Proinflammatory cytokines

促炎细胞因子
  • 文章类型: Journal Article
    茄尼醇,一种主要在茄科植物中发现的脂肪族萜烯醇,因其抗炎作用而获得认可,抗菌,和神经保护特性。这项研究调查了茄尼醇在缓解左后爪注射完全弗氏佐剂(CFA)引起的慢性炎性疼痛中的潜在功效。行为评估显示,茄尼醇给药后,机械和热超敏反应显着降低,伴随着伴随的焦虑样行为的部分缓解。机械上,Western印迹分析表明,在茄尼醇给药后,TNF-α和IL-1β的水平显著降低。免疫组织化学染色进一步显示,CFA注射引起的小胶质细胞和星形细胞活化显着抑制。这些发现共同表明,茄尼醇有望成为治疗慢性炎性疼痛的潜在治疗剂。
    Solanesol, an aliphatic terpene alcohol predominantly found in solanaceous plants, has gained recognition for its anti-inflammatory, antibacterial, and neuroprotective properties. This study investigates the potential efficacy of solanesol in alleviating chronic inflammatory pain induced by injection of complete Freund\'s adjuvant (CFA) into the left hind paw. Behavioral assessments revealed a significant reduction in mechanical and thermal hypersensitivity following solanesol administration, accompanied by a partial alleviation of concomitant anxiety-like behaviors. Mechanistically, Western blot analysis demonstrated a substantial decrease in the levels of TNF-α and IL-1β after solanesol administration. Immunohistochemical staining further revealed a notable suppression of microglial and astrocytic activation induced by CFA injection. These findings collectively suggest that solanesol holds promise as a latent therapeutic agent for the treatment of chronic inflammatory pain.
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  • 文章类型: Journal Article
    神经血管变性导致血管功能障碍,泄漏,缺血,以及可能导致严重视力损害的结构变化。我们先前显示了来自αB-晶状体蛋白核心结构域的20个氨基酸的肽-1的保护作用,两种青光眼动物模型的视网膜神经节细胞。这里,我们评估了peptain-1在体外阻断人视网膜内皮细胞(HRECs)凋亡和视网膜缺血/再灌注(I/R)损伤小鼠视网膜毛细血管变性的能力。
    HRECs用蛋白-1或乱序肽(200μg/mL)处理3小时,并用促炎细胞因子(IFN-γ20ng/mLTNF-α20ng/mLIL-1β20ng/mL)再处理48小时。并通过TUNEL分析。C57BL/6J小鼠(12周龄)通过将眼内压升高至120mmHg持续60分钟进行I/R损伤,其次是再灌注。在I/R损伤后立即和7天后玻璃体内注射肽-1或乱序肽(0.5μg)。注射一微升PBS作为载体对照,在I/R损伤后第14天对动物实施安乐死。酶消化后评估视网膜毛细血管变性,然后进行高碘酸-希夫染色。
    我们的数据显示,肽-1进入HREC并阻断促炎细胞因子介导的细胞凋亡。4小时后,玻璃体内给药的肽-1分布在整个视网膜血管中。I/R损伤导致视网膜毛细血管变性。与乱序肽不同,peptain-1保护毛细血管免受I/R损伤。此外,肽-1抑制I/R损伤后视网膜中的小胶质细胞活化并降低促炎细胞因子水平。
    我们的研究表明,Peptain-1可以用作预防视网膜缺血中毛细血管变性和神经炎症的治疗剂。
    UNASSIGNED: Neurovascular degeneration results in vascular dysfunction, leakage, ischemia, and structural changes that can lead to significant visual impairment. We previously showed the protective effects of peptain-1, a 20 amino acid peptide derived from the αB-crystallin core domain, on retinal ganglion cells in two animal models of glaucoma. Here, we evaluated the ability of peptain-1 to block apoptosis of human retinal endothelial cells (HRECs) in vitro and retinal capillary degeneration in mice subjected to retinal ischemia/reperfusion (I/R) injury.
