Interferon-alpha

干扰素 - α
  • 文章类型: Journal Article
    PD-1阻断疗法彻底改变了黑色素瘤治疗,但仍然不是所有的患者都受益,并且这些患者的治疗前识别是困难的。患者血液中炎性标志物如白细胞介素(IL)-6的表达增加与不良治疗反应相关。我们着手体外研究炎性细胞因子对PD-1阻断的影响。为此,我们研究了在不存在或存在PD-1阻断的情况下,IL-6和I型干扰素(IFN)在混合白细胞反应(MLR)中体外对人T细胞的影响.虽然IL-6在存在和不存在PD-1阻断的情况下都会降低T细胞的IFN-γ分泌,IFN-α仅在PD-1阻断的存在下特异性减少IFN-γ分泌。IFN-α独立于PD-1阻断降低T细胞增殖,并且仅在PD-1阻断的存在下降低产生IFN-γ的细胞的百分比。接下来,我们确定了一组22例用纳武单抗治疗的黑色素瘤患者的I型IFN评分。在这个队列中,我们没有发现临床反应和I型IFN评分之间的相关性,在存在PD-1阻断的情况下,MLR中的临床反应和体外IFN-γ分泌之间也没有。我们得出的结论是,IFN-α在体外降低了PD-1阻断的有效性,但是在这个群体中,体内I型IFN评分,在存在PD-1阻断的情况下,MLR中的体外IFN-γ分泌也与患者的治疗反应降低相关。
    PD-1 blockade therapy has revolutionized melanoma treatment, but still not all patients benefit and pre-treatment identification of those patients is difficult. Increased expression of inflammatory markers such as interleukin (IL)-6 in blood of patients correlates with poor treatment response. We set out to study the effect of inflammatory cytokines on PD-1 blockade in vitro. For this, we studied the effect of IL-6 and type I interferon (IFN) in vitro on human T cells in a mixed leukocyte reaction (MLR) in the absence or presence of PD-1 blockade. While IL-6 reduced IFN-γ secretion by T cells in both the presence and absence of PD-1 blockade, IFN-α specifically reduced the IFN-γ secretion only in the presence of PD-1 blockade. IFN-α reduced T cell proliferation independent of PD-1 blockade and reduced the percentage of cells producing IFN-γ only in the presence of PD-1 blockade. Next we determined the type I IFN score in a cohort of 22 melanoma patients treated with nivolumab. In this cohort, we did not find a correlation between clinical response and type I IFN score, nor between clinical response and IFN-γ secretion in vitro in a MLR in the presence of PD-1 blockade. We conclude that IFN-α reduces the effectiveness of PD-1 blockade in vitro, but that in this cohort, type I IFN score in vivo, nor IFN-γ secretion in vitro in a MLR in the presence of PD-1 blockade correlated to decreased therapy responses in patients.
