TLRs

TLRs
  • 文章类型: Journal Article
    全球有近600万人死于由严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)感染引起的冠状病毒病(COVID-19)爆发。尽管COVID-19疫苗在很大程度上成功地降低了疾病的严重程度和死亡人数,疫苗诱导的免疫力随着时间的推移而下降,以及新的病毒变异体或突变的持续出现,突显了开发针对SARS-CoV-2的广谱宿主介导疗法的替代策略的必要性.严重COVID-19的一个关键特征是先天免疫信号失调,最终导致大量促炎细胞因子和趋化因子的高表达和缺乏抗病毒干扰素(IFN),特别是I型(α和β)和III型(λ)。作为自然宿主防御,髓样分化初级反应蛋白,MyD88通过Toll样受体(TLRs)的信号转导途径在先天和获得性免疫反应中起关键作用,一种病原体识别受体(PRR)。然而,最近的研究表明,病毒感染会上调MyD88的表达,并通过负调节I型IFN来损害宿主的抗病毒反应。半乳糖凝集素-3(Gal3),病毒感染的另一个关键角色,已显示通过调节病毒进入和激活TLRs来调节宿主免疫应答,NLRP3炎性体,和NF-κB,导致促炎细胞因子的释放,并有助于整体炎症反应,所谓的“细胞因子风暴”。这些研究表明,对MyD88和Gal3的特异性抑制可能是一种有希望的COVID-19治疗方法。这篇综述提出了MyD88和Gal3靶向抗病毒药物发现的未来方向,强调在SARS-CoV-2感染中恢复宿主免疫力的潜力。
    Nearly six million people worldwide have died from the coronavirus disease (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Although COVID-19 vaccines are largely successful in reducing the severity of the disease and deaths, the decline in vaccine-induced immunity over time and the continuing emergence of new viral variants or mutations underscore the need for an alternative strategy for developing broad-spectrum host-mediated therapeutics against SARS-CoV-2. A key feature of severe COVID-19 is dysregulated innate immune signaling, culminating in a high expression of numerous pro-inflammatory cytokines and chemokines and a lack of antiviral interferons (IFNs), particularly type I (alpha and beta) and type III (lambda). As a natural host defense, the myeloid differentiation primary response protein, MyD88, plays pivotal roles in innate and acquired immune responses via the signal transduction pathways of Toll-like receptors (TLRs), a type of pathogen recognition receptors (PRRs). However, recent studies have highlighted that infection with viruses upregulates MyD88 expression and impairs the host antiviral response by negatively regulating type I IFN. Galectin-3 (Gal3), another key player in viral infections, has been shown to modulate the host immune response by regulating viral entry and activating TLRs, the NLRP3 inflammasome, and NF-κB, resulting in the release of pro-inflammatory cytokines and contributing to the overall inflammatory response, the so-called \"cytokine storm\". These studies suggest that the specific inhibition of MyD88 and Gal3 could be a promising therapy for COVID-19. This review presents future directions for MyD88- and Gal3-targeted antiviral drug discovery, highlighting the potential to restore host immunity in SARS-CoV-2 infections.
