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New Treatment Options in Lupus Nephritis 狼疮性肾炎的新治疗选择
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-03-17 DOI: 10.1007/s00005-022-00647-8
P. Montigny, F. Houssiau
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引用次数: 1
CD5L Secreted by Macrophage on Atherosclerosis Progression Based on Lipid Metabolism Induced Inflammatory Damage 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 Q2 Medicine Pub Date : 2022-03-06 DOI: 10.1007/s00005-022-00643-y
Liang Wang, Lijuan Liu, W. Qian, Zeqi Zheng
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引用次数: 3
CD5L Secreted by Macrophage on Atherosclerosis Progression Based on Lipid Metabolism Induced Inflammatory Damage 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 Q2 Medicine Pub Date : 2022-03-06 DOI: 10.1007/s00005-022-00643-y
Liang Wang, Lijuan Liu, Wei Qian, Zeqi Zheng

To explore the molecular mechanism of exosomal protein CD5L secreted by macrophage to promote the progression of atherosclerosis. Twenty cases of patients with atherosclerosis (AS) and 20 cases of healthy subjects were collected. Morphological properties of exosomes were identified by transmission electron microscopy, and the marker proteins CD63 and CD81 of exosomes were measured by Western blot. The secretion of inflammatory factors in the blood supernatant were analyzed by ELISA. Atherosclerosis cell models were established by transwell and separated into three groups: first group was treated with exosome inhibitor (GW4869), second group was injected with CD5L protein and third group was model control. Morphological properties of exosomes were identified by transmission electron microscopy, and the marker proteins CD63 and CD81 of exosomes were measured by Western blot. The levels of TNF-α, IL-1β, IL-6, IL-13, IL-17A, IL-31 in the cells were analyzed by ELISA. Analysis of the expression and distribution of IL-17RA in vascular smooth muscle cells by immunofluorescence. The proteins of CD63, CD81, CD5L were high expressed in AS group compared to healthy subject group. Cell test results showed that protein levels of CD63, CD81, CD5L in AS group were much higher than that in normal group. Immunofluorescence showed that the expression level of IL-17RA in cell membrane was the highest in the AS model group, and the expression of IL-17RA was decreased in GW4869 group and CD5L group. Expression of inflammatory factors in AS was much higher than that in GW4869 group and CD5L group. The exosomal protein CD5L secreted by macrophage promotes the development of atherosclerosis based on lipid metabolism-induced inflammatory damage of vascular smooth muscle cells.

探讨巨噬细胞分泌外泌体蛋白CD5L促进动脉粥样硬化进展的分子机制。收集动脉粥样硬化(AS)患者20例,正常人20例。透射电镜观察外泌体的形态特征,Western blot检测外泌体的标记蛋白CD63和CD81。ELISA法检测各组血上清中炎症因子的分泌情况。采用transwell建立动脉粥样硬化细胞模型,分为三组:第一组采用外泌体抑制剂GW4869,第二组注射CD5L蛋白,第三组为模型对照组。透射电镜观察外泌体的形态特征,Western blot检测外泌体的标记蛋白CD63和CD81。ELISA法检测各组细胞中TNF-α、IL-1β、IL-6、IL-13、IL-17A、IL-31水平。免疫荧光法分析IL-17RA在血管平滑肌细胞中的表达及分布。AS组CD63、CD81、CD5L蛋白较健康组高表达。细胞检测结果显示,AS组CD63、CD81、CD5L蛋白水平明显高于正常组。免疫荧光显示,AS模型组细胞膜IL-17RA表达水平最高,GW4869组和CD5L组IL-17RA表达降低。AS中炎性因子的表达明显高于GW4869组和CD5L组。巨噬细胞分泌的外泌体蛋白CD5L以脂质代谢诱导的血管平滑肌细胞炎症损伤为基础,促进动脉粥样硬化的发展。
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引用次数: 3
Recombinant Human Lactoferrin Reduces Inflammation and Increases Fluoroquinolone Penetration to Primary Granulomas During Mycobacterial Infection of C57Bl/6 Mice 重组人乳铁蛋白减轻C57Bl/6分枝杆菌感染小鼠原发性肉芽肿炎症并增加氟喹诺酮渗透
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-02-28 DOI: 10.1007/s00005-022-00648-7
Thao K. T. Nguyen, Zainab Niaz, Marian L. Kruzel, Jeffrey K. Actor

