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Deficiency of interleukin-1 receptor antagonist aggravates Citrobacter rodentium infection in mice. 白细胞介素-1受体拮抗剂缺乏可加重小鼠啮齿柠檬酸杆菌感染。
Q3 Medicine Pub Date : 2025-07-14 DOI: 10.1093/immhor/vlaf034
Beng San Yeoh, Piu Saha, Vinita Kushwaha, Amira F Gohara, Matam Vijay-Kumar

The interleukin-1 receptor (IL-1R) plays an important role in mediating the inflammatory responses against pathogens. However, it is not clear whether a sustained IL-1R signaling following the loss of its endogenous inhibitor, IL-1R antagonist (IL-1RA), could improve mucosal immunity against the murine enteropathogen, Citrobacter rodentium. At basal levels, IL-1RA-deficient (IL1raKO) mice displayed an elevated inflammatory tone as indicated by their higher levels of circulating neutrophils, and the inflammatory marker, lipocalin-2, in both systemic and luminal contents. We reasoned that the heightened inflammatory tone of IL1raKO mice may be beneficial in clearing C. rodentium efficiently, but such was not the case. Oral challenge of C. rodentium (1 × 109 colony-forming units/mouse) resulted in luminal colonization, which peaked at day 7 postinfection, in both wild-type and IL1raKO mice. However, IL1raKO mice displayed a higher C. rodentium burden, and exacerbated colonic inflammation and hyperplasia. The aggravated infection in IL1raKO mice was corroborated using in vivo imaging of mice infected with a bioluminescent strain of C. rodentium. However, IL1raKO mice do not display any defect in their neutrophils with respect to their recruitment to the inflamed gut, generation of neutrophil extracellular traps and reactive oxygen species, or their ability to kill C. rodentium in vitro. In contrast, the macrophages of IL1raKO mice were able to upregulate more inducible nitric oxide synthase and produce more nitrite that wild-type macrophages; however, the former was less effective in mediating killing of C. rodentium in vitro. Together, our results suggest that IL-1RA plays a protective role in combating enteropathogen infection.

白细胞介素-1受体(IL-1R)在介导对病原体的炎症反应中起重要作用。然而,目前尚不清楚IL-1R信号在其内源性抑制剂IL-1R拮抗剂(IL-1RA)缺失后是否能够改善黏膜对小鼠肠道病原体鼠柠檬酸杆菌的免疫。在基础水平上,il - 1ra缺陷(IL1raKO)小鼠表现出升高的炎症音调,这表明它们的循环中性粒细胞水平较高,炎症标志物脂钙素-2在全身和腹腔含量中都较高。我们推断IL1raKO小鼠的炎症张力升高可能有利于有效清除啮齿鼠,但事实并非如此。在野生型和IL1raKO小鼠中,啮齿鼠的口腔攻击(1 × 109个菌落形成单位/小鼠)导致其在感染后第7天达到腔内定植的高峰。然而,IL1raKO小鼠显示出更高的啮齿鼠负担,并加剧了结肠炎症和增生。在感染了一种具有生物发光能力的啮齿鼠的小鼠体内成像证实了IL1raKO小鼠的加重感染。然而,IL1raKO小鼠的中性粒细胞在炎症肠道的募集、中性粒细胞胞外陷阱和活性氧的产生或体外杀死啮齿鼠的能力方面没有表现出任何缺陷。相比之下,IL1raKO小鼠巨噬细胞比野生型巨噬细胞能够上调更多的诱导型一氧化氮合酶并产生更多的亚硝酸盐;而前者在体外介导啮齿鼠的杀伤效果较差。总之,我们的研究结果表明,IL-1RA在对抗肠道病原体感染中起保护作用。
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引用次数: 0
Influenza A virus disruption of dendritic cell-natural killer cell crosstalk impacts activation of naïve helper and cytotoxic T cell subsets. 甲型流感病毒破坏树突状细胞-自然杀伤细胞串扰影响naïve辅助细胞和细胞毒性T细胞亚群的激活。
Q3 Medicine Pub Date : 2025-07-14 DOI: 10.1093/immhor/vlaf024
Connor A Morson, Chandana K Uppalapati, Brina S Lopez, Lisa M Kronstad

