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Come to the dark side - A review on the health-beneficial and disease-alleviating effects of cocoa-rich dark chocolate. 来到黑暗的一面-对富含可可的黑巧克力有益健康和减轻疾病的作用的综述。
Pub Date : 2025-03-24 Print Date: 2025-06-30 DOI: 10.1556/1886.2025.00007
Heike Muth, Stefan Bereswill, Markus M Heimesaat

Cocoa that is abundant in dark chocolate is known for its anti-inflammatory effects that are mainly due to biologically active ingredients like polyphenols and methylxanthines. We here provide a comprehensive literature survey of both, in vitro and in vivo studies including clinical trials summarizing recent evidence on the immune-modulatory effects exerted by application of cocoa-rich dark chocolate or distinct cocoa-derived molecules. The survey revealed that dark chocolate and its derivatives could effectively dampen pro-inflammatory including oxidative stress responses in vascular diseases including atherosclerosis, hypertension, and decompression sickness, metabolic morbidities such as obesity and type 2 diabetes mellitus, celiac disease, chronic kidney diseases, and polycystic ovary syndrome, enhance gut epithelial barrier function, and modulate pain sensations. On the other hand, dark chocolate consumption intake was found to worsen acne symptoms. In conclusion, dietary supplementation with dark chocolate with high contents of biologically active polyphenols and methylxanthines might be promising adjunct immune-modulatory treatment options of distinct acute as well as chronic inflammatory morbidities that need to be evaluated in more detail in future in vivo including clinical studies.

黑巧克力中富含的可可具有抗炎作用,这主要归功于多酚和甲基黄嘌呤等生物活性成分。在此,我们对包括临床试验在内的体外和体内研究进行了全面的文献调查,总结了应用富含可可的黑巧克力或独特的可可衍生分子发挥免疫调节作用的最新证据。调查显示,黑巧克力及其衍生物可有效抑制动脉粥样硬化、高血压和减压病等血管疾病、肥胖和 2 型糖尿病等代谢性疾病、乳糜泻、慢性肾病和多囊卵巢综合征等疾病中的促炎症反应(包括氧化应激反应),增强肠道上皮屏障功能,并调节痛觉。另一方面,摄入黑巧克力会加重痤疮症状。总之,膳食中补充生物活性多酚和甲基黄嘌呤含量较高的黑巧克力可能是一种很有前景的辅助免疫调节治疗方案,可用于治疗各种急性和慢性炎症性疾病,需要在今后的体内包括临床研究中进行更详细的评估。
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引用次数: 0
Phagetherapy updates: New frontiers against antibiotic resistance. 噬菌体治疗最新进展:抗抗生素耐药性的新领域。
Pub Date : 2025-03-17 Print Date: 2025-03-19 DOI: 10.1556/1886.2024.00126
Shiza Malik, Omar Ahsan, Khalid Muhammad, Nayla Munawar, Yasir Waheed

Antibiotic resistance is a major problem in the healthcare industry, and it presents difficulties in managing bacterial diseases worldwide. The need to find alternative antibiotic-containing methods is thus a major area for the scientific community to work on. Bacteriophage therapy is an interesting alternative that has been used in scientific research for a long time to tackle antibiotic-resistant bacteria. The purpose of this review was to compile the latest data on bacteriophages, which are progressively being used as alternatives to antibiotics, and to identify the mechanisms associated with phage therapy. The results section delves into the growing challenges posed by antibiotics and explores the potential of bacteriophages as therapeutic alternatives. This study discusses how phages can decrease antibiotic resistance, highlighting their role in modulating microbiomes and addressing various complications. This study explored the intriguing question of whether bacteriophages can combat nonbacterial diseases and examined their indirect use in pest control. In addition, this study explores the application of the CRISPR-Cas system in combating antibiotic resistance and specifically addresses phage therapy for secondary bacterial infections in COVID-19. We will further discuss whether bacteriophages are a noteworthy alternative to antibiotics by considering the evolutionary trade-offs between phages and antibiotic resistance. This section concludes by outlining future perspectives and acknowledging limitations, particularly in the context of phage and CRISPR-Cas9-mediated phage therapy. The methodology adopted for this study is a comprehensive research strategy using the Google Scholar and PubMed databases, among others. In conclusion, phage therapy is a promising strategy for tackling antibiotic-resistant bacteria, contributing to improved food production and mitigating secondary health effects. However, effective regulation requires careful selection of phages in conjunction with antibiotics to ensure judicious control of the coevolutionary dynamics between phages and antibiotics.

