Immune

免疫
  • 文章类型: Journal Article
    香菇多糖(LNT),一种天然多糖,据报道,口服后在肠道中表现出免疫调节作用。在这里,我们的目的是通过可追溯的荧光标记研究LNT在Peyer's斑块(PPs)中的淋巴运输,并探讨LNT是否/如何接触相关的免疫细胞。近红外成像证实口服给药后LNT在小肠段中的吸收及其在PPs中的积累。随后,组织成像证实,M细胞是负责将LNT运输到PPs的主要细胞,并建立了M细胞模型,以探讨Dectin-1在吸收过程中的参与。系统的体外和体内研究表明,Dectin-1进一步介导了PPs中单核吞噬细胞对LNT的摄取。此外,LNT可以促进单核吞噬细胞的增殖和分化,从而激活免疫反应。总之,这项研究阐明了LNT发挥口服免疫调节作用的药代动力学机制,为其他多糖的开发和应用提供理论依据。
    Lentinan (LNT), a natural polysaccharide, has been reported to exhibit immunomodulatory effects in the intestine after oral administration. Herein, we aimed to investigate the lymphatic transport of LNT in Peyer\'s patches (PPs) by traceable fluorescent labeling and to explore whether/how LNT contacts related immune cells. Near-infrared imaging confirmed the absorption of LNT in the small intestinal segment and its accumulation within PPs after oral administration. Subsequently, tissue imaging confirmed that M cells are the main cells responsible for transporting LNT to PPs, and an M cell model was established to explore the involvement of Dectin-1 in the absorption process. Systematic in vitro and in vivo studies revealed that the Dectin-1 further mediates the uptake of LNT by mononuclear phagocytes in PPs. Moreover, LNT can promote the proliferation and differentiation of mononuclear phagocytes, thereby activating immune responses. In summary, this study elucidates the pharmacokinetic mechanisms by which LNT exerts oral immunomodulatory effects, providing a theoretical basis for the development and application of other polysaccharides.
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  • 文章类型: Journal Article
    Scyllaparamamosain,一只经济意义重大的螃蟹,在世界范围内广泛种植。近年来,由于培养规模的扩大和培养密度的增加,美国paramamosain面临着病毒性疾病的严重威胁。其中,泥蟹双曲病毒-1(MCDV-1)表现出高致病性,对泥蟹养殖业的健康发展提出了重大挑战。因此,全面了解泥蟹对MCDV-1感染的免疫反应对于制定有效的疾病预防策略至关重要。在这项研究中,对感染MCDV-1的泥蟹的肝胰腺进行转录组学分析。研究结果表明,健康和MCDV-1感染的泥蟹之间共有5139个差异表达基因(DEGs),包括3,327个上调的DEG和1,812个下调的DEG。进一步分析显示泥蟹通过激活体液免疫相关通路抵抗MCDV-1感染,包括MAPK信号通路,MAPK信号通路-fly,以及Toll和Imd信号通路。相比之下,MCDV-1感染引发宿主代谢紊乱.几种免疫相关的维生素代谢途径(抗坏血酸和醛盐代谢,视黄醇代谢,和烟酸和烟酰胺代谢)被显著抑制,这可能为病毒的自我复制创造有利条件。值得注意的是,内吞作用在GO和KEGG途径中均出现了显着上调,与几种病毒内吞相关的途径显示出显着的激活。PPI网络分析确定了9个与病毒内吞相关的hub基因。随后的GeneMANIA分析证实了这些hub基因与病毒内吞作用的关联。转录组数据和qPCR分析显示,这些hub基因在MCDV-1感染后显著上调,提示MCDV-1可能利用病毒内吞作用进入细胞并促进复制。这项研究代表了有关泥蟹肝胰腺对MCDV-1感染的转录组学反应的第一份综合报告。未来的研究应该集中在阐明MCDV-1通过内吞作用进入细胞的机制。因为这可能对疫苗靶标的开发具有关键意义。
    Scylla paramamosain, an economically significant crab, is widely cultivated worldwide. In recent years, S. paramamosain has faced a serious threat from viral diseases due to the expansion of culture scale and increased culture density. Among these, mud crab dicistrovirus-1 (MCDV-1) stands out as highly pathogenic, presenting substantial challenges to the healthy development of mud crab aquaculture. Therefore, a comprehensive understanding of the mud crab immune response to MCDV-1 infection is imperative for devising effective disease prevention strategies. In this study, transcriptomic analyses were conducted on the hepatopancreas of mud crabs infected with MCDV-1. The findings revealed a total of 5139 differentially expressed genes (DEGs) between healthy and MCDV-1 infected mud crabs, including 3327 upregulated and 1812 downregulated DEGs. Further analysis showed that mud crabs resist MCDV-1 infection