immune response

免疫应答
  • 文章类型: Journal Article
    同种异体间充质干细胞/基质细胞(MSCs)的有效性和安全性受到患者免疫识别的影响。因此,MSC的免疫原性及其免疫调节特性是治疗的关键方面。在不同的物种中已经报道了同种异体MSC给药后的免疫应答,包括马。同种异体MSCs与受者免疫系统的相互作用可能受到诸如供体-受者之间的主要组织相容性复合体(MHC)的匹配或不匹配等因素的影响。以及MSCs中MHC的表达水平。后者可以根据MSC炎症暴露或分化而变化,如成软骨诱导,使启动和分化都变得有趣的治疗策略。这项研究调查了在这些情况下针对同种异体马MSC的全身体内免疫细胞反应。无论是基础条件下的MSC(MSC-天真的),将促炎引发的(MSC引发的)或软骨分化的(MSC-chondro)反复皮下给予自体,MHC匹配或MHC不匹配的同种异体马受体。在每次给药后的不同时间点,从受体马获得淋巴细胞,并在体外暴露于相同类型的MSC,以评估不同T细胞亚群的增殖反应(细胞毒性,助手,监管),B细胞,和干扰素γ(IFNγ)分泌。与MHC匹配的MSC相比,在响应所有类型的MHC错配MSC时,观察到辅助和细胞毒性T淋巴细胞的更高增殖反应和IFNγ分泌。MSC引发的免疫反应最高,紧随其后的是MSC-NaNaSave,MSC-chondro.然而,MSC-primed激活Treg,对B细胞有轻微作用,第二次给药后的反应与第一次相似。另一方面,MSC-chondro和MSC-Naive几乎不诱导Treg反应,但促进B淋巴细胞活化,并在第二次给药后按比例诱导更高的细胞反应。总之,MSC的类型和MHC相容性都影响了马MSC在单次和重复给药后的全身免疫识别,但反应是不同的。选择MHC匹配的供体将特别推荐用于MSC引发的和重复的MSC初始施用。虽然MSC-chondro中的MHC不匹配不太重要,B细胞反应不应忽视。全面研究针对马同种异体MSC的体内免疫应答对于推进兽医细胞疗法至关重要。
    The effectiveness and safety of allogeneic mesenchymal stem/stromal cells (MSCs) can be affected by patient\'s immune recognition. Thus, MSC immunogenicity and their immunomodulatory properties are crucial aspects for therapy. Immune responses after allogeneic MSC administration have been reported in different species, including equine. Interactions of allogenic MSCs with the recipient\'s immune system can be influenced by factors like matching or mismatching for the major histocompatibility complex (MHC) between donor-recipient, and by the levels of MHC expression in MSCs. The latter can vary upon MSC inflammatory exposure or differentiation, such as chondrogenic induction, making both priming and differentiation interesting therapeutic strategies. This study investigated the systemic in vivo immune cellular response against allogeneic equine MSCs in these situations. Either MSCs in basal conditions (MSC-naïve), pro-inflammatory primed (MSC-primed) or chondrogenically differentiated (MSC-chondro) were repeatedly administered subcutaneously into autologous, MHC-matched or MHC-mismatched allogeneic equine recipients. At different time-points after each administration, lymphocytes were obtained from recipient horses and exposed in vitro to the same type of MSCs to assess the proliferative response of different T cell subsets (cytotoxic, helper, regulatory), B cells, and interferon gamma (IFNγ) secretion. Higher proliferative response of helper and cytotoxic T lymphocytes and IFNγ secretion was observed in response to all types of MHC-mismatched MSCs over MHC-matched ones. MSC-primed produced the highest immune response, followed by MSC-naïve, and MSC-chondro. However, MSC-primed activated Treg and had a mild effect on B cells, and the response after their second administration was similar to the first one. On the other hand, both MSC-chondro and MSC-naïve barely induced Treg response but promoted B lymphocyte activation, and proportionally induced a higher cell response after the second administration. In conclusion, both the type of MSC conditioning and the MHC compatibility influenced systemic immune recognition of equine MSCs after single and repeated administrations, but the response was different. Selecting MHC-matched donors would be particularly recommended for MSC-primed and repeated MSC-naïve administrations. While MHC-mismatching in MSC-chondro would be less critical, B cell response should not be ignored. Comprehensively investigating the in vivo immune response against equine allogeneic MSCs is crucial for advancing veterinary cell therapies.
