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Oral Paraneoplastic Pemphigus: A Scoping Review on Pathogenetic Mechanisms and Histo-Serological Profile. 口腔副肿瘤性丘疹:病因机制和组织血清学特征的范围界定综述。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-11-22 DOI: 10.3390/antib13040095
Domenico De Falco, Sabrina Messina, Massimo Petruzzi

Paraneoplastic pemphigus (PNP) is a rare autoimmune disorder associated with underlying neoplasms, predominantly Non-Hodgkin Lymphomas, affecting adults aged 45 to 70. This review analyzed 87 articles from MEDLINE/PubMed, Ovid and Scopus focusing on patients with oral manifestations of PNP, emphasizing histological and serological aspects and discussing recent updates on pathogenetic options. Key findings revealed that PNP is often diagnosed before the neoplasm, with Follicular variant Non-Hodgkin Lymphoma and Castleman Disease being the most common associations. Histopathological analysis showed suprabasal acantholysis and inflammation, and serological tests identify a comprehensive autoantibody panel, underscoring the need for standardized diagnostic criteria and improved serological testing.

副肿瘤性丘疹(PNP)是一种罕见的自身免疫性疾病,与潜在的肿瘤(主要是非霍奇金淋巴瘤)有关,好发于 45 至 70 岁的成年人。本综述分析了来自 MEDLINE/PubMed、Ovid 和 Scopus 的 87 篇文章,重点关注有口腔表现的 PNP 患者,强调组织学和血清学方面的问题,并讨论了最新的病因学方案。主要研究结果表明,PNP 通常在肿瘤出现之前就已确诊,而滤泡变异型非霍奇金淋巴瘤和卡斯特曼病是最常见的相关疾病。组织病理分析显示基底膜上棘层溶解和炎症,血清学检测则发现了全面的自身抗体,强调了标准化诊断标准和改进血清学检测的必要性。
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引用次数: 0
Enhancing Tumor Immunity with IL-12 and PD-1 Blockade: A Strategy for Inducing Robust Central Memory T Cell Responses in Resistant Cancer Model. 用 IL-12 和 PD-1 阻断剂增强肿瘤免疫:在耐药性癌症模型中诱导稳健的中央记忆 T 细胞应答的策略
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.3390/antib13040094
Fentian Chen, Kexin Wu, Shiqi Lin, Jinlong Cui, Xiaoqing Chen, Zhiren Zeng, Na Yuan, Mujin Fang, Xue Liu, Yuanzhi Chen, Wenxin Luo

Background: Although immune checkpoint inhibitors (ICIs) have demonstrated efficacy in treating advanced cancers, their therapeutic success remains limited for many patients, with initial responders often experiencing resistance and relapse. Interleukin-12 (IL-12) is a powerful cytokine for antitumor immunotherapy, enhancing both lymphocyte recruitment into tumors and immune cell activation. Methods: In this study, we successfully produced mouse interleukin-12 (mIL12) through eukaryotic recombinant expression. In vivo, mIL12 exhibited significant control of tumor immunity in ICI-resistant and aggressive tumor models. Further mechanistic analysis indicated that treatment with mIL12 led to a substantial increase in tumor-infiltrating CD4+ T, CD8+ T, cDC1, and CD103+ cDC1 cells. Results: Our data underscore the potential of a combined therapeutic strategy involving IL-12 with PD-1 and CTLA-4 blockade to elicit a potent antitumor immune response. Notably, the co-administration of mIL12 and PD-1 blockade significantly enhanced the presence of central memory T cells (TCM) within tumors. Conclusions: This study is the first to provide evidence that the combination of mIL12 and PD-1 blockers promotes the generation of TCM, potentially contributing to a robust and durable antitumor effect.

