Sera

sera
  • 文章类型: Journal Article
    我们旨在评估危险人群中弓形虫免疫球蛋白的唾液和血清阳性率,并评估靶向TgERP的药物对接。在亚历山大大学医院的门诊诊所进行了一项横断面研究。从2022年9月至2023年11月,共有192名参与者参加。ELISA法测定血清和唾液中抗弓形虫IgG和IgM。Silico研究检查了TgERP蛋白-蛋白相互作用(PPI)与促炎细胞因子受体,抗炎细胞因子,细胞周期进程调节蛋白,增殖标记,和核包膜完整性相关蛋白LaminB1。我们的发现揭示了反T.血清(66.1%)和唾液(54.7%)中检测到刚地IgG,2.1%的样本IgM阳性。唾液IgG有75.59%的敏感性,86.15%特异性,91.40%PPV,64.40%NPP,准确度为79.17%,与血清IgG相当。另一方面,灵敏度,特异性,PPV,NPV,检测唾液IgM的准确率为75.0%,99.47%,75.0%,99.47%,98.96%。AUC0.859表示良好的鉴别力。经过检查的合成药物和天然产物可以靶向TgERP的特定氨基酸残基,这些残基位于与LB1和Ki67相同的结合界面上,阻碍他们的互动。因此,唾液样本可能是一种有前途的诊断方法.所研究的药物可以抵消TgERP的促炎作用。
    We aimed to assess salivary and seroprevalence of Toxoplasma immunoglobulins in risky populations and evaluate drug docking targeting TgERP. A cross-sectional study was conducted in Alexandria University hospitals\' outpatient clinics. 192 participants were enrolled from September 2022 to November 2023. Anti-Toxoplasma IgG and IgM were determined in serum and saliva by ELISA. An in-Silico study examined TgERP\'s protein-protein interactions (PPIs) with pro-inflammatory cytokine receptors, anti-inflammatory cytokine, cell cycle progression regulatory proteins, a proliferation marker, and nuclear envelope integrity-related protein Lamin B1. Our findings revealed that anti-T. gondii IgG were detected in serum (66.1%) and saliva (54.7%), with 2.1% of both samples were positive for IgM. Salivary IgG had 75.59% sensitivity, 86.15% specificity, 91.40% PPV, 64.40% NPP, 79.17% accuracy and fair agreement with serum IgG. On the other hand, the sensitivity, specificity, PPV, NPV, and accuracy in detecting salivary IgM were 75.0%, 99.47%, 75.0%, 99.47%, and 98.96%. AUC 0.859 indicates good discriminatory power. Examined synthetic drugs and natural products can target specific amino acids residues of TgERP that lie at the same binding interface with LB1 and Ki67, subsequently, hindering their interaction. Hence, salivary samples can be a promising diagnostic approach. The studied drugs can counteract the pro-inflammatory action of TgERP.
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  • 文章类型: Journal Article
    在这个问题上,我们迅速建立,成本效益高,和简单的检测方法,包括重组聚合酶扩增与侧流试纸(RPA-LFD)和实时RPA的鲤科疱疹病毒3(CyHV-3),并评估了它们的敏感性,特异性,和适用性,实时RPA方法可以实现每反应1.3拷贝以内的CyHV-3的灵敏诊断,分别。实时RPA方法比RPA-LFD方法灵敏度高10倍。可以通过实时RPA计算每个样品中CyHV-3的确切数量。也可以在这些方法中测试来自锦葵的血清。此外,未观察到与其他相关病原体的交叉反应,包括鲤鱼水肿病毒(CEV),鲤鱼病毒春季病毒血症(SVCV),鲤科疱疹病毒1型(CyHV-1),鲤科疱疹病毒2型(CyHV-2),I型草鱼呼肠孤病毒(GCRV-I),II型GCRV(GCRV-II),III型GCRV(GCRV-III),和嗜水气单胞菌.