Infection with Mycobacterium tuberculosis (Mtb) results in the primary formation of a densely packed inflammatory foci that limits entry of therapeutic agents into pulmonary sites where organisms reside. No current therapeutic regimens exist that modulate host immune responses to permit increased drug penetration to regions of pathological damage during tuberculosis disease. Lactoferrin is a natural iron-binding protein previously demonstrated to modulate inflammation and granuloma cohesiveness, while maintaining control of pathogenic burden. Studies were designed to examine recombinant human lactoferrin (rHLF) to modulate histological progression of Mtb-induced pathology in a non-necrotic model using C57Bl/6 mice. The rHLF was oral administered at times corresponding to initiation of primary granulomatous response, or during granuloma maintenance. Treatment with rHLF demonstrated significant reduction in size of primary inflammatory foci following Mtb challenge, and permitted penetration of ofloxacin fluoroquinolone therapeutic to sites of pathological disruption where activated (foamy) macrophages reside. Increased drug penetration was accompanied by retention of endothelial cell integrity. Immunohistochemistry revealed altered patterns of M1-like and M2-like phenotypic cell localization post infectious challenge, with increased presence of M2-like markers found evenly distributed throughout regions of pulmonary inflammatory foci in rHLF-treated mice.

结核分枝杆菌(Mtb)感染导致最初形成密集堆积的炎症灶,限制了治疗剂进入生物体所在的肺部部位。目前还没有一种治疗方案可以调节宿主免疫反应,从而增加药物对结核病病理性损伤区域的渗透。乳铁蛋白是一种天然的铁结合蛋白,以前被证明可以调节炎症和肉芽肿的凝聚力,同时保持对致病负担的控制。研究旨在检测重组人乳铁蛋白(rHLF)在C57Bl/6小鼠非坏死模型中对mtb诱导的病理组织学进展的调节作用。rHLF在原发性肉芽肿反应开始时或肉芽肿维持期间口服。rHLF治疗显示Mtb攻击后原发性炎症灶的大小显著减少,并允许氧氟沙星氟喹诺酮类治疗药物渗透到活化(泡沫)巨噬细胞所在的病理破坏部位。药物渗透增加的同时内皮细胞完整性保持不变。免疫组织化学显示感染后m1样和m2样表型细胞定位模式发生改变,在rhlf治疗的小鼠中,m2样标记物的存在增加,均匀分布在肺部炎症灶区域。
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引用次数: 2
Treat-to-Target in Lupus Nephritis. What is the Role of the Repeat Kidney Biopsy? 狼疮性肾炎的靶向治疗。重复肾活检的作用是什么?
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-02-11 DOI: 10.1007/s00005-022-00646-9
Ioannis Parodis, Farah Tamirou, Frédéric A. Houssiau

Kidney involvement, termed lupus nephritis (LN), develops in 35–60% of patients with systemic lupus erythematosus, often early during the disease course. When not treated promptly and efficiently, LN may lead to rapid and severe loss of kidney function, being the reason why it is considered one of the most severe lupus manifestations. Despite improved pharmacotherapy, 5–20% of LN patients develop end-stage kidney disease within ten years from the LN diagnosis. While the principal ground of LN therapy is prevention of renal function worsening, resembling a race against nephron loss, consensual agreement upon outcome measures and clinically meaningful short- and long-term targets of LN therapy have yet to be determined. Literature points to the importance of inclusion of tissue-based approaches in the determination of those targets, and evidence accumulates regarding the importance of per-protocol repeat kidney biopsies in the evaluation of the initial phase of therapy and prediction of long-term renal prognosis. The latter leads to the hypothesis that the information gleaned from repeat biopsies may contribute to optimised therapeutic decision making, and, therefore, increased probability to attain complete renal response in the short term, and a more favourable renal prognosis within a longer prospect. The multinational project ReBioLup was recently designed to serve as a key contributor to form evidence about the role of per-protocol repeat biopsies in a randomised fashion and aspires to unify the global LN community towards improved kidney and patient survival.

