T cell subsets

T 细胞亚群
  • 文章类型: Journal Article
    许多研究实验室都有冷冻保存的外周血单核细胞(PBMC)的长期存储库,它们的维护成本很高,但在储存几十年后对免疫学研究的实用性不确定。这项研究调查了病毒血症HIV患者和健康血清阴性对照受试者的PBMC的细胞表面表型和体外功能能力的保存,经过20多年的冷冻保存。
    PBMC通过18色流式细胞术评估T细胞内的主要淋巴细胞亚群,B,NK,树突状细胞和单核细胞。将T细胞分化和活化的标志物与1995/1996年在采集时对新鲜血液进行的原始免疫表型分析进行比较。通过用流感抗原或多克隆T细胞活化培养来评估PBMC的功能。在第2天测量CD4T细胞上活化诱导的CD25和CD134(OX40)的上调和细胞因子的产生,并在第7天测量增殖的CD25CD4母细胞。从含有增殖CD4+母细胞的培养物中提取RNA,细胞内HIVRNA使用短扩增子进行双R和pol区pi编码测定,而长4-kbp扩增子被测序。
    长期冷冻保存后,所有主要淋巴细胞和T细胞亚群均得到保存,除了HIV患者的PBMC中活化的CD38HLA-DRCD4和CD8T细胞的比例降低。否则,近期和长期冷冻保存的PBMC之间T细胞亚群的差异主要反映了供体年龄相关或HIV感染相关对表型的影响.幼稚的比例,记忆,和来自解冻的PBMC的T细胞的效应子亚群与来自各个新鲜血液样品的原始流式细胞术分析的结果相关。在来自HIV+患者和健康对照供体的冷冻保存的PBMC中容易检测到抗原特异性和多克隆T细胞应答。通过pi代码测定的细胞内HIVRNA定量与原始血浆病毒RNA载量结果相关。从5/12供体产生全长细胞内和上清液来源的扩增子,和序列≥80%野生型,与复制能力一致。
    这项独特的研究为使用维护良好的生物存储库来支持免疫病毒学研究提供了强有力的理由和有效性,即使在收集几十年后也是如此。
    UNASSIGNED: Many research laboratories have long-term repositories of cryopreserved peripheral blood mononuclear cells (PBMC), which are costly to maintain but are of uncertain utility for immunological studies after decades in storage. This study investigated preservation of cell surface phenotypes and in-vitro functional capacity of PBMC from viraemic HIV+ patients and healthy seronegative control subjects, after more than 20 years of cryopreservation.
    UNASSIGNED: PBMC were assessed by 18-colour flow cytometry for major lymphocyte subsets within T, B, NK, and dendritic cells and monocytes. Markers of T-cell differentiation and activation were compared with original immunophenotyping performed in 1995/1996 on fresh blood at the time of collection. Functionality of PBMC was assessed by culture with influenza antigen or polyclonal T-cell activation, to measure upregulation of activation-induced CD25 and CD134 (OX40) on CD4 T cells and cytokine production at day 2, and proliferative CD25+ CD4 blasts at day 7. RNA was extracted from cultures containing proliferating CD4+ blast cells, and intracellular HIV RNA was measured using short amplicons for both the Double R and pol region pi code assays, whereas long 4-kbp amplicons were sequenced.
    UNASSIGNED: All major lymphocyte and T-cell subpopulations were conserved after long-term cryostorage, except for decreased proportions of activated CD38+HLA-DR+ CD4 and CD8 T cells in PBMC from HIV+ patients. Otherwise, differences in T-cell subpopulations between recent and long-term cryopreserved PBMC primarily reflected donor age-associated or HIV infection-associated effects on phenotypes. Proportions of naïve, memory, and effector subsets of T cells from thawed PBMC correlated with results from the original flow cytometric analysis of respective fresh blood samples. Antigen-specific and polyclonal T-cell responses were readily detected in cryopreserved PBMC from HIV+ patients and healthy control donors. Intracellular HIV RNA quantitation by pi code assay correlated with original plasma viral RNA load results. Full-length intracellular and supernatant-derived amplicons were generated from 5/12 donors, and sequences were ≥80% wild-type, consistent with replication competence.
