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Epidemiology and clinical features of psoriasis in hard-to-treat body locations: a Chinese nationwide population-based study. 难治性身体部位银屑病的流行病学和临床特征:一项基于中国全国人群的研究。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-07-03 DOI: 10.1186/s12865-025-00724-5
Lingyi Lu, Lu Cao, Fan Jiang, Sihan Wang, Yingzhe Yu, Hua Huang, Bingjiang Lin
{"title":"Epidemiology and clinical features of psoriasis in hard-to-treat body locations: a Chinese nationwide population-based study.","authors":"Lingyi Lu, Lu Cao, Fan Jiang, Sihan Wang, Yingzhe Yu, Hua Huang, Bingjiang Lin","doi":"10.1186/s12865-025-00724-5","DOIUrl":"10.1186/s12865-025-00724-5","url":null,"abstract":"<p><strong>Background: </strong>Having psoriasis in hard-to-treat areas, such as the scalp, face, palms, soles, nails, and genitals, can suffer from a reduced quality of life. This study was designed to investigate the prevalence and risk factors of hard-to-treat body locations of psoriasis, and to describe patients' clinical and demographic characteristics, and quality of life impacts.</p><p><strong>Methods: </strong>We conducted a multicenter observational epidemiological study involving over 1000 hospitals in China, enrolling a total of 7032 psoriasis patients. Groups were compared to patients without involvement of hard-to-treat areas.</p><p><strong>Results: </strong>The most frequently affected hard-to-treat area was the scalp (60.01%), followed by the face (22.47%), nails (18.87%), palms or soles (18.23%), genitals or vulvas (12.00%), respectively. Among all patients, 70.71%, 36.65%, 16.30%, 6.48% and 1.45% of patients had involvement of ≥ 1, ≥2, ≥ 3, ≥4 or ≥ 5 hard-to-treat areas. There was a male predominance among patients with involvement of at least one hard-to-treat area(P < 0.001). The smoking rate, BMI (body mass index) and psoriasis family history in patients with at least one hard-to-treat area involvement were significantly higher than those in patients without hard-to-treat area involvement (P < 0.001), especially among patients with nail involvement. With regards to current DLQI (dermatology life quality index), satisfactory rate, and current BSA (body surface area), these findings were all significantly different (P < 0.001) when compared to patients without involvement of a hard-to-treat area. Notably, even in mild-to-moderate psoriasis (BSA < 10), 65.10% of patients showed involvement of ≥ 1 hard-to-treat area, with significant impacts on quality of life (DLQI increase, all P < 0.001) and treatment satisfaction (P < 0.001 vs. non-involved).</p><p><strong>Conclusion: </strong>Psoriasis commonly affects hard-to-treat locations, even in patients with mild to moderate disease (BSA < 10). The disproportionate impact on quality of life (particularly genital/face involvement) and treatment satisfaction underscores the need for: (1) routine assessment of these areas regardless of BSA, and (2) targeted management of modifiable risk factors (smoking, obesity). These findings support incorporating hard-to-treat area evaluation into psoriasis severity assessments and treatment algorithms.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"45"},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brucellosis novel multi-epitope vaccine design based on in silico analysis focusing on Brucella abortus. 以流产布鲁氏菌为重点的基于芯片分析的新型布鲁氏菌多表位疫苗设计。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-07-03 DOI: 10.1186/s12865-025-00728-1
Houraalsadat Gharazi, Abbas Doosti, Rahman Abdizadeh
{"title":"Brucellosis novel multi-epitope vaccine design based on in silico analysis focusing on Brucella abortus.","authors":"Houraalsadat Gharazi, Abbas Doosti, Rahman Abdizadeh","doi":"10.1186/s12865-025-00728-1","DOIUrl":"10.1186/s12865-025-00728-1","url":null,"abstract":"<p><p>Brucella is a common kind of bacteria that has the ability to live within cells and may cause diseases that can be transmitted between animals and humans. Current medical therapy struggles to effectively eradicate Brucella. Thus, it is necessary to develop a multi-epitope vaccine (MEV) in order to effectively prevent Brucella infection. To achieve this objective, we used the reverse vaccinology methodology based on omp19 and