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Differential Leukocyte MicroRNA Responses Following Pan T Cell, Allorecognition and Allosecretome-Based Therapeutic Activation 泛T细胞、同种异体识别和基于同种异体分泌组的治疗激活后白细胞MicroRNA的差异反应
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-10-22 DOI: 10.1007/s00005-021-00634-5
Xining Yang, Wendy M. Toyofuku, Mark D. Scott

Effective immunomodulation of T-cell responses is critical in treating both autoimmune diseases and cancer. Our previous studies have demonstrated that secretomes derived from control or methoxypolyethylene glycol mixed lymphocyte alloactivation assays exerted potent immunomodulatory activity that was mediated by microRNAs (miRNA). The immunomodulatory effects of biomanufactured miRNA-based allo-secretome therapeutics (SYN, TA1, IA1 and IA2) were compared to Pan T-cell activators (PHA and anti-CD3/CD28) and lymphocyte alloactivation. The differential effects of these activation strategies on resting peripheral blood mononuclear cells (PBMC) were assessed via T-cell proliferation, subset analysis and miRNA expression profiles. Mitogen-induced PBMC proliferation (> 85%) significantly exceeded that arising from either allostimulation (~ 30%) or the pro-inflammatory IA1 secretome product (~ 12%). Consequent to stimulation, the ratio of CD4 to CD8 cells of the resting PBMC (CD4:CD8; 1.7 ± 0.1) decreased in the Pan T cell, allrecognition and IA1 activated cells (averages of 1.1 ± 0.2; 1.2 ± 0.1 and 1.0 ± 0.1). These changes arose consequent to the expansion of both CD4+CD8+ and CD4CD8 populations as well as the shrinkage of the CD4 subset and the expansion of the CD8 T cells. Importantly, these activation strategies induced vastly different miRNA expression profiles which were associated with significant differences in cellular differentiation and biological function. These findings support the concept that the “differential patterns of miRNA expression” regulate the biologic immune response in a “lock and key” manner. The biomanufacturing of miRNA-enriched secretome biotherapeutics may be a successful therapeutic approach for the systemic treatment of autoimmune diseases (TA1) and cancer (IA1).

T细胞反应的有效免疫调节对于治疗自身免疫性疾病和癌症至关重要。我们之前的研究表明,来源于对照或甲氧基聚乙二醇混合淋巴细胞同种异体活化试验的分泌体发挥了由微小RNA(miRNA)介导的强大免疫调节活性。将生物制造的基于miRNA的同种分泌组疗法(SYN、TA1、IA1和IA2)的免疫调节作用与泛T细胞激活剂(PHA和抗CD3/CD28)和淋巴细胞同种激活进行比较。通过T细胞增殖、亚群分析和miRNA表达谱来评估这些激活策略对静息外周血单核细胞(PBMC)的不同影响。有丝分裂原诱导的PBMC增殖(>; 85%)显著超过由任一同种异体刺激引起的(~ 30%)或促炎IA1分泌组产物(~ 12%)。刺激后,静息PBMC的CD4与CD8细胞的比率(CD4:CD8;1.7 ± 0.1)在Pan T细胞、allrecognition和IA1激活的细胞中减少(平均1.1 ± 0.2;1.2 ± 0.1和1.0 ± 0.1)。这些变化是由于CD4+CD8+和CD4-CD8-群体的扩增以及CD4亚群的缩小和CD8 T细胞的扩增而引起的。重要的是,这些激活策略诱导了截然不同的miRNA表达谱,这与细胞分化和生物功能的显著差异有关。这些发现支持了“miRNA表达的差异模式”以“锁和钥匙”的方式调节生物免疫反应的概念。富含miRNA的分泌组生物治疗的生物制造可能是系统治疗自身免疫性疾病(TA1)和癌症(IA1)的成功治疗方法。
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引用次数: 0
The Role of Non-essential Amino Acids in T Cell Function and Anti-tumour Immunity 非必需氨基酸在T细胞功能和抗肿瘤免疫中的作用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-10-12 DOI: 10.1007/s00005-021-00633-6
Helen Carrasco Hope, Robert J. Salmond

T cell activation, differentiation and proliferation is dependent upon and intrinsically linked to a capacity to modulate and adapt cellular metabolism. Antigen-induced activation stimulates a transcriptional programme that results in metabolic reprogramming, enabling T cells to fuel anabolic metabolic pathways and provide the nutrients to sustain proliferation and effector responses. Amino acids are key nutrients for T cells and have essential roles as building blocks for protein synthesis as well as in numerous metabolic pathways. In this review, we discuss the roles for uptake and biosynthesis of non-essential amino acids in T cell metabolism, activation and effector function. Furthermore, we highlight the effects of amino acid metabolism and depletion by cancer cells on T cell anti-tumour function and discuss approaches to modulate and improve T cell metabolism for improved anti-tumour function in these nutrient-depleted microenvironments.

