Immunity, Cellular

豁免权,移动通信
  • 文章类型: Journal Article
    弓形虫是一种对人类和兽医健康至关重要的细胞内寄生虫。弓形虫基因型种群的结构和多样性在地理上有很大差异,但是三个血统,I型,II和III,分布在全球。谱系III基因型在生物学方面特征最差,宿主免疫力和毒力。一旦宿主感染了T.gondii,参与先天免疫机制以减少组织中的寄生虫负担,并创造促炎环境,在该环境中,TH1应答发展以确保存活.这项研究调查了Swiss-Webster小鼠腹膜内感染后的早期细胞免疫反应,该小鼠具有四种不同的非克隆基因型III和局部分离株ToxoDB#1的10个速殖子。毒力表型,ROP5,ROP16,ROP18和GRA15的累积死亡率(CM)和等位基因谱先前已发表。
    通过实时PCR和IFNγ的相对表达水平分析寄生虫在不同组织中的传播,颈淋巴结(CLN)中的IL12-p40,IL-10和TBX21,使用ΔΔCt方法计算脑和脾。通过检测脑中的BAG1转录物确定阶段转化。
    组织播散取决于毒力表型,但不取决于CM,而TBX21和细胞因子水平和动力学与CM的相关性比毒力表型更好。BAG1的最早检测是感染后7天。只有高CM基因型(69.4%)的感染与CLN24h中的高T-bet水平和在第一周内持续的高全身IFNγ表达有关,而感染基因型较低的CM(38.8%,10.7%和6.8%)的特征在于IFNγ的下调和/或系统水平低。响应强度,通过细胞因子水平评估,随着时间的推移,高CM的基因型逐渐减弱,而逐渐增加到低CM的基因型。
    结果表明,免疫应答与毒力表型和/或等位基因谱无关,但是早期发作,强烈的促炎反应是高CM基因型的特征。此外,大脑中的高IFNγ水平可能会阻碍阶段转换。
    UNASSIGNED: Toxoplasma gondii is an intracellular parasite of importance to human and veterinary health. The structure and diversity of the genotype population of T. gondii varies considerably with respect to geography, but three lineages, type I, II and III, are distributed globally. Lineage III genotypes are the least well characterized in terms of biology, host immunity and virulence. Once a host is infected with T.gondii, innate immune mechanisms are engaged to reduce the parasite burden in tissues and create a pro-inflammatory environment in which the TH1 response develops to ensure survival. This study investigated the early cellular immune response of Swiss-Webster mice post intraperitoneal infection with 10 tachyzoites of four distinct non-clonal genotypes of lineage III and a local isolate of ToxoDB#1. The virulence phenotype, cumulative mortality (CM) and allele profiles of ROP5, ROP16, ROP18 and GRA15 were published previously.
    UNASSIGNED: Parasite dissemination in different tissues was analyzed by real-time PCR and relative expression levels of IFNγ, IL12-p40, IL-10 and TBX21 in the cervical lymph nodes (CLN), brain and spleen were calculated using the ΔΔCt method. Stage conversion was determined by detection of the BAG1 transcript in the brain.
    UNASSIGNED: Tissue dissemination depends on the virulence phenotype but not CM, while the TBX21 and cytokine levels and kinetics correlate better with CM than virulence phenotype. The earliest detection of BAG1 was seven days post infection. Only infection with the genotype of high CM (69.4%) was associated with high T-bet levels in the CLN 24 h and high systemic IFNγ expression which was sustained over the first week, while infection with genotypes of lower CM (38.8%, 10.7% and 6.8%) is characterized by down-regulation and/or low systemic levels of IFNγ. The response intensity, as assessed by cytokine levels, to the genotype of high CM wanes over time, while it increases gradually to genotypes of lower CM.
    UNASSIGNED: The results point to the conclusion that the immune response is not correlated with the virulence phenotype and/or allele profile, but an early onset, intense pro-inflammatory response is characteristic of genotypes with high CM. Additionally, high IFNγ level in the brain may hamper stage conversion.