肾脏受累,称为狼疮性肾炎(LN),在35-60%的系统性红斑狼疮患者中发生,通常在病程早期。如果不及时有效地治疗,LN可能导致肾功能迅速严重的丧失,这就是为什么它被认为是狼疮最严重的表现之一。尽管改善了药物治疗,5-20%的LN患者在诊断后10年内发展为终末期肾脏疾病。虽然LN治疗的主要基础是预防肾功能恶化,类似于对抗肾单位损失的竞赛,但对于LN治疗的结果测量和临床有意义的短期和长期目标的共识尚未确定。文献指出了在确定这些靶点时纳入基于组织的方法的重要性,并且越来越多的证据表明,在评估治疗的初始阶段和预测长期肾脏预后时,按方案重复肾脏活检的重要性。后者导致了这样一种假设,即从重复活检中收集的信息可能有助于优化治疗决策,因此,增加了在短期内获得完全肾脏反应的可能性,并在更长的前景内获得更有利的肾脏预后。跨国项目ReBioLup最近被设计为形成随机方式的按方案重复活检作用的证据的关键贡献者,并渴望统一全球LN社区,以改善肾脏和患者的生存。
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引用次数: 8
The Role of Gut Microbiota in Gastrointestinal Tract Cancers 肠道微生物群在胃肠道癌症中的作用
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-02-03 DOI: 10.1007/s00005-021-00641-6
Marta Grochowska, Karol Perlejewski, Tomasz Laskus, Marek Radkowski

Disturbances in gastrointestinal (GI) microbiota could play a significant role in the development of GI cancers, but the underlying mechanisms remain largely unclear. While some bacteria seem to facilitate carcinogenesis, others appear to be protective. So far only one bacterium (Helicobacter pylori) has been classified by the International Agency for Cancer Research as carcinogenic in humans but many other are the subject of intense research. Most studies on the role of microbiota in GI tract oncogenesis focus on pancreatic and colorectal cancers with the following three species: Helicobacter pylori, Escherichia coli, and Porphyromonas gingivalis as likely causative factors. This review summarizes the role of bacteria in GI tract oncogenesis.

胃肠道(GI)微生物群紊乱可能在胃肠道癌症的发展中发挥重要作用,但其潜在机制仍不清楚。虽然有些细菌似乎有助于致癌,但其他细菌似乎具有保护作用。到目前为止,只有一种细菌(幽门螺杆菌)被国际癌症研究机构列为人类致癌物,但其他许多细菌正在进行深入研究。大多数关于微生物群在胃肠道肿瘤发生中的作用的研究集中在胰腺癌和结直肠癌上,其中以下三种细菌:幽门螺杆菌、大肠杆菌和牙龈卟啉单胞菌是可能的致病因素。本文就细菌在胃肠道肿瘤发生中的作用作一综述。
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引用次数: 6
Effects of Local Nasal Immunotherapy with FIP-fve Peptide and Denatured Tyrophagus putrescentiae for Storage Mite-Induced Airway Inflammation fip - 5肽与变性腐噬菌鼻腔局部免疫治疗贮藏螨性气道炎症的疗效观察
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-01-31 DOI: 10.1007/s00005-022-00645-w
Chung-Yang Yen, Ching-Hsiang Yu, Jaw-Ji Tsai, Hsiang-Kuang Tseng, En-Chih Liao

