 reduced the protective effect of the knockdown of PART1 on OGD/R-treated cells. This study demonstrated that knockdown of PART1 inhibits IS-induced neurological injury by regulating miR-638 expression, which promotes the understanding of IS disease and provides new options for the treatment of the disease.

缺血性中风(IS)是一种危及生命的疾病,具有很高的致残和死亡风险。采用逆转录定量实时聚合酶链反应检测IS患者PART1和miR-638的表达,并采用氧-葡萄糖剥夺/再氧化(OGD/R)模型。采用酶联免疫吸附测定试剂盒检测血清超氧化物歧化酶(SOD)、丙二醛(MDA)、乳酸脱氢酶(LDH)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)水平。采用细胞计数试剂盒-8法测定细胞活力。流式细胞术检测凋亡细胞。为了探索PART1与miR-638之间的相互作用,我们进行了荧光素酶报告基因和RNA免疫沉淀(RIP)实验。在IS和OGD/ r处理细胞的患者中,PART1表现出上调,而miR-638表现出下调;这两种分子之间呈负相关。敲低PART1可提高细胞活力,减少细胞凋亡,降低MDA、LDH、IL-6、TNF-α水平,提高SOD活性。PART1负向调节miR-638的表达,抑制miR-638降低了PART1敲低对OGD/ r处理细胞的保护作用。本研究表明,PART1的敲低通过调节miR-638的表达抑制IS诱导的神经损伤,促进了对IS疾病的认识,为IS疾病的治疗提供了新的选择。
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引用次数: 0
Diagnostic and Promotes Fracture Healing Value of Deregulated miR-143-3p in Patients With Osteoporotic Fractures miR-143-3p在骨质疏松性骨折患者中的诊断和促进骨折愈合价值
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70099
Lin Chen, He Huang, Zewei Gao

Osteoporotic fractures (OPF) impose a significant socioeconomic burden. Therefore, identifying reliable molecular biomarkers for early prediction and precise treatment of OPF is crucial. This study investigated the role of miR-143-3p in OPF. We analyzed serum from 188 OPF and 110 osteoporotic (OP) patients. qRT-PCR and ROC analyses showed that miR-143-3p was significantly downregulated in OPF versus OP controls (AUC = 0.893). More importantly, its expression level was markedly higher in patients with normal healing compared to delayed healing, positioning it primarily as a prognostic biomarker for healing outcomes rather than a diagnostic tool for fracture identification. Functionally, miR-143-3p inhibited apoptosis, promoted proliferation, and upregulated osteogenic markers (OCN, OPN, RUNX2). Mechanistically, it directly targeted and negatively regulated VASH1, as confirmed by luciferase assays and rescue experiments. In conclusion, miR-143-3p may serve as a promising prognostic biomarker for predicting fracture healing outcomes, potentially by targeting VASH1.

骨质疏松性骨折(OPF)造成了严重的社会经济负担。因此,确定可靠的分子生物标志物对OPF的早期预测和精确治疗至关重要。本研究探讨了miR-143-3p在OPF中的作用。我们分析了188例OPF和110例骨质疏松(OP)患者的血清。qRT-PCR和ROC分析显示,与OP对照组相比,OPF组miR-143-3p明显下调(AUC = 0.893)。更重要的是,与延迟愈合患者相比,正常愈合患者的表达水平明显更高,这使其主要被定位为愈合结果的预后生物标志物,而不是骨折识别的诊断工具。在功能上,miR-143-3p抑制细胞凋亡,促进细胞增殖,上调成骨标志物(OCN, OPN, RUNX2)。在机制上,荧光素酶测定和救援实验证实,它直接靶向并负调控VASH1。总之,miR-143-3p可能作为预测骨折愈合结果的有希望的预后生物标志物,可能通过靶向VASH1。
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引用次数: 0
SATB2 is Rarely Expressed in Endometrial or Endocervical Carcinoma SATB2在子宫内膜癌或宫颈内膜癌中很少表达
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70110
Tatiana Amaamri-Seebach, Mousa Mobarki, Shaqraa Musawi, Michel Péoc'h, Georgia Karpathiou

Special AT-rich sequence-binding protein 2 (SATB2) can distinguish primary ovarian mucinous tumors from ovarian metastases of colorectal or appendiceal tumors. However, its expression in other gynecological localizations remains underexplored. Whole-tumor sections of 376 endometrial and 27 endocervical carcinomas were examined for SATB2 expression. Among endometrial carcinomas, we found 10 cases (2.7%) expressing SATB2, all of which were endometrioid adenocarcinomas. In 8 of them, expression concerned only the morules. Only two cases expressed SATB2 in the glandular component, indicating 0.53% positivity in this cancer group. No stromal expression was detected. One case (3.8%) of endocervical adenocarcinoma focally expressed SATB2. SATB2 expression can be reliably used in the differential diagnosis of primary endometrial endometrioid and serous carcinomas as well as primary endocervical adenocarcinomas because nearly all of these tumors are SATB2-negative. SATB2 positivity in endometrial carcinomas is almost always restricted to morules within endometrioid adenocarcinomas.

