IL-1

IL - 1
  • 文章类型: Journal Article
    胰腺癌是一种非常侵袭性的疾病,预后不佳。肿瘤微环境通过分泌多种细胞因子发挥免疫抑制活性,包括白细胞介素(IL)-1。IL-1/IL-1受体(IL-1R)轴是肿瘤促进T辅助(Th)2-和Th17型炎症的关键调节因子。Th2细胞通过由IL-1激活的癌症相关成纤维细胞(CAF)分泌的胸腺基质淋巴细胞生成素(TSLP)被赋予Th2极化能力的树突状细胞分化。Thl7细胞在IL-1和其他IL-1调节的细胞因子存在下分化。在胰腺癌中,使用重组IL-1R拮抗剂(IL1RA,anakinra,ANK)在体外和体内模型中已显示出靶向IL-1/IL-1R途径的功效。在这项研究中,我们已经开发了负载ANK的鞘磷脂纳米系统(SNs)(ANK-SNs),以比较它们在体外抑制Th2-和Th17型炎症的能力与游离药物的能力。我们发现ANK-SNs以与ANK相似的水平抑制TSLP和CAF释放的其他促肿瘤细胞因子。重要的是,抑制Th17细胞分泌IL-17,但不是干扰素-γ,明显更高,在较低的浓度下,ANK-SNs与ANK相比。总的来说,使用ANK-SNs可能有利于减少药物的有效剂量及其毒性作用.
    Pancreatic cancer is a very aggressive disease with a dismal prognosis. The tumor microenvironment exerts immunosuppressive activities through the secretion of several cytokines, including interleukin (IL)-1. The IL-1/IL-1 receptor (IL-1R) axis is a key regulator in tumor-promoting T helper (Th)2- and Th17-type inflammation. Th2 cells are differentiated by dendritic cells endowed with Th2-polarizing capability by the thymic stromal lymphopoietin (TSLP) that is secreted by IL-1-activated cancer-associated fibroblasts (CAFs). Th17 cells are differentiated in the presence of IL-1 and other IL-1-regulated cytokines. In pancreatic cancer, the use of a recombinant IL-1R antagonist (IL1RA, anakinra, ANK) in in vitro and in vivo models has shown efficacy in targeting the IL-1/IL-1R pathway. In this study, we have developed sphingomyelin nanosystems (SNs) loaded with ANK (ANK-SNs) to compare their ability to inhibit Th2- and Th17-type inflammation with that of the free drug in vitro. We found that ANK-SNs inhibited TSLP and other pro-tumor cytokines released by CAFs at levels similar to ANK. Importantly, inhibition of IL-17 secretion by Th17 cells, but not of interferon-γ, was significantly higher, and at lower concentrations, with ANK-SNs compared to ANK. Collectively, the use of ANK-SNs might be beneficial in reducing the effective dose of the drug and its toxic effects.
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  • 文章类型: Journal Article
    自身免疫是指生物体对其自身健康细胞的免疫反应,组织,或组件,可能导致重要器官不可逆转的损害。中枢和外周耐受机制通过消除自身反应性T和B细胞在预防自身免疫中起关键作用。免疫耐受的破坏,以这些机制失效为特征,导致靶向自身组织的自身反应性淋巴细胞的异常激活,最终导致自身免疫性疾病的发病机制。遗传倾向,环境暴露,和免疫调节紊乱协同作用导致自身免疫性病变的易感性和启动。在自身免疫性疾病的免疫治疗领域,细胞因子疗法已经成为一种专门的策略,靶向细胞因子介导的调节途径以纠正免疫失衡。促炎细胞因子是诱导和传播自身免疫性炎症的关键参与者,强调细胞因子疗法在管理自身免疫性疾病方面的潜力。这篇综述讨论了自身免疫性疾病的病因,目前的治疗方法,以及未来药物设计的前景。
    Autoimmunity refers to an organism\'s immune response against its own healthy cells, tissues, or components, potentially leading to irreversible damage to vital organs. Central and peripheral tolerance mechanisms play crucial roles in preventing autoimmunity by eliminating self-reactive T and B cells. The disruption of immunological tolerance, characterized by the failure of these mechanisms, results in the aberrant activation of autoreactive lymphocytes that target self-tissues, culminating in the pathogenesis of autoimmune disorders. Genetic predispositions, environmental exposures, and immunoregulatory disturbances synergistically contribute to the susceptibility and initiation of autoimmune pathologies. Within the realm of immune therapies for autoimmune diseases, cytokine therapies have emerged as a specialized strategy, targeting cytokine-mediated regulatory pathways to rectify immunological imbalances. Proinflammatory cytokines are key players in inducing and propagating autoimmune inflammation, highlighting the potential of cytokine therapies in managing autoimmune conditions. This review discusses the etiology of autoimmune diseases, current therapeutic approaches, and prospects for future drug design.
