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From poo to promise: Fecal microbiota transplants support immunotherapy re-sensitization in solid tumors. 从 "便便 "到 "希望":粪便微生物群移植支持实体瘤免疫疗法的再敏感化。
Pub Date : 2024-08-14 DOI: 10.1016/j.chom.2024.07.015
Laura Chambers, Dennis Grencewicz, Daniel Spakowicz

Fecal microbiota transplants (FMTs) recently entered the cancer therapeutics field as a method to resensitize treatment-resistant melanoma patients to immune checkpoint inhibitors (ICIs). In this issue of Cell Host & Microbe, Kim and colleagues extend its utility to other solid tumors, including esophageal and hepatocellular carcinomas.1.

粪便微生物群移植(FMTs)最近进入了癌症治疗领域,它是一种让对治疗耐药的黑色素瘤患者对免疫检查点抑制剂(ICIs)重新敏感的方法。在本期《细胞宿主与微生物》(Cell Host & Microbe)杂志上,Kim及其同事将这种方法的用途扩展到其他实体瘤,包括食管癌和肝细胞癌。
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引用次数: 0
Brucella-driven host N-glycome remodeling controls infection. 布鲁氏菌驱动的宿主 N-糖蛋白重塑控制着感染。
Pub Date : 2024-04-10 Epub Date: 2024-03-25 DOI: 10.1016/j.chom.2024.03.003
Ana-Lucia Cabello, Kelsey Wells, Wenjing Peng, Hui-Qiang Feng, Junyao Wang, Damien F Meyer, Christophe Noroy, En-Shuang Zhao, Hao Zhang, Xueqing Li, Haowu Chang, Gabriel Gomez, Yuxin Mao, Kristin L Patrick, Robert O Watson, William K Russell, Aiying Yu, Jieqiang Zhong, Fengguang Guo, Mingqian Li, Mingyuan Zhou, Xiaoning Qian, Koichi S Kobayashi, Jianxun Song, Suresh Panthee, Yehia Mechref, Thomas A Ficht, Qing-Ming Qin, Paul de Figueiredo

Many powerful methods have been employed to elucidate the global transcriptomic, proteomic, or metabolic responses to pathogen-infected host cells. However, the host glycome responses to bacterial infection remain largely unexplored, and hence, our understanding of the molecular mechanisms by which bacterial pathogens manipulate the host glycome to favor infection remains incomplete. Here, we address this gap by performing a systematic analysis of the host glycome during infection by the bacterial pathogen Brucella spp. that cause brucellosis. We discover, surprisingly, that a Brucella effector protein (EP) Rhg1 induces global reprogramming of the host cell N-glycome by interacting with components of the oligosaccharide transferase complex that controls N-linked protein glycosylation, and Rhg1 regulates Brucella replication and tissue colonization in a mouse model of brucellosis, demonstrating that Brucella exploits the EP Rhg1 to reprogram the host N-glycome and promote bacterial intracellular parasitism, thereby providing a paradigm for bacterial control of host cell infection.

人们采用了许多强大的方法来阐明病原体感染宿主细胞后的全局转录组、蛋白质组或代谢反应。然而,宿主对细菌感染的糖代谢反应在很大程度上仍未得到探索,因此,我们对细菌病原体操纵宿主糖代谢以促进感染的分子机制的理解仍不完整。在这里,我们针对这一空白,对导致布鲁氏菌病的细菌病原体布鲁氏菌属感染宿主过程中的糖代谢进行了系统分析。我们惊奇地发现,布鲁氏菌效应蛋白(EP)Rhg1 通过与控制 N-连接的蛋白质糖基化的寡糖转移酶复合物的组分相互作用,诱导宿主细胞 N-糖基化的全面重编程、在布鲁氏菌病小鼠模型中,Rhg1 调节布鲁氏菌的复制和组织定植,表明布鲁氏菌利用 EP Rhg1 重编程宿主 N-糖基化,促进细菌在细胞内寄生,从而为细菌控制宿主细胞感染提供了一个范例。
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引用次数: 0
Human cytomegalovirus degrades DMXL1 to inhibit autophagy, lysosomal acidification, and viral assembly. 人类巨细胞病毒会降解 DMXL1,从而抑制自噬、溶酶体酸化和病毒组装。
Pub Date : 2024-04-10 Epub Date: 2024-03-12 DOI: 10.1016/j.chom.2024.02.013
Hanqi Li, Alice Fletcher-Etherington, Leah M Hunter, Swati Keshri, Ceri A Fielding, Katie Nightingale, Benjamin Ravenhill, Luis Nobre, Martin Potts, Robin Antrobus, Colin M Crump, David C Rubinsztein, Richard J Stanton, Michael P Weekes

