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Search Results (4,458)

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Keywords = cell-mediated immune response

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33 pages, 892 KB  
Review
Immunologic Drivers and Restraints in Colitis-Associated Colorectal Cancer
by Rachele Frascatani, Federica Laudisi, Carmine Stolfi and Giovanni Monteleone
Cancers 2026, 18(8), 1230; https://doi.org/10.3390/cancers18081230 - 13 Apr 2026
Abstract
Inflammatory bowel diseases (IBD), encompassing ulcerative colitis and Crohn’s disease, are associated with an increased risk of colorectal cancer through mechanisms driven by persistent mucosal inflammation. Chronic inflammatory signaling, recurrent epithelial injury, and altered tissue repair processes progressively reshape the intestinal microenvironment, promoting [...] Read more.
Inflammatory bowel diseases (IBD), encompassing ulcerative colitis and Crohn’s disease, are associated with an increased risk of colorectal cancer through mechanisms driven by persistent mucosal inflammation. Chronic inflammatory signaling, recurrent epithelial injury, and altered tissue repair processes progressively reshape the intestinal microenvironment, promoting genomic instability and facilitating the development of colitis-associated colorectal cancer (CAC). Despite the well-established link between inflammation and tumorigenesis, only a subset of patients with long-standing IBD develops malignancy, highlighting the complexity of the regulatory effects of the ongoing inflammation on the tumor initiation and progression. This review discusses the multifaceted roles of innate and adaptive immune responses in CAC pathogenesis. Innate immune signaling mediated by pattern recognition receptors, particularly Toll-like receptors, integrates microbial and damage-associated signals to activate inflammatory pathways that regulate epithelial proliferation, survival, and tumor-promoting cytokine networks. Tumor-associated macrophages, neutrophils, and myeloid-derived suppressor cells contribute to carcinogenesis by sustaining chronic inflammation, promoting immunosuppression, and remodeling the tumor microenvironment, although under specific conditions these cells can also support antitumor immunity. Innate lymphocyte subsets participate in immune surveillance and epithelial homeostasis, yet may also amplify inflammatory circuits that influence tumor development. Adaptive immune populations further shape CAC evolution, as CD4+ T-helper subsets, CD8+ cytotoxic T lymphocytes, regulatory T cells, and B cells exert divergent effects depending on cytokine milieu, immune context, and disease stage. Understanding immune-cell plasticity and the molecular pathways governing these processes may facilitate the identification of predictive biomarkers and the development of targeted immunomodulatory strategies aimed at preventing CAC. Full article
18 pages, 1229 KB  
Review
Roles of the Chemokine Receptor CX3CR1 in the Pathogenesis of RSV Infections
by Robert Meineke, Martin Ludlow, Albert D. M. E. Osterhaus and Guus F. Rimmelzwaan
Viruses 2026, 18(4), 463; https://doi.org/10.3390/v18040463 - 13 Apr 2026
Abstract
CX3CR1 is a chemokine receptor expressed on respiratory epithelial and immune cells and has been identified as a host factor important for infections with respiratory syncytial virus (RSV). In this review, we discuss the roles CX3CR1 plays in the pathogenesis of RSV infections [...] Read more.
CX3CR1 is a chemokine receptor expressed on respiratory epithelial and immune cells and has been identified as a host factor important for infections with respiratory syncytial virus (RSV). In this review, we discuss the roles CX3CR1 plays in the pathogenesis of RSV infections as a viral entry receptor and regulator of immune cell trafficking. The conserved CX3C motif of the RSV G glycoprotein binds to CX3CR1 to mediate viral attachment and entry into respiratory epithelial cells. Furthermore, soluble G protein (sG) can bind to CX3CR1 and competitively interfere with cell signaling induced by the chemokine CX3CL1, resulting in inhibition of immune cell recruitment to the site of infection. In addition, sG engages TLR2 on epithelial cells, activating MyD88-NF-κB signaling and priming the NLRP3 inflammasome, which enhances viral dissemination through pyroptotic cell death. CX3CR1 signaling should be viewed as one of several overlapping host factors that—along with developmental changes in interferon and STAT3 signaling, airway anatomy, inflammasome activity, and tissue-resident memory responses—contribute to differential disease outcomes of RSV infection. A more complete molecular understanding of RSV-CX3CR1 interactions and downstream host responses may enable the development of improved prevention and treatment strategies. Full article
(This article belongs to the Special Issue Respiratory Syncytial Virus: Pathogenesis, Prevention and Treatment)
36 pages, 1220 KB  
Review
Uncovering the Intricate and Heterogeneous Cellular Microenvironment of Cutaneous Melanoma
by Dana Antonia Țăpoi, Ioana Maria Lambrescu, Catalin Gabriel Manole, Gisela Gaina and Laura Cristina Ceafalan
Medicina 2026, 62(4), 739; https://doi.org/10.3390/medicina62040739 - 13 Apr 2026
Abstract
Background and Objectives: Cutaneous melanoma (CM) is one of the most aggressive skin malignancies due to its rapid progression and high therapeutic resistance. Growing evidence demonstrates that the tumor microenvironment (TME)—comprising diverse immune, stromal, vascular, and epidermal cell populations alongside various cytokines [...] Read more.
