Cell Adhesion Molecules, Neuronal

细胞粘附分子,
  • 文章类型: Journal Article
    习惯性体力活动(PA)影响血浆蛋白质组并降低患2型糖尿病(T2D)的风险。使用大规模全蛋白质组方法在社区动脉粥样硬化风险研究参与者,我们旨在鉴定与PA相关的血浆蛋白,并确定其中哪种蛋白可能与T2D风险降低有因果关系.PA与发现的92种血浆蛋白相关(p<1.01x10-5),和40在复制中保持显著(p<5.43x10-4)。这些蛋白质中的18种与事件T2D(p<1.25x10-3)独立相关,包括神经元生长调节因子1(NeGR1)(HR/SD:0.85;p值=7.5x10-11)。双样本孟德尔随机化逆方差加权分析表明,较高的NeGR1降低了T2D风险(OR每SD:0.92;p=0.03),并且与MR-Egger一致,加权中位数,和加权模式灵敏度分析。对于单个顺式作用NeGR1遗传变异体观察到更强的关联(OR每SD:0.80;p=6.3x10-5)。再加上先前的证据表明低循环NeGR1水平会促进肥胖,其与PA的相关性以及本文显示的在T2D中的潜在因果作用表明,NeGR1可能将PA暴露与代谢结局联系起来.需要进一步的研究来证实我们的发现,并检查PA的相互作用,NeGR1,肥胖,和代谢健康。
    Habitual physical activity (PA) impacts the plasma proteome and reduces the risk of developing type 2 diabetes (T2D). Using a large-scale proteome-wide approach in Atherosclerosis Risk in Communities study participants, we aimed to identify plasma proteins associated with PA and determine which of these may be causally related to lower T2D risk. PA was associated with 92 plasma proteins in discovery (P < 1.01 × 10-5), and 40 remained significant in replication (P < 5.43 × 10-4). Eighteen of these proteins were independently associated with incident T2D (P < 1.25 × 10-3), including neuronal growth regulator 1 (NeGR1; hazard ratio per SD 0.85; P = 7.5 × 10-11). Two-sample Mendelian randomization (MR) inverse variance weighted analysis indicated that higher NeGR1 reduces T2D risk (odds ratio [OR] per SD 0.92; P = 0.03) and was consistent with MR-Egger, weighted median, and weighted mode sensitivity analyses. A stronger association was observed for the single cis-acting NeGR1 genetic variant (OR per SD 0.80; P = 6.3 × 10-5). Coupled with previous evidence that low circulating NeGR1 levels promote adiposity, its association with PA and potential causal role in T2D shown here suggest that NeGR1 may link PA exposure with metabolic outcomes. Further research is warranted to confirm our findings and examine the interplay of PA, NeGR1, adiposity, and metabolic health.
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  • 文章类型: Journal Article
    背景:Reelin在发育和成熟的大脑中具有基本功能。它的缺失会在小鼠中产生Reeler表型,第一个描述了小脑突变。在缺少Reelin基因(reln-/-)的纯合突变体中,神经元不能正确定位自己在分层的大脑区域,如大脑和小脑皮层。我们在这里证明,通过采用离体培养的小脑切片,可以减少动物的数量,并使用非恢复程序来分析Reelin对Purkinje神经元(PNs)迁移的影响。方法:我们用绿色荧光蛋白(GFP)标记的PN产生了小鼠杂种(L7-GFPrelnF1/),在荧光显微镜下直接可见。然后,我们培养了从具有不同reln基因型的小鼠获得的切片,并证明了当reln-/-突变体的切片与reln+/-小鼠的切片共培养时,后者产生的Reelin诱导了PN的迁移,以部分挽救正常的分层皮质组织学。我们已经用Voronoi镶嵌来分析PN色散,证实了这一观察结果。结果:在来自reln-/-小鼠的共培养切片的图像中,Voronoi多边形比具有相同遗传背景的单一培养切片中的多边形大,但比从reln/-动物切片中产生的多边形小。平均圆度系数,面积紊乱,和圆度因子均匀性不同时,从reln-/-小鼠的切片单独培养或共同培养,当离体提供蛋白质时,在数学上支持从不存在Reelin的情况下PN的成簇组织到分层结构的过渡。结论:神经生物学家是这种3Rs方法的主要目标用户。他们应该采用它来研究和操纵离体大脑分泌或基因工程蛋白的活性(科学观点),使用的动物的潜在减少(高达20%),和完全避免严重手术(3Rs视角)。
    Background: Reelin has fundamental functions in the developing and mature brain. Its absence gives rise to the Reeler phenotype in mice, the first described cerebellar mutation. In homozygous mutants missing the Reelin gene ( reln -/-), neurons are incapable of correctly positioning themselves in layered brain areas such as the cerebral and cerebellar cortices. We here demonstrate that by employing ex vivo cultured cerebellar slices one can reduce the number of animals and use a non-recovery procedure to analyze the effects of Reelin on the migration of Purkinje neurons (PNs). Methods: We generated mouse hybrids (L7-GFP relnF1/) with green fluorescent protein (GFP)-tagged PNs, directly visible under fluorescence microscopy. We then cultured the slices obtained from mice with different reln genotypes and demonstrated that when the slices from reln -/- mutants were co-cultured with those from reln +/- mice, the Reelin produced by the