interleukin-10 (IL-10)

白细胞介素 - 10 (IL - 10)
  • 文章类型: Journal Article
    卵巢癌(OC)带来了巨大的全球健康挑战,死亡率高。强调需要改进治疗策略。免疫系统在OC进展和治疗反应中的作用日益得到认可,特别是关于外周血单核细胞(PBMC)和细胞因子的产生。本研究旨在调查PBMC亚群(T和B淋巴细胞,自然杀伤细胞,单核细胞)和细胞因子的产生,特别是白细胞介素-1β(IL-1β),白细胞介素-4(IL-4),白细胞介素-6(IL-6),白细胞介素-10(IL-10),白细胞介素-12(IL-12),和肿瘤坏死因子α(TNFα),术前和术后早期OC患者的单核细胞。纳入13例OC患者和23例对照。术前,OC患者表现出PBMC亚群的变化,包括减少的细胞毒性T细胞,增加M2单核细胞,和单核细胞细胞因子产生的失衡。这些改变在手术后持续存在,在单核细胞中的PBMC亚群和细胞因子表达中观察到细微的额外变化。考虑到这些改变的细胞和细胞因子在OC进展中的关键作用,我们的研究结果表明,OC患者经历了一个增强的促瘤环境,持续到术后早期。这些发现强调了手术对免疫系统和OC进展之间复杂相互作用的影响。需要进一步研究以阐明术后早期的潜在机制。这可能具有旨在改善OC管理的干预措施的潜力。
    Ovarian cancer (OC) poses a significant global health challenge with high mortality rates, emphasizing the need for improved treatment strategies. The immune system\'s role in OC progression and treatment response is increasingly recognized, particularly regarding peripheral blood mononuclear cells (PBMCs) and cytokine production. This study aimed to investigate PBMC subpopulations (T and B lymphocytes, natural killer cells, monocytes) and cytokine production, specifically interleukin-1 beta (IL-1β), interleukin-4 (IL-4), interleukin-6 (IL-6), interleukin-10 (IL-10), interleukin-12 (IL-12), and tumor necrosis factor alpha (TNFα), in monocytes of OC patients both preoperatively and during the early postoperative period. Thirteen OC patients and 23 controls were enrolled. Preoperatively, OC patients exhibited changes in PBMC subpopulations, including decreased cytotoxic T cells, increased M2 monocytes, and the disbalance of monocyte cytokine production. These alterations persisted after surgery with subtle additional changes observed in PBMC subpopulations and cytokine expression in monocytes. Considering the pivotal role of these altered cells and cytokines in OC progression, our findings suggest that OC patients experience an enhanced pro-tumorigenic environment, which persists into the early postoperative period. These findings highlight the impact of surgery on the complex interaction between the immune system and OC progression. Further investigation is needed to clarify the underlying mechanisms during this early postoperative period, which may hold potential for interventions aimed at improving OC management.
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  • 文章类型: Journal Article
    OBJECTIVE: To detect the expression changes of interleukin-10 (IL-10) and transforming growth factor-β1 (TGF-β1) during the development of deep vein thrombosis in mice, and to explore the application value of them in thrombus age estimation.
    METHODS: The mice in the experimental group were subjected to ligation of inferior vena cava. The mice were sacrificed by excessive anesthesia at 1 d, 3 d, 5 d, 7 d, 10 d, 14 d and 21 d after ligation, respectively. The inferior vena cava segment with thrombosis was extracted below the ligation point. The mice in the control group were not ligated, and the inferior vena cava segment at the same position as the experimental group was extracted. The expression changes of IL-10 and TGF-β1 were detected by immunohistochemistry (IHC), Western blotting and real-time qPCR.
    RESULTS: IHC results revealed that IL-10 was mainly expressed in monocytes in thrombosis and TGF-β1 was mainly expressed in monocytes and fibroblast-like cells in thrombosis. Western blotting and real-time qPCR showed that the relative expression levels of IL-10 and TGF-β1 in each experimental group were higher than those in the control group. The mRNA and protein levels of IL-10 reached the peak at 7 d and 10 d after ligation, respectively. The mRNA expression level at 7 d after ligation was 4.72±0.15 times that of the control group, and the protein expression level at 10 d after ligation was 7.15±0.28 times that of the control group. The mRNA and protein levels of TGF-β1 reached the peak at 10 d and 14 d after ligation, respectively. The mRNA expression level at 10 d after ligation was 2.58±0.14 times that of the control group, and the protein expression level at 14 d after ligation was 4.34±0.19 times that of the control group.
