systems immunology

系统免疫学
  • 文章类型: Journal Article
    类风湿性关节炎(RA)是一种慢性炎症性自身免疫性疾病,其病理机制复杂,涉及自身免疫反应,局部炎症和骨破坏。代谢途径在免疫相关疾病及其免疫反应中起重要作用。类风湿关节炎的发病机制可能与其代谢失调有关。此外,组织学技术,包括基因组学,转录组学,蛋白质组学和代谢组学,为全面分析生物系统中的分子变化提供强大的工具。本研究探讨了RA的分子和代谢机制,强调代谢失调在RA疾病过程中的核心作用,并强调代谢途径的复杂性,特别是滑膜组织的代谢重塑及其与细胞因子介导的炎症的关系。本文揭示了组织学技术在确定RA代谢相关治疗靶标方面的潜力;特别是,我们总结了RA的遗传基础和失调的代谢途径,并探讨其在免疫细胞活化和分化中的功能意义。这项研究证明了组织学技术在解码RA复杂代谢网络中的关键作用,并讨论了组织学数据与其他类型生物学数据的整合。
    Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease with a complex pathological mechanism involving autoimmune response, local inflammation and bone destruction. Metabolic pathways play an important role in immune-related diseases and their immune responses. The pathogenesis of rheumatoid arthritis may be related to its metabolic dysregulation. Moreover, histological techniques, including genomics, transcriptomics, proteomics and metabolomics, provide powerful tools for comprehensive analysis of molecular changes in biological systems. The present study explores the molecular and metabolic mechanisms of RA, emphasizing the central role of metabolic dysregulation in the RA disease process and highlighting the complexity of metabolic pathways, particularly metabolic remodeling in synovial tissues and its association with cytokine-mediated inflammation. This paper reveals the potential of histological techniques in identifying metabolically relevant therapeutic targets in RA; specifically, we summarize the genetic basis of RA and the dysregulated metabolic pathways, and explore their functional significance in the context of immune cell activation and differentiation. This study demonstrates the critical role of histological techniques in decoding the complex metabolic network of RA and discusses the integration of histological data with other types of biological data.
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  • 文章类型: Journal Article
    为了应对感染或疫苗接种,成功的抗体反应必须通过阳性选择富集高亲和力抗原反应性B细胞,而是通过阴性选择消除自身反应性B细胞.B细胞从结合抗原的B细胞受体(BCR)接收信号,和CD40受体,该受体由也识别抗原的相邻T细胞刺激。BCR和CD40信号如何定量整合以共同确定B细胞命运决定和增殖尚不清楚。为了调查这一点,我们建立了一个基于微分方程的BCR和CD40信号网络激活NFκB的模型.我们的模型准确地概括了通过BCR和CD40受体刺激的B细胞的NFκB动力学,正确预测共刺激诱导更多NFκB活性。然而,当将其与已建立的细胞生存和细胞周期控制的细胞命运决定模型联系起来时,它预测了未通过实验观察到的人口膨胀。我们发现这种差异是由于BCR诱导的半胱天冬酶活性加剧了时间依赖性的功能拮抗作用,该活性可以触发基础细胞的凋亡。除非NFκB诱导的存活基因表达能及时保护B细胞。在模型预测的指导下,序贯共刺激实验揭示了BCR和CD40信号的时间动力学如何控制B细胞克隆扩增的阴性和阳性选择之间的命运决定。我们的定量发现强调了BCR和CD40信号的复杂非单调整合,该整合受NFκB和细胞死亡途径之间的平衡控制。并提出了在抗体应答过程中调节B细胞选择严格性的机制。
    B细胞中的CD40和BCR信号协同作用以增强NFκBcRel激活BCR-凋亡信号可以增强或拮抗CD40驱动的增殖BCR诱导的凋亡可以在时间窗口内通过CD40挽救。数学模型揭示了剂量依赖性选择严格性的调节剂。