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  • 文章类型: Journal Article
    核抗原的自身抗体是系统性红斑狼疮(SLE)的标志,它们有助于发病机理。然而,关于自身抗体的不同同种型如何导致这种自身免疫性疾病,我们的知识仍然存在差距,包括浆细胞样树突状细胞(pDC)响应免疫复合物(IC)产生关键的I型干扰素(IFN)细胞因子。我们专注于IgA,这是血清中第二普遍的同种型,随着IgG,在狼疮性肾炎患者的肾小球中沉积。我们显示SLE患者具有针对大多数核抗原的血清IgA自身抗体,与针对相同抗原的IgG相关。我们调查了IgA自身抗体是否针对主要的SLE自身抗原,史密斯核糖核蛋白(Sm/RNP),在pDCs的IC激活中起作用。我们发现pDCs表达IgA特异性Fc受体,FcαR,和IgA1自身抗体在含RNA的IC中与IgG协同作用以在体外产生稳健的初级血液pDCIFN-α应答。对这些IC的PDC响应需要FcαR和FcγRIIa,显示这些Fc受体之间的协同作用。当IC同时包含IgA1和IgG时,Sm/RNPIC与pDC的结合和内化作用更大。来自患有SLE的个体的循环pDC比来自健康对照个体的pDC具有更高的含IgA1的IC的结合和更高的FcαR表达。尽管在SLE中pDCFcαR表达与血液IFN刺激的基因签名相关,Toll样受体7激动剂,但不是IFN-α,pDCFcαR在体外表达上调。一起,我们显示了IgA1自身抗体有助于SLE发病的机制。
    Autoantibodies to nuclear antigens are hallmarks of systemic lupus erythematosus (SLE) where they contribute to pathogenesis. However, there remains a gap in our knowledge regarding how different isotypes of autoantibodies contribute to this autoimmune disease, including the production of the critical type I interferon (IFN) cytokines by plasmacytoid dendritic cells (pDCs) in response to immune complexes (ICs). We focused on IgA, which is the second-most prevalent isotype in serum and, along with IgG, is deposited in glomeruli in individuals with lupus nephritis. We show that individuals with SLE have serum IgA autoantibodies against most nuclear antigens, correlating with IgG against the same antigen. We investigated whether IgA autoantibodies against a major SLE autoantigen, Smith ribonucleoprotein (Sm/RNP), played a role in IC activation of pDCs. We found that pDCs expressed the IgA-specific Fc receptor, FcαR, and IgA1 autoantibodies synergized with IgG in RNA-containing ICs to generate robust primary blood pDC IFN-α responses in vitro. pDC responses to these ICs required both FcαR and FcγRIIa, showing synergy between these Fc receptors. Sm/RNP IC binding to and internalization by pDCs were greater when ICs contained both IgA1 and IgG. Circulating pDCs from individuals with SLE had higher binding of IgA1-containing ICs and higher expression of FcαR than pDCs from healthy control individuals. Although pDC FcαR expression correlated with the blood IFN-stimulated gene signature in SLE, Toll-like receptor 7 agonists, but not IFN-α, up-regulated pDC FcαR expression in vitro. Together, we show a mechanism by which IgA1 autoantibodies contribute to SLE pathogenesis.
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  • 文章类型: Journal Article
    靶向PD-(L)1的肿瘤免疫疗法仅在10-30%的患有各种癌症的患者中表现出抗肿瘤功效。文献表明,在肿瘤微环境中含有高T淋巴细胞的“热肿瘤”比“冷肿瘤”对免疫疗法表现出更好的反应。“这项研究旨在调查肿瘤固有的IFNα和CXCL10是否决定CD8+T细胞的募集和激活,从而成为热门肿瘤。“在这项研究中,我们发现CXCL10在包括肺癌在内的多种肿瘤中过度表达,结肠,和肝脏肿瘤与PD-L1相关。在接受免疫疗法的肿瘤患者中,高PD-L1和CXCL10与更好的生存率相关。IFN下游转录因子IRF-1和STAT1与PD-L1和CXCL10表达相关。我们证明IRF-1和STAT1均与PD-L1和CXCL10的启动子结合,共享相同的信号通路并决定IFN介导的PD-L1和CXCL10表达。此外,IFNα显着增加PBMC中的激活标记IFNγ,促进M1型单核细胞分化,CD4+T,和CD8+T细胞活化。特别是,我们发现CD8+T淋巴细胞大量表达CXCR3,CXCL10的受体,通过流式细胞术,表明肿瘤固有CXCL10可能在肿瘤微环境中募集CD8+T。为了证明这个假设,使用免疫疗法敏感性CT26和免疫疗法抗性LL/2,我们发现CT26细胞表现出更高的IFNα,IFNγ,与LL/2相比,CXCL10和PD-L1水平导致小鼠脾细胞中更高的IFNγ表达。此外,我们发现CD8+T细胞在体外被CXCL10募集,而CXCR3抑制剂SCH546738抑制T细胞迁移和脾细胞介导的抗肿瘤作用.我们随后证实CT26来源的肿瘤对αPD-L1免疫疗法敏感,而LL/2-肿瘤耐药,而αPD-L1在CT26来源的BALB/c小鼠中显著增加T淋巴细胞活化标志物CD107a。总之,这项研究表明,CXCL10的表达与肿瘤中的PD-L1相关,共享相同的信号通路,并与更好的免疫治疗功效相关联。同系肿瘤模型中的进一步证据表明,与免疫疗法抗性LL/2相比,免疫疗法敏感性CT26内在地表现出更高的IFNα和CXCL10,以招募和激活肿瘤微环境中的CD8T细胞。具有致敏αPD-L1免疫疗法的“热瘤”特征。