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  • 文章类型: Journal Article
    背景:严重急性呼吸系统综合症冠状病毒2(SARS-CoV-2)感染的预后预测因素仍有待完全确定。我们评估了可能预测COVID-19临床结果和/或与之相关的选定病毒特征和免疫反应。
    方法:对于出现不同临床结果的个体,在症状发作后36小时内测量T细胞介导的反应的幅度和广度。用基于SARS-CoV-2的肽对外周血单核细胞(PBMC)进行体外刺激。此外,SARS-CoV-2序列由宏基因组产生,使用Luminex技术进行HLA分型。
    结果:重症COVID-19患者CD4+T细胞活化与SARS-CoV-2基础病毒载量呈负相关(p=0.043)。整体的细胞免疫反应,由IFN-γ信号推断,与进展为严重疾病的患者相比,进展为轻度疾病的患者在基线时较高(p=0·0044)。患有轻度疾病的受试者对MHCI类和II类限制性肽产生了更高的T细胞应答(p=0·033)。
    结论:在症状发作后的头几天增加特异性细胞免疫反应,根据ELISPOT测定中IFN-γ的大小推断,可以有效地支持积极的结果。相比之下,进展为严重的COVID-19伴随着更强的细胞免疫反应,更高的CD4+T细胞活化,和更多数量的计算机预测的高亲和力I类HLA等位基因。
    BACKGROUND: Predictors of the outcome of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection remain to be fully determined. We evaluated selected viral characteristics and immunological responses that might predict and/or correlate to the clinical outcome of COVID-19.
    METHODS: For individuals developing divergent clinical outcomes, the magnitude and breadth of T cell-mediated responses were measured within 36 h of symptom onset. Peripheral Blood Mononuclear Cells (PBMCs) were subjected to in vitro stimulation with SARS-CoV-2-based peptides. In addition, SARS-CoV-2 sequences were generated by metagenome, and HLA typing was performed using Luminex technology.
    RESULTS: CD4+ T cell activation was negatively correlated with SARS-CoV-2 basal viral load in patients with severe COVID-19 (p = 0·043). The overall cellular immune response, as inferred by the IFN-γ signal, was higher at baseline for patients who progressed to mild disease compared to patients who progressed to severe disease (p = 0·0044). Subjects with milder disease developed higher T cell responses for MHC class I and II-restricted peptides (p = 0·033).
    CONCLUSIONS: Mounting specific cellular immune responses in the first days after symptom onset, as inferred by IFN-γ magnitude in the ELISPOT assay, may efficiently favor a positive outcome. In contrast, progression to severe COVID-19 was accompanied by stronger cellular immune responses, higher CD4 + T cell activation, and a higher number of in silico predicted high-affinity class I HLA alleles.
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  • 文章类型: Journal Article
    这项纵向前瞻性对照多中心研究旨在监测COVID-19疫苗接种后突破性感染(BTI)引起的三种暴露所产生的免疫力,考虑到预先存在的对普通冠状病毒(CoV)的细胞介导免疫力,这可能会影响细胞对SARS-CoV-2的反应性。在完全接种疫苗的(F)个体中确定了抗SARS-CoV-2-尖峰IgG抗体(抗S-IgG)和针对尖峰蛋白(S)-和核衣壳蛋白(N)蛋白的细胞反应性PCR确认感染后1至24周,与部分接种疫苗(PBTI)和未接种疫苗(U)相比,经历了BTI(FBTI)或加强疫苗接种(FBooster)。与U相比,在F+BTI中发现了高亲和力抗S-IgG,后者表现出增加的持久促炎细胞因子对S-刺激。CoV在U中与较高的细胞反应性相关,而在F中没有发现相关性。该研究表明,在FBTI中,通过三种暴露可诱导显着的S特异性细胞反应,从而建立基本免疫。只有U似乎受益于预先存在的CoV免疫,但与在BTI后从增强的体液和细胞免疫免疫中免疫受益的F+BTI相比,显示了炎性免疫应答。这项研究表明,具有来自COVID-19疫苗接种和BTI的混合免疫的个体获得了稳定的体液和细胞免疫应答,并维持了至少6个月。我们的发现证实了卫生当局通过三种S蛋白暴露来建立基本免疫力的建议。
    This longitudinal prospective controlled multicenter study aimed to monitor immunity generated by three exposures caused by breakthrough infections (BTI) after COVID-19-vaccination considering pre-existing cell-mediated immunity to common-corona-viruses (CoV) which may impact cellular reactivity against SARS-CoV-2. Anti-SARS-CoV-2-spike-IgG antibodies (anti-S-IgG) and cellular reactivity against Spike-(S)- and nucleocapsid-(N)-proteins were determined in fully-vaccinated (F) individuals who either experienced BTI (F+BTI) or had booster vaccination (F+Booster) compared to partially vaccinated (P+BTI) and unvaccinated (U) from 1 to 24 weeks post PCR-confirmed infection. High avidity anti-S-IgG were found in F+BTI compared to U, the latter exhibiting increased long-lasting pro-inflammatory cytokines to S-stimulation. CoV was associated with higher cellular reactivity in U, whereas no association was seen in F. The study illustrates the induction of significant S-specific cellular responses in F+BTI building-up basic immunity by three exposures. Only U seem to benefit from pre-existing CoV immunity but demonstrated inflammatory immune responses compared to F+BTI who immunologically benefit from enhanced humoral and cellular immunity after BTI. This study demonstrates that individuals with hybrid immunity from COVID-19-vaccination and BTI acquire a stable humoral and cellular immune response that is maintained for at least 6 months. Our findings corroborate recommendations by health authorities to build on basic immunity by three S-protein exposures.
