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Updated Clinical Perspectives and Challenges of Chimeric Antigen Receptor-T Cell Therapy in Colorectal Cancer and Invasive Breast Cancer 嵌合抗原受体- t细胞治疗结直肠癌和浸润性乳腺癌的最新临床前景和挑战
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-08-11 DOI: 10.1007/s00005-023-00684-x
Yu Cao, Sergey K. Efetov, Mingze He, Yu Fu, Narasimha M. Beeraka, Jin Zhang, Xinliang Zhang, Namitha Bannimath, Kuo Chen

In recent years, the incidence of colorectal cancer (CRC) and breast cancer (BC) has increased worldwide and caused a higher mortality rate due to the lack of selective anti-tumor therapies. Current chemotherapies and surgical interventions are significantly preferred modalities to treat CRC or BC in advanced stages but the prognosis for patients with advanced CRC and BC remains dismal. The immunotherapy technique of chimeric antigen receptor (CAR)-T cells has resulted in significant clinical outcomes when treating hematologic malignancies. The novel CAR-T therapy target antigens include GUCY2C, CLEC14A, CD26, TEM8/ANTXR1, PDPN, PTK7, PODXL, CD44, CD19, CD20, CD22, BCMA, GD2, Mesothelin, TAG-72, CEA, EGFR, B7H3, HER2, IL13Ra2, MUC1, EpCAM, PSMA, PSCA, NKG2D. The significant aim of this review is to explore the recently updated information pertinent to several novel targets of CAR-T for CRC, and BC. We vividly described the challenges of CAR-T therapies when treating CRC or BC. The immunosuppressive microenvironment of solid tumors, the shortage of tumor-specific antigens, and post-treatment side effects are the major hindrances to promoting the development of CAR-T cells. Several clinical trials related to CAR-T immunotherapy against CRC or BC have already been in progress. This review benefits academicians, clinicians, and clinical oncologists to explore more about the novel CAR-T targets and overcome the challenges during this therapy.

近年来,结直肠癌(CRC)和乳腺癌(BC)的发病率在全球范围内呈上升趋势,由于缺乏选择性的抗肿瘤治疗,导致了较高的死亡率。目前化疗和手术干预是治疗晚期结直肠癌或BC的首选方式,但晚期结直肠癌和BC患者的预后仍然令人沮丧。嵌合抗原受体(CAR)-T细胞免疫治疗技术在治疗血液系统恶性肿瘤方面取得了显著的临床效果。新的CAR-T治疗靶抗原包括GUCY2C、cle14a、CD26、TEM8/ANTXR1、PDPN、PTK7、PODXL、CD44、CD19、CD20、CD22、BCMA、GD2、Mesothelin、TAG-72、CEA、EGFR、B7H3、HER2、IL13Ra2、MUC1、EpCAM、PSMA、PSCA、NKG2D。本综述的重要目的是探讨CAR-T治疗CRC和BC的几个新靶点的最新信息。我们生动地描述了CAR-T疗法在治疗CRC或BC时的挑战。实体肿瘤的免疫抑制微环境、肿瘤特异性抗原的缺乏以及治疗后的副作用是促进CAR-T细胞发育的主要障碍。一些与CAR-T免疫疗法治疗CRC或BC相关的临床试验已经在进行中。这篇综述有助于学者、临床医生和临床肿瘤学家更多地探索新的CAR-T靶点,并克服这种治疗过程中的挑战。
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引用次数: 1
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 : 2023-07-07 DOI: 10.1007/s00005-023-00683-y
Marta Śledź, Alicja Wojciechowska, Radosław Zagożdżon, Beata Kaleta