背景:尽管免疫检查点抑制剂(ICIs)在治疗晚期癌症方面已显示出疗效,但其对许多患者的治疗效果仍然有限,初始应答者往往会出现抗药性和复发。白细胞介素-12(IL-12)是一种强大的抗肿瘤免疫疗法细胞因子,它能增强淋巴细胞进入肿瘤的招募和免疫细胞的激活。研究方法在这项研究中,我们通过真核重组表达成功制备了小鼠白细胞介素-12(mIL12)。在体内,mIL12 在 ICI 抗性和侵袭性肿瘤模型中表现出显著的肿瘤免疫控制作用。进一步的机理分析表明,使用 mIL12 会导致肿瘤浸润的 CD4+ T、CD8+ T、cDC1 和 CD103+ cDC1 细胞数量大幅增加。结果:我们的数据强调了IL-12与PD-1和CTLA-4阻断联合治疗策略在激发强效抗肿瘤免疫反应方面的潜力。值得注意的是,联合应用 mIL12 和 PD-1 阻断可显著增强肿瘤内中枢记忆 T 细胞(TCM)的存在。结论本研究首次提供证据表明,mIL12 和 PD-1 阻断剂联合使用可促进中枢记忆 T 细胞的生成,从而产生强大而持久的抗肿瘤效果。
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引用次数: 0
Generation, Characterization, and Preclinical Studies of a Novel NKG2A-Targeted Antibody BRY805 for Cancer Immunotherapy. 用于癌症免疫疗法的新型 NKG2A 靶向抗体 BRY805 的生成、特征描述和临床前研究。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.3390/antib13040093
Yaqiong Zhou, Yiru Wang, Jinfeng Liang, Jing Qian, Zhenhua Wu, Zhangzhao Gao, Jian Qi, Shanshan Zhu, Na Li, Yao Chen, Gang Chen, Lei Nie, Tingting Guo, Haibin Wang

Immuno-oncology has revolutionized cancer treatment, with NKG2A emerging as a novel target for immunotherapy. The blockade of NKG2A using the immune checkpoint inhibitor (ICI) monalizumab has been shown to enhance the responses of both NK cells and CD8+ T cells. However, monalizumab has demonstrated limited efficacy in in vitro cytotoxic assays and clinical trials. In our study, we discovered and characterized a novel anti-NKG2A antibody, BRY805, which exhibits high specificity for the human CD94/NKG2A heterodimer complex and does not bind to the activating NKG2C receptor. In vitro cytotoxicity assays demonstrated that BRY805 effectively activated NK92 cells and primary NK cells, thereby enhancing the cytotoxic activity of effector cells against cancer cells overexpressing HLA-E, with significantly greater efficacy compared to monalizumab. Furthermore, BRY805 exhibited synergistic antitumor activity when combined with PD-L1 monoclonal antibodies. In a mouse xenograft model, BRY805 showed superior tumor control relative to monalizumab and demonstrated a favorable safety profile in non-human primate studies.

免疫肿瘤学为癌症治疗带来了革命性的变化,NKG2A成为免疫疗法的新靶点。使用免疫检查点抑制剂(ICI)莫纳利珠单抗阻断 NKG2A 已被证明能增强 NK 细胞和 CD8+ T 细胞的反应。然而,单抗在体外细胞毒性试验和临床试验中的疗效有限。在我们的研究中,我们发现并鉴定了一种新型抗 NKG2A 抗体 BRY805,它对人类 CD94/NKG2A 异源二聚体复合物具有高度特异性,且不与活化的 NKG2C 受体结合。体外细胞毒性试验表明,BRY805 能有效激活 NK92 细胞和原代 NK 细胞,从而增强效应细胞对过表达 HLA-E 的癌细胞的细胞毒活性,其疗效明显优于单抗。此外,当BRY805与PD-L1单克隆抗体联合使用时,还能显示出协同抗肿瘤活性。在小鼠异种移植模型中,BRY805 的肿瘤控制效果优于 monalizumab,在非人灵长类动物研究中也表现出良好的安全性。
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引用次数: 0
High Prevalence of aCL-IgA and aβ2GPI-IgA in Drug-Free Schizophrenia Patients: Evidence of a Potential Autoimmune Link. 无药精神分裂症患者中 aCL-IgA 和 aβ2GPI-IgA 的高患病率:潜在自身免疫关联的证据。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-11-15 DOI: 10.3390/antib13040092
Samar Samoud, Imen Zamali, Fatma Korbi, Ahlem Mtiraoui, Ahlem Ben Hmid, Neila Hannachi, Yousr Galai, Hechmi Louzir, Yousri El Kissi

Background/objectives: Schizophrenia (SZ) is a complex psychiatric disorder with increasing evidence pointing to an autoimmune component, including the presence of antiphospholipid antibodies (aPLs). This study aims to assess the prevalence of anticardiolipin (aCL) and anti-beta-2 glycoprotein I (aβ2GPI) antibodies, particularly the IgG, IgA, and IgM isotypes, in drug-free SZ patients compared to healthy controls, and explore their possible involvement in the disease's pathophysiology.

Methods: Eighty SZ patients meeting DSM-IV criteria were recruited, along with 80 matched healthy controls. Serum samples were analyzed using enzyme-linked immunosorbent assays (ELISA) to quantify IgG, IgA, and IgM isotypes of aCL and aβ2GPI.

