Estudo multicêntrico nacional para avaliação da incidência de autoanticorpos e eventos adversos em pacientes com diferentes enfermidades em uso de infliximabe

Introdução: O infliximabe é um anticorpo monoclonal quimérico que inibe o fator de necrose tumoral, sendo usado em doenças autoimunes e/ou inflamatórias, tais como a artrite reumatóide (AR), a espondilite anquilosante (EA), a psoríase e a artrite psoriásica (AP) e as doenças inflamatórias intestinais (DII). Objetivos: Avaliar se o infliximabe induz à formação de autoanticorpos e verificar a ocorrência de eventos adversos, sobretudo o lúpus induzido por este medicamento. Metodologia: Trata-se de um estudo aberto, prospectivo, de fase IV, onde dosamos os autoanticorpos antes e depois do tratamento (das doenças citadas anteriormente), o qual teve duração mínima de 6 meses (5 infusões). Resultados: No total, 286 pacientes foram avaliados para o fator anti-nuclear (FAN) por imunofluorescência indireta em células Hep2, sendo significativo o aumento de número de indivíduos (p = 0,0001), antes e depois da medicação. Além do FAN, foram dosados, em 146 pacientes, 17 outros autoanticorpos pelo método multiplex, sendo que o anti-DNA de dupla hélice (anti-dsDNA) e o anticardiolipina IgM (aCL IgM) tiveram um aumento significativo (p = 0,003 e 0,0024, respectivamente). Pacientes com AR tiveram uma variação significativa nos títulos do anticorpo anti-proteína citrulinada (ACPA) (antes e depois do tratamento) (p = 0,012). De todos os pacientes avaliados (n = 286), somente 1 (0,35%) apresentou sinais clínicos e laboratoriais de lúpus induzido pelo infliximabe. Conclusão: O estudo demonstrou que o infliximabe interferiu na formação de autoanticorpos (FAN, anti-dsDNA, aCL IgM e ACPA), sendo rara a indução de lúpus pelo medicamento.

猪-猕猴延迟性异种移植排斥反应的发生机制

　目的:探讨猪2猕猴延迟性异种移植排斥反应(DXR) 的发生机制。方法:建立湖北白猪2云南猕猴的腹腔异位心 脏移植模型,应用中华眼镜蛇毒因子(Y2CVF) 完全清除受者体内补体,并应用环孢素A(CsA) 、环磷酰胺(CTX) 和甲泼尼龙(M. P) 三联免疫抑制治疗。检测血清C3、C4、抗猪内皮细胞天然抗体,免疫组化方法染色检测移植物中C3、C5b29、IgG、IgM、细胞间 黏附分子21 ( ICAM21) 、肿瘤坏死因子2α(TNF2α) 、单核巨噬细胞(CD68) 、NK细胞(CD57) 、CD4 + T 细胞和CD8 + T 细胞的表达。 结果:移植心存活时间分别为8、10、13 和13 天,血清C3 和补体总活性均下降为0 ,抗猪内皮细胞天然抗体水平在移植后则有 一个更为明显的下降,在移植心失功前2～4 天开始天然抗体稍有回升,但较术前正常时仍明显偏低。移植心有程度不等的 C3、C4、C5b29、IgG及IgM 沉积,大量的单核细胞(50 %) ,少量的NK细胞(8 %～10 %) 、CD4 + T 细胞(15 %) 和CD8 + T 细胞 (25 %) 。移植物血管内皮细胞表面出现ICAM21 的表达上调,移植物间质中出现TNF2α的表达增加。结论:体液免疫和细胞免 疫参与猪2猕猴DXR 排斥反应的发生。

A comparative study on effects of Immunoster and Immunowall as immunostimulants on some hematological, biochemical and growth indices of farmed great sturgeon juveniles (Huso huso)

