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A New Method to Characterize Conformation-Specific Antibody by a Combination of Agarose Native Gel Electrophoresis and Contact Blotting 琼脂糖天然凝胶电泳与接触印迹相结合的构象特异性抗体鉴定新方法
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-05-12 DOI: 10.3390/antib11020036
T. Akuta, T. Maruyama, Chiaki Sakuma, Masataka Nakagawa, Yui Tomioka, Kevin C Entzminger, J. Fleming, Ryo Sato, Takashi Shibata, Y. Kurosawa, C. Okumura, T. Arakawa
In this study, we review the agarose native gel electrophoresis that separates proteins and macromolecular complexes in their native state and transfer of the separated proteins from the agarose gel to membranes by contact blotting which retains the native state of these structures. Green fluorescent protein showed functional state both on agarose gel and blotted membrane. Based on the combined procedures, we discovered conformation-specific monoclonal antibodies against PLXDC2 and SARS-CoV-2 spike protein.
在这项研究中,我们回顾了琼脂糖天然凝胶电泳,该电泳分离天然状态的蛋白质和大分子复合物,并通过接触印迹将分离的蛋白质从琼脂糖凝胶转移到膜上,从而保留这些结构的天然状态。绿色荧光蛋白在琼脂糖凝胶和印迹膜上均表现出功能状态。基于联合程序,我们发现了针对PLXDC2和严重急性呼吸系统综合征冠状病毒2型刺突蛋白的构象特异性单克隆抗体。
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引用次数: 4
Mammalian Display Platform for the Maturation of Bispecific TCR-Based Molecules 基于双特异性tcr分子成熟的哺乳动物展示平台
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-05-10 DOI: 10.3390/antib11020034
Janine Dilchert, M. Hofmann, F. Unverdorben, R. Kontermann, S. Bunk
Bispecific T cell receptor (TCR)-based molecules capable of redirecting and activating T cells towards tumor cells represent a novel and promising class of biotherapeutics for the treatment of cancer. Usage of TCRs allows for targeting of intracellularly expressed and highly selective cancer antigens, but also requires a complex maturation process to increase the naturally low affinity and stability of TCRs. Even though TCR domains can be matured via phage and yeast display, these techniques share the disadvantages of non-human glycosylation patterns and the need for a later reformatting into the final bispecific format. Here, we describe the development and application of a Chinese Hamster Ovary (CHO) display for affinity engineering of TCRs in the context of the final bispecific TCR format. The recombinase-mediated cassette exchange (RCME)-based system allows for stable, single-copy integration of bispecific TCR molecules with high efficiency into a defined genetic locus of CHO cells. We used the system to isolate affinity-increased variants of bispecific T cell engaging receptor (TCER) molecules from a library encoding different CDR variants of a model TCR targeting preferentially expressed antigen in melanoma (PRAME). When expressed as a soluble protein, the selected TCER molecules exhibited strong reactivity against PRAME-positive tumor cells associated with a pronounced cytokine release from activated T cells. The obtained data support the usage of the CHO display-based maturation system for TCR affinity maturation in the context of the final bispecific TCER format.
