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Artificial Intelligence, Big Data, and Regulation of Immunity: Challenges and Opportunities. 人工智能、大数据和免疫监管:挑战与机遇。
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.2478/aite-2024-0006
Bhagirath Singh, Anthony M Jevnikar, Eric Desjardins

The immune system is regulated by a complex set of genetic, molecular, and cellular interactions. Rapid advances in the study of immunity and its network of interactions have been boosted by a spectrum of "omics" technologies that have generated huge amounts of data that have reached the status of big data (BD). With recent developments in artificial intelligence (AI), theoretical and clinical breakthroughs could emerge. Analyses of large data sets with AI tools will allow the formulation of new testable hypotheses open new research avenues and provide innovative strategies for regulating immunity and treating immunological diseases. This includes diagnosis and identification of rare diseases, prevention and treatment of autoimmune diseases, allergic disorders, infectious diseases, metabolomic disorders, cancer, and organ transplantation. However, ethical and regulatory challenges remain as to how these studies will be used to advance our understanding of basic immunology and how immunity might be regulated in health and disease. This will be particularly important for entities in which the complexity of interactions occurring at the same time and multiple cellular pathways have eluded conventional approaches to understanding and treatment. The analyses of BD by AI are likely to be complicated as both positive and negative outcomes of regulating immunity may have important ethical ramifications that need to be considered. We suggest there is an immediate need to develop guidelines as to how the analyses of immunological BD by AI tools should guide immune-based interventions to treat various diseases, prevent infections, and maintain health within an ethical framework.

免疫系统受一系列复杂的基因、分子和细胞相互作用的调节。一系列 "全息"(omics)技术产生了海量数据,达到了大数据(BD)的地位,推动了免疫及其相互作用网络研究的快速发展。随着人工智能(AI)的最新发展,理论和临床研究可能会出现突破。利用人工智能工具对大型数据集进行分析,可以提出新的可检验假设,开辟新的研究途径,并为调节免疫和治疗免疫疾病提供创新战略。这包括诊断和识别罕见疾病,预防和治疗自身免疫性疾病、过敏性疾病、传染性疾病、代谢组疾病、癌症和器官移植。然而,如何利用这些研究来促进我们对基础免疫学的了解,以及如何在健康和疾病中调节免疫,在伦理和监管方面仍然存在挑战。这对于同时发生复杂的相互作用和多种细胞通路的实体尤为重要,因为传统方法无法理解和治疗这些实体。人工智能对生物多样性的分析可能会很复杂,因为调节免疫力的积极和消极结果都可能会产生重要的伦理影响,需要加以考虑。我们建议,当务之急是制定指导方针,说明人工智能工具对免疫学 BD 的分析应如何指导以免疫为基础的干预措施,以便在伦理框架内治疗各种疾病、预防感染和保持健康。
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引用次数: 0
Insights into Autophagic Machinery and Lysosomal Function in Cells Involved in the Psoriatic Immune-Mediated Inflammatory Cascade. 洞察参与银屑病免疫诱导炎症级联的细胞中的自噬机制和溶酶体功能
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-02-27 eCollection Date: 2024-01-01 DOI: 10.2478/aite-2024-0005
Martyna Kuczyńska, Marta Moskot, Magdalena Gabig-Cimińska

Impaired autophagy, due to the dysfunction of lysosomal organelles, contributes to maladaptive responses by pathways central to the immune system. Deciphering the immune-inflammatory ecosystem is essential, but remains a major challenge in terms of understanding the mechanisms responsible for autoimmune diseases. Accumulating evidence implicates a role that is played by a dysfunctional autophagy-lysosomal pathway (ALP) and an immune niche in psoriasis (Ps), one of the most common chronic skin diseases, characterized by the co-existence of autoimmune and autoinflammatory responses. The dysregulated autophagy associated with the defective lysosomal system is only one aspect of Ps pathogenesis. It probably cannot fully explain the pathomechanism involved in Ps, but it is likely important and should be seriously considered in Ps research. This review provides a recent update on discoveries in the field. Also, it sheds light on how the dysregulation of intracellular pathways, coming from modulated autophagy and endolysosomal trafficking, characteristic of key players of the disease, i.e., skin-resident cells, as well as circulating immune cells, may be responsible for immune impairment and the development of Ps.

