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自体造血干细胞移植可减少多发性硬化症中免疫基因表达的异常。

Autologous haematopoietic stem cell transplantation reduces abnormalities in the expression of immune genes in multiple sclerosis.

作者信息

de Paula A Sousa Alessandra, Malmegrim Kelen C R, Panepucci Rodrigo A, Brum Doralina S, Barreira Amilton A, Carlos Dos Santos Antonio, Araújo Amélia G, Covas Dimas Tadeu, Oliveira Maria C, Moraes Daniela A, Pieroni Fabiano, Barros George M, Simões Belinda P, Nicholas Richard, Burt Richard K, Voltarelli Júlio C, Muraro Paolo A

机构信息

‡Department of Clinical, Toxicological and Bromatological Analysis, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.

∥Department of Neuroscience and Behavioral Science, Hospital das Clinicas, Ribeirão Preto School of Medicine, University of São Paulo, São Paulo, Brazil.

出版信息

Clin Sci (Lond). 2015 Jan;128(2):111-20. doi: 10.1042/CS20140095.

Abstract

Autologous haematopoietic stem-cell transplantation (AHSCT) has been experimented as a treatment in patients affected by severe forms of multiple sclerosis (MS) who failed to respond to standard immunotherapy. The rationale of AHSCT is to 'reboot' the immune system and reconstitute a new adaptive immunity. The aim of our study was to identify, through a robust and unbiased transcriptomic analysis, any changes of gene expression in T-cells potentially underlying the treatment effect in patients who underwent non-myeloablative AHSCT for treatment of MS. We evaluated by microarray DNA-chip technology the gene expression of peripheral CD4+ and CD8+ T-cell subsets sorted from patients with MS patients before AHSCT, at 6 months, 1 year and 2 years after AHSCT and from healthy control subjects. Hierarchical clustering analysis revealed that reconstituted CD8+ T-cells of MS patients at 2 years post-transplantation, aggregated together with healthy controls, suggesting a normalization of gene expression in CD8+ cells post-therapy. When we compared the gene expression in MS patients before and after therapy, we detected a large number of differentially expressed genes (DEG) in both CD8+ and CD4+ T-cell subsets at all time points after transplantation. We catalogued the biological function of DEG and we selected 27 genes known to be involved in immune function for accurate quantification of gene expression by real-time PCR. The analysis confirmed and extended with quantitative data, a number of significant changes in both the CD4+ and CD8+ T-cells subsets from MS post-transplant. Notably, CD8+ T-cells revealed more extensive changes in the expression of genes involved in effector immune responses.

摘要

自体造血干细胞移植(AHSCT)已被试验用于治疗对标准免疫疗法无反应的重度多发性硬化症(MS)患者。AHSCT的基本原理是“重启”免疫系统并重建新的适应性免疫。我们研究的目的是通过强大且无偏倚的转录组分析,确定接受非清髓性AHSCT治疗MS的患者中,T细胞基因表达的任何变化,这些变化可能是治疗效果的潜在基础。我们通过微阵列DNA芯片技术评估了从MS患者、健康对照受试者中分离出的外周CD4 +和CD8 + T细胞亚群在AHSCT前、AHSCT后6个月、1年和2年的基因表达。层次聚类分析显示,移植后2年MS患者重建的CD8 + T细胞与健康对照聚集在一起,表明治疗后CD8 +细胞的基因表达正常化。当我们比较MS患者治疗前后的基因表达时,我们在移植后所有时间点的CD8 +和CD4 + T细胞亚群中均检测到大量差异表达基因(DEG)。我们对DEG的生物学功能进行了分类,并选择了27个已知参与免疫功能的基因,通过实时PCR对基因表达进行准确定量。该分析通过定量数据证实并扩展了移植后MS患者CD4 +和CD8 + T细胞亚群中的一些显著变化。值得注意的是,CD8 + T细胞在参与效应免疫反应的基因表达方面显示出更广泛的变化。

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