latter induced migration of the PNs to partially rescue the normal layered cortical histology. We have confirmed this observation with Voronoi tessellation to analyze PN dispersion. Results: In images of the co-cultured slices from reln -/- mice, Voronoi polygons were larger than in single-cultured slices of the same genetic background but smaller than those generated from slices of reln +/- animals. The mean roundness factor, area disorder, and roundness factor homogeneity were different when slices from reln -/- mice were cultivated singularly or co-cultivated, supporting mathematically the transition from the clustered organization of the PNs in the absence of Reelin to a layered structure when the protein is supplied ex vivo. Conclusions: Neurobiologists are the primary target users of this 3Rs approach. They should adopt it for the possibility to study and manipulate ex vivo the activity of a brain-secreted or genetically engineered protein (scientific perspective), the potential reduction (up to 20%) of the animals used, and the total avoidance of severe surgery (3Rs perspective).
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  • 文章类型: Journal Article
    估计的肾小球滤过率(eGFR)影响血浆生物标志物的浓度混淆了eGFR与反向因果关系的关联研究。为了确定与eGFR有因果关系的生物标志物,我们进行了一项全蛋白质组孟德尔随机化研究.在前瞻性城市和农村流行病学(PURE)研究的12,066名参与者的多血统样本中,测试了附近生物标志物编码基因的遗传变异与1,161种生物标志物的血浆浓度的关联。使用双样本孟德尔随机化,根据已发表的全基因组关联研究(GWAS),个体变异体对生物标志物浓度的影响与其对eGFR和肾脏特征的影响相关.22种生物标志物的遗传改变浓度与高于Bonferroni校正的显著性阈值的eGFR相关。GWAS先前鉴定了五种生物标志物(UMOD,FGF5、LGALS7、NINJ1、COL18A1)。九种生物标志物在前导GWAS变异体的1Mb内,但生物标志物的基因未被鉴定为GWAS信号的候选基因(INHBC,TNFRSF11A,TCN2,PXN1,PRTN3,PSMD9,TFPI,ITGB6、CA3)。单细胞转录组数据表明22个生物标志物在肾小管中表达,收集管道,成纤维细胞,和免疫细胞。路径分析显示细胞外肾实质中鉴定的生物标志物显著富集。因此,通过蛋白质组范围的孟德尔随机化使用生物标志物浓度的遗传调节剂,我们确定了22种生物标志物,这些生物标志物似乎以有益或不利的方式对eGFR有因果关系.当前的研究为eGFR的新型治疗靶标提供了理论基础,并强调了由管状细胞和成纤维细胞产生的细胞外蛋白对影响eGFR的作用。
    Estimated glomerular filtration rate (eGFR) impacts the concentration of plasma biomarkers confounding biomarker association studies of eGFR with reverse causation. To identify biomarkers causally associated with eGFR, we performed a proteome-wide Mendelian randomization study. Genetic variants nearby biomarker coding genes were tested for association with plasma concentration of 1,161 biomarkers in a multi-ancestry sample of 12,066 participants from the Prospective Urban and Rural Epidemiological (PURE) study. Using two-sample Mendelian randomization, individual variants\' effects on biomarker concentration were correlated with their effects on eGFR and kidney traits from published genome-wide association studies (GWAS). Genetically altered concentrations of 22 biomarkers were associated with eGFR above a Bonferroni-corrected significance threshold. Five biomarkers were previously identified by GWAS (UMOD, FGF5, LGALS7, NINJ1, COL18A1). Nine biomarkers were within 1 Mb of the lead GWAS variant but the gene for the biomarker was unidentified as the candidate for the GWAS signal (INHBC, TNFRSF11A, TCN2, PXN1, PRTN3, PSMD9, TFPI, ITGB6, CA3). Single-cell transcriptomic data indicated the 22 biomarkers are expressed in kidney tubules, collecting duct, fibroblasts, and immune cells. Pathway analysis showed significant enrichment of identified biomarkers in the extracellular kidney parenchyma. Thus, using genetic regulators of biomarker concentration via proteome-wide Mendelian randomization, we identified 22 biomarkers that appear to causally impact eGFR in either a beneficial or adverse manner. The current study provides rationale for novel therapeutic targets for eGFR and emphasized a role for extracellular proteins produced by tubular cells and fibroblasts for impacting eGFR.