由于溶酶体细胞器功能失调,自噬功能受损,导致免疫系统中枢通路产生不适应反应。破译免疫-炎症生态系统至关重要,但在了解自身免疫性疾病的发病机制方面仍是一大挑战。越来越多的证据表明,自噬-溶酶体通路(ALP)功能失调和免疫龛在银屑病(Ps)中扮演了重要角色,银屑病是最常见的慢性皮肤病之一,其特点是自身免疫和自身炎症反应并存。与溶酶体系统缺陷相关的自噬失调只是银屑病发病机制的一个方面。它可能无法完全解释 Ps 所涉及的病理机制,但很可能很重要,应在 Ps 研究中予以认真考虑。本综述介绍了该领域的最新发现。此外,它还揭示了自噬和溶酶体内转运调节引起的细胞内通路失调是该疾病的关键参与者(即皮肤驻留细胞和循环免疫细胞)的特征,它可能是免疫损伤和 Ps 发病的原因。
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引用次数: 0
Potential Gastric Cancer Immunotherapy: Stimulating the Immune System with Helicobacter pylori pIRES2-DsRed-Express-ureF DNA Vaccines. 潜在的胃癌免疫疗法:用幽门螺旋杆菌 pIRES2-DsRed-Express-ureF DNA 疫苗刺激免疫系统。
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-02-12 eCollection Date: 2024-01-01 DOI: 10.2478/aite-2024-0004
Mahsa Afkhamipour, Fatemeh Kaviani, Samaneh Dalali, Tohid Piri-Gharaghie, Abbas Doosti

Most gastric cancers (GC) are thought to be caused by Helicobacter pylori (H. pylori) infections. However, there is mounting evidence that GC patients with positive H. pylori status have improved prognoses. The H. pylori-induced cellular immune reaction may inhibit cancer. In this study, BALB/c mice were immunized using recombinant plasmids that encode the ureF gene of H. pylori. Purified functional splenic CD3+ T lymphocytes are used to study the anticancer effects in vitro and in vivo. The immunological state of GC patients with ongoing H. pylori infection is mimicked by the H. pylori DNA vaccines, which cause a change in the reaction from Th1 to Th2. Human GC cells grow more slowly when stimulated CD3+ T lymphocytes are used as adoptive infusions because they reduce GC xenograft development in vivo. The more excellent ratios of infiltrating CD8+/CD4+ T cells, the decreased invasion of regulatory FOXP3+ Treg lymphocytes, and the increased apoptosis brought on by Caspase9/Caspase-3 overexpression and Survivin downregulation may all contribute to the consequences. Our findings suggest that in people with advanced GC, H. pylori pIRES2-DsRed-Express-ureF DNA vaccines may have immunotherapeutic utility.

