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Network pharmacological and experimental validation of the mechanism of Chaihu Guizhi Ganjiang decoction(柴胡桂枝干姜汤)regulating T helper cell 17/regulatory T cell balance to improve autoimmune hepatitis
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作者 LIANG Zihao GAO Jie +2 位作者 SONG Jinyun ZHENG Qin ZHAO Hongyu 《Journal of Traditional Chinese Medicine》 2026年第1期110-118,共9页
OBJECTIVE:To elucidate the therapeutic efficacy and mechanism of action of Chaihu Guizhi Ganjiang decoction(柴胡桂枝干姜汤,CGGD)in autoimmune hepatitis.METHODS:CGGD components and potential target genes were extracted... OBJECTIVE:To elucidate the therapeutic efficacy and mechanism of action of Chaihu Guizhi Ganjiang decoction(柴胡桂枝干姜汤,CGGD)in autoimmune hepatitis.METHODS:CGGD components and potential target genes were extracted from previously published databases.The autoimmune hepatitis(AIH)-related regulatory genes were obtained from the Dis Ge NET database.Intersections were taken,and enrichment analyses were performed on the extracted data.Concanavalin A(Con A)-induced AIH model mice were treated with CGGD via gavage.The results of network pharmacological analysis were experimentally validated.RESULTS:Network pharmacology revealed 228 genes at the intersection of AIH and CGGD.Kyoto Encyclopedia of Genes and Genomes analysis revealed that CGGD primarily regulates the phosphoinositide 3-kinase(PI3K)/protein kinase B(AKT)signaling pathway and cellular metabolism in AIH.Gene Ontology enrichment analysis revealed that CGGD modulates inflammation through transcription factor-mediated signaling pathways.As predicted,CGGD attenuated Con A-induced AIH in a dose-dependent manner by activating the PI3K/AKT signaling pathway.Histopathological assessment confirmed the protective effects of CGGD against Con Ainduced AIH.Further investigation revealed that CGGD regulated the T helper cell 17(Th17)/regulatory T cell(Treg)balance by modulating the PI3K/Akt/nuclear factor kappa-B(NF-κB)pathway.CONCLUSIONS:This study demonstrated the therapeutic effect of CGGD on AIH through a combination of network pharmacological prediction and experimental validation.Its mechanism of action involves PI3K/Akt/NF-κB-mediated regulation of Th17/Treg cells. 展开更多
关键词 autoimmune hepatitis t helper cell 17 regulatory t cell phosphoinositide 3-kinase protein kinase B NF-kappa B network pharmacology Chaihu Guizhi Ganjiang decoction
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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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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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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:22