    Tumor immunotherapies targeting PD-(L)1 exhibit anti-tumor efficacy in only 10-30% of patients with various cancers. Literature has demonstrated that a \"hot tumor\" which contains high T lymphocytes in the tumor microenvironment exhibits a better response to immunotherapies than a \"cold tumor.\" This study aimed to investigate whether tumor-intrinsic IFNα and CXCL10 determine the recruitment and activation of CD8+ T cells to become \"hot tumor.\" In this study, we found that CXCL10 overexpressed in a variety of tumors including lung, colon, and liver tumors with a correlation with PD-L1. High PD-L1 and CXCL10 are associated with better survival rates in tumor patients receiving immunotherapies. IFNs-downstream transcriptional factor IRF-1 and STAT1 were correlated with PD-L1 and CXCL10 expression. We demonstrated that IRF-1 and STAT1 were both bound with the promoters of PD-L1 and CXCL10, sharing the same signaling pathway and determining IFNs-mediated PD-L1 and CXCL10 expression. In addition, IFNα significantly increased activation marker IFNγ in PBMCs, promoting M1 type monocyte differentiation, CD4+ T, and CD8+ T cell activation. Particularly, we found that CD8+ T lymphocytes abundantly expressed CXCR3, a receptor of CXCL10, by flow cytometry, indicating that tumor-intrinsic CXCL10 potentially recruited CD8+ T in tumor microenvironment. To demonstrate the hypothesis, immunotherapy-sensitive CT26 and immunotherapy-resistant LL/2 were used and we found that CT26 cells exhibited higher IFNα, IFNγ, CXCL10, and PD-L1 levels compared to LL/2, leading to higher IFNγ expression in mouse splenocytes. Moreover, we found that CD8+ T cells were recruited by CXCL10 in vitro, whereas SCH546738, an inhibitor of CXCR3, inhibited T cell migration and splenocytes-mediated anti-tumor effect. We then confirmed that CT26-derived tumor was sensitive to αPD-L1 immunotherapy and LL/2-tumor was resistant, whereas αPD-L1 significantly increased T lymphocyte activation marker CD107a in CT26-derived BALB/c mice. In conclusion, this study revealed that CXCL10 expression is correlated with PD-L1 in tumors, sharing the same signaling pathway and associating with better immunotherapeutic efficacy. Further evidence in the syngeneic tumor models demonstrated that immunotherapy-sensitive CT26 intrinsically exhibited higher IFNα and CXCL10 compared to immunotherapy-resistant LL/2 to recruit and activate CD8+ T cells in the tumor microenvironment, exhibiting \"hot tumor\" characteristic of sensitizing αPD-L1 immunotherapies.