    In response to infection or vaccination, a successful antibody response must enrich high-affinity antigen-reactive B-cells through positive selection, but eliminate auto-reactive B-cells through negative selection. B-cells receive signals from the B-cell receptor (BCR) which binds the antigen, and the CD40 receptor which is stimulated by neighboring T-cells that also recognize the antigen. How BCR and CD40 signaling are integrated quantitatively to jointly determine B-cell fate decision and proliferation remains unclear. To investigate this, we developed a differential-equations-based model of the BCR and CD40 signaling networks activating NFκB. Our model accurately recapitulates the NFκB dynamics of B-cells stimulated through their BCR and CD40 receptors, correctly predicting that costimulation induces more NFκB activity. However, when linking it to established cell fate decision models of cell survival and cell cycle control, it predicted potentiated population expansion that was not observed experimentally. We found that this discrepancy was due to a time-dependent functional antagonism exacerbated by BCR-induced caspase activity that can trigger apoptosis in founder cells, unless NFκB-induced survival gene expression protects B-cells in time. Guided by model predictions, sequential co-stimulation experiments revealed how the temporal dynamics of BCR and CD40 signaling control the fate decision between negative and positive selection of B-cell clonal expansion. Our quantitative findings highlight a complex non-monotonic integration of BCR and CD40 signals that is controlled by a balance between NFκB and cell-death pathways, and suggest a mechanism for regulating the stringency of B-cell selection during an antibody response.
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  • 文章类型: Journal Article
    MHCI类(MHC-I)损失在非小细胞肺癌(NSCLC)中是常见的,使得肿瘤细胞对T细胞裂解具有抗性。NK细胞杀死MHC-I缺陷的肿瘤细胞,尽管以前的工作表明它们存在于NSCLC边缘,他们功能受损。内,我们评估了NK细胞和CD8T细胞的浸润和活化是否随MHC-I表达而变化。
    我们使用单染色免疫组织化学(IHC)和Kaplan-Meier分析来测试NK细胞和CD8T细胞浸润对总体和无病存活的影响。为了描述MHC-I不同肺癌的免疫协变量,我们使用多重免疫荧光(mIF)成像,然后进行多变量统计建模.为了确定IFNγ激活和非激活淋巴细胞之间的浸润和细胞间通讯的差异,我们开发了一个计算管道,从mIF图像中枚举单细胞邻域,然后进行多元判别分析。
    肿瘤细胞MHC-I表达的空间定量揭示了肿瘤内和肿瘤间的异质性,这与局部淋巴细胞景观有关。IHC分析显示,患者肿瘤中的高CD56+细胞数量与无病生存率(DFS)(HR=0.58,p=0.064)和总体生存率(OS)(HR=0.496,p=0.041)呈正相关。OS相关性随着CD56+和CD8+细胞的高计数而增强(HR=0.199,p<1×10-3)。mIF成像和多变量判别分析显示在MHC-I携带肿瘤中CD3+CD8+T细胞和CD3-CD56+NK细胞富集(p<0.05)。为了推断功能细胞状态和本地细胞间通信的关联,我们分析了空间单细胞邻域谱来描绘IFNγ+/-NK细胞和T细胞的细胞环境。我们发现,与IFNγ-NK细胞和CD8T细胞相比,IFNγNK和CD8T细胞与其他IFNγ淋巴细胞的相关性更高(p<1×10-30)。此外,IFNγ+淋巴细胞最常聚集在MHC-I+肿瘤细胞附近。
    肿瘤浸润NK细胞和CD8T细胞共同影响NSCLC肿瘤进展的控制。NK和CD8T细胞的联合在携带MHC-I的肿瘤中最为明显,尤其是在IFNγ的存在下。在近邻分析中IFNγ+NK细胞与其他IFNγ+淋巴细胞的频繁共定位表明NSCLC淋巴细胞活化是协同调节的。
    MHC-I丢失在NSCLC中经常发生,并且与肿瘤微环境(TME)中免疫力下降相对应。NK细胞识别“自身缺失”靶标,并可用于靶向MHC-I缺失的NSCLC肿瘤。虽然NK细胞在肿瘤边缘的存在已被证明在NSCLC中,他们被证明在这种环境中失去了功能。