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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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Balanced T helper 17/regulatory T cells in gut–lung axis improve chronic obstructive pulmonary disease:The benefits of Polygonatum sibiricum polysaccharide
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作者 Lixia Li Mengting Tao +7 位作者 Yuchao Kuang Wanrong Li Bin Feng Zhongqiong Yin Xu Song Xun Zhou Yuanfeng Zou Chao Huang 《Chinese Medical Journal》 2026年第3期472-474,共3页
To the Editor:Chronic obstructive pulmonary disease(COPD),a major global health concern,is marked by progressive airflow limitation and inflammation.While cigarette smoke(CS)is a primary cause,existing treatments rema... To the Editor:Chronic obstructive pulmonary disease(COPD),a major global health concern,is marked by progressive airflow limitation and inflammation.While cigarette smoke(CS)is a primary cause,existing treatments remain inadequate.[1]The gut-lung axis,representing a bidirectional communication pathway,emerges as a promising therapeutic target.Rhizoma Polygonati(Huang Jing),a traditional Chinese medicine,contains bioactive components including polysaccharides,known for multiple bioactivities.[2]We previously isolated a neutral polysaccharide(PSP-NP)from Polygonatum sibiricum Redoute,revealing its ability to modulate intestinal barrier function and immunity.[3]This prompts us to investigate whether PSP-NP can improve lung function via the gut-lung axis. 展开更多
关键词 Chronic Obstructive Pulmonary Disease Immunity Intestinal Barrier Function Regulatory t Cells Balanced t helper Polygonatum sibiricum Polysaccharide obstructive pulmonary disease copd bioactive components
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贝利尤单抗联合常规治疗对cSLE患者B细胞精细亚群及Tfh、Tph亚群的影响
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作者 罗书立 罗丽萍 +6 位作者 陈诗杨 彭冬 姚强 罗颖 何庭艳 杨军 付笑迎 《国际检验医学杂志》 2026年第5期550-556,共7页
目的探讨贝利尤单抗联合常规治疗对儿童系统性红斑狼疮(cSLE)患者疾病活动度及外周血中B细胞精细亚群、滤泡辅助性T细胞(Tfh)/外周辅助性T细胞(Tph)细胞亚群变化的影响。方法纳入2023年4月至2024年1月深圳市儿童医院收治的20例cSLE患儿... 目的探讨贝利尤单抗联合常规治疗对儿童系统性红斑狼疮(cSLE)患者疾病活动度及外周血中B细胞精细亚群、滤泡辅助性T细胞(Tfh)/外周辅助性T细胞(Tph)细胞亚群变化的影响。方法纳入2023年4月至2024年1月深圳市儿童医院收治的20例cSLE患儿,均接受贝利尤单抗(10mg/kg)联合常规治疗,在治疗基线期及治疗24周采集患者外周血,采用流式细胞术监测B细胞精细亚群、Tfh、Tph亚群及T细胞活化/耗竭标志物的变化,并评估疾病活动度和免疫学指标。结果治疗后cSLE患儿SLEDAI-2000评分下降,抗双链DNA(dsDNA)抗体效价明显降低,补体C3、C4水平升高,差异均有统计学意义(P<0.05);B细胞精细亚群及Tfh、Tph亚群方面,初始B细胞比例下降,记忆B细胞比例上升,浆母细胞、自身反应性B细胞比例减少,Tfh细胞、Tph细胞比例下降,差异均有统计学意义(P<0.05),并且CD4^(+)及CD8^(+)T细胞中PD-1和HLA-DR阳性细胞比例均显著下降,差异均有统计学意义(P<0.05)。结论贝利尤单抗联合常规治疗可显著改善cSLE患者的疾病活动度及免疫异常状态,表现为B细胞亚群重构、辅助性T细胞比例下降及T细胞活化标志减少。 展开更多
