immune response

免疫应答
  • 文章类型: Journal Article
    The aim of this study was to evaluate the immunomodulatory potential of two α-D-glucans from Limosilactobacillus reuteri L26 Biocenol™ (EPS-L26) and L. reuteri DSM17938 (EPS-DSM17938), with respect to their influence on in vitro activation of porcine dendritic cells (DCs). We used immature DCs differentiated from porcine blood monocytes under in vitro conditions. Based on the surface expression of MHC II and costimulatory CD80/86 molecules, we showed that both used EPSs favour the maturation of monocyte-derived DCs (MoDCs) similarly to the commonly used stimulant tumour necrosis factor α (TNF-α). In contrast to TNF-α stimulation, MoDCs treated with both used EPSs significantly up-regulated the mRNA levels not only for interleukin (IL)-10 (P < 0.0001 for EPS-DSM17938; P = 0.0037 for EPS-L26), but also for IL-12 (P = 0.0176 for EPS-DSM17938; P = 0.0019 for EPS-L26). These cytokines are known to regulate T-cell kinetics and play a key role in maintaining immune homeostasis. Interestingly, only relatively linear α-D-glucan (EPS-DSM17938) significantly increased gene expression of the major pro-inflammatory cytokine IL-1β (P = 0.0011) and the \"SOS\" cytokine IL-6 (P = 0.0127). However, it is important to highlight the need for further studies aimed at cytokine kinetics in DCs, as well as a co-culture study with allogenic T-lymphocytes.
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  • 文章类型: Journal Article
    Background Although demographic and clinical factors such as age, certain comorbidities, and sex have been associated with COVID-19 outcomes, these studies were largely conducted in urban populations affiliated with large academic medical centers. There have been very few studies focusing on rural populations that also characterize broader changes in inflammatory cytokines and chemokines. Methodology A single-center study was conducted between June 2020 and March 2021 in Abilene, Texas, USA. Patients were included if they presented to the hospital for treatment of COVID-19, had extra biological materials from routine care available, and were between the ages of 0 to 110 years. There were no exclusion criteria. Patient characteristics, symptom presentation, and clinical laboratory results were extracted from electronic health records. Blood specimens were analyzed by protein microarray to quantitate 40 immunological biomarkers. Results A total of 122 patients were enrolled, of whom 81 (66%) were admitted to the general non-critical inpatient unit, 37 (30%) were admitted to the intensive or critical care units, and four (3.2%) were treated outpatient. Most hospitalized COVID-19 patients in this rural population were elderly, male, obese, and retired individuals. Predominant symptoms for non-critical patients were shortness of breath, fever, and fatigue. Ferritin levels for outpatient patients were lower on average than those in an inpatient setting and lactate dehydrogenase (LDH) levels were noted to be lower in non-critical and outpatient than those in the intensive care unit setting. Inflammatory biomarkers were positively correlated and consistent with inflammatory cascade. Interleukin (IL)-10 was positively correlated while platelet-derived growth factor was negatively correlated with inflammatory biomarkers. Patients ≥65 years had significantly higher levels of LDH and seven cytokines/chemokines (granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin IL-1b, IL-6, IL-10, IL-11, macrophage inflammatory protein (MIP)-1d, and IL-8) while levels of five other immune molecules (intercellular adhesion molecule 1 (ICAM-1), monocyte chemoattractant protein 1 (MCP-1), tissue inhibitor of metalloproteinase 2 (TIMP-2), IL-2, and IL-4) were significantly lower compared to those <65 years. Females had significantly higher levels of LDH and 10 cytokines/chemokines (GM-CSF, IL-1b, IL-6, IL-10, IL-11, IL-15, IL-16, MIP-1a, MIP-1d, and IL-8) while levels of TIMP-2 and IL-4 were significantly lower than male patients. Conclusions The clinical characteristics of this rural cohort of hospitalized patients differed somewhat from nationally reported data. The contributions of social, environmental, and healthcare access factors should be investigated. We identified age and sex-associated differences in immunological response markers that warrant further investigation to identify the underlying molecular mechanisms and impact on COVID-19 pathogenesis.