特异的AT-rich sequence-binding protein 2 (SATB2)能够区分卵巢原发黏液性肿瘤与卵巢转移性结直肠或阑尾肿瘤。然而,其在其他妇科部位的表达仍未得到充分研究。对376例子宫内膜癌和27例宫颈内膜癌的全瘤切片进行了SATB2表达检测。在子宫内膜癌中,我们发现10例(2.7%)表达SATB2,均为子宫内膜样腺癌。其中8例的表达仅与小分子有关。只有2例在腺成分中表达SATB2,在该癌组中阳性率为0.53%。未检测到间质表达。1例(3.8%)宫颈腺癌局灶表达SATB2。SATB2表达可以可靠地用于原发性子宫内膜、子宫内膜样癌和浆液性癌以及原发性宫颈内膜腺癌的鉴别诊断,因为几乎所有这些肿瘤都是SATB2阴性。SATB2在子宫内膜癌中的阳性几乎总是局限于子宫内膜样腺癌的小块内。
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引用次数: 0
Advanced CYLD Cutaneous Syndrome (CCS) Treated With the Hedgehog Signaling Pathway Inhibitor Vismodegib Results in a Limited Clinical Response 刺猬信号通路抑制剂Vismodegib治疗晚期CYLD皮肤综合征(CCS)的临床反应有限
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70104
Jeanette Kaae, Lise Mette Rahbek Gjerdrum, Tim Svenstrup Poulsen, Estrid Hoegdall, Gregor Borut Jemec

CYLD Cutaneous syndrome (CCS) is a rare autosomal dominantly inherited disease associated with multiple nodular adnexal skin tumors, most commonly trichoepitheliomas and cylindromas. There is no evidence-based treatment for this disease. This study aimed to present the histological response and to investigate whether molecular and immunohistochemical analyses (exome sequencing) may provide insight into the rapid disease development and lack of response to treatment with Vismodegib. A patient treated with the Hedgehog Pathway Inhibitor Vismodegib. The CYLD (c.1437_1438del, p.Pro480PhefsTer16) frameshift deletion was identified in the family of our patient. In addition, our patient also lost the unaffected allele and was consequently homozygous for the deletion. Treatment with Vimodegib was unfortunately not effective. Furthermore, we observed no possible biomarkers of progression and/or treatment response. Hopefully, further studies will contribute to the genetic understanding of BSS and identify patients at high risk of developing severe disease, thereby supporting the stratification of patients who will benefit from early surgical treatment or treatment with Vismodegib.

CYLD皮肤综合征(CCS)是一种罕见的常染色体显性遗传疾病,与多发结节性附件皮肤肿瘤相关,最常见的是毛上皮瘤和圆筒状瘤。这种疾病没有循证治疗方法。本研究旨在呈现组织学反应,并研究分子和免疫组织化学分析(外显子组测序)是否可以深入了解疾病的快速发展和对Vismodegib治疗缺乏反应。用刺猬通路抑制剂Vismodegib治疗的患者。在患者家族中发现CYLD (c.1437_1438del, p.Pro480PhefsTer16)移码缺失。此外,我们的患者也失去了未受影响的等位基因,因此是纯合子的缺失。不幸的是,维莫德吉治疗无效。此外,我们没有观察到可能的进展和/或治疗反应的生物标志物。希望进一步的研究将有助于对BSS的遗传学理解,并确定发展为严重疾病的高风险患者,从而支持将受益于早期手术治疗或使用Vismodegib治疗的患者分层。
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引用次数: 0
Dysbiosis and Dyslipidemia: Unraveling the Microbiome's Role in Lipid Metabolism and Therapeutic Potential 生态失调和血脂异常:揭示微生物组在脂质代谢和治疗潜力中的作用
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-12-01 DOI: 10.1111/apm.70100
Nikhil Sharma, Supriya Roy

Dysbiosis, an imbalance in the gut microbiota, has emerged as a critical factor in the development of various metabolic diseases, including dyslipidemia. Dyslipidemia, a multifactorial disorder influenced by both genetic and environmental factors, is a significant risk factor for cardiovascular diseases (CVD), such as coronary artery disease (CAD) and stroke. The gut microbiota plays a pivotal role in maintaining lipid homeostasis, interacting with the host's immune, metabolic, and endocrine systems. Recent studies have highlighted the involvement of microbiota-derived metabolites, such as bile acids, lipopolysaccharides, and short-chain fatty acids (SCFAs), in modulating lipid levels and regulating hyperlipidemia. Understanding these complex microbiome-host interactions opens new avenues for therapeutic interventions aimed at correcting lipid imbalances and restoring microbial balance. Approaches such as probiotics, prebiotics, synbiotics, and dietary modifications hold promise in managing dyslipidemia and preventing associated cardiovascular diseases. As research continues to unravel these connections, the microbiome is increasingly recognized as a promising target for therapeutic strategies in dyslipidemia.