    CONCLUSIONS: The expressions of IL-10 and TGF-β1 during the evolution of deep vein thrombosis present time-dependent sequential changes, and the expression levels of IL-10 and TGF-β1 can provide a reference basis for thrombus age estimation.
    目的: 检测小鼠深静脉血栓发展过程中白细胞介素-10(interleukin-10,IL-10)和转化生长因子-β1(transforming growth factor-β1,TGF-β1)的表达变化,探讨其在血栓形成时间推断中的应用价值。方法: 对实验组小鼠建立下腔静脉结扎模型,分别于术后1 d、3 d、5 d、7 d、10 d、14 d、21 d过量麻醉处死小鼠,在结扎点的下方提取形成血栓的下腔静脉段。对照组小鼠不进行结扎,提取与实验组相同部位的正常下腔静脉段作为对照样本。应用免疫组织化学染色、蛋白质印迹法和real-time qPCR检测IL-10和TGF-β1在血栓形成期间的表达变化。结果: 免疫组织化学染色结果显示,IL-10主要表达于血栓中的单核细胞,TGF-β1主要表达于血栓中的单核细胞和成纤维样细胞。蛋白质印迹法以及real-time qPCR检测结果显示,各实验组IL-10和TGF-β1的表达水平均高于对照组。IL-10的mRNA及蛋白水平分别于术后7 d和10 d达到峰值,术后7 d的mRNA表达量是对照组的(4.72±0.15)倍,术后10 d的蛋白表达量是对照组的(7.15±0.28)倍。TGF-β1的mRNA及蛋白水平分别于术后10 d和14 d达到峰值,术后10 d的mRNA表达量是对照组的(2.58±0.14)倍,术后14 d的蛋白表达量是对照组的(4.34±0.19)倍。结论: 深静脉血栓演变期间IL-10和TGF-β1呈现时序性表达变化,IL-10和TGF-β1的表达水平可以为血栓形成时间推断提供参考依据。.
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  • 文章类型: Journal Article
    白细胞介素作为细胞间的通讯分子,介导免疫细胞和非免疫细胞之间的肿瘤微环境(TME)中的关键相互作用。白细胞介素-10(IL-10),一种具有多种特性的多功能细胞因子,在免疫学和癌症生物学的各个方面进行了广泛的研究。IL-10具有多效性,促进细胞毒性,却抑制了抗肿瘤反应。近年来,IL-10在卵巢癌(OC)进展和治疗中的作用已得到科学关注,阐明由IL-10作用触发的信号通路。OC,妇科癌症相关死亡的主要原因,以腹水为特征,它拥有复杂的TME,对免疫检查点抑制的治疗没有反应。IL-10以其免疫抑制和抗炎特性而闻名,在OC进展中起着复杂的作用,免疫调节,和治疗反应,并具有作为靶标和效应物的潜在治疗特性。作为研究IL-10在OC范围TME中作用的基础科学研究的文献,几十年来和一些数据形成对比,重要的是回顾文献并提供从中得出的简明输入。这篇综述旨在全面概述目前对OC中IL-10的理解,强调它对肿瘤生长的影响,免疫逃避,以及作为治疗靶点的潜力。
    Interleukins serve as communicating molecules between cells, mediating key interactions in the tumor microenvironment (TME) between immune cells and non-immune cells. Interleukin-10 (IL-10), a multifunctional cytokine with multiple properties, has been extensively studied in various aspects of immunology and cancer biology. IL-10 is pleiotropic, promotes cytotoxicity, yet inhibits antitumor-responses. In recent years, the role of IL-10 in ovarian cancer (OC) progression and treatment has gained significant scientific attention, elucidating the signaling pathways triggered by IL-10 action. OC, the leading cause of gynecologic cancer-related deaths, is characterized by ascites, which hosts an intricate TME that is not responsive to treatment by immune checkpoint inhibition. IL-10, known for its immunosuppressive and anti-inflammatory properties, plays a complex role in OC progression, immune modulation, and therapeutic response and has a potential therapeutic property as a target and as an effector. As the literature of basic science research studying the role of IL-10 in the TME of OC scopes a few decades and some data is contrasting, it is important to review the literature and provide concise input derived from it. This review aims to provide a comprehensive overview of the current understanding of IL-10 in OC, highlighting its influence on tumor growth, immune evasion, and potential as a therapeutic target.
