pSS

PSS
  • 文章类型: Journal Article
    精英私立大学有很高的压力水平,特别是对于代表性不足的人群。虽然身体活动和感恩都可以减轻压力,对感恩的独立影响以及身体活动和感恩对压力的相互作用没有充分探索。我们的研究调查了精英私立大学本科生的这些影响。本科生(n=145)在2022年秋季完成了一项在线调查。96.19%的样本报告了中等高的身体活动水平。没有看到身体活动与感恩之间的显着交互作用,也没有看到身体活动对感知压力的显着主要影响。感恩对感知压力的显着主要影响[F(2,99)=16.732,p<.001,ω2=.253]发现,与中等程度(p=.001)相比,参与者的感知压力较高。或高感恩(p<.001)。独立的感恩,对精英大学本科生的感知压力有显著影响,可以作为一种额外的健康应对机制,与身体活动一起对抗压力。
    Elite private universities have high stress levels, particularly for underrepresented populations. While physical activity and gratitude can both reduce stress, independent effects from gratitude and interaction effects between physical activity and gratitude on stress are insufficiently explored. Our study investigated these effects among undergraduates at elite private universities. Undergraduates (n = 145) completed an online survey in Fall 2022. Moderate-high physical activity levels were reported by 96.19% of the sample. No significant interaction effect between physical activity and gratitude was seen nor a significant main effect of physical activity on perceived stress. A significant main effect of gratitude on perceived stress [F (2, 99) = 16.732, p < .001, ω2 = .253] was found with higher perceived stress among participants with low compared to moderate (p = .001) or high gratitude (p < .001). Gratitude exerted an independent, significant effect on perceived stress among elite university undergraduates and could be used as an additional healthy coping mechanism along with physical activity to combat stress.
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  • 文章类型: Journal Article
    气候变化导致的疾病严重程度和干旱对果园生产力提出了重大挑战。这项研究检查了春季接种丁香假单胞菌pv的影响。甜樱桃植物上的丁香(Pss),cvs.Bing和Santina不同的防御反应,评估植物生长,生理变量(水势,气体交换,和工厂水力传导率),以及两个夏季灌溉水平下的脱落酸(ABA)和水杨酸(SA)水平。与接种后14天(dpi)的“Bing”相比,Pss接种在“Santina”中引起了更明显的反应,与60dpi期间的对照植物相比,接种Pss的那些植物表现出较慢的叶片生长和减少的蒸腾作用。在差异灌溉期间,在Pss接种的\'Bing\'和\'Santina\'的植物中,叶面积分别减少了14%和44%,在充分浇水(WW)条件下,不改变植物的水状态或气体交换。相反,与WW条件下相比,水分亏缺(WD)条件导致气体交换限制和植物生物量减少43%,接种处理之间没有差异。在90dpi时,WW下的ABA水平低于WD下的ABA水平,而在WW条件下接种Pss的植物中SA水平显著较高。这些发现强调了甜樱桃品种在夏季对植物生长的影响,这些品种对Pss接种的不同反应以及ABA和SA之间的关系如何在植物干旱水平反应中发生变化。
    Disease severity and drought due to climate change present significant challenges to orchard productivity. This study examines the effects of spring inoculation with Pseudomonas syringae pv. syringae (Pss) on sweet cherry plants, cvs. Bing and Santina with varying defense responses, assessing plant growth, physiological variables (water potential, gas exchange, and plant hydraulic conductance), and the levels of abscisic acid (ABA) and salicylic acid (SA) under two summer irrigation levels. Pss inoculation elicited a more pronounced response in \'Santina\' compared to \'Bing\' at 14 days post-inoculation (dpi), and those plants inoculated with Pss exhibited a slower leaf growth and reduced transpiration compared to control plants during 60 dpi. During differential irrigations, leaf area was reduced 14% and 44% in Pss inoculated plants of \'Bing\' and \'Santina\' respectively, under well-watered (WW) conditions, without changes in plant water status or gas exchange. Conversely, water-deficit (WD) conditions led to gas exchange limitations and a 43% decrease in plant biomass compared to that under WW conditions, with no differences between inoculation treatments. ABA levels were lower under WW than under WD at 90 dpi, while SA levels were significantly higher in Pss-inoculated plants under WW conditions. These findings underscore the influence on plant growth during summer in sweet cherry cultivars that showed a differential response to Pss inoculations and how the relationship between ABA and SA changes in plant drought level responses.