    In this issue, we established rapid, cost-effective, and simple detection methods including recombines polymerase amplification with lateral flow dipstick (RPA-LFD) and real-time RPA for cyprinid herpesvirus 3(CyHV-3), and evaluated their sensitivity, specificity, and applicability, the real-time RPA method could achieve sensitive diagnosis of CyHV-3 within 1.3 copies per reaction, respectively. The real-time RPA method is 10-fold more sensitive than RPA-LFD method. The exact number of CyHV-3 can be calculated in each sample by real-time RPA. The sera from koi also can be tested in these methods. In addition, no cross-reaction was observed with other related pathogens, including carp oedema virus (CEV), spring viraemia of carp virus (SVCV), cyprinid herpesvirus 1(CyHV-1), cyprinid herpesvirus 2(CyHV-2), type I grass carp reovirus (GCRV-I), type II GCRV (GCRV-II), type III GCRV (GCRV-III), and Aeromonas hydrophila.
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  • 文章类型: Journal Article
    在用四种不同的登革热病毒血清型(DENV1-4)中的任一种感染后,包膜(E)糖蛋白是类型特异性(TS)中和抗体(nAbs)的主要靶标。nAbs可以被引发到不同的结构E域(ED)I,II,或者III.然而,这些结构域特异性抗体的相对贡献尚不清楚.为了确定自然感染或疫苗接种后血清中的主要DENV3nAb靶标,嵌合DENV1重组编码DENV3EDI,EDII,或者产生了EDIII。DENV3EDII是TS多克隆nAb应答的主要靶标,并且编码两个或更多个中和表位。相比之下,一些是以受试者依赖的方式接种DENV3单价疫苗引发的针对每个ED的血清TSnAbs的个体,强调EDI和EDIII。疫苗应答也对DENV3基因型变异敏感。此DENV1/3面板允许测量血清EDTSnAbs,揭示自然感染或疫苗接种后TSnAb免疫的差异。
    The envelope (E) glycoprotein is the primary target of type-specific (TS) neutralizing antibodies (nAbs) after infection with any of the four distinct dengue virus serotypes (DENV1-4). nAbs can be elicited to distinct structural E domains (EDs) I, II, or III. However, the relative contribution of these domain-specific antibodies is unclear. To identify the primary DENV3 nAb targets in sera after natural infection or vaccination, chimeric DENV1 recombinant encoding DENV3 EDI, EDII, or EDIII were generated. DENV3 EDII is the principal target of TS polyclonal nAb responses and encodes two or more neutralizing epitopes. In contrast, some were individuals vaccinated with a DENV3 monovalent vaccine-elicited serum TS nAbs targeting each ED in a subject-dependent fashion, with an emphasis on EDI and EDIII. Vaccine responses were also sensitive to DENV3 genotypic variation. This DENV1/3 panel allows the measurement of serum ED TS nAbs, revealing differences in TS nAb immunity after natural infection or vaccination.
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  • 文章类型: Journal Article
    有13种全球公认的风疹病毒基因型,其中最近仅检测到2种(1E和2B)。所有报告的风疹病毒序列中最大的百分比来自中国和日本,而非洲报告的数据有限。为了解决乌干达和世界卫生组织非洲地区缺乏风疹基因型数据的问题,我们试图使用从风疹IgM阳性的疑似麻疹患者收集的血清对风疹病毒进行回顾性鉴定.获得了属于基因型2B亚谱系2B-L2c的七个序列。这些序列与先前从乌干达报道的其他基因型2B序列成簇。未检测到早期乌干达报告的其他基因型(1E和1G)。此外,在引入含有麻疹-风疹的疫苗后,没有获得任何序列。以上强调了需要进行持续的风疹病毒学监测,以确认地方性风疹基因型循环的中断。
    There are 13 globally recognized rubella virus genotypes of which only 2 (1E and 2B) have been detected recently. The largest percentage of all reported rubella virus sequences come from China and Japan with Africa reporting limited data. In a bid to address the lack of rubella genotype data in Uganda and the World Health Organization Africa region, we sought to characterize rubella viruses retrospectively using sera collected from suspected measles patients that turned out rubella IgM positive.Seven sequences belonging to genotype 2B sub-lineage 2B-L2c were obtained. These sequences clustered with other genotype 2B sequences previously reported from Uganda. None of the other genotypes (1E and 1G) reported from Uganda in the earlier years were detected. In addition, none of the sequences were obtained after the introduction of the measles-rubella containing vaccine. The above highlight the need for continuous rubella virological surveillance to confirm interruption of endemic rubella genotype circulation.
