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T helper 17 cells and interleukin-17 immunity in type 1 diabetes:From pathophysiology to targeted immunotherapies
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作者 Georgi Vasilev Maria Kokudeva +7 位作者 Elina Siliogka Nathalia Padilla Russka Shumnalieva David Della-Morte Camillo Ricordi Antoaneta Mihova Marco Infante Tsvetelina Velikova 《World Journal of Diabetes》 2025年第4期48-61,共14页
Type 1 diabetes(T1D)is a chronic organ-specific autoimmune disorder characterized by a progressive loss of the insulin-secreting pancreatic beta cells,which ultimately results in insulinopenia,hyperglycemia and lifelo... Type 1 diabetes(T1D)is a chronic organ-specific autoimmune disorder characterized by a progressive loss of the insulin-secreting pancreatic beta cells,which ultimately results in insulinopenia,hyperglycemia and lifelong need for exogenous insulin therapy.In the pathophysiological landscape of T1D,T helper 17 cells(Th17 cells)and their hallmark cytokine,interleukin(IL)-17,play pivotal roles from disease onset to disease progression.In this narrative mini-review,we discuss the dynamic interplay between Th17 cells and IL-17 in the context of T1D,providing insights into the underlying immunologic mechanisms contributing to the IL-17-immunity-mediated pancreatic beta-cell destruction.Furthermore,we summarized the main animal and clinical studies that investigated Th17-and IL-17-targeted interventions as promising immunotherapies able to alter the natural history of T1D. 展开更多
关键词 type 1 diabetes t helper 17 cells INtERLEUKIN-17 t helper 1 cells Regulatory t cells Anti-interleukin-17 treatment th17-targeted treatment
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Anthocyanin attenuates disturbance of intestinal barrier in high fat-high cholesterol diet-challenged mice through regulating the response of T helper 17 cells
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作者 Qiannan Liu Juan Pang +5 位作者 Yi Tang Yiran You Jiaxin Mi Jinghe Xiao Yu Chen Wenhua Ling 《Food Science and Human Wellness》 2025年第1期332-344,共13页
Anthocyanin,as a typical food bioactive molecule,is capable of reversing inflammatory,oxidative and allergic condition thus contributes to intestinal health.We were wondering whether anthocyanin has influence on the i... Anthocyanin,as a typical food bioactive molecule,is capable of reversing inflammatory,oxidative and allergic condition thus contributes to intestinal health.We were wondering whether anthocyanin has influence on the infiltration of inflammatory cells into the intestinal mucosa and thus help enhancing intestinal barrier which could be damaged in some metabolic diseases.In this study,the influence of anthocyanin(administered orally)on the alterations(including structure and permeability)of the intestinal mucosa in mice in response to a high fat-high cholesterol(HFHC)diet was investigated.Primary T helper 17(Th17)cells were isolated from mouse intestine tissues to observe the modulatory role of anthocyanin through the transcription phosphorylated STAT 3(p-STAT3).The results indicated that anthocyanin significantly alleviated HFHC-induced impairment in the intestinal structures and permeability in a dose-dependent manner;moreover,anthocyanin appeared to inhibit HFHC induced the expression of p-STAT3,thereby disturbing Th17 cell differentiation.In high-fat diet(HFD,cholesterol level non-modified)-challenged mice selective p-STAT3 inhibitor significantly reversed the effects of anthocyanin,which were decreased amount of interleukin(IL)-17A(produced and released from Th17 cells)and the protected intestinal structure/function.In summary,the results of this study suggest that anthocyanin may attenuate the damage of intestinal barrier in HFHC mice through regulating intestinal STAT3-Th17-IL-17A signal transduction pathway. 展开更多
关键词 ANtHOCYANIN Intestinal barrier dysfunction StAt3 t helper 17(th17)cell interleukin(IL)-17A
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Impaired balance of T helper 17/T regulatory cells in carbon tetrachloride-induced liver fibrosis in mice 被引量:21
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作者 Xiao-Fei Sun Lei Gu +1 位作者 Wen-Sheng Deng Qing Xu 《World Journal of Gastroenterology》 SCIE CAS 2014年第8期2062-2070,共9页
AIM: To investigate the effect of T helper (Th) 17/T regulatory (Treg) cells on hepatic fibrosis in mice and its possible mechanism.
关键词 t helper 17 cell treg cell Carbon tetrachloride Hepatic fibrosis Hepatic stellate cell
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Upregulated adenosine 2A receptor accelerates post-infectious irritable bowel syndrome by promoting CD4+T cells’T helper 17 polarization 被引量:3
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作者 Li-Wei Dong Zhi-Chao Ma +4 位作者 Jiao Fu Bai-Li Huang Fu-Jin Liu Deming Sun Cheng Lan 《World Journal of Gastroenterology》 SCIE CAS 2022年第25期2955-2967,共13页
BACKGROUND Post-infectious irritable bowel syndrome(PI-IBS)is generally regarded as a functional disease.Several recent studies have reported the involvement of lowgrade inflammation and immunological dysfunction in P... BACKGROUND Post-infectious irritable bowel syndrome(PI-IBS)is generally regarded as a functional disease.Several recent studies have reported the involvement of lowgrade inflammation and immunological dysfunction in PI-IBS.T helper 17(Th17)polarization occurs in IBS.Adenosine and its receptors participate in intestinal inflammation and immune regulation.AIM To investigate the role of Th17 polarization of CD4+T cells regulated by adenosine 2A receptor(A2AR)in PI-IBS.METHODS A PI-IBS model was established by infecting mice with Trichinella spiralis.The intestinal A2AR and CD4+T lymphocytes were detected by immunohistochemistry,and the inflammatory cytokines were detected by enzyme-linked immunoassay.CD4+T lymphocytes present in the animal’s spleen were separated and cultured with or without A2AR agonist and antagonist.Western blotting and real-time quantitative polymerase chain reaction were performed to determine the effect of A2AR on the cells and intestinal tissue.Cytokine production was determined.The protein and mRNA levels of A2AR associated signaling pathway molecules were also evaluated.Furthermore,A2AR agonist and antagonist were injected into the mouse model and the clinical features were observed.RESULTS The PI-IBS mouse model showed increased expression of ATP and A2AR(P<0.05),and inhibition of A2AR improved the clinical features in PI-IBS,including the abdominal withdrawal reflex and colon transportation test(P<0.05).The number of intestinal CD4+T cells and interleukin-17(IL-17)protein levels increased during PI-IBS,which was reversed by administration of the A2AR antagonist(P<0.05).CD4+T cells expressed A2AR and produced IL-17 in vitro,which was regulated by the A2AR agonist and antagonist.The A2AR antagonist increased the production of IL-17 by CD4+T cells via the Janus kinase-signal transducer and activator of transcriptionreceptor-related orphan receptorγsignaling pathway.CONCLUSION The results of the present study suggested that the upregulation of A2AR increases PI-IBS by promoting the Th17 polarization of CD4+T cells. 展开更多
关键词 Adenosine 2A receptor CD4+t cells t helper 17 polarization Post-infectious irritable bowel syndrome REGULAtION
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T helper cell dysregulation with hepatitis B and rebalance with glucocorticoids 被引量:1
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作者 Zhong-Hua Lu Xiao-Ping Huang +8 位作者 Wei Sun Yi-Ling Zhu Juan-Juan Cui Wei Chen Li-Hua Huang Shou-Gang Kuai He-Juan Du Zhao-Xia Ju Jian-He Gan 《World Journal of Gastroenterology》 SCIE CAS 2014年第48期18354-18359,共6页
AIM: To investigate T helper 17/regulatory T cell alterations in early severe hepatitis B and the effect of glucocorticoids.