抗生素耐药性是医疗保健行业的一个主要问题,它给管理世界范围内的细菌性疾病带来了困难。因此,寻找含有抗生素的替代方法是科学界需要努力的一个主要领域。噬菌体疗法是一种有趣的替代方法,长期以来一直用于科学研究,以解决耐抗生素细菌。这篇综述的目的是汇编关于噬菌体的最新数据,噬菌体正逐渐被用作抗生素的替代品,并确定与噬菌体治疗相关的机制。结果部分深入研究了抗生素带来的日益增长的挑战,并探讨了噬菌体作为治疗替代方案的潜力。本研究讨论了噬菌体如何降低抗生素耐药性,突出了它们在调节微生物组和解决各种并发症中的作用。这项研究探索了噬菌体是否可以对抗非细菌性疾病的有趣问题,并检查了它们在害虫控制中的间接应用。此外,本研究还探索了CRISPR-Cas系统在对抗抗生素耐药性中的应用,并专门针对COVID-19继发性细菌感染的噬菌体治疗进行了研究。我们将通过考虑噬菌体和抗生素耐药性之间的进化权衡,进一步讨论噬菌体是否是抗生素的值得注意的替代品。本节最后概述了未来的前景,并承认局限性,特别是在噬菌体和crispr - cas9介导的噬菌体治疗的背景下。本研究采用的方法是综合研究策略,使用谷歌Scholar和PubMed等数据库。总之,噬菌体治疗是解决耐药细菌的一种有希望的策略,有助于提高粮食产量并减轻次生健康影响。然而,有效的调控需要仔细选择噬菌体和抗生素,以确保明智地控制噬菌体和抗生素之间的共同进化动力学。
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引用次数: 0
Pro-inflammatory and anti-inflammatory responses in B cells during Salmonella infection. 沙门氏菌感染过程中 B 细胞的促炎和抗炎反应
Pub Date : 2025-03-11 Print Date: 2025-03-19 DOI: 10.1556/1886.2024.00088
Araceli Perez-Lopez, Gabriela Hernandez-Galicia, Luis Uriel Lopez-Bailon, Ana D Gonzalez-Telona, Roberto Rosales-Reyes, Celia M Alpuche-Aranda, Jose I Santos-Preciado, Vianney Ortiz-Navarrete

B-cells serve as a niche for Salmonella to establish a chronic infection, enabling bacteria to evade immune responses. One mechanism Salmonella uses to survive inside B-cells involves inhibiting the NLRC4 inflammasome activation, thereby preventing pyroptotic cell death. This study investigates whether Salmonella-infected B-cells can mount bactericidal responses to control intracellular bacteria. Our results show that Salmonella-infected B-cells can produce and release TNFα, IL-6, and IL-10, but not RANTES. Furthermore, priming B-cells with TNFα, IL-1β, or IFNγ enhances their bactericidal activity by promoting the production of reactive oxygen and nitrogen production species, reducing intracellular load. These results suggest that B-cells can clear Salmonella infection within a pro-inflammatory environment. However, the concurrent production of IL-10 may counteract the effects of pro-inflammatory cytokines, potentially modulating the immune response in the microenvironment.