Background and Objectives: Cutaneous melanoma (CM) is one of the most aggressive skin malignancies due to its rapid progression and high therapeutic resistance. Growing evidence demonstrates that the tumor microenvironment (TME)—comprising diverse immune, stromal, vascular, and epidermal cell populations alongside various cytokines and growth factors, as well as extracellular matrix (ECM) components—plays a crucial role in tumor heterogeneity, metastatic potential, and response to therapy. This review aims to synthesise current knowledge on the cellular and non-cellular constituents of the CM microenvironment and clarify their contributions to tumor progression, immune evasion, and treatment resistance. Materials and Methods: We conducted a narrative review of recent experimental, clinical, and translational studies investigating melanoma–microenvironment interactions, integrating evidence from in vitro, in vivo, and human tissue analyses. Results: Melanoma exhibits marked intra-tumoral heterogeneity driven by genetic, epigenetic, and microenvironmental influences. Cancer-associated fibroblasts, adipocytes, endothelial cells, and keratinocytes are reprogrammed by melanoma cells to promote invasion, angiogenesis, and metastasis. Immune subsets play divergent roles: neutrophils, M2 macrophages, myeloid-derived suppressor cells, and tolerogenic dendritic cells foster immune suppression, while lymphocytes—particularly CD8+ T cells, TFH cells, and B cells —are associated with improved outcomes but often become dysfunctional. ECM remodeling, including collagen deposition, integrin signaling, and increased matrix stiffness, actively remodels the tissue to support tumor growth and immune evasion. Hypoxia-inducible factor (HIF)-mediated signaling drives cell dedifferentiation, angiogenesis, and metabolic changes that contribute to treatment resistance. Consequently, emerging therapeutic strategies are moving beyond targeting tumor cells alone to focus on modulating TME components, counteracting immunosuppression, hypoxia, metabolic reprogramming, and extracellular vesicle signaling. Conclusions: The TME profoundly modulates tumor behavior and therapeutic response. A deeper understanding of the reciprocal interactions between melanoma cells and their microenvironmental components may enable the development of more effective strategies for early detection, prognosis, and personalized therapies. Full article
(This article belongs to the Special Issue Cutaneous Melanoma: Updating from Pathogenesis to Therapy)
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12 pages, 1322 KB  
Review
Sleep and Cytokines: A Bidirectional Dialogue Involving Rest and Immunity
by Ignazio Cammisa, Margherita Zona, Giorgia Petracca, Eleonora Rulli, Chiara Veredice, Clelia Cipolla and Donato Rigante
Children 2026, 13(4), 535; https://doi.org/10.3390/children13040535 - 12 Apr 2026
Abstract
Sleep is a cardinal biological process that backstops central nervous system function, which also plays a crucial role in regulating systemic homeostasis, including immune activities. Cytokines, particularly interleukin-1β and tumor necrosis factor-α, act as mediators bridging sleep and inflammation, also influencing both sleep [...] Read more.