关键词 Severe hepatitis B t helper 17 cell Regulatory t cell DYSREGULAtION GLUCOCORtICOID
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Involvement of glycated albumin in adipose-derived-stem cellmediated interleukin 17 secreting T helper cell activation
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作者 Julien Pestel Maud Robert +2 位作者 Sara Corbin Hubert Vidal Assia Eljaafari 《World Journal of Stem Cells》 SCIE CAS 2020年第7期621-632,共12页
BACKGROUND Advanced glycation end products(AGE)are a marker of various diseases including diabetes,in which they participate to vascular damages such as retinopathy,nephropathy and coronaropathy.Besides those vascular... BACKGROUND Advanced glycation end products(AGE)are a marker of various diseases including diabetes,in which they participate to vascular damages such as retinopathy,nephropathy and coronaropathy.Besides those vascular complications,AGE are involved in altered metabolism in many tissues,including adipose tissue(AT)where they contribute to reduced glucose uptake and attenuation of insulin sensitivity.AGE are known to contribute to type 1 diabetes(T1D)through promotion of interleukin(IL)-17 secreting T helper(Th17)cells.AIM To investigate whether lean adipose-derived stem cells(ASC)could be able to induce IL-17A secretion,with the help of AGE.METHODS As we have recently demonstrated that ASC are involved in Th17 cell promotion when they are harvested from obese AT,we used the same co-culture model to measure the impact of glycated human serum albumin(G-HSA)on human lean ASC interacting with blood mononuclear cells.IL-17A and pro-inflammatory cytokine secretion were measured by ELISA.Receptor of AGE(RAGE)together with intercellular adhesion molecule 1(ICAM-1),human leukocyte Antigen(HLA)-DR,cluster of differentiation(CD)41,and CD62P surface expressions were measured by cytofluorometry.Anti-RAGE specific monoclonal antibody was added to co-cultures in order to evaluate the role of RAGE in IL-17A production.RESULTS Results showed that whereas 1%G-HSA only weakly potentiated the production of IL-17A by T cells interacting with ASC harvested from obese subjects,it markedly increased IL-17A,but also interferon gamma and tumor necrosis factor alpha production in the presence of ASC harvested from lean individuals.This was associated with increased expression of RAGE and HLA-DR molecule by cocultured cells.Moreover,RAGE blockade experiments demonstrated RAGE specific involvement in lean ASC-mediated Th-17 cell activation.Finally,platelet aggregation and ICAM-1,which are known to be induced by AGE,were not involved in these processes.CONCLUSION Thus,our results demonstrated that G-HSA potentiated lean ASC-mediated IL-17A production in AT,suggesting a new mechanism by which AGE could contribute to T1D pathophysiology. 展开更多
关键词 Interleukin 17 secreting t helper cells Lean adipose tissue type 1 diabetes Advanced glycation end products Adipose-derived stem cells
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Dynamic interplay of T helpercell subsets in experimental autoimmune encephalomyelitis
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作者 Crystal C Walline Saravanan Kanakasabai John J Bright 《World Journal of Immunology》 2012年第1期1-13,共13页
