不调节的骨髓通过可溶性因素导致淋巴细胞损伤
Ryan Spear1, Alexis P Jimenez-Uribe1, Yanxia Cao1
1Rush University Medical Center, Chicago, IL, United States.
Journal of the American Society of Nephrology : JASN
|August 8, 2025
概括
炎症会改变骨髓细胞,增加suPAR,并导致病的进展. 骨髓功能障碍是慢性病 (CKD) 的关键驱动因素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
背景情况:
- 免疫失调和慢性炎症与慢性病 (CKD) 病原发生有关.
- 改变的骨髓造血是常见的CKD相关的条件.
- 骨髓功能障碍在CKD进展中的特定作用需要进一步研究.
研究的目的:
- 研究炎症诱导的骨髓变化如何导致人类CKD进展.
- 阐明骨髓功能障碍导致脏疾病的机制.
主要方法:
- 使用ELISA,多重细胞因子测定,流细胞计和scRNA测序来分析CKD患者和健康捐赠者的骨髓吸附物.
- 在TNFα暴露下进行体外骨髓形成测定,以模仿CKD骨髓变化.
- 在小鼠体内研究,包括TNFα阻断和蛋白尿的评估,以及斑马鱼和培养的细胞中的功能测定.
主要成果:
- 慢性结核病患者的骨髓显示TNFα和suPAR的升高,具有炎症单细胞细胞形状.
- 在体外TNFα暴露诱导了改变的单细胞细胞,增加了代谢活性和促炎因子分泌.
- 从改变的髓状细胞分泌的因素损害了斑马鱼中的脏过和细胞功能.
结论:
- 骨髓单细胞细胞中TNFα驱动的变化有助于CKD中的淋巴细胞功能障碍.
- 骨髓功能障碍成为CKD进展的中心上游驱动因素.
相关概念视频
Renal Corpuscle
3.3K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
3.3K
Acute Kidney Injury II: Pathophysiology
73
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
73
Nephrotic Syndrome I : Introduction
27
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
27
Regulation of Hematopoietic Stem Cells
3.3K
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
3.3K
Role of Hematopoietic Growth Factors
1.7K
Hematopoietic growth factors are molecules that regulate the differentiation rate of hematopoietic stem cells (HSCs). Erythropoietin (EPO), primarily produced by the kidneys, plays a crucial role in erythrocyte production. When oxygen levels in the blood are low, EPO is released into the bloodstream, reaching the bone marrow, where it stimulates HSCs to differentiate and mature into erythrocytes, which are vital for oxygen transport.
Thrombopoietin (TPO), mainly released by the liver,...
Thrombopoietin (TPO), mainly released by the liver,...
1.7K
Glomerular Filtration Rate and its Regulation
3.3K
The Glomerular Filtration Rate (GFR) is a measure of kidney function, reflecting the volume of filtrate formed per minute in the kidneys. On average, GFR is approximately 125 mL/min in males and 105 mL/min in females. Maintaining a relatively constant GFR is essential for the kidneys to effectively regulate body fluid homeostasis and maintain extracellular stability.
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
3.3K


