REVIEWS
Abstract. The review article concerns various features of PAX-5 (paired box 5) transcription factor, its structure, functions, regulation of activity, involvement into differentiation and activation of B lymphocytes, switching to IgE synthesis, its role in oncogenesis, and a putative role of this factor for development of bronchial asthma.
Further insight into specific properties of PAX-5 factor in bronchial asthma may provide a promising approach to studying mechanisms of this disorder. (Med. Immunol., 2011, vol. 13, N 6, pp 569-580)
ORIGINAL ARTICLES
Abstract. Chemokines are a key factor that ensures the participation of different cell types in the immunological protection of mucosa. In our study we chose some chemokines that ensured the chemotaxis of neutrophils (CXCL8/IL-8), eosinophils (CCL11/eotaxin, CCL24/eotaxin-2), monocytes and T-lymphocytes (CCL3/MIP-1α, CCL4/MIP-1β, CCL5/RANTES), as well as their receptors (CCR1, CCR3, CCR5, CXCR1, CXCR2). mRNA expression of chemokines and their receptors in nasopharyngeal mucosa brush-biopsy specimens determined by RT-PCR in healthy persons, the level of the same chemokines in serum determined by multiplex chemiluminescent assay were analyzed according to smoking. The level of mRNA expression of IL-8 (p < 0.001) and RANTES (p < 0.001) in nasopharynx brush-biopsy specimens and serum levels of IL-8 (p < 0.0001) of smokers were significantly lower as compared with nonsmokers. Correlation analysis showed the dependence of the chemokine synthesis on the factor of smoking: the index of smoking (pack/years) is negatively correlated with mRNA levels of IL-8 (r = -0,67 p = 0,003) and RANTES (r = -0,58, p = 0,015) in nasopharynx brush-biopsy specimens and serum concentration of IL-8 (r = -0,89, p = 0,0000002). Thus, these data offer that smokers manifested a defect of the local synthesis of RANTES and IL-8 in nasopharyngeal mucosa in combination with systemic defect of IL-8 production in peripheral blood, that can lead to chronization of bacterial infection and prolonged persistence of viral infection. (Med. Immunol., 2011, vol. 13, N 6, pp 617-622)
Abstract. Autoimmune thyroiditis (Hashimoto’s thyroiditis, HT) still represents an unresolved problem of modern endocrinology, since its etiology and pathogenesis are yet unclear. Cytokines play an important role in the regulation of immune and inflammatory response, therefore, some gene variants encoding them, are considered as potential risk risk factors for autoimmune thyroid diseases. We have genotyped 298 women from the Republic of Tatarstan (RT, control group, 137 persons; HT patients, 161) for the following gene polymorphisms: interleukin-1 beta (IL-1β) +3953 C/T (rs 1143634); interleukin 4 (IL-4) -590C/T (rs 2243250), and interleukin 6 (IL-6) -174C/G (rs 1800795), using allele-specific PCR. The results showed a significantly increased frequencies of C allele (P = 0.0003) and CT genotype (P = 0.048, OR = 6.05, 95%CI 2.59-2.97) of +3953 C/T of IL-1β in patients with Hashimoto's thyroiditis, as compared with control group. The latter group showed higher prevalence of T allele (P = 0.0003) and TT genotype (P = 4.95 Ч 6.10; OR = 0.15, 95%CI 0.06-0.38). The 590C/T and -174C/G polymorphic variants in, resp., IL-4 and IL-6 genes are not associated with increased risk of this disease among women from RT. (Med. Immunol., 2011, vol. 13, N 6, pp 603-608)
Abstract. TRAF3IP2 gene plays an important role in the processes of inflammation and autoimmune control. TRAF3IP2 protein acts as a signal transducer from membrane receptors to the cell nucleus and is essential for the biological effects of Th17-lymphocytes. The goal of present study was to investigate distribution of allelic variants of TRAF3IP2 Arg74Trp polymorphism as a risk factor in psoriasis development, and to evaluate TRAF3IP2 mRNA expression levels in psoriasis patients and healthy donors. Peripheral blood leukocytes were used as a source of DNA. Gene testing was performed for 261 patients and 482 healthy blood donors by real-time allele-specific PCR. TRAF3IP2 mRNA expression was measured in the skin biopsy samples from 36 