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31 July 2026, Volume 46 Issue 4
    

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  • LUO Dingxia, TIAN Yadan, SONG Jiaxin, LI Dongyan, LYU Anghan, WU Jingjin
    Current Immunology. 2026, 46(4): 417-423.
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     This study aims to investigate the mechanism of the non-coding RNA starting in the 3' untranslated region of complement 5 (C5T1lncRNA) and its binding proteins in the pathogenesis of rheumatoid arthritis (RA). The RNA-protein interaction method was adopted to identify binding proteins of C5T1lncRNA and their functions were studied. MH7A human RA synovial fibroblast cell line was infected with lentivirus to establish a stable pcDNA3.1-C5T1lncRNA cell line. RNA pull-down assay and mass spectrometry analysis were used to identify the interacting proteins of C5T1lncRNA. Gene ontology (GO), Kyoto encyclopedia of genes and genomes  (KEGG) enrichment and protein-protein interaction network (PPI) analysis were used to screen for the key interacting proteins of C5T1lncRNA. Western blotting was used to verify the interactions between C5T1lncRNA and the key proteins. The results showed that 55 interacting proteins of C5T1lncRNA were identified, among which 3 key proteins  were found, including the RNA binding motif protein X-linked (RBMX), the heterogeneous nuclear ribonucleoprotein H1 (HNRNPH1), and the DExD/H-box helicase 9 (DHX9). These proteins were mainly closely related to the tissue-specific regulation of gene transcription and the selective splicing of several precursor mRNAs. Western blotting confirmed the binding of RBMX to C5T1lncRNA. This study suggests that C5T1lncRNA may regulate gene expression by RNA splicing and processing modifications via RBMX interaction, thereby promoting the occurrence and development of RA.
  • ZHANG Junning, XU Yujiao, HUANG Fangying, XIE Jinfang, LEI Yinping, HU Zipeng, HOU Xianliang
    Current Immunology. 2026, 46(4): 424-433.
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     This study aims to elucidate the molecular mechanisms by which triptolide (TP) exerts therapeutic effects on lupus nephritis (LN). A murine LN model was established using MRL/lpr mice. Mice were assigned to the normal control (NC) group, the LN group, the TP low-dose (TPL; 0.2 mg/[kg·d]) group, and the TP high-dose (TPH; 0.4 mg/[kg·d]) group. Renal function was evaluated by measuring serum creatinine, blood urea nitrogen, and 24 h urinary protein levels. Single-cell transcriptome sequencing was performed to characterize renal cellular heterogeneity and transcriptional profile. The results showed that compared to the LN group, the TPL group showed significant reduction in serum creatinine, urea nitrogen, and 24 h urinary protein levels (P<0.01). Compared to the TPL group, these parameters were significantly increased in the TPH group (P<0.01). A total of 19 renal cell subpopulations were identified by single-cell transcriptome sequencing, including 9 immune cell types and 10 parenchymal cell types associated with kidney function. Differential gene expression analysis revealed that the TPL group exhibited downregulation of genes related to IL-2, IL-10, the STAT family, and the TNF signaling pathway. Gene set enrichment analysis (GSEA) indicated that TP may exert its therapeutic effects by inhibiting immune-related pathways such as TLR and chemokine signaling while activating metabolic pathways including oxidative phosphorylation and fatty acid metabolism. Taken together, these findings suggest that TP ameliorates LN by modulating the renal immune microenvironment and restoring metabolic homeostasis.
  • ZHENG Shouzhao, LIN Na, XU Qianhui
    Current Immunology. 2026, 46(4): 434-443.
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    To investigate the expression and regulatory mechanism of circular RNA fibronectin 1 (circFN1) in gastric cancer, the expression of circFN1 was detected by qRT-PCR in gastric cancer cell lines and tumor tissue. Gain and loss of function experiment as well as combined subcutaneous xenograft and pulmonary metastasis gastric cancer model were used to determine the functional role of circFN1 in gastric cancer. Luciferase reporter, RNA pull-down and fluorescence in situ hybridization (FISH) assays were employed to test the interaction between circFN1 and miR-515-5p. The results showed that inhibition of circFN1 significantly suppressed gastric cancer cell proliferation, migration and invasion. RNA immunoprecipitation (RIP) and luciferase reporter  assay demonstrated the interaction between circFN1 and miR-515-5p. Mechanistic study showed that circFN1 acted as a competitive endogenous RNA (ceRNA) to sponge miR-515-5p, thereby regulating the expressions of microtubule affinity-regulating kinase 4 (MARK4) and MARK4/ Yes-associated protein (YAP)-mediated progression of gastric cancer. This study suggests that the circFN1 may promote gastric cancer progression as a ceRNA to regulate the miR-515-5p/ MARK4/YAP axis. CircFN1 may therefore serve as a prognostic biomarker and therapeutic target for gastric cancer.