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  • 文章类型: Journal Article
    编码环状复制相关蛋白(Rep)的单链(CRESS)DNA病毒包括已在几种动物物种和人类标本中发现的圆环病毒。圆环病毒与猪和鸟的严重疾病以及狗的呼吸道和胃肠道疾病和全身性疾病有关。在猫中,只有少数研究报告了CRESSDNA病毒。在这项研究中,共530份样本(361份血清,131个凳子,和38只呼吸拭子)来自猫,筛选CRESSDNA病毒的存在。总的来说,530个样品中的48个(9.0%)使用pan-RepPCR检测为阳性。总共获得30个Rep序列。粪便来源的十个序列彼此紧密相关(82.4-100%nt同一性),并且与猫鹅圆环病毒更远近相关(68.3至77.2%nt同一性)。在基因组水平上,这些圆环病毒与猫鹅圆环病毒具有最高的nt同一性(74.3-78.7%),因此代表了一种新型圆环病毒物种。还鉴定了来自不同动物宿主(n=12)和来自人(n=8)的圆环病毒。然而,从血清样本中获得六个Rep序列,包括犬圆环病毒,人类环状病毒以及与人类和鱼类相关的CRESSDNA病毒。血清中这些病毒的存在意味着,在不同程度上,病毒在动物宿主中复制,能够维持病毒血症。总的来说,这些发现表明猫的CRESSDNA病毒具有广泛的遗传多样性,值得进一步研究。
    Circular replication-associated protein (Rep)-encoding single stranded (CRESS) DNA viruses include Circoviruses which have been found in several animal species and in human specimens. Circoviruses are associated with severe disease in pigs and birds and with respiratory and gastrointestinal disorders and systemic disease in dogs. In cats there are only a few anecdotical studies reporting CRESS DNA viruses. In this study, a total of 530 samples (361 sera, 131 stools, and 38 respiratory swabs) from cats, were screened for the presence of CRESS DNA viruses. Overall, 48 (9.0%) of 530 samples tested positive using a pan-Rep PCR. A total of 30 Rep sequences were obtained. Ten sequences of fecal origin were tightly related to each other (82.4-100% nt identity) and more distantly related to mongoose circoviruses (68.3 to 77.2% nt identity). At genome level these circoviruses displayed the highest nt identity (74.3-78.7%) to mongoose circoviruses thus representing a novel circovirus species. Circoviruses from different animal hosts (n = 12) and from humans (n = 8) were also identified. However, six Rep sequences were obtained from serum samples, including canine circoviruses, a human cyclovirus and human and fish-associated CRESS DNA viruses. The presence of these viruses in the sera would imply, to various extent, virus replication in the animal host, able to sustain viremia. Overall, these findings indicate a wide genetic diversity of CRESS DNA viruses in cats and warrant further investigations.