Human cytomegalovirus (HCMV) is an important human pathogen that regulates host immunity and hijacks host compartments, including lysosomes, to assemble virions. We combined a quantitative proteomic analysis of HCMV infection with a database of proteins involved in vacuolar acidification, revealing Dmx-like protein-1 (DMXL1) as the only protein that acidifies vacuoles yet is degraded by HCMV. Systematic comparison of viral deletion mutants reveals the uncharacterized 7 kDa US33A protein as necessary and sufficient for DMXL1 degradation, which occurs via recruitment of the E3 ubiquitin ligase Kip1 ubiquitination-promoting complex (KPC). US33A-mediated DMXL1 degradation inhibits lysosome acidification and autophagic cargo degradation. Formation of the virion assembly compartment, which requires lysosomes, occurs significantly later with US33A-expressing virus infection, with reduced viral replication. These data thus identify a viral strategy for cellular remodeling, with the potential to employ US33A in therapies for viral infection or rheumatic conditions, in which inhibition of lysosome acidification can attenuate disease.

人类巨细胞病毒(HCMV)是一种重要的人类病原体,它能调节宿主的免疫力,并劫持包括溶酶体在内的宿主区隔来组装病毒。我们将 HCMV 感染的定量蛋白质组分析与参与液泡酸化的蛋白质数据库相结合,发现 Dmx 样蛋白-1(DMXL1)是唯一能使液泡酸化但又会被 HCMV 降解的蛋白质。对病毒缺失突变体进行系统比较后发现,未定性的 7 kDa US33A 蛋白是 DMXL1 降解的必要和充分条件,DMXL1 降解是通过 E3 泛素连接酶 Kip1 泛素化促进复合体(KPC)的招募发生的。US33A 介导的 DMXL1 降解可抑制溶酶体酸化和自噬货物降解。病毒组装区的形成需要溶酶体,而表达 US33A 的病毒感染后,溶酶体的形成明显推迟,病毒复制也随之减少。因此,这些数据确定了一种细胞重塑的病毒策略,有可能将 US33A 用于病毒感染或风湿病的治疗中,其中溶酶体酸化的抑制可减轻疾病。
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引用次数: 0
Cytoplasmic calcium influx mediated by plant MLKLs confers TNL-triggered immunity. 由植物 MLKLs 介导的细胞质钙离子流入赋予 TNL 触发的免疫力。
Pub Date : 2024-04-10 Epub Date: 2024-03-20 DOI: 10.1016/j.chom.2024.02.016
Qiaochu Shen, Keiichi Hasegawa, Nicole Oelerich, Anna Prakken, Lea Weiler Tersch, Junli Wang, Frowin Reichhardt, Alexandra Tersch, Je Cuan Choo, Ton Timmers, Kay Hofmann, Jane E Parker, Jijie Chai, Takaki Maekawa

The plant homolog of vertebrate necroptosis inducer mixed-lineage kinase domain-like (MLKL) contributes to downstream steps in Toll-interleukin-1 receptor domain NLR (TNL)-receptor-triggered immunity. Here, we show that Arabidopsis MLKL1 (AtMLKL1) clusters into puncta at the plasma membrane upon TNL activation and that this sub-cellular reorganization is dependent on the TNL signal transducer, EDS1. We find that AtMLKLs confer TNL-triggered immunity in parallel with RPW8-type HeLo-domain-containing NLRs (RNLs) and that the AtMLKL N-terminal HeLo domain is indispensable for both immunity and clustering. We show that the AtMLKL HeLo domain mediates cytoplasmic Ca2+ ([Ca2+]cyt) influx in plant and human cells, and AtMLKLs are responsible for sustained [Ca2+]cyt influx during TNL-triggered, but not CNL-triggered, immunity. Our study reveals parallel immune signaling functions of plant MLKLs and RNLs as mediators of [Ca2+]cyt influx and a potentially common role of the HeLo domain fold in the Ca2+-signal relay of diverse organisms.