大多数胃癌(GC)被认为是由幽门螺旋杆菌(H. pylori)感染引起的。然而,越来越多的证据表明,幽门螺杆菌阳性的胃癌患者预后较好。幽门螺杆菌诱导的细胞免疫反应可能会抑制癌症。在这项研究中,使用编码幽门螺杆菌ureF基因的重组质粒对BALB/c小鼠进行免疫。纯化的功能性脾脏 CD3+ T 淋巴细胞用于研究体外和体内的抗癌效果。幽门螺杆菌 DNA 疫苗可模拟幽门螺杆菌持续感染的 GC 患者的免疫状态,使其反应从 Th1 转变为 Th2。当使用刺激性 CD3+ T 淋巴细胞作为收养性输注时,人类 GC 细胞的生长速度会更慢,因为它们会减少 GC 异种移植在体内的发展。浸润的 CD8+/CD4+ T 细胞比例更优、调节性 FOXP3+ Treg 淋巴细胞侵入减少、Caspase9/Caspase-3 过度表达和 Survivin 下调导致细胞凋亡增加,这些都可能是导致上述后果的原因。我们的研究结果表明,对于晚期胃癌患者,幽门螺杆菌 pIRES2-DsRed-Express-ureF DNA 疫苗可能具有免疫治疗作用。
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引用次数: 0
Human Soluble TRAIL Secreted by Modified Lactococcus lactis Bacteria Promotes Tumor Growth in the Orthotopic Mouse Model of Colorectal Cancer 改良乳球菌分泌的人可溶性 TRAIL 促进结直肠癌正位小鼠模型中的肿瘤生长
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-01-01 DOI: 10.2478/aite-2024-0002
Katarzyna Kaczmarek, Jerzy Więckiewicz, Ivo Que, Adrianna Gałuszka-Bulaga, Alan Chan, Maciej Siedlar, Jarek Baran
Abstract Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) selectively induces apoptosis of sensitive cancer cells, including colorectal cancer (CRC). Due to its short biological half-life after intravenous administration and related clinical ineffectiveness, novel formulations of TRAIL need to be developed. Here we propose Lactococcus lactis bacteria as a vehicle for local delivery of human soluble TRAIL (hsTRAIL) in CRC. The use of common probiotics targeting guts as carriers for TRAIL could ensure its sustained release at the tumor site and extend the duration of its activity. We have already engineered hsTRAIL-secreting L.lactis bacteria and showed their effectiveness in elimination of human CRC cells in vitro and in vivo in a mouse subcutaneous model. Here, L.lactis(hsTRAIL+) were administered by gastric gavage to SCID mice with orthotopically developed HCT116 tumor in cecum, in monotherapy or in combination with metformin (MetF), already shown to enhance the hsTRAIL anti-tumor activity in subcutaneous CRC model. Oral administration of L.lactis(hsTRAIL+) resulted in significant progression of HCT116 tumors and shortening of the colon crypts. Secretion of hsTRAIL in the colon was accompanied by infiltration of the primary tumor with M2-macrophages, while MetF promoted transient colonization of the gut by L.lactis. Our study indicates that L.lactis bacteria after oral administration enable delivery of biologically active hsTRAIL to colon, however its potential therapeutic effect in CRC treatment is abolished by its pro-tumorigenic signalling, leading to the recruitment of M2-macrophages and tumor growth promotion.
摘要 肿瘤坏死因子相关凋亡诱导配体(TRAIL)可选择性地诱导包括结直肠癌(CRC)在内的敏感癌细胞凋亡。由于 TRAIL 静脉注射后生物半衰期短,临床疗效不佳,因此需要开发 TRAIL 的新型制剂。在此,我们建议将乳酸乳球菌作为一种载体,用于在 CRC 中局部给药人可溶性 TRAIL(hsTRAIL)。使用常见的肠道益生菌作为 TRAIL 的载体,可以确保 TRAIL 在肿瘤部位的持续释放,并延长其活性持续时间。我们已经设计出了分泌hsTRAIL的乳酸杆菌,并在体外和小鼠皮下模型中证明了它们在消除人类CRC细胞方面的有效性。在这里,通过灌胃给在盲肠正位培养出HCT116肿瘤的SCID小鼠服用乳酸杆菌(hsTRAIL+),可以单药治疗,也可以与二甲双胍(MetF)联合使用,二甲双胍在皮下CRC模型中已被证明能增强hsTRAIL的抗肿瘤活性。口服 L.lactis(hsTRAIL+)会导致 HCT116 肿瘤显著恶化和结肠隐窝缩短。结肠中hsTRAIL的分泌伴随着M2-巨噬细胞对原发肿瘤的浸润,而MetF促进了乳杆菌在肠道中的短暂定植。我们的研究表明,L.lactis细菌口服后可将具有生物活性的hsTRAIL输送到结肠,但其在治疗CRC方面的潜在疗效却因其促瘤信号而被取消,从而导致M2-巨噬细胞的招募和肿瘤生长的促进。
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引用次数: 0
Mechanisms of SARS-CoV-2 Placental Transmission SARS-CoV-2 胎盘传播机制
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-12-26 DOI: 10.2478/aite-2024-0001
Karol Gostomczyk, Jędrzej Borowczak, Marta Siekielska-Domanowska, Krzysztof Szczerbowski, Mateusz Maniewski, Mariusz Dubiel, Łukasz Szylberg, Magdalena Bodnar
Abstract The widespread occurrence of SARS-CoV-2 infections and the diverse range of symptoms have placed significant strain on healthcare systems worldwide. Pregnancy has also been affected by COVID-19, with an increased risk of complications and unfavorable outcomes for expectant mothers. Multiple studies indicate that SARS-CoV-2 can infiltrate the placenta, breach its protective barrier, and infect the fetus. Although the precise mechanisms of intrauterine transmission remain unclear, factors such as perinatal infection, macrophages, sexual intercourse, and the virus’ interaction with host angiotensin-converting enzyme 2 (ACE2) and neuropilin-1 (NRP-1) proteins appear to play a role in this process. The integrity of the placental barrier fluctuates throughout pregnancy and appears to influence the likelihood of fetal transmission. The expression of placental cell receptors, like ACE2, changes during pregnancy and in response to placental damage. However, due to the consistent presence of others, such as NRP-1, SARS-CoV-2 may potentially enter the fetus at different stages of pregnancy. NRP-1 is also found in macrophages, implicating maternal macrophages and Hofbauer cells as potential routes for viral transmission. Our current understanding of SARS-CoV-2's vertical transmission pathways remains limited. Some researchers question the ACE2-associated transmission model due to the relatively low expression of ACE2 in the placenta. Existing studies investigating perinatal transmission and the impact of sexual intercourse have either involved small sample sizes or lacked statistical significance. This review aims to explore the current state of knowledge regarding the potential mechanisms of COVID-19 vertical transmission, identifying areas where further research is needed to fill the gaps in our understanding.
摘要 严重急性呼吸系统综合症(SARS)-CoV-2 感染的广泛发生和多种多样的症状给全世界的医疗系统带来了巨大压力。妊娠期也受到 COVID-19 的影响,并发症风险增加,对孕妇不利。多项研究表明,SARS-CoV-2 可渗入胎盘,突破胎盘的保护屏障,感染胎儿。虽然宫内传播的确切机制尚不清楚,但围产期感染、巨噬细胞、性交以及病毒与宿主血管紧张素转换酶 2(ACE2)和神经纤蛋白-1(NRP-1)蛋白的相互作用等因素似乎在这一过程中发挥了作用。胎盘屏障的完整性在整个孕期都会发生变化,似乎会影响胎儿感染的可能性。胎盘细胞受体(如 ACE2)的表达在妊娠期间和胎盘受损时会发生变化。然而,由于 NRP-1 等其他受体的持续存在,SARS-CoV-2 有可能在孕期的不同阶段进入胎儿体内。NRP-1 也存在于巨噬细胞中,这意味着母体巨噬细胞和霍夫鲍尔细胞是病毒传播的潜在途径。我们目前对 SARS-CoV-2 垂直传播途径的了解仍然有限。一些研究人员质疑 ACE2 相关传播模型,因为 ACE2 在胎盘中的表达量相对较低。现有调查围产期传播和性交影响的研究要么样本量较小,要么缺乏统计学意义。本综述旨在探讨有关 COVID-19 垂直传播潜在机制的知识现状,确定需要进一步研究的领域,以填补我们认识上的空白。
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引用次数: 0
Assessment of Motor Unit Potentials Duration as the Biomarker of DT-DEC01 Cell Therapy Efficacy in Duchenne Muscular Dystrophy Patients up to 12 Months After Systemic–Intraosseous Administration 运动单位电位持续时间作为DT-DEC01细胞治疗杜氏肌萎缩症患者全身-骨内给药后12个月疗效的生物标志物的评估
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-11-24 DOI: 10.1007/s00005-023-00691-y
Adam Niezgoda, Grzegorz Biegański, Jacek Wachowiak, Jarosław Czarnota, Krzysztof Siemionow, Ahlke Heydemann, Anna Ziemiecka, Maria H. Sikorska, Katarzyna Bożyk, Maria Siemionow