patients with psoriasis and 14 healthy donors by means of quantitative reverse transcriptase PCR, using a paired-sample approach with SDHA reference gene. We have observed a significantly increased occurrence of rare Trp allele, with 10.5% among psoriasis patients (55/522), as compared with 7.0% (67/964) for healthy persons (OR = 1.58, 95% CI: 1.09 – 2.28, р = 0.02). A trend of higher Trp allele occurrence was revealed in patients with severe psoriasis – 21/154 (13.6%) when compared to the patients with milder course of the disease – 34/368 (9.2%) (р = 0.14). No differences were found for TRAF3IP2 mRNA expression in skin samples from psoriasis patients versus healthy persons. The association between TRAF3IP2 Trp allele and increased susceptibility to psoriasis suggests that Trp variant of this protein may display a higher enzymatic activity. Induction of inflammatory process in carriers of Trp allele would be more intensive, thus being a predisposing factor in psoriasis development. (Med. Immunol., 2011, vol. 13, N 6, pp 597-602)
Abstract. Associations between I105V and A114V gene polymorphisms of glutathione-S-transferase P1 and levels of IgE and secretory IgA in tear fluid were studied in steelworkers with or without ocular diseases, as compared with healthy office employees. Genotyping was performed by means of allele-specific polymerase chain reaction, whereas ELISA technique was used for immune testing. We have found that IgE levels in tear fluid was increased in steelworkers with dystrophic eye diseases, pinguecula/pterygium, and healthy steelworkers, in comparison with control group. This increase correlates with pinguecula/pterygium size and with their industrial employment terms. Secretory IgА levels in tears were decreased in these groups of workers, as compared with controls. Concentrations of both immunoglobulins in tear samples depended on I105V and А114V glutathione-S-transferase P1 gene polymorphisms. I105V polymorphism correlated with lower concentrations of tear IgЕ in steelworkers with ocular dystrophic diseases and healthy metallurgists. А114V polymorphism is connected with decreased quantities of tear IgЕ in steelworkers with ocular dystrophic diseases, as well as with the lower amounts of secretory IgА in healthy workers and administrative staff. Hence, polymorphic loci I105V and А114V of glutathione-S-transferase P1 gene may exert a modulatory effect upon biosynthesis of both Ig types. (Med. Immunol., 2011, vol. 13, N 6, pp 609-616)
Abstract. Leukocyte recruitment to placental tissue is an important factor of its development. In this respect, adhesion molecules at the endothelial cell surface represent a key determining factor of leukocyte adhesion and their trans-endothelial migration. The goal of investigation was to evaluate changed expression of adhesion molecules on the endothelial cells induced by supernates of placental tissue cultures. Placental tissue supernatants produced by the first- and third-trimester placental tissue from normal pregnancy, as well as from women with gestosis, induced higher expression of CD31, CD9, CD62E, CD62P, CD34, CD54, CD51/61, CD49d and integrin β7 expression by endothelial cells, as compared with their baseline levels. However, the supernates from pre-eclamptic placental tissue (3rd trimester) caused an increased CD9 expression by endothelial cells, as compared with effects of placental supernates from eclampsia-free cases. Our data contribute to understanding a possible role of endothelial cell adhesion molecules in recruitment of leukocytes to placental tissue and possible participation of adhesion molecules in pathogenesis of pre-eclampsia. The work was supported by a grant from Russian Ministry of Education and Science ГК №02.740.11.0711 and Presidential grant № НШ-3594.2010.7 and МД-150.2011.7. (Med. Immunol., 2011, vol. 13, N 6, pp 589-596)
IMMUNOLOGICAL METHODS
Abstract. Application of flow cytometry (FC) techniques has considerably expanded the opportunities for evaluation of immune cells, aiming for better diagnostics of immunodeficiency disorders, autoimmune and lymphoproliferative diseases, etc.