b细胞作为沙门氏菌建立慢性感染的生态位,使细菌能够逃避免疫反应。沙门氏菌在b细胞内存活的一种机制包括抑制NLRC4炎性体的激活,从而防止热腐细胞死亡。本研究探讨沙门氏菌感染的b细胞是否能产生杀菌反应来控制细胞内细菌。我们的研究结果表明,沙门氏菌感染的b细胞可以产生和释放TNFα、IL-6和IL-10,但不产生RANTES。此外,用TNFα、IL-1β或IFNγ注入b细胞,通过促进活性氧和产氮物种的产生,减少细胞内负荷,增强了它们的杀菌活性。这些结果表明b细胞可以在促炎环境中清除沙门氏菌感染。然而,同时产生的IL-10可能会抵消促炎细胞因子的作用,潜在地调节微环境中的免疫反应。
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引用次数: 0
Recent evidence on prominent anti-bacterial capacities of compounds derived from the mangosteen fruit. 最近的证据表明,从山竹果实中提取的化合物具有显著的抗菌能力。
Pub Date : 2025-03-03 Print Date: 2025-06-30 DOI: 10.1556/1886.2025.00006
Vincent A Eiselt, Stefan Bereswill, Markus M Heimesaat

Multi-drug resistant bacterial infections are of global concern, leading to staggering health care costs and loss of lives. Hence, novel therapeutic options are highly required. Garcinia mangostana, a plant known as mangosteen (also termed "queen of the fruits"), is said to possess a multitude of favorable features like anti-microbial capacity. Accordingly, we compiled a literature review addressing the potential of the mangosteen and its compounds for the treatment of bacterial infections. The included 23 publications consistently reported the inhibition or elimination of bacteria following the administration of mangosteen extracts and compounds such as the xanthone α-mangostin, both in vitro and in vivo. Even pathogens like methicillin-resistant Staphylococcus aureus as well as vancomycin-resistant Enterococcus species were tackled. While the effect of mangosteen extracts and compounds appeared to be dose-dependent, they exhibited also anti-biofilm activity and strong stability under varying conditions, suggesting suitability for a versatile approach to combat infectious diseases. Moreover, the combination of α-mangostin with other phytotherapeutic agents and especially antibiotics revealed enhanced anti-bacterial results, at low or no toxicity. In light of this review, we conclude that mangosteen extracts and compounds are promising candidates for the anti-bacterial therapy of human infections, warranting further consideration in clinical trials.

耐多药细菌感染是全球关注的问题,导致惊人的卫生保健费用和生命损失。因此,迫切需要新的治疗方案。山竹果,一种被称为山竹(也被称为“水果女王”)的植物,据说具有许多有利的特征,比如抗微生物能力。因此,我们整理了一篇文献综述,讨论山竹果及其化合物治疗细菌感染的潜力。包括的23篇出版物一致报道了山竹提取物和化合物(如山酮α-山竹苷)在体外和体内对细菌的抑制或消除。甚至像耐甲氧西林金黄色葡萄球菌和耐万古霉素肠球菌这样的病原体也得到了解决。虽然山竹提取物和化合物的效果似乎是剂量依赖性的,但它们在不同条件下也表现出抗生物膜活性和很强的稳定性,这表明它们适用于对抗传染病的多种方法。此外,α-山竹苷与其他植物治疗药物,特别是抗生素的联合抑菌效果明显增强,且具有低毒或无毒性。综上所述,我们认为山竹果提取物和化合物是人类感染抗菌治疗的有希望的候选者,值得在临床试验中进一步考虑。
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引用次数: 0
Acsbg1 regulates differentiation and inflammatory properties of CD4+ T cells. Acsbg1调节CD4+ T细胞的分化和炎症特性。
Pub Date : 2025-02-12 Print Date: 2025-03-19 DOI: 10.1556/1886.2025.00003
Martina Palatella, Friederike Kruse, Silke Glage, André Bleich, Marina Greweling-Pils, Jochen Huehn