    UNASSIGNED: This unique study provides strong rationale and validity for using well-maintained biorepositories to support immunovirological research even decades after collection.
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  • 文章类型: Journal Article
    目的:糖尿病视网膜病变(DR)是糖尿病患者常见的微血管并发症。DR的发病机理涉及多种机制。以前的研究已经观察到免疫因素与DR之间的关系,但因果关系尚未确定。
    方法:我们对731个免疫细胞和DR进行了双样本孟德尔随机化(MR)分析,使用公开可用的全基因组关联研究(GWAS)汇总统计数据,评估它们之间潜在的因果关系。通过流式细胞术分析包括四种类型的免疫性状。DR的GWAS统计数据来自Finngen数据库,对190,594名欧洲个体(Ncase=14,584,Ncontrol=176,010)进行GWAS,以评估遗传预测的DR。用于进行因果关系分析的主要方法是方差逆加权(IVW)。
    结果:在错误发现率(FDR)校正之后,11MFI-DR,5AC-DR,5RC-DR,1MP-DR达到显著的因果关联水平(PFDR<0.05)。值得注意的是,所有AC性状均表现出与DR风险降低的潜在关联(OR<1),虽然大多数MFI特征,连同独特的MP特征,表现出与DR风险增加的潜在关联(OR>1).最终结果中T细胞亚群的比例最高。
    结论:本研究阐明了DR的进展受免疫反应的复杂影响,从而证实了DR的免疫敏感性。我们的发现可能为DR的诊断和治疗提供新的靶点,以及从免疫学的角度帮助制定治疗策略。
    OBJECTIVE: Diabetic retinopathy (DR) is a prevalent microvascular complication in diabetic patients. Various mechanisms have been implicated in the pathogenesis of DR. Previous studies have observed the relationship between immune factors and DR, but the causal relationship has not been determined.
    METHODS: We conducted a two-sample Mendelian randomization (MR) analysis of 731 immune cells and DR, using publicly available genome-wide association study (GWAS) summary statistics, to evaluate potential causal relationships between them. Four types of immune traits were included in the analysis through flow cytometry. GWAS statistics for DR were obtained from the Finngen database, which performed GWAS on 190,594 European individuals (Ncase = 14,584, Ncontrol = 176,010) to assess genetically predicted DR. The primary method used to perform causality analysis was inverse variance weighting (IVW).
    RESULTS: Following false discovery rate (FDR) correction, 11MFI-DR, 5AC-DR, 5RC-DR, and 1MP-DR reached a significant causal association level (PFDR < 0.05). Notably, all AC traits exhibited potential associations with a decreased risk of DR(OR < 1), while a majority of MFI traits, along with the singular MP trait, exhibited potential associations with an increased risk of DR (OR > 1). The highest proportion of T-cell subsets in the final results.
    CONCLUSIONS: This study elucidates that the progression of DR is intricately influenced by immune responses, thereby confirming the immunological susceptibility of DR. Our findings may offer new targets for diagnosing and treating DR, as well as aid in developing therapeutic strategies from an immunological standpoint.