Sleep is a cardinal biological process that backstops central nervous system function, which also plays a crucial role in regulating systemic homeostasis, including immune activities. Cytokines, particularly interleukin-1β and tumor necrosis factor-α, act as mediators bridging sleep and inflammation, also influencing both sleep architecture and sleep–wake cycle. Sleep deprivation and sleep disorders such as insomnia, narcolepsy, hypersomnia, or obstructive sleep apnoea may disrupt cytokine production, alter their circadian rhythm of release, and shift secretion peaks from night to day. These changes contribute to daytime fatigue, impaired cognitive and physical performance, increased susceptibility to infections and/or systemic inflammation. Molecular studies indicate that insufficient sleep primes immune cells to enhance pro-inflammatory responses, creating a feedback loop with neuroendocrine pathways that further exacerbates sleep patterns and inflammatory dysregulation. Understanding the bidirectional relationship between sleep and cytokines may highlight the role of sleep as an active component of immunity regulation and underscore the potential usefulness of multilevel interventions that include complementary and integrative health approaches restoring sleep, normalizing cytokine rhythms and mitigating inflammation. Full article
(This article belongs to the Special Issue Current Advances in Paediatric Sleep Medicine (2nd Edition))
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26 pages, 1104 KB  
Review
Infection-Triggered Immune Dysregulation and Immunopathology in Lyme Disease: Mechanisms and Clinical Implications
by Klavio Pine, Vivian Pine, Nicoleta Negrut, Anca Ferician and Paula Marian
J. Clin. Med. 2026, 15(8), 2922; https://doi.org/10.3390/jcm15082922 - 11 Apr 2026
Abstract
Lyme disease (LD) is classically defined as a tick-borne infection caused by Borrelia burgdorferi sensu lato (Bbsl). However, accumulating evidence indicates that, beyond microbial persistence, Bbsl infection can initiate sustained immune dysregulation and post-infectious inflammatory phenotypes in a subset of patients. This narrative [...] Read more.
Lyme disease (LD) is classically defined as a tick-borne infection caused by Borrelia burgdorferi sensu lato (Bbsl). However, accumulating evidence indicates that, beyond microbial persistence, Bbsl infection can initiate sustained immune dysregulation and post-infectious inflammatory phenotypes in a subset of patients. This narrative review integrates open-access experimental, translational, and clinical data and discusses LD within the spectrum of infection-triggered, immune-mediated processes. We review key immunopathogenic mechanisms, including dysregulated innate immune activation, type I interferon (IFN-I) signaling, T helper 1 and T helper 17 (Th1/Th17) polarization with regulatory T-cell (Treg) insufficiency, antigen persistence (notably borrelial peptidoglycan), and pathways linking infection to autoimmunity such as molecular mimicry, epitope spreading, and human leukocyte antigen (HLA)-restricted susceptibility. These mechanisms are integrated with immune-mediated clinical manifestations affecting the central nervous system (CNS), peripheral nervous system (PNS), musculoskeletal system, heart, skin, and hematologic compartment. Finally, we discuss translational implications for diagnosis, biomarker-guided stratification, and emerging therapeutic strategies that extend beyond antimicrobial therapy, while addressing current controversies and limitations. This framework supports a mechanistic model in which Lyme disease-associated morbidity in selected patients reflects persistent immune activation and dysregulated host responses triggered by infection. Full article
19 pages, 5562 KB  
Article
Integrative Transcriptomic and Biochemical Profiling Reveals Bacillus amyloliquefaciens JL54 Primes Larix olgensis Defenses Against Neofusicoccum laricinum Attack
by Xiangyu Zhao, Fengze Yang, Lingyu Kong, Yanru Wang, Kexin Liu, Yinjuan Zhao, Xun Deng, Liwen Song, Ke Wei and Jiajin Tan
Plants 2026, 15(8), 1181; https://doi.org/10.3390/plants15081181 - 11 Apr 2026
Viewed by 36
Abstract
Larix olgensis, a keystone timber species in Northeast China, is increasingly threatened by Neofusicoccum laricinum-induced shoot blight, a devastating disease that compromises forest health and necessitates sustainable management strategies. Here, we demonstrate that the endophytic bacterium Bacillus amyloliquefaciens JL54 elicits multifaceted [...] Read more.