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  • 文章类型: Journal Article
    细胞外基质(ECM)重塑与炎症之间存在相互关系,这可能在严重COVID-19的进展中起作用。为了探索COVID-19中免疫驱动的ECM重塑,我们在这项探索性研究中分析了住院COVID-19患者中的这些相互作用。对外周血单核细胞进行RNA测序和流式细胞分析。通过ELISA和MSD测量血浆中的炎症介质,入院时住院COVID-19患者(N=15)的临床信息被纳入分析.Further,我们重新分析了两个公开的数据集:(1)肺组织RNA测序数据集(N=5)和(2)来自PBCM的蛋白质组学数据集.与健康对照组相比,COVID-19患者的PBMC中富含ECM重塑途径。与医院病房的患者相比,在重症监护病房(ICU)接受治疗的患者表达了不同的ECM重塑基因谱。一些标志物与免疫细胞亚群密切相关,ICU患者的调节异常与血浆炎性细胞因子水平呈正相关,与B细胞活化因子呈负相关。最后,我们对可公开获取的数据集的分析显示:(i)与非发炎组织相比,发炎肺组织的ECM重塑特征增强;(ii)重症COVID-19患者PBMC的蛋白质组学分析显示ECM重塑途径上调.我们的结果可能表明ECM重塑之间存在相互作用,炎症,和免疫细胞,在严重的COVID-19中可能引发或延续肺部病理。
    There is a reciprocal relationship between extracellular matrix (ECM) remodelling and inflammation that could be operating in the progression of severe COVID-19. To explore the immune-driven ECM remodelling in COVID-19, we in this explorative study analysed these interactions in hospitalised COVID-19 patients. RNA sequencing and flow analysis were performed on peripheral blood mononuclear cells. Inflammatory mediators in plasma were measured by ELISA and MSD, and clinical information from hospitalised COVID-19 patients (N=15) at admission was included in the analysis. Further, we reanalysed two publicly available datasets: (1) lung tissue RNA-sequencing dataset (N=5) and (2) proteomics dataset from PBCM. ECM remodelling pathways were enriched in PBMC from COVID-19 patients compared to healthy controls. Patients treated at the intensive care unit (ICU) expressed distinct ECM remodelling gene profiles compared to patients in the hospital ward. Several markers were strongly correlated to immune cell subsets, and the dysregulation in the ICU patients was positively associated with plasma levels of inflammatory cytokines and negatively associated with B-cell activating factors. Finally, our analysis of publicly accessible datasets revealed (i) an augmented ECM remodelling signature in inflamed lung tissue compared to non-inflamed tissue and (ii) proteomics analysis of PBMC from severe COVID-19 patients demonstrated an up-regulation in an ECM remodelling pathway. Our results may suggest the presence of an interaction between ECM remodelling, inflammation, and immune cells, potentially initiating or perpetuating pulmonary pathology in severe COVID-19.
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  • 文章类型: Journal Article
    病毒感染被认为是喉癌的危险因素。鉴于2019年冠状病毒病(COVID-19)对喉组织的可能影响,我们采用双样本孟德尔随机化(MR)方法研究了COVID-19与喉癌之间的因果关系.
    我们利用了来自COVID-19宿主遗传学倡议(2021年1月18日发布)的第五次全基因组关联研究(GWAS)版的遗传数据和大规模喉癌GWAS,包括180例病例和218,612个欧洲血统对照。我们应用了方差逆加权,Egger先生,和加权中位数方法来推断因果关系。我们使用“留一法”进行了敏感性分析,以验证稳健性。
    我们没有发现基因预测的COVID-19与喉癌之间存在因果关系的证据[赔率(OR)=0.24(95%置信区间(CI),0.05-1.26),P=0.09]。然而,我们观察到基因预测的COVID-19住院率之间的显着负相关[OR=0.51(95%CI,0.28-0.95),P=0.03]和重症患者[OR=0.62(95%CI,0.43-0.90),P=0.01]和喉癌。值得注意的是,这项研究发现了重要的遗传变异,如rs13050728,调节干扰素α受体2(IFNAR2)的表达,表明免疫应答途径在COVID-19和癌症中的可能作用。
    这项研究揭示了COVID-19严重程度之间的潜在相互作用,遗传因素,喉癌,强调在这两种情况下研究免疫应答机制的重要性。这些发现有助于理解COVID-19与喉癌之间的复杂相互作用,并可能指导未来对免疫反应作用的研究。特别是涉及IFNAR2。
    UNASSIGNED: Viral infections have been implicated as a risk factor for laryngeal cancer. Given the possible effects of Corona virus disease 2019 (COVID-19) on the laryngeal tissue, we investigated the causal link between COVID-19 and laryngeal cancer using a two-sample Mendelian randomization (MR) approach.
