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Stress-Sensitive Regulators of Fetal Neurodevelopment in HIV and Preeclampsia: An Immunocytochemical Appraisal of Placental OGT and T4 Levels HIV和子痫前期胎儿神经发育的应激敏感调节因子:胎盘OGT和T4水平的免疫细胞化学评价
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2023-01-21 DOI: 10.1007/s00005-023-00668-x
Philemon D. Shallie, Thajasvarie Naicker, Nihar R. Nayak

Preeclampsia and HIV are a significant burden to maternal health globally, especially in low-middle income countries such as South Africa. In the KwaZulu-Natal province, SA antenatal HIV prevalence is 41.1%, while PE is 12%. PE and HIV infections are maternal stress and inflammation that impact placental function and fetal development. Therefore, this study investigated the impact of the comorbidity of PE and HIV on placental stress and neurodevelopment. Placentae were obtained from four cohorts of pregnant women: normotensive HIV negative, normotensive HIV positive, preeclamptic HIV negative, and preeclamptic HIV positive. The placental tissue sections were immunostained for OGT and T4. Our findings showed that the maternal weight, diastolic, and systolic blood pressures (BP) were higher in PE vs. the normotensive groups, irrespective of HIV status. In addition, significant changes were noticed in the placental weight, fetoplacental ratio, and placental efficiency coefficient. Our findings showed that the maternal weight, diastolic, and systolic blood pressures (BP) were statistically higher in the PE compared to the normotensive. No significant differences were observed between HIV positive and HIV negative groups. In addition, significant changes were noticed in the placental weight, fetoplacental ratio, and placental coefficient. Furthermore, considerable upregulation in the placental expression of OGT in both the conducting and exchange villi of PE and concomitant downregulation in HIV-positive patients compared with Normotensive and HIV-negative individuals, respectively. Our results provide inferential evidence on the dysregulation of OGT in the comorbidity of PE and HIV. This may mediate a compromised programmed outcome of an adverse maternal environment during pregnancy and consequently affect fetal development.

子痫前期和艾滋病毒是全球孕产妇健康的重大负担,特别是在南非等中低收入国家。在夸祖鲁-纳塔尔省,南非产前艾滋病毒感染率为41.1%,而产前艾滋病毒感染率为12%。PE和HIV感染是影响胎盘功能和胎儿发育的母体压力和炎症。因此,本研究探讨了PE和HIV合并症对胎盘应激和神经发育的影响。从四组孕妇中获得胎盘:血压正常的HIV阴性、血压正常的HIV阳性、子痫前期HIV阴性和子痫前期HIV阳性。对胎盘组织切片进行OGT和T4免疫染色。我们的研究结果显示,与正常血压组相比,PE组的母亲体重、舒张压和收缩压(BP)更高,与HIV状态无关。胎盘重量、胎胎盘比、胎盘效率系数均有显著变化。我们的研究结果显示,与正常血压组相比,PE组的母亲体重、舒张压和收缩压(BP)在统计学上更高。HIV阳性组和HIV阴性组之间无显著差异。胎盘重量、胎胎盘比、胎盘系数均有显著变化。此外,与正常血压患者和hiv阴性个体相比,hiv阳性患者胎盘中PE传导绒毛和交换绒毛中OGT的表达均显著上调,并伴有下调。我们的结果为PE和HIV合并症中OGT的失调提供了推断性证据。这可能介导了怀孕期间不利的母体环境的受损程序结果,从而影响胎儿发育。
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引用次数: 1
An Assessment of the Serum Activity of ADH and ALDH in Patients with Primary Biliary Cholangitis 原发性胆道性胆管炎患者血清ADH和ALDH活性的评价
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-12-28 DOI: 10.1007/s00005-022-00667-4
Blanka Wolszczak-Biedrzycka, Anna Bieńkowska, Elżbieta Zasimowicz, Grzegorz Biedrzycki, Justyna Dorf, Wojciech Jelski

