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Comparative analysis of PD-L1 expression and tumor-infiltrating lymphocytes between primary breast cancer and matched metastatic lesions: implications for immunotherapy. PD-L1表达和肿瘤浸润淋巴细胞在原发性乳腺癌和匹配转移性病变之间的比较分析:免疫治疗的意义
IF 1.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-04-25 DOI: 10.5114/ceji.2025.149541
Daolin Zeng, Qin Li, Xia Wang, Le Xiong, QiongYu Lan, Hanjie Yi

Introduction: The PD-1/PD-L1 immune checkpoint pathway plays a critical role in tumor immune escape and disease progression. This study investigated differences in tumor-infiltrating lymphocytes (TILs) and PD-L1 expression between primary breast cancers and matched metastatic lesions, and their relationships with clinical outcomes.

Material and methods: We retrospectively analyzed 54 female breast cancer patients who underwent radical mastectomy between May 2011 and December 2018 at the Second Affiliated Hospital of Nanchang University and later developed recurrent disease. Immunohistochemical (IHC) analysis was performed on matched primary and metastatic tumor samples to evaluate TILs and PD-L1 expression patterns. Associations between these immune parameters and clinical characteristics were assessed.

Results: IHC analysis of 50 paired primary and metastatic lesions revealed distinct PD-L1+ TIL expression patterns across different molecular subtypes of breast cancer. Patients with PD-L1+ tumors showed significantly shorter median disease-free survival (DFS) and overall survival (OS) compared to those with PD-L1- tumors. We observed significant differences in the immune microenvironment between primary and metastatic sites, with metastatic lesions showing consistently lower TIL density, PD-L1+ TIL density, and tumor PD-L1 expression compared to matched primary tumors.

Conclusions: Our findings demonstrate systematic differences in immune parameters between primary and metastatic breast cancer sites, with reduced immune infiltration in metastatic lesions. The data suggest that targeting the PD-1/PD-L1 pathway may be particularly beneficial in patients with PD-L1+ TIL-high primary tumors, potentially by reinvigorating anti-tumor immune responses.

PD-1/PD-L1免疫检查点通路在肿瘤免疫逃逸和疾病进展中起关键作用。本研究探讨了原发性乳腺癌和匹配转移灶之间肿瘤浸润淋巴细胞(til)和PD-L1表达的差异及其与临床结果的关系。材料与方法:回顾性分析2011年5月至2018年12月在南昌大学第二附属医院行根治性乳房切除术后复发的54例女性乳腺癌患者。对匹配的原发和转移性肿瘤样本进行免疫组化(IHC)分析,以评估TILs和PD-L1表达模式。评估了这些免疫参数与临床特征之间的关系。结果:50对原发性和转移性病变的免疫组化分析显示,不同分子亚型乳腺癌的PD-L1+ TIL表达模式不同。与PD-L1-肿瘤患者相比,PD-L1+肿瘤患者的中位无病生存期(DFS)和总生存期(OS)显着缩短。我们观察到原发和转移部位之间的免疫微环境存在显著差异,与匹配的原发肿瘤相比,转移灶的TIL密度、PD-L1+ TIL密度和肿瘤PD-L1表达始终较低。结论:我们的研究结果表明,原发性和转移性乳腺癌部位的免疫参数存在系统性差异,转移性病变的免疫浸润减少。数据表明,靶向PD-1/PD-L1通路可能对PD-L1+ til高的原发性肿瘤患者特别有益,可能通过重新激活抗肿瘤免疫反应。
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引用次数: 0
Neutrophil elastase promotes mucin secretion in airway epithelial cells through the MARCKS/ACK1/cortactin pathway. 中性粒细胞弹性蛋白酶通过MARCKS/ACK1/皮质通路促进气道上皮细胞的粘蛋白分泌。
IF 1.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-10-13 DOI: 10.5114/ceji.2025.154158
Mingxin He, Qi Li, Shuyuan Ouyang, Yan Liu, Juliy M Perelman, Victor P Kolosov, Xiangdong Zhou, Yanyan Li

Introduction: Excessive mucus secretion in airway epithelial cells is a hallmark of various airway inflammatory diseases. Neutrophil elastase (NE) is a recognized inducer of mucus secretion, yet the precise mechanisms underlying this process remain inadequately understood. This study aims to investigate the roles of myristoylated alanine-rich C-kinase substrate (MARCKS), activated CDC42 kinase 1 (ACK1) and cortactin in airway mucin secretion induced by NE.