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  • 文章类型: Journal Article
    病毒引起的疾病对水生动物的健康构成重大风险,目前还没有有效的补救措施。干扰素(IFN)作为抗病毒剂,经常在临床环境中使用。由于水生动物独特的生存条件,传统的干扰素注射麻烦,耗时耗力。本研究旨在利用抗性淀粉(RS)和羧甲基壳聚糖(CMCS)通过乳化技术制备IFN微胶囊。使用Box-Behnken设计(BBD)响应面技术实现了优化,然后通过乳化产生微胶囊。当RS浓度为1.27%时,水氧比为3.3:7.4,CaCl2为13.67%,CMCS为1.04%,包封率可以上升到80.92%。感染传染性造血坏死病毒(IHNV)的虹鳟鱼和感染春季病毒血症(SVCV)的鲤鱼在用IFN微胶囊处理后表现出65%和60%的相对存活率(RPS)。分别。此外,微胶囊有效降低血清AST水平,增强IFNα的表达,IHNV感染的虹鳟鱼和SVCV感染的鲤鱼中的IRF3,ISG15,MX1,PKR和Viperin。总之,这种整合的IFN微胶囊显示出作为治疗水产养殖病毒性疾病的抗病毒药物的潜力。
    Diseases caused by viruses pose a significant risk to the health of aquatic animals, for which there are presently no efficacious remedies. Interferon (IFN) serving as an antiviral agent, is frequently employed in clinical settings. Due to the unique living conditions of aquatic animals, traditional injection of interferon is cumbersome, time-consuming and labor-intensive. This study aimed to prepare IFN microcapsules through emulsion technique by using resistant starch (RS) and carboxymethyl chitosan (CMCS). Optimization was achieved using the Box-Behnken design (BBD) response surface technique, followed by the creation of microcapsules through emulsification. With RS at a concentration of 1.27 %, a water‑oxygen ratio of 3.3:7.4, CaCl2 at 13.67 %, CMCS at 1.04 %, the rate of encapsulation can escalate to 80.92 %. Rainbow trout infected with Infectious hematopoietic necrosis virus (IHNV) and common carp infected with Spring vireemia (SVCV) exhibited a relative survival rate (RPS) of 65 % and 60 % after treated with IFN microcapsules, respectively. Moreover, the microcapsules effectively reduced the serum AST levels and enhanced the expression of IFNα, IRF3, ISG15, MX1, PKR and Viperin in IHNV-infected rainbow trout and SVCV-infected carp. In conclusion, this integrated IFN microcapsule showed potential as an antiviral agent for treatment of viral diseases in aquaculture.
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  • 文章类型: Journal Article
    人类呼吸道病毒是人类最普遍的疾病原因,高传染性RSV是婴儿细支气管炎和病毒性肺炎的主要原因。对I型IFN的反应是针对病毒感染的主要防御。然而,RSV蛋白已被证明拮抗I型IFN介导的抗病毒先天免疫,特异性抑制细胞内IFN信号传导。呼吸道上皮细胞是RSV感染的主要目标。在这项研究中,我们发现RSV-NS1干扰了上皮细胞的IFN-αJAK/STAT信号通路。RSV-NS1表达显着增强IFN-α介导的STAT1磷酸化,但不增强pSTAT2;RSV-NS1对STAT1和STAT2总蛋白水平均无影响。然而,RSV-NS1的表达显著降低ISRE和GAS启动子活性和抗病毒IRG表达。进一步的机制研究表明RSV-NS1结合STAT1,蛋白质模型表明STAT1和RSV-NS1之间可能的相互作用位点。STAT1的核易位在RSV-NS1存在下减少。此外,STAT1与核运输衔接蛋白的相互作用,KPNA1,也减少了,提示RSV阻断STAT1核易位的机制。的确,减少STAT1进入细胞核可能解释RSV抑制IFNJAK/STAT启动子激活和抗病毒基因诱导。总之,这些结果描述了RSV控制抗病毒IFN-αJAK/STAT应答的新机制,这增强了我们对RSV呼吸道疾病进展的理解。
    Human respiratory viruses are the most prevalent cause of disease in humans, with the highly infectious RSV being the leading cause of infant bronchiolitis and viral pneumonia. Responses to type I IFNs are the primary defense against viral infection. However, RSV proteins have been shown to antagonize type I IFN-mediated antiviral innate immunity, specifically dampening intracellular IFN signaling. Respiratory epithelial cells are the main target for RSV infection. In this study, we found RSV-NS1 interfered with the IFN-α JAK/STAT signaling