  • TONG Yueyue, YUAN Shuo, XING Yonghu, LIN Jiating
    Current Immunology. 2026, 46(4): 444-453.
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     This study aims to investigate the mechanism of Jinzhijieyin gargle in improving adolescent gingivitis. The main drug components of Jinzhijieyin gargle were analyzed by a liquid chromatography-mass spectrometry system. Disease-drug target sets were screened via GeneCards and ETCM databases. The signaling pathways involved in the target sets were analyzed by Kyoto encyclopedia of genes and genomes (KEGG). The protein interaction and drug-target network of the target sets were established using STRING and Cytoscape software. Cellular experiments, clinical samples and molecular docking analysis were used to explore potential therapeutic mechanism of Jinzhijieyin gargle. CCK-8 assay was used to evaluate the effect of Jinzhijieyin gargle on proliferation of human gingival epithelial cells (HGECs). Gingivitis cell model was established by LPS stimulation on HGECs. Western blotting was used to detect the expression of core proteins in the NF-κB pathway. Clinical samples were collected, and the levels of inflammatory factors IL-1β, IL-6 and TNF-α in gingival crevicular fluid were detected by ELISA. The results showed that a total of 665 chemical components were identified, mainly terpenoids and flavonoids. 752 targets of gingivitis and 63 targets of the top 20 compounds by content were identified, with 25 common action targets between drugs and disease. TNF-α and hypoxia-inducible factor-1α (HIF-1α) are the core targets and the common action targets are mainly significantly enriched in the NF-κB signaling pathway. The high-dose group exhibited significantly enhanced cell proliferation compared with the control group at 48 h (P<0.01), with no significant differences detected at other time points. ELISA revealed that compared to those of the control group, the levels of IL-1β, IL-6, and TNF-α in gingival crevicular fluid from the Jinzhijieyin gargle group were significantly reduced (P<0.01). Compounds Phellodendrine and Baicalin showed the highest correlation, with potential targets of HIF-1α and TNF-α, respectively. Molecular docking revealed binding affinities of -7.841 and -6.992  for these compounds to their respective targets. In conclusion, this study demonstrates that Jinzhijieyin gargle significantly suppresses the production of pro-inflammatory cytokines through inhibition of the NF-κB pathway, thereby ameliorating clinical manifestations in adolescent gingivitis patients.
  • SHEN Supeng1, LIANG Jia1, CAO Shiru1, ZHU Jingyun2, DONG Zhiming1, LIU Lei3
    Current Immunology. 2026, 46(4): 454-462.
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     To investigate the expression level of small nucleolar RNA 71B (SNORA71B) in peripheral blood of esophageal squamous cell carcinoma (ESCC) patients and its correlation with PD-L1, as well as to evaluate its potential as a non-invasive biomarker, 48 ESCC patients were selected as the ESCC group, and 30 healthy volunteers were included as the normal control group. qRT-PCR was used to detect the expression of SNORA71B in peripheral blood from both groups. MTS cell proliferation assay, wound healing assay, and Transwell assay were employed to examine the effects of SNORA71B overexpression on the proliferation, migration, and invasion of ESCC cells. Immunofluorescence staining was applied to assess the influence of SNORA71B on epithelial-mesenchymal transition (EMT)-related proteins. Transcriptome sequencing was conducted to analyze potential targets and signaling pathways affected by SNORA71B. SNORA71B regulation on PD-L1 was analyzed both in peripheral blood and ESCC cells. The results showed that compared to the normal control group, SNORA71B expression was significantly elevated in the peripheral blood of patients with ESCC (P<0.05). Overexpression of SNORA71B led to enhanced proliferation, migration and invasion of ESCC cells (P<0.05). The results of transcriptome sequencing indicated that SNORA71B was associated with the PD-L1 and PD-1 immune checkpoint pathway. Knockdown or overexpression of SNORA71B in ESCC cells decreased or increased PD-L1 protein expression, respectively. This study suggests that SNORA71B promotes malignant tumor biological behavior and regulates PD-L1 expression in ESCC, suggesting its potential as a molecular marker for evaluating neo-adjuvant therapeutic response in ESCC.
