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30 January 2026, Volume 46 Issue 1
    

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  • GAO Xinguang, XU Yue
    Current Immunology. 2026, 46(1): 1-8.
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    The NOD-like receptor family pyrin domain-containing protein 3 (NLRP3) inflammasome is a macromolecular protein complex which detects danger signals and subsequently activates Caspase-1. This activation results in pyroptosis and the release of the IL-1β. Properly regulated NLRP3 inflammasome activity is essential for both sterile inflammation and host defense against microbial infections. However, aberrant activation of NLRP3 has been implicated in the pathogenesis of multiple diseases. Therefore, elucidating the mechanisms underlying NLRP3 activation is critical for advancing the understanding of how the immune system recognizes and responds to danger signals, and facilitating the development of targeted therapeutic interventions. Over the past two decades, multiple mechanistic models have been proposed, highlighting a complex and fine-tuned regulatory network. Nevertheless, the precise process of NLRP3 activation and the specific biological events it senses remain enigmatic. This review focuses on the widely accepted models of NLRP3 activation and the latest progress on its regulatory networks.
  • WANG Jing, ZHANG Haiping, ZHOU Yuwei
    Current Immunology. 2026, 46(1): 9-16.
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    The study aims to explore the role of E2F transcription factor 8 (E2F8) on glycolysis and tumor immunosuppression in breast cancer cells. Tissues from 12 breast cancer patients were collected and E2F8 expression was detected by immunohistochemistry and Western blotting. The E2F8 expressions of human breast cancer cell lines and the normal human breast epithelial cell line were measured by Western blotting. Stable E2F8- and serum amyloid A1 (SAA1)-overexpressing MCF-7 cell lines and negative control cell lines were constructed, as well as stable E2F8- and SAA1-knockdown T47D cell lines and negative control cell lines. Western blotting was used to detect the expressions of glycolysis-related proteins including lactate dehydrogenase A (LDHA), hexokinase 2 (HK2), and pyruvate kinase M2 (PKM2). qRT-PCR was employed to measure the protein levels of IL-6, TNF-α ,and C-X-C motif chemokine ligand 10 (CXCL10) mRNA in cells. THP-1 cells were differentiated into M0 macrophages by phorbol ester induction. M0 macrophages were co-cultured with E2F8-knockdown T47D cells and E2F8-overexpressing MCF-7 cells, and the M1/M2 polarization was analyzed by flow cytometry. The results showed that E2F8 expression was upregulated in tumor tissues as well as all tumor cell lines. In E2F8- and SAA1-overexpressing cells, the protein levels of SAA1, LDHA, HK2, and PKM2 were significantly increased, while the knockdown cells showed the opposite results. When co-cultures with E2F8-overexpressing cells, the proportion of M1 macrophages was significantly reduced (P<0.001), while M2 ratio was significantly increased (P<0.01). In contrast, the knockdown group showed the opposite results (P<0.05). In the E2F8-overexpressing group, IL-6, TNF-α, and CXCL10 mRNA levels were significantly decreased (P<0.01), while in the knockdown group, the opposite results were observed (P<0.01). This study suggests that E2F8 enhances glycolysis in breast cancer cells by promoting SAA1 protein expression and release.
  • DONG Xiaoxia, CHEN Shuxian
    Current Immunology. 2026, 46(1): 17-23.
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    The aim of the study is to investigate the mechanism by which C-C motif chemokine ligand 2 (CCL2) regulates the progression of cervical cancer (CC) through ferroptosis in the tumor microenvironment (TME). Cervical cancer-derived HeLa cells were transfected with shRNA targeting CCL2 (sh-CCL2#1) and CCL2 over-expressing cDNA (ova-CCL2) lentivirus, respectively. The in vitro proliferation of tumor cells was evaluated by the CCK-8 assay, and the metastasis and invasion abilities were assessed by the Transwell assay. Phorbol 12-myristate 13-acetate (PMA) was used to induce THP-1 differentiation, which was co-cultured in a 1∶4 ratio for 48 h with HeLa cells transfected with lentivirus mentioned above. Western blotting and qRT-PCR were used to measure the expression of macrophage polarization markers. The co-cultured cells in each group were further treated with ferroptosis inducer erastin, and the expressions of ferroptosis markers in macrophages were detected. The results showed that compared with the NC group, the HeLa cells of CCL2 over-expression group showed macrophage-dependent tumor-promoting phenotype (P<0.001). The macrophages in the TME underwent M2-type polarization, which was reversed upon the administration of erastin. In summary, overexpression of CCL2 in HeLa cells promotes the M2-type polarization of macrophages in the TME, which in turn stimulates the proliferation, migration, and invasion of HeLa cells. Reversion of the macrophage polarization by ferroptosis inducers disrupts the TME and inhibits tumor cell aggressive behavior. Therefore, inducing macrophage ferroptosis in the TME may help to suppress tumor progression.
