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The absence of early malignant changes in women subjected to Aquafilling breast augmentation on the basis of E-cadherin and N-cadherin immunohistochemical expression. 基于E-cadherin和N-cadherin免疫组化表达的女性丰胸术后早期无恶性改变。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124070
Michał Chalcarz, Jakub Żurawski

The use of Aquafilling can be associated with a variety of health complications. The filler is an inflammatory process trigger at the site of tissue contact. The aim of this study was to semiquantitatively compare the immunohistochemical expression of E-cadherin and N-cadherin in tissue material from two groups of patients. The first group underwent surgical removal of Aquafilling from the breast, while the second was subjected to breast augmentation with implants or breast lifts (control group). The study group consisted of tissue samples from 16 patients who had Aquafilling removed, while the control group comprised samples from 16 patients who underwent breast augmentation with implants or breast lifts. Histopathology, immunohistochemistry and morphometric analyses were performed, taking into account the number of immunopositive cells and also the immunohistochemical reaction area for E-cadherin and N-cadherin. There were significantly more immunopositive N-cadherin cells in both groups. The immunohistochemical reaction area for N-cadherin did not differ between the two groups. However, the immunohistochemical reaction area for E-cadherin was significantly larger in the test group than in the control group. Moreover, the reaction area for N-cadherin was significantly smaller than that for E-cadherin. In the control group, no significant differences were detected between the immunohistochemical reaction area for N-cadherin and E-cadherin. Immunohistochemical evaluation of N-cadherin and E-cadherin tissue expression may be useful in assessing early cell junction changes. Furthermore, semiquantitative morphometric analysis allows these alterations to be more precisely determined.

Aquafilling的使用可能与各种健康并发症有关。填充物是在组织接触部位触发的炎症过程。本研究的目的是半定量比较两组患者组织材料中E-cadherin和N-cadherin的免疫组织化学表达。第一组接受手术去除乳房填充物,而第二组接受隆胸植入物或乳房提升术(对照组)。研究组的组织样本来自于16名摘除了填充物的患者,而对照组的组织样本来自于16名接受了隆胸或隆胸手术的患者。考虑到免疫阳性细胞的数量以及E-cadherin和N-cadherin的免疫组织化学反应区域,进行了组织病理学、免疫组织化学和形态计量学分析。两组免疫阳性n -钙粘蛋白细胞明显增多。两组间n -钙粘蛋白免疫组化反应面积无差异。但实验组E-cadherin免疫组化反应面积明显大于对照组。N-cadherin的反应面积明显小于E-cadherin。对照组N-cadherin与E-cadherin免疫组化反应区无显著差异。免疫组织化学评价N-cadherin和E-cadherin组织表达可能有助于评估早期细胞连接变化。此外,半定量形态计量学分析可以更精确地确定这些变化。
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引用次数: 2
ELF3-induced miR-182 inhibits adipogenic differentiation in Graves' orbitopathy by targeting thyrotropin receptor. elf3诱导的miR-182通过靶向促甲状腺素受体抑制Graves眼病的成脂分化。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124087
Sha Wang, Lu Chen, Bei Xu

Introduction: Graves' orbitopathy (GO) is a common autoimmune disease, but its specific pathogenesis has not been fully elucidated. MicroRNAs (miRNAs) possess an important regulatory function in the occurrence and development of autoimmune diseases. In the present study, we explored the potential role of miR-182 in the diagnosis of GO.

Material and methods: The expression of miR-182, thyrotropin receptor (TSHR) and adipocytokines was ascertained by qRT-PCR assay. The triglyceride (TG) content was ascertained by ELISA assay. The lipid droplet content was identified by Oil Red O staining. The relationship between E74-like factor 3 (ELF3), miR-182 and TSHR was confirmed by ChIP, dual-luciferase reporter assay and RIP.

Results: The expression of miR-182 decreased, while TSHR increased, and adipocytokine (adiponectin, leptin, PPAR-γ, and AP2) levels were upregulated in preorbital adipose tissue of patients with GO and differential medium induced (DM-induced) 3T3-L1 cells. MiR-182 mimics inhibited adipocytokine expression, TG content and lipid droplets; however, miR-182 inhibitor had the opposite results. TSHR was a target gene of miR-182, and TSHR overexpression (oe-TSHR) reversed the effect of miR-182 mimics on adipogenic differentiation of 3T3-L1 by DM treatment. ELF3 transcription promoted miR-182 expression. Oe-ELF3 inhibited adipocytokine expression and reduced TG content and lipid droplets in DM-induced 3T3-L1 cells. MiR-182 inhibitor reversed the effect of oe-ELF3 on adipogenic differentiation in 3T3-L1.

