hypersensitivity, delayed

超敏反应 ,延迟
  • 文章类型: Editorial
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  • 文章类型: Journal Article
    研究表明,在结核分枝杆菌气雾剂感染后,妊娠和分娩对雌性BALB/c小鼠的结核病病程没有影响。然而,我们证明了结核病感染对感染女性的生育能力有负面影响,表现在从交配到怀孕的较长时期和较小的产仔数。响应于全身感染过程的影响而受损的生殖功能伴随着免疫抑制的发展,该免疫抑制通过免疫学测试(对结核菌素的迟发型超敏反应)和在怀孕和产后期间形成生殖道菌群失调。
    The study revealed no effects of pregnancy and childbirth on the course of tuberculosis in female BALB/c mice after aerosol infection with Mycobacterium tuberculosis. However, we demonstrated a negative effect of tuberculosis infection on the fertility of infected females, which manifested in a longer period from mating to pregnancy and in a smaller litter size. Impaired reproductive function in response to the effect of the systemic infectious process was accompanied by the development of immunosuppression confirmed by an immunological test (delayed-type hypersensitivity to tuberculin) and the formation of genital tract dysbiosis during pregnancy and postpartum period.
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  • 文章类型: Journal Article
    研究前房色素分散对DBA/2J色素性青光眼小鼠模型眼部免疫特权的影响及其可能的机制。
    DBA/2J小鼠用作色素分散模型,以年龄匹配的C57BL/6J小鼠作为对照组。使用二辛可宁酸测定法定量房水(AH)和血清中的蛋白质。使用苏木精和伊红染色和免疫细胞化学检测AH中的免疫细胞。ELISA检测AH中TGF-β2的表达和血清中细胞因子(IL-10,IFN-γ)的水平。通过将抗原注射到前房中,在DBA/2J小鼠中诱导前房相关免疫偏差(ACAID)。延迟型超敏反应(DTH)测定用于评估ACAID的诱导。在DBA/2J小鼠中,颜料分散之前和之后,前房注射色素颗粒后,在ACAID建模之后,使用流式细胞术检测调节性T细胞(Tregs)的表达。
    与C57BL/6J小鼠相比,蛋白质浓度,免疫细胞计数,DBA/2J小鼠AH中TGF-β2水平升高。血清中蛋白质浓度和IL-10水平升高,而IFN-γ水平在DBA/2J中降低。此外,色素分散和前房注射色素颗粒后,DBA/2J小鼠脾脏中Treg细胞的表达明显增加。在3个月和6个月时,DBA/2J小鼠的DTH反应没有被抑制,从而防止丙烯酸诱导。然而,在DBA/2J小鼠中9个月时观察到相反的情况。此外,ACAID组表现出Treg细胞表达增强。
    色素颗粒在眼前房中的分散通过影响免疫抑制微环境并诱导更多的Treg细胞重建ACAID来增强眼部免疫特权状态。
    UNASSIGNED: To investigate the effects of anterior chamber pigment dispersion on ocular immune privilege and the possible mechanisms involved in a DBA/2J mouse model of pigmentary glaucoma.
    UNASSIGNED: DBA/2J mice were utilized as a pigment dispersion model, and age-matched C57BL/6J mice were used as the control group in this study. Proteins in the aqueous humor (AH) and serum were quantified using the bicinchoninic acid assay. Immune cells in the AH were detected using hematoxylin and eosin staining and immunocytochemistry. The expression of TGF-β2 in the AH and cytokine levels (IL-10, IFN-γ) in serum were measured using ELISA. Anterior chamber-associated immune deviation (ACAID) was induced in DBA/2J mice by injecting antigens into the anterior chamber. Delayed-type hypersensitivity (DTH) assays were used to assess the induction of ACAID. In DBA/2J mice, before and after pigment dispersion, following anterior chamber injection of pigment particles, and after ACAID modeling, the expression of regulatory T cells (Tregs) was detected using flow cytometry.