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  • 文章类型: Journal Article
    系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,影响多个器官显着影响发病率和死亡率。SLE的发展受遗传易感性和免疫反应失调的影响。我们的目的是研究miR-21,IL-10和PDCD4在SLE患者血浆中的表达,并分析它们的相关性以及潜在的诊断和预后价值。
    该研究包括100名健康受试者,50个新诊断(ND),和50例治疗不足(UT)的SLE患者。观察患者24周以追踪复发。使用实时RT-PCR检测miR-21和PDCD4基因表达水平,使用ELISA测量IL-10的产生。
    miR-21和IL-10在SLE患者中的表达水平明显高于健康受试者,在ND患者中观察到的最高水平。PDCD4在SLE患者中的表达也显著高于受试者,在UT患者中观察到的最高水平。ROC曲线分析和Cox-MantelLog-rank测试表明miR-21、PDCD4和IL-10是SLE的适当诊断和预后生物标志物。该研究还揭示了SLE患者中miR-21与PDCD4和IL-10水平之间的显着正相关。
    研究表明,SLE患者中miR-21、PDCD4和IL-10的失调可能有助于疾病的发展,并提供新的诊断和预后标志物。此外,观察到的SLE患者中miR-21,PDCD4和IL-10水平之间的相关性表明这些分子之间存在潜在的相互作用.
    UNASSIGNED: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune condition that affects multiple organs significantly impacts morbidity and mortality. The development of SLE is influenced by genetic predisposition and dysregulated immune response. Our objective was to investigate miR-21, IL-10, and PDCD4 expression in SLE patient plasma and analyze their correlations and potential diagnostic and prognostic values.
    UNASSIGNED: The study included 100 healthy subjects, 50 newly diagnosed (ND), and 50 under-treatment (UT) SLE patients. The patients were observed for 24 weeks to track relapses. miR-21 and PDCD4 gene expression levels were measured using real-time RT-PCR, and IL-10 production was measured using ELISA.
    UNASSIGNED: miR-21 and IL-10 expression levels were significantly greater in SLE patients than in healthy subjects, with the highest levels observed in ND patients. PDCD4 expression was also significantly greater in SLE patients than in subjects, with the highest levels observed in UT patients. ROC curve analyses and Cox-Mantel Log-rank tests indicated miR-21, PDCD4, and IL-10 as proper diagnostic and prognostic biomarkers for SLE. The study also revealed a significant positive correlation between miR-21 and PDCD4 and IL-10 levels in SLE patients.
    UNASSIGNED: The studies suggest that dysregulation of miR-21, PDCD4, and IL-10 in patients with SLE may contribute to disease development and provides new diagnostic and prognostic markers. Additionally, the observed correlation between miR-21, PDCD4, and IL-10 levels in SLE patients signifies a potential interplay between these molecules.
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  • 文章类型: Journal Article
    白细胞介素-6和10(IL6和IL-10)血清水平的作用和调节机制,以及CD4+和CD8+淋巴细胞与SARS-COV-2IgM和IgG在COVID-19感染中的相互作用尚不完全清楚。
    这项研究是对45名COVID-19患者和45名健康个体进行的。IL-6和IL-10启动子甲基化,IL-6和IL-10基因表达,SARS-COV-2IgM,并通过qMSP-PCR研究IgG抗体和CD4+和CD8+淋巴细胞,实时PCR,ELISA,和流式细胞术技术,分别。
    危重患者组的男性比例和平均年龄明显高于对照组(P<0.05)。与对照组相比,患者的IL-6基因表达和血清水平显着增加(P=0.002,0.001),但IL-6启动子甲基化在患者中没有显著降低(P=0.835)。IL-10启动子甲基化和表达在病例和对照组之间没有差异(0.326,0.455),但患者血清IL-10水平较高(P<0.001)。与对照组相比,患者的CD4和CD8淋巴细胞减少(P<0.001),平均SARS-COV-2IgG增加(P=0.002)。
    COVID-19疾病导致男性和老年人的严重并发症。血清白细胞介素-6和10水平在COVID-19感染中升高,以及这两种白细胞介素的基因表达在这种增加中起重要作用。应调查血清IL-6,IL-10和SARS-COV-2IgG水平以及CD4和CD8淋巴细胞计数,以监测患者并预测病程。
    UNASSIGNED: The role and regulation mechanisms of the interleukin-6 and 10 (IL6 and IL-10) serum levels and the interaction between CD4+ and CD8+ lymphocytes with SARS-COV-2 IgM and IgG in the context of COVID-19 infection are not fully understood.