Results: SZ patients exhibited significantly higher levels of aCL-IgM and aCL-IgA (p < 0.05), as well as elevated aβ2GPI-IgA (22.5%, p < 0.001), compared to controls. No significant differences were observed in the aCL-IgG isotype. Interestingly, 72% of aPL-positive SZ patients were positive for aβ2GPI-IgA, with some also co-expressing multiple isotypes, suggesting a potential link between SZ and antiphospholipid syndrome (APS).

Conclusions: This study is the first to report a high prevalence of aCL-IgA and aβ2GPI-IgA in SZ patients, highlighting a possible autoimmune involvement in the disease. The presence of multiple aPL isotypes, particularly IgA, suggests a need for further investigation into their role in SZ pathogenesis and their potential association with APS.

背景/目的:精神分裂症(SZ)是一种复杂的精神疾病,越来越多的证据表明其自身免疫因素,包括抗磷脂抗体(aPL)的存在。本研究旨在评估抗心磷脂(aCL)和抗β-2糖蛋白I(aβ2GPI)抗体,尤其是IgG、IgA和IgM同型抗体在无药SZ患者中的流行率,并与健康对照组进行比较,探讨它们在该病病理生理学中可能的参与作用:招募了 80 名符合 DSM-IV 标准的 SZ 患者和 80 名匹配的健康对照者。采用酶联免疫吸附测定法(ELISA)对血清样本进行分析,以量化 aCL 和 aβ2GPI 的 IgG、IgA 和 IgM 异型:与对照组相比,SZ 患者的 aCL-IgM 和 aCL-IgA 水平明显更高(p < 0.05),aβ2GPI-IgA 水平也有所升高(22.5%,p < 0.001)。在 aCL-IgG 同工型中未观察到明显差异。有趣的是,72%的aPL阳性SZ患者的aβ2GPI-IgA也呈阳性,其中一些患者还同时表达多种同型,这表明SZ与抗磷脂综合征(APS)之间存在潜在联系:本研究首次报告了SZ患者中aCL-IgA和aβ2GPI-IgA的高流行率,突出了该疾病可能与自身免疫有关。多种 aPL 异型(尤其是 IgA)的存在表明,有必要进一步研究它们在 SZ 发病机制中的作用及其与 APS 的潜在关联。
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引用次数: 0
Ocular Mucous Membrane Pemphigoid Demonstrates a Distinct Autoantibody Profile from Those of Other Autoimmune Blistering Diseases: A Preliminary Study. 眼粘膜丘疹病显示出与其他自身免疫性水疱病不同的自身抗体谱:一项初步研究
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-11-14 DOI: 10.3390/antib13040091
Yingzi Liu, Lei Bao, Dharm Sodha, Jing Li, Adrian Mansini, Ali R Djalilian, Xiaoguang Li, Hua Qian, Norito Ishii, Takashi Hashimoto, Kyle T Amber

Background: Ocular predominant mucous membrane pemphigoid (oMMP) is a severe subtype of autoimmune blistering disease (AIBD), which can result in scarring and vision loss. The diagnosis of oMMP is challenging as patients often have undetectable levels of circulating autoantibodies by conventional assays. Likewise, the principal autoantigen in oMMP has been an area of debate. Methods: In this preliminary experiment, we performed Phage Immunoprecipitation Sequencing (PhIP-seq) on sera from patients with oMMP, as well as non-ocular MMP, bullous pemphigoid, and mucocutaneous-type pemphigus vulgaris. Results: We identified several autoantigens unique to oMMP relative to other AIBDs. We then cross-referenced these antigens against previously published single-nuclei datasets, as well as the International Mouse Phenotyping Consortium Database. Several protein hits identified in our study demonstrated enriched expression on the anterior surface epithelia, including TNKS1BP1, SEC16B, FNBP4, CASZ1, GOLGB1, DOT1L, PRDM 15, LARP4B, and RPL6. Likewise, a previous study of mouse knockout models of murine analogs CASZ1, HIP1, and ELOA2 reported that these mice showed abnormalities in terms of the ocular surface and development in the eyes. Notably, PhIP-seq failed to identify the canonical markers of AIBDs such as BP180, BP230, desmogleins 1 and 3, or integrin β4, indicating that the patient autoantibodies react with conformational epitopes rather than linear epitopes. Conclusions: oMMP patients demonstrate a unique autoantibody repertoire relative to the other AIBDs. Further validation of the identified autoantibodies will shed light on their potentially pathogenic role.