    UNASSIGNED: Compared to C57BL/6J mice, the protein concentration, immune cell count, and TGF-β2 levels in the AH were elevated in DBA/2J mice. Protein concentration and IL-10 levels in serum were increased, while IFN-γ levels were decreased in DBA/2J. Additionally, the expression of Treg cells in the spleen of DBA/2J mice was significantly increased after pigment dispersion and anterior chamber injection of pigment particles. At 3 and 6 months, DTH responses in DBA/2J mice were not inhibited, thus preventing ACAID induction. However, the opposite was observed at 9 months in DBA/2J mice. Furthermore, the ACAID group exhibited an augmented expression of Treg cells.
    UNASSIGNED: Dispersion of pigment particles in the anterior chamber of the eye enhances the state of ocular immune privilege by influencing the immunosuppressive microenvironment and inducing more Treg cells to reestablish ACAID.
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  • 文章类型: Journal Article
    背景:在炎症反应的早期阶段使用后剩余的多余细胞因子即使在反应结束后也会刺激免疫细胞,引起继发性炎症反应并最终损害宿主,这被称为细胞因子风暴。抑制热休克蛋白90(Hsp90),最近被证明在调节各种细胞类型的炎症中起重要作用,可能有助于控制过度的炎症反应和细胞因子风暴。
    方法:我们通过使用Hsp90抑制剂的化学化合物文库测量CD86表达对脾DC(sDC)的抑制作用,发现了抗炎化合物。随后,选择命中的化合物,在骨髓来源的DC(BMDC)和腹膜巨噬细胞上测量细胞因子的产生和表面分子的表达.然后,我们分析了抗原特异性Th1细胞的反应。最后,我们使用急性肺损伤(ALI)和迟发型超敏反应(DTH)模型证实了该化合物的作用。
    结果:我们确定Be01是命中化合物,其中CD86在sDC中的表达降低最多。用Be01治疗减少了促炎细胞因子的产生(IL-6,TNF-α,和IL-1β)在LPS刺激的BMDC和腹膜巨噬细胞中。在DTH模型下,Be01治疗减少了耳朵肿胀和脾脏中的促炎细胞因子。同样,在ALI模型中的Be01治疗减少了中性粒细胞浸润和较低水平的分泌的细胞因子(IL-6、TNF-α)。
    结论:Be01减少DCs上CD80和CD86的表达表明Th1细胞的继发性炎症反应减少,腹膜巨噬细胞释放促炎细胞因子的减少可能最初控制细胞因子风暴。
    BACKGROUND: The surplus cytokines remaining after use in the early stages of the inflammatory response stimulate immune cells even after the response is over, causing a secondary inflammatory response and ultimately damaging the host, which is called a cytokine storm. Inhibiting heat shock protein 90 (Hsp90), which has recently been shown to play an important role in regulating inflammation in various cell types, may help control excessive inflammatory responses and cytokine storms.
    METHODS: We discovered an anti-inflammatory compound by measuring the inhibitory effect of CD86 expression on spleen DCs (sDCs) using the chemical compounds library of Hsp90 inhibitors. Subsequently, to select the hit compound, the production of cytokines and expression of surface molecules were measured on the bone marrow-derived DCs (BMDCs) and peritoneal macrophages. Then, we analyzed the response of antigen-specific Th1 cells. Finally, we confirmed the effect of the compound using acute lung injury (ALI) and delayed-type hypersensitivity (DTH) models.
    RESULTS: We identified Be01 as the hit compound, which reduced CD86 expression the most in sDCs. Treatment with Be01 decreased the production of pro-inflammatory cytokines (IL-6, TNF-α, and IL-1β) in BMDC and peritoneal macrophages stimulated by LPS. Under the DTH model, Be01 treatment reduced ear swelling and pro-inflammatory cytokines in the spleen. Similarly, Be01 treatment in the ALI model decreased neutrophil infiltration and lower levels of secreted cytokines (IL-6, TNF-α).
    CONCLUSIONS: Reduction of CD80 and CD86 expression on DCs by Be01 indicates reduced secondary inflammatory response by Th1 cells, and reduced release of pro-inflammatory cytokines by peritoneal macrophages may initially control the cytokine storm.