  • LAN Jingsheng, HUANG Youyi, LI Donghua, BAN Chaolian, QIN Ziqing, TANG Meiyan, CHEN Liquan, LI Nini, WEN Lina
    Current Immunology. 2026, 46(1): 24-33.
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    This study aims to elucidate the inhibitory effects and underlying mechanisms of allicin on fibrosis in mouse cardiac fibroblasts (CF) through long non-coding RNA (lncRNA) maternally expressed gene 3 (MEG3). Mouse CFs were isolated and cultured, and an in vitro fibrosis model of CFs was established. The fibrotic CFs were treated with allicin at concentrations of 10, 20, and 40 μg/L to evaluate the protective effect of allicin on CF injury. Subsequently, cells were transfected with the sh-lncRNA MEG3 plasmid or the sh-lncRNA NC plasmid. The cells were divided into the control group, the model group, the allicin group, the sh-lncRNA MEG3 group, the sh-lncRNA NC group, the allicin + sh-lncRNA MEG3 group, and the allicin + sh-lncRNA NC group. CCK-8 assay was used to evaluate cell proliferation, flow cytometry was employed to assess cell apoptosis, and qRT-PCR was conducted to measure the expression changes of matrix metalloproteinase (MMP)-2, MMP-3, MMP-9, lncRNA MEG3, and inflammatory cytokines (IL-8, IL-6, IL-1β). Western blotting was used to detect the expressions of alpha-smooth muscle actin (α-SMA), collagen type Ⅰ (COL1), collagen type Ⅲ (COL3), and proteins involved in the NF-κB signaling pathway (NF-κB p65, p-NF-κB p65, inhibitor of κB [IκB] , and p-IκB). The results showed that compared to the control group, the model group showed enhanced cell proliferation (P<0.01), reduced apoptosis rate (P<0.01), upregulated lncRNA MEG3 levels (P<0.01), and increased mRNA levels of MMP-2, MMP-3, MMP-9, as well as IL-8, IL-6, and IL-1β (P<0.01). After allicin treatment, cell proliferation was inhibited (P<0.01), apoptosis rate increased (P<0.01), and the mRNA levels of MMP-2, MMP-3, MMP-9, as well as IL-8, IL-6, and IL-1β were downregulated (P<0.05) in a dose-dependent manner. In addition, allicin downregulated the protein expressions of α-SMA, COL1, and COL3, as well as the p-NF-κB p65/NF-κB p65 ratio (P<0.01), while upregulating the p-IκB/IκB ratio (P<0.01) in the CFs fibrosis model. Compared to the model group, both the sh-lncRNA MEG3 group and the allicin group showed similar trends. Moreover, the combined treatment of allicin and sh-lncRNA MEG3 generated stronger inhibitory effect on CF injury than of sh-lncRNA MEG3 alone. This study suggests that allicin exerts a protective effect against fibrosis induced CF injury by downregulating lncRNA MEG3, thereby inhibiting the NF-κB pathway to suppress CFs proliferation, and reduce the levels of MMPs, inflammatory cytokines, and collagen deposition proteins.
  • WANG Lijuan, TAN Zenghuan, ZHOU Lina, HE Liming, YANG Li, TAN Xiling, ZHANG Xue
    Current Immunology. 2026, 46(1): 34-39.
