immunological indicators

  • 文章类型: Journal Article
    系统性坏死性血管炎(SNV)由于其不同的临床表现和可变的结果而提出了重大挑战。因此,识别可靠的生物标志物有望改善SNV中的精准医学。这篇综述探讨了旨在提高诊断准确性的新兴生物标志物,预后评估,和疾病监测。我们讨论了免疫学生物标志物的最新进展,炎症指标,以及其他具有潜在诊断和预后效用的参数。对这些生物标志物的全面了解可能有助于更早和更准确的SNV检测,协助及时干预和个性化治疗策略。此外,我们通过创新的生物标志物来强调疾病监测的发展,阐明它们在反映疾病活动和治疗反应中的动态作用。将这些新的生物标志物整合到临床实践中可以彻底改变SNV的管理,最终改善患者的预后和生活质量。
    Systemic necrotising vasculitides (SNVs) pose significant challenges due to their diverse clinical manifestations and variable outcomes. Therefore, identifying reliable biomarkers holds promise for improving precision medicine in SNVs. This review explores emerging biomarkers aiming to enhance diagnostic accuracy, prognostic assessment, and disease monitoring. We discuss recent advances in immunological biomarkers, inflammatory indicators, and other parameters that exhibit potential diagnostic and prognostic utility. A comprehensive understanding of these biomarkers may facilitate earlier and more accurate SNV detection, aiding in timely intervention and personalized treatment strategies. Furthermore, we highlight the evolving landscape of disease monitoring through innovative biomarkers, shedding light on their dynamic roles in reflecting disease activity and treatment response. Integrating these novel biomarkers into clinical practice can revolutionize the management of SNVs, ultimately improving patient outcomes and quality of life.
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  • 文章类型: Journal Article
    宿主免疫功能紊乱在发病中起着至关重要的作用,programming,和噬血细胞性淋巴组织细胞增生症(HLH)的结果。本研究旨在综合评价初诊继发性噬血细胞性淋巴组织细胞增生症(sHLH)患者的外周免疫状况,并探讨其对患者预后的预测价值。本研究共纳入77例sHLH患者,其中31人正在经历死亡。流式细胞术用于评估百分比,绝对数,和淋巴细胞亚群的表型。同时,还收集了细胞因子水平和常规实验室指标。在sHLH患者中,淋巴细胞亚群绝对数量显著受损,伴随着T细胞过度激活,B细胞过度激活,和浆细胞增殖增加。预后分析显示,较低的CD8+T细胞百分比,升高的APTT,IL-6,IL-10水平,CD4+CD28nullT细胞比例增加与患者预后不良相关.该研究表明sHLH患者淋巴细胞亚群的计数和表型失调。几个关键因素,包括IL-6,IL-10,APTT,和各种T细胞百分比,有可能作为sHLH的预后标志物和治疗靶标。
    Host immune dysfunction plays a crucial role in the onset, progression, and outcome of hemophagocytic lymphohistiocytosis (HLH). This study aimed to comprehensively evaluate the peripheral immune profiles in patients with newly diagnosed secondary hemophagocytic lymphohistiocytosis (sHLH), and explore their predictive value for patient prognosis. A total of 77 patients with sHLH were enrolled in this study, with 31 of them experiencing mortality. Flow cytometry was used to assess the percentages, absolute numbers, and phenotypes of lymphocyte subsets. Simultaneously, cytokine levels and routine laboratory indicators were also collected. In sHLH patients, lymphocyte subset absolute numbers were significantly impaired, accompanied by T cell hyperactivation, B cell hyperactivation, and increased plasmablast proliferation. Prognostic analysis revealed that lower CD8+ T cell percentages, elevated APTT, IL-6, IL-10 levels, and increased CD4+CD28null T cell proportions were associated with poor patient outcomes. The study demonstrates dysregulation in the counts and phenotypes of lymphocyte subsets in sHLH patients. Several key factors, including IL-6, IL-10, APTT, and various T cell percentages, have potential as prognostic markers and therapeutic targets in sHLH.
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  • 文章类型: Journal Article
    目的:本研究旨在对外周免疫谱进行综合评估,以进一步了解严重发热伴血小板减少综合征(SFTS)的免疫发病机制。
    方法:纳入47例SFTS病毒感染患者,其中24人死亡。百分比,绝对数,流式细胞术检测淋巴细胞亚群表型。
    结果:在SFTS患者中,CD3+T的数量,CD4+T,CD8+T和NKT细胞与健康对照组(HC)相比减少,伴随着T细胞的高度活跃和疲惫的表型,和过度增殖的浆细胞。高炎症状态,死亡患者的凝血和宿主免疫反应失调比幸存者更明显。更高水平的PCT,IL-6,IL-10,TNF-α,APTT,TT和噬血细胞淋巴组织细胞增生症的发生是SFTS预后较差的指标。
    结论:结合实验室检查评估免疫标志物对于选择预后标志物和潜在治疗目标具有重要价值。
    This study aimed to make a comprehensive evaluation of peripheral immune profiles for further understanding the immunopathogenesis of severe fever with thrombocytopenia syndrome (SFTS).