Primary biliary cholangitis (PBC; previously known as primary biliary cirrhosis) is a chronic inflammation-induced cholestatic process in the liver. Antimitochondrial antibodies (AMAs) are observed in around 90% of patients, which suggests that PBC is an autoimmune disease. Alcohol dehydrogenase (ADH), ADH isoenzymes and aldehyde dehydrogenase (ALDH) are localized in the liver, and they are useful markers of liver dysfunction. In this study, the activity of total ADH, ADH isoenzymes and ALDH was evaluated in the blood serum of patients with PBC. The experimental group comprised 50 PBC patients, both male and female, aged 28–67. The control group consisted of 50 healthy subjects, both male and female, aged 25–65. The serum activity of class I ADH, class II ADH and ALDH was measured by spectrofluorophotometry, whereas total ADH and class III ADH activity was determined by photometry methods. The activity of class I ADH and total ADH was significantly higher in the experimental group than in the control group (p < 0.001). An increase in class I ADH and total ADH activity indicates that the isoenzyme class I ADH is released by compromised liver cells and can be useful diagnostic markers of PBC.

原发性胆管炎;原发性胆汁性肝硬化(以前称为原发性胆汁性肝硬化)是肝脏慢性炎症诱导的胆汁淤积过程。约90%的患者存在抗线粒体抗体(AMAs),提示PBC是一种自身免疫性疾病。乙醇脱氢酶(ADH), ADH同工酶和醛脱氢酶(ALDH)定位于肝脏,它们是肝脏功能障碍的有用标志物。本研究测定了PBC患者血清总ADH、ADH同工酶和ALDH的活性。实验组50例PBC患者,男女均有,年龄28-67岁。对照组由50名年龄在25-65岁的健康男性和女性组成。血清ⅰ类、ⅱ类ADH和ALDH活性采用荧光光度法测定,总ADH和ⅲ类ADH活性采用光度法测定。试验组ⅰ类ADH活性和总ADH活性显著高于对照组(p < 0.001)。I类ADH和总ADH活性的增加表明I类ADH同工酶由受损的肝细胞释放,可以作为PBC的有用诊断标志物。
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引用次数: 1
Impact of Betamethasone Pretreatment on Engrafment of Cord Blood-Derived Hematopoietic Stem Cells 倍他米松预处理对脐血源性造血干细胞植入的影响
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-12-18 DOI: 10.1007/s00005-022-00666-5
David Perna-Barrull, Laia Gomez-Muñoz, Silvia Rodriguez-Fernandez, Anna Gieras, Rosa M. Ampudia-Carrasco, Lidia Almenara-Fuentes, Ruth M. Risueño, Sergi Querol, Eva Tolosa, Marta Vives-Pi

Hematopoietic stem cell (HSC) transplantation is crucial to cure hematologic malignancies. Umbilical cord blood (UCB) is a source of stem cells, but 90% of UCB units are discarded due to low cellularity. Improving the engraftment capacities of CD34+ stem cells would allow the use of UCB that were so far rejected. Betamethasone induces long-term transcriptomic and epigenomic changes in immune cells through glucocorticoid receptor. We hypothesize that discarded UCB could be used owing to improvements induced by betamethasone. Isolated CD34+ HSC from UCB were exposed to the synthetic glucocorticoids betamethasone and fluticasone for 20 h, and cell phenotype was determined before transplantation. NSG mice were sub-lethally irradiated (1 Gy or 2 Gy) 6 h before intravenously transferring 2–5 × 105 CD34+ HSC. The peripheral blood engraftment levels and the leukocyte subsets were followed up for 20 weeks using flow cytometry. At end point, the engraftment and leukocyte subsets were determined in the spleen and bone marrow. We demonstrated that betamethasone has surprising effects in recovering immune system homeostasis. Betamethasone and fluticasone increase CXCR4 and decrease HLA class II and CD54 expression in CD34+ HSCs. Both glucocorticoids-exposed cells showed a similar engraftment in 2 Gy-irradiated NSG mice. Interestingly, betamethasone-exposed cells showed enhanced engraftment in 1 Gy-irradiated NSG mice, with a trend to increase regulatory T cell percentage when compared to control. Betamethasone induces alterations in CD34+ HSCs and improve the engraftment, leading to a faster immune system recovery, which will contribute to engrafted cells survival.