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    The aim of this research is to explore the effect of adenosine A2A receptor (A2AR) blockade on the angiogenesis in thyroid cancer by regulating macrophage polarization. THP-1 cells were induced to differentiate into macrophages by phorbol ester which were subsequently divided into the shA2AR group and the shA2AR-NC group. The shA2AR and shA2AR-NC lentivirus was transfected into the two groups respectively. Western blotting was used to verify the blocking efficiency of A2AR, and flow cytometry was used to detect the polarization status of macrophages in each group. Next, the two groups of macrophage were co-cultured with human thyroid cancer cell TPC-1 for 24 h. The supernatants of TPC-1 co-culture were added into the corresponding human umbilical vein endothelial cells (HUVECs) groups: the shA2AR co-culture supernatant group and the shA2AR-NC co-culture supernatant group. The angiogenesis was measured and the expressions of vascular endothelial growth factor A (VEGFA) , vascular endothelial cadherin (VE-cadherin) and the activation of Notch1/JAK2/STAT3 signaling pathway were detected by Western blotting. The proliferation of HUVECs was detected by CCK-8 assay. The results showed that the expression of A2AR in macrophages was blocked by lentivirus transfection, and the macrophages were mainly polarized to M1 type. Compared to that of the shA2AR-NC co-culture supernatant group, the HUVECs proliferation activity in the shA2AR co-culture supernatant group was significantly decreased (P<0.01), as well as the expressions of VEGFA and VE-cadherin (P<0.01). The number of blood vessel formed was significantly reduced (P<0.01), and the activation of the Notch1/JAK2/STAT3 signaling pathway was significantly inhibited. Upon Notch1 receptor agonist Jagged1 treatment, the HUVECs in the shA2AR co-culture supernatant group showed increased activation of the Notch1/JAK2/STAT3 signaling pathway (P<0.01). In summary, the study reveals that blocking A2AR may induce macrophage M1 type polarization. By inhibiting the activation of the Notch1/JAK2/STAT3 signaling pathway, A2AR blockade reduces HUVECs proliferation and angiogenesis of thyroid cancer.
  • ZHAO You, YE Xujuan, DENG Ping
    Current Immunology. 2026, 46(1): 40-52.
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    To investigate the expression of 7-dehydrocholesterol reductase (DHCR7) in microsatellite-instability (MSI) gastric cancer tissues and its correlation with the immune microenvironment and prognosis, stratified regression analysis, GAM analysis, and Cox regression analysis were used to retrospectively analyze the DHCR7 expression level and immune microenvironment data of 281 gastric cancer patients admitted from July 2020 to May 2022. The results showed that in microsatellite-stable (MSS) gastric cancer tissues, the rate of elevated expression of DHCR7 protein was 68.25%, which was significantly higher than that in the adjacent normal tissue (10.58%; χ2=21.143, P<0.05). In MSI gastric cancer tissues, the rate of DHCR7 high-expression was 57.61%, also significantly higher than that of the adjacent normal tissues (8.70%; χ2=25.329, P<0.05). In MSI gastric cancer tissue, the expression of DHCR7 protein correlated with distant metastasis, TNM stage, lymph node metastasis, and degree of tissue differentiation (P<0.05). In the high-DHCR7-expression patients, memory resting CD4+T cells were significantly lower than those of the low-expression group, while indicators such as M0 macrophages, M1 macrophages, and M2 macrophages were significantly higher (P<0.05). Stratified regression analysis showed that lymph node metastasis and TNM stage positively correlated with the level of DHCR7 mRNA, and the degree of tissue differentiation had a negative correlation (P<0.05). The factors related to the immune microenvironment had a statistically significant impact on the expression of DHCR7  mRNA (P<0.05). Multivariate Cox regression analysis indicated that multiple factors, such as lymph node metastasis, were independent risk factors affecting the postoperative progression-free survival (PFS) and overall survival (OS) of MSI gastric cancer patients (P<0.05). The ROC curve showed that the level of DHCR7  mRNA may predict the 2-year PFS and 2-year OS of MSI gastric cancer patients to a certain extent. Restricted cubic spline and threshold effect analysis showed a non-linear positive correlation between the expression level of DHCR7 and the prognosis of MSI gastric cancer patients. The 2-year PFS and 2-year OS of patients in the high-DHCR7-expression group were lower than those in the low-expression group (P<0.05). This study suggests that in MSI gastric cancer tissues, DHCR7 is highly expressed, which affects the prognosis of MSI gastric cancer patients and the tumor immune microenvironment.