Bacterial surface antigen (D15). After conducting our research, we successfully identified 2 cytotoxic T lymphocyte (CTL) epitopes, 2 helper T lymphocyte (HTL) epitopes, and 2 linear B cell epitopes from Omp19 and Bacterial surface antigen (D15). These epitopes will be further examined in our study. In order to maintain the proper folding of the protein, we connected GGGS and EAAAK consecutively. Adjuvants are added to the N-terminal of the vaccine peptide to boost its immunogenicity. In order to assess the immunity, stability, protection, and practicality of the final MEV, a construct consisting of 387 amino acids was created by connecting linkers and adjuvants. Furthermore, molecular docking and simulations using molecular dynamics were conducted to confirm the binding strength and durability of the MEV-TLR5. Subsequently, codon adaptation and in silico cloning analyses were conducted to determine the potential codons for expressing the MEV. The findings indicated that the MEV exhibited a significant level of immunogenicity. This work has collectively established a theoretical foundation for the development of a vaccine against Brucella.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"46"},"PeriodicalIF":2.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Promoter polymorphisms in the JK*01 W.06 allele associated with the Jk(a + w) weak antigen phenotype. 与JK (a + w)弱抗原表型相关的JK*01 w .06等位基因启动子多态性
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-06-08 DOI: 10.1186/s12865-025-00727-2
Shuang Liang, Fan Wu, Renhui Jiang, Tong Liu, Liyan Sun, Rong Tang, Yingnan Dang, Zhihui Deng
{"title":"Promoter polymorphisms in the JK*01 W.06 allele associated with the Jk(a + <sup>w</sup>) weak antigen phenotype.","authors":"Shuang Liang, Fan Wu, Renhui Jiang, Tong Liu, Liyan Sun, Rong Tang, Yingnan Dang, Zhihui Deng","doi":"10.1186/s12865-025-00727-2","DOIUrl":"10.1186/s12865-025-00727-2","url":null,"abstract":"","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"43"},"PeriodicalIF":2.9,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative efficacy of preventive vs. therapeutic resveratrol in modulating gut microbiota and alleviating inflammation in DSS-induced colitis. 预防性和治疗性白藜芦醇在调节dss诱导的结肠炎中肠道微生物群和减轻炎症的比较疗效。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-28 DOI: 10.1186/s12865-025-00718-3
Senmei Qin, Zongjing Yang, Jinqing Lei, Qingli Xie, Linsui Jiang, Yuanyuan Fan, Yonggu Luo, Kecong Wei, Wei Luo, Bing Yu
{"title":"Comparative efficacy of preventive vs. therapeutic resveratrol in modulating gut microbiota and alleviating inflammation in DSS-induced colitis.","authors":"Senmei Qin, Zongjing Yang, Jinqing Lei, Qingli Xie, Linsui Jiang, Yuanyuan Fan, Yonggu Luo, Kecong Wei, Wei Luo, Bing Yu","doi":"10.1186/s12865-025-00718-3","DOIUrl":"10.1186/s12865-025-00718-3","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory bowel disease (IBD) management remains challenging due to limited preventive strategies and the low bioavailability of therapeutic agents like resveratrol (RSV). While RSV exhibits anti-inflammatory properties, its preventive potential via gut microbiome modulation remains unexplored.</p><p><strong>Methods: </strong>A murine colitis model was established using 2.5% DSS, with mice randomized into control (CON), DSS, therapeutic RSV treatment (RSV), and preventive RSV treatment (PRE) groups. Clinical outcomes, intestinal barrier integrity, inflammatory cytokines, macrophage polarization, TLR4/NF-κB signaling, and gut microbiota (16S rRNA sequencing) were systematically evaluated.</p><p><strong>Results: </strong>Preventive RSV (PRE) outperformed therapeutic RSV across all metrics. PRE attenuated colitis severity by 51.4% (weight loss, P < 0.001 vs. RSV) and restored mucosal architecture (P = 0.048 vs. DSS). Mechanistically, PRE normalized barrier function via transcriptional (ZO-1: 56.7% of CON; Occludin: 14-fold induction vs. DSS) and protein-level recovery (ZO-1: 96.5% of CON, P = 0.02), suppressed pro-inflammatory cytokines (TNF-α: 80.8%; IL-6: 69.9%; IL-18: >96%, P < 0.001 vs. DSS), and promoted M2 macrophage polarization (CD206: 1.7-fold vs. CON, P = 0.02) through TLR4/NF-κB inhibition (53% TLR4 reduction vs. 15% with RSV, P < 0.001). Despite comparable α-diversity between RSV and PRE, PRE uniquely enriched barrier-protective taxa (Lactococcus, Muribaculum) and restored microbial amino acid biosynthesis. Crucially, PRE's efficacy despite low systemic bioavailability implicated microbiome-mediated \"luminal priming\" as its primary mechanism.