PBMCs

PBMC
  • 文章类型: Journal Article
    背景:本研究旨在探讨不同进展的脊柱结核(TB)患者外周血单个核细胞(PBMC)中cGAS-STING通路的差异表达水平及其作为诊断标志物的可行性。
    方法:25例脊髓结核患者和10例健康人的外周血和医疗记录,进行前瞻性收集和分析。从外周血中提取PBMC和血清,通过实时PCR(RT-PCR)检测PBMC中cGAS-STING途径的表达水平,并通过酶联免疫吸附试验(ELISA)检测血清中干扰素β(IFN-β)的表达水平。使用蛋白质印迹测量PBMC中干扰素调节因子3(IRF3)的表达。采用SPSS26.0统计软件包进行统计分析。
    结果:结果表明,PBMC中TANK结合激酶1(TBK1)和IRF3的表达水平明显升高(P<0.05),活动性病变患者比稳定性病变患者。活动性病变患者的血清IFN-β浓度显着升高(P=0.028)。与健康个体相比,cGAS-STING通路在TB患者PBMC中的表达水平升高(P<0.05),IFN-β的表达水平差异无统计学意义(P>0.05),血清IFN-β浓度升高(P<0.05)。PBMC中TBK1和IRF3的计算AUC值,血清中IFN-β和红细胞沉降率(ESR)分别为0.732、0.714、0.839和0.714。
    结论:PBMC中TBK1和IRF3的表达水平,脊髓结核患者血清中IFN-β与疾病活动度呈正相关。TBK1具有更高的特异性,血清中的IFN-β用于区分活动性和稳定性病变的患者时具有更高的敏感性。
    BACKGROUND: This study aimed to investigate the differential expression levels of the cGAS-STING pathway in peripheral blood mononuclear cells (PBMCs) of spinal tuberculosis (TB) patients with different progression and its feasibility as a diagnostic marker.
    METHODS: Peripheral blood and medical records of 25 patients with spinal TB and 10 healthy individuals, were prospectively collected and analyzed. PBMCs and serum were extracted from peripheral blood and the expression levels of the cGAS-STING pathway in PBMCs were measured by real-time PCR (RT-PCR) and serum interferon β (IFN-β) expression levels were measured by enzyme-linked immunosorbent assay (ELISA). The expression of Interferon regulatory Factor 3 (IRF3) in PBMCs was measured using western blot. Statistical analysis was performed using the SPSS 26.0 statistical package.
    RESULTS: The results showed that the expression level of the TANK-binding kinase 1 (TBK1) and IRF3 was significantly higher in PBMCs (P < 0.05), in patients with active lesions than in patients with stable lesions. The serum concentration of IFN-β was significantly higher in patients with active lesions (P = 0.028). Compared with healthy individuals, the expression level of the cGAS-STING pathway was elevated in PBMCs of TB patients (P < 0.05), and the difference in the expression level of IFN-β was not statistically significant (P > 0.05), and the serum IFN-β concentration was elevated (P < 0.05). The calculated AUC values for TBK1 and IRF3 in PBMCs, IFN-β in serum and erythrocyte sedimentation rate (ESR) to distinguish between patients with active and stable lesions were 0.732, 0.714, 0.839, and 0.714 respectively.
    CONCLUSIONS: The expression level of TBK1 and IRF3 in PBMCs, and IFN-β in the serum of patients with spinal TB is positively correlated with disease activity. TBK1 has higher specificity and IFN-β in serum has higher sensitivity when used to differentiate between patients with active and stable lesions.
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  • 文章类型: Journal Article
    登革热是一个重要的公共卫生问题,没有特定的病毒治疗。研究登革热的主要挑战之一是缺乏足够的动物模型来概括人类的免疫反应。大多数对人源化小鼠的研究使用NOD-scidIL2Rgammanull(NSG)小鼠,对一些细胞群体表现出不良的造血作用。本研究比较了在人细胞因子表达的背景下用于登革病毒2(DENV-2)感染的三种人源化(hu)NOD衍生的小鼠模型。三种小鼠品系(hu-NSG,hu-EXL,和hu-SGM3)从单个供体接受人CD34胎儿脐带血细胞的异种移植,和一个小鼠品系接受人外周血单核细胞(hu-SGM3-PBMC)。所有模型在血液中都表现出传染性病毒,通过空斑分析证实,但与常规NSG小鼠相比,表达人类细胞因子的小鼠表现出更高的病毒血症。hu-SGM3-PBMC模型产生了致命的感染,显示病毒血症和临床体征显着增加。在所有DENV-2感染的人源化小鼠模型中观察到可检测的人细胞因子应答。总之,表达人类细胞因子的人源化NOD衍生小鼠模型为研究登革热发病机制和抗病毒治疗提供了相关平台.