Allergic diseases are affecting public health and have increased over the last decade. Sensitization to mite allergens is a considerable trigger for allergy development. Storage mite-Tyrophagus putrescentiae shows great significance of allergenic potential and clinical relevance. The fungal immunomodulatory peptide FIP-fve has been reported to possess immunomodulatory activity. We aimed to determine whether T. putrescentiae-induced sensitization and airway inflammation in mice could be downregulated by FIP-fve in conjunction with denatured T. putrescentiae (FIP-fve and DN-Tp). Immune responses and physiologic variations in immunoglobulins, leukocyte subpopulations, cytokine productions, pulmonary function, lung pathology, cytokines in CD4+ and Treg cells were evaluated after local nasal immunotherapy (LNIT). After the LNIT with FIP-fve and DN-Tp, levels of specific IgE, IgG1, and IgG2a in the sera and IgA in the bronchoalveolar lavage fluid (BALF) were significantly reduced. Infiltrations of inflammatory leukocytes (eosinophils, neutrophils, and lymphocytes) in the airway decreased significantly. Production of proinflammatory cytokines (IL-5, IL-13, IL-17F and IL-23) and chemokine (IL-8) were significantly reduced, and Th1-cytokine (IL-12) increased in the airway BALF after LNIT. Pulmonary functions of Penh values were significantly decreased after the methacholine challenge, which resulted in a reduction of airway hypersensitivity after LNIT. Bronchus pathology showed a reduction of inflammatory cell infiltration and epithelium damage after LNIT. The IL-4+/CD4+ T cells could be downregulated and the IFN-γ+/CD4+ T cells upregulated. The Treg-related immunity of IL-10 and Foxp3 expressions in CD4+CD25+ cells were both upregulated after LNIT. In conclusion, LNIT with FIP-fve and DN-Tp had an anti-inflammatory effect on mite-induced airway inflammations and possesses potential as an immunomodulatory therapy agent for allergic airway diseases.

过敏性疾病正在影响公众健康,并且在过去十年中有所增加。对螨虫过敏原的致敏是过敏发展的一个重要诱因。储藏螨腐败噬菌具有重要的致敏潜力和临床意义。真菌免疫调节肽FIP-fve已被报道具有免疫调节活性。我们的目的是确定FIP-fve和变性的腐败T.Fe(FIP-fve和DN-Tp)是否可以下调腐败T.fve诱导的小鼠致敏和气道炎症。在局部鼻免疫治疗(LNIT)后,评估免疫球蛋白、白细胞亚群、细胞因子产生、肺功能、肺病理、CD4+和Treg细胞中的细胞因子的免疫反应和生理变化。FIP-fve和DN-Tp LNIT后,血清中特异性IgE、IgG1和IgG2a以及支气管肺泡灌洗液(BALF)中的IgA水平显著降低。气道中炎性白细胞(嗜酸性粒细胞、中性粒细胞和淋巴细胞)的浸润显著减少。LNIT后,气道BALF中促炎细胞因子(IL-5、IL-13、IL-17F和IL-23)和趋化因子(IL-8)的产生显著减少,Th1细胞因子(IL-12)增加。乙酰甲胆碱激发后,Penh值的肺功能显著下降,这导致LNIT后气道超敏反应的减少。支气管病理显示LNIT后炎性细胞浸润和上皮损伤减少。IL-4+/CD4+T细胞可下调,IFN-γ+/CD4+T细胞可上调。LNIT后CD4+CD25+细胞中IL-10和Foxp3表达的Treg相关免疫均上调。总之,含有FIP-fve和DN-Tp的LNIT对螨诱导的气道炎症具有抗炎作用,并具有作为过敏性气道疾病免疫调节剂的潜力。
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引用次数: 4
The Role of Immunoproteasomes in Tumor-Immune Cell Interactions in Melanoma and Colon Cancer 免疫蛋白酶体在黑色素瘤和结肠癌中肿瘤-免疫细胞相互作用中的作用
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-01-22 DOI: 10.1007/s00005-022-00644-x
Hanna Leister, Felix F. Krause, Rouzbeh Mahdavi, Ulrich Steinhoff, Alexander Visekruna

The participation of proteasomes in vital cellular and metabolic processes that are involved in tumor growth has made this protease complex an attractive target for cancer treatment. In contrast to ubiquitously available constitutive proteasome, the increased enzymatic activity of immunoproteasome is associated with tumor-infiltrating immune cells, such as antigen-presenting cells and T lymphocytes. In various tumors, an effective anti-tumor immunity is provided through generation of tumor-associated antigens by proteasomes, contributing crucially to cancer eradication by T lymphocytes. The knowledge regarding the role of immunoproteasomes in the communication between tumor cells and infiltrating immune cells is limited. Novel data suggest that the involvement of immunoproteasomes in tumorigenesis is more complex than previously thought. In the intestine, in which diverse signals from commensal bacteria and food can contribute to the onset of chronic inflammation and inflammation-driven cancer, immunoproteasomes exert tumorigenic properties by modulating the expression of pro-inflammatory factors. In contrast, in melanoma and non-small cell lung cancer, the immunoproteasome acts against cancer development by promoting an effective anti-tumor immunity. In this review, we highlight the potential of immunoproteasomes to either contribute to inflammatory signaling and tumor development, or to support anti-cancer immunity. Further, we discuss novel therapeutic options for cancer treatments that are associated with modulating the activity of immunoproteasomes in the tumor microenvironment.