  • CUI Jingjing, GAO Shihao, SHEN Chunhong, JU Yanmei, LIU Fengjin, LIU Hongxin
    Current Immunology. 2026, 46(1): 53-58.
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    This study aims to investigate the effect of dihydroorotate dehydrogenase (DHODH) expression on metastasis and angiogenesis of non-small cell lung cancer (NSCLC) and the underlying molecular mechanism. Pathological tissues resected through surgery from 40 NSCLC patients were collected. Immunohistochemical staining was used to detect DHODH expression in tumor and adjacent normal tissues. The NSCLC cell lines A549, H1299, and H460, as well as a normal bronchial epithelial cell line 16HBE, were cultured, and the expression levels of DHODH were detected by Western blotting. The A549 cells were divided into the DHODH-OE-A549 and the DHODH-OENC-A549 groups, while the H1299 cells were divided into the shDHODH-H1299 and the shDHODH-NC-H1299 groups. Western blotting was performed to detect the expressions of TGF-β1/SMAD3 pathway related proteins, N-cadherin, E-cadherin, vimentin, and zonula occludens 1 (ZO-1). The wound-healing assay was used to assess cell migration, and the Transwell assay was applied to evaluate cell invasion. The cell culture supernatants were co-cultured with human umbilical vein endothelial cells (HUVEC) to observe changes in angiogenesis. The results showed that DHODH expression was significantly higher in NSCLC tissues than in adjacent normal tissues. Compared to that of 16HBE cells, DHODH expression levels were markedly elevated in A549, H1299, and H460 cell lines (all with P<0.05). Compared to DHODH-OENC-A549 cells, DHODH-OE-A549 cells exhibited significantly increased expression of TGF-β1, p-SMAD3, vimentin, and N-cadherin, while SMAD3, E-cadherin, and  ZO-1 expression levels decreased. Cell migration, invasion, and angiogenic capacities were all significantly enhanced (all with P<0.05). Conversely, compared to shDHODH-NC-H1299 cells, shDHODH-H1299 cells showed decreased expressions of TGF-β1, p-SMAD3, vimentin, and N-cadherin, but increased expressions of SMAD3, E-cadherin, and ZO-1, accompanied by significantly suppressed migration, invasion, and angiogenic activities (all with P<0.05). In conclusion, DHODH expression is up-regulated in NSCLC and influences tumor metastasis and angiogenesis, which may due to the activation of the TGF-β1/SMAD3 signaling pathway.
  • ZHENG Yongjun, YU Peng, ZHENG Lichuan, LI Wenmin, ZHOU Yanfeng, TANG Qi, YU Jiashun
    Current Immunology. 2026, 46(1): 59-70.
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    This study aimed to investigate the role of tropomyosin 1 (TPM1) and matrix metalloproteinase 9 (MMP-9) on the malignant behavior of bladder cancer cells through the NF-κB/MMP-9 signaling pathway. The Cancer Genome Atlas (TCGA) and the TIMER database were used to analyze the expression differences of TPM1 in bladder cancer tissues and normal bladder tissues. Survival analysis tools were employed to assess the association between TPM1 and the prognosis of bladder cancer patients. Additionally, the correlation between TPM1 and immune cell infiltration across various cancers was evaluated using the TIMER database and R packages.  T-24 and THP-1 cells were used in in vitro experiments. Phorbol 12-myristate 13-acetate (PMA) was used to induce the differentiation of THP-1 cells to macrophage.  