T细胞的活化、分化和增殖依赖于调节和适应细胞代谢的能力,并与之内在联系。抗原诱导的激活刺激转录程序,导致代谢重编程,使T细胞能够为合成代谢途径提供燃料,并提供维持增殖和效应反应的营养。氨基酸是T细胞的关键营养素,在蛋白质合成和许多代谢途径中起着重要的构建块作用。在这篇综述中,我们讨论了非必需氨基酸的摄取和生物合成在T细胞代谢、激活和效应功能中的作用。此外,我们强调了癌症细胞的氨基酸代谢和消耗对T细胞抗肿瘤功能的影响,并讨论了调节和改善T细胞代谢的方法,以改善这些营养素缺乏的微环境中的抗肿瘤功能。
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引用次数: 11
The Positive Impact of Donor Bone Marrow Cells Transplantation into Immunoprivileged Compartments on the Survival of Vascularized Skin Allografts 供体骨髓细胞移植到免疫特权区室对带血管的同种异体皮肤移植存活的积极影响
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-10-11 DOI: 10.1007/s00005-021-00631-8
Arkadiusz Jundziłł, Aleksandra Klimczak, Erhan Sonmez, Grzegorz Brzezicki, Maria Siemionow

Using the vascularized skin allograft (VSA) model, we compared the tolerogenic effects of different allogeneic bone marrow transplantation (BMT) delivery routes into immunoprivileged compartments under a 7-day protocol immunosuppressive therapy. Twenty-eight fully MHC mismatched VSA transplants were performed between ACI (RT1a) donors and Lewis (RT11) recipients in four groups of seven animals each, under a 7-day protocol of alfa/beta TCRmAb/CsA (alpha/beta-TCR monoclonal antibodies/Cyclosporine A therapy). Donor bone marrow cells (BMC) (100 × 106 cells) were injected into three different immunoprivileged compartments: Group 1: Control, without cellular supportive therapy, Group 2: Intracapsular BMT, Group 3: Intragonadal BMT, Group 4: Intrathecal BMT. In Group 2, BMC were transplanted under the kidney capsule. In Group 3, BMC were transplanted into the right testis between tunica albuginea and seminiferous tubules, and in Group 4, cells were injected intrathecally. The assessment included: skin evaluation for signs and grade of rejection and immunohistochemistry for donor cells engraftment into host lymphoid compartments. Donor-specific chimerism for MHC class I (RT1a) antigens and the presence of CD4+/CD25+ T cells were assessed in the peripheral blood of recipients. The most extended allograft survival, 50–78 days, was observed in Group 4 after intrathecal BMT. The T cells CD4+/CD25+ in the peripheral blood were higher after intrathecal BMC injection than other experimental groups at each post-transplant time point. Transplantation of BMC into immunoprivileged compartments delayed rejection of fully mismatched VSA and induction of robust, donor-specific chimerism.