    UNASSIGNED: This study was conducted on 45 COVID-19 patients and 45 healthy individuals. The IL-6 and IL-10 promoter methylation, IL-6 and IL-10 gene expression, SARS-COV-2 IgM, and IgG antibodies and CD4+ and CD8+ lymphocytes were studied by qMSP-PCR, Real-time PCR, ELISA, and flow cytometry techniques, respectively.
    UNASSIGNED: The male ratio and mean age of critically ill patients\' group were significantly higher in compared to controls (P< 0.05). IL-6 gene expression and serum levels were significantly increased in patients compared to controls (P=0.002, 0.001), but IL-6 promoter methylation was not significantly decreased in patients (P=0.835). The IL-10 promoter methylation and expression were not different between cases and controls (0.326, 0.455), but serum IL-10 levels were higher in patients (P< 0.001). The CD4+ and CD8+ lymphocytes decreased (P< 0.001) and mean SARS-COV-2 IgG increased (P=0.002) in the patients compared to controls.
    UNASSIGNED: The COVID-19 disease result in severe complications in men and elderly. The serum levels of interleukin-6 and 10 increases in COVID-19 infection, and the gene expression of these two interleukins underlying in this increase. The serum levels of IL-6, IL-10 and SARS-COV-2 IgG as well as CD4+ and CD8+ lymphocyte counts should be investigated to monitor patients and predict the course of disease.
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  • 文章类型: Journal Article
    炎症反应的适当调节对于生存至关重要。白细胞介素-10(IL-10),一种众所周知的抗炎细胞因子,在控制炎症中起主要作用。除了免疫细胞,我们先前证明了IL-10受体(IL-10R1)在背根神经节感觉神经元中表达。有新的证据表明这些感觉神经元有助于免疫调节,我们假设背根神经节(DRG)神经元中的IL-10信号促进炎症反应的调节。我们发现缺乏IL-10R1的小鼠,特别是在advillin阳性神经元上,血液中的一氧化氮水平过高,脊髓小胶质细胞激活,脊髓中细胞因子的上调,肝脏,与响应全身脂多糖(LPS)注射的野生型(WT)对应物相比和肠。DRG和三叉神经节(TG)神经元中缺乏IL-10R1也增加了促炎C-C基序趋化因子配体2(CCL2)的循环和DRG水平。有趣的是,对已发表的scRNA-seq数据的分析表明,Ccl2和Il10ra由相似类型的DRG神经元表达;非肽能P2Xpurinoctor(P2X3R)神经元。在DRG神经元的原代培养中,我们证明,IL-10R1抑制CCL2的产生,但不抑制神经肽P物质和降钙素基因相关肽(CGRP)的产生。此外,我们的数据表明,瞬时受体电位香草素(TRPV)1+神经元的消融不影响IL-10对CCL2产生的调节.总之,我们发现IL-10与感觉神经元上的受体结合,下调CCL2,并通过减少DRG神经元来源的CCL2对免疫细胞的吸引力来促进免疫调节。这是抗炎细胞因子通过直接结合感觉神经元上的受体来限制炎症的第一个证据。我们的数据还增加了越来越多的文献,即感觉神经元具有免疫调节功能。
    Appropriate regulation of the inflammatory response is essential for survival. Interleukin-10 (IL-10), a well-known anti-inflammatory cytokine, plays a major role in controlling inflammation. In addition to immune cells, we previously demonstrated that the IL-10 receptor (IL-10R1) is expressed in dorsal root ganglion sensory neurons. There is emerging evidence that these sensory neurons contribute to immunoregulation, and we hypothesized that IL-10 signaling in dorsal root ganglion (DRG) neurons facilitates the regulation of the inflammatory response. We showed that mice that lack IL-10R1 specifically on advillin-positive neurons have exaggerated blood nitric oxide levels, spinal microglia activation, and cytokine upregulation in the spinal cord, liver, and gut compared to wild-type (WT) counterparts in response to systemic lipopolysaccharide (LPS) injection. Lack of IL-10R1 in DRG and trigeminal ganglion (TG) neurons also increased circulating and DRG levels of proinflammatory C-C motif chemokine ligand 2 (CCL2). Interestingly, analysis of published scRNA-seq data revealed that Ccl2 and Il10ra are expressed by similar types of DRG neurons; nonpeptidergic P2X purinoceptor (P2X3R + ) neurons. In primary cultures of DRG neurons, we demonstrated that IL-10R1 inhibits the production of CCL2, but not that of the neuropeptides substance P and calcitonin-gene related peptide (CGRP). Furthermore, our data indicate that ablation of Transient receptor potential vanilloid (TRPV)1 + neurons does not impact the regulation of CCL2 production by IL-10. In conclusion, we showed that IL-10 binds to its receptor on sensory neurons to downregulate CCL2 and contribute to immunoregulation by reducing the attraction of immune cells by DRG neuron-derived CCL2. This is the first evidence that anti-inflammatory cytokines limit inflammation through direct binding to receptors on sensory neurons. Our data also add to the growing literature that sensory neurons have immunomodulatory functions.
