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1.  PFK1 Glycosylation Is a Key Regulator of Cancer Cell Growth and Central Metabolic Pathways 
Science (New York, N.Y.)  2012;337(6097):975-980.
Cancer cells need to meet the metabolic demands of rapid cell growth within a continually changing microenvironment. Genetic mechanisms for reprogramming cellular metabolism toward proliferative, pro-survival pathways are well-reported. However, post-translational mechanisms, which would enable more rapid, reversible adaptations of cellular metabolism in response to protein signaling or environmental sensing systems, are less well understood. Here we demonstrate that the post-translational modification O-linked β-N-acetylglucosamine (O-GlcNAc) is a key metabolic regulator of glucose metabolism. O-GlcNAc is dynamically induced at Ser529 of phosphofructokinase 1 (PFK1) in response to hypoxia. Glycosylation inhibits PFK1 activity and redirects the flux of glucose from glycolysis through the pentose phosphate pathway (PPP), thereby conferring a selective growth advantage to cancer cells. Blocking glycosylation of PFK1 at Ser529 reduced cancer cell proliferation in vitro and impaired tumor formation in vivo. These studies reveal an unexpected mechanism for the regulation of metabolic enzymes and pathways, and pinpoint a new therapeutic approach for combating cancer.
doi:10.1126/science.1222278
PMCID: PMC3534962  PMID: 22923583
2.  T-cell Subsets and Antifungal Host Defenses 
Current Fungal Infection Reports  2010;4(4):238-243.
It has been long appreciated that protective immunity against fungal pathogens is dependent on activation of cellular adaptive immune responses represented by T lymphocytes. The T-helper (Th)1/Th2 paradigm has proven to be essential for the understanding of protective adaptive host responses. Studies that have examined the significance of regulatory T cells in fungal infection, and the recent discovery of a new T-helper subset called Th17 have provided crucial information for understanding the complementary roles played by the various T-helper lymphocytes in systemic versus mucosal antifungal host defense. This review provides an overview of the role of the various T-cell subsets during fungal infections and the reciprocal regulation between the T-cell subsets contributing to the tailored host response against fungal pathogens.
doi:10.1007/s12281-010-0034-6
PMCID: PMC2949562  PMID: 20976286
T helper cells; Gamma delta T cells; Cytotoxic T cells; Regulatory T cells; Th1; Th17; Th2; Fungal infection; Candida; Aspergillus; Histoplasma; Pneumocystis; Cryptococcus; IL-17; Interferon gamma; IL-4; IL-10; Plasticity; Interaction; Adaptive immunity; Cytokine responses
3.  Manipulating the bioenergetics of alloreactive T cells causes their selective apoptosis and arrests graft versus host disease 
Science Translational Medicine  2011;3(67):67ra8.
Cells generate ATP by glycolysis and by oxidative phosphorylation (OXPHOS) (1, 2). Despite the importance of having sufficient ATP available for the energy-dependent processes involved in immune activation, little is known about the metabolic adaptations that occur in vivo to meet the increased demand for ATP in activated and proliferating lymphocytes. We found that bone marrow (BM) cells proliferating after bone marrow transplantation (BMT) increased aerobic glycolysis but not OXPHOS, while T cells proliferating in response to alloantigens during graft versus host disease (GVHD) increased both aerobic glycolysis and OXPHOS. Metabolomic analysis of alloreactive T cells showed an accumulation of acylcarnitines consistent with changes in fatty acid oxidation. Alloreactive T cells also exhibited a hyperpolarized mitochondrial membrane potential (ΔΨm), increased superoxide production and decreased antioxidant levels, whereas proliferating BM cells did not. Bz-423, a novel small molecule inhibitor of the mitochondrial F1F0-ATPase, selectively increased superoxide and induced the apoptosis of alloreactive T cells, which arrested established GVHD in several BMT models without affecting hematopoietic engraftment or lymphocyte reconstitution. These findings challenge the current paradigm that activated T cells meet their increased demands for ATP though aerobic glycolysis, and identify the possibility that bioenergetic and redox characteristics can be selectively exploited as a novel therapeutic strategy for immune disorders.
doi:10.1126/scitranslmed.3001975
PMCID: PMC3364290  PMID: 21270339
4.  Geography and plumbing control the T cell response to infection 
Immunology and cell biology  2008;86(5):416-422.