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  • 从恢复期个体获得的血清,并且接种疫苗的个体可以诱导针对SARS-CoV-2的关注变体(VOC)的低中和效力。此外,与对原始病毒的效力相比,大多数COVID-19疫苗对VOCs的效力较低。免疫逃逸是SARS-CoV-2感染过程中观察到的重要机制之一,这是由于VOC的实质性突变能力,例如B.1.1.7,P.1,B.1.351,B.1.617.2,C.37和B.1.621。Omicron,在南非发现了一种新型的SARS-CoV-2菌株,也称为B.1.1.529。这种变体是世界卫生组织(WHO)潜在的新VOC,由于其迅速传播的能力,已经在几个国家出现了确诊病例。Omicron变体可以在Delta之后获得大量的免疫逃逸,β/γD614GVOC,随后由于其增强的ACE2结合能力而促进潜在的感染性。Omicron变体是高度突变的变体,伴有更高的传播性和免疫逃避。这篇小型综述描述了VOC获得免疫逃逸的能力,还描述了几种疫苗的比较中和功效,包括抗SARS-CoV-2的加强剂量。
    Sera obtained from convalescent individuals, and vaccinated individuals can induce low neutralizing efficacy against variants of concerns (VOCs) of SARS-CoV-2. In addition, the majority of COVID-19 vaccines are less efficacious against VOCs when compared to their efficacy against the original virus. Immune escape is one of the significant mechanisms observed during SARS-CoV-2 infection due to the substantial mutational capacity of VOCs such as B.1.1.7, P.1, B.1.351, B.1.617.2, C.37, and B.1.621. Omicron, a novel strain of SARS-CoV-2, also referred to as B.1.1.529, was identified in South Africa. This variant is a potential new VOC by the World Health Organization (WHO), and confirmed cases have been arising across several nations due to its rapid spreading ability. Omicron variant can acquire substantial immune escape following Delta, Beta/Gamma D614G VOCs and subsequently facilitating potential infectivity due to its enhanced ACE2 binding ability. The Omicron variant is a highly mutated variant accompanied by higher transmissibility and immune evasion. This mini review describes the ability of VOCs to acquire immune escape and also describes the comparative neutralization efficacy of several vaccines, including Booster doses against SARS-CoV-2.
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  • 文章类型: Journal Article
    肝弯曲菌是轻度肝病(SLD)的病因。SLD会在产蛋高峰及其附近引起产蛋鸡的大量生产损失和死亡率。我们以前开发了一种酶联免疫吸附测定(ELISA),SLD-ELISA1,使用肝梭菌总蛋白和用空肠弯曲杆菌蛋白预吸收的血清检测鸟类血清中的肝梭菌特异性抗体。使用SLD-ELISA1实现的高特异性表明在感染的鸟类的血清中存在肝梭菌特异性抗体。然而,SLD-ELISA1中使用的一些试剂制备耗时且难以进行质量控制。这种理解导致寻找可以以重组形式用作免疫测定设计中的抗体捕获抗原的肝念珠菌特异性免疫原性蛋白。在这项研究中,结合生物信息学分析的免疫蛋白质组学方法,西方印迹,并使用LCMS/MS蛋白谱分析,和丝状血凝素粘附素(FHA)的片段,FHA1,628-1,899具有肝梭菌特异性抗原性。重组FHA1,628-1,899用作ELISA板上的抗原包被,以捕获感染鸟类血清中的FHA1,628-1,899特异性抗体。SLD-ELISA2,基于纯化的重组FHA片段,比SLD-ELISA1更具用户友好性和标准化,用于筛选对母鸡肝梭菌暴露的抗体反应。这项研究是首次报道在免疫测定中使用弯曲杆菌属的FHA,这也为研究FHA在肝梭菌发病机制中的作用及其作为候选疫苗的有效性开辟了未来的研究方向。
    Campylobacter hepaticus is the aetiological agent of Spotty Liver Disease (SLD). SLD can cause significant production loss and mortalities among layer hens at and around peak of lay. We previously developed an enzyme linked immunosorbent assay (ELISA), SLD-ELISA1, to detect C. hepaticus specific antibodies from bird sera using C. hepaticus total proteins and sera pre-absorbed with Campylobacter jejuni proteins. The high specificity achieved with SLD-ELISA1 indicated the presence of C. hepaticus specific antibodies in sera of infected birds. However, some of the reagents used in SLD-ELISA1 are time consuming to prepare and difficult to quality control. This understanding led to the search for C. hepaticus specific immunogenic proteins that could be used in recombinant forms as antibody capture antigens in immunoassay design. In this study, an immunoproteomic approach that combined bioinformatics analysis, western blotting, and LC MS/MS protein profiling was used, and a fragment of filamentous hemagglutinin adhesin (FHA), FHA1,628-1,899 with C. hepaticus specific antigenicity was identified. Recombinant FHA1,628-1,899 was used as antigen coating on ELISA plates to capture FHA1,628-1,899 specific antibodies in sera of infected birds. SLD-ELISA2, based on the purified recombinant FHA fragment, is more user-friendly and standardizable than SLD-ELISA1 for screening antibody responses to C. hepaticus exposure in hens. This study is the first report of the use of FHA from a Campylobacter species in immunoassays, and it also opens future research directions to investigate the role of FHA in C. hepaticus pathogenesis and its effectiveness as a vaccine candidate.