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  • 文章类型: Journal Article
    Toll样受体(TLRs)在癌症中起着复杂的作用,尽管它们对免疫系统至关重要。通过连接先天免疫系统和癌症,TLRs对肿瘤的形成和抗癌治疗的有效性具有非常复杂的影响。TLR信号连接先天和适应性免疫系统并启动直接的病原体根除。在癌症免疫发病机制和治疗抵抗中,长链非编码RNA(lncRNA)修饰TLR信号与免疫和非免疫途径的联系。我们鉴定了阳性和阴性控制TLR信号的lncRNAs,影响免疫反应和药物敏感性。这些结果强调了长链非编码RNA和TLR之间的复杂相互作用,这些相互作用会影响癌症的开始及其对治疗的反应。靶向特异性lncRNAs是一种控制TLR信号传导的实用方法,可能在克服药物耐药性的同时增强抗肿瘤免疫力。我们为开发新的免疫治疗方案和定制的癌症治疗药物方法提供了框架。lncRNAs调控TLR信号通路的确切机制应该通过进一步的研究来确定,这些发现应该在临床上得到验证。这一发现使得未来基于lncRNA的药物与现有癌症治疗相结合的研究变得可行。
    Toll-like receptors (TLRs) have a convoluted role in cancer even though they are crucial to the immune system. By bridging the innate immune system and cancer, TLRs have a very complex impact on the formation of tumors and the effectiveness of anti-cancer treatments. TLR signaling links the innate and adaptive immune systems and initiates direct pathogen eradication. In cancer immunopathogenesis and treatment resistance, long non-coding RNAs (lncRNAs) modify TLR signaling linkages with immunological and non-immunological pathways. We identified lncRNAs that positively and negatively control TLR signaling, impacting immunological response and drug sensitivity. These results highlight the complex interactions between long non-coding RNAs and TLRs that influence the start of cancer and its response to treatment. Targeting specific lncRNAs is a practical way to control TLR signaling and perhaps enhance anti-tumor immunity while overcoming medication resistance. We provide a framework for developing novel immunotherapeutic regimens and customized medicine approaches for cancer treatment. The exact mechanisms by which lncRNAs regulate TLR signaling pathways should be defined by further research, and these findings should be validated in clinical situations. This finding makes future research of lncRNA-based drugs in combination with existing cancer treatments feasible.
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  • 文章类型: Journal Article
    背景:Toll样受体(TLRs)是先天免疫系统中的一组基本模式识别受体,构成防御内源性和外源性抗原的第一道防线。肠道微生物群,肠道中共生微生物的集合,是外源抗原的主要来源。肠道微生物群的成分和代谢产物与特定的TLR相互作用,有助于全身免疫和代谢稳态。
    目的:这篇综述旨在总结肠道菌群与TLR信号通路之间的相互作用,并列举菌群失调诱导的TLR信号通路在肥胖中的作用。炎症性肠病(IBD),结直肠癌(CRC)。
    结果:通过识别TLRs,微生物群促进先天和适应性免疫系统的发育,而免疫系统监测共生细菌的动态变化,以维持宿主-微生物共生的平衡。肠道微生物群的菌群失调可以诱导一系列由TLR信号通路介导的炎症和代谢反应,可能导致各种代谢和炎性疾病。
    结论:了解TLRs与肠道菌群之间的串扰有助于相关疾病的潜在治疗应用,为肥胖等疾病的治疗策略提供了新的途径,IBD,和CRC。
    BACKGROUND: Toll-like receptors (TLRs) are a family of fundamental pattern recognition receptors in the innate immune system, constituting the first line of defense against endogenous and exogenous antigens. The gut microbiota, a collection of commensal microorganisms in the intestine, is a major source of exogenous antigens. The components and metabolites of the gut microbiota interact with specific TLRs to contribute to whole-body immune and metabolic homeostasis.
    OBJECTIVE: This review aims to summarize the interaction between the gut microbiota and TLR signaling pathways and to enumerate the role of microbiota dysbiosis-induced TLR signaling pathways in obesity, inflammatory bowel disease (IBD), and colorectal cancer (CRC).
    RESULTS: Through the recognition of TLRs, the microbiota facilitates the development of both the innate and adaptive immune systems, while the immune system monitors dynamic changes in the commensal bacteria to maintain the balance of the host-microorganism symbiosis. Dysbiosis of the gut microbiota can induce a cascade of inflammatory and metabolic responses mediated by TLR signaling pathways, potentially resulting in various metabolic and inflammatory diseases.
    CONCLUSIONS: Understanding the crosstalk between TLRs and the gut microbiota contributes to potential therapeutic applications in related diseases, offering new avenues for treatment strategies in conditions like obesity, IBD, and CRC.