背景:眼主要粘膜丘疹病(oMMP)是自身免疫性水疱病(AIBD)的一种严重亚型,可导致瘢痕形成和视力丧失。oMMP 的诊断具有挑战性,因为患者的循环自身抗体水平通常无法通过常规检测方法检测出来。同样,oMMP 的主要自身抗原也一直存在争议。方法:在这项初步实验中,我们对 oMMP 患者、非眼 MMP 患者、大疱性类天疱疮患者和寻常型粘液痤疮患者的血清进行了噬菌体免疫沉淀测序(PhIP-seq)。结果:我们发现了相对于其他AIBD而言,oMMP所特有的几种自身抗原。然后,我们将这些抗原与之前发表的单核数据集以及国际小鼠表型协会数据库进行了交叉比对。在我们的研究中发现的几种蛋白在前表面上皮细胞中富集表达,包括 TNKS1BP1、SEC16B、FNBP4、CASZ1、GOLGB1、DOT1L、PRDM 15、LARP4B 和 RPL6。同样,之前一项关于小鼠类似物 CASZ1、HIP1 和 ELOA2 基因敲除模型的研究报告称,这些小鼠在眼表和眼部发育方面表现出异常。值得注意的是,PhIP-seq未能鉴定出AIBDs的典型标记物,如BP180、BP230、desmogleins 1和3或整合素β4,这表明患者的自身抗体与构象表位而非线性表位发生反应。结论:与其他AIBD相比,oMMP患者表现出独特的自身抗体群。对已确定的自身抗体的进一步验证将揭示其潜在的致病作用。
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引用次数: 0
A Brief Chronicle of Antibody Research and Technological Advances. 抗体研究与技术进步简史》。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-11-11 DOI: 10.3390/antib13040090
Kazutaka Araki, Ryota Maeda

This review briefly traces the historical development of antibody research and related technologies. The path from early perceptions of immunity to the emergence of modern immunotherapy has been marked by pivotal discoveries and technological advances. Early insights into immunity led to the development of vaccination and serotherapy. The elucidation of antibody structure and function paved the way for monoclonal antibody technology and its application in diagnosis and therapy. Breakthroughs in genetic engineering have enabled the production of humanized antibodies and the advances in Fc engineering, thereby increasing therapeutic efficacy. The discovery of immune checkpoints and cytokines revolutionized the treatment of cancer and autoimmune diseases. The field continues to evolve rapidly with the advent of antibody-drug conjugates, bispecific antibodies, and CAR T-cell therapies. As we face global health challenges, antibody research remains at the forefront of medical innovation and offers promising solutions for the future.

本综述简要回顾了抗体研究和相关技术的历史发展。从早期对免疫的认识到现代免疫疗法的出现,其间充满了关键性的发现和技术进步。对免疫的早期认识促进了疫苗接种和血清疗法的发展。对抗体结构和功能的阐明为单克隆抗体技术及其在诊断和治疗中的应用铺平了道路。基因工程的突破使得人源化抗体的生产和 Fc 工程的进展成为可能,从而提高了疗效。免疫检查点和细胞因子的发现彻底改变了癌症和自身免疫性疾病的治疗。随着抗体药物共轭物、双特异性抗体和 CAR T 细胞疗法的出现,该领域继续快速发展。在我们面临全球健康挑战之际,抗体研究仍处于医学创新的前沿,并为未来提供了前景广阔的解决方案。
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引用次数: 0
Comparison of Conjugates Obtained Using DMSO and DMF as Solvents in the Production of Polyclonal Antibodies and ELISA Development: A Case Study on Bisphenol A. 使用 DMSO 和 DMF 作为溶剂生产多克隆抗体和开发 ELISA 时获得的共轭物的比较:关于双酚 A 的案例研究。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-10-29 DOI: 10.3390/antib13040089
Anna N Berlina, Nadezhda S Komova, Kseniya V Serebrennikova, Anatoly V Zherdev, Boris B Dzantiev