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  • 文章类型: Journal Article
    One of the primary theories regarding the development of schizophrenia revolves around genetics, indicating the involvement of hereditary factors in various processes, including inflammation. Research has demonstrated that inflammatory reactions occurring in microglia can impact the progression of the disease. It has also been established that genetically determined changes in IL-1 can contribute to schizophrenia, thereby confirming the role of the IL-1 gene cluster in disease susceptibility. The aim of this study is a computer-based assessment of the structural interactions of IL-1 proteins with their receptors in schizophrenia. The study utilized the DisGeNET database, enabling the assessment of the reliability of identified IL-1 polymorphisms. Polymorphisms were also sought using NCBI PubMed. The NCBI Protein service was employed to search for and analyze the position of the identified polymorphisms on the chromosome. Structures for modeling were extracted from the Protein Data Bank database. Protein modeling was conducted using the SWISS-MODEL server, and protein interaction modeling was performed using PRISM. Notably, this study represents the first prediction of the interactions of IL-1α, IL-1β, and IL- 1RA proteins, taking into account the presence of single-nucleotide polymorphisms associated with schizophrenia in the sequence of the corresponding genes. The results indicate that the presence of SNP rs315952 in the IL-1RA protein gene, associated with schizophrenia, may lead to a weakening of the IL-1RA binding to receptors, potentially triggering the initiation of the IL-1 signaling pathway by disrupting or weakening the IL-1RA binding to receptors and facilitating the binding of IL-1 to them. Such alterations could potentially lead to a change in the immune response. The data obtained contribute theoretically to the development of ideas about the molecular mechanisms through which hereditary factors in schizophrenia influence the interactions of proteins of the IL-1 family, which play an important role in the processes of the immune system.
    Одной из основных теорий развития шизофрении является генетическая, свидетельствующая о вовлечении наследственных факторов в различные процессы, в том числе воспаление. Показано, что воспалительные реакции, протекающие в микроглии, могут влиять на развитие заболевания. Также установлено, что генетически обусловленные изменения IL-1 могут способствовать шизофрении, подтверждая роль кластера генов IL-1 в восприимчивости к болезням. Целью работы была компьютерная оценка структурных взаимодействий белков IL-1 с их рецепторами при шизофрении. Использовалась база данных DisGeNET, позволяющая оценить достоверность выявленных полиморфизмов IL-1. Проведен поиск полиморфизмов с помощью NCBI PubMed. Сервис NCBI Protein использовался для поиска и анализа положения на хромосоме найденных полиморфизмов. Из базы данных Protein Data Bank были извлечены структуры для проведения моделирования. Моделирование белков выполнялось с помощью сервера SWISS-MODEL, а моделирование белковых взаимодействий – с помощью PRISM. В настоящем исследовании впервые проведено прогнозирование взаимодействий белков IL-1α, IL-1β и IL-1RA с учетом наличия в последовательности соответствующих генов однонуклеотидных полиморфизмов, ассоциированных с шизофренией. Показано, что наличие ассоциированного с шизофренией полиморфизма rs315952 гена белка IL-1RA может привести к ослаблению связи IL-1RA с рецепторами и, предположительно, к запуску сигнального пути IL-1 путем разрыва либо ослабления связи IL-1RA с рецепторами и связыванием IL-1 с ними, что, возможно, вызовет изменение иммунного ответа. Полученные данные вносят теоретический вклад в развитие представлений о молекулярных механизмах влияния наследственных факторов шизофрении на взаимодействия белков семейства IL-1, играющих важную роль в процессах иммунной системы.