AIM: To investigate the temporal onset and dynamic interplay of CD4^+ T helper cell subsets in experimental autoimmune encephalomyelitis (EAE).METHODS: EAE was induced in C57BL/6 mice by im-munization with myelin... AIM: To investigate the temporal onset and dynamic interplay of CD4^+ T helper cell subsets in experimental autoimmune encephalomyelitis (EAE).METHODS: EAE was induced in C57BL/6 mice by im-munization with myelin oligodendrocyte glycoprotein peptide p35-55. The clinical signs were scored and the tissue samples and immune cells isolated for analysis at different phases of EAE. The expression levels of inflammatory cytokines and related transcription fac-tors were detected by quantitative reverse transcription polymerase chain reaction (PCR) and enzyme linked immunosorbant assay (ELISA). The percentages of Th1, Th17, Th2, Treg and memory T cell subsets in EAE were analyzed by immunostaining and fow cytometry. The data were analyzed by statistical techniques.RESULTS: Quantitative real-time PCR analysis showed that EAE mice express elevated levels of Th1 [interferon gamma ( IFNγ ), interleukin ( IL ) -12p40 ], Th17 [ IL-17 , related orphan receptor gamma (RORγ ), IL-12p40] and Treg [ Foxp3, Epstein-Barr virus induced gene 3 (EBI3), IL-10] genes in the central nervous system at the peak of the disease. Whereas, the expression of Th1 ( IFNγ , T-bet, IL-12p35, IL-12p40 ), Th17 (RORγ, IL-12p40 ), Th2 ( IL-4) and Treg ( Foxp3, EBI3) response genes was reduced in the spleen during pre-disease but gradually recovered at the later phases of EAE. ELISA and fow cytometry analyses showed an increase in Th17 re-sponse in the periphery, while Th1 response remained unchanged at the peak of disease. The mRNA levels of IFNγ, IL-17 and IL-12p40 in the brain were increased by 23 (P 〈 0.001), 9 (P 〈 0.05) and 14 (P 〈 0.01) fold, respectively, on day 21 of EAE. Conversely, the mRNA expression of IL-10 was increased by 2 fold (P 〈 0.05) in the spleen on day 21. CD4^+CD25^+Foxp3+Treg response was reduced at pre-disease but recovered to na?ve levels by disease onset. The percentage of CD25 Foxp3 regulatory T cells decreased from 7.7% in the na?ve to 3.2% (P 〈 0.05) on day 7 of EAE, which then increased to 8.4% by day 28. Moreover, the CD4+CD127+CD44high memory T cell response was increased during the onset and recovery phases of EAE. The memory and effector cells showed an in-verse relationship in EAE, where the memory T cells increased from 12.3% in nave to 20% by day 21, and the effector cells decreased from 32% in na?ve to 21% (P 〈 0.01) by day 21. The wild type C57BL/6 mice with EAE showed elevated levels of effector-memory T cells (TEM) with concomitant reduction in central-memory T cells (TCM), but the EAE-resistant IL-7R defcient mice showed elevated TCM with no effect on TEM cells in EAE.CONCLUSION: Our fndings highlight the temporal on-set and dynamic interplay of effector, memory and regu-latory CD4^+ T cell subsets and its signifcance to clinical outcome in EAE and other autoimmune diseases. 展开更多
关键词 Autoimmune disease Experimental autoimmune encephalomyelitis Multiple sclerosis t helper cells th1/th17
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Ribavirin contributes to eradicate hepatitis C virus through polarization of T helper 1/2 cell balance into T helper 1 dominance 被引量:6
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作者 Katsuhisa Nakatsuka Masanori Atsukawa +2 位作者 Masumi Shimizu Hidemi Takahashi Chiaki Kawamoto 《World Journal of Hepatology》 CAS 2015年第25期2590-2596,共7页
The mechanism of action of ribavirin(RBV) as an immunomodulatory and antiviral agent and its clinical significance in the future treatment of patients with hepatitis C virus(HCV) infection are reviewed.RBV up-regulate... The mechanism of action of ribavirin(RBV) as an immunomodulatory and antiviral agent and its clinical significance in the future treatment of patients with hepatitis C virus(HCV) infection are reviewed.RBV up-regulates type 1 and/or 2 cytokines to modulate the T helper(Th) 1/2 cell balance to Th1 dominance.Examination of co-stimulatory signaling indicated that RBV down-modulates inducible co-stimulator on Th cells,which contributes to differentiating na?ve Th cells into Th2 cells while reducing their interleukin-10 production.The effects on T-regulatory(Treg) cells were also