Larix olgensis, a keystone timber species in Northeast China, is increasingly threatened by Neofusicoccum laricinum-induced shoot blight, a devastating disease that compromises forest health and necessitates sustainable management strategies. Here, we demonstrate that the endophytic bacterium Bacillus amyloliquefaciens JL54 elicits multifaceted defense responses in L. olgensis, enhancing resistance to pathogen infection. Greenhouse assays revealed that JL54 pretreatment reduced disease incidence by 12.5% and achieved 43.75% control efficacy while maintaining host vigor. Histochemical analyses identified JL54-induced rapid hydrogen peroxide (H2O2) accumulation, extensive lignin deposition, and localized programmed cell death (PCD), indicative of a primed immune response. Transcriptomic analyses uncovered distinct temporal defense patterns: early-stage responses (0 h post-inoculation) were characterized by upregulation of cutin, suberin, and wax biosynthesis pathways, reinforcing physical barriers, whereas late-stage responses (12 h post-inoculation) were dominated by ribosome- and proteostasis-related pathways (e.g., heat shock proteins [HSPs], glutathione S-transferases [GSTs]) to mitigate cellular damage. Biochemical assays corroborated these findings, with JL54 colonization reducing membrane lipid peroxidation (27.2% decrease in malondialdehyde content) and significantly elevating the activity of key defense enzymes, including peroxidase (POD), phenylalanine ammonia-lyase (PAL), and GST. Phytohormone profiling implicated jasmonic acid (JA) as the central mediator of induced systemic resistance (ISR), with JL54-potentiated JA signaling preceding pathogen containment. Collectively, these results demonstrate that JL54 contributes to a coordinated defense strategy in L. olgensis, integrating structural reinforcement (cuticle/lignin), oxidative stress management, and JA-mediated immune priming. These insights advance the understanding of endophyte-conferred resistance in conifers and highlight JL54’s potential as a biocontrol agent for sustainable forestry. Full article
(This article belongs to the Section Plant Protection and Biotic Interactions)
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14 pages, 569 KB  
Review
Type I Interferons as Contextual Regulators of B-Cell Tolerance in Type 1 Diabetes
by Mebrahtu G. Tedla and Jamie L. Felton
Biomolecules 2026, 16(4), 563; https://doi.org/10.3390/biom16040563 - 10 Apr 2026
Viewed by 212
Abstract
Type 1 diabetes (T1D) is an immune-mediated disease characterized by progressive autoimmune destruction of pancreatic β cells. Although traditionally viewed as primarily T-cell-driven, B cells play essential roles in disease pathogenesis. In addition to producing islet autoantibodies, B cells contribute to immune activation [...] Read more.
Type 1 diabetes (T1D) is an immune-mediated disease characterized by progressive autoimmune destruction of pancreatic β cells. Although traditionally viewed as primarily T-cell-driven, B cells play essential roles in disease pathogenesis. In addition to producing islet autoantibodies, B cells contribute to immune activation through antigen presentation and cytokine secretion, thereby shaping autoreactive T-cell responses. The earliest clinical predictor of T1D is the appearance of islet autoantibodies in the blood, reflecting a breach in B-cell tolerance well before symptomatic disease onset. In individuals at high genetic risk, type I interferon (IFN) signatures are detectable in peripheral blood prior to seroconversion, suggesting that type I IFNs may act as upstream regulators of B-cell tolerance. Peripheral tolerance is enforced through layered checkpoints including transitional selection, maintenance of anergy, germinal center regulation, and regulatory B-cell differentiation. Studies in systemic autoimmunity demonstrate that type I IFN signaling lowers B-cell activation thresholds, enhances BCR and TLR responsiveness, promotes survival of autoreactive transitional clones via BAFF induction, destabilizes anergy, and skews differentiation toward inflammatory phenotypes such as T-bet+ age-associated B cells. Consistent with this model, single-cell transcriptomic and BCR repertoire analyses in T1D reveal clonal expansion and proinflammatory signatures in islet-reactive B cells during the preclinical stage. Together, these findings implicate the IFN–B-cell axis as a potential target for early disease modification. Full article
(This article belongs to the Special Issue Immune Responses in Type 1 Diabetes)
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15 pages, 1274 KB  
Article
The Relative Contributions of BmPPO and BmDDC in Immune Melanization of Hemolymph in Silkworm, Bombyx mori
by Zunmei Hu, Pan Chen, Chunyang Wang and Ping Chen
Insects 2026, 17(4), 405; https://doi.org/10.3390/insects17040405 - 9 Apr 2026
Viewed by 158
Abstract
Lepidoptera constitute a major group of agricultural and forestry pests. Therefore, investigating the immune mechanisms of the model species Bombyx mori may provide valuable insights for the development of improved pest management strategies. In insects, phenoloxidase (PO) and dopa decarboxylase (DDC) in immune [...] Read more.