The orchestrated movement of cells of the immune system is essential to generation of productive responses leading to protective memory development. Recent advances have allowed the direct microscopic visualization of lymphocyte and antigen-presenting cell migration and interaction during immune response initiation and progression. These studies have defined important characteristics of the microanatomy of lymphocyte movement, particularly in the lymph node. Moreover, the ability to track endogenous antigen-specific T cells has revealed a coordinated pathway of CD8 T cell movement in the spleen following primary and secondary infection. As a consequence, the local anatomy of secondary lymphoid tissues during infection has emerged as a critical regulator of immunity. While some of the factors responsible for the migratory cues instructing immune cell movement have been identified, much remains to be learned. Here, we provide a brief overview of our studies examining CD8 T cell localization during the immune response to infection in the context of our current understanding of immune system structure.
doi:10.1038/icb.2008.22
PMCID: PMC3224370  PMID: 18392042
infection; T cell; migration; imaging; memory
5.  Mechanisms of Immune-Mediated Liver Injury 
Toxicological Sciences  2010;115(2):307-321.
Hepatic inflammation is a common finding during a variety of liver diseases including drug-induced liver toxicity. The inflammatory phenotype can be attributed to the innate immune response generated by Kupffer cells, monocytes, neutrophils, and lymphocytes. The adaptive immune system is also influenced by the innate immune response leading to liver damage. This review summarizes recent advances in specific mechanisms of immune-mediated hepatotoxicity and its application to drug-induced liver injury. Basic mechanisms of activation of lymphocytes, macrophages, and neutrophils and their unique mechanisms of recruitment into the liver vasculature are discussed. In particular, the role of adhesion molecules and various inflammatory mediators in this process are explored. In addition, the authors describe mechanisms of liver cell damage by these inflammatory cells and critically evaluate the functional significance of each cell type for predictive and idiosyncratic drug-induced liver injury. It is expected that continued advances in our understanding of immune mechanisms of liver injury will lead to an earlier detection of the hepatotoxic potential of drugs under development and to an earlier identification of susceptible individuals at risk for predictive and idiosyncratic drug toxicities.
doi:10.1093/toxsci/kfq009
PMCID: PMC2871750  PMID: 20071422
adverse drug reactions; hepatotoxicity; immune-mediated liver injury; idiosyncratic liver toxicity; lymphocytes; macrophages; neutrophils; innate immunity
6.  The metabolic life and times of a T-cell 
Immunological reviews  2010;236:190-202.
Summary
The regulation of lymphocyte homeostasis is critical for the development and formation of productive immune responses. Cell numbers must be maintained to allow sufficient numbers of lymphocytes to combat foreign pathogens but prevent the accumulation of excess lymphocytes that may increase the risk of developing autoimmunity or neoplasia. Cell extrinsic growth factors are essential to maintain homeostasis and cell survival, and it has become increasingly apparent that a key mechanism of this control is through regulation of cell metabolism. The metabolic state of T cells can have profound influences on cell growth and survival and even differentiation. In particular, resting T cells utilize an energy efficient oxidative metabolism but shift to a highly glycolytic metabolism when stimulated to grow and proliferate by pathogen encounter. After antigen clearance, T cells must return to a more quiescent oxidative metabolism to support T-cell memory. This review highlights how these metabolic changes may be intricately involved with both T-cell growth and death in the control of homeostasis and immunity.
doi:10.1111/j.1600-065X.2010.00911.x
PMCID: PMC2983473  PMID: 20636818
T cells; cytokine receptors; T-cell receptors; cell activation; autophagy/apoptosis; signal transduction
7.  Adaptive Immunity to Fungi 
Annual review of immunology  2012;30:115-148.
