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30 September 2026, Volume 46 Issue 5
    

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  • XIA Weiwei, WANG Fang, PENG Jie, LI Jie, TENG Zhenghua, HOU Fang
    Current Immunology. 2026, 46(5): 561-569.
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    This study aims to investigate the erythrocyte membrane protein band 4.1 like 3 (EPB41L3) expression in cervical cancer tissue, its correlation with clinicopathological features, prognosis, and its influence on T  cell infiltration. A total of 85 surgical resected cervical cancer tissue and paired adjacent tissue were collected. EPB41L3 expression was detected by immunohistochemistry, and the correlation with patient clinicopathological parameters was analyzed. The Kaplan-Meier method and Cox regression model were used to analyze its prognostic value. The cancer genome atlas (TCGA)-cervical cancer database was utilized to analyze EPB41L3 expression. Spearman correlation analysis, and single-sample gene set enrichment analysis (ssGSEA) were employed to explore the relationship between EPB41L3 and immune cell infiltration as well as related pathways. After mouse cervical cancer U14 cells were transfected with pcDNA3.1-vector or pcDNA3.1-EPB41L3 plasmids, subcutaneous tumor models were established in C57BL/6 mice, and mice were divided into the pcDNA3.1-vector group and the pcDNA3.1-EPB41L3 group. Immunohistochemistry was used to determine the Ki-67 positive staining rate in tumor tissue. Immunofluorescence staining was used to assessed the infiltration of CD4+ and CD8+ T cells in tumor tissue. ELISA was used to evaluated the levels of T cell-secreted cytotoxic molecules (IFN-γ, perforin and granzyme B). The results showed that the expression of EPB41L3 was significantly lower in cervical cancer tissue than in adjacent tissue (P<0.01), and the low expression was significantly correlated with adverse pathological features such as International Federation of Gynecology and Obstetrics (FIGO) stage, lymph node metastasis and poor differentiation (P<0.05). The overall survival rate of patients in the EPB41L3-negative group was significantly lower than that in the EPB41L3-positive group (P<0.05). Multivariate Cox regression analysis indicated that negative EPB41L3 expression was an independent risk factor for poor prognosis in cervical cancer (hazard ratio [HR]=2.18, P<0.01). Immune infiltration analysis showed that EPB41L3 levels were positively correlated with the infiltration of CD8+ T cells and CD4+ T cells (r values were 0.40 and 0.35, respectively, P<0.01). ssGSEA analysis showed that EPB41L3 was enriched in pathways including T cell activation and positive regulation of the immune response. Subcutaneous tumor experiment demonstrated that EPB41L3 overexpression inhibited the growth of U14 tumors, reduced Ki-67 expression, increased the tumor-infiltrated CD4+ and CD8+ T cells, and enhanced the secretion of cytotoxic molecules. Taken together, this study suggests that EPB41L3 is downregulated in cervical cancer which is highly correlated with malignant tumor progression, poor prognosis, and an immunosuppressive microenvironment.

  • LIU Li, YU Zhaomin, LUO Dan, FENG Yan
    Current Immunology. 2026, 46(5): 570-575.
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     This study aims to compare the in vivo anti-tumor effect of second-generation (GBBz) and third-generation (G28BBz) glypican 3 (GPC3)-targeted chimeric antigen receptor T cells (CAR-T) against hepatocellular carcinoma and explore their cytokine-mediated mechanistic difference. A HepG2 hepatocellular carcinoma NOD/SCID mouse model was established, and mice were divided into the normal saline group, the control T cell group, the GBBz CAR-T group and the G28BBz CAR-T group. Adoptive CAR-T transfusion was used for immunotherapy. Tumor growth was dynamically monitored and tumor weight. Immunohistochemistry was performed to detect the infiltration and distribution of CD3+ T cells and CD8+ T cells in tumor tissue. Terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL) fluorescence staining was used to assess tumor cell apoptosis. ELISA was applied to quantitatively detect the serum levels of IL-2, IL-7, IL-15 and IL-21 in mice, and the in vivo anti-tumor efficacy of the two generations of CAR-T cells was systematically compared. The results showed that both GBBz and G28BBz GPC3-CAR-T cells effectively inhibited tumor growth, reduced tumor weight and induced marked apoptosis of hepatocellular carcinoma cells with significant anti-tumor activity compared those of the control T cell group (all P<0.01). The number of infiltrating CD3+ and CD8+ T cells in tumor tissue of the G28BBz CAR-T group was significantly higher than that of the GBBz group, with a more prominent infiltration advantage in the non-vascular parenchymal area of tumor (all P<0.001). Cytokine detection showed that the serum levels of IL-2, IL-7, IL-15 and IL-21 were significantly up-regulated in both CAR-T groups compared with the control T cell group (all P<0.001). Specifically, the G28BBz CAR-T group exhibited distinctly higher serum IL-7 level than the GBBz group (P<0.001) , while no obvious difference was observed of IL-2, IL-15 and IL-21 levels between the two groups (P>0.05). In conclusion, both generations of GPC3-CAR-T cells exert favorable therapeutic effect on hepatocellular carcinoma. The third-generation G28BBz CAR-T cells can up-regulate IL-7 expression via dual CD28/4-1BB co-stimulation signal, improving the tumor infiltration and in vivo persistence of T cells. This study provides an experimental basis for the optimization of solid tumor CAR-T therapy.