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  • 文章类型: Journal Article
    Increasing attention is being paid to the toxic physiological effects of nanoplastics (NPs) on aquatic organisms. However, few studies have systematically evaluated the regulatory mechanisms of NPs on immune response in crustaceans. In this study, a 28-day chronic exposure experiment was conducted in which shrimps were exposed to various 80-nm polystyrene NPs concentrations (0, 0.1, 1, 5 and 10 mg/L). Transcriptomic analysis was used to investigate the regulatory mechanisms of NPs in immune response of Litopenaeus vannamei. With increasing NPs concentration, the total hemocyte count (THC) content decreased, while phagocytosis rate (PR) and respiratory burst (RB) showed trends of first rising and then falling. High concentration (10 mg/L) of NPs caused the destruction of hepatopancreas tissue structure, the shedding of microvilli, the increase number of hepatocyte apoptosis and autophagy structure. With increasing NPs concentration, the lysozyme (Lys), superoxide dismutase (SOD) and glutathione peroxidase (GPx) activities first increased and then decrease, while contents of lipid peroxidation and malondialdehyde increased; the expression levels of Toll, MyD88, GPx, SOD, proPO, Lys, and ALF generally increased at first and then decreased. Transcriptional sequencing analysis showed that the pathway of differentially expressed genes in KEGG enrichment mainly included lysosome (ko04142), apoptosis (ko04210) pathways, indicating that the NPs mainly affected the immune regulatory mechanism. Further analysis by Gene Set Enrichment Analysis (GSEA) showed that the up-regulation pathways of NPs activation mainly included immune response-related pathways such as mitochondrial autophagy, DNA repair, autophagosomes signaling pathway. Our results indicated that NPs exposure induced oxidative stress, apoptosis and autophagy in shrimps. This study provides a basis for further understanding of the mechanisms of antioxidant immune regulation by NPs in shrimp and may serve as a reference for healthy ecological culture of shrimp.
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  • 文章类型: Journal Article
    BACKGROUND: Chikungunya is a serious and debilitating viral infection with a significant disease burden. VLA1553 (IXCHIQ®) is a live-attenuated vaccine licensed for active immunization for prevention of disease caused by chikungunya virus (CHIKV).
    METHODS: Immunogenicity following a single dose of VLA1553 was evaluated in healthy adults aged ≥18 years in two Phase 3 trials (N = 656 participants [per protocol analysis set]). Immunogenicity data to 180 days post-vaccination (geometric mean titers [GMTs], seroresponse rate, seroconversion rate) were pooled for the two trials. A comparison of subgroups based on age, sex, body mass index (BMI), race, and baseline seropositivity was included. All analyses were descriptive.
    RESULTS: Most participants were aged 18-64 years (N = 569/656 [86.7%]), there were slightly more females (N = 372/656 [56.7%]), most were not Hispanic/Latino (N = 579/656 [88.3%]), and most were White (N = 517/656 [78.8%]). In baseline seronegative participants, GMT peaked at Day 29 post-vaccination, and subsequently declined slightly but remained elevated until Day 180. At Days 29, 85, and 180, seroresponse rate was 98.3%, 97.7%, and 96.4% and seroconversion rate was 98.5%, 98.4%, and 98.2%. There were no differences in seroresponse rate in participants aged 18-64 years or ≥ 65 years at Day 29 (98.1% versus 100%), Day 85 (97.4% versus 100%), and Day 180 (96.3% versus 96.5%) nor based on sex, BMI, ethnicity, or race. An immune response was shown in a small heterogenous population of baseline seropositive participants, with GMTs showing the same trend as baseline seronegative participants.
    CONCLUSIONS: A single dose of VLA1553 elicited a very strong immune response by Day 29 that remained elevated at Day 180 in both baseline seronegative and seropositive participants in a combined evaluation of two Phase 3 trials. The vaccine was similarly immunogenic in participants aged ≥65 years and 18-64 years, and there were no differences based on subgroup analyses for sex, BMI, ethnicity, or race.
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  • 文章类型: Journal Article
    目标:长型COVID影响非洲约500万人。这种疾病的特征是在急性SARS-CoV-2感染后持续出现症状或新出现症状。具体来说,最常见的症状包括一系列心血管问题,如胸痛,直立不耐受,心动过速,晕厥,和不受控制的高血压。重要的是,这些情况似乎以内皮功能障碍为共同点,这通常是由于受损的一氧化氮(NO)机制。这篇综述讨论了内皮功能障碍机制在长型COVID中的作用,特别是艾滋病毒感染者。
    结果:最近的研究报告,炎症和氧化应激增加,经常在长COVID中观察到,可能导致NO功能障碍,最终导致血管反应性下降。这些机制在艾滋病毒感染者中也有报道。在非洲等地区,艾滋病毒感染仍然是一个主要的公共卫生挑战,到2022年患病率约为2600万人。具体来说,据报道,内皮功能障碍似乎是导致心血管疾病的主要机制,与长COVID机制的交叉尤其值得关注.Further,众所周知,该人群在感染SARS-CoV-2后更有可能发展为长COVID。因此,SARS-CoV-2合并感染可能导致加速的心血管疾病.我们概述了由长COVID引起的健康问题恶化的细节,这加剧了预先存在的疾病,如内皮功能障碍。HIV和SARS-CoV-2的重叠机制,特别是长时间的炎症反应和慢性缺氧,可能会增加对长型COVID的易感性。解决这些重叠的健康问题至关重要,因为它为干预措施提供了临床切入点,可以改善和提高该地区受艾滋病毒和长期COVID影响的人的生活质量。
    OBJECTIVE: Long COVID affects approximately 5 million people in Africa. This disease is characterized by persistent symptoms or new onset of symptoms after an acute SARS-CoV-2 infection. Specifically, the most common symptoms include a range of cardiovascular problems such as chest pain, orthostatic intolerance, tachycardia, syncope, and uncontrolled hypertension. Importantly, these conditions appear to have endothelial dysfunction as the common denominator, which is often due to impaired nitric oxide (NO) mechanisms. This review discusses the role of mechanisms contributing to endothelial dysfunction in Long COVID, particularly in people living with HIV.
