IgA

IgA
  • 文章类型: Journal Article
    饲料工业在探索将新物质掺入动物日粮时强调的关键目标之一是提高饲料利用效率,以增强动物的健康和福祉。发酵海藻粉有望成为动物饲料的有价值和可持续的组成部分,由于其丰富的营养概况和据称对牲畜和水产养殖物种的好处。这项研究提供了一些有趣和原始的初步数据,关于补充猫饮食与发酵干海藻的好处。使用广泛的调查方法来测量和分析向猫喂食发酵的干大型藻类作为营养补充剂的多种健康益处,这项为期8周的研究的结果确定了几个积极的健康属性相关的身体涂层质量,营养素消化率,行为改变,健康的肠道微生物群比例,增强免疫力。在补充发酵海藻粉末后,在猫中没有观察到不利影响。在这项研究中,猫的样本量应该增加,但是这项初步工作表明,补充海藻的猫在测量的健康参数方面比对照猫有所改善。由于这次为期8周的审判,已提供有关未来研究方向的关键信息,重点是皮肤健康应用,这对整体动物健康至关重要。
    One of the key goals the feed industry emphasizes when exploring the incorporation of novel substances into animal diets is to enhance feed utilization efficiency, to bolster animal health and well-being. Fermented seaweed powder holds promise as a valuable and sustainable component of animal feed, owing to its rich nutrient profile and purported benefits for livestock and aquaculture species. This study provides some interesting and original preliminary data regarding the benefits of supplementing cats\' diets with fermented dried seaweed. Using a broad investigative approach to measure and analyse multiple health benefits of feeding fermented dried macroalgae to cats as a nutritional supplement, the results of this 8-week study identified several positive health attributes related to body coat quality, nutrient digestibility, behavioural changes, a healthy gut microbiota ratio, and enhanced immunity. There were no adverse effects observed in the cats after supplementation with the fermented seaweed powder. The sample size in this study with cats should be increased, but this preliminary work showed that the seaweed-supplemented cats exhibited improvements in the measured health parameters over the control cats. As a result of this 8-week trial, key information has been provided regarding future research direction focusing on skin health application which is essential to the overall animal wellbeing.
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  • 文章类型: Journal Article
    母乳中含有许多与婴儿免疫系统成熟和肠道微生物群发育有关的因素。这些因素包括转化生长因子-β1和2,免疫球蛋白A,和乳铁蛋白.母乳因素也可能影响婴儿的表皮分化和角质层(SC)屏障,但是没有研究报告在婴儿期随着时间的推移这些关联。在这项单中心探索性研究中,我们使用共聚焦拉曼光谱在0,1,2,6和12月龄测量了在我们医院出生的39名婴儿的SC分子成分.确定了母亲母乳的母乳因子浓度。在每个年龄和SC深度下,对SC和母乳因子的每个分子成分估计了两个数据集的相关系数。结果表明,婴儿时期的母乳因素和SC的分子成分与婴儿月龄和SC深度部分相关,提示母乳因素影响SC成分的成熟。这些发现可能会提高对与皮肤屏障异常相关的皮肤病的发病机理的理解。
    Breast milk contains numerous factors that are involved in the maturation of the immune system and development of the gut microbiota in infants. These factors include transforming growth factor-β1 and 2, immunoglobin A, and lactoferrin. Breast milk factors may also affect epidermal differentiation and the stratum corneum (SC) barrier in infants, but no studies examining these associations over time during infancy have been reported. In this single-center exploratory study, we measured the molecular components of the SC using confocal Raman spectroscopy at 0, 1, 2, 6, and 12 months of age in 39 infants born at our hospital. Breast milk factor concentrations from their mothers\' breast milk were determined. Correlation coefficients for the two datasets were estimated for each molecular component of the SC and breast milk factor at each age and SC depth. The results showed that breast milk factors and molecular components of the SC during infancy were partly correlated with infant age in months and SC depth, suggesting that breast milk factors influence the maturation of the SC components. These findings may improve understanding of the pathogenesis of skin diseases associated with skin barrier abnormalities.
