Dual-release hydrocortisone treatment improves serum and peripheral blood mononuclear cell inflammatory and immune profiles in patients with autoimmune primary adrenal insufficiency
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: Jan. 23, 2025
Objective
The
primary
outcome
was
the
evaluation
of
T-cell
phenotype
in
autoimmune
adrenal
insufficiency
(PAI).
Secondary
outcomes
included
CD4
+
CD25
Foxp3
Treg
population
and
gene
expression
levels
IL-6,
IL-17A,
cyclooxygenase
(COX)-2,
heat
shock
proteins
(HSP)-70,
indoleamine-2,3-dioxygenase
(IDO),
programmed
death-ligand
1
(PD-L1),
inducible
nitric
oxide
synthase
(iNOS),
thioredoxin
(TXN)-1.
Methods
We
prospectively
15
patients
with
PAI
on
conventional
glucocorticoid
(GC)
replacement
therapy,
switched
to
dual-release
hydrocortisone
(DR-HC),
20
healthy
controls.
Serum
inflammatory
parameters
peripheral
blood
mononuclear
cells
(PBMCs)
were
evaluated
at
baseline
after
12
months
treatment.
Result
At
baseline,
significantly
higher
CD8
(both
p
<
0.001)
percentages,
a
lower
/CD8
ratio
(
0.05),
/CD25
T
observed
compared
After
DR-HC
treatment,
we
found
IL-6
=
0.019),
IL-17A
0.046),
COX-2
0.001),
HSP-70
0.006),
TXN-1
0.008)
PD-L1
IDO
mRNA
values
baseline.
significant
increase
0.012),
0.003),
decrease
0.0014),
0.005),
0.0008),
as
well
conversion
0.033),
GCs.
Conclusions
switch
from
GCs
treatment
altered
lymphocyte
Treg-independent
manner,
inducing
improvements
immune
profile
PAI.
Language: Английский
Experimental verification of Myriocin molecular bioactivity in revoking rheumatoid arthritis: New emphasis on S100A1 repression and PPAR-γ activation via non-canonical pathways in the flare-up of cytokines
Ghada S. El‐Tanbouly
No information about this author
International Immunopharmacology,
Journal Year:
2025,
Volume and Issue:
158, P. 114811 - 114811
Published: May 11, 2025
Language: Английский
The role of hypoxic microenvironment in autoimmune diseases
Xun Gong,
No information about this author
S. Yang,
No information about this author
Zhenyu Wang
No information about this author
et al.
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: Nov. 7, 2024
The
hypoxic
microenvironment,
characterized
by
significantly
reduced
oxygen
levels
within
tissues,
has
emerged
as
a
critical
factor
in
the
pathogenesis
and
progression
of
various
autoimmune
diseases
(AIDs).
Central
to
this
process
is
hypoxia-inducible
factor-1
(HIF-1),
which
orchestrates
wide
array
cellular
responses
under
low
conditions.
This
review
delves
into
multifaceted
roles
microenvironment
modulating
immune
cell
function,
particularly
highlighting
its
impact
on
activation,
metabolic
reprogramming,
angiogenesis.
Specific
focus
given
mechanisms
hypoxia
contributes
development
exacerbation
such
rheumatoid
arthritis
(RA),
systemic
lupus
erythematosus
(SLE),
multiple
sclerosis
(MS),
dermatomyositis
(DM).
In
these
conditions,
not
only
disrupts
tolerance
but
also
enhances
inflammatory
promotes
tissue
damage.
discusses
emerging
therapeutic
strategies
aimed
at
targeting
pathways,
including
application
HIF-1α
inhibitors,
mTOR
other
modulators
response.
By
providing
comprehensive
overview
interplay
between
dysfunction
AIDs,
offers
new
perspectives
underlying
highlights
potential
avenues
for
intervention.
Language: Английский
Multiomics analyses decipher intricate changes in the cellular and metabolic landscape of steatotic livers upon dietary restriction and sleeve gastrectomy
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 17, 2024
Abstract
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
a
chronic,
progressive
that
encompasses
spectrum
of
steatosis,
steatohepatitis
(or
MASH),
and
fibrosis.
Evidence
suggests
dietary
restriction
(DR)
sleeve
gastrectomy
(SG)
can
lead
to
remission
hepatic
steatosis
inflammation
through
weight
loss,
but
it
unclear
whether
these
procedures
induce
distinct
metabolic
or
immunological
changes
in
MASLD
livers.
This
study
aims
elucidate
the
intricate
following
DR,
SG
sham
surgery
rats
fed
high-fat
diet
as
model
obesity-related
MASLD,
comparison
clinical
cohort
patients
undergoing
SG.
Single-cell
single-nuclei
transcriptome
analysis,
spatial
metabolomics,
immunohistochemistry
revealed
landscape,
while
circulating
biomarkers
were
measured
serum
samples.
Artificial
intelligence
(AI)-assisted
image
analysis
characterized
distribution
hepatocytes,
myeloid
cells
lymphocytes.
In
experimental
rats,
improved
BMI,
injury
triglyceride
levels.
Both
DR
attenuated
fibrosis
rats.
Metabolism-related
genes
(
Ppara
,
Cyp2e1
Cyp7a1
)
upregulated
hepatocytes
upon
SG,
broadly
lipid
metabolism
on
cholangiocytes,
monocytes,
macrophages,
neutrophils.
Furthermore,
promoted
cell
accumulation
not
only
ameliorating
activating
repair
processes.
Regions
with
potent
infiltration
marked
enhanced
capacities
Additionally,
disruption
periportal
hepatocyte
functions
was
observed
DR.
conclusion,
this
indicates
dynamic
cellular
crosstalk
livers
Notably,
PPARα-
gut-liver
axis-related
processes,
metabolically-active
indicate
intervention-related
mechanisms
supporting
for
treatment
MASLD.
Language: Английский
Multiomics analyses decipher intricate changes in the cellular and metabolic landscape of steatotic livers upon dietary restriction and sleeve gastrectomy
International Journal of Biological Sciences,
Journal Year:
2024,
Volume and Issue:
20(11), P. 4438 - 4457
Published: Jan. 1, 2024
Metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
is
a
chronic,
progressive
that
encompasses
spectrum
of
steatosis,
steatohepatitis
(or
MASH),
and
fibrosis.
Evidence
suggests
dietary
restriction
(DR)
sleeve
gastrectomy
(SG)
can
lead
to
remission
hepatic
steatosis
inflammation
through
weight
loss,
but
it
unclear
whether
these
procedures
induce
distinct
metabolic
or
immunological
changes
in
MASLD
livers.
This
study
aims
elucidate
the
intricate
following
DR,
SG
sham
surgery
rats
fed
high-fat
diet
as
model
obesity-related
MASLD,
comparison
clinical
cohort
patients
undergoing
SG.
Single-cell
single-nuclei
transcriptome
analysis,
spatial
metabolomics,
immunohistochemistry
revealed
landscape,
while
circulating
biomarkers
were
measured
serum
samples.
Artificial
intelligence
(AI)-assisted
image
analysis
characterized
distribution
hepatocytes,
myeloid
cells
lymphocytes.
In
experimental
rats,
improved
body
mass
index,
injury
triglyceride
levels.
Both
DR
attenuated
fibrosis
rats.
Metabolism-related
genes
(
Language: Английский