    Forty-seven patients with SFTS virus infection were included, of which 24 were deceased. The percentages, absolute numbers, phenotype of lymphocyte subsets were detected by flow cytometry.
    In patients with SFTS, the numbers of CD3+T, CD4+T, CD8+T and NKT cells were decreased compared with healthy controls (HCs), accompanied with highly active and exhausted phenotypes for T cells, and overproliferating plasmablasts. High inflammatory status, dysregulation of coagulation and host immune response were more obvious in deceased patients than that of survivors. Higher levels of PCT, IL-6, IL-10, TNF-α, APTT, TT and the occurrence of hemophagocytic lymphohistiocytosis were poor prognostic indicators of SFTS.
    The evaluation of immunological markers in combination with laboratory tests has critical value for selecting prognostic markers and potential treatment target.
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  • 文章类型: Journal Article
    为了实现餐厨垃圾的增值利用,研究了通过酵母发酵制备小龙虾(Procambarusclarkii)饲料。首先,通过单因素实验获得合适的发酵条件如下:用麸皮将FW的初始水分调节至60%,接种2%酵母混合物(酿酒酵母,产产假丝酵母,和Yarrowialipolytica,3:2:1),然后进行有氧固态发酵7天。发酵饲料中粗蛋白和酸溶蛋白含量分别为25.14%和5.16%,分别增加了8%和140.67%,分别。粗脂肪含量为0.74%,下降68.29%。抗氧化剂谷胱甘肽含量(571.78μg/g)增加了63.33%,蛋白酶和淀粉酶的活性增加了近9倍和3倍,分别。黄曲霉毒素B1、玉米赤霉烯酮、脱氧雪腐镰刀菌烯醇为63.83%,77.52%,和80.16%,分别。通过替换(0%,10%,30%,50%,和100%)小龙虾的商业饮食(30天培养期)。当更换比例为30%时,小龙虾的体重增加达到44.87%(初始体重13.98±0.41g),与对照组相比,显着增加了10.25%(p=0.0005)。此外,小龙虾肝胰腺中的溶菌酶和SOD酶活性也显着增加。我们的研究结果表明,来自FW的酵母发酵饲料可以替代30%的小龙虾的常规饮食,这可能会提高小龙虾的抗氧化能力,并通过提供分子如谷胱甘肽增强非特异性免疫力。
    In order to realize the value-added utilization of food waste (FW), the preparation of crayfish (Procambarus clarkii) feed by yeast fermentation was investigated. Firstly, the suitable fermentation condition was obtained through a single factor experiment as follows: the initial moisture of the FW was adjusted to 60% with bran and inoculated with a 2% yeast mixture (Saccharomyces cerevisiae, Candida utilis, and Yarrowia lipolytica, 3:2:1) followed by aerobic solid-state fermentation for 7 days. The crude protein and acid-soluble protein contents in the fermented feed were 25.14% and 5.16%, which were increased by 8% and 140.67%, respectively. The crude fat content was 0.74%, decreased by 68.29%. The content of antioxidant glutathione (571.78 μg/g) increased 63.33%, and the activities of protease and amylase increased nearly 9 and 3 times, respectively. The maximum degradation rates of aflatoxin B1, zearalenone, and deoxynivalenol were 63.83%, 77.52%, and 80.16%, respectively. The fermented feeds were evaluated by substituting (0%, 10%, 30%, 50%, and 100%) commercial diet for crayfish (30-day culture period). When the replacement proportion was 30%, the weight gain of crayfish reached 44.87% (initial body weight 13.98 ± 0.41 g), which was significantly increased by 10.25% compared with the control (p = 0.0005). In addition, the lysozyme and SOD enzyme activities in crayfish hepatopancreas were also increased significantly. Our findings suggest that yeast-fermented feed from FW can replace 30% of crayfish\'s conventional diet, which may improve crayfish\'s antioxidant capacity and enhance non-specific immunity by providing molecules such as glutathione.