A procedure of laboratory testing is subdivided into several stages, i.e., pre-analytical, analytical and post-analytical. At present, some strict criteria are developed for inclusion of various cell parameters into a diagnostic set, along with operational algorithms, in order to optimize the FC procedures. However, the percentage of errors in FC assays still remains high. More than a half of the errors originate from pre-analytical stage.
The recommendations listed in this article should definitely influence quality of laboratory investigations and improve diagnostics of immune functional disorders, thus providing adequacy of therapeutic prescriptions. (Med. Immunol., 2011, vol. 13, N 6, pp 639-646)
SHORT COMMUNICATIONS
Abstract. We studied immune markers of diabetes mellitus, as well as their relations to clinical features at the onset of disease. The patients with newly diagnosed diabetes were examined. Antibodies to glutamate decarboxylase, islet-cell cytoplasm antigen, along with antibodies to insulin and basal C-peptide were tested. Immunological markers of type 1 diabetes mellitus have been identified in 58% of cases. The immune markers of type 2 diabetes mellitus have been discovered in 47.5% of cases. (Med. Immunol., 2011, vol. 13, N 6, pp 623-626)
Abstract. Blood serum levels of cytokines (Il-1β, TNFα, IL-2, IL-4, IL-6, IL-8, IL-10, IL-20, IL-23), cytokine soluble receptors (SRp55 TNFα, SR IL-6), as well as markers of insulin resistance were studied in a group of male patients with primary gout. Increased levels of the above cytokines and deficiency of soluble IL-6 receptors in blood serum were most pronounced in gouty patients with insulin resistance syndrome. Close links were revealed between serum uric acid and insulin contents in gouty patients. Significant correlations were found between the levels of insulin, some cytokines (IL-4, IL-6, TNFα), and soluble receptors (SRp55 TNFα, SR IL-6), thus presuming a certain role of impaired cytokine profile for development of insulin resistance syndrome in such cohort of patients. (Med. Immunol., 2011, vol. 13, N 6, pp 627-630)
Abstract. We investigated effects of combined oral contraceptives (COC) containing low- and microdoses of estrogenic components upon serum levels of macroglobulin family proteins (alpha-2-macroglobulin, α2-MG, and pregnancy-associated alpha-2-glycoprotein, α2-PAG), their immune complexes with IgG, as well as concentrations of some cytokines (IL-1β, IL-6, TNFα, IFNγ). It was shown that cytokine levels did not differ with control, whereas α2-MG concentrations showed a time-dependent decrease in a group of women taking COC with microdoses of estrogens, and α2-PAG levels increased tenfold, independent on dosage and time of COC application. Meanwhile, contents of PAG-IgG complexes exhibits a gradual decrease, along with increase in MG-IgG. Considering PAG as a marker of normal and malignant proliferation, we suggest, that the levels of α2-PAG may be useful in monitoring of women taking COC, in order to predict high risk of pathological proliferation by evaluation of individuals with elevated α2-PAG levels. (Med. Immunol., 2011, vol. 13, N 6, pp 635-638)
LECTURE
Abstract. The lecture presents current data, as well as authors’ view to the issue of immune system involvement into inflammation. General physiological principles of immune system functioning are considered in details. Immunological mechanisms of local inflammation and participation of immune system components are analyzed with regard of protective/adaptive reactions in inflammatory foci. Original formulations of basic concepts are presented from the viewpoint of pathophysiology, immunopathology and clinical immunology, as being applied to the issues discussed. (Med. Immunol., 2011, vol. 13, N 6, pp 557-568)
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