脊椎动物坏死诱导物混合系激酶结构域样(MLKL)的植物同源物有助于Toll-白细胞介素-1受体结构域NLR(TNL)受体触发免疫的下游步骤。在这里,我们发现拟南芥 MLKL1(AtMLKL1)在 TNL 激活时会在质膜上聚集成点状,这种亚细胞重组依赖于 TNL 信号转导子 EDS1。我们发现,AtMLKL与含RPW8型HeLo-domain的NLRs(RNLs)同时赋予TNL触发的免疫力,而且AtMLKL N-末端的HeLo domain对免疫力和集群都是不可或缺的。我们的研究表明,在植物和人类细胞中,AtMLKL HeLo 结构域介导细胞质 Ca2+ ([Ca2+]cyt)流入,在 TNL 触发的免疫过程中,AtMLKLs 负责持续的[Ca2+]cyt 流入,而不是 CNL 触发的免疫过程。我们的研究揭示了植物 MLKLs 和 RNLs 作为[Ca2+]cyt 流入介质的平行免疫信号功能,以及 HeLo 结构域折叠在多种生物的 Ca2+ 信号中继中的潜在共同作用。
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引用次数: 0
Opposing diet, microbiome, and metabolite mechanisms regulate inflammatory bowel disease in a genetically susceptible host. 饮食、微生物组和代谢物的对立机制调节易感基因宿主的炎症性肠病。
Pub Date : 2024-04-10 Epub Date: 2024-03-20 DOI: 10.1016/j.chom.2024.03.001
Gabriel Vasconcelos Pereira, Marie Boudaud, Mathis Wolter, Celeste Alexander, Alessandro De Sciscio, Erica T Grant, Bruno Caetano Trindade, Nicholas A Pudlo, Shaleni Singh, Austin Campbell, Mengrou Shan, Li Zhang, Qinnan Yang, Stéphanie Willieme, Kwi Kim, Trisha Denike-Duval, Jaime Fuentes, André Bleich, Thomas M Schmidt, Lucy Kennedy, Costas A Lyssiotis, Grace Y Chen, Kathryn A Eaton, Mahesh S Desai, Eric C Martens

Inflammatory bowel diseases (IBDs) are chronic conditions characterized by periods of spontaneous intestinal inflammation and are increasing in industrialized populations. Combined with host genetics, diet and gut bacteria are thought to contribute prominently to IBDs, but mechanisms are still emerging. In mice lacking the IBD-associated cytokine, interleukin-10, we show that a fiber-deprived gut microbiota promotes the deterioration of colonic mucus, leading to lethal colitis. Inflammation starts with the expansion of natural killer cells and altered immunoglobulin-A coating of some bacteria. Lethal colitis is then driven by Th1 immune responses to increased activities of mucin-degrading bacteria that cause inflammation first in regions with thinner mucus. A fiber-free exclusive enteral nutrition diet also induces mucus erosion but inhibits inflammation by simultaneously increasing an anti-inflammatory bacterial metabolite, isobutyrate. Our findings underscore the importance of focusing on microbial functions-not taxa-contributing to IBDs and that some diet-mediated functions can oppose those that promote disease.