基于双特异性T细胞受体(TCR)的分子能够将T细胞重定向和激活到肿瘤细胞中,这是一种新的、有前途的癌症生物治疗药物。TCRs的使用允许靶向细胞内表达和高选择性的癌症抗原,但也需要一个复杂的成熟过程来增加TCRs的天然低亲和力和稳定性。尽管TCR结构域可以通过噬菌体和酵母的展示来成熟,但这些技术都有非人类糖基化模式的缺点,并且需要稍后重新格式化为最终的双特异性格式。在此,我们描述了在最终双特异性TCR格式的背景下,中国仓鼠卵巢(CHO)显示器用于TCR亲和工程的开发和应用。基于重组酶介导的盒式交换(RCME)系统允许稳定的,双特异性TCR分子的单拷贝整合,高效地进入CHO细胞的特定遗传位点。我们使用该系统从编码针对黑色素瘤中优先表达抗原(PRAME)的模型TCR的不同CDR变体的文库中分离出双特异性T细胞接合受体(TCER)分子的亲和增加变体。当作为可溶性蛋白表达时,所选择的TCER分子对prame阳性肿瘤细胞表现出强烈的反应性,并与活化T细胞释放的细胞因子显著相关。获得的数据支持在最终双特异性TCER格式的背景下使用基于CHO显示的TCR亲和成熟系统。
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引用次数: 2
Immune Cell Metabolic Fitness for Life 免疫细胞代谢适应生活
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-30 DOI: 10.3390/antib11020032
K. Bittman
Adoptive cell therapy holds great promise for treating a myriad of diseases, especially cancer. Within the last decade, immunotherapy has provided a significant leap in the successful treatment of leukemia. The research conducted throughout this period to understand the interrelationships between cancer cells and infiltrating immune cells winds up having one very common feature, bioenergetics. Cancer cells and immune cells both need ATP to perform their individual functions and cancer cells have adopted means to limit immune cell activity via changes in immune cell bioenergetics that redirect immune cell behavior to encourage tumor growth. Current leading strategies for cancer treatment super-charge an individual’s own immune cells against cancer. Successful Chimeric Antigen Receptor T Cells (CAR T) target pathways that ultimately influence bioenergetics. In the last decade, scientists identified that mitochondria play a crucial role in T cell physiology. When modifying T cells to create chimeras, a unique mitochondrial fitness emerges that establishes stemness and persistence. This review highlights many of the key findings leading to this generation’s CAR T treatments and the work currently being done to advance immunotherapy, to empower not just T cells but other immune cells as well against a variety of cancers.
过继细胞疗法在治疗多种疾病,尤其是癌症方面有着巨大的前景。在过去的十年里,免疫疗法为白血病的成功治疗提供了一个重大飞跃。在此期间进行的研究旨在了解癌细胞和浸润性免疫细胞之间的相互关系,结果发现有一个非常共同的特征,即生物能量学。癌细胞和免疫细胞都需要ATP来完成各自的功能,而癌细胞通过改变免疫细胞的生物能量来限制免疫细胞的活性,从而改变免疫细胞的行为,促进肿瘤的生长。目前癌症治疗的主要策略是增强个体自身的免疫细胞对抗癌症。成功的嵌合抗原受体T细胞(CAR - T)最终影响生物能量学的目标途径。在过去的十年里,科学家们发现线粒体在T细胞生理学中起着至关重要的作用。当修改T细胞以产生嵌合体时,一种独特的线粒体适应性出现,建立了干细胞和持久性。这篇综述强调了许多导致这一代CAR - T治疗的关键发现,以及目前正在进行的推进免疫治疗的工作,不仅赋予T细胞,而且赋予其他免疫细胞对抗各种癌症的能力。
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引用次数: 0
Advances in Chimeric Antigen Receptor (CAR) T-Cell Therapies for the Treatment of Primary Brain Tumors 嵌合抗原受体(CAR) t细胞治疗原发性脑肿瘤的研究进展
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-27 DOI: 10.3390/antib11020031
Christopher W. Mount, L. G. Gonzalez Castro
Immunotherapy has revolutionized the care of cancer patients. A diverse set of strategies to overcome cancer immunosuppression and enhance the tumor-directed immune response are in clinical use, but have not achieved transformative benefits for brain tumor patients. Adoptive cell therapies, which employ a patient’s own immune cells to generate directed anti-tumor activity, are emerging technologies that hold promise to improve the treatment of primary brain tumors in children and adults. Here, we review recent advances in chimeric antigen receptor (CAR) T-cell therapies for the treatment of aggressive primary brain tumors, including glioblastoma and diffuse midline glioma, H3 K27M-mutant. We highlight current approaches, discuss encouraging investigational data, and describe key challenges in the development and implementation of these types of therapies in the neuro-oncology setting.