Prebiotics are non-digestible food ingredients that profitably affect the host by selectively stimulating the growth and /or activation of one or a limited number of bacteria in the intestine that can enhance host health status. Immunoster (IS) and Immunowall (IW) are prebiotics and immunostimulants derived from the outer cell wall of brewers yeast, Saccharomyces cerevisiae. These substances contain MOS and �-glucans. After a four-week acclimatization period to rearing conditions and basal diet, 450 farmed great sturgeon juveniles weighing 95.58 ± 9.38 g were randomly distributed into 15 fiberglass tanks (2 × 2 × 0.53 m) in five treatments (Control, IS 1%, IW 1%, IS 3%, and IW 3%) in three replicates (completely randomized design) and kept at a density of 30 fish per tank for a period of 8 weeks at water temperature 20.55 ± 5.11ºC, dissolved oxygen 6.73 ± 0.35 mg L-1 and pH 7.92 ± 0.09. IS and IW were added at two levels of 1% and 3% to the basal diet in place of cellulose, except the control. At the beginning, in the middle and at the end of the trial, carcass analysis was done to determine the moisture, protein, fat, ash, and total carbohydrate. Also, blood samples were collected to measure hematological, biochemical and immune indices. At the end of the trial, final weight, final length, body weight increase (BWI), specific growth rate (SGR), average daily growth (ADG), protein efficiency ratio (PER), feed conversion ratio (FCR), and condition factor (CF) in fish fed on IS and IW in both levels 1% and 3% showed some differences. These differences were significant in IS 3% and IW 1% and 3% compared with the control (P<0.05). HSI showed no significant difference (P>0.05) and survival rate was 100% in all treatments. Crude protein of carcass in fish fed on IS and IW at 1% and 3% showed an increase in comparison with the control. There was significant difference between IS 3% and the control in crude protein of carcass (P<0.05). Fish fed on IS and IW at 1% and 3% showed various results in hematological and biochemical factors. It was observed significant difference in MCV between IW 1% and IS 3% compared with the control (P<0.05). Although there was an increase in values of hematocrit, hemoglobin (except IS 1%), WBC (except IW 3%), MCH, neutrophil, total protein, albumin (except IS 3%), K+, and lysozyme in fish fed on IS and IW compared with the control, it was no significant (P>0.05). The maximum count of WBC and the highest value of Ca2+ were seen in IW 1%. The maximum count of lymphocyte, the highest values of total protein, albumin and IgM were recorded in IW 3%. IS 1% had the maximum count of neutrophil and the highest concentration of lysozyme. Based on obtained results, it can be declared that IS and IW at two levels of 1% and 3% can enhance growth performance and feed efficiency and also improve some hematological, biochemical, and immune indices in farmed great sturgeon juveniles.

猪到猕猴异种心脏移植超急性排斥反应的免疫学及病理学变化

　观察猪到猕猴异种心脏移植超急性排斥反应时的免疫学及病理学变化。方法　 采用猪到猕猴腹腔内异位心脏移植模型,检测发生超急性排斥反应者的血液中补体、天然抗体及T 淋巴细胞亚群的变化,并对移植心脏进行免疫组化(测定C3 、C4 、C5b29 、IgG及IgM 的沉积) 及病理学 分析。结果　发生超急性排斥反应时,血清补体C3 、C4 的含量、总补体活性及抗猪内皮细胞天然抗 体均有一定程度的下降;CD4 + / CD8 + T 淋巴细胞的比率也有所下降;移植心脏中均有补体C3 、C4 、 C5b29 的沉积, IgG及IgM 也均有沉积,但IgG和IgM 沉积强度的差异无统计学意义;病理学改变主 要为心肌间质弥漫性出血、水肿,毛细血管内普遍淤血。结论　补体通过经典途径激活参与猪到猕猴 异种心脏移植超急性排斥反应;超急性排斥反应时受者血中天然抗体水平明显下降;CD4 + T 淋巴细 胞可能参与异种移植超急性排斥反应过程并有所消耗;发生超急性排斥反应的移植物突出病理表现 为间质出血。