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  • 文章类型: Journal Article
    脾脏是生物体最大的外周免疫器官,占身体总淋巴组织的25%。在HS期间,脾脏由于升高的环境而受损,严重影响肉鸡的生活性能和健康。本研究旨在探讨慢性HS对肉鸡脾脏组织的损伤机制。肉鸡通常被饲养到21日龄,之后,他们被任意地分为两组:HS组和cnControl组.HS组每天接受35°C的温度10小时,从21岁开始。在35和42天大的时候,从肉鸡获得脾脏和血清样品。结果表明,HS后,在42日龄时观察到生产性能显著下降(p<0.01),和脾脏指数,法氏囊指数明显下降(p<0.01)。T-AOC显著降低(p<0.05),GSH-PX,SOD,和CAT抗氧化因子显著降低(p<0.01),MDA显著升高(p<0.01)。HS还导致细胞因子IL-6,TNF-α显着增加,和INF-γ以及脾脏中IL-4的显着降低。组织病理学结果显示,脾脏的红白髓质分界较差。HS后细胞稀疏排列。HS之后,TLRs的表达,MYD88和NF-κB基因显著增加。HSP70的表达明显增加,提示HS可能通过该信号通路诱导肉鸡脾脏炎症反应,这可能会对肉鸡脾脏造成病理性损伤,导致免疫功能下降,并随着HS的延长而逐渐加重HS引起的损伤。
    The spleen is the largest peripheral immune organ of the organism, accounting for 25% of the total lymphoid tissue of the body. During HS, the spleen is damaged due to the elevated environment, which seriously affects life performance and broilers\' health. This study aimed to investigate the mechanism of chronic HS damage to broiler spleen tissues. The broilers were typically raised until they reached 21 days of age, after which they were arbitrarily allocated into two groups: an HS group and a cntrol group. The HS group was subjected to a temperature of 35 °C for 10 h each day, starting at 21 days of age. At 35 and 42 days of age, spleen and serum samples were obtained from the broilers. The results showed that after HS, a significant decrease in productive performance was observed at 42 days of age (p < 0.01), and the spleen index, and bursa index were significantly decreased (p < 0.01). T-AOC of the organism was significantly decreased (p < 0.05), GSH-PX, SOD, and CAT antioxidant factors were significantly decreased (p < 0.01), and MDA was significantly elevated (p < 0.01). HS also led to a significant increase in cytokines IL-6, TNF-α, and INF-γ and a significant decrease in IL-4 in the spleen. The histopathologic results showed that the spleen\'s red-white medulla was poorly demarcated. The cells were sparsely arranged after HS. After HS, the expression of TLRs, MYD88, and NF-κB genes increased significantly. The expression of HSP70 increased significantly, suggesting that HS may induces an inflammatory response in broiler spleens through this signaling pathway, which may cause pathological damage to broiler spleens, leading to a decrease in immune function and progressively aggravating HS-induced damage with the prolongation of HS.