Dendritic cells (DCs) and natural killer (NK) cells engage in reciprocal interactions to trigger an efficient innate immune response while governing downstream adaptive immunity. Here, we used an ex vivo autologous human primary immune cell coculture system of DCs and NK cells to examine their impact on naïve CD4+ and CD8+ T cell (CD3+CD45RA+CD197+) activation in response to influenza A viral (IAV) infection. Using multiparameter flow cytometry, we observed that culturing T cells with both DCs and NK cells enhanced CD69 expression on CD4+ and CD8+ T cells, increased CD25 on CD4+ T cells, and promoted CD8+ T cell proliferation, compared with cultures with only NK cells or DCs. When DCs were exposed to the pandemic A/California/07/2009 (H1N1) strain or the A/Victoria/361/2011 (H3N2) strain, subsequent coculture with NK cells reduced the frequency of CD4+CD69+ and CD8+CD69+ naïve T cells. Notably, H3N2, but not H1N1, exposure also reduced CD4+CD25+ T cell frequencies. The IAV-mediated curtailment of T cell activation was dependent on viral replication because exposure to DCs with irradiated the H1N1 strain followed increased the frequency of CD4+CD69+, CD8+CD69+, CD4+CD25+, and CD8+CD25+ T cells, while irradiation of H3N2 increased the frequency of CD4+CD69+, CD8+CD69+ and proliferation of CD4+ and CD8+ T cells. These findings demonstrate that IAV can partially subvert DC-NK cell crosstalk to impair naïve T cell activation in a strain-dependent manner. This knowledge may guide the design of next-generation influenza vaccines to elicit robust cellular immune responses.

树突状细胞(dc)和自然杀伤细胞(NK)参与相互作用,触发有效的先天免疫反应,同时控制下游适应性免疫。在这里,我们使用体外自体人原代免疫细胞dc和NK细胞共培养系统来检测它们对naïve CD4+和CD8+ T细胞(CD3+CD45RA+CD197+)激活响应甲型流感病毒(IAV)感染的影响。通过多参数流式细胞术,我们观察到,与仅培养NK细胞或dc细胞相比,与dc细胞和NK细胞一起培养T细胞可增强CD4+和CD8+ T细胞上CD69的表达,增加CD4+ T细胞上CD25的表达,促进CD8+ T细胞的增殖。当dc暴露于大流行A/California/07/2009 (H1N1)毒株或A/Victoria/361/2011 (H3N2)毒株时,随后与NK细胞共培养降低了CD4+CD69+和CD8+CD69+ naïve T细胞的频率。值得注意的是,暴露于H3N2,而不是H1N1,也降低了CD4+CD25+ T细胞的频率。iav介导的T细胞活化抑制依赖于病毒复制,因为暴露于dc后,H1N1毒株辐照后CD4+CD69+、CD8+CD69+、CD4+CD25+和CD8+CD25+ T细胞的频率增加,而H3N2辐照增加了CD4+CD69+、CD8+CD69+的频率以及CD4+和CD8+ T细胞的增殖。这些发现表明IAV可以部分破坏DC-NK细胞串扰,以菌株依赖的方式损害naïve T细胞激活。这一知识可以指导下一代流感疫苗的设计,以引起强大的细胞免疫反应。
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引用次数: 0
Characterization of extensive diversity in immunoglobulin light chain variable germline genes across biomedically important mouse strains. 免疫球蛋白轻链可变种系基因在生物医学上重要小鼠品系中的广泛多样性。
Q3 Medicine Pub Date : 2025-07-14 DOI: 10.1093/immhor/vlaf031
Justin T Kos, Yana Safonova, Kaitlyn Shields, Catherine A Silver, William D Lees, Andrew M Collins, Corey T Watson