Only a handful of the more than 100,000 fungal species on our planet cause disease in humans, yet the number of life-threatening fungal infections in patients has recently skyrocketed as a result of advances in medical care that often suppress immunity intensely. This emerging crisis has created pressing needs to clarify immune defense mechanisms against fungi, with the ultimate goal of therapeutic applications. Herein, we describe recent insights in understanding the mammalian immune defenses deployed against pathogenic fungi. The review focuses on adaptive immune responses to the major medically important fungi and emphasizes how dendritic cells and subsets in various anatomic compartments respond to fungi, recognize their molecular patterns, and signal responses that nurture and shape the differentiation of T cell subsets and B cells. Also emphasized is how the latter deploy effector and regulatory mechanisms that eliminate these nasty invaders while also constraining collateral damage to vital tissue.
doi:10.1146/annurev-immunol-020711-074958
PMCID: PMC3584681  PMID: 22224780
dendritic cells; pattern-recognition receptors; T lymphocytes; chemokines; chemokine receptors
8.  Role of human natural killer cells in health and disease. 
Natural killer (NK) cells, the CD3- CD56+ CD16+ subset of peripheral blood lymphocytes, have long been known to be involved in non-major histocompatibility complex-restricted natural immunity to virally infected and malignant target cells. The association of abnormalities in NK cell numbers or functions with a broad spectrum of human diseases has been more clearly defined in recent years as a result of the improved knowledge of NK cell physiology and advances in monitoring of NK cell functions in health and disease. The ability to reliably measure changes in NK activity and/or numbers during the course of disease or response to treatment has focused attention on the role of the NK cell in disease pathogenesis. The improved understanding of NK cell deficiency in disease has opened a way for therapies specifically designed to improve NK cell function. The therapeutic use of biologic response modifiers capable of augmenting NK cell activity in vivo and of adoptive transfer of highly enriched, activated autologous NK cells in diseases such as cancer and AIDS is being evaluated. The importance of NK cells in health and the consequences of NK cell deficiency or excess are likely to be more extensively monitored in the future.
PMCID: PMC368214  PMID: 7496932
9.  Telomere and adaptive immunity 
The adaptive immune response relies on the ability of lymphocytes to undergo periodic massive expansion. It is an enigma how lymphocytes are able to undergo this seemingly unlimited number of cell divisions. Telomeres and telomerase play a critical role in regulation of the replicative lifespan of cells, providing a potential mechanism which lymphocytes may employ. Here I will review the recent progress of the role of telomeres and telomerase in lymphocyte differentiation, function, and aging.
doi:10.1016/j.mad.2007.11.005
PMCID: PMC2276146  PMID: 18199471
Human; Telomere; Telomerase; Aging; T cells; B cells
10.  A Stochastic Model of Epigenetic Dynamics in Somatic Cell Reprogramming 
Somatic cell reprogramming has dramatically changed stem cell research in recent years. The high pace of new findings in the field and an ever increasing amount of data from new high throughput techniques make it challenging to isolate core principles of the process. In order to analyze such mechanisms, we developed an abstract mechanistic model of a subset of the known regulatory processes during cell differentiation and production of induced pluripotent stem cells. This probabilistic Boolean network describes the interplay between gene expression, chromatin modifications, and DNA methylation. The model incorporates recent findings in epigenetics and partially reproduces experimentally observed reprogramming efficiencies and changes in methylation and chromatin remodeling. It enables us to investigate, how the temporal progression of the process is regulated. It also explicitly includes the transduction of factors using viral vectors and their silencing in reprogrammed cells, since this is still a standard procedure in somatic cell reprogramming. Based on the model we calculate an epigenetic landscape for probabilities of cell states. Simulation results show good reproduction of experimental observations during reprogramming, despite the simple structure of the model. An extensive analysis and introduced variations hint toward possible optimizations of the process that could push the technique closer to clinical applications. Faster changes in DNA methylation increase the speed of reprogramming at the expense of efficiency, while accelerated chromatin modifications moderately improve efficiency.
doi:10.3389/fphys.2012.00216
PMCID: PMC3384084  PMID: 22754535
differentiation and reprogramming; epigenetic landscape; induced pluripotent stem cells; mathematical modeling; probabilistic Boolean network
11.  Dissecting direct reprogramming through integrative genomic analysis 
Nature  2008;454(7200):49-55.