pathway of epithelial cells. RSV-NS1 expression significantly enhanced IFN-α-mediated phosphorylation of STAT1, but not pSTAT2; and neither STAT1 nor STAT2 total protein levels were affected by RSV-NS1. However, expression of RSV-NS1 significantly reduced ISRE and GAS promoter activity and anti-viral IRG expression. Further mechanistic studies demonstrated RSV-NS1 bound STAT1, with protein modeling indicating a possible interaction site between STAT1 and RSV-NS1. Nuclear translocation of STAT1 was reduced in the presence of RSV-NS1. Additionally, STAT1\'s interaction with the nuclear transport adapter protein, KPNA1, was also reduced, suggesting a mechanism by which RSV blocks STAT1 nuclear translocation. Indeed, reducing STAT1\'s access to the nucleus may explain RSV\'s suppression of IFN JAK/STAT promoter activation and antiviral gene induction. Taken together these results describe a novel mechanism by which RSV controls antiviral IFN-α JAK/STAT responses, which enhances our understanding of RSV\'s respiratory disease progression.
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  • 文章类型: Journal Article
    单纯疱疹病毒1型(HSV-1)和2型(HSV-2)是广泛存在的人类病原体,其建立导致反复发作的慢性潜伏感染。目前的治疗方法有限,需要开发新的抗病毒策略。本研究旨在评估含有干扰素α-2b(IFNα-2b)的新型局部制剂对HSV-1和HSV-2的抗病毒功效。配方,Oftalmoferon®forte(滴眼液)和干扰素阴道片,在Vero细胞中证明了对HSV-1和HSV-2的有效抗病毒作用,分别,与病毒复制的浓度依赖性抑制。随后,在动物模型中测试了它们的功效:兔眼模型中的HSV-1角膜炎和小鼠中的HSV-2生殖器疱疹。Oftalmoferon®forte有效治疗HSV-1角膜炎,与病毒控制相比,减少临床症状和溃疡。干扰素阴道片在控制小鼠HSV-2生殖器疱疹方面显示出有希望的结果,提高生存率,减少临床症状,体重减轻和病毒复制。新型IFNα-2b制剂在细胞培养物和动物模型中表现出针对HSV感染的显著抗病毒活性。这些发现表明这些制剂作为HSV感染的替代疗法的潜力。特别是在对当前疗法有抵抗力的情况下。需要进一步的研究来优化治疗方案并评估人类的临床疗效。
    Herpes simplex viruses type 1 (HSV-1) and type 2 (HSV-2) are widespread human pathogens that establish chronic latent infections leading to recurrent episodes. Current treatments are limited, necessitating the development of novel antiviral strategies. This study aimed to assess the antiviral efficacy of novel topical formulations containing interferon alpha-2b (IFN α-2b) against HSV-1 and HSV-2. The formulations, Oftalmoferon® forte (eye drops) and Interferon Vaginal Tablets, demonstrated potent antiviral effects against HSV-1 and HSV-2 in Vero cells, respectively, with concentration-dependent inhibition of viral replication. Subsequently, their efficacy was tested in animal models: HSV-1 keratitis in the rabbit eye model and HSV-2 genital herpes in mice. Oftalmoferon® forte effectively treated HSV-1 keratitis, reducing clinical symptoms and ulcerations compared to virus control. Interferon Vaginal Tablets showed promising results in controlling HSV-2 genital herpes in mice, improving survival rates, reducing clinical signs, weight loss and viral replication. The novel IFN α-2b formulations exhibited significant antiviral activity against HSV infections in cell culture and animal models. These findings suggest the potential of these formulations as alternative treatments for HSV infections, particularly in cases resistant to current therapies. Further studies are warranted to optimize treatment regimens and assess clinical efficacy in humans.