investigated,and RBV inhibited the differentiation of na?ve Th cells into adaptive Treg cells by downmodulating forkhead box-P3.These findings indicate that RBV mainly down-regulates the activity of Th2 cells,resulting in the maintenance of Th1 activity that contributes to abrogating HCV-infected hepatocytes.Although an interferon-free treatment regimen exhibits almost the same efficacy without serious complications,regimens with RBV will be still be used because of their ability to facilitate the cellular immune response,which may contribute to reducing the development of hepatocellular carcinogenesis in patients infected with HCV. 展开更多
关键词 RIBAVIRIN FORKHEAD box-P3 t helper 1/2cell BALANCE t-regulatory lymphocytes INDUCIBLE costimulator INtERLEUKIN-10 Hepatitis C virus infection
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Forkhead box protein A2 and T helper type 2-mediated pulmonary inflammation 被引量:3
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作者 Ling Sun Xiao-Ju Tang Feng-Ming Luo 《World Journal of Methodology》 2015年第4期223-229,共7页
The transcription factor forkhead box protein A2(FOXA2, also known as hepatocyte nuclear factor 3β or transcription factor 3β), has been found to play pivotal roles in multiple phases of mammalian life, from the ear... The transcription factor forkhead box protein A2(FOXA2, also known as hepatocyte nuclear factor 3β or transcription factor 3β), has been found to play pivotal roles in multiple phases of mammalian life, from the early development to the organofaction, and subsequently in homeostasis and metabolism in the adult. In the embryonic development period, FOXA2 is require d for the formation of the primitive node and notochord, and its absence results in embryonic lethality. Moreover, FOXA2 plays an important role not only in lung development, but also in T helper type 2(Th2)-mediated pulmonary inflammation and goblet cell hyperplasia. In this article, the role of FOXA2 in lung development and Th2-mediated pulmonary inflammation, as well as in goblet cell hyperplasia, is reviewed. FOXA2 deletion in airway epithelium results into Th2-mediated pulmonary inflammation and goblet cell hyperplasia in developing lung. Leukotriene pathway and signal transducers and activators of transcription 6 pathway may mediate this inflammation through recruitment and activation of denditric cell during lung developments. FOXA2 is a potential treatment target for lung diseases with Th2 inflammation and goblet cell hyperplasia, such as asthma and chronic obstructive pulmonary disease. 展开更多
关键词 FORKHEAD box protein A2 t helper tYPE 2 inflammation Pulmonary Development Goblet cell HYPERPLASIA
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OX40 ligand promotes follicular helper T cell differentiation and development in mice with immune thrombocytopenia
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作者 Ziyin YANG Lei HAI +4 位作者 Xiaoyu CHEN Siwen WU Yan LV Dawei CUI Jue XIE 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 2025年第3期240-253,共14页
Immune thrombocytopenia(ITP)is a hemorrhagic autoimmune disease characterized by antibody-mediated platelet injury.ITP has complicated immunopathological mechanisms that need further elucidation.It is well known that ... Immune thrombocytopenia(ITP)is a hemorrhagic autoimmune disease characterized by antibody-mediated platelet injury.ITP has complicated immunopathological mechanisms that need further elucidation.It is well known that the costimulatory molecules OX40 ligand(OX40L)and OX40 play essential roles in the immunological mechanisms of autoimmune diseases.Previously,we discovered that the expression of OX40L and OX40 is significantly increased in the peripheral blood mononuclear cells(PBMCs)of ITP patients.In our present study,OX40L-induced follicular