Inflammatory disorders

炎症性疾病
  • 文章类型: Journal Article
    由于干细胞在发育生物学中的先进研究,干细胞在体内的作用及其在相关疾病中的表型尚未明确涵盖。同时,随着对干细胞调节各种疾病机制的深入研究,干细胞治疗因其有效性和安全性日益受到重视。作为干细胞治疗中应用最广泛的干细胞之一,造血干细胞移植在白血病和其他血液恶性疾病的治疗中显示出巨大的优势。此外,由于抗炎和免疫调节的作用,间充质干细胞可能成为多种感染性疾病的潜在治疗策略。在这次审查中,我们总结了金黄色葡萄球菌(S.金黄色葡萄球菌)及其成分对不同类型成体干细胞及其下游信号通路的影响。此外,我们综述了不同种类的干细胞在金黄色葡萄球菌引起的各种疾病模型中的作用,为应用干细胞疗法治疗感染性疾病提供新的见解。
    Due to the advanced studies on stem cells in developmental biology, the roles of stem cells in the body and their phenotypes in related diseases have not been covered clearly. Meanwhile, with the intensive research on the mechanisms of stem cells in regulating various diseases, stem cell therapy is increasingly being attention because of its effectiveness and safety. As one of the most widely used stem cell in stem cell therapies, hematopoietic stem cell transplantation shows huge advantage in treatment of leukemia and other blood-malignant diseases. Besides, due to the effect of anti-inflammatory and immunomodulatory, mesenchymal stem cells could be a potential therapeutic strategy for variety infectious diseases. In this review, we summarized the effects of Staphylococcus aureus (S. aureus) and its components on different types of adult stem cells and their downstream signaling pathways. Also, we reviewed the roles of different kinds of stem cells in various disease models caused by S. aureus, providing new insights for applying stem cell therapy to treat infectious diseases.
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  • 文章类型: Journal Article
    颗粒酶B(GzmB)在免疫反应中的关键作用,最初与细胞毒性T淋巴细胞(CTL)和自然杀伤(NK)细胞有关,已经扩展到不同的细胞类型和疾病模型。许多研究挑战了传统观念,揭示GzmB活性超出凋亡,影响自身免疫性疾病,炎症性疾病,癌症,和神经毒性。值得注意的是,GzmB的多种功能通过穿孔素依赖和穿孔素独立机制展开,提供临床意义和治疗见解。这篇综述强调了GzmB的多方面作用,跨越免疫学和病理学背景,这需要进一步的研究,为创新的靶向治疗铺平道路。
    The pivotal role of Granzyme B (GzmB) in immune responses, initially tied to cytotoxic T lymphocytes (CTLs) and natural killer (NK) cells, has extended across diverse cell types and disease models. A number of studies have challenged conventional notions, revealing GzmB activity beyond apoptosis, impacting autoimmune diseases, inflammatory disorders, cancer, and neurotoxicity. Notably, the diverse functions of GzmB unfold through Perforin-dependent and Perforin-independent mechanisms, offering clinical implications and therapeutic insights. This review underscores the multifaceted roles of GzmB, spanning immunological and pathological contexts, which call for further investigations to pave the way for innovative targeted therapies.
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  • 文章类型: Journal Article
    跨疾病全基因组关联研究(GWASs)揭示了多效性基因座,大部分位于非编码基因组中,每一种都在多种疾病中发挥多效性作用。然而,挑战“W-H-W”(即,是否,如何,以及特定疾病的多效性可以为临床治疗提供信息),需要有效和综合的方法和工具。我们在这里介绍了一种多效性驱动的方法,该方法专门设计用于从跨疾病GWAS汇总数据中确定治疗目标的优先级和评估。通过应用于两种疾病系统(神经精神和炎症)证明了其有效性。我们说明了其在恢复临床概念验证治疗目标方面的改进性能。重要的是,它确定了多效性为临床治疗提供信息的特定疾病。此外,我们展示了它在完成高级任务方面的多功能性,包括通路串扰识别和基于下游串扰的分析。最后,我们的综合解决方案有助于弥合多效性研究和治疗发现之间的差距。
    Cross-disease genome-wide association studies (GWASs) unveil pleiotropic loci, mostly situated within the non-coding genome, each of which exerts pleiotropic effects across multiple diseases. However, the challenge \"W-H-W\" (namely, whether, how, and in which specific diseases pleiotropy can inform clinical therapeutics) calls for effective and integrative approaches and tools. We here introduce a pleiotropy-driven approach specifically designed for therapeutic target prioritization and evaluation from cross-disease GWAS summary data, with its validity demonstrated through applications to two systems of disorders (neuropsychiatric and inflammatory). We illustrate its improved performance in recovering clinical proof-of-concept therapeutic targets. Importantly, it identifies specific diseases where pleiotropy informs clinical therapeutics. Furthermore, we illustrate its versatility in accomplishing advanced tasks, including pathway crosstalk identification and downstream crosstalk-based analyses. To conclude, our integrated solution helps bridge the gap between pleiotropy studies and therapeutics discovery.