造血干细胞(HSC)移植是治疗恶性血液病的关键。脐带血(UCB)是干细胞的来源,但90%的脐带血单位由于细胞含量低而被丢弃。提高CD34+干细胞的移植能力将允许使用迄今为止被拒绝的UCB。倍他米松通过糖皮质激素受体诱导免疫细胞的长期转录组和表观基因组变化。我们推测,由于倍他米松的改善,废弃的UCB可以被利用。将UCB分离的CD34+ HSC暴露于合成糖皮质激素倍他米松和氟替卡松20 h,并在移植前测定细胞表型。在静脉转移2 - 5 × 105 CD34+ HSC前6 h对NSG小鼠进行亚致死照射(1 Gy或2 Gy)。流式细胞术观察外周血移植水平和白细胞亚群,随访20周。实验结束时,测定脾脏和骨髓中的移植物和白细胞亚群。我们证明倍他米松在恢复免疫系统稳态方面有惊人的效果。倍他米松和氟替卡松增加了CD34+造血干细胞中CXCR4的表达,降低了HLAⅱ类和CD54的表达。两种糖皮质激素暴露的细胞在2只gy辐照的NSG小鼠中显示出相似的植入。有趣的是,倍他米松暴露的细胞在1只gy辐照的NSG小鼠中表现出增强的植入,与对照组相比,有增加调节性T细胞百分比的趋势。倍他米松诱导CD34+造血干细胞的改变并改善移植,导致更快的免疫系统恢复,这将有助于移植细胞的存活。
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引用次数: 0
Application of Metabolomics in Childhood Leukemia Diagnostics 代谢组学在儿童白血病诊断中的应用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-11-07 DOI: 10.1007/s00005-022-00665-6
Agata Kozioł, Małgorzata Pupek

Metabolomics is a new field of science dealing with the study and analysis of metabolites formed in living cells. The biological fluids used in this test method are: blood, blood plasma, serum, cerebrospinal fluid, saliva and urine. The most popular methods of assessing the composition of metabolites include nuclear magnetic resonance spectroscopy and mass spectrometry (MS) in combination with gas chromatography–MS or liquid chromatography–MS. Metabolomics is used in many areas of medicine. The variability of biochemical processes in neoplastic cells in relation to healthy cells is the starting point for this type of research. The aim of the research currently being carried out is primarily to find biomarkers for quick diagnosis of the disease, assessment of its advancement and treatment effectiveness. The development of metabolomics may also contribute to the individualization of treatment of patients, adjusting drugs depending on the metabolic profile, and thus may improve the effectiveness of therapy, reduce side effects and help to improve the quality of life of patients. Here, we review the current and potential applications of metabolomics, focusing on its use as a biomarker method for childhood leukemia.

Graphic abstract

代谢组学是一门研究和分析活细胞代谢产物的新兴科学领域。本试验方法使用的生物液体有:血液、血浆、血清、脑脊液、唾液和尿液。评估代谢物组成的最流行的方法包括核磁共振光谱和质谱(MS)结合气相色谱- MS或液相色谱- MS。代谢组学在医学的许多领域都有应用。肿瘤细胞中与健康细胞相关的生化过程的可变性是这类研究的起点。目前正在进行的研究的目的主要是寻找快速诊断疾病的生物标志物,评估其进展和治疗效果。代谢组学的发展还可能有助于患者的个体化治疗,根据代谢谱调整药物,从而提高治疗效果,减少副作用,帮助改善患者的生活质量。在这里,我们回顾了代谢组学目前和潜在的应用,重点是它作为儿童白血病的生物标志物方法。图形抽象
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引用次数: 1
Small Extracellular Vesicles Loaded with Immunosuppressive miRNAs Leads to an Inhibition of Dendritic Cell Maturation 装载免疫抑制mirna的细胞外小泡导致树突状细胞成熟的抑制
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-11-01 DOI: 10.1007/s00005-022-00664-7
Liliana Czernek, Łukasz Pęczek, Markus Düchler