by activating humoral immune-related pathways, including the MAPK signaling pathway, MAPK signaling pathway-fly, and Toll and Imd signaling pathway. In contrast, MCDV-1 infection triggers host metabolic disorders. Several immune-related vitamin metabolism pathways (ascorbate and aldarate metabolism, retinol metabolism, and nicotinate and nicotinamide metabolism) were significantly inhibited, which may create favorable conditions for the virus\'s self-replication. Notably, endocytosis emerged as significantly upregulated both in GO terms and KEGG pathways, with several viral endocytosis-related pathways showing significant activation. PPI network analysis identified 9 hub genes associated with viral endocytosis within the endocytosis. Subsequent GeneMANIA analysis confirmed the association of these hub genes with viral endocytosis. Both transcriptome data and qPCR analysis revealed a significant upregulation of these hub genes post MCDV-1 infection, suggesting MCDV-1 may use viral endocytosis to enter cells and facilitate replication. This study represents the first comprehensive report on the transcriptomic profile of mud crab hepatopancreas response to MCDV-1 infection. Future investigations should focus on elucidating the mechanisms through which MCDV-1 enters cells via endocytosis, as this may holds critical implications for the development of vaccine targets.
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  • 文章类型: Journal Article
    在人类表皮生长因子受体2阴性(HR/HER2-)乳腺癌中,最普遍的亚型,新辅助化疗后病理完全缓解率(pCR)小于18%,晚期患者的生存率约为34%,强调对更有效疗法的关键需求。最近的研究强调了CDK4/6抑制剂和氟维司群(Ful)的组合在管理HR+/HER2-乳腺癌中的实质性治疗益处。这些疗法不仅抑制了肿瘤的增殖,而且改变了肿瘤的免疫微环境,为这种乳腺癌亚型的免疫疗法提供了新的途径。流式细胞术,PCR,WB,和RNA-seq实验表明,CDK4/6抑制剂palbociclib(pa)与Ful的组合通过诱导SASP和激活MAPK信号通路上调肿瘤细胞中的CCL2。CCL2将Tregs吸引到肿瘤微环境中,它发挥免疫抑制作用。通过施用CCL2抑制剂吡非尼酮,我们抑制了这些作用并增强了PalFul的抗肿瘤功效。我们的研究揭示了CDK4/6抑制剂和氟维司群的免疫抑制作用,并表明CCL2抑制剂可能是治疗晚期HR/HER2-乳腺癌患者的可行方法。
    In human epidermal growth factor receptor 2-negative (HR+/HER2-) breast cancer, the most prevalent subtype, the pathological complete response (pCR) rate after neoadjuvant chemotherapy is less than 18 %, and the survival of patients with advanced-stage disease is approximately 34 %, highlighting the critical demand for more potent therapies. Recent research has underscored the substantial therapeutic benefits of the combination of CDK4/6 inhibitors and fulvestrant (Ful) in managing HR+/HER2- breast cancer. These therapeutics not only curtail tumor proliferation but also alter the tumor immune microenvironment, suggesting novel avenues for immunotherapy for this breast cancer subtype. Flow cytometry, PCR, WB, and RNA-seq experiments revealed that the combination of the CDK4/6 inhibitor palbociclib (Pal) with Ful upregulated CCL2 in tumor cells by inducing the SASP and activating the MAPK signaling pathway. CCL2 attracts Tregs to the tumor microenvironment, where it exerts an immunosuppressive effect. By administering the CCL2 inhibitor pirfenidone, we inhibited these effects and enhanced the antitumor efficacy of Pal + Ful. Our research revealed an immunosuppressive effect of CDK4/6 inhibitors and fulvestrant and suggested that CCL2 inhibitors may be a viable approach for treating patients with advanced HR+/HER2- breast cancer.