    RESULTS: Recent studies have reported that increased inflammation and oxidative stress, frequently observed in Long COVID, may contribute to NO dysfunction, ultimately leading to decreased vascular reactivity. These mechanisms have also been reported in people living with HIV. In regions like Africa, where HIV infection is still a major public health challenge with a prevalence of approximately 26 million people in 2022. Specifically, endothelial dysfunction has been reported as a major mechanism that appears to contribute to cardiovascular diseases and the intersection with Long COVID mechanisms is of particular concern. Further, it is well established that this population is more likely to develop Long COVID following infection with SARS-CoV-2. Therefore, concomitant infection with SARS-CoV-2 may lead to accelerated cardiovascular disease. We outline the details of the worsening health problems caused by Long COVID, which exacerbate pre-existing conditions such as endothelial dysfunction. The overlapping mechanisms of HIV and SARS-CoV-2, particularly the prolonged inflammatory response and chronic hypoxia, may increase susceptibility to Long COVID. Addressing these overlapping health issues is critical as it provides clinical entry points for interventions that could improve and enhance outcomes and quality of life for those affected by both HIV and Long COVID in the region.
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  • 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
    背景:Heterakisgallinarum(H.gallinarum)是一种常见的家禽寄生虫,可以在许多gallinailes鸟类的盲肠中找到,导致轻微的病理和减少的体重增加。由于对粪便卵数的依赖,大多数感染在商业鸡群中没有被注意到,容易出现假阴性诊断。此外,缺乏使用分子鉴定方法的胃肠道线虫的研究,这对于快速诊断和开发有效的控制方法至关重要。因此,该研究旨在研究埃及家禽养殖场中由H.gallinarum诱导的蛋鸡死亡的原因,超微结构,和分子表征。组织病理学,免疫组织化学,还检查了来自受损盲肠组织的细胞介导的免疫反应。
    结果:来自不同品种的十层羊群的70个鸟类样本(本地,白色,和棕色层)患有腹泻,鸡蛋产量下降,和消瘦被收集。从受影响和未受影响的鸟类收集盲肠样品,并使用光和扫描电子显微镜检查寄生虫病。线粒体细胞色素氧化酶1(COX1)基因用于表征鸡H.galinarum。我们的结果表明,收集的线虫被鉴定为H.gallinarum(雄性和雌性),COX1基因扩增和序列比对进一步证实。感染组织中炎症标志物的基因表达分析显示IL-2、IFN-γ显著上调,TLR-4和IL-1β以及抗炎IL-10的显著下调。与对照组相比,凋亡cas-3的mRNA水平揭示了鸡嗜血杆菌样品中的凋亡活性。
    结论:我们的结果实施了使用分子方法诊断异型病,这是第一份报告显示感染后的组织免疫反应:IL-1β的上调,IFN-γ,IL-2和TLR-4,而在盲肠组织中下调抗炎IL-10,Cas-3凋亡活性和核因子-κB(NF-κB)活性与Heterakis感染组织中T细胞的免疫表型分型。
    BACKGROUND: Heterakis gallinarum (H. gallinarum) is a common poultry parasite that can be found in the ceca of many gallinaceous bird species, causing minor pathology and reduced weight gain. Most infections go unnoticed in commercial flocks due to the dependence on fecal egg counts, which are prone to false-negative diagnoses. Furthermore, there is a lack of research on gastrointestinal nematodes that use molecular identification methods, which could be essential for rapid diagnosis and developing efficient control approaches. As a result, the study aimed to look at the cause of mortality in layer chickens induced by H. gallinarum in Egyptian poultry farms using morphological, ultrastructural, and molecular characterization. Histopathological, immunohistochemical, and cell-mediated immune responses from damaged cecal tissues were also examined.