Lepidoptera constitute a major group of agricultural and forestry pests. Therefore, investigating the immune mechanisms of the model species Bombyx mori may provide valuable insights for the development of improved pest management strategies. In insects, phenoloxidase (PO) and dopa decarboxylase (DDC) in immune melanization have been widely studied individually, yet their relative contributions have rarely been investigated. Here, we demonstrate that pharmacological inhibition of either PO or DDC in Escherichia coli-infected larvae significantly suppresses hemolymph melanization, with PO inhibition causing a more pronounced reduction than DDC inhibition. Consistently, RNA interference-mediated knockdown of BmPPO1 or BmPPO2 markedly decreased hemolymph melanization following infection. This results in both PO and DDC contributing to immune-induced hemolymph melanization, with PO playing a dominant role in this process. In contrast, compared to PO inhibition, DDC inhibition leads to significant damage to hemolymph antibacterial activity and cellular immune responses, including hemocyte aggregation, encapsulation, and phagocytosis. In addition, compared with the knockdown of BmPPO1 or BmPPO2, the knockdown of BmDDC leads to a more severe decrease in antibacterial activity and cellular immune function. Exogenous addition of dopamine can partially rescue cell damage, indicating that both DDC and PO play a role in cellular immunity, but DDC has a slightly stronger effect. Overall, this study provides important insights into the immunity of hemolymph in insects and other arthropods. Full article
(This article belongs to the Section Insect Molecular Biology and Genomics)
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27 pages, 2786 KB  
Review
4-Hydroxynonenal, a Potential Biomarker for Lung Inflammatory Diseases
by Nancy Kaushal, Alexandria K. Vo, Nathan C. Kobus, Riddhi B. Dave and Kota V. Ramana
Int. J. Mol. Sci. 2026, 27(8), 3366; https://doi.org/10.3390/ijms27083366 - 9 Apr 2026
Viewed by 309
Abstract
Asthma, chronic obstructive pulmonary disease (COPD), and acute respiratory distress syndrome (ARDS) are the major lung inflammatory complications affecting the global population. Exposure to allergens, infections, smoking, and environmental pollutants could cause persistent oxidative stress and dysregulated immune responses, leading to lung inflammatory [...] Read more.
Asthma, chronic obstructive pulmonary disease (COPD), and acute respiratory distress syndrome (ARDS) are the major lung inflammatory complications affecting the global population. Exposure to allergens, infections, smoking, and environmental pollutants could cause persistent oxidative stress and dysregulated immune responses, leading to lung inflammatory complications. Increased oxidative stress can lead to lipid peroxidation and the formation of toxic lipid aldehydes. One of the major lipid aldehydes formed during lipid peroxidation is 4-hydroxy-2-nonenal (4-HNE). 4-HNE is well known to covalently modify proteins, nucleic acids, and lipids, thus modifying cellular signaling pathways and inflammatory cascades. Increased levels of 4-HNE have been identified in lung tissues, bronchoalveolar lavage (BAL) fluid, and the serum of patients with inflammatory lung conditions. Further, 4-HNE contributes to airway remodeling, mitochondrial dysfunction, and modulation of inflammatory responses in the lung epithelial cells. Recent studies also indicate the potential role of 4-HNE as an important mediator and a potential biomarker of various human disease progression, including the diagnosis and monitoring of lung inflammatory diseases. In this narrative review, we discuss current evidence on the pathological role of 4-HNE, its potential as a biomarker, and its importance for early detection and for potential therapeutic strategies in lung inflammatory complications. Full article
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16 pages, 8981 KB  
Article
ScRNA-Seq and BCR Analysis of Murine Immune Responses to Inactivated DHAV-1 as a Model Antigen
by Yaru Fan, Saisai Zhao, Yafei Qin, Guocheng Liu, Linyu Cui, Siming Zhu, Youxiang Diao, Dalin He and Yi Tang
Viruses 2026, 18(4), 448; https://doi.org/10.3390/v18040448 - 8 Apr 2026
Viewed by 148
Abstract
Currently, the B-cell response patterns induced by viral antigens in avian disease models and their detailed immunological characteristics still require comprehensive elucidation at the single-cell level. In this study, we employed single-cell sequencing (scRNA-seq) and B cell library technology to conduct an in-depth [...] Read more.