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  • 文章类型: Journal Article
    干扰素-α(IFN-α)是治疗慢性乙型肝炎(CHB)的一线药物。鸟苷酸结合蛋白1(GBP1)是干扰素刺激因子之一,参与宿主的先天免疫,发挥抗病毒和抗菌作用。在这项研究中,我们探讨了GBP1如何参与IFN-α抗HBV的抗病毒活性。在被收集之前,分别用野生型hGBP1质粒或si-GBP1转染HepG2-NTCP和HepG22.15细胞,然后用Peg-IFNα-2b刺激。我们系统地探讨了GBP1在细胞模型中调节HBV感染的作用。此外,我们还检查了CHB患者的GBP1水平。GBP1活性增加,HBV感染后其半衰期延长。GBP1的过表达抑制了HBsAg和HBeAg的产生,以及HBs蛋白和HBV总RNA水平,而沉默GBP1抑制其阻断病毒感染的能力。有趣的是,过表达GBP1与PEG-IFNα-2b共同治疗进一步增加IFN-α的抗病毒作用,而GBP1沉默与PEG-IFNα-2b共同治疗部分恢复其对HBV的抑制作用。机械上,GBP1通过靶向HBs介导PEG-IFNα-2b的抗HBV应答。临床样本分析显示,GBP1在CHB患者中升高,并与PEG-IFNα-2b治疗增加,而GBP1在干扰素应答组中表现出良好的稳定性。我们的研究表明,GBP1抑制HBV复制并促进HBsAg清除。通过调节IFN-α诱导的应答HBV的免疫应答来实现抗病毒作用是可能的。
    Interferon-alpha (IFN-α) is a first-line drug for treating chronic hepatitis B (CHB). Guanylate-binding protein 1 (GBP1) is one of the interferon-stimulating factors, which participates in the innate immunity of the host and plays an antiviral and antibacterial role. In this study, we explored how GBP1 is involved in IFN-α antiviral activity against HBV. Before being gathered, HepG2-NTCP and HepG2 2.15 cells were transfected with the wild-type hGBP1 plasmid or si-GBP1, respectively, and followed by stimulation with Peg-IFNα-2b. We systematically explored the role of GBP1 in regulating HBV infection in cell models. Additionally, we also examined GBP1 levels in CHB patients. GBP1 activity increased, and its half-life was prolonged after HBV infection. Overexpression of GBP1 inhibited the production of HBsAg and HBeAg, as well as HBs protein and HBV total RNA levels, whereas silencing of GBP1 inhibited its ability to block viral infections. Interestingly, overexpressing GBP1 co-treatment with Peg-IFNα-2b further increased the antiviral effect of IFN-α, while GBP1 silencing co-treatment with Peg-IFNα-2b partly restored its inhibitory effect on HBV. Mechanistically, GBP1 mediates the anti-HBV response of Peg-IFNα-2b by targeting HBs. Analysis of clinical samples revealed that GBP1 was elevated in CHB patients and increased with Peg-IFNα-2b treatment, while GBP1 showed good stability in the interferon response group. Our study demonstrates that GBP1 inhibits HBV replication and promotes HBsAg clearance. It is possible to achieve antiviral effects through the regulation of IFN-α induced immune responses in response to HBV.