The light chain immunoglobulin (IG) genes of inbred mouse strains are poorly documented in current gene databases. We previously showed that IG heavy chain (IGH) loci of wild-derived mouse strains, representing the major mouse subspecies, contained 247 IGH variable (V) sequences not curated in the International ImMunoGeneTics (IMGT) information system database, commonly used for adaptive immune receptor repertoire sequencing (AIRR-seq) analysis. Despite containing levels of polymorphism similar to the IGH locus, the germline gene content and diversity of the light chain loci (kappa, IGK; lambda, IGL) have not been comprehensively cataloged. To explore the extent of germline light chain repertoire diversity across mouse strains commonly used in the biomedical sciences, we performed AIRR-seq analysis and germline gene inference for 18 inbred mouse strains, including 4 wild-derived strains with diverse sub-species origins. We inferred 1582 IGKV and 63 IGLV sequences, representing 459 and 22 unique IGKV and IGLV germline alleles. Of the unique germline IGKV and IGLV sequences, 67.8% and 59%, respectively, were undocumented in IMGT. Across strains we observed germline IGKV sequences shared by three distinct IGK haplotypes and a more conserved IGLV germline repertoire. In addition, joining (J) gene inference indicated a novel IGKJ2 allele shared between PWD/PhJ and MSM/MsJ, a novel IGLJ1 allele for LEWES/EiJ, and a novel IGLJ2 allele for MSM/MsJ. Finally, combined IGHV, IGKV, and IGLV phylogenetic analysis of wild-derived germline sets revealed reduced diversity for light chain sequences compared to the heavy chain, suggesting potential evolutionary differences between heavy and light chain loci.

在目前的基因数据库中,近交系小鼠的轻链免疫球蛋白(IG)基因记录很少。我们之前的研究表明,代表主要小鼠亚种的野生小鼠品系的IG重链(IGH)位点包含247个未在国际免疫遗传学(IMGT)信息系统数据库中收录的IGH变量(V)序列,该数据库通常用于适应性免疫受体库测序(AIRR-seq)分析。尽管含有与IGH位点相似的多态性水平,但轻链位点(kappa, IGK;lambda, IGL)尚未全面编目。为了探索生物医学中常用小鼠品系的种系轻链库多样性程度,我们对18个近交小鼠品系进行了AIRR-seq分析和种系基因推断,其中包括4个具有不同亚种起源的野生衍生品系。我们推断出1582个IGKV和63个IGLV序列,分别代表459个和22个独特的IGKV和IGLV种系等位基因。在独特的种系IGKV和IGLV序列中,分别有67.8%和59%未在IMGT中记录。在不同的菌株中,我们观察到三种不同的IGK单倍型和更保守的IGLV种系库共享的种系IGKV序列。此外,连接(J)基因推断表明,PWD/PhJ和MSM/MsJ之间存在一个新的IGKJ2等位基因,LEWES/EiJ存在一个新的IGLJ1等位基因,MSM/MsJ存在一个新的IGLJ2等位基因。最后,结合IGHV、IGKV和IGLV对野生种系进行系统发育分析,发现轻链序列的多样性低于重链序列,提示重链和轻链位点之间存在潜在的进化差异。
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引用次数: 0
Interleukin-27-producing cells in gram-negative neonatal sepsis display diverse phenotypes and functions in the liver. 革兰氏阴性新生儿败血症中产生白细胞介素27的细胞在肝脏中表现出不同的表型和功能。
Q3 Medicine Pub Date : 2025-07-14 DOI: 10.1093/immhor/vlaf026
Jordan K Vance, Nathalie Lailler, Ashley M Divens, Jessica M Povroznik, Madhavi Annamanedi, Kathleen M Brundage, Cory M Robinson

Neonates have increased vulnerability to life-threatening infections due to the distinct immune landscape. Interleukin (IL)-27 is a key component of this immune profile that we have previously shown to be elevated in both newborn humans and mice. IL-27 continues to increase in the serum and tissues consistent with poor outcomes during gram-negative neonatal bacterial sepsis. Presently, we dissected the IL-27 producer profile at a single-cell level using IL-27p28eGFP reporter mice in our previously established model of neonatal sepsis with luciferase-expressing K1-encapsulated Escherichia coli. Whole animal imaging regionally highlighted the spleen, liver, and lungs as key infection sites by bacterial luminescence. Flow cytometry showed that IL-27 producers increased significantly in the liver with infection and were predominantly F4/80+ and CD11b+ with subpopulations that emerged expressing additional markers. This information paired with single-cell RNA sequencing further identified the most robust populations as monocytes, monocyte-derived cells, and Kupffer cells followed by smaller populations of dendritic cells and neutrophils. The transcriptome demonstrated a diverse range of functionality amongst populations that included differential expression of genes implicated in bactericidal, metabolic, and inflammatory changes. Collectively, the transcriptome of IL-27 producers from the livers of infected animals suggests an uncoordinated mix of inflammatory and suppressive activity that may contribute to immune dysregulation characteristic of sepsis. Together, this work provides previously undescribed insight into the details of IL-27 producers during early-life infection. This further provides essential information needed to support IL-27 as a therapeutic target for neonatal bacterial sepsis.