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  • 文章类型: Journal Article
    基于聚烯丙胺和聚苯乙烯磺酸盐的聚电解质微胶囊(PMC)用于人类活动的各个领域,包括医学,纺织品,和食品工业,在其他人中。然而,微胶囊尺寸等特征,壳体厚度,孔径没有充分研究和系统化,即使他们确定在应用任务中使用微胶囊的可能性。这篇综述的目的是确定通过在不同的固体核心上交替吸附聚苯乙烯磺酸盐和聚烯丙胺而获得的聚电解质微胶囊形态研究的一般模式和差距。首先,研究发现,在不同核心上形成的聚电解质微胶囊的形态变化在响应不同刺激时表现出显著差异。离子强度等因素,介质的酸度,和温度对微胶囊的大小有不同的影响,它们贝壳的厚度,以及它们毛孔的数量和大小。目前,三聚氰胺甲醛核上形成的微胶囊的形态研究最多,而在其他类型的核心上形成的微胶囊的形态几乎没有研究。此外,纳米尺度系统分析的现代方法将允许对PMC特性进行客观评估,并为研究主题提供新的视角。
    Polyelectrolyte microcapsules (PMC) based on polyallylamine and polystyrene sulfonate are utilized in various fields of human activity, including medicine, textiles, and the food industry, among others. However, characteristics such as microcapsule size, shell thickness, and pore size are not sufficiently studied and systematized, even though they determine the possibility of using microcapsules in applied tasks. The aim of this review is to identify general patterns and gaps in the study of the morphology of polyelectrolyte microcapsules obtained by the alternate adsorption of polystyrene sulfonate and polyallylamine on different solid cores. First and foremost, it was found that the morphological change in polyelectrolyte microcapsules formed on different cores exhibits a significant difference in response to varying stimuli. Factors such as ionic strength, the acidity of the medium, and temperature have different effects on the size of the microcapsules, the thickness of their shells, and the number and size of their pores. At present, the morphology of the microcapsules formed on the melamine formaldehyde core has been most studied, while the morphology of microcapsules formed on other types of cores is scarcely studied. In addition, modern methods of nanoscale system analysis will allow for an objective assessment of PMC characteristics and provide a fresh perspective on the subject of research.
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  • 文章类型: Journal Article
    目的:门静脉与主动脉的比值(PV/Ao)用于评估肝外门体分流术(EHPSS)的临床意义。以前使用计算机断层扫描(CT)的研究是在狗中进行的,而不是在猫中进行的。
    目的:本研究旨在建立猫PV指数(PV/Ao比值和PV直径)的正常参考值,并确定其对预测症状性EHPSS的有用性。
    方法:这项研究包括95只狗和114只猫,他们接受了腹部CT检查。犬正常(CN)组包括没有EHPSS的犬。猫被分类为猫科动物正常(FN,88/114),猫无症状(FA,16/114),和猫科动物症状(FS,10/114)组。在轴向横截面中测量PV和Ao直径。
    结果:FN组的PV/Ao比值高于CN组(p<0.001)。在猫科动物群体中,PV指数依次为FN>FA>FS(p均<0.001)。FN组的平均PV直径和PV/Ao比值分别为5.23±0.77mm和1.46±0.19。FN和FS组之间的PV直径截止值为4.115mm(灵敏度,100%;特异性,97.7%)和1.170的PV/Ao比(90%,92.1%)。FA组和FS组之间的截止值为3.835mm(90%,93.8%)和1.010(70%,100%),分别。
    结论:结果显示狗和猫之间的PV指数存在显著差异。在猫中,PV/Ao比显示了对有症状EHPSS的高诊断性能。PV直径也表现良好,与狗相反。
    OBJECTIVE: The portal vein to aorta (PV/Ao) ratio is used to assess the clinical significance of extrahepatic portosystemic shunt (EHPSS). Previous studies using computed tomography (CT) were conducted in dogs but not in cats.
    OBJECTIVE: This study aimed to establish normal reference values for PV indices (PV/Ao ratio and PV diameter) in cats and determine the usefulness of these for predicting symptomatic EHPSS.
    METHODS: This study included 95 dogs and 114 cats that underwent abdominal CT. The canine normal (CN) group included dogs without EHPSS. The cats were classified into feline normal (FN, 88/114), feline asymptomatic (FA, 16/114), and feline symptomatic (FS, 10/114) groups. The PV and Ao diameters were measured in axial cross-sections.