</p><p><strong>Conclusions: </strong>This study redefines preventive RSV as a microbial ecosystem engineer that preemptively fortifies the gut against inflammation via microbiome-immune-metabolic crosstalk. By prioritizing ecological prevention over symptom suppression, our findings offer a transformative \"food as medicine\" strategy for IBD, highlighting RSV's potential as a chronotherapeutic agent to reshape clinical paradigms.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"42"},"PeriodicalIF":2.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The predictive value of peripheral blood monocytic myeloid-derived suppressor cells for survival and immunotherapy responses in tumor patients. 外周血单核细胞髓源性抑制细胞对肿瘤患者生存和免疫治疗反应的预测价值。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-24 DOI: 10.1186/s12865-025-00722-7
Wanying Sheng, Yan Ding, Yuting Su, Jing Hu, Lu Wang, Minjie Guo, Xiao Yuan, Deqiang Wang, Chunhua Dai, Xu Wang
{"title":"The predictive value of peripheral blood monocytic myeloid-derived suppressor cells for survival and immunotherapy responses in tumor patients.","authors":"Wanying Sheng, Yan Ding, Yuting Su, Jing Hu, Lu Wang, Minjie Guo, Xiao Yuan, Deqiang Wang, Chunhua Dai, Xu Wang","doi":"10.1186/s12865-025-00722-7","DOIUrl":"10.1186/s12865-025-00722-7","url":null,"abstract":"<p><strong>Background and objectives: </strong>The identification of affordable and easily accessible indicators to predict overall survival is important for tumor immunotherapy. Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature myeloid cells, which promote tumor immune escape in the tumor microenvironment (TME). This study aimed to determine whether peripheral blood MDSCs could determine their potential as predictors of survival in tumor patients with immunotherapy.</p><p><strong>Methods: </strong>Flow cytometry was used to detect peripheral blood monocytic myeloid-derived suppressor cells (M-MDSCs) and granulocytic myeloid-derived suppressor cells (G-MDSCs) in 126 patients. Multivariate Cox regression analysis was conducted to examine the associations between peripheral blood MDSCs and patient survival. The receiver operating characteristic (ROC) curve determined the optimal cutoff value for peripheral blood MDSCs and grouped the indicators. The relationship between peripheral blood M-MDSCs and the prognosis and treatment outcome of tumor patients was explored.</p><p><strong>Results: </strong>The proportion of peripheral blood M-MDSCs was associated with the prognosis of patients with tumors, as were tumor metastasis, the red blood cell count, absolute neutrophil count, absolute monocyte count, and BMI. Multivariate Cox regression analysis revealed that M-MDSCs, absolute lymphocyte value, and tumor metastasis were independent risk factors affecting the prognosis of patients with tumors. Detection of peripheral blood M-MDSCs obtained high sensitivity and specificity for tumor diagnosis. Patients with high M-MDSCs percentage demonstrated reduced survival durations and diminished responses to immunotherapy compared to those with low M-MDSCs percentage.</p><p><strong>Conclusions: </strong>Peripheral blood M-MDSCs may be used to predict overall survival and immunotherapy efficacy outcomes. This study provides a putative predictive biomarker for clinicians to choose from to predict tumor patients' survival and the selection of receiving immunotherapy regimens.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"41"},"PeriodicalIF":2.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CD28 and CTLA4 polymorphisms associated with ankylosing spondylitis: a study in the context of HLA-B27. 与强直性脊柱炎相关的CD28和CTLA4多态性:HLA-B27背景下的研究
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-19 DOI: 10.1186/s12865-025-00720-9
Kuang-Hui Yu, Gem Huai-Chueh Wu, Chia-Ju Yang, Wei-Tzu Lin, Fang-Ping Hsu, Ding-Ping Chen