由于不同的免疫环境,新生儿更容易受到危及生命的感染。白细胞介素(IL)-27是这种免疫谱的关键组成部分,我们之前已经证明,在新生儿和小鼠中,白细胞介素-27的水平都有所升高。血清和组织中IL-27的持续升高与革兰氏阴性新生儿细菌性败血症的不良结局一致。目前,我们利用IL-27p28eGFP报告小鼠,在我们之前建立的新生儿脓毒症模型中剖析了IL-27产生者的单细胞水平谱,模型中含有表达荧光素酶的k1包封大肠杆菌。全动物成像通过细菌发光局部突出显示脾脏、肝脏和肺部为主要感染部位。流式细胞术显示,感染后的肝脏中IL-27产生者显著增加,主要是F4/80+和CD11b+,并出现表达其他标记物的亚群。这一信息与单细胞RNA测序相结合,进一步确定了单核细胞、单核细胞衍生细胞和库普弗细胞是最强大的群体,其次是小群体的树突状细胞和中性粒细胞。转录组在人群中表现出多种功能,包括与杀菌、代谢和炎症变化有关的基因的差异表达。总的来说,来自感染动物肝脏的IL-27生产者的转录组表明,炎症和抑制活性的不协调混合可能导致败血症的免疫失调特征。总之,这项工作为早期感染期间IL-27产生者的细节提供了以前未描述的见解。这进一步提供了支持IL-27作为新生儿细菌性败血症治疗靶点所需的基本信息。
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引用次数: 0
Exogenous arginine differentially regulates inflammatory cytokine and inducible nitric oxide synthase expression in macrophages. 外源性精氨酸对巨噬细胞炎症细胞因子和诱导型一氧化氮合酶表达的调控存在差异。
Q3 Medicine Pub Date : 2025-07-14 DOI: 10.1093/immhor/vlaf028
Kelsey Stayer, Saliha Pathan, Aalekhya Biswas, Huiqiao Li, Yi Zhu, Fong Wilson Lam, Juan Marini, Sundararajah Thevananther

Immune dysfunction and late mortality from multiorgan failure are hallmarks of severe sepsis. Arginine, a semi-essential amino acid important for protein synthesis, immune response, and circulatory regulation, is deficient in sepsis. However, arginine supplementation in sepsis remains controversial due to the potential to upregulate inducible nitric oxide synthase (iNOS)-mediated excessive nitric oxide (NO) generation in macrophages, leading to vasodilation and hemodynamic catastrophe. Citrulline supplementation has been considered an alternative to replenishing arginine via de novo synthesis, orchestrated by argininosuccinate synthase 1 (ASS1) and argininosuccinate lyase (ASL). However, the functional relevance of the ASS1-ASL pathway in macrophages after endotoxin stimulation is unclear but it is crucial to consider amino acid restoration as a tool for treating sepsis. We demonstrate that lipopolysaccharide (LPS)-mediated iNOS, ASS1, and ASL protein expression and nitric oxide generation were dependent on exogenous arginine in RAW 264.7 macrophages. Exogenous citrulline was not sufficient to restore nitric oxide generation in arginine-free conditions. Despite the induction of iNOS and ASS1 mRNA in arginine-free conditions, exogenous arginine was necessary and citrulline was not sufficient to overcome eIF2-α (elongation initiation factor 2-α)-mediated translational repression of iNOS and ASS1 protein expression. Moreover, exogenous arginine, but not citrulline, selectively modified the inflammatory cytokine and chemokine expression profile of the LPS-activated RAW 264.7 and bone marrow-derived macrophages. Our study highlights the complex, differential regulation of proinflammatory cytokine expression, and NO generation by exogenous arginine in macrophages.

