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Tolerance and Autoimmunity 耐受性与自身免疫
Pub Date : 2021-01-07 DOI: 10.1201/9780824745097-16
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引用次数: 240
Cells and Tissues Involved Inthe Immune Response 参与免疫反应的细胞和组织
Pub Date : 2021-01-07 DOI: 10.1201/9780824745097-2
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引用次数: 0
Elevation of BSF-2 Level in Serum of Patients with Hepatitis B Virus 乙型肝炎病毒患者血清BSF-2水平升高
Pub Date : 2021-01-01 DOI: 10.15789/1563-0625-eob-2091
A. Dawood, Mahmood A. A. Altobje, Zeyad T. Alrassam
Background: Hepatitis B is the main infection of the injured liver for humans. Inflammation of the liver is caused by hepatitis viruses may lead to cirrhosis and hepatocellular carcinoma. The B-cell stimulatory factor 2 (BSF-2) is one of the cytokines that affect the regulation and differentiation of the human immune response. Objective: this report aims to estimate the BSF-2, GPT, and GOT levels in patients’ serum with different stages of hepatitis B compared with healthy control. Methods: This study assessed 52 patients presumably with acute and chronic cases who have HBsAg positive. BSF-2 was detected using ELISA assay. Biochemical parameters were determined using kits of an automated analyzer. SPSS version-16 software was used for statistical analysis. Results: Acute hepatitis B patients had shown elevation in BSF-2 level more than of chronic hepatitis B. GPT and GOT levels elevated in the acute hepatitis group more than of the chronic hepatitis group. We reported a significant value between BSF-2, GOT, and GPT levels. We didn’t score an association between patient’s age and cases groups of hepatitis. Conclusion: our data confirmed increasing of BSF-2 levels with the increase of GOT level more than GPT level with acute hepatitis B. BSF-2, GPT and GOT levels are varied in different courses of acute and chronic HBV. We surmised that the elevation of BSF-2 levels designates liver injury of patients with acute HBV.
背景:乙型肝炎是人类损伤肝脏的主要感染。肝炎病毒引起的肝脏炎症可导致肝硬化和肝细胞癌。b细胞刺激因子2 (BSF-2)是影响人体免疫反应调控和分化的细胞因子之一。目的:本报告旨在评估不同阶段乙型肝炎患者血清BSF-2、GPT和GOT水平,并与健康对照组进行比较。方法:本研究评估了52例乙肝表面抗原阳性的急性和慢性病例。ELISA法检测BSF-2。使用自动化分析仪试剂盒测定生化参数。采用SPSS version-16软件进行统计分析。结果:急性乙型肝炎患者血清BSF-2水平高于慢性乙型肝炎患者。GPT和GOT水平在急性肝炎组高于慢性肝炎组。我们报告了BSF-2、GOT和GPT水平之间的显著值。我们没有发现患者年龄和肝炎病例组之间的关联。结论:我们的数据证实急性乙型肝炎患者BSF-2水平升高,且GOT水平升高幅度大于GPT水平。急性乙型肝炎患者BSF-2、GPT和GOT水平在急性乙型肝炎和慢性乙型肝炎不同病程中存在差异。我们推测BSF-2水平的升高预示着急性HBV患者的肝损伤。
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引用次数: 0
Phage therapy in antibiotic resistant pneumonia: immunomodulation or redistribution? 耐药性肺炎的噬菌体治疗:免疫调节还是再分配?
Pub Date : 2021-01-01 DOI: 10.15789/1563-0625-pti-2012
S. Bochkareva, I. Fedorova, O. Ershova, S. I. Koteleva, I. Kapustin, M. Blyakher, L. Novikova, A. Aleshkin, А. М. Vorobev
Our report concerns the observations made during the treatment of pneumonia with individually selected bacteriophages in HCAI patients on mechanical ventilation. 19 patients on mechanical ventilation whose condition was complicated by antibiotic-resistant pneumonia were examined. The treatment of patients was supplemented with phage therapy, bacteriophages were selected individually for each patient, taking into account the microbial etiology of the disease (Pseudomonas aeruginosa, Кlebsiella pneumoniae, Acinetobacter baumanii). Immunophenotyping of blood lymphocytes was carried out using 2-3-parameter flow cytometry. The functional activity of blood leukocytes was assessed by their ability to produce IFNα and IFNγ during cultivation. The level of interferons production in supernatants collected after cultivation was quantitatively evaluated both by their concentration (ELISA, reagents from “Vector-Best-Europe”, Russia) and by their biological activity. Statistical processing of the results was carried out using the Statistica 6 program according to the nonparametric Mann-Whitney U-test. In the course of successful phage therapy with individually selected bacteriophages overcoming of lymphopenia (if there was one) and an increase in both the number and functional activity of peripheral blood lymphocytes in all patients with pneumonia observed are noted. The relationship between the microbial load (mono- or mixed infection, the number of CFU pathogens of pneumonia, the need for repeated courses of phage therapy) and the degree of deficiency in one or another subpopulation of lymphocytes was not detected. Activation of the immune system achieved after one course of phage therapy was maintained for at least 3 weeks after phage administration was discontinued.
