Lymphocyte Activation

淋巴细胞活化
  • 文章类型: Journal Article
    自然杀伤(NK)细胞在先天免疫中起着至关重要的作用,特别是在对抗感染和肿瘤方面。然而,在血液癌症中,NK细胞通常表现出受损的功能。因此,激活其内体Toll样受体(TLRs)作为恢复其抗肿瘤活性的潜在策略非常重要。我们刺激来自急性淋巴细胞白血病患儿外周血单核细胞的NK细胞,并用特定的TLR配体刺激NK细胞(PolyI:C,咪喹莫特,R848和ODN2006),我们评估了IFN-γ的变化,CD107a,NKG2D,NKp44表达式,颗粒酶B分泌,细胞因子/趋化因子释放,和细胞毒活性。结果表明,PolyI:C和咪喹莫特增强了免疫调节和细胞毒性NK细胞的激活,增加IFN-γ,CD107a,NKG2D,和NKp44表达。R848激活免疫调节NK细胞,而ODN2006提高了CD107a,NKp44,NKG2D,和细胞毒性NK细胞中的IFN-γ分泌。R848还增加了七种细胞因子/趋化因子的分泌。重要的是,R848和ODN2006显著提高了对白血病细胞的细胞毒性。总的来说,TLR刺激增强NK细胞活化,提示TLR8(R848)和TLR9(ODN2006)配体是抗肿瘤免疫疗法的有希望的候选者。
    Natural killer (NK) cells play a crucial role in innate immunity, particularly in combating infections and tumors. However, in hematological cancers, NK cells often exhibit impaired functions. Therefore, it is very important to activate its endosomal Toll-like receptors (TLRs) as a potential strategy to restore its antitumor activity. We stimulated NK cells from the peripheral blood mononuclear cells from children with acute lymphoblastic leukemia and NK cells isolated, and the NK cells were stimulated with specific TLR ligands (Poly I:C, Imiquimod, R848, and ODN2006) and we evaluated changes in IFN-γ, CD107a, NKG2D, NKp44 expression, Granzyme B secretion, cytokine/chemokine release, and cytotoxic activity. Results revealed that Poly I:C and Imiquimod enhanced the activation of both immunoregulatory and cytotoxic NK cells, increasing IFN-γ, CD107a, NKG2D, and NKp44 expression. R848 activated immunoregulatory NK cells, while ODN2006 boosted CD107a, NKp44, NKG2D, and IFN-γ secretion in cytotoxic NK cells. R848 also increased the secretion of seven cytokines/chemokines. Importantly, R848 and ODN 2006 significantly improved cytotoxicity against leukemic cells. Overall, TLR stimulation enhances NK cell activation, suggesting TLR8 (R848) and TLR9 (ODN 2006) ligands as promising candidates for antitumor immunotherapy.
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  • 文章类型: Journal Article
    葡萄球菌中毒性休克综合征(STSS)是一种罕见的,但由金黄色葡萄球菌引起的潜在致命疾病(S.金黄色葡萄球菌)肠毒素,被称为超抗原,从而引发强烈的免疫反应。我们先前的研究证明了托法替尼对小鼠毒素诱导的休克的保护作用和对金黄色葡萄球菌败血症的有益作用。在目前的研究中,我们使用肠毒素诱导的休克小鼠模型研究了托法替尼对外周血T细胞反应的影响.我们的数据显示,托法替尼抑制外周血中CD4+和CD8+T细胞的活化。此外,Tofacitinib在肠毒素诱导的休克小鼠中下调Th1细胞因子的基因和蛋白水平.重要的是,我们证明了CD4+细胞,但不是CD8+细胞,在肠毒素引起的休克小鼠中具有致病性。总之,我们的研究结果表明,托法替尼治疗抑制CD4+T细胞活化和Th1反应,从而有助于保护小鼠免受葡萄球菌毒性休克。这种见解可能会指导STSS新疗法的未来发展。
    Staphylococcal toxic shock syndrome (STSS) is a rare, yet potentially fatal disease caused by Staphylococcus aureus (S. aureus) enterotoxins, known as superantigens, which trigger an intense immune response. Our previous study demonstrated the protective effect of tofacitinib against murine toxin-induced shock and a beneficial effect against S. aureus sepsis. In the current study, we examined the effects of tofacitinib on T-cell response in peripheral blood using a mouse model of enterotoxin-induced shock. Our data revealed that tofacitinib suppresses the activation of both CD4+ and CD8+ T cells in peripheral blood. Furthermore, both gene and protein levels of Th1 cytokines were downregulated by tofacitinib treatment in mice with enterotoxin-induced shock. Importantly, we demonstrated that CD4+ cells, but not CD8+ cells, are pathogenic in mice with enterotoxin-induced shock. In conclusion, our findings suggest that tofacitinib treatment suppresses CD4+ T-cell activation and Th1 response, thereby aiding in protection against staphylococcal toxic shock in mice. This insight may guide the future development of novel therapies for STSS.