Material and methods: Human airway epithelial cells were treated with NE following specific siRNA- mediated knockdown of MARCKS, ACK1 and cortactin. Western blotting and immunofluorescence were used to observe the expression and localization of cortactin, MARCKS and ACK1. The interaction between cortactin and ACK1 was analyzed using co-immunoprecipitation, and MUC5AC protein expression was measured using ELISA.

Results: NE stimulation only increased the phosphorylation levels of MARCKS, ACK1, and cortactin in the cells. Silencing MARCKS inhibited the phosphorylation of ACK1, and silencing ACK1 inhibited the phosphorylation of cortactin. Co-immunoprecipitation showed that ACK1 could directly bind to cortactin. The inhibition of MARCKS and cortactin significantly decreased the production of MUC5AC.

Conclusions: NE induces the phosphorylation of MARCKS, which subsequently facilitates the phosphorylation of ACK1. This cascade enhances the phosphorylation of cortactin, ultimately leading to increased mucus secretion. The MARCKS/ACK1/cortactin pathway is a potential therapeutic target for excessive mucus secretion induced by NE.

导言:气道上皮细胞粘液分泌过多是各种气道炎性疾病的标志。中性粒细胞弹性酶(NE)是一种公认的粘液分泌诱导剂,但这一过程的确切机制尚不清楚。本研究旨在探讨肉豆浆酰基化富丙氨酸c激酶底物(MARCKS)、活化的CDC42激酶1 (ACK1)和皮质蛋白在NE诱导的气道粘蛋白分泌中的作用。材料和方法:在siRNA介导的特异性敲除MARCKS、ACK1和接触蛋白后,用NE处理人气道上皮细胞。采用Western blotting和免疫荧光法观察cortacn、MARCKS和ACK1的表达和定位。采用共免疫沉淀法分析cortatin与ACK1的相互作用,ELISA法检测MUC5AC蛋白表达。结果:NE刺激仅增加细胞中MARCKS、ACK1和皮质蛋白的磷酸化水平。沉默MARCKS抑制了ACK1的磷酸化,而沉默ACK1则抑制了接触蛋白的磷酸化。共免疫沉淀表明ACK1可以直接结合到接触蛋白上。抑制MARCKS和接触显著降低MUC5AC的产生。结论:NE诱导MARCKS磷酸化,进而促进ACK1的磷酸化。这个级联增强了接触蛋白的磷酸化,最终导致粘液分泌增加。MARCKS/ACK1/ cortnn通路是NE诱导的粘液分泌过多的潜在治疗靶点。
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引用次数: 0
Astaxanthin ameliorates allergic rhinitis via suppression of the HMGB1/TLR4 signaling pathway. 虾青素通过抑制HMGB1/TLR4信号通路改善变应性鼻炎。
IF 1.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-10-27 DOI: 10.5114/ceji.2025.154608
Xixi Lei, Jun Pan, Kebin Deng

Introduction: Allergic rhinitis (AR) is a common inflammatory disease of the nasal mucosa mediated by immunoglobulin E (IgE). Astaxanthin (AST) has been demonstrated to attenuate airway inflammation in an asthmatic mouse model. Nonetheless, the precise effect of AST on AR symptoms and the associated mechanism remain unclear.

Material and methods: A mouse AR model was established by ovalbumin (OVA) sensitization and challenge, and AST was administered to AR mice. Human nasal epithelial cells (HNEpCs) were stimulated with recombinant human IL-13 to mimic the AR microenvironment in vitro. Hematoxylin-eosin staining was performed for mouse nasal mucosa histologic analysis. The CCK-8 assay was used to evaluate AST cytotoxicity to HNEpCs. ELISA was employed to determine levels of histamine, OVA-specific IgE, and inflammatory mediators. Oxidative stress-related markers were estimated using corresponding assay kits. Western blotting was implemented to estimate oxidative stress- and HMGB1/TLR4 signaling-related protein levels.

Results: AST administration alleviated nasal symptoms, including sneezing and nasal rubbing, in OVA-triggered AR mice. AST mitigated nasal mucosa pathological damage, reduced histamine, OVA-specific IgE, and inflammatory mediators in the serum, and alleviated oxidative stress in the nasal mucosa of AR mice. AST blocked HMGB1/TLR4/NF-κB signaling transduction in both the nasal mucosa of AR mice and IL-13-treated HNEpCs. AST or TAK-242 (a TLR4 inhibitor) ameliorated inflammatory response and oxidative stress in IL-13-stimulated HNEpCs.