  • TANG Runzhang, XIANG Yifan, YANG Chengbin, ZHAO Shuai, YAO Yandong
    Current Immunology. 2026, 46(5): 576-580.
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    This study aimed to investigate the plasma levels of neutrophil extracellular trap (NETs) markers, including circulating-free DNA (cfDNA), citrullinated histone H3 (CitH3), and myeloperoxidase (MPO)-DNA complexes, in rheumatoid arthritis (RA) patients and to evaluate their clinical significance. A total of 156 RA patients were designated as the RA group and 110 healthy volunteers undergoing physical examination were selected as the control group. Patients in the RA group were further subdivided into the remission group, the low disease activity group, the moderate disease activity group, and the high disease activity group based on the 28-joint disease activity score (DAS28). The results showed that the plasma levels of NETs markers cfDNA, CitH3 and MPO-DNA complexes were significantly elevated in the RA group compared those of the control group (P<0.05). The remission group, the low disease activity group, the moderate disease activity group, and the high disease activity group all showed gradually decreasing trend of NETs markers cfDNA, CitH3 and MPO-DNA complexes  which was statistically significant confirmed by pairwise comparison  (P<0.05). Plasma levels of NETs markers cfDNA, CitH3 and MPO-DNA complexes  were positively correlated with the DAS28 score (r=0.544, 0.533, and 0.666, respectively; all P<0.001). ROC curve analysis demonstrated that the AUC for diagnosing RA using plasma cfDNA was 0.808 (95% CI: 0.756-0.854). The AUC for CitH3 was 0.798 (95% CI: 0.745-0.845). The AUC for MPO-DNA complexes  was 0.817 (95% CI: 0.765-0.861). The RA diagnosis value of 3 markers combined had an AUC of 0.904 (95%CI: 0.862-0.937), which was significantly superior to single detection of either individual marker: cfDNA (Z=3.662, P=0.000 3), CitH3 (Z=4.377, P<0.001) and MPO-DNA complexes  (Z=3.526, P=0.000 4). In conclusion, decreased plasma levels of cfDNA, CitH3, and MPO-DNA complexes  are observed in RA patients which are associated with disease activity. Therefore, these markers may serve as indicators for monitoring RA disease activity and RA diagnosis.

  • SHAO Man, ZHAO Pengyun, LUO Peng, JIANG Jiaqi
    Current Immunology. 2026, 46(5): 581-586.
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    To analyze the characteristics of irregular antibody screening and the therapeutic efficacy of red blood cell (RBC) transfusion in patients with autoimmune hemolytic anemia (AIHA), a retrospective study was conducted on 173 AIHA patients admitted to Baoding First Central Hospital from June 2021 to December 2023. The results of irregular antibody screening were analyzed, and all patients received corresponding RBC transfusion methods based on their antibody screening results to evaluate transfusion efficacy. The results showed that among the 173 AIHA patients, 137 (79.19%) had warm antibodies and 36 (20.81%) had cold antibodies. Among the warm antibody AIHA patients, 95 had no irregular autoantibody, 24 had irregular autoantibodies (anti-Ce and anti-D), and 18 had irregular autoantibodies plus alloantibodies (anti-cE, anti-E, anti-C, anti-e and anti-c). Among the cold antibody AIHA patients, 25 had no irregular autoantibody, and 11 had irregular autoantibodies (anti-ce and anti-CE). After RBC transfusion, 45 patients (26.01%) showed marked improvement, 55 (31.79%) showed improvement, and 73 (42.20%) showed no improvement, with a total effective rate of 57.80%. Among warm antibody AIHA patients, there was no significant difference in the total effective rate between those without autoantibody, those with autoantibodies, and those with autoantibodies plus alloantibodies (62.11% vs 58.33% vs 55.56%, P>0.05). Compared with pre-transfusion level, all 3 groups showed increased hemoglobin (Hb) and RBC counts, along with decreased reticulocyte (Ret) ratio and total bilirubin (TBil) after transfusion (P<0.05). Among cold antibody AIHA patients, there was no significant difference of the total effective rate between those without autoantibody and those with autoantibodies (48.00% vs 45.45%, P>0.05). Compared with pre-transfusion level, both groups showed increased RBC count, decreased Ret ratio and TBil level after transfusion (P<0.05). No hemolytic transfusion reactions occurred in any patient. These findings suggest that AIHA patients have a high positive rate of irregular antibodies with diverse types. Clinical attention should be paid to irregular antibody screening, and rational blood transfusion based on screening results can ensure the safety and efficacy of transfusion.