蛋白酶体参与参与参与肿瘤生长的重要细胞和代谢过程,使这种蛋白酶复合体成为癌症治疗的有吸引力的靶点。与普遍可用的组成型蛋白酶体相比,免疫蛋白酶体的酶活性增加与肿瘤浸润免疫细胞有关,如抗原呈递细胞和T淋巴细胞。在各种肿瘤中,通过蛋白酶体产生肿瘤相关抗原来提供有效的抗肿瘤免疫,这对T淋巴细胞根除癌症至关重要。关于免疫蛋白酶体在肿瘤细胞和浸润性免疫细胞之间通讯中的作用的知识是有限的。新的数据表明,免疫蛋白酶体在肿瘤发生中的参与比以前认为的更复杂。在肠道中,来自共生细菌和食物的不同信号可能导致慢性炎症和炎症驱动的癌症的发作,免疫蛋白酶体通过调节促炎因子的表达发挥致瘤特性。相反,在黑色素瘤和非小细胞肺癌癌症中,免疫蛋白酶体通过促进有效的抗肿瘤免疫来对抗癌症的发展。在这篇综述中,我们强调了免疫蛋白酶体有助于炎症信号传导和肿瘤发展,或支持抗癌免疫的潜力。此外,我们还讨论了与调节肿瘤微环境中免疫蛋白酶体活性相关的癌症治疗的新治疗方案。
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引用次数: 2
Rho Kinases in Embryonic Development and Stem Cell Research Rho激酶在胚胎发育和干细胞研究中的作用
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2022-01-19 DOI: 10.1007/s00005-022-00642-z
Jianjian Shi, Lei Wei

The Rho-associated coiled-coil containing kinases (ROCKs or Rho kinases) belong to the AGC (PKA/PKG/PKC) family of serine/threonine kinases and are major downstream effectors of small GTPase RhoA, a key regulator of actin-cytoskeleton reorganization. The ROCK family contains two members, ROCK1 and ROCK2, which share 65% overall identity and 92% identity in kinase domain. ROCK1 and ROCK2 were assumed to be functionally redundant, based largely on their major common activators, their high degree kinase domain homology, and study results from overexpression with kinase constructs or chemical inhibitors. ROCK signaling research has expanded to all areas of biology and medicine since its discovery in 1996. The rapid advance is befitting ROCK’s versatile functions in modulating various cell behavior, such as contraction, adhesion, migration, proliferation, polarity, cytokinesis, and differentiation. The rapid advance is noticeably driven by an extensive linking with clinical medicine, including cardiovascular abnormalities, aberrant immune responsive, and cancer development and metastasis. The rapid advance during the past decade is further powered by novel biotechnologies including CRISPR-Cas and single cell omics. Current consensus, derived mainly from gene targeting and RNA interference approaches, is that the two ROCK isoforms have overlapping and distinct cellular, physiological and pathophysiology roles. In this review, we present an overview of the milestone discoveries in ROCK research. We then focus on the current understanding of ROCK signaling in embryonic development, current research status using knockout and knockin mouse models, and stem cell research.