Overexpression or silencing vector of TPM1, combined with NF-κB/MMP-9 pathway agonist/antagonist interventions and T-24 and THP-1 cell co-culture system were conducted. Western blotting was used to detect the expression of TPM1, NF-κB, MMP-9, and macrophage polarization markers (IL-6, iNOS, Arg-1, and CD206). MTT assay, scratch wound healing assay, and Transwell invasion assay were performed to evaluate the proliferation, migration, and invasion of T-24 cells. Western blotting was also employed to examine the expression of epithelial-mesenchymal transition (EMT) related proteins (E-cadherin, N-cadherin, and Vimentin). The results showed that the positive expression rate of TPM1 protein in bladder cancer tissues was lower than that in normal bladder tissues (P<0.01). Patients with low TPM1 expression had significantly worse survival rates compared to those with high expression (P<0.01). TPM1 expression was negatively correlated with M2 macrophage infiltration (P<0.01) but positively correlated with M1 macrophage infiltration in bladder cancer tissues. Compared with adjacent normal tissues, TPM1 protein expression was significantly reduced in bladder cancer tissues, while its mRNA levels showed a significant decreasing trend along with the pro-inflammatory factors IL-6 and iNOS (all P<0.05). Meanwhile, the mRNA expression of M2 macrophage marker genes such as Arg-1, and CD206 was significantly upregulated (all P<0.05). Overexpression or silencing of TPM1 in T-24 cells revealed that TPM1 overexpression promoted M1 markers (IL-6, iNOS; both P<0.05) while suppressing M2 markers (Arg-1, CD206; both P<0.05). Conversely, TPM1 silencing reversed these effects. Mechanistically, TPM1 overexpression inhibited NF-κB/MMP-9 pathway activation (reduced protein levels, both P<0.05), whereas silencing enhanced pathway activity, effects reversible by NF-κB agonism/antagonism. Functional assays demonstrated that TPM1 overexpression attenuated T-24 cell proliferation, migration, invasion, and EMT (E-cadherin increased, N-cadherin/Vimentin decreased; all with P<0.05), while TPM1 silencing exacerbated malignant phenotypes. These findings indicate that TPM1 suppresses bladder cancer progression by inhibiting NF-κB/MMP-9-mediated M1-type macrophage polarization and EMT, highlighting its potential as a therapeutic target.
  • DAI Yanle, NIU Danye, TANG Yu, LI Ning, QIU Jianxiu
    Current Immunology. 2026, 46(1): 71-77.
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    The study aims to investigate the regulation of piperine (PIP) on insulin resistance in type 2 diabetes mellitus (T2DM) rats by the insulin receptor substrate 1 (IRS-1)/Akt/PI3K signaling pathway. Wistar rats were randomly assigned to the control group, the T2DM group, the low dose PIP (PIP-L) group (3 mg/kg), the high dose PIP (PIP-H) group (30 mg/kg), the IRS-1 inhibitor NT157 group (2 μmol/L NT157), the PIP-L+NT157 group (3 mg/kg PIP+2 μmol/L NT157), and the PIP-H+ NT157 group (30 mg/kg PIP+2 μmol/L NT157). Except for the control group, rats in all the other groups were fed with high-fat and high fructose and injected with streptozotocin to establish the T2DM model. Fasting blood glucose, serum insulin, triglycerides, total cholesterol, high-density lipoprotein cholesterol, aspartate transaminase, and alanine transaminase levels were measured. H-E staining was used to detect the pathological changes in pancreatic tissue. Western blotting was used to detect the expressions of inflammatory factors TNF-α, IL-6, CRP, and IRS-1/Akt/PI3K pathway related proteins in pancreatic tissue. The results showed that the pancreatic tissue in the NT157 group and T2DM group exhibited obvious damage. And the fasting blood glucose, insulin resistance, triglyceride, total cholesterol, aspartate transaminase, alanine transaminase, and inflammatory factors were higher than those of the control group (P<0.05),while the serum insulin, high-density lipoprotein cholesterol, p-IRS-1/IRS-1 and p-Akt/Akt ratios, and PI3K protein expression were all lower (P<0.05). In contrast, the PIP-L and PIP-H groups showed significant improvement of the above indicators(P<0.05). The IRS-1 inhibitor NT157 partially reversed the beneficial effects of both low or high PIP treatments. This study suggests that PIP may ameliorate insulin resistance in T2DM rats by activating the IRS-1/Akt/PI3K signaling pathway. 
  • JIANG Xintong, XU Jiaqi, YUE Jianru
    Current Immunology. 2026, 46(1): 78-84.