我们的报告涉及在机械通气的HCAI患者中使用单独选择的噬菌体治疗肺炎期间所做的观察。对19例机械通气并发耐药肺炎患者进行了检查。患者的治疗以噬菌体治疗为补充,考虑到疾病的微生物病因(铜绿假单胞菌、Кlebsiella肺炎、鲍曼不动杆菌),为每位患者单独选择噬菌体。采用2-3参数流式细胞术对外周血淋巴细胞进行免疫分型。血液白细胞在培养过程中通过产生IFNα和IFNγ的能力来评估其功能活性。培养后收集的上清液中干扰素的产生水平通过其浓度(ELISA,试剂来自俄罗斯“Vector-Best-Europe”)和生物活性进行定量评估。根据非参数Mann-Whitney u检验,使用Statistica 6程序对结果进行统计处理。在成功的噬菌体治疗过程中,单独选择的噬菌体克服了淋巴细胞减少症(如果有的话),所有观察到的肺炎患者外周血淋巴细胞的数量和功能活性都有所增加。没有检测到一个或另一个淋巴细胞亚群的微生物负荷(单一或混合感染、肺炎CFU病原体的数量、重复噬菌体治疗的需要)与缺乏程度之间的关系。在噬菌体治疗一个疗程后,免疫系统的激活在停止给药后至少维持3周。
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引用次数: 0
In vitro maintaining of CD4+ central and effector memory cells in normal and inflammatory conditions CD4+中枢和效应记忆细胞在正常和炎症条件下的体外维持
Pub Date : 2020-12-01 DOI: 10.15789/1563-0625-ivm-1975
E. Blinova, A. V. Kolerova, V. E. Balyasnikov, V. Kozlov
IL-7 is a key factor for the survival and maintenance of CD4+ central (Tcm) and effector (Tem) memory cells in the whole body. In many autoimmune diseases, an elevated level of IL-7 is detected in blood serum and at the site of inflammation, thus suggesting participation of this homeostatic factor in the survival of memory T cells, including auto-reactive clones, in inflammatory disorders. The aim of the study was to investigate the mechanisms of maintaining CD4+ memory T cells under normal and inflammatory conditions. We developed an in vitro model of inflammation, based on induction of pro-inflammatory cytokines, and then evaluated the effects of IL-7 upon purified sorted populations of CD4+Tcm and Tem under normal conditions and in vitro inflammatory model. IL-7 treatment promoted maintenance of CD4+Tcm phenotype in all variants of cultures. In the absence of contact with adherent cell fraction, the IL-7-induced proliferation of Tcm and Tem was slightly reduced, both under normal and inflammatory conditions, thus suggesting low sensitivity of memory T cells to contacts with MHC, and, probably, a requirement for additional signals to provide complete stimulation with IL-7. The last suggestion is also supported by data about CD127 and CD132 expression, i.e., in the absence of contact with MHC, the proportion of CD127+CD132+ cells was decreased in both subpopulations of CD4+ memory cells. Upon in vitro cultures, IL-7 contributed to decreased expression of CD127, and increased expression of CD132 on CD4+Tcm and Tem. We have evaluated the CD4+Tcm and Tem populations by affinity of T cell receptor (TCR), using the level of CD5 expression. Т cells with high TCR affinity for self-antigens are known to have higher expression of CD5. In comparison to Tem, the Tcm contained more CD5high cells. In cultures, IL-7 promoted a high level of CD5 expression on Tcm, which was comparable to levels observed in peripheral blood cells. High CD5 expression on Tem was observed after stimulation with IL-7 in the in vitro inflammatory model. In the absence of contact with MHC, the number of CD5high cells decreased among CD4+Tem and Tcm. Thus, CD4+Tcm cells with high affinity for autologous antigens are probably dependent on the presence of homeostatic factors, in particular, IL-7, and contacts with antigen-presenting cells (APCs). Under conditions of inflammation, no changes were revealed in the mechanism of maintaining CD4+Tcm, in contrast to CD4+Tem. Being less dependent on IL-7 under normal conditions, CD4+CD5highTem are accumulated in the presence of IL-7 under in vitro inflammatory conditions.