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  • 文章类型: Journal Article
    DPP4(二肽基肽酶4)是一种多功能蛋白酶,在可溶性和膜结合形式中脱颖而出。它的高表达与多种自身免疫性疾病的发生和严重程度密切相关,跨越类风湿性关节炎,系统性红斑狼疮,系统性硬化症(SSc),炎症性肠病,自身免疫性糖尿病,甚至SARS-CoV-2感染。作为T细胞活性的共刺激器,DPP4通过结合腺苷脱氨酶(ADA)促进T细胞增殖,从而增强腺苷的分解-一种有影响的T细胞增殖抑制剂。然而,广泛的DPP4抑制剂的发现在缓解这些疾病的迹象方面显示出了希望,症状,和严重性。可用的DPP4抑制剂已证明在阻断DPP4活性方面具有显著的效力。基于它们的结合机制的表征,已鉴定出三组不同的DPP4抑制剂:沙格列汀,阿格列汀,还有西格列汀,每个代表不同的阶级。血管紧张素转换酶2(ACE2)表达水平的升高与各种冠状病毒肽酶的产生有关。凭借其抗炎特性,西格列汀可能有助于COVID-19患者预防和管理细胞因子风暴。这篇全面的综述探讨了DPP4抑制剂作为各种自身免疫性疾病的治疗干预措施的新兴领域。随着对它们功效的敏锐关注,这项调查揭示了他们减轻与这些疾病错综复杂的繁重体征和症状的非凡能力。
    DPP4 (Dipeptidyl-peptidase 4) a versatile protease, emerges as a prominent player in soluble and membrane-bound forms. Its heightened expression has been intimately linked to the initiation and severity of diverse autoimmune diseases, spanning rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis (SSc), inflammatory bowel disease, autoimmune diabetes, and even SARS-CoV-2 infection. Operating as a co-stimulator of T cell activity, DPP4 propels T cell proliferation by binding adenosine deaminase (ADA), thereby augmenting the breakdown of adenosine-an influential inhibitor of T cell proliferation. However, the discovery of a wide range of DPP4 inhibitors has shown promise in alleviating these diseases\' signs, symptoms, and severity. The available DPP4 inhibitors have demonstrated significant effectiveness in blocking DPP4 activity. Based on the characterization of their binding mechanisms, three distinct groups of DPP4 inhibitors have been identified: saxagliptin, alogliptin, and sitagliptin, each representing a different class. Elevated levels of angiotensin-converting enzyme 2 (ACE2) expression are associated with producing various coronavirus peptidases. With its anti-inflammatory properties, Sitagliptin may assist COVID-19 patients in preventing and managing cytokine storms. This comprehensive review delves into the burgeoning realm of DPP4 inhibitors as therapeutic interventions for diverse autoimmune diseases. With a discerning focus on their efficacy, the investigation sheds light on their remarkable capacity to alleviate the burdensome signs and symptoms intricately linked to these conditions.
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  • 文章类型: Case Reports
    肉芽肿性乳腺炎是一种罕见的乳房炎症性疾病,可能是特发性或继发病因。这种疾病影响育龄妇女。特发性肉芽肿性乳腺炎(IGM)的确切病理生理学尚不清楚,但它被认为是由免疫过程介导的。建立这种情况的诊断可能是具有挑战性的,因为它产生了一长串的鉴别诊断。
    我们报告了一位24岁的叙利亚女性到诊所就诊,抱怨有2周的疲劳史,发烧和发冷,肿胀,左乳房局部疼痛.体格检查显示结节性红斑,上巩膜炎,手腕关节痛,脚踝,和肘部。进行了切除活检,并对病变进行了显微镜检查,证实了肉芽肿性小叶周围乳腺炎。手术切除后症状缓解,随访评估未显示复发迹象。
    IGM通常表现为增大的乳房肿块,可能被误认为是乳腺癌或脓肿。诊断方法应考虑乳房外症状的存在,例如发烧,关节痛,和疲劳。治疗方案包括皮质类固醇,手术切除,或者类固醇保护剂,但复发率不同.