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    This study aimed to investigate the role of tripterygium glycosides (TG) in alleviating the pathological damage and inflammation in the colonic tissue of ulcerative colitis (UC) mice. A total of 60 BALB/C mice were randomly divided into 4 groups: the control group, the model group, the low-dose TG group, and the high-dose TG group, with 15 mice in each group. All groups, except the control group, were treated with 3% dextran sulfate sodium (DSS) solution for 7 consecutive days to induce the UC model. The treatment groups received TG by oral gavaging for 7 days, during which body weight, fecal condition, and disease activity index (DAI) were monitored. After the treatment, colonic tissue pathology was assessed using H-E and periodic acid-Schiff (PAS) stainings, and levels of serum inflammatory cytokines were measured by ELISA. Western blotting was used to detect the protein expressions of tight junction protein 1 (ZO-1), occludin, NOD-like receptor family pyrin domain-containing protein 3 (NLRP3), apoptosis-associated speck-like protein (ASC), Caspase-1, IL-1β, and IL-18 in the colon tissue. The results showed that TG treatment significantly reduced the DAI score (P<0.05), promoted the recovery of colonic length (P<0.01), and alleviated inflammatory damage in colonic tissue. Serum levels of TNF-α, IL-1β, and IL-6 were significantly reduced, while the level of IL-10 elevated (P<0.05). Furthermore, TG treatment significantly decreased the protein expressions of NLRP3, ASC, Caspase-1, IL-1β, and IL-18 in colonic tissue (P<0.05) while increased the expressions of ZO-1 and occludin (P<0.05). In conclusion, TG may alleviate symptoms of UC mice by modulating the NLRP3/Caspase-1 signaling pathway to inhibit inflammation and restore intestinal barrier function.
  • CAO Shufen, LIANG Meilu, LING Lidan, SU Tanrong, WANG Hongtao
    Current Immunology. 2026, 46(1): 85-89.
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    A preliminary quantitative detection method for heparin-binding protein (HBP) based on fluorescence immuno-chromatography was established. A sandwich immunoassay format was utilized to optimize the antibody concentrations (coated antibody: 0.5-2.0 mg/mL,labeled antibody: 4-12 μg/mL) and reaction time (5-22 min) to establish the HBP fluorescence immunochromatographic assay. Upon successful establishment of the assay, performance evaluations were conducted including precision, accuracy, interference testing, stability, and method comparison. The results demonstrated a linear range of 4-500 ng/mL, with stable signals observed after 18 min of chromatography. Intra-assay and inter-assay coefficients of variation (CV) were ≤10% and ≤15%, respectively, while accuracy deviations were restricted within ±10%. Interference experiments confirmed that hemoglobin, lipids, bilirubin, citrate, EDTA, procalcitonin (PCT), and CRP exhibited no significant interference (P>0.05), whereas heparin significantly affected the results (P<0.001). Accelerated stability testing at 37 ℃ revealed no significant signal changes over an 8-week storage period (P>0.05). Comparative analysis with a commercially available HBP analyzer (Joinstar) confirmed a strong correlation (r=0.997 3) and no significant difference (P>0.05) between the two methods. This newly developed fluorescence immunochromatographic method features user-friendly operation, robust anti-interference capability and meets clinical requirements for point-of-care quantitative HBP detection, which will provide an auxiliary diagnostic tool for infectious diseases. 
  • YANG Juan, YANG Xue, ZOU Lan
    Current Immunology. 2026, 46(1): 90-96.