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  • 文章类型: Journal Article
    持续了3年多的新型冠状病毒感染的大流行,仍然伴随着SARS-CoV-2的S蛋白的频繁突变以及引起新疾病爆发的新病毒变体的出现。在所有的冠状病毒蛋白中,S和N蛋白的免疫原性最强。这项研究的目的是比较与SARS-CoV-2S和N蛋白具有不同相互作用史的人的体液和T细胞免疫反应的特征。这项研究包括27名曾经感染过COVID-19的人,23人接种了两次人造卫星V疫苗,但没有接种COVID-19,22人接种了COVID-19,并在疾病发生6-12个月后接种了两次人造卫星V,25人两次感染COVID-19。通过酶免疫测定法测定抗体水平,通过识别SARS-CoV-2抗原后CD8high淋巴细胞上CD107a的表达来评估细胞免疫。研究表明,对N蛋白的体液免疫反应主要是由短寿命的浆细胞合成所有四个亚类的IgG抗体形成的,并从IgG3逐渐转换为IgG1。对S蛋白的反应由反应开始时的短寿命浆细胞(IgG1和IgG3亚类)形成,然后由长寿命浆细胞(IgG1亚类)形成。通过Fisher方程描述了由短寿命浆细胞合成的抗体水平的动力学,而由长寿命浆细胞合成的抗体水平的变化由Erlang方程描述。混合免疫组的抗体水平超过接种后免疫组的抗体水平;在具有突破免疫的组中观察到最高的抗体含量。对S和N蛋白的细胞免疫根据免疫应答诱导模式(疫苗接种或疾病)而不同。重要的是,异源CD8T细胞对其他冠状病毒N蛋白的反应可能参与了对SARS-CoV-2的免疫防御。
    The pandemic of a new coronavirus infection that has lasted for more than 3 years, is still accompanied by frequent mutations in the S protein of SARS-CoV-2 and emergence of new virus variants causing new disease outbreak. Of all coronaviral proteins, the S and N proteins are the most immunogenic. The aim of this study was to compare the features of the humoral and T-cell immune responses to the SARS-CoV-2 S and N proteins in people with different histories of interaction with this virus. The study included 27 individuals who had COVID-19 once, 23 people who were vaccinated twice with the Sputnik V vaccine and did not have COVID-19, 22 people who had COVID-19 and were vaccinated twice with Sputnik V 6-12 months after the disease, and 25 people who had COVID-19 twice. The level of antibodies was determined by the enzyme immunoassay, and the cellular immunity was assessed by the expression of CD107a on CD8high lymphocytes after recognition of SARS-CoV-2 antigens. It was shown that the humoral immune response to the N protein was formed mainly by short-lived plasma cells synthesizing IgG antibodies of all four subclasses with a gradual switch from IgG3 to IgG1. The response to the S protein was formed by short-lived plasma cells at the beginning of the response (IgG1 and IgG3 subclasses) and then by long-lived plasma cells (IgG1 subclass). The dynamics of antibody level synthesized by the short-lived plasma cells was described by the Fisher equation, while changes in the level of antibodies synthesized by the long-lived plasma cells were described by the Erlang equation. The level of antibodies in the groups with the hybrid immunity exceeded that in the group with the post-vaccination immunity; the highest antibody content was observed in the group with the breakthrough immunity. The cellular immunity to the S and N proteins differed depending on the mode of immune response induction (vaccination or disease). Importantly, the response of heterologous CD8+ T cell to the N proteins of other coronaviruses may be involved in the immune defense against SARS-CoV-2.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    背景:癌症患者的免疫系统通常会减弱,导致对疫苗的反应降低,尤其是那些接受免疫抑制肿瘤治疗(OT)。我们旨在评估OT对实体和血液肿瘤患者接种COVID-19后对B.1谱系和Omicron变体的体液和T细胞反应的影响。
    方法:我们对癌症患者进行了一项前瞻性研究,分为OT和非OT组,他接受了两剂系列的COVID-19mRNA疫苗,并在六个月后加强了疫苗接种。测量的结果是针对B.1谱系和Omicron变体的体液(抗SARS-CoV-2SIgG滴度和ACE2-S相互作用抑制能力)和细胞(每百万PBMC中SARS-CoV-2S特异性T细胞斑点)反应。在第二剂量后四周(n=98)和加强剂量后八周(n=71)评估这些反应。
    结果:与非OT组相比,OT组针对B.1谱系和Omicron变体的第二次疫苗剂量后的体液反应明显减弱(q值<0.05)。加强剂量的mRNA-1273疫苗显着改善了OT组的体液反应,与非OT组相当。mRNA-1273疫苗,为最初的武汉菌株设计,与B.1谱系相比,对Omicron变体的体液反应较弱,无论肿瘤治疗或疫苗剂量。相比之下,T细胞对SARS-CoV-2的反应,包括Omicron变体,在第二次疫苗剂量后已经存在,并且没有受到肿瘤治疗的显着影响。
    结论:癌症患者,特别是那些接受免疫抑制肿瘤治疗的人,应该需要加强剂量和适应新的SARS-CoV-2变种如Omicron的COVID-19疫苗。未来的研究应该评估免疫反应的持久性和个体化治疗方案的有效性。
