决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Exploration of Tilmicosin Cardiotoxicity in Rats and the Protecting Role of the Rhodiola rosea Extract: Potential Roles of Cytokines, Antioxidant, Apoptotic, and Anti-Fibrotic Pathways.
替米考星(TIL)是兽医学中常用的大环内酯类抗生素。
替米考星(TIL)是兽医临床常用的大环内酯类抗生素。高剂量TIL可产生心血管不良影响。本研究考察了具有抗炎、抗氧化和抗纤维化作用的红景天(RHO)提取物对替米考星诱导心脏损伤的影响,关注抗炎、抗氧化、凋亡及抗凋亡信号通路和抗纤维化效应。将36只雄性Wistar albino大鼠随机分为6组,每组6只。各组分别接受生理盐水(阴性对照)、口服卡维地洛(CARV,1 mL,10 mg/kg体重)或口服RHO(1 mL,400 mg/kg体重),每日一次,连续12天。TIL组在实验第6天接受一次TIL皮下注射(75 mg/kg体重)以诱导心脏损伤。阳性标准组(CARV+TIL)连续12天每日给予CARV,仅在研究第6天于给药1小时后单次皮下注射TIL,此后再继续使用CARV 6天。保护组(RHO+TIL)在与CARV+TIL组相同的期间每日给予前述剂量的RHO。研究第13天处死大鼠时采集血清,检测血清乳酸脱氢酶(LDH)、心肌肌钙蛋白I(cTI)和肌酸磷酸激酶(CK-MB)等生化指标。采用心脏匀浆中的蛋白羰基(PC)、丙二醛(MDA)及总抗氧化能力(TAC)评估氧化应激。使用定量RT-PCR检测心脏组织中的干扰素γ(IFN-γ)、环氧合酶2(COX-2)、OGG1、BAX、半胱天冬酶3、B细胞淋巴瘤2(Bcl-2)及超氧化物歧化酶(SOD)基因表达,这些指标与炎症、抗氧化和凋亡有关。通过免疫组织化学分析心肌细胞中的α平滑肌肌动蛋白(α-SMA)、钙调蛋白激酶II(CaMKII)及其他与Ca2+稳态和纤维化相关的基因。TIL给药显著升高LDH、cTI和CK-MB等心脏损伤指标,也使心脏组织中的活性氧、PC和MDA增加,同时降低抗氧化活性(TAC及SOD mRNA)。血清炎症细胞因子以及组织炎症标志物、DNA损伤相关指标(IFN-γ、COX-2)和促凋亡基因(半胱天冬酶3、BAX)表达上调,而抗凋亡基因Bcl-2及DNA修复基因OGG1表达下调。此外,心脏组织免疫组化显示CaMKII和α-SMA表达上调。相反,预先给予RHO或CARV均显著降低TIL诱导的心脏损伤指标、炎症及抗炎细胞因子和组织氧化-抗氧化相关指标。实时PCR显示,IFN-γ、COX-2、OGG1、BAX及半胱天冬酶3 mRNA表达下调,而SOD和Bcl-2 mRNA表达上调。此外,预先给予RHO的大鼠中,CaMKII和α-SMA的免疫反应性显著降低。
Tilmicosin (TIL) is a common macrolide antibiotic in veterinary medicine. High doses of TIL can have adverse cardiovascular effects. This study examined the effects of Rhodiola rosea (RHO) that have anti-inflammatory, antioxidant, and anti-fibrotic effects on tilmicosin (TIL)-induced cardiac injury targeting anti-inflammatory, antioxidant, apoptotic, and anti-apoptotic signaling pathways with anti-fibrotic outcomes. Thirty-six male Wistar albino rats were randomly divided into groups of six rats each. Rats received saline as a negative control, CARV 1 mL orally (10 mg/kg BW), and RHO 1 mL orally at 400 mg/kg BW daily for 12 consecutive days. The TIL group once received a single subcutaneous injection (SC) dose of TIL (75 mg/kg BW) on the sixth day of the experiment to induce cardiac damage. The standard group (CARV + TIL) received CARV daily for 12 consecutive days with a single TIL SC injection 1 h after CARV administration only on the sixth day of study and continued for another six successive days on CARV. The protective group (RHO + TIL) received RHO daily for the same period as in CARV + TIL-treated rats and with the dosage mentioned before. Serum was extracted at the time of the rat's scarification at 13 days of study and examined for biochemical assessments in serum lactate dehydrogenase (LDH), cardiac troponin I (cTI), and creatine phosphokinase (CK-MB). Protein carbonyl (PC) contents, malondialdehyde (MDA), and total antioxidant capacity (TAC) in cardiac homogenate were used to measure these oxidative stress markers. Quantitative RT-PCR was used to express interferon-gamma (INF- ), cyclooxygenase-2 (COX-2), OGG1, BAX, caspase-3, B-cell lymphoma-2 (Bcl-2), and superoxide dismutase (SOD) genes in cardiac tissues, which are correlated with inflammation, antioxidants, and apoptosis. Alpha-smooth muscle actin ( -SMA), calmodulin (CaMKII), and other genes associated with Ca 2+ hemostasis and fibrosis were examined using IHC analysis in cardiac cells (myocardium). TIL administration significantly increased the examined cardiac markers, LDH, cTI, and CK-MB. TIL administration also increased ROS, PC, and MDA while decreasing antioxidant activities (TAC and SOD mRNA) in cardiac tissues. Serum inflammatory cytokines and genes of inflammatory markers, DNA damage (INF- , COX-2), and apoptotic genes (caspase-3 and BAX) were upregulated with downregulation of the anti-apoptotic gene Bcl-2 as well as the DNA repair OGG1 in cardiac tissues. Furthermore, CaMKII and -SMA genes were upregulated at cellular levels using cardiac tissue IHC analysis. On the contrary, pretreatment with RHO and CARV alone significantly decreased the cardiac injury markers induced by TIL, inflammatory and anti-inflammatory cytokines, and tissue oxidative-antioxidant parameters. INF- , COX-2, OGG1, BAX, and caspase-3 mRNA were downregulated, as observed by real-time PCR, while SOD and Bcl-2 mRNA were upregulated. Furthermore, the CaMKII and -SMA genes' immune reactivities were significantly decreased in the RHO-pretreated rats.
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