    UNASSIGNED: HRECs were treated with either peptain-1 or scrambled peptides (200 μg/mL) for 3 h and a combination of proinflammatory cytokines (IFN-γ 20 ng/mL + TNF-α 20 ng/mL+ IL-1β 20 ng/mL) for additional 48 h. Apoptosis was measured with cleaved caspase-3 formation via western blot, and by TUNEL assay. C57BL/6J mice (12 weeks old) were subjected to I/R injury by elevating the intraocular pressure to 120 mmHg for 60 min, followed by reperfusion. Peptain-1 or scrambled peptide (0.5 μg) was intravitreally injected immediately after I/R injury and 7 days later. One microliter of PBS was injected as vehicle control, and animals were euthanized on day 14 post-I/R injury. Retinal capillary degeneration was assessed after enzyme digestion followed by periodic acid-Schiff staining.
    UNASSIGNED: Our data showed that peptain-1 entered HRECs and blocked proinflammatory cytokine-mediated apoptosis. Intravitreally administered peptain-1 was distributed throughout the retinal vessels after 4 h. I/R injury caused retinal capillary degeneration. Unlike scrambled peptide, peptain-1 protected capillaries against I/R injury. Additionally, peptain-1 inhibited microglial activation and reduced proinflammatory cytokine levels in the retina following I/R injury.
    UNASSIGNED: Our study suggests that peptain-1 could be used as a therapeutic agent to prevent capillary degeneration and neuroinflammation in retinal ischemia.
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  • 文章类型: Journal Article
    牙周炎是一种严重的牙龈感染,导致牙龈慢性炎症,牙齿周围组织的损伤,和牙槽骨的破坏。牙龈卟啉单胞菌是引起牙周炎的主要病原体。据报道,许多益生菌会产生抗病原体特别是口腔病原体的抗菌物质,并作为牙周炎的预防措施。在这项研究中,评价了副干酪乳杆菌LMT18-32及其对牙龈卟啉单胞菌的抗菌活性,并建立了体外抗氧化活性。此外,当将副干酪乳杆菌LMT18-32施用于牙周炎诱导的小鼠时,它成功地减轻了牙槽骨丢失,抑制了牙龈组织中促炎和组织破坏相关基因的诱导表达。总之,副干酪乳杆菌LMT18-32被认为是预防牙周炎的潜在益生菌。
    Periodontitis is a severe gum infection leading to chronic inflammation in the gums, damage of tissues around teeth, and destruction of alveolar bones. Porphyromonas gingivalis is the major causative pathogen that induces periodontitis. Numerous probiotic bacteria are reported to produce antibacterial substances against pathogens especially oral pathogens, and these are proposed as preventive measures for periodontitis. In this study, Lacticaseibacillus paracasei LMT18-32 was evaluated and its antibacterial activity against P. gingivalis, and antioxidant activity in vitro were established. In addition, when L. paracasei LMT18-32 was administered to periodontitis induced mice, it successfully alleviated the alveolar bone loss and suppressed induced expression of proinflammatory and tissue destruction related genes in the gingival tissue. In conclusion, L. paracasei LMT18-32 is proposed as a potential probiotics to prevent periodontitis.
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  • 文章类型: Journal Article
    Fomitiporia物种引起了许多研究的兴趣,这些研究揭示了它们的生物活性和药用潜力。目前的调查显示抗氧化剂,抗癌,和从真菌Fomitiporiachilensis获得的酸性多糖的免疫调节活性。用2%O-N-十六烷基溴化吡啶进行酸性沉淀,得到酸性多糖。使用FT-IR和GC-MS方法进行化学分析。通过ABTS测定法清除自由基,评估了来自F.chilensis的酸性多糖的抗氧化能力。巨噬细胞增殖和细胞因子产生测定用于确定多糖的免疫调节能力。在U-937、HTC-116和HGF-1细胞系中用MTT测定评价抗肿瘤和细胞毒性活性。通过流式细胞术确定多糖对HCT-116细胞系的细胞周期的影响。傅里叶变换-红外表征显示多糖的特征吸收峰,而GC-MS分析检测到对应于D-半乳糖的三个峰,半乳糖醛酸,和D-葡萄糖.当细胞用2mgmL-1多糖处理时,分泌的TNF-α浓度增加,而IL-6浓度随着所有评估的多糖浓度而增加。用多糖处理的HTC-116的细胞周期分析证明,来自F.chilensis的酸性多糖诱导G0/G1细胞周期期的增加,增加凋亡细胞百分比。蛋白质组学分析的结果表明,某些分子机制涉及其抗氧化和细胞解毒作用,并证明了其在心脏病中的传统用途。蛋白质组数据可通过ProteomeXchange在标识符PXD048361下获得。对胡麻酸性多糖的研究揭示了其多种生物活性,包括抗氧化剂,抗癌,和免疫调节作用。这些发现强调了来自F.chilensis的酸性多糖的有前途的治疗应用,保证进一步的制药和医药研究探索。