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  • 文章类型: Journal Article
    同种异体皮肤成纤维细胞在移植中的免疫原性一直存在争议。这种争议是否来自成纤维细胞亚群之间的自然异质性或人类和小鼠之间的物种特异性差异仍有待解决。在这项研究中,我们试图使用体外共培养模型研究来自成人或新生儿皮肤组织的成纤维细胞是否可以诱导针对吞噬作用和T细胞活化的不同免疫应答.我们的结果表明,与成人皮肤成纤维细胞相比,在新生儿皮肤成纤维细胞的存在下,吞噬作用和T细胞增殖均降低。我们还表明,新生儿皮肤成纤维细胞分泌旁分泌因子,这些因子负责减少T细胞增殖。此外,我们显示,新生儿皮肤成纤维细胞表达较少的II类人类白细胞抗原(HLA)分子比成人皮肤成纤维细胞干扰素γ启动后,这也可能导致T细胞增殖减少。总之,这项研究支持使用同种异体新生儿皮肤成纤维细胞作为组织生产和移植治疗严重损伤患者的现成细胞来源。
    The immunogenicity of allogeneic skin fibroblasts in transplantation has been controversial. Whether this controversy comes from a natural heterogeneity among fibroblast subsets or species-specific differences between human and mouse remains to be addressed. In this study, we sought to investigate whether fibroblasts derived from either adult or neonatal human skin tissues could induce different immune responses toward phagocytosis and T cell activation using in vitro co-culture models. Our results indicate that both phagocytosis and T cell proliferation are reduced in the presence of neonatal skin fibroblasts compared to adult skin fibroblasts. We also show that neonatal skin fibroblasts secrete paracrine factors that are responsible for reduced T cell proliferation. In addition, we show that neonatal skin fibroblasts express less class II human leukocyte antigen (HLA) molecules than adult skin fibroblasts after interferon gamma priming, which might also contribute to reduced T cell proliferation. In conclusion, this study supports the use of allogeneic neonatal skin fibroblasts as a readily available cell source for tissue production and transplantation to treat patients with severe injuries.
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  • 文章类型: Journal Article
    机械传感,或者细胞如何感知和响应物理环境,对生物功能的许多方面都至关重要,从发育过程中的细胞运动到癌症转移,免疫反应和基因表达驱动细胞命运的决定。相关的物理刺激包括细胞外基质的硬度,收缩力,血管中的剪切流,细胞微环境和膜蛋白迁移率的复杂形貌。尽管机械传感在非免疫细胞中得到了更广泛的研究,越来越清楚的是,物理线索深刻地影响着免疫系统细胞的信号功能。在这篇评论中,我们总结了最近关于免疫细胞机械调节的研究,特别是淋巴细胞,并探索产生力的细胞骨架机制如何介导机械传感。我们讨论了淋巴细胞功能的机械调节的一般原则,从受体激活的分子尺度到细胞对机械刺激的反应。
    Mechanosensing, or how cells sense and respond to the physical environment, is crucial for many aspects of biological function, ranging from cell movement during development to cancer metastasis, the immune response and gene expression driving cell fate determination. Relevant physical stimuli include the stiffness of the extracellular matrix, contractile forces, shear flows in blood vessels, complex topography of the cellular microenvironment and membrane protein mobility. Although mechanosensing has been more widely studied in non-immune cells, it has become increasingly clear that physical cues profoundly affect the signaling function of cells of the immune system. In this Review, we summarize recent studies on mechanical regulation of immune cells, specifically lymphocytes, and explore how the force-generating cytoskeletal machinery might mediate mechanosensing. We discuss general principles governing mechanical regulation of lymphocyte function, spanning from the molecular scale of receptor activation to cellular responses to mechanical stimuli.