In particular conditions, inhibition of an immune response is required to prevent tissue damage. Among these conditions are diseases caused by an over-reactive immune response, such as autoimmune or allergic disorders, or imminent organ rejection after transplantation. To avoid tissue damage, drug-mediated systemic immune suppression is an option, but it comes with high costs in the form of susceptibility to viral and bacterial infections. Thus, the induction of antigen-specific tolerance is preferable. Extracellular vesicles (EVs) are capable of delivering antigen together with immunosuppressive signals and may be used to specifically induce antigen-specific tolerance. However, naturally occurring EVs are heterogeneous and not all of them show immunosuppressive character. In our trials to engineer cell culture derived EVs to increase their tolerogenic potential, we equipped them with immunosuppressive miRNA mimics. Small EVs (sEVs) were isolated and purified from the human monocytic THP-1 cell line or from healthy donor peripheral blood mononuclear cells, and electroporated with miR-494 and miR-146a mimics. The acquired immunosuppressive potential of the modified sEVs was demonstrated by their ability to alter the major histocompatibility complex molecules and co-stimulatory receptors present on dendritic cells (DCs). To avoid allogeneic responses, the same cells that produced the sEVs served also as recipient cells. In contrast to the treatment with unmodified sEVs, the tolerogenic sEVs impeded lipopolysaccharide-induced maturation and kept DCs in a more immature developmental stage. Our experiments show that simple manipulations of sEVs using immunosuppressive cargo can lead to the inhibition of DC maturation.

在特殊情况下,需要抑制免疫反应以防止组织损伤。这些疾病包括由过度反应性免疫反应引起的疾病,如自身免疫性或过敏性疾病,或移植后即将发生的器官排斥反应。为了避免组织损伤,药物介导的全身免疫抑制是一种选择,但它的成本很高,容易受到病毒和细菌感染。因此,诱导抗原特异性耐受是可取的。细胞外囊泡(EVs)能够与免疫抑制信号一起递送抗原,并可用于特异性诱导抗原特异性耐受。然而,自然产生的ev是异质的,并不是所有的ev都具有免疫抑制特性。在我们的试验中,我们设计了细胞培养衍生的ev,以增加它们的耐受性,我们为它们配备了免疫抑制miRNA模拟物。从人单核THP-1细胞系或健康供体外周血单核细胞中分离纯化小ev (sev),并用miR-494和miR-146a模拟物电穿孔。修饰后的sev具有获得性免疫抑制潜能,其能够改变树突状细胞(dc)上的主要组织相容性复合体分子和共刺激受体。为了避免同种异体反应,产生sev的相同细胞也充当受体细胞。与未经修饰的sev相比,耐受性sev阻碍了脂多糖诱导的成熟,使dc处于更不成熟的发育阶段。我们的实验表明,使用免疫抑制货物对sev进行简单操作可以抑制DC成熟。
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引用次数: 3
What Has Immunology Brought to Periodontal Disease in Recent Years? 近年来,免疫学对牙周病有何影响?
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-10-16 DOI: 10.1007/s00005-022-00662-9
Jan Kowalski, Maciej Nowak, Bartłomiej Górski, Renata Górska

Recent decades have shed a new light on the pathomechanism of periodontal inflammation. While classic periodontology concentrates on biofilm control, oral hygiene improvement, professional tooth cleaning and surgical correction of damaged periodontal tissues, new aspects of the destruction mechanisms are being raised. Among them, the greatest attention is paid to the influence of host response on the clinical manifestations of the disease. Numerous studies have proved that the shift from gingivitis to periodontitis is not a simple progress of the disease, but an event occurring only in susceptible individuals. Susceptibility may result from appearance of local factors facilitating biofilm accumulation and/or maturation, or from systemic features, among which over-reaction and prolonged agitation of non-specific component of inflammatory response is crucial. The present paper summarizes the association between periodontology and immunology and updates the knowledge accrued mostly in the recent years. After a brief explanation of advances in understanding of the disease aetiology, the most studied and potentially viable immunological markers of periodontal disease are presented. Possible new therapeutic strategies, exploiting knowledge about the nature of host response—immunomodulation and reduction of chronic oxidative stress—are also presented.