关键词 贝利尤单抗 儿童系统性红斑狼疮 B细胞亚群 滤泡辅助性t细胞 外周辅助性t细胞 t细胞耗竭
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Th17/Treg平衡及细胞因子水平与血小板输注无效的相关性研究
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作者 刘雯 王文星 +2 位作者 范娜 陈伟 梁静 《临床输血与检验》 2026年第1期65-69,共5页
目的探讨免疫性血小板输注无效(IPTR)患者外周血调节性T细胞(Treg)、辅助性T细胞17(Th17)及相关细胞因子的变化特征。方法通过病例对照研究纳入IPTR(n=20)、血小板输注有效患者(n=20)及健康对照(n=20),采用流式细胞术检测Treg(CD4+CD25+... 目的探讨免疫性血小板输注无效(IPTR)患者外周血调节性T细胞(Treg)、辅助性T细胞17(Th17)及相关细胞因子的变化特征。方法通过病例对照研究纳入IPTR(n=20)、血小板输注有效患者(n=20)及健康对照(n=20),采用流式细胞术检测Treg(CD4+CD25+Foxp3+)和Th17(CD4+IL-17A+)细胞比例,并通过ELISA测定血清IL-6、IL-10、IL-17A及TGF-β1水平。结果与其他两组相比,IPTR组Treg比例显著降低(P<0.05),Th17比例及Th17/Treg比值显著升高(P<0.05),同时伴随促炎因子IL-6、IL-17A水平升高(P<0.05)及抗炎因子IL-10、TGF-β1水平下降(P<0.05)。结论IPTR患者存在Treg/Th17轴失衡及促炎-抗炎细胞因子网络失调,提示免疫稳态破坏可能通过驱动炎症反应和抑制免疫耐受参与IPTR病理过程。 展开更多
关键词 免疫性血小板输注无效 调节性t细胞 辅助性t细胞 细胞因子 免疫稳态
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不完全型胚胎着床障碍模型小鼠滤泡辅助性T细胞占比及功能相关细胞因子表达水平分析
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作者 王鹏 巩晓芸 +2 位作者 张曼丽 张于念 腊晓琳 《安徽医科大学学报》 北大核心 2026年第1期38-45,共8页
目的检测不完全型胚胎着床障碍(EID)模型小鼠脾脏滤泡辅助性T(Tfh)细胞比例及其功能相关的细胞因子表达水平,探讨Tfh在EID导致的不孕症中的免疫学机制。方法将16只雌性昆明小鼠随机均分为2组,于妊娠第4天利用米非司酮混悬液灌胃的方式... 目的检测不完全型胚胎着床障碍(EID)模型小鼠脾脏滤泡辅助性T(Tfh)细胞比例及其功能相关的细胞因子表达水平,探讨Tfh在EID导致的不孕症中的免疫学机制。方法将16只雌性昆明小鼠随机均分为2组,于妊娠第4天利用米非司酮混悬液灌胃的方式建立不完全型EID小鼠模型,Control组给予等量生理盐水;于妊娠第8天处死小鼠,采用流式细胞术检测不完全型EID组和Control组小鼠脾脏淋巴细胞内Tfh细胞水平,qRT-PCR检测两组小鼠脾脏淋巴细胞中B细胞淋巴瘤分子6(Bcl-6)和趋化因子受体5(CXCR5)mRNA水平,Western blot检测两组小鼠脾脏淋巴细胞中Bcl-6和CXCR5蛋白表达水平,ELISA法检测血清白细胞介素4(IL-4)、IL-6和IL-21水平,免疫组织化学法(IHC)检测两组小鼠子宫内膜组织孕激素受体(PR)、Bcl-6和CXCR5蛋白的水平。结果不完全型EID小鼠胚胎着床点数降低,子宫内膜PR表达降低。流式检测结果显示,不完全型EID小鼠脾脏淋巴细胞中CD4^(+)CXCR5^(+)Tfh细胞比例显著高于Control组(P<0.05)。与Control组相比,不完全型EID组小鼠脾脏淋巴细胞Bcl-6和CXCR5 mRNA水平和蛋白水平均升高,差异有统计学意义(P<0.05);不完全型EID组小鼠血清IL-4、IL-6和IL-21水平均增高,子宫内膜中Bcl-6和CXCR5蛋白显著升高(P<0.05)。结论Tfh细胞及其相关细胞因子Bcl-6和CXCR5的增加与不完全型EID的发生有关,可能参与女性免疫性不孕的发生。 展开更多
关键词 滤泡辅助性t细胞 胚胎着床障碍 趋化因子受体5蛋白 B细胞淋巴瘤分子6蛋白 细胞因子 子宫内膜容受性
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Early Changes in Circulatory T Helper Type 1, 2, and 17 Cells of Patients with Out-of-Hospital Cardiac Arrest after Successful Cardiopulmonary Resuscitation 被引量:4
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作者 Zhi-Jiang Qi Qiang Zhang +2 位作者 Bo Liu Huan Shao Chun-Sheng Li 《Chinese Medical Journal》 SCIE CAS CSCD 2018年第17期2071-2079,共9页