Conclusions: AST treatment ameliorates AR by reducing inflammation and oxidative stress via the HMGB1/TLR4/NF-κB pathway.

简介:变应性鼻炎(Allergic rhinitis, AR)是一种常见的由免疫球蛋白E (IgE)介导的鼻黏膜炎症性疾病。虾青素(AST)已被证明可以减轻哮喘小鼠模型的气道炎症。然而,AST对AR症状的确切作用及其相关机制尚不清楚。材料与方法:采用卵清蛋白(OVA)致敏和激发法建立小鼠AR模型,并给药AST。用重组人IL-13刺激人鼻上皮细胞(HNEpCs)体外模拟AR微环境。采用苏木精-伊红染色对小鼠鼻黏膜进行组织学分析。CCK-8法评价AST对HNEpCs的细胞毒性。ELISA检测组胺、ova特异性IgE和炎症介质的水平。使用相应的检测试剂盒估计氧化应激相关标志物。Western blotting检测氧化应激和HMGB1/TLR4信号相关蛋白水平。结果:AST可减轻ova诱发的AR小鼠的鼻腔症状,包括打喷嚏和鼻腔摩擦。AST可减轻AR小鼠鼻黏膜病理损伤,降低血清组胺、ova特异性IgE和炎症介质,减轻鼻黏膜氧化应激。AST阻断AR小鼠鼻黏膜HMGB1/TLR4/NF-κB信号转导和il -13处理的HNEpCs。AST或TAK-242(一种TLR4抑制剂)可改善il -13刺激的HNEpCs的炎症反应和氧化应激。结论:AST治疗通过HMGB1/TLR4/NF-κB通路减轻炎症和氧化应激,从而改善AR。
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引用次数: 0
Effects of azithromycin on lung oxidative injury and immune function in mice infected with Mycoplasma pneumoniae based on the Nrf2/ARE signaling pathway. 基于Nrf2/ARE信号通路的阿奇霉素对肺炎支原体感染小鼠肺氧化损伤和免疫功能的影响
IF 1.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-10-13 DOI: 10.5114/ceji.2025.152018
Qiuhua Chen, Manzhou Lin, Huamin Zhang, Donglan Chen

Introduction: To explore the mechanism of action of azithromycin on lung oxidative injury and immune function in mice infected with Mycoplasma pneumoniae (MP) based on the nuclear factor E2-related factor 2/antioxidant response element (Nrf2/ARE) signaling pathway.

Material and methods: The lung index, dry/wet weight ratio, inflammatory factor levels in alveolar lavage fluid, serum contents of interferon-γ (IFN-γ) and immunoglobulin G (IgG), oxidative stress markers, peripheral blood levels of T-lymphocyte subsets, pathological changes, and Nrf2, HO-1, and NQO1 expression were assessed.

Results: Compared to the control group, the MP group exhibited elevated lung index, reduced lung dry/wet weight ratio, elevated tumor necrosis factor α (TNF-α), interleukin (IL)-1β and IL-6 contents, reduced IL-10 levels, raised IFN-γ, IgG and peripheral blood CD8+ levels, reduced CD3+ and CD4+ levels, CD4+/CD8+ ratio, and superoxide dismutase (SOD) and glutathione (GSH) activity, elevated malondialdehyde (MDA) contents, destruction of lung tissue structure, elevated pathological scores, and diminished Nrf2, HO-1, and NQO1 levels. Compared with MP and MP + DMSO groups, MP + azithromycin (AZI) and MP + sulforaphane (SFN) groups displayed a reduced lung index, elevated lung dry/wet weight ratio, reduced TNF-α, IL-1β, and IL-6 contents, raised IL-10 content, decreased IFN-γ, IgG, and peripheral blood CD8+ levels, increased CD3+ and CD4+ levels and CD4+/CD8+ ratio, raised SOD and GSH activity, and diminished MDA content. HE staining demonstrated improved lung tissue structure, diminished pathological scores, and upregulated Nrf2, HO-1, and NQO1 levels after azithromycin and SFN intervention compared to the MP group (all p < 0.05).

Conclusions: Azithromycin ameliorates MP infection-induced lung injury and oxidative stress and strengthens immune function in mice, which may be achieved by activating the Nrf2/ARE signaling pathway.

