PBMCs

PBMC
  • 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
    肝硬化是一种高死亡率的疾病,在全球范围内造成重大的健康和经济负担。肝硬化的临床特点复杂多变。因此,肝硬化中免疫浸润相关基因的评估已成为肝病研究中的强制性要求,不仅可以识别潜在的生物标志物,还可以为疾病的潜在机制提供重要的见解。在这项研究中,我们旨在研究HCV患者外周血单个核细胞(PBMC)中细胞因子基因的表达谱,并鉴定与晚期肝硬化相关的基因表达特征.一项对90例HCV基因型4患者的横断面研究,包括无纤维化患者(F0,n=24),纤维化患者(F1-F3,n=36),和肝硬化患者(F4,n=30)已进行。通过定量实时PCR分析受试者PBMC中细胞因子基因的表达,ELISA法测定血清TGFβ2水平。我们的发现表明,与无纤维化患者相比,肝硬化和纤维化患者中TGIF1转录本的表达水平较低(分别为p=0.046和0.022)。此外,与纤维化患者相比,肝硬化患者的TGFβ1基因上调(p=0.015).此外,与无肝硬化或纤维化的患者相比,肝硬化患者的TGF-β2转录物表达水平较高,TGF-β2蛋白水平较高.根据ROC分析,TGFβ1,TGIF1转录本,和TGFβ2蛋白在区分肝硬化,纤维化,和非纤维化患者。我们的结果表明,PBMC中TGIF1,TGF-β1和TGF-β2基因的表达可能为识别晚期肝硬化患者提供有价值的工具,TGF-β和TGIF1可能是肝硬化的潜在生物标志物。这些发现可能对HCV患者肝硬化的诊断和治疗有意义。
    Liver cirrhosis is a condition with high mortality that poses a significant health and economic burden worldwide. The clinical characteristics of liver cirrhosis are complex and varied. Therefore, the evaluation of immune infiltration-involved genes incirrhosis has become mandatory in liver disease research, not only to identify the potential biomarkers but also to provide important insights into the underlying mechanisms of the disease. In this study, we aimed to investigate the expression profile of cytokine genes in peripheral blood mononuclear cells (PBMCs) of HCV patients and identify the gene expression signature associated with advanced cirrhosis. A cross-sectional study of 90 HCV genotype 4 patients, including no fibrosis patients (F0, n = 24), fibrotic patients (F1-F3, n = 36), and cirrhotic patients (F4, n = 30) has been conducted. The expression of cytokine genes was analyzed by quantitative real-time PCR in the subjects\' PBMCs, and the serum level of TGFβ2 was measured by ELISA. Our findings showed that the expression level of the TGIF1 transcript was lower in cirrhotic and fibrotic patients compared to no fibrosis patients (p = 0.046 and 0.022, respectively). Also, there was an upregulation of the TGFβ1 gene in cirrhotic patients relative to fibrotic patients (p = 0.015). Additionally, the cirrhotic patients had higher expression levels of the TGF-β2 transcript and elevated levels of the TGF-β2 protein than patients with no cirrhosis or fibrosis. According to the ROC analysis, TGFβ1, TGIF1 transcripts, and TGFβ2 protein have a good discriminatory performance in distinguishing between cirrhotic, fibrotic, and non-fibrotic patients. Our results suggested that the expression of TGIF1, TGF-β1, and TGF-β2 genes in PBMCs may provide a valuable tool for identifying patients with advanced cirrhosis and that TGF-β and TGIF1 may be potential biomarkers for cirrhosis. These findings may have implications for the diagnosis and treatment of cirrhosis in HCV patients.
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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
    由SARS-CoV-2病毒引起的COVID-19,引发了全球健康危机,需要对其病理生理学有更深入的了解。在这项研究中,我们探索了COVID-19患者的免疫和血液学动力学,以了解疾病的严重程度和预后。我们的发现揭示了中度和重度病例中不同的细胞因子谱。IL12A在中度病例的外周血单核细胞中显著上调,提示在启动有效的免疫反应中的潜在作用。相反,严重病例表现出关键促炎细胞因子的下调(IL23A,TNFα,IL1B,和IFNG)以及免疫抑制性IL10的上调,表明免疫环境失调。血清分析显示,在中度和重度病例中IL6和IL10水平均升高,强调它们作为疾病严重程度标志的潜力。值得注意的是,在恢复和致死病例之间,血清细胞因子没有显着差异。在COVID-19的致死病例中,D-二聚体升高,尿素,肌酐与IL6和IL10相关。这项研究为正在进行的了解和管理COVID-19病理学基础上的失调免疫反应的努力提供了有价值的信息。
    COVID-19, caused by the SARS-CoV-2 virus, has caused a global health crisis, necessitating a deeper understanding of its pathophysiology. In this study, we explored the immune and hematological dynamics in COVID-19 patients to gain insights into disease severity and prognosis. Our findings revealed distinct cytokine profiles in moderate and severe cases. IL12A was significantly upregulated in peripheral blood mononuclear cells from moderate cases, suggesting a potential role in initiating an effective immune response. Conversely, severe cases exhibited downregulation of key pro-inflammatory cytokines (IL23A, TNFalpha, IL1B, and IFNG) alongside an upregulation of the immunosuppressive IL10, indicative of a dysregulated immune environment. Serum analysis showed elevated IL6 and IL10 levels in both moderate and severe cases, emphasizing their potential as markers for disease severity. Notably, no significant differences in serum cytokines were found between recovery and lethal cases. In lethal cases of COVID-19, elevated D-dimer, urea, and creatinine correlated with IL6 and IL10. This study contributes valuable information to the ongoing efforts to understand and manage the dysregulated immune responses underlying COVID-19 pathology.
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  • 文章类型: Journal Article
    阻止艾滋病流行的重要方法是开发一种疫苗,该疫苗可引发阻止病毒捕获的抗体,HIV-1与靶细胞的初始相互作用,和复制。我们利用以前开发的基于qRT-PCR的检测方法来检测广泛中和抗体(bNAb)的作用。来自疫苗试验的血浆,和单克隆抗体(mAb)对病毒的捕获和复制。一组bNAb抑制PBMC中的原发性HIV-1复制,但不抑制病毒捕获。来自RV144和RV305试验疫苗接种者的血浆显示抑制泰国流行的HIV-1亚型的病毒捕获。几种RV305衍生的V2特异性mAb抑制病毒复制。这些RV305衍生的V2特异性mAb之一抑制病毒捕获和复制,证明有可能通过疫苗接种引起抑制病毒捕获和复制的抗体。此类抗体的组合的诱导可能是防止HIV-1获得的关键。
    An important approach to stopping the AIDS epidemic is the development of a vaccine that elicits antibodies that block virus capture, the initial interactions of HIV-1 with the target cells, and replication. We utilized a previously developed qRT-PCR-based assay to examine the effects of broadly neutralizing antibodies (bNAbs), plasma from vaccine trials, and monoclonal antibodies (mAbs) on virus capture and replication. A panel of bNAbs inhibited primary HIV-1 replication in PBMCs but not virus capture. Plasma from RV144 and RV305 trial vaccinees demonstrated inhibition of virus capture with the HIV-1 subtype prevalent in Thailand. Several RV305 derived V2-specific mAbs inhibited virus replication. One of these RV305 derived V2-specific mAbs inhibited both virus capture and replication, demonstrating that it is possible to elicit antibodies by vaccination that inhibit virus capture and replication. Induction of a combination of such antibodies may be the key to protection from HIV-1 acquisition.
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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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