  • MENG Ying, WANG Shuo, LI Chong, ZHANG Jingzheng, SHI Xiaomin, ZHANG Zhihua
    Current Immunology. 2026, 46(4): 463-469.
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     To investigate the correlation between the occurrence of antibiotic-associated diarrhea (AAD) and change of group 3 innate lymphoid cells (ILC3), and the mechanism of IL-22 mediated repair of intestinal epithelial cells (IEC) after AAD injury, a diarrhea model using a mixture of cefradine and gentamicin antibiotics was established. IL-22 treatment was used as a protective factor. Successful establishment of the model was determined by loose stool rate, fecal water content, and gut microbiota. Intestinal morphology and intestinal barrier markers AQP8 and Claudin-1 were used to evaluate intestinal mucosal integrity. ILC3 and IL-22 in tissue were measured before and after AAD to examine occurrence of AAD and the efficacy of IL-22 treatment in intestinal mucosal damage and repair. The results showed that mixed antibiotics treatment induced diarrhea in mice, reducing intestinal microbiota and related metabolites. The levels of ILC3 and IL-22 in intestine were decreased. Diarrhea mice showed abnormal intestinal morphology and damaged intestinal barrier, with decreased AQP8 and Claudin-1 expressions. On the other hand, IL-22 treatment restored the intestinal morphology and this process may be regulated by IL-22 induced STAT3 phosphorylation in IEC.
  • ZHOU Diandian, GAO Wei, WENG Ting
    Current Immunology. 2026, 46(4): 470-484.
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    This study aims to investigate the potential role of hypoxia-inducible factor 1α (HIF-1α) in chronic obstructive pulmonary disease (COPD). COPD-related datasets were downloaded from the GEO database, and HIF-1α expression in normal tissues was analyzed using the GTEx database. Chromosomal localization and subcellular localization were visualized via GeneCards and protein topology was displayed using the PROTTER platform. Disease associations were analyzed through Open Targets, and a co-expression network was constructed with GeneMANIA. HIF-1α expression was further validated across different datasets, and its related genes were subjected to gene ontology (GO) and Kyoto encyclopedia of genes and genomes (KEGG) enrichment analyses. Immune infiltration was assessed using single-sample gene set enrichment analysis (ssGSEA), while potential drug interactions with HIF-1α were predicted by Network Analyst and validated through molecular docking. Clinical COPD samples were collected for HIF-1α expression analysis, and in vitro COPD models were employed to verify predicted drug interactions using the cellular thermal shift assay (CETSA). Results showed that HIF-1α was widely expressed in different tissues. HIF-1α gene localized at chromosome 14q23. HIF-1α translocated into the nucleus under hypoxia, and was associated with lung cancer and respiratory diseases. Its co-expressed genes were primarily enriched in hypoxia response and oxygen homeostasis pathways. HIF-1α expression was significantly elevated in COPD patients. ssGSEA revealed positive correlations between HIF-1α and Treg (r=0.497, P<0.05) as well as NK cells (r=0.420, P<0.05). Higher NK cells and Treg levels were observed in patients with higher HIF-1α expression (P<0.000 1). Drug prediction suggested that Carvedilol, 2-Methoxyestradiol, and Roxadustat interacted with HIF-1α, and molecular docking confirmed their stable binding. COPD clinical validation further showed significant high expression of HIF-1α (P<0.05). CETSA demonstrated stable binding between HIF-1α and Carvedilol. Collectively, these findings indicate that HIF-1α plays a critical role in COPD, and elucidating its molecular mechanism may provide novel insights for therapeutic strategies.
  • CHEN Na, XIE Fang, TANG Liwen, ZHOU Yan, CUI Min, WU Jing, JIANG Yimei
    Current Immunology. 2026, 46(4): 485-491.