    我们开发了空间分析管道,利用TME在单细胞分辨率下的局部异质性来测试NK细胞和T细胞是否共同促进NSCLC的抗肿瘤免疫。我们发现高密度的肿瘤浸润NK细胞与DFS相对应,这种相关性在高符合CD8T细胞的患者中增加,尤其是中央肿瘤。有趣的是,在带有MHC-I的肿瘤中发现两种细胞类型聚集在一起,特别是当两者都表达IFNγ时,提示协调的淋巴细胞活性可能增强NSCLC的免疫控制。
    这项研究为开发同时增加NK和T细胞抗肿瘤免疫的新型免疫疗法提供了理论基础。NK细胞与NSCLC患者生存和免疫效应活性增加的关联,甚至在MHC-I缺陷的肿瘤中,进一步强调需要设计和部署NK细胞激活策略,这些策略可能在CD8T细胞难治性NSCLC中非常有效.
    UNASSIGNED: MHC class I (MHC-I) loss is frequent in non-small cell lung cancer (NSCLC) rendering tumor cells resistant to T cell lysis. NK cells kill MHC-I-deficient tumor cells, and although previous work indicated their presence at NSCLC margins, they were functionally impaired. Within, we evaluated whether NK cell and CD8 T cell infiltration and activation vary with MHC-I expression.
    UNASSIGNED: We used single-stain immunohistochemistry (IHC) and Kaplan-Meier analysis to test the effect of NK cell and CD8 T cell infiltration on overall and disease-free survival. To delineate immune covariates of MHC-I-disparate lung cancers, we used multiplexed immunofluorescence (mIF) imaging followed by multivariate statistical modeling. To identify differences in infiltration and intercellular communication between IFNγ-activated and non-activated lymphocytes, we developed a computational pipeline to enumerate single cell neighborhoods from mIF images followed by multivariate discriminant analysis.
    UNASSIGNED: Spatial quantitation of tumor cell MHC-I expression revealed intra- and inter-tumoral heterogeneity, which was associated with the local lymphocyte landscape. IHC analysis revealed that high CD56+ cell numbers in patient tumors were positively associated with disease-free survival (DFS) (HR=0.58, p=0.064) and overall survival (OS) (HR=0.496, p=0.041). The OS association strengthened with high counts of both CD56+ and CD8+ cells (HR=0.199, p<1×10-3). mIF imaging and multivariate discriminant analysis revealed enrichment of both CD3+CD8+ T cells and CD3-CD56+ NK cells in MHC-I-bearing tumors (p<0.05). To infer associations of functional cell states and local cell-cell communication, we analyzed spatial single cell neighborhood profiles to delineate the cellular environments of IFNγ+/- NK cells and T cells. We discovered that both IFNγ+ NK and CD8 T cells were more frequently associated with other IFNγ+ lymphocytes in comparison to IFNγ- NK cells and CD8 T cells (p<1×10-30). Moreover, IFNγ+ lymphocytes were most often found clustered near MHC-I+ tumor cells.
    UNASSIGNED: Tumor-infiltrating NK cells and CD8 T cells jointly affected control of NSCLC tumor progression. Co-association of NK and CD8 T cells was most evident in MHC-I-bearing tumors, especially in the presence of IFNγ. Frequent co-localization of IFNγ+ NK cells with other IFNγ+ lymphocytes in near-neighbor analysis suggests NSCLC lymphocyte activation is coordinately regulated.