    BACKGROUND: Cancer patients often have weakened immune systems, resulting in a lower response to vaccines, especially those receiving immunosuppressive oncological treatment (OT). We aimed to assess the impact of OT on the humoral and T-cell response to the B.1 lineage and Omicron variant following COVID-19 vaccination in patients with solid and hematological neoplasms.
    METHODS: We conducted a prospective study on cancer patients, stratified into OT and non-OT groups, who received a two-dose series of the COVID-19 mRNA vaccine and a booster six months later. The outcomes measured were the humoral (anti-SARS-CoV-2 S IgG titers and ACE2-S interaction inhibition capacity) and cellular (SARS-CoV-2 S-specific T-cell spots per million PBMCs) responses against the B.1 lineage and Omicron variant. These responses were evaluated four weeks after the second dose (n = 98) and eight weeks after the booster dose (n = 71).
    RESULTS: The humoral response after the second vaccine dose against the B.1 lineage and Omicron variant was significantly weaker in the OT group compared to the non-OT group (q-value<0.05). A booster dose of the mRNA-1273 vaccine significantly improved the humoral response in the OT group, making it comparable to the non-OT group. The mRNA-1273 vaccine, designed for the original Wuhan strain, elicited a weaker humoral response against the Omicron variant compared to the B.1 lineage, regardless of oncological treatment or vaccine dose. In contrast, T-cell responses against SARS-CoV-2, including the Omicron variant, were already present after the second vaccine dose and were not significantly affected by oncological treatments.
    CONCLUSIONS: Cancer patients, particularly those receiving immunosuppressive oncological treatments, should require booster doses and adapted COVID-19 vaccines for new SARS-CoV-2 variants like Omicron. Future studies should evaluate the durability of the immune response and the efficacy of individualized regimens.
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  • 文章类型: Journal Article
    杜氏利什曼原虫表面糖蛋白63(GP63)是参与寄生虫逃逸和免疫逃避的主要毒力因子。在这项研究中,我们使用杆状病毒表达系统产生了表达多氏乳杆菌GP63的病毒样颗粒(VLP)。用GP63-VLP对小鼠进行肌内免疫,并用多诺瓦尼乳杆菌原刺激。GP63-VLP免疫引起更高水平的多尼氏乳杆菌抗原特异性血清抗体和增强的脾B细胞,生发中心B细胞,CD4+,和与未免疫对照相比的CD8+T细胞应答。GP63-VLP抑制肝脏中促炎细胞因子IFN-γ和IL-6的流入,以及阻止免疫小鼠脾肿大的发展。在多诺瓦尼乳杆菌攻击感染后,在VLP免疫小鼠中观察到脾寄生虫负荷的急剧减少.这些结果表明,GP63-VLP免疫通过在小鼠中诱导体液和细胞免疫而赋予针对多氏乳杆菌攻击感染的保护。
    Leishmania donovani surface glycoprotein 63 (GP63) is a major virulence factor involved in parasite escape and immune evasion. In this study, we generated virus-like particles (VLPs) expressing L. donovani GP63 using the baculovirus expression system. Mice were intramuscularly immunized with GP63-VLPs and challenged with L. donovani promastigotes. GP63-VLP immunization elicited higher levels of L. donovani antigen-specific serum antibodies and enhanced splenic B cell, germinal center B cell, CD4+, and CD8+ T cell responses compared to unimmunized controls. GP63-VLPs inhibited the influx of pro-inflammatory cytokines IFN-γ and IL-6 in the livers, as well as thwarting the development of splenomegaly in immunized mice. Upon L. donovani challenge infection, a drastic reduction in splenic parasite burden was observed in VLP-immunized mice. These results indicate that GP63-VLPs immunization conferred protection against L. donovani challenge infection by inducing humoral and cellular immunity in mice.