  • FENG Dong, CHUAN Hongyun, WANG Jianrong
    Current Immunology. 2026, 46(5): 587-592.
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    A nano-emulsion complex adjuvant consisting of flagellin and MF59, designated as Fla59, was developed in this study and its efficacy and safety in inactivated poliovirus vaccine (IPV) were evaluated. First, Salmonella flagellin (NCBI-Protein ID: AAV76891) was biosynthesized and diluted to a working concentration of 0.5 μg/mL, then mixed with the nano-emulsion adjuvant MF59 to prepare Fla59. Meanwhile, 5 fractional doses of the Sabin strain inactivated poliovirus vaccine (sIPV), ranging from 1/2 to 1/10 of the full dose, were designed and administered via intramuscular injection and intradermal injection. Subsequently, neutralizing antibody titers and serum seroconversion rates were measured using a neutralization test. Cytokine levels and IgA titers in rat feces were monitored by ELISA. The safety of Fla59 was preliminarily evaluated by monitoring changes in body temperature and body weight. The results showed that the seroconversion rate of serum neutralizing antibodies in the Fla59 group at the 1/10 dose was significantly higher than that in the other groups. The seroconversion rates for type Ⅰ, Ⅱ, and Ⅲ antibodies all reached 100% by day 30. The Fla59 adjuvant significantly increased the levels of IFN-γ, IL-2, and  IL-17, and enhanced intestinal mucosal immunity, with IgA titers higher than those in the other groups. In terms of safety evaluation, after injection of the adjuvant vaccine, the body weight of rats showed steady increase without sharp declines. In addition, body temperature remained stable and within the normal range. Therefore, the composite nano-emulsion adjuvant Fla59 can effectively reduce the antigen dose of sIPV, induce changes in cytokine levels, produce high-titer serum neutralizing antibodies and intestinal mucosal immune responses, and exhibits good safety in animal experiments.

  • LIN Jiawei, LIAN Changqun, LIU Peijian
    Current Immunology. 2026, 46(5): 593-602.
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    This study aims to investigate the mechanism of Yupingfeng san (YPFS) in treating ovalbumin (OVA)-induced allergic rhinitis (AR) in mice by modulating the NOD-like receptor family pyrin domain-containing protein 3 (NLRP3)/ IL-17 signaling pathway. Sixty BALB/c mice were randomly divided into the normal control group, the model group, the positive control group (loratadine, 10 mg/kg), and low- (YPFS-L, 6 mg/kg), medium- (YPFS-M, 12 mg/kg), and high-dose (YPFS-H, 24 mg/kg) YPFS groups. The therapeutic efficacy of YPFS on the mice were evaluated using behavioral, serological, histopathological, and molecular biological methods. The results showed that compared to the model group, different dosage of YPFS treatments all significantly reduced the behavioral scores of the mice (P<0.05), decreased serum levels of IgE, IL-1β, and IL-17 (P<0.05), suppressed the gene and protein expressions of NLRP3, gasdermin D(GSDMD), and IL-17 in the nasal mucosa (P<0.05), lowered the proportion of Th17 in the spleen (P<0.01), and alleviated nasal mucosal inflammation, goblet cell and mast cell hyperplasia, as well as cell apoptosis. In conclusion, YPFS can effectively alleviate AR symptoms, and the mechanism may involve inhibiting NLRP3/GSDMD-mediated pyroptosis and regulating the Th17/IL-17 signaling pathway. This study provides a modern pharmacological basis for the traditional efficacy of YPFS in “reinforcing Qi to strengthen the exterior and dispelling wind to relieve itching”.
  • WANG Mei, LYU Tingting, YUAN Guanghai, YU Pixue
    Current Immunology. 2026, 46(5): 603-609.