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  • 文章类型: Journal Article
    在健康和疾病期间,肝脏都有各种各样的免疫细胞。这些细胞在非酒精性脂肪性肝病(NAFLD)和肝细胞癌(HCC)中的具体作用尚不清楚。使用系统免疫学方法,我们证明了相互的细胞间通讯功能是通过配体-受体稳态途径的显性-亚显性模式实现的.在健康的控制下,肝细胞主导的稳态途径诱导局部免疫反应,以维持肝脏稳态。慢性摄入西方饮食(WD)改变肝细胞和诱导肝星状细胞(HSC),NAFLD期间癌细胞和NKT细胞主导的相互作用。在HCC期间,单核细胞,肝细胞,和肌成纤维细胞加入显性细胞相互作用网络以恢复肝脏稳态。NAFLD期间的饮食校正导致各种细胞重排的非线性结果。当癌细胞和基质细胞主导肝脏相互作用网络而不诱导稳态免疫反应时,发生HCC进展。相反,肌成纤维细胞和成纤维细胞为主的网络协调单核细胞为主的HCC预防性免疫反应。肿瘤免疫监视通过75%的免疫细胞成功促进肝脏稳态可以创造一个抑制肿瘤的微环境,而只有5%的免疫细胞表现出诱导凋亡的功能,主要用于促进稳态肝细胞周转,而不是直接杀死肿瘤。这些数据表明,有效的免疫疗法应促进肝脏稳态,而不是直接杀死肿瘤。
    The liver harbors a diverse array of immune cells during both health and disease. The specific roles of these cells in nonalcoholic fatty liver disease (NAFLD) and hepatocellular carcinoma (HCC) remain unclear. Using a systems immunology approach, we demonstrate that reciprocal cell-cell communications function through dominant-subdominant pattern of ligand-receptor homeostatic pathways. In the healthy control, hepatocyte-dominated homeostatic pathways induce local immune responses to maintain liver homeostasis. Chronic intake of a Western diet (WD) alters hepatocytes and induces hepatic stellate cell (HSC), cancer cell and NKT cell-dominated interactions during NAFLD. During HCC, monocytes, hepatocytes, and myofibroblasts join the dominant cellular interactions network to restore liver homeostasis. Dietary correction during NAFLD results in nonlinear outcomes with various cellular rearrangements. When cancer cells and stromal cells dominate hepatic interactions network without inducing homeostatic immune responses, HCC progression occurs. Conversely, myofibroblast and fibroblast-dominated network orchestrates monocyte-dominated HCC-preventive immune responses. Tumor immune surveillance by 75% of immune cells successfully promoting liver homeostasis can create a tumor-inhibitory microenvironment, while only 5% of immune cells manifest apoptosis-inducing functions, primarily for facilitating homeostatic liver cell turnover rather than direct tumor killing. These data suggest that an effective immunotherapy should promote liver homeostasis rather than direct tumor killing.
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  • 文章类型: Journal Article
    缺乏用于评估患者免疫系统状态的综合诊断和共识分析模型,阻碍了在癌症患者中更广泛地采用免疫谱分析进行治疗监测和反应预测。为了解决这个未满足的需求,我们开发了一个免疫分析平台,该平台使用多参数流式细胞术来表征健康供体和晚期癌症患者外周血中免疫细胞的异质性.使用无监督聚类,我们鉴定了5种具有不同细胞类型和基因表达谱独特分布的免疫型.使用相同方法对17,800个开源转录组进行的独立分析证实了这些发现。开发了连续的基于免疫型的签名评分,以将全身免疫与患者对不同癌症治疗的反应相关联。包括免疫疗法,预测和预测。我们的方法和发现说明了简单的血液测试作为一种灵活的工具的潜在实用性,用于根据全身免疫谱分析将癌症患者分为治疗反应组。
    The lack of comprehensive diagnostics and consensus analytical models for evaluating the status of a patient\'s immune system has hindered a wider adoption of immunoprofiling for treatment monitoring and response prediction in cancer patients. To address this unmet need, we developed an immunoprofiling platform that uses multiparameter flow cytometry to characterize immune cell heterogeneity in the peripheral blood of healthy donors and patients with advanced cancers. Using unsupervised clustering, we identified five immunotypes with unique distributions of different cell types and gene expression profiles. An independent analysis of 17,800 open-source transcriptomes with the same approach corroborated these findings. Continuous immunotype-based signature scores were developed to correlate systemic immunity with patient responses to different cancer treatments, including immunotherapy, prognostically and predictively. Our approach and findings illustrate the potential utility of a simple blood test as a flexible tool for stratifying cancer patients into therapy response groups based on systemic immunoprofiling.