近几十年来,人们对牙周炎症的发病机制有了新的认识。传统的牙周病学侧重于生物膜控制、口腔卫生改善、专业的牙齿清洁和受损牙周组织的手术矫正,而新的破坏机制正在被提出。其中,最受关注的是宿主反应对该病临床表现的影响。大量的研究证明,从牙龈炎到牙周炎的转变不是疾病的简单进展,而是只发生在易感个体的事件。易感性可能源于促进生物膜积累和/或成熟的局部因素的出现,也可能源于全身特征,其中炎症反应的非特异性成分的过度反应和长时间搅动是至关重要的。本文综述了牙周病与免疫学之间的关系,并对近年来积累的知识进行了更新。在简要介绍了对牙周病病因的了解的进展后,介绍了研究最多和可能可行的牙周病免疫标志物。可能的新治疗策略,利用宿主反应-免疫调节和慢性氧化应激减少的性质的知识也提出。
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引用次数: 2
Interleukin-35 has a Protective Role in Infectious Mononucleosis-Induced Liver Inflammation Probably by Inhibiting CD8+ T Cell Function 白细胞介素-35可能通过抑制CD8+ T细胞功能在传染性单核细胞增多症诱导的肝脏炎症中发挥保护作用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-10-11 DOI: 10.1007/s00005-022-00663-8
Ying Gao, Lan Li, Xingxing Hu, Weihua Zhang, Yu Li

Interleukin (IL)-35 plays an immunosuppressive role in infectious diseases, autoimmune disorders, and cancers. However, IL-35 expression and its regulation of CD8+ T cells in infectious mononucleosis (IM) are not fully understood. In this study, three groups of participants were compared, including twenty-three patients of IM without liver inflammation, twenty-eight patients of IM with liver inflammation, and twenty-one controls. Plasma and peripheral blood mononuclear cells (PBMCs) were isolated. CD8+ T cells were purified. Plasma IL-35 was measured by ELISA. PBMCs and CD8+ T cells were stimulated with recombinant human IL-35 in vitro. Perforin and granzyme B secretion was assessed by ELISPOT. Immune checkpoint molecule expression was investigated by flow cytometry. CD8+ T cells were co-cultured with HepG2 cells in direct contact and indirect contact manner. The cytotoxicity of CD8+ T cells was calculated by measuring lactate dehydrogenase release and proinflammatory cytokine expression. There was no significant difference in plasma IL-35 levels between patients with IM without liver inflammation and the controls, but the IL-35 level was notably increased in patients with IM who presented with liver inflammation and negatively correlated with aminotransferase. CD8+ T cells in patients with IM with liver inflammation showed stronger cytotoxicity. IL-35 stimulation inhibited CD8+ T cell-induced target cell death in patients with IM, mainly through suppression of IFN-γ/TNF-α secretion and elevation of immune checkpoint molecule expression, but did not affect perforin or granzyme B secretion. The current data indicated that IL-35 dampened the cytotoxicity of CD8+ T cells in patients with IM probably via repression of cytokine secretion. Elevated IL-35 may protect against CD8+ T cell-induced liver inflammation in patients with IM.

白细胞介素(IL)-35在感染性疾病、自身免疫性疾病和癌症中起免疫抑制作用。然而,IL-35在传染性单核细胞增多症(IM)中的表达及其对CD8+ T细胞的调控尚不完全清楚。在本研究中,对三组参与者进行比较,包括23例无肝脏炎症的IM患者,28例肝脏炎症的IM患者和21例对照。分离血浆和外周血单核细胞(PBMCs)。纯化CD8+ T细胞。ELISA法检测血浆IL-35。重组人IL-35体外刺激PBMCs和CD8+ T细胞。elisa法检测穿孔素和颗粒酶B分泌情况。流式细胞术检测免疫检查点分子表达。CD8+ T细胞与HepG2细胞采用直接接触法和间接接触法共培养。通过乳酸脱氢酶的释放和促炎细胞因子的表达,计算CD8+ T细胞的细胞毒性。无肝脏炎症的IM患者血浆IL-35水平与对照组无显著差异,但有肝脏炎症的IM患者血浆IL-35水平明显升高,且与转氨酶呈负相关。IM合并肝炎症患者的CD8+ T细胞表现出更强的细胞毒性。IL-35刺激抑制IM患者CD8+ T细胞诱导的靶细胞死亡,主要通过抑制IFN-γ/TNF-α分泌和提高免疫检查点分子表达,但不影响穿孔素或颗粒酶B分泌。目前的数据表明,IL-35可能通过抑制细胞因子的分泌来抑制IM患者的CD8+ T细胞的细胞毒性。升高的IL-35可能对IM患者CD8+ T细胞诱导的肝脏炎症有保护作用。
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引用次数: 0
Bisphenol A: Potential Factor of Miscarriage in Women in the Context of the Phenomenon of Neutrophil Extracellular Traps 双酚A:中性粒细胞胞外陷阱现象下妇女流产的潜在因素
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-10-01 DOI: 10.1007/s00005-022-00661-w
Wioleta Justyna Omeljaniuk, Angelika Edyta Charkiewicz, Marzena Garley, Wioletta Ratajczak-Wrona, Jan Czerniecki, Ewa Jabłońska, Marzanna Cechowska-Pasko, Wojciech Miltyk