    在IGM病例中,应将巩膜外炎视为潜在的乳房外表现。我们强调认识和调查IGM患者潜在的全身受累的重要性。多学科乳腺团队对病理和放射学发现的准确解释可以促进诊断并减少不必要的干预。
    UNASSIGNED: Granulomatous mastitis is a rare inflammatory disorder of the breast, which can be either idiopathic or due to secondary etiology. This disease affects women of reproductive age. The exact pathophysiology underlying idiopathic granulomatous mastitis (IGM) remains unclear, but it is believed to be mediated by immunological processes. Establishing a diagnosis of this condition could be challenging due to the long list of differential diagnoses that it creates.
    UNASSIGNED: We report a 24-year-old Syrian female presented to the clinic complaining of a 2-week history of fatigue, fever and chills, swelling, and localized pain in her left breast. Physical examination revealed erythema nodosum, episcleritis, and arthralgia in the wrists, ankles, and elbows. An excisional biopsy was done and a microscopic examination of the lesion confirmed granulomatous perilobular mastitis. Symptoms had resolved after the surgical excision and follow-up evaluation showed no signs of recurrence.
    UNASSIGNED: IGM typically presents as an enlarging breast mass that can be mistaken for breast cancer or an abscess. The diagnostic approach should consider the presence of extramammary symptoms such as fever, arthralgia, and fatigue. Treatment options include corticosteroids, surgical excision, or steroid-sparing agents, but relapse rates vary.
    UNASSIGNED: Episcleritis should be considered as a potential extramammary manifestation in cases of IGM. We highlight the importance of recognizing and investigating the potential systemic involvement in patients with IGM. Accurate interpretation of pathological and radiological findings by a multidisciplinary breast team can facilitate the diagnosis and reduce unnecessary interventions.
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  • 文章类型: Journal Article
    背景:建议青少年和患有中度至重度哮喘的成人每年接种流感疫苗。这项研究调查了tezepelumab的作用,一种阻断胸腺基质淋巴细胞生成素活性的人单克隆抗体,中重度哮喘患者对四价季节性流感疫苗的体液免疫反应。
    方法:VECTOR是3b阶段,随机化,多中心,双盲,平行组,安慰剂对照研究。在美国的15个中心招募了患有中度至重度哮喘的青少年(12-17岁)和年轻人(18-21岁)。患者在第0、4、8和12周接受替齐单抗210mg或安慰剂皮下治疗,并在接受研究治疗前第12周接受单剂量灭活的四价季节性流感疫苗。疫苗接种前和疫苗接种后4周(第16周),通过血凝抑制(HAI)和微中和(MN)分析评估了4种流感抗原的毒株特异性抗体应答.安全性进行了评估。
    结果:70例患者被随机分配给替齐单抗(n=35)或安慰剂(n=35)。在第16周,治疗组之间的HAI或MN抗体应答没有有意义的差异。流感毒株的HAI测定几何平均倍数上升(GMFR)是Tezepelumab的1.76-7.34和安慰剂的1.46-4.75。MN测定Tezepelumab的GMFR为4.00-14.56,安慰剂的GMFR为3.56-10.62。在HAI检测中,从第12周到第16周,抗体滴度上升四倍或更多发生在15.2-78.8%和15.2-51.5%的tezepelumab和安慰剂接受者,分别,两个治疗组中97.0-100%的患者在第16周达到至少40的抗体滴度。没有意外的安全性发现。
    结论:在使用tezepelumab治疗的患有中度至重度哮喘的青少年和年轻成人中,未观察到流感疫苗接种后体液免疫反应受到抑制。因此,流感疫苗可以在tezepelumab治疗期间给予该患者群体.
    结果:
    NCT05062759。
    BACKGROUND: Annual influenza vaccinations are recommended for adolescents and adults with moderate to severe asthma. This study investigated the effect of tezepelumab, a human monoclonal antibody that blocks the activity of thymic stromal lymphopoietin, on the humoral immune response to the quadrivalent seasonal influenza vaccine in patients with moderate to severe asthma.
    METHODS: VECTOR was a phase 3b, randomized, multicenter, double-blind, parallel-group, placebo-controlled study. Adolescents (aged 12-17 years) and young adults (aged 18-21 years) with moderate to severe asthma were enrolled across 15 centers in the USA. Patients received tezepelumab 210 mg or placebo subcutaneously at weeks 0, 4, 8, and 12, and a single dose of inactivated quadrivalent seasonal influenza vaccine at week 12 before receiving study treatment. Immediately before vaccination and at 4 weeks postvaccination (week 16), strain-specific antibody responses were assessed for four influenza antigens by hemagglutination inhibition (HAI) and microneutralization (MN) assays. Safety was assessed.