Conclusions: ELF3/miR-182/TSHR axis alleviated Graves' orbitopathy by inhibiting adipogenic differentiation.

Graves眼病(GO)是一种常见的自身免疫性疾病,但其具体的发病机制尚未完全阐明。MicroRNAs (miRNAs)在自身免疫性疾病的发生发展中具有重要的调控作用。在本研究中,我们探讨了miR-182在GO诊断中的潜在作用。材料与方法:采用qRT-PCR法检测miR-182、促甲状腺激素受体(TSHR)和脂肪细胞因子的表达。采用ELISA法测定甘油三酯(TG)含量。油红O染色法鉴定脂滴含量。通过ChIP、双荧光素酶报告基因试验和RIP验证e74样因子3 (ELF3)、miR-182与TSHR之间的关系。结果:氧化石墨烯和差异培养基诱导(dm诱导)3T3-L1细胞的患者眶前脂肪组织中miR-182表达降低,TSHR升高,脂肪细胞因子(脂联素、瘦素、PPAR-γ和AP2)水平上调。MiR-182模拟物抑制脂肪细胞因子表达、TG含量和脂滴;然而,miR-182抑制剂具有相反的结果。TSHR是miR-182的靶基因,TSHR过表达(e-TSHR)逆转了miR-182模拟物通过DM治疗对3T3-L1成脂分化的影响。ELF3转录促进miR-182表达。e- elf3抑制dm诱导的3T3-L1细胞中脂肪细胞因子的表达,降低TG含量和脂滴。MiR-182抑制剂逆转了e- elf3对3T3-L1成脂分化的影响。结论:ELF3/miR-182/TSHR轴通过抑制脂肪分化减轻Graves眼病。
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引用次数: 0
Evaluation of immunological abnormalities in patients with rare syndromes. 罕见综合征患者免疫异常的评价。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124080
Yahya Gul, Hasan Kapaklı, Selma Erol Aytekin, Şukru Nail Guner, Sevgi Keles, Ayşe Gül Zamani, Mahmut Selman Yıldırım, Ïsmail Reisli

Introduction: Recurrent infections are important problems in syndromic patients. This study aimed to evaluate immunological abnormalities in patients who presented with recurrent infections and were diagnosed with rare syndromes.

Material and methods: This retrospective analysis included 14 patients with complaints of recurrent infections, all of whom were diagnosed with a rare syndrome.

Results: The study group consisted of patients with Aicardi syndrome, Brugada syndrome, Phelan- McDermid syndrome, trichothiodystrophy, LEOPARD syndrome, Prader-Willi syndrome, Seckel syndrome, trisomy 18 (Edwards' syndrome), Wiedemann-Steiner syndrome, West syndrome, Williams syndrome, 47,XYY syndrome, 16p13 deletion syndrome, and 13q1.3 deletion syndrome. Seven patients (50%) were girls and seven (50%) were boys (mean age, 56.7 ±32.9 months; median [range] age: 45.5 [27-153] months). There were high rates of consanguinity (50%), cesarean section delivery (71%), and hospitalization in the intensive care unit (78.5%). No patients had a family history of immunodeficiency. On admission, all patients exhibited humoral and/or cellular immune system abnormalities. During the follow-up period, all T-cell abnormalities were improved after immunoglobulin replacement therapy (IGRT), while B-cell abnormalities persisted. These findings suggested that the patients predominantly had antibody deficiencies associated with mild T-cell abnormalities because of recurrent infections. The rates of infections and hospitalizations were significantly reduced after IGRT (p < 0.001); the rate of intensive care unit admission also significantly decreased (from 78.5% to 21.4%). Two of the three oxygen-dependent patients exhibited improvement therein. IGRT was discontinued in two patients with significant clinical improvement during follow-up.

Conclusions: An immunological evaluation should be considered in pediatric patients with rare syndromes and recurrent infections. IGRT may help to improve the prognoses of these patients.