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  • 文章类型: Journal Article
    免疫系统对任何感知到的危险都会释放出炎症化学物质,包括刺激物和致病生物。半胱天冬酶的激活和炎症反应是由炎性体控制的,它们是先天免疫系统的传感器和发射器。它们总是与肿胀和疼痛有关。研究主要集中在NOD样蛋白递质3(NLRP3)炎性体上。白细胞介素(IL)-1和IL-18是由NOD样抗体蛋白受体3(NLRP3)激活的促炎细胞因子,控制先天免疫反应。在一些研究中,NLRP3炎性体与牙龈疾病和其他自身免疫性炎性疾病相关。科学家发现IL-1在许多自身免疫性疾病的病理生理学中起着核心作用,提高了公众对这些疾病的认识。与异常炎性体激活有关的第一种疾病是自身炎性冷冻比林相关的周期性综合征(CAPS)。针对IL-1的靶向治疗剂在开发中被延迟,因为它们的潜在原因知之甚少。NLRP3炎性体最近与牙周炎中更高的产生和活化有关。多种牙周细胞类型受NLRP3炎性体控制。为了促进破骨细胞的发生,NLRP3炎性体增加核因子κβ受体激活剂配体(RANKL)合成或降低破骨细胞促进基因(OPG)水平.通过增强促进牙周膜成纤维细胞炎症并触发成骨细胞凋亡的细胞因子,NLRP3炎性体调节免疫细胞活性。这些发现支持对NLRP3炎性体作为牙周炎药物治疗的治疗靶标的进一步研究。本文简要概述了NLRP3炎性蛋白,并讨论了它们在自身炎症性疾病(AIDs)和牙周炎发作中的作用。
    Inflammatory chemicals are released by the immune system in response to any perceived danger, including irritants and pathogenic organisms. The caspase activation and the response of inflammation are governed by inflammasomes, which are sensors and transmitters of the innate immune system. They have always been linked to swelling and pain. Research has mainly concentrated on the NOD-like protein transmitter 3 (NLRP3) inflammasome. Interleukin (IL)-1 and IL-18 are pro-inflammatory cytokines that are activated by the NOD-like antibody protein receptor 3 (NLRP3), which controls innate immune responses. The NLRP3 inflammasome has been associated with gum disease and other autoimmune inflammatory diseases in several studies. Scientists\' discovery of IL-1\'s central role in the pathophysiology of numerous autoimmune disorders has increased public awareness of these conditions. The first disease to be connected with aberrant inflammasome activation was the autoinflammatory cryopyrin-associated periodic syndrome (CAPS). Targeted therapeutics against IL-1 have been delayed in development because their underlying reasons are poorly understood. The NLRP3 inflammasome has recently been related to higher production and activation in periodontitis. Multiple periodontal cell types are controlled by the NLRP3 inflammasome. To promote osteoclast genesis, the NLRP3 inflammasome either increases receptor-activator of nuclear factor kappa beta ligand (RANKL) synthesis or decreases osteoclast-promoting gene (OPG) levels. By boosting cytokines that promote inflammation in the periodontal ligament fibroblasts and triggering apoptosis in osteoblasts, the NLRP3 inflammasome regulates immune cell activity. These findings support further investigation into the NLRP3 inflammasome as a therapeutic target for the medical treatment of periodontitis. This article provides a short overview of the NLRP3 inflammatory proteins and discusses their role in the onset of autoinflammatory disorders (AIDs) and periodontitis.