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    This study aims to investigate the effect of proanthocyanidins (PC) on chronic refractory wound healing in rats. SD rats were randomly divided into the control group, the model group, the low-dose PC (L-PC) group, the high-dose PC (H-PC) group, the positive drug (Beifuxin) group, and the H-PC + JAK2/STAT3 signaling pathway activator C-A1 (H-PC+C-A1) group, with 12 rats per group. Except for the control group, rats were used to establish the chronic refractory wound model. ImageJ software was employed to detect the wound healing rate. ELISA was used to determine the serum levels of TNF-α, IL-1β and vascular endothelial growth factor (VEGF). H-E staining was performed to observe the pathological changes of wound tissue. Immunofluorescence assay was conducted to detect the expressions of α-smooth muscle actin (α-SMA) and collagen type Ⅰ alpha 1 chain (COL1A1) in wound tissue. Western blotting was used to measure the expressions of collagen type Ⅱ (CⅡ), fibrin-binding protein (FN), and related proteins in the JAK2/STAT3 signaling pathway. The results showed that compared to that of the control group, the wound of the model group exhibited severe inflammatory cell infiltration, damaged and thickened epithelial tissue, along with decreased wound healing rate, VEGF level, fluorescence intensity of COL1A1 and α-SMA, as well as the expressions of CⅡ and FN (P<0.05), while the TNF-α and IL-1β level, the p-JAK2/JAK2 and p-STAT3/STAT3 ratio were significantly increased (P<0.05). Compared to the model group, the L-PC group, the H-PC group, and the Beifuxin group showed ameliorated pathological damage, increased wound healing rate and repair related indicators, as well as decreased inflammatory indicators and phosphorylation of signaling related proteins  (P<0.05). Compared to the H-PC group, the H-PC+C-A1 group presented aggravated pathological damage, reduced repair indicators, along with elevated inflammatory indicators and phosphorylation of signaling related proteins  (P<0.05). This study suggests that PC may promote chronic refractory wound healing in rats by inhibiting the JAK2/STAT3 signaling pathway.

  • LI Hong, YU Hong, LI Geng, WANG Lingling
    Current Immunology. 2026, 46(5): 610-619.
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    To screen for key genes of primary sclerosing cholangitis (PSC) by bioinformatics, and explore the relationship between key genes and the peripheral blood immune cell characteristics and mitochondrial function, the PSC dataset GSE119600 was retrieved from the gene expression omnibus (GEO). Differentially expressed gene (DEG) analysis was conducted by R software. Online tools were employed for gene ontology (GO) functional annotation and Kyoto encyclopedia of genes and genomes (KEGG) pathway enrichment analysis. Protein-protein interaction (PPI) network was established using the STRING database to identify key genes. The key genes were validated in the GSE177044 dataset, and ROC curve was used to evaluate diagnostic value. Gene set variation analysis (GSVA) was employed to analyze immune cell signature. The results showed that a total of 210 DEGs were identified, including 26 up-regulated and 184 down-regulated genes. Functional analysis indicated that these DEGs were primarily enriched in processes related to oxidative phosphorylation and the mitochondrial respiratory chain. PPI network analysis identified 4 key genes including COX17, NDUFA1, NDUFA12 and UQCRH. ROC curve analysis confirmed their predictive value for PSC. Immune cell correlation analysis revealed that activated CD4+ T cell, activated CD8+ T cell, eosinophil, macrophage, myeloid-derived suppressor cell (MDSC), NK cell, and Th17 in peripheral blood were closely associated with PSC. Notably, several key genes showed significant correlation with these immune cell subsets. Taken together, the study suggests that COX17, NDUFA1, NDUFA12 and UQCRH are key genes involved in PSC pathogenesis, and the potentially mechanism may be linked to peripheral immune dysregulation and disrupted mitochondrial energy metabolism.

  • HU Yun, TANG Si
    Current Immunology. 2026, 46(5): 620-626.