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  • 文章类型: Journal Article
    目的:在COVID-19大流行期间广泛报道了无症状的SARS-CoV-2感染,充当隐藏的感染源。许多研究无症状免疫的现有研究未能招募真正的无症状个体。因此,我们进行了一项纵向队列研究,以评估明确定义的无症状年轻成年人对感染和疫苗接种的体液和细胞介导反应(教育中的无症状COVID-19[ACE]队列).
    方法:位于英国三所大学的无症状测试服务机构确定了无症状的年轻人,他们随后被招募为年龄和性别匹配的有症状和未感染的对照。收集SARS-CoV-2武汉感染后的血液和唾液样本,在接种疫苗后。51名参与者的抗尖峰抗体滴度,中和抗体,并测量了尖峰特异性T细胞反应,针对武汉和OmicronB.1.1.529.1。
    结果:无症状参与者在疫苗接种前后表现出武汉特异性中和抗体减少,以及更少的Omicron特异性中和抗体接种后,与有症状的参与者相比。在接种前和接种后也观察到无症状个体中武汉和Omicron特异性IgG滴度较低,与有症状的参与者相比。唾液IgA水平无差异。常规流式细胞术分析和多维聚类分析显示,未接种无症状参与者的武汉特异性IL-2分泌CD4+CD45RA+T细胞和活化CD8+T细胞明显少于有症状参与者。尽管这些差异在接种疫苗后消失了。
    结论:无症状感染导致对进一步暴露于SARS-CoV-2变体的抗体和T细胞反应降低,与症状性感染相比。接种疫苗后,抗体反应仍然较差,但是T细胞免疫力增加以匹配有症状的受试者,强调接种疫苗的重要性,以帮助保护无症状的个体免受未来的变异。
    OBJECTIVE: Asymptomatic SARS-CoV-2 infections were widely reported during the COVID-19 pandemic, acting as a hidden source of infection. Many existing studies investigating asymptomatic immunity failed to recruit true asymptomatic individuals. Thus, we conducted a longitudinal cohort study to evaluate humoral- and cell-mediated responses to infection and vaccination in well-defined asymptomatic young adults (the Asymptomatic COVID-19 in Education [ACE] cohort).
    METHODS: Asymptomatic testing services located at three UK universities identified asymptomatic young adults who were subsequently recruited with age- and sex-matched symptomatic and uninfected controls. Blood and saliva samples were collected after SARS-CoV-2 Wuhan infection, and again after vaccination. 51 participant\'s anti-spike antibody titres, neutralizing antibodies, and spike-specific T-cell responses were measured, against both Wuhan and Omicron B.1.1.529.1.
    RESULTS: Asymptomatic participants exhibited reduced Wuhan-specific neutralization antibodies pre- and post-vaccination, as well as fewer Omicron-specific neutralization antibodies post-vaccination, compared to symptomatic participants. Lower Wuhan and Omicron-specific IgG titres in asymptomatic individuals were also observed pre- and post-vaccination, compared to symptomatic participants. There were no differences in salivary IgA levels. Conventional flow cytometry analysis and multi-dimensional clustering analysis indicated unvaccinated asymptomatic participants had significantly fewer Wuhan-specific IL-2 secreting CD4+ CD45RA+ T cells and activated CD8+ T cells than symptomatic participants, though these differences dissipated after vaccination.
    CONCLUSIONS: Asymptomatic infection results in decreased antibody and T cell responses to further exposure to SARS-CoV-2 variants, compared to symptomatic infection. Post-vaccination, antibody responses are still inferior, but T cell immunity increases to match symptomatic subjects, emphasising the importance of vaccination to help protect asymptomatic individuals against future variants.