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  • 文章类型: Journal Article
    背景:2019年冠状病毒病(COVID-19)可导致严重的呼吸系统疾病,快速的疾病进展,孕妇的重症监护病房入院率较高。怀孕期间感染与早产风险增加有关,剖宫产,胎儿功能障碍,先兆子痫,和围产期死亡。还观察到严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)从孕妇向胎儿的垂直传播。尽管新生儿和婴儿的严重感染很少见,新生儿由于体液免疫系统保护作用欠佳,可能会受到COVID-19的严重后果。SARS-CoV-2的结构蛋白中的氨基酸不断突变。自2023年1月左右以来,由omicron型SARS-CoV-2变种引起的COVID-19,在全球范围内普遍存在。这些变体可以逃避传统的基于mRNA的COVID-19疫苗引发的免疫反应,如BNT162b2。因此,用BNT162b2XBB.1.5接种疫苗,可防止omicron型SARS-CoV-2变体,是推荐的。
    方法:这项回顾性队列研究包括从2023年9月至2024年1月在30家合作伙伴医疗机构接受BNT162b2XBB.1.5疫苗接种的148名孕妇。我们使用ELISA检查了从参与者获得的血液和脐带血中抗刺突糖蛋白SARS-CoV-2免疫球蛋白G(IgG)和IgA的滴度。
    结果:抗刺突糖蛋白SARS-CoV-2IgG和IgA滴度在孕龄晚期(28-34周)的血液和脐带血中最高。孕妇或新生儿均未观察到严重的副作用或不良事件。
    结论:在妊娠28至34周接受BNT162b2XBB.1.5疫苗的孕妇血液中抗omicronSARS-CoV-2变体抗体滴度最高。此外,这些抗体被转移到他们的脐带血中。为了验证我们的发现,涉及大量孕妇的大型队列临床研究是有必要的.
    背景:本研究由日本科学促进会(JSPS)的科学研究补助金和日本医学研究发展机构(AMED)的医学研究补助金资助。
    BACKGROUND: Coronavirus disease 2019 (COVID-19) can lead to severe respiratory illness, rapid disease progression, and higher rates of intensive care unit admission in pregnant women. Infection during pregnancy is associated with an increased risk of preterm delivery, cesarean section, fetal dysfunction, preeclampsia, and perinatal death. Vertical transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from pregnant women to their fetuses has also been observed. Although severe infections in neonates and infants are rare, newborns can experience serious consequences from COVID-19 due to their suboptimal humoral immune system protection. The amino acids in the structural proteins of SARS-CoV-2 are constantly mutating. Since around January 2023, COVID-19, caused by omicron-type SARS-CoV-2 variants, has been prevalent globally. These variants can evade the immune response triggered by traditional mRNA-based COVID-19 vaccines, such as BNT162b2. Therefore, vaccination with BNT162b2 XBB.1.5, which provides protection against omicron-type SARS-CoV-2 variants, is recommended.
    METHODS: This retrospective cohort study included 148 pregnant women who received the BNT162b2 XBB.1.5 vaccine at 30 partner medical institutions from September 2023 to January 2024. We examined the titers of anti-spike glycoprotein SARS-CoV-2 immunoglobin G (IgG) and IgA in the blood and umbilical cord blood obtained from the participants using ELISA.
    RESULTS: Anti-spike glycoprotein SARS-CoV-2 IgG and IgA titers were highest in the blood and cord blood at late gestational age (28-34 weeks). No serious side effects or adverse events were observed in either the pregnant women or their newborns.
    CONCLUSIONS: Pregnant women who received the BNT162b2 XBB.1.5 vaccine during gestational weeks 28 to 34 had the highest titers of anti-omicron SARS-CoV-2 variant antibodies in their blood. Moreover, these antibodies were transferred to their umbilical cord blood. To validate our findings, large cohort clinical studies involving numerous pregnant women are warranted.