Chimeric antigen receptor-T (CAR-T) cell-based therapy has become a successful option for treatment of numerous hematological malignancies, but also raises hope in a range of non-malignant diseases. However, in a traditional approach, generation of CAR-T cells is associated with the separation of patient’s lymphocytes, their in vitro modification, and expansion and infusion back into patient’s bloodstream. This classical protocol is complex, time-consuming, and expensive. Those problems could be solved by successful protocols to produce CAR-T cells, but also CAR-natural killer cells or CAR macrophages, in situ, using viral platforms or non-viral delivery systems. Moreover, it was demonstrated that in situ CAR-T induction may be associated with reduced risk of the most common toxicities associated with CAR-T therapy, such as cytokine release syndrome, immune effector cell-associated neurotoxicity syndrome, and “on-target, off-tumor” toxicity. This review aims to summarize the current state-of-the-art and future perspectives for the in situ-produced CAR-T cells. Indeed, preclinical work in this area, including animal studies, raises hope for prospective translational development and validation in practical medicine of strategies for in situ generation of CAR-bearing immune effector cells.

嵌合抗原受体- t (CAR-T)细胞疗法已成为治疗许多血液系统恶性肿瘤的成功选择,但也为一系列非恶性疾病带来了希望。然而,在传统的方法中,CAR-T细胞的产生与患者淋巴细胞的分离、体外修饰、扩增和输注回患者血液有关。这种经典协议复杂、耗时且昂贵。这些问题可以通过使用病毒平台或非病毒传递系统原位生产CAR- t细胞、CAR-自然杀伤细胞或CAR-巨噬细胞的成功方案来解决。此外,研究表明,原位CAR-T诱导可能与CAR-T治疗相关的最常见毒性的风险降低有关,如细胞因子释放综合征、免疫效应细胞相关神经毒性综合征和“靶外肿瘤”毒性。本文综述了CAR-T细胞的现状和未来发展趋势。事实上,该领域的临床前工作,包括动物研究,为原位生成car -载体免疫效应细胞的前瞻性转化开发和实际医学验证策略带来了希望。
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引用次数: 0
Modulation of Myeloid-Derived Suppressor Cells in the Tumor Microenvironment by Natural Products 天然产物对肿瘤微环境中髓源性抑制细胞的调节
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-07-06 DOI: 10.1007/s00005-023-00681-0
Jhon Jairo Calderon, Karol Prieto, Paola Lasso, Susana Fiorentino, Alfonso Barreto

During carcinogenesis, the microenvironment plays a fundamental role in tumor progression and resistance. This tumor microenvironment (TME) is characterized by being highly immunosuppressive in most cases, which makes it an important target for the development of new therapies. One of the most important groups of cells that orchestrate immunosuppression in TME is myeloid-derived suppressor cells (MDSCs), which have multiple mechanisms to suppress the immune response mediated by T lymphocytes and thus protect the tumor. In this review, we will discuss the importance of modulating MDSCs as a therapeutic target and how the use of natural products, due to their multiple mechanisms of action, can be a key alternative for modulating these cells and thus improve response to therapy in cancer patients.

在癌变过程中,微环境在肿瘤的进展和耐药性中起着重要作用。这种肿瘤微环境(TME)在大多数情况下具有高度免疫抑制的特点,这使其成为开发新疗法的重要靶点。在TME中协调免疫抑制的最重要的细胞群之一是髓源性抑制细胞(MDSCs),它具有多种机制来抑制T淋巴细胞介导的免疫反应,从而保护肿瘤。在这篇综述中,我们将讨论调节MDSCs作为治疗靶点的重要性,以及如何使用天然产物,由于其多种作用机制,可以成为调节这些细胞的关键替代方案,从而提高癌症患者对治疗的反应。
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引用次数: 2
Antioxidant and Anti-inflammatory Effects of α-Lipoic Acid on Lipopolysaccharide-induced Oxidative Stress in Rat Kidney α-硫辛酸对脂多糖所致大鼠肾脏氧化应激的抗氧化和抗炎作用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-06-28 DOI: 10.1007/s00005-023-00682-z
Beata Skibska, Ewa Kochan, Andrzej Stanczak, Anna Lipert, Agnieszka Skibska