Epigenetic modifications are critical for the regulation of CD4+ T cell differentiation and function. Previously, we identified Acyl-CoA Synthetase Bubble Gum 1 (Acsbg1), a gene involved in fatty acid metabolism, as part of an epigenetic signature that was selectively demethylated in ex vivo isolated T helper 17 (TH17) cells. However, its functional relevance for CD4+ T cells remains incompletely understood. Here, we used in vitro differentiation assays and the adoptive transfer colitis model to investigate the role of Acsbg1 in the differentiation and function of TH1, TH17, and regulatory T (Treg) cells. In vitro, Acsbg1 was expressed in both TH17 and in vitro-induced Treg (iTreg) cells, whereas TH1 cells lacked Acsbg1 expression. Accordingly, Acsbg1 deficiency resulted in impaired TH17 and iTreg differentiation, whereas TH1 differentiation was unaffected. In vivo, upon adoptive transfer of Acsbg1⁻/⁻ Tnaïve cells, immunodeficient recipient mice exhibited an exacerbated colitis, characterized by an altered balance of TH17 and Treg cells, indicating that Acsbg1 expression is essential for optimal TH17 and Treg cell differentiation and function. Our findings highlight the importance of fatty acid (FA) metabolism in maintaining immune homeostasis by regulating T cell differentiation and provide novel insights into the metabolic targeting of inflammatory diseases.

表观遗传修饰是CD4+ T细胞分化和功能调控的关键。先前,我们发现酰基辅酶a合成酶泡泡糖1 (Acsbg1),一个参与脂肪酸代谢的基因,作为表观遗传特征的一部分,在离体分离的T辅助17 (TH17)细胞中被选择性地去甲基化。然而,其与CD4+ T细胞的功能相关性尚不完全清楚。本研究采用体外分化实验和过继性转移性结肠炎模型来研究Acsbg1在TH1、TH17和调节性T (Treg)细胞的分化和功能中的作用。在体外,Acsbg1在TH17和体外诱导的Treg (iTreg)细胞中均有表达,而TH1细胞缺乏Acsbg1的表达。因此,Acsbg1缺乏导致TH17和iTreg分化受损,而TH1分化不受影响。在体内,在Acsbg1 -毒血症/毒血症Tnaïve细胞过继转移后,免疫缺陷受体小鼠表现出加重的结肠炎,其特征是TH17和Treg细胞的平衡改变,这表明Acsbg1的表达对于TH17和Treg细胞的最佳分化和功能至关重要。我们的研究结果强调了脂肪酸(FA)代谢通过调节T细胞分化在维持免疫稳态中的重要性,并为炎性疾病的代谢靶向提供了新的见解。
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引用次数: 0
A review of the anti-bacterial effects exerted by Aronia melanocarpa. 黑桫椤抑菌作用的研究进展。
Pub Date : 2025-02-12 Print Date: 2025-03-19 DOI: 10.1556/1886.2024.00139
Shirin Azizi Ghanbari, Soraya Mousavi, Stefan Bereswill, Markus M Heimesaat

Aronia melanocarpa, a main constituent of black chokeberry, provides a rich source of bioactive molecules including polyphenols, flavonoids, and anthocyanins and has been used for long in traditional medicine due to its various health-promoting and disease-alleviating properties. The aim of our literature survey was to provide an actual update of evidence regarding the antibacterial activities exerted by Aronia melanocarpa and its potential application for the treatment of human bacterial pathogenic including food-borne infections. Our survey revealed that distinct ingredients in Aronia melanocarpa do not only inhibit growth of Gram-positive and to a lesser extent of Gram-negative bacteria, but also biofilm formation that is even more pronounced upon combined application. Furthermore, the anti-microbial effects against food-spoiling bacteria underscores the application of defined Aronia-derived molecules in food preservation decreasing the risk for transmission of food-borne pathogens and thereby, improving food safety. Notably, in vivo studies revealed that prophylactic Aronia juice application alleviated murine Listeria monocytogenes-induced enteritis, dampened growth of streptococci involved in dental caries development, and decreased the incidence of urinary tract infections in nursing home residents. In conclusion, Aronia-derived bioactive molecules exhibit promising anti-bacterial and disease-alleviating effects that should be further elucidated in clinical studies.