前言:基于核因子e2相关因子2/抗氧化反应因子(Nrf2/ARE)信号通路,探讨阿奇霉素对肺炎支原体(MP)感染小鼠肺氧化损伤及免疫功能的作用机制。材料与方法:观察大鼠肺指数、干/湿重比、肺泡灌洗液炎症因子水平、血清干扰素-γ (IFN-γ)和免疫球蛋白G (IgG)含量、氧化应激标志物、外周血t淋巴细胞亚群水平、病理变化及Nrf2、HO-1和NQO1表达。结果:与对照组相比,MP组肺指数升高,肺干/湿重比降低,肿瘤坏死因子α (TNF-α)、白细胞介素(IL)-1β和IL-6含量升高,IL-10水平降低,IFN-γ、IgG和外周血CD8+水平升高,CD3+和CD4+水平降低,CD4+/CD8+比值降低,超氧化物歧化酶(SOD)和谷胱甘肽(GSH)活性降低,丙二醛(MDA)含量升高,肺组织结构破坏,病理评分升高。Nrf2、HO-1和NQO1水平降低。与MP和MP + DMSO组相比,MP +阿奇霉素(AZI)和MP +萝卜硫素(SFN)组肺指数降低,肺干/湿重比升高,TNF-α、IL-1β和IL-6含量降低,IL-10含量升高,IFN-γ、IgG和外周血CD8+水平降低,CD3+、CD4+水平和CD4+/CD8+比值升高,SOD和GSH活性升高,MDA含量降低。HE染色显示,与MP组相比,阿奇霉素和SFN干预后肺组织结构改善,病理评分降低,Nrf2、HO-1和NQO1水平上调(均p < 0.05)。结论:阿奇霉素可改善MP感染诱导的小鼠肺损伤和氧化应激,增强小鼠免疫功能,其机制可能与激活Nrf2/ARE信号通路有关。
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引用次数: 0
Up-regulation of SELENBP1 in inflammatory macrophages promoted proliferation and migration of synovial fibroblasts by promoting ROS production via blocking NRF2 signaling in rheumatoid arthritis. 在类风湿关节炎中,炎性巨噬细胞上调SELENBP1,通过阻断NRF2信号通路促进ROS的产生,从而促进滑膜成纤维细胞的增殖和迁移。
IF 1.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-07-20 DOI: 10.5114/ceji.2025.151926
Lu Dai, Feng Wang

Introduction: The immunopathogenesis of rheumatoid arthritis (RA) is greatly affected by macrophages. However, the precise mechanisms by which selenium-binding protein 1 (SELENBP1) regulates the interaction between macrophages and synovial fibroblasts remain incompletely understood.

Material and methods: We used macrophages (THP-1) that were activated with lipopolysaccharide (LPS) and interferon γ (IFN-γ), combined with gene knockdown techniques and molecular biology assays, to investigate the role of SELENBP1 in oxidative stress and nuclear factor erythroid 2-related factor 2 (NRF2) signaling activation. 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) and Transwell assay were used to examine the regulatory effect of macrophage on proliferation and migration of synovial fibroblasts (MH7A).

Results: Bioinformatics analysis revealed significant upregulation of SELENBP1 in RA. LPS/IFN-γ treatment significantly increased SELENBP1 expression in THP-1 cells; promoted reactive oxygen species (ROS) production and oxidative stress, downregulation of NRF2 in the THP-1 cell nucleus, and upregulation of NRF2 in the cytoplasm; and increased proliferation and migration of MH7A cells. Knockdown of SELENBP1 reversed these effects of LPS/IFN-γ on the THP-1 and MH7A cells. In addition, ML385 (NRF2 inhibitor) attenuated the inhibitory effect of SELENBP1 knockdown on the ROS production and oxidative stress of THP-1 cells, as well as proliferation and migration of MH7A cells.

Conclusions: Inflammatory macrophages up-regulated SELENBP1, and knockdown of SELENBP1 inhibited inflammatory macrophage-induced ROS production and oxidative stress levels by activating NRF2 signaling, thereby inhibiting the proliferation and migration of synovial fibroblasts. Highly expressed SELENBP1 promoted the development of RA. These discoveries provide potential molecular targets and mechanistic insights for the development of new therapeutic strategies.