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    文章类型: Journal Article
    目的:哮喘是最常见的呼吸道疾病,由慢性支气管炎引起。已知细胞因子在哮喘的病理生理学中起重要作用。这项研究旨在比较伊朗儿童哮喘患者和健康对照之间的白细胞介素-4(IL-4)和白细胞介素-10(IL-10)基因多态性,并研究特应性和非特应性儿童的IL4和IL10基因变异哮喘表型。
    方法:在这项前瞻性病例对照研究中,根据全球哮喘倡议(GINA)标准,共招募了95例非相关儿科哮喘患者.对照组包括538和491名健康个体的两个亚组,进行IL4和IL10多态性评估,分别。IL4-589C/T(rs2243250)和IL10-592A/C(rs1800872)基因多态性使用四引物扩增难治性突变系统-聚合酶链反应(ARMS-PCR)测定进行评估。
    结果:结果表明,哮喘组和健康对照组在-589位的IL4基因多态性存在显着差异。然而,在IL10基因多态性方面没有发现显着差异,它们与患者的特应症无关。
    结论:IL4-589C/T多态性(rs2243250)可能是哮喘易感性的危险因素,而IL10-592A/C多态性(rs1800872)在伊朗儿科人群中不是危险因素。结果还表明,这些多态性不是哮喘儿童特应性的危险因素。
    OBJECTIVE: Asthma is the most prevalent respiratory disease, caused by chronic bronchial inflammation. Cytokines are known to play an important role in the pathophysiology of asthma. This study aimed to compare interleukin-4 (IL-4) and interleukin-10 (IL-10) gene polymorphisms between Iranian pediatric asthmatic patients and healthy controls and to investigate IL4 and IL10 gene variations in children with atopic and non-atopic asthma phenotypes.
    METHODS: In this prospective case-control study, a total of 95 unrelated pediatric asthmatic patients were recruited according to the Global Initiative for Asthma (GINA) criteria. The control group comprised two subgroups of 538 and 491 healthy individuals, undergoing IL4 and IL10 polymorphism assessments, respectively. The IL4 -589C/T (rs2243250) and IL10 -592A/C (rs1800872) gene polymorphisms were evaluated using the tetra-primer amplification refractory mutation system-polymerase chain reaction (ARMS-PCR) assay.
    RESULTS: The findings indicated a significant difference in IL4 gene polymorphisms at position -589 between the asthmatic and healthy control groups. However, no significant difference was found in terms of IL10 gene polymorphisms, and they were not associated with atopy in the patients.
    CONCLUSIONS: The IL4 -589C/T polymorphism (rs2243250) can be a risk factor for asthma susceptibility, whereas the IL10 -592A/C polymorphism (rs1800872) is not a risk factor in the Iranian pediatric population. The results also showed that these polymorphisms are not risk factors for atopy in asthmatic children.