IL-7是全身CD4+中枢(Tcm)和效应(Tem)记忆细胞存活和维持的关键因素。在许多自身免疫性疾病中,在血清和炎症部位检测到IL-7水平升高,因此表明这种稳态因子参与了炎症性疾病中记忆T细胞(包括自身反应性克隆)的生存。本研究的目的是研究在正常和炎症条件下维持CD4+记忆性T细胞的机制。我们开发了一种基于促炎细胞因子诱导的体外炎症模型,然后在正常条件下和体外炎症模型下评估IL-7对纯化的CD4+Tcm和Tem分选群体的影响。IL-7治疗促进了培养物的所有变体中CD4+Tcm表型的维持。在不与粘附细胞部分接触的情况下,IL-7诱导的Tcm和Tem的增殖在正常和炎症条件下都略有减少,因此表明记忆T细胞对与MHC接触的敏感性较低,并且可能需要额外的信号来提供IL-7的完全刺激。最后一个建议也得到了关于CD127和CD132表达的数据的支持,即,在没有与MHC接触的情况下,CD127+CD132+细胞在CD4+记忆细胞的两个亚群中的比例都降低了。体外培养后,IL-7导致CD4+Tcm和Tem上CD127的表达减少,CD132的表达增加。我们已经通过T细胞受体(TCR)的亲和力,使用CD5的表达水平来评估CD4+Tcm和Tem群体。已知对自身抗原具有高TCR亲和力的Т细胞具有更高的CD5表达。与Tem相比,Tcm含有更多的CD5高细胞。在培养物中,IL-7促进Tcm上CD5的高水平表达,这与在外周血细胞中观察到的水平相当。在体外炎症模型中用IL-7刺激后,观察到Tem上CD5的高表达。在不与MHC接触的情况下,CD4+Tem和Tcm中CD5高细胞的数量减少。因此,对自体抗原具有高亲和力的CD4+Tcm细胞可能依赖于稳态因子,特别是IL-7的存在,以及与抗原呈递细胞(APC)的接触。在炎症条件下,与CD4+Tem相比,维持CD4+Tcm的机制没有变化。CD4+CD5highTem在正常条件下对IL-7的依赖性较低,在体外炎症条件下在IL-7存在下积累。
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引用次数: 1
Influence of silicone mammoplasty on the immunoendocrine status of female recipients 硅胶乳房成形术对女性接受者免疫内分泌状况的影响
Pub Date : 2020-12-01 DOI: 10.15789/1563-0625-ios-2006
V. G. Zolotykh, A. Gvozdetsky, A. Y. Kim, S. Lapin, L. Mikhailova, E. M. Starovoitova, T. Fedotkina, L. Churilov, Y. Schoenfeld, P. Yablonsky
The article concerns a study of early influence of silicone breast implants on the development of autoimmune reactions and dynamics of prolactin and thyroid hormone levels in women after mammoplasty. At the present time, this issue remains relevant for several reasons: more than 20 million pairs of implants have been installed in the world and the number of their implantations is constantly growing. Despite relative safety of the silicone implants, some of them are periodically banned by regulatory bodies in various countries. At the same time, there is a growing number of controversial publications in the scientific literature, about potential adverse consequences of their use. Some authors suggest an association between the silicone implants and risk of developing autoimmune conditions, connective tissue disorders, and occasional malignancies. On the other hand, the journals are full of publications about the overall safe tolerance of such medical devices by the patients. These considerations served as a pre-requisite to our research. As part of this project, we have assayed serum levels of autoantibodies to ten antigens, as well as contents of prolactin and thyroid hormones by means of ELISA technique in 27 patients before, 3 and 6 months after aesthetic and reconstructive mammoplastics performed within a period of September 2018 to November 2019. As a result, it was found that 5 out of 27 patients exhibited changes in the autoimmunity spectrum and intensity after mammoplasty. In particular, the concentrations of autoantibodies to modified citrullinated vimentin and IgM autoantibodies to cardiolipin exceeded the normal level at 3 and 6 months. In addition, the initially high prolactin concentration in mammoplasty recipients dropped to normal ranges by 3 months after breast surgery, even after several-fold increased initial levels. As for thyroid hormones, there were no statistically significant changes in their dynamics. The increase of autoantibodies to various target antigens after mammoplasty was statistically significant and positively correlated with each other. This can be explained, for example, by dependence on the adjuvant effect of silicone, which is not associated with antigen specificity. However, it may generally stimulate the immune responses.