    BACKGROUND: This study was funded by Grants-in-Aid for Scientific Research from the Japan Society for the Promotion of Science (JSPS) and Grants-in-Aid for Medical Research from the Japan Agency for Medical Research and Development (AMED).
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  • 文章类型: Journal Article
    背景:疫苗接种是对抗COVID-19的最佳策略。在突尼斯,代表三个主要平台的七种疫苗,即RNA,病毒载体,和灭活疫苗,已被用于大规模接种人群。这项研究旨在评估,在我们的环境中,疫苗诱导的抗RBDIgG和IgA抗体反应的动力学。
    方法:使用内部开发和验证的ELISA测定法,我们在12个月内在突尼斯巴斯德研究所186名接种疫苗的工人中检测了抗RBDIgG和IgA血清抗体.
    结果:我们发现RNA疫苗是免疫原性最强的疫苗,与明矾佐剂灭活疫苗和病毒载体疫苗相比,无论是在SARS-CoV-2-初治还是在SARS-CoV-2-经验丰富的个体中。除了IgG抗体,疫苗接种引发RBD特异性IgA。先前有SARS-CoV-2感染的疫苗接种个体表现出更强的IgG和IgA抗体反应,与SARS-CoV-2-天真的个体相比。
    结论:免疫后12个月随访,我们得出结论,抗RBD抗体滴度动力学平台之间的层次结构是RNA疫苗,其次是病毒载体和明矾佐剂灭活疫苗。
    BACKGROUND: Vaccination constitutes the best strategy against COVID-19. In Tunisia, seven vaccines standing for the three main platforms, namely RNA, viral vector, and inactivated vaccines, have been used to vaccinate the population at a large scale. This study aimed to assess, in our setting, the kinetics of vaccine-induced anti-RBD IgG and IgA antibody responses.
    METHODS: Using in-house developed and validated ELISA assays, we measured anti-RBD IgG and IgA serum antibodies in 186 vaccinated workers at the Institut Pasteur de Tunis over 12 months.
    RESULTS: We showed that RNA vaccines were the most immunogenic vaccines, as compared to alum-adjuvanted inactivated and viral-vector vaccines, either in SARS-CoV-2-naïve or in SARS-CoV-2-experienced individuals. In addition to the IgG antibodies, the vaccination elicited RBD-specific IgAs. Vaccinated individuals with prior SARS-CoV-2 infection exhibited more robust IgG and IgA antibody responses, as compared to SARS-CoV-2-naïve individuals.
    CONCLUSIONS: After following up for 12 months post-immunization, we concluded that the hierarchy between the platforms for anti-RBD antibody-titer dynamics was RNA vaccines, followed by viral-vector and alum-adjuvanted inactivated vaccines.