When developing immunochemical test systems, it is necessary to obtain specific antibodies. Their quality depends, among other things, on the immunogen used. When preparing hapten-protein conjugates to obtain antibodies for low-molecular-weight compounds, the key factors are the structure of the hapten itself, the presence of a spacer, the size of the carrier protein and the degree of its modification by hapten molecules. This work shows that one additional factor-the conditions for obtaining the hapten-protein conjugate-is overlooked. In this work, we have synthesized conjugates of bisphenol A derivative 4,4-bis(hydroxyphenyl)valeric acid (BVA), the protein carrier soybean trypsin inhibitor (STI), and bovine serum albumin (BSA) in reaction media combining water with two organic solvents: dimethylformamide (DMF) or dimethyl sulfoxide (DMSO). Namely, BSADMF-BVA, STIDMF-BVA, BSADMSO-BVA and STIDMSO-BVA conjugates were obtained. Rabbit polyclonal antibodies against the BSADMF-BVA conjugate demonstrated basically different interactions in the developed ELISA systems using either STIDMF-BVA or STIDMSO-BVA conjugates. The use of the STIDMF-BVA conjugate demonstrated the absence of competition in combination with antisera obtained from BSADMF-BVA in an ELISA. A competitive interaction was observed only with the use of the STIDMSO-BVA conjugate. Under the selected conditions, the detection limit of bisphenol A was 8.3 ng/mL, and the working range of determined concentrations was 18.5-290.3 ng/mL. The obtained data demonstrate the possibility of achieving sensitive immunoassays by simply varying the reaction media for the hapten-protein conjugation, which could provide an additional tool in the development of immunoassays for other low-molecular-weight compounds.

在开发免疫化学测试系统时,必须获得特异性抗体。抗体的质量主要取决于所使用的免疫原。在制备杂蛋白-蛋白质共轭物以获得低分子量化合物抗体时,关键因素是杂蛋白本身的结构、是否存在间隔物、载体蛋白的大小及其被杂蛋白分子修饰的程度。这项工作表明,还有一个因素被忽视了,即获得合体蛋白共轭物的条件。在这项工作中,我们在水与二甲基甲酰胺(DMF)或二甲基亚砜(DMSO)两种有机溶剂的反应介质中合成了双酚 A 衍生物 4,4-双(羟基苯基)戊酸(BVA)、蛋白质载体大豆胰蛋白酶抑制剂(STI)和牛血清白蛋白(BSA)的共轭物。即获得 BSADMF-BVA、STIDMF-BVA、BSADMSO-BVA 和 STIDMSO-BVA 结合物。在使用 STIDMF-BVA 或 STIDMSO-BVA 结合物开发的 ELISA 系统中,针对 BSADMF-BVA 结合物的兔多克隆抗体表现出基本不同的相互作用。在酶联免疫吸附试验中,使用 STIDMF-BVA 结合物与从 BSADMF-BVA 中获得的抗血清结合使用时不存在竞争。只有使用 STIDMSO-BVA 结合物时才会出现竞争性相互作用。在选定的条件下,双酚 A 的检测限为 8.3 纳克/毫升,测定浓度的工作范围为 18.5-290.3 纳克/毫升。所获得的数据表明,只需改变合蛋白共轭的反应介质,就能实现灵敏的免疫测定,这为开发其他低分子量化合物的免疫测定提供了新的工具。
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引用次数: 0
Anti-MET Antibody Therapies in Non-Small-Cell Lung Cancer: Current Progress and Future Directions. 非小细胞肺癌的抗-MET 抗体疗法:当前进展与未来方向》。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-10-18 DOI: 10.3390/antib13040088
Kinsley Wang, Robert Hsu

Background/Objectives: Non-small-cell lung cancer (NSCLC) remains a leading cause of cancer mortality globally, though advances in targeted therapies have improved treatment outcomes. The mesenchymal-epithelial transition (MET) gene plays a significant role in NSCLC, often through protein overexpression, exon 14 skipping mutations, and gene amplification, many of which arise as resistance mechanisms to other oncogenic drivers like epidermal growth factor receptor (EGFR) mutations. This review examines the development and clinical efficacy of anti-MET antibody therapies. Methods: A comprehensive literature search was conducted using major medical databases looking at key relevant studies on anti-MET antibody studies. Both authors reviewed the literature, assessed study quality, and interpreted the results from each study. Results: Amivantamab, a bispecific EGFR/MET antibody was approved to treat EGFR exon 20 insertion and now has recently been extended to target classical EGFR mutations with progression on osimertinib. Other important anti-MET targeted therapies in development include antibody drug conjugates such as telisotuzumab vedotin, REGN5093-M114, and AZD9592 and emibetuzumab, which is a humanized immunoglobulin G4 monoclonal bivalent MET antibody. Conclusions: MET plays a significant role in NSCLC and amivantamab along with other anti-MET targeted therapies play a role in directly targeting MET and addressing acquired resistance to oncogenic drivers. Future research should focus on developing novel MET antibody drugs and exploring new therapeutic combinations to enhance treatment efficacy and overcome resistance in NSCLC. Refining biomarker-driven approaches to ensure precise patient selection is also critical to optimizing treatment outcomes.