本文研究了硅胶乳房植入物对女性乳房成形术后自身免疫反应的发展以及泌乳素和甲状腺激素水平的动态的早期影响。目前,这个问题仍然存在,原因有几个:世界上已经安装了2000多万对植入物,植入数量不断增长。尽管硅胶植入物相对安全,但其中一些植入物定期被各国监管机构禁止。与此同时,科学文献中越来越多有争议的出版物,关于使用它们的潜在不利后果。一些作者认为硅胶植入物与自身免疫性疾病、结缔组织疾病和偶尔的恶性肿瘤的风险之间存在关联。另一方面,这些期刊上充斥着关于患者对此类医疗器械的总体安全耐受性的出版物。这些考虑是我们进行研究的先决条件。作为该项目的一部分,我们通过ELISA技术,在2018年9月至2019年11月期间进行美容和重建乳房肿瘤术之前、3个月和6个月,对27名患者的血清中10种抗原的自身抗体水平以及催乳素和甲状腺激素的含量进行了测定。结果发现,27名患者中有5名在乳房成形术后表现出自身免疫谱和强度的变化。特别是,在3个月和6个月时,修饰瓜氨酸波形蛋白的自身抗体和心磷脂的IgM自身抗体的浓度超过了正常水平。此外,在乳房手术后3个月,乳房成形术受试者最初的高泌乳素浓度降至正常范围,即使在初始水平增加了几倍之后也是如此。至于甲状腺激素,其动力学没有统计学上的显著变化。乳房成形术后各种靶抗原自身抗体的增加具有统计学意义,并且相互呈正相关。例如,这可以通过依赖于与抗原特异性无关的硅酮的佐剂作用来解释。然而,它通常会刺激免疫反应。
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引用次数: 0
Relationships between urinary neural and immune factors in the patients with interstitial cystitis/ bladder painful syndrome 间质性膀胱炎/膀胱疼痛综合征患者尿神经和免疫因子的关系
Pub Date : 2020-12-01 DOI: 10.15789/1563-0625-rbu-2001
R. Sholan
The purpose of this work was to study the relationships between urinary cytokines, mast cells and nerve growth factor (NGF) in the patients with interstitial cystitis/bladder pain syndrome (IC/BPS). Sixty-eight women with clinically diagnosed IC/BPS were under study. Their mean age was 54.2±12.4 years. Urinary concentrations of interleukins (IL-1β, IL-6, IL-8), tumor necrosis factor-α (TNFα), and NGF were determined by ELISA technique. Mast cells were identified in biopsies of mucous membranes from urinary bladder harvested during cystoscopy. Statistical evaluation was performed by Statistica program in Microsoft Excel. Pearson correlation quotients were calculated. Depending on the type of IC/BPS, the patients were divided into 2 groups: group I included 36 patients with classic type of disease; group II comprised 32 patients with non-ulcer type of IC/BPS. No significant differences were revealed between the groups. In 13.9% of patients from group I, the onset of clinical manifestations of the disease was observed at the age of less than 40 years; in group II, 28.1% of the examined mentioned appearance of the disease symptoms at this age. The levels of IL-1β in the patients from group I was 2.4 times higher than in controls (p < 0.05). IL-6, IL-8 and TNFα concentrations exceeded control values by 2.0 (p < 0.05), 2.5 (p < 0.05) and 2.0 times (p < 0.05), respectively. In the patients from group II, the content of IL-1β, IL-6, IL-8 and TNFα was 2.4 (p < 0.05), 2.0 (p < 0.05), 2.0 (p < 0.05) and 1.9 (p < 0.05) times higher than in the control group, respectively. There were no significant differences between groups I and II, in IL-1β, IL-6, and TNFα levels, except of IL-8 in women of group I that was 20.3% higher than in group II. The urinary NGF level in the patients with IC/BPS exceeded the control level 1.6 times (p < 0.05) for group I, and 1.5 times (p < 0.05) for group II. The number of mast cells in the patients of group I was significantly higher than in controls and in group II, i.e., 1.6 (p < 0.05) and 1.4 times (p < 0.05), respectively. In most cases, a direct weak correlation was revealed between the indices. Only in group I, a moderate correlation (r = + 0.508) could be detected between IL-1β and mast cells. Determination of cytokine levels allows to detect activation of inflammatory cells in bladder tissue and provides an opportunity for developing diagnostic strategies. Increased numbers of mast cells may indicate the importance of these cells in the disease progression, whereas elevated levels of NGF in urine suggests that IC/BPS may be caused by chronic inflammation.