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  • 文章类型: Journal Article
    嵌合抗原受体T细胞(CAR-T细胞)疗法的出现彻底改变了癌症治疗,特别是血液系统恶性肿瘤。这篇评论讨论了CAR-T细胞疗法的发展,关注控制T细胞命运和分化的分子机制。转录和表观遗传因素在确定特异性中起着关键作用,有效性,以及CAR-T细胞疗法的持久性。了解这些机制对于提高疗效和减少与CAR-T细胞疗法相关的不良事件至关重要。释放这些方法的全部潜力。CAR-T细胞产品制造中的T细胞分化在临床结果中起着重要作用。CAR-T细胞疗法的临床疗效与记忆特征之间存在正相关,而与效应子功能或耗尽的特征呈负相关。CAR-T细胞产物的有效性可能受T细胞频率及其增殖能力的影响。这与早期T细胞分化密切相关。涉及不同T记忆细胞亚群的分化过程在抗原消除后启动,指示感染分辨率。在慢性感染或癌症中,T细胞可能会耗尽,以持续的抑制性受体表达为标志,细胞因子产生减少,增殖能力减弱.其他细胞亚群,如CD4+T细胞,先天样T淋巴细胞,NKT细胞,和脐带血来源的造血干细胞,在开发下一代基于CAR-T细胞的疗法方面提供独特的优势。未来的研究应该集中在优化T细胞增强方法和开发策略,以潜在治愈血液系统疾病和实体瘤患者。
    The emergence of chimeric antigen receptor T cell (CAR-T cell) therapy has revolutionized cancer treatment, particularly for hematologic malignancies. This commentary discusses developments in CAR-T cell therapy, focusing on the molecular mechanisms governing T cell fate and differentiation. Transcriptional and epigenetic factors play a pivotal role in determining the specificity, effectiveness, and durability of CAR-T cell therapy. Understanding these mechanisms is crucial to improve the efficacy and decrease the adverse events associated with CAR-T cell therapies, unlocking the full potential of these approaches. T cell differentiation in CAR-T cell product manufacturing plays an important role in clinical outcomes. A positive correlation exists between the clinical efficacy of CAR-T cell therapy and signatures of memory, whereas a negative correlation has been observed with signatures of effector function or exhaustion. The effectiveness of CAR-T cell products is likely influenced by T-cell frequency and by their ability to proliferate, which is closely linked to early T cell differentiation. The differentiation process involving distinct T memory cell subsets is initiated upon antigen elimination, indicating infection resolution. In chronic infections or cancer, T cells may undergo exhaustion, marked by continuous inhibitory receptor expression, decreased cytokine production, and diminished proliferative capacity. Other cell subsets, such as CD4+ T cells, innate-like T lymphocytes, NKT cells, and cord blood-derived hematopoietic stem cells, offer unique advantages in developing the next-generation CAR-T cell-based therapies. Future research should focus on optimizing T-cell-enhancing approaches and developing strategies to potentially cure patients with hematological diseases and solid tumors.
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  • 文章类型: Journal Article
    肺癌是癌症相关死亡的主要原因,部分原因是其诊断较晚。表皮生长因子受体(EGFR)在癌细胞中的表达增加与不良预后相关,EGFR酪氨酸激酶抑制剂广泛应用于肿瘤治疗。本研究旨在阐明非小细胞肺癌(NSCLC)患者T细胞EGFR表达与预后的关系。本研究包括40例NSCLC患者和40例健康志愿者。根据其趋化因子受体,用流式细胞仪鉴定外周血CD4辅助T(Th1,Th2,Th9,Th17,Th1Th17,滤泡和外周Th)和细胞毒性T淋巴细胞(CD8滤泡和外周T)亚群。在NSCLC患者中研究了T淋巴细胞上EGFR表达与总生存期(OS)的关系。患者[平均年龄(最小-最大)=64.03(45-83);20期I-III和20期IV]在CD3+T上EGFR表达增加,CD4+Th,与对照相比,Th1、Th2和Th17细胞(p<0.05)。CD3+T的EGFR高表达,CD4+Th,Th1和Th2细胞与不良OS相关。此外,淋巴细胞上的PD-1表达,CD3+T,与对照组相比,NSCLC患者的Th细胞增加。EGFR和PD-1在Th细胞上的高表达,淋巴细胞和Th细胞的百分比降低,特别是在IV期NSCLC患者中,揭示了EGFR活性的增加可能引发Th细胞的凋亡并促进转移的发展,而EGFR在CD3+T上的高表达,CD4+Th,Th1和Th2细胞可能是NSCLC中独立的不良预后标志物。
    Lung cancer is the leading cause of cancer-related deaths, in part due to its late diagnosis. Increased epidermal growth factor receptor (EGFR) expression in cancer cells is associated with a poor prognosis, and EGFR tyrosine kinase inhibitors are widely used in cancer treatment. This study aimed to clarify the relationship between EGFR expression on T cells and cancer prognosis in patients with non-small cell lung cancer (NSCLC). Forty patients with NSCLC and 40 healthy volunteers were included in this study. Peripheral CD4+T helper (Th1, Th2, Th9, Th17, Th1Th17, follicular and peripheral Th) and cytotoxic T lymphocyte (CD8+follicular and peripheral T) subsets were identified with flow cytometry according to their chemokine receptors. EGFR expression on T lymphocytes in relation to overall survival (OS) was investigated in patients with NSCLC. The patients [mean age (min-max) = 64.03 (45-83); 20 stage I-III and 20 stage IV] had increased EGFR expression on CD3+T, CD4+Th, Th1, Th2, and Th17 cells compared to the controls (p < 0.05). High EGFR expression on CD3+T, CD4+Th, Th1, and Th2 cells was associated with poor OS. Also, PD-1 expression on lymphocytes, CD3+T, and Th cells was increased in patients with NSCLC compared to controls. The high expression of EGFR and PD-1 on Th cells and the reduced percentage of lymphocytes and Th cells, especially in stage IV patients with NSCLC, revealed that increased EGFR activity may trigger apoptosis of Th cells and promote the development of metastases, while high EGFR expression on CD3+T, CD4+Th, Th1, and Th2 cells may be an independent poor prognostic marker in NSCLC.