人精子抗原决定簇的末端单糖参与小鼠IgA单抗与抗原的结合

对消化道免疫获得的33个抗精子IgA单抗, 12个IgG和35个IgM单抗靶抗原的生化性质及末端单糖做了鉴定。免疫印迹的结果显示, IgA、IgG和IgM类单抗靶抗原的分子量范围分别为10-89、11-75和12-94KDa。有12个单抗的靶抗原为非蛋白类的糖复合物, 一个IgA单抗(A22)的靶抗原为不含糖的蛋白。凝集素封闭和糖苷酶消化试验的结果显示, 98.7%单抗的靶抗原分子末端含一种或几种糖。五种凝集素对IgA类单抗靶抗原的抗原的封闭效应均较强, 表明IgA类单抗靶抗原的抗原决定簇含有岩藻糖、乙酰氨基葡萄糖、乙酰氨基半乳糖、半乳糖和甘露糖等末端单糖者较多。IgG类单抗靶抗原的抗原决定簇则含有带岩藻糖、乙酰氨基半乳糖和#alpha#-甘露糖等末端单糖者较多。内切-#beta#-半乳糖苷酶消化试验的结果表明, 54.4%IgA类单抗的靶抗原为依赖半乳糖苷连接的糖肽化合物。这些结果表明, 经消化道免疫能产生IgA及其它类别抗体的绝大多数人精子抗原为含多种类型末端单糖的膜表面分子。

Effects of testosterone undecanoate as a male contraceptive candidate on rat immunological features

Testosterone undecanoate (TU) is under phase III clinical trial as a hormonal male contraceptive in China. Sex hormones can modulate the immune system. Female hormonal contraceptives may affect SIV/HIV-1 transmission. To evaluate the safety of TU and to understand whether long-term use of TU for a male contraceptive affects users' immunological features, adult male rats were treated for a 32-week TU-treated phase at the dose of 20 mg TU/kg body weight and a 24-week recovery phase. The reproductive and immunological parameters of 4-6 rats in each subgroup were examined at the stated time point. The mean sperm count and viability in the treated rats were significantly suppressed (p < 0.01). In the TU-treated group: the mean blood leukocyte and lymphocyte counts; the proliferation indexes of T cells from peripheral blood mononuclear cells (PBMC) and spleen; and, of B cells from spleen, as well as the mean counts of blood T, NK, and B cells decreased in comparison with those of control group. These decreases were not significant (p > 0.01). Similarly, the mean serum IgM, IgG, and IgA levels and complement activity in TU-treated rats were lower than those in control group (p > 0.01), and the changes in the antibody levels of the examined genital secretions were not significant (p > 0.01). The changes in the thickness of urethra epithelium, and in secretory component (SC) expression in genitals were not observed in the treated group. These results demonstrated that long-term supraphysiological TU injection did not obviously affect the examined rat immunological parameters.

草鱼免疫球蛋白M重链基因的克隆及表达

用RACE-PCR方法扩增出草鱼免疫球蛋白M(immunoglobulin M,IgM)分泌型的重链全长cDNA。其cDNA全长为1 940nt,包含5′非编码区20nt,3′非编码区189nt,开放阅读框1 731nt,编码576个氨基酸。序列比对分析表明草鱼IgM与鲤的相似性高达68%,与斑马鱼、斑点叉尾鱼回、鳜以及大西洋鳕的相似性分别为61%、43%、33%和30%。ClustalX比对结果显示:草鱼IgM中存在半胱氨酸和色氨酸的保守位点。进化分析表明,草鱼IgM与斑马鱼的IgM聚为一枝。荧光定量P

柱状黄杆菌胞外多糖对草鱼的免疫促进作用

将柱状黄杆菌胞外多糖(EPS)溶液经腹腔注射免疫草鱼,以注射灭菌生理盐水作对照。免疫一周后,分别提取受免鱼与对照鱼肝脏、脾脏、体肾和头肾4种组织中的总RNA,并通过RT-PCR半定量的方法检测不同组织中C-反应蛋白(CRP)、白介素1(IL-1)、主要组织相容性复合体I(MHC I)、免疫球蛋白M(IgM)、干扰素(IFN)等5种免疫基因的表达情况。结果显示,CRP在受免鱼肝脏中的表达显著上升;MHC I在受免鱼脾脏、体肾中的表达显著下降;IgM在受免鱼4种组织中的表达皆显著上升;IL-1在受免鱼4种组织

四种方法对鲢血清免疫球蛋白的纯化及分子量测定

采用mannan-binding protein(MBP)、TG及免疫亲和层析法和饱和硫酸铵沉淀法纯化鲢血清免疫球蛋白IgM,并比较了4种纯化方法的纯化效果.SDS-PAGE显示鲢血清免疫球蛋白的重链和轻链分子量分别为76.4 kD和27.2 kD,推算其总分子量约828.8kD.