类风湿关节炎(RA)的免疫发病机制受巨噬细胞的影响很大。然而,硒结合蛋白1 (SELENBP1)调控巨噬细胞和滑膜成纤维细胞相互作用的确切机制尚不完全清楚。材料和方法:我们利用脂多糖(LPS)和干扰素γ (IFN-γ)激活巨噬细胞(THP-1),结合基因敲低技术和分子生物学检测,研究SELENBP1在氧化应激和核因子红细胞2相关因子2 (NRF2)信号激活中的作用。采用3-(4,5-二甲基-2-噻唑基)-2,5-二苯基-2- h -溴化四唑(MTT)和Transwell法检测巨噬细胞对滑膜成纤维细胞(MH7A)增殖和迁移的调节作用。结果:生物信息学分析显示,硒bp1在RA中显著上调。LPS/IFN-γ处理显著增加THP-1细胞中SELENBP1的表达;促进活性氧(ROS)的产生和氧化应激,下调THP-1细胞核中NRF2的表达,上调细胞质中NRF2的表达;增加了MH7A细胞的增殖和迁移。硒bp1的敲低逆转了LPS/IFN-γ对THP-1和MH7A细胞的这些作用。此外,ML385 (NRF2抑制剂)减弱了SELENBP1敲低对THP-1细胞ROS生成和氧化应激以及MH7A细胞增殖和迁移的抑制作用。结论:炎性巨噬细胞上调SELENBP1,硒bp1的下调通过激活NRF2信号抑制炎性巨噬细胞诱导的ROS生成和氧化应激水平,从而抑制滑膜成纤维细胞的增殖和迁移。高表达的SELENBP1促进RA的发展。这些发现为开发新的治疗策略提供了潜在的分子靶点和机制见解。
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引用次数: 0
Comments on: "Long-term efficacy of mesenchymal stem cell treatment for complex perianal fistulas: A systematic review and meta-analysis". 评论:“间充质干细胞治疗复杂肛周瘘的长期疗效:一项系统综述和荟萃分析”。
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-05-05 DOI: 10.5114/ceji.2025.149256
Lan Wang, Fang Cheng

The meta-analysis by Wang et al. aimed to assess the long-term effects of mesenchymal stem cells on complex perianal fistula. The authors concluded that mesenchymal stem cell therapy has a long-term effect on the clinical response of complex perianal fistula and should be widely promoted not only in adults but also in infants and adolescents; however, more research on this topic is needed. We appreciate the authors' hard work, and we also agree with this argument. However, we have several concerns about the study. We think it is necessary to discuss the effect of anti-TNF and immunosuppressive therapy on the effcacy of mesenchymal stem cell treatment for perianal fistula in future trials, in order to optimize treatment strategies in perianal fistula patients and reduce the economic burden of patients. In the future, it will be interesting to assess the safety and feasibility of injection of fibrin glue combined with mesenchymal stem cells in perianal fistula.

Wang等人的荟萃分析旨在评估间充质干细胞对复杂肛周瘘的长期影响。作者认为,间充质干细胞治疗对复杂肛周瘘的临床疗效有长期影响,不仅在成人中,而且在婴儿和青少年中应得到广泛推广;然而,这一课题还需要更多的研究。我们赞赏作者的辛勤工作,我们也同意这个论点。然而,我们对这项研究有几点担忧。我们认为有必要在未来的试验中探讨抗tnf和免疫抑制治疗对间充质干细胞治疗肛周瘘疗效的影响,以优化肛周瘘患者的治疗策略,减轻患者的经济负担。未来,评估纤维蛋白胶联合间充质干细胞治疗肛周瘘的安全性和可行性将是一个值得关注的问题。
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引用次数: 0
Hsa_circ_0001445 regulates acne inflammation via sponging miR-1298-5p targeting ESR1. Hsa_circ_0001445通过海绵靶向ESR1的miR-1298-5p调控痤疮炎症。
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-05-05 DOI: 10.5114/ceji.2025.149200
Wenjun Zhong, Yuanyuan Li, Liqiao Chi, Dongmei Jia, Qiang Wang

Introduction: Acne is a prevalent inflammatory skin condition that occurs in adolescents and can persist into adulthood. CircRNA has been reported to be widely involved in a variety of human diseases. However, the regulatory mechanism of hsa_circ_0001445 in acne has rarely been reported. The purpose is to research the role of hsa_circ_0001445 in acne-induced inflammation and its molecular regulatory mechanism to provide a foundation for the exploration of acne-targeting drugs.

Material and methods: We used the GEO, starBase, and GeneCards databases for bioinformatics analysis. The binding sequences of miR-1298-5p and hsa_circ_0001445 or ESR1 mRNA were predicted by the Circular RNA Interactome or starBase database. Double luciferase reporting assay was applied to verify the regulatory relationship between hsa_circ_0001445, miR-1298-5p, and ESR1. RT-qPCR was used to detect levels of hsa_circ_0001445, miR-1298-5p, and ESR1 mRNA. The secretion levels of interleukin (IL)-6, IL-8, and tumor necrosis factor α (TNF-α) were measured using an ELISA kit.