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  • 文章类型: Video-Audio Media
    背景:产生白细胞介素(IL)-10的B(B10)细胞响应于来自肿瘤微环境的信号而产生,并通过与B10细胞相互作用来促进肿瘤生长。我们调查了胃癌(GC)患者外周血和肿瘤组织样本中免疫细胞的分布。
    方法:本研究纳入2020年8月至2021年5月在首尔圣玛丽医院接受胃癌根治术的胃癌患者。收集了42份外周血样本,并在手术后从每位患者收集一对胃粘膜样本(正常和癌性粘膜;不影响肿瘤诊断或分期).通过流式细胞术和免疫荧光检测外周血和癌粘膜样品中的B10细胞。AGS细胞,胃癌细胞系,用IL-10培养并测量细胞死亡和细胞因子分泌。此外,将AGS细胞与CD19+B细胞共培养并测量细胞因子分泌。
    结果:与对照组相比,GC患者血液中的B10细胞群明显增多。在胃粘膜组织的共聚焦图像中,癌粘膜含有比正常粘膜更多的B10细胞。随着癌症分期,癌粘膜中B10细胞的数量增加。当AGS细胞在细胞死亡条件下培养时,细胞坏死显著减少,扩散增加了,IL-10刺激后1天。肿瘤坏死因子(TNF)-α,IL-8,IL-1β,AGS细胞与GC来源的CD19+B细胞共培养后,癌细胞分泌血管内皮生长因子显著增加。
    结论:B细胞可能是通过诱导炎症介质的产生促进癌变的群体之一,如IL-10,在GC。靶向B10细胞活性可以改善抗肿瘤免疫治疗的结果。视频摘要。
    Interleukin (IL)-10-producing B (B10) cells are generated in response to signals from the tumor microenvironment and promote tumor growth by interacting with B10 cells. We investigated the distributions of immune cells in peripheral blood and tumor tissue samples from patients with gastric cancer (GC).
    Patients with GC who underwent radical gastrectomy in Seoul St. Mary\'s Hospital between August 2020 and May 2021 were enrolled in this study. Forty-two samples of peripheral blood were collected, and a pair of gastric mucosal samples (normal and cancerous mucosa; did not influence tumor diagnosis or staging) was collected from each patient after surgery. B10 cells in peripheral blood and cancer mucosa samples were investigated by flow cytometry and immunofluorescence. AGS cells, gastric cancer cell line, were cultured with IL-10 and measured cell death and cytokine secretion. Also, AGS cells were co-cultured with CD19 + B cells and measured cytokine secretion.
    The population of B10 cells was significantly larger in the blood of patients with GC compared with controls. In confocal images of gastric mucosal tissues, cancerous mucosa contained more B10 cells than normal mucosa. The population of B10 cells in cancerous mucosa increased with cancer stage. When AGS cells were cultured under cell-death conditions, cellular necrosis was significantly decreased, and proliferation was increased, for 1 day after IL-10 stimulation. Tumor necrosis factor (TNF)-α, IL-8, IL-1β, and vascular endothelial growth factor secretion by cancer cells was significantly increased by coculture of AGS cells with GC-derived CD19+ B cells.
    B cells may be one of the populations that promote carcinogenesis by inducing the production of inflammatory mediators, such as IL-10, in GC. Targeting B10 cells activity could improve the outcomes of antitumor immunotherapy. Video Abstract.
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  • 文章类型: Journal Article
    背景:代谢失调和过度炎症与2019年冠状病毒病(COVID-19)的高度传染性疾病的发病机理有关,这是由一种新出现的冠状病毒引起的(即,严重急性呼吸综合征-冠状病毒2;SARS-CoV-2)。腺苷5'-单磷酸活化蛋白激酶(AMPK),一种调节不同细胞代谢途径的能量传感器,在免疫系统中发挥调节作用。本研究旨在检测不同级别COVID-19患者AMPKmRNA表达水平以及血浆白细胞介素-6(IL-6)和IL-10细胞因子水平。
    方法:收集60例COVID-19(中度,严重,和关键)。采用酶联免疫吸附试验(ELISA)检测血浆IL-6和IL-10水平,实时荧光定量PCR检测AMPK的mRNA表达水平。
    结果:结果显示,与COVID-19的中度病例相比,重症和重症患者的血浆IL-6水平显着升高(P<0.001)。此外,重症和危重病例IL-10血浆浓度明显高于中度病例(P<0.01和P<0.05)。此外,相对于COVID-19的中度和重度病例,重症患者中AMPK的基因表达明显增强(分别为P<0.001和P<0.01)。AMPK基因表达与血浆IL-6和IL-10水平呈正相关(P=0.006,r=0.348,P=0.028,r=0.283)。
    结论:增加AMPK基因表达可能是免疫系统抑制危重COVID-19炎症的必要努力。然而,这种努力似乎是不够的,可能是由于诱发炎症的因素,如红细胞沉降率(ESR)和IL-6。
    BACKGROUND: Metabolic dysregulation and excessive inflammation are implicated in the pathogenesis of the highly infectious disease of coronavirus disease 2019 (COVID-19), which is caused by a newly emerging coronavirus (i.e., severe acute respiratory syndrome-coronavirus 2; SARS-CoV-2). The adenosine 5\'-monophosphate-activated protein kinase (AMPK), an energy sensor regulating the metabolic pathways in diverse cells, exerts a regulatory role in the immune system. This study aims to examine the mRNA expression level of AMPK and the plasma levels of interleukin-6 (IL-6) and IL-10 cytokines in patients with different grades of COVID-19.