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  • 文章类型: Journal Article
    除了其在MHCII介导的抗原呈递中的经典作用,CD74被鉴定为巨噬细胞迁移抑制因子(MIF)的高亲和力受体,多效细胞因子和各种急性和慢性炎症的主要决定因素,心血管疾病和癌症。最近的证据表明CD74在T细胞中表达,但对这种观察的功能相关性了解甚少。这里,我们表征了CD74表达和MIF趋化因子受体在人CD4+T细胞激活过程中的调控,并研究了与MIF诱导的T细胞迁移的联系,函数,和COVID-19疾病阶段。通过流式细胞术对静息的原代人CD4T细胞的MIF受体谱分析显示CXCR4的高表面表达,而CD74,CXCR2和ACKR3/CXCR7没有可测量的表达。然而,CD4+T细胞在细胞内组成型表达CD74,在T细胞激活后,它被显著上调,硫酸软骨素翻译后修饰,可以在细胞表面检测到,通过流式细胞术确定,蛋白质印迹,免疫组织化学,并重新分析可用的RNA测序和蛋白质组数据集。应用基于3D基质的活细胞成像和受体途径特异性抑制剂,我们确定CD74和CXCR4参与MIF诱导的CD4+T细胞迁移。机械上,邻近连接分析显示活化的CD4+T细胞上的CD74/CXCR4杂复,MIF治疗后显著减少,指向MIF介导的内化过程。最后,在30名COVID-19患者的队列中,与仅有轻度病程的患者相比,重度患者的CD4和CD8T细胞上的CD74表面表达被发现显着上调。一起,我们的研究描述了T细胞活化过程中MIF受体网络的特征,并揭示了CD74作为一种新型功能性MIF受体和非MHCII依赖性原代人CD4+T细胞活化标志物.
    Next to its classical role in MHC II-mediated antigen presentation, CD74 was identified as a high-affinity receptor for macrophage migration inhibitory factor (MIF), a pleiotropic cytokine and major determinant of various acute and chronic inflammatory conditions, cardiovascular diseases and cancer. Recent evidence suggests that CD74 is expressed in T cells, but the functional relevance of this observation is poorly understood. Here, we characterized the regulation of CD74 expression and that of the MIF chemokine receptors during activation of human CD4+ T cells and studied links to MIF-induced T-cell migration, function, and COVID-19 disease stage. MIF receptor profiling of resting primary human CD4+ T cells via flow cytometry revealed high surface expression of CXCR4, while CD74, CXCR2 and ACKR3/CXCR7 were not measurably expressed. However, CD4+ T cells constitutively expressed CD74 intracellularly, which upon T-cell activation was significantly upregulated, post-translationally modified by chondroitin sulfate and could be detected on the cell surface, as determined by flow cytometry, Western blot, immunohistochemistry, and re-analysis of available RNA-sequencing and proteomic data sets. Applying 3D-matrix-based live cell-imaging and receptor pathway-specific inhibitors, we determined a causal involvement of CD74 and CXCR4 in MIF-induced CD4+ T-cell migration. Mechanistically, proximity ligation assay visualized CD74/CXCR4 heterocomplexes on activated CD4+ T cells, which were significantly diminished after MIF treatment, pointing towards a MIF-mediated internalization process. Lastly, in a cohort of 30 COVID-19 patients, CD74 surface expression was found to be significantly upregulated on CD4+ and CD8+ T cells in patients with severe compared to patients with only mild disease course. Together, our study characterizes the MIF receptor network in the course of T-cell activation and reveals CD74 as a novel functional MIF receptor and MHC II-independent activation marker of primary human CD4+ T cells.