    RESULTS: The group FN had a higher PV/Ao ratio than the group CN (p < 0.001). Within the feline groups, the PV indices were in the order FN > FA > FS (both p < 0.001). The mean PV diameter and PV/Ao ratio for group FN were 5.23 ± 0.77 mm and 1.46 ± 0.19, respectively. The cutoff values between groups FN and FS were 4.115 mm for PV diameter (sensitivity, 100%; specificity, 97.7%) and 1.170 for PV/Ao ratio (90%, 92.1%). The cutoff values between group FA and FS were 3.835 mm (90%, 93.8%) and 1.010 (70%, 100%), respectively.
    CONCLUSIONS: The results demonstrated significant differences in PV indices between dogs and cats. In cats, the PV/Ao ratio demonstrated high diagnostic performance for symptomatic EHPSS. The PV diameter also performed well, in contrast to dogs.
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  • 文章类型: Journal Article
    目的:自身反应性B细胞和干扰素(IFN)特征是原发性干燥综合征(pSS)的标志,但IFN信号通路如何影响自身抗体产生和临床表现仍不清楚.更详细的研究有望改善诊断方法和个性化治疗。
    方法:我们分析了基线和刺激时来自34个pSS患者和38个健康供体(HD)的外周血T和B细胞亚群的I型和II型IFN信号分子(STAT1/2,IRF1,IRF9)的表达水平。此外,我们调查了这些分子水平与血清学和临床特征的相关性,并进行了ROC分析.
    结果:患者显示IFN途径分子升高,在大多数T和B细胞亚群中包括STAT1、STAT2和IRF9。我们发现与HDs相比,患者磷酸化STAT1和STAT2的比例降低,尽管来自患者的B细胞通过IFN刺激后磷酸化增加而高度响应。相关性矩阵显示了pSS中STAT1,IRF1和IRF9之间的进一步相互关系。T和B细胞中STAT1和IRF9的水平与单核细胞上的IFN型I标志物Siglec-1(CD169)相关。pSSB细胞中高水平的STAT1和IRF9与高丙种球蛋白血症以及抗SSA/抗SSB自身抗体显着相关。在患有腺外疾病的患者中发现了升高的STAT1水平,并且可以作为该亚组的生物标志物(p<0.01)。值得注意的是,T和B细胞中IRF9水平与EULAR干燥综合征疾病活动指数(ESSDAI)相关。
    结论:这里,我们提供的证据表明,在活动性PSS患者中,增强的IFN信号传导,包括。未磷酸化的STAT1和STAT2与IRFs引起慢性T和B细胞活化。此外,增加的STAT1水平候选作为颗粒外疾病的生物标志物,而IRF9水平可以作为疾病活动的生物标志物。
    OBJECTIVE: Autoreactive B cells and interferon (IFN) signature are hallmarks of primary sjögren\'s syndrome (pSS), but how IFN signaling pathways influence autoantibody production and clinical manifestations remain unclear. More detailed studies hold promise for improved diagnostic methodologies and personalized treatment.
    METHODS: We analyzed peripheral blood T and B cell subsets from 34 pSS patients and 38 healthy donors (HDs) at baseline and upon stimulation regarding their expression levels of type I and II IFN signaling molecules (STAT1/2, IRF1, IRF9). Additionally, we investigated how the levels of these molecules correlated with serological and clinical characteristics and performed ROC analysis.
    RESULTS: Patients showed elevated IFN pathway molecules, including STAT1, STAT2 and IRF9 among most T and B cell subsets. We found a reduced ratio of phosphorylated STAT1 and STAT2 in patients in comparison to HDs, although B cells from patients were highly responsive by increased phosphorylation upon IFN stimulation. Correlation matrices showed further interrelations between STAT1, IRF1 and IRF9 in pSS. Levels of STAT1 and IRF9 in T and B cells correlated with the IFN type I marker Siglec-1 (CD169) on monocytes. High levels of STAT1 and IRF9 within pSS B cells were significantly associated with hypergammaglobulinemia as well as anti-SSA/anti-SSB autoantibodies. Elevated STAT1 levels were found in patients with extraglandular disease and could serve as a biomarker for this subgroup (p < 0.01). Notably, IRF9 levels in T and B cells correlated with EULAR Sjögren\'s syndrome disease activity index (ESSDAI).
    CONCLUSIONS: Here, we provide evidence that in active pSS patients, enhanced IFN signaling incl. unphosphorylated STAT1 and STAT2 with IRFs entertain chronic T and B cell activation. Furthermore, increased STAT1 levels candidate as biomarker of extraglandular disease, while IRF9 levels can serve as biomarker for disease activity.