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  • 文章类型: Journal Article
    ANCA相关性血管炎(AAV),和肾病综合征,包括微小病变疾病(MCD),局灶性和节段性肾小球硬化(FSG),膜性肾病(MN),由于其不同的免疫学特征,仍然是一个挑战。最近的治疗进展突出了理解这些疾病的免疫学景观的重要性。
    这项研究分析了AAV患者肾小球组织的转录组学数据,FSG,MCD,MN,正常控制。利用883个基因的免疫相关基因集,方法包括基因集变异分析(GSVA),LASSO回归,采用加权相关网络分析(WGCNA)。通过CIBERSORT对免疫细胞组成进行了预测,TIMER,MCPcounter,和quanTiseq算法。
    该研究揭示了在每种疾病中富集的不同的免疫遗传途径:ANCA中的造血细胞谱系,FSG中的亚油酸代谢,MCD中的PPAR信号,和MN中的药物代谢。基于免疫基因表达的分类器显示出高准确性(AUC:ANCA0.812,FSG0.99,MCD1,MN0.888)。共表达模块和PPI网络突出了每种疾病的独特途径。免疫细胞组成的预测显示FSG和MN中巨噬细胞升高,与正常对照相比,所有四种疾病的Treg水平均升高,并且在FSG中最高。相关分析表明分类器评分和免疫细胞类型之间的显著关联。
    这项研究为AAV提供了准确的分类器,FSG,MCD,MN,并揭示了不同的免疫途径。这些发现推进了个性化治疗,突出了AAV和肾病综合征的潜在治疗靶点。进一步的研究应该验证这些结果的临床应用。
    UNASSIGNED: ANCA-associated vasculitis (AAV), and nephrotic syndrome encompassing diseases including minimal change disease (MCD), focal and segmental glomerulosclerosis (FSG), membranous nephropathy (MN), remain a challenge due to their varied immunological characteristics. Recent therapeutic advancements have highlighted the importance of understanding these diseases\' immunological landscapes.
    UNASSIGNED: This study analyzed transcriptomics data from renal glomerular tissues of patients with AAV, FSG, MCD, MN, and normal controls. Utilizing an immune-related gene set of 883 genes, methods including Gene Set Variation Analysis (GSVA), LASSO regression, and Weighted Correlation Network Analysis (WGCNA) were used. Predictions of immune cell compositions were made through CIBERSORT, TIMER, MCPcounter, and quanTIseq algorithms.
    UNASSIGNED: The study revealed distinct immunogenetic pathways enriched in each disease: hematopoietic cell lineage in ANCA, linoleic acid metabolism in FSG, PPAR signaling in MCD, and drug metabolism in MN. Classifiers based on immune gene expression showed high accuracy (AUC: ANCA 0.812, FSG 0.99, MCD 1, MN 0.888). Co-expression modules and PPI networks highlighted unique pathways for each disease. Predictions of immune cell composition showed elevated macrophages in FSG and MN, with Treg levels elevated across all four diseases compared to normal controls and highest in FSG. Correlation analyses demonstrated significant associations between classifier scores and immune cell types.
    UNASSIGNED: This study offers accurate classifiers for AAV, FSG, MCD, and MN, and reveals distinct immunological pathways. These findings advance personalized treatments and highlight potential therapeutic targets in AAV and nephrotic syndrome. Further research should validate these results for clinical applications.