Results: The luciferase activity was weakened by miR-1298-5p mimics in human keratinocytes and sebocytes transfected with wild-type (wt)-circ1445 and wt-ESR1, respectively. Moreover, the overexpression of hsa_circ_0001445 reduced the miR-1298-5p level and reversed the elevation of IL-6, IL-8, and TNF-α levels in Bio-C. acnes-stimulated keratinocytes and sebocytes. In turn, transfection of miR-1298-5p mimics partially eliminated the inflammatory inhibition of hsa_circ_0001445, which was reversed by co-transfection of pcDNA-ESR1.

Conclusions: Hsa_circ_0001445 improved acne inflammation via sponging miR-1298-5p targeting ESR1.

简介:痤疮是一种常见的炎症性皮肤状况,发生在青少年和可以持续到成年。据报道,CircRNA广泛参与多种人类疾病。然而,hsa_circ_0001445在痤疮中的调节机制鲜有报道。目的是研究hsa_circ_0001445在痤疮诱导炎症中的作用及其分子调控机制,为痤疮靶向药物的探索提供基础。材料和方法:我们使用GEO、starBase和GeneCards数据库进行生物信息学分析。通过Circular RNA Interactome或starBase数据库预测miR-1298-5p与hsa_circ_0001445或ESR1 mRNA的结合序列。采用双荧光素酶报告法验证hsa_circ_0001445、miR-1298-5p和ESR1之间的调控关系。RT-qPCR检测hsa_circ_0001445、miR-1298-5p和ESR1 mRNA水平。采用ELISA试剂盒检测白细胞介素(IL)-6、IL-8、肿瘤坏死因子α (TNF-α)的分泌水平。结果:miR-1298-5p模拟物在分别转染野生型(wt)-circ1445和wt- esr1的人角质形成细胞和皮脂细胞中削弱了荧光素酶的活性。此外,hsa_circ_0001445的过表达降低了miR-1298-5p水平,逆转了Bio-C中IL-6、IL-8和TNF-α水平的升高。痤疮刺激角质形成细胞和皮脂细胞。反过来,转染miR-1298-5p模拟物部分消除了hsa_circ_0001445的炎症抑制,通过共转染pcDNA-ESR1逆转了这一抑制。结论:Hsa_circ_0001445通过海绵靶向ESR1的miR-1298-5p改善痤疮炎症。
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引用次数: 0
PD-1/PD-L1 inhibitor treatment associated with cardiotoxicity regulated by macrophage polarization and SOCS3/JAK/STAT3 signaling pathway. 巨噬细胞极化和SOCS3/JAK/STAT3信号通路调控的PD-1/PD-L1抑制剂治疗与心脏毒性相关
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-04-09 DOI: 10.5114/ceji.2025.149377
Jiding Fu, Ge Wang, Lisi Zeng, Jie Lin, Yier Wei, Wei Xu, Rui Xu, Lewu Xian

Cardiotoxicity caused by immune checkpoint inhibitors is one of the most severe and potentially fatal side effects. Hence it is crucial from a therapeutic standpoint to understand the underlying processes and devise countermeasures. This study sought to determine whether the SOCS3/JAK/STAT3 signaling pathway, which controls macrophage polarization, contributes to the cardiotoxicity caused by PD-1/PD-L1 inhibitors. The PD-1/PD-L1 inhibitor BMS-1 (10 mg/kg) was used to create a mouse model of immune checkpoint inhibitor-related cardiotoxicity, and hematoxylin and Masson's trichome tests were used to measure cardiomyocyte apoptosis and cardiotoxicity. The production of M1 factors (tumor necrosis factor α [TNF-α] and interleukin [IL]-1 b), as well as the blood levels of myocardial enzymes (creatine kinase, aspartate transaminase, creatine kinase-MB, and lactate dehydrogenase), were evaluated by ELISA. Echocardiography was used to assess the heart's health. The processes were investigated using flow cytometric analysis, real-time PCR, Western blot, and chromatin immunoprecipitation. We found that the PD-1/PD-L1 inhibitor BMS-1 dramatically reduced tumor weight while considerably impairing cardiac function in melanoma-induced tumor-bearing mice. At the gene and protein levels, it was found that levels of SOCS3, JAK, STAT3, and the inflammatory mediators IL-6 and TNF-α had all significantly decreased. Immune checkpoint inhibitor-induced cardiotoxicity may be linked to major changes in the SOCS3/JAK/STAT3 signaling pathway, as indicated by the knockdown of SOCS3, JAK, and STAT3. Finally, immune checkpoint inhibitor intervention demonstrated a large elevation of CD86+ and MHCII+ as well as a considerable increase in macrophages. These data suggest that the SOCS3/JAK/STAT3 signaling pathway, which controls macrophage polarization, may be linked to cardiotoxicity caused by PD-1/PD-L1 inhibitor therapy.