Somatic cells can be reprogrammed to a pluripotent state through the ectopic expression of defined transcription factors. Understanding the mechanism and kinetics of this transformation may shed light on the nature of developmental potency and suggest strategies with improved efficiency or safety. Here we report an integrative genomic analysis of reprogramming of mouse fibroblasts and B lymphocytes. Lineage-committed cells show a complex response to the ectopic expression involving induction of genes downstream of individual reprogramming factors. Fully reprogrammed cells show gene expression and epigenetic states that are highly similar to embryonic stem cells. In contrast, stable partially reprogrammed cell lines show reactivation of a distinctive subset of stem-cell-related genes, incomplete repression of lineage-specifying transcription factors, and DNA hypermethylation at pluripotency-related loci. These observations suggest that some cells may become trapped in partially reprogrammed states owing to incomplete repression of transcription factors, and that DNA de-methylation is an inefficient step in the transition to pluripotency. We demonstrate that RNA inhibition of transcription factors can facilitate reprogramming, and that treatment with DNA methyltransferase inhibitors can improve the overall efficiency of the reprogramming process.
doi:10.1038/nature07056
PMCID: PMC2754827  PMID: 18509334
12.  Genotype-specific responses in Atlantic salmon (Salmo salar) subject to dietary fish oil replacement by vegetable oil: a liver transcriptomic analysis 
BMC Genomics  2011;12:255.
Background
Expansion of aquaculture is seriously limited by reductions in fish oil (FO) supply for aquafeeds. Terrestrial alternatives such as vegetable oils (VO) have been investigated and recently a strategy combining genetic selection with changes in diet formulations has been proposed to meet growing demands for aquaculture products. This study investigates the influence of genotype on transcriptomic responses to sustainable feeds in Atlantic salmon.
Results
A microarray analysis was performed to investigate the liver transcriptome of two family groups selected according to their estimated breeding values (EBVs) for flesh lipid content, 'Lean' or 'Fat', fed diets containing either FO or a VO blend. Diet principally affected metabolism genes, mainly of lipid and carbohydrate, followed by immune response genes. Genotype had a much lower impact on metabolism-related genes and affected mostly signalling pathways. Replacement of dietary FO by VO caused an up-regulation of long-chain polyunsaturated fatty acid biosynthesis, but there was a clear genotype effect as fatty acyl elongase (elovl2) was only up-regulated and desaturases (Δ5 fad and Δ6 fad) showed a higher magnitude of response in Lean fish, which was reflected in liver fatty acid composition. Fatty acid synthase (FAS) was also up-regulated by VO and the effect was independent of genotype. Genetic background of the fish clearly affected regulation of lipid metabolism, as PPARα and PPARβ were down-regulated by the VO diet only in Lean fish, while in Fat salmon SREBP-1 expression was up-regulated by VO. In addition, all three genes had a lower expression in the Lean family group than in the Fat, when fed VO. Differences in muscle adiposity between family groups may have been caused by higher levels of hepatic fatty acid and glycerophospholipid synthesis in the Fat fish, as indicated by the expression of FAS, 1-acyl-sn-glycerol-3-phosphate acyltransferase and lipid phosphate phosphohydrolase 2.
Conclusions
This study has identified metabolic pathways and key regulators that may respond differently to alternative plant-based feeds depending on genotype. Further studies are required but data suggest that it will be possible to identify families better adapted to alternative diet formulations that might be appropriate for future genetic selection programmes.
doi:10.1186/1471-2164-12-255
PMCID: PMC3113789  PMID: 21599965
13.  Coordination of inflammation and metabolism by PPAR and LXR nuclear receptors 
Biological systems are integrated networks constantly responding to internal and external stimulators. Understanding the intrinsic response to an imbalanced system provides the opportunity to develop therapeutic approaches to reinstate the natural balanced state. Increasing evidence suggests that members of the nuclear receptor superfamily integrate both inflammatory and metabolic signals to maintain homeostasis in immune cells such as macrophages and lymphocytes. PPAR and LXR are nuclear receptors activated by fatty acid and cholesterol derivatives respectively that control the expression of an array of genes involved in lipid metabolism and inflammation. Recent studies have uncovered distinct mechanisms for transcriptional regulation of metabolic and inflammatory target genes by PPAR and LXR and have expanded the biology of these receptors to include roles in alternative macrophage activation and adaptive immunity.
doi:10.1016/j.gde.2008.07.016
PMCID: PMC2641014  PMID: 18782619
14.  CD28 Family and Chronic Rejection: “To Belatacept...and Beyond!” 
Journal of Transplantation  2012;2012:203780.