    RESULTS: Seventy bird samples from ten-layer flocks of different breeds (Native, white, and brown layers) suffering from diarrhea, decreased egg output, and emaciation were collected. Cecal samples were collected from affected and non-affected birds and were examined for parasitic diseases using light and a scanning electron microscope. The mitochondrial cytochrome oxidase 1 (COX1) gene was used to characterize H. gallinarum. Our results showed that the collected nematodal worms were identified as H. gallinarum (male and female), further confirmed by COX1 gene amplification and sequence alignment. Gene expression analysis of the inflammatory markers in infected tissues showed a significant up-regulation of IL-2, IFN-γ, TLR-4, and IL-1β and a significant down-regulation of the anti-inflammatory IL-10. The mRNA level of the apoptotic cas-3 revealed apoptotic activity among the H. gallinarum samples compared to the control group.
    CONCLUSIONS: Our results implemented the use of molecular methods for the diagnosis of Heterakis, and this is the first report showing the tissue immune response following infection in layers: upregulation of IL-1β, IFN-γ, Il-2, and TLR-4, while down-regulation of anti-inflammatory IL-10 in cecal tissue, Cas-3 apoptotic activity and Nuclear factor-κB (NF-κB)activity with immunophenotyping of T-cells in Heterakis infected tissue.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    绝对淋巴细胞计数(ALC),淋巴细胞与单核细胞比率(LMR),中性粒细胞与淋巴细胞比率(NLR)为评估癌症治疗后的全身性炎症提供了方便的方法,影响治疗结果。了解这些生物标志物的变化和白细胞亚群的相互作用对于优化放射治疗至关重要。在这里,白细胞亚群(T-CD4+,T-CD8+,B细胞,NK细胞,中性粒细胞,单核细胞)在无瘤小鼠的脑照射(使用X射线或质子)期间和之后用于计算ALC,LMR,和NLR,通过主成分分析(PCA)评估辐射参数的影响。使用建模进一步检查NLR动力学。使用PCA和相关分析检查了白细胞亚群的相互作用及其对辐射参数的反应。在X光下,ALC和LMR下降,照射后ALC恢复到基线,但不是LMR.X射线和质子在辐照过程中都增加了NLR,在质子中恢复,而不是X射线。辐照体积和剂量率均对NLR有明显影响。在X射线和质子下观察到白细胞亚群相互作用,在第28天的质子群中正常化。在X射线照射下,所有淋巴细胞亚群均观察到淋巴细胞减少,但未观察到质子。恢复模式在亚群之间有所不同。照射期间中性粒细胞计数增加,随着质子的回收,但不是X光片,第28天NK细胞和骨髓亚群之间的相互作用在X射线下很明显,但在质子下却没有。重要的是,在骨髓细胞和T/B细胞之间没有检测到相互作用,表明LMR和NLR变化主要是由于对脑照射的独立反应。无瘤实验小鼠模型用于研究脑放疗对全身免疫的影响。当使用垂直光束对全脑或半脑进行总剂量为20Gy的分次照射时,在无肿瘤的啮齿动物中,与X射线相比,质子照射对免疫系统的不利影响较小.
    The absolute lymphocyte count (ALC), lymphocyte-to-monocyte ratio (LMR), and neutrophil-to-lymphocyte ratio (NLR) offer convenient means to assess systemic inflammation post-cancer treatment, which influences treatment outcomes. Understanding these biomarker variations and leukocyte subpopulation interplay is crucial for optimizing radiotherapy. Herein, leukocyte subpopulations (T-CD4+, T-CD8+, B-cells, NK-cells, neutrophils, monocytes) during and after brain irradiation (using X-rays or Protons) in tumor-free mice were used to compute ALC, LMR, and NLR, on which radiation parameter influence was assessed by principal component analysis (PCA). NLR kinetics were further examined using modeling. Leukocyte subpopulations interplays and their response to radiation parameters were examined using PCA and correlation analysis. Under X-rays, ALC and LMR decreased, with ALC recovered to baseline after irradiation, but not LMR. Both X-rays and protons increased the NLR during irradiation, recovering in protons but not X-rays. Both irradiation volume and dose rate had a pronounced effect on the NLR. Leukocyte subpopulation interplay was observed under X-rays and protons, normalizing in the proton group by day 28. Lymphopenia was observed in all lymphocyte subpopulations under X-ray irradiation but not protons. The recovery patterns varied among the subpopulations. Neutrophil counts increased during irradiation, with the recovery of protons, but not X-rays, by day 28. Interplays between NK-cells and myeloid subpopulations were evident under X-rays but not protons. Importantly, no interplay was detected between myeloid cells and T/B-cells, indicating that LMR and NLR variations were primarily due to independent responses to brain irradiation. A tumor-free experimental mouse model was used to study the effects of brain radiotherapy on systemic immunity. When administering fractionated irradiation with a total dose of 20 Gy using a vertical beam to either the whole brain or hemi-brain, proton irradiation had fewer adverse impacts on the immune system compared to X-rays in tumor-free rodents.
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