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lijunqing525金蟲 (正式寫手)
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[求助]
英譯漢 麻煩幫翻譯下
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Due to the complex interplay between platelets and monocytes, both alone and together, during immune pathogenesis of HIV infection, it is essential to devise a better methodology to detect PMCs. With this goal in mind, a method to quantitate PMCs in whole blood was standardized and was subsequently employed to assess the percentages of circulating PMCs in blood collected from persons infected with HIV. Although several previous reports have enumerated PMCs using flow cytometry in regard to various disease conditions, the method-ologies used thus far have failed to consider spontaneous platelet activation and the resulting consequence on de novo PMC forma-tion (Gkaliagkousi et al., 2009; Joseph et al., 2001; Ogura et al., 2001; Passacquale et al., 2011; Sevush et al., 1998). Thus, in the efforts to formulate an optimized method for detection of PMCs, fixing the blood samples immediately following collection was given prime importance, as it helped to conserve PMCs and avoid experimen-tal artifacts. Demonstrated herein, is a fix–wash–lyse–wash–stain method to fluorescently label blood samples, which when used along with a progressive gating strategy and FMO (fluorescence minus one) controls, allows for efficient enumeration of PMCs. The additional wash step performed after sample fixation was neces-sary to avoid the toxicity caused by excessive exposure to PFA. One significant concern in adopting this method was that the fixing of samples prior to staining might alter the antibody binding capacity to some extent; however this was deemed a reasonable trade-off given the advantages of this method as outlined above. Nonetheless, in vitro whole blood treatments with LPS and colla-gen were performed, to serve as monocyte and platelet activating reagents, respectively, in order to ensure that it is possible to cap-ture the changes in PMC percentages induced by these treatments using the method of detection described here. Results indicated that platelet–monocyte interaction increased significantly upon platelet activation as compared to monocyte activation. These results corroborate an earlier report by Rinder et al. who showed that platelet–leukocyte complexes increased upon platelet acti-vation and that this interaction was dependent on monocyte activation only to a very limited extent (Rinder et al., 1991). Upon validation of the procedure, persons with or without HIV infection (without any incidence of cardiovascular disease at least one year prior to enrollment in the study) were enrolled to assess whether HIV infection had any effect on platelet–monocyte inter-actions. All of the individuals enrolled in the study were on ART and had low viral load with CD4+ T cell count above 500 cells/mm 3(data not shown). The results show that despite the viral suppres-sion induced by successful ART, the number of circulating PMCs was significantly higher in the inflammatory monocyte subset (i.e. CD16+ monocytes) of these individuals as compared to healthy indi-viduals without HIV infection, and correlated positively with the extent of platelet activation. The PMC percentages in the classi-cal CD16− monocyte