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  • 文章类型: Journal Article
    探讨地塞米松(Dex)联合异烟肼治疗结核性脑膜炎(TBM)的临床疗效及对外周血T细胞亚群的影响。
    235例TBM患者分为对照组(117例)和观察组(118例)。两组均给予常规治疗,对照组进一步给予异烟肼,观察组进一步给予Dex联合异烟肼。评价治疗效果及临床症状改善情况,观察外周血T淋巴细胞亚群和神经功能,并对患者预后进行评估。
    观察组总有效率较高。脑脊液(CSF)压力恢复时间,CSF蛋白质含量,CSF细胞计数,观察组住院时间较短。颈源性头痛的持续时间,发烧,呕吐,观察组昏迷时间较短。观察组CD3+和CD4+/CD8+比例较高,CD8+比例较低。观察组NIHSS评分和MRS评分较低,以及不良反应的发生率。
    Dex联合异烟肼可减轻TBM的临床症状和神经系统异常,调节外周血T细胞亚群。
    UNASSIGNED: To investigate the clinical efficacy of dexamethasone (Dex) combined with isoniazid in tuberculous meningitis (TBM) and its effect on peripheral blood T cell subsets.
    UNASSIGNED: A total of 235 patients with TBM were divided into the control group (117 cases) and the observation group (118 cases). Both groups were given conventional treatment, the control group was further given isoniazid, and the observation group was further given Dex combined with isoniazid. The therapeutic effect and improvement of clinical symptoms were evaluated, peripheral blood T lymphocyte subsets and neurological function were observed, and patients\' prognosis was evaluated.
    UNASSIGNED: The total effective rate of the observation group was higher. The recovery time of cerebrospinal fluid (CSF) pressure, CSF protein content, CSF cell count, and hospital stays in the observation group were shorter. The duration of cervicogenic headache, fever, vomiting, and coma in the observation group was shorter. CD3+ and CD4+/CD8+ proportions in the observation group were higher, and CD8+ proportion was lower. The NIHSS score and MRS score of the observation group were lower, as well as the incidence of adverse reactions.
    UNASSIGNED: Dex combined with isoniazid alleviates clinical symptoms and neurological abnormalities and regulates peripheral blood T cell subsets in TBM.