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  • 文章类型: Journal Article
    学业压力影响学生的心理和生理健康。牙科本科课程以其苛刻的课程而闻名,导致严重的压力症状。目的是确定暴露于学业压力的学生的唾液皮质醇水平是否较高,评估压力严重程度/气质与皮质醇值之间的关系,探索放松技术的效果。所有参与者在两个时间点测量唾液皮质醇:考试前和暑假后的放松期。对测试前皮质醇水平高的学生进行了第三次测量,这些学生在随后的考试之前接受了有关进行性肌肉放松(PMR)的指导。此外,参与者完成了两份问卷:感知压力量表(PSS)和费舍尔气质问卷。基于PSS的群体分析表明,39名参与者报告了高压力。女性的压力明显高于男性(p=0.042054)。在导演和建设者气质类型之间观察到压力水平的显着差异(p=0.029276)。皮质醇水平显示从第一次测量到第二次测量显着下降,以及实施PMR后的第三次测量。根据PSS(k=0.578467),“皮肤性病学”课程的等级与压力水平相关。测试前皮质醇水平与冬季测试期间使用PMR指南的频率相关(k=0.416138)。压力会对免疫系统产生负面影响,并带来健康风险。在牙科/医学教育中实施减压技术可以使学生和医疗保健系统受益。
    Academic stress affects students\' psychological and physiological well-being. Dental undergraduate programs are known for their demanding curriculum, leading to significant stress symptoms. The objective was to determine if salivary cortisol levels were higher in students exposed to academic stress, assess the relationship between stress severity/temperament and cortisol values, and explore relaxation technique effects. Salivary cortisol was measured at two time points for all participants: Before exams and during a relaxation period after summer break. A third measurement was conducted for students with high pre-test cortisol levels who received instructions on progressive muscle relaxation (PMR) before subsequent exams. Additionally, participants completed two questionnaires: Perceived Stress Scale (PSS) and Fisher\'s Temperament Questionnaire. The group analysis based on the PSS indicated that 39 participants reported high stress. Women demonstrated significantly higher stress than men (p = 0.042054). A significant difference in stress levels was observed between director and builder temperament types (p = 0.029276). Cortisol levels showed a significant decrease from the first measurement to the second measurement, and the third measurement after implementing PMR. The grade in the \"Dermatovenereology\" course correlated with stress level according to the PSS (k = 0.578467). Pre-test cortisol levels correlated with the frequency of using PMR guidelines during winter test periods (k = 0.416138). Stress negatively affects the immune system and poses health risks. Implementing stress reduction techniques in dental/medical education could benefit students and the healthcare system.
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  • 文章类型: Journal Article
    背景:原发性干燥综合征(pSS)是一种复杂的自身免疫性疾病,以唾液腺和泪腺受损为特征,具有跨多个器官表现的可能性。产生抗体的B细胞长期以来一直被认为在pSS发病机制中起着重要作用,已经鉴定出许多自身反应性抗体在pSS患者中升高。虽然一些研究试图表征pSS患者外周血B细胞的BCR库,关于腺体浸润性B细胞的库特征仍然未知。
    方法:通过配对的scRNAseq和scBCRseq,我们在一小组患者中对浸润和循环B细胞的BCR谱进行了分析.我们进一步利用受体重建分析来进一步研究先前通过RNAseq分析的更广泛的pSS患者队列中的库特征。
    结果:通过B细胞克隆的整合BCR和转录组分析,我们生成pSS中渗透记忆B细胞的轨迹进展模式。我们观察到pSS患者外周血和唇腺B细胞之间的BCR谱系在相对扩增方面的显着差异,同种型用法,和BCR聚类。我们进一步观察到pSS患者唇和腮腺B细胞中IgA2同种型使用的显着减少,这些分析相对于对照,以及κ/λ轻链使用与临床疾病活动之间的正相关。
    结论:通过对pSS患者唾液腺的BCR库分析,我们确定了许多新的组库特征,这些特征可作为临床疾病和疾病活动的有用指标.通过将这些BCR目录收集到一个可访问的数据库中,我们希望还能够对pSS和潜在的其他自身免疫性疾病患者进行比较分析.
    BACKGROUND: Primary Sjogren\'s syndrome (pSS) is a complex autoimmune disease featuring damage to salivary and lacrimal glands, with the possibility of manifestations across multiple organs. Antibody-producing B cells have long been appreciated to play a significant role in pSS pathogenesis, with a number of autoreactive antibody species having been identified to be elevated in pSS patients. While several studies have attempted to characterize the BCR repertoires of peripheral blood B cells in pSS patients, much remains unknown about the repertoire characteristics of gland-infiltrating B cells.