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  • 文章类型: Journal Article
    缺乏临床数据支持postbiotics在调节人类口腔微生物群和口腔保健中的有效性和安全性。这里,我们招募了志愿者,并随机分为两组:安慰剂组(n=15)和后生物组(n=16).安慰剂组使用的牙膏中不含有postbiotics,而后生物组使用含有后生物的牙膏(3×1010CFU灭活的唾液乳杆菌LS97,副干酪乳杆菌LC86和嗜酸乳杆菌LA85)。收集不同时间点的唾液样本,测定免疫球蛋白A(IgA)和短链脂肪酸(SCFA)水平,而唾液微生物群通过16SrRNA扩增子测序进行分析。结果表明,在后生物组,唾液IgA水平和乙酸和丙酸水平明显升高(P<0.05),伴随着唾液微生物群α多样性水平的增加,这些指标在停止使用含或不含postbiotics的牙膏1个月后仍然很高。未分类的肠杆菌科的相对丰度显着下降,克雷伯菌属,埃希氏菌,等。在后生物组中,Ruminofilibacter和乳酸杆菌的显着增加。然而,两组均未引起宿主唾液微生物群整体结构的显著变化.总之,postbiotics显着和持续地提高了宿主的口腔免疫水平和SCFA含量。此外,postbiotics能够增加微生物α多样性水平,下调某些有害微生物的丰度,而不会显著改变宿主唾液微生物群的结构.中国临床试验注册中心(ChiCTR)(www.chictr.org.cn)下的注册号为ChiCTR2300074088。
    There is a lack of clinical data to support the effectiveness and safety of postbiotics in the modulation of human oral microbiota and oral health care. Here, volunteers were recruited and randomly assigned to two cohorts: a placebo group (n = 15) and a postbiotic group (n = 16). The placebo group used toothpaste that did not contain postbiotics, while the postbiotic group used toothpaste with postbiotics (3 × 1010 CFU inactivated Lactobacillus salivarius LS97, L. paracasei LC86, and L. acidophilus LA85). Saliva samples were collected at different time points and the immunoglobulin A (IgA) and short-chain fatty acid (SCFA) levels were determined, while the salivary microbiota was analyzed by 16S rRNA amplicon sequencing. The results showed that salivary IgA levels and acetic and propionic acid levels were notably higher in the postbiotic group (P < 0.05), accompanied by an increase in the level of alpha diversity of the salivary microbiota, and these indexes remained high 1 month after discontinuing the use of toothpaste with or without postbiotics. A notable decrease in the relative abundance of the unclassified_Enterobacteriaceae, Klebsiella, Escherichia, etc. in the postbiotic group was accompanied by a notable increase in Ruminofilibacter and Lactobacillus. However, both groups did not cause significant changes in the overall structure of the host salivary microbiota. In conclusion, postbiotics dramatically and consistently improved oral immunity levels and SCFA content in the host. In addition, postbiotics were able to increase the level of microbial alpha diversity and down-regulate the abundance of some harmful microbes without significantly altering the structure of the host salivary microbiota. Chinese Clinical Trial Registry (ChiCTR) ( www.chictr.org.cn ) under the registration number ChiCTR2300074088.
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  • 文章类型: Journal Article
    SARS-CoV-2最初感染鼻咽和口腔中的细胞。这些粘膜部位的免疫系统在减少病毒传播和感染方面起着至关重要的作用。制定预防SARS-CoV-2感染的新策略,这项研究旨在鉴定唾液中预防病毒感染的蛋白质。我们收集了290名医护人员的551份唾液样本,这些人在接种疫苗前对COVID-19检测呈阳性,2020年6月至12月。使用体外测定,基于样品阻断或增强感染的能力对样品进行分类。质谱和ELISA实验用于鉴定和测量特异性结合SARS-CoV-2抗原的蛋白质的丰度。在超过83%的恢复期唾液样品中可检测到对SARS-CoV-2抗原具有特异性的IgA。我们发现唾液中抗RBDIgA的浓度>500μg/μg总蛋白与体外病毒感染性降低相关。然而,恢复期COVID19患者对SARS-CoV-2的唾液IgA应答与全身IgG滴度之间存在分离。然后,使用一种称为尖峰诱饵质谱的创新技术,我们在唾液中发现了新的刺突结合蛋白,最值得注意的是波形蛋白,这与体外病毒感染性增加有关,可以作为对抗COVID-19的治疗靶点。目的:这项工作的目的是鉴定唾液免疫因子和蛋白质,以防止SARS-CoV-2感染,支持开发新的预防COVID-19的策略。
    SARS-CoV-2 initially infects cells in the nasopharynx and oral cavity. The immune system at these mucosal sites plays a crucial role in minimizing viral transmission and infection. To develop new strategies for preventing SARS-CoV-2 infection, this study aimed to identify proteins that protect against viral infection in saliva. We collected 551 saliva samples from 290 healthcare workers who had tested positive for COVID-19, before vaccination, between June and December 2020. The samples were categorized based on their ability to block or enhance infection using in vitro assays. Mass spectrometry and enzyme-linked immunosorbent assay experiments were used to identify and measure the abundance of proteins that specifically bind to SARS-CoV-2 antigens. Immunoglobulin (Ig)A specific to SARS-CoV-2 antigens was detectable in over 83% of the convalescent saliva samples. We found that concentrations of anti-receptor-binding domain IgA >500 pg/µg total protein in saliva correlate with reduced viral infectivity in vitro. However, there is a dissociation between the salivary IgA response to SARS-CoV-2, and systemic IgG titers in convalescent COVID-19 patients. Then, using an innovative technique known as spike-baited mass spectrometry, we identified novel spike-binding proteins in saliva, most notably vimentin, which correlated with increased viral infectivity in vitro and could serve as a therapeutic target against COVID-19.