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  • 文章类型: Journal Article
    阿尔茨海默病(AD)是一种神经系统疾病,随着年龄的增长而更加常见。它可能会提前或延迟开始。促炎细胞因子和小胶质细胞活化水平升高,两者都有助于中枢神经系统的炎症状态,是AD的特征。与此相对,牙周炎是由革兰氏阴性厌氧菌引起的广泛的口腔感染。通过释放促炎细胞因子进入体循环,牙周炎可归类为低度全身性疾病。“牙周炎和AD与炎症有关,这被认为在这两种疾病过程中起着至关重要的作用。当前的综述试图强调促炎细胞因子的作用,在这两种疾病的病理生理学中,在牙周和阿尔茨海默病期间释放。它还解决了AD和牙周炎之间令人困惑的关系,强调病因和潜在的后果。
    Alzheimer\'s disease (AD) is a neurological condition that is much more common as people get older. It may start out early or late. Increased levels of pro-inflammatory cytokines and microglial activation, both of which contribute to the central nervous system\'s inflammatory state, are characteristics of AD. As opposed to this, periodontitis is a widespread oral infection brought on by Gram-negative anaerobic bacteria. By releasing pro-inflammatory cytokines into the systemic circulation, periodontitis can be classified as a \"low-grade systemic disease.\" Periodontitis and AD are linked by inflammation, which is recognized to play a crucial part in both the disease processes. The current review sought to highlight the effects of pro-inflammatory cytokines, which are released during periodontal and Alzheimer\'s diseases in the pathophysiology of both conditions. It also addresses the puzzling relationship between AD and periodontitis, highlighting the etiology and potential ramifications.
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  • 文章类型: Journal Article
    社区获得性肺炎(CAP)是儿童常见的呼吸道疾病。这项对110例CAP儿童和100例健康儿童进行的前瞻性队列研究调查了维生素A水平之间的关系。D和E和炎症标志物,如肿瘤坏死因子(TNF-a),白细胞介素-1(IL-1),白细胞介素-10(IL-10),中性粒细胞(NE)和C反应蛋白(CRP),在CAP。血红蛋白,白细胞浓度,NE,CAP组单核细胞和CRP浓度差异有统计学意义(P<0.05)。维生素A的水平,CAP组D、E均低于对照组,TNF-α、IL-1水平高于对照组,差异有统计学意义(P<0.05)。IL-10水平差异无统计学意义(P>0.05)。皮尔逊分析显示维生素A,D和E水平均与TNF-a相关,IL-10和CRP水平(P<0.05)。维生素A,CAP儿童的D和E水平低于健康儿童。因此,脂溶性维生素的含量与TNF-α和IL-10的分泌相关。该研究为预防疾病提供了新的方向,CAP的诊断和治疗。
    Community-acquired pneumonia (CAP) is a common respiratory disease in children. This prospective cohort study of 110 children with CAP and 100 healthy children investigated the relationship between the levels of vitamin A, D and E and inflammatory markers, such as tumour necrosis factor (TNF-a), interleukin-1 (IL-1), interleukin-10 (IL-10), neutrophils (NE) and C-reactive protein (CRP), in CAP. The haemoglobin, leukocyte concentration, NE, monocytes and CRP concentration in the CAP group showed significant differences (P < 0.05). The levels of vitamin A, D and E in the CAP group were lower than those in the control group, while the levels of TNF-a and IL-1 were higher than in the control group; the differences were statistically significant (P < 0.05). The IL-10 levels showed no significant differences (P > 0.05). Pearson analysis revealed that the vitamin A, D and E levels were all correlated with the TNF-a, IL-10 and CRP levels (P < 0.05). The vitamin A, D and E levels of the CAP children were lower than those of the healthy children. Thus, the content of fat-soluble vitamins is correlated with the secretion of TNF-a and IL-10. The research provides a new direction for the prevention, diagnosis and treatment of CAP.