    Dengue is a significant public health problem with no specific viral treatment. One of the main challenges in studying dengue is the lack of adequate animal models recapitulating human immune responses. Most studies on humanized mice use NOD-scid IL2R gamma null (NSG) mice, which exhibit poor hematopoiesis for some cell populations. This study compares three humanized (hu) NOD-derived mouse models for dengue virus-2 (DENV-2) infection in the context of human cytokine expression. Three mouse strains (hu-NSG, hu-EXL, and hu-SGM3) received xenotransplants of human CD34+ fetal cord blood cells from a single donor, and one mouse strain received human peripheral blood mononuclear cells (hu-SGM3-PBMCs). All models exhibited infectious viruses in blood confirmed by plaque assay, but mice expressing human cytokines showed higher viremia compared to conventional NSG mice. The hu-SGM3-PBMCs model developed lethal infections, showing a significant increase in viremia and clinical signs. A detectable human cytokine response was observed in all the DENV-2-infected humanized mouse models. In conclusion, humanized NOD-derived mouse models expressing human cytokines offer a relevant platform for the study of dengue pathogenesis and antiviral therapies.
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  • 文章类型: Journal Article
    目的:探讨外周血单个核细胞(PBMC)来源的嵌合抗原受体(CAR)NK细胞靶向ROBO1作为卵巢癌个体化治疗的方法。方法:两步策略从卵巢癌患者的PBMC中产生ROBO1靶向的CARNK细胞。使用xCELLigenceRTCA评估疗效,CCK-8和活/死荧光测定。结果:与没有ROBO1-CAR修饰的原代NK细胞相比,ROBO1-NK细胞在根除原发性卵巢癌细胞和裂解卵巢肿瘤类器官方面表现出更高的效率。结论:这些发现强调了从患者PBMC中开发ROBO1靶向CAR-NK细胞作为卵巢癌个性化治疗选择的潜力。
    卵巢癌是一项艰巨的临床挑战,迫切需要探索新的治疗方法。在这项研究中,重点是ROBO1,一种已知在癌症血管生成和转移中起关键作用的分子,而在卵巢癌的背景下进行有限的调查。利用这些知识,我们试图利用患者自身来源的外周血单个核细胞构建靶向ROBO1的嵌合抗原受体自然杀伤(CAR-NK)细胞.这项研究的总体目标是利用自体资源利用免疫治疗的潜力,在临床环境中实现卵巢癌的个性化治疗策略。
    Aim: This study aimed to explore using peripheral blood mononuclear cell (PBMC)-derived chimeric antigen receptor (CAR) NK cells targeting ROBO1 as a personalized medicine approach for ovarian cancer. Methods: A two-step strategy generated ROBO1-targeted CAR NK cells from PBMCs of ovarian cancer patients. Efficacy was evaluated using xCELLigence RTCA, CCK-8 and Live/Dead fluorescence assays. Results: ROBO1-NK cells exhibited higher efficiency in eradicating primary ovarian cancer cells and lysing ovarian tumor organoids compared with primary NK cells without ROBO1-CAR modification. Conclusion: These findings highlight the potential of developing ROBO1-targeted CAR-NK cells from patients\' PBMCs as a personalized treatment option for ovarian cancer.
    Ovarian cancer represents a formidable clinical challenge necessitating the urgent exploration of novel therapeutic approaches. In this study, the focus was directed toward ROBO1, a molecule known to play a pivotal role in cancer angiogenesis and metastasis, while limited investigation in the context of ovarian cancer. Leveraging this knowledge, we sought to construct ROBO1-targeting chimeric antigen receptor natural killer (CAR-NK) cells utilizing peripheral blood mononuclear cells derived from the patients themselves. The overarching goal of this investigation was to harness the potential of immunotherapy using autologous resources to realize personalized treatment strategies for ovarian cancer in clinical settings.