背景/目标:非小细胞肺癌(NSCLC)仍然是全球癌症死亡的主要原因,尽管靶向疗法的进步改善了治疗效果。间质-上皮转化(MET)基因在 NSCLC 中发挥着重要作用,通常是通过蛋白过表达、第 14 号外显子跳越突变和基因扩增等方式实现的,其中许多是作为表皮生长因子受体(EGFR)突变等其他致癌驱动因素的耐药机制而出现的。本综述探讨了抗MET抗体疗法的发展和临床疗效。方法:利用主要医学数据库对抗MET抗体研究的主要相关研究进行了全面的文献检索。两位作者审阅了文献,评估了研究质量,并解释了每项研究的结果。研究结果Amivantamab是一种双特异性表皮生长因子受体/MET抗体,已被批准用于治疗表皮生长因子受体外显子20插入,最近又扩展到针对奥希替尼治疗进展的表皮生长因子受体经典突变。其他正在开发的重要抗MET靶向疗法包括抗体药物共轭物,如telisotuzumab vedotin、REGN5093-M114、AZD9592和emibetuzumab,后者是一种人源化免疫球蛋白G4单克隆双价MET抗体。结论MET在NSCLC中发挥着重要作用,阿米万他单抗和其他抗MET靶向疗法在直接靶向MET和解决对致癌驱动因素的获得性耐药性方面发挥着作用。未来的研究应侧重于开发新型 MET 抗体药物和探索新的治疗组合,以提高疗效并克服 NSCLC 的耐药性。完善生物标志物驱动的方法以确保精确选择患者也是优化治疗效果的关键。
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引用次数: 0
Limited Biomarker Potential for IgG Autoantibodies Reactive to Linear Epitopes in Systemic Lupus Erythematosus or Spondyloarthropathy. 与系统性红斑狼疮或脊柱关节病中的线性表位发生反应的IgG自身抗体的生物标记潜力有限。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-10-12 DOI: 10.3390/antib13040087
S Janna Bashar, Zihao Zheng, Aisha M Mergaert, Ryan R Adyniec, Srishti Gupta, Maya F Amjadi, Sara S McCoy, Michael A Newton, Miriam A Shelef

Background: Autoantibodies are commonly used as biomarkers in autoimmune diseases, but there are limitations. For example, autoantibody biomarkers have poor sensitivity or specificity in systemic lupus erythematosus and do not exist in the spondyloarthropathies, impairing diagnosis and treatment. While autoantibodies suitable for strong biomarkers may not exist in these conditions, another possibility is that technology has limited their discovery. The purpose of this study was to use a novel high-density peptide array that enables the evaluation of IgG binding to every possible linear antigen in the entire human peptidome, as well as a novel machine learning approach that incorporates ELISA validation predictability in order to discover autoantibodies that could be developed into sensitive and specific markers of lupus or spondyloarthropathy.

Methods: We used a peptide array containing the human peptidome, several viral peptidomes, and key post-translational modifications (6 million peptides) to quantify IgG binding in lupus, spondyloarthropathy, rheumatoid arthritis, Sjögren's disease, and control sera. Using ELISA data for 70 peptides, we performed a random forest analysis that evaluated multiple array features to predict which peptides might be good biomarkers, as confirmed by ELISA. We validated the peptide prediction methodology in rheumatoid arthritis and COVID-19, conditions for which the antibody repertoire is well-understood, and then evaluated IgG binding by ELISA to peptides that we predicted would be highly bound specifically in lupus or spondyloarthropathy.

Results: Our methodology performed well in validation studies, but peptides predicted to be highly and specifically bound in lupus or spondyloarthropathy could not be confirmed by ELISA.

Conclusions: In a comprehensive evaluation of the entire human peptidome, highly sensitive and specific IgG autoantibodies were not identified in lupus or spondyloarthropathy. Thus, the pathogenesis of lupus and spondyloarthropathy may not depend upon unique autoantigens, and other types of molecules should be sought as optimal biomarkers in these conditions.