subset were also higher in samples obtained from persons infected with HIV, although the effects were not sta-tistically different from controls. Consistently, our data (not shown) and previous reports (Pulliam et al., 1997; Thieblemont et al., 1995) demonstrate a significant increase in CD16+ monocyte percentages in samples obtained from persons infected with HIV. This study defines a flow cytometric method to quantify PMCs in clinical specimens. The findings suggest that persons infected with HIV have increased levels of platelet–monocyte complexes, particularly within the inflammatory monocyte population despite successful ART. Furthermore, this data suggests that either platelets have an increased preference to associate with CD16+ mono-cytes, or that alternatively, the platelet–monocyte cross-talk causes maturation of classical monocytes to the CD16+ phenotype; thus warranting further investigation into whether this interaction enhances the monocyte capacity to cross the blood brain barrier, as well as the role of these monocytes in HIV associated neuro-cognitive impairment. Acknowledgements |

木蟲 (正式寫手)
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在人類免疫缺陷病毒(HIV)感染的免疫發(fā)病機(jī)制中,血小板和單核細(xì)胞相互作用,無論是單獨(dú)作用還是共同作用,都非常復(fù)雜,因此很有必要建立一個(gè)能更好地檢測(cè)外周血單核細(xì)胞(PMC)的方案。懷著這個(gè)目標(biāo),我們將一個(gè)定量檢測(cè)全血中PMCs的方法進(jìn)行標(biāo)準(zhǔn)化,隨后應(yīng)用它來評(píng)定HIV感染者血液標(biāo)本中循環(huán)PMCs百分比。 盡管以前有幾個(gè)關(guān)于應(yīng)用流式細(xì)胞儀計(jì)數(shù)不同疾病狀態(tài)PMCs的研究報(bào)道(Gkaliagkousi et al., 2009; Joseph et al., 2001; Ogura et al., 2001; Passacquale et al., 2011; Sevush et al., 1998),然而他們應(yīng)用的方法不能解決自發(fā)性血小板激活導(dǎo)致的初始PMC形成這個(gè)問題。要構(gòu)想出最佳的檢測(cè)PMCs的方法,血液標(biāo)本采集后迅速固定極其重要,因?yàn)檫@樣有助于保護(hù)PMCs,而且可避免實(shí)驗(yàn)操作導(dǎo)致的人為破壞。 這里介紹的是一種“固定-沖洗-細(xì)胞溶解-沖洗-染色”方法檢測(cè)熒光標(biāo)記血液標(biāo)本。當(dāng)與漸進(jìn)門控技術(shù)和熒光減一控制技術(shù)一起應(yīng)用時(shí),它可以高效地計(jì)數(shù)PMCs。樣本固定后沖洗這一步驟對(duì)于避免暴露多聚甲醛(PFA)過多導(dǎo)致的毒性是很有必要的。采用這種方法時(shí)一個(gè)非常重要的顧慮就是染色之前固定樣本在某種程度上可能會(huì)改變抗體的結(jié)合能力,然而相對(duì)于這種方法的優(yōu)勢(shì)來說,這可以認(rèn)為是一個(gè)合理的折衷。雖然如此,體外應(yīng)用脂多糖(LPS)和膠原蛋白(作為單核細(xì)胞和血小板的激活劑)分別處理全血標(biāo)本,應(yīng)用這里描述的方法確保能捕捉到這些激活劑誘導(dǎo)的PMC百分比的變化。 結(jié)果顯示,與激活單核細(xì)胞相比,激活血小板可引起血小板-單核細(xì)胞相互作用明顯增加。Rinder等曾研究發(fā)現(xiàn)激活血小板明顯增加血小板-白細(xì)胞復(fù)合體,這種相互作用很少依賴單核細(xì)胞激活(Rinder et al., 1991)。本研究結(jié)果與這是一致的。 為了評(píng)估這種方法的有效性,本研究納入HIV感染和非HIV感染個(gè)體(所有個(gè)體納入研究前,至少1年內(nèi)沒有任何心血管疾病史)評(píng)價(jià)HIV感染是否對(duì)血小板-單核細(xì)胞相互作用有影響。本研究納入的所有個(gè)體均接受抗逆轉(zhuǎn)錄病毒治療(ART),處于低病毒載量且CD4+ T細(xì)胞含量在500個(gè)細(xì)胞/mm3時(shí)期(數(shù)據(jù)未顯示)。 結(jié)果顯示,盡管有效的ART會(huì)導(dǎo)致病毒抑制,與無HIV感染的健康個(gè)體相比,這些個(gè)體循環(huán)PMCs中炎性單核細(xì)胞亞群(如CD16+單核細(xì)胞)數(shù)量明顯增加,并且與血小板激活程度呈正相關(guān)。HIV感染者樣本中經(jīng)典單核細(xì)胞(CD16-)亞群百分比有所增高,然而與對(duì)照組相比無統(tǒng)計(jì)學(xué)差異。一致地,我們的結(jié)果(未顯示)和以前研究(Pulliam et al., 1997; Thieblemont et al., 1995)結(jié)果表明HIV感染者樣本中CD16+單核細(xì)胞百分比明顯增加。 這個(gè)研究精確地描述了一個(gè)量化計(jì)數(shù)臨床樣本中PMCs的流式方法。 即使是在有效的ART情況下,這些結(jié)果顯示HIV感染者血小板-單核細(xì)胞復(fù)合體水平明顯增加,尤其是炎性單核細(xì)胞亞群。此外,這些結(jié)果還顯示血小板優(yōu)先與CD16+單核細(xì)胞增加相關(guān),或者CD16+單核細(xì)胞優(yōu)先與血小板增加相關(guān);而且血小板-單核細(xì)胞交互作用促使經(jīng)典單核細(xì)胞轉(zhuǎn)變?yōu)槌墒靻魏思?xì)胞(CD16+)。進(jìn)而,這可確保我們進(jìn)一步研究這種相互作用是否會(huì)增加單核細(xì)胞穿透血腦屏障的能力,以及這些單核細(xì)胞在HIV感染相關(guān)神經(jīng)認(rèn)知損害中作用。致謝! |
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