黑莓是黑莓的主要成分,提供了丰富的生物活性分子,包括多酚、类黄酮和花青素,由于其各种促进健康和减轻疾病的特性,在传统医学中已被长期使用。我们的文献调查的目的是提供一个实际的证据更新的黑栎的抑菌活性和其潜在的应用,治疗人类细菌致病性包括食源性感染。我们的调查显示,黑桫椤中不同的成分不仅抑制革兰氏阳性菌的生长,而且在较小程度上抑制革兰氏阴性菌的生长,而且在联合应用时生物膜的形成更加明显。此外,对食物腐败细菌的抗微生物作用强调了定义的aronia衍生分子在食品保存中的应用,降低了食源性病原体传播的风险,从而提高了食品安全。值得注意的是,体内研究表明,预防性应用野荆果汁可以减轻小鼠单核细胞增生李斯特菌引起的肠炎,抑制参与龋齿发展的链球菌的生长,并降低养老院居民尿路感染的发生率。综上所述,野樱草衍生的生物活性分子具有良好的抗菌和减轻疾病的作用,需要在临床研究中进一步阐明。
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引用次数: 0
Differential antibiosis predisposes mice to Campylobacter jejuni infection: Deeper insights into the impact of the gut microbiota composition in colonization resistance. 不同抗生素使小鼠易受空肠弯曲杆菌感染:深入了解肠道微生物群组成对定植抗性的影响。
Pub Date : 2025-02-10 Print Date: 2025-03-19 DOI: 10.1556/1886.2024.00140
Nizar W Shayya, Soraya Mousavi, Kerstin Stingl, Stefan Bereswill, Markus M Heimesaat

Conventional laboratory mice are protected from oral Campylobacter jejuni infection due to colonization resistance (CR) mediated by their host-specific gut microbiota. Here, we used differential effects of distinct antibiotics on gut microbiota composition to identify microbial groups associated with CR against C. jejuni. Therefore, specific pathogen-free (SPF) mice were subjected to ampicillin plus sulbactam (A/S), ciprofloxacin (CIP), or vancomycin (VAN) via the drinking water for 28 days or left untreated before peroral C. jejuni challenge. Cultural analyses revealed that CR displayed by untreated mice was abrogated by A/S treatment, but only reduced in mice treated with CIP or VAN. Notably, differential analysis of antibiotic-induced microbiota changes and C. jejuni colonization dynamics identified lactobacilli and Clostridium leptum as key microbial groups that were associated with CR. Notably, the complete eradication of intestinal bacteria in A/S treated mice supported high intestinal C. jejuni colonization levels which triggered apoptosis and inflammatory responses accompanied by enhanced expression of matrix-degrading gelatinases in the colon. In conclusion, A/S treated mice represent a valuable infection model for the study of campylobacteriosis and the treatment of mice with specific antibiotics support the investigation of molecular mechanisms involved in CR against enteropathogens.

由于宿主特异性肠道菌群介导的定植抗性(CR),传统实验室小鼠免受口腔空肠弯曲杆菌感染。在这里,我们使用不同抗生素对肠道菌群组成的差异影响来确定与CR对抗空肠梭菌相关的微生物群。因此,特定无病原体(SPF)小鼠在经口空肠梭菌攻毒前,通过饮用水给予氨苄西林加舒巴坦(A/S)、环丙沙星(CIP)或万古霉素(VAN) 28天或不给药。培养分析显示,A/S处理消除了未处理小鼠的CR,而CIP或VAN处理仅降低了CR。值得注意的是,抗生素诱导的微生物群变化和空肠梭菌定植动态的差异分析表明,乳酸菌和瘦梭菌是与CR相关的关键微生物群。值得注意的是,A/S处理小鼠肠道细菌的完全根除支持高肠道空肠梭菌定植水平,从而引发细胞凋亡和炎症反应,同时增强结肠中基质降解明胶酶的表达。综上所述,A/S处理小鼠为研究弯曲杆菌病提供了一种有价值的感染模型,而用特异性抗生素治疗小鼠有助于研究CR对抗肠道病原体的分子机制。
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引用次数: 0
Disseminated nontuberculous mycobacterial infection in the context of interferon-gamma autoantibody syndrome: A case report and review of the literature. 干扰素- γ自身抗体综合征背景下的弥散性非结核分枝杆菌感染:1例报告和文献复习。
Pub Date : 2025-01-10 Print Date: 2025-03-19 DOI: 10.1556/1886.2024.00123
Victoria Jordan, Robert Pickles