α-Lipoic acid (α-LA) is a naturally occurring organosulfur component. Oxidative stress plays an essential role in the pathogenesis of various diseases, such as kidney and cardiovascular diseases, diabetes, neurodegenerative disorders, cancer and aging. Kidneys are especially vulnerable to oxidative stress and damage. The aim of the study was to evaluate the effect of α-LA on lipopolysaccharide (LPS)-induced oxidative stress parameters in rat kidneys. The experimental rats were divided into four groups: I—control (0.9% NaCl i.v.); II—α-LA (60 mg/kg b.w. i.v.); III—LPS (30 mg/kg b.w. i.v.); and IV—LPS + LA (30 mg/kg b.w. i.v. and 60 mg/kg b.w. i.v., respectively). In kidney homogenates the concentration of thiobarbituric acid reactive substances (TBARS), hydrogen peroxide (H2O2), sulfhydryl groups (−SH), total protein, superoxide dismutase (SOD), total glutathione (tGSH), reduced glutathione (GSH), glutathione disulphide (GSSG) and the GSH/GSSG ratio were determined. In addition, the levels of tumour necrosis factor (TNF)-α, and interleukin (IL)-6 were measured to assess inflammation and was estimated kidney oedema. Studies have shown that α-LA administered after LPS administration attenuated kidney oedema and significantly decreased TBARS, H2O2, TNF-α, and IL-6 levels in rat kidneys. α-LA also resulted in increase −SH group, total protein, and SOD levels and ameliorated the GSH redox status when compared to the LPS group. The results suggest that α-LA plays an important role against LPS-induced oxidative stress in kidney tissue as well as downregulating the expression of pro-inflammatory cytokines.

Graphical Abstract

α-硫辛酸(α-LA)是一种天然存在的有机硫组分。氧化应激在肾脏和心血管疾病、糖尿病、神经退行性疾病、癌症和衰老等多种疾病的发病机制中起着至关重要的作用。肾脏特别容易受到氧化应激和损伤。本研究旨在探讨α-LA对脂多糖(LPS)诱导的大鼠肾脏氧化应激参数的影响。实验大鼠分为四组:对照组(0.9% NaCl);II -α-LA (60 mg/kg b.w.i.v.);III-LPS (30 mg/kg b.w.i.v.);IV-LPS + LA(分别为30 mg/kg b.w.v.和60 mg/kg b.w.v.)。测定肾脏匀浆中硫代巴比妥酸反应物质(TBARS)、过氧化氢(H2O2)、巯基(- SH)、总蛋白、超氧化物歧化酶(SOD)、总谷胱甘肽(tGSH)、还原性谷胱甘肽(GSH)、谷胱甘肽二硫化(GSSG)的浓度及GSH/GSSG比值。此外,测量肿瘤坏死因子(TNF)-α和白细胞介素(IL)-6的水平以评估炎症和估计肾脏水肿。研究表明,LPS给药后给予α-LA可减轻大鼠肾脏水肿,显著降低大鼠肾脏TBARS、H2O2、TNF-α和IL-6水平。与LPS组相比,α-LA还导致- SH组、总蛋白和SOD水平升高,并改善GSH氧化还原状态。结果提示,α-LA在抑制lps诱导的肾组织氧化应激和下调促炎细胞因子表达方面发挥重要作用。图形抽象
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引用次数: 1
Are Measles-Mumps-Rubella (MMR) Antibodies Friends or Foes for Covid-19 Disease? 麻疹-腮腺炎-风疹(MMR)抗体对Covid-19疾病是友还是敌?
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-06-21 DOI: 10.1007/s00005-023-00680-1
Azza Salamony, Yara Shamikh, Khaled Amer, Tarek Elnagdy, Mostafa Elnakib, Abd Allah Yehia, Wael Hassan, Maha Abdelsalam