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  • 文章类型: Journal Article
    由肝弯曲杆菌引起的轻度肝病(SLD)影响蛋鸡的健康和生产力,是家禽中值得关注的疾病。在这项研究中,血液和泄殖腔拭子样本来自澳大利亚不同地区的11个自由放养层农场的709只鸟。使用肝肠杆菌特异性ELISA和PCR评估了肝肠杆菌特异性抗体和DNA的患病率,并分析了其与死亡率和产卵变化的相关性,以更好地了解澳大利亚自由放养层农场肝肠杆菌的血清阳性率。在五个没有SLD病史的农场中的四个农场中,从鸟类中检测到了肝杆菌特异性抗体,其中一个农场的血清阳性率高达41%。抗C的血清阳性率有活动性或先前的SLD爆发的羊群中的肝抗体在2%至64%之间变化。从三个没有已知SLD病史的农场和五个确认SLD暴发的农场的鸟类中检测到肝梭菌DNA。在ELISA和PCR结果之间观察到良好的相关性,Pearson相关系数值为0.85(p值=0.001)。没有观察到羊群大小或羊群年龄与ELISA或PCR结果之间的相关性,抗C的血清阳性率没有显着差异。在有或没有已知的SLD病史的羊群中建立了肝脏抗体(p=0.143)。这项研究证明了肝梭菌特异性ELISA和PCR在识别轻度或亚临床SLD的发生中的有用性,并提供了对SLD流行病学的更广泛和更完整的理解,这将为未来的研究提供信息,旨在开发控制SLD的方法。例如适当的生物安全措施,疫苗,和饲料添加剂。
    Spotty liver disease (SLD) caused by Campylobacter hepaticus affects the health and productivity of layer hens and is a disease of concern in poultry. In this study, blood and cloacal swab samples were collected from 709 birds across 11 free-range layer farms from different regions of Australia. The prevalence of C. hepaticus specific antibodies and DNA was assessed using a C. hepaticus specific ELISA and PCR and its correlation with mortalities and changes in egg production was analyzed to better understand the seroprevalence of C. hepaticus in Australian free-range layer farms. C. hepaticus specific antibodies were detected from birds in four of the five farms that had no history of SLD with seroprevalence as high as 41% in one of the farms. Seroprevalence of anti-C. hepaticus antibodies among flocks that had an active or previous SLD outbreak varied between 2 and 64%. C. hepaticus DNA was detected from birds in three farms with no known SLD history and five farms with confirmed SLD outbreaks. A good correlation was observed between the ELISA and PCR results with a Pearson correlation coefficient value of 0.85 (p-value = 0.001). No correlation was observed between the flock size or flock age and ELISA or PCR outcomes, and no significant difference between the seroprevalence of anti-C. hepaticus antibodies among flocks with or without a known history of SLD was established (p = 0.143). This study demonstrates the usefulness of C. hepaticus specific ELISA and PCR in identifying the occurrence of mild or sub-clinical SLD and provides a broader and more complete understanding of SLD epidemiology that will inform future research aimed at the development of methods to control SLD, such as appropriate biosecurity measures, vaccines, and feed additives.