生态失调是肠道微生物群的失衡,已成为各种代谢疾病(包括血脂异常)发展的关键因素。血脂异常是一种受遗传和环境因素影响的多因素疾病,是冠状动脉疾病(CAD)和中风等心血管疾病(CVD)的重要危险因素。肠道菌群在维持脂质稳态中起着关键作用,与宿主的免疫、代谢和内分泌系统相互作用。最近的研究强调了微生物衍生的代谢物,如胆汁酸、脂多糖和短链脂肪酸(SCFAs)在调节脂质水平和调节高脂血症中的作用。了解这些复杂的微生物-宿主相互作用为旨在纠正脂质失衡和恢复微生物平衡的治疗干预开辟了新的途径。诸如益生菌、益生元、合成菌和饮食调整等方法有望控制血脂异常和预防相关的心血管疾病。随着研究继续揭示这些联系,微生物组越来越被认为是血脂异常治疗策略的一个有希望的目标。
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引用次数: 0
Role of Systemic Inflammatory Markers in the Differential Diagnosis of Organizing Pneumonia and Lung Cancer 全身炎症标志物在组织性肺炎和肺癌鉴别诊断中的作用。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-11-26 DOI: 10.1111/apm.70103
Hilal Erinanc, Yıldız Uçar, Keziban Ucar Karabulut, Aynur Yonar, Ayse Gülhan Kanat Unler, Sevsen Kulaksizoglu

To investigate novel inflammatory indexes including neutrophil-to-lymphocyte ratio (NLR), systemic immune inflammation index (SII), systemic immune response index (SIRI), and pan-immune-inflammation value (PIV) in the diagnosis of organizing pneumonia (OP) and distinguishing OP from lung cancer (LC). The study included 125 patients with LC and 21 patients with OP. Retrospectively, we compared the values of SII, SIRI, PIV, NLR, and C-reactive protein (CRP) and evaluated correlations between the patient groups. The CRP levels in patients with OP (median: 45.2 mg/dL) were lower than those in patients with LC (median: 64 mg/dL). However, no differences were observed in systemic inflammatory indexes between the groups. Statistically significant positive correlations were found between neutrophils and NLR (r = 0.63), SIRI (r = 0.52), and SII (r = 0.72). In addition, significant negative correlations were observed between lymphocytes and NLR (r = −0.67), SIRI (r = −0.53), SII (r = −0.27), and PIV (r = −0.37). Increased CRP levels may indicate lung carcinoma risk and CRP measurements may be predictive in distinguishing between OP and LC. Additionally, high neutrophil counts, thrombocyte counts and/or lymphocytopenia might lead to a poor immune response and are linked to higher systemic inflammatory indices.

探讨中性粒细胞与淋巴细胞比值(NLR)、全身免疫炎症指数(SII)、全身免疫应答指数(SIRI)、泛免疫炎症值(PIV)等新型炎症指标对组织性肺炎(OP)的诊断及OP与肺癌(LC)的鉴别价值。该研究包括125例LC患者和21例op患者。回顾性比较SII、SIRI、PIV、NLR和c反应蛋白(CRP)的值,并评估患者组之间的相关性。OP患者的CRP水平(中位数:45.2 mg/dL)低于LC患者(中位数:64 mg/dL)。然而,两组之间的全身炎症指数没有差异。中性粒细胞与NLR (r = 0.63)、SIRI (r = 0.52)、SII (r = 0.72)呈正相关。淋巴细胞与NLR (r = -0.67)、SIRI (r = -0.53)、SII (r = -0.27)、PIV (r = -0.37)呈显著负相关。CRP水平升高可能提示肺癌的危险,CRP测量可用于区分OP和LC。此外,高中性粒细胞计数、血小板计数和/或淋巴细胞减少症可能导致免疫反应差,并与较高的全身炎症指数有关。
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引用次数: 0
Gut Microbiota Dynamics and Their Role in Pathogenesis and Management of Diabetes 肠道菌群动力学及其在糖尿病发病和治疗中的作用。
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-11-25 DOI: 10.1111/apm.70090
Anjali Kumari, Swati Priya, Indrani Barman, Archna Dhasmana, Sarvesh Rustagi, Shailendra Thapliyal, Ravi Kumar Deshwal, Sumira Malik, Jutishna Bora