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    This study aims to investigate the effects of growth arrest and DNA damage-inducible protein α (GADD45A) on the biological functions of non-small cell lung cancer (NSCLC) cells through the regulation of the TGF-β/mothers against decapentaplegic homolog 4 (SMAD4) signaling pathway. Bronchial epithelial cell  NL20 was used as the control, and qRT-PCR was used to detect the expression of GADD45A in non-small cell lung cancer cell  A549 and H1299. Western blotting was used to measure the protein expressions of TGF-β and SMAD4. GADD45A overexpression plasmid was transfected into A549 and H1299 cells (the GADD45A group), and cells transfected with the empty vector control were used as the control group. The transfection efficiency was verified by qRT-PCR. The transfected A549 cells were subcutaneously injected into BALB/c nude mice. The mRNA and protein expressions of TGF-β and SMAD4 in transfected cells were detected by qRT-PCR and Western blotting, respectively. CCK-8 assay, scratch assay, and Transwell assay were used to detect cell proliferation, migration, and invasion abilities, respectively. 48 h after transfection, the expression of GADD45A in the GADD45A group increased significantly compared to the control group (P<0.01). The mRNA and protein expressions of both TGF-β and SMAD4 decreased (P<0.01), as well as the proliferation, migration, and invasion abilities of the cells (all P<0.01). In conclusion, the increased expression of GADD45A can inhibit the proliferation, migration, and invasion abilities of NSCLC cells. This effect may be related to the TGF-β/SMAD4 signaling pathway.
  • GUO Fengxia, WANG Xingxing, CHEN Rongrong, FENG Qiliang, ZHANG Qing, ZHAO Yunfeng, LIU Ming
    Current Immunology. 2026, 46(4): 492-497.
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    This study aims to investigate the distributive characteristics of pulmonary microbiota and immune system changes in patients with intestinal obstruction complicated by pneumonia, as well as the correlation between altered microbiota and immune response. The prospective study included 40 simple pneumonia patients (the simple pneumonia  group), 40 simple intestinal  obstruction patients (the simple intestinal obstruction group), and 40 intestinal obstruction complicated by pneumonia patients (the intestinal obstruction complicated by pneumonia group)  from February 2023 to December 2024. The sputum or bronchoalveolar lavage fluid before treatment were collected, and the distributive characteristics of pulmeonary microbiota were examined by high-throughput 16S rRNA gene amplification sequencing. Peripheral blood was collected and the complementarity determining region 3 (CDR3) diversity of TCR  β chain and CDR3 of immume repertoire BCR H chain were analyzed using sequencing technology. The results showed that cmpared to the simple pneumonia group and the simple intestinal obstruction group, the intestinal obstruction complicated by pneumonia group showed significantly increased diversity of pulmonary microbiota distribution (P<0.05). Gram negative bacteria were significantly more than Gram positive bacteria, with Escherichia coli being the majority of Gram negative and Staphylococcus aureus the majority of Gram positive bacteria. Compared to the simple pneumonia group and the simple intestinal obstruction group, the intestinal obstruction complicated by pneumonia group showed significantly decreased CDR3 diversity of TCR and BCR (P<0.05). Spearman test showed that the diversity of pulmonary microbiota distribution in the intestinal obstruction complicated by pneumonia group negatively correlated with the CDR3 diversity of TCR and BCR (P<0.05). After treatment, the microbiota positive rate, alpha diversity, and band number in all three groups decreased significantly compared to those before treatment, while the diversity of TCR and BCR CDR3 increased significantly (P<0.05).  This study shows that the distribution of pulmonary microbiota in intestinal obstruction complicated by pneumonia patients exhibits unique characteristics, which may due to change of CDR3 diversity of peripheral blood TCR and BCR.
  • DAN Huiwen, WANG Tingting, ZHANG Huanmin, ZHU Ping
    Current Immunology. 2026, 46(4): 498-505.