Rho相关的含Rho激酶(ROCKs或Rho激酶)属于AGC (PKA/PKG/PKC)丝氨酸/苏氨酸激酶家族,是小GTPase RhoA的主要下游效应物,是肌动蛋白-细胞骨架重组的关键调节因子。ROCK家族包含两个成员ROCK1和ROCK2,它们在激酶结构域上具有65%的同源性和92%的同源性。ROCK1和ROCK2被认为在功能上是冗余的,这主要基于它们的主要共同激活因子、高度激酶结构域同源性以及与激酶构建物或化学抑制剂过表达的研究结果。ROCK信号研究自1996年被发现以来,已经扩展到生物学和医学的各个领域。这种快速的进展与ROCK在调节各种细胞行为(如收缩、粘附、迁移、增殖、极性、细胞质分裂和分化)方面的多功能功能相适应。与临床医学的广泛联系,包括心血管异常、异常免疫反应和癌症的发展和转移,显著推动了这一快速进展。在过去的十年中,包括CRISPR-Cas和单细胞组学在内的新型生物技术进一步推动了这一快速发展。目前主要来自基因靶向和RNA干扰方法的共识是,这两种ROCK亚型具有重叠和不同的细胞、生理和病理生理作用。在这篇综述中,我们介绍了岩石研究的里程碑式发现的概述。然后,我们将重点关注胚胎发育中ROCK信号的当前理解,使用敲除和敲入小鼠模型的当前研究现状,以及干细胞研究。
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引用次数: 7
Peroxiredoxins as Markers of Oxidative Stress in IgA Nephropathy, Membranous Nephropathy and Lupus Nephritis 过氧化物还毒素作为IgA肾病、膜性肾病和狼疮性肾炎中氧化应激的标志物
IF 3.2 4区 医学 Q2 Medicine Pub Date : 2021-12-16 DOI: 10.1007/s00005-021-00638-1
Natalia Krata, Bartosz Foroncewicz, Radosław Zagożdżon, Barbara Moszczuk, Magdalena Zielenkiewicz, Leszek Pączek, Krzysztof Mucha

IgA nephropathy (IgAN), membranous nephropathy (MN), and lupus nephritis (LN) represent important causes of chronic kidney disease. They belong to the immune-mediated glomerulonephritis (GNs), and have distinct pathogenesis, distinct clinical courses, and variable responses to treatment. Therefore, specific diagnostic procedures are necessary for more effective patient management. Recently, a role for oxidative stress has been proposed in various renal disorders. Thus, molecules related to oxidative stress, such as 2-Cys-peroxiredoxins (PRDXs), may represent plausible candidates for biomarkers in renal pathologies. The aim of this study was to assess whether there are differences between individual GNs and healthy controls in the context of PRDXs serum concentration. We enrolled 108 patients with biopsy-proven IgAN (47), MN (26), LN (35) and 30 healthy age- and sex-matched controls. The serum concentrations of PRDX 1–5 were measured with ELISA assays and correlated with demographic and clinical data. The PRDXs’ concentration varied depending on the GN type. We also observed an association of PRDXs with lower estimated glomerular filtration rates, complement, hemoglobin, and body mass index. Our study indicates that individual PRDX can play roles in pathophysiology of selected GNs and that their serum concentrations may become useful as a new supplementary diagnostic markers in IgAN, MN as well as LN. The results of this study open a new avenue for prospective research on PRDXs in renal diseases.

IgA肾病(IgAN)、膜性肾病(MN)和狼疮性肾炎(LN)是慢性肾脏疾病的重要病因。它们属于免疫介导的肾小球肾炎(GNs),具有不同的发病机制、不同的临床病程和不同的治疗反应。因此,特定的诊断程序对于更有效的患者管理是必要的。最近,氧化应激在各种肾脏疾病中的作用已被提出。因此,与氧化应激相关的分子,如2-Cys-peroxiredoxins(PRDXs),可能代表肾脏病理学中生物标志物的可能候选者。本研究的目的是评估个体GNs和健康对照组在PRDXs血清浓度方面是否存在差异。我们招募了108名经活检证实的IgAN(47)、MN(26)、LN(35)患者和30名年龄和性别匹配的健康对照。PRDX 1-5的血清浓度通过ELISA测定进行测量,并与人口统计学和临床数据相关。PRDXs的浓度因GN类型而异。我们还观察到PRDXs与较低的肾小球滤过率、补体、血红蛋白和体重指数有关。我们的研究表明,个体PRDX可以在选定GNs的病理生理学中发挥作用,其血清浓度可能成为IgAN、MN和LN的新的补充诊断标志物。本研究的结果为肾脏疾病中PRDXs的前瞻性研究开辟了一条新的途径。
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引用次数: 14
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Archivum Immunologiae et Therapiae Experimentalis
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