炎症性肠病(IBD)是以自发性肠道炎症为特征的慢性疾病,在工业化人口中发病率不断上升。饮食和肠道细菌与宿主遗传学相结合,被认为是导致 IBD 的主要原因,但其机理仍在研究之中。在缺乏 IBD 相关细胞因子(白细胞介素-10)的小鼠身上,我们发现,缺乏纤维的肠道微生物群会促进结肠粘液的恶化,导致致命的结肠炎。炎症始于自然杀伤细胞的扩张和某些细菌免疫球蛋白-A包膜的改变。然后,致命性结肠炎由 Th1 免疫反应驱动,Th1 免疫反应增加了粘蛋白降解细菌的活性,首先在粘液较稀薄的区域引起炎症。不含纤维的纯肠内营养饮食也会诱发粘液侵蚀,但会通过同时增加抗炎细菌代谢产物异丁酸来抑制炎症。我们的发现强调了关注微生物功能--而不是导致肠道疾病的类群--的重要性,而且一些饮食介导的功能可以对抗那些促进疾病的功能。
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引用次数: 0
A specific enterotype derived from gut microbiome of older individuals enables favorable responses to immune checkpoint blockade therapy. 从老年人肠道微生物组中提取的特异性肠型可对免疫检查点阻断疗法产生良好反应。
Pub Date : 2024-04-10 Epub Date: 2024-03-20 DOI: 10.1016/j.chom.2024.03.002
Xiaoqiang Zhu, Xiaowen Huang, Muni Hu, Rongrong Sun, Jiantao Li, Hai Wang, Xuefeng Pan, Yanru Ma, Lijun Ning, Tianying Tong, Yilu Zhou, Jinmei Ding, Ying Zhao, Baoqin Xuan, Jing-Yuan Fang, Jie Hong, Jason Wing Hon Wong, Youwei Zhang, Haoyan Chen

Immunotherapy has revolutionized cancer treatment, but inconsistent responses persist. Our study delves into the intriguing phenomenon of enhanced immunotherapy sensitivity in older individuals with cancers. Through a meta-analysis encompassing 25 small-to-mid-sized trials of immune checkpoint blockade (ICB), we demonstrate that older individuals exhibit heightened responsiveness to ICB therapy. To understand the underlying mechanism, we reanalyze single-cell RNA sequencing (scRNA-seq) data from multiple studies and unveil distinct upregulation of exhausted and cytotoxic T cell markers within the tumor microenvironment (TME) of older patients. Recognizing the potential role of gut microbiota in modulating the efficacy of immunotherapy, we identify an aging-enriched enterotype linked to improved immunotherapy outcomes in older patients. Fecal microbiota transplantation experiments in mice confirm the therapeutic potential of the aging-enriched enterotype, enhancing treatment sensitivity and reshaping the TME. Our discoveries confront the prevailing paradox and provide encouraging paths for tailoring cancer immunotherapy strategies according to an individual's gut microbiome profile.

免疫疗法给癌症治疗带来了革命性的变化,但不一致的反应依然存在。我们的研究深入探讨了老年癌症患者对免疫疗法敏感性增强这一有趣的现象。通过对25项中小型免疫检查点阻断(ICB)试验进行荟萃分析,我们证明老年人对ICB疗法的反应性更强。为了了解其潜在机制,我们重新分析了来自多项研究的单细胞RNA测序(scRNA-seq)数据,发现老年患者肿瘤微环境(TME)中的衰竭和细胞毒性T细胞标记物出现了不同程度的上调。认识到肠道微生物群在调节免疫疗法疗效方面的潜在作用,我们确定了与老年患者免疫疗法疗效改善相关的老化富集肠型。小鼠粪便微生物群移植实验证实了老化富集肠型的治疗潜力,它能提高治疗敏感性并重塑TME。我们的发现正视了这一普遍存在的悖论,并为根据个体肠道微生物组特征定制癌症免疫疗法策略提供了令人鼓舞的途径。
{"title":"A specific enterotype derived from gut microbiome of older individuals enables favorable responses to immune checkpoint blockade therapy.","authors":"Xiaoqiang Zhu, Xiaowen Huang, Muni Hu, Rongrong Sun, Jiantao Li, Hai Wang, Xuefeng Pan, Yanru Ma, Lijun Ning, Tianying Tong, Yilu Zhou, Jinmei Ding, Ying Zhao, Baoqin Xuan, Jing-Yuan Fang, Jie Hong, Jason Wing Hon Wong, Youwei Zhang, Haoyan Chen","doi":"10.1016/j.chom.2024.03.002","DOIUrl":"10.1016/j.chom.2024.03.002","url":null,"abstract":"<p><p>Immunotherapy has revolutionized cancer treatment, but inconsistent responses persist. Our study delves into the intriguing phenomenon of enhanced immunotherapy sensitivity in older individuals with cancers. Through a meta-analysis encompassing 25 small-to-mid-sized trials of immune checkpoint blockade (ICB), we demonstrate that older individuals exhibit heightened responsiveness to ICB therapy. To understand the underlying mechanism, we reanalyze single-cell RNA sequencing (scRNA-seq) data from multiple studies and unveil distinct upregulation of exhausted and cytotoxic T cell markers within the tumor microenvironment (TME) of older patients. Recognizing the potential role of gut microbiota in modulating the efficacy of immunotherapy, we identify an aging-enriched enterotype linked to improved immunotherapy outcomes in older patients. Fecal microbiota transplantation experiments in mice confirm the therapeutic potential of the aging-enriched enterotype, enhancing treatment sensitivity and reshaping the TME. Our discoveries confront the prevailing paradox and provide encouraging paths for tailoring cancer immunotherapy strategies according to an individual's gut microbiome profile.</p>","PeriodicalId":93926,"journal":{"name":"Cell host & microbe","volume":" ","pages":"489-505.e5"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plant cellular messengers mobilized to defend. 调动植物细胞信使进行防御。
Pub Date : 2024-03-13 DOI: 10.1016/j.chom.2024.02.005
Lifan Sun, Jie Zhang