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     To investigate the regulatory role of ubiquitin specific peptidase 46 (USP46) on trophoblast cells pyroptosis in preeclampsia (PE), trophoblast HTR-8/SVneo cells were transfected with sh-USP46, negative control plasmid (sh-NC), or combination of  sh-USP46 and mammalian sterile 20-like kinase 1 (MST1) overexpression plasmid (MST1-OE). Transfected cells were divided into the control, the hypoxia, the hypoxia+sh-NC, the hypoxia+sh-USP46, and the hypoxia+sh-USP46+MST1-OE groups. An additional in vitro hypoxia model was established using 200 μmol/L cobalt chloride for 24 h. Cell proliferation and migration were assessed by CCK-8, 5-ethynyl-2'-deoxyuridine (EdU) staining, wound healing, and Transwell assays. Protein expressions of USP46, MST1, and pyroptosis-related markers gasdermin D (GSDMD), Caspase-1, apoptosis-associated speck-like protein containing a CARD (ASC), and NOD-like receptor family pyrin domain-containing protein 3 (NLRP3) were detected by Western blotting. NLRP3 inflammasome formation was observed by immunofluorescence. Lactate dehydrogenase (LDH) and IL-1β/IL-18 levels were measured using LDH assay and ELISA, respectively. The interaction between USP46 and MST1 was verified by co-immunoprecipitation (Co-IP) and immunofluorescence. Ubiquitination assays were performed to analyze MST1 degradation. Compared with the hypoxia group, USP46 knockdown enhanced cell proliferation and migration, reduced expression levels of MST1 and pyroptosis-related proteins, and decreased LDH release and IL-1β/IL-18 levels. Overexpression of MST1 reversed the inhibitory effect of USP46 knockdown on pyroptosis. Co-IP and immunofluorescence confirmed direct binding and co-localization between USP46 and MST1. Knockdown of USP46 promoted ubiquitin-mediated degradation of MST1. In conclusion, USP46 knockdown promotes MST1 ubiquitination and degradation, thereby inhibiting the MST1-NLRP3 signaling axis and alleviating hypoxia-induced trophoblast pyroptosis.
  • WANG Chenghong, TIAN Manlin
    Current Immunology. 2026, 46(4): 506-514.
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    To investigate the effect of inhibiting histone H3K18 lactylation (H3K18la) on lung cancer, H3K18la levels were measured in 56 pairs of lung cancer tissues and adjacent normal tissues using immunohistochemistry (IHC). The glycolysis inhibitor 2-deoxy-D-glucose (2-DG) was used to reduce H3K18la level. Mouse Lewis lung carcinoma (LLC) cells were divided into the control group, the 5 mmol/L 2-DG group, the 10 mmol/L 2-DG group, and the 10 mmol/L 2-DG+pcDNA3.1- hypoxia-inducible factor-1α (HIF-1α) group. Cell proliferation was assessed by 5-ethynyl-2'-deoxyuridine (EdU) assay, and clonogenic ability was determined by colony formation assay. Transcriptome sequencing analyzed differentially expressed genes between the control and the 10 mmol/L 2-DG groups, followed by Kyoto encyclopedia of genes and genomes (KEGG) enrichment analysis. Chromatin immunoprecipitation quantitative PCR (ChIP-qPCR) confirmed the binding of H3K18la to HIF-1α promoter. A subcutaneous xenograft model was established in C57BL/6 mice by inoculating LLC cells were divided into the model group, the 100 mg/kg 2-DG group, the 200 mg/kg 2-DG group, and the 200 mg/kg 2-DG+pcDNA3.1-HIF-1α group. CD8+  T cell infiltration rate in tumor tissue was assessed by immunofluorescence staining. Protein expressions of H3K18la, HIF-1α, and PD-L1 were measured by Western blotting. Levels of granzyme B, TNF-α, and perforin in tumor tissues were quantified by ELISA. The results showed that H3K18la levels were significantly higher in lung cancer tissue compared to that of adjacent tissue. Compared to the control group, both the 5 mmol/L and the 10 mmol/L 2-DG groups showed significantly reduced LLC cell proliferation, colony formation, H3K18la, HIF-1α, PD-L1, and H3K18la binding to HIF-1α promoter. Compared to the 10 mmol/L 2-DG group, the 10 mmol/L 2-DG+pcDNA3.1-HIF-1α group exhibited restored cell proliferation and colony formation ability, along with increased expressions of HIF-1α and PD-L1 (P< 0.01). Compared to the model group, both the 100 mg/kg and the 200 mg/kg 2-DG groups displayed reduced tumor volume, increased CD8+ T cell infiltration rate, elevated concentrations of granzyme B, TNF-α, and perforin, and decreased levels of H3K18la, HIF-1α, and PD-L1. Compared to the 200 mg/kg 2-DG group, the 200 mg/kg 2-DG + pcDNA3.1-HIF-1α group showed increased tumor volume, decreased CD8+  T cell infiltration, reduced concentrations of cytotoxic factors, and upregulated levels of HIF-1α and PD-L1 (P<0.01). Targeting H3K18la level inhibits lung cancer cell growth and enhances T cell infiltration in tumor tissue. This effect is likely mediated through suppression of the HIF-1α/PD-L1 signaling pathway.