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  • 文章类型: Journal Article
    噬血细胞性淋巴组织细胞增生症(HLH)是一种威胁生命的免疫病症,其特征在于不受控制的淋巴细胞和巨噬细胞活化以及随后的细胞因子风暴。及时开始免疫抑制治疗对于生存至关重要。
    这里,我们利用Vγ9Vδ2T细胞脱颗粒来开发一种用于HLH诊断的新型功能检测方法。我们比较了新的测定与传统的自然杀伤(NK)细胞刺激方法在效率方面,特异性,和可靠性。我们的分析涉及182个人的213个样本,包括来自12名脱颗粒缺乏症患者的23个样本(10名UNC13D缺乏症患者,1患有STXBP2缺乏症,1患有RAB27A缺乏症)。
    虽然两个测试都表现出100%的灵敏度,Vγ9Vδ2T细胞脱颗粒试验显示出比NK细胞脱颗粒试验高86.2%(n=70)的特异性,特异性为78.9%(n=213)。Vγ9Vδ2T细胞脱颗粒测定提供了更简单的技术要求和降低的劳动强度,以更快的处理时间降低对错误的敏感性。
    这种效率源于溶解(E)-4-羟基-3-甲基-丁-2-烯基焦磷酸(HMBPP)粉末的唯一要求,与NK细胞脱颗粒测定所需的K562细胞的复杂维持相反。随着它对错误的敏感性降低,我们预计该测定将需要更少的重复分析,使其特别适合测试婴儿。
    Vγ9Vδ2T细胞脱颗粒测定法是一种用户友好的,高效的HLH诊断工具。它提供了更大的特异性,可靠性,和实用性比既定的方法。我们相信,我们目前的研究结果将有助于及时,准确诊断HLH,从而实现快速治疗和更好的患者预后。
    UNASSIGNED: Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening immune disorder characterized by uncontrolled lymphocyte and macrophage activation and a subsequent cytokine storm. The timely initiation of immunosuppressive treatment is crucial for survival.
    UNASSIGNED: Here, we harnessed Vγ9Vδ2 T cell degranulation to develop a novel functional assay for the diagnosis of HLH. We compared the novel assay with the conventional natural killer (NK) cell stimulation method in terms of efficiency, specificity, and reliability. Our analysis involved 213 samples from 182 individuals, including 23 samples from 12 patients with degranulation deficiency (10 individuals with UNC13D deficiency, 1 with STXBP2 deficiency, and 1 with RAB27A deficiency).
    UNASSIGNED: While both tests exhibited 100% sensitivity, the Vγ9Vδ2 T cell degranulation assay showed a superior specificity of 86.2% (n=70) compared to the NK cell degranulation assay, which achieved 78.9% specificity (n=213). The Vγ9Vδ2 T cell degranulation assay offered simpler technical requirements and reduced labor intensity, leading to decreased susceptibility to errors with faster processing times.
    UNASSIGNED: This efficiency stemmed from the sole requirement of dissolving (E)-4-hydroxy-3-methyl-but-2-enyl pyrophosphate (HMBPP) powder, contrasting with the intricate maintenance of K562 cells necessary for the NK cell degranulation assay. With its diminished susceptibility to errors, we anticipate that the assay will require fewer repetitions of analysis, rendering it particularly well-suited for testing infants.
    UNASSIGNED: The Vγ9Vδ2 T cell degranulation assay is a user-friendly, efficient diagnostic tool for HLH. It offers greater specificity, reliability, and practicality than established methods. We believe that our present findings will facilitate the prompt, accurate diagnosis of HLH and thus enable rapid treatment and better patient outcomes.