    UNASSIGNED: We utilized genetic data from the 5th Genome-wide association studies (GWAS) edition of the COVID-19 Host Genetics Initiative (published on January 18, 2021) and a large-scale laryngeal cancer GWAS comprising 180 cases and 218,612 controls of European ancestry. We applied inverse variance weighting, MR Egger, and weighted median methods to infer causality. We performed sensitivity analysis using the \"leave-one-out\" method to verify robustness.
    UNASSIGNED: We found no evidence of a causal association between gene-predicted COVID-19 and laryngeal cancer [Odds ratio (OR)=0.24 (95% Confidence intervals (CI), 0.05-1.26), P=0.09]. However, we observed significant inverse associations between gene-predicted COVID-19 hospitalization [OR=0.51 (95% CI, 0.28-0.95), P=0.03] and severe patients [OR=0.62 (95% CI, 0.43-0.90), P=0.01] and laryngeal cancer. Notably, the study detected important genetic variants, such as rs13050728, that modulate the expression of interferon alpha receptor 2 (IFNAR2), indicating possible roles for immune response pathways in both COVID-19 and cancer.
    UNASSIGNED: This study reveals a potential interaction between COVID-19 severity, genetic factors, and laryngeal cancer, underscoring the importance of investigating the immune response mechanisms in both conditions. These findings contribute to the understanding of the complex interactions between COVID-19 and laryngeal cancer and may guide future research on the role of immune response, particularly involving IFNAR2.
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  • 文章类型: Journal Article
    脑膜炎球菌病由脑膜炎奈瑟菌或脑膜炎球菌引起。每年,全球约有120万人受到脑膜炎的影响,约有12万人死亡。该疾病可以通过单剂量的脑膜炎球菌疫苗来预防。我们进行了一项随机观察者盲非劣性试验,以评估和比较局部脑膜炎球菌多糖疫苗“IngovaxACWY”(测试)与QuadriMeningoTM(比较器)的免疫原性和安全性,印度批准的脑膜炎球菌多糖疫苗。总共88名健康成人(18-45岁)以1:1的比例随机分为两个疫苗组,皮下接受单剂量疫苗。对所有参与者进行随访,直到疫苗接种后三个月。在疫苗接种前和疫苗接种后一个月收集用于临床参数(血液学和生物化学)和血清杀菌测定(SBA)的血液。在疫苗接种后长达6天评估诱发的不良事件(AE),并且在整个随访期间监测未经请求的AE。两组之间的AE发生率没有显着差异。最常见的诱发不良事件是注射部位疼痛。未报告严重的AE。测试疫苗和比较疫苗之间的血清转化率以及接种前和接种后SBA几何平均滴度(GMT)没有显著差异(p<0.05)。对于血清群A,测试疫苗和比较疫苗的疫苗接种后GMT比率(GMR)为0.9、1、1.29和0.85,C,分别为W135和Y。对于所有的血清群,发现GMR的95%CI下限大于预定义的0.5非劣效性界限,提示IngovaxACWY与QuadriMeningoTM疫苗相似.我们观察到IngovaxACWY的免疫原性和安全性不劣于比较疫苗。在当地开发生产多糖ACWY疫苗的设施将进一步促进孟加拉国疫苗领域的能力建设。
    Meningococcal disease is caused by Neisseria meningitidis or meningococcus. Every year globally around 1.2 million people are affected and approximately 120,000 deaths occur due to meningitis. The disease can be prevented by a single dose of meningococcal vaccine. We carried out a randomized observer-blinded non-inferiority trial to evaluate and compare the immunogenicity and safety of a local meningococcal polysaccharide vaccine \'Ingovax ACWY\' (test) with Quadri MeningoTM (comparator), an approved meningococcal polysaccharide vaccine in India. A total of 88 healthy adults (18-45 years old) were randomized at a 1:1 ratio in two vaccine groups receiving a single dose vaccine subcutaneously. All participants