背景:自身抗体通常被用作自身免疫性疾病的生物标志物,但也存在局限性。例如,自身抗体生物标志物在系统性红斑狼疮中的敏感性或特异性较差,在脊柱关节病中也不存在,从而影响了诊断和治疗。虽然在这些疾病中可能不存在适合作为强生物标志物的自身抗体,但另一种可能是技术限制了它们的发现。本研究的目的是使用一种新型高密度肽阵列(可评估IgG与整个人类肽组中每一种可能的线性抗原的结合情况)以及一种新型机器学习方法(结合了ELISA验证的可预测性)来发现可开发为狼疮或脊柱关节病的灵敏特异标记物的自身抗体:我们使用包含人类肽体、几种病毒肽体和关键翻译后修饰(600 万肽)的肽阵列来量化狼疮、脊柱关节病、类风湿性关节炎、斯约格伦病和对照血清中的 IgG 结合。利用 70 种肽的 ELISA 数据,我们进行了随机森林分析,评估了多个阵列特征,以预测哪些肽可能是经 ELISA 证实的良好生物标记物。我们在类风湿性关节炎和 COVID-19 中验证了肽预测方法,这些病症的抗体复合物已被充分了解,然后我们通过 ELISA 评估了 IgG 与肽的结合情况,我们预测这些肽在红斑狼疮或脊柱关节病中具有高度特异性结合:我们的方法在验证研究中表现良好,但预测与狼疮或脊柱关节病高度特异性结合的肽却无法通过 ELISA 证实:结论:在对整个人类肽组的全面评估中,红斑狼疮或脊柱关节病未发现高度敏感和特异的IgG自身抗体。因此,红斑狼疮和脊柱关节病的发病机制可能并不依赖于独特的自身抗原,应该寻找其他类型的分子作为这些疾病的最佳生物标志物。
{"title":"Limited Biomarker Potential for IgG Autoantibodies Reactive to Linear Epitopes in Systemic Lupus Erythematosus or Spondyloarthropathy.","authors":"S Janna Bashar, Zihao Zheng, Aisha M Mergaert, Ryan R Adyniec, Srishti Gupta, Maya F Amjadi, Sara S McCoy, Michael A Newton, Miriam A Shelef","doi":"10.3390/antib13040087","DOIUrl":"https://doi.org/10.3390/antib13040087","url":null,"abstract":"<p><strong>Background: </strong>Autoantibodies are commonly used as biomarkers in autoimmune diseases, but there are limitations. For example, autoantibody biomarkers have poor sensitivity or specificity in systemic lupus erythematosus and do not exist in the spondyloarthropathies, impairing diagnosis and treatment. While autoantibodies suitable for strong biomarkers may not exist in these conditions, another possibility is that technology has limited their discovery. The purpose of this study was to use a novel high-density peptide array that enables the evaluation of IgG binding to every possible linear antigen in the entire human peptidome, as well as a novel machine learning approach that incorporates ELISA validation predictability in order to discover autoantibodies that could be developed into sensitive and specific markers of lupus or spondyloarthropathy.</p><p><strong>Methods: </strong>We used a peptide array containing the human peptidome, several viral peptidomes, and key post-translational modifications (6 million peptides) to quantify IgG binding in lupus, spondyloarthropathy, rheumatoid arthritis, Sjögren's disease, and control sera. Using ELISA data for 70 peptides, we performed a random forest analysis that evaluated multiple array features to predict which peptides might be good biomarkers, as confirmed by ELISA. We validated the peptide prediction methodology in rheumatoid arthritis and COVID-19, conditions for which the antibody repertoire is well-understood, and then evaluated IgG binding by ELISA to peptides that we predicted would be highly bound specifically in lupus or spondyloarthropathy.</p><p><strong>Results: </strong>Our methodology performed well in validation studies, but peptides predicted to be highly and specifically bound in lupus or spondyloarthropathy could not be confirmed by ELISA.</p><p><strong>Conclusions: </strong>In a comprehensive evaluation of the entire human peptidome, highly sensitive and specific IgG autoantibodies were not identified in lupus or spondyloarthropathy. Thus, the pathogenesis of lupus and spondyloarthropathy may not depend upon unique autoantigens, and other types of molecules should be sought as optimal biomarkers in these conditions.</p>","PeriodicalId":8188,"journal":{"name":"Antibodies","volume":"13 4","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ophthalmic Use of Targeted Biologics in the Management of Intraocular Diseases: Current and Emerging Therapies. 眼科使用靶向生物制剂治疗眼内疾病:当前和新兴疗法。
IF 3 Q3 IMMUNOLOGY Pub Date : 2024-10-11 DOI: 10.3390/antib13040086
Yuan Zong, Miki Miyagaki, Mingming Yang, Jing Zhang, Yaru Zou, Kyoko Ohno-Matsui, Koju Kamoi

Background: Monoclonal antibodies (mAbs) have demonstrated substantial potential in the treatment of intraocular diseases. This review aimed to comprehensively evaluate the applications, efficacy, and safety of mAbs in the management of intraocular conditions.

Methods: A comprehensive literature search was conducted in major medical databases through July 2024. Relevant studies on monoclonal antibodies for intraocular diseases were included. Two independent researchers screened the literature, extracted data, and assessed study quality. Cost-effectiveness analyses were also reviewed.