    Fomitiporia species have aroused the interest of numerous investigations that reveal their biological activity and medicinal potential. The present investigation shows the antioxidant, anticancer, and immunomodulatory activity of acidic polysaccharides obtained from the fungus Fomitiporia chilensis. The acidic polysaccharides were obtained for acidic precipitation with 2% O-N-cetylpyridinium bromide. Chemical analysis was performed using FT-IR and GC-MS methods. The antioxidant capacity of acidic polysaccharides from F. chilensis was evaluated by scavenging free radicals with an ABTS assay. Macrophage proliferation and cytokine production assays were used to determine the immunomodulatory capacity of the polysaccharides. Anti-tumor and cytotoxicity activity was evaluated with an MTT assay in the U-937, HTC-116, and HGF-1 cell lines. The effect of polysaccharides on the cell cycle of the HCT-116 cell line was determined for flow cytometry. Fourier Transform-infrared characterization revealed characteristic absorption peaks for polysaccharides, whereas the GC-MS analysis detected three peaks corresponding to D-galactose, galacturonic acid, and D-glucose. The secreted TNF-α concentration was increased when the cell was treated with 2 mg mL-1 polysaccharides, whereas the IL-6 concentration was increased with all of the evaluated polysaccharide concentrations. A cell cycle analysis of HTC-116 treated with polysaccharides evidenced that the acidic polysaccharides from F. chilensis induce an increase in the G0/G1 cell cycle phase, increasing the apoptotic cell percentage. Results from a proteomic analysis suggest that some of the molecular mechanisms involved in their antioxidant and cellular detoxifying effects and justify their traditional use in heart diseases. Proteomic data are available through ProteomeXchange under identifier PXD048361. The study on acidic polysaccharides from F. chilensis has unveiled their diverse biological activities, including antioxidant, anticancer, and immunomodulatory effects. These findings underscore the promising therapeutic applications of acidic polysaccharides from F. chilensis, warranting further pharmaceutical and medicinal research exploration.
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  • 文章类型: Journal Article
    背景:最近已经讨论了纳米载体的弹性力学性质对于有效递送各种治疗剂是重要的。一些数据表明,最佳的纳米载体弹性可以调节体内纳米载体的稳定性,与吞噬细胞相互作用,和靶细胞的摄取。这里,我们提出了一项研究,以广泛分析LIP-SS脂质体的体内行为,这些脂质体通过在脂质双层内形成硅酮网络以改善其弹性力学性能而被修饰。我们验证了脂质体的药代动力学和生物分布,包括保留在乳腺癌小鼠模型的肿瘤中,而对健康小鼠的生物相容性进行了分析。
    结果:我们发现荧光标记的LIP-SS和对照LIP-CAT脂质体具有相似的药代动力学特征,生物分布,保留在肿瘤中,这表明改性的弹性并没有改善纳米载体的体内性能。有趣的是,生物相容性研究显示血液形态没有变化,肝脏,脾,脾和肾功能,但表明免疫反应的激活延长,表现为暴露于所有测试脂质体的动物血清中促炎细胞因子的浓度增加。
    结论:将硅酮层并入脂质体结构中不会改变纳米载体在体内的特性。LIP-SS表面的进一步改性,包括亲水隐形聚合物的装饰,应显着改善其药代动力学和在肿瘤中的保留。LIP-SS和LIP-CAT激活免疫反应,导致炎症细胞因子产生升高,需要详细的研究来阐明其机制。
    BACKGROUND: The elastomechanical properties of nanocarriers have recently been discussed as important for the efficient delivery of various therapeutics. Some data indicate that optimal nanocarriers\' elasticity can modulate in vivo nanocarrier stability, interaction with phagocytes, and uptake by target cells. Here, we presented a study to extensively analyze the in vivo behavior of LIP-SS liposomes that were modified by forming the silicone network within the lipid bilayers to improve their elastomechanical properties. We verified liposome pharmacokinetic profiles and biodistribution, including retention in tumors on a mouse model of breast cancer, while biocompatibility was analyzed on healthy mice.