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  • 文章类型: Journal Article
    免疫检查点(IC)阻断和肿瘤特异性T细胞(ACT)的过继转移是治疗转移性黑色素瘤的两种主要策略。它们的组合可以增强抑制性肿瘤微环境中的T细胞激活,但与全身注射IC阻滞剂相关的自身免疫不良反应在此策略中持续存在.IC表达缺陷的肿瘤反应性T细胞的ACT将克服这个问题。为此,PD-1和TIGIT似乎是相关的候选人,因为它们在高度肿瘤反应性淋巴细胞上的共表达限制了它们在肿瘤微环境中的治疗功效,NT.我们的研究比较了PDCD1或TIGIT基因缺失对黑色素瘤特异性T淋巴细胞的抗肿瘤特性和T细胞适应性的影响。转录组学分析显示PD-1KOT细胞中细胞周期相关基因的下调,与生物学观察一致,而增殖途径保留在TIGITKOT细胞中。功能分析表明,PD-1KO和TIGITKOT细胞在体外和使用免疫缺陷小鼠的临床前黑色素瘤模型中表现出比其野生型对应物更好的抗肿瘤反应性。有趣的是,看来TIGITKOT细胞在体内更有效地抑制肿瘤细胞增殖,在肿瘤内的存留时间比PD-1KOT细胞长,与TIGIT缺失对T细胞适应性没有影响一致。一起来看,这些结果表明TIGIT缺失,超过PD-1删除,黑色素瘤特异性T细胞是未来免疫治疗策略的一个令人信服的选择.
    Immune checkpoint (IC) blockade and adoptive transfer of tumor-specific T-cells (ACT) are two major strategies to treat metastatic melanoma. Their combination can potentiate T-cell activation in the suppressive tumor microenvironment, but the autoimmune adverse effects associated with systemic injection of IC blockers persist with this strategy. ACT of tumor-reactive T-cells defective for IC expression would overcome this issue. For this purpose, PD-1 and TIGIT appear to be relevant candidates, because their co-expression on highly tumor-reactive lymphocytes limits their therapeutic efficacy within the tumor microenvironme,nt. Our study compares the consequences of PDCD1 or TIGIT genetic deletion on anti-tumor properties and T-cell fitness of melanoma-specific T lymphocytes. Transcriptomic analyses revealed down-regulation of cell cycle-related genes in PD-1KO T-cells, consistent with biological observations, whereas proliferative pathways were preserved in TIGITKO T-cells. Functional analyses showed that PD-1KO and TIGITKO T-cells displayed superior antitumor reactivity than their wild-type counterpart in vitro and in a preclinical melanoma model using immunodeficient mice. Interestingly, it appears that TIGITKO T-cells were more effective at inhibiting tumor cell proliferation in vivo, and persist longer within tumors than PD-1KO T-cells, consistent with the absence of impact of TIGIT deletion on T-cell fitness. Taken together, these results suggest that TIGIT deletion, over PD-1 deletion, in melanoma-specific T-cells is a compelling option for future immunotherapeutic strategies.
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  • 文章类型: Journal Article
    目的:探讨小胶质细胞介导的细胞毒性CD8+T细胞浸润在围手术期脑卒中(PIS)脑白质损伤中的调控机制。
    方法:成年雄性C57BL/6小鼠在永久性远隔大脑中动脉闭塞(dMCAO)前24h进行回肠肠切除术(ICR),以建立PIS模型。白质损伤,功能结果,外周免疫细胞浸润,和小胶质细胞表型在dMCAO后28天使用行为表型进行评估,免疫荧光染色,透射电子显微镜,westernblot,和FACS分析。
    结果:我们发现手术加重了白质损伤,并恶化了PIS后28天的感觉运动功能障碍。PIS小鼠表现出显著增加的外周和中枢CD8+T细胞的活化,与IS小鼠相比,成熟少突胶质细胞的数量显着减少。中和CD8+T细胞部分逆转了PIS后加重的脱髓鞘。受体相互作用蛋白激酶1(RIPK1)活性的药理阻断或基因缺失可以减轻PIS小鼠的CD8T细胞浸润和脱髓鞘。
    结论:手术通过促进CD8+T细胞浸润和小胶质细胞坏死而加剧脱髓鞘和恶化神经功能,提示调节CD8+T细胞与小胶质细胞的相互作用可能是治疗PIS长期神经功能缺损的新靶点.