Many factors have been implicated in the pathogenesis and severity of COVID-19 pandemic. A wide variation in the susceptibility for SARS-CoV-2 infection among different population, gender and age has been observed. Multiple studies investigated the relationship between the antibody’s titre of previously vaccinated individuals and the susceptibility of coronavirus infection, to find a rapid effective therapy for this pandemic. This study focused on the association between measles-mumps-rubella (MMR) antibodies titre and the severity of COVID-19 infection. We aimed to investigate the correlation between the antibody’s titre of MMR and the SARS-CoV-2 infection susceptibility and disease severity, in a cohort of COVID-19 Egyptian patients, compared to a control group. MMR antibody titre was measured using enzyme Linked Immune Sorbent Assay; (ELISA) for 136 COVID-19 patients and 44 healthy individuals, as control group. There were high levels of measles and mumps antibodies titer in the deteriorating cases, which could not protect from SARS-CoV-2 infection. However, the rubella antibodies might protect from SARS-CoV-2 infection, but once the infection occurs, it may aggravate the risk of case deterioration. MMR antibodies could be used as a guideline for COVID-19 symptom-severity and, in turn, may be considered as an economic prognostic marker used for early protection from multiple autoimmune organ failure.

COVID-19大流行的发病机制和严重程度涉及许多因素。观察到不同人群、性别和年龄对SARS-CoV-2感染的易感性存在很大差异。多项研究调查了以前接种过疫苗的个体的抗体滴度与冠状病毒感染易感性之间的关系,以找到一种快速有效的治疗方法。这项研究的重点是麻疹-腮腺炎-风疹(MMR)抗体滴度与COVID-19感染严重程度之间的关系。我们的目的是在COVID-19埃及患者队列中,与对照组相比,研究MMR抗体滴度与SARS-CoV-2感染易感性和疾病严重程度之间的相关性。采用酶联免疫吸附法测定MMR抗体滴度;(ELISA)检测136例COVID-19患者和44例健康人作为对照组。在病情恶化的病例中,麻疹和腮腺炎抗体滴度较高,不能保护患者免受SARS-CoV-2感染。然而,风疹抗体可能对SARS-CoV-2感染有保护作用,但一旦感染,可能会加剧病例恶化的风险。MMR抗体可作为COVID-19症状严重程度的指南,反过来,可被视为一种经济的预后标志物,用于早期保护多种自身免疫器官衰竭。
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引用次数: 0
The Pyroptotic and Nonpyroptotic Roles of Gasdermins in Modulating Cancer Progression and Their Perspectives on Cancer Therapeutics 气胚芽素在调节癌症进展中的热亡和非热亡作用及其在癌症治疗中的前景
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-05-31 DOI: 10.1007/s00005-023-00678-9
Sheng-Kai Hsu, Yi-En Chen, En-De Shu, Ching-Chung Ko, Wen-Tsan Chang, I.-Ling Lin, Chia-Yang Li, Rovelyn P. Gallego, Chien-Chih Chiu

Gasdermins (GSDMs) are a protein family encoded by six paralogous genes in humans, including GSDMA, GSDMB, GSDMC, GSDMD, GSDME (also known as DFNA5), and DFNB59 (also known as pejvakin). Structurally, members of the GSDM family possess a C-terminus (an autoinhibitory domain) and a positively charged N-terminus (a pore-forming domain) linked with divergent peptide linkers. Recently, GSDMs have been identified as key executors of pyroptosis (an immunogenic programmed cell death) due to their pore-forming activities on the plasma membrane when proteolytically cleaved by caspases or serine proteases. Accumulating studies suggest that chemoresistance is attributed to dysregulation of apoptotic machinery and that inducing pyroptosis to bypass aberrant apoptosis can potently resensitize apoptosis-resistant cancer to chemotherapeutics. Pyroptosis is initiated by pore formation and culminates with plasma membrane rupture; these processes enable the release of proinflammatory cytokines (e.g., IL-1β and IL-18) and damage-associated molecular patterns, which further modulate antitumor immunity within the tumor microenvironment. Although pyroptosis is considered a promising strategy to boost antitumor effects, it is also reported to cause unwanted tissue damage (e.g., gut damage and nephrotoxicity). Intriguingly, mounting evidence has uncovered nonpyroptotic roles of GSDMs in tumorigenesis, such as proliferation, invasion, metastasis, and drug resistance. Thus, this provides a rationale for GSDMs as potential therapeutic targets. Taken together, we shed unbiased light on the pyroptosis-dependent roles of GSDMs in cancer progression and highlighted how GSDMs modulate tumorigenesis in a pyroptosis-independent manner. It is evident that targeting GSDMs seems profound in cancer management; however, several problems require further investigation to target GSDMs from bench to bedside, which is elucidated in the discussion section.

