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源自促吞噬肽的T肽可预防细胞免疫抑制并提高脓毒症小鼠的存活率。

Tuftsin-derived T-peptide prevents cellular immunosuppression and improves survival rate in septic mice.

作者信息

Gao Yu-Lei, Chai Yan-Fen, Dong Ning, Han Su, Zhu Xiao-Mei, Zhang Qing-Hong, Yao Yong-Ming

机构信息

Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.

Trauma Research Center, First Hospital Affiliated to the Chinese PLA General Hospital, Beijing 100048, P.R. China.

出版信息

Sci Rep. 2015 Nov 18;5:16725. doi: 10.1038/srep16725.

DOI:10.1038/srep16725
PMID:26577833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4649719/
Abstract

The primary mechanisms of sepsis induced cellular immunosuppression involve immune dysfunction of T lymphocytes and negative immunoregulation of regulatory T cells (Tregs). It has been found that tuftsin is an immune modulating peptide derived from IgG in spleen. T-peptide is one of tuftsin analogs. Herein, we examined the effect of T-peptide on cell-mediated immunity in the presence of lipopolysaccharide (LPS) and the survival rate in septic mice. T-peptide regulated the proliferative ability of CD4(+)CD25(-) T cells in dual responses. Meanwhile, 10 and 100 μg/ml T-peptides were able to enhance the apoptotic rate of CD4(+)CD25(-) T cells compared with 1 μg/ml T-peptide, but markedly lowered interleukin (IL)-2 levels. When CD4(+)CD25(+) Tregs were treated with T-peptide for 24 hours, and co-cultured with normal CD4(+)CD25(-) T cells, the suppressive ability of CD4(+)CD25(+) Tregs on CD4(+)CD25(-) T cells was significantly lowered, along with decreased expression in forkhead/winged helix transcription factor p-3 (Foxp-3) as well as cytotoxic T lymphocyte-associated antigen (CTLA)-4, and secretion of transforming growth factor (TGF)-β. Moreover, T-peptide has the ability to improve outcome of septic mice in a dose- and time- dependent manner, and associated with improvement in the microenvironment of cellular immunosuppression in septic mice.

摘要

脓毒症诱导细胞免疫抑制的主要机制涉及T淋巴细胞的免疫功能障碍和调节性T细胞(Tregs)的负性免疫调节。已发现促吞噬素是一种源自脾脏中IgG的免疫调节肽。T肽是促吞噬素类似物之一。在此,我们研究了T肽在脂多糖(LPS)存在下对细胞介导免疫的影响以及对脓毒症小鼠存活率的影响。T肽在双重反应中调节CD4(+)CD25(-) T细胞的增殖能力。同时,与1μg/ml T肽相比,10μg/ml和100μg/ml T肽能够提高CD4(+)CD25(-) T细胞的凋亡率,但显著降低白细胞介素(IL)-2水平。当用T肽处理CD4(+)CD25(+) Tregs 24小时,并与正常CD4(+)CD25(-) T细胞共培养时,CD4(+)CD25(+) Tregs对CD4(+)CD25(-) T细胞的抑制能力显著降低,同时叉头/翼状螺旋转录因子p-3(Foxp-3)以及细胞毒性T淋巴细胞相关抗原(CTLA)-4的表达降低,转化生长因子(TGF)-β的分泌减少。此外,T肽具有以剂量和时间依赖性方式改善脓毒症小鼠结局的能力,并与改善脓毒症小鼠细胞免疫抑制的微环境有关。

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PLoS One. 2014 Oct 22;9(10):e110338. doi: 10.1371/journal.pone.0110338. eCollection 2014.
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The effect of goal-directed therapy on mortality in patients with sepsis - earlier is better: a meta-analysis of randomized controlled trials.
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