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  • 文章类型: Journal Article
    越来越多的证据表明,细胞外囊泡(EV)是自身免疫性疾病中重要的细胞间信号转导,包括多发性硬化症(MS)。如果MS的病因仍然未知,它的分子生理学已经得到了很好的研究,表明外周血单核细胞(PBMC)是该疾病和神经炎症的主要病理相关贡献者。最近,多项研究表明,在中枢神经系统(CNS)自身免疫中,EV是神经免疫串扰的关键介质。为了评估电动汽车在MS中的作用,我们应用电子显微镜(EM)技术和Westernblot分析来研究血浆衍生的EV的形态和含量以及PBMC的超微结构,考虑四名MS患者和四名健康对照。通过其探索性,我们的研究能够检测到组间的显著差异.假足和大囊泡在病例的质膜界面较多,就像内质囊泡一样,导致PBMC的活化方面。此外,来自MS患者的PBMC还显示细胞质内的多囊泡体和囊泡周围的无定形物质的数量增加。此外,我们观察到大量的质膜覆盖的延伸,多个相关的大囊泡和许多含有未消化细胞质物质的自噬小体液泡。最后,对EV货物的研究证明了MS患者中许多失调的分子,包括GANAB,IFI35,Cortactin,Septin2,Cofilin1和ARHGDIA,在囊泡动力学改变的背景下作为炎症信号。我们得出的结论是,将EM与Western印迹分析应用于PBMC和囊泡化可以增强我们对MS病理生理学的了解。
    Growing evidence identifies extracellular vesicles (EVs) as important cell-to-cell signal transducers in autoimmune disorders, including multiple sclerosis (MS). If the etiology of MS still remains unknown, its molecular physiology has been well studied, indicating peripheral blood mononuclear cells (PBMCs) as the main pathologically relevant contributors to the disease and to neuroinflammation. Recently, several studies have suggested the involvement of EVs as key mediators of neuroimmune crosstalk in central nervous system (CNS) autoimmunity. To assess the role of EVs in MS, we applied electron microscopy (EM) techniques and Western blot analysis to study the morphology and content of plasma-derived EVs as well as the ultrastructure of PBMCs, considering four MS patients and four healthy controls. Through its exploratory nature, our study was able to detect significant differences between groups. Pseudopods and large vesicles were more numerous at the plasmalemma interface of cases, as were endoplasmic vesicles, resulting in an activated aspect of the PBMCs. Moreover, PBMCs from MS patients also showed an increased number of multivesicular bodies within the cytoplasm and amorphous material around the vesicles. In addition, we observed a high number of plasma-membrane-covered extensions, with multiple associated large vesicles and numerous autophagosomal vacuoles containing undigested cytoplasmic material. Finally, the study of EV cargo evidenced a number of dysregulated molecules in MS patients, including GANAB, IFI35, Cortactin, Septin 2, Cofilin 1, and ARHGDIA, that serve as inflammatory signals in a context of altered vesicular dynamics. We concluded that EM coupled with Western blot analysis applied to PBMCs and vesiculation can enhance our knowledge in the physiopathology of MS.
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  • 文章类型: Journal Article
    I型干扰素(IFN-Is)通过引发IFN刺激基因(ISGs)的表达,在人类免疫缺陷病毒I(HIV-1)的先天免疫中至关重要。其中包括有效的宿主限制因子。虽然ISGs通过靶向病毒生命周期的各个阶段来限制宿主细胞内的病毒复制,鲜为人知的IFN抑制基因(IRepGs),包括RNA结合蛋白(RBPs),通过改变对有效的HIV-1基因表达至关重要的宿主依赖性因子的表达来影响病毒复制。宿主限制和依赖性因素决定了病毒复制效率;然而,目前,对与HIV-1感染有关的IRepGs的了解仍然非常有限.这篇综述提供了关于RNA结合蛋白家族影响的当前理解的全面概述。特别是剪接相关蛋白SRSF和hnRNP的两个家族,HIV-1基因表达和病毒复制。由于最近的发现特别表明SRSF1和hnRNPA0在各种细胞系和原代细胞中受到IFN-I的调节,包括肠固有层单核细胞(LPMC)和外周血单核细胞(PBMC),我们特别讨论了它们在先天免疫影响HIV-1复制的背景下的作用.