免疫疗法彻底改变了对癌症患者的护理。克服肿瘤免疫抑制和增强肿瘤定向免疫反应的多种策略已在临床应用,但尚未为脑肿瘤患者带来变革性益处。过继细胞疗法是利用患者自身免疫细胞产生定向抗肿瘤活性的新兴技术,有望改善儿童和成人原发性脑肿瘤的治疗。在这里,我们回顾了CAR - t细胞治疗侵袭性原发性脑肿瘤的最新进展,包括胶质母细胞瘤和弥漫性中线胶质瘤,H3 k27m突变体。我们强调了当前的方法,讨论了令人鼓舞的研究数据,并描述了在神经肿瘤学环境中开发和实施这些类型疗法的关键挑战。
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引用次数: 4
Persistent Hyper IgA as a Marker of Immune Deficiency: A Case Report 持续高IgA作为免疫缺陷的标志:1例报告
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-25 DOI: 10.3390/antib11020030
R. Hopp, H. Niebur
An elevated IgA level obtained in a 10-year-old male a year after an episode of pneumococcal sepsis led to the discovery of a broad-based IgG-specific antibody deficiency syndrome. The specifics of the case and pertinent literature are presented, including a discussion of the hyper-IgD syndrome. An elevated IgA, greater than two standard deviations above the expected age range should prompt a complete workup for selective antibody deficiency syndrome and adds an additional associated marker of an indolent hyper-IgD syndrome in a different clinical circumstance, although the lack of antibody response to vaccines is atypical of the hyper-IgD syndrome.
一名10岁男性在肺炎球菌败血症发作一年后IgA水平升高,导致发现广泛的igg特异性抗体缺乏综合征。具体的情况和相关文献提出,包括高igd综合征的讨论。IgA升高,高于预期年龄范围大于两个标准差,应提示对选择性抗体缺乏综合征进行全面检查,并在不同的临床情况下增加惰性高igd综合征的额外相关标记,尽管缺乏对疫苗的抗体反应是非典型的高igd综合征。
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引用次数: 1
A Physiologically Based Pharmacokinetic Framework for Quantifying Antibody Distribution Gradients from Tumors to Tumor-Draining Lymph Nodes 基于生理学的药物动力学框架用于量化从肿瘤到肿瘤引流淋巴结的抗体分布梯度
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-14 DOI: 10.3390/antib11020028
Eric Salgado, Yanguang Cao
Immune checkpoint blockades prescribed in the neoadjuvant setting are now under active investigation for many types of tumors, and many have shown early success. The primary tumor (PT) and tumor-draining lymph node (TDLN) immune factors, along with adequate therapeutic antibody distributions to the PT and TDLN, are critical for optimal immune activation and anti-tumor efficacy in neoadjuvant immunotherapy. However, it remains largely unknown how much of the antibody can be distributed into the PT-TDLN axis at different clinical scenarios. The goal of the current work is to build a physiologically based pharmacokinetic (PBPK) model framework capable of characterizing antibody distribution gradients in the PT-TDLN axis across various clinical and pathophysiological scenarios. The model was calibrated using clinical data from immuno-PET antibody-imaging studies quantifying antibody pharmacokinetics (PK) in the blood, PTs, and TDLNs. The effects of metastatic lesion location, tumor-induced compression, and inflammation, as well as surgery, on antibody concentration gradients in the PT-TDLN axis were characterized. The PBPK model serves as a valuable tool to predict antibody exposures in various types of tumors, metastases, and the associated lymph node, supporting effective immunotherapy.
在新佐剂环境中开出的免疫检查点阻断剂目前正在对许多类型的肿瘤进行积极研究,许多肿瘤已显示出早期成功。原发性肿瘤(PT)和肿瘤引流淋巴结(TDLN)免疫因子,以及PT和TDLN的足够治疗性抗体分布,对于新辅助免疫疗法中的最佳免疫激活和抗肿瘤疗效至关重要。然而,在不同的临床情况下,有多少抗体可以分布到PT-TDLN轴中,这在很大程度上仍然是未知的。当前工作的目标是建立一个基于生理学的药代动力学(PBPK)模型框架,该框架能够在各种临床和病理生理场景中表征PT-TDLN轴上的抗体分布梯度。该模型使用免疫PET抗体成像研究的临床数据进行校准,这些研究量化了血液、PT和TDLNs中的抗体药代动力学(PK)。表征了转移性病变位置、肿瘤诱导的压迫、炎症以及手术对PT-TDLN轴上抗体浓度梯度的影响。PBPK模型是预测各种类型肿瘤、转移和相关淋巴结中抗体暴露的有价值工具,支持有效的免疫治疗。
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引用次数: 0
MALDI-TOF-MS-Based Identification of Monoclonal Murine Anti-SARS-CoV-2 Antibodies within One Hour 基于maldi - tof - ms的小鼠抗sars - cov -2单克隆抗体1小时内鉴定
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-14 DOI: 10.3390/antib11020027
Georg Tscheuschner, M. Kaiser, J. Lisec, Denis Beslic, T. Muth, Maren Krüger, H. Mages, B. Dorner, Julia Knospe, J. Schenk, F. Sellrie, M. Weller