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    To analyze the effects of aucubin on the PI3K/Akt/NF-κB signaling pathways in diabetic mice, 10 C57BL/6J mice were used as the normal control (NC) group. Mice successfully modeled by feeding a high fat diet for 28 days combined with intraperitoneal injection of streptozotocin for 3 days were randomly divided into 6 groups: the model group, the low dose aucubin group (aucubin 1 mg/kg, the low dose group), a high dose aucubin group (aucubin 5 mg/kg, the high dose group), the high dose + insulin-like growth factor 1(IGF-1) group (aucubin 5 mg/kg + IGF-1 50 μg/kg), and the IGF-1 alone group (IGF-1 50 μg/kg). Fasting plasma glucose (FPG) was recorded; levels of glycosylated hemoglobin (HbA1c) and fasting insulin (FINS) were measured by electrochemiluminescence; the homeostasis model assessment of insulin resistance (HOMA-IR) was calculated; inflammatory markers (TNF-α, IL-1β, IL-6) were detected by ELISA; mRNA expression levels of PI3K, Akt, and NF-κB p65 in pancreatic tissue were measured by qRT-PCR; and the phosphorylation ratios of pAkt/Akt and pNF-κB p65/NF-κB p65, as well as the protein expression level of inhibitor of nuclear factor κB α (IκBα), were detected by Western blotting. The results showed that, compared to those of the NC group, the body weight and health status scores of mice in the model group, low dose group, high dose group, high dose + IGF-1 group, and IGF-1 alone group were significantly decreased (P<0.05), while serum levels of FPG, HbA1c, FINS, HOMA-IR, TNF-α, IL-1β, and IL-6, as well as the mRNA expression of PI3K, Akt, and NF-κB p65 and the ratios of p-Akt/Akt and p-NF-κB p65/NF-κB p65 in pancreatic tissue, were significantly increased (P<0.05), and IκBα expression was significantly decreased (P<0.05). Compared to the model group, the low-dose and high-dose groups showed increased body mass and health status scores (P<0.05); decreased serum levels of FPG, HbA1c, FINS, HOMA-IR, TNF-α, IL-1β, and IL-6; decreased pancreatic mRNA expressions of PI3K, Akt, and NF-κB p65; decreased p-Akt/Akt and p-NF-κB p65/NF-κB p65 ratios(P<0.05); as well as increased IκBα expression (P<0.05). The changes in the above indicators were more significant in the high-dose group than in the low-dose group (P<0.05). Compared to the high-dose group, the high-dose+IGF-1 group showed decreased body mass and health status scores (P<0.05); increased serum levels of FPG, HbA1c, FINS, HOMA-IR, TNF-α, IL-1β, and IL-6; increased pancreatic mRNA expressions of PI3K, Akt, and NF-κB p65; increased p-Akt/Akt and p-NF-κB p65/NF-κB p65 ratios (P<0.05); and decreased IκBα expression (P<0.05). There were no significant difference in any indicators between the IGF-1 alone group and the model group (P>0.05). Together, the study suggests that aucubin improves glucose metabolism and insulin resistance to alleviates inflammatory responses in diabetic mice, and the mechanism of action is associated with the inhibition of the PI3K/Akt/NF-κB signaling pathways.

  • YANG Jing, SI Guo
    Current Immunology. 2026, 46(5): 627-633.
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    To explore the characteristics of human immunodeficiency virus (HIV) drug resistance mutation and the distribution of genetic subtype among patients with HIV infection/acquired immune deficiency syndrome (AIDS) who experienced antiretroviral therapy (ART) failure in Mianyang region, Sichuan Province, and to provide a basis for optimizing individualized antiviral regimens and regional HIV resistance control strategies, a total of 535 HIV/AIDS patients who received ART and follow up in Mianyang region from March 2022 to March 2025 were enrolled. Demographic and clinical data were collected, HIV viral load and CD4+ T-cell count were measured, HIV drug resistance mutation and genetic subtypes were analyzed using gene amplification and sequencing, and the distribution of drug resistance was compared across different populations and treatment regimens. Among the 535 patients, the overall prevalence of drug resistance was 46.17%, the resistance rates were 28.97% for nucleoside reverse transcriptase inhibitors (NRTI), 57.39% for non-nucleoside reverse transcriptase inhibitors (NNRTI), 5.05% for protease inhibitors (PI), and 0.75% for integrase strand transfer inhibitors (INSTI). The most common resistance mutations were M184V/I (78 cases), K103N (78 cases), Y181C (49 cases), G190A/S (42 cases), and K65R (28 cases). Patients with baseline CD4+ T-cell count <200 cells/μL had a significantly higher drug resistance rate than those with CD4+ T-cell count ≥200 cells/μL (P<0.05). Regarding genetic subtypes, CRF01_AE (271 cases) and CRF07_BC (198 cases) were predominant, while CRF08_BC (26 cases), subtype B (15 cases), and other recombinant forms (14 cases) were also identified. In summary, relatively high drug resistance rate is observed in ART failure HIV/AIDS patients in Mianyang region, Sichuan Province. NNRTI drugs are most likely to cause drug resistance, M184V/I and K103N are the most common resistance mutation sites, and CRF01_AE and CRF07_BC  are the main drug resistance-related genetic subtypes. 