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    The aim of the study was to analyze the fetal chorionic villi chromosomes of missed abortion patients at different ages by high-throughput sequencing and examine the ratio of Th17/Treg. 118 missed abortion patients were enrolled, and 30 patients who underwent normal abortion were selected as the control group. The patients with missed abortion were divided into two age groups (60 in the normal group and 58 in the elderly group). Under the premise of informed consent, high-throughput sequencing of fetal chorionic villi chromosomes was performed. The Th17/Treg ratio and the expressions of IL-17 and TGF-β were measured on the aborted villi. The results showed that the occurrence of previous abortion in the observation group was significantly higher than that of the control group. The assisted reproduction rate of the elderly group were higher than that of the normal age group. The chromosomal abnormality of fetal villi in the observation group was 66.95%, significantly higher than that of the control group (P<0.05). The abnormal number of chromosomes in the elderly group was significantly higher than that in the normal group (P<0.05). In the embryonic villi, the proportion of Th17 and Th17/Treg ratio in the missed abortion group were higher than that of the control group, and the proportion of Treg was significantly lower (P<0.05). Within the observation group, the proportion of Th17 cells was significantly higher in the elderly age subgroup and in the chromosomal abnormality subgroup (both P<0.05). However, no statistically significant difference was observed in the Th17/Treg ratio between subgroups. The expression of IL-17 was higher in the observation group compared to the control group, in the elderly age subgroup compared to the normal-age subgroup, in the chromosomal abnormality subgroup compared to the normal subgroup (all P<0.001). Conversely, TGF-β expression was lower in the observation group, the elderly age subgroup and the chromosomal abnormality subgroup compared to the control group, the normal age subgroup, and the normal chromosome subgroup, respectively (all P<0.001). In conclusion, missed abortion is mainly caused by chromosomal abnormalities in the embryo. Advanced age, assisted reproduction, and previous abortion increase the risk of missed abortion. Th17/Treg imbalance and related cytokines may be involved in the pathogenesis of missed abortion.
  • ZOU Xiuping, DING Yan
    Current Immunology. 2026, 46(1): 97-103.
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    The aim of the study is to investigate the expression of serum TLR4 and IL-33 in patients with immune thrombocytopenia (ITP) and its clinical significance. Two hundred and twenty four ITP patients were enrolled as the study group and divided into the severe group (platelet count [PLT] <10×109/L and presence of bleeding symptoms requiring treatment) and the non-severe group (PLT<30×109/L, without bleeding symptoms) according to the severity of the patients' condition. The ITP patients were divided into the treatment ineffective/relapse group and the treatment effective group based on the follow-up of the patients' prognosis. Another 224 cases of healthy physical examinees during the same period were selected as the control group. The levels of serum TLR4 and IL-33 were analyzed by ELISA. Pearson correlation analysis was used to analyze the relationship between serum TLR4, IL-33 and mean platelet volume (MPV), PLT. Logistic regression analysis was used to analyze the influencing factors of the ITP ineffective/relapse group. The diagnostic and predictive value of serum TLR4 and IL-33 in patients with severe ITP or in ineffective/relapse patients were analyzed by ROC curve. The results showed that serum levels of TLR4, IL-33, and MPV in the ITP group were significantly higher than those in the control group (all with P<0.001). The serum levels of TLR4, IL-33, and MPV increased significantly in severe groups compared to those in the non-severe group (all with P<0.001). Serum TLR4 was positively correlated with IL-33(r=0.513, P<0.001), and both serum TLR4 and IL-33 levels were positively correlated with MPV (r=0.512, r=0.516, both P<0.001). The AUC of the combined diagnosis by serum TLR4 and IL-33 for severe ITP was 0.848, more accurate than diagnosis by TLR4 or IL-33 alone  (both P<0.05). Compared to those of the effective treatment group, the serum levels of TLR4, IL-33, and MPV were increased (all with P<0.001) in the ineffective/relapse treatment group. TLR4, IL-33, and MPV were the risk factors for the ITP ineffective/relapse group (all with P<0.05), and PLT was a protective factor (P<0.05). The combined prediction of serum TLR4 and IL-33 for the ineffective/relapse group of ITP patients showed AUC of 0.976, and the combined prediction was superior to each of the individual predictions (all with P<0.05). In conclusion, the serum levels of TLR4 and IL-33 in ITP patients with are significantly increased, and correlate with severity of the disease condition and patient prognosis. 
  • HOU Xueting, BAO Jizhang
    Current Immunology. 2026, 46(1): 104-111.