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  • 文章类型: Journal Article
    非洲猪瘟(ASF)由非洲猪瘟病毒(ASFV)引起,是一种致命的猪传染病,在全球范围内造成巨大的社会经济损失。可靠的诊断方法对于疾病的预防和控制至关重要。在这项研究中,使用含有与报道纳米荧光素酶(p35-Luc蛋白)融合的ASFVp35蛋白的细胞裂解物,开发了一种用于检测ASF的改进的荧光素酶免疫吸附测定(LISA)。改进后的方法避免了常规LISA法用蛋白G固定血清样品的复杂程序,并用碳酸盐缓冲液直接涂覆血清样品,因此降低了生产成本,简化了操作程序。p35-LucLISA对抗ASFV血清表现出高特异性,而与血清对其他猪病毒没有交叉反应。p35-LucLISA的检测限比我们实验室建立的基于p35的间接ELISA的检测限高至少四倍。与商业Ingezimp72-ELISA试剂盒相比,接受者工作特征(ROC)分析显示p35-LucLISA的96.36%相对特异性和96.97%相对灵敏度,截止值为3.55。此外,通过p35-LucLISA和商业Ingezimp72-ELISA试剂盒共检测了248份血清样品,并且有很高的一致性(97.6%,kappa=0.9753)在两个测定的性能中。总的来说,基于p35-Luc蛋白的改进LISA可以作为一种快速、超灵敏,用于猪场ASF血清学调查的经济有效且可靠的诊断工具。
    African swine fever (ASF), caused by African swine fever virus (ASFV), is a fatal infectious disease of pigs and causes great socioeconomic losses globally. The reliable diagnostic method is critical for prevention and control of the disease. In this study, an improved Luciferase immunosorbent assay (LISA) for detecting ASF was developed using the cell lysates containing ASFV p35 protein fused with a reporter Nano-luciferase (p35-Luc protein). The improved method avoids the complicate procedures of immobilizing the serum samples with protein G in the normal LISA method, and replaced by directly coating the serum samples with carbonate buffer, therefore reduces the productive cost and simplifies the operation procedures. The p35-Luc LISA exhibited high specificity for anti-ASFV sera while no cross-reactions with the sera against other swine viruses. The detection limit of the p35-Luc LISA was shown to be at least four times higher than that of the p35 based indirect ELISA established in our lab. The receiver operating characteristic (ROC) analysis showed the 96.36% relative specificity and 96.97% relative sensitivity of the p35-Luc LISA with the cutoff values of 3.55 as compared to the commercial Ingezim p72-ELISA kit. Furthermore, a total of 248 serum samples were tested by both the p35-Luc LISA and commercial Ingezim p72-ELISA kit, and there was a high degree of agreement (97.6%, kappa = 0.9753) in the performance of the two assays. Collectively, the improved LISA based on the p35-Luc protein could be used as a rapid, ultrasensitive, cost-effective and reliable diagnostic tool for serological survey of ASF in pig farms.