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  • 文章类型: Journal Article
    作为一个高度组织化的系统,内溶酶体在维持免疫稳态中起着至关重要的作用。然而,调节内-溶酶体进展和随后的炎症反应的机制尚不完全清楚.通过筛选103个E3泛素连接酶在调节内溶酶体酸化,发现溶酶体RNF13抑制溶酶体成熟并促进巨噬细胞中由内体Toll样受体(TLR)介导的炎症反应。机械上,RNF13在残基K128处介导LAMP-1的K48连接的多泛素化用于蛋白酶体降解。TLRs激活后,LAMP-1促进溶酶体成熟,这加速了TLR的溶酶体降解并减少了巨噬细胞中的TLR信号传导。此外,类风湿关节炎(RA)患者外周血单个核细胞(PBMC)显示RNF13水平升高,LAMP-1表达降低.因此,免疫抑制剂羟氯喹(HCQ)可以增加RNF13的多泛素化。一起来看,该研究建立了蛋白酶体和溶酶体降解机制之间的联系,以诱导适当的先天免疫反应,并为通过靶向细胞内TLRs治疗炎性疾病提供了一种有希望的方法。
    As a highly organized system, endo-lysosomes play a crucial role in maintaining immune homeostasis. However, the mechanisms involved in regulating endo-lysosome progression and subsequent inflammatory responses are not fully understood. By screening 103 E3 ubiquitin ligases in regulating endo-lysosomal acidification, it is discovered that lysosomal RNF13 inhibits lysosome maturation and promotes inflammatory responses mediated by endosomal Toll-like receptors (TLRs) in macrophages. Mechanistically, RNF13 mediates K48-linked polyubiquitination of LAMP-1 at residue K128 for proteasomal degradation. Upon TLRs activation, LAMP-1 promotes lysosomes maturation, which accelerates lysosomal degradation of TLRs and reduces TLR signaling in macrophages. Furthermore, peripheral blood mononuclear cells (PBMCs) from patients with rheumatoid arthritis (RA) show increased RNF13 levels and decreased LAMP-1 expression. Accordingly, the immunosuppressive agent hydroxychloroquine (HCQ) can increase the polyubiquitination of RNF13. Taken together, the study establishes a linkage between proteasomal and lysosomal degradation mechanisms for the induction of appropriate innate immune response, and offers a promising approach for the treatment of inflammatory diseases by targeting intracellular TLRs.
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  • 文章类型: Journal Article
    背景:结肠癌仍然是全球主要的健康问题,遗传因素在其发展中起着至关重要的作用。Toll样受体(TLRs)与各种癌症有关,但它们在结肠癌中的作用尚不清楚。本研究旨在鉴定TLRs启动子和3'UTR区的功能多态性,并评估其与结肠癌易感性的关系。
    方法:我们进行了一项病例对照研究,涉及410名结肠癌患者和410名中国人群的健康对照。使用PCR-RFLP和TaqManMGB探针对TLR3,TLR4,TLR5和TLR7的多态性进行基因分型。使用逻辑回归分析,我们评估了TLRs多态性与结肠癌易感性的相关性.为了理解TLR4rs1927914多态性的生物学意义,我们进行了功能分析,包括荧光素酶报告基因测定和电泳迁移率变化测定(EMSA)。
    结果:我们的结果表明,TLR4rs1927914多态性的G等位基因与结肠癌风险降低显着相关(OR=0.68,95CI=0.50-0.91)。分层分析表明,TLR4rs1927914AG或GG基因型有助于降低年轻人患结肠癌的风险(OR=0.52,95CI=0.34-0.81),男性(OR=0.58,95CI=0.38-0.87),非吸烟者(OR=0.58,95CI=0.41-0.83)和非饮酒者的OR(95CI)为0.66(0.46-0.93)。功能测定表明,在HCT116和LOVO结肠癌细胞中,由具有rs1927914A等位基因的TLR4启动子驱动的荧光素酶活性高5.43和2.07倍,分别,与包含rs1927914G等位基因的启动子驱动的结果相比。电泳迁移率变化分析(EMSA)结果表明rs1927914G等位基因增强转录因子结合。使用转录因子预测工具,我们发现G等位基因有助于抑制转录因子Oct1的结合,而A等位基因则不会。
    结论:TLR4rs1927914多态性影响结肠癌的易感性,G等位基因通过调节基因表达提供保护作用。这些见解增强了我们对结肠癌风险的遗传决定因素的理解,并强调TLR4是癌症预防策略的有希望的目标。
    BACKGROUND: Colon cancer remains a major health concern worldwide, with genetic factors playing a crucial role in its development. Toll-like receptors (TLRs) has been implicated in various cancers, but their role in colon cancer is not well understood. This study aims to identify functional polymorphisms in the promoter and 3\'UTR regions of TLRs and evaluate their association with colon cancer susceptibility.