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  • 文章类型: Journal Article
    本研究研究了饲喂不同浓度的壳聚糖对其生长性能的影响,幼鱼(Pelteobagrusfulvidraco)的身体成分和非特异性免疫功能。通过添加0(对照组)分别制备四种实验日粮,5、10和15μg/kg的壳聚糖以基础饲料饲喂给黄鲶鱼幼鱼8周。结果表明,体重增加率,比增长率,存活率,身体蛋白质含量,血清超氧化物歧化酶活性,过氧化氢酶活性,谷胱甘肽过氧化活性,日粮中添加壳聚糖的实验组对嗜水气单胞菌的溶菌酶活性和抗病能力均显着高于对照组,最佳水平为36.22%,14.37%,9.46%,8.97%,50.89%,33.15%,21.52%,40.80%,41.09%,和79.71%,分别为(P<0.05)。各组间饲料效率无显著差异(P>0.05)。饲粮壳聚糖的最佳剂量为8.95g/kg,以最大限度地生长黄鲶鱼。因此,饲料中加入适量的壳聚糖(8.95g/kg)可以显著提高其生长性能,改善身体成分并增强其非特异性免疫力。
    This study investigated the effects of feeding different concentrations of chitosan on the growth performance, body composition and non-specific immune function of juvenile yellow catfish (Pelteobagrus fulvidraco). Four kinds of experimental diets were respectively prepared by adding 0 (control group), 5, 10 and 15 g/kg of chitosan to the basal feed and fed to juvenile yellow catfish for 8 weeks. Results show that the body weight gain rate, specific growth rate, survival rate, body protein content, serum superoxide dismutase activity, catalase activity, glutathione peroxidise activity, lysozyme activity and disease resistance ability against Aeromonas hydrophila of the experimental group with chitosan added to its diet were significantly higher than those of the control group optimally by 36.22 %, 14.37 %, 9.46 %, 8.97 %, 50.89 %, 33.15 %, 21.52 %, 40.80 %, 41.09 %, and 79.71 %, respectively (P < 0.05). No significant differences in feed efficiency among all groups (P > 0.05) were observed. The optimum dose of dietary chitosan required for the maximum growth of juvenile yellow catfish was 8.95 g/kg. Therefore, adding an appropriate amount of chitosan (8.95 g/kg) to the feed of yellow catfish can significantly improve its growth performance, ameliorate body composition and enhance its non-specific immunity.
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  • 文章类型: Journal Article
    章鱼玛雅是尤卡坦半岛(YP)的一种有价值的特有物种。根据春季和夏季与上升流事件相关的冷水的存在,该区域可以分为不同的区域。这项研究旨在确定O.maya的生理和免疫状况是否与季节性上升流相关的海面温度变化有关。从2月至7月,在三个渔区共收集了117种生物:位于上升流区的RíaLagartos;对应于非上升流区的Seybaplaya,还有Sisal,过渡区。根据生理(总重量,性腺和消化腺的重量,渗透压,血蓝蛋白,蛋白质,葡萄糖,和血浆中的胆固醇浓度),和免疫学变量(总血细胞计数,血凝反应,酚氧化酶系统活性,总酚氧化酶血浆活性,和溶菌酶活性)。多变量单因素方差分析显示,按月/捕获区,章鱼组之间存在总体显着差异。表明O.maya的生理免疫状况与温度梯度有关。2月在上升流区和过渡带(RíaLagartos和Sisal)捕获的野生章鱼,March,4月-温度低于27°C-条件更好:尺寸更大,高浓度的血蓝蛋白,和低活性的酚氧化酶系统。6月和7月在非上升流和过渡带(Seybaplaya和Sisal)的温暖水域(28-30°C)捕获的章鱼,可以通过免疫补偿机制反映代谢应激,具有更高的酚氧化酶系统活性,尽管血细胞浓度较低,血蓝蛋白,和蛋白质。尽管尚未确定单个O.maya在其整个生命周期中沿着YP的运动,直接发育和底栖行为可能会限制生物的活动,使其生理和免疫状况可能反映出对区域环境的适应。这些信息可以帮助了解章鱼在其分布区域的表现,维持着重要的渔业。
    Octopus maya is a valuable endemic species of the Yucatán Peninsula (YP). This area can be divided into distinct regions depending on the presence of cold waters associated to upwelling events during spring and summer. This study was designed to determine if the physiological and immunological condition of O. maya show a relationship with variation of the sea surface temperature associated with the seasonal upwelling. A total of 117 organisms were collected from February to July in three fishing zones: Ría Lagartos located in the upwelling zone; Seybaplaya corresponding to the non-upwelling zone, and Sisal, the transitional zone. The organisms were examined in terms of physiological (total weight, the weight of the gonad and digestive gland, osmotic pressure, hemocyanin, protein, glucose, and cholesterol concentrations in plasma), and immunological variables (total hemocyte count, hemagglutination, phenoloxidase system activity, total phenoloxidase plasma activity, and lysozyme activity). Multivariate one-way ANOVA showed overall significant differences between groups of octopus by month/zone of capture, indicating that the physiological-immunological condition of O. maya is related to a temperature gradient. Wild octopuses captured at the upwelling zone and the transitional zone (Ría Lagartos and Sisal) in February, March, and April -with temperatures lower than 27°C- were in better conditions: larger size, high concentrations of hemocyanin, and low activity of the phenoloxidase system. Octopuses captured in the warmer waters (28-30°C) of the non-upwelling and transitional zones (Seybaplaya and Sisal) during June and July, could be reflecting the metabolic stress through immunological compensation mechanisms with higher activity of the phenoloxidase system, despite having a lower concentration of hemocytes, hemocyanin, and proteins. Although the movement of individual O. maya along the YP throughout their life cycle has not yet been determined, direct development and benthic behavior could limit the mobility of the organisms in such a way that their physiological and immunological condition might reflect adaptation to the regional environment. This information could help understand the performance of octopuses in their distribution area, which sustains an important fishery.