Duchenne muscular dystrophy (DMD) is a lethal X-linked disease caused by mutations in the dystrophin gene, leading to muscle degeneration and wasting. Electromyography (EMG) is an objective electrophysiological biomarker of muscle fiber function in muscular dystrophies. A novel, DT-DEC01 therapy, consisting of Dystrophin Expressing Chimeric (DEC) cells created by fusing allogeneic myoblasts from normal donors with autologous myoblasts from DMD-affected patients, was assessed for safety and preliminary efficacy in boys of age 6–15 years old (n = 3). Assessments included EMG testing of selected muscles of upper (deltoideus, biceps brachii) and lower (rectus femoris and gastrocnemius) extremities at the screening visit and at 3, 6, and 12 months following systemic–intraosseous administration of a single low dose of DT-DEC01 therapy (Bioethics Committee approval no. 46/2019). No immunosuppression was administered. Safety of DT-DEC01 was confirmed by the lack of therapy-related Adverse Events or Serious Adverse Events up to 22 months following DT-DEC01 administration. EMG of selected muscles of both, ambulatory and non-ambulatory patients confirmed preliminary efficacy of DT-DEC01 therapy by an increase in motor unit potentials (MUP) duration, amplitudes, and polyphasic MUPs at 12 months. This study confirmed EMG as a reliable and objective biomarker of functional assessment in DMD patients after intraosseous administration of the novel DT-DEC01 therapy.