Results: Anti-vascular endothelial growth factor (VEGF) antibodies, such as bevacizumab, ranibizumab, and aflibercept, showed significant therapeutic effects in neovascular age-related macular degeneration (NVAMD), diabetic macular edema (DME), and retinal vein occlusion (RVO). Tumor necrosis factor-alpha (TNF-α) inhibitors demonstrated promising results in treating noninfectious uveitis. Complement system-targeted therapies like pegcetacoplan offered new options for geographic atrophy. Anti-VEGF antibodies showed potential in managing retinopathy of prematurity (ROP). However, challenges persist, including high costs, potential drug resistance, and limited long-term safety data in certain scenarios.

Conclusions: Monoclonal antibodies are vital for treating intraocular diseases, but continuous innovation and rigorous clinical evaluation are essential. Future research should focus on developing novel delivery systems, exploring combination therapies, conducting long-term follow-up studies, and investigating personalized treatment strategies to provide safer, more effective, and cost-effective therapeutic solutions.

背景:单克隆抗体(mAbs)在治疗眼内疾病方面具有巨大潜力。本综述旨在全面评估 mAbs 在眼内疾病治疗中的应用、疗效和安全性:方法:在 2024 年 7 月之前的主要医学数据库中进行了全面的文献检索。方法:在截至 2024 年 7 月的主要医学数据库中进行了全面的文献检索,纳入了有关单克隆抗体治疗眼内疾病的相关研究。两名独立研究人员筛选文献、提取数据并评估研究质量。此外,还对成本效益分析进行了审查:抗血管内皮生长因子(VEGF)抗体,如贝伐单抗、雷尼珠单抗和阿夫利百普,对新生血管性老年黄斑变性(NVAMD)、糖尿病性黄斑水肿(DME)和视网膜静脉闭塞(RVO)有显著疗效。肿瘤坏死因子-α(TNF-α)抑制剂在治疗非感染性葡萄膜炎方面取得了可喜的成果。补体系统靶向疗法(如培西他克普兰)为治疗地理萎缩提供了新的选择。抗血管内皮生长因子抗体显示出治疗早产儿视网膜病变(ROP)的潜力。然而,挑战依然存在,包括高昂的成本、潜在的耐药性以及某些情况下有限的长期安全性数据:结论:单克隆抗体对治疗眼内疾病至关重要,但持续创新和严格的临床评估必不可少。未来的研究应侧重于开发新型给药系统、探索联合疗法、开展长期随访研究以及调查个性化治疗策略,以提供更安全、更有效、更经济的治疗方案。
{"title":"Ophthalmic Use of Targeted Biologics in the Management of Intraocular Diseases: Current and Emerging Therapies.","authors":"Yuan Zong, Miki Miyagaki, Mingming Yang, Jing Zhang, Yaru Zou, Kyoko Ohno-Matsui, Koju Kamoi","doi":"10.3390/antib13040086","DOIUrl":"https://doi.org/10.3390/antib13040086","url":null,"abstract":"<p><strong>Background: </strong>Monoclonal antibodies (mAbs) have demonstrated substantial potential in the treatment of intraocular diseases. This review aimed to comprehensively evaluate the applications, efficacy, and safety of mAbs in the management of intraocular conditions.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in major medical databases through July 2024. Relevant studies on monoclonal antibodies for intraocular diseases were included. Two independent researchers screened the literature, extracted data, and assessed study quality. Cost-effectiveness analyses were also reviewed.</p><p><strong>Results: </strong>Anti-vascular endothelial growth factor (VEGF) antibodies, such as bevacizumab, ranibizumab, and aflibercept, showed significant therapeutic effects in neovascular age-related macular degeneration (NVAMD), diabetic macular edema (DME), and retinal vein occlusion (RVO). Tumor necrosis factor-alpha (TNF-α) inhibitors demonstrated promising results in treating noninfectious uveitis. Complement system-targeted therapies like pegcetacoplan offered new options for geographic atrophy. Anti-VEGF antibodies showed potential in managing retinopathy of prematurity (ROP). However, challenges persist, including high costs, potential drug resistance, and limited long-term safety data in certain scenarios.</p><p><strong>Conclusions: </strong>Monoclonal antibodies are vital for treating intraocular diseases, but continuous innovation and rigorous clinical evaluation are essential. Future research should focus on developing novel delivery systems, exploring combination therapies, conducting long-term follow-up studies, and investigating personalized treatment strategies to provide safer, more effective, and cost-effective therapeutic solutions.</p>","PeriodicalId":8188,"journal":{"name":"Antibodies","volume":"13 4","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Antibodies
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