During the SARS-CoV-2 pandemic, many virus-binding monoclonal antibodies have been developed for clinical and diagnostic purposes. This underlines the importance of antibodies as universal bioanalytical reagents. However, little attention is given to the reproducibility crisis that scientific studies are still facing to date. In a recent study, not even half of all research antibodies mentioned in publications could be identified at all. This should spark more efforts in the search for practical solutions for the traceability of antibodies. For this purpose, we used 35 monoclonal antibodies against SARS-CoV-2 to demonstrate how sequence-independent antibody identification can be achieved by simple means applied to the protein. First, we examined the intact and light chain masses of the antibodies relative to the reference material NIST-mAb 8671. Already half of the antibodies could be identified based solely on these two parameters. In addition, we developed two complementary peptide mass fingerprinting methods with MALDI-TOF-MS that can be performed in 60 min and had a combined sequence coverage of over 80%. One method is based on the partial acidic hydrolysis of the protein by 5 mM of sulfuric acid at 99 °C. Furthermore, we established a fast way for a tryptic digest without an alkylation step. We were able to show that the distinction of clones is possible simply by a brief visual comparison of the mass spectra. In this work, two clones originating from the same immunization gave the same fingerprints. Later, a hybridoma sequencing confirmed the sequence identity of these sister clones. In order to automate the spectral comparison for larger libraries of antibodies, we developed the online software ABID 2.0. This open-source software determines the number of matching peptides in the fingerprint spectra. We propose that publications and other documents critically relying on monoclonal antibodies with unknown amino acid sequences should include at least one antibody fingerprint. By fingerprinting an antibody in question, its identity can be confirmed by comparison with a library spectrum at any time and context.
在SARS-CoV-2大流行期间,已开发出许多用于临床和诊断目的的病毒结合单克隆抗体。这强调了抗体作为通用生物分析试剂的重要性。然而,迄今为止,人们对科学研究仍面临的可重复性危机的关注很少。在最近的一项研究中,出版物中提到的所有研究抗体中,甚至没有一半能被识别出来。这应该会激发更多的努力来寻找抗体可追溯性的实际解决方案。为此,我们使用了35种针对SARS-CoV-2的单克隆抗体,以证明如何通过简单的方法应用于蛋白质来实现序列无关的抗体鉴定。首先,我们检测了相对于参考物质NIST-mAb 8671的抗体的完整和轻链质量。已经有一半的抗体可以仅根据这两个参数来识别。此外,我们利用MALDI-TOF-MS开发了两种互补的肽质量指纹图谱方法,可以在60分钟内完成,组合序列覆盖率超过80%。一种方法是在99°C下用5 mM硫酸对蛋白质进行部分酸性水解。此外,我们还建立了一种无需烷基化步骤的快速胰酶消化方法。我们能够证明,克隆的区别是可能的,简单地通过一个简短的视觉比较质谱。在这项工作中,来自同一免疫的两个克隆给出了相同的指纹。后来,一个杂交瘤测序证实了这些姐妹克隆的序列一致性。为了对较大的抗体库进行自动化的光谱比较,我们开发了在线软件ABID 2.0。这个开源软件确定指纹光谱中匹配肽的数量。我们建议,出版物和其他严重依赖于具有未知氨基酸序列的单克隆抗体的文献应包括至少一个抗体指纹。通过指纹鉴定抗体,可以在任何时间和环境下通过与库谱的比较来确认其身份。
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引用次数: 3
Precision-Cut Tumor Slices (PCTS) as an Ex Vivo Model in Immunotherapy Research 精确切割肿瘤切片(PCTS)作为免疫治疗研究中的离体模型
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-06 DOI: 10.3390/antib11020026
P. Dimou, S. Trivedi, Maria Liousia, Reena R D'Souza, A. Klampatsa
Precision-cut tumor slices (PCTS) have recently emerged as important ex vivo human tumor models, offering the opportunity to study individual patient responses to targeted immunotherapies, including CAR-T cell therapies. In this review, an outline of different human tumor models available in laboratory settings is provided, with a focus on the unique characteristics of PCTS. Standard PCTS generation and maintenance procedures are outlined, followed by an in-depth overview of PCTS utilization in preclinical research aiming to better understand the unique functional characteristics of cytotoxic T cells within human tumors. Furthermore, recent studies using PCTS as an ex vivo model for predicting patient responses to immunotherapies and other targeted therapies against solid tumors are thoroughly presented. Finally, the advantages and limitations of the PCTS models are discussed. PCTS are expected to gain momentum and be fully utilized as a significant tool towards better patient stratification and personalized medicine.