Kidneys are one of the most frequently transplanted human organs. Immunosuppressive agents may prevent or reverse most acute rejection episodes; however, the graft may still succumb to chronic rejection. The immunological response involved in the chronic rejection process depends on both innate and adaptive immune response. T lymphocytes have a pivotal role in chronic rejection in adaptive immune response. Meanwhile, we aim to present a general overview on the state-of-the-art knowledge of the strategies used for manipulating the lymphocyte activation mechanisms involved in allografts, with emphasis on T-lymphocyte costimulatory and coinhibitory molecules of the B7-CD28 superfamily. A deeper understanding of the structure and function of these molecules improves both the knowledge of the immune system itself and their potential action as rejection inducers or tolerance promoters. In this context, the central role played by CD28 family, especially the relationship between CD28 and CTLA-4, becomes an interesting target for the development of immune-based therapies aiming to increase the survival rate of allografts and to decrease autoimmune phenomena. Good results obtained by the recent development of abatacept and belatacept with potential clinical use aroused better expectations concerning the outcome of transplanted patients.
doi:10.1155/2012/203780
PMCID: PMC3376773  PMID: 22720132
15.  A Relaxation Oscillator Description of the Burst-Generating Mechanism in the Cardiac Ganglion of the Lobster, Homarus americanus 
The Journal of General Physiology  1973;62(4):473-488.
Properties of the neural mechanism responsible for generating the periodic burst of spike potentials in the nine ganglion neurons were investigated by applying brief, single shocks to the four small cells with extracellular electrodes placed near the trigger zones of the small cells. The shock elicited a burst if presented during the latter portion of the silent period, terminated a burst during the latter portion of the burst period, and was followed by a newly initiated burst during the early portion of the burst period. The resultant changes in burst and silent period durations were quantitatively described by a second-order non-linear differential equation similar to the van der Pol equation for a relaxation oscillator. The equation also qualitatively described changes in firing threshold of the small cells during the burst cycle. The first derivative of the solution to the equation is similar to slow transmembrane potentials in neurons that are involved in generation of burst activity in other crustacean cardiac ganglia.
PMCID: PMC2226126  PMID: 19873681
16.  Development of a sea anemone toxin as an immunomodulator for therapy of autoimmune diseases 
Toxicon  2011;59(4):529-546.
Electrophysiological and pharmacological studies coupled with molecular identification have revealed a unique network of ion channels—Kv1.3, KCa3.1, CRAC (Orai1 + Stim1), TRPM7, Clswell—in lymphocytes that initiates and maintains the calcium signaling cascade required for activation. The expression pattern of these channels changes during lymphocyte activation and differentiation, allowing the functional network to adapt during an immune response. The Kv1.3 channel is of interest because it plays a critical role in subsets of T and B lymphocytes implicated in autoimmune disorders. The ShK toxin from the sea anemone Stichodactyla helianthus is a potent blocker of Kv1.3. ShK-186, a synthetic analog of ShK, is being developed as a therapeutic for autoimmune diseases, and is scheduled to begin first-in-man phase-1 trials in 2011. This review describes the journey that has led to the development of ShK-186.
doi:10.1016/j.toxicon.2011.07.016
PMCID: PMC3397671  PMID: 21867724
17.  Reversible severe combined immunodeficiency phenotype secondary to a mutation of the proton-coupled folate transporter 
Clinical immunology (Orlando, Fla.)  2009;133(3):287-294.