反复感染是综合征患者的重要问题。本研究旨在评估出现复发性感染并被诊断为罕见综合征的患者的免疫异常。材料和方法:本回顾性分析包括14例复发性感染的患者,所有患者均被诊断为一种罕见综合征。结果:研究组包括Aicardi综合征、Brugada综合征、Phelan- McDermid综合征、毛甲状腺营养不良症、LEOPARD综合征、Prader-Willi综合征、Seckel综合征、18三体(Edwards综合征)、Wiedemann-Steiner综合征、West综合征、Williams综合征、47、XYY综合征、16p13缺失综合征、13q1.3缺失综合征患者。女孩7例(50%),男孩7例(50%),平均年龄56.7±32.9个月;中位年龄:45.5[27-153]个月)。血亲率高(50%),剖宫产率高(71%),重症监护病房住院率高(78.5%)。没有患者有免疫缺陷家族史。入院时,所有患者均表现出体液和/或细胞免疫系统异常。在随访期间,免疫球蛋白替代治疗(IGRT)后,所有t细胞异常均得到改善,而b细胞异常持续存在。这些发现表明,由于复发性感染,患者主要存在与轻度t细胞异常相关的抗体缺陷。IGRT后感染率和住院率显著降低(p < 0.001);重症监护病房住院率也显著下降(从78.5%降至21.4%)。三名氧依赖患者中有两名在这方面表现出改善。在随访期间,有两名患者的临床改善显著,因此停止了IGRT。结论:小儿罕见综合征和复发性感染患者应考虑免疫学评价。IGRT可能有助于改善这些患者的预后。
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引用次数: 0
The emerging role of triggering receptor expressed on myeloid cell-2 in malignant tumor. 骨髓细胞-2触发受体表达在恶性肿瘤中的新作用。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124387
Yahui Wang, Ying Chu, Fenghua Cao, Zhihong Chen, Huaxi Xu, Shengjun Wang, Jie Ma

Triggering receptor expressed on myeloid cell-2 (TREM2) is a transmembrane receptor which is specifically expressed on myeloid cells. To date, TREM2 has been confirmed as a key factor in many pathologies, such as Alzheimer's disease, obesity-related metabolic syndrome, fatty liver and atherosclerosis. However, the role of TREM2 in tumors remains poorly understood. TREM2 is highly expressed in more than 200 primary and metastatic tumors, a feature that makes TREM2 a potential clinical target for tumor immunotherapy. The tumor microenvironment (TME) is the "soil" which tumors survive on and exhibits immunosuppressive characteristics. During the development of a tumor, TME will secrete various chemotactic factors to recruit myeloid cells. It is clear now that cancer progression and metastasis depend on the interactions between cancer cells and myeloid cell infiltration in TME. As an important receptor involved in inflammatory suppression signaling pathways, TREM2 may play an important role in immune escape by the tumor. Recently, several studies have illustrated that TREM2 expressed on tumor infiltrated myeloid cells acts as a crucial regulator of the antitumor immune response. In this review, we systematically summarize recent publications about the latest advances in knowledge of TREM2 in cancer, especially focusing on its role in tumor associated myeloid cells and tumor immunotherapy.

髓样细胞-2触发受体(TREM2)是一种特异性表达于髓样细胞的跨膜受体。迄今为止,TREM2已被证实是许多疾病的关键因素,如阿尔茨海默病、肥胖相关代谢综合征、脂肪肝和动脉粥样硬化。然而,TREM2在肿瘤中的作用仍然知之甚少。TREM2在200多种原发性和转移性肿瘤中高表达,这一特征使TREM2成为肿瘤免疫治疗的潜在临床靶点。肿瘤微环境(tumor microenvironment, TME)是肿瘤生存的“土壤”,具有免疫抑制特性。在肿瘤的发展过程中,TME会分泌各种趋化因子来募集骨髓细胞。现在很清楚,肿瘤的进展和转移依赖于TME中癌细胞和骨髓细胞浸润之间的相互作用。TREM2作为参与炎症抑制信号通路的重要受体,可能在肿瘤免疫逃逸中发挥重要作用。最近,一些研究表明,TREM2在肿瘤浸润的髓样细胞上表达,是抗肿瘤免疫反应的重要调节因子。在这篇综述中,我们系统地总结了最近关于TREM2在癌症中的最新进展,特别是它在肿瘤相关骨髓细胞和肿瘤免疫治疗中的作用。
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引用次数: 0
β2-microglobulin alters the profiles of inflammatory cytokines and of matrix metalloprotease in macrophages derived from the osteoarthritic synovium. β2微球蛋白改变骨关节炎滑膜巨噬细胞中炎症细胞因子和基质金属蛋白酶的谱。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124092
Kyoko Muneshige, Kentaro Uchida, Jun Aikawa, Dai Iwase, Shotaro Takano, Masayuki Miyagi, Gen Inoue, Masashi Takaso