{"title":"CD28 and CTLA4 polymorphisms associated with ankylosing spondylitis: a study in the context of HLA-B27.","authors":"Kuang-Hui Yu, Gem Huai-Chueh Wu, Chia-Ju Yang, Wei-Tzu Lin, Fang-Ping Hsu, Ding-Ping Chen","doi":"10.1186/s12865-025-00720-9","DOIUrl":"10.1186/s12865-025-00720-9","url":null,"abstract":"<p><strong>Background: </strong>The human leukocyte antigen (HLA)-B27 gene is highly associated with ankylosing spondylitis (AS). However, not everyone who carries the HLA-B27 antigen develops AS, indicating that factors beyond the HLA-B27 gene contribute to the disease's onset. AS is an autoimmune disease in which co-stimulatory systems have been widely explored. Therefore, we aimed to analyze the association between single-nucleotide polymorphisms (SNPs) in co-stimulatory/inhibitory molecules and AS to identify other key factors involved in developing the disease.</p><p><strong>Results: </strong>This study recruited 32 patients with AS and 32 controls. DNA was extracted from whole blood, and PCR amplification was performed to target the promoter regions of the CTLA4, CD28, and PDCD1 genes. Chi-square and Fisher's exact tests were used under various genetic models to assess differences in genotype and allele distribution between cases and controls. The results showed that rs201801072 of the CD28 gene (TT + CT vs. CC, p = 0.001) and rs11571319 of the CTLA4 gene were associated with AS (GG vs. AG + AA, p = 0.001). Logistic regression analysis showed that rs201801072 (CD28) and rs11571319 (CTLA4) were independently associated with AS. A significant positive interaction was observed between these SNPs and HLA-B27 positivity, further increasing the risk of AS (T-allele: OR = 6.15; G-allele: OR = 13.30, both p < 0.001). HLA-B27 carriers exhibited an extremely high risk of AS (OR = 65.0, p = 1.19E-06).</p><p><strong>Conclusions: </strong>The elevated frequencies of specific alleles in AS patients compared to controls highlight the potential involvement of these SNPs as key factors in the pathogenesis of AS, offering new insights into the genetic mechanisms underlying the disease.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"38"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the effect of the COVID-19 pandemic on depression, anxiety and psychological resilience in patients with primary immunodeficiency. COVID-19大流行对原发性免疫缺陷患者抑郁、焦虑和心理恢复力的影响
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-19 DOI: 10.1186/s12865-025-00721-8
Anıl Muştucu, Rümeysa Ayşe Güllülü, Sukru Cekic, Sara Sebnem Kilic, Selçuk Kırlı
{"title":"Evaluation of the effect of the COVID-19 pandemic on depression, anxiety and psychological resilience in patients with primary immunodeficiency.","authors":"Anıl Muştucu, Rümeysa Ayşe Güllülü, Sukru Cekic, Sara Sebnem Kilic, Selçuk Kırlı","doi":"10.1186/s12865-025-00721-8","DOIUrl":"10.1186/s12865-025-00721-8","url":null,"abstract":"<p><strong>Background: </strong>Primary immunodeficiencies (PIDs) are a group of diseases that develop as a result of primary or congenital malfunction of the immune system and progress with chronic and/or recurrent bacterial, fungal, protozoal and/or viral infections. In this study, we aimed to examine the effects of the COVID-19 pandemic on depression, anxiety levels and psychological resilience in patients with PID and to compare them with those in controls.</p><p><strong>Methods: </strong>Seventy patients, aged 18-65 years, who were being followed up with a diagnosis of PID and 69 people as healthy control group, participated in our study. The participants were evaluated cross-sectionally once; sociodemographic data form, Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Resilience Scale for Adults (RSA), and COVID-19 Evaluation form were administered to the participants.</p><p><strong>Results: </strong>HAM-A and HAM-D scores were significantly higher in PID patients compared to controls (HAM-D: 5.5 vs. 3.0, p < 0.001; HAM-A: 6.0 vs. 4.0, p = 0.008). RSA was significantly lower in the patient group (RSA total: 122.5 vs. 136.0, p < 0.001), and pandemic-related risk perception was higher (PRPS: 33.9 vs. 28.3, p < 0.001). Sleep, appetite, and attention-related disturbances were also more common in the patient group. Multivariate regression analyses revealed that PID diagnosis was an independent predictor of increased depression severity (HAM-D), lower psychological resilience (RSA), and greater pandemic-related risk perception. Female sex was independently associated with higher anxiety severity (HAM-A). A personal psychiatric history and greater number of comorbidities were also significant predictors of psychological vulnerability, particularly in relation to depression and anxiety.