草鱼免疫应答的初步研究

研究了草鱼在不同水温条件下受抗原刺激后其中和抗体的变化。15℃培养条件下中和抗体上升缓慢,9周内滴度低于1:8;20℃时,3周后抗体可上升到1:256,最高达1:5270,而在25℃时,1周中和抗体即达到1:570,最高可达1:20000以上。并探索了从草鱼血清中提纯抗体的条件,研究其抗体的特性。草鱼血清中的抗体为大分子蛋白,容易解离为抗原性相同,分子量近似于人IgG的较小分子,含有较多的二硫键,具有类似IgM的某些特性。

Effects of cyanobacterial toxin microcystin-LR on the transcription levels of immune-related genes in grass carp Ctenopharyngodon idella

Recent studies in mammals have revealed that the cyanobacterial toxin MC-LR suppresses immune functions. Nevertheless, immunotoxic effects of microcystins have been little studied in fish. In this paper, we present the profiles of the immune modulation of MC-LR in grass carp, and quantitative real-time PCR methodology was developed for the measurement of relative transcription changes of six immune-related genes in the spleen and head kidney of the grass carp Ctenopharyngodon idella, which were intraperitoneally injected with 50 mu g MC-LR center dot kg(-1) body weight in a three-week period. This study was focused exclusively on gene transcription level changes at different time points after MC-LR exposure, so, only one dose was given. The investigated genes were interleukin-1 beta (IL-1 beta), tumor necrosis factor-alpha (TNF-alpha), type I interferon (Type I IFN), peptidoglycan recognition protein-L (PGRP-L), immunoglobulin M (IgM) and major histocompatibility complex class I (MHC-I) genes. The results demonstrated that the transcription levels of the TNF-alpha, type I IFN, and PGRP-L genes in the spleen and head kidney were significantly low at all time points, and those of IL-1 beta were significantly low in the head kidney at different time points. In addition, IgM and MHC-I transcription levels were only significantly low in the spleen and head kidney at 21 d postinjection. The changes in the transcription levels of immune-related genes induced by MC-LR confirmed its effect on inhibiting immune function at the transcription level.

Molecular cloning and characterization analysis of immunoglobulin M heavy chain gene in European eel (Anguilla anguilla)

In this study, the immunoglobulin M heavy chain gene of European eel (Anguilla anguilla) was cloned and analyzed. The full-length cDNA of the IgM heavy chain gene (GenBank accession no. EF062515) has 2089 nucleotides encoding a putative protein of 581 amino acids. The IgM heavy chain was composed of leader peptide (L), variable domain (VH), CH1, CH2. Hinge, CH3, CH4, and C-terminus and two novel continuous putative N-glycosylation sites were found close to the second cysteine of CH3 in A. anguilla-H1 and A. anguilla-H2. The deduced amino acid sequence of the European eel IgM heavy chain constant region shared similarities to that of the Ladyfish (Elops saurus). Atlantic salmon (Salmo salar), rainbow trout (Oncorhynchus mykiss), Grass carp (Ctenopharingodon idella), Common carp (Cyprinus carpio), Channel catfish (Ictalurus punctatus), and the orange-spotted grouper (Epinephelus coioides) with the identity of 46.1%, 39.7%, 38.9%, 32.4%, 32.3%, 31.7%, and 30.7%, respectively. The highest level of IgM gene expression was observed in the kidney, followed by the spleen, gills, liver, muscle and heart in the apparently healthy European eels. (C) 2008 Elsevier B.V. All rights reserved.

Generation and characterization of monoclonal antibodies against the flounder Paralichthys olivaceus rhabdovirus

Two MAbs (3C7 and 3C9) against flounder Paralichthys olivaceus rhabdovirus (PORV) were generated with hybridoma cell fusion technology and characterized by an indirect enzyme-linked immunosorbent assay, isotype test, Western blot and immunodot analysis and immunofluorescence assay. Isotyping tests demonstrated that both of the two MAbs belonged to IgM subclass. Western blot analysis showed the MAbs reacted with 42, 30, and 22 kDa viral proteins, which were localized within the cytoplasm of PORV-infected grass carp ovary (GCO) cells analyzed by indirect immunofluorescences tests. The MAb 3C7 was also selected at random for detecting virus antigens in the inoculated grass carp tissues by immunohistochemistry assay. Flow cytometry tests showed that at the 36 h postinfection (0.25 PFU/cell), the 23% PORV-infected GCO cells could be distinguished from the uninfected cells with the MAb 3C7. Such MAbs could be useful for diagnosis and potential treatment of viral infection. (C) 2007 Elsevier B.V. All rights reserved.