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  • 文章类型: Journal Article
    在体外mRNA合成过程中去除双链RNA(dsRNA)污染物是需要解决的技术问题之一。显然,这些污染物是T7RNA聚合酶副活性的结果。在这项研究中,我们使用了一种改良的mRNA纯化方法,该方法基于dsRNA在含乙醇的缓冲液中与纤维素的选择性结合。在体内和体外都表明,纤维素纯化的mRNA制剂既不会导致淋巴细胞炎症标志物CD69的激活,也不会导致小鼠中IFNα的释放增加。并且不含有可通过dsRNA抗体检测的杂质。
    The removal of double-stranded RNA (dsRNA) contaminants during in vitro mRNA synthesis is one of the technological problems to be solved. Apparently, these contaminants are the result of the T7 RNA polymerase side activity. In this study, we used a modified method of mRNA purification based on the selective binding of dsRNA to cellulose in ethanol-containing buffer. It was shown both in vivo and in vitro that the cellulose-purified mRNA preparation leads neither to activation of the lymphocyte inflammatory marker CD69 nor to increased release of IFNα in mice, and does not contain impurities detectable by antibodies to dsRNA.
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  • 文章类型: Journal Article
    Aicardi-Goutières综合征(AGS)是一种自身炎性疾病,其特征是干扰素(IFN)-α产生异常。AGS发病的主要原因是脑部疾病,然而神经毒性IFN-α的主要来源和靶点仍不清楚.这里,我们证明了大脑是AGS中神经毒性IFN-α的主要来源,并使用星形胶质细胞驱动的Ifna1在小鼠中的错误表达证实了脑内IFN-α的神经毒性。使用单细胞RNA测序,我们证明,脑内皮细胞内的IFN-α激活受体(IFNAR)信号传导导致了一种独特的脑小血管疾病,与AGS患者中观察到的类似.磁共振成像(MRI)和单分子ELISA显示,中枢而非外周IFN-α是人类微血管疾病的主要决定因素。在小鼠中消融内皮Ifnar1拯救了微血管疾病,阻止了弥漫性脑疾病的发展,延长寿命。这些结果确定了脑微血管系统是AGS中IFN-α神经毒性的主要介质,代表治疗干预的可接近目标。
    Aicardi-Goutières syndrome (AGS) is an autoinflammatory disease characterized by aberrant interferon (IFN)-α production. The major cause of morbidity in AGS is brain disease, yet the primary source and target of neurotoxic IFN-α remain unclear. Here, we demonstrated that the brain was the primary source of neurotoxic IFN-α in AGS and confirmed the neurotoxicity of intracerebral IFN-α using astrocyte-driven Ifna1 misexpression in mice. Using single-cell RNA sequencing, we demonstrated that intracerebral IFN-α-activated receptor (IFNAR) signaling within cerebral endothelial cells caused a distinctive cerebral small vessel disease similar to that observed in individuals with AGS. Magnetic resonance imaging (MRI) and single-molecule ELISA revealed that central and not peripheral IFN-α was the primary determinant of microvascular disease in humans. Ablation of endothelial Ifnar1 in mice rescued microvascular disease, stopped the development of diffuse brain disease, and prolonged lifespan. These results identify the cerebral microvasculature as a primary mediator of IFN-α neurotoxicity in AGS, representing an accessible target for therapeutic intervention.
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  • 文章类型: English Abstract
    Clinical cure (herein referred to as functional cure) is currently recognized as the ideal therapeutic goal by the guidelines for the prevention and treatment of chronic hepatitis B (CHB) at home and abroad. China has achieved significant results in research and exploration based on pegylated interferon alpha therapeutic strategies to promote the effectiveness of CHB clinical cure rates in clinical practice. The summary and optimization of clinical cure strategies in different clinical type classifications, as well as the exploration of clinical cure continuity and long-term outcomes, are of great significance for solving the current bottleneck problem and our future efforts in the developmental directions of clinical cure in CHB populations.
    临床治愈(又称功能性治愈)是目前国内外慢性乙型肝炎(CHB)防治指南公认的理想治疗目标。我国在CHB临床治愈研究探索及临床实践中已取得较丰富的成果,基于聚乙二醇干扰素α的治疗策略可有效提升临床治愈率。不同临床分型人群临床治愈策略的总结与优化、临床治愈持久性及远期结局的探索,对于CHB临床治愈的发展具有重要意义。解决目前存在的瓶颈问题将是我们未来努力的方向。.
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