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  • 文章类型: Journal Article
    背景:慢性疼痛的潜在机制涉及突触受体和神经递质的可塑性。这项研究旨在探讨神经素(NL)在新建立的骨癌疼痛(BCP)模型中大鼠脊髓背角的潜在作用。目的是探讨神经素参与骨癌痛发生发展的机制。
    方法:使用我们的大鼠BCP模型,随着时间的推移,我们评估了疼痛敏感性.进行定量实时聚合酶链反应和Westernblot分析以研究NL的表达。使用慢病毒载体在大鼠脊髓中过表达NL。免疫荧光染色和全细胞膜片钳记录用于研究NL在BCP发展中的作用。
    结果:我们观察到大鼠脊髓中NL1和NL2的表达水平降低,但NL3的表达水平没有降低,在我们的模型中发现与BCP的发展相关并至关重要。因此,脊髓中NL1或NL2过表达减轻了大鼠的机械超敏反应。电生理实验表明,NL1和NL2通过调节γ-氨基丁酸能神经元间突触和谷氨酸能神经元间突触的活性参与BCP。分别。
    结论:我们的观察揭示了NL在癌症相关慢性疼痛中的作用,并进一步表明抑制机制是脊髓背角BCP的主要特征。这些结果为后续研究阐明BCP的发病和进展提供了新的视角和基础。
    BACKGROUND: The underlying mechanism of chronic pain involves the plasticity in synaptic receptors and neurotransmitters. This study aimed to investigate potential roles of Neuroligins (NLs) within the spinal dorsal horn of rats in a newly established Bone Cancer Pain (BCP) model. The objective was to explore the mechanism of neuroligin involved in the occurrence and development of bone cancer pain.
    METHODS: Using our rat BCP model, we assessed pain hypersensitivity over time. Quantitative real-time polymerase chain reaction and Western blot analysis were performed to investigate NL expression, and NLs were overexpressed in the rat spinal cord using lentiviral vectors. Immunofluorescence staining and whole-cell patch-clamp recordings were deployed to investigate the role of NLs in the development of BCP.
    RESULTS: We observed reduced expression levels of NL1 and NL2, but not of NL3, within the rat spinal cord, which were found to be associated with and essential for the development of BCP in our model. Accordingly, NL1 or NL2 overexpression in the spinal cord alleviated mechanical hypersensitivity of rats. Electrophysiological experiments indicated that NL1 and NL2 are involved in BCP via regulating γ-aminobutyric acid-ergic interneuronal synapses and the activity of glutamatergic interneuronal synapses, respectively.
    CONCLUSIONS: Our observations unravel the role of NLs in cancer-related chronic pain and further suggest that inhibitory mechanisms are central features of BCP in the spinal dorsal horn. These results provide a new perspective and basis for subsequent studies elucidating the onset and progression of BCP.
