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Microbes & Immunity                                               Big data and DNN-based DTI model in CHP



            through the APC/C, indirectly regulates the activity of   In summary, the CCL2 and CCL20 are chemokines
            separase, which  cleaves cohesin complexes like those   that are regulated by target genes IL17, IL22, IL2, and IL12.
            containing the gene  STAG3. The ubiquitination of the   They orchestrate the recruitment and activation of various
            Securin protein, along with CDC23 overexpression in   inflammatory cell populations, which contribute to the
            CHP, provides a molecular basis through which gender   development of granulomatous lesions, tertiary lymphoid
            differences in CDC23 expression may lead to differences   structures, and fibrotic remodeling. Targeting specific
            in CHP.                                            members of this chemokine family or their receptors may
                                                               represent a promising therapeutic strategy for attenuating
            3.4. The role of the cytokine chemokine (C-C motif)   the aberrant inflammatory and fibrotic processes
            ligand/chemokine (C-C motif) receptor chemokine    underlying CHP symptoms.
            family in the pathogenesis of CHP
                                                               3.4.1. The role of cytokine chemokine (C-C motif)
            According to  Figure  4, our multi-omics analysis has   ligand 2 in the pathogenesis of CHP
            unveiled the pivotal role of the CCL chemokine family
            in orchestrating  the  complex inflammatory  cascade  and   Chemokine (C-C motif) ligand 2, also known as monocyte
            disease symptoms in CHP. Several members of the CCL/  chemoattractant protein-1, has emerged as a crucial
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            CCR family, such as CCL2, CCL20, CCR2, and CCR6, were   mediator in the pathogenesis of CHP.  In Figure 4, our
            found to be significantly upregulated in the lung tissue   multi-omics  analysis  revealed  a  significant  upregulation
            samples of CHP patients.  These chemokines express   of CCL2 expression in lung tissue samples from CHP
                                  60
            various immune cell populations, including monocytes,   patients compared to healthy controls. CCL2 is a potent
            macrophages, lymphocytes, and granulocytes.  The   chemoattractant for monocytes, memory T cells, and
                                                    67
            increased  expression  of  these  chemokines  in  CHP  plays   immature dendritic cells, exerting its effects by binding to
                                                                                     71
            a pivotal role in the recruitment and activation of these   its cognate receptor, CCR2.  The increased production of
            inflammatory cells, leading to their accumulation within   CCL2 in CHP promotes the recruitment of these CCR2-
            the pulmonary interstitium. The chemokine ligand CCL2   expressing immune cells  to the  pulmonary  interstitium,
                                                                                               58
            is also known as monocyte chemoattractant protein-1.    perpetuating the inflammatory cascade.  On recruitment
                                                         68
            Elevated levels of CCL2 in CHP promote the recruitment   to the lung parenchyma, monocytes differentiate into
            of CCR2-expressing monocytes and macrophages to    inflammatory macrophages, which play a pivotal role in the
            the  site  of  inflammation.   These  cells,  once  activated,   initiation and propagation of the inflammatory response
                                 69
            release a myriad of pro-inflammatory cytokines, ROS,   in CHP. CCL2 can influence the tumor microenvironment
            and proteolytic enzymes, contributing to the perpetuation   by recruiting immune cells that may either support or
            of the inflammatory response and tissue injury.  CCL2   inhibit tumor growth. The interaction between mutated
                                                    59
            also contributes to the activation and proliferation of   adenomatous polyposis coli (APC) and increased levels of
                                                                                                            64
            fibroblasts, a key event in the fibrotic remodeling process   CCL2 can contribute to a pro-tumorigenic environment.
                                                                                                             +
            observed in CHP. In addition, CCL2 has been shown to   Subsequently, APCs present processed antigens to CD4
            promote the migration and proliferation of lung fibroblasts,   T-cells, initiating the adaptive immune response. The
                                                                                                       +
            contributing to the development of pulmonary fibrosis. 59  interaction between the T-cell receptors on CD4  T-cells
                                                               and the antigen-major histocompatibility complex II
              Importantly, the analysis of our core signaling pathway   complex on APCs is critical for T-cell activation. Moreover,
            in Figure 4 reveals a complex interplay between the CCL   some CD4  T-cells express CCR2 and can respond to
                                                                        +
            chemokine signaling pathways and other key regulatory   CCL2, which is often produced at sites of inflammation.
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            cascades implicated in CHP pathogenesis, such as the   This allows CD4  T-cells to migrate to areas where
                                                                              +
            MAPK and PI3K/AKT pathways. This crosstalk creates a   they are needed to provide help to other immune cells.
            self-sustaining inflammatory loop, wherein the activation   Furthermore, Th1 cells are essential for defending against
            of these pathways upregulates the expression of CCL   intracellular pathogens and are involved in promoting
            chemokines, which, in turn, potentiate the activation of   inflammation. They originate from naive CD4  T-cells.
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                                                                                                     +
            the cytokine genes IL17, IL22, IL2, and IL12, perpetuating   Cytokines and other signals present in the immune
            the inflammatory and fibrotic responses. Furthermore,   environment guide the differentiation into Th1 cells. As a
            elevated levels of specific CCL chemokines or their   subset of CD4  T-cells, Th1 cells have specialized functions
                                                                          +
            receptors have been proposed as potential diagnostic   that focus on cell-mediated immunity and the activation
            and prognostic biomarkers for CHP, aiding in the early   of macrophages. They are distinct from other CD4  T-cell
                                                                                                        +
            detection and monitoring of disease symptoms, as well as   subsets like Th2, which are more involved in humoral
            guiding therapeutic interventions. 70              immunity and allergic responses. 74

            Volume 2 Issue 2 (2025)                         97                               doi: 10.36922/mi.4620
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