    RESULTS: Seventy patients were randomized to tezepelumab (n = 35) or placebo (n = 35). There were no meaningful differences in HAI or MN antibody responses between treatment groups at week 16. HAI assay geometric mean fold rises (GMFRs) for influenza strains were 1.76-7.34 for tezepelumab and 1.46-4.75 for placebo. MN assay GMFRs were 4.00-14.56 for tezepelumab and 3.56-10.62 for placebo. In the HAI assay, a fourfold or larger rise in antibody titer from weeks 12 to 16 occurred in 15.2-78.8% and 15.2-51.5% of tezepelumab and placebo recipients, respectively, and 97.0-100% of patients in both treatment groups achieved an antibody titer of at least 40 at week 16. No unexpected safety findings occurred.
    CONCLUSIONS: There was no observed suppression of the humoral immune response after influenza vaccination in adolescents and young adults with moderate to severe asthma treated with tezepelumab. Therefore, the influenza vaccine can be administered to this patient population during tezepelumab treatment.
    RESULTS:
    UNASSIGNED: NCT05062759.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    炎症相关疾病是世界范围内死亡和残疾的主要原因。这项研究旨在鉴定和调查可能存在于Al-Ahsa市Al-Asfar湖中的益生菌,沙特阿拉伯预防角叉菜胶诱导的爪水肿的炎症反应。总的来说,分离出7个活性菌株,三个分离株(ASF-1,ASF-2和ASF-3)在20%NaCl盐度下表现出阳性革兰氏染色和存活生长;它们还缺乏过氧化氢酶和溶血活性,并具有高水平的细胞表面疏水性(CSH)。它们还表现出对伤寒沙门氏菌和金黄色葡萄球菌的有效抗菌活性。这些结果表明,ASF-2具有益生菌特性,它被选中进行进一步研究。ASF-2在角叉菜胶诱导的爪水肿的实验模型中显示出显着的抗炎作用;实验模型显示促炎标志物水平降低,如白细胞介素6(IL-6),白细胞介素17(IL-17),和转化生长因子-β(TGF-β),和抗炎标志物(干扰素γ(IFN-γ))的水平增加。与角叉菜胶组的小鼠相比,对照组的动物的水肿减少了45%。当比较ASF-2处理和未处理小鼠的组织损伤和浸润时,后腿亚平面组织的组织学检查显示发炎的组织已经愈合。利用16SrRNA测序方法确定ASF-2是,事实上,乳酸肠球菌具有99.2%的序列相似性。这些发现进一步阐明了ASF-2作为生物相容性抗炎药的潜力。
    Inflammation-related diseases are major causes of mortality and disability worldwide. This study aimed to identify and investigate probiotic bacteria that could be present in Al-Asfar Lake in Al-Ahsa City, Saudi Arabia to prevent the inflammatory responses of carrageenan-induced paw edema. In total, seven active strains were isolated, and three isolates (ASF-1, ASF-2, and ASF-3) exhibited a positive Gram stain and viable growth at 20% NaCl salinity; they also lacked catalase and hemolytic activities and had high levels of cell surface hydrophobicity (CSH). They also demonstrated potent antibacterial activity against Salmonella typhi and Staphylococcus aureus. These results revealed that ASF-2 had probiotic qualities, and it was selected for further research. ASF-2 demonstrated significant anti-inflammatory effects in an experimental model of carrageenan-induced paw edema; the experimental model showed decreased levels of pro-inflammatory markers, such as interleukin 6 (IL-6), interleukin 17 (IL-17), and transforming growth factor-β (TGF-β), and an increased level of an anti-inflammatory marker (interferon gamma (IFN-γ)). Animals in the control group saw a 45% decrease in edema when compared to mice in the carrageenan group. When comparing tissue damage and infiltration in the ASF-2-treated and non-treated mice, the histological examination of the sub-planar tissues of the hind leg revealed that the inflamed tissues had healed. The 16S rRNA sequencing method was utilized to establish that ASF-2 is, in fact, Enterococcus lactis with a 99.2% sequence similarity. These findings shed further light on ASF-2\'s potential as a biocompatible anti-inflammatory medication.