</p><p><strong>Conclusion: </strong>Given the observed associations between PID and increased levels of depression, anxiety, and reduced psychological resilience during the pandemic, clinicians may consider heightened vigilance for psychological symptoms in this population during times of public health crisis.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"39"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic value of the expression of CD27 and CD117 in newly diagnosed multiple myeloma patients. CD27和CD117表达在新诊断多发性骨髓瘤患者中的预后价值。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-19 DOI: 10.1186/s12865-025-00719-2
Xu Si, Jing Zhao, Yichuan Song, Wenxuan Fu, Rui Zhang
{"title":"Prognostic value of the expression of CD27 and CD117 in newly diagnosed multiple myeloma patients.","authors":"Xu Si, Jing Zhao, Yichuan Song, Wenxuan Fu, Rui Zhang","doi":"10.1186/s12865-025-00719-2","DOIUrl":"10.1186/s12865-025-00719-2","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to investigate the predictive relevance of CD27 and CD117 expression and the prognostic value in newly diagnosed multiple myeloma (NDMM) patients.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed 160 newly diagnosed multiple myeloma (NDMM) patients at Beijing Chaoyang Hospital (2016-2023), evaluating CD27 (TNF receptor family member regulating plasma cell differentiation) and CD117 (c-KIT proto-oncogene product mediating hematopoietic cell survival) expression patterns via pretreatment flow cytometry. Patients were stratified by CD27/CD117 membrane positivity to assess their combined prognostic significance on disease progression, with survival outcomes tracked through standardized clinical surveillance protocols.</p><p><strong>Results: </strong>The CD27 negative cohort demonstrated severe disease burden, evidenced by elevated β2-MG, increased bone marrow plasma cell infiltration, reduced hemoglobin levels, percentage of high ISS III. Kaplan-Meier analysis demonstrated that CD27 positive cohort showing significantly prolonged median PFS versus CD27 negative counterparts (78 vs. 33 months, P = 0.0078). While CD117 alone lacked prognostic significance, combined CD27(+)CD117(+) status was associated with superior PFS (P = 0.0041 vs. subgroups), earlier ISSMASS staging (P = 0.005, P = 0.021), deeper therapeutic remission rates(Protease inhibitor-based therapy, P = 0.009), and lower frequency of high-risk cytogenetic abnormalities compared to all other combinations, and particularly outperforming CD27(-)CD117(-) patients. Among CD27-expressing patients, CD117 positive patients had better survival performance (P = 0.0424). Multivariate Cox regression confirmed CD27 positivity as an independent protective factor (HR 0.50, P = 0.009) and thrombocytopenia (PLT < 150 × 10⁹/L) as a risk predictor (HR 2.28, P = 0.002), both maintaining significance after adjusting for conventional parameters.</p><p><strong>Conclusion: </strong>CD27 positive patients have a better prognosis, and the combination of CD27 and CD117 allows refined prognostic risk stratification of MM patients. The expression of CD27 and CD117 is associated with improved prognosis.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"40"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alpha-gal allergy in a South Asian country. 南亚国家对α -半乳糖过敏。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-15 DOI: 10.1186/s12865-025-00717-4
Dhanushka Dasanayake, Chandima Karunatilake, Chathurika Karunaratne, Nishadini Fernando, Janitha Iddagoda, Rajiva de Silva