The gut microbiota (GM) has emerged as an important element in the management of host metabolism, immune functions, and overall metabolic well-being. This review consolidates contemporary research regarding the intricate relationship between GM and diabetes mellitus, focusing on the mechanisms by which microbial composition and activity affect the development of both Type 1 (T1D) and Type 2 diabetes (T2D). Dysbiosis—characterized by diminished microbial diversity, a modified Firmicutes/Bacteroidetes ratio, and a reduction in advantageous SCFA-producing bacteria—has been significantly associated with disrupted glucose metabolism, insulin resistance, and persistent inflammation. Additionally, the review discusses the potential for microbial signatures and metabolites, such as SCFAs, lipopolysaccharides (LPS), and trimethylamine N-oxide (TMAO), to serve as novel biomarkers for early detection and risk evaluation. Moreover, it investigates therapeutic approaches designed to reestablish microbial balance through the use of probiotics, prebiotics, dietary changes, fecal microbiota transplantation (FMT), and microbiome engineering. By integrating findings from recent research, this paper emphasizes the groundbreaking possibilities of microbiome-centric diagnostics and treatments in individualized diabetes care.

肠道菌群(GM)已成为宿主代谢、免疫功能和整体代谢健康管理的重要因素。本文综述了转基因与糖尿病之间复杂关系的当代研究,重点关注微生物组成和活性影响1型(T1D)和2型糖尿病(T2D)发展的机制。以微生物多样性减少、厚壁菌门/拟杆菌门比例改变和有利的scfa产生细菌减少为特征的生态失调与葡萄糖代谢紊乱、胰岛素抵抗和持续炎症显著相关。此外,该综述还讨论了微生物特征和代谢物的潜力,如SCFAs、脂多糖(LPS)和三甲胺n -氧化物(TMAO),作为早期检测和风险评估的新型生物标志物。此外,它还研究了旨在通过使用益生菌、益生元、饮食改变、粪便微生物群移植(FMT)和微生物组工程来重建微生物平衡的治疗方法。通过整合最近的研究成果,本文强调了以微生物组为中心的诊断和治疗在个体化糖尿病护理中的突破性可能性。
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引用次数: 0
TCF21 Downregulation Induces ERO1A Expression and Upregulates IDO1 to Trigger Immune Escape in Lung Adenocarcinoma 肺腺癌中TCF21下调诱导ERO1A表达和上调IDO1触发免疫逃逸
IF 2.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-11-25 DOI: 10.1111/apm.70094
Fei Chen, Xiayan Sun

Transcription factor TCF21 is downregulated in lung adenocarcinoma (LUAD), contributing to poor treatment outcomes. This study explores its role in regulating CD8+ T cell-mediated antitumor immunity and metastasis. TCF21 expression was analyzed via TCGA. Downstream target ERO1A was identified using JASPAR prediction, validated by dual-luciferase/ChIP assays. LUAD mouse models and cell experiments (Transwell, flow cytometry, LDH/ELISA) assessed impacts on metastasis and CD8+ T cell function. The results showed that TCF21 overexpression inhibited LUAD migration/invasion and enhanced CD8+ T cell cytotoxicity. Mechanistically, TCF21 repressed ERO1A transcription, reducing IDO1 expression. Conversely, ERO1A overexpression promoted metastasis and suppressed CD8+ T cell activity via IDO1 upregulation. Knockdown of ERO1A or IDO1 blockade reversed the pro-tumor effects of TCF21 loss. In conclusion, TCF21 downregulation in LUAD activates the ERO1A-IDO1 axis, enabling immune escape from CD8+ T cell killing and accelerating malignancy.

转录因子TCF21在肺腺癌(LUAD)中下调,导致治疗结果不佳。本研究探讨其在调节CD8+ T细胞介导的抗肿瘤免疫和转移中的作用。TCGA检测TCF21表达。下游目标ERO1A通过JASPAR预测鉴定,并通过双荧光素酶/ChIP试验验证。LUAD小鼠模型和细胞实验(Transwell、流式细胞术、LDH/ELISA)评估了对转移和CD8+ T细胞功能的影响。结果表明,TCF21过表达抑制LUAD的迁移/侵袭,增强CD8+ T细胞的细胞毒性。机制上,TCF21抑制了ERO1A的转录,降低了IDO1的表达。相反,ERO1A过表达通过上调IDO1促进转移并抑制CD8+ T细胞活性。敲低ERO1A或IDO1阻断可逆转TCF21缺失的促肿瘤作用。总之,LUAD中TCF21的下调激活了ERO1A-IDO1轴,使免疫逃避CD8+ T细胞的杀伤,加速了恶性肿瘤的发生。
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