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  • 文章类型: Journal Article
    精神分裂症(SCZ)是一种使人衰弱的精神障碍,具有多种原因,涉及遗传因素和环境因素之间的复杂相互作用。免疫系统在神经系统的病理和功能中起着至关重要的作用。白细胞介素35(IL-35)是一种调节和抗炎的细胞因子,可以预防自身免疫性疾病和炎性疾病。本研究旨在探讨针对某些中枢神经系统(CNS)抗原和IL-35血清水平的自身抗体在精神分裂症患者中的作用。这项病例对照研究涉及80名参与者。通过酶联免疫吸附法检测血清IL-35水平,通过间接免疫荧光法(IFA)检测CNS中的自身抗体。与健康受试者相比,患者组的IL-35血清水平降低。抗N-甲基-D-天冬氨酸受体(NMDAR)和髓鞘相关糖蛋白(MAG)的自身抗体分别为15%(6/40)和7.5%(3/40),分别;然而,没有针对髓鞘的抗体,水通道蛋白-4(AQP4),髓鞘少突胶质细胞糖蛋白(MOG),电压门控钾通道(VGKC),α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体(AMPAR),γ-丁酸受体B1型γ-丁酸受体B1型(GABABR),抗二肽基肽酶样蛋白-6(DPPX),免疫球蛋白样细胞粘附分子5(IgLON5),检测甘氨酸受体(R)和乙酰胆碱受体(AchR)(无统计学计算)。我们发现血清IL-35水平降低和针对NMDAR抗原的自身抗体的存在可能与SCZ的发病机理有关。
    Schizophrenia (SCZ) is a debilitating mental disorder with various causes involving complex interactions between genetic factors and environmental agents. The immune system plays a vital role in the pathology and function of the nervous system. Interleukin 35 (IL-35) is a regulatory and anti-inflammatory cytokine that can prevent autoimmune and inflammatory diseases. This study aimed to investigate the role of autoantibodies against some central nervous system (CNS) antigens and IL-35 serum levels in patients with Schizophrenia. This case-control study involved 80 participants. The serum levels of IL-35 were measured by enzyme-linked immunosorbent assay and the autoantibodies in the CNS by indirect immunofluorescence assay (IFA). The serum levels of IL-35 were decreased in patient groups compared to healthy subjects. Autoantibodies against N-methyl-D-aspartate receptor (NMDAR) and myelin-associated glycoprotein (MAG) were positive in 15% (6/40) and 7.5% (3/40), respectively; however, no antibodies against myelin, aquaporin-4 (AQP4), myelin oligodendrocyte glycoprotein (MOG), voltage-gated potassium channel (VGKC), α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPAR), γ-butyric acid receptor type B1 γ-butyric acid receptor type B1 (GABABR), antidipeptidyl peptidase-like protein-6 (DPPX), immunoglobulin-like cell adhesion molecule 5 (IgLON5), Glycine receptor (R) and acetylcholine receptor (Ach R) were detected (No statistics were computed).  We found that decreased serum IL-35 levels and the existence autoantibodies against NMDAR antigen may contribute to the pathogenesis of SCZ.
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  • 文章类型: Journal Article
    背景:下咽癌是一种相对罕见的恶性肿瘤,预后较差。目前的化疗算法离个性化医疗还很远,而真正有活性的治疗性生物标志物和/或靶标的鉴定是热切期待的。
    方法:关注常规关键化疗药物,我们确定了与多西他赛(TXT)细胞敏感性最相关的基因(和/或蛋白质),顺铂(CDDP)和5-氟尿嘧啶(5-FU)的表达水平,通过3个步骤的方法:全基因组筛选,关于量化表达水平的确认研究,以及候选物的敲低和转染分析。所选基因的可能作用途径通过使用大规模数据库的创造性途径分析进行了检查,癌症基因组图谱。
    结果:首次全基因组筛选研究在15个细胞系中获得了16个与细胞药物敏感性高度相关的基因(CDDP和5-FU的|R|>0.8,P<0.01;TXT的|R|>0.5,P<0.05)。在10个基因中,观察到的相关性在定量的基因表达水平上得到了证实,最后,敲除和转染分析提供了4个分子作为最有效的预测标记-AGR2(前梯度2同源基因),和PDE4D(磷酸二酯酶4D,cAMP特异性基因)用于TXT;NINJ2(神经损伤诱导蛋白2);CDC25B(细胞分裂周期25同源物B基因)用于5-FU-在基因和蛋白质表达水平上。AGR2、PDE4D的过表达表明对TXT的反应较差,抑制的表达使TXT活性敏感。与调查结果相反,在其他两个分子中,NINJ2和CDC25观察到与细胞药物对相关药物的反应相反的关系。IPA提高了每种选择的分子与相关药物的主要作用途径(和/或靶标)的功能相互作用的潜力,例如TXT的微管蛋白β链基因,CDDP的DNA复制途径,5-FU的DNA合成途径和胸苷酸合成酶基因。
    结论:我们新提出了4个分子-AGR2,PDE4D,NINJ2和CDC25B)是预测下咽癌中3种关键化疗药物的细胞反应的强大探索性标志物,也表明它们有可能成为治疗靶标,这可能有助于下咽患者基本化疗的精准医学的发展。(339字)
    BACKGROUND: Hypopharyngeal cancer is a relatively rare malignancy with poor prognosis. Current chemotherapeutic algorithm is still far from personalized medicine, and the identification of the truly active therapeutic biomarkers and/or targets is eagerly awaited.