    RESULTS: We showed that fluorescently labeled LIP-SS and control LIP-CAT liposomes had similar pharmacokinetic profiles, biodistribution, and retention in tumors, indicating that modified elasticity did not improve nanocarrier in vivo performance. Interestingly, biocompatibility studies revealed no changes in blood morphology, liver, spleen, and kidney function but indicated prolonged activation of immune response manifesting in increased concentration of proinflammatory cytokines in sera of animals exposed to all tested liposomes.
    CONCLUSIONS: Incorporating the silicone layer into the liposome structure did not change nanocarriers\' characteristics in vivo. Further modification of the LIP-SS surface, including decoration with hydrophilic stealth polymers, should be performed to improve their pharmacokinetics and retention in tumors significantly. Activation of the immune response by LIP-SS and LIP-CAT, resulting in elevated inflammatory cytokine production, requires detailed studies to elucidate its mechanism.
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  • 文章类型: Journal Article
    在阿尔茨海默病中,慢性神经炎症伴有淀粉样蛋白和tau病理。尤其是,已知异常的小胶质细胞激活先于区域tau病理学发展,但是小胶质细胞如何影响tau传播的机制仍然未知。这里,我们发现小胶质细胞中的toll样受体2(TLR2)识别寡聚tau作为致病配体并诱导炎症反应.在rTg4510tau转基因小鼠中,TLR2的敲除降低tau病理学和小胶质细胞活化。寡聚tau蛋白的处理诱导TLR2活化并增加小胶质细胞中的炎症反应。在颅内注射tau后,TLR2进一步介导了tau诱导的小胶质细胞活化,并促进了神经元-小胶质细胞共培养系统和小鼠海马中的tau摄取。重要的是,用抗TLR2单克隆抗体Tomaralimab治疗以剂量依赖性方式阻断TLR2活化和炎症反应,并显著降低了rTg4510小鼠的tau传播和记忆丧失。这些结果表明,TLR2通过引起异常的小胶质细胞激活来响应病理性tau,在tau传播中起着至关重要的作用。用免疫治疗阻断TLR2可能改善阿尔茨海默病的tau发病机制。
    In Alzheimer\'s disease, chronic neuroinflammation is accompanied by amyloid and tau pathologies. Especially, aberrant microglial activation is known to precede the regional tau pathology development, but the mechanisms how microglia affect tau spread remain largely unknown. Here, we found that toll-like receptor 2 (TLR2) in microglia recognizes oligomeric tau as a pathogenic ligand and induces inflammatory responses. Knockout of TLR2 reduced tau pathology and microglial activation in rTg4510 tau transgenic mice. Treatment of oligomeric tau induced TLR2 activation and increased inflammatory responses in microglial cells. TLR2 further mediated the tau-induced microglial activation and promoted tau uptake into neurons in neuron-microglia co-culture system and in mouse hippocampus after intracranial tau injection. Importantly, treatment with anti-TLR2 monoclonal antibody Tomaralimab blocked TLR2 activation and inflammatory responses in a dose-dependent manner, and significantly reduced tau spread and memory loss in rTg4510 mice. These results suggest that TLR2 plays a crucial role in tau spread by causing aberrant microglial activation in response to pathological tau, and blocking TLR2 with immunotherapy may ameliorate tau pathogenesis in Alzheimer\'s disease.
