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The Dendritic Cells’ Immunological Behaviors Modulated by the Spatial Confinements of Deposited Fibrin Matrix
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作者 Wenhui Hu Yun Wang +3 位作者 Jin Chen yonggang song Jinhua Long Zhu Zeng 《医用生物力学》 EI CAS CSCD 北大核心 2019年第A01期139-140,共2页
Implant materials,as foreign objects to host,can cause various degrees of inflammation in most cases.The inflammation is triggered by a series of immune responses and directly impacts the tissue regeneration process,w... Implant materials,as foreign objects to host,can cause various degrees of inflammation in most cases.The inflammation is triggered by a series of immune responses and directly impacts the tissue regeneration process,which determines the outcome of tissue repair.The immune responses are complex process involving numerous immune cells and can be divide into innate immune and adaptive immune responses.Once materials are implanted,innate immune responses are activated under the mediation of several immune cells(e.g.neutrophils and macrophages),meanwhile immature dendritic cells(imDCs)are recruited to the implant sites to recognize,internalize and process antigens.Upon antigen uptake,imDCs gradually differentiate into mature dendritic cells(mDCs)and migrate to secondary lymph nodes.In the lymph nodes,mDCs present processed antigen peptides to naive T lymphocytes and activate their antigen specific proliferation,resulting in initiation of adaptive immune responses.Due to their key position in the immune system,serving to bridge innate and adaptive immunity,DCs are crucial to guiding and modulating the immune responses caused by implanted materials.Therefore,figuring out the response of DCs to implanted materials and the exact role of DCs in tissue healing processes will provide deeper insight for the rational design of biomaterials.Previous studies on the effects of implants on immune functions of DCs are mainly focused on physical and chemical properties of the materials(e.g.released chemical composition,surface chemistry,substrate stiffness and surface topography).All these factors will change the microenvironment of the tissue around implant materials,which affect the immune functions of DCs.However,the change of microenvironment not only directly derives from the physical and chemical properties of the material(intrinsic),but also indirectly results from the remodeled extracellular matrix(ECM)caused by implanted materials.When blood or tissue fluid contact with materials after implantation,proteins(e.g.fibrin and collagen)will absorb and deposit on the surface of implants,leading to a provisionally stable matrix with microporous fibrous-liked network structure.It means that the remodeled ECM can provide adhesion sites for recruited DCs and form spatial confinement.DCs,as a kind of cells that are extremely sensitive to mechanical stimuli,theoretically,can response to the mechanical stimuli coming from spatial confinement of remodeled ECM,which may lead to a series of modulations in their cell morphologies and immune functions.Then,the remodeled ECM is a non-negligible mechanical cue.However,to the best of our knowledge,there is a lack of a simple and effective model to establish the relationship between the immune functions of DCs and remodeled ECM.Most studies on the responses of DCs to implanted materials are still based on suspension culture model,which is the normal status of DCs in vitro culture systems.In addition,the processes by which DC exerts immune functions(both endocytosis and antigen presentation)are dynamically physical interaction.It means that the changes of DCs’immune functions are highly correlated with the changes of their biomechanical characteristics caused by remodeled ECM.In this work,we have found that the ECM was remodeled by a large amount of fibrin matrix deposited on the surface of implants in the early stage of the inflammations following implantation.Thus,we used non-toxic salmon fibrin hydrogels with microporous fibrous-liked network structure to mimic the deposited fibrin matrix.Then,human monocyte-derived DCs were cultured on the surface and inside of the fibrin hydrogels to mimic the different spatial confinement states of fibrin matrix.Our results indicated that cell morphologies and cytoskeleton structures of DCs were regulated by the spatial confinement of fibrin hydrogels,resulting in generating mechanical stimuli for DCs.Furthermore,we have found that the biomechanical characteristics and the immune functions of both imDCs and mDC were also modulated.Considering the changes in surface markers,secreted cytokines and biomechanical characteristics of DCs,it indicates that the tendency and magnitude of modulations were highly associated with the spatial confinement of fibrin hydrogels.This model demonstrated that mechanical stimuli deriving from spatial confinement of deposited fibrin matrix is an important factor for regulating the biomechanical characteristics and immune functions of DCs. 展开更多
关键词 DENDRITIC cells FIBRIN matrix spatial CONFINEMENT mechanical stimuli IMMUNE functions
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孕妇无创产前检测结果的大样本分析 被引量:1
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作者 张禾璇 宋咏刚 杨雪 《中华妇幼临床医学杂志(电子版)》 CAS 2022年第6期685-691,共7页
目的探讨孕妇无创产前检测(NIPT)大样本筛查结果分析及异常情况。方法选取2018年1月1日至2020年12月31日,在贵阳市妇幼保健院完成NIPT筛查的22908例单胎妊娠孕妇为研究对象。对NIPT筛查结果显示高风险者,进一步采取羊水穿刺术进行胎儿... 目的探讨孕妇无创产前检测(NIPT)大样本筛查结果分析及异常情况。方法选取2018年1月1日至2020年12月31日,在贵阳市妇幼保健院完成NIPT筛查的22908例单胎妊娠孕妇为研究对象。对NIPT筛查结果显示高风险者,进一步采取羊水穿刺术进行胎儿染色体核型分析产前诊断。回顾性收集所有孕妇年龄、NIPT筛查指征、产前诊断结果等临床病例资料。本研究遵循的程序符合贵阳市妇幼保健院医学伦理委员会规定,并通过该伦理委员会审查及批准(审批文号:2021-56号)。结果①本组22908例孕妇中,NIPT筛查指征包括:高龄(预产期年龄≥35岁)孕妇为7286例(31.81%),血清学筛查结果异常者为2491例(10.87%),因错过血清学筛查时间进行NIPT筛查者为610例(2.66%),其他NIPT筛查指征(不良孕产史、胎儿超声提示脉络从囊肿、双胎之一停止发育等)为563例(2.46%),无NIPT指征而自愿要求进行NIPT者为11958例(52.20%)。②本组22908例孕妇中,NIPT筛查结果为高风险者为363例(1.58%),包括72例(0.31%)胎儿21-三体综合征(TS)、20例(0.09%)18-TS、10例(0.04%)13-TS与131例(0.57%)性染色体非整倍体(SCA)及130例(0.57%)其他染色体异常高风险;分别占363例NIPT高风险孕妇的19.83%(72/363)、5.51%(20/363)、2.75%(10/363)、36.09%(131/363)与35.81%(130/363)。③363例NIPT高风险孕妇中,298例(82.09%)接受羊水穿刺术进行胎儿染色体核型分析产前诊断,其结果与NIPT结果相符者共计186例(62.42%)。胎儿21-、18-、13-TS与SCA及其他染色体异常者的NIPT筛查确诊率分别为93.06%(67/72)、90.00%(18/20)、88.89%(8/9)、55.56%(70/126)、32.40%(23/71)。确诊胎儿21-TS、SCA的孕妇中,高龄孕妇分别占71.64%(48/67)与55.71%(39/70)。结论本研究纳入孕妇的NIPT高风险筛查结果以胎儿SCA、其他染色体异常与21-TS为主,孕妇高龄是胎儿21-TS、SCA高风险的重要影响因素。NIPT筛查结果准确度与胎儿染色体异常类型有关。 展开更多
关键词 无创产前检测 产前诊断 染色体畸变 性染色体畸变 母体血清学筛查 孕妇 胎儿
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