Humans are exposed to a number of environmental pollutants every day. Among them, endocrine disruptors are particularly harmful to human health. Bisphenol A (BPA) is a xenoestrogen that has been shown to disrupt the endocrine system and cause reproductive toxicity. In this study, we aimed to verify the potential relationship between BPA and miscarriage involving the formation of neutrophil extracellular traps (NETs). Blood samples were collected from healthy women and women who had miscarriage in the first trimester of pregnancy. The serum levels of cytoplasmic anti-PR3 antibody and perinuclear anti-MPO antibody were determined using an immunoenzymatic method. The concentrations of key proinflammatory proteins TNF-α and MCP-1, as well as NADPH oxidase subunits NOX1 and NCF2, were also measured in the serum samples. The serum concentration of BPA was determined using gas chromatography. The results showed that the concentrations of BPA were significantly elevated in the serum of women who had miscarriage compared to the control group, with the highest concentration found in the “NETs-positive” group. The levels of MCP-1 and TNF-α were significantly higher in the “NETs-positive” group compared to the “NETs-negative” and control group. The levels of NOX1 and NCF2 were also higher in the “NETs-positive” group compared to the “NETs-negative” group. The study showed that BPA could play a role in the course of miscarriage through the formation of NETs. The results indicate the need to limit the exposure of women planning pregnancy to xenoestrogens, including BPA.

人类每天都接触到大量的环境污染物。其中,内分泌干扰物对人体健康的危害尤为严重。双酚A (BPA)是一种雌激素,已被证明会破坏内分泌系统并导致生殖毒性。在这项研究中,我们旨在验证BPA与流产之间的潜在关系,包括中性粒细胞胞外陷阱(NETs)的形成。血液样本来自健康妇女和怀孕前三个月流产的妇女。采用免疫酶法测定血清胞浆抗pr3抗体和核周抗mpo抗体水平。测定血清样品中关键促炎蛋白TNF-α和MCP-1以及NADPH氧化酶亚基NOX1和NCF2的浓度。采用气相色谱法测定血清BPA浓度。结果显示,与对照组相比,流产妇女血清中的BPA浓度显著升高,其中nets阳性组的浓度最高。nets阳性组MCP-1和TNF-α水平明显高于nets阴性组和对照组。“nets阳性”组的NOX1和NCF2水平也高于“nets阴性”组。研究表明,BPA可能通过NETs的形成在流产过程中发挥作用。研究结果表明,有必要限制计划怀孕的妇女接触包括双酚a在内的异雌激素。
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引用次数: 2
Angiotensin II Type 1 Receptor Antibodies Are Higher in Lupus Nephritis and Vasculitis than Other Glomerulonephritis Patients 狼疮性肾炎和血管炎患者血管紧张素II型1受体抗体高于其他肾小球肾炎患者
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-09-24 DOI: 10.1007/s00005-022-00660-x
Maciej Szymczak, Harald Heidecke, Marcelina Żabińska, Dagna Rukasz, Krzysztof Wiśnicki, Andrzej Tukiendorf, Magdalena Krajewska, Mirosław Banasik