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  • 文章类型: Journal Article
    在资源受限的设置中,血浆HIV-1RNA定量尚未常规用于监测抗逆转录病毒治疗的反应.这项研究评估了尼日利亚四家军事医院接受一线ART的患者的病毒学抑制率。
    我们在尼日利亚四家军事医院进行了一项横断面研究,对325名随机选择的成人诊所客户(≥18岁)进行了一线ART治疗。使用具有高纯系统的RocheCOBASTaqMan48测定血浆HIV-1RNA。病毒学失败定义为HIV-1RNA>1000拷贝/ml。将具有HIV-1RNA>1000拷贝/ml的样本进行基因分型。
    在322名参与者中获得了HIV-1RNA结果。二百七十八个研究参与者(86.3%)有HIV病毒RNA<1000拷贝/ml,包括273(84.8%)的HIV-1RNA<400拷贝/ml。44名研究参与者中有35名HIV-1RNA>1000拷贝/ml,获得了HIV耐药性基因分型结果。只有14%(5/35)没有抗性突变。剩下的,10%(3/30)没有核苷类似物突变,而33%(10/30)只有M184V以及非核苷逆转录酶抑制剂(NNRTI)突变(K103N或Y188C)。25%(5/25)的齐多夫定失败的参与者有两个以上的胸苷类似物突变(TAMs)。
    我们观察到研究参与者的病毒学抑制率很高。然而,大部分病毒学上未抑制的客户有可识别的耐药突变.该研究表明,病毒载量监测在尼日利亚军事医院是可行的,并支持当前的WHOHIV治疗指南,该指南强调对接受ART的患者进行病毒学监测,以早期发现治疗失败。
    In resource-constrained settings, plasma HIV-1 RNA quantification has not been routinely available for the monitoring of response to antiretroviral therapy. This study evaluated virological suppression rates amongst patients on first-line ART in four Nigerian military hospitals.
    We conducted a cross-sectional study of 325 randomly selected adult clinic clients (≥18 years old) on first-line ART regimens at four Nigerian military hospitals. Plasma HIV-1 RNA was assayed using a Roche COBAS TaqMan48 with High Pure System. Virological failure was defined as HIV-1 RNA >1000 copies/ml. Specimens with HIV-1 RNA >1000 copies/ml were referred for genotyping.
    HIV-1 RNA results were obtained in 322 participants. Two hundred and seventy-eight study participants (86.3%) had HIV viral RNA < 1000 copies/ml, including 273 (84.8%) with HIV- 1 RNA <400 copies/ml. HIV drug resistance genotyping results were obtained in 35 of 44 study participants with HIV-1 RNA >1000 copies/ml. Only 14% (5/35) had no resistance mutations. Of the remainder, 10% (3/30) had no nucleoside analogue mutations while 33% (10/30) had only M184V along with non-nucleoside reverse transcriptase inhibitor (NNRTI) mutations (K103N or Y188C). 25% (5/25) of participants failing on Zidovudine had more than two thymidine analogue mutations (TAMs).
    We observed a high virological suppression rate among the study participants. However, a large proportion of virologically unsuppressed clients had identifiable resistance mutations. The study demonstrates that viral load monitoring is feasible at Nigerian military hospitals and supports the current WHO HIV treatment guidelines which emphasize virological monitoring of patients on ART for early detection of treatment failure.
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