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  • 文章类型: Journal Article
    多模态单细胞谱分析方法可以捕获免疫细胞变异随着时间的推移在分子,细胞,和人口水平。将这些数据转化为生物学见解仍然具有挑战性。这里,我们引入了一个框架,将人群和单细胞水平的差异整合到疫苗接种反应中。比较AS03佐剂化与无佐剂化流感疫苗与CTE-seq的反应,揭示了AS03特异性早期(第1天)反应表型,包括生发中心竞争升高的B细胞签名。细胞类型特异性转录状态的相关网络定义了与无佐剂疫苗的高抗体应答者相关的基线免疫状态。网络中的某些先天子集出现了天然佐剂,“具有类似于AS03佐剂疫苗接种独特诱导的转录状态。始终如一,在基线时来自高响应者的CD14+单核细胞对脂多糖刺激具有升高的磷酸信号传导应答。我们的发现将基线免疫设定点与早期疫苗反应联系起来,对佐剂开发和免疫反应工程具有积极意义。
    Multimodal single-cell profiling methods can capture immune cell variations unfolding over time at the molecular, cellular, and population levels. Transforming these data into biological insights remains challenging. Here, we introduce a framework to integrate variations at the human population and single-cell levels in vaccination responses. Comparing responses following AS03-adjuvanted versus unadjuvanted influenza vaccines with CITE-seq revealed AS03-specific early (day 1) response phenotypes, including a B cell signature of elevated germinal center competition. A correlated network of cell-type-specific transcriptional states defined the baseline immune status associated with high antibody responders to the unadjuvanted vaccine. Certain innate subsets in the network appeared \"naturally adjuvanted,\" with transcriptional states resembling those induced uniquely by AS03-adjuvanted vaccination. Consistently, CD14+ monocytes from high responders at baseline had elevated phospho-signaling responses to lipopolysaccharide stimulation. Our findings link baseline immune setpoints to early vaccine responses, with positive implications for adjuvant development and immune response engineering.
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  • 文章类型: Journal Article
    RNA速度估计是揭示单细胞RNA测序数据中转录变化的方向性的潜在强大工具。但是它缺乏准确性,缺乏先进的代谢标记技术。我们开发了一种方法,TopicVelo,同时解开,然而不同的,通过使用概率主题模型动态,一种高度可解释的潜在空间分解形式,推断与个体过程相关的细胞和基因,从而捕获细胞多能性或多方面的功能。专注于与过程相关的细胞和基因,可以通过考虑内在随机性的转录爆发模型的主方程来准确估计过程特定的速度。该方法通过利用单元主题权重来整合过程特定的信号来获得全局转移矩阵。在具有挑战性的系统中,该方法准确地恢复了复杂的过渡和终端状态,而我们对首次通过时间分析的使用提供了对瞬态过渡的见解。这些结果扩大了RNA速度的极限,赋予细胞命运和功能反应的未来研究。
    RNA velocity estimation is a potentially powerful tool to reveal the directionality of transcriptional changes in single-cell RNA-sequencing data, but it lacks accuracy, absent advanced metabolic labeling techniques. We developed an approach, TopicVelo, that disentangles simultaneous, yet distinct, dynamics by using a probabilistic topic model, a highly interpretable form of latent space factorization, to infer cells and genes associated with individual processes, thereby capturing cellular pluripotency or multifaceted functionality. Focusing on process-associated cells and genes enables accurate estimation of process-specific velocities via a master equation for a transcriptional burst model accounting for intrinsic stochasticity. The method obtains a global transition matrix by leveraging cell topic weights to integrate process-specific signals. In challenging systems, this method accurately recovers complex transitions and terminal states, while our use of first-passage time analysis provides insights into transient transitions. These results expand the limits of RNA velocity, empowering future studies of cell fate and functional responses.