Background: Immune disorder is an important feature of patients with out-of-hospital cardiac arrest (OHCA) after the return of spontaneous circulation (ROSC). We investigated the expression of circulatory T helpe... Background: Immune disorder is an important feature of patients with out-of-hospital cardiac arrest (OHCA) after the return of spontaneous circulation (ROSC). We investigated the expression of circulatory T helper type (Th)1, Th2, and Th 17 cells to explore the early immune alteration in OHCA patients after ROSC. Methods: During July-September 2016 and March-September 2017, 65 consecutive OHCA patients with ROSC 〉 12 h and 30 healthy individuals were enrolled in this study. Clinical and 28-day survival data were collected. Peripheral blood samples were analyzed to evaluate the expression of Th1/Th2/Th 17 cells by flow cytometry from OHCA patients after ROSC on days l and 3 and from healthy individuals. Results: Compared with healthy individuals, T lymphocyte counts and Thl cell counts decreased on days 1 and 3 after ROSC (1464 [1198, 2152] vs. 779 [481, 1140] vs. 581 [324, 1118/μl,χ^2= 30.342, P 〈 0.001; 154 [90, 246] vs. 39 [19, 78] vs. 24 [12, 53]μl, χ^2 = 42.880, P〈 0.001), and Th2 and Th17 cell counts decreased on day 3 (17.0 [10.8, 24.0] vs. 9.0 [3.0, 15.5]μl, Z= -3.228, P= 0.001; 4.7 [2.7, 9.1] vs. 2.7 [1.0, 6.5]μl, Z = -2.294, P = 0.022). No change in CD4+/CD3+ lymphocyte ratio was seen on day 1 or day 3 (57.9 [49.4, 63.0] vs. 55.4 [46.5, 66.5] vs. 55.4 [50.2, 67.0]%, χ^2 = 0.171, P = 0.918). Th1/CD4+ lymphocyte ratio decreased on days 1 and 3 (19.0 [14.0, 24.9] vs. 9.3 [4.6, 13.9] vs. 9.5 [4.9, 13.6]%, χ^2= 25.754, P 〈 0.001), and Th2/CD4+ lymphocyte ratio increased on day 1 and decreased on day 3 (1.9 [1.2, 2.5] vs. 2.5 [1.6, 4.0] vs. 1.9 [1.6, 3.81%,χ^2= 6.913, P = 0.032). Thl/Th2 cell ratio also decreased on both clays (9.4 [7.3, 13.5] vs. 3.1 [1.9, 5.6] vs. 4.2 [2.8, 5.9], χ^2 = 44.262, P 〈 0.001 ). Despite an upward trend in the median of Th 17/CD4+ lymphocyte ratio in OHCA patients, there was no significant difference compared with healthy individuals (0.9 [0.4, 1.2] vs. 0.7 [0.4, 1.2] vs. 0.6 [0.3, 1.01%, χ^2= 2.620, P = 0.270). The dynamic expression of Th1/Th2/Th 17 cells on days 1 and 3 were simultaneously analyzed in 28/53 OHCA patients who survived 〉3 days; patients were divided into survivors (n = 10) and nonsurvivors (n = 18) based on 28-day survival. No significant differences in Th1/Th2/Th 17 cell counts, ratios in CD4+ lymphocytes, and Th1/Th2 cell ratio were seen between survivors and nonsurvivors on both days (all P 〉 0.05). There was no difference over time in both survivors and nonsurvivors (all P 〉 0.05). Conclusion: Downregulated T lymphocyte counts, including Th1/Th2/Th17 subsets and Th1/Th2 cell ratio imbalance, occur in the early period after ROSC, that may be involved in immune dysfunction in OHCA patients. 展开更多
关键词 Out-of-Hospital Cardiac Arrest t helper type 1 Cell t helper type 17 Cell t helper type 2 Cell