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  • 文章类型: Journal Article
    固定药疹(FDE)是不良的皮肤药物反应,是一种迟发型4型超敏反应,其特征是每次服用特定药物时在同一部位复发。它们最常导致皮肤病变,表现为红斑圆形或椭圆形黄斑或斑块。很少有报道说,FDE会影响口腔粘膜,并且倾向于出现大疱性或类似红斑的外观。几乎一半的患者报告长时间暴露于不良药物后症状的严重程度增加。最常见的归因类药物是抗生素(四环素和磺酰胺)以及非甾体抗炎药。依托考昔的皮肤不良反应,高选择性COX-2抑制剂,已被报道。在这里,我们描述了仅限于口腔粘膜的不良反应。
    Fixed drug eruptions (FDE) are adverse cutaneous drug reactions and a form of delayed type 4 hypersensitivity reaction characterised by recurrent lesions at the same site each time a specific drug is taken. They most commonly result in cutaneous lesions presenting as an erythematous round or oval macule or plaque. FDEs have rarely been reported to affect oral mucous membranes and tend to have a bullous or aphthous-like appearance with erythema. Almost half of patients report an increase in the severity of symptoms with prolonged exposure to the offending medication. The most commonly attributed classes of drug are antibiotics (tetracyclines and sulphonamides) alongside non-steroidal anti-inflammatory drugs. Cutaneous adverse reactions to etoricoxib, a highly selective COX-2 inhibitor, have been reported. Here we describe an adverse reaction restricted to the oral mucosa.
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  • 文章类型: Case Reports
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    许多研究调查了酸奶的免疫调节作用,但潜在的机制仍然难以捉摸。本研究旨在阐明酸奶对免疫抑制的缓解特性,并提出其潜在机制与代谢产物D-乳酸有关。在健康的老鼠中,我们验证了每天食用酸奶(600μL)或D-乳酸(300mg/kg)的安全性。在环磷酰胺(CTX)诱导的免疫抑制小鼠中,我们评估了酸奶和D-乳酸的免疫调节。结果显示,酸奶恢复了体重,增强的免疫器官指数,修复脾组织,恢复了迟发型超敏反应的严重程度和血清细胞因子的增加(IgA,IgG,IL-6、IFN-γ)。此外,酸奶通过恢复肠道屏障和上调双歧杆菌和乳酸菌的丰度来增强肠道免疫功能。进一步的研究表明,D-乳酸主要通过促进细胞免疫来减轻小鼠的免疫抑制。D-乳酸恢复体重和器官发育,血清细胞因子升高(IgA,IgG,IL-6,IFN-γ),增强脾淋巴细胞增殖并增加脾淋巴细胞中T-bet的mRNA水平以促进Th1分化。最后,CTX是一种化疗药物,因此,初步探索了酸奶和D-乳酸在荷瘤小鼠模型中的应用。结果表明,酸奶(600μL)和D-乳酸(300mg/kg)均可减少环磷酰胺诱导的免疫抑制,而不促进肿瘤生长。总的来说,这项研究评估了安全性,酸奶和D-乳酸在调节免疫抑制中的免疫功效和适用性。它强调了酸奶作为免疫调节功能食品的潜力,D-乳酸在其免疫调节作用中起着至关重要的作用。
    Numerous studies have investigated the immunomodulatory effects of yogurt, but the underlying mechanism remained elusive. This study aimed to elucidate the alleviating properties of yogurt on immunosuppression and proposed the underlying mechanism was related to the metabolite D-lactate. In the healthy mice, we validated the safety of daily yogurt consumption (600 μL) or D-lactate (300 mg/kg). In immunosuppressed mice induced by cyclophosphamide (CTX), we evaluated the immune regulation of yogurt and D-lactate. The result showed that yogurt restored body weight, boosted immune organ index, repaired splenic tissue, recovered the severity of delayed-type hypersensitivity reactions and increased serum cytokines (IgA, IgG, IL-6, IFN-γ). Additionally, yogurt enhanced intestinal immune function by restoring the intestinal barrier and upregulating the abundance of Bifidobacterium and Lactobacillus. Further studies showed that D-lactate alleviated immunosuppression in mice mainly by promoting cellular immunity. D-lactate recovered body weight and organ development, elevated serum cytokines (IgA, IgG, IL-6, IFN-γ), enhanced splenic lymphocyte proliferation and increased the mRNA level of T-bet in splenic lymphocyte to bolster Th1 differentiation. Finally, CTX is a chemotherapeutic drug, thus, the application of yogurt and D-lactate in the tumor-bearing mouse model was initially explored. The results showed that both yogurt (600 μL) and D-lactate (300 mg/kg) reduced cyclophosphamide-induced immunosuppression without promoting tumor growth. Overall, this study evaluated the safety, immune efficacy and applicability of yogurt and D-lactate in regulating immunosuppression. It emphasized the potential of yogurt as a functional food for immune regulation, with D-lactate playing a crucial role in its immunomodulatory effects.