  • ZHAO Jun, ZHAO Qiwei
    Current Immunology. 2026, 46(5): 634-642. https://doi.org/202605011
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    This study aims to investigate the effect of leucine-rich alpha-2-glycoprotein 1 (LRG1) in the extracellular exosome (exo) derived from colorectal cancer (CRC) cells on macrophage M2 polarization. LRG1 expression in CRC was analyzed using the GEPIA database. Immunohistochemistry was performed to detect LRG1 expression in CRC tissue and adjacent normal tissue. Exo isolated from CRC cell line (HCT116) was characterized by transmission electron microscopy. PKH67-labeled HCT116 exo was used to assess the uptake by macrophage by fluorescence microscopy. HCT116 cells were transfected with sh-NC or sh-LRG1 plasmids, and the isolated exo was co-cultured with macrophage and divided to the control group (macrophages alone), the exo group, the sh-NC exo group, the sh-LRG1 exo group, and the sh-LRG1 exo + trimethylamine N-oxide (TMAO; Smad signaling activator) group. The proportion of M2-polarized macrophage (CD206-positive) was measured by flow cytometry. IL-10, vascular endothelial growth factor A (VEGFA), and TGF-β levels in macrophage culture supernatant were determined by ELISA. Western blotting was used to detect M2 polarization markers (arginase 1 [Arg-1], CD206) as well as the expressions of phosphorylated Smad2 (p-Smad2) and p-Smad3. The results showed that in the analysis of the GEPIA database, LRG1 expression was significantly higher in CRC tissue than that in normal colon tissue (P<0.05). Immunohistochemistry revealed elevated LRG1 scores in CRC tissue compared to the adjacent tissue (P<0.01). Upon internalizing HCT116 derived exo, LRG1 expression was upregulated in macrophage (P<0.01) and the proportion of M2 phenotype significantly increased (P<0.01), along with activation of the Smad signaling pathway. In the sh-LRG1 exo group, M2 polarization was inhibited and the Smad signaling was suppressed. Treatment with TMAO counteracted the inhibitory effect of sh-LRG1 on M2 polarization. These findings suggest that CRC cell-derived exo may deliver LRG1 to macrophages, which in turn activates the Smad signaling pathway and promotes M2 polarization.
  • SUN Huangtao, ZHOU Xin, YOU Guanmiao, QIU Zhihong, YANG Dongmei, XIE Aimin
    Current Immunology. 2026, 46(5): 643-650. https://doi.org/202605012
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    This study aims to investigate the role of C-X-C motif chemokine receptor 3 (CXCR3) on Th1/Th2 balance and NF-κB activation in CD4+ T cells in murine allogeneic heart transplantation model. C57BL/6 mice were selected as recipients and BALB/c mice as donors, and a mouse heart transplantation model was established using the cuff technique. C57BL/6 mice were divided into the control group, the model group, the CXCR3 inhibitor (AMG487) group, and the AMG487 + NF-κB activator (compound 32) group, with 16 mice in each group. Except for the control group, mice in the remaining groups received continuous intraperitoneal drug administration for 3 days after heart transplantation, and mouse survival time was recorded. On day 7 post-surgery, H-E staining was performed on cardiac tissue to assess rejection grade. Serum levels of pro-inflammatory cytokines IFN-γ, IL-2, and TNF-α, as well as anti-inflammatory cytokines IL-4, IL-5, and IL-13, were measured by ELISA. Splenic lymphocytes were isolated, and Th1 (IFN-γ+), Th2 (IL-4+), and Th1/Th2 ratio were detected by flow cytometry. CD4+ T cells were sorted from splenic lymphocytes by flow cytometry, and the expression and phosphorylation levels of NF-κB p65 and inhibitor of nuclear factor κB α (IκBα) in CD4+ T cells were detected by Western blotting. The results showed that, compared to that of  the model group, the survival time of mice in the AMG487 group was significantly increased, while the survival time of mice in the AMG487 + compound 32 group was significantly decreased (P<0.01). Compared to the model group, the AMG487 group showed reduced inflammatory cell infiltration, myocardial structural damage, and rejection grade in transplanted heart tissue, decreased Th1/Th2 ratio in the spleen, decreased serum levels of IFN-γ, IL-2, and TNF-α, increased levels of IL-4, IL-5, and IL-13, and decreased phosphorylation of NF-κB p65 and IκBα in splenic CD4+ T cells (P<0.01). Compared to the AMG487 group, all the above indicators were reversed in the AMG487 + compound 32 group (P<0.01). This study demonstrates that inhibiting CXCR3 signaling may reduce the Th1/Th2 ratio and alleviate allogeneic heart transplant rejection by interfering with the NF-κB signaling in CD4+ T cells.