本研究旨在研究间质性膀胱炎/膀胱疼痛综合征(IC/BPS)患者尿细胞因子、肥大细胞和神经生长因子(NGF)之间的关系。68名临床诊断为IC/BPS的女性正在接受研究。平均年龄54.2±12.4岁。采用ELISA法测定尿中白细胞介素(IL-1β、IL-6、IL-8)、肿瘤坏死因子-α(TNFα)和NGF的浓度。肥大细胞在膀胱镜检查期间采集的膀胱粘膜活检中被鉴定。统计评估由微软Excel中的Statistica程序进行。计算Pearson相关商。根据IC/BPS的类型,将患者分为2组:第一组包括36例经典型患者;第二组32例为非溃疡型IC/BPS。两组之间无显著差异。在I组13.9%的患者中,该疾病的临床表现在40岁以下开始出现;在第二组中,28.1%的受检者提到在该年龄出现疾病症状。I组患者的IL-1β水平是对照组的2.4倍(p<0.05),IL-6、IL-8和TNFα浓度分别比对照组高出2.0倍(p<0.05)、2.5倍(p<0.05)和2.0倍(p>0.05)。II组患者IL-1β、IL-6、IL-8和TNFα的含量分别是对照组的2.4倍(p<0.05)、2.0倍(p<0.05)、2.0次(p<0.05)和1.9倍(p>0.05)。I组和II组的IL-1β、IL-6和TNFα水平没有显著差异,但I组女性的IL-8水平比II组高20.3%。IC/BPS患者的尿NGF水平在I组超过对照水平1.6倍(p<0.05),在II组超过1.5倍(p<0.05)。第一组患者的肥大细胞数量显著高于对照组和第二组,分别为1.6倍(p<0.05)和1.4倍(p<0.05)。在大多数情况下,指数之间显示出直接的弱相关性。仅在I组中,IL-1β与肥大细胞之间可检测到中等相关性(r=+0.508)。细胞因子水平的测定可以检测膀胱组织中炎症细胞的激活,并为开发诊断策略提供了机会。肥大细胞数量的增加可能表明这些细胞在疾病进展中的重要性,而尿液中NGF水平的升高表明IC/BPS可能是由慢性炎症引起的。
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引用次数: 0
Study of the graphene oxide nanoparticles effect on luminol-dependent chemiluminescence of human leukocytes 氧化石墨烯纳米颗粒对人白细胞鲁米诺依赖性化学发光影响的研究
Pub Date : 2020-12-01 DOI: 10.15789/1563-0625-sot-2051
M. Bochkova, V. Timganova, P. Khramtsov, S. Uzhviyuk, K. Shardina, A. Nechaev, M. Raev, S. Zamorina
Graphene and its derivatives are increasingly used in biomedical research. Therefore, the mechanisms and consequences of the interaction of graphene nanoparticles with living objects are intensively studied. The immune system is involved in protecting the body and regulating its functions, so the question of the effect of graphene and its derivatives on immune cells is crucial. The specific response of monocytes, macrophages, and neutrophils to a stimulus is to increase the production of reactive oxygen species (ROS). Published data on graphene oxide (GO) and polyethylene glycol-modified graphene oxide (GO-PEG) effects on peripheral blood leukocytes are scarce and contradictory. It is due to variations in objects and conditions of study, along with the difference in particle concentrations. Thus, it was essential to evaluate the GO and GO-PEG effect on ROS production by human leukocytes. Our study aimed at the effect of particles of unmodified and PEG-modified graphene oxide (GO and GO-PEG) on the ROS production by peripheral blood leukocytes in not-stimulated and stimulated luminoldependent chemiluminescence (LCL) tests. ROS production was stimulated by opsonized zymosan (OZ). A hydrogen peroxide-luminol system was used for assessing the independent effect of GO nanoparticles on the quenching of ROS luminescence. Pristine GO (Ossila, Great Britain) nanoparticles were PEG-modified (GO-PEG). The average size of the GO flakes was 1-5 µm, the GO-PEG-flakes 569±14 nm, and the amount of PEG covering was ~ 20%. Nanoparticles were used at concentrations of 5; 2.5; 1.25 µg/ml. It has been established that GO-PEG nanoparticles in concentrations of 2.5 and 5 µg/ml suppressed ROS production in the spontaneous LCL test. At