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  • 文章类型: Journal Article
    单结构域血管性血友病因子C型蛋白(SVWCs),主要在节肢动物中发现,对各种病原体引起的感染有反应。已在家蚕中鉴定出三种SVWCs,BmSVWC2可能在免疫系统中起关键作用。然而,BmSVWC2的调控机制仍不清楚。本研究旨在全面探讨BmSVWC2在家蚕免疫系统中的生化功能。系统发育分析显示BmSVWC1、BmSVWC3和BmSVWC2分布在不同的群体中,暗示不同的生化功能。响应细菌感染,BmSVWC2的mRNA和蛋白水平显着增加。BmSVWC2对细菌和真菌的多糖病原体相关分子模式表现出明确的结合活性,增强体内细菌清除,但不在体外。脂肪体和血细胞的RNA测序分析显示,许多免疫基因明显上调,BmSVWC2水平较高,主要影响识别,信令,以及Toll和免疫缺陷(IMD)信号通路的反应产生。这导致在血淋巴中产生各种抗微生物肽和显著的抗菌活性。BmSVWC2在脂肪体和血细胞中上调吞噬相关基因,和吞噬试验证实BmSVWC2提高了血细胞对细菌的吞噬能力。此外,BmSVWC2诱导脂肪体内一氧化氮合成酶(NOS)的表达,和生物测定证实,BmSVWC2增加了脂肪体和血淋巴中的NOS活性,导致一氧化氮积累。然而,BmSVWC2不影响酚氧化酶活性,尽管它引起了一些丝氨酸蛋白酶和丝氨酸蛋白酶抑制剂的差异表达。免疫共沉淀和质谱分析显示,BmSVWC2与30K蛋白相互作用,如30K蛋白2,30KpBmHPC-19,30K19G1样,30K蛋白8、30K蛋白7、30KpBmHPC-23和低分子质量脂蛋白4样。我们的研究提供了BmSVWC2的全面表征,并阐明了其调节免疫反应激活的潜在机制。
    Single-domain von Willebrand factor type C proteins (SVWCs), primarily found in arthropods, responds to infections caused by various pathogens. Three SVWCs have been identified in the silkworm and BmSVWC2 might play a crucial role in the immune system. However, the regulatory mechanism of BmSVWC2 remains largely unknown. This study aimed to investigate the biochemical functions of BmSVWC2 in the immune system of B. mori comprehensively. Phylogenetic analysis revealed that BmSVWC1, BmSVWC3, and BmSVWC2 were distributed in diverse groups, suggesting distinct biochemical functions. The mRNA and protein levels of BmSVWC2 increased significantly in response to bacterial infection. BmSVWC2 exhibited clear binding activity to the polysaccharide pathogen-associated molecular patterns of bacteria and fungi, enhancing bacterial clearance in vivo but not in vitro. RNA-sequencing assays of the fat body and hemocytes showed that numerous immune genes were markedly up-regulated with higher level of BmSVWC2, primarily affecting recognition, signaling, and response production of the Toll and immune deficiency (IMD) signaling pathways. This led to the production of various antimicrobial peptides and significant antibacterial activities in the hemolymph. BmSVWC2 up-regulated phagocytosis-related genes in the fat body and hemocytes, and phagocytosis assays confirmed that BmSVWC2 improved the phagocytic ability of hemocytes against bacteria. Additionally, BmSVWC2 induced the expression of nitric oxide synthetase (NOS) in the fat body, and bioassays confirmed that BmSVWC2 increased NOS activity in the fat body and hemolymph, resulting in nitric oxide accumulation. However, BmSVWC2 did not affect phenoloxidase activity, despite it caused differential expression of a few serine proteases and serine protease inhibitors. Co-immunoprecipitation and mass spectrometry assays showed that BmSVWC2 interacted with 30 K proteins, such as 30 K protein 2, 30 K pBmHPC-19, 30 K 19G1-like, 30 K protein 8, 30 K protein 7, 30 K pBmHPC-23, and low molecular mass lipoprotein 4-like. Our study provides a comprehensive characterization of BmSVWC2 and elucidates the mechanism underlying its regulation of immune responses activation.