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Effects of Lycium barbarum polysaccharide on the activation of pathogenic CD4^(+)T cells in a mouse model of multiple sclerosis
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作者 Mengdi Guo Guozhen Deng +9 位作者 Bin Huang Zhiyong Lin Xue Yang Linglin Dong Zilin Wang Yi Guo Ming Yi Weiyan Wang Mei-Ling Jiang Cun-Jin Zhang 《Neural Regeneration Research》 2026年第6期2563-2572,共10页
Multiple sclerosis is a severe autoimmune disorder that is mainly mediated by pathogenic cluster of CD4^(+)T cell subsets.Despite advancements in the management of multiple sclerosis,there is a critical need for more ... Multiple sclerosis is a severe autoimmune disorder that is mainly mediated by pathogenic cluster of CD4^(+)T cell subsets.Despite advancements in the management of multiple sclerosis,there is a critical need for more effective and safer treatments.In the present study,we administered Lycium barbarum glycopeptide to a mouse model of experimental autoimmune encephalomyelitis-an animal model of multiple sclerosis-and evaluated its effects on pathogenic CD4^(+)T cell activation both in vivo and in vitro.Lycium barbarum glycopeptide significantly mitigated the clinical severity of experimental autoimmune encephalomyelitis,as demonstrated by reduced demyelination and neuroinflammation.Moreover,Lycium barbarum glycopeptide treatment decreased the infiltration of peripheral leukocytes into the central nervous system and suppressed pro-inflammatory cytokine expression.Lycium barbarum glycopeptide also modulated pathogenic CD4^(+)T cell activation by inhibiting T helper 1/T helper 17 cell differentiation while promoting regulatory T cell expansion.Notably,no side effects were observed,suggesting the long-term safety and tolerability of Lycium barbarum glycopeptide.Furthermore,RNA sequencing data indicated that Lycium barbarum glycopeptide inhibits activator protein-1,an essential regulator of T cell activation and differentiation.This finding was supported by the reversal of T helper/T helper 17 cell response suppression upon AP-1 blockade.Collectively,these results highlight the potential of Lycium barbarum glycopeptide as an innovative therapeutic agent for CD4^(+)T cell-associated autoimmune or inflammatory diseases,such as multiple sclerosis. 展开更多
关键词 AP-1 signaling pathway experimental autoimmune encephalomyelitis Lycium barbarum glycopeptide multiple sclerosis neuroinflammation nucelar factor-κB signaling pathway NLRP3 inflammasome pathogenic CD4^(+)t cells t helper 1/t helper 17 cell differentiation treg polarization