Phosphatidic acid (PA) and reactive oxygen species (ROS) are cellular messengers that relay signals to regulate diverse biological processes. In recent issues of Cell Host & Microbe and Cell, Qi et al. and Kong et al., respectively, investigate diacylglycerol kinase 5-mediated PA in regulating ROS signaling and plant immunity.

磷脂酸(PA)和活性氧(ROS)是调节多种生物过程的细胞信使。在最近几期的《细胞宿主与微生物》(Cell Host & Microbe)和《细胞》(Cell)杂志上,Qi 等人和 Kong 等人分别研究了二酰基甘油激酶 5 介导的 PA 在调节 ROS 信号传导和植物免疫中的作用。
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引用次数: 0
Alistipes indistinctus-derived hippuric acid promotes intestinal urate excretion to alleviate hyperuricemia. 茜草提取的马尿酸能促进肠道尿酸盐排泄,从而缓解高尿酸血症。
Pub Date : 2024-03-13 Epub Date: 2024-02-26 DOI: 10.1016/j.chom.2024.02.001
Ying-Xi Xu, Lu-Di Liu, Jiang-Yuan Zhu, Shan-Shan Zhu, Bing-Qi Ye, Jia-Lu Yang, Jing-Yi Huang, Zhi-Hao Huang, Yi You, Wen-Kang Li, Jia-Lin He, Min Xia, Yan Liu

Hyperuricemia induces inflammatory arthritis and accelerates the progression of renal and cardiovascular diseases. Gut microbiota has been linked to the development of hyperuricemia through unclear mechanisms. Here, we show that the abundance and centrality of Alistipes indistinctus are depleted in subjects with hyperuricemia. Integrative metagenomic and metabolomic analysis identified hippuric acid as the key microbial effector that mediates the uric-acid-lowering effect of A. indistinctus. Mechanistically, A. indistinctus-derived hippuric acid enhances the binding of peroxisome-proliferator-activated receptor γ (PPARγ) to the promoter of ATP-binding cassette subfamily G member 2 (ABCG2), which in turn boosts intestinal urate excretion. To facilitate this enhanced excretion, hippuric acid also promotes ABCG2 localization to the brush border membranes in a PDZ-domain-containing 1 (PDZK1)-dependent manner. These findings indicate that A. indistinctus and hippuric acid promote intestinal urate excretion and offer insights into microbiota-host crosstalk in the maintenance of uric acid homeostasis.

高尿酸血症会诱发炎症性关节炎,并加速肾脏和心血管疾病的恶化。肠道微生物群与高尿酸血症的发生有关,其机制尚不清楚。在这里,我们发现在高尿酸血症患者体内,钝角藻(Alistipes indistinctus)的丰度和中心性都有所降低。综合元基因组学和代谢组学分析发现,海马酸是介导缈藻降尿酸作用的关键微生物效应物。从机理上讲,缈菌产生的马尿酸能增强过氧化物酶体增殖激活受体γ(PPARγ)与ATP结合盒G亚家族成员2(ABCG2)启动子的结合,进而促进肠道尿酸盐的排泄。为了促进尿酸排泄,马尿酸还以一种 PDZ-domain-containing 1 (PDZK1) 依赖性方式促进 ABCG2 定位于刷状缘膜。这些研究结果表明,缈菌和马尿酸促进了肠道尿酸盐的排泄,并为微生物-宿主在维持尿酸平衡过程中的相互影响提供了启示。
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引用次数: 0
Conquering homocystinuria with engineered probiotics. 用工程益生菌战胜高胱氨酸尿症。
Pub Date : 2024-03-13 DOI: 10.1016/j.chom.2024.02.008
Skye R S Fishbein, Esse M Evbuomwan, Gautam Dantas