Hereditary folate malabsorption is a rare inborn error of metabolism due to mutations in the proton-coupled folate transporter (PCFT). Clinical presentation of PCFT deficiency may mimic severe combined immune deficiency (SCID). We report a 4-month-old female who presented with failure to thrive, normocytic anemia, Pneumocystis jirovecii pneumonia and systemic cytomegalovirus infection. Immunological evaluation revealed hypogammaglobulinemia, absent antibody responses, and lack of mitogen-induced lymphocyte proliferative responses. However, the absolute number and distribution of lymphocyte subsets, including naïve T cells and recent thymic emigrants, were normal, arguing against primary SCID. Serum and cerebrospinal fluid folate levels were undetectable. A homozygous 1082-1G>A mutation of the PCFT gene was found, resulting in skipping of exon 3. Parenteral folinic acid repletion resulted in normalization of anemia, humoral and cellular immunity, and full clinical recovery. PCFT mutations should be considered in infants with SCID-like phenotype, as the immunodeficiency is reversible with parenteral folinic acid repletion.
doi:10.1016/j.clim.2009.08.006
PMCID: PMC2783538  PMID: 19740703
Hereditary folate malabsorption; PCFT; folic acid; severe combined immunodeficiency; recent thymic emigrants
18.  Metabolic reprogramming, caloric restriction and aging 
Caloric restriction (CR) without malnutrition slows the aging process and extends lifespan in diverse species by unknown mechanisms. The inverse linear relationship between calorie intake and lifespan suggests that regulators of energy metabolism are important in CR’s actions. Studies in several species reveal tissue-specific changes in energy metabolism with CR and suggest that metabolic reprogramming plays a critical role in its mechanism of aging retardation. We herein describe common signatures of CR and suggest how they may slow aging. We discuss recent advances in understanding the function of key metabolic regulators that likely coordinate the response to altered nutrient availability with CR, and how the pathways they regulate may retard the aging process.
doi:10.1016/j.tem.2009.11.005
PMCID: PMC2831168  PMID: 20004110
19.  B Cells and Aging: Balancing the Homeostatic Equation 
Experimental gerontology  2007;42(5):396-399.
The interplay of selective and homeostatic processes dominates the behavior of B lineage subsets following B cell antigen receptor (BCR) expression, and extends to determinants of immune response quality and the persistence of immunologic memory. A key concept emerging from these considerations is that primary events acting upstream of mature B lymphocyte pools can profoundly impact downstream populations as the system attempts homeostatic adjustments. Since advancing age is accompanied by profound changes in B cell generation and homeostasis, establishing the relative contributions of primary lesions versus compensatory homeostatic processes is critical to understanding these perturbations. Exploration of this problem requires an understanding of: 1) the identity, dynamics, and progenitor/successor relationships of marrow and peripheral B cell subsets; 2) the nature and interactions of selective and homeostatic processes acting in these subsets; and 3) how these change with age. Our data show that BLyS and its receptors mediate peripheral B cell homeostasis, and that the size, dynamics and behavior of all B cell subsets influenced by B Lymphocyte Stimulator change with age. These findings suggest that homeostatic processes mediated through B Lymphocyte Stimulator are altered with age, and that these perturbations may primarily reflect compensatory homeostatic adjustments to upstream reductions in B cell generation.
doi:10.1016/j.exger.2007.01.010
PMCID: PMC1952233  PMID: 17344004
20.  Innate immune natural killer cells and their role in HIV and SIV infection 
HIV therapy  2010;4(4):483-504.
The findings that early events during HIV-1 and SIV infection of Asian rhesus macaques dictate the levels of viremia and rate of disease progression prior to the establishment of mature and effective adaptive immune responses strongly suggest an important role for innate immune mechanisms. In addition, the fact that the major target of HIV and SIV during this period of acute infection is the gastrointestinal tissue suggests that whatever role the innate immune system plays must either directly and/or indirectly focus on the GI tract. The object of this article is to provide a general overview of the innate immune system with a focus on natural killer (NK) cells and their role in the pathogenesis of lentivirus infection. The studies summarized include our current understanding of the phenotypic heterogeneity, the putative functions ascribed to the subsets, the maturation/differentiation of NK cells, the mechanisms by which their function is mediated and regulated, the studies of these NK-cell subsets, with a focus on killer cell immunoglobulin-like receptors (KIRs) in nonhuman primates and humans, and finally, how HIV and SIV infection affects these NK cells in vivo. Clearly much has yet to be learnt on how the innate immune system influences the interaction between lentiviruses and the host within the GI tract, knowledge of which is reasoned to be critical for the formulation of effective vaccines against HIV-1.