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  • 文章类型: Journal Article
    怀孕期间接种COVID-19疫苗可保护婴儿免受有症状的COVID-19。哺乳期母亲的疫苗接种可能会提供额外的保护,但是我们对母乳中的免疫反应的理解是有限的。我们,因此,对接受COVID-19mRNA初级疫苗系列的哺乳期母亲进行了单中心前瞻性队列研究,以评估持久性,广度,和母乳中抗体反应的中和能力。使用MesoScaleDiscovery(MSD)V-PLEX测定法,在9个月内对血清和母乳中祖先SARS-CoV-2的尖峰IgG和IgA结合抗体进行了定量,和祖先滴度与四种关注变体(Alpha,Beta,Delta,Gamma)在单个时间点。使用假病毒中和测定法比较了疫苗接种前后针对祖先SARS-CoV-2和OmicronBA.4/5的中和抗体。11名哺乳期母亲接受了辉瑞BNT162b2(7/11)或ModernamRNA-1273(4/11)疫苗的主要系列。血清和母乳中的IgG和IgA滴度在每次剂量后增加,系列完成后1-4周达到峰值。滴度在7-9个月内保持显着升高,除了母乳中的IgA在1个月内恢复到基线。此外,在系列完成后1-3周收集的母乳中检测到针对所有纳入变体的结合抗体.然而,虽然接种疫苗在血清中诱导了对祖先SARS-CoV-2的强烈中和反应,在母乳中诱导了更温和的反应,在两种样本类型中都没有诱导针对OmicronBA.4/5的中和抗体。这项研究表明,母体COVID-19mRNA疫苗可能通过增加IgG和IgA结合和中和抗体,通过母乳增强婴儿的免疫保护;尽管,可能需要变体特异性增强剂来优化免疫保护.
    COVID-19 vaccination during pregnancy protects infants against symptomatic COVID-19. Vaccination of lactating mothers may offer additional protection, but our understanding of immune responses in breast milk is limited. We, therefore, performed a single-center prospective cohort study of lactating mothers who received a COVID-19 mRNA primary vaccine series to evaluate the durability, breadth, and neutralizing capacity of the antibody responses in breast milk. Spike IgG- and IgA-binding antibodies of ancestral SARS-CoV-2 in serum and breast milk were quantified over 9 months using Meso Scale Discovery (MSD) V-PLEX assays, and ancestral titers were compared to four variants of concern (Alpha, Beta, Delta, Gamma) at a single time point. Neutralizing antibodies against ancestral SARS-CoV-2 and Omicron BA.4/5 were compared before and after vaccination using a pseudovirus-neutralization assay. Eleven lactating mothers received either Pfizer BNT162b2 (7/11) or Moderna mRNA-1273 (4/11) vaccine primary series. IgG and IgA titers increased in serum and breast milk following each dose, peaking 1-4 weeks after series completion. Titers remained significantly elevated for 7-9 months, except for in breast milk IgA which returned to baseline within 1 month. Furthermore, binding antibodies against all included variants were detected in breast milk collected 1-3 weeks after series completion. However, while vaccination induced a strong neutralizing response against ancestral SARS-CoV-2 in serum and more modest response in breast milk, it did not induce neutralizing antibodies against Omicron BA.4/5 in either specimen type. This study demonstrates that maternal COVID-19 mRNA vaccination may enhance immune protection for infants through breast milk via increased IgG- and IgA-binding-and-neutralizing antibodies; although, variant-specific boosters may be required to optimize immune protection.