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Ligand- complex-based quantification of β2- integrin-mediated affinity and avidity of murine T cells
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作者 M.Therre A.A.Kuhnle +3 位作者 H.M.Arndt N.Frey M.H.Konstandin N.V.Bogert 《Animal Models and Experimental Medicine》 2026年第2期319-328,共10页
Background:Integrins facilitate binding to the extracellular matrix and other cells.Their subunit β2 is exclusively expressed by leukocytes,binds to the intercellular cell adhesion molecule 1(ICAM-1),and is pivotal f... Background:Integrins facilitate binding to the extracellular matrix and other cells.Their subunit β2 is exclusively expressed by leukocytes,binds to the intercellular cell adhesion molecule 1(ICAM-1),and is pivotal for their recruitment to sites of inflammation such as the atherosclerotic plaque.Methods:To investigate β2-integrin-mediated adhesiveness,a well-established assay for human whole blood was adapted for the analysis of murine T cell subsets.Changes in avidity and affinity were assessed by incubation of murine complexes ICAM-1 in murine whole blood and consecutive stimulation with PMA and Mg^(2+)/EGTA.Underlying signaling pathways in β2-integrin-mediated adhesiveness upon chemokine stimulation with CCL-19 were identified by incubation with reducing substances,and a Ca^(2+)chelator and ROS and Ca^(2+)measurements were carried out.Results:Incubation of murine whole blood with PMA leads to 30-fold and Mg^(2+)/EGTA to 65-fold increase in β2-integrin-mediated adhesiveness of T cells.Specificity of the assay was proven by preincubation of a blocking antibody,leading to a 60%reduction in adhesion capacity.ROS species and Ca^(2+)are crucial for chemokine-mediated β2-integrin activation.In vivo relevance was proven by induction of T cell adhesiveness in whole blood of mice upon myocardial infarction.Conclusions:Our assay allows specific quantification of β2-integrin-mediated affinity and avidity of T cells in whole blood samples.In congruence to human adhesion,these mechanisms are ROS and Ca^(2+)dependent and significantly elevated after myocardial infarction.Our refined and robust assay may be of particular use in phenotyping involved mechanisms in T cell activation in atherosclerotic cardiovascular disease. 展开更多
关键词 AFFINItY AVIDItY ICAM-1 t cells t helper cells β2-integrin
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基于Th17/Treg免疫调节探讨炙甘草汤加减治疗原发性干燥综合征的效果及机制
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作者 韩其茂 陈璐 《临床误诊误治》 2026年第5期81-86,共6页