杜氏肌营养不良症(DMD)是一种致命的x连锁疾病,由肌营养不良蛋白基因突变引起,导致肌肉变性和萎缩。肌电图(Electromyography, EMG)是肌营养不良患者肌纤维功能的客观电生理生物标志物。一种新的DT-DEC01疗法,由来自正常供体的异体肌母细胞与来自dmd患者的自体肌母细胞融合产生的表达抗肌萎缩蛋白的嵌合细胞(DEC)组成,在6-15岁的男孩中评估了安全性和初步疗效(n = 3)。评估包括在筛查访问时以及在全身骨内给予单次低剂量DT-DEC01治疗后的3,6和12个月对上肢(三角肌、肱二头肌)和下肢(股直肌和腓肠肌)选定的肌肉进行肌电图测试(生物伦理委员会批准号:46/2019)。未进行免疫抑制。DT-DEC01的安全性通过在给药后22个月内无治疗相关不良事件或严重不良事件得到证实。通过运动单位电位(MUP)持续时间、振幅和12个月时多相MUPs的增加,对门诊和非门诊患者选定肌肉的肌电图证实了DT-DEC01治疗的初步疗效。本研究证实肌电图是骨内给药新型DT-DEC01治疗后DMD患者功能评估的可靠和客观的生物标志物。
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引用次数: 0
Expression of Angiopoietin-2 in Lung Tissue of Juvenile SD Rats with Lipopolysaccharide-Induced Acute Lung Injury and the Role of Ulinastatin 血管生成素-2在脂多糖诱导的幼年SD大鼠急性肺损伤肺组织中的表达及乌司他丁的作用。
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-10-26 DOI: 10.1007/s00005-023-00688-7
Junying Qiao, Shanshan Guo, Xianjie Huang, Luodan Zhang, Fan Li, Yazhen Fan