were followed until three months post-vaccination. Blood for clinical parameters (hematology and biochemistry) and serum bactericidal assay (SBA) was collected prior to vaccination and one-month post-vaccination. Solicited adverse events (AEs) were assessed up to 6 days following vaccination and unsolicited AEs were monitored throughout the follow-up period. There was no significant difference in rates of AE between the two groups. The commonest solicited AE was injection site pain. No serious AEs were reported. There was no significant difference (p<0.05) in seroconversion rate as well as pre and post-vaccination SBA geometric mean titers (GMT)between test and comparator vaccine. The post-vaccination GMT ratio (GMR) of the test and comparator vaccine was found to be 0.9, 1, 1.29, and 0.85 for serogroup A, C, W135, and Y respectively. For all the serogroups, lower limit of 95% CI of the GMR was found to be greater than the pre-defined 0.5 non-inferiority margin suggesting that Ingovax ACWY is similar to Quadri MeningoTM vaccine. We observed the immunogenicity and safety of Ingovax ACWY is non-inferior to comparator vaccine. The development of facilities for manufacturing polysaccharide ACWY vaccines locally will further lead to capacity building in the field of vaccines for Bangladesh.
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  • 文章类型: Journal Article
    背景:癌症患者的免疫系统通常会减弱,导致对疫苗的反应降低,尤其是那些接受免疫抑制肿瘤治疗(OT)。我们旨在评估OT对实体和血液肿瘤患者接种COVID-19后对B.1谱系和Omicron变体的体液和T细胞反应的影响。
    方法:我们对癌症患者进行了一项前瞻性研究,分为OT和非OT组,他接受了两剂系列的COVID-19mRNA疫苗,并在六个月后加强了疫苗接种。测量的结果是针对B.1谱系和Omicron变体的体液(抗SARS-CoV-2SIgG滴度和ACE2-S相互作用抑制能力)和细胞(每百万PBMC中SARS-CoV-2S特异性T细胞斑点)反应。在第二剂量后四周(n=98)和加强剂量后八周(n=71)评估这些反应。
    结果:与非OT组相比,OT组针对B.1谱系和Omicron变体的第二次疫苗剂量后的体液反应明显减弱(q值<0.05)。加强剂量的mRNA-1273疫苗显着改善了OT组的体液反应,与非OT组相当。mRNA-1273疫苗,为最初的武汉菌株设计,与B.1谱系相比,对Omicron变体的体液反应较弱,无论肿瘤治疗或疫苗剂量。相比之下,T细胞对SARS-CoV-2的反应,包括Omicron变体,在第二次疫苗剂量后已经存在,并且没有受到肿瘤治疗的显着影响。
    结论:癌症患者,特别是那些接受免疫抑制肿瘤治疗的人,应该需要加强剂量和适应新的SARS-CoV-2变种如Omicron的COVID-19疫苗。未来的研究应该评估免疫反应的持久性和个体化治疗方案的有效性。
    BACKGROUND: Cancer patients often have weakened immune systems, resulting in a lower response to vaccines, especially those receiving immunosuppressive oncological treatment (OT). We aimed to assess the impact of OT on the humoral and T-cell response to the B.1 lineage and Omicron variant following COVID-19 vaccination in patients with solid and hematological neoplasms.
    METHODS: We conducted a prospective study on cancer patients, stratified into OT and non-OT groups, who received a two-dose series of the COVID-19 mRNA vaccine and a booster six months later. The outcomes measured were the humoral (anti-SARS-CoV-2 S IgG titers and ACE2-S interaction inhibition capacity) and cellular (SARS-CoV-2 S-specific T-cell spots per million PBMCs) responses against the B.1 lineage and Omicron variant. These responses were evaluated four weeks after the second dose (n = 98) and eight weeks after the booster dose (n = 71).