    METHODS: Venturing to focus on the conventional key chemotherapeutic drugs, we identified the most correlative genes (and/or proteins) with cellular sensitivity to docetaxel (TXT), cisplatin (CDDP) and 5-fluorouracil (5-FU) in the expression levels, through 3 steps approach: genome-wide screening, confirmation study on the quantified expression levels, and knock-down and transfection analyses of the candidates. The probable action pathways of selected genes were examined by Ingenuity Pathway Analysis using a large-scale database, The Cancer Genome Atlas.
    RESULTS: The first genome-wide screening study derived 16 highly correlative genes with cellular drug sensitivity in 15 cell lines (|R| > 0.8, P < 0.01 for CDDP and 5-FU; |R| > 0.5, P < 0.05 for TXT). Among 10 genes the observed correlations were confirmed in the quantified gene expression levels, and finally knock-down and transfection analyses provided 4 molecules as the most potent predictive markers-AGR2 (anterior gradient 2 homolog gene), and PDE4D (phosphodiesterase 4D, cAMP-specific gene) for TXT; NINJ2 (nerve Injury-induced protein 2); CDC25B (cell division cycle 25 homolog B gene) for 5-FU- in both gene and protein expression levels. Overexpression of AGR2, PDE4D signified worse response to TXT, and the repressed expression sensitized TXT activity. Contrary to the findings, in the other 2 molecules, NINJ2 and CDC25, there observed opposite relationship to cellular drug response to the relevant drugs. IPA raised the potential that each selected molecule functionally interacts with main action pathway (and/or targets) of the relevant drug such as tubulin β chain genes for TXT, DNA replication pathway for CDDP, and DNA synthesis pathway and thymidylate synthetase gene for 5-FU.
    CONCLUSIONS: We newly propose 4 molecules -AGR2, PDE4D,NINJ2 and CDC25B) as the powerful exploratory markers for prediction of cellular response to 3 key chemotherapeutic drugs in hypopharyngeal cancers and also suggest their potentials to be the therapeutic targets, which could contribute to the development of precision medicine of the essential chemotherapy in hypopharyngeal patients. (339 words).
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  • 文章类型: Journal Article
    抗IgLON5疾病是一种罕见的迟发性神经系统疾病,与IgLON5自身抗体相关,磷酸化Tau蛋白(p-Tau)的神经元积累,和睡眠,呼吸,和电机改造。
    我们进行了一项初步研究,研究抗IgLON5疾病的神经病理学和临床特征是否可以在慢性脑室内输注人抗IgLON5疾病IgG(Pt-IgG)的小鼠中重现。
    将表达人Tau蛋白的人源化转基因hTau小鼠和野生型(WT)对照小鼠侧脑室内输注Pt-IgG或来自对照受试者的抗体14天。睡眠,呼吸,在抗体输注结束时和之后至少30天评估运动表型,然后对p-Tau沉积进行免疫组织化学评估。
    在输注Pt-IgG的雌性hTau和WT小鼠中,我们发现脑干和海马中弥漫性神经元细胞质p-Tau沉积的可重复趋势,睡眠期间通气期增加,睡觉时舔间隔时间减少。这些发现在雄性hTau小鼠上没有重复。
    我们的初步研究结果表明,但不证明,小鼠慢性ICV输注Pt-IgG可能引起神经病理,呼吸,和电机改造。这些结果应该被认为是初步的,直到在考虑到小鼠潜在性别差异的更大研究中重复。
    Anti-IgLON5 disease is a rare late-onset neurological disease associated with autoantibodies against IgLON5, neuronal accumulation of phosphorylated Tau protein (p-Tau), and sleep, respiratory, and motor alterations.