    METHODS: We conducted a case-control study involving 410 colon cancer patients and 410 healthy controls from the Chinese population. Genotyping of polymorphisms in TLR3, TLR4, TLR5 and TLR7 was performed using PCR-RFLP and TaqMan MGB probes. Using logistic regression analysis, we evaluated the association of TLRs polymorphisms and the susceptibility to colon cancer. To understand the biological implications of the TLR4 rs1927914 polymorphism, we conducted functional assays, including luciferase reporter assay and electrophoretic mobility shift assay (EMSA).
    RESULTS: Our results demonstrated that the G-allele of the TLR4 rs1927914 polymorphism is significantly associated with a decreased risk of colon cancer (OR = 0.68, 95%CI = 0.50-0.91). Stratified analysis showed that TLR4 rs1927914 AG or GG genotype contributed to a decreased risk of colon cancer among younger individuals (OR = 0.52, 95%CI = 0.34-0.81), males (OR = 0.58, 95%CI = 0.38-0.87), non-smokers (OR = 0.58, 95%CI = 0.41-0.83) and non-drinker with OR (95%CI) of 0.66 (0.46-0.93). Functional assays demonstrated that in HCT116 and LOVO colon cancer cells, the luciferase activity driven by the TLR4 promoter with the rs1927914A allele was 5.43 and 2.07 times higher, respectively, compared to that driven by the promoter containing the rs1927914G allele. Electrophoretic mobility shift assay (EMSA) results indicated that the rs1927914G allele enhanced transcription factor binding. Using the transcription factor prediction tool, we found that the G allele facilitates binding of the repressive transcription factor Oct1, while the A allele does not.
    CONCLUSIONS: The TLR4 rs1927914 polymorphism influence the susceptibility to colon cancer, with the G allele offering a protective effect through modulation of gene expression. These insights enhance our understanding of the genetic determinants of colon cancer risk and highlight TLR4 as a promising target for cancer prevention strategies.
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  • 文章类型: Journal Article
    心脏组织重塑的特征是心脏组织结构改变和功能障碍。导致心脏衰竭.肾素-血管紧张素-醛固酮系统(RAAS)的持续激活极大地促进了心肌重塑的发展。血管紧张素II(AngII),这是RAAS的主要组成部分,可以通过诱导炎症反应直接导致心脏重塑。五味子B(SchB),从五味子果实中提取的活性成分(Turcz。)Baill已被证明通过其靶向TLR4及其衔接蛋白的能力而表现出抗炎活性,MyD88.在这项研究中,我们探讨了SchB是否通过靶向MyD88减轻AngII诱导的心肌炎症和重塑.SchB显着抑制AngII诱导的炎症,并增加组织重塑的几种基因的表达(β-Mhc,Tgfb,Anp,α-Ska)在体内和体外。SchB的这些保护作用是由于抑制了MyD88向TLR2和TLR4的募集,抑制了AngII诱导的NF-κB激活并减少了随后的炎症反应。此外,Myd88在心肌细胞中的敲减消除了AngII诱导的炎性细胞因子产生和重塑基因表达的增加.这些发现提供了SchB保护机制归因于MyD88信号传导的选择性抑制的新证据。这一发现可能为心肌炎性疾病的新治疗策略铺平道路。
    Cardiac tissue remodeling is characterized by altered heart tissue architecture and dysfunction, leading to heart failure. Sustained activation of the renin-angiotensin-aldosterone system (RAAS) greatly promotes the development of myocardial remodeling. Angiotensin II (Ang II), which is the major component of RAAS, can directly lead to cardiac remodeling by inducing an inflammatory response. Schisandrin B (Sch B), the active component extracted from the fruit of Schisandra chinensis (Turcz.) Baill has been shown to exhibit anti-inflammatory activity through its ability to target TLR4 and its adaptor protein, MyD88. In this study, we explored whether Sch B alleviates Ang II-induced myocardial inflammation and remodeling via targeting MyD88. Sch B significantly suppressed Ang II-induced inflammation as well as increased the expression of several genes of tissue remodeling (β-Mhc, Tgfb, Anp, α-Ska) both in vivo and in vitro. These protective effects of Sch B were due to the inhibition of recruitment of MyD88 to TLR2 and TLR4, suppressing the Ang II-induced NF-κB activation and reducing the following inflammatory responses. Moreover, the knockdown of Myd88 in cardiomyocytes abrogated the Ang II-induced increases in the production of inflammatory cytokines and expression of remodeling genes. These findings provide new evidence that the mechanism of Sch B protection was attributed to selective inhibition of MyD88 signaling. This finding could pave the way for novel therapeutic strategies for myocardial inflammatory diseases.