This study aimed to observe the expression of angiopoietin-2 (Ang-2) in the lung tissue of juvenile SD rats with lipopolysaccharide (LPS)-induced acute lung injury (ALI) and to clarify the role of ulinastatin (UTI). Ninety 18–21-day-old juvenile SD male rats were randomly divided into five groups (n = 18). ALI rat model was established by intraperitoneal injection of LPS (LPS 10 mg/kg), while the control group was given the same dose of normal saline. The UTI intervention group was given the injection of UTI (5000 U/mL) immediately after the injection of LPS, which was divided into UTI low-dose group (LPS + 5 ml/kg UTI), UTI medium-dose group (LPS + 10 ml/kg UTI), and UTI high-dose group (LPS + 20 ml/kg UTI).The respiratory status of each group of rats was observed, and six rats were randomly selected to be killed in each group at 6, 12, and 24 h, and the lung tissues were dissected and retained. The pathological changes of the lung tissues were observed by hematoxylin–eosin (HE) staining, the expression levels and locations of Ang-2 and vascular endothelial growth factor (VEGF) in lung tissue were observed by immunohistochemical staining, and the expressions of genes and proteins of Ang-2 and VEGF were detected by quantitative reverse transcription polymerase chain reaction (RT-PCR) and Western blot analysis. Three hours after intraperitoneal injection, rats in the model group developed shortness of breath and the developed respiratory distress progressed over time. The lung pathological changes in the model group were obvious compared with those in the control group, and gradually worsened with time, and the pathological changes of lung in the rats in the UTI intervention group were reduced compared with those in the model group. At different time points, the expressions of Ang-2 and VEGF in the lung tissue of rats in the model group were higher than those in the control group, and were lower in the UTI intervention group than those in the model group. The expressions of Ang-2 and VEGF protein were lower in the low-dose group of UTI group than those in the high-dose group of UTI group at different time points (P < 0.05), and the expressions of Ang-2 and VEGF protein in the low-dose group of UTI were significantly lower than those in the medium-dose group at 12 h and 24 h (P < 0.05). The expression of Ang-2 was increased in the lung tissue of juvenile SD rats with LPS-induced ALI, and was associated with the degree of lung injury. UTI might attenuate LPS-induced ALI by inhibiting the expression of Ang-2 in lung tissue, and the low dose was more obvious than the medium and high dose.

本研究旨在观察血管生成素-2(Ang-2)在脂多糖(LPS)诱导的急性肺损伤(ALI)幼年SD大鼠肺组织中的表达,并阐明乌司他丁(UTI)的作用。将90只18-21日龄SD雄性幼鼠随机分为5组(n = 18) 。腹腔注射LPS(LPS 10mg/kg)建立ALI大鼠模型,对照组给予相同剂量的生理盐水。UTI干预组在注射LPS后立即注射UTI(5000U/mL),分为UTI低剂量组(LPS + 5 ml/kg UTI)、UTI中剂量组(LPS + 10ml/kg UTI)和UTI高剂量组(LPS + 20ml/kg UTI)。观察各组大鼠的呼吸状态,并随机选择6只大鼠在6、12和24小时处死,解剖并保留肺组织。苏木精-伊红(HE)染色观察肺组织的病理变化、免疫组织化学染色观察Ang-2和血管内皮生长因子(VEGF)在肺组织中的表达水平和位置,采用定量逆转录聚合酶链反应(RT-PCR)和蛋白质印迹法检测Ang-2和VEGF基因和蛋白的表达。腹膜内注射三小时后,模型组大鼠出现呼吸急促,并且随着时间的推移,出现呼吸窘迫。模型组的肺部病理变化与对照组相比明显,并随着时间的推移逐渐恶化,UTI干预组大鼠的肺部病理改变与模型组相比有所减少。在不同时间点,模型组大鼠肺组织中Ang-2和VEGF的表达高于对照组,UTI干预组低于模型组。不同时间点UTI低剂量组Ang-2和VEGF蛋白表达均低于UTI高剂量组(P
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引用次数: 0
Correction to: In Situ Programming of CAR-T Cells: A Pressing Need in Modern Immunotherapy CAR-T细胞原位编程:现代免疫治疗的迫切需要
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-09-02 DOI: 10.1007/s00005-023-00687-8
Marta Śledź, Alicja Wojciechowska, Radosław Zagożdżon, Beata Kaleta
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引用次数: 0
Prolonged Exposure to High Glucose Induces Premature Senescence Through Oxidative Stress and Autophagy in Retinal Pigment Epithelial Cells 通过氧化应激和视网膜色素上皮细胞的自噬,长期暴露于高糖环境中诱导过早衰老
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-08-28 DOI: 10.1007/s00005-023-00686-9
Chien-Chih Chiu, Kai-Chun Cheng, Yi-Hsiung Lin, Chen-Xi He, Yung-Ding Bow, Chia-Yang Li, Chang-Yi Wu, Hui-Min David Wang, Shwu-Jiuan Sheu