    RESULTS: The humoral response after the second vaccine dose against the B.1 lineage and Omicron variant was significantly weaker in the OT group compared to the non-OT group (q-value<0.05). A booster dose of the mRNA-1273 vaccine significantly improved the humoral response in the OT group, making it comparable to the non-OT group. The mRNA-1273 vaccine, designed for the original Wuhan strain, elicited a weaker humoral response against the Omicron variant compared to the B.1 lineage, regardless of oncological treatment or vaccine dose. In contrast, T-cell responses against SARS-CoV-2, including the Omicron variant, were already present after the second vaccine dose and were not significantly affected by oncological treatments.
    CONCLUSIONS: Cancer patients, particularly those receiving immunosuppressive oncological treatments, should require booster doses and adapted COVID-19 vaccines for new SARS-CoV-2 variants like Omicron. Future studies should evaluate the durability of the immune response and the efficacy of individualized regimens.
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  • 文章类型: Journal Article
    背景口腔鳞状细胞癌(OSCC)是最常见的口腔恶性肿瘤。肿瘤微环境(TME)是由肿瘤和宿主共同作用的动态生态系统。TME的免疫细胞,主要是CD4+和CD8+肿瘤浸润淋巴细胞(TIL),抑制癌细胞的增殖,并在OSCC的进展中起关键作用。本研究旨在分析OSCC中CD4和CD8TIL的免疫组织化学表达,并将其与临床病理参数进行比较和关联。方法对75例诊断为原发性OSCC的福尔马林固定石蜡包埋标本进行CD4+和CD8+抗体免疫染色,并将其表达与临床病理参数进行比较。结果CD4+和CD8+表达呈正相关(r=0.655,p=0.001)。CD4+(r=-2.37,p=0.041)和CD8+(r=-0.348,p=0.002)表达均与OSCC的TNM分期(r=-2.37,p=0.041)呈负相关。CD8+表达与病理分级呈正相关(r=0.288,p=0.012)。结论研究结果表明,CD4+细胞对于维持和维持CD8+TIL介导的抗肿瘤应答是必需的。CD4+和CD8+TIL是细胞介导的适应性免疫的关键参与者,可预防肿瘤进展和转移。引人注目的是,尽管CD8+浸润较重,但肿瘤分级较高可能是由于癌症免疫编辑.
    Background Oral squamous cell carcinoma (OSCC) is the most common malignant neoplasm of the oral cavity. The tumor microenvironment (TME) is a dynamic ecosystem composed of components contributed by both the tumor and the host. The immune cells of TME, mainly CD4+ and CD8+ tumor-infiltrating lymphocytes (TILs), suppress the proliferation of cancer cells and play a crucial role in the progression of OSCC. The present study aims to analyze the immunohistochemical expression of CD4+ and CD8+ TILs in OSCC and to compare and correlate them with clinicopathological parameters. Methodology A total of 75 formalin-fixed paraffin-embedded samples of cases diagnosed with primary OSCC were immunostained with CD4+ and CD8+ antibodies and their expression was compared with the clinicopathological parameters. Results There was a significant positive correlation between CD4+ and CD8+ expression (r = 0.655, p = 0.001). Both CD4+ (r = -2.37, p = 0.041) and CD8+ (r = -0.348, p = 0.002) expressions negatively correlated with the TNM stage (r = -2.37, p = 0.041) of OSCC. CD8+ expression positively correlated with histopathological grade (r = 0.288, p = 0.012). Conclusions The study findings suggest that CD4+ cells are essential to maintain and sustain CD8+ TIL-mediated anti-tumor response. CD4+ and CD8+ TILs are key players in cell-mediated adaptive immunity and prevent tumor progression and metastasis. Strikingly, the higher grade of tumors despite heavy CD8+ infiltration may possibly be due to cancer immunoediting.