Several studies have implicated β2-microglobulin (B2M) in osteoarthritis (OA) pathology. Of the main constituents of synovial tissue, synovial fibroblasts and macrophages, the latter play a pivotal role in inflammation. Although several studies have investigated the effects of B2M on synovial fibroblasts, few have examined the impact on synovial macrophages. Here, we investigated the effect of B2M on the expression profiles of inflammatory cytokines and matrix metalloproteases (MMPs) in synovial macrophages. Synovial macrophages were isolated from the osteoarthritic synovium using an anti-CD14 anti- body and magnetic isolation system. Synovial macrophages were stimulated with B2M for 6 and 24 h. Following stimulation, cell surface marker (CD80, CD163, CD206), cytokine [interleukin (IL)-6, IL-8, tumor necrosis factor α (TNF-α)] and matrix metalloprotease (MMP; MMP-9 and MMP-13) genes were evaluated by real-time PCR. Additionally, cytokine concentrations in cell culture supernatant were determined using enzyme-linked immunosorbent assay (ELISA). B2M significantly increased CD80 and decreased CD163 expression. In addition, B2M stimulation increased inflammatory cytokines at both the mRNA and protein levels. While B2M likewise elevated MMP-13 levels, there was no difference in MMP-9 expression between vehicle and B2M-treated cells. B2M increased M1 macrophage marker, inflammatory cytokine, and MMP-13 expression in synovial macrophages. B2M-related activation of synovial macrophages may thus be associated with OA pathology.

几项研究表明β2微球蛋白(B2M)与骨关节炎(OA)病理有关。在滑膜组织的主要成分中,滑膜成纤维细胞和巨噬细胞,后者在炎症中起关键作用。虽然有一些研究研究了B2M对滑膜成纤维细胞的影响,但很少有研究研究B2M对滑膜巨噬细胞的影响。在这里,我们研究了B2M对滑膜巨噬细胞炎症因子和基质金属蛋白酶(MMPs)表达谱的影响。采用抗cd14抗体和磁分离系统从骨关节炎滑膜中分离出滑膜巨噬细胞。B2M刺激滑膜巨噬细胞6和24小时。刺激后,细胞表面标志物(CD80、CD163、CD206)、细胞因子[白细胞介素(IL)-6、IL-8、肿瘤坏死因子α (TNF-α)]和基质金属蛋白酶(MMP);实时荧光定量PCR检测MMP-9和MMP-13基因。此外,采用酶联免疫吸附法(ELISA)测定细胞培养上清中细胞因子的浓度。B2M显著提高CD80的表达,降低CD163的表达。此外,B2M刺激在mRNA和蛋白水平上增加了炎症细胞因子。虽然B2M同样提高了MMP-13的水平,但MMP-9的表达在对照和B2M处理的细胞之间没有差异。B2M增加了滑膜巨噬细胞M1巨噬细胞标志物、炎症细胞因子和MMP-13的表达。因此,与b2m相关的滑膜巨噬细胞激活可能与OA病理有关。
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引用次数: 1
AgNOR patterns and configurations in adult acute leukemia patients. 成人急性白血病患者的AgNOR模式和结构。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124252
Małgorzata Gajewska, Iwona Kwiecień, Elżbieta Rutkowska, Piotr Rzepecki, Kazimierz Sułek

The number of argyrophilic nucleolus organizer regions (AgNOR) is related to the proliferative activity of cells and the degree of neoplastic transformation. The surface area of AgNOR depending on nuclear structure may be a predictor of tumor recurrence, while research into acute leukemias is scarce. The aim of the study was to determine whether the assessment of AgNOR parameters is useful in the differentiation of acute leukemias and, together with cytogenetic changes, would allow for a quick evaluation of the risk group. The AgNOR structures were analyzed in terms of the shape, surface area and distribution in bone marrow blast cells in patients with acute leukemias. We observed significant differences in the AgNOR structures, simple, compound and complex patterns between acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL). Complex structures were more numerous in ALL than in AML patients. There were significant differences in the distribution of AgNOR configuration among various cytogenetic AML risk groups. We observed a significant difference in the mean number of AgNOR between ALL-T and ALL-B. We detected diversity in the AgNOR structures and pattern map in AML and ALL. Thus, presentation of a variety of AgNOR configurations is innovative and can be a useful method of differentiating patients with acute leukemia types and cytogenetic risk.