Gasdermins (GSDMs)是由人类6个同源基因编码的蛋白家族,包括GSDMA、GSDMB、GSDMC、GSDMD、GSDME(也称为DFNA5)和DFNB59(也称为pejvakin)。在结构上,GSDM家族的成员具有一个c端(一个自抑制结构域)和一个带正电的n端(一个成孔结构域),与不同的肽连接物相连。最近,GSDMs已被确定为焦亡(一种免疫原性程序性细胞死亡)的关键执行者,这是由于它们在被半胱天蛋白酶或丝氨酸蛋白酶水解裂解时在质膜上形成孔的活性。越来越多的研究表明,化疗耐药归因于凋亡机制的失调,诱导凋亡绕过异常凋亡可以有效地使凋亡耐药的癌症对化疗药物重新敏感。热亡由孔隙形成开始,并以质膜破裂告终;这些过程使促炎细胞因子(如IL-1β和IL-18)和损伤相关分子模式的释放成为可能,从而进一步调节肿瘤微环境中的抗肿瘤免疫。虽然焦亡被认为是一种很有前途的增强抗肿瘤作用的策略,但也有报道称它会引起不必要的组织损伤(例如,肠道损伤和肾毒性)。有趣的是,越来越多的证据揭示了GSDMs在肿瘤发生中的非焦性作用,如增殖、侵袭、转移和耐药性。因此,这为GSDMs作为潜在的治疗靶点提供了理论依据。综上所述,我们公正地阐明了GSDMs在癌症进展中的焦热依赖作用,并强调了GSDMs如何以不依赖焦热的方式调节肿瘤发生。很明显,靶向GSDMs在癌症管理中似乎意义深远;然而,要将GSDMs从实验室应用到临床,还有几个问题需要进一步研究,讨论部分对此进行了阐述。
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引用次数: 1
Investigation of the Immunogenic Properties of Ovalbumin Modified by Urban Airborne Particulate Matter 城市空气颗粒物修饰卵清蛋白免疫原性的研究
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-05-28 DOI: 10.1007/s00005-023-00679-8
Bernadeta Nowak, Anna Wądołek, Olga Mazuryk, Anna Poznańska, Katarzyna Majzner, Grzegorz Majka, Maria Oszajca, Małgorzata Barańska, Grażyna Stochel, Janusz Marcinkiewicz

Exposure to air particulate matter (PM) is linked to the blood oxidative stress and systemic inflammation. The aim of this study was to elucidate whether oxidative PM modification of ovalbumin (OVA), the major antioxidant serum protein, may alter its antigenicity and/or immunogenicity. Ovalbumin was exposed via dialysis to the standard urban PM (SRM 1648a) or to PM with removed organic content (encoded as LAP). Both structural changes and biological properties of PM-modified OVA were measured. T lymphocytes and dendritic cells (the major antigen-presenting cells) isolated from C57BL/6 and OT-II (323–339 epitope) OVA-specific T cell receptor (TCR)-transgenic mice were used to test the effect of PM on OVA immunogenicity. The immunogenicity of both SRM 1648a and LAP-modified OVA was significantly higher than that of control OVA, as measured by the epitope-specific T cell proliferation and interferon γ production by the stimulated cells. This effect was associated with mild oxidative changes in the carrier molecule outside the structure of the OVA epitope and with increased resistance to proteolysis of PM-modified OVA. Interestingly, dendritic cells showed enhanced capacity for the uptake of proteins when the cells were cultured with PM-modified OVA. Our results suggest that the enhanced immunogenicity of PM-modified OVA is not associated with altered antigenicity or antigen presentation. However, it may result from slower degradation and longer persistence of modified antigens in dendritic cells. Whether this phenomenon is associated with enhanced risk prevalence of autoimmune diseases observed in the areas with high urban PM pollution needs to be explained.