the same time, the GO effects showed a visible but a not significant tendency to inhibition of LCL. Similar results were obtained in the stimulated LCL test. However, when analyzing the process kinetics, both GO-PEG and GO decreased the ROS production, but mainly in the first minutes of the test. When analyzing the quenching effect of the LCL reaction in a cell-free system, there was no significant effect of GO and GO-PEG nanoparticles. Thus, the general vector of the obtained effects was associated with the suppression of ROS production. GO-PEG ROS-decreasing effects were more pronounced in comparison with unmodified GO. In general, we have confirmed the antioxidant effects of GO and GO-PEG using the LCL method. We can assume that in addition to the actual antioxidant effect of graphene nanoparticles, ROS production decreases due to the rapid GO uptake and blocking of several intracellular signals that induce an oxidative burst.
石墨烯及其衍生物越来越多地用于生物医学研究。因此,人们对石墨烯纳米颗粒与活体相互作用的机制和后果进行了深入研究。免疫系统参与保护身体和调节其功能,因此石墨烯及其衍生物对免疫细胞的影响问题至关重要。单核细胞、巨噬细胞和中性粒细胞对刺激的特异性反应是增加活性氧(ROS)的产生。关于氧化石墨烯(GO)和聚乙二醇修饰的氧化石墨烯对外周血白细胞的影响的已发表数据很少且相互矛盾。这是由于研究对象和条件的变化,以及颗粒浓度的差异。因此,有必要评估GO和GO-PEG对人类白细胞产生ROS的影响。我们的研究旨在研究未修饰和PEG修饰的氧化石墨烯(GO和GO-PEG)颗粒在非刺激和刺激的发光依赖性化学发光(LCL)测试中对外周血白细胞产生ROS的影响。调理酵母多糖(OZ)刺激ROS的产生。使用过氧化氢-鲁米诺系统来评估GO纳米颗粒对ROS发光猝灭的独立影响。Pristine GO(Ossila,大不列颠)纳米颗粒是PEG修饰的(GO-PEG)。GO薄片的平均尺寸为1-5µm,GO-PEG薄片为569±14nm,PEG覆盖量约为20%。使用浓度为5;2.5;1.25µg/ml。已经证实,在自发LCL测试中,浓度为2.5和5µg/ml的GO-PEG纳米颗粒抑制了ROS的产生。同时,GO效应显示出明显但不显著的LCL抑制趋势。在刺激LCL试验中获得了类似的结果。然而,在分析过程动力学时,GO-PEG和GO都降低了ROS的产生,但主要是在测试的前几分钟。当分析无细胞系统中LCL反应的猝灭效应时,GO和GO-PEG纳米颗粒没有显著影响。因此,所获得效果的一般载体与ROS产生的抑制有关。与未修饰的GO相比,GO-PEG降低ROS的作用更为显著。一般来说,我们已经使用LCL方法证实了GO和GO-PEG的抗氧化作用。我们可以假设,除了石墨烯纳米颗粒的实际抗氧化作用外,由于GO的快速摄取和对诱导氧化爆发的几种细胞内信号的阻断,ROS的产生也会减少。
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引用次数: 1
Studies of non-autonomous effects of apoptosis in the course of in vitro apoptotic cell death initiation in healthy persons and patients with rheumatoid arthritis 健康人及类风湿关节炎患者体外凋亡细胞死亡起始过程中细胞凋亡的非自主效应研究
Pub Date : 2020-12-01 DOI: 10.15789/1563-0625-son-1991
T. Y. Abramova, E. Blinova, L. Grishina, O. Chumasova, A. E. Sulut’yan, A. Sizikov, V. Kozlov
The process of apoptosis is known that play an important role in cellular homeostasis, and the altered cell death may lead to development of pathological disorders. Evolving autoimmune conditions, in particular, rheumatoid arthritis, are associated with decreased rates of apoptosis as a form of programmed cell death. The aim of this study was to evaluate expression of activation and proliferation markers on T lymphocytes during initiation of apoptotic cell death under the conditions of “cell neighborhood” in healthy individuals and patients with rheumatoid arthritis. Patients and methods. The study was performed with blood samples of the patients with rheumatoid arthritis (RA) and healthy women of comparable age. During the study, we conducted experiments