嗜银核仁组织区(AgNOR)的数量与细胞的增殖活性和肿瘤转化程度有关。AgNOR的表面积取决于核结构,可能是肿瘤复发的预测因子,而对急性白血病的研究很少。该研究的目的是确定AgNOR参数的评估是否对急性白血病的鉴别有用,并与细胞遗传学变化一起,允许对风险组进行快速评估。分析急性白血病患者骨髓母细胞中AgNOR结构的形态、表面积和分布。我们观察到急性髓性白血病(AML)和急性淋巴细胞白血病(ALL)在AgNOR结构、简单、复合和复杂模式上存在显著差异。ALL患者的复杂结构比AML患者多。不同细胞遗传学AML危险人群的AgNOR配置分布有显著差异。我们观察到ALL-T和ALL-B之间AgNOR的平均数量有显著差异。我们在AML和ALL中检测到了AgNOR结构和模式图的多样性。因此,多种AgNOR结构的呈现是创新的,可以作为区分急性白血病类型和细胞遗传学风险的有用方法。
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引用次数: 1
Generation of high cross-presentation ability human dendritic cells by combination of interleukin 4, interferon β and GM-CSF. 白细胞介素4、干扰素β和GM-CSF联合产生具有高交叉呈递能力的人树突状细胞。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.117767
Yihua Pi, Yifang Li, Rongyi Liang, Jian Xiao, Jing Leng, Lifeng Zhang

Dendritic cell (DC)-based immunotherapies have been utilized for the treatment of numerous diseases. However, the conventional generation strategies of DCs in vitro require 7 days and these DCs showed an unsatisfactory function, which prompted us to explore new approaches. We found that in vitro culture of human CD14+ cells, in the medium containing granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin (IL)-4, as well as interferon β (IFN-β) for 48 h, followed by the maturation stimuli of IL-1β and poly I:C for another 24 h can be differentiated into high cross-presentation ability DCs (G4B-DCs). These DCs express high levels of CD11c, CD86, and HLA-DR, producing a high level of tumor necrosis factor α (TNF-α). Of note, compared with the conventional DCs, G4B-DCs showed a higher ability to promote allogeneic naïve CD4+ T cell and CD8+ T cell proliferation and interferon (IFN)-γ production. These DCs also have the remarkable ability to induce Flu-M1-specific CD8+ T cells. In addition, we found that these G4B-DCs express partially the cDC1 phenotype. These data indicate that G4B-DC is unique and may provide a relatively rapid alternative method for potential clinical use.

基于树突状细胞(DC)的免疫疗法已被用于治疗许多疾病。然而,传统的dc体外生成策略需要7天,这些dc表现出令人不满意的功能,这促使我们探索新的方法。我们发现,人CD14+细胞在含有粒细胞-巨噬细胞集落刺激因子(GM-CSF)、白细胞介素(IL)-4和干扰素β (IFN-β)的培养基中体外培养48小时,然后在IL-1β和poly I:C的成熟刺激下再培养24小时,可分化为高交叉递呈能力的DCs (G4B-DCs)。这些dc表达高水平的CD11c、CD86和HLA-DR,产生高水平的肿瘤坏死因子α (TNF-α)。值得注意的是,与传统dc相比,g4b - dc显示出更高的促进异体naïve CD4+ T细胞和CD8+ T细胞增殖和干扰素(IFN)-γ产生的能力。这些dc还具有显著的诱导流感m1特异性CD8+ T细胞的能力。此外,我们发现这些g4b - dc部分表达cDC1表型。这些数据表明,G4B-DC是独特的,可能为潜在的临床应用提供一种相对快速的替代方法。
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引用次数: 0
Could veterinarians be immune to contracting SARS-CoV-2? 兽医对SARS-CoV-2有免疫力吗?
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.119893
Monika Anna Kozłowska-Geller, Piotr Lewitowicz, Aneta Węgierek-Ciuk, Wioletta Adamus Białek, Agnieszka Piechowska, Stanisław Zbigniew Głuszek

Introduction: The aim of the study was to assess the epidemic situation among veterinarians of the Świętokrzyskie Voivodeship, Poland, in relation to the control group.