Characterization and application of monoclonal antibodies against turbot (Scophthalmus maximus) rhabdovirus

Five monoclonal antibodies (mAbs), 1G8, 1H9, 2D2, 2D3, and 2F5, against Scophthalmus maximus rhabdovirus (SMRV) were prepared. Characterization of the mAbs included indirect enzyme-linked immunosorbent assay, isotyping, viral inhibition assay, immunofluorescence staining of virus-infected cell cultures, and Western blot analysis. Isotyping revealed that 1G8 and 1H9 were of the IgG2b subclass and that the other three were IgM. 2D2, 2D3, and 2F5 partially inhibited SMRV infection in epithelioma. papulosum cyprinid (EPC) cell culture. Western blotting showed that all five mAbs could react with two SMRV proteins with molecular masses of approximately 30 kDa (P) and 26 kDa (M). These two proteins were localized within the cytoplasm of SMRV-infected EPC cells by immunofluorescence assay. Also, progressive foci of viral replication in cell cultures were monitored from 6 to 24 h, using mAb 2D3 as the primary antibody. A flow cytometry procedure was used to detect and quantify SMRV-infected (0.01 PFU/cell) EPC cells with mAb 2D3, and 10.8% of cells could be distinguished as infected 36 h postinfection. Moreover, mAb 2D3 was successfully applied for the detection of viral antigen in cryosections from flounder tissues by immunohistochemistry tests.