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  • 文章类型: Journal Article
    慢性乙型肝炎病毒(HBV)感染是一个重要的全球公共卫生问题,HBV的清除与HBV特异性T细胞的活性密切相关,由各种共抑制分子调节。细胞毒性T淋巴细胞相关抗原4(CTLA-4)是这些共抑制分子之一,通过竞争性抑制CD28和抑制HBV特异性T细胞的功能来诱导T细胞耗尽。CTLA-4还在T辅助(Th)细胞分化的调节中起作用并影响细胞因子的释放。此外,CTLA-4可通过与调节性T细胞(Treg)相互作用影响肝细胞癌中的葡萄糖代谢。这篇综述旨在提供有关CTLA-4在HBV患者不同T细胞亚群中的作用的现有文献的全面概述。此外,我们建议讨论CTLA-4可能有助于HBV感染的可能机制,以及HBV诱导的肝硬化和肝细胞癌的发展。
    Chronic hepatitis B virus (HBV) infection is a significant global public health concern, and the clearance of HBV is closely linked to the activity of HBV-specific T cells, which is regulated by various co-suppressor molecules. Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) is among these co-suppressor molecules which induces T cell exhaustion by competitively inhibiting CD28 and dampening the function of HBV-specific T cells. CTLA-4 also plays a role in the regulation of T helper (Th) cell differentiation and influences cytokine release. In addition, CTLA-4 can impact glucose metabolism in hepatocellular carcinoma through its interaction with T regulatory (Treg) cells. This review aims to provide a comprehensive overview of the existing literature related to the role of CTLA-4 in HBV patients across different subsets of T cells. Additionally, we propose a discussion on the possible mechanisms through which CTLA-4 may contribute to HBV infection, as well as the development of HBV-induced cirrhosis and hepatocellular carcinoma.
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  • 文章类型: Journal Article
    接受异基因造血干细胞移植(HSCT)的患者在移植后第一年因移植相关并发症而死亡的风险增加,部分原因是T细胞和B细胞淋巴细胞减少和功能损害导致的严重免疫失调。尽管几项大型研究描述了2019年冠状病毒病(COVID-19)在HSCT接受者中的死亡率更高,没有报道关注早期COVID-19感染对移植后免疫重建的影响以及与移植结局的相关性.我们回顾性分析了在我们机构接受首次同种异体HSCT的61例连续成年患者。13例患者(21.3%)出现早期COVID-19感染,中位诊断时间为100天。在多变量分析中,早期COVID-19感染患者的总生存期明显更差(调整后的风险比[aHR],4.06;95%CI,1.26至13.05;P=0.019)和无进展生存期(aHR,6.68;95%CI,2.11至21.11;P=.001)。这主要归因于早期COVID(+)患者的非复发死亡率(NRM)较高(P=0.042)。早期COVID-19感染的异基因HSCT患者的绝对淋巴细胞计数明显延迟(95%CI,-703.69至-56.79;P=.021),CD3+CD4+(95%CI,-105.35至-11.59;P=.042),CD3+CD8+(95%CI,-324.55至-57.13;P=.038),与没有早期COVID-19感染的患者相比,CD3-CD56+(95%CI,-193.51至-47.31;P=0.014)恢复。我们的研究结果表明,同种异体HSCT后早期COVID-19感染的患者NRM较高,生存率较差,至少部分是由于移植后免疫重建受损。
    Patients undergoing allogenic hematopoietic stem cell transplantation (HSCT) are at an increased risk of mortality due to transplantation-related complications in the first year post-transplantation, owing in part to the profound immune dysregulation with T cell and B cell lymphopenia and functional impairment. Although several large studies have reported higher mortality rates from Coronavirus disease 2019 (COVID-19) in HSCT recipients, to date no study has focused on the impact of early COVID-19 infection on immune reconstitution post-transplantation and the correlation with transplantation outcomes. We retrospectively analyzed 61 consecutive adult patients who underwent their first allogeneic HSCT at our institution. Thirteen patients (21.3%) experienced early COVID-19 infection, with a median time to diagnosis of 100 days post-transplantation. In multivariable analysis, patients with early COVID-19 infection had significantly worse overall survival (adjusted hazard ratio [aHR], 4.06; 95% confidence interval [CI], 1.26 to 13.05; P = .019) and progression-free survival (aHR, 6.68; 95% CI, 2.11 to 21.11; P = .001). This was attributed mainly to higher nonrelapse mortality (NRM) among early COVID-19 patients (P = .042). Allogeneic HSCT recipients with early COVID-19 infection had significant delays in absolute lymphocyte count (95% CI, -703.69 to -56.79; P = .021), CD3+CD4+ cell (95% CI, -105.35 to -11.59; P = .042), CD3+CD8+ cell (95% CI, -324.55 to -57.13; P = .038), and CD3-CD56+ cell (95% CI, -193.51 to -47.31; P = .014) recovery compared to those without early COVID-19 infection. Our findings suggest that patients with early COVID-19 infection after allogeneic HSCT have higher NRM and worse survival, at least in part due to impaired immune reconstitution post-transplantation.