Currently, the B-cell response patterns induced by viral antigens in avian disease models and their detailed immunological characteristics still require comprehensive elucidation at the single-cell level. In this study, we employed single-cell sequencing (scRNA-seq) and B cell library technology to conduct an in-depth analysis of B cells in the spleens of mice with inactivated duck hepatitis A virus type 1 (DHAV-1) as model antigen. This study aimed to investigate the immunological characteristics of the virus antigen in the mouse model and characteristics of B-Cell Receptors. The results showed that the DHAV-1 group had distinct changes in splenic B cell subset counts, proportions, and intercellular communication. Additionally, an increased trend in communication strength between Gm26917+B and Gm11837+B cells was observed, with enriched expression of C-X-C motif chemokine ligand (CXCL) and lymphotoxin (LT) detected in the DHAV-1 group. Furthermore, the DHAV-1 group exhibited a prominent combination of the IGHV1 family and IGHV3-1/IGHJ3 in the heavy (H) chain variable region. Compared with the CK group (negative control group), the amino acid sequence length and diversity of the CDR3 region in the DHAV-1 group exhibited a decreasing trend. In summary, our findings characterize the immunological features of splenic B cells in mice after immunization with inactivated DHAV-1, and provide a preliminary characterization of DHAV-1-induced B cell transcriptional states and BCR repertoire features, generating testable hypotheses for subsequent mechanistic investigations of B cell-mediated immune responses to viral antigens. Full article
(This article belongs to the Special Issue Humoral Immune Response to Viruses)
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18 pages, 1110 KB  
Review
Dual Immune-Regulatory Role of DAMPs in Glioblastoma Radiotherapy
by Kamila Rawojć, Karolina Jezierska and Kamil Kisielewicz
J. Nanotheranostics 2026, 7(2), 8; https://doi.org/10.3390/jnt7020008 - 8 Apr 2026
Viewed by 190
Abstract
Glioblastoma (GBM) remains among the most treatment-refractory human malignancies. It is characterized by profound radioresistance and a highly immunosuppressive tumor microenvironment, limiting the durable efficacy of radiotherapy. Beyond direct cytotoxicity, ionizing radiation can induce immunogenic cell death and the release of damage-associated molecular [...] Read more.
Glioblastoma (GBM) remains among the most treatment-refractory human malignancies. It is characterized by profound radioresistance and a highly immunosuppressive tumor microenvironment, limiting the durable efficacy of radiotherapy. Beyond direct cytotoxicity, ionizing radiation can induce immunogenic cell death and the release of damage-associated molecular patterns (DAMPs), including surface-exposed calreticulin, HMGB1, extracellular ATP/adenosine, and tumor-derived DNA. These signals engage pattern-recognition receptors and cGAS–STING–type I interferon pathways, transiently promoting antigen presentation and immune activation. In GBM, however, DAMP signaling frequently evolves toward chronic inflammation and immune suppression, characterized by myeloid cell recruitment, adenosine accumulation, and immune checkpoint upregulation, thereby contributing to tumor regrowth and radioresistance. This dual immune-regulatory role of DAMPs highlights the importance of temporal and contextual interpretation of radiation-induced immune responses. In this review, we summarize current mechanistic and translational evidence on DAMP-mediated immunomodulation in GBM radiotherapy; discuss modality-dependent considerations across photon, proton, and high-LET irradiation; and evaluate the emerging potential of DAMPs as dynamic biomarkers of treatment response. We further outline how integration of DAMP profiling with liquid biopsy, imaging, and nanotheranostic platforms may support biologically informed and adaptive radiotherapy strategies for glioblastoma. Full article
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18 pages, 2851 KB  
Article
Anti-Neuroinflammatory Cannabinoid Acids as a New Therapeutic Approach for Multiple Sclerosis
by Nitsan Sharon, Yvonne Ventura, Nirit Bernstein, Jonathan Gorelick, Shimon Ben-Shabat and Sigal Fleisher-Berkovich
Molecules 2026, 31(7), 1227; https://doi.org/10.3390/molecules31071227 - 7 Apr 2026
Viewed by 259
Abstract
Neuroinflammation is a hallmark of multiple sclerosis (MS). MS is marked by glial cell activation, autoreactive T cells, and the release of pro-inflammatory cytokines and free radicals. Current therapeutic strategies aim to modulate the immune response using disease-modifying therapies, to slow disease progression. [...] Read more.