aimed to identify the in vitro influence of non-stimulated apoptosis-induced cells, as well as aCD3- and dexamethasone (Dexa)-stimulated apoptosis-induced cells upon autologous T lymphocytes cultured under physiological conditions. Development of a “cell neighborhood” model, i.e., co-cultures of CFSE- T cells subjected to incubation under crowding condition and depletion of the culture medium which is the most physiological variant of apoptosis activation, and CFSE+ autologous cells placed in the complete culture medium, has revealed some relationships. We have revealed an opportunity of secondary induction of early and late apoptosis by means of humoral and cellular components of autologous cell culture subjected to activation apoptosis. We determined the features of apoptosis in unstimulated, as well as aCD3- and dexamethasone-stimulated cultures, compared with controls. There were no differences in these parameters of apoptosis between RA patients and healthy people for all variants of cultures. An increased proportion of viale cells was found in the CFSE- culture of patients with RA when compared to donors. The donor group had more lymphocytes with activation parameters CD25+, CD69+ and low level of proliferation marker Ki-67 than patients. In contrast to healthy, the RA patients demonstrated a significantly increased expression of Ki 67 in T lymphocytes when co-culturing CFSE- and CFSE+ cells. An increased number of living cells in apoptotic cultures of patients with RA relative to healthy people, in absence of significant differences in the parameters of apoptosis and activation markers in dynamics, as well as pattern of changes in the Ki-67+ cell contents suggested a contribution of the non-autonomous effects of apoptosis to cellular homeostasis in RA patients.
众所周知,细胞凋亡过程在细胞稳态中起着重要作用,细胞死亡的改变可能导致病理性疾病的发展。进化中的自身免疫性疾病,特别是类风湿性关节炎,与作为程序性细胞死亡形式的细胞凋亡率降低有关。本研究的目的是评估在健康个体和类风湿性关节炎患者的“细胞邻域”条件下,T淋巴细胞在凋亡细胞死亡过程中的活化和增殖标志物的表达。患者和方法。这项研究是用类风湿性关节炎(RA)患者和同龄健康女性的血液样本进行的。在研究过程中,我们进行了实验,旨在确定非刺激性细胞凋亡诱导的细胞以及aCD3-和地塞米松(Dexa)刺激的细胞凋亡诱导细胞对生理条件下培养的自体T淋巴细胞的体外影响。“细胞邻域”模型的开发,即在拥挤条件下孵育的CFSE-T细胞和放置在完全培养基中的CFSE+自体细胞的共培养,以及细胞凋亡激活的最生理变化的培养基的耗竭,揭示了一些关系。我们已经揭示了通过对自体细胞培养物的体液和细胞成分进行活化凋亡来二次诱导早期和晚期细胞凋亡的机会。与对照组相比,我们确定了未刺激以及aCD3-和地塞米松刺激的培养物中的细胞凋亡特征。RA患者和健康人在所有培养变体中的细胞凋亡参数没有差异。与供体相比,在RA患者的CFSE培养中发现过孔细胞比例增加。与患者相比,供体组具有更多的活化参数CD25+、CD69+和低水平增殖标志物Ki-67的淋巴细胞。与健康人相比,RA患者在共同培养CFSE-和CFSE+细胞时,T淋巴细胞中Ki 67的表达显著增加。与健康人相比,RA患者的凋亡培养物中的活细胞数量增加,在动力学中凋亡参数和激活标记物以及Ki-67+细胞含量变化模式没有显著差异的情况下,这表明凋亡对RA患者细胞稳态的非自主作用。
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引用次数: 0
Relationship between immunological alterations, hypoxia and inflammation in arterial hypertension combined with metabolic syndrome 动脉高压合并代谢综合征患者免疫功能改变、缺氧与炎症的关系
Pub Date : 2020-12-01 DOI: 10.15789/1563-0625-rbi-2059
E. I. Polozova, E. Puzanova, A. Seskina