Angiotensin II type 1 receptor (AT1R) antibodies are considered non-HLA (human leukocyte antigen) antibodies connected with humoral rejection after kidney transplantation. The role of AT1R antibodies in the pathogenesis of glomerular diseases and systemic vasculitis is unknown. We assessed the level of AT1R antibodies in 136 patients with different types of glomerulonephritis and systemic vasculitis and we observed kidney function and proteinuria, serum albumin and total protein levels for 2 years. The mean levels of AT1R antibodies were the following: 6.00 ± 1.31 U/ml in patients with membranous nephropathy (n = 18), 5.67 ± 1.31 U/ml with focal and segmental glomerulosclerosis (n = 25), 6.26 ± 2.25 U/ml with lupus nephropathy (n = 17), 10.60 ± 6.72 U/ml with IgA nephropathy (n = 14), 6.69 ± 2.52 U/ml with mesangial proliferative (non IgA) glomerulonephritis (n = 6), 6.63 ± 1.38 U/ml with systemic vasculitis (n = 56), including c-ANCA (anti-neutrophil cytoplasmic antibodies) vasculitis: 11.22 ± 10.78 U/ml (n = 40) and p-ANCA vasculitis: 12.65 ± 14.59 U/ml (n = 16). The mean AT1R antibodies level was higher in patients with lupus nephropathy and systemic vasculitis compared to glomerulonephritis groups. An inverse statistically significant correlation between AT1R antibodies and serum albumin (r =  − 0.51) in membranous nephropathy group was also found. Prospective analysis of creatinine levels indicated an increase of creatinine levels during time among patients with higher AT1R antibodies levels in p-ANCA vasculitis. Lupus nephropathy and systemic vasculitis patients may have high levels of AT1R antibodies. AT1R antibodies may be associated with the severity of membranous nephropathy and the course of p-ANCA vasculitis, although influence of concomitant factors is difficult to exclude.

血管紧张素II型1受体(AT1R)抗体被认为是非hla(人白细胞抗原)抗体,与肾移植后的体液排斥反应有关。AT1R抗体在肾小球疾病和全身性血管炎发病机制中的作用尚不清楚。我们评估了136例不同类型肾小球肾炎和全身性血管炎患者的AT1R抗体水平,并观察了肾功能、蛋白尿、血清白蛋白和总蛋白水平,为期2年。AT1R抗体的平均水平以下:6.00±1.31 U /毫升膜性肾病患者(n = 18), 5.67±1.31 U /毫升焦和节段性肾小球硬化症(n = 25), 6.26±2.25 U /毫升与红斑狼疮肾病(n = 17), 10.60±6.72 U /毫升IgA肾病(n = 14), 6.69±2.52 U /毫升与系膜增生性肾小球肾炎(非IgA) (n = 6), 6.63±1.38 U /毫升与系统性血管炎(n = 56),包括c-ANCA (anti-neutrophil胞质抗体)血管炎:11.22±10.78 U /毫升(n = 40)和p-ANCA血管炎:12.65±14.59 U /毫升(n = 16)。与肾小球肾炎组相比,狼疮肾病和全身性血管炎患者的平均AT1R抗体水平更高。膜性肾病组AT1R抗体与血清白蛋白呈负相关(r = - 0.51)。肌酸酐水平的前瞻性分析表明,在p-ANCA血管炎中AT1R抗体水平较高的患者中,肌酸酐水平在一段时间内升高。狼疮肾病和全身性血管炎患者可能有高水平的AT1R抗体。AT1R抗体可能与膜性肾病的严重程度和p-ANCA血管炎的病程有关,尽管很难排除伴随因素的影响。
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引用次数: 0
Correction to: CD5L Secreted by Macrophage on Atherosclerosis Progression Based on Lipid Metabolism Induced Inflammatory Damage 校正:巨噬细胞分泌CD5L在脂质代谢诱导炎症损伤的动脉粥样硬化进展中的作用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2022-09-24 DOI: 10.1007/s00005-022-00658-5
Liang Wang, Lijuan Liu, Wei Qian, Zeqi Zheng
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引用次数: 0
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Archivum Immunologiae et Therapiae Experimentalis
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