Interferon-gamma (IFN-γ) autoantibody syndrome is an emerging clinical entity that has been associated with disseminated non-tuberculous mycobacterial infection (dNTM) particularly in healthy young people, a population not previously thought to be at particular risk. A 29-year-old South-East Asian man presented with several weeks of fever, cough, lymphadenopathy, and constitutional symptoms while working on an international cargo ship, deteriorating rapidly with a sepsis-like syndrome. Eventually lymph node and sputum cultures revealed a diagnosis of dNTM infection with growth of both Mycobacterium persicum and Mycobacterium abscessus. He was commenced on rituximab as well as combination anti-mycobacterial therapy with good clinical response. This case highlights some of the difficulties faced by patients with dNTM in the context of IFN-γ autoantibodies, particularly delayed diagnosis, and lack of evidence base surrounding optimal management. Further research into long-term outcomes and treatment is required as well as increased awareness among clinicians.

干扰素-γ (IFN-γ)自身抗体综合征是一种新兴的临床实体,与播散性非结核分枝杆菌感染(dNTM)有关,特别是在健康年轻人中,这一人群以前未被认为具有特别的风险。一名29岁东南亚男子在一艘国际货船上工作时出现数周的发热、咳嗽、淋巴结病和体质症状,病情迅速恶化并出现败血症样综合征。淋巴结和痰培养最终诊断为dNTM感染,同时生长有仙桃分枝杆菌和脓肿分枝杆菌。他开始使用利妥昔单抗和联合抗分枝杆菌治疗,临床反应良好。该病例突出了dNTM患者在IFN-γ自身抗体背景下面临的一些困难,特别是诊断延迟,以及缺乏围绕最佳管理的证据基础。需要对长期结果和治疗进行进一步研究,并提高临床医生的认识。
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引用次数: 0
FcγRIIa-mediated antibody-dependent uptake of SARS-CoV-2 enhances IL-6 expression of monocytes. FcγRIIa 介导的 SARS-CoV-2 抗体依赖性吸收可增强单核细胞的 IL-6 表达。
Pub Date : 2024-12-16 Print Date: 2024-12-18 DOI: 10.1556/1886.2024.00109
Kemal Mese, Esther Maguilla Rosado, Carsten G K Lüder, Ahmed Sayed Abdel-Moneim, Patrick Jordan, Julian Schwanbeck, Oskar Bunz, Raimond Lugert, Wolfgang Bohne, Jian Gao, Anna Dudakova, Uwe Groß, Andreas E Zautner

This work aimed to investigate interactions between antibody-opsonized SARS-CoV-2 and monocytes enriched from human peripheral blood mononuclear cells (PBMC) to determine whether antibody dependent enhancement might contribute to the pathophysiology of COVID-19. Pre-incubation of SARS-CoV-2 with sera from hospitalized COVID-19 patients led to significantly increased virus uptake and viral replication in monocytes. Remarkably, SARS-CoV-2 pre-incubated with sera from patients with severe COVID-19 but not those with mild disease or post vaccination strongly increased IL-6 secretion by monocytes. Antibody dependent viral uptake was partially inhibited by monoclonal anti-FcγRIIa antibody whereas IL-6 secretion was completely abolished. FcγRIIa preferentially binds IgG2, and sera from patients with severe COVID-19 contained lower IgG2 levels as compared to mild COVID-19 cases whereas IgG1 levels were increased. These data suggests that FcγRIIa-mediated binding of antibody-opsonized SARS-CoV-2 critically impacts monocytic inflammatory cytokine release and COVID-19 pathophysiology.