免疫功能障碍和多器官衰竭导致的晚期死亡是严重败血症的标志。精氨酸是一种对蛋白质合成、免疫反应和循环调节很重要的半必需氨基酸,在败血症中缺乏。然而,在脓毒症中补充精氨酸仍存在争议,因为它可能上调巨噬细胞中诱导型一氧化氮合酶(iNOS)介导的过量一氧化氮(NO)生成,导致血管舒张和血流动力学突变。补充瓜氨酸被认为是通过重新合成补充精氨酸的替代方法,由精氨酸琥珀酸合成酶1 (ASS1)和精氨酸琥珀酸裂解酶(ASL)协调。然而,内毒素刺激后巨噬细胞中ASS1-ASL通路的功能相关性尚不清楚,但将氨基酸修复作为治疗败血症的工具是至关重要的。在RAW 264.7巨噬细胞中,脂多糖(LPS)介导的iNOS、ASS1和ASL蛋白表达和一氧化氮的产生依赖于外源性精氨酸。在无精氨酸的条件下,外源瓜氨酸不足以恢复一氧化氮的生成。尽管在无精氨酸的条件下诱导了iNOS和ASS1 mRNA的表达,但外源精氨酸是必需的,瓜氨酸不足以克服eIF2-α(延伸起始因子2-α)介导的iNOS和ASS1蛋白表达的翻译抑制。此外,外源性精氨酸而非瓜氨酸选择性地改变了lps激活的RAW 264.7和骨髓源性巨噬细胞的炎症细胞因子和趋化因子表达谱。我们的研究强调了巨噬细胞中促炎细胞因子表达和外源性精氨酸产生NO的复杂、差异调节。
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引用次数: 0
Giardia increases macrophage production of the anti-inflammatory cytokine interleukin-10 in response to lipopolysaccharide via macrophage galactose binding lectin. 贾第鞭毛虫通过巨噬细胞半乳糖结合凝集素增加巨噬细胞对脂多糖的抗炎细胞因子白介素-10的产生。
Q3 Medicine Pub Date : 2025-05-30 DOI: 10.1093/immhor/vlaf019
Vanessa V Angelova, Rita T Kosile, Matthew Darmadi, Eleanor G Miskovsky, Marc Y Fink, Samantha Menegas, Haley Wexelblatt, Steven M Singer

Giardia duodenalis is an intestinal protozoan parasite common in low- and middle-income countries. Infection is often subclinical, even when it is associated with other pathologies like growth stunting in children. Recent longitudinal cohort studies have found Giardia more frequently in patients with milder symptoms and have even suggested that Giardia reduces rotavirus symptom severity. One potential mechanism for limiting disease severity due to other enteropathogens is the promotion of anti-inflammatory responses that limit pathology. Our lab previously showed that Giardia reduces production of interleukin (IL)-12 by dendritic cells stimulated with Toll-like receptor agonists. In this study, we show that Giardia increases the production of the anti-inflammatory cytokine IL-10 by mouse peritoneal macrophages in response to bacterial lipopolysaccharide. This potentiation is specific to IL-10, as no changes were seen in the production of the proinflammatory cytokine tumor necrosis factor ɑ. Moreover, peritoneal macrophages from mice lacking macrophage galactose-binding lectin, a pathogen recognition receptor that has been previously shown to bind N-acetylgalactosamine, failed to increase IL-10 production after stimulation with Giardia and lipopolysaccharide. Giardia's immunoregulation of the IL-10 response may help us understand the parasite's role in reducing diarrheal severity.

十二指肠贾第虫是一种常见于中低收入国家的肠道原生动物寄生虫。感染通常是亚临床的,即使它与儿童生长发育迟缓等其他病理有关。最近的纵向队列研究发现,贾第鞭毛虫更常发生在症状较轻的患者身上,甚至表明贾第鞭毛虫可以减轻轮状病毒症状的严重程度。限制其他肠道病原体引起的疾病严重程度的一个潜在机制是促进抗炎反应,从而限制病理。我们的实验室以前表明贾第鞭毛虫通过toll样受体激动剂刺激树突状细胞减少白细胞介素(IL)-12的产生。在这项研究中,我们发现贾第鞭毛虫增加小鼠腹膜巨噬细胞对细菌脂多糖的反应产生抗炎细胞因子IL-10。这种增强对IL-10是特异性的,因为促炎细胞因子肿瘤坏死因子的产生没有变化。此外,小鼠腹腔巨噬细胞缺乏巨噬细胞半乳糖结合凝集素(一种病原体识别受体,先前已被证明与n -乙酰半乳糖胺结合),在鞭毛虫和脂多糖刺激后,不能增加IL-10的产生。贾第鞭毛虫对IL-10反应的免疫调节可能有助于我们了解寄生虫在减轻腹泻严重程度方面的作用。
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引用次数: 0
Lack of pathogenic involvement of CCL4 and its receptor CCR5 in arthritogenic alphavirus disease. 在关节炎源性甲病毒病中缺乏CCL4及其受体CCR5的致病作用。
Q3 Medicine Pub Date : 2025-05-30 DOI: 10.1093/immhor/vlaf022
Muddassar Hameed, Norman A Solomon, James Weger-Lucarelli