免疫检查点抑制剂引起的心脏毒性是最严重和潜在致命的副作用之一。因此,从治疗的角度来看,了解潜在的过程并制定对策是至关重要的。本研究旨在确定控制巨噬细胞极化的SOCS3/JAK/STAT3信号通路是否参与PD-1/PD-L1抑制剂引起的心脏毒性。采用PD-1/PD-L1抑制剂BMS-1 (10 mg/kg)建立免疫检查点抑制剂相关心脏毒性小鼠模型,采用苏木素和马松毛试验检测心肌细胞凋亡和心脏毒性。采用ELISA法检测M1因子(肿瘤坏死因子α [TNF-α]和白细胞介素[IL]- 1b)的产生以及血中心肌酶(肌酸激酶、天冬氨酸转氨酶、肌酸激酶- mb和乳酸脱氢酶)的水平。超声心动图用于评估心脏健康状况。使用流式细胞分析、实时PCR、Western blot和染色质免疫沉淀来研究这些过程。我们发现PD-1/PD-L1抑制剂BMS-1在黑色素瘤诱导的荷瘤小鼠中显著降低肿瘤重量,同时显著损害心功能。在基因和蛋白水平上,发现SOCS3、JAK、STAT3及炎症介质IL-6、TNF-α水平均显著降低。免疫检查点抑制剂诱导的心脏毒性可能与SOCS3/JAK/STAT3信号通路的主要变化有关,如SOCS3、JAK和STAT3的下调所表明的那样。最后,免疫检查点抑制剂干预显示CD86+和MHCII+的大量升高以及巨噬细胞的大量增加。这些数据表明,控制巨噬细胞极化的SOCS3/JAK/STAT3信号通路可能与PD-1/PD-L1抑制剂治疗引起的心脏毒性有关。
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引用次数: 0
Anifrolumab in the treatment of recurrent systemic lupus erythematosus: the first post-trial case report. Anifrolumab治疗复发性系统性红斑狼疮:首个试验后病例报告。
IF 1.5 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-03-04 DOI: 10.5114/ceji.2025.148001
Przemysław Borowy, Alicja Kamińska, Patrycja Major, Jakub Smyk, Katarzyna Gołojuch, Bogdan Batko

Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease whose treatment is still a challenge. The latest registration of anifrolumab for the treatment of moderate-to-severe SLE raises hopes because of its novel anti-interferon mechanism of action. Anifrolumab, a human monoclonal antibody, selectively binds the interferon α (INF-α) receptor, inhibiting systemic inflammation moderated by interferon pathways. The article presents the first case of an 18-year-old man with severe, relapsing and repeatedly hospitalized SLE, successfully treated with anifrolumab. During a subsequent exacerbation with multi-organ involvement, which could not be controlled despite pulses and high doses of glucocorticoids (GCSs), treatment with anifrolumab was initiated. Clinical improvement was achieved 4 weeks after the first dose. The patient's dose of systemic GCSs was gradually reduced until complete withdrawal. No serious side effects were observed throughout the follow-up period, and the criteria for complete remission were achieved by the patient at month 3 of therapy. After 12 months, therapy was discontinued due to a payer decision. Nevertheless, the patient remains in follow-up 14 months after the completion of therapy on stable treatment with hydroxychloroquine and azathioprine. He is still not taking prednisone. This is the first case in Poland to show the fate of a "real life patient" after completion of anifrolumab therapy, an effective clinical remission of many months without the use of oral GCSs.