    METHODS: Through paired scRNAseq and scBCRseq, we profiled the BCR repertoires of both infiltrating and circulating B cells in a small cohort of patients. We further utilize receptor reconstruction analyses to further investigate repertoire characteristics in a wider cohort of pSS patients previously profiled through RNAseq.
    RESULTS: Via integrated BCR and transcriptome analysis of B cell clones, we generate a trajectory progression pattern for infiltrated memory B cells in pSS. We observe significant differences in BCR repertoires between the peripheral blood and labial gland B cells of pSS patients in terms of relative expansion, isotype usage, and BCR clustering. We further observe significant decreases in IgA2 isotype usage among pSS patient labial and parotid gland B cells these analyses relative to controls as well as a positive correlation between kappa/lambda light chain usage and clinical disease activity.
    CONCLUSIONS: Through BCR repertoire analysis of pSS patient salivary glands, we identify a number of novel repertoire characteristics that may serve as useful indicators of clinical disease and disease activity. By collecting these BCR repertoires into an accessible database, we hope to also enable comparative analysis of patient repertoires in pSS and potentially other autoimmune disorders.
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  • 文章类型: Journal Article
    本研究的主要目的是调查艺术创作对大学生心理健康的影响,他们在大学最初的几年里经常经历更高的压力。
    采用全面的方法,结合访谈和感知压力量表(PSS),该研究旨在评估为期四周的艺术创作干预是否可以有效缓解大学生的压力水平。在实验组中,参与各种艺术创作活动的参与者,包括徒手绘图,粘土建模,和手工艺。
    结果显示,在预先测试中,各评估指标实验组与对照组之间无显著差异.然而,在后期测试中,所有指标都存在显著差异。进一步的分析表明,在测试前和测试后阶段之间,实验组参与者的压力感知显着降低。
    总而言之,这项研究提供了令人信服的证据,表明艺术创作有可能促进积极的个人发展,并显著降低大学生的压力水平。
    UNASSIGNED: This study\'s primary objective is to investigate the impact of art-making on the mental well-being of college students, who often experience heightened stress during their initial university years.
    UNASSIGNED: Employing a comprehensive methodology, combining interviews and the Perceived Stress Scale (PSS), the research aimed to assess whether a four-week art-making intervention can effectively alleviate stress levels among college students. In the experimental group, participants engaged in a variety of art-making activities, including freehand drawing, clay modeling, and crafting.
    UNASSIGNED: The results revealed that, in the pre-test, there were no significant differences between the experimental and control groups for each assessed indicator. However, in the post-test, significant differences emerged across all indicators. Further analysis demonstrated a significant reduction in stress perception among the experimental group participants between the pre-test and post-test phases.
    UNASSIGNED: In conclusion, this study provides compelling evidence that art-making has the potential to foster positive personal development and significantly reduce stress levels among college students.
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  • 文章类型: Journal Article
    背景:近年来,抑郁症和其他精神疾病的全球患病率不断增加。知觉压力已被证明与精神和躯体症状有关。一些动物和人类研究表明,食用富含木脂素和植物甾醇的食物可能与较低的应激水平有关。抑郁症,和焦虑。尽管如此,证据还不足以得出确切的结论。因此,我们调查了这些植物化学物质的膳食摄入量与成年个体所经历的应激水平之间的关系.
    方法:使用自我报告的7天饮食记录评估饮食。木脂素和植物甾醇的摄入量是使用数据库及其在各种食品中的含量估算的。采用感知压力量表(PSS)来衡量感知压力水平。使用逻辑回归分析来检验相关性。
    结果:PSS升高的几率与饮食中总植物甾醇的摄入量呈负相关,豆甾醇,和β-谷甾醇,有证据表明植物化学物质的三元率呈下降趋势。对摄入量加倍的分析加强了上述关系,并发现了总木脂素对PSS的保护作用,pinoretinol,和菜油甾醇.
    结论:饮食中习惯性地包含木脂素和植物甾醇可能在心理健康中起作用。为了解决由压力引发的抑郁症和其他心理健康问题的全球爆发,采取整体方法很重要。有必要制定有效的预防和治疗策略,其中某些饮食干预措施,例如食用富含木脂素和植物甾醇的产品可能发挥重要作用。
    BACKGROUND: There has been an increasing global prevalence of depression and other psychiatric diseases in recent years. Perceived stress has been proven to be associated with psychiatric and somatic symptoms. Some animal and human studies have suggested that consuming foods abundant in lignans and phytosterols may be associated with lower levels of stress, depression, and anxiety. Still, the evidence is not yet strong enough to draw firm conclusions. Thus, we investigated the association between dietary intake of these phytochemicals and the level of stress experienced by adult individuals.