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  • 文章类型: Journal Article
    免疫系统和细胞代谢状态之间的相互作用是复杂的。在免疫反应的所有阶段,应发生相应的代谢变化以支持其调制,除了通过细胞因子环境和免疫受体刺激的信号传导。虽然自身免疫性疾病可能由于调节T细胞表型之间转换的代谢失衡而发展,在疾病背景下,T细胞和B细胞之间的相互作用对彼此的细胞代谢的影响尚待理解。这里,我们提出了一个观点,该观点突出了靶向代谢调节T-和B-细胞亚型群体以及T-B和B-T细胞相互作用以成功治疗自身免疫性疾病的潜力.具体来说,我们设想代谢变化可以如何调整免疫细胞相互作用的平衡,通过健康和疾病的明确机制,解释B细胞和T细胞的表型转换。在这种情况下,我们强调了与炎症相关的新陈代谢,免疫代谢,表观遗传学和衰老,对了解炎症性疾病至关重要。针对导致(T/B)细胞表型失衡的免疫细胞的治疗组合,以及所涉及的代谢途径,可以提高自身免疫性疾病治疗的有效性,和/或改善他们的症状,以改善患者的生活质量。
    The interplay between the immune system and the metabolic state of a cell is intricate. In all phases of an immune response, the corresponding metabolic changes shall occur to support its modulation, in addition to the signalling through the cytokine environment and immune receptor stimulation. While autoimmune disorders may develop because of a metabolic imbalance that modulates switching between T-cell phenotypes, the effects that the interaction between T and B cells have on one another\'s cellular metabolism are yet to be understood in disease context. Here, we propose a perspective which highlights the potential of targeting metabolism to modulate T- and B-cell subtypes populations as well as T-B and B-T cell interactions to successfully treat autoimmune disorders. Specifically, we envision how metabolic changes can tip the balance of immune cells interactions, through definite mechanisms in both health and disease, to explain phenotype switches of B and T cells. Within this scenario, we highlight targeting metabolism that link inflammation, immunometabolism, epigenetics and ageing, is critical to understand inflammatory disorders. The combination of treatments targeting immune cells that cause (T/B) cell phenotype imbalances, and the metabolic pathways involved, may increase the effectiveness of treatment of autoimmune disorders, and/or ameliorate their symptoms to improve patients\' quality of life.
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  • 文章类型: Preprint
    宿主免疫系统及其微生物组成分之间的复杂和动态相互作用响应于肠组织环境的扰动而发生动态转变。我们在系统水平上研究这些事件的能力受到能够从宿主和微生物群落同时产生见解的原位方法的极大限制。这里,我们介绍了微生物群落制图(MicroCart),跨多种空间模态同时原位探测宿主特征及其微生物组的框架。我们通过将MicroCart与空间蛋白质组学耦合,全面研究结肠炎小鼠模型中肠道宿主和微生物组成分的变化,来证明MicroCart。转录组学,和糖组学平台。我们的发现揭示了组织免疫反应的全球性但系统性的转变,包括响应宿主免疫和上皮细胞状态扰动的组织水平重塑,和细菌种群的变化,局部炎症反应,和结肠炎期间的代谢过程改变。MicroCart能够通过空间多组学深入研究宿主组织与其微生物组之间的复杂相互作用。
    The intricate and dynamic interactions between the host immune system and its microbiome constituents undergo dynamic shifts in response to perturbations to the intestinal tissue environment. Our ability to study these events on the systems level is significantly limited by in situ approaches capable of generating simultaneous insights from both host and microbial communities. Here, we introduce Microbiome Cartography (MicroCart), a framework for simultaneous in situ probing of host features and its microbiome across multiple spatial modalities. We demonstrate MicroCart by comprehensively investigating the alterations in both gut host and microbiome components in a murine model of colitis by coupling MicroCart with spatial proteomics, transcriptomics, and glycomics platforms. Our findings reveal a global but systematic transformation in tissue immune responses, encompassing tissue-level remodeling in response to host immune and epithelial cell state perturbations, and bacterial population shifts, localized inflammatory responses, and metabolic process alterations during colitis. MicroCart enables a deep investigation of the intricate interplay between the host tissue and its microbiome with spatial multiomics.
