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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
Activating NKG2C Receptor: Functional Characteristics and Current Strategies in Clinical Applications 激活NKG2C受体:功能特征及当前临床应用策略
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-03-10 DOI: 10.1007/s00005-023-00674-z
Jagoda Siemaszko, Aleksandra Marzec-Przyszlak, Katarzyna Bogunia-Kubik

The interest in NK cells and their cytotoxic activity against tumour, infected or transformed cells continuously increases as they become a new efficient and off-the-shelf agents in immunotherapies. Their actions are balanced by a wide set of activating and inhibitory receptors, recognizing their complementary ligands on target cells. One of the most studied receptors is the activating CD94/NKG2C molecule, which is a member of the C-type lectin-like family. This review is intended to summarise latest research findings on the clinical relevance of NKG2C receptor and to examine its contribution to current and potential therapeutic strategies. It outlines functional characteristics and molecular features of CD94/NKG2C, its interactions with HLA-E molecule and presented antigens, pointing out a key role of this receptor in immunosurveillance, especially in the human cytomegalovirus infection. Additionally, the authors attempt to shed some light on receptor’s unique interaction with its ligand which is shared with another receptor (CD94/NKG2A) with rather opposite properties.

随着NK细胞成为免疫治疗中一种新的、有效的现成药物,人们对NK细胞及其对肿瘤、感染或转化细胞的细胞毒性活性的兴趣不断增加。它们的作用通过广泛的激活和抑制受体来平衡,识别它们在靶细胞上的互补配体。研究最多的受体之一是活化CD94/NKG2C分子,它是c型凝集素样家族的成员。本文旨在总结NKG2C受体临床相关性的最新研究成果,并探讨其对当前和潜在治疗策略的贡献。概述了CD94/NKG2C的功能特征和分子特征,及其与HLA-E分子和呈递抗原的相互作用,指出了该受体在免疫监视中,特别是在人巨细胞病毒感染中的关键作用。此外,作者试图阐明受体与其配体的独特相互作用,该配体与另一个具有相反性质的受体(CD94/NKG2A)共享。
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引用次数: 0
The Effects of Statins on Respiratory Symptoms and Pulmonary Fibrosis in COVID-19 Patients with Diabetes Mellitus: A Longitudinal Multicenter Study 他汀类药物对COVID-19合并糖尿病患者呼吸系统症状和肺纤维化的影响:一项纵向多中心研究
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-02-28 DOI: 10.1007/s00005-023-00672-1
Mohammadamin Sadeghdoust, Farnaz Aligolighasemabadi, Tania Dehesh, Nima Taefehshokr, Adel Sadeghdoust, Katarzyna Kotfis, Amirhossein Hashemiattar, Amir Ravandi, Neda Aligolighasemabadi, Omid Vakili, Beniamin Grabarek, Rafał Staszkiewicz, Marek J. Łos, Pooneh Mokarram, Saeid Ghavami

The aim of this prospective cohort study was to explore the effect of statins on long-term respiratory symptoms and pulmonary fibrosis in coronavirus disease 2019 (COVID-19) patients with diabetes mellitus (DM). Patients were recruited from three tertiary hospitals, categorized into Statin or Non-statin groups, and assessed on days 0, 28, and 90 after symptoms onset to record the duration of symptoms. Pulmonary fibrosis was scored at baseline and follow-up time points by high-resolution computed tomography scans. Each group comprised 176 patients after propensity score matching. Data analysis revealed that the odds of having cough and dyspnea were significantly higher in the Non-statin group compared to the Statin group during the follow-up period. Overall, there was no significant difference in the change in pulmonary fibrosis score between groups. However, Non-statin patients with > 5 years of DM were more likely to exhibit a significantly higher fibrosis score during the follow-up period as compared to their peers in the Statin group. Our results suggest that the use of statins is associated with a lower risk of developing chronic cough and dyspnea in diabetic patients with COVID-19, and may reduce pulmonary fibrosis associated with COVID-19 in patients with long-term (> 5 years) DM.

Graphical Abstract

本前瞻性队列研究的目的是探讨他汀类药物对2019冠状病毒病(COVID-19)合并糖尿病(DM)患者长期呼吸道症状和肺纤维化的影响。从三家三级医院招募患者,将其分为他汀类药物组和非他汀类药物组,并在症状出现后第0、28和90天进行评估,记录症状持续时间。通过高分辨率计算机断层扫描在基线和随访时间点对肺纤维化进行评分。倾向评分匹配后,每组176例。数据分析显示,在随访期间,非他汀类药物组咳嗽和呼吸困难的几率明显高于他汀类药物组。总体而言,两组间肺纤维化评分变化无显著差异。然而,与他汀类药物组相比,非他汀类药物5年糖尿病患者在随访期间更有可能表现出明显更高的纤维化评分。我们的研究结果表明,他汀类药物的使用与糖尿病合并COVID-19患者发生慢性咳嗽和呼吸困难的风险较低相关,并可能减少长期(5年)dm患者与COVID-19相关的肺纤维化
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引用次数: 0
Immunity in SARS-CoV-2 Infection: Clarity or Mystery? A Broader Perspective in the Third Year of a Worldwide Pandemic SARS-CoV-2感染的免疫力:清晰还是神秘?全球大流行第三年的更广阔视野
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-02-21 DOI: 10.1007/s00005-023-00673-0
Katarzyna Kapten, Krzysztof Orczyk, Elzbieta Smolewska

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and its mechanisms have been thoroughly studied by researchers all over the world with the hope of finding answers that may aid the discovery of new treatment options or effective means of prevention. Still, over 2 years into the pandemic that is an immense burden on health care and economic systems, there seem to be more questions than answers. The character and multitude of immune responses elicited in coronavirus disease 2019 (COVID-19) vary from uncontrollable activation of the inflammatory system, causing extensive tissue damage and consequently leading to severe or even fatal disease, to mild or asymptomatic infections in the majority of patients, resulting in the unpredictability of the current pandemic. The aim of the study was to systematize the available data regarding the immune response to SARS-CoV-2, to provide some clarification among the abundance of the knowledge available. The review contains concise and current information on the most significant immune reactions to COVID-19, including components of both innate and adaptive immunity, with an additional focus on utilizing humoral and cellular responses as effective diagnostic tools. Moreover, the authors discussed the present state of knowledge on SARS-CoV-2 vaccines and their efficacy in cases of immunodeficiency.

世界各地的研究人员对严重急性呼吸系统综合征冠状病毒-2 (SARS-CoV-2)及其机制进行了深入研究,希望找到有助于发现新的治疗方案或有效预防手段的答案。尽管如此,大流行对卫生保健和经济系统造成了巨大负担,但在过去两年多的时间里,问题似乎多于答案。2019冠状病毒病(COVID-19)引发的免疫反应的性质和数量各不相同,从炎症系统的不可控激活,引起广泛的组织损伤,从而导致严重甚至致命的疾病,到大多数患者的轻度或无症状感染,导致当前大流行的不可预测性。该研究的目的是将有关SARS-CoV-2免疫反应的现有数据系统化,以便在现有的丰富知识中提供一些澄清。该综述包含了针对COVID-19的最重要免疫反应的简明和最新信息,包括先天免疫和适应性免疫的组成部分,并额外侧重于利用体液和细胞反应作为有效的诊断工具。此外,作者还讨论了SARS-CoV-2疫苗的知识现状及其对免疫缺陷病例的疗效。
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引用次数: 2
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Archivum Immunologiae et Therapiae Experimentalis
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