  • WU Xuanhao, DENG Guoyue
    Current Immunology. 2026, 46(5): 651-659. https://doi.org/202605013
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     This study aims to investigate the effect of tripterygium glycosides on the nuclear factor E2-related factor 2 (Nrf2)-antioxidant response element (ARE) signaling pathway and to explore its potential molecular mechanisms of treating lupus nephritis (LN). 50 male SD mice were divided into the control group, the model group, the low-dose tripterygium glycosides group, the high-dose tripterygium glycosides group, and the positive control group, with 10 mice per group. Except for the control group, the remaining 40 mice were intraperitoneally injected with 0.5 mL of squalene to induce LN. The low-dose tripterygium glycosides group received 10 mg/kg of tripterygium glycosides, and the high-dose tripterygium glycosides group received 30 mg/kg of tripterygium glycosides. Mice in the positive control group were orally administered 0.5 mg/kg tacrolimus+50 mg/kg mycophenolate mofetil+1 mg/kg prednisone. The control group and model group were intraperitoneally injected with an equal volume of saline, and the intervention was continued for 14 d. Urinary protein and renal function-related indicators were measured; histopathological changes in renal tissue were observed; Western blotting was performed for kidney injury molecule-1 (KIM-1), TGF-β1, and bone morphogenetic protein-7 (BMP-7). qRT-PCR was used to detect the mRNA expression of KIM-1, TGF-β1, and BMP-7. Western blotting was used to detect proteins related to the Nrf2-ARE signaling pathway. The results showed that, compared with the control group, the model group showed elevated levels of urine protein, blood urea nitrogen (BUN) and creatinine (Cr), reduced levels of BMP-7, increased levels of KIM-1 and TGF-β1. BMP-7 mRNA level decreased while KIM-1 and TGF-β1 mRNA levels increased, Nrf2 and heme oxygenase-1 (HO-1) levels decreased, while Kelch-like ECH-related protein-1 (Keap1) levels increased. Compared with the model group, the positive control group showed decreased levels of urine protein, BUN, and creatinine Cr, increased level of BMP-7 and decreased levels of KIM-1 and TGF-β1. BMP-7 mRNA increased while KIM-1 and TGF-β1 mRNA decrease. Nrf2 and HO-1 protein expressions increased while Keap1 protein level decreased. Compared with the positive control group, the low-dose and high-dose tripterygium glycoside groups showed higher levels of urine protein, BUN, and Cr; lower levels of BMP-7; and higher levels of KIM-1  and TGF-β1. BMP-7 mRNA level decreased, while KIM-1 and TGF-β1 mRNA levels increased. Nrf2 and HO-1 levels decreased, while Keap1 level increased. In summary, tripterygium glycosides can reduce glomerular oxidative damage, inhibit fibrosis, and improve kidney injury by activating the Nrf2-ARE signaling pathway.

  • LI Pinfang, ZHAN Jianghui, SU Jin
    Current Immunology. 2026, 46(5): 660-667. https://doi.org/202605014
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    ystemic lupus erythematosus (SLE) have a high incidence rate and SLE patients often suffer from severe complications. The assessment of SLE activity is an important way to evaluate the severity of the disease in patients. This article retrospectively analyzed the clinical data from 100 SLE patients in comparison with those from 100 age, gender matched healthy individuals. The 100 SLE patients were grouped according to the systemic lupus erythematosus disease activity index (SLEDAI): 65 cases with scores of 0-9 were assigned to the low activity group, and 35 cases with scores >9 assigned to the high activity group. Binary Logistic analysis of the influencing factors of high SLE activity of SLE found that the myeloperoxidase (MPO)-DNA complex (OR=0.329, 95% CI: 0.033-0.652) and complement component 4 (C4; OR=0.428, 95%CI: 0.215-0.642), and platelet (PLT; OR=0.591, 95%CI: 0.172-0.915) were protective factors, while dsDNA  (OR=1.293, 95%CI: 1.081-1.505) and neutrophil extracellular traps (NETs; OR=1.359, 95%CI: 1.046-1.705) were risk factors (P<0.05). Further, the AUC of ROC curves for predicting high SLE activity by MPO-DNA complex, C4, PLT, NETs, and dsDNA were 0.836, 0.712, 0.879, 0.891, and 0.737, respectively. Among them, the diagnostic value of NETs was the highest. This study provides a clinical basis for future targeted treatment strategy of SLE patients using NETs.