Arthritogenic alphaviruses, including chikungunya (CHIKV), Mayaro (MAYV), Ross River (RRV), and O'nyong nyong virus (ONNV), are emerging and reemerging viruses that cause disease characterized by fever, rash, and incapacitating muscle and joint pain and inflammation. Alphavirus infection induces robust immune responses, leading to the upregulation of several cytokines and chemokines, including chemokine C ligand 4 (CCL4). CCL4 is a chemoattractant for immune cells such as T cells, natural killer cells, monocytes/macrophages, and dendritic cells, recruiting these cells to the site of infection, stimulating the release of proinflammatory mediators, and inducing T cell differentiation. CCL4 has been found at high levels in both the acute and chronic phases of chikungunya disease; however, the role of CCL4 in arthritogenic alphavirus disease development remains unexplored. Here, we tested the effect of CCL4 on MAYV infection in mice through antibody neutralization and treatment with recombinant mouse CCL4. We observed no differences in mice depleted of CCL4 or treated with recombinant CCL4 in terms of disease progression such as weight loss and footpad swelling or the development of viremia. CCL4 uses the G protein-coupled receptor C-C chemokine receptor type 5 (CCR5). To determine whether CCR5 deficiency would alter disease outcomes or virus replication in mice, we inoculated CCR5 knockout (CCR5--) mice with MAYV and observed no effect on disease development and immune cell profile of blood and footpads between CCR5-/- and wild type mice. These studies failed to identify a clear role for CCL4 or its receptor CCR5 in MAYV infection.

关节炎源性甲病毒,包括基孔肯雅病毒(CHIKV)、马亚罗病毒(MAYV)、罗斯河病毒(RRV)和欧尼永病毒(ONNV),是新出现和再出现的病毒,可引起以发热、皮疹、肌肉和关节失能性疼痛和炎症为特征的疾病。甲病毒感染诱导强大的免疫应答,导致几种细胞因子和趋化因子上调,包括趋化因子C配体4 (CCL4)。CCL4是免疫细胞(如T细胞、自然杀伤细胞、单核/巨噬细胞和树突状细胞)的化学引诱剂,将这些细胞招募到感染部位,刺激促炎介质的释放,诱导T细胞分化。在基孔肯雅病的急性期和慢性期都发现CCL4水平很高;然而,CCL4在关节炎源性甲病毒疾病发展中的作用仍未被探索。在这里,我们通过抗体中和和重组小鼠CCL4处理来检测CCL4对小鼠MAYV感染的影响。我们观察到,在缺乏CCL4或用重组CCL4治疗的小鼠中,在体重减轻、足垫肿胀或病毒血症发展等疾病进展方面没有差异。CCL4使用G蛋白偶联受体C-C趋化因子受体5型(CCR5)。为了确定CCR5缺乏是否会改变小鼠的疾病结局或病毒复制,我们给CCR5敲除(CCR5-)小鼠接种了MAYV,观察到CCR5-/-和野生型小鼠之间的疾病发展和血液和脚垫免疫细胞特征没有影响。这些研究未能确定CCL4或其受体CCR5在MAYV感染中的明确作用。
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引用次数: 0
Efficacy and safety of acalabrutinib with best supportive care versus best supportive care in patients with COVID-19 requiring hospitalization. 阿卡拉布替尼与最佳支持治疗在需要住院治疗的COVID-19患者中的疗效和安全性
Q3 Medicine Pub Date : 2025-05-30 DOI: 10.1093/immhor/vlaf023
Phillip Scheinberg, Matt R Khoshnevis, Philip A Robinson, Alfredo Guerreros, Victor A H Sato, Benedito A L Fonseca, Hans W Prozesky, José Omar Chacón Romero, Laura Fogliatto, Barry R Meisenberg, David J Park, Ashok Gupta, Priti Patel, Danielle M Townsley, Lianqing Zheng, Veerendra Munugalavadla