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  • 文章类型: Journal Article
    目的:本研究使用Wistar大鼠模型研究了根尖周炎(AP)对类风湿关节炎(RA)严重程度的影响。
    方法:根据RA和AP的诱导,将40只雄性Wistar大鼠分为四组(n=10):对照组,RA,AP,RA+AP。RA是通过用不完全弗氏佐剂乳化的II型胶原蛋白进行两次免疫诱导的,然后用完全弗氏佐剂进行一次免疫。RA诱导21天后,AP是通过暴露四个磨牙的牙髓诱导的。在28天的牙髓暴露后使动物安乐死。通过实验,视觉和行为评估追踪RA的发展,并测量膝关节和后爪关节.膝盖和后爪的显微计算机断层扫描扫描,以及下颌骨和上颌骨,进行评估RA的严重程度和AP的存在,分别。收集血清样本以分析促炎细胞因子(IL-1β,IL-2、IL-17和TNF-α)。非参数数据使用Kruskal-Wallis检验和Student-Newman-Keuls检验进行分析。而对参数数据进行单向方差分析,然后进行Tukey检验。采用5%的显著性水平。
    结果:所有进入腔发育的磨牙。所有遭受关节炎诱导的关节都患上了这种疾病,与RA组相比,AP+RA显示更高的关节炎严重程度(p<0.05)。与RA组相比,RA+AP组显示显著更大的后爪和膝围(p<.05)。RA和RA+AP组的显微CT图像显示关节侵蚀和骨畸形,骨骼表面密度明显降低,与RA组相比,RAAP组的后爪骨小梁数量减少,后爪骨小梁分离增加,膝关节骨量百分比降低,骨小梁分离增加(p<0.05)。与所有其他组相比,RA+AP组表现出显著较高水平的TNF-α和较低水平的IL-2(p<.05)。RA和RA+AP组的IL-17水平均显著升高(p<0.05),而各组间IL-1β水平无显著差异(p>.05)。
    结论:这项研究的结果强调了根尖周炎与类风湿关节炎恶化之间的可能关系。
    OBJECTIVE: The present study investigated the influence of apical periodontitis (AP) on the severity of rheumatoid arthritis (RA) using a Wistar rat model.
    METHODS: Forty male Wistar rats were distributed across four groups (n = 10) based on the induction of RA and AP: Control, RA, AP, and RA + AP. RA was induced through two immunisations with type II collagen emulsified in incomplete Freund\'s adjuvant, followed by one immunisation with complete Freund\'s adjuvant. After 21 days of RA induction, AP was induced by exposing the pulp of four molars. Animals were euthanized after 28 days of pulp exposure. Through the experiment, visual and behavioural assessments tracked RA development and the knees and hind paw joints were measured. Micro-computed tomography scans of knees and hind paws, as well as mandibles and maxillae, were conducted to evaluate RA severity and the presence of AP, respectively. Serum samples were collected to analyse proinflammatory cytokines (IL-1β, IL-2, IL-17, and TNF-α). Non-parametric data were analysed using the Kruskal-Wallis test followed by Student-Newman-Keuls test, while one-way anova followed by Tukey\'s test was performed for parametric data. A significance level of 5% was employed.
    RESULTS: All molars submitted to access cavity developed AP. All joints subjected to arthritis induction developed the disease, with AP + RA demonstrating a higher arthritis severity when compared to the RA group (p < .05). RA + AP group displayed a significantly larger hind paw and knee circumference compared to the RA group (p < .05). Micro-CT images of RA and RA + AP groups revealed joints with erosions and bone deformities, with a significantly lower bone surface density, lower trabecular number and higher trabecular separation in the hind paw and a significantly lower percent bone volume and higher trabecular separation in the knees of RA + AP group compared to RA group (p < .05). RA + AP group exhibited a significantly higher level of TNF-α and a lower level of IL-2 compared to all other groups (p < .05). Both RA and RA + AP groups had significantly higher IL-17 levels (p < .05), while there was no significant difference in IL-1β levels among the groups (p > .05).
    CONCLUSIONS: The findings from this study underscore a possible relationship between apical periodontitis and the exacerbation of rheumatoid arthritis.