doi:10.2217/HIV.10.28
PMCID: PMC2922771  PMID: 20730028
differentiation; HIV; innate immunity; KIRs; NK cells; regulation; SIV
21.  P5 - Evaluation of Immunological Reactivity to Metal Components in Patients with Prosthesis Device 
In recent years, the development of innovative biomaterials and surgical techniques has led to a progressive increase in joint replacement arthroplasty procedures.
It is well known that all implant metals, in contact with biological fluids, undergo electrochemical and mechanical corrosion, releasing metallic particles that may induce toxic responses and local or systemic inflammatory reactions.
Several studies have demonstrated a possible relationship between particulate wear debris and symptoms of dermatitis and urticaria, but there is no evidence of a direct correlation between wear severity and immune response.
Published results show that the immune reaction changes with individual immunomodulatory status.
The aim of this study was to analyse the proliferative response in the presence of proper stimuli, and to identify possible modifications in the production of a wide range of cytokines, as potential biological markers for early diagnosis of aseptic loosening.
Methods:
This study analyses the immune response of potentially allergic patients undergoing joint replacement arthroplasty, patients with painful prosthetic joints or joint instability, and subjects without any implants, serving as controls.
In vivo assessment of metal sensitivity includes a standard patch test for hypersensitivity reactions.
Accordingly, a standard patch test for in vivo assessment of metal hypersensitivity reaction, based on the level of allergic response of the skin, was performed.
Blood samples were collected after obtaining informed consent.
Activated lymphocyte proliferation was assessed by counting [3H]-thymidine uptake (3H-TdR).
Peripheral blood mononuclear cells, isolated from heparinised blood samples using standard density gradient centrifugation, were resuspended in RPMI1640 culture medium supplemented with foetal calf serum, L-glutamine, penicillin/streptomycin, and (cultured) incubated at 37°C in 5% CO2, in the presence and absence of scalar concentrations (from 1 to 0.01mM) of chromium, nickel, titanium, cobalt and molybdenum.
Phytohaemagglutinin, a polyclonal mitogen which activates lymphocytes proliferation, was used as positive control. Cells were pulsed for the last 12 hours of culture with 1 μCi of 3H-TdR.
Lymphocyte proliferation, measured in CPM (counts per minutes), was assessed by scintillation counting of incorporated radioactivity; the results were expressed as stimulation index (SI).
Cytokine production in PBMC supernatants was analysed using Luminex LabMAP assay, which measures the concentrations of multiple analytes in the same sample.
Results and Conclusions:
Results of metal sensitivity testing show that: chromium and nickel at concentrations of 0.1 mM significantly enhanced proliferation of PBMCsisolated from samples of patients submitted to joint replacements, compared with controls.Patients with allergic reactions showed an increased proliferative response to high concentration of nickel.No proliferative response was found in normal control subjects.None of the patients analysed to date showed reactivity to titanium.
The analysis of lymphocyte culture supernatants showed the constant production of chemotactic cytokines, such as IL-8 and MIP1 α and β.
Chromium and nickel significantly modulated production of cytokines, such as IL-8, MIP1 α and β MCP-1, RANTES and PDGF-BB, in patients with joint implants compared with control group.
Some patients showed the presence of cytokines with regulatory activity on cell differentiation and growth, such as IL-2, and the presence of pro-inflammatory macrophage-derived cytokines, such as IL-1.
These preliminary results suggest that there is different involvement of specific cytokines and chemokines responsible for inflammatory reactions, related to different individual responses.
PMCID: PMC3213797
22.  Immune senescence in aged nonhuman primates 
Experimental gerontology  2010;45(9):655-661.