    Type I interferons (IFN-Is) are pivotal in innate immunity against human immunodeficiency virus I (HIV-1) by eliciting the expression of IFN-stimulated genes (ISGs), which encompass potent host restriction factors. While ISGs restrict the viral replication within the host cell by targeting various stages of the viral life cycle, the lesser-known IFN-repressed genes (IRepGs), including RNA-binding proteins (RBPs), affect the viral replication by altering the expression of the host dependency factors that are essential for efficient HIV-1 gene expression. Both the host restriction and dependency factors determine the viral replication efficiency; however, the understanding of the IRepGs implicated in HIV-1 infection remains greatly limited at present. This review provides a comprehensive overview of the current understanding regarding the impact of the RNA-binding protein families, specifically the two families of splicing-associated proteins SRSF and hnRNP, on HIV-1 gene expression and viral replication. Since the recent findings show specifically that SRSF1 and hnRNP A0 are regulated by IFN-I in various cell lines and primary cells, including intestinal lamina propria mononuclear cells (LPMCs) and peripheral blood mononuclear cells (PBMCs), we particularly discuss their role in the context of the innate immunity affecting HIV-1 replication.
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  • 文章类型: Journal Article
    针对mRNA递送定制的脂质纳米颗粒(LNP)被优化以用作治疗代谢疾病的平台。四种不同的脂质混合物(LM)通过修饰各种成分配制:LM1(ALC-0315/DSPC/胆固醇/ALC-0159),LM2(ALC-0315/DOPE/胆固醇/ALC-0159),LM3(ALC-0315/DSPC/胆固醇/DMG-PEG2k),和LM4(DLin-MC3-DMA/DSPC/胆固醇/ALC-0159)。LNP表现出稳定性和均匀性,平均尺寸为75至90nm,通过低温TEM和SAXS研究证实。实现了高mRNA包封(95-100%)。LNP有效地将编码EGFP的mRNA递送至HepG2和DC2.4细胞系。LNPs诱导人外周血单核细胞(PBMC)分泌细胞因子,揭示LM1、LM2和LM4诱导IL-8、TNF-α增加1.5到4倍,和MCP-1级别,而LM3显示最小变化。在LNP处理的PBMC中观察到报告mRNA表达。血液毒性研究证实制剂生物相容性的值低于2%。肌肉注射后小鼠体内生物分布显示显著的mRNA表达,主要在肝脏。LNP组分的修饰影响了反应原性,炎症反应,和mRNA表达,为选择适用于代谢疾病治疗中重复给药的反应基因较少的载体提供了一个有前途的平台。
    Lipid nanoparticles (LNPs) tailored for mRNA delivery were optimized to serve as a platform for treating metabolic diseases. Four distinct lipid mixes (LMs) were formulated by modifying various components: LM1 (ALC-0315/DSPC/Cholesterol/ALC-0159), LM2 (ALC-0315/DOPE/Cholesterol/ALC-0159), LM3 (ALC-0315/DSPC/Cholesterol/DMG-PEG2k), and LM4 (DLin-MC3-DMA/DSPC/Cholesterol/ALC-0159). LNPs exhibited stability and homogeneity with a mean size of 75 to 90 nm, confirmed by cryo-TEM and SAXS studies. High mRNA encapsulation (95-100%) was achieved. LNPs effectively delivered EGFP-encoding mRNA to HepG2 and DC2.4 cell lines. LNPs induced cytokine secretion from human peripheral blood mononuclear cells (PBMCs), revealing that LM1, LM2, and LM4 induced 1.5- to 4-fold increases in IL-8, TNF-α, and MCP-1 levels, while LM3 showed minimal changes. Reporter mRNA expression was observed in LNP-treated PBMCs. Hemotoxicity studies confirmed formulation biocompatibility with values below 2%. In vivo biodistribution in mice post intramuscular injection showed significant mRNA expression, mainly in the liver. The modification of LNP components influenced reactogenicity, inflammatory response, and mRNA expression, offering a promising platform for selecting less reactogenic carriers suitable for repetitive dosing in metabolic disease treatment.