Chronic hyperglycemia involves persistent high-glucose exposure and correlates with retinal degeneration. It causes various diseases, including diabetic retinopathy (DR), a major cause of adult vision loss. Most in vitro studies have investigated the damaging short-term effects of high glucose exposure on retinal pigment epithelial (RPE) cells. DR is also a severe complication of diabetes. In this study, we established a model with prolonged high-glucose exposure (15 and 75 mM exogenous glucose for two months) to mimic RPE tissue pathophysiology in patients with hyperglycemia. Prolonged high-glucose exposure attenuated glucose uptake and clonogenicity in ARPE-19 cells. It also significantly increased reactive oxygen species levels and decreased antioxidant protein (superoxide dismutase 2) levels in RPE cells, possibly causing oxidative stress and DNA damage and impairing proliferation. Western blotting showed that autophagic stress, endoplasmic reticulum stress, and genotoxic stress were induced by prolonged high-glucose exposure in RPE cells. Despite a moderate apoptotic cell population detected using the Annexin V-staining assay, the increases in the senescence-associated proteins p53 and p21 and SA-β-gal-positive cells suggest that prolonged high-glucose exposure dominantly sensitized RPE cells to premature senescence. Comprehensive next-generation sequencing suggested that upregulation of oxidative stress and DNA damage-associated pathways contributed to stress-induced premature senescence of ARPE-19 cells. Our findings elucidate the pathophysiology of hyperglycemia-associated retinal diseases and should benefit the future development of preventive drugs.

Graphical Abstract

Prolonged high-glucose exposure downregulates glucose uptake and oxidative stress by increasing reactive oxygen species (ROS) production through regulation of superoxide dismutase 2 (SOD2) expression. Autophagic stress, ER stress, and DNA damage stress (genotoxic stress) are also induced by prolonged high-glucose exposure in RPE cells. Consequently, multiple stresses induce the upregulation of the senescence-associated proteins p53 and p21. Although both apoptosis and premature senescence contribute to high glucose exposure-induced anti-proliferation of RPE cells, the present work shows that premature senescence rather than apoptosis is the dominant cause of RPE degeneration, eventually leading to the pathogenesis of DR.

慢性高血糖包括持续的高糖暴露,并与视网膜变性相关。它会导致各种疾病,包括糖尿病视网膜病变(DR),这是导致成人视力丧失的主要原因。大多数体外研究都研究了高葡萄糖暴露对视网膜色素上皮细胞(RPE)的短期破坏性影响。DR也是糖尿病的一种严重并发症。在这项研究中,我们建立了一个长时间高糖暴露(15和75 mM外源性葡萄糖两个月)的模型来模拟高血糖患者的RPE组织病理生理。长时间的高糖暴露降低了ARPE-19细胞的葡萄糖摄取和克隆原性。它还显著增加RPE细胞中的活性氧水平,降低抗氧化蛋白(超氧化物歧化酶2)水平,可能引起氧化应激和DNA损伤,损害增殖。Western blot结果显示,长时间高糖暴露可诱导RPE细胞自噬应激、内质网应激和基因毒性应激。尽管使用膜联蛋白v染色法检测到适度的凋亡细胞群,但衰老相关蛋白p53和p21以及SA-β-gal阳性细胞的增加表明,长时间的高糖暴露主要使RPE细胞对过早衰老敏感。全面的下一代测序表明,氧化应激和DNA损伤相关途径的上调有助于应激诱导的ARPE-19细胞过早衰老。我们的研究结果阐明了高血糖相关视网膜疾病的病理生理学,并有助于未来预防药物的开发。长期高糖暴露通过调节超氧化物歧化酶2 (SOD2)的表达,增加活性氧(ROS)的产生,从而下调葡萄糖摄取和氧化应激。自噬应激、内质网应激和DNA损伤应激(基因毒性应激)也可由RPE细胞长期高糖暴露诱导。因此,多重应激诱导衰老相关蛋白p53和p21的上调。虽然细胞凋亡和过早衰老都有助于高糖暴露诱导的RPE细胞的抗增殖,但目前的研究表明,过早衰老而不是细胞凋亡是RPE变性的主要原因,最终导致DR的发病机制。
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引用次数: 0
Improved Production of Anti-FGF-2 Nanobody Using Pichia pastoris and Its Effect on Antiproliferation of Keratinocytes and Alleviation of Psoriasis 利用毕赤酵母改进抗fgf -2纳米体的生产及其对角化细胞的抗增殖和银屑病的缓解作用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-08-26 DOI: 10.1007/s00005-023-00685-w
Zhenlong Zhou, Baixin Liao, Shengli Wang, Jian Tang, Hui Zhao, Mingjie Tong, Keting Li, Sheng Xiong