{"title":"Alpha-gal allergy in a South Asian country.","authors":"Dhanushka Dasanayake, Chandima Karunatilake, Chathurika Karunaratne, Nishadini Fernando, Janitha Iddagoda, Rajiva de Silva","doi":"10.1186/s12865-025-00717-4","DOIUrl":"https://doi.org/10.1186/s12865-025-00717-4","url":null,"abstract":"<p><strong>Background: </strong>Alpha gal syndrome (AGS) is a delayed allergy to red meat, due to IgE to galactose-alpha-1,3-galactose (alpha-gal). Sensitization occurs via tick bites. It has been described in the US, Europe, Australia, Japan and South Korea, but reports from the Indian subcontinent are rare. We report the demographics of alpha-gal allergy for the first time from the Indian subcontinent and possible association with vaccine allergy.</p><p><strong>Methods: </strong>Patients diagnosed with alpha-gal syndrome (AGS) from 2018 to 2024 were selected in this study. AGS was identified by the occurrence of allergic symptoms up to 8 h of ingestion of red meat, with positive serum IgE to alpha-gal > IgE to red meat, and negative IgE to BSA. Allergy to vaccines containing bovine products were also identified in patients with AGS.</p><p><strong>Results: </strong>Fifty-seven patients were identified. Thirty-one (54.3%) were 12 years or younger. There were more females among adults (63.2%) compared to children (50.0%), though statistically not significant. There was no difference between children and adults in relation to clinical features and time of onset of symptoms. However, 5/6 of adults with severe anaphylaxis (grade 5) were females. Six patients with AGS developed allergy, including anaphylaxis, to the measles, mumps, rubella (MMR, n = 3), rubella (n = 1), varicella (n = 1) and anti-rabies (n = 1) vaccines.</p><p><strong>Conclusion: </strong>AGS is an important cause of food and vaccine allergy in the Indian subcontinent and is commoner in children unlike in other regions. However, the clinical features are similar to adults.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"37"},"PeriodicalIF":2.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
mTORC2 is crucial for regulating the recombinant Mycobacterium tuberculosis CFP-10 protein-induced phagocytosis in macrophages. mTORC2在调控重组结核分枝杆菌CFP-10蛋白诱导的巨噬细胞吞噬中起关键作用。
IF 2.9 4区 医学
BMC Immunology Pub Date : 2025-05-09 DOI: 10.1186/s12865-025-00715-6
Xian-Hui Huang, Yu Wang, Liu-Ying Wu, Ye-Lin Jiang, Ling-Jie Ma, Xiao-Feng Shi, Xing Wang, Meng-Meng Zheng, Lu Tang, Yong-Liang Lou, Dan-Li Xie
{"title":"mTORC2 is crucial for regulating the recombinant Mycobacterium tuberculosis CFP-10 protein-induced phagocytosis in macrophages.","authors":"Xian-Hui Huang, Yu Wang, Liu-Ying Wu, Ye-Lin Jiang, Ling-Jie Ma, Xiao-Feng Shi, Xing Wang, Meng-Meng Zheng, Lu Tang, Yong-Liang Lou, Dan-Li Xie","doi":"10.1186/s12865-025-00715-6","DOIUrl":"https://doi.org/10.1186/s12865-025-00715-6","url":null,"abstract":"<p><p>Mycobacterium tuberculosis (M. tuberculosis, Mtb) is a pathogenic bacterial species in the family Mycobacteriaceae and the causative agent of most cases of tuberculosis. Macrophages play essential roles in defense against invading pathogens, including M. tuberculosis. The study of M. tuberculosis-associated antigens is one of the hotspots of current research. The secreted proteins of M. tuberculosis, including early secretory antigen target 6 (ESTA6) and culture filtrate protein 10 (CFP-10), are crucial for the immunological diagnosis of tuberculosis. However, the relationship of CFP-10 alone with macrophages is still not well understood. In the present study, we report that the purified recombinant protein CFP-10 (rCFP-10) significantly enhanced the phagocytic capacity of murine macrophages. rCFP-10 induces both TNF-α and IL-6 production. Additionally, RNASeq analysis revealed that rCFP10 triggers multiple pathways involved with macrophage activation. Interestingly, neither mitochondrial reactive oxygen species nor lysosomal content had a significant difference treated with rCFP-10 in macrophages. Moreover, inhibition of the mammalian target of rapamycin (mTOR) activity was shown to significantly reverse the rCFP10-induced phagocytosis, various genes involved in lysosome acidification and TLR signaling. These findings highlight that the CFP-10 plays an essential role in the invasion of macrophages by M. tuberculosis, which is partly regulated by the mTORC2 signal pathway.</p>","PeriodicalId":9040,"journal":{"name":"BMC Immunology","volume":"26 1","pages":"36"},"PeriodicalIF":2.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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