  • WANG Jing, WANG Shuhui, HU Yuenan
    Current Immunology. 2026, 46(4): 515-521.
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     The study aims to investigate the effect of hypoxia-inducible factor 1α (HIF-1α) on LPS-induced inflammatory injury and pyroptosis in WI-38 lung fibroblast cells. Fifty children with pneumonia were selected as the pneumonia group, and 50 healthy children undergoing physical examination were enrolled as the healthy control group. The expression of HIF-1α in serum was detected using ELISA. WI-38 cells were transfected with small interfering RNA of HIF-1α (si-HIF-1α) or its negative control of small interfering RNA (si-Con) plasmid. An LPS-induced cell pneumonia model was established. The cells were divided into the control group, the LPS model group, the LPS+si-Con group, and the LPS+si-HIF-1α group. Cell viability was assessed using the CCK-8 assay. Cell proliferation was measured by 5-ethynyl-2'-deoxyuridine (EdU) staining. The secretion levels of IL-18, IL-1β, and TNF-α were detected by ELISA. Western blotting was used to measure the protein levels of HIF-1α, gasdermin D N-terminal fragment (GSDMD-N), NOD-like receptor family pyrin domain-containing protein 3(NLRP3), apoptosis-associated speck-like protein containing a CARD (ASC), and cleaved Caspase-1. Immunofluorescence was employed to determine NLRP3 expression. The morphological characteristics of WI-38 cells were observed using transmission electron microscopy. The results showed that compared to the healthy control group and the control group, HIF-1α expressions were significantly increased in the serum of children with pneumonia and in the LPS-stimulated WI-38 cells (P<0.01). ROC analysis revealed an AUC of 0.898 (95% CI=0.829 4-0.966 6). Knockdown of HIF-1α expression alleviated the LPS-induced inhibition of WI-38 cell proliferation (P<0.01), reduced the secretion of inflammatory factors IL-18, IL-1β, and TNF-α (P<0.01), and suppressed the protein expression levels of GSDMD-N, NLRP3, ASC, and cleaved Caspase-1 (P<0.01). Compared to the LPS model group, the LPS+si-HIF-1α group showed significantly alleviated pyroptosis characteristics, more intact cell morphology, and reduced membrane rupture. This study suggests that HIF-1α protein may serve as an effective diagnostic indicator and therapeutic target for pediatric pneumonia.
  • HAN Rujin, ZHANG Jian
    Current Immunology. 2026, 46(4): 522-530.
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     To investigate the role and mechanism of FK506 binding protein 5 (FKBP5) in glioma cell-derived exosome on M2 polarization of macrophage, exosome was extracted from the supernatant of LN229 glioma cell culture and identified by transmission electron microscopy and Western blotting. THP-1 cells were induced into macrophages by phorbol 12-myristate 13-acetate (PMA) and co-cultured with exosome. PKH67 staining was used to observe exosome uptake by macrophage, and Western blotting was employed to detect FKBP5 expression. Potential signaling pathways were screened through transcriptome sequencing and Kyoto encyclopedia of genes and genomes (KEGG) enrichment analysis. Macrophages were divided in vitro into the control group, the model group (induced towards M2 polarization by IL-4+IL-13), the exosome group, and the exosome + NF-κB inhibitor (JSH-23) group. Expressions of CD86, CD206 and p-NF-κB p65, as well as the secretion of vascular endothelial growth factor A (VEGFA) and IL-10 were detected using flow cytometry, Western blotting and ELISA, respectively. The regulation of M2 macrophage polarization on tumor cell migration was examined by Transwell assay. A mouse xenograft tumor model was established and mice were divided into the model group (LN229 cells only), the co-inoculation group (LN229 cells mixed with macrophages), and the co-inoculation + JSH-23 group. Tumor volume, expressions of tumor related proteins, and cytokine secretion were evaluated. The results showed that exosomes derived from LN229 cells were successfully extracted and identified, and they could be effectively internalize by macrophage, leading to increased intracellular FKBP5 level. In vitro experiments demonstrated that exosome treatment significantly promoted macrophage polarization toward the M2 phenotype, as evidenced by increased expressions of CD206 and p-NF-κB p65, as well as elevated secretion of VEGFA and IL-10 (P<0.01). This effect was reversed by JSH-23 treatment. In vivo experiments confirmed that co-inoculation of LN229 with macrophage promoted tumor growth and increased the expressions of CD206 and p-NF-κB p65, as well as the levels of VEGFA and IL-10 in tumor tissue (P<0.01). These effects were also inhibited by JSH-23. In conclusion, glioma cell-derived exosome induces M2 polarization of macrophage by transporting FKBP5, thereby promoting glioma progression, and the mechanism is related to the activation of the NF-κB signaling pathway in macrophages.