The efficacy and safety of acalabrutinib, a Bruton tyrosine kinase (BTK) inhibitor, was evaluated in 2 phase 2 studies in hospitalized patients with coronavirus disease 2019 (COVID-19) who received acalabrutinib + best supportive care (BSC) versus BSC alone (Clinicaltrials.gov: NCT04380688 and NCT04346199). The primary endpoint was the percentage of patients alive and free of respiratory failure on day 14 (rest of the world [RoW] study) and day 28 (US study). In the RoW study, 177 patients were randomized (acalabrutinib + BSC: n = 89; BSC: n = 88); in the US study, 62 patients were randomized (acalabrutinib + BSC: n = 31; BSC: n = 31). The percentage of patients who met the primary endpoint was similar in both studies (RoW study: acalabrutinib + BSC: 83.1%, BSC: 90.9%; US study: acalabrutinib + BSC: 80.6%, BSC: 83.9%). No new safety concerns were reported. Overall, no significant clinical benefit of adding acalabrutinib to BSC in patients hospitalized with COVID-19 was observed.

布鲁顿酪氨酸激酶(BTK)抑制剂阿卡拉布替尼(acalabrutinib)的有效性和安全性在2项2期研究中进行了评估,这些患者接受阿卡拉布替尼+最佳支持治疗(BSC)与单独BSC (Clinicaltrials.gov: NCT04380688和NCT04346199)。主要终点是第14天(世界其他地区[RoW]研究)和第28天(美国研究)存活且无呼吸衰竭的患者百分比。在RoW研究中,177例患者被随机分配(阿卡拉布替尼+ BSC: n = 89;BSC: n = 88);在美国的研究中,62例患者被随机分配(阿卡拉布替尼+ BSC: n = 31;BSC: n = 31)。两项研究中达到主要终点的患者百分比相似(RoW研究:阿卡拉布替尼+ BSC: 83.1%, BSC: 90.9%;美国研究:acalabrutinib + BSC: 80.6%, BSC: 83.9%)。没有新的安全隐患报告。总体而言,未观察到在COVID-19住院患者的BSC中添加阿卡拉布替尼的临床获益。
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引用次数: 0
ICAM-1 autoantibodies detected in healthy individuals and cross-react with functional epitopes. 在健康个体中检测到ICAM-1自身抗体并与功能性表位交叉反应。
Q3 Medicine Pub Date : 2025-05-30 DOI: 10.1093/immhor/vlaf025
Marc L Herman, Eric S Geanes, Rebecca McLennan, Gage J Greening, Heather Mwitanti, Todd Bradley

Intracellular adhesion molecule 1 (ICAM-1) is a cell surface glycoprotein that regulates cell-cell interactions, signaling, and immune processes. ICAM-1 expression has been shown to be elevated in many types of infections and inflammatory diseases. Strategies to block ICAM-1 function, including monoclonal anti-ICAM-1 antibodies, have been successful in treating the effects of chronic respiratory, autoimmune, and cardiovascular diseases. Naturally occurring autoantibodies targeting cytokines, endothelial cells, and other host receptors have been identified, and have been found to play a role in immunoregulation in health and disease. In this study, we determined the presence and levels of ICAM-1 autoantibodies across different age groups and disease states. We found that ICAM-1 autoantibody levels increased with age and were lower in individuals with various inflammatory states, suggesting a dynamic role in immune regulation. Using peptide microarrays, we identified high-resolution epitopes targeted by ICAM-1 autoantibodies that overlap with critical functional ICAM-1 binding sites. Finally, we determined that ICAM-1 autoantibodies were enriched for the IgG2 subclass that is critical for the response to bacterial antigens and chronic inflammation. This could indicate that molecular mimicry of bacterial antigens or underlying immune dysregulation could trigger the generation of anti-ICAM-1 antibodies. Understanding the functional implications of ICAM-1 autoantibodies could provide new insights into their contribution to immune homeostasis and their potential impact on inflammatory and autoimmune conditions.