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  • 文章类型: Journal Article
    背景:该研究集中在尼罗罗非鱼(Oreochromisniloticus)饮食中补充Ulvafasciata提取物(UFE)对血液和生化标志物的影响,免疫和氧化反应,以及相关基因的表达,对接触嗜水气单胞菌后的病情有特别的兴趣。
    方法:在饮食中测试了四种不同水平的UFE:对照组(U0)为0%(0mgkg-1),和递增添加0.05%(50mgkg-1),0.1%(100mgkg-1),和0.15%(150mgkg-1)分别为实验组U50,U100和U150。体重为3.126±0.120g的45条鱼组在90天内饲喂这些饮食。
    结果:研究发现,与对照组相比,用UFE治疗的组显示出统计学上的显着增强(p<0.05)。这些改善包括增加红细胞和白细胞计数,更高的血红蛋白浓度,更大的细胞体积,和升高的酶活性-特别是,超氧化物歧化酶,过氧化氢酶,丙氨酸氨基转移酶,和天冬氨酸转氨酶.此外,溶菌酶和吞噬活性明显较高,尤其是U100组暴露后。在接触嗜水气单胞菌之前,所有水平的UFE补充导致TNF-α和COXII基因表达增加,NFκ-B表达降低。挑战之后,UFE摄入导致免疫和抗氧化基因表达水平不同(TNF-α,NFκ-B,SOD,和COXII)在肝脏中,在U50、U100和U150组中观察到最有效的反应。
    结论:研究结果强调了膳食UFE作为尼罗罗非鱼的天然抗氧化剂和免疫增强剂的潜力。
    BACKGROUND: The study focused on the impact of Ulva fasciata extract (UFE) supplementation in the diets of Nile tilapia (Oreochromis niloticus) on blood and biochemical markers, immune and oxidative responses, and the expression of related genes, with a specific interest in their condition following exposure to Aeromonas hydrophila.
    METHODS: Four different levels of UFE were tested in the diets: 0% (0 mg kg- 1) for the control group (U0), and incremental additions of 0.05% (50 mg kg-1), 0.1% (100 mg kg-1), and 0.15% (150 mg kg-1) for the experimental groups U50, U100, and U150 respectively. Groups of 45 fish weighing 3.126 ± 0.120 g were fed these diets over 90 days.
    RESULTS: The study found that groups treated with UFE showed statistically significant enhancements (p < 0.05) compared to the control group. These improvements included increased red and white blood cell counts, higher haemoglobin concentrations, greater packed cell volume, and elevated enzyme activities-specifically, superoxide dismutase, catalase, alanine aminotransferase, and aspartate aminotransferase. Additionally, lysozyme and phagocytic activities were notably higher, especially in the U100 group after exposure. Before exposure to Aeromonas hydrophila, all levels of UFE supplementation led to increased expression of TNF-α and COXII genes and decreased NFκ-B expression. After the challenge, UFE intake resulted in varied expression levels of immune and antioxidant genes (TNF-α, NFκ-B, SOD, and COXII) in the liver, with the most effective responses observed in the U50, U100, and U150 groups.
    CONCLUSIONS: The findings underscore the potential of dietary UFE as a natural antioxidant and immune booster for Nile tilapia.
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  • 文章类型: Journal Article
    背景:尽管对CoronaVac疫苗的适应性免疫反应是已知的,他们在土著社区的动态仍不清楚。在这项研究中,我们评估了对CoronaVac(Sinovac生物技术生命科学,2021NCT05225285,北京,中国),接种疫苗的巴西土著人。
    方法:我们在2021年2月至2021年6月期间对巴西土著人民进行了一项前瞻性队列研究。在完成疫苗接种时间表之前(T1)和之后(T2)进行免疫应答的分析。使用问卷收集人口统计学数据。
    结果:我们最初纳入了328名患者;其中,120例(36.6%)没有SARS-CoV-2抗体。在随访期间收集106名患者的外周血单核细胞(PBMC),其中91个样本通过免疫表型分析来检测SARS-CoV-2特异性记忆T细胞反应。接种疫苗后,记忆B细胞和自然杀伤T淋巴细胞的水平增加。博罗罗村居民,女性,和Terena族成员在接种疫苗后有更高水平的抗尖峰IgG抗体,而酒精和烟草使用者的浓度较低。
    结论:据我们所知,这是首次全面评估土著患者针对CoronaVac疫苗接种的抗体和T细胞反应.我们的发现表明,按照疫苗接种时间表,大多数患者都存在针对SARS-CoV-2的抗体反应和T细胞免疫。
    BACKGROUND: Although the adaptive immune responses to the CoronaVac vaccine are known, their dynamics in indigenous communities remain unclear. In this study, we assessed the humoral and cellular immune responses to CoronaVac (Sinovac Biotech Life Sciences, 2021 NCT05225285, Beijing, China), in immunized Brazilian indigenous individuals.