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  • 文章类型: Journal Article
    发热在宿主防御过程中起着不可或缺的作用,并被用作感染严重程度的快速指标。不幸的是,发烧反应与生物性别也有很大的个体差异,免疫学史,和其他导致感染不良结果的人口统计学变量。本系列研究旨在检验以下假设:青少年酒精滥用史可能是潜在的经验变量,可确定使用聚肌苷酸:聚胞嘧啶酸(聚I:C)的发烧严重程度,一种模拟病毒攻击的双链RNA的合成形式。成年雄性和雌性SpragueDawley大鼠注射0(盐水)或4mg/kgpolyI:C,首先在实验1中使用植入的放射性遥测设备进行远程跟踪,以建立发烧敏感性的性别差异。在实验2和3中,青春期的男性和女性暴露于水或乙醇(胃内暴露于0或4g/kg,3天之后,休息2天,P30-P50,共4个周期/12个曝光)。经过一段时间的禁欲,然后用盐水或polyI:C攻击成年大鼠(~P80-96),使用植入的探针在8小时的延长时间内检查了发热的诱导和维持。在实验4和5中,有青少年饮水或青少年间歇性乙醇(AIE)病史的成年男性和女性受试者被给予生理盐水或polyI:C,在注射后5小时收集组织进行蛋白质和基因表达分析。在未处理乙醇的大鼠中,响应于4mg/kg剂量的聚I:C,发热敏感性的初始性别差异最小。注射polyI:C的AIE暴露雄性显示出致敏的发热反应以及增强的TLR3,IκBα,和IL-1β在孤束核中的表达。与体温调节相关的其他大脑区域和外周器官,如脾脏,肝脏,血液对polyI:C表现出广泛的免疫反应,AIE和水暴露的雄性之间没有明显差异。相比之下,AIE不影响女性对polyI:C的反应性。因此,目前的研究结果表明,青少年暴饮暴食可能会对病毒感染的发热反应产生性别特异性和持久的影响,初步证据表明,这些作用可能是由于中央介导的发热调节变化,而不是外周免疫机制。
    Fever plays an indispensable role in host defense processes and is used as a rapid index of infection severity. Unfortunately, there are also substantial individual differences in fever reactions with biological sex, immunological history, and other demographic variables contributing to adverse outcomes of infection. The present series of studies were designed to test the hypothesis that a history of adolescent alcohol misuse may be a latent experiential variable that determines fever severity using polyinosinic:polycytidylic acid (poly I:C), a synthetic form of double-stranded RNA that mimics a viral challenge. Adult male and female Sprague Dawley rats were injected with 0 (saline) or 4 mg/kg poly I:C to first establish sex differences in fever sensitivity in Experiment 1 using implanted radiotelemetry devices for remote tracking. In Experiments 2 and 3, adolescent males and females were exposed to either water or ethanol (0 or 4 g/kg intragastrically, 3 days on, 2 days off, ∼P30-P50, 4 cycles/12 exposures total). After a period of abstinence, adult rats (∼P80-96) were then challenged with saline or poly I:C, and fever induction and maintenance were examined across a prolonged time course of 8 h using implanted probes. In Experiments 4 and 5, adult male and female subjects with a prior history of adolescent water or adolescent intermittent ethanol (AIE) were given saline or poly I:C, with tissue collected for protein and gene expression analysis at 5 h post-injection. Initial sex differences in fever sensitivity were minimal in response to the 4 mg/kg dose of poly I:C in ethanol-naïve rats. AIE exposed males injected with poly I:C showed a sensitized fever response as well as enhanced TLR3, IκBα, and IL-1β expression in the nucleus of the solitary tract. Other brain regions related to thermoregulation and peripheral organs such as spleen, liver, and blood showed generalized immune responses to poly I:C, with no differences evident between AIE and water-exposed males. In contrast, AIE did not affect responsiveness to poly I:C in females. Thus, the present findings suggest that adolescent binge drinking may produce sex-specific and long-lasting effects on fever reactivity to viral infection, with preliminary evidence suggesting that these effects may be due to centrally-mediated changes in fever regulation rather than peripheral immunological mechanisms.