暴露于空气颗粒物(PM)与血液氧化应激和全身炎症有关。本研究的目的是阐明氧化PM对主要抗氧化血清蛋白卵清蛋白(OVA)的修饰是否会改变其抗原性和/或免疫原性。卵清蛋白通过透析暴露于标准城市PM (SRM 1648a)或去除有机含量的PM(编码为LAP)。测定了pm修饰OVA的结构变化和生物学特性。采用从C57BL/6和OT-II(323-339表位)OVA特异性T细胞受体(TCR)转基因小鼠中分离的T淋巴细胞和树突状细胞(主要抗原呈递细胞)检测PM对OVA免疫原性的影响。通过刺激细胞的表位特异性T细胞增殖和干扰素γ的产生,SRM 1648a和lap修饰的OVA的免疫原性均显著高于对照OVA。这种作用与OVA表位结构外的载体分子的轻度氧化变化以及pm修饰的OVA对蛋白水解的抵抗力增加有关。有趣的是,当树突状细胞用pm修饰的OVA培养时,树突状细胞显示出增强的蛋白质摄取能力。我们的研究结果表明,pm修饰的OVA的免疫原性增强与抗原性或抗原呈递的改变无关。然而,这可能是由于修饰抗原在树突状细胞中降解较慢和持续时间较长。这一现象是否与在城市PM高污染地区观察到的自身免疫性疾病风险患病率增加有关,需要解释。
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引用次数: 0
Omics are Getting Us Closer to Understanding IgA Nephropathy 组学让我们更接近了解IgA肾病
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-04-15 DOI: 10.1007/s00005-023-00677-w
Krzysztof Mucha, Michał Pac, Leszek Pączek

During the last decade, thanks to omics technologies, new light has been shed on the pathogenesis of many diseases. Genomics, epigenomics, transcriptomics, and proteomics have helped to provide a better understanding of the origin and heterogeneity of several diseases. However, the risk factors for most autoimmune diseases remain unknown. The successes and pitfalls of omics have also been observed in nephrology, including immunoglobulin A nephropathy (IgAN), the most common form of glomerulonephritis and a principal cause of end-stage renal disease worldwide. Unfortunately, the immense progress in basic research has not yet been followed by the satisfactory development of a targeted treatment. Although, most omics studies describe changes in the immune system, there is still insufficient data to apply their results in the constantly evolving multi-hit pathogenesis model and thus do to provide a complete picture of the disease. Here, we describe recent findings regarding the pathophysiology of IgAN and link omics studies with immune system dysregulation. This review provides insights into specific IgAN markers, which may lead to the identification of potential targets for personalised treatment in the future.

在过去的十年中,多亏了组学技术,许多疾病的发病机制有了新的认识。基因组学、表观基因组学、转录组学和蛋白质组学有助于更好地了解几种疾病的起源和异质性。然而,大多数自身免疫性疾病的危险因素仍然未知。组学的成功和缺陷也在肾脏病学中被观察到,包括免疫球蛋白A肾病(IgAN),这是肾小球肾炎最常见的形式,也是世界范围内终末期肾脏疾病的主要原因。不幸的是,在基础研究取得巨大进展之后,针对性治疗的发展还没有令人满意。尽管大多数组学研究描述了免疫系统的变化,但仍然没有足够的数据将其结果应用于不断发展的多打击发病模型,从而无法提供疾病的完整图景。在这里,我们描述了关于IgAN病理生理学的最新发现,并将组学研究与免疫系统失调联系起来。这篇综述提供了对特定IgAN标记物的见解,这可能会导致未来个性化治疗的潜在目标的确定。
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引用次数: 2
Mast Cells and Resistance to Immunotherapy in Cancer 肥大细胞与肿瘤免疫治疗的耐药性
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-04-11 DOI: 10.1007/s00005-023-00676-x
Domenico Ribatti

Mast cells are involved in tumor growth and their mediators exert both pro- and anti-tumorigenic roles in different human cancers. The identification of defined immunosuppressive pathways that are present in the tumor microenvironment has pointed therapeutic strategies that may promote inflammation and/or innate immune activation in this context. Mast cells can contribute to the immune suppressive tumor microenvironment and may also enhance anti-tumor responses. This review article is focused on the analysis of the mechanisms of the role of mast cells in resistance to immunotherapy in cancer.