细胞内粘附分子1 (ICAM-1)是一种调节细胞间相互作用、信号传导和免疫过程的细胞表面糖蛋白。ICAM-1的表达在许多类型的感染和炎症性疾病中被证明是升高的。阻断ICAM-1功能的策略,包括单克隆抗ICAM-1抗体,已在治疗慢性呼吸系统疾病、自身免疫性疾病和心血管疾病方面取得成功。针对细胞因子、内皮细胞和其他宿主受体的天然自身抗体已被发现,并在健康和疾病的免疫调节中发挥作用。在这项研究中,我们确定了不同年龄组和疾病状态中ICAM-1自身抗体的存在和水平。我们发现ICAM-1自身抗体水平随着年龄的增长而增加,在不同炎症状态的个体中较低,这表明ICAM-1在免疫调节中起动态作用。利用肽微阵列,我们确定了ICAM-1自身抗体靶向的高分辨率表位,这些表位与关键功能ICAM-1结合位点重叠。最后,我们确定ICAM-1自身抗体富集IgG2亚类,这对于对细菌抗原和慢性炎症的反应至关重要。这可能表明细菌抗原的分子模仿或潜在的免疫失调可能触发抗icam -1抗体的产生。了解ICAM-1自身抗体的功能意义可以为其对免疫稳态的贡献及其对炎症和自身免疫性疾病的潜在影响提供新的见解。
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引用次数: 0
Characterization of IgE cross-reactivity and allergenicity of peanut allergens. 花生过敏原的IgE交叉反应性及致敏性研究。
Q3 Medicine Pub Date : 2025-05-30 DOI: 10.1093/immhor/vlaf018
Christian Lapitan, William R Zhang, Beichu Guo, Tracy R Daniels-Wells, Manuel L Penichet, Ke Zhang

IgE cross-reactivity among peanut allergens is controversial, and allergenicity of peanut allergens other than Arachis hypogaea 2 [Ara h 2] remains to be elucidated. We investigated the origins of peanut IgE cross-reactivity using Western blotting, and allergenicity of peanut allergens employing a passive cutaneous anaphylaxis model. Peanut allergic IgE bound to a large swath of peanut proteins including Ara h 2, Ara h 1, Ara h 3, and Ara h 6. IgE cross-reactivity among peanut allergens could be inhibited by recombinant Ara h 2. Affinity-purified Ara h 2 IgE reconstituted broad IgE binding patterns to Ara h 1, Ara h 3, and Ara h 6 in addition to Ara h 2. Monoclonal human IgE and mouse IgG against peanut allergen component variably bound to other peanut allergen components. Ara h 2 and Ara h 6 could trigger Ara h 2 IgE-mediated peanut allergic reactivity, whereas Ara h 1 and Ara h 3 failed to do so. Ara h 1 IgE was incapable of mediating Ara h 1-triggered allergic reaction. These results revealed that Ara h 2 IgE was the origin of IgE cross-reactivity, and Ara h 2 IgE-mediated peanut allergic reactivity triggered by Ara h 2 and Ara h 6. Ara h 1 and Ara h 3 did not display detectable allergenicity. These results indicated that Ara h 2 IgE appeared to be the "master" responsible for IgE cross-reactivity among peanut allergens and might be the only IgE responsible for allergic reactivity in peanut allergy.

花生过敏原之间的IgE交叉反应性存在争议,除arachhis hypogaea 2 [Ara h 2]外的花生过敏原的致敏性仍有待阐明。我们使用免疫印迹法研究花生IgE交叉反应性的来源,并采用被动皮肤过敏反应模型研究花生过敏原的致敏性。花生过敏IgE与大量花生蛋白结合,包括Ara h2, Ara h1, Ara h3和Ara h6。重组Ara h2可抑制花生过敏原间的IgE交叉反应。亲和纯化的Ara h2 IgE重建了Ara h2与Ara h2、Ara h2 1、Ara h2 3和Ara h2 6的广泛结合模式。抗花生过敏原成分的单克隆人IgE和小鼠IgG与其他花生过敏原成分可变结合。Ara h2和Ara h6可以触发Ara h2 ige介导的花生过敏反应,而Ara h1和Ara h3则不能。Ara h1 IgE不能介导Ara h1引发的过敏反应。这些结果表明,Ara h2 IgE是IgE交叉反应的来源,Ara h2 IgE介导的Ara h2和Ara h2 6引发花生过敏反应。Ara h 1和Ara h 3未显示可检测的过敏原。这些结果表明,Ara h2 IgE可能是花生过敏原间IgE交叉反应的“主人”,可能是花生过敏原中唯一负责过敏反应的IgE。
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ImmunoHorizons
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