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  • 文章类型: Journal Article
    十字花椒。formosum(Cff),C.Formosumssp。普鲁尼弗洛姆(Cfp),和树枝状芽孢杆菌(Cs)进行了植物化学分析。毒性试验,程序性细胞死亡,在CHL-1,HCT-116和HepG2癌细胞系上测试细胞周期停滞,和人类正常PBMC。结果按以下顺序显示。每个物种的植物化学物质百分比各不相同,α-amyrin和白藜芦醇的量和浓度分别为0.038mg/g和0.955mg/mL,和0.064mg/g和0.640mg/mL。除己烷Cff和乙醇Cfp提取物外,研究最多的十字花椒提取物在PBMC和癌细胞系中显示出IC50值。所有研究的提取物均未诱导PBMC中的DNA断裂,但在癌细胞系中引起明显的DNA断裂。所有研究的提取物都能诱导癌细胞系的凋亡和坏死,S和G2-M期的DNA数量显着减少,但未诱导PBMC的凋亡和坏死。除Cff和Cfp的乙醇提取物诱导PBMCs凋亡和坏死外,这些数据证实了三个研究的十字花椒样品具有抑制癌细胞生长的特性和对PBMC的低毒性。Cs对癌细胞系的毒性高于Cf和顺铂。
    Cratoxylum formosum ssp. formosum (Cff), C. formosum ssp. pruniflorum (Cfp), and C. sumatranum (Cs) were investigated for phytochemical analysis. Toxicity testing, programmed cell death, and cell cycle arrest were tested on CHL-1, HCT-116, and HepG2 cancer cell lines, and human normal PBMCs. The results are revealed in the following order. The phytochemical percentages varied in each species, the quantity and concentration of α-amyrin and resveratrol were 0.038 mg/g and 0.955 mg/mL, and 0.064 mg/g and 0.640 mg/mL. The most studied Cratoxylum extracts showed IC50 values in PBMCs and cancer cell lines except for the hexane Cff and ethanol Cfp extracts. All studied extracts did not induce DNA breaks in PBMCs but caused significant DNA breaks in the cancer cell lines. All studied extracts induced both apoptosis and necrosis in cancer cell lines, and the DNA quantity in the S and G2-M phases decreased significantly but did not induce apoptosis and necrosis in PBMCs. Except for the ethanolic extracts of Cff and Cfp that induced PBMCs apoptosis and necrosis, these data confirmed that the three studied Cratoxylum samples have inhibiting properties for the growth of cancer cells and low toxicity to PBMCs. Cs showed more toxicity to cancer cell lines than Cf and cisplatin.
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  • 文章类型: Journal Article
    特别注意牛奶及其变体,与A2变体相比,正在进行的关于健康相关影响的讨论主要集中在A1变体上。这些变体之间的差异在于β-酪蛋白位置67处的单个氨基酸改变。据推测,这种改变使A1变体在牛奶消化过程中更容易受到酶分解的影响。导致肽β-casomorphin-7(BCM-7)的释放增加。假设BCM-7与人类免疫细胞上的μ阿片受体相互作用。虽然BCM-7已经证明了免疫抑制和炎症作用,其对免疫系统的直接影响尚不清楚。因此,我们检查了A1和A2牛奶对刀豆蛋白A(ConA)刺激的人外周血单核细胞(PBMC)的影响,以及实验消化的A1和A2牛奶的效果,含有来自β-酪蛋白裂解的不同量的游离BCM-7。此外,我们评估了纯BCM-7对ConA刺激的PBMC和纯化的CD4+T细胞增殖的影响。牛奶从根本上抑制PBMC增殖,独立于β-酪蛋白变体。相比之下,两种变体和纯BCM-7的实验消化乳显示对PBMC或分离的CD4T细胞的增殖没有影响。我们的结果表明,牛奶对PBMC具有抗炎作用,无论A1或A2β-酪蛋白变体,在体外消化后无效。因此,我们认为BCM-7不适合作为食物诱导炎症的生物标志物。
    Special attention is given to cow\'s milk and its variants, with ongoing discussions about health-related impacts primarily focusing on the A1 variant in contrast to the A2 variant. The difference between these variants lies in a single amino acid alteration at position 67 of β-casein. This alteration is presumed to make the A1 variant more susceptible to enzymatic breakdown during milk digestion, leading to an increased release of the peptide β-casomorphin-7 (BCM-7). BCM-7 is hypothesized to interact with µ-opioid receptors on immune cells in humans. Although BCM-7 has demonstrated both immunosuppressive and inflammatory effects, its direct impact on the immune system remains unclear. Thus, we examined the influence of A1 and A2 milk on Concanavalin A (ConA)-stimulated human