  • LI Junxian, JIA Liqian, LI Hui, WANG Jinguo
    Current Immunology. 2026, 46(4): 531-535.
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    This study aims to investigate the relationship between the expression of glutathione S-transferase P1 (GSTP1) in PBMC and the disease condition and prognosis of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD). A total of 160 patients with chronic obstructive pulmonary disease (COPD) were divided into the AECOPD group (N=80) and the stable COPD group (N=80). Additional 80 healthy individuals were collected as the control group. Blood samples were collected and PBMC were isolated. Expression of GSTP1 in PBMC was detected by PCR. The genetic polymorphism of GSTP1 and its correlation with COPD were analyzed. Multiple Logistic regression  was used to analyze the risk factors of COPD. The results showed that compared to those of the control group, the smoking index and smoking history of the COPD group were significantly higher (P<0.05) while the percentage of forced expiratory volume in one second (FEV1)/forced vital capacity (FVC), the FEV1 as a percentage of the predicted value (FEV1%pre) and GSTP1 mRNA expression of the COPD group were significantly lower (P<0.05). There were significant differences in the genotype distribution and allele frequency of GSTP1-exon 6 between the COPD group and the control group (P<0.001). There were no statistically significant differences in GSTP1 mRNA level, genotype distribution and allele frequency of GSTP1 between the stable COPD group and the AECOPD group (P>0.05). Multiple Logistic regression analysis of risk factors related to AECOPD showed that compared to the stable COPD group, the OR of GSTP1-exon 5 in AECOPD group was 2.923 (95%CI 1.399-6.018, P=0.004). The study suggests that GSTP1-exon 6 genetic polymorphism may be associated with  susceptibility to COPD, while not related to the development of AECOPD. However, GSTP1-exon 5 may be a high-risk factor for AECOPD.
  • WANG Yanfei, LIU Zhenkui, XING Jing
    Current Immunology. 2026, 46(4): 536-543.
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    The study aims to investigate the predictive effect of serum lactate dehydrogenase isoenzyme 1 (LDH1) change trajectory on the recurrence of pediatric Henoch-Schnlein purpura (HSP). A total of 216 children with HSP were selected, and the serum LDH1 levels were detected at different times. Latent class trajectory model (LCTM) was used to establish and group the LDH1 change trajectory. The baseline data and HSP recurrence of different trajectory groups were compared. COX regression was used to analyze the effect of serum LDH1 changes on HSP recurrence in children. The predictive value of serum LDH1 change trajectory on the recurrence of HSP children was analyzed. The results showed that the serum LDH1 levels showed a continuous decreasing trend during the course at admission, discharge, and 1, 3, and 6 months after treatment (P<0.05). The fitting results of LCTM  divided the trajectory of serum LDH1 into 3 trajectory groups: T1 group (high-lower group), T2 group (high-low group) and T3 group (high-slow decline group). There were statistically significant differences in age, duration of rash, proportion of renal damage, proportion of infection history, CRP, neutrophil-to-lymphocyte ratio (NLR), platelet count (PLT), white blood cell count (WBC), IgG, activated partial thromboplastin time (APTT), and recurrence rate among the 3 groups (P<0.05). After adjustment for age, NLR, and PLT by propensity score matching method, the high-slowly declining trend of serum LDH1 was still an influencing factor of recurrence in children with HSP (P<0.05). The AUC of the high-slowly declining trend of serum LDH1 in predicting the recurrence of HSP children was 0.814. The study suggests that the trajectory of serum LDH1 change is closely related to the recurrence of pediatric HSP and has good predictive efficiency in evaluating the recurrence of pediatric HSP.
  • SUN Yanxia, WANG Sainan, CHEN Li
    Current Immunology. 2026, 46(4): 544-548.