helper T(Tfh)cells exhibited an activated phenotype with elevated expression of inducible T-cell costimulator(ICOS),programmed cell death protein-1(PD-1),and cluster of differentiation 40 ligand(CD40L)in vitro.Moreover,aberrant OX40L-OX40 expression might promote the Tfh1-to-Tfh2 shift in vivo,inducing the generation of autoantibodies by enhancing the helper function of Tfh cells for B lymphocytes in a mouse model,which might accelerate the progression of ITP.Additionally,signal transduction through the OX40L-OX40 axis might be related to the activation of tumor necrosis factor receptor-associated factor(TRAF)-nuclear factor-κB(NF-κB)and Janus kinase(JAK)-signal transducer and activator of transcription(STAT)signaling pathways.Overall,OX40L-OX40 signaling is proposed as a potential novel therapeutic target for ITP. 展开更多
关键词 OX40 OX40 ligand(OX40L) Immune thrombocytopenia Follicular helper t(tfh)cell B cell
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Effect of Chang’an decoction(肠安方)on ulcerative colitis by regulating T helper 17 cells and regulatory T cells via Rab27 in the p53/high mobility group box 1 pathway
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作者 ZHENG Li JIN Ting +3 位作者 WANG Xiaojing WANG Yingqi LIU Fengbin MI Hong 《Journal of Traditional Chinese Medicine》 2025年第5期998-1008,共11页
OBJECTIVE:To explore the effect of Chang’an decoction(肠安方,CAD)of ameliorating the immune imbalances in ulcerative colitis(UC)by regulating Rab27 in the P53/high mobility group box 1 pathway.METHODS:The functions a... OBJECTIVE:To explore the effect of Chang’an decoction(肠安方,CAD)of ameliorating the immune imbalances in ulcerative colitis(UC)by regulating Rab27 in the P53/high mobility group box 1 pathway.METHODS:The functions and important signaling pathways of the Rab27-and UC-related genes were analyzed viathe use of microarray data from the gene expression omnibus database,gene ontology database,Kyoto encyclopedia of genes and genomes database and gene set enrichment analysis.Dextran sulfate sodium salt-induced colitis mouse model was used to verify the bioinformatics results.Colon length,body weight,and disease activity index were measured.Hematoxylin and eosin staining was applied to validate the histopathology.Tight junction proteins were detected by immunohistochemistry.The proportions of T helper 17 cells(Th17)and regulatory T cells(Treg)in mesenteric lymph nodes were measured viaflow cytometry.Proinflammatory cytokines like interleukin(IL)17(IL-17),IL-21 and IL-22 and anti-inflammatory cytokines like transforming growth factorβand IL-10 in the serum and colon of mice were detected by enzyme-linked immunosorbent assay and quantitative real-time polymerase chain reaction,respectively.The expression levels of high mobility group box 1(HMGB1),P53 and phospho-P53(P-P53)in colonic tissues were detected by immunofluorescence and Western blotting.RESULTS:Bioinformatics analysis revealed that compared with normal tissues,the expression of Rab27 was significantly increased in UC tissues.Receiver operating characteristic curve showed that Rab27 has the potential to be used as a biomarker for the diagnosis of disease activity.Enrichment analysis showed that UC and Rab27 were mainly associated with small molecule transport,nutrient metabolism,transmembrane transport and the downstream pathway of P53.According to animal experiments,the expression of Rab27 was increased in UC tissues,which aggravated the colonic pathological damage,activated the expression of HMGB1,and also leaded to the imbalance of Th17 and Treg cells.After CAD intervention,Rab27 overexpression,weight loss,colon shortening,and pathological damage were substantial reduced,the expression of tight junction proteins,zona occludens 1 and Occludin were increased.The effect of CAD at high-dose was more obvious.In addition,CAD upgraded the number of Treg cells and the production of TGF-βand IL-10,while decreasing the number of Th17 cells and the expression of inflammatory cytokines(IL-17,IL-21,and IL-22).Moreover,colon inflammation was alleviated by CAD,as indicated by the regulation of HMGB1 and P-P53 expression.CONCLUSION:The expression of Rab27,HMGB1 and P-P53 could be decreased by CAD,and the balance of Th17 and Treg cells as well as their related cytokines could be regulated by CAD. 展开更多