Our study was aimed at assessing a relationship between immune system alterations, hypoxia and inflammation in arterial hypertension (AH) coupled to metabolic disturbances. A total of 117 patients were enrolled into clinical study, having been randomized into groups in accordance with study protocol, aged 30 to 62 years. They sought care in outpatient setting or underwent periodic health examination at the Republican Clinical Hospital №5, Saransk, Mordovia, Russia. A control group contained 25 apparently healthy subjects lacking signs of metabolic syndrome (MS) and elevated arterial pressure. A comparison group contained 47 patients with AH grade I-II featured with damaged target organs, but lacking associated relevant clinical manifestations, as based on the assay data. The main group contained 45 patients receiving antihypertensive therapy with overt AH grade I-II verified upon medical consultation coupled to damaged target organs and MS signs with its randomly combined components, but lacking associated clinical manifestations. The patients from main and comparison groups received antihypertensive therapy in accordance with approved guidelines and clinical recommendations for management of AH patients consisting of one of renin-angiotensin-aldosterone system blockers, diuretic and/or dihydropyridine calcium channel blocker. Cytokine profile, level of hypoxia and non-specific inflammation were measured in blood serum. The data obtained demonstrated that AH patients with/without metabolic syndrome were noted to display cytokine profile shifted towards elevated proand anti-inflammatory immune arm pointing at imbalanced immune regulation. Hypoxic changes were also found in blood serum that was confirmed by elevated level of lactic and pyruvic acid in these groups. Moreover, development of such pathology was coupled to hypoxia which served as a modulator of immune-related and non-specific inflammation. Rise of non-specific low-grade inflammation correlates developing irreversible AH-associated changes in organs, progression of atherosclerosis and accelerated cardio-metabolic continuum. Altogether, such alterations underlie pathogenetic mechanisms of tissue damage emerging upon AH and MS being mutually aggravating factor along with activated renin-angiotensin-aldosterone system.
我们的研究旨在评估伴有代谢紊乱的动脉高血压(AH)患者免疫系统改变、缺氧和炎症之间的关系。临床研究共纳入117例患者,按照研究方案随机分组,年龄30 ~ 62岁。他们在门诊就诊或在俄罗斯莫尔多维亚萨兰斯克共和国第五临床医院定期接受健康检查。对照组包括25名明显健康的受试者,没有代谢综合征(MS)的迹象和动脉压升高。根据检测数据,对照组有47例AH I-II级患者,其特征是靶器官受损,但缺乏相关临床表现。主组纳入45例接受降压治疗的患者,经医学咨询证实,AH明显为I-II级,伴有靶器官受损和MS体征及其随机组合成分,但缺乏相关临床表现。主要组和对照组的患者按照批准的指南和临床建议接受抗高血压治疗,包括肾素-血管紧张素-醛固酮系统阻滞剂、利尿剂和/或二氢吡啶钙通道阻滞剂之一。测定血清细胞因子谱、缺氧水平和非特异性炎症水平。获得的数据表明,伴有/不伴有代谢综合征的AH患者显示细胞因子谱向升高的抗炎免疫臂转移,这表明免疫调节不平衡。血清缺氧变化也被发现,乳酸和丙酮酸水平升高证实了这一点。此外,这种病理的发展与缺氧相结合,缺氧是免疫相关和非特异性炎症的调节剂。非特异性低度炎症的增加与器官中发生不可逆的ah相关变化、动脉粥样硬化的进展和加速的心脏代谢连续体相关。总之,这些改变是AH和MS出现的组织损伤的发病机制的基础,它们是肾素-血管紧张素-醛固酮系统激活的相互加重因素。
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引用次数: 0
期刊
Medical immunology (London, England)
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