使用血管化同种异体皮肤移植(VSA)模型,我们比较了在7天方案免疫抑制治疗下,不同同种异体骨髓移植(BMT)递送途径进入免疫特权区的耐受性效应。在四组动物中,在ACI(RT1a)供体和Lewis(RT11)受体之间进行了28例完全MHC不匹配的VSA移植,每组7只,采用为期7天的alfa/βTCRmAb/CsA方案(α/βTCR单克隆抗体/环孢菌素a疗法)。供体骨髓细胞(BMC)(100 × 106个细胞)注射到三个不同的免疫特权区室:第1组:对照组,无细胞支持性治疗,第2组:囊内BMT,第3组:性腺内BMT和第4组:鞘内BMT。第2组将BMC移植于肾包膜下。第3组将BMC移植到白膜和曲精管之间的右侧睾丸中,第4组鞘内注射细胞。评估包括:排斥反应体征和级别的皮肤评估,以及移植到宿主淋巴区的供体细胞的免疫组织化学。在受体的外周血中评估MHC I类(RT1a)抗原的供体特异性嵌合和CD4+/CD25+T细胞的存在。鞘内BMT后,第4组的同种异体移植物存活时间最长,为50-78天。鞘内注射BMC后,在每个移植后时间点,外周血中的T细胞CD4+/CD25+均高于其他实验组。将BMC移植到免疫特权区室延迟了完全不匹配VSA的排斥反应和诱导强大的供体特异性嵌合。
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引用次数: 1
Cyclosporine A, in Contrast to Rapamycin, Affects the Ability of Dendritic Cells to Induce Immune Tolerance Mechanisms 与雷帕霉素不同,环孢素A影响树突状细胞诱导免疫耐受机制的能力
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-10-10 DOI: 10.1007/s00005-021-00632-7
Maja Machcińska, Monika Kotur, Aleksandra Jankowska, Marta Maruszewska-Cheruiyot, Artur Łaski, Zuzanna Kotkowska, Katarzyna Bocian, Grażyna Korczak-Kowalska

Following organ transplantation, it is essential that immune tolerance is induced in the graft recipient to reduce the risk of rejection and avoid complications associated with the long-term use of immunosuppressive drugs. Immature dendritic cells (DCs) are considered to promote transplant tolerance and may minimize the risk of graft rejection. The aim of the study was to evaluate the effects of immunosuppressive agents: rapamycin (Rapa) and cyclosporine A (CsA) on generation of human tolerogenic DCs (tolDCs) and also to evaluate the ability of these cells to induce mechanisms of immune tolerance. tolDCs were generated in the environment of Rapa or CsA. Next, we evaluated the effects of these agents on surface phenotypes (CD11c, MHC II, CD40, CD80, CD83, CD86, CCR7, TLR2, TLR4), cytokine production (IL-4, IL-6, IL-10, IL-12p70, TGF-β), phagocytic capacity and resistant to lipopolysaccharide activation of these DCs. Moreover, we assessed ability of such tolDCs to induce T cell activation and apoptosis, Treg differentiation and production of Th1- and Th2-characteristic cytokine profile. Data obtained in this study demonstrate that rapamycin is effective at generating maturation-resistant tolDCs, however, does not change the ability of these cells to induce mechanisms of immune tolerance. In contrast, CsA affects the ability of these cells to induce mechanisms of immune tolerance, but is not efficient at generating maturation-resistant tolDCs.

器官移植后,重要的是在移植物受体中诱导免疫耐受,以降低排斥反应的风险,避免与长期使用免疫抑制药物相关的并发症。未成熟的树突状细胞(DC)被认为可以促进移植耐受性,并可以将移植物排斥反应的风险降至最低。本研究的目的是评估免疫抑制剂雷帕霉素(Rapa)和环孢菌素A(CsA)对人类耐受性DC(tolDC)产生的影响,并评估这些细胞诱导免疫耐受机制的能力。tolDC是在Rapa或CsA的环境中产生的。接下来,我们评估了这些药物对这些DC的表面表型(CD11c、MHC II、CD40、CD80、CD83、CD86、CCR7、TLR2、TLR4)、细胞因子产生(IL-4、IL-6、IL-10、IL-12p70、TGF-β)、吞噬能力和对脂多糖激活的抗性的影响。此外,我们评估了这种tolDC诱导T细胞活化和凋亡、Treg分化以及产生Th1和Th2特征性细胞因子谱的能力。本研究中获得的数据表明,雷帕霉素在产生成熟抗性TolDC方面是有效的,但不会改变这些细胞诱导免疫耐受机制的能力。相反,CsA影响这些细胞诱导免疫耐受机制的能力,但在产生成熟抗性TolDC方面无效。
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引用次数: 2
Casein Kinase-1-Alpha Inhibitor (D4476) Sensitizes Microsatellite Instable Colorectal Cancer Cells to 5-Fluorouracil via Authophagy Flux Inhibition 酪蛋白激酶-1- α抑制剂(D4476)通过自噬通量抑制微卫星不稳定结直肠癌细胞对5-氟尿嘧啶的敏化
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-09-18 DOI: 10.1007/s00005-021-00629-2
Morvarid Siri, Hamid Behrouj, Sanaz Dastghaib, Mozhdeh Zamani, Wirginia Likus, Sedigheh Rezaie, Jacek Hudecki, Saeed Khazayel, Marek J. Łos, Pooneh Mokarram, Saeid Ghavami