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    Autoimmune diseases are chronic conditions characterized by the erroneous attack of immune system towards self-tissues and organs, characterized by abnormal activation of self-reactive T and B cells, production of autoantibodies, and persistent tissue inflammation. Common examples include rheumatoid arthritis, systemic lupus erythematosus, and immune thrombocytopenia, which may lead to multi-organ dysfunction. Recent research progress has revealed significant metabolic reprogramming in immune cells associated with these diseases. Metabolic reprogramming refers to the process in which cells adjust metabolic pathways to adapt to survival needs in different microenvironments. In these diseases, metabolic reprogramming primarily manifests as a shift from oxidative phosphorylation to glycolysis. This metabolic alteration not only provides energy for cell activation but also directly influences their immunosuppressive and immunomodulatory functions. Based on these findings, researchers have developed various metabolic regulatory strategies, such as glycolysis and mTOR pathway inhibitors, offering new approaches for the diagnosis and treatment of autoimmune diseases. Advances in this field hold promise for improving patient prognosis and facilitating the development of personalized therapy.
  • WANG Chengyue, HUANG Wanqiu, YAO Yufeng
    Current Immunology. 2026, 46(1): 112-117.
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    As an important part of the innate immune system, immune responses of macrophages are triggered by PAMP recognized by PRR, which have important functions in host defense and maintenance of tissue homeostasis. Bacterial infection can induce macrophage death through a variety of pathways, including apoptosis, pyroptosis, necroptosis, and ferroptosis, which affect the host immune response and disease process. Different types of cell death have different effects on host immune response and bacterial clearance. Bacteria can evade immune clearance by regulating macrophage death, leading to chronic or systemic infections. This review focuses on different mechanisms by which bacterial infection regulates macrophage death and its impact on the host immune response. Future studies on the molecular mechanisms of macrophage death under different bacterial infection conditions and their regulation of the host immune response may help to develop new therapeutic strategies, such as targeted drugs or cell therapies, to deal with the challenges of drug-resistant bacteria and systemic infections.
  • ZHANG Yuanyuan, LU Fangguo
    Current Immunology. 2026, 46(1): 118-124.
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    Macrophage extracellular traps (MET) are reticular structures composed of DNA and protein components secreted by activated macrophages. The formation process mainly includes mechanisms such as nicotinamide adenine dinucleotide phosphate oxidase (NOX)/reactive oxygen species (ROS)-dependent or -independent systems and histone citrullination mediated by peptidyl arginine deiminases (PAD). It is a new immune mechanism of macrophages, which can capture and kill bacteria, fungi, parasites, and other pathogenic organisms. However, some pathogenic organisms can escape the effect of MET during infection. This review mainly discusses the formation mechanism of MET and their role in resistance to pathogens, aiming to provide new targets for the treatment of diseases caused by pathogens.
  • ZHANG Jingcheng, HU Huixian
    Current Immunology. 2026, 46(1): 125-129.
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    Platelet transfusion refractoriness (PTR) is a common challenge in clinical transfusion medicine, with immune-mediated PTR receiving significant attention due to its complex pathogenesis and difficulties in clinical management. In recent years, in-depth research on the roles of HLA and human platelet antigen (HPA) in PTR, along with the rapid development of novel detection technologies, has led to significant progress in the diagnosis and treatment of immune-mediated PTR. However, accurately identifying high-risk patients, optimizing individualized transfusion strategies, and exploring effective immunomodulatory therapies remain critical issues to be addressed. This review systematically summarizes the pathophysiological mechanisms, the latest diagnostic technologies, and treatment strategies for immune-mediated PTR, aiming to provide a scientific basis for clinical practice as well as outlining future research directions to improve clinical outcomes for PTR patients.
  • XU Xuexin, ZHANG Yongfeng
    Current Immunology. 2026, 46(1): 130-136.
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    Primary immune thrombocytopenia (ITP) is a common autoimmune and hemorrhagic disease in children. Although its pathogenesis remains unclear, changes of related cytokines are considered to be an important pathogenic mechanism. However, reports on the imbalance of related cytokines in ITP children are inconsistent. miRNAs are important regulators of genes and regulate the functions of T, B cells through multiple pathways by positive and negative feedback mechanisms. In recent years, systematic  researches on ITP-related miRNAs are scarce. Both cytokines and miRNAs are expected to become biomarkers for the diagnosis of autoimmune diseases, predictors for therapeutic efficacy, and potential therapeutic targets. This review summaries the latest research progresses on the significance of miRNAs and cytokines expressions in ITP children.