系统性红斑狼疮(SLE)是一种慢性多系统自身免疫性疾病,其治疗仍然是一个挑战。最新注册的anfrolumab用于治疗中重度SLE,因其新颖的抗干扰素作用机制而带来了希望。Anifrolumab是一种人单克隆抗体,选择性结合干扰素α (INF-α)受体,抑制干扰素通路调节的全身炎症。这篇文章提出了第一例18岁的男性与严重,复发和反复住院SLE,成功地治疗了anifrolumab。在随后累及多器官的恶化期间,尽管使用脉冲和高剂量糖皮质激素(GCSs)仍无法控制病情,因此开始使用anifrolumab治疗。首次给药后4周临床改善。患者的全身gcs剂量逐渐减少,直至完全停药。在整个随访期间没有观察到严重的副作用,并且在治疗的第3个月患者达到了完全缓解的标准。12个月后,由于付款人的决定,治疗停止。然而,患者在完成羟氯喹和硫唑嘌呤稳定治疗后仍在随访14个月。他仍然没有服用强的松。这是波兰第一个显示完成anfrolumab治疗后“现实生活患者”命运的病例,在不使用口服gcs的情况下,临床缓解了数月。
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引用次数: 0
Pan-cancer analysis of polycomb repressive complex 1 (PRC1) in relation to prognosis and immunotherapy response. 多梳抑制复合体1 (PRC1)与预后和免疫治疗反应的泛癌分析。
IF 1.6 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-01 Epub Date: 2025-06-30 DOI: 10.5114/ceji.2025.151960
Bobin Ning, Qingyu Meng, Baoqing Jia

Introduction: Polycomb repressive complex 1 (PRC1) is a crucial epigenetic modification complex that plays significant roles in embryonic development, cell differentiation, and tumorigenesis. However, its predictive value and role in immunotherapy remain unclear.

Material and methods: Expression of the PRC1 complex was analyzed through RNA-seq, quantitative PCR, and immunohistochemistry. Then, we utilized the TCGA and GEO databases to cross-validate the prognostic risk. A pan-cancer analysis was conducted, including clinical traits, tumor microenvironment (TME), tumor mutational burden (TMB), stemness indices, and drug sensitivity. Furthermore, we cross-validated the effect of PRC1 on immunotherapy through ROC Plotter and Kaplan-Meier Plotter databases. The immune cell infiltration and signaling pathways were further identified.

Results: The expression of PRC1 differed between tumor and normal tissue in most cases. In particular, the whole group exhibited consistent high abundance in gastric, colorectal, and liver cancer. In addition, the expression of PRC1 can serve as a marker of survival prognosis. The members of PRC1 were also associated with clinical characteristics, immune cell infiltration, immune checkpoint inhibitor (ICI)-related immune indexes, and drug sensitivity. Moreover, high expression of BMI1 can increase resistance to immunotherapy, with a worse prognosis. The expression level of BMI1 can affect the immune-related pathways, as indicated by the gene set enrichment analysis (GSEA).

Conclusions: Our study revealed the expression, prognostic value and mechanism of PRC1 in pan-cancer. Its core member BMI1 can be used as a biomarker for the prognosis of tumor patients and the efficacy of ICIs. It provides a theoretical basis for the implementation of individualized immunotherapy.

Polycomb suppression complex 1 (PRC1)是一种重要的表观遗传修饰复合物,在胚胎发育、细胞分化和肿瘤发生中起着重要作用。然而,其在免疫治疗中的预测价值和作用尚不清楚。材料和方法:通过RNA-seq、定量PCR和免疫组织化学分析PRC1复合物的表达。然后,我们利用TCGA和GEO数据库交叉验证预后风险。进行泛癌分析,包括临床特征、肿瘤微环境(tumor microenvironment, TME)、肿瘤突变负担(tumor mutational burden, TMB)、stemness指标、药物敏感性等。此外,我们通过ROC绘图仪和Kaplan-Meier绘图仪数据库交叉验证了PRC1对免疫治疗的影响。进一步确定了免疫细胞的浸润和信号通路。结果:PRC1在肿瘤组织和正常组织中的表达在多数情况下存在差异。特别是,整个组在胃癌、结直肠癌和肝癌中表现出一致的高丰度。此外,PRC1的表达可以作为生存预后的标志。PRC1成员还与临床特征、免疫细胞浸润、免疫检查点抑制剂(ICI)相关免疫指标和药物敏感性相关。此外,BMI1的高表达可增加免疫治疗的耐药性,预后较差。基因集富集分析(GSEA)表明,BMI1的表达水平可以影响免疫相关途径。结论:本研究揭示了PRC1在泛癌中的表达、预后价值及机制。其核心成员BMI1可作为肿瘤患者预后和ICIs疗效的生物标志物。为个体化免疫治疗的实施提供了理论依据。
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引用次数: 0
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Central European Journal of Immunology
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