    METHODS: We conducted a prospective cohort study on indigenous Brazilian people between February 2021 and June 2021. Analyses of immune responses were carried out before (T1) and after a vaccination schedule was completed (T2). Demographic data were collected using a questionnaire.
    RESULTS: We initially included 328 patients; among them, 120 (36.6%) had no SARS-CoV-2 antibodies. Peripheral blood mononuclear cells (PBMCs) were collected from 106 patients during follow-up visits, of which 91 samples were analyzed by immunophenotyping assay to detect SARS-CoV-2-specific memory T-cell response. Post-vaccination, the levels of memory B-cells and Natural Killer T-lymphocytes increased. Bororó village residents, females, and Terena ethnic group members had higher levels of anti-spike IgG antibodies post-vaccination, whereas alcohol and tobacco users had lower concentrations.
    CONCLUSIONS: To our best knowledge, this was the first comprehensive assessment of antibody and T-cell responses against CoronaVac vaccination in indigenous patients. Our findings showed that antibody response and T-cell immunity against SARS-CoV-2 were present in most patients following the vaccination schedule.
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  • 文章类型: Journal Article
    人粪便样品的分子诊断已鉴定出志贺氏菌病的负担比先前培养所认识到的更大。免疫球蛋白G(IgG)对保守和类型特异性志贺氏菌抗原的倍数变化的证据可用于验证类型特异性志贺氏菌的分子分配作为急性腹泻的病因,并支持基于聚合酶链反应(PCR)的微生物终点疫苗试验。
    我们将使用基于珠子的免疫分析法对IgG进行测试,以检测招募时和4周后收集的干血点,以入侵质粒抗原B和针对福氏志贺氏菌1b的特异性脂多糖O抗原,2a,3a,志贺氏菌阳性病例和年龄-,Site-,以及来自全球健康肠服务(EFGH)志贺氏菌监测研究中所有站点的季节匹配测试阴性对照。将在培养阳性,培养阴性但PCR归因,和PCR阳性但非归因病例和检测阴性对照。将确定年龄和位点特异性血清阳性率分布,并估计基线抗体与志贺氏菌属归因之间的关联。
    将这些检测方法整合到EFGH研究中,将有助于支持基于PCR的急性腹泻归因为类型特异性志贺氏菌,描述保守和类型特异性志贺氏菌抗体的基线血清阳性率,以及对志贺氏菌腹泻的免疫保护的支持相关因素。这些见解可以帮助支持志贺氏菌候选疫苗的开发和评估。
    UNASSIGNED: Molecular diagnostics on human fecal samples have identified a larger burden of shigellosis than previously appreciated by culture. Evidence of fold changes in immunoglobulin G (IgG) to conserved and type-specific Shigella antigens could be used to validate the molecular assignment of type-specific Shigella as the etiology of acute diarrhea and support polymerase chain reaction (PCR)-based microbiologic end points for vaccine trials.
    UNASSIGNED: We will test dried blood spots collected at enrollment and 4 weeks later using bead-based immunoassays for IgG to invasion plasmid antigen B and type-specific lipopolysaccharide O-antigen for Shigella flexneri 1b, 2a, 3a, and 6 and Shigella sonnei in Shigella-positive cases and age-, site-, and season-matched test-negative controls from all sites in the Enterics for Global Health (EFGH) Shigella surveillance study. Fold antibody responses will be compared between culture-positive, culture-negative but PCR-attributable, and PCR-positive but not attributable cases and test-negative controls. Age- and site-specific seroprevalence distributions will be identified, and the association between baseline antibodies and Shigella attribution will be estimated.
    UNASSIGNED: The integration of these assays into the EFGH study will help support PCR-based attribution of acute diarrhea to type-specific Shigella, describe the baseline seroprevalence of conserved and type-specific Shigella antibodies, and support correlates of protection for immunity to Shigella diarrhea. These insights can help support the development and evaluation of Shigella vaccine candidates.