Pyridoxine-unresponsive homocystinuria has lifelong implications for health. In this issue, Perreault and colleagues present evidence that orally delivered engineered probiotic Escherichia Coli Nissle SYNB1353 is a promising candidate in reducing homocysteine, with successful trials in mice, monkeys, and humans. However, further probiotic optimization and safety assessments are required.

对吡哆醇无反应的同型半胱氨酸尿症会对健康产生终生影响。在本期杂志中,Perreault 及其同事提出的证据表明,口服工程益生菌大肠杆菌 Nissle SYNB1353 在降低同型半胱氨酸方面很有前景,在小鼠、猴子和人类身上的试验均取得了成功。不过,还需要对益生菌进行进一步的优化和安全性评估。
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引用次数: 0
A conserved antigen induces respiratory Th17-mediated broad serotype protection against pneumococcal superinfection. 一种保守抗原可诱导呼吸道 Th17 介导的广泛血清型保护,防止肺炎球菌超级感染。
Pub Date : 2024-03-13 Epub Date: 2024-02-27 DOI: 10.1016/j.chom.2024.02.002
Xue Liu, Laurye Van Maele, Laura Matarazzo, Daphnée Soulard, Vinicius Alves Duarte da Silva, Vincent de Bakker, Julien Dénéréaz, Florian P Bock, Michael Taschner, Jinzhao Ou, Stephan Gruber, Victor Nizet, Jean-Claude Sirard, Jan-Willem Veening

Several vaccines targeting bacterial pathogens show reduced efficacy upon concurrent viral infection, indicating that a new vaccinology approach is required. To identify antigens for the human pathogen Streptococcus pneumoniae that are effective following influenza infection, we performed CRISPRi-seq in a murine model of superinfection and identified the conserved lafB gene as crucial for virulence. We show that LafB is a membrane-associated, intracellular protein that catalyzes the formation of galactosyl-glucosyl-diacylglycerol, a glycolipid important for cell wall homeostasis. Respiratory vaccination with recombinant LafB, in contrast to subcutaneous vaccination, was highly protective against S. pneumoniae serotypes 2, 15A, and 24F in a murine model. In contrast to standard capsule-based vaccines, protection did not require LafB-specific antibodies but was dependent on airway CD4+ T helper 17 cells. Healthy human individuals can elicit LafB-specific immune responses, indicating LafB antigenicity in humans. Collectively, these findings present a universal pneumococcal vaccine antigen that remains effective following influenza infection.

几种针对细菌病原体的疫苗在同时感染病毒后效果降低,这表明需要一种新的疫苗学方法。为了确定流感感染后有效的人类病原体肺炎链球菌抗原,我们在小鼠超级感染模型中进行了 CRISPRi-seq 扩增,并确定了保守的 lafB 基因对毒力至关重要。我们发现 LafB 是一种与膜相关的细胞内蛋白,它能催化半乳糖基-葡萄糖基-二酰甘油的形成,而半乳糖基-葡萄糖基-二酰甘油是一种对细胞壁平衡非常重要的糖脂。在小鼠模型中,使用重组 LafB 进行呼吸道接种与皮下接种相比,对肺炎双球菌血清型 2、15A 和 24F 有很强的保护作用。与标准胶囊疫苗不同的是,保护作用不需要 LafB 特异性抗体,而是依赖于气道 CD4+ T 辅助细胞 17。健康的人类个体可以引起 LafB 特异性免疫反应,这表明 LafB 在人类中具有抗原性。总之,这些发现提出了一种通用的肺炎球菌疫苗抗原,它在流感感染后仍然有效。
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引用次数: 0
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