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  • 文章类型: Journal Article
    越来越多的证据表明,炎症和免疫过程在肾小球疾病的发展和进展中起着重要作用。足细胞,终末分化的上皮细胞,对于维持肾小球滤过屏障的完整性至关重要。一旦受伤,足细胞不能再生,导致进行性蛋白尿肾小球疾病。然而,新出现的证据表明,足细胞不仅维持肾小球滤过屏障,是免疫反应的重要靶标,而且表现出免疫样细胞的许多特征,它们参与先天免疫和适应性免疫活性的调节。足细胞的这种双重作用可能导致发现和开发新的治疗肾小球疾病的治疗靶标。本综述旨在对足细胞损伤和蛋白尿肾小球疾病进展中的先天性免疫机制进行综述。
    Accumulating evidence indicates that inflammatory and immunologic processes play a significant role in the development and progression of glomerular diseases. Podocytes, the terminally differentiated epithelial cells, are crucial for maintaining the integrity of the glomerular filtration barrier. Once injured, podocytes cannot regenerate, leading to progressive proteinuric glomerular diseases. However, emerging evidence suggests that podocytes not only maintain the glomerular filtration barrier and are important targets of immune responses but also exhibit many features of immune-like cells, where they are involved in the modulation of the activity of innate and adaptive immunity. This dual role of podocytes may lead to the discovery and development of new therapeutic targets for treating glomerular diseases. This review aims to provide an overview of the innate immunity mechanisms involved in podocyte injury and the progression of proteinuric glomerular diseases.
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  • 文章类型: Journal Article
    白细胞介素-1受体相关激酶(IRAK)家族是一组丝氨酸-苏氨酸激酶,其通过toll样受体(TLR)/白细胞介素-1受体(IL1R)介导的信号传导调节各种细胞过程。IRAK家族由四名成员组成,包括IRAK1、IRAK2、IRAK3和IRAK4,它们在各种炎症基因的表达中起重要作用,从而促进炎症反应。IRAK是慢性和急性肝病的关键蛋白,最近的证据表明IRAK家族蛋白(IRAK1,IRAK3和IRAK4)与肝脏相关疾病的进展有关,包括酒精性肝病,非酒精性脂肪性肝炎,肝炎病毒感染,急性肝功能衰竭,肝脏缺血再灌注损伤,和肝细胞癌。在这篇文章中,我们对IRAK家族蛋白及其相关炎症信号通路在肝脏疾病发病机制中的作用进行了全面综述.本研究旨在探讨IRAK家族蛋白能否作为肝脏相关疾病治疗的主要靶点。
    The interleukin-1 receptor-associated kinase (IRAK) family is a group of serine-threonine kinases that regulates various cellular processes via toll-like receptor (TLR)/interleukin-1 receptor (IL1R)-mediated signaling. The IRAK family comprises four members, including IRAK1, IRAK2, IRAK3, and IRAK4, which play an important role in the expression of various inflammatory genes, thereby contributing to the inflammatory response. IRAKs are key proteins in chronic and acute liver diseases, and recent evidence has implicated IRAK family proteins (IRAK1, IRAK3, and IRAK4) in the progression of liver-related disorders, including alcoholic liver disease, non-alcoholic steatohepatitis, hepatitis virus infection, acute liver failure, liver ischemia-reperfusion injury, and hepatocellular carcinoma. In this article, we provide a comprehensive review of the role of IRAK family proteins and their associated inflammatory signaling pathways in the pathogenesis of liver diseases. The purpose of this study is to explore whether IRAK family proteins can serve as the main target for the treatment of liver related diseases.