Neuroinflammation is a hallmark of multiple sclerosis (MS). MS is marked by glial cell activation, autoreactive T cells, and the release of pro-inflammatory cytokines and free radicals. Current therapeutic strategies aim to modulate the immune response using disease-modifying therapies, to slow disease progression. The specific aims of this study were: (a) to investigate the effect of cannabinoid acids on the release of glial neuroinflammatory mediators, (b) to examine the effect of intraperitoneally administered cannabinoid acids on symptoms of MS, and (c) to evaluate their effects on microglial and astrocyte activation and CD4+ T cell infiltration into the spinal cords of MS mice. Exposure of BV2 microglia to cannabinoid acids attenuated lipopolysaccharide (LPS)-induced expression of inducible nitric oxide synthase by 40–90% it also reduced the release of nitric oxide and interleukin-17A. Among the cannabinoid acids tested, cannabidiolic acid (CBDA) significantly increased tumor necrosis factor alpha (TNFα) secretion by up to 40% in LPS-stimulated BV2 cells. Intraperitoneal administration of CBDA also resulted in a twofold increase in TNFα secretion in splenocytes isolated from MS mice, compared to untreated MS controls. This study provides evidence that CBDA significantly reduces neurological scores, while both cannabinoid acids attenuate microgliosis, astrogliosis, and CD4+ T cell migration in lumbar spinal cord sections of MS mice. These compounds cross the blood–brain barrier (BBB) and act directly within the central nervous system. The consistent elevation of TNFα in the presence of CBDA across three experimental models suggests a distinctive immunomodulatory role for CBDA, with potential therapeutic implications in MS. Full article
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17 pages, 2489 KB  
Review
Extracellular Vesicles in Osteonecrosis of the Femoral Head: An Integrated Review of Experimental and Bioinformatic Evidence
by Elvira Immacolata Parrotta, Giorgia Lucia Benedetto, Giovanni Cuda, Umile Giuseppe Longo, Arianna Carnevale, Olimpio Galasso, Giorgio Gasparini and Michele Mercurio
J. Pers. Med. 2026, 16(4), 208; https://doi.org/10.3390/jpm16040208 - 7 Apr 2026
Viewed by 216
Abstract
Background/Objectives: Osteonecrosis of the femoral head (ONFH) is a progressive condition characterized by bone necrosis, impaired vascularization, and immune dysregulation, often resulting in femoral head collapse. Effective strategies to halt disease progression are limited. Extracellular vesicles (EVs), including exosomes and microvesicles, mediate intercellular [...] Read more.
Background/Objectives: Osteonecrosis of the femoral head (ONFH) is a progressive condition characterized by bone necrosis, impaired vascularization, and immune dysregulation, often resulting in femoral head collapse. Effective strategies to halt disease progression are limited. Extracellular vesicles (EVs), including exosomes and microvesicles, mediate intercellular communication and influence osteogenesis, angiogenesis, and immune responses. This review summarizes current evidence on EVs in ONFH and their translational potential. Methods: A structured narrative review of PubMed, Scopus, Web of Science, and Cochrane Central databases was conducted, including in vitro, preclinical, and clinical studies on EVs in ONFH. Data on EV sources, molecular cargo, signaling pathways, functional effects, and translational implications were qualitatively synthesized. No pooled statistical analysis was performed because the extracted data were heterogeneous. Bioinformatic analyses such as Gene Ontology, KEGG enrichment, and protein–protein interaction networks were also summarized. Results: In vitro, EVs from bone marrow mesenchymal stem cells, endothelial cells, and M2 macrophages modulate osteogenic differentiation, angiogenesis, and inflammation. Preclinical studies demonstrate that EV administration reduces femoral head necrosis, improves trabecular structure, and enhances neovascularization. Clinical studies have identified EV-associated molecules (SAA1, C4A, RPS8) linked to disease stage and the risk of femoral head collapse. Bioinformatic analyses connect EV cargo to pathways regulating bone formation, vascularization, immunity, and metabolism. Conclusions: EVs appear to play key roles in ONFH pathogenesis and may represent promising candidates for diagnostic and therapeutic applications. However, current clinical evidence remains limited and requires validation in larger studies. Nonetheless, heterogeneity and limited clinical data require standardized, longitudinal studies to validate their translational relevance. Full article
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16 pages, 742 KB  
Review
The Role of Cytokines in Vascular Endothelial Glycocalyx Integrity and Impairment Following Open-Heart Surgery
by Lara Batičić, Božena Ćurko-Cofek, Gordana Taleska Štupica, Matej Jenko, Marko Zdravković, Lea Cofek, Antea Krsek, Tanja Batinac, Danijel Knežević, Marino Damić, Mia Šestan, Aleksandra Ljubačev, Maja Šoštarič and Vlatka Sotošek
Biomedicines 2026, 14(4), 837; https://doi.org/10.3390/biomedicines14040837 - 7 Apr 2026
Viewed by 282
Abstract
Open-heart surgery with cardiopulmonary bypass (CPB) is a high-risk procedure with significant morbidity and mortality. CPB, tissue injury, blood loss, endotoxemia and ischemia–reperfusion injury induce a pronounced systemic inflammatory response, leading to endothelial glycocalyx (EG) damage and vascular endothelial dysfunction. Consequently, immune cells, [...] Read more.