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  • 文章类型: Journal Article
    宿主的免疫反应在感染过程中受到各种免疫因子的严格控制,原生动物寄生虫也操纵免疫系统逃避监视,导致宿主病原体相互作用的进化军备竞赛;然而,潜在的机制还没有完全理解。我们观察到,在恶性疟原虫疟疾患者和感染了四种寄生虫的小鼠中,超氧化物歧化酶3(SOD3)的水平均显着升高。感染后,SOD3缺陷小鼠的存活时间明显长于对照小鼠,寄生虫血症较低。而SOD3过表达的小鼠更容易受到寄生虫感染。我们发现,从激活的中性粒细胞分泌的SOD3,与T细胞结合,抑制白细胞介素-2表达和伴随的干扰素-γ反应对于寄生虫清除至关重要。总的来说,我们的研究结果揭示了寄生虫和宿主免疫系统之间军备竞赛的活跃前沿,并提供了SOD3在塑造宿主对寄生虫感染的先天免疫反应中的作用。
    Host immune responses are tightly controlled by various immune factors during infection, and protozoan parasites also manipulate the immune system to evade surveillance, leading to an evolutionary arms race in host‒pathogen interactions; however, the underlying mechanisms are not fully understood. We observed that the level of superoxide dismutase 3 (SOD3) was significantly elevated in both Plasmodium falciparum malaria patients and mice infected with four parasite species. SOD3-deficient mice had a substantially longer survival time and lower parasitemia than control mice after infection, whereas SOD3-overexpressing mice were much more vulnerable to parasite infection. We revealed that SOD3, secreted from activated neutrophils, bound to T cells, suppressed the interleukin-2 expression and concomitant interferon-gamma responses crucial for parasite clearance. Overall, our findings expose active fronts in the arms race between the parasites and host immune system and provide insights into the roles of SOD3 in shaping host innate immune responses to parasite infection.
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  • 文章类型: Journal Article
    背景:偏头痛的发病机制尚不清楚;然而,大量证据支持免疫机制起关键作用的假说。因此,我们旨在回顾目前有关偏头痛患者在发作期间和发作外免疫力改变的研究.
    方法:我们搜索了PubMed数据库以调查偏头痛患者的免疫学变化。然后,我们在搜索中添加了有关偏头痛免疫力改变的其他相关文章。
    结果:数据库筛选确定了1,102篇文章,其中41人被选中。我们又增加了104篇相关文章。我们发现研究报告了一些促炎细胞因子的间期水平升高,包括IL-6和TNF-α。抗炎细胞因子显示了各种发现,如TGF-β增加和IL-10减少。体液免疫的其他变化包括趋化因子水平升高,粘附分子,和基质金属蛋白酶;补体系统的激活;IgM和IgA增加。细胞免疫的变化包括T辅助细胞的增加,细胞毒性T细胞减少,减少调节性T细胞,以及自然杀伤细胞亚群的增加。观察到自身免疫性和过敏性疾病与偏头痛的显着合并症。
    结论:我们的综述总结了关于人类偏头痛体液和细胞免疫学发现改变的发现。我们强调了免疫机制可能参与偏头痛的发病机理。然而,需要进一步的研究来扩大我们对免疫机制在偏头痛发病机制中的确切作用的认识.
    BACKGROUND: The pathogenesis of migraine remains unclear; however, a large body of evidence supports the hypothesis that immunological mechanisms play a key role. Therefore, we aimed to review current studies on altered immunity in individuals with migraine during and outside attacks.
    METHODS: We searched the PubMed database to investigate immunological changes in patients with migraine. We then added other relevant articles on altered immunity in migraine to our search.
    RESULTS: Database screening identified 1,102 articles, of which 41 were selected. We added another 104 relevant articles. We found studies reporting elevated interictal levels of some proinflammatory cytokines, including IL-6 and TNF-α. Anti-inflammatory cytokines showed various findings, such as increased TGF-β and decreased IL-10. Other changes in humoral immunity included increased levels of chemokines, adhesion molecules, and matrix metalloproteinases; activation of the complement system; and increased IgM and IgA. Changes in cellular immunity included an increase in T helper cells, decreased cytotoxic T cells, decreased regulatory T cells, and an increase in a subset of natural killer cells. A significant comorbidity of autoimmune and allergic diseases with migraine was observed.
    CONCLUSIONS: Our review summarizes the findings regarding altered humoral and cellular immunological findings in human migraine. We highlight the possible involvement of immunological mechanisms in the pathogenesis of migraine. However, further studies are needed to expand our knowledge of the exact role of immunological mechanisms in migraine pathogenesis.
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