Adjuvant chemotherapy with 5-fluorouracil (5-FU) does not improve survival of patients suffering from a form of colorectal cancer (CRC) characterized by high level of microsatellite instability (MSI-H). Given the importance of autophagy and multi-drug-resistant (MDR) proteins in chemotherapy resistance, as well as the role of casein kinase 1-alpha (CK1α) in the regulation of autophagy, we tested the combined effect of 5-FU and CK1α inhibitor (D4476) on HCT116 cells as a model of MSI-H colorectal cancer. To achieve this goal, the gene expression of Beclin1 and MDR genes, ABCG2 and ABCC3 were analyzed using quantitative real-time polymerase chain reaction. We used immunoblotting to measure autophagy flux (LC3, p62) and flow cytometry to detect apoptosis. Our findings showed that combination treatment with 5-FU and D4476 inhibited autophagy flux. Moreover, 5-FU and D4476 combination therapy induced G2, S and G1 phase arrests and it depleted mRNA of both cell proliferation-related genes and MDR-related genes (ABCG2, cyclin D1 and c-myc). Hence, our data indicates that targeting of CK1α may increase the sensitivity of HCT116 cells to 5-FU. To our knowledge, this is the first description of sensitization of CRC cells to 5-FU chemotherapy by CK1α inhibitor.

Graphic abstract

5-氟尿嘧啶(5-FU)辅助化疗不能提高患有以高水平微卫星不稳定性(MSI-H)为特征的结直肠癌(CRC)的患者的生存率。鉴于自噬和多药耐药(MDR)蛋白在化疗耐药性中的重要性,以及酪蛋白激酶1-α(CK1α)在自噬调节中的作用,我们测试了5-FU和CK1α抑制剂(D4476)对作为MSI-H结直肠癌癌症模型的HCT116细胞的联合作用。为了实现这一目标,使用定量实时聚合酶链反应分析Beclin1和MDR基因ABCG2和ABCC3的基因表达。我们使用免疫印迹法测量自噬流量(LC3,p62),并使用流式细胞术检测细胞凋亡。我们的研究结果表明,5-FU和D4476联合治疗可抑制自噬流量。此外,5-FU和D4476联合治疗诱导了G2、S和G1期阻滞,并耗尽了细胞增殖相关基因和MDR相关基因(ABCG2、细胞周期蛋白D1和c-myc)的mRNA。因此,我们的数据表明,靶向CK1α可能增加HCT116细胞对5-FU的敏感性。据我们所知,这是首次描述CK1α抑制剂使CRC细胞对5-FU化疗的敏感性。图形摘要
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引用次数: 16
Are Host Defense Peptides and Their Derivatives Ready to be Part of the Treatment of the Next Coronavirus Pandemic? 宿主防御肽及其衍生物是否准备好成为下一次冠状病毒大流行治疗的一部分?
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-09-16 DOI: 10.1007/s00005-021-00630-9
Bruno Rivas-Santiago, Yolanda Jacobo-Delgado, Adrian Rodriguez-Carlos

The term host defense peptides arose at the beginning to refer to those peptides that are part of the host’s immunity. Because of their broad antimicrobial capacity and immunomodulatory activity, nowadays, they emerge as a hope to combat resistant multi-drug microorganisms and emerging viruses, such as the case of coronaviruses. Since the beginning of this century, coronaviruses have been part of different outbreaks and a pandemic, and they will be surely part of the next pandemics, this review analyses whether these peptides and their derivatives are ready to be part of the treatment of the next coronavirus pandemic.