肥大细胞参与肿瘤生长,其介质在不同的人类癌症中发挥促肿瘤和抗肿瘤作用。肿瘤微环境中存在的免疫抑制途径的确定,为在这种情况下促进炎症和/或先天免疫激活提供了有针对性的治疗策略。肥大细胞可以促进免疫抑制肿瘤微环境,也可能增强抗肿瘤反应。本文就肥大细胞在肿瘤免疫治疗耐药中的作用机制作一综述。
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引用次数: 0
Effect of Hematopoietic Stem Cell Transplantation and Post-Transplantation Cyclophosphamide on the Microglia Phenotype in Rats with Experimental Allergic Encephalomyelitis 造血干细胞移植和移植后环磷酰胺对实验性变应性脑脊髓炎大鼠小胶质细胞表型的影响
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-03-24 DOI: 10.1007/s00005-023-00675-y
Kaja Kasarełło, Martyna Seta, Dorota Sulejczak, Emilian Snarski, Agnieszka Cudnoch-Jędrzejewska

Microglia are the resident immune cells of the central nervous system, playing a role in the inflammatory process development and resolution, presenting two main phenotypes, pro-inflammatory M1, and anti-inflammatory M2. Therapies affecting the microglia phenotype may be beneficial in treating inflammatory neurodegenerative diseases. In our experiments, we used the animal multiple sclerosis model, experimental allergic encephalomyelitis (EAE). Rats were treated during the pre- or symptomatic phase of the disease with cyclophosphamide, followed by hematopoietic stem cell transplantation, and with/without post-transplantation cyclophosphamide. Our study aimed to analyze the microglia phenotype in animals subjected to this treatment. The number of M1 cells in the spinal cord, and inducible nitric oxide synthase (iNOS) levels in the brain were similar in all experimental groups. The differences were observed in M2 cells number and arginase 1 (Arg1) levels, which were decreased in EAE animals, and increased after treatment in the symptomatic phase of EAE, and in the pre-symptomatic phase, but only with post-transplantation cyclophosphamide. Analysis of gene expression in the brain showed decreased iNOS expression in EAE animals treated in the symptomatic phase of EAE and no differences in Arg1 expression. Results indicate that treatment applied to experimental animals influences the microglia phenotype, promoting differentiation towards M2 cells.

小胶质细胞是中枢神经系统的常驻免疫细胞,在炎症过程的发生和消退中发挥作用,主要表现为促炎M1和抗炎M2两种表型。影响小胶质细胞表型的疗法可能对治疗炎症性神经退行性疾病有益。在我们的实验中,我们使用动物多发性硬化模型,实验性过敏性脑脊髓炎(EAE)。在疾病前期或症状期用环磷酰胺治疗大鼠,然后进行造血干细胞移植,移植后用/不用环磷酰胺治疗。我们的研究旨在分析受这种治疗的动物的小胶质细胞表型。各实验组脊髓M1细胞数量和脑内诱导型一氧化氮合酶(iNOS)水平相似。M2细胞数量和精氨酸酶1 (Arg1)水平在EAE动物中呈下降趋势,在EAE症状期和症状前治疗后升高,但仅在移植后使用环磷酰胺治疗后升高。脑内基因表达分析显示,在EAE症状期治疗的EAE动物iNOS表达降低,Arg1表达无差异。结果表明,实验动物的处理影响小胶质细胞表型,促进向M2细胞分化。
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引用次数: 0
期刊
Archivum Immunologiae et Therapiae Experimentalis
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