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  • 文章类型: Clinical Trial, Phase I
    mRNA-1647是针对巨细胞病毒(CMV)的研究性基于mRNA的疫苗,其包含编码CMV蛋白糖蛋白B和五聚体的序列。在从参与三剂量系列mRNA-1647(NCT03382405)的1期试验的健康CMV血清阳性和CMV血清阴性成年人收集的血液样品中评估了体液和细胞免疫反应。CMV血清阴性mRNA-1647受体血清中针对成纤维细胞和上皮细胞感染的中和抗体(nAb)滴度高于对照CMV血清阳性样品的血清,并在剂量3后12个月内保持升高。由mRNA-1647引起的nAb应答在14个人CMV(HCMV)菌株中是可比较的。在每个mRNA-1647剂量后,CMV血清阳性和CMV血清阴性参与者中抗原特异性记忆B细胞的频率增加,并在剂量3后保持升高长达6个月。在用HCMV特异性肽刺激后,来自CMV血清阴性和CMV血清阳性参与者的样品中,mRNA-1647引起CD4T辅助1型和效应CD8T细胞的频率和多功能性的强劲增加。向健康成人施用三种剂量的mRNA-1647引发了广泛的高nAb滴度,持久的记忆B细胞,和强烈的多功能T细胞反应。这些发现支持针对CMV的mRNA-1647疫苗的进一步临床开发。重要巨细胞病毒(CMV),一种可以感染所有年龄段的人的常见病毒,可能会导致未出生的婴儿和免疫系统较弱的婴儿严重的健康问题。目前,没有批准的疫苗可用于预防CMV感染;然而,基于信使RNA(mRNA)的CMV疫苗,mRNA-1647正在临床试验中进行评估。目前的分析检查了健康成年人mRNA-16471期试验的样本,以更好地了解免疫系统对疫苗接种的反应。三个剂量的mRNA-1647产生了持久的免疫反应,从而支持对该疫苗预防CMV感染的进一步研究。临床试验在ClinicalTrials.gov(NCT03382405)注册。
    mRNA-1647 is an investigational mRNA-based vaccine against cytomegalovirus (CMV) that contains sequences encoding the CMV proteins glycoprotein B and pentamer. Humoral and cellular immune responses were evaluated in blood samples collected from healthy CMV-seropositive and CMV-seronegative adults who participated in a phase 1 trial of a three-dose series of mRNA-1647 (NCT03382405). Neutralizing antibody (nAb) titers against fibroblast and epithelial cell infection in sera from CMV-seronegative mRNA-1647 recipients were higher than those in sera from control CMV-seropositive samples and remained elevated up to 12 months after dose 3. nAb responses elicited by mRNA-1647 were comparable across 14 human CMV (HCMV) strains. Frequencies of antigen-specific memory B cells increased in CMV-seropositive and CMV-seronegative participants after each mRNA-1647 dose and remained elevated for up to 6 months after dose 3. mRNA-1647 elicited robust increases in frequencies and polyfunctionality of CD4+ T helper type 1 and effector CD8+ T cells in samples from CMV-seronegative and CMV-seropositive participants after stimulation with HCMV-specific peptides. The administration of three doses of mRNA-1647 to healthy adults elicited high nAb titers with wide-breadth, long-lasting memory B cells, and strong polyfunctional T-cell responses. These findings support further clinical development of the mRNA-1647 vaccine against CMV.IMPORTANCECytomegalovirus (CMV), a common virus that can infect people of all ages, may lead to serious health problems in unborn babies and those with a weakened immune system. Currently, there is no approved vaccine available to prevent CMV infection; however, the investigational messenger RNA (mRNA)-based CMV vaccine, mRNA-1647, is undergoing evaluation in clinical trials. The current analysis examined samples from a phase 1 trial of mRNA-1647 in healthy adults to better understand how the immune system reacts to vaccination. Three doses of mRNA-1647 produced a long-lasting immune response, thus supporting further investigation of the vaccine in the prevention of CMV infection.CLINICAL TRIALSRegistered at ClinicalTrials.gov (NCT03382405).
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