    METHODS: Diet was assessed using self-reported 7-day dietary records. The intakes of lignans and phytosterols were estimated using databases with their content in various food products. The Perceived Stress Scale (PSS) was implemented to measure the level of perceived stress. A logistic regression analysis was used to test for associations.
    RESULTS: The odds of elevated PSS were negatively associated with dietary intake of total phytosterols, stigmasterol, and β-sitosterol, with evidence of a decreasing trend across tertiles of phytochemicals. The analysis for doubling the intake reinforced the aforementioned relationships and found protective effects against PSS for total lignans, pinoresinol, and campesterol.
    CONCLUSIONS: Habitual inclusion of lignans and phytosterols in the diet may play a role in psychological health. To address the global outbreak of depression and other mental health issues triggered by stress, it is important to take a holistic approach. There is a need to develop effective strategies for prevention and treatment, among which certain dietary interventions such as consumption of products abundant in lignans and phytosterols may play a substantial role.
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  • 文章类型: Journal Article
    目的:CD28的缺失是抗原经历的特征,高度分化和老化的T细胞。CD28nullT细胞的致病性在原发性干燥综合征(pSS)中仍然难以捉摸。因此,本研究旨在探讨pSS患者外周血和小唾液腺(MSG)中CD28nullT细胞的特征。
    方法:纳入pSS患者和配对健康对照(HCs)。使用流式细胞术分析外周CD28nullT细胞的表型。进行体外功能测定以评估外周CD28nullT细胞的细胞毒性和促炎作用。此外,进行多色免疫荧光染色以研究MSG中浸润的CD28nullT细胞。
    结果:与HC相比,在pSS患者中观察到外周CD28nullT细胞的显着扩增(p<0.001),主要是CD8+CD28nullT细胞。外周血CD8+CD28nullT细胞比例与红细胞沉降率(r=0.57,p<0.01)和IgG水平(r=0.44,p<0.01)呈中度相关。外周血CD28nullT细胞分泌颗粒酶B和穿孔素的能力更强,但分泌IFN-γ和TNF-α的能力与其CD28同行相当。在MSG中还发现了大量的细胞毒性和促炎CD28nullT细胞。此外,在外周和组织驻留的CD28nullT细胞上发现了趋化因子受体CXCR3的高表达,其配体CXCL9/10大量存在于MSG中。
    结论:在pSS患者的外周血和MSG中均观察到CD28nullT细胞增加,具有强烈的细胞毒性和促炎作用。确切的作用机制和迁移仍需进一步研究。
    The absence of CD28 is a feature of antigen-experienced, highly differentiated and aged T cells. The pathogenicity of CD28null T cells remains elusive in primary Sjögren\'s syndrome (pSS). Therefore, this study was performed to explore the characteristics of CD28null T cells in both peripheral blood and minor salivary glands (MSGs) of pSS patients.
    pSS patients and paired healthy controls (HCs) were enrolled. The phenotype of peripheral CD28null T cells was analyzed using flow cytometry. In vitro functional assays were performed to evaluate the cytotoxic and proinflammatory effects of peripheral CD28null T cells. In addition, polychromatic immunofluorescence staining was performed to investigate infiltrating CD28null T cells in MSGs.
    A significant expansion of peripheral CD28null T cells was observed in pSS patients compared with HCs (p < 0.001), which were primarily CD8+CD28null T cells. The proportion of peripheral CD8+CD28null T cells moderately correlated with the erythrocyte sedimentation rate (r = 0.57, p < 0.01) and IgG levels (r = 0.44, p < 0.01). Peripheral CD28null T cells had stronger capacities to secrete granzyme B and perforin, but comparable capacities to secrete IFN-γ and TNF-α than their CD28+ counterparts. An abundant amount of cytotoxic and pro-inflammatory CD28null T cells was also found in MSGs. Moreover, a high expression of the chemokine receptor CXCR3 was found on peripheral and tissue-resident CD28null T cells, with its ligands CXCL9/10 abundantly present in MSGs.
    Increasing CD28null T cells with strong cytotoxicity and proinflammatory effects were observed in both peripheral blood and MSGs from pSS patients. The precise mechanism of action and migration still needs further investigation.
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