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  • 文章类型: Journal Article
    背景:疫苗在打破SARS-CoV-2传播和加速大流行恢复路径方面发挥着重要作用。目前,关于印度尼西亚异源COVID-19加强疫苗接种效力和有效性的数据仍然有限。
    方法:回顾性分析了从接受mRNA-1273疫苗作为SARS-CoV-2加强剂的医护人员收集的156份血清的抗体反应。这些人之前已经接受了全部两剂灭活的抗SARS-CoV-2疫苗。进行血清学分析以测量总抗体,以及使用ECLIA和ELISA方法对刺突(S)蛋白具有特异性的IgA和IgG抗体。
    结果:总数显着增加,IgA,据报道,在接受第三次异源加强剂量的基于mRNA的COVID-19疫苗的疫苗中,IgG抗体滴度在两次剂量的灭活类型之后。
    结论:第三个异源加强剂量的疫苗可能对有或没有SARS-CoV-2感染史的个体有益。
    BACKGROUND: Vaccine plays an important role in breaking SARS-CoV-2 transmission and accelerating the path to pandemic recovery. Currently, there is still limited data on heterologous COVID-19 booster vaccination efficacy and effectiveness in Indonesia.
    METHODS: Antibody response was retrospectively analyzed from 156 serum collected from healthcare workers that have received mRNA-1273 vaccine as the booster against SARS-CoV-2. These individuals had previously received the full two doses of inactivated anti-SARS-CoV-2 vaccine. Serological analysis was performed to measure total antibody, as well as IgA and IgG antibodies specific to spike (S) protein using ECLIA and ELISA methods.
    RESULTS: A significant increase in total, IgA, and IgG antibody titers was reported in vaccine receiving a third heterologous booster dose of mRNA-based COVID-19 vaccine following two doses of inactivated type.
    CONCLUSIONS: The third heterologous booster dose of vaccine may be beneficial to individuals with or without previous history of SARS-CoV-2 infection.
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  • 文章类型: Journal Article
    本研究旨在评估先天性弓形虫病(CT)产后诊断的不同血清学策略,并建立CT诊断的生物学算法。该研究分析了免疫球蛋白M的血清学数据,A,和G(IgM,IgA,IgG)通过免疫酶和比较免疫谱(CIP)测定在四个测试期进行CT诊断的668名新生儿:P1(D0-D10),P2(D11-D35),P3(D36-D45),和P4(>D45)。在668例CT病例中,有49%在P1期间被诊断为34%,4%,在P2、P3和P4期间分别为12%。CIP测定在P1期间诊断的98%的CT病例中检测到新合成的IgM/IgG,而在P2期间诊断的90%和57%的CT病例中检测到IgM和IgA,在P3期间诊断的88%和67%。新合成的IgM/IgG的检测,IgMs,免疫分析和IgA对CT诊断的贡献为81%,77%,60%的病例,分别。总的来说,46%的血清样本对所有三个参数均为阳性,27%为两个,和27%的三个。该研究建议在P1期间使用CIP测定作为标准,用于CT诊断以及P1后的IgM和IgA免疫测定。强烈建议在生物学家和临床医生之间密切合作的专业中心进行临床和生物学随访,以增加早期诊断的机会。总的来说,这项研究为CT诊断的生物算法的发展提供了有用的信息,这可以帮助早期发现和适当治疗这种疾病。
    This study aimed to evaluate different serological strategies for the postnatal diagnosis of congenital toxoplasmosis (CT) and establish a biological algorithm for CT diagnosis. The study analyzed serological data of immunoglobulins M, A, and G (IgM, IgA, IgG) performed by immunoenzymatic and compared immunological profile (CIP) assays in 668 newborns with CT diagnosis across four testing periods: P1 (D0- D10), P2 (D11-D35), P3 (D36-D45), and P4 (>D45). Forty-nine percent of the 668 CT cases were diagnosed during P1 and 34%, 4%, and 12% during P2, P3, and P4, respectively. CIP assays detected neosynthetized IgMs/IgGs in 98% of CT cases diagnosed