    METHODS: Peripheral blood was collected from 60 patients with COVID-19 (Moderate, severe, and critical). The plasma levels of IL-6 and IL-10 were quantified by enzyme-linked immunosorbent assay (ELISA), and the mRNA expression level of AMPK was determined using real-time PCR.
    RESULTS: The results showed that the plasma levels of IL-6 increased significantly in critical and severe patients compared to moderate cases of COVID-19 (P < 0.001). Moreover, IL-10 plasma concentrations were significantly higher in critical and severe cases than in moderate cases of COVID-19 (P < 0.01 and P < 0.05, respectively). Also, the gene expression of AMPK was meaningfully enhanced in critical patients relative to moderate and severe cases of COVID-19, in order (P < 0.001 and P < 0.01, respectively). There was a positive association between AMPK gene expression and plasma levels of IL-6 and IL-10 (P = 0.006, r = 0.348, P = 0.028, r = 0.283, respectively).
    CONCLUSIONS: Increasing AMPK gene expression is likely a necessary effort of the immune system to inhibit inflammation in critical COVID-19. However, this effort seems to be inadequate, probably due to factors that induce inflammation, like erythrocyte sedimentation rate (ESR) and IL-6.
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  • 文章类型: Journal Article
    肝转移与对当前药物治疗的反应不佳有关,包括免疫疗法。我们描述了一种慢病毒载体(LV)平台来选择性地改造肝脏巨噬细胞,包括枯否细胞和肿瘤相关巨噬细胞(TAMs),将I型干扰素(IFNα)递送至肝转移。基于基因的IFNα递送延迟小鼠结肠直肠和胰腺导管腺癌肝转移的生长。对IFNα的反应与TAM免疫激活有关,增强MHC-II限制性抗原呈递和减少CD8+T细胞耗尽。相反,增加IL-10信号,EomesCD4+T细胞扩增,显示I型调节性T(Tr1)细胞特征的细胞类型,CTLA-4的表达与对治疗的抗性有关。通过联合CTLA-4免疫检查点阻断和IFNαLV递送靶向调节性T细胞功能可扩展肿瘤反应性T细胞,在大多数小鼠中达到完全反应。这些发现支持了一种有希望的治疗策略,可以将其转化为未满足医疗需求的患者。
    Liver metastases are associated with poor response to current pharmacological treatments, including immunotherapy. We describe a lentiviral vector (LV) platform to selectively engineer liver macrophages, including Kupffer cells and tumor-associated macrophages (TAMs), to deliver type I interferon (IFNα) to liver metastases. Gene-based IFNα delivery delays the growth of colorectal and pancreatic ductal adenocarcinoma liver metastases in mice. Response to IFNα is associated with TAM immune activation, enhanced MHC-II-restricted antigen presentation and reduced exhaustion of CD8+ T cells. Conversely, increased IL-10 signaling, expansion of Eomes CD4+ T cells, a cell type displaying features of type I regulatory T (Tr1) cells, and CTLA-4 expression are associated with resistance to therapy. Targeting regulatory T cell functions by combinatorial CTLA-4 immune checkpoint blockade and IFNα LV delivery expands tumor-reactive T cells, attaining complete response in most mice. These findings support a promising therapeutic strategy with feasible translation to patients with unmet medical need.
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