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  • 文章类型: Journal Article
    TGF-β信号通路异常可导致结直肠癌(CRC)的侵袭表型,导致预后不良。在TGF-β相关基因的基础上建立有效的预后因子对准确识别CRC患者的风险至关重要。
    我们从数据库和以前的文献中对CRC患者的TGF-β相关基因进行了差异分析,以获得TGF-β相关的差异表达基因(TRDEGs)。利用LASSO-Cox回归建立基于TRDEGs的CRC预后特征模型。使用两个GEO验证集对模型进行了验证。采用Wilcoxon秩和检验模型与临床因素的相关性。使用ESTIMATE算法和ssGSEA和肿瘤突变负荷(TMB)分析来分析高风险(HR)和低风险(LR)组的免疫状况和突变负荷。利用CellMiner数据库来鉴定对特征基因具有高敏感性的治疗药物。
    我们建立了具有良好预测准确性的六基因风险预后模型,独立预测CRC患者的预后。由于较高的免疫浸润和TMB,HR组更有可能经历免疫疗法益处。特征基因TGFB2能够抑制XAV-939、星孢菌素、和达沙替尼,但促进药物如CUDC-305和CUDC-305的副产品的疗效。同样,RBL1可以抑制氟奋乃静和咪喹莫特的药物作用,但可以促进伊罗芬的药物作用。
    根据TGF-β相关基因开发了CRC风险预后特征,为CRC患者的风险和进一步的治疗选择提供参考。
    UNASSIGNED: Aberrant TGF-β signaling pathway can lead to invasive phenotype of colorectal cancer (CRC), resulting in poor prognosis. It is pivotal to develop an effective prognostic factor on the basis of TGF-β-related genes to accurately identify risk of CRC patients.
    UNASSIGNED: We performed differential analysis of TGF-β-related genes in CRC patients from databases and previous literature to obtain TGF-β-related differentially expressed genes (TRDEGs). LASSO-Cox regression was utilized to build a CRC prognostic feature model based on TRDEGs. The model was validated using two GEO validation sets. Wilcoxon rank-sum test was utilized to test correlation of model with clinical factors. ESTIMATE algorithm and ssGSEA and tumor mutation burden (TMB) analysis were used to analyze immune landscape and mutation burden of high-risk (HR) and low-risk (LR) groups. CellMiner database was utilized to identify therapeutic drugs with high sensitivity to the feature genes.
    UNASSIGNED: We established a six-gene risk prognostic model with good predictive accuracy, which independently predicted CRC patients\' prognoses. The HR group was more likely to experience immunotherapy benefits due to higher immune infiltration and TMB. The feature gene TGFB2 could inhibit the efficacy of drugs such as XAV-939, Staurosporine, and Dasatinib, but promote the efficacy of drugs such as CUDC-305 and by-product of CUDC-305. Similarly, RBL1 could inhibit the drug action of Fluphenazine and Imiquimod but promote that of Irofulven.
    UNASSIGNED: A CRC risk prognostic signature was developed on basis of TGF-β-related genes, which provides a reference for risk and further therapeutic selection of CRC patients.
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  • 文章类型: Journal Article
    益生菌是对宿主健康有益的活性微生物。然而,益生菌对外界环境高度敏感,并且在生产过程中容易受到各种因素的影响,这些因素会降低它们的活性,storage,和使用。微囊化是增强益生菌活性的有效方法。大分子如多糖,被归类为生物活性益生元的人,它们在益生菌微囊化方面的实用性引起了极大的关注。本文从多糖益生元的角度综述了常用微囊化材料的种类及其结构特征。它还讨论了最近的进展,基于益生菌-益生元微胶囊的免疫系统调节,以及相关的限制。此外,八益生元作为微胶囊壁材的优缺点。β-葡聚糖的蜂窝状结构增强了益生菌的生物利用度,while,低聚果糖和低聚半乳糖改善微珠结构以紧密包封益生菌。异麦芽寡糖的末端还原基团和低聚木糖中的游离羟基也积极影响微胶囊的结构。益生元不仅提高了益生菌作为包埋材料在储存过程中的存活率和生物活性,而且还发挥自己的益生菌作用。总的来说,益生元作为益生菌递送的微胶囊材料具有很大的前景。
    Probiotics are active microorganisms that are beneficial to the health of the host. However, probiotics are highly sensitive to the external environment, and are susceptible to a variety of factors that reduce their activity during production, storage, and use. Microencapsulation is an effective method that enhances probiotic activity. Macromolecules like polysaccharides, who classified as biologically active prebiotics, have attracted significant attention for their utility in probiotic microencapsulation. This article summarized the types of commonly used microencapsulation materials and their structural characteristics from the perspective of polysaccharides prebiotics. It also discussed recent advancements, probiotic-prebiotic microcapsule-based modulation of the immune system, as well as the associated limitations. Furthermore, the advantages and disadvantages of eight prebiotics as microencapsulation wall materials. The honeycomb structure of β-glucan enhances the bioavailability of probiotics, while, fructooligosaccharide and galactooligosaccharides improve microbead structure to tightly encapsulate probiotics. The terminal reducing groups of isomaltooligosaccharides and the free hydroxyl groups in xylooligosaccharides also positively affect the structure of microcapsules. Prebiotics not only enhance the survival rate and biological activity of probiotics as embedding materials during storage, but also exert their own probiotic effects. Collectively, prebiotics holds great promise as microencapsulation materials for probiotics delivery.