Aging is accompanied by a general dysregulation in immune system function, commonly referred to as ‘immune senescence’. This progressive deterioration affects both innate and adaptive immunity, although accumulating evidence indicates that the adaptive arm of the immune system may exhibit more profound changes. Most of our current understanding of immune senescence stems from clinical and rodent studies. More recently, the use of nonhuman primates (NHPs) to investigate immune senescence and test interventions aimed at delaying/reversing age-related changes in immune function has dramatically increased. These studies have been greatly facilitated by several key advances in our understanding of the immune system of old-world monkeys, specifically the rhesus macaques. In this review we describe the hallmarks of immune senescence in this species and compare them to those described in humans. We also discuss the impact of immune senescence on the response to vaccination and the efficacy of immuno-restorative interventions investigated in this model system.
doi:10.1016/j.exger.2010.06.001
PMCID: PMC2926233  PMID: 20558288
23.  Using heterokaryons to understand pluripotency and reprogramming 
Reprogramming differentiated cells towards pluripotency can be achieved by different experimental strategies including the forced expression of specific ‘inducers’ and nuclear transfer. While these offer unparalleled opportunities to generate stem cells and advance disease modelling, the relatively low levels of successful reprogramming achieved (1–2%) makes a direct analysis of the molecular events associated with productive reprogramming very challenging. The generation of transient heterokaryons between human differentiated cells (such as lymphocytes or fibroblasts) and mouse pluripotent stem cell lines results in a much higher frequency of successful conversion (15% SSEA4 expressing cells) and provides an alternative approach to study early events during reprogramming. Under these conditions, differentiated nuclei undergo a series of remodelling events before initiating human pluripotent gene expression and silencing differentiation-associated genes. When combined with genetic or RNAi-based approaches and high-throughput screens, heterokaryon studies can provide important new insights into the factors and mechanisms required to reprogramme unipotent cells towards pluripotency.
doi:10.1098/rstb.2011.0004
PMCID: PMC3130413  PMID: 21727131
reprogramming; embryonic stem cell; pluripotency; cell fusion; heterokaryon; nuclear organization
24.  The Innate Immune System in Allograft Rejection and Tolerance1 
As T cells alone are both necessary and sufficient for the rejection of virtually all allogeneic tissues, much of transplantation immunology has focused on cells of the adaptive immune system. During the past decade, advances in our understanding of innate responses to pathogen-associated molecules have spurred a “rediscovery” of innate immunity. Fueled by this, an increasing body of literature has emerged in which the role of the innate immune system in allograft rejection and tolerance has been examined more closely. This review will give an overview of recent studies and emerging concepts of how the cellular components of the innate immune system participate in the immune response to solid organ transplantation. These important studies highlight the complex interplay between diverse cells of the immune response and provide the basis for optimal strategies of tolerance induction.
PMCID: PMC2840045  PMID: 17548582
25.  Regulation of glucose metabolism in T cells: new insight into the role of Phosphoinositide 3-kinases 
Naïve T cells are relatively quiescent cells that only require energy to prevent atrophy and for survival and migration. However, in response to developmental or extrinsic cues T cells can engage in rapid growth and robust proliferation, produce of a range of effector molecules and migrate through peripheral tissues. To meet the significantly increased metabolic demands of these activities, T cells switch from primarily metabolizing glucose to carbon dioxide through oxidative phosphorylation to utilizing glycolysis to convert glucose to lactate (termed aerobic glycolysis). This metabolic switch allows glucose to be used as a source of carbon to generate biosynthetic precursors for the production of protein, DNA, and phospholipids, and is crucial for T cells to meet metabolic demands. Phosphoinositide 3-kinases (PI3K) are a family of inositol lipid kinases linked with a broad range of cellular functions in T lymphocytes that include cell growth, proliferation, metabolism, differentiation, survival, and migration. Initial research described a critical role for PI3K signaling through Akt (also called protein kinase B) for the increased glucose uptake and glycolysis that accompanies T cell activation. This review article relates this original research with more recent data and discusses the evidence for and against a role for PI3K in regulating the metabolic switch to aerobic glycolysis in T cells.
doi:10.3389/fimmu.2012.00247
PMCID: PMC3413010  PMID: 22891069
PI3K; Glucose metabolism; Akt; T lymphocyte; aerobic glycolysis; c-Myc; PDK1

Results 1-25 (661840)