    We performed a pilot study of whether the neuropathological and clinical features of anti-IgLON5 disease may be recapitulated in mice with chronic intracerebroventricular infusion of human anti-IgLON5 disease IgG (Pt-IgG).
    Humanized transgenic hTau mice expressing human Tau protein and wild-type (WT) control mice were infused intracerebroventricularly with Pt-IgG or with antibodies from a control subject for 14 days. The sleep, respiratory, and motor phenotype was evaluated at the end of the antibody infusion and at least 30 days thereafter, followed by immunohistochemical assessment of p-Tau deposition.
    In female hTau and WT mice infused with Pt-IgG, we found reproducible trends of diffuse neuronal cytoplasmic p-Tau deposits in the brainstem and hippocampus, increased ventilatory period during sleep, and decreased inter-lick interval during wakefulness. These findings were not replicated on male hTau mice.
    The results of our pilot study suggest, but do not prove, that chronic ICV infusion of mice with Pt-IgG may elicit neuropathological, respiratory, and motor alterations. These results should be considered as preliminary until replicated in larger studies taking account of potential sex differences in mice.
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  • 文章类型: Journal Article
    创伤的后果存在于神经和表观遗传痕迹中,在心理和社会领域创造了痛苦的势头。心理治疗可以通过改变DNA甲基化特征来重组这些记忆吗?使用随机对照平行组设计,我们在叙事暴露疗法之前和之后6个月,检测了来自刚果民主共和国东部的84名女性前儿童兵唾液样本的全甲基化变化.治疗预测与ALCAM相关的差异甲基化位置(DMPs),RIPOR2、AFAP1和MOCOS。此外,治疗关联在基因水平与基线临床和社会结果重叠.与治疗相关的DMPs参与记忆形成-创伤集中治疗中的关键因子-并富集了通常受创伤相关疾病影响的分子途径。来自乌干达北部的53名女性前儿童兵的独立样本部分复制了结果。我们的结果表明,心理治疗对与战争有关的童年创伤的女性有分子影响。试验注册:用心理治疗手段解决创伤罪犯的攻击水平提高(ClinicalTrials.gov标识符:NCT02992561,2016年12月14日)。
    The aftermath of traumatization lives on in the neural and epigenetic traces creating a momentum of affliction in the psychological and social realm. Can psychotherapy reorganise these memories through changes in DNA methylation signatures? Using a randomised controlled parallel group design, we examined methylome-wide changes in saliva samples of 84 female former child soldiers from Eastern DR Congo before and six months after Narrative Exposure Therapy. Treatment predicted differentially methylated positions (DMPs) related to ALCAM, RIPOR2, AFAP1 and MOCOS. In addition, treatment associations overlapped at gene level with baseline clinical and social outcomes. Treatment related DMPs are involved in memory formation-the key agent in trauma focused treatments-and enriched for molecular pathways commonly affected by trauma related disorders. Results were partially replicated in an independent sample of 53 female former child soldiers from Northern Uganda. Our results suggest a molecular impact of psychological treatment in women with war-related childhood trauma.Trial registration: Addressing Heightened Levels of Aggression in Traumatized Offenders With Psychotherapeutic Means (ClinicalTrials.gov Identifier: NCT02992561, 14/12/2016).