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  • 文章类型: Journal Article
    最近的研究已经广泛探索了针灸有效性的复杂机制,强调刺激穴位的重要性,针灸技术在管理疾病中的作用,以及经络途径和分子过程之间的相互作用。研究强调了针灸在激活神经元中的关键作用,调节免疫系统,影响血管活动,所有这些都对其在各种症状和疾病中的治疗益处做出了重大贡献。利用成像方式可以识别脑血流量的变化,大脑功能,以及针灸治疗后的局部葡萄糖代谢。子午线内的间质流体循环网络遵守促进材料运输的特定法律。针刺引发神经递质的释放,神经肽,和免疫因素,影响疼痛感知,炎症,和生理功能。它通过激活涉及神经系统的通路来影响复杂的神经-内分泌-免疫网络,下丘脑-垂体-肾上腺轴,和免疫反应。此外,针灸诱导分子修饰,如磷酸化,甲基化,和组蛋白修饰,导致关键的分子变化,最终导致抗炎作用和免疫反应的调节。
    Recent research has extensively explored the intricate mechanisms that underlie the effectiveness of acupuncture, highlighting the importance of stimulating acupoints, the role of acupuncture techniques in managing diseases, and the interaction between meridian pathways and molecular processes. Studies have underscored the crucial role of acupuncture in activating neurons, modulating the immune system, and influencing vascular activity, all of which contribute significantly to its therapeutic benefits across a wide range of symptoms and conditions. Utilization of imaging modalities enables the identification of changes in cerebral blood flow, brain function, and regional glucose metabolism following acupuncture sessions. The interstitial fluid circulation network within meridians adheres to specific laws that facilitate the transportation of materials. Acupuncture initiates the release of neurotransmitters, neuropeptides, and immune factors, impacting pain perception, inflammation, and physiological functions. It influences the complex neuro-endocrine-immune network by activating pathways involving the nervous system, the hypothalamic-pituitary-adrenal axis, and immune responses. Moreover, acupuncture induces molecular modifications such as phosphorylation, methylation, and histone modification, leading to key molecular changes that ultimately result in anti-inflammatory effects and the regulation of immune responses.