关键词 ulcerative colitis Rab27 high mobility group box 1 t helper 17 cells regulatory t cells bioinformatics Chang’an decoction
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儿童哮喘合并呼吸道病毒感染外周血miR-21、Th1/Th2细胞因子水平及其意义 被引量:2
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作者 陈小桥 任美玲 +2 位作者 孙志伟 薛新 施科 《中华医院感染学杂志》 北大核心 2025年第6期904-908,共5页
目的探讨儿童哮喘合并呼吸道病毒感染外周血微小RNA(miR-21)、辅助性T淋巴细胞(Th)1/Th2细胞因子水平的表达及意义。方法收集2021年1月-2023年12月联勤保障部队第九〇四医院收治的90例呼吸道病毒感染的哮喘患儿(感染组)及43例无呼吸道... 目的探讨儿童哮喘合并呼吸道病毒感染外周血微小RNA(miR-21)、辅助性T淋巴细胞(Th)1/Th2细胞因子水平的表达及意义。方法收集2021年1月-2023年12月联勤保障部队第九〇四医院收治的90例呼吸道病毒感染的哮喘患儿(感染组)及43例无呼吸道病毒感染的哮喘患儿(无感染组)的临床资料,分析感染组感染病毒分布情况,并对两组患儿外周血miR-21、Th1细胞因子[γ干扰素(IFN-γ)、白细胞介素(IL)-2]、Th2细胞因子[IL-4、IL-5]进行比较;感染组患儿根据病情严重程度分为轻、中及重度组,比较不同病情严重程度患儿上述指标水平,分析患儿病情严重程度与miR-21、IFN-γ、IL-2、IL-4和IL-5的相关性。结果感染组呼吸道病毒检出以呼吸道合胞病毒为主,占32.22%。与无感染组相比,感染组IFN-γ及IL-2降低(P<0.05),miR-21、IL-4及IL-5升高(P<0.05);与轻及中度组相比,重度组IFN-γ及IL-2降低(P<0.05),而miR-21、IL-4及IL-5升高(P<0.05),且中度组IFN-γ及IL-2水平低于轻度组(P<0.05),miR-21、IL-4及IL-5水平高于轻度组(P<0.05);Spearman秩相关性分析显示,患儿病情严重程度与miR-21、IL-4及IL-5呈正相关(P<0.05),与IFN-γ及IL-2呈负相关(P<0.05)。结论呼吸道病毒感染会加剧哮喘患儿外周血miR-21水平异常上升及Th1/Th2失衡,且上述指标与患儿病情严重程度密切相关。 展开更多
关键词 哮喘 呼吸道病毒感染 微小RNA-21 辅助性t细胞1 辅助性t细胞2
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系统性红斑狼疮患者血清miR-125b-5p水平与Th1/Th2细胞、Th17/Treg细胞失衡的相关性 被引量:1
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作者 冯彦飞 杨小杰 +2 位作者 强建红 高彩霞 汤喜红 《检验医学与临床》 2025年第2期227-231,共5页
目的探讨系统性红斑狼疮(SLE)患者血清微小核糖核酸-125b-5p(miR-125b-5p)水平与辅助性T细胞(Th)1/Th2、Th17/调节性T细胞(Treg)失衡的相关性。方法选取2021年1月至2023年1月该院收治的88例SLE患者作为SLE组,另选取同期在该院体检的29... 目的探讨系统性红斑狼疮(SLE)患者血清微小核糖核酸-125b-5p(miR-125b-5p)水平与辅助性T细胞(Th)1/Th2、Th17/调节性T细胞(Treg)失衡的相关性。方法选取2021年1月至2023年1月该院收治的88例SLE患者作为SLE组,另选取同期在该院体检的29例体检健康者作为对照组。SLE组根据疾病活动程度分为轻度组、中度组和重度组。检测所有研究对象血清miR-125b-5p水平和外周血Th1、Th2、Th17、Treg细胞比例。采用Spearman相关分析SLE患者血清miR-125b-5p水平与SLE疾病活动程度之间的相关性,外周血Th1、Th2、Th17、Treg细胞比例及Th1/Th2细胞、Th17/Treg细胞比值与SLE疾病活动程度之间的相关性。采用Pearson相关分析SLE患者血清miR-125b-5p水平与外周血Th1、Th2、Th17、Treg细胞比例及Th1/Th2细胞比值、Th17/Treg细胞比值之间的相关性。结果SLE组血清miR-125b-5p水平及外周血Th2、Treg细胞比例均低于对照组(P<0.05),外周血Th1、Th17细胞比例和Th1/Th2细胞、Th17/Treg细胞比值均高于对照组(P<0.05)。SLE患者轻度组35例、中度组30例、重度组23例。血清miR-125b-5p和外周血Th2、Treg细胞比例表现为轻度组>中度组>重度组,外周血Th1、Th17细胞比例和Th1/Th2细胞、Th17/Tre细胞比值表现为轻度组<中度组<重度组,且任意两组间比较,差异均有统计学意义(P<0.05)。Spearman相关分析结果显示,SLE患者血清miR-125b-5p水平与SLE疾病活动程度呈负相关(r=-0.811,P<0.001),外周血Th1、Th17细胞比例及Th1/Th2细胞、Th17/Treg细胞比值与SLE疾病活动程度呈正相关(r=0.728、0.786、0.812、0.808,P<0.001),外周血Th2、Treg细胞比例与SLE疾病活动程度呈负相关(r=-0.811、-0.723,P<0.001)。Pearson相关分析结果显示,SLE患者血清miR-125b-5p水平与外周血Th1、Th17细胞比例及Th1/Th2细胞、Th17/Treg细胞比值呈负相关(r=-0.801、-0.781、-0.816、-0.819,P<0.001),与外周血Th2、Treg细胞比例呈正相关(r=0.845、0.812,P<0.001)。结论SLE患者血清miR-125b-5p水平降低,能通过调节Th1/Th2细胞、Th17/Treg细胞平衡参与SLE的发生、发展。 展开更多
关键词 系统性红斑狼疮 微小核糖核酸-125b-5p 辅助性t细胞1 辅助性t细胞2 辅助性t细胞17 调节性t细胞 炎症反应
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电针通过脂肪组织SIRT1调节Th17/Treg细胞平衡改善胰岛素抵抗肥胖的机制研究
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作者 王文炎 刘静 +3 位作者 黄裳 李勇 阮崇洁 贺涛 《针刺研究》 北大核心 2025年第9期1013-1020,共8页