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  • 文章类型: Journal Article
    重症肌无力(MG)是一种罕见的,可治疗,抗体介导的疾病,其特征是眼外肌(EOM)和非眼部骨骼肌的易疲劳肌无力。这些抗体针对肌肉终板蛋白,最常见的是乙酰胆碱受体(AChR)α亚基。尽管大多数MG患者对免疫抑制治疗有反应,一些人,经常有非洲遗传血统,开发治疗抗性眼肌麻痹(OP-MG)。尽管OP-MG的潜在致病机制尚不清楚,MG的实验性啮齿动物模型显示参与肌肉氧化代谢的基因上调。EOM高度依赖于氧化代谢。我们对两名罕见的OP-MG患者(和非MG对照)进行重新对准手术的EOM肌腱进行了机会采样,并建立了眼成纤维细胞培养物。对这些活细胞进行代谢测定以评估能量代谢的实时差异。为了研究MG背景下的细胞生物能量谱,我们将培养物暴露于同源5%MG血清24小时,vs.生长培养基,来自两名独立的MG患者(具有循环AChR抗体)和五名无MG的对照,并估计了响应于抑制不同线粒体链复合物的三种化合物的耗氧率的倍数变化。在MG血清暴露前后的细胞中进行定量PCR(qPCR),评估线粒体基因的转录水平,PDK4,ANGPTL4和UCP3在实验性MG中发生了变化。为了应对线粒体应激源,OP-MG和对照成纤维细胞的基础氧化代谢参数相似(p=0.81).然而,暴露于MG血清后,生物能量参数(耗氧率作为氧化磷酸化的指标;细胞外酸化率作为糖酵解的指标),与对照组相比,OP-MG成纤维细胞被诱导至更高的水平(2.6倍vs1.5倍;p=0.031),而OP-MG眼成纤维细胞中没有线粒体功能不全的证据。为了支持对相同MG血清的生物能量反应,眼成纤维细胞中PDK4和ANGPLT4的基因转录物也显示出显着的上调(p≤0.041),但在OP-MG和对照病例中相似。总之,我们在暴露于来自OP-MG病例和对照的眼成纤维细胞中的线粒体抑制剂后显示出相似的基础和代谢适应性反应。尽管OP-MG细胞对MG条件的反应显示出更大的活化。这些轨道衍生组织的先导结果为肌无力诱导的细胞代谢变化提供了支持,并证明了轨道成纤维细胞可能用于动态生物能量评估。
    Myasthenia gravis (MG) is a rare, treatable, antibody-mediated disease characterized by fatigable muscle weakness of extraocular muscles (EOMs) and non-ocular skeletal muscles. The antibodies are directed against muscle-endplate proteins, most frequently the acetylcholine receptor (AChR) alpha-subunit. Although most MG patients respond to immunosuppressive treatment, some individuals, frequently with African-genetic ancestry, develop treatment-resistant ophthalmoplegia (OP-MG). Although the underlying pathogenetic mechanisms of OP-MG remain unknown, experimental rodent models of MG showed upregulation of genes involved in oxidative metabolism in muscles. EOMs are highly dependent on oxidative metabolism. We opportunistically sampled EOM-tendons of two rare OP-MG patients (and non-MG controls) undergoing re-alignment surgery, and established ocular fibroblast cultures. Metabolic assays were performed on these live cells to assess real-time differences in energy metabolism. To study the cellular bioenergetic profiles in the context of MG, we exposed the cultures to homologous 5% MG sera for 24 h, vs. growth media, from two independent MG patients (with circulating AChR-antibodies) and five controls without MG, and estimated the fold change in oxygen consumption rates in response to three compounds which inhibit different mitochondrial chain complexes. Quantitative PCR (qPCR) was performed in cells before and after MG sera exposure, to assess transcript levels of mitochondrial genes, PDK4, ANGPTL4 and UCP3, which were altered in experimental MG. In response to the mitochondrial stressors, basal oxidative metabolism parameters were similar between OP-MG and control fibroblasts (p = 0.81). However, after exposure to MG sera, bioenergetic parameters (oxygen consumption rate as an indicator of oxidative phosphorylation; extracellular acidification rate as an indicator of glycolysis), were induced to higher levels in OP-MG fibroblasts compared to controls (2.6-fold vs 1.5-fold; p = 0.031) without evidence of mitochondrial insufficiency in the OP-MG ocular fibroblasts. In support of the bioenergetic responses to the same MG sera, gene transcripts of PDK4 and ANGPLT4 in ocular fibroblasts also showed significant upregulation (p ≤ 0.041), but similarly in OP-MG and control cases. Taken together we showed similar basal and metabolic adaptive responses after exposure to mitochondrial inhibitors in ocular fibroblasts derived from OP-MG cases and controls, although the OP-MG cells showed greater activation in response to MG conditions. These pilot results in orbital-derived tissues provide support for myasthenic-induced changes in cellular metabolism and evidence that orbital fibroblasts may be useful for dynamic bioenergetic assessments.
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