    OBJECTIVE: To explore the regulatory mechanisms of microglia-mediated cytotoxic CD8+ T-cell infiltration in the white matter injury of perioperative stroke (PIS).
    METHODS: Adult male C57BL/6 mice were subjected to ileocolic bowel resection (ICR) 24 h prior to permanent distant middle cerebral artery occlusion (dMCAO) to establish model PIS. White matter injury, functional outcomes, peripheral immune cell infiltration, and microglia phenotype were assessed up to 28 days after dMCAO using behavioral phenotyping, immunofluorescence staining, transmission electron microscopy, western blot, and FACS analysis.
    RESULTS: We found surgery aggravated white matter injury and deteriorated sensorimotor deficits up to 28 days following PIS. The PIS mice exhibited significantly increased activation of peripheral and central CD8+ T cells, while significantly reduced numbers of mature oligodendrocytes compared to IS mice. Neutralizing CD8+ T cells partly reversed the aggravated demyelination following PIS. Pharmacological blockage or genetic deletion of receptor-interacting protein kinase 1 (RIPK1) activity could alleviate CD8+ T-cell infiltration and demyelination in PIS mice.
    CONCLUSIONS: Surgery exacerbates demyelination and worsens neurological function by promoting infiltration of CD8+ T cells and microglia necroptosis, suggesting that modulating interactions of CD8+ T cells and microglia could be a novel therapeutic target of long-term neurological deficits of PIS.
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  • 文章类型: Journal Article
    转化生长因子β激活激酶1(TAK1)/c-JunN末端激酶(JNK)轴是必需的MAPK上游介质,并调节免疫信号通路。然而,目前尚不清楚TAK1/JNK轴是否在早期脊椎动物适应性免疫中发挥调节信号转导的强度。在这项研究中,通过对尼罗罗非鱼(Oreochromisniloticus)建模,我们研究了TAK1/JNK轴对淋巴细胞介导的适应性免疫应答的潜在调节功能.相对于其他脊椎动物中的对应物,OnTAK1和OnJNK均表现出高度保守的序列和结构。它们的mRNA在免疫相关组织中广泛表达,而脾淋巴细胞的磷酸化水平在感染后第4天显着增强。此外,在佛波醇12-肉豆蔻酸酯13-乙酸酯加离子霉素(PI)或PHA体外激活淋巴细胞后,OnTAK1和OnJNK的转录水平显着上调,伴随着磷酸化水平的显著增加。更重要的是,特异性抑制剂NG25对OnTAK1活性的抑制导致OnJNK磷酸化水平显著降低。此外,用特异性抑制剂SP600125阻断OnJNK的活性导致T细胞活化标志物(包括IFN-γ)的表达显着降低,PHA诱导的T细胞活化期间的CD122、IL-2和CD44。总之,这些发现表明,尼罗罗非鱼中保守的TAK1/JNK轴通过调节淋巴细胞的激活而参与适应性免疫反应。本研究丰富了目前对硬骨鱼适应性免疫的认识,为理解鱼类免疫调节机制提供了新的视角。
    The transforming growth factor beta-activated kinase 1 (TAK1)/c-Jun N-terminal kinase (JNK) axis is an essential MAPK upstream mediator and regulates immune signaling pathways. However, whether the TAK1/JNK axis harnesses the strength in regulation of signal transduction in early vertebrate adaptive immunity is unclear. In this study, by modeling on Nile tilapia (Oreochromis niloticus), we investigated the potential regulatory function of TAK1/JNK axis on lymphocyte-mediated adaptive immune response. Both OnTAK1 and OnJNK exhibited highly conserved sequences and structures relative to their counterparts in other vertebrates. Their mRNA was widely expressed in the immune-associated tissues, while phosphorylation levels in splenic lymphocytes were significantly enhanced on the 4th day post-infection by Edwardsiella piscicida. In addition, OnTAK1 and OnJNK were significantly up-regulated in transcriptional level after activation of lymphocytes in vitro by phorbol 12-myristate 13-acetate plus ionomycin (P + I) or PHA, accompanied by a predominant increase in phosphorylation level. More importantly, inhibition of OnTAK1 activity by specific inhibitor NG25 led to a significant decrease in the phosphorylation level of OnJNK. Furthermore, blocking the activity of OnJNK with specific inhibitor SP600125 resulted in a marked reduction in the expression of T-cell activation markers including IFN-γ, CD122, IL-2, and CD44 during PHA-induced T-cell activation. In summary, these findings indicated that the conserved TAK1/JNK axis in Nile tilapia was involved in adaptive immune responses by regulating the activation of lymphocytes. This study enriched the current knowledge of adaptive immunity in teleost and provided a new perspective for understanding the regulatory mechanism of fish immunity.