目的:观察电针对胰岛素抵抗(IR)肥胖大鼠脂肪组织沉默信息调节因子1(SIRT1)与辅助性T细胞(Th)17/调节性T细胞(Treg)平衡的影响,探讨电针改善IR肥胖的作用机制。方法:将Wistar雄性大鼠随机分为正常组、模型组、电针组、假电针组、联合组... 目的:观察电针对胰岛素抵抗(IR)肥胖大鼠脂肪组织沉默信息调节因子1(SIRT1)与辅助性T细胞(Th)17/调节性T细胞(Treg)平衡的影响,探讨电针改善IR肥胖的作用机制。方法:将Wistar雄性大鼠随机分为正常组、模型组、电针组、假电针组、联合组,每组8只。采用高脂饮食建立IR肥胖大鼠模型。电针组大鼠电针“中脘”“关元”“足三里”“丰隆”,每次留针10 min;假电针组取电针组穴位旁开5 mm处浅刺并夹持电极,不通电,其余同电针组;联合组尾静脉注射Sirtinol溶液,电针干预同电针组。以上干预措施均每周3次,共8周。干预前后测定大鼠的体质量、Lee’s指数及葡萄糖输注速率(GIR)。干预6周后,采用腹腔葡萄糖耐量试验(IPGTT)检测各组大鼠血糖值。干预结束后,采用流式细胞术检测各组大鼠肾周脂肪组织中Th17、Treg细胞百分比,计算其比值,采用Western blot法检测各组大鼠脂肪组织中SIRT1、乙酰化核因子κB(Ac-NF-κB)、白细胞介素17受体(IL-17A)的蛋白相对表达量。结果:与正常组相比,模型组体质量与Lee’s指数均升高(P<0.05),IPGTT检测各时点血糖值显著升高(P<0.05),GIR下降(P<0.05),脂肪组织Th17细胞百分比升高(P<0.05),Treg细胞百分比降低(P<0.05),Th17/Treg比值显著增大(P<0.05),SIRT1蛋白表达减少,Ac-NF-κB、IL-17A蛋白表达显著增多(P<0.05)。与模型组相比,干预后电针组大鼠体质量和Lee’s指数均显著下降(P<0.05),IPGTT检测各时点血糖值显著下降(P<0.05),GIR升高(P<0.05),脂肪组织Th17细胞百分比降低(P<0.05),Treg细胞百分比增高(P<0.05),Th17/Treg比值显著减小(P<0.05),SIRT1蛋白表达增多(P<0.05),Ac-NF-κB、IL-17A蛋白表达减少(P<0.05)。与电针组相比,联合组大鼠体质量与Lee’s指数升高(P<0.05),IPGTT检测在第30、60、120分钟血糖值升高(P<0.05),GIR降低(P<0.05),Th17细胞百分比升高(P<0.05),Th17/Treg比值增大(P<0.05),SIRT1蛋白表达减少(P<0.05),Ac-NF-κB、IL-17A蛋白表达增多(P<0.05)。结论:电针能够降低肥胖大鼠的体质量,提高胰岛素敏感性,其机制可能与电针激活SIRT1从而调节Th17/Treg平衡,抑制炎性反应有关。 展开更多
关键词 电针 肥胖 胰岛素抵抗 辅助性t细胞17 调节性t细胞 th17/treg平衡
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血小板输注效果与血小板抗体和Th17/Treg细胞及相关细胞因子的相关性研究 被引量:1
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作者 王亮 柳国良 +2 位作者 温超 陈丽 乔秋芳 《北京医学》 2025年第2期159-163,共5页
目的探讨血小板输注效果与血小板抗体和辅助性T细胞17(T helper cell 17,Th17)/调节性T细胞(regulatory T cell,Treg)及相关细胞因子的关系。方法选取2021年4月至2023年4月沧州市中心医院输注血小板的住院患者216例,根据血小板输注效果... 目的探讨血小板输注效果与血小板抗体和辅助性T细胞17(T helper cell 17,Th17)/调节性T细胞(regulatory T cell,Treg)及相关细胞因子的关系。方法选取2021年4月至2023年4月沧州市中心医院输注血小板的住院患者216例,根据血小板输注效果分为有效组(n=147)和无效组(n=69)。无效组患者根据血小板抗体表达情况分为血小板抗体阳性表达组(n=58)与血小板抗体阴性表达组(n=11)。比较患者输注前后Th17、Treg细胞比例、血小板抗体水平及血清中IL-6、IL-17、IL-23、TGF-β水平,采用多因素logistic回归分析血小板输注无效(platelet transfusion refractoriness,PTR)的影响因素。结果216例患者中,男126例,女90例,年龄37~58岁,平均(46.0±6.4)岁。与有效组比较,无效组血小板抗体阳性率、Th17细胞比例、Th17/Treg比值、IL-6、IL-17、IL-23水平升高,Treg细胞比例、TGF-β水平降低;与血小板抗体阴性患者比较,血小板抗体阳性患者Th17细胞比例、Th17/Treg比值、IL-6、IL-17、IL-23水平升高,Treg细胞比例、TGF-β水平降低,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,Th17/Treg越高(OR=1.409,95%CI:1.081~1.836,P=0.011)、IL-6越高(OR=1.624,95%CI:1.045~2.524,P=0.031)、IL-17越高(OR=1.931,95%CI:1.181~3.158,P=0.009)、IL-23越高(OR=1.479,95%CI:1.135~1.927,P=0.004)、TGF-β越低(OR=0.627,95%CI:0.452~0.870,P=0.005)、血小板抗体阳性(OR=1.627,95%CI:1.173~2.257,P=0.004)的输注血小板患者发生PTR的风险越高。结论PTR与血小板抗体水平、Th17/Treg细胞平衡及相关细胞因子IL-6、IL-17、IL-23、TGF-β密切相关。 展开更多
关键词 血小板输注无效 血小板抗体 辅助性t细胞17 调节性t细胞
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丙泊酚调控巨噬细胞极化对支气管哮喘小鼠气道炎症反应和Toll样受体4-NOD样受体蛋白3通路的影响 被引量:1
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作者 邵忠新 李世英 《实用临床医药杂志》 2025年第6期13-19,共7页
目的探讨丙泊酚(Pro)调控巨噬细胞极化对支气管哮喘(BA)小鼠气道炎症反应和Toll样受体4-NOD样受体蛋白3(TLR4-NLRP3)通路的影响。方法将40只BA造模小鼠随机分为BA组、Pro低剂量(Pro-L)组、Pro高剂量(Pro-H)组、Pro-H+脂多糖(LPS)组,每... 目的探讨丙泊酚(Pro)调控巨噬细胞极化对支气管哮喘(BA)小鼠气道炎症反应和Toll样受体4-NOD样受体蛋白3(TLR4-NLRP3)通路的影响。方法将40只BA造模小鼠随机分为BA组、Pro低剂量(Pro-L)组、Pro高剂量(Pro-H)组、Pro-H+脂多糖(LPS)组,每组10只。另取10只正常小鼠作为Control组。检测各组小鼠肺功能[最大呼气流量(PEF)、每分钟通气量(VE)],肺泡灌洗液中嗜酸性粒细胞(EOS)、淋巴细胞(LYM)和中性粒细胞(NEU)数量,白细胞介素(IL)-4、IL-10、IL-5和IL-13水平;采用流式细胞术检测外周血巨噬细胞M1型和M2型水平,辅助性T细胞(Th)1和Th2细胞比例;采用酶联免疫吸附测定(ELISA)检测血清γ干扰素(IFN-γ)、免疫球蛋白E(IgE)水平;采用苏木精-伊红(HE)染色观察肺组织病理形态;采用Western blot检测肺组织中cleaved caspase-3、TLR4、NLRP3和Caspase-1蛋白表达。结果与Control组比较,BA组小鼠肺组织有明显损伤,PEF、VE、IL-10、巨噬细胞M1型、Th1细胞比例、IFN-γ水平降低,EOS、LYM、NEU数量以及IL-4、IL-5、IL-13、巨噬细胞M2型水平、Th2细胞比例、IgE、cleaved caspase-3、TLR4、NLRP3和Caspase-1蛋白表达水平升高,差异有统计学意义(P<0.05);与BA组相比,Pro-L组、Pro-H组小鼠肺组织有明显损伤,PEF、VE、IL-10、巨噬细胞M1型水平、Th1细胞比例、IFN-γ水平升高,EOS、LYM、NEU数量以及IL-4、IL-5、IL-13水平、巨噬细胞M2型水平、Th2细胞比例、IgE、cleaved caspase-3、TLR4、NLRP3和Caspase-1蛋白表达水平降低,差异有统计学意义(P<0.05);LPS可显著减弱Pro对BA小鼠的改善作用(P<0.05)。结论Pro可能通过抑制TLR4-NLRP3信号通路来调节BA小鼠巨噬细胞极化和免疫反应,降低炎症反应程度,改善肺组织形态和肺功能。 展开更多
关键词 丙泊酚 巨噬细胞 支气管哮喘 tOLL样受体4 NOD样受体蛋白3 辅助性t细胞 炎症反应 组织病理学
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宫颈癌患者HR-HPV DNA载量、Th1/Th2细胞因子与LEEP术后复发的关系研究
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作者 董惠民 李宇燕 +1 位作者 周近宸 宋建玲 《病毒学报》 北大核心 2025年第4期1210-1216,共7页