Material and methods: The research was divided into 3 stages. Stage I involved the selection of subjects. In stage II, flow cytometry for immunophenotyping was performed and the percentage of the sub-population of CD4 cells and CD8 cells was assessed. Stage III involved collection of nasopharyngeal swab samples in order to determine the canine coronavirus CR-CoV mRNA with the rT-PCR method.

Results: The percentage of the CD4 and CD8 lymphocyte subpopulation in relation to the total lymphocyte population in veterinarians did not differ statistically from the percentage in the control group. The CD4/CD8 ratio in the group of veterinarians was on average 1.93, and 2.04 in the control group. There was no statistically significant difference between the groups, p = 0.591. Canine CR-CoV mRNA was not detected in any of the veterinarians or in the control group.

Conclusions: None of the veterinarians had a significant increase in T lymphocytes, which could be an effective defense against SARS-CoV-2.

前言:本研究的目的是评估波兰Świętokrzyskie省兽医中与对照组相比的流行病情况。材料与方法:研究分为3个阶段。第一阶段是选题。在II期,流式细胞术进行免疫表型分型,并评估CD4细胞和CD8细胞亚群的百分比。第三阶段收集鼻咽拭子样本,用rT-PCR法检测犬冠状病毒CR-CoV mRNA。结果:兽医CD4和CD8淋巴细胞亚群占总淋巴细胞群的百分比与对照组的百分比无统计学差异。兽医组CD4/CD8比值平均为1.93,对照组平均为2.04。两组间差异无统计学意义,p = 0.591。在所有兽医和对照组中均未检测到犬CR-CoV mRNA。结论:所有兽医的T淋巴细胞均无明显升高,这可能是对SARS-CoV-2的有效防御。
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引用次数: 0
Implementation of TREC/KREC detection protocol for newborn SCID screening in Bulgaria: a pilot study. 在保加利亚实施新生儿SCID筛查TREC/KREC检测方案:一项试点研究。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.124396
Marina Marinova, Atanaska Georgyeva, Viktoriya Yordanova, Nedelcho Ivanov, Valentina Atanasova, Elissaveta Naumova, Snezhina Mihailova Kandilarova

Neonatal screening for inborn errors of immunity (IEI), based on quantification of T-cell-receptor- excision circles (TRECs) and kappa-deleting recombination-excision circles (KRECs) from dried blood spots (DBS), allows early diagnosis and improved outcomes for the affected children. Determination of TREC/KREC levels from prospectively collected newborns' Guthrie cards and from DBS samples of patients with confirmed IEI was done using a commercial kit. Retrospective assessment of flow cytometry evaluation of TREC/KREC correspondence with lymphocyte subpopulations and evaluation of the correlations between TREC and KREC with immune cells, based on the data from patients with suspected or confirmed immune disorders, were conducted. 2,228 Guthrie cards were tested, 1276 for TREC only and 952 for both TREC and KREC. Eight newborns (0.36%) were TREC positive and 10 (1.05%) had KREC below the cut-off. The re-testing rate was 1.88%. Retrospective analysis demonstrated that the TREC/KREC assay identifies 100% of severe combined immune deficiencies (SCID) cases when DBS were collected at birth. Correlation analysis showed moderate significant correlations between TREC and the absolute numbers of CD4 cells (r = 0.634, p < 0.01) and total T cells (r = 0.536, p < 0.01). The ability of KREC levels to predict abnormal absolute (AUC of 0.772) and relative (AUC 0.731) levels of B cells was demonstrated.