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  • 文章类型: Journal Article
    SARS-CoV-2感染[LongCovid(LC)]后急性后医学状况和无法解释的症状的机制尚未完全了解。越来越多的证据表明病毒持续存在,免疫失调,和T细胞功能障碍可能起主要作用。我们使用放射性药物[18F]F-AraG在急性SARS-CoV-2感染后27至910天的时间点对24名参与者进行了全身正电子发射断层扫描成像,一种选择性示踪剂,可以对活化的T淋巴细胞进行解剖学定量。急性后COVID-19组的示踪剂摄取,其中包括有和没有持续症状的人,与许多地区的流行前对照相比,包括脑干,脊髓,骨髓,鼻咽和肺门淋巴组织,心肺组织,和肠壁。脊髓和肠壁中的T细胞活化与LC症状的存在有关。此外,特别是在有持续性肺部症状的患者中,肺组织中的示踪剂摄取较高。在许多没有LC的个体中也观察到这些组织中T细胞活化增加。鉴于在肠道中检测到的高[18F]F-AraG摄取,我们获得了用于SARS-CoV-2RNA原位杂交的结直肠组织,并在5名有LC症状的参与者亚组中进行了免疫组织化学研究.我们在所有五名参与者的直肠乙状结肠固有层组织中鉴定了细胞内SARS-CoV-2单链刺突蛋白编码RNA,并在三名参与者中鉴定了双链刺突蛋白编码RNA,这表明组织病毒的持久性可能与长期免疫学扰动有关。
    The mechanisms of postacute medical conditions and unexplained symptoms after SARS-CoV-2 infection [Long Covid (LC)] are incompletely understood. There is growing evidence that viral persistence, immune dysregulation, and T cell dysfunction may play major roles. We performed whole-body positron emission tomography imaging in a well-characterized cohort of 24 participants at time points ranging from 27 to 910 days after acute SARS-CoV-2 infection using the radiopharmaceutical agent [18F]F-AraG, a selective tracer that allows for anatomical quantitation of activated T lymphocytes. Tracer uptake in the postacute COVID-19 group, which included those with and without continuing symptoms, was higher compared with prepandemic controls in many regions, including the brain stem, spinal cord, bone marrow, nasopharyngeal and hilar lymphoid tissue, cardiopulmonary tissues, and gut wall. T cell activation in the spinal cord and gut wall was associated with the presence of LC symptoms. In addition, tracer uptake in lung tissue was higher in those with persistent pulmonary symptoms specifically. Increased T cell activation in these tissues was also observed in many individuals without LC. Given the high [18F]F-AraG uptake detected in the gut, we obtained colorectal tissue for in situ hybridization of SARS-CoV-2 RNA and immunohistochemical studies in a subset of five participants with LC symptoms. We identified intracellular SARS-CoV-2 single-stranded spike protein-encoding RNA in rectosigmoid lamina propria tissue in all five participants and double-stranded spike protein-encoding RNA in three participants up to 676 days after initial COVID-19, suggesting that tissue viral persistence could be associated with long-term immunologic perturbations.
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