本研究为探讨宫颈癌患者高危人乳头瘤病毒HR-HPV感染程度、辅助T细胞1(Th1)/辅助T细胞2(Th2)相关细胞因子与LEEP术后复发的关系,选取我院2017年1月至2019年1月收治的宫颈癌患者148例,随访5年根据其复发情况分为复发组和未复发组,其中复... 本研究为探讨宫颈癌患者高危人乳头瘤病毒HR-HPV感染程度、辅助T细胞1(Th1)/辅助T细胞2(Th2)相关细胞因子与LEEP术后复发的关系,选取我院2017年1月至2019年1月收治的宫颈癌患者148例,随访5年根据其复发情况分为复发组和未复发组,其中复发组39例,未复发组109例。术前检测两组HR-HPV DNA载量、Th1细胞因子白细胞介素-2(IL-2)及干扰素γ(IFN-γ)、Th2细胞因子白细胞介素-4(IL-4)和白细胞介素-6(IL-6)水平,收集记录患者年龄、肿瘤大小、临床分期、肿瘤分化程度、浸润程度、淋巴结转移情况等临床资料。结果显示,复发组与未复发组相比,临床分期Ⅲ~Ⅳ期、低分化、深肌层浸润、淋巴结转移比例均更高(P<0.05),HR-HPV-DNA、IL-4及IL-6水平更高,IL-2及IFN-γ水平更低(P<0.05)。HR-HPV-DNA、IL-4及IL-6水平与宫颈癌患者肿瘤低分化、临床分期Ⅲ~Ⅳ期、深肌层浸润、淋巴结转移呈正相关,IL-2、IFN-γ水平与这几类临床资料呈负相关(P<0.05)。HR-HPV-DNA、IL-4及IL-6水平为宫颈癌患者LEEP术后复发的危险因素,IL-2及IFN-γ水平为宫颈癌患者LEEP术后复发的保护因素(P<0.05)。HR-HPV-DNA、IL-2、IFN-γ、IL-4、IL-6、五种指标联合预测宫颈癌患者LEEP术后复发的曲线下面积(AUC)分别为0.681、0.741、0.838、0.835、0.807、0.945。随访5年,高HR-HPV-DNA载量患者复发率高于低HR-HPV-DNA载量患者(P<0.05)。以上结果表明,宫颈癌患者HR-HPV DNA载量、Th1/Th2细胞因子与术后复发相关,对宫颈癌术后复发有一定预测价值。 展开更多
关键词 宫颈癌 高危人乳头瘤病毒 辅助t细胞1 辅助t细胞2 复发
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肺炎支原体肺炎患者Th17/Treg免疫平衡与MP-IgM抗体滴度的关系及对预后的预测价值 被引量:1
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作者 刘亚峰 闫春良 +3 位作者 任冠军 郑清月 雷芸 杨丽霞 《中国医刊》 2025年第2期149-155,共7页
目的分析肺炎支原体肺炎(MPP)患者辅助性T细胞17(Th17)/调节性T细胞(Treg)免疫平衡与肺炎支原体(MP)-IgM抗体滴度的关系及对预后的预测价值。方法选择2020年2月至2023年12月于北京航天总医院治疗的206例MPP患者为研究对象,根据MP-IgM抗... 目的分析肺炎支原体肺炎(MPP)患者辅助性T细胞17(Th17)/调节性T细胞(Treg)免疫平衡与肺炎支原体(MP)-IgM抗体滴度的关系及对预后的预测价值。方法选择2020年2月至2023年12月于北京航天总医院治疗的206例MPP患者为研究对象,根据MP-IgM抗体滴度分为低滴度组(n=57)、中滴度组(n=90)和高滴度组(n=59),根据预后情况分为预后良好组(n=118)和预后不良组(n=88)。采用广义相加模型(GAM)分析MP-IgM抗体滴度与相关因素的关系,采用多因素logistic回归分析筛选预后不良的危险因素,采用限制性立方样条(RCS)分析剂量反应关系,采用非条件logistic回归模型及计算表分析交互作用,采用受试者操作特征(ROC)曲线评估MP-IgM抗体滴度、Th17/Treg比值对MPP患者预后的预测效能。结果与低滴度组相比,中滴度组和高滴度组患者的Th17细胞百分比、Th17/Treg比值更高,Treg细胞百分比更低(P<0.05);与中滴度组相比,高滴度组患者的Th17细胞百分比、Th17/Treg比值更高(P<0.05),Treg细胞百分比更低(P<0.05)。GAM分析结果显示,Th17细胞百分比越高、Treg细胞百分比越低、Th17/Treg比值越高,则MP-IgM抗体滴度越高(P<0.05)。MP-Ig M抗体滴度、胸腔积液、中性粒细胞/淋巴细胞比值(NLR)、D-二聚体(D-D)、Th17/Treg比值、抗生素治疗使用时间,均为MPP患者预后不良的独立影响因素(P<0.05)。RCS分析结果显示,Th17/Treg比值与预后不良风险存在非线性关系(非线性检验P<0.001)。交互作用分析结果显示,Th17/Treg比值(≥0.95)与MP-IgM抗体滴度(高滴度)对MPP患者预后不良存在相加交互作用(P<0.05)。ROC曲线分析显示,Th17/Treg比值与MP-IgM抗体滴度联合应用对MPP患者预后不良的预测价值较高,曲线下面积为0.819(95%CI 0.734~0.881)。结论MP-IgM抗体滴度、Th17/Treg比值均是MPP患者预后不良的独立影响因素,且二者对预后不良有相加交互作用;Th17/Treg比值与预后不良风险呈非线性关系;Th17/Treg比值和MP-IgM抗体滴度联合应用对MPP患者预后不良具有一定的预测价值。 展开更多
关键词 肺炎支原体肺炎 辅助性t细胞17 调节性t细胞 抗体滴度
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消化内镜止血联合生长抑素与艾普拉唑治疗十二指肠溃疡出血对胃促生长素和胃动素及Th1/Th2细胞因子的影响 被引量:1
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作者 樊和明 谷渊 《医药论坛杂志》 2025年第1期95-99,共5页
目的探讨在十二指肠溃疡出血中,消化内镜止血联合生长抑素与艾普拉唑对血清胃促生长素、胃动素及血清辅助性T细胞1/辅助性T细胞2(T helper 1 cell/T helper 2 cell,Th1/Th2)细胞因子的影响。方法按随机数字表法,将新乡市第一人民医院202... 目的探讨在十二指肠溃疡出血中,消化内镜止血联合生长抑素与艾普拉唑对血清胃促生长素、胃动素及血清辅助性T细胞1/辅助性T细胞2(T helper 1 cell/T helper 2 cell,Th1/Th2)细胞因子的影响。方法按随机数字表法,将新乡市第一人民医院2022年10月至2024年10月确诊为十二指肠溃疡出血的患者182例分为观察组和对照组,各91例。两组均予以基础治疗,对照组单独使用艾普拉唑治疗,观察组在对照组基础之上联合生长抑素进行消化内镜止血治疗,对两组患者的临床疗效进行评价,测定两组治疗前后的血清胃动素、胃促生长素和Th1/Th2细胞因子水平,以及凝血酶原时间(prothrombin time,PT)、部分活化凝血酶原时间(activated prothrombin time,APTT)、纤维蛋白原(fibrinogen,Fib)凝血指标,观察治疗期间两组不良反应发生率。结果两组有效率差异显著,观察组为92.31%(84/91),对照组为80.22%(73/91),两组差异有统计学意义(P<0.05);疗程结束后,两组血清胃促生长素和血清胃动素水平均上升,且观察组升高更多,差异有统计学意义(P<0.05);两组PT、APTT水平均降低,FIB水平均升高,差异有统计学意义(P<0.05),且观察组PT、APTT水平下降更多,差异有统计学意义(P<0.05),FIB水平升高更多,差异有统计学意义(P<0.05);两组干扰素-γ(iinterferon-γ,IFN-γ)、白细胞介素-2(interleukin-2,IL-2)、水平均降低,白细胞介素-4(interleukin-4,IL-4)、白细胞介素-5(interleukin-5,IL-5)水平均升高,差异有统计学意义(P<0.05),且观察组IFN-γ、IL-2水平下降更多,差异有统计学意义(P<0.05),IL-4、IL-5水平升高更多,差异有统计学意义(P<0.05);两组不良反应发生率差异无统计学意义(P<0.05)。结论消化内镜止血联合生长抑素与艾普拉唑治疗十二指肠溃疡出血效果显著,有效提升患者血清胃促生长素、胃动素水平,改善胃肠动力,促进其饮食。能明显提升血液凝固能力,减少出血部位止血时间,有效改善Th1/Th2细胞因子水平,同时安全性较高。 展开更多
关键词 消化内镜 生长抑素 艾普拉唑 十二指肠溃疡出血 胃促生长素 胃动素 辅助性t细胞1/辅助性t细胞2
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