基于干血斑(DBS)中t细胞受体切除环(TRECs)和kappa删除重组切除环(KRECs)的定量,新生儿先天性免疫缺陷(IEI)筛查允许早期诊断和改善受影响儿童的预后。使用商业试剂盒从前瞻性收集的新生儿Guthrie卡片和确诊IEI患者的DBS样本中测定TREC/KREC水平。回顾性评估流式细胞术评估TREC/KREC与淋巴细胞亚群的对应关系,以及评估TREC和KREC与免疫细胞之间的相关性,基于疑似或确诊免疫疾病患者的数据。测试了2228张Guthrie卡,1276张仅用于TREC, 952张用于TREC和KREC。TREC阳性8例(0.36%),KREC低于临界值10例(1.05%)。复检率为1.88%。回顾性分析表明,当出生时收集DBS时,TREC/KREC检测可以100%识别严重联合免疫缺陷(SCID)病例。相关分析显示TREC与CD4细胞绝对数量(r = 0.634, p < 0.01)和T细胞总数量(r = 0.536, p < 0.01)呈中度显著相关。结果表明,KREC水平能够预测B细胞异常的绝对(AUC为0.772)和相对(AUC为0.731)水平。
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引用次数: 1
Identification of key biomarkers and signaling pathways and analysis of their association with immune cells in immunoglobulin A nephropathy. 免疫球蛋白A肾病中关键生物标志物和信号通路的鉴定及其与免疫细胞的关联分析。
IF 1.3 4区 医学 Q4 IMMUNOLOGY Pub Date : 2022-01-01 DOI: 10.5114/ceji.2022.119867
Guoxin Zhang, Lanfen Xue, Shanshan Zhang, Na Liu, Xing Yao, Jieqiong Fu, Limin Nie

Introduction: Immunoglobulin A nephropathy (IgAN) is the most common glomerular disease worldwide, with a poor prognosis. The aim of our study was to identify key biomarkers and their associations with immune cells to aid in the study of IgAN pathology and immunotherapy.

Material and methods: The data of IgAN were downloaded from a public database. The metaMA package and limma package were used to identify differentially expressed mRNAs (DEmRNAs) and differentially expressed miRNAs (DEmiRNAs), respectively. Biological functions of the DEmRNAs were analyzed. Machine learning was used to screen the mRNA biomarkers of IgAN. Pearson's correlation coefficient was used to analyze the correlation between mRNA biomarkers, immune cells and signaling pathways. Moreover, we constructed a miRNAs-mRNAs targeted regulatory network. Finally, we performed in vitro validation of the identified miRNAs and mRNAs.

Results: 1205 DEmRNAs and 125 DEmiRNAs were identified. In gene set enrichment analysis (GSEA), tumor necrosis factor α (TNF-α) signaling via nuclear factor κB (NF-κB), apoptosis and MTORC-1 signaling were inhibited in IgAN. 8 mRNA biomarkers were screened by machine learning. In addition, the distribution of 8 immune cell types was found to be significantly different between normal controls and IgAN by difference analysis. Pearson correlation coefficient analysis demonstrated that AKAP8L was significantly negatively correlated with CD4+ memory T-cells. AKAP8L was also significantly negatively correlated with TNF-α signaling via NF-κB, apoptosis, and MTORC-1 signaling. Subsequently, 5 mRNA biomarkers predicted corresponding negative regulatory miRNAs.

Conclusions: The identification of 8 important biomarkers and their correlation with immune cells and biological signaling pathways provides new ideas for further study of IgAN.

免疫球蛋白A肾病(IgAN)是世界上最常见的肾小球疾病,预后较差。我们的研究目的是确定关键的生物标志物及其与免疫细胞的关联,以帮助研究IgAN病理和免疫治疗。材料和方法:IgAN数据从公共数据库下载。使用metaMA包和limma包分别鉴定差异表达mrna (demmrna)和差异表达miRNAs (DEmiRNAs)。分析了这些demrna的生物学功能。利用机器学习技术筛选IgAN mRNA生物标志物。采用Pearson相关系数分析mRNA生物标志物与免疫细胞及信号通路的相关性。此外,我们构建了mirnas - mrna靶向调控网络。最后,我们对鉴定的mirna和mrna进行了体外验证。结果:共鉴定出1205个demirna和125个demirna。在基因集富集分析(GSEA)中,IgAN通过核因子κB (NF-κB)抑制肿瘤坏死因子α (TNF-α)信号、细胞凋亡和MTORC-1信号。通过机器学习筛选8个mRNA生物标志物。此外,通过差异分析发现,正常对照组与IgAN之间8种免疫细胞类型的分布存在显著差异。Pearson相关系数分析显示,AKAP8L与CD4+记忆t细胞呈显著负相关。AKAP8L还通过NF-κB、凋亡和MTORC-1信号通路与TNF-α信号通路呈显著负相关。随后,5个mRNA生物标志物预测相应的负调控mirna。结论:8个重要生物标志物的鉴定及其与免疫细胞和生物信号通路的相关性为IgAN的进一步研究提供了新的思路。
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引用次数: 0
期刊
Central European Journal of Immunology
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