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  • 文章类型: Journal Article
    炎症是宿主抵抗有害外部刺激的保护性反应,有助于组织修复和重塑。然而,过度的炎症严重威胁着患者的生命。由于抗炎作用,皮质类固醇,免疫抑制剂,单克隆抗体用于治疗各种炎症性疾病,但是抗药性,无反应,严重的副作用限制了它们的发展和应用。因此,在抗炎治疗中,开发其他替代疗法已变得至关重要。近年来,干细胞的深入研究使其成为治疗炎症性疾病的有希望的替代药物,干细胞的功能受多种信号调节,其中多巴胺信号传导是主要影响因素之一。在这次审查中,我们回顾了多巴胺对各种成体干细胞(神经干细胞,间充质基质细胞,造血干细胞,和癌症干细胞)及其信号通路,以及一些关键的多巴胺受体激动剂/拮抗剂的应用。此外,我们还回顾了各种成体干细胞在炎症性疾病中的作用,并讨论了多巴胺受体的潜在抗炎功能,为再生医学治疗炎症性疾病提供了新的治疗靶点。
    Inflammation is the host\'s protective response against harmful external stimulation that helps tissue repair and remodeling. However, excessive inflammation seriously threatens the patient\'s life. Due to anti-inflammatory effects, corticosteroids, immunosuppressants, and monoclonal antibodies are used to treat various inflammatory diseases, but drug resistance, non-responsiveness, and severe side effect limit their development and application. Therefore, developing other alternative therapies has become essential in anti-inflammatory therapy. In recent years, the in-depth study of stem cells has made them a promising alternative drug for the treatment of inflammatory diseases, and the function of stem cells is regulated by a variety of signals, of which dopamine signaling is one of the main influencing factors. In this review, we review the effects of dopamine on various adult stem cells (neural stem cells, mesenchymal stromal cells, hematopoietic stem cells, and cancer stem cells) and their signaling pathways, as well as the application of some critical dopamine receptor agonists/antagonists. Besides, we also review the role of various adult stem cells in inflammatory diseases and discuss the potential anti-inflammation function of dopamine receptors, which provides a new therapeutic target for regenerative medicine in inflammatory diseases.
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  • 文章类型: Journal Article
    牛初乳(COL),泌乳奶牛产后分泌的第一乳,是生物活性化合物的丰富来源,在生存中发挥重要作用,增长,和新生小牛的免疫发育。这项研究使用Caco-2/THP-1巨噬细胞共培养模型研究了COL对细胞因子产生的免疫调节作用,该模型用12-肉豆蔻酸酯13-乙酸酯(PMA)刺激。COL预处理显著降低PMA诱导的IL-6(241.3pg/mL)产生(p<0.05),在增加IL-10产量(45.3pg/mL)的同时,与PMA对照(441.1和12.5pg/mL,分别)。进一步的研究表明,初乳的IL-6抑制作用对热敏感,并与较高分子量(100kDa)的成分有关。此外,初乳主要影响THP-1巨噬细胞而不是Caco-2上皮细胞。初乳对IL-6产生的影响与THP-1巨噬细胞中NF-κB活化降低有关。在小牛FMT移植C57BL/6小鼠模型中,初乳降低肠通透性,减少免疫细胞浸润和肠道评分,并在鼠伤寒沙门氏菌感染期间抑制IL-6(142.0pg/mL)的产生,与对照动物(215.2pg/mL)相比。这些结果表明牛初乳的免疫调节活性及其在炎症性疾病中的潜在应用。需要进一步的研究来阐明潜在的机制并验证牛模型中的发现。
    Bovine colostrum (COL), the first milk secreted by lactating cows postpartum, is a rich source of bioactive compounds that exert a significant role in the survival, growth, and immune development of neonatal calves. This study investigated the immunomodulatory effects of COL on cytokine production in vitro using a Caco-2/THP-1 macrophage co-culture model stimulated with Phorbol 12-myristate 13-acetate (PMA). COL pretreatment significantly reduced IL-6 (241.3 pg/mL) production induced by PMA (p < 0.05), while increasing IL-10 production (45.3 pg/mL), in comparison to PMA control (441.1 and 12.5 pg/mL, respectively). Further investigations revealed that the IL-6 suppressive effect of colostrum was heat-sensitive and associated with components of higher molecular mass (100 kDa). Moreover, colostrum primarily influenced THP-1 macrophages rather than Caco-2 epithelial cells. The effects of colostrum on IL-6 production were associated with reduced NF-κB activation in THP-1 macrophages. In calf-FMT transplanted C57BL/6 murine model, colostrum decreased intestinal permeability, reduced immune cell infiltration and intestinal score, and suppressed IL-6 (142.0 pg/mL) production during S. typhimurium infection, in comparison to control animals (215.2 pg/mL). These results suggest the immunomodulatory activity of bovine colostrum and its potential applications in inflammatory disorders. Further studies are needed to elucidate the underlying mechanisms and validate the findings in bovine models.
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