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  • 文章类型: Clinical Trial, Phase I
    巨噬细胞在驱动免疫抑制肿瘤微环境中至关重要,该环境抵消了T细胞靶向疗法的功效。因此,能够将巨噬细胞重编程为促炎状态的药物有望作为实体癌的新型免疫疗法。抑制巨噬细胞清道夫受体Clever-1已显示出在小鼠癌症模型中诱导CD8+T细胞介导的抗肿瘤反应的益处,这支持用于癌症治疗的Clever-1靶向抗体的临床开发。
    在这项研究中,我们分析了人源化IgG4抗Clever-1抗体的作用模式,FP-1305(bexmarilimab),参与I/II期开放标签试验(NCT03733990)第1部分(剂量发现)的体外和重度预处理转移性癌症患者(n=30).我们在抗体下拉法中研究了原代人巨噬细胞中的Clever-1相互作用组,并利用了质谱术,RNA测序,和细胞因子谱分析,以评估FP-1305诱导的癌症患者的全身免疫激活。
    我们的下拉测定和功能研究表明,FP-1305损害了多蛋白液泡ATP酶介导的内体酸化,并提高了巨噬细胞激活CD8+T细胞的能力。在癌症患者中,FP-1305施用导致血液单核细胞中的核脂质信号传导途径和促炎表型转换的抑制。这些作用伴随着外周T细胞的显着增加和激活,在某些患者中具有抗肿瘤反应的迹象。
    我们的结果揭示了受体Clever-1在抑制人类适应性免疫细胞中发挥的非冗余作用。我们提供的证据表明,靶向巨噬细胞清除活性可以促进免疫开关,可能导致转移性癌症患者的瘤内促炎反应。
    Macrophages are critical in driving an immunosuppressive tumor microenvironment that counteracts the efficacy of T-cell-targeting therapies. Thus, agents able to reprogram macrophages toward a proinflammatory state hold promise as novel immunotherapies for solid cancers. Inhibition of the macrophage scavenger receptor Clever-1 has shown benefit in inducing CD8+ T-cell-mediated antitumor responses in mouse models of cancer, which supports the clinical development of Clever-1-targeting antibodies for cancer treatment.
    In this study, we analyzed the mode of action of a humanized IgG4 anti-Clever-1 antibody, FP-1305 (bexmarilimab), both in vitro and in patients with heavily pretreated metastatic cancer (n = 30) participating in part 1 (dose-finding) of a phase I/II open-label trial (NCT03733990). We studied the Clever-1 interactome in primary human macrophages in antibody pull-down assays and utilized mass cytometry, RNA sequencing, and cytokine profiling to evaluate FP-1305-induced systemic immune activation in patients with cancer.
    Our pull-down assays and functional studies indicated that FP-1305 impaired multiprotein vacuolar ATPase-mediated endosomal acidification and improved the ability of macrophages to activate CD8+ T-cells. In patients with cancer, FP-1305 administration led to suppression of nuclear lipid signaling pathways and a proinflammatory phenotypic switch in blood monocytes. These effects were accompanied by a significant increase and activation of peripheral T-cells with indications of antitumor responses in some patients.
    Our results reveal a nonredundant role played by the receptor Clever-1 in suppressing adaptive immune cells in humans. We provide evidence that targeting macrophage scavenging activity can promote an immune switch, potentially leading to intratumoral proinflammatory responses in patients with metastatic cancer.
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  • 文章类型: Journal Article
    Autoimmune encephalitis (AIE) poses a diagnostic challenge due to its heterogeneous clinical presentation, which overlaps with various neurological and psychiatric diseases. During the diagnostic work-up, cerebrospinal fluid (CSF) is routinely obtained, allowing for differential diagnostics as well as for the determination of antibody subclasses and specificities. In this monocentric cohort study, we describe initial and serial CSF findings of 33 patients diagnosed with antibody-associated AIE (LGI1 (n=8), NMDA (n=7), CASPR2 (n=3), IgLON5 (n=3), AMPAR (n=1), GAD65/67 (n=4), Yo (n=3), Ma-1/2 (n=2), CV2 (n=2)). Routine CSF parameters of 12.1% of AIE patients were in normal ranges, while 60.6% showed elevated protein levels and 45.4% had intrathecal oligoclonal bands (OCBs). Repeated CSF analyses showed a trend towards normalization of initial pathological CSF findings, while relapses were more likely to be associated with increased cell counts and total protein levels. OCB status conversion in anti-NMDARE patients coincided with clinical improvement. In summary, we show that in routine CSF analysis at diagnosis, a considerable number of patients with AIE did not exhibit alteration in the CSF and therefore, diagnosis may be delayed if antibody testing is not performed. Moreover, OCB status in anti-NMDAR AIE patients could represent a potential prognostic biomarker, however further studies are necessary to validate these exploratory findings.
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