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  • 文章类型: Journal Article
    在2019年早期感染或严重冠状病毒病(COVID-19)患者中,循环NK细胞持续减少,尽管被高度激活或筋疲力尽。本文的目的是确定严重急性呼吸综合征冠状病毒2(SARS-CoV-2)刺突糖蛋白(SP)是否可以直接触发NK细胞并通过其受体。
    已经评估了SP刺激的人类NK细胞的活化标志物的表达,细胞因子释放,和细胞毒活性,以及基因表达谱和NF-kB磷酸化,它们已经被特定的小干扰RNA沉默了。
    来自武汉菌株的SP和其他关注变体(VOCs)通过增加激活标记表达直接结合并刺激纯化的NK细胞,细胞因子释放,和细胞溶解活性,主要存在于CD56brightNK细胞亚群中。VOC-SP在激活NK细胞的能力上有所不同,G614和Delta-Plus菌株在大多数供体中提供最强的活性。虽然VOC-SP不触发ACE2,其在NK细胞上不表达,或其他激活受体,它们直接和可变地结合Toll样受体2(TLR2)和TLR4。此外,SP驱动的NK细胞功能在掩蔽此类受体或沉默相关基因时被抑制。最后,在回收的COVID-19中,VOC-SP上调CD56dimNK细胞功能,但不是在非感染者中,个人。
    TLR2和TLR4是NK细胞中SP的新型激活受体,提示这些细胞在协调SARS-CoV-2感染的病理生理学中的新作用。这一发现的致病相关性突出了这一事实,即在SARS-CoV-2发炎的环境以及感染和长期COVID-19受试者的血浆中经常检测到提供NK细胞活化的游离SP。
    UNASSIGNED: In early infected or severe coronavirus disease 2019 (COVID-19) patients, circulating NK cells are consistently reduced, despite being highly activated or exhausted. The aim of this paper was to establish whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike glycoprotein (SP) may directly trigger NK cells and through which receptor(s).
    UNASSIGNED: SP-stimulated human NK cells have been evaluated for the expression of activation markers, cytokine release, and cytotoxic activity, as well as for gene expression profiles and NF-kB phosphorylation, and they have been silenced with specific small interfering RNAs.
    UNASSIGNED: SPs from the Wuhan strain and other variants of concern (VOCs) directly bind and stimulate purified NK cells by increasing activation marker expression, cytokine release, and cytolytic activity, prevalently in the CD56brightNK cell subset. VOC-SPs differ in their ability to activate NK cells, G614, and Delta-Plus strains providing the strongest activity in the majority of donors. While VOC-SPs do not trigger ACE2, which is not expressed on NK cells, or other activating receptors, they directly and variably bind to both Toll-like receptor 2 (TLR2) and TLR4. Moreover, SP-driven NK cell functions are inhibited upon masking such receptors or silencing the relative genes. Lastly, VOC-SPs upregulate CD56dimNK cell functions in COVID-19 recovered, but not in non-infected, individuals.
    UNASSIGNED: TLR2 and TLR4 are novel activating receptors for SP in NK cells, suggesting a new role of these cells in orchestrating the pathophysiology of SARS-CoV-2 infection. The pathogenic relevance of this finding is highlighted by the fact that free SP providing NK cell activation is frequently detected in a SARS-CoV-2 inflamed environment and in plasma of infected and long-COVID-19 subjects.
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