during P1, while IgMs and IgAs were detected in 90% and 57% of CT cases diagnosed during P2 and in 88% and 67% of diagnoses made during P3, respectively. Detection of neosynthesized IgMs/IgGs, IgMs, and IgAs by immunoassay contributed to CT diagnosis in 81%, 77%, and 60% of cases, respectively. In total, 46% of serum samples were positive for all three parameters, 27% for two, and 27% for one of the three. The study recommends using the CIP assay as standard during P1 for CT diagnosis and IgM and IgA immunoassays after P1. A clinical and biological follow-up in a specialized center with a close collaboration between biologists and clinicians is highly recommended to increase the chances of early diagnosis. Overall, this study provides useful information for the development of a biological algorithm for CT diagnosis, which can aid in early detection and appropriate treatment of this disease.
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  • 文章类型: Journal Article
    鼻咽癌(NPC)是印度尼西亚最常见的头颈癌,在肿瘤细胞中具有100%EB病毒(EBV)感染。NPC在荷兰很少见。EBV在NPC发病机理中的参与反映为对各种EBV蛋白的早发性异常IgA抗体应答。在流行国家中,建议对升高的EBV-IgA水平进行筛查以进行NPC风险评估,但在非流行地区研究甚少。这项研究分析了整体多样性(免疫印迹)以及对EBV蛋白VCAP18,EBNA1和斑马(Zta)(N端,P125,P130,全长重组斑马)在印度尼西亚(n=50)和荷兰(n=50)NPC患者中。结果证实,在两个NPC人群中均发现IgA-VCAP18和IgA-EBNA1水平升高,但是IgA-Zta的变化更大。IgA-Zta反应在印度尼西亚NPC病例中更为明显,反映总体上更频繁的EBV再激活。IgA-VCAP18和IgA-EBNA是独立的肿瘤标志物,都是NPC风险评估所必需的。总的来说,这些结果证实了IgA-VCAP18/-EBNA1联合检测对地方性和非地方性人群NPC风险评估的诊断益处.
    Nasopharyngeal carcinoma (NPC) is the most prevalent head and neck cancer in Indonesia, with 100% Epstein-Barr virus (EBV) infection in tumor cells. NPC is rare in the Netherlands. The involvement of EBV in NPC pathogenesis is reflected by early onset aberrant IgA antibody responses to various EBV proteins. Screening for elevated EBV-IgA levels is proposed for NPC risk assessment in endemic countries but is poorly studied in nonendemic regions. This study analyzed the overall diversity (immunoblot) as well as the prevalence and normalized levels of IgA responses to immunodominant peptide epitopes of EBV proteins VCA P18, EBNA 1, and Zebra (Zta) (N-terminus, P 125, P 130, full-length recombinant Zebra) in Indonesian (n=50) and Dutch (n=50) patients with NPC. The results confirmed that elevated levels of IgA-VCA P18 and IgA-EBNA 1 were found in both NPC populations, but that IgA-Zta was more variable. IgA-Zta responses were more pronounced in Indonesian NPC cases, reflecting more frequent EBV reactivation overall. IgA-VCA P18 and IgA-EBNA are independent tumor markers and are both necessary for NPC risk assessment. Overall, these results confirmed the diagnostic benefit of combined IgA-VCA P18/-EBNA 1 testing for NPC risk assessment in endemic and nonendemic populations.
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