Open-heart surgery with cardiopulmonary bypass (CPB) is a high-risk procedure with significant morbidity and mortality. CPB, tissue injury, blood loss, endotoxemia and ischemia–reperfusion injury induce a pronounced systemic inflammatory response, leading to endothelial glycocalyx (EG) damage and vascular endothelial dysfunction. Consequently, immune cells, reactive oxygen species, and enzymes gain free access to vascular endothelial cells, resulting in their dysfunction and enhancing inflammation, vascular permeability, and microvascular impairment. EG degradation is most commonly assessed by measuring the circulating levels of its degradation products. Additionally, CPB triggers an early inflammatory response that is characterized by the secretion of interleukin (IL)-1β, IL-6, IL-8, tumor necrosis factor alpha, and IL-18, which play roles in initiating the process of EG injury. EG damage is further propagated by the sustained release of cytokines, inhibiting the regeneration of the glycocalyx layer. Heparanase and matrix metalloproteinases are enzymatic pathways involved in cytokine-mediated EG degradation after cardiac surgery, and the balance between the pro- and anti-inflammatory cytokines determines the magnitude and duration of the inflammatory response and EG impairment, which correlates with adverse clinical outcomes, including myocardial dysfunction, acute lung and kidney injury, neurological complications, and prolonged need for intensive care. Thus, identifying patients with an exaggerated cytokine response could potentially provide more personalized therapy based on the circulating biomarkers of EG shedding, and cytokine-directed preservation of EG represents a promising therapeutic strategy in vascular dysfunction prevention during and after open-heart surgery. In this review, we summarize the current knowledge on cytokine-mediated EG impairment following open-heart surgery with CPB. Full article
(This article belongs to the Special Issue The Role of Cytokines in Health and Disease: 3rd Edition)
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19 pages, 1464 KB  
Article
Sex-Specific Effects of Obesity Severity on Circulating Inflammatory Mediators and Immune Cell Gene Expression
by Xavier Capó, Miguel David Ferrer, Antoni Sureda, Maria Magdalena Quetglas-Llabrés, Margalida Monserrat-Mesquida, Maria del Mar Bibiloni, Silvia García, Marina Ródenas-Munar, Lucia Ugarriza, David Mateos, Cristina Bouzas, Josep A. Tur and Antoni Pons
Int. J. Mol. Sci. 2026, 27(7), 3314; https://doi.org/10.3390/ijms27073314 - 7 Apr 2026
Viewed by 378
Abstract
Obesity is characterized by chronic low-grade inflammation and immunometabolic dysfunction. However, the influence of obesity degree on circulating inflammatory mediators and immune-cell–specific molecular pathways remains poorly defined. We aimed to examine the effects of obesity severity on plasma cytokines and adipokines, and on [...] Read more.
Obesity is characterized by chronic low-grade inflammation and immunometabolic dysfunction. However, the influence of obesity degree on circulating inflammatory mediators and immune-cell–specific molecular pathways remains poorly defined. We aimed to examine the effects of obesity severity on plasma cytokines and adipokines, and on the expression of inflammatory, antioxidant, and mitochondrial genes in peripheral immune cells, with emphasis on gender differences. In this cross-sectional study, 134 adults aged 55–80 years were stratified into overweight, moderate, or severe obesity groups. Plasma cytokine and adipokine levels were quantified with multiplex immunoassays. Gene expression in peripheral blood mononuclear cells and neutrophils was measured by quantitative PCR. Standard hematological parameters were assessed. Two-way analysis of variance and correlation analyses were performed to evaluate associations between obesity severity, gender, circulating biomarkers, and gene expression. Severity of obesity was associated with distinct alterations in circulating inflammatory profiles in a gender-dependent manner. Women exhibited progressive increases in plasma interleukin (IL)-6 with obesity severity, whereas men with severe obesity demonstrated elevated IL-15 and IL-1rα plasma levels. Hematological responses also differed by gender. In contrast, expression of classical inflammatory genes in immune cells was largely unchanged across obesity categories. Women showed higher expression of antioxidant and mitochondrial genes than men, suggesting gender-specific resilience in redox and mitochondrial pathways. Correlations between circulating inflammatory mediators and immune-cell gene expression were generally weak. Obesity severity and gender modulate systemic inflammatory, while immune-cell transcriptional responses are limited, highlighting the importance of gender-specific immunometabolic characterization in obesity research. Full article
(This article belongs to the Special Issue The Roles of Oxidative Stress in Metabolic Syndrome)
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