宿主防御肽一开始是指那些参与宿主免疫的肽。由于它们具有广泛的抗微生物能力和免疫调节活性,如今,它们成为对抗耐药多药微生物和新出现的病毒(如冠状病毒)的希望。自本世纪初以来,冠状病毒已经成为不同疫情和大流行的一部分,它们肯定会成为下一次大流行的一部分,本文分析了这些肽及其衍生物是否准备好成为下一次冠状病毒大流行治疗的一部分。
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引用次数: 3
Chronic Prostatitis and Pelvic Pain Syndrome: Another Autoimmune Disease? 慢性前列腺炎和盆腔疼痛综合征:另一种自身免疫性疾病?
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-09-14 DOI: 10.1007/s00005-021-00628-3
Lei Chen, Meng Zhang, Chaozhao Liang

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), characterized by chronic pain in the perineum or lower abdomen regions, is a frequent disorder in men. Previous studies demonstrated that the immune mediators, including interleukin (IL)-1β, IL-6, interferon-γ, tumor necrosis factor-α, and immunoglobulins, are elevated in the expressed prostate secretions and seminal fluid of CP/CPPS men. The memory T, T helper 1 (Th1), Th17, and Th22 cells increase in the peripheral blood of CP/CPPS men. Additionally, prostate antigens specific-autoreactive T cells are identified in CP/CPPS patients. After generally reviewing and comparing the inflammatory responses in autoimmune diseases and CP/CPPS, we presumed that CP/CPPS is more likely to be defined as an autoimmune disease. Thus, a better understanding of autoimmune diseases would contribute to a deeper understanding of the CP/CPPS and provide new inspirations for the treatment of this disease.

慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是男性常见的疾病,其特征是会阴或下腹部的慢性疼痛。先前的研究表明,免疫介质,包括白细胞介素(IL)-1β、IL-6、干扰素-γ、肿瘤坏死因子-α和免疫球蛋白,在CP/CPPS男性表达的前列腺分泌物和精液中升高。CP/CPPS男性的外周血中记忆性T、辅助性T细胞1(Th1)、Th17和Th22细胞增加。此外,在CP/CPPS患者中鉴定出前列腺抗原特异性自身反应性T细胞。在对自身免疫性疾病和CP/CPPS的炎症反应进行全面回顾和比较后,我们推测CP/CPS更有可能被定义为自身免疫疾病。因此,更好地了解自身免疫性疾病将有助于更深入地了解CP/CPPS,并为该疾病的治疗提供新的启示。
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引用次数: 9
Should Nano-Particles be Weighed or Counted? Technical Considerations to In Vitro Testing Originated from Corpuscular Nature of Nano-Particles 纳米粒子应该称重还是计数?纳米粒子的微粒性对体外检测的技术考虑
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-08-03 DOI: 10.1007/s00005-021-00623-8
Wojciech Kałas

The abundance of nanoparticles introduced to household products created the great expectations towards the application of nanotechnology in biology and medicine. That calls for cost-effective preliminary assessment of its cytotoxicity and biological activity. There are many attempts for creating proper guidance and standards for performing studies regarding nanoparticles. But still some important aspects crucial for in vitro testing of nanomaterials need more attention. Particulate nature is an obvious and widely unappreciated property of nanoparticles. In the context of in vitro studies, this property is critical, and it should be, but rarely is, considered when designing, performing, describing or interpreting the experiments involving the solid nanoparticles. First, we should be aware of relatively small and limited number of nanoparticles in the experimental setup. Even crude estimation of its number will be useful for proper interpretation of results. Second, we should not presume even distribution of particles in the solution, moreover we should expect that sedimentation and aggregation play an important role in interactions of nanoparticles with cells. In that case, expressing the dose in mass/volume units may lead as astray. Finally, the relation of size, weight, and number of nanoparticles makes comparisons of activity of nanoparticles of different sizes very complex. Estimations of number of nanoparticles in the dose should be an integral part of experiment design, its validation and interpretation.

大量的纳米颗粒被引入家用产品中,这为纳米技术在生物学和医学中的应用带来了巨大的期望。这就要求对其细胞毒性和生物活性进行具有成本效益的初步评估。有许多尝试来创建适当的指导和标准来进行关于纳米颗粒的研究。但是,对纳米材料的体外测试至关重要的一些重要方面仍然需要更多的关注。颗粒性质是纳米颗粒的一个明显且普遍不被重视的性质。在体外研究的背景下,这种性质是至关重要的,在设计、执行、描述或解释涉及固体纳米颗粒的实验时,应该考虑,但很少考虑。首先,我们应该意识到在实验装置中纳米颗粒的数量相对较小且有限。即使是对其数量的粗略估计也有助于正确解释结果。其次,我们不应该假设颗粒在溶液中的均匀分布,此外,我们应该预期沉淀和聚集在纳米颗粒与细胞的相互作用中发挥重要作用。在这种情况下,以质量/体积单位表示剂量可能会导致错误。最后,纳米颗粒的尺寸、重量和数量的关系使得不同尺寸的纳米颗粒的活性比较非常复杂。剂量中纳米颗粒数量的估计应该是实验设计、验证和解释的一个组成部分。
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引用次数: 2
Journal Impact Factor and Self-Citations 期刊影响因子和自我引用
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-08-02 DOI: 10.1007/s00005-021-00621-w
Andrzej Górski, Michał Zimecki, Hubert Krotkiewski
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引用次数: 2
Lower BAFF Levels in Myasthenic Patients Treated with Glucocorticoids 糖皮质激素治疗的肌无力患者BAFF水平降低
IF 3.2 4区 医学 Q3 IMMUNOLOGY Pub Date : 2021-08-02 DOI: 10.1007/s00005-021-00626-5
Ewa Sobieszczuk, Piotr Szczudlik, Justyna Kubiszewska, Beata Szyluk, Marta Lipowska, Małgorzata Dutkiewicz, Anna Kostera-Pruszczyk