  • GUO Ming, CHENG Long
    Current Immunology. 2026, 46(5): 668-675. https://doi.org/202605015
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    To investigate the molecular mechanism of neuronal pyroptosis induced by exosome from human immunodeficiency virus (HIV)-infected microglia and evaluate the potential therapeutic value of targeted intervention strategy, exosome was isolated from HIV-infected microglial cell line (CHME3/HIV) and subjected to miRNA sequencing. The targeting regulatory relationship between miR-155 and C-X3-C motif chemokine ligand 1(CX3CL1) was verified using a dual-luciferase reporter gene assay, and the expressions of key pyroptosis markers gasdermin D (GSDMD) and IL-1β were detected by ELISA. In vivo experiments used a humanized murine HIV-infection model to assess the regulatory effects of miR-155 antagomir and C-X3-C motif chemokine receptor 1 (CX3CR1) antagonist on cognitive function. The results showed that compared to the normal control group, miR-155 expressions were significantly increased in both the microglial exosome and the serum of HIV infected mice (P<0.000 1). Compared to the negative control group, the miR-155 mimic inhibited the transcriptional level of CX3CL1 (P<0.000 1). Compared to the normal control group, the HIV-infected group showed significantly decreased CX3CL1 mRNA levels and increased CX3CR1 mRNA levels (P<0.001), while the protein expression of NOD-like receptor family pyrin domain-containing protein 3 (NLRP3) was significantly increased (P<0.001). In animal experiments, compared to the normal control group, the expression of GSDMD and IL-1β were significantly higher in the HIV-infected group (P<0.000 1). However, after miR-155 antagomir or CX3CR1 antagonist intervention, the escape latency and swimming distance of the positioning navigation test were significantly decreased (P<0.001), while the time spent in the target quadrant and the number of platform crossing in the spatial exploration test were significantly increased (P<0.000 1). Therefore, HIV-infected microglia-derived exosomal miR-155 induces neuronal pyroptosis via the CX3CL1/CX3CR1-NLRP3 axis and targeted intervention of this pathway can improve cognitive function, presenting a potential therapeutic strategy for human immunodeficiency virus-associated neurocognitive disorder (HAND).

  • FAN Qi, MA Chenxi, DONG Zhong
    Current Immunology. 2026, 46(5): 676-684. https://doi.org/202605016
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    Bone homeostasis is a dynamic balance between bone formation and resorption, which is essential for skeletal develop-ment and repair. Osteoimmunology encompasses the interplay between the skeletal and immune systems, involving various signaling  pathways, cytokines, and crosstalk between immune cells and bone cells under both physiological homeostasis and pathological condition. As a key player in osteoimmunology, macrophage can polarize into classically pro-inflammatory M1 or alternatively anti-inflammatory M2 phenotype in response to environmental cues, thereby participating in the regulation of bone metabolism and playing diverse roles in bone homeostasis. Imbalance of macrophage polarization may lead to immune dysregulation, triggering inflammatory stimulation and the release of large amounts of inflammatory factors that disrupt bone metabolism, ultimately resulting in pathological condition such as loss of bone homeostasis. This review summarizes the signaling pathways and related factors influencing macrophage polarization, as well as their interactions with immune factors, osteoblasts (OB), osteoclasts (OC), and bone marrow mesenchymal stem cells (MSC). Furthermore, it discusses the role of macrophage polarization and osteoimmunology in diseases characterized by disrupted bone homeostasis, along with relevant regulatory mechanisms, thereby providing a theoretical basis for developing novel therapeutic strategies for bone metabolic disorders.

  • ZHUANG Huina, LI Juan
    Current Immunology. 2026, 46(5): 685-690. https://doi.org/202605017
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    Methyltransferase-like 3 (METTL3) is the core methyltransferase responsible for N6-methyladenosine (m6A) RNA modification and plays a pivotal role in immune regulation and inflammatory responses. Emerging evidence suggests that METTL3 is aberrantly overexpressed in various immune cells, including macrophage, neutrophil, DC, T cell, B cell, and fibroblast-like synoviocytes (FLS). By modulating key signaling pathways such as NF-κB, PI3K/Akt, and Wnt/β-catenin, METTL3 contributes to the amplification of inflammatory responses and the progression of tissue damage. In rheumatoid arthritis (RA), METTL3 facilitates synovial inflammation and joint destruction by influencing cytokine secretion and intercellular interactions. On the other hand, targeting METTL3 have demonstrated promising therapeutic potential in RA animal models. These findings highlight METTL3 as a novel target for RA treatment. This review provides a comprehensive summary of the current advances in METTL3-mediated immune regulation and its role in RA pathogenesis.

  • BA Anshuai, LIU Qingshuai, YU Chao, WANG Yong, ZHANG Naijun
    Current Immunology. 2026, 46(5): 691-696. https://doi.org/202605018
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    The inducible co-stimulator (ICOS), a critical co-stimulatory receptor expressed on activated T cells, and its ligand (ICOSL) is mainly expressed on APC.  ICOS signaling fine-tunes T cell differentiation by activating the PI3K pathway, mediating Ca2+ mobilization, and recruiting TANK-binding kinase 1 (TBK1) among other mechanisms. Given the pivotal and complex role of ICOS signaling in inflammatory diseases, this review systematically summarizes its signal transduction mechanism and immunomodulatory function in immune-related inflammatory conditions, including cancer, hypertension, parasitic infection, and rheumatoid arthritis (RA), with the aim of providing a novel theoretical basis for therapeutic strategies targeting these conditions.