精确切割肿瘤切片(PCTS)最近成为重要的离体人类肿瘤模型,为研究个体患者对靶向免疫疗法(包括CAR-T细胞疗法)的反应提供了机会。在这篇综述中,概述了在实验室环境中可用的不同人类肿瘤模型,重点介绍了PCTS的独特特征。本文概述了标准的PCTS生成和维持程序,然后深入概述了PCTS在临床前研究中的应用,旨在更好地了解人类肿瘤中细胞毒性T细胞的独特功能特征。此外,最近的研究使用PCTS作为体外模型来预测患者对实体瘤免疫治疗和其他靶向治疗的反应。最后,讨论了PCTS模型的优点和局限性。PCTS有望获得动力,并充分利用作为更好的患者分层和个性化医疗的重要工具。
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引用次数: 4
Effects of Monovalent Salt on Protein-Protein Interactions of Dilute and Concentrated Monoclonal Antibody Formulations 一价盐对稀释和浓缩单克隆抗体制剂蛋白-蛋白相互作用的影响
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-03-31 DOI: 10.3390/antib11020024
A. Xu, Nicholas J. Clark, Joey Pollastrini, Maribel Espinoza, Hyo-Jin Kim, Sekhar R. Kanapuram, B. Kerwin, M. Treuheit, S. Krueger, A. Mcauley, J. E. Curtis
In this study, we used sodium chloride (NaCl) to extensively modulate non-specific protein-protein interactions (PPI) of a humanized anti-streptavidin monoclonal antibody class 2 molecule (ASA-IgG2). The changes in PPI with varying NaCl (CNaCl) and monoclonal antibody (mAb) concentration (CmAb) were assessed using the diffusion interaction parameter kD and second virial coefficient B22 measured from solutions with low to moderate CmAb. The effective structure factor S(q)eff measured from concentrated mAb solutions using small-angle X-ray and neutron scattering (SAXS/SANS) was also used to characterize the PPI. Our results found that the nature of net PPI changed not only with CNaCl, but also with increasing CmAb. As a result, parameters measured from dilute and concentrated mAb samples could lead to different predictions on the stability of mAb formulations. We also compared experimentally determined viscosity results with those predicted from interaction parameters, including kD and S(q)eff. The lack of a clear correlation between interaction parameters and measured viscosity values indicates that the relationship between viscosity and PPI is concentration-dependent. Collectively, the behavior of flexible mAb molecules in concentrated solutions may not be correctly predicted using models where proteins are considered to be uniform colloid particles defined by parameters derived from low CmAb.
在这项研究中,我们使用氯化钠(NaCl)广泛调节人源抗链霉亲和素单克隆抗体2类分子(ASA-IgG2)的非特异性蛋白-蛋白相互作用(PPI)。采用扩散相互作用参数kD和第二病毒系数B22对低至中等CmAb溶液进行测定,评估PPI随NaCl (CNaCl)和单克隆抗体(CmAb)浓度的变化。利用小角x射线和中子散射(SAXS/SANS)从浓缩单抗溶液中测量的有效结构因子S(q)eff也用于表征PPI。我们的研究结果发现,净PPI的性质不仅随着CNaCl的变化而变化,而且随着CmAb的增加而变化。因此,从稀释和浓缩单抗样品中测量的参数可能导致对单抗配方稳定性的不同预测。我们还比较了实验确定的粘度结果与相互作用参数预测的结果,包括kD和S(q)eff。相互作用参数和测量粘度值之间缺乏明确的相关性,表明粘度和PPI之间的关系依赖于浓度。总的来说,柔性单抗分子在浓缩溶液中的行为可能无法使用模型正确预测,其中蛋白质被认为是由低CmAb衍生的参数定义的均匀胶体颗粒。
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引用次数: 6
Diagnostic Performance of PD-L1 versus PD-1 Expression in Circulating CD20 Cells in Diffuse Large B-Cell Lymphoma PD-L1与PD-1在循环CD20细胞中表达对弥漫性大B细胞淋巴瘤的诊断作用
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-02-16 DOI: 10.3390/antib11010015
M. Saber