B-cell activating factor (BAFF), a member of tumor necrosis factor family, activates B cells, promotes their survival and proliferation. BAFF is considered to have an influence on development of autoimmune diseases including myasthenia gravis (MG). We aimed to evaluate BAFF serum levels in MG patients, their potential connection with therapy and course of MG. Cross-sectional study. Two hundred eighteen adult patients with MG (67% women, age: 18–89 years, 82.6% AChR antibody seropositive (AChRAb(+)). Serum BAFF levels, their relationship with severity of clinical symptoms, therapy conducted, clinical and demographic features and other factors were analyzed. Patients with AChRAb(+) MG demonstrated significantly higher BAFF levels than MuSK-MG patients (831.2 ± 285.4 pg/ml vs. 745.6 ± 633.4 pg/ml, respectively; p = 0.030). Serum BAFF levels in women were significantly higher than in men (855.9 ± 302.5 vs. 756.6 ± 289.4, respectively; p = 0.017). Mean serum BAFF level was significantly decreased in patients who were ever treated with corticosteroids (CS) (770.4 ± 327.8 pg/ml vs. 891.3 ± 246.1 pg/ml, respectively; p = 0.001). Thymoma-MG patients demonstrated significantly lower BAFF levels (671.2 ± 244.9 vs. 833.5 ± 302.4, respectively; p = 0.044). Thymectomized patients did not differ in BAFF levels from the MG patients who had not undergone thymectomy. In multiple linear regression model, recent CS therapy and male sex were found to be independent predictors of lower BAFF levels. Serum BAFF level is decreased in patients treated with CS, which may suggest inhibiting influence of CS on BAFF—a potential mechanism contributing to the effectiveness of such therapy.

B细胞活化因子(BAFF)是肿瘤坏死因子家族的一员,可激活B细胞,促进其生存和增殖。BAFF被认为对包括重症肌无力(MG)在内的自身免疫性疾病的发展有影响。我们旨在评估MG患者的BAFF血清水平,它们与MG治疗和病程的潜在联系。横断面研究。218名成年MG患者(67%为女性,年龄:18-89岁,82.6%为AChR抗体血清阳性(AChRAb(+))。分析了血清BAFF水平及其与临床症状严重程度、所进行的治疗、临床和人口统计学特征以及其他因素的关系。AChRAb(+)MG患者的BAFF水平明显高于MuSK MG患者(831.2 ± 285.4 pg/ml与745.6 ± 633.4pg/ml;p = 0.030)。女性的血清BAFF水平显著高于男性(855.9 ± 302.5对756.6 ± 289.4;p = 0.017)。曾接受皮质类固醇(CS)治疗的患者的平均血清BAFF水平显著降低(770.4 ± 327.8 pg/ml与891.3 ± 分别为246.1pg/ml;p = 0.001)。胸腺瘤MG患者的BAFF水平显著降低(671.2 ± 244.9对833.5 ± 302.4;p = 0.044)。胸腺切除患者的BAFF水平与未接受胸腺切除的MG患者没有差异。在多元线性回归模型中,最近的CS治疗和男性被发现是BAFF水平较低的独立预测因素。CS治疗的患者血清BAFF水平降低,这可能表明CS对BAFF的抑制作用——这是一种有助于此类治疗有效性的潜在机制。
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引用次数: 1
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Archivum Immunologiae et Therapiae Experimentalis
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