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  • 文章类型: Journal Article
    肠道菌群,T细胞亚群,细胞因子参与结核病的发病机制。迄今为止,这些因素在不同时间点共同促进结核病发展的机制尚不清楚.在这项研究的背景下,我们研究了消化道中的微生物,T细胞类型,和与结核病相关的细胞因子。
    根据QIIME2,我们分析了IlluminaMiSeq上肠道微生物组的16SrDNA测序。酶联免疫吸附测定用于测量细胞因子的浓度。
    我们显示,在健康对照和患者结核病发展的不同时间点之间,肠道中存在26个可识别的差异微生物群和44个代谢途径。五个细菌属(拟杆菌属,双歧杆菌,粪杆菌,Collinsella,和梭菌属)与CD4/CD8最密切相关,而三个细菌分类群(Faecalibacterium,Collinsella,和梭菌属)与CD4最密切相关。三个细菌类群(Faecalibacterium,Ruminococus,和Dorea)与IL-4的关系最密切。Ruminococus与IL-2和IL-10最密切相关。
    多种微生物,T细胞亚群,和细胞因子,表现出不同的相对丰度和结构组成,在健康对照和结核病不同阶段的患者中都观察到。深入了解肠道微生物组的功能,T细胞亚群,和细胞因子可能有助于调节TB的治疗策略。
    UNASSIGNED: The gut microbiota, T cell subsets, and cytokines participate in tuberculosis (TB) pathogenesis. To date, the mechanisms by which these factors interactively promote TB development at different time points remain largely unclear. In the context of this study, We looked into the microorganisms in the digestive tract, T cell types, and cytokines related to tuberculosis.
    UNASSIGNED: According to QIIME2, we analyzed 16SrDNA sequencing of the gut microbiome on the Illumina MiSeq. Enzyme-linked immunosorbent assay was used to measure the concentrations of cytokines.
    UNASSIGNED: We showed the presence of 26 identifiable differential microbiomes in the gut and 44 metabolic pathways between healthy controls and the different time points in the development of TB in patients. Five bacterial genera (Bacteroides, Bifidobacterium, Faecalibacterium, Collinsella, and Clostridium) were most closely associated with CD4/CD8, whereas three bacterial taxa (Faecalibacterium, Collinsella, and Clostridium) were most closely associated with CD4. Three bacterial taxa (Faecalibacterium, Ruminococcus, and Dorea) were most closely associated with IL-4. Ruminococcus was most closely associated with IL-2 and IL-10.
    UNASSIGNED: Diverse microorganisms, subsets of T cells, and cytokines, exhibiting varying relative abundances and structural compositions, were observed in both healthy controls and patients throughout distinct phases of tuberculosis. Gaining insight into the function of the gut microbiome, T cell subsets, and cytokines may help modulate therapeutic strategies for TB.
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  • 文章类型: Journal Article
    代谢功能障碍相关脂肪变性肝病(MASLD),以前称为非酒精性脂肪性肝病(NAFLD),已成为慢性肝病的主要病因和肝细胞癌的重要危险因素,这给全球公共卫生和经济带来了巨大的负担。MASLD包括脂肪变性肝病,脂肪性肝炎,和肝硬化,后两者对人类健康和生命造成极大危害,甚至并发肝癌.免疫机制在促进其发展为肝炎和肝硬化中起主要作用。现在越来越多的证据表明T细胞在MASLD的发生发展中起着重要作用。在这次审查中,我们从T细胞反应通路的角度讨论了T细胞在MASLD中的双重作用,以及关于免疫调节疗法在MASH中可能应用的新证据。
    Metabolic dysfunction-associated steatotic liver disease(MASLD), formerly known as non-alcoholic fatty liver disease(NAFLD), has become a major cause of chronic liver disease and a significant risk factor for hepatocellular carcinoma, which poses a huge burden on global public health and economy. MASLD includes steatotic liver disease, steatohepatitis, and cirrhosis, and the latter two cause great harm to human health and life, even complicated with liver cancer. Immunologic mechanism plays a major role in promoting its development into hepatitis and cirrhosis. Now more and more evidences show that T cells play an important role in the progression of MASLD. In this review, we discuss the double roles of T cells in MASLD from the perspective of T cell response pathways, as well as new evidences regarding the possible application of immunomodulatory therapy in MASH.