大麻受体CB1及CB2在慢性吗啡成瘾大鼠中枢神经系统与免疫系统的分布和表达

吗啡是临床常用的镇痛药物之一，通过模拟内源性抗痛物质脑啡肽的作用，激活中枢神经阿片受体而产生强大的镇痛作用。吗啡属于阿片类生物碱，为阿片受体激动剂，是目前我国主要的毒品成瘾类型之一，对人民生命健康危害极大。目前我国登记在册的吗啡成瘾者约有100万，每年导致的直接经济损失超过1000亿元。因此吗啡成瘾机制的研究以及治疗，是目前神经疾病的研究重点之一。 吗啡成瘾与其结合的受体有关。吗啡除结合阿片受体外，也可能结合大麻素受体，现发现体内有两种大麻素受体的存在：CB1受体和CB2受体。大麻CB1、CB2受体都是G蛋白耦联受体。其中CB1受体主要位于脑、脊髓与外周神经系统中，脑内CB1受体主要分布于基底神经节（黑质、苍白球、外侧纹状体）、海马CA锥体细胞层，小脑和大脑皮层。因此推测大麻CB1受体的功能可能与成瘾、记忆、认知、运动控制的调节有关。而大麻CB2受体主要分布于外周组织，如脾脏边缘区、扁桃体等，它的这种分布可能与免疫抑制作用有关。近来的研究发现大麻CB2受体在中枢神经系统也有分布，目前对其在此分布的功能不明确，推测可能与成瘾、抑郁症等神经类疾病有密切关系。 在药物成瘾导致的精神依赖作用中，奖赏效应是各种药物成瘾的药理学基础。中脑—边缘系统（(mesolimbic dopamine system,MLDS)是药物奖赏效应的神经解剖学基础。目前认为内源性大麻素所起的药理作用与多巴胺能和阿片能的神经传递有密切的关系。因此推断大麻素CB1受体与慢性吗啡成瘾有密切关系，至少是部分参与到慢性吗啡成瘾过程中。 相较于较多的关于大麻CB1受体的研究，有关大麻CB2受体的研究很少。尽管近来证实大麻CB2受体也分布于中枢神经系统，但在慢性吗啡成瘾时，大麻CB2受体表达的改变仍不清楚。在本项目中，我们将对慢性吗啡成瘾动物通过分子生物学、蛋白质化学、免疫组织化学的方法，探讨大麻CB2受体在中枢神经系统的分布和表达，以及大麻CB2受体在吗啡成瘾中可能的作用。 吗啡对免疫系统有抑制作用, 包括抑制淋巴细胞增殖, 减少细胞因子的分泌，减弱自然杀伤细胞（NKC）的细胞毒作用。现已证实激活周围神经系统的CB2受体可诱导IL-4的生成，从而影响阿片μ型受体的转录。此发现提供了内源性大麻系统-阿片系统-免疫系统之间存在相互作用的关系。然而，吗啡吸食是否通过CB2受体从而导致免疫功能的抑制，现在还没有直接证据，在本实验中我们将探讨CB2受体与吗啡成瘾导致免疫功能的改变有关。 实验结果显示（1）应用RT-PCR法，检测到大麻素受体CB1在慢性吗啡成瘾大鼠的皮质和海马处mRNA表达水平与对照组大鼠有明显不同。（2）应用western免疫印迹法，检测到大麻素受体CB1在慢性吗啡成瘾大鼠的皮质，海马和脑干处蛋白表达水平与对照组大鼠有明显不同。在脑干处，虽然mRNA表达水平无变化，但蛋白质的表达水平上升。（3）应用免疫组化检测到大麻素受体CB1在大鼠的皮质，海马，脑干，小脑处都广泛分布。（4）应用RT-PCR法，检测到大麻素受体CB2在慢性吗啡成瘾大鼠的皮质，海马，脑干处mRNA表达水平与对照组大鼠有明显不同。（5）应用western免疫印迹法，检测到大麻素受体CB2在慢性吗啡成瘾大鼠的皮质，海马，脑干蛋白表达水平与对照组大鼠有明显不同。且蛋白质的表达改变趋势与mRNA表达水平的改变相似。（6）应用免疫组化法检测到大麻素受体CB2在大鼠的皮质，海马，脑干，小脑处都广泛分布。但数量明显少于大麻CB1受体。（7）应用直接ELISA法，检测到慢性吗啡成瘾大鼠的血清与对照组大鼠的血清比较，IgM表达下降；IgG表达上升。 实验结果提示大麻受体CB1和CB2 很可能在慢性吗啡成瘾过程起着重要的作用，至少是部分参与到慢性吗啡成瘾的过程中。因为大麻素受体CB1和CB2都属于G 蛋白耦连受体，长期持续使用吗啡，其表达的变化可能会导致cAMP信号通路的上调；提高了腺苷酸环化酶(AC)和蛋白激酶A(PKA)的活性从而激活下游相关基因的表达最终导致成瘾。此外大麻素受体CB1和CB2表达的变化可能与慢性吗啡成瘾后免疫功能的改变有相关性。 通过以上的的实验结果，可以得到以下的结论：（1）我们验证了大麻素受体CB1在慢性吗啡成瘾大鼠的皮质，海马和脑干处mRNA和蛋白质表达水平与对照组大鼠有明显不同，且大麻CB1受体在大鼠中枢神经系统中广泛大量分布，表明大麻素受体CB1很可能在慢性吗啡成瘾过程中起着重要的作用，至少部分参与到慢性吗啡成瘾的过程中。（2）我们第一次证实了大麻素受体CB2在吗啡成瘾大鼠的皮质，海马和脑干处mRNA和蛋白质表达水平与对照组大鼠有明显不同，且大麻CB2受体在大鼠中枢神经系统中少量广泛分布。表明大麻素受体CB2很可能在慢性吗啡成瘾过程中起着重要的作用，至少部分参与到慢性吗啡成瘾的过程中。（3）同时我们发现大麻素受体CB1和CB2在大鼠脑组织中广泛表达，表明内源性大麻系统有可能广泛的参与各种神经疾病，很可能成为治疗的新靶点。（4）最后我们发现慢性吗啡成瘾大鼠血液中IgM表达下降；IgG表达上升，表明慢性吗啡成瘾对机体的免疫功能有广泛的调节作用。慢性吗啡成瘾大鼠血清CB2受体mRNA表达上升。我们证实了大麻受体CB2可能正是把神经系统和免疫系统相联系的一个靶点。