peripheral blood mononuclear cells (PBMCs), as well as the effect of experimentally digested A1 and A2 milk, containing different amounts of free BCM-7 from β-casein cleavage. Additionally, we evaluated the effects of pure BCM-7 on the proliferation of ConA-stimulated PBMCs and purified CD4+ T cells. Milk fundamentally inhibited PBMC proliferation, independent of the β-casein variant. In contrast, experimentally digested milk of both variants and pure BCM-7 showed no influence on the proliferation of PBMCs or isolated CD4+ T cells. Our results indicate that milk exerts an anti-inflammatory effect on PBMCs, regardless of the A1 or A2 β-casein variant, which is nullified after in vitro digestion. Consequently, we deem BCM-7 unsuitable as a biomarker for food-induced inflammation.
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  • 文章类型: Journal Article
    背景:Spexin是一种新型的肽类激素,在实验小鼠中显示出镇痛作用。本研究旨在评估中国人群中血清spexin水平与糖尿病周围神经病变(DPN)和相关疼痛的关系。方法:我们纳入了167例2型糖尿病(T2DM),其中56例无DPN(非DPN),67无痛DPN,和44痛苦的DPN。使用ELISA测量血清spexin。采用Logistic回归模型分析spexin对DPN患病率和痛性DPN的独立影响。在链脲佐菌素(STZ)诱导的糖尿病小鼠中,使用电子vonFrey麻醉仪测量机械痛阈.分离人外周血单核细胞(PBMC),并用不含或含spexin的脂多糖进一步刺激。通过qPCR测定基因表达。结果:与非DPN相比,无痛性DPN患者血清spexin水平下降,疼痛性DPN患者血清spexin水平进一步下降。2型糖尿病患者的DPN几率与低spexin水平相关,年龄相似,性别,BMI,和糖尿病持续时间,但在吸烟者中减毒。疼痛的几率与DPN中Spexin水平降低有关,年龄相似,性别,吸烟状况,和糖尿病持续时间,但在正常体重时减弱。此外,我们观察到在spexin治疗的糖尿病小鼠中机械性疼痛阈值增加.我们还发现脂多糖处理增加了TNF-α的mRNA水平,人PBMC中的IL-6和MCP-1,而spexin治疗阻止了这种增加。结论:这些结果表明,spexin可能是糖尿病对神经病理学和疼痛相关发病机制的保护因子。
    Background: Spexin is a novel peptide hormone and has shown antinociceptive effects in experimental mice. This study is aimed at evaluating the association of serum spexin level with diabetic peripheral neuropathy (DPN) and related pain in a Chinese population. Methods: We enrolled 167 type 2 diabetes mellitus (T2DM) including 56 patients without DPN (non-DPN), 67 painless DPN, and 44 painful DPN. Serum spexin was measured using ELISA. Logistic regression models were performed to analyze the independent effects of spexin on prevalence of DPN and painful DPN. In streptozotocin (STZ)-induced diabetic mice, mechanical pain threshold was measured using electronic von Frey aesthesiometer. Human peripheral blood mononuclear cells (PBMCs) were isolated and further stimulated with lipopolysaccharide without or with spexin. The gene expression was assayed by qPCR. Results: Compared with non-DPN, serum spexin level decreased in painless DPN and further decreased in painful DPN. The odds of DPN was associated with low spexin level in T2DM, which was similar by age, sex, BMI, and diabetes duration, but attenuated in smokers. The odds of having pain was associated with decreased spexin level in DPN, which was similar by age, sex, smoking status, and diabetes duration, but attenuated in normal weight. Furthermore, we observed that mechanical pain threshold increased in spexin-treated diabetic mice. We also found that lipopolysaccharide treatment increased the mRNA level of TNF-α, IL-6, and MCP-1 in human PBMCs, while spexin treatment prevented this increase. Conclusions: These results suggested that spexin might serve as a protective factor for diabetes against neuropathology and pain-related pathogenesis.