这项工作旨在研究抗体冲淡的 SARS-CoV-2 与从人类外周血单核细胞(PBMC)中富集的单核细胞之间的相互作用,以确定抗体依赖性增强是否可能导致 COVID-19 的病理生理学。将 SARS-CoV-2 与 COVID-19 住院患者的血清预孵育后,单核细胞对病毒的摄取和病毒复制明显增加。值得注意的是,SARS-CoV-2 与重症 COVID-19 患者的血清预孵育会强烈增加单核细胞分泌 IL-6,而与轻症患者或接种疫苗后患者的血清预孵育则不会。单克隆抗 FcγRIIa 抗体可部分抑制抗体依赖性病毒摄取,而 IL-6 的分泌则完全被抑制。FcγRIIa 优先结合 IgG2,与轻度 COVID-19 病例相比,重度 COVID-19 患者血清中的 IgG2 含量较低,而 IgG1 含量则有所增加。这些数据表明,FcγRIIa 介导的抗体冲洗 SARS-CoV-2 的结合对单核细胞炎性细胞因子的释放和 COVID-19 的病理生理学有重要影响。
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引用次数: 0
Immunohaemostasis and the significance of immune reactions in the regulation of blood coagulation. 免疫止血及免疫反应在凝血调节中的意义。
Pub Date : 2024-12-04 Print Date: 2024-12-18 DOI: 10.1556/1886.2024.00107
Yuliya Tyravska, Tarana Nadeem, Oleksandr Savchenko, Oleksandr Bondarchuk, Yuliia Talabko

Introduction: This study was conducted to determine the specific features of the mutual influence of the immune and haemostatic systems in immunohaemostasis, the role of immune reactions in the regulation of blood coagulation, and the efficacy of modern methods of treating thrombosis and bleeding.

Methods: The study analysed relevant scientific sources on immunology and haematology and identified the specific features of the blood clotting process and the role of immune reactions in it.

Results: The study found that the immune system influences the haematological system through the interaction of blood clotting factors, platelets, plasminogen, endothelial cells with immune cells. The haemostatic system influences the immune system through mechanisms to maintain immune tolerance and immune memory and the properties of clotting factors to activate the stimulation and migration of immune cells to the site of infection. Immune reactions regulate blood coagulation by activating platelets, regulating blood coagulation factors, affecting fibrinolysis, and immune tolerance. The process of platelet activation involves immune cells, immune complexes, and microbial components. The regulation of blood coagulation factors is influenced by the ability of immune cells to produce activators and inhibitors of these factors and to stimulate or slow down fibrinolysis. The immune system's maintenance of immune tolerance to blood components is regulated by mechanisms of immune response suppression, partial immune ignoring of certain blood elements, inhibition of activation of certain immune cells, apoptosis, and selection of immature T-lymphocytes. Treatment methods for patients at risk of thrombosis and bleeding include anticoagulation, antiplatelet, dual antiplatelet therapy, thrombectomy, endovascular methods, medical prophylaxis of bleeding, and coagulation monitoring.

Conclusions: The findings of this study suggest the significance of immune responses in the regulation of blood coagulation processes, and therefore they can be used in the development of immunotherapy methods for the treatment of thrombosis and bleeding.

前言:本研究旨在确定免疫和止血系统在免疫止血中相互影响的具体特点,免疫反应在血液凝固调节中的作用,以及现代治疗血栓和出血方法的疗效。方法:分析免疫学和血液学的相关科学资料,明确凝血过程的具体特点及免疫反应在凝血过程中的作用。结果:研究发现免疫系统通过凝血因子、血小板、纤溶酶原、内皮细胞与免疫细胞的相互作用影响血液系统。止血系统通过维持免疫耐受和免疫记忆的机制以及凝血因子的特性来影响免疫系统,从而激活免疫细胞的刺激和迁移到感染部位。免疫反应通过激活血小板、调节凝血因子、影响纤溶、免疫耐受等途径调节凝血。血小板活化的过程涉及免疫细胞、免疫复合物和微生物成分。凝血因子的调节受免疫细胞产生这些因子的激活剂和抑制剂以及刺激或减缓纤维蛋白溶解的能力的影响。免疫系统维持对血液成分的免疫耐受受免疫反应抑制、某些血液成分的部分免疫忽略、某些免疫细胞活化的抑制、细胞凋亡和未成熟t淋巴细胞的选择等机制调控。有血栓和出血危险的患者的治疗方法包括抗凝、抗血小板、双重抗血小板治疗、取栓、血管内方法、药物预防出血和凝血监测。结论:本研究结果提示免疫应答在血液凝固过程中的调节作用,可用于开发治疗血栓和出血的免疫治疗方法。
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引用次数: 0
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European journal of microbiology & immunology
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