Fibroblast growth factor 2 (FGF-2) is not only an angiogenic factor, but also a mitogen for epidermal keratinocytes. FGF-2 has been shown to be positively immunoreactive in the basal layer of psoriatic lesions. In previous work, we used the Escherichia coli (E. coli) expression system to biosynthesize a biologically active anti-FGF-2 nanobody (Nb) screened by phage display technology, but the low yield limited its clinical application. In this study, we aimed to increase the yield of anti-FGF-2 Nb, and evaluate its therapeutic potential for psoriasis by inhibiting FGF-2-mediated mitogenic signaling in psoriatic epidermal keratinocytes. We demonstrated a 16-fold improvement in the yield of anti-FGF-2 Nb produced in the Pichia pastoris (P. pastoris) compared to the  E. coli expression system. In vitro, the FGF-2-induced HaCaT cell model (FHCM) was established to mimic the key feature of keratinocyte overproliferation in psoriasis. Anti-FGF-2 Nb was able to effectively inhibit the proliferation and migration of FHCM. In vivo, anti-FGF-2 Nb attenuated the severity of imiquimod (IMQ)-induced psoriatic lesions in mice, and also improved the inflammatory microenvironment by inhibiting the secretion of inflammatory cytokines (IL-1β, IL-6, IL-23, and TNF-α), chemokines (CXCL1 and CCL20), and neutrophil infiltration in skin lesions. These were mainly related to the suppression of FGF-2-mediated mitogenic signaling in psoriatic keratinocytes. In conclusion, we have improved the production of anti-FGF-2 Nb and demonstrated the modality of attenuating the abnormal proliferative behavior of psoriatic keratinocytes by inhibiting FGF-2-mediated mitogenic signaling, which offers the possibility of treating psoriasis.

成纤维细胞生长因子2 (FGF-2)不仅是一种血管生成因子,也是表皮角质形成细胞的丝裂原。FGF-2已被证明在银屑病病灶的基底层具有阳性免疫反应。在之前的工作中,我们利用大肠杆菌(E. coli)表达系统生物合成了噬菌体展示技术筛选的具有生物活性的抗fgf -2纳米体(Nb),但产量低限制了其临床应用。在这项研究中,我们旨在通过抑制银屑病表皮角质形成细胞中fgf -2介导的有丝分裂信号来提高抗fgf -2 Nb的产量,并评估其治疗银屑病的潜力。我们证明,与大肠杆菌表达系统相比,在毕赤酵母(P. pastoris)中产生的抗fgf - 2nb的产量提高了16倍。在体外,我们建立了fgf -2诱导的HaCaT细胞模型(FHCM)来模拟银屑病中角质形成细胞过度增殖的关键特征。抗fgf - 2nb能有效抑制FHCM的增殖和迁移。在体内,抗fgf - 2nb可减轻咪喹莫特(IMQ)诱导的小鼠银屑病病变的严重程度,并通过抑制炎性细胞因子(IL-1β、IL-6、IL-23和TNF-α)、趋化因子(CXCL1和CCL20)的分泌以及皮肤病变中中性粒细胞的浸润改善炎症微环境。这些主要与银屑病角质形成细胞中fgf -2介导的有丝分裂信号的抑制有关。总之,我们已经改善了抗fgf -2 Nb的产生,并证明了通过抑制fgf -2介导的有丝分裂信号通路来减弱银屑病角质形成细胞异常增殖行为的模式,这为治疗银屑病提供了可能。
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引用次数: 0
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Archivum Immunologiae et Therapiae Experimentalis
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