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  • 文章类型: Journal Article
    肺炎克雷伯菌是一种常见的革兰氏阴性细菌。肺炎克雷伯菌引起的血液感染是人类败血症的最常见原因之一,严重威胁患者的生命。基于单细胞RNA测序(scRNA-seq)的外周血单个核细胞(PBMC)在肺炎克雷伯菌血流感染引起的脓毒症急性期和恢复期的免疫状态尚未研究。
    本研究共纳入13名受试者,3健康对照,7例急性肺炎克雷伯菌血流感染患者(4例死亡),3名患者处于恢复期。收集所有患者的外周血并分离PBMC用于scRNA-seq分析。我们研究了PBMC成分的变化,信号通路,差异基因,和急性和恢复期的细胞因子。
    在肺炎克雷伯菌急性感染期间,我们观察到T细胞比例下降,最可能是由于细胞凋亡和T细胞亚型的功能紊乱。急性期单核细胞比例增加。尽管与其吞噬功能相关的基因被上调,它们的抗原呈递能力相关基因下调.IL-1β的表达,IL-18、IFNGR1和IFNGR2基因在单核细胞中也增加。DCs的比例在急性期耗尽,在败血症恢复期间未恢复。在急性期,DCs抗原呈递减弱,但在恢复期恢复迅速。pDC对MCP-1趋化因子的反应减弱,他们在恢复阶段很快就恢复了。B细胞在急性期和恢复期均出现凋亡。他们对补体的反应被削弱了,但是它们的抗原呈递功能得到了增强。在所有疾病阶段稳定的NK细胞比例,IFN-γ基因表达上调。
    在整个疾病过程中,PBMC的比例及其免疫功能会发生变化,从急性期到康复期。这些发现为肺炎克雷伯菌血流感染败血症和恢复过程中PBMC免疫功能的机制提供了新的见解,并为进一步理解和治疗奠定了基础。
    UNASSIGNED: Klebsiella pneumoniae is a common Gram-negative bacterium. Blood infection caused by K. pneumoniae is one of the most common causes of human sepsis, which seriously threatens the life of patients. The immune status of peripheral blood mononuclear cells (PBMCs) based on single-cell RNA sequencing (scRNA-seq) in acute stage and recovery stage of sepsis caused by K. pneumoniae bloodstream infection has not been studied.
    UNASSIGNED: A total of 13 subjects were included in this study, 3 healthy controls, 7 patients with K. pneumoniae bloodstream infection in the acute stage (4 patients died), and 3 patients in the recovery stage. Peripheral blood of all patients was collected and PBMCs were isolated for scRNA-seq analysis. We studied the changes of PBMCs components, signaling pathways, differential genes, and cytokines in acute and recovery stages.
    UNASSIGNED: During K. pneumoniae acute infection we observed a decrease in the proportion of T cells, most probably due to apoptosis and the function of T cell subtypes was disorder. The proportion of monocytes increased in acute stage. Although genes related to their phagocytosis function were upregulated, their antigen presentation capacity-associated genes were downregulated. The expression of IL-1β, IL-18, IFNGR1 and IFNGR2 genes was also increased in monocytes. The proportion of DCs was depleted during the acute stage and did not recover during sepsis recovery. DCs antigen presentation was weakened during the acute stage but recovered fast during the recovery stage. pDCs response to MCP-1 chemokine was weakened, they recovered it quickly during the recovery stage. B cells showed apoptosis both in the acute stage and recovery stage. Their response to complement was weakened, but their antigen presentation function was enhanced. The proportion of NK cells stable during all disease\'s stages, and the expression of IFN-γ gene was upregulated.
    UNASSIGNED: The proportion of PBMCs and their immune functions undergo variations throughout the course of the disease, spanning from the acute stage to recovery. These findings provide new insights into the mechanism of PBMCs immune function during K. pneumoniae bloodstream infection sepsis and recovery and sets the basis for further understanding and treatment.
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