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  • 文章类型: Journal Article
    合并症和免疫抑制疗法与肾移植受者(KTR)对初次COVID-19mRNA疫苗接种的免疫反应降低有关。在健康的个体中,先前的SARS-COV-2感染与疫苗反应增加有关,一种叫做混合免疫的表型。在这项研究中,我们探讨了免疫抑制对KTRs杂交免疫的潜在影响。
    八十二KTR,包括59名SARS-CoV-2-幼稚(幼稚KTRs[N-KTRs])和23名具有SARS-CoV-2经验(经验丰富的KTRs[E-KTRs])患者,进行了前瞻性研究,并与106名健康对照(HC)进行了比较,包括40名SARS-CoV-2-初始(N-HCs)和66名SARS-CoV-2经验(E-HCs)受试者。在2剂量的BNT162b2mRNA疫苗之后测量多功能抗体和T细胞应答。通过单变量和多变量分析研究了疫苗应答与临床特征之间的关联。
    在幼稚的KTR中,疫苗反应明显低于HCs,并且与年龄相关,最近的移植,移植失败后的肾脏再移植,动脉高血压,并用霉酚酸酯(MMF)治疗。相比之下,E-KTRs的疫苗反应与HCs相似,并且与移植和疫苗接种之间的时间有关,但与幼稚KTR中与低疫苗应答相关的其他风险因素无关。
    总而言之,混合免疫克服了免疫抑制,并在KTRs中提供了对SARS-CoV-2的有效体液和细胞免疫。
    UNASSIGNED: Comorbidities and immunosuppressive therapies are associated with reduced immune responses to primary COVID-19 mRNA vaccination in kidney transplant recipients (KTRs). In healthy individuals, prior SARS-COV-2 infection is associated with increased vaccine responses, a phenotype called hybrid immunity. In this study, we explored the potential influence of immune suppression on hybrid immunity in KTRs.
    UNASSIGNED: Eighty-two KTRs, including 59 SARS-CoV-2-naïve (naïve KTRs [N-KTRs]) and 23 SARS-CoV-2-experienced (experienced KTRs [E-KTRs]) patients, were prospectively studied and compared to 106 healthy controls (HCs), including 40 SARS-CoV-2-naïve (N-HCs) and 66 SARS-CoV-2-experienced (E-HCs) subjects. Polyfunctional antibody and T cell responses were measured following 2 doses of BNT162b2 mRNA vaccine. Associations between vaccine responses and clinical characteristics were studied by univariate and multivariate analyses.
    UNASSIGNED: In naïve KTRs, vaccine responses were markedly lower than in HCs and were correlated with older age, more recent transplantation, kidney retransplantation after graft failure, arterial hypertension, and treatment with mycophenolate mofetil (MMF). In contrast, vaccine responses of E-KTRs were similar to those of HCs and were associated with time between transplantation and vaccination, but not with the other risk factors associated with low vaccine responses in naïve KTRs.
    UNASSIGNED: In conclusion, hybrid immunity overcomes immune suppression and provides potent humoral and cellular immunity to SARS-CoV-2 in KTRs.
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