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  • 文章类型: Journal Article
    目的:白介素-1受体辅助蛋白(IL1RAP)是通过IL-1,IL-33和IL-36受体进行信号传导所需的共受体。使用一种新型的抗IL1RAP阻断抗体,我们研究了IL1RAP在动脉粥样硬化中的作用.
    结果:来自人动脉粥样硬化斑块的单细胞RNA测序数据显示IL1RAP和几种IL1RAP相关细胞因子和受体的表达,包括IL1B和IL33。组织学分析显示在斑块和外膜中都存在IL1RAP,小鼠动脉粥样硬化主动脉的流式细胞术显示IL1RAP在斑块白细胞上表达,包括中性粒细胞和巨噬细胞.在最后6周的饮食中,用新型非消耗性IL1RAP阻断抗体或同种型对照对高胆固醇饮食喂养的载脂蛋白E缺陷型(Apo-/-)小鼠进行治疗。小鼠的IL1RAP阻断导致瓣膜下斑块大小减少20%,并限制了斑块中嗜中性粒细胞和单核细胞/巨噬细胞的积累以及外膜中T细胞的积累。与对照小鼠相比。指示减少斑块炎症,与白细胞募集相关的几个基因的表达,包括Cxcl1和Cxcl2,在抗IL1RAP处理的小鼠头臂动脉中减少,这些趋化因子在人斑块中的表达主要局限于CD68+骨髓细胞。此外,体外研究表明,IL-1,IL-33和IL-36诱导巨噬细胞和成纤维细胞释放CXCL1,这可以通过IL1RAP封锁来缓解。
    结论:在动脉粥样硬化小鼠中限制IL1RAP依赖性细胞因子信号通路可减少斑块负荷和斑块炎症,可能通过限制斑块趋化因子的产生。
    OBJECTIVE: The interleukin-1 receptor accessory protein (IL1RAP) is a co-receptor required for signalling through the IL-1, IL-33, and IL-36 receptors. Using a novel anti-IL1RAP-blocking antibody, we investigated the role of IL1RAP in atherosclerosis.
    RESULTS: Single-cell RNA sequencing data from human atherosclerotic plaques revealed the expression of IL1RAP and several IL1RAP-related cytokines and receptors, including IL1B and IL33. Histological analysis showed the presence of IL1RAP in both the plaque and adventitia, and flow cytometry of murine atherosclerotic aortas revealed IL1RAP expression on plaque leucocytes, including neutrophils and macrophages. High-cholesterol diet fed apolipoprotein E-deficient (Apoe-/-) mice were treated with a novel non-depleting IL1RAP-blocking antibody or isotype control for the last 6 weeks of diet. IL1RAP blockade in mice resulted in a 20% reduction in subvalvular plaque size and limited the accumulation of neutrophils and monocytes/macrophages in plaques and of T cells in adventitia, compared with control mice. Indicative of reduced plaque inflammation, the expression of several genes related to leucocyte recruitment, including Cxcl1 and Cxcl2, was reduced in brachiocephalic arteries of anti-IL1RAP-treated mice, and the expression of these chemokines in human plaques was mainly restricted to CD68+ myeloid cells. Furthermore, in vitro studies demonstrated that IL-1, IL-33, and IL-36 induced CXCL1 release from both macrophages and fibroblasts, which could be mitigated by IL1RAP blockade.
    CONCLUSIONS: Limiting IL1RAP-dependent cytokine signalling pathways in atherosclerotic mice reduces plaque burden and plaque inflammation, potentially by limiting plaque chemokine production.