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  • 文章类型: Journal Article
    在微卫星不稳定(MSI)子宫内膜癌(EC)患者中,基于抗程序性细胞死亡蛋白1(PD-1)的免疫治疗的临床益处先于微卫星稳定(MSS)EC,其机制尚未完全理解。环状RNA(circularRNAs,circRNAs)被报道在几种类型的恶性肿瘤中调节免疫逃避,虽然它们在EC免疫调节中的作用仍然未知。这里,我们对10个MSIEC样品和10个MSSEC样品进行了circRNA阵列分析和mRNA测序,并鉴定了1083个差异表达的circRNAs(DE-circRNAs)和864个差异表达的mRNAs,在此基础上,我们构建了一个由35个DE-circRNAs组成的circRNA-miRNA-mRNA综合网络,56个预测的miRNA和24个差异表达的mRNA。最后,我们证实hsa_circ_0058230与CD8+T细胞浸润呈正相关,表明它可能参与EC的抗肿瘤免疫。
    The clinical benefit of anti-programmed cell death protein 1 (PD-1)-based immunotherapy among patients with microsatellite instable (MSI) endometrial cancer (EC) precedes that of microsatellite stable (MSS) EC, the mechanisms of which have not been fully understood. Circular RNAs (circRNAs) were reported to modulate immune evasion in several types of malignancies, while their roles in the immune regulation in EC remain largely unknown. Here, we conducted circRNA array analysis and mRNA-Sequencing of 10 MSI EC samples and 10 MSS EC samples and identified 1083 differentially expressed circRNAs (DE-circRNAs) and 864 differentially expressed mRNAs, based on which we constructed a circRNA-miRNA-mRNA comprehensive network consisting of 35 DE-circRNAs, 56 predicted miRNAs and 24 differentially expressed mRNAs. Finally, we confirmed hsa_circ_0058230 being positively correlated with CD8+ T cells infiltration, suggesting that it might take a part in anti-tumor immunity in EC.
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  • 文章类型: Journal Article
    背景:本研究探讨了与胆管癌(CCA)预后良好相关的分子特征。
    结果:分析了从70个配对组织获得的转录组和整个外显子组测序数据,根据无进展生存期(PFS)对它们进行分组,分化程度,淋巴结转移。在70名患者中,TP53基因突变频率最高(53%),而FLG基因突变仅发生在长PFS组中。在长期和短期生存组之间的比较中,短PFS组表现出更高的单核细胞浸润水平(p=0.0287)和与癌症相关的转录失调相关的基因上调,趋化因子信号,和细胞因子-细胞因子受体相互作用。在分化和淋巴结转移组中,免疫细胞浸润和基因表达的差异显着。特别值得注意的是淋巴结转移组CD8T细胞和NK细胞浸润明显增加(p=0.0291,0.0459),显著影响预后。此外,与铂抗性相关的基因,Th17细胞分化,Th1和Th2细胞分化通路在该组中过表达。总之,短PFS组单核细胞浸润水平较高,与癌症相关通路相关的基因表达升高,提示预后较差。CD8T细胞和NK细胞浸润的显着增加反映了抗肿瘤免疫反应的增强,强调免疫浸润水平和基因表达在预测CCA患者预后中的相关性。
    结论:在这项研究中,我们通过全面的多组学分析阐明了影响CCA预后的相关分子机制和途径.
    BACKGROUND: This study explores molecular features associated with better prognosis in cholangiocarcinoma (CCA).
    RESULTS: The transcriptomic and whole-exome sequencing data obtained from paired tissues of 70 were analyzed, grouping them based on progression-free survival (PFS), differentiation degree, and lymph node metastasis. Among the 70 patients, the TP53 gene mutation frequency was the highest (53%), while FLG gene mutation occurred exclusively in the long PFS group. In the comparison between long and short survival groups, the short PFS group exhibited higher monocyte infiltration levels (p = 0.0287) and upregulation of genes associated with cancer-related transcriptional misregulation, chemokine signaling, and cytokine-cytokine receptor interactions. Differences in immune cell infiltration and gene expression were significant across differentiation and lymph node metastasis groups. Particularly noteworthy was the marked increase in CD8 T cell and NK cell infiltration (p = 0.0291, 0.0459) in the lymph node metastasis group, significantly influences prognosis. Additionally, genes related to platinum resistance, Th17 cell differentiation, and Th1 and Th2 cell differentiation pathways were overexpressed in this group. In summary, higher monocyte infiltration levels in the short PFS group, along with elevated expression of genes associated with cancer-related pathways, suggest a poorer prognosis. The significant increase in CD8 T cell and NK cell infiltration reflects an enhanced anti-tumor immune response, underscoring the relevance of immune infiltration levels and gene expression in predicting outcomes for CCA patients.
    CONCLUSIONS: In this study, we elucidated the pertinent molecular mechanisms and pathways that influence the prognosis of CCAs through comprehensive multi-omics analysis.
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