This study aimed to investigate PD-L1 and PD-1 expression in circulating CD20+ cells in diffuse larger B-cell lymphoma (DLBCL) and to evaluate the predictive and diagnostic performance of PD-L1 versus PD-1 expression in circulating CD20+ cells in DLBCL. Percentages of CD20+, PD-L1+CD20+, and PD-1+CD20+ cells were measured by flow cytometry in 40 DLBCL blood samples and 19 healthy controls. The DLBCL patient group was subdivided into 20 newly diagnosed patients with no treatment yet and 20 patients that had finished six cycles of CHOP therapy. Percentages of PD-L1+CD20+ and PD-1+CD20+ cells were highly significantly increased in pre-therapy patients in comparison to healthy volunteers (p < 0.001). Meanwhile, a significant decrease in percentages of PD-L1+CD20+ and PD-1+CD20+ was observed in post-CHOP therapy patients in comparison to pre-therapy patients (p < 0.001). PD-L1+CD20+ cells were significantly decreased in post-therapy patients when compared to normal controls (p < 0.001), while not for PD-1+CD20+ cells. A strong significant positive correlation between percentages of PD-L1+CD20+ and PD-1+CD20+ was detected in DLBCL patients (p < 0.001). In the pre-therapy group, high PD-L1+CD20+ and PD-1+CD20+ percentages were correlated with serum LDH levels (p = 0.021, p < 0.001). High percentages of PD-1+CD20+ were found in DLBCL patients with splenomegaly (p = 0.027). The results revealed that patients with advanced tumor stages, poor ECOG performance, and non-GCB DLBCL type had increased percentages of PD-L1+CD20+ and PD-1+CD20+ cells. Moreover, PD-L1+CD20+ % and PD-1+CD20+ % were significantly increased in DLBCL patients with bone marrow involvement or B symptoms. The superiority of PD-L1+CD20+ over PD-1+CD20+ was more profound in DLBCL prediction [AUC: 1.0] and in discriminating newly diagnosed patients [AUC: 1.0]. The findings suggest that increased PD-L1/PD-1 expression in peripheral CD20 cells may serve as a companion diagnostic marker for DLBCL. Moreover, percentages of PD-L1+CD20+ cells have better diagnostic performance with higher sensitivity and specificity than PD-1+CD20+ %.
本研究旨在研究弥漫性大B细胞淋巴瘤(DLBCL)中循环CD20+细胞中PD-L1和PD-1的表达,并评估PD-L1与PD-1在DLBCL中循环CD200+细胞中表达的预测和诊断性能。在40个DLBCL血液样本和19个健康对照中,通过流式细胞术测量CD20+、PD-L1+CD20+和PD-1+CD20+细胞的百分比。DLBCL患者组被细分为20名尚未接受治疗的新诊断患者和20名已完成六个周期CHOP治疗的患者。治疗前患者的PD-L1+CD20+和PD-1+CD20+细胞的百分比与健康志愿者相比显著增加(p<0.001),与治疗前相比,CHOP治疗后患者的PD-L1+CD20+和PD-1+CD20+的百分比显著降低(p<0.001)。与正常对照组相比,治疗后患者中的PD-L1+CD20+细胞显著减少(p<001),而PD-1+CD20/细胞则没有。DLBCL患者中PD-L1+CD20+和PD-1+CD20+的百分比呈极显著的正相关(p<0.001),高PD-L1+CD20+和PD-1+CD20+百分比与血清LDH水平相关(p=0.021,p<0.001)。在脾肿大的DLBCL患者中发现高PD-1+CD20/百分比(p=0.027)。此外,在有骨髓受累或B症状的DLBCL患者中,PD-L1+CD20+%和PD-1+CD20+%显著增加。PD-L1+CD20+比PD-1+CD20+在DLBCL预测[AUC:1.0]和鉴别新诊断患者[AUC:1.0]方面的优势更为显著。研究结果表明,外周CD20细胞中PD-L1/PD-1表达的增加可能是DLBCL的辅助诊断标志物。此外,百分比的PD-L1+CD20+细胞比PD-1+CD20+%具有更好的诊断性能,具有更高的灵敏度和特异性。
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引用次数: 2
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Antibodies
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