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  • 文章类型: Journal Article
    HS的免疫发病机制已得到部分理解,并表现出自身炎性疾病的特征;它与B细胞的潜在参与以及Th1或Th17细胞亚群的贡献有关。最近,已经深入研究了先天免疫和IL-1家族细胞因子在HS中的致病作用。目前有几种不同水平靶向IL-1家族途径的药物可用于治疗HS,并正在研究中。HS的特征仍然是未满足的临床需求,并且代表了当前科学研究中不断扩大的领域。这篇叙述性综述的目的是描述HS中IL-1家族成员的病理失调,并提供针对IL-1家族细胞因子信号传导的治疗策略的更新。进一步的临床和临床前数据可能导致具有IL-1家族细胞因子拮抗剂的HS治疗性存储器的富集。
    The immunopathogenesis of HS is partially understood and exhibits features of an autoinflammatory disease; it is associated with the potential involvement of B cells and the contribution of Th1 or Th17 cell subsets. Recently, the pathogenic role of both innate immunity and IL-1 family cytokines in HS has been deeply investigated. Several agents targeting the IL-1 family pathway at different levels are currently available and under investigation for the treatment of HS. HS is still characterized by unmet clinical needs and represents an expanding field in the current scientific research. The aim of this narrative review is to describe the pathological dysregulation of IL-1 family members in HS and to provide an update on therapeutic strategies targeting IL-1 family cytokine signaling. Further clinical and preclinical data may likely lead to the enrichment of the therapeutic armamentarium of HS with IL-1 family cytokine antagonists.
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  • 文章类型: Journal Article
    动脉粥样硬化是全球死亡的主要原因之一。针对血管壁成分的炎症反应在动脉粥样硬化过程中起关键作用。该过程的启动尤其是由氧化低密度脂蛋白(oxLDL)和一系列促炎细胞因子驱动。白细胞介素-1β(IL-1β)和肿瘤坏死因子α(TNFα)在动脉粥样硬化斑块形成的早期阶段表现出特别重要的意义。近年来,世界各地的研究人员一直在努力探索代谢疾病的创新治疗方法,认识到它们对动脉粥样硬化过程的影响。我们的研究旨在研究胰高血糖素样肽1受体激动剂(GLP-1RA)对一组2型糖尿病和血脂异常患者中与动脉粥样硬化斑块形成相关的细胞因子浓度的影响。该研究涵盖了50名41-81岁的受试者(平均值:60.7),都被诊断为2型糖尿病,基于B型超声证实的血脂异常和动脉粥样硬化。在用杜拉鲁肽或司马鲁肽治疗180天后,我们观察到生化标志物(oxLDL,TNFα和IL-1β)与我们研究组内动脉粥样硬化过程的开始相关(p<0.001)。除了已经公认的GLP-1RA对治疗患者的代谢参数的积极影响,这些药物显示促炎细胞因子浓度显著降低,可能是旨在降低心血管风险的重要治疗要素.
    Atherosclerosis stands out as one of the leading causes of global mortality. The inflammatory response against vascular wall components plays a pivotal role in the atherogenic process. The initiation of this process is notably driven by oxidized low-density lipoprotein (oxLDL) and a range of pro-inflammatory cytokines, with interleukin-1β (Il-1β) and tumor necrosis factor α (TNFα) emerging as particularly significant in the early stages of atherosclerotic plaque formation. In recent years, researchers worldwide have been diligently exploring innovative therapeutic approaches for metabolic diseases, recognizing their impact on the atherogenesis process. Our study aimed to investigate the influence of glucagon-like peptide 1 receptor agonists (GLP-1RA) on cytokine concentrations associated with the initiation of atherosclerotic plaque formation in a group of patients with type 2 diabetes and dyslipidemia. The study encompassed 50 subjects aged 41-81 (mean: 60.7), all diagnosed with type 2 diabetes, dyslipidemia and confirmed atherosclerosis based on B-mode ultrasound. Following a 180-day treatment with dulaglutide or semaglutide, we observed a statistically significant reduction in biochemical markers (oxLDL, TNFα and Il-1β) associated with the initiation of the atherosclerotic process (p < 0.001) within our study group. In addition to the already acknowledged positive effects of GLP-1RA on the metabolic parameters of treated patients, these drugs demonstrated a notable reduction in proinflammatory cytokine concentrations and may constitute an important element of therapy aimed at reducing cardiovascular risk.
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