目的基于辅助性T淋巴细胞(Th)17/调节性T淋巴细胞(Treg)免疫调节探讨炙甘草汤加减治疗原发性干燥综合征的效果及作用机制。方法研究对象来自2024年4月至6月就诊的60例原发性干燥综合征患者,采用随机数字表法分为中药组与西医组,每组30... 目的基于辅助性T淋巴细胞(Th)17/调节性T淋巴细胞(Treg)免疫调节探讨炙甘草汤加减治疗原发性干燥综合征的效果及作用机制。方法研究对象来自2024年4月至6月就诊的60例原发性干燥综合征患者,采用随机数字表法分为中药组与西医组,每组30例。中药组采用炙甘草汤加减治疗,西医组采用硫酸羟氯喹片治疗。比较两组临床疗效,治疗前后中医证候积分、Th17/Treg细胞平衡指标(Th17细胞百分比、Treg细胞百分比、Th17/Treg)、外分泌腺功能指标(唾液流率和泪液流率)以及治疗期间不良反应。结果治疗后,中药组总有效率93.33%(28/30)高于西医组的73.33%(22/30,P<0.05)。治疗后,两组各项中医证候积分均较治疗前降低,且与西医组比较,中药组更低(P<0.05)。治疗后,两组Th17细胞百分比、Th17/Treg均较治疗前降低,Treg细胞百分比均较治疗前升高,且与西医组比较,中药组的变化幅度更大(P<0.05)。治疗后,两组唾液流率和泪液流率均升高(P<0.05),但两组比较无统计学差异(P>0.05)。治疗期间,两组不良反应总发生率比较无统计学差异(P>0.05)。结论采用炙甘草汤加减治疗原发性干燥综合征效果良好,能减轻中医症状,改善外分泌腺功能且安全性好,其作用机制与调节Th17/Treg细胞平衡有关。 展开更多
关键词 原发性干燥综合征 炙甘草汤 硫酸羟氯喹 辅助性t淋巴细胞17 调节性t淋巴细胞 免疫调节 中医证候积分
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布鲁氏菌性骨关节炎中Tfh/Tfr细胞失衡特征及关节损伤相关分子的变化
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作者 郭泽凡 杨子敬 +5 位作者 李文宣 翁文豪 马涛 张振东 庞楠楠 王维山 《陆军军医大学学报》 北大核心 2026年第7期861-870,共10页
目的布鲁氏菌性骨关节炎急慢性期免疫炎症机制尚未明确,滤泡辅助性T细胞(T follicular helper cells,Tfh)和滤泡调节性T细胞(follicular regulatory T cells,Tfr)细胞在该疾病中的动态变化及其与免疫炎症反应无相关报道。本研究旨在探... 目的布鲁氏菌性骨关节炎急慢性期免疫炎症机制尚未明确,滤泡辅助性T细胞(T follicular helper cells,Tfh)和滤泡调节性T细胞(follicular regulatory T cells,Tfr)细胞在该疾病中的动态变化及其与免疫炎症反应无相关报道。本研究旨在探讨布鲁氏菌性骨关节炎患者外周血及滑膜组织中Tfh细胞与Tfr细胞急性期与慢性期的变化特点,及其相关细胞因子、转录因子与免疫球蛋白的关联性,为该疾病免疫机制及临床诊疗提供科学依据。方法本研究采用横断面研究设计,共纳入2024年1月至2025年8月石河子大学第一附属医院及医共体医院骨科确诊的急性期布鲁氏菌性骨关节炎患者13例、慢性期患者21例,另选取20例健康人群作为对照。收集所有研究对象外周血样本,同时收集慢性期患者3例及非感染性关节损伤手术患者的滑膜组织3例作为局部组织水平验证,未纳入总体临床统计分析。采用流式细胞术检测外周血中(CD4^(+)CXCR5^(+)CD25-CD127^(+))Tfh细胞与(CD4^(+)CXCR5^(+)CD25^(+)CD127-)Tfr细胞百分比及两者比值;ELISA法测定血清中IL-4、IL-21、IL-10、TGF-β等细胞因子及IgA、IgG、IgE、IgM等免疫球蛋白水平;qRT-PCR检测外周血单个核细胞(peripheral blood mononuclear cells,PBMCs)中Tfh相关转录因子BCL-6、细胞因子IL-21及Tfr相关转录因子FOXP3、细胞因子IL-10的mRNA表达;Western blotting检测滑膜组织中IL-21、FOXP3蛋白及关节基质代谢相关蛋白MMP-13、COLⅡ、ADAMTS5的表达。结果(1)滑膜组织中相关蛋白检测结果显示,相较于对照组,慢性期患者FOXP3(P=0.0201)、MMP-13(P=0.0048)、ADAMTS5(P=0.0023)蛋白表达均显著升高,而IL-21(P<0.0001)、COLⅡ(P=0.0092)蛋白表达则显著降低。(2)外周血流式细胞术检测发现,急性期患者Tfh细胞比例较对照组(P=0.0014)、慢性期组(P<0.0001)均显著升高;Tfh/Tfr比值分别高于对照组(P=0.0204)及慢性期组(P<0.0001);而Tfr细胞比例则低于对照组(P<0.0155)和慢性期组(P<0.0001)。(3)qRT-PCR检测显示,急性期患者PBMCs中Tfh相关细胞因子IL-21、转录因子BCL-6相较于对照组升高(P=0.0008,P<0.0001);慢性期患者细胞因子IL-10、转录因子FOXP3相较于对照组表达均明显上调(P<0.0001)。(4)酶联免疫吸附测定(enzyme-linked immunosorbent assay,ELISA)检测结果显示,急性期患者血清IL-21、IL-4、IgG水平均显著高于对照组(P<0.0001);慢性期患者较急性期三者呈下降趋势(P<0.05)。而IL-10水平在慢性期显著升高,高于对照组(P<0.0001)及急性期(P=0.0343)。患者血清IgA、IgM水平在急、慢性期均显著高于对照组(P<0.05),但在2组间比较无统计学差异。(5)Spearman相关性分析显示,急性期Tfh细胞比例与IL-21、IgA、IgM呈正相关(r=0.26、0.34、0.37),与Tfr细胞呈负相关(r=-0.54),IL-21与IgG、IgM呈强正相关(r=0.75、0.58);慢性期上述相关性整体减弱,Tfr相关指标与其余指标联动增强。结论本研究初步揭示了Tfh/Tfr细胞失衡在布鲁氏菌性骨关节炎中的变化,急性期以Tfh细胞及其相关因子高表达为主;慢性期以Tfr细胞及其相关因子高表达为特征,且存在骨关节病理损伤。 展开更多
关键词 布鲁氏菌 感染性关节炎 滤泡辅助性t细胞 调节性t淋巴细胞
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