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  • 文章类型: Journal Article
    副色拉菌通常是上呼吸道良性共生的猪,但毒株可引起以肺炎为特征的全身感染,脑膜炎,和纤维性多浆膜炎。猪副猪感染后强烈的肺部炎症反应是猪肺损伤和死亡的主要原因。由于缺乏长期的交叉保护,疫苗接种未能控制疾病。越来越多的证据表明血红素结合蛋白A(HbpA)是潜在的毒力决定子,并且是开发更广泛疫苗的有希望的抗原候选物。然而,目前尚不清楚HbpA是否有助于G.parasuis毒力或对G.parasuis具有任何潜在的免疫保护作用。这里,我们显示HbpA可以诱导促炎细胞因子(IL-6,TNF-α,和MCP-1)在猪肺泡巨噬细胞(PAM,3D4/31)。HbpA蛋白被3D4/21巨噬细胞上的Toll样受体2和4识别,导致MAP激酶和NF-κB信号级联的激活以及促炎细胞因子的转录和分泌。HbpA有助于C57BL/6小鼠的毒力和细菌肺部定植,并在与宿主细胞的粘附和逃避肺巨噬细胞的杀菌作用中起作用。此外,用HbpA免疫的小鼠被G.parasuisSC1401部分保护免受攻击。结果提示HbpA在副猪G.S.引起的疾病的发病机制中起重要作用,并为亚基或嵌合抗G.的开发奠定了基础。副猪疫苗。
    Glaesserella parasuis is usually a benign swine commensal in the upper respiratory tract, but virulent strains can cause systemic infection characterized by pneumonia, meningitis, and fibrinous polyserositis. The intensive pulmonary inflammatory response following G. parasuis infection is the main cause of lung injury and death in pigs. Vaccination has failed to control the disease due to the lack of extended cross-protection. Accumulating evidence indicates that the heme-binding protein A (HbpA) is a potential virulence determinant and a promising antigen candidate for the development of a broader range of vaccines. However, it is not yet known whether HbpA contributes to G. parasuis virulence or has any potential immune protective effects against G. parasuis. Here, we show that HbpA can induce the transcription and secretion of proinflammatory cytokines (IL-6, TNF-α, and MCP-1) in porcine alveolar macrophages (PAM, 3D4/31). The HbpA protein is recognized by Toll-like receptors 2 and 4 on 3D4/21 macrophages, resulting in the activation of MAP kinase and NF-κB signalling cascades and the transcription and secretion of proinflammatory cytokines. HbpA contributes to virulence and bacterial pulmonary colonization in C57BL/6 mice and plays a role in adhesion to host cells and evasion of the bactericidal effect of pulmonary macrophages. In addition, mice immunized with HbpA were partially protected against challenge by G. parasuis SC1401. The results suggest that HbpA plays an important role in the pathogenesis of disease caused by G. parasuis and lay a foundation for the development of a subunit or chimeric anti-G. parasuis vaccine.
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  • 文章类型: Case Reports
    草药和补充医学经常与传统医学相结合。我们的目的是报告一例由于长期使用绿茶和蛋白质奶昔引起的严重草药诱导的肝损伤(HILI)。我们提供了临床和实验室证据,表明线粒体毒性和免疫反应导致对产品的超敏反应。我们最近治疗了一名39岁的男性,该男性患有肝毒性,该肝毒性是由含绿茶的粉末和2个月前开始的支链氨基酸补充剂的组合引起的。通过停止这些产品的消耗解决了肝毒性,并且没有检测到其他原因。我们决定进行淋巴细胞毒性测定(LTA),以确定是否有实验室支持该诊断。LTA(%毒性)代表线粒体对毒性损伤的响应。确定促炎和抗炎细胞因子和趋化因子在患者反应中的作用,我们测量了生长细胞培养基中细胞因子和趋化因子的水平,暴露于每种产品或产品的组合。增加的细胞因子和趋化因子表示为基质金属蛋白酶(MMP)(pg/mL×1.5ULN)和白介素(IL)-1β(pg/mL×1.8ULN)的正常上限(ULN)的x倍升高。发现干扰素(IFN)-β升高较高,IFN-γ,IL-8,IL13,IL-15(pg/mL×2ULN),在激活时调节,正常T细胞表达和可能分泌(RANTES)(pg/mL×2ULN),核因子(NFκB)(pg/mL×3ULN)。增加最高的是血管内皮因子(VEGF)(pg/mL×10ULN),肿瘤坏死因子(TNF)-α,肿瘤坏死因子相关凋亡诱导配体(TRAIL)(pg/mL×13ULN)。细胞标志物的检查显示程序性细胞死亡(凋亡)和由于坏死引起的细胞死亡之间的差异。在我们的案例中,细胞角蛋白CCK18(M-30)U/L在正常范围内,表明细胞凋亡是正常的,ccK8(M65)U/L升高至1.5×ULN。这一结果表明,在用产品治疗患者的淋巴细胞时,毒性的机制是坏死。在易感个体中,蛋白质和凉茶的组合产生线粒体毒性和强烈的T淋巴细胞-1反应,通向HILI。临床医生需要对药物不良反应进行国际报告,实验室,和药品制造商向药品监管部门。这需要国际公认的反应标准定义,以及评估标准。