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  • 文章类型: Case Reports
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  • 文章类型: Systematic Review
    急性间质性肾炎(AIN)是一种可能导致永久性肾损伤的药物并发症。已经报道了用整联蛋白抑制剂维多珠单抗治疗的炎症性肠病(IBD)患者中的AIN。通过对现有文献的系统回顾,我们旨在确定和描述接受维多珠单抗治疗的IBD患者中AIN的病例.
    我们搜索了Medline,Embase,科克伦,以及2009年1月1日至2023年4月25日之间的WebofScience核心合集。搜索产生了1473种出版物。标题和摘要由两名独立的审稿人筛选。全文审查了70份出版物。八个符合纳入标准。提取AIN病例的临床特征。根据两种国际药物不良反应概率评估量表进行病例因果关系评估。根据系统评价和荟萃分析(PRISMA)指南的首选报告项目报告结果。
    在6例溃疡性结肠炎和3例克罗恩病患者中报告了9例经活检证实的AIN病例。AIN发病的平均年龄为36岁(范围=19-58),大多数患者为女性(n=6/9)。从维多珠单抗治疗开始到AIN发作的时间从数小时到12个月。常见的症状是发烧和不适。所有患者的肌酐水平均升高。5例患者持续永久性肾损伤。
    我们的研究结果表明,维多珠单抗,虽然很少,可能导致IBD患者出现AIN。意识到与AIN一致的实验室发现和症状,同时监测肾功能,维多珠单抗治疗的IBD患者可能是合理的。
    UNASSIGNED: Acute interstitial nephritis (AIN) is a complication of drugs that may cause permanent kidney injury. AIN has been reported in patients with inflammatory bowel disease (IBD) treated with the integrin inhibitor vedolizumab. Through systematic review of existing literature, we aimed to identify and describe cases of AIN in patients with IBD treated with vedolizumab.
    UNASSIGNED: We searched Medline, Embase, Cochrane, and Web of Science Core Collection between 1 January 2009 and 25 April 2023. The search yielded 1473 publications. Titles and abstracts were screened by two independent reviewers. Seventy publications were reviewed in full-text. Eight met the inclusion criteria. Clinical characteristics of AIN cases were extracted. Case causality assessment was performed according to two international adverse drug reaction probability assessment scales. Results were reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
    UNASSIGNED: Nine biopsy-confirmed cases of AIN were reported in six patients with ulcerative colitis and three with Crohn\'s disease. Mean age at AIN onset was 36 years (range = 19-58) and the majority of patients were females (n = 6/9). Time from vedolizumab treatment initiation to AIN onset spanned from hours to 12 months. Common symptoms were fever and malaise. Creatinine levels were elevated in all patients. Five patients sustained permanent kidney injury.
    UNASSIGNED: Our findings suggest that vedolizumab, although rarely, could cause AIN in patients with IBD. Awareness of laboratory findings and symptoms consistent with AIN, along with monitoring of the kidney function, could be warranted in patients with IBD treated with vedolizumab.
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