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    To evaluate the performance of the Autobio A2000Plus fully automated chemiluminescence analyzer (A2000Plus) in detecting Mycobacterium tuberculosis infection-specific T cells, precision, accuracy, linear range, and biological reference intervals were validated according to the CNAS-CL02 guideline and relevant laboratory quality management standards and methodology comparison principles. The test results were compared to those of the Beijing Wantai and Oxford Immunotec Ltd's T-SPOT methods, respectively, to verify consistency with these two methods, thereby comprehensively evaluating the practical clinical application value of the  A2000Plus in the diagnosis of tuberculosis. The results showed that the intra batch precision variation coefficient (CV) for low and high concentration quality control samples of Mycobacterium tuberculosis infection-specific T cells were 2.11% and 2.85%, respectively, both significantly lower than 6.25% which was the allowable range of 1/4 total allowable error (TEa). The inter batch precision CV were 2.48% and 2.71%, respectively, meeting the standard requirement of less than 1/3 TEa (8.33%). The accuracy deviations for the two concentrations were -2.49% and -5.40%, respectively, both within the acceptable range of 1/2 TEa (12.5%). The linearity range validation showed a slope of 0.996 6, with r2≥ 0.999 9, indicating compliance with the minimum detection limit requirements. The test results of 60 healthy individuals showed that 96.7%  fell within the biological reference interval and the results were comparable to those of the Beijing Wantai or T-SPOT method. In conclusion, the performance of the A2000Plus in detecting Mycobacterium tuberculosis infection-specific T cells meets the manufacturer's claims and industry standards, and can satisfy the requirements of clinical laboratories for quality control and disease diagnosis.
  • LI Yuanyuan, XU Tingshuang
    Current Immunology. 2026, 46(4): 549-554.
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    The use of combined antiretroviral therapy (cART) has dramatically improved the clinical outcome of human immunodeficiency virus (HIV) infection. The trans activator of transcription (Tat) protein plays a pivotal role in the HIV-1 life cycle. Tat regulates HIV-1 transcriptional elongation, and the reactivation of latent viral reservoirs. Tat is actively imported into the nucleus through the nuclear pore complex, and is exported back to the cytoplasm via a chromosome region maintenance-1 (CRM1) dependent pathway. Tat is released extracellularly by a non-classical secretory pathway. Upon binding to host cell membrane receptors, it induces apoptosis of CD4+T cells and other immune cells, promotes the secretion of inflammatory cytokines, disrupts immune system homeostasis, and accelerates disease progression. Consequently, Tat protein is one of the key entry points for anti HIV-1 drug research. Systematic investigation of Tat mediated regulatory mechanisms will help set the stage for effective suppression of HIV-1 and promote a functional cure. This review summarizes Tat's regulatory pathways and related intervention strategies including nucleic acid aptamer and steroidal alkaloid compound, which will promote novel drug development against HIV-1 and offer new insights and approaches for HIV-1 treatment strategies.
  • LI Xue, SHI Jina, LIU Yanjun, LIU Wei
    Current Immunology. 2026, 46(4): 555-560.
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     Myasthenia gravis (MG) is an autoimmune disease mediated by pathogenic autoantibodies targeting the neuromuscular junction. Traditional immunotherapies have limitations such as slow onset, variable efficacy, and long-term safety risk. In recent years, the application of targeted biologics has significantly advanced the precision-based transformation of MG treatment. Current breakthrough biologics primarily fall into two categories: complement inhibitors and neonatal Fc receptor (FcRn) antagonists. FcRn antagonists (e.g., efgartigimod, rozanolixizumab) rapidly reduce pathogenic antibody levels by blocking the IgG recycling pathway, leading to symptom improvement within days. Complement inhibitors (e.g., eculizumab, ravulizumab) precisely inhibit complement C5 activity, reducing the formation of membrane attack complexes (MAC) and protecting the structural integrity of the neuromuscular junction, making them particularly suitable for acetylcholine receptor (AChR) antibody-positive patients. Additionally, B cell depleting agents offer an effective option for certain refractory MG cases. Current challenges include long-term safety, treatment costs, and optimization of individualized strategies. Future directions will concentrate on targeted combination therapies, the development of novel drug delivery systems, and the exploration of biomarkers. In summary, biologics are driving the transformation of MG treatment towards precision and efficiency, with future efforts focusing on drug accessibility and individualization of clinical applications.