    Herbal and complementary medicine are frequently integrated with conventional medicine. We aim to report a case of severe herbal-induced liver injury (HILI) due to chronic use of green tea and protein shake. We present both clinical and laboratory evidence implicating mitochondrial toxicity and an immune response leading to a hypersensitivity reaction to the products. We have recently treated a 39-year-old man with hepatotoxicity resulting from a combination of a green tea-containing powder and a branched-chain amino acid supplement that was commenced 2 months previously. The hepatotoxicity resolved by stopping the consumption of these products and no other cause was detected. We decided to perform a lymphocyte toxicity assay (LTA) to determine if there was laboratory support for this diagnosis. LTA (% toxicity) represents the response of the mitochondria to toxic injury. To determine the role of the proinflammatory and anti-inflammatory cytokines and chemokines in the patient\'s reaction, we measured the level of cytokines and chemokine in the media of growing cells, exposed to each product or to a combination of products. The increased cytokines and chemokines are presented as the x-fold elevations from the upper limit of normal (ULN) for matrix metalloproteinase (MMP) (pg/mL × 1.5 ULN) and interleukin (IL)-1β (pg/mL × 1.8 ULN). Higher elevations were found for interferon (IFN)-β, IFN-γ, IL-8, IL 13, IL-15 (pg/mL × 2 ULN), regulated upon activation, normal T cell expressed and presumably secreted (RANTES) (pg/mL × 2 ULN), and nuclear factor (NFκB) (pg/mL × 3 ULN). The highest increases were for vascular endothelial factor (VEGF) (pg/mL × 10 ULN), tumor necrosis factor (TNF)-α, and tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) (pg/mL × 13 ULN). An examination of cellular markers showed the difference between programmed cell death (apoptosis) and cell death due to necrosis. In our case, cytokeratin-ccK18 (M-30) U/L was within the normal limits, suggesting that apoptosis was normal, while ccK8(M65) U/L was elevated at 1.5 × ULN. This result implies that upon the treatment of the patient\'s lymphocytes with the products, the mechanism of toxicity is necrosis. In susceptible individuals, the combination of protein and herbal tea produces mitochondrial toxicity and a strong T-lymphocyte-1 response, leading to HILI. There is a need of international reporting of adverse drug reactions by clinicians, laboratories, and pharmaceutical manufacturers to drug regulatory authorities. This requires internationally accepted standard definitions of reactions, as well as criteria for assessment.
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  • 文章类型: Journal Article
    qseC基因是编码组氨酸蛋白激酶的两组分系统,并且在不同的副葡萄树菌株中高度保守。在这项研究中,我们使用qRT-PCR和酶联免疫吸附试验证实Toll样受体4(TLR4)通过用QseC刺激RAW264.7巨噬细胞,在促炎细胞因子白细胞介素(IL)-1β和IL-6的表达中起作用。此外,我们发现阻断调节信号传导的p38和NF-κB通路可以显著减少QseC诱导的促炎细胞因子的产生。总之,我们的数据表明,QseC是一种新型的促炎介质,它通过p38和NF-κB途径在RAW264.7巨噬细胞中诱导TLR4依赖性促炎活性.
    The qseC gene is a two-component system that encodes a histidine protein kinase and is highly conserved among different Glaesserella parasuis strains. In this study, we used qRT-PCR and enzyme-linked immunosorbent assay to confirm that Toll-like receptor 4 (TLR4) plays a role in the expression of proinflammatory cytokines interleukin (IL)-1β and IL-6 by stimulating RAW 264.7 macrophages with QseC. Furthermore, we revealed that blocking the p38 and NF-κB pathways that regulate signaling can significantly reduce the production of proinflammatory cytokines induced by QseC. In summary, our data suggest that QseC is a novel proinflammatory mediator that induces TLR4-dependent proinflammatory activity in RAW 264.7 macrophages through the p38 and NF-κB pathways.
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