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  • 文章类型: Journal Article
    低分子质量蛋白7(LMP7)加重T细胞异常分化和动脉粥样硬化,但其在急性缺血性卒中(AIS)中的临床作用尚不清楚。本研究旨在探讨外周血单个核细胞(PBMC)LMP7与T细胞亚群的相关性,疾病严重程度,AIS患者的预后。
    共有162例AIS患者通过逆转录聚合酶链反应和流式细胞术检测PBMCLMP7和T辅助(Th)1,Th2和Th17细胞,分别。此外,还定量了出院时的PBMCLMP7。
    入院时LMP7增加与Th2细胞减少相关(P=0.014),Th17细胞升高(P<0.001),C反应蛋白(P=0.005),美国国立卫生研究院卒中量表(NIHSS)评分(P=0.007),和疾病严重程度(由NIHSS评分定义)(P=0.010)。入院时的LMP7反映了卒中复发的高风险(曲线下面积(AUC):0.748,95%置信区间(CI):0.564-0.932),但在第3个月(M3)>2(AUC:0.585,95CI:0.479-0.691)时,或死亡(AUC:0.723,95CI:0.338-1.000)。出院时LMP7较入院时降低(P<0.001)。出院时LMP7与卒中复发风险(AUC:0.849,95CI:0.735-0.963)和死亡风险(AUC:0.919,95CI:0.836-1.000)呈正相关,但在M3>2时反映mRS评分的能力较弱(AUC:0.671,95CI:0.578-0.765)。
    PBMCLMP7与Th17细胞呈正相关,炎症,和AIS患者的疾病严重程度,同时,出院时的水平显示出很好的反映卒中复发和死亡风险的能力。
    Low molecular mass protein 7 (LMP7) aggravates abnormal T cell differentiation and atherosclerosis, but its clinical role in acute ischemic stroke (AIS) is still unclear. This study aimed to investigate the correlation of peripheral blood mononuclear cell (PBMC) LMP7 with T cell subsets, disease severity, and prognosis in AIS patients.
    A total of 162 AIS patients were enrolled for detecting PBMC LMP7 and T helper (Th) 1, Th2, and Th17 cells via reverse transcriptase-polymerase chain reaction and flow cytometry, respectively. In addition, PBMC LMP7 at discharge was also quantified.
    Increased LMP7 at admission was associated with decreased Th2 cells (P=0.014), elevated Th17 cells (P<0.001), C-reactive protein (P=0.005), National Institutes of Health Stroke Scale (NIHSS) score (P=0.007), and disease severity (defined by NIHSS score) (P=0.010). LMP7 at admission reflected a high risk of stroke recurrence (area under curve (AUC): 0.748, 95% confidence interval (CI): 0.564-0.932), but not mRS score at month 3 (M3) >2 (AUC: 0.585, 95%CI: 0.479-0.691), or death (AUC: 0.723, 95%CI: 0.338-1.000). LMP7 at discharge was reduced compared to that at admission (P<0.001). LMP7 at discharge was positively correlated with the risk of stroke recurrence (AUC: 0.849, 95%CI: 0.735-0.963) and death (AUC: 0.919, 95%CI: 0.836-1.000), but had a weak capacity to reflect mRS score at M3 >2 (AUC: 0.671, 95%CI: 0.578-0.765).
    PBMC LMP7 positively correlates with Th17 cells, inflammation, and disease severity in AIS patients, meanwhile, its level at discharge shows a good ability to reflect the risks of stroke recurrence and death.
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