Immune thrombocytopenia (ITP) is a common autoimmune bleeding disorder. The understanding of ITP pathogenesis is rapidly evolving. We now recognize ITP as a complex and heterogeneous syndrome that results from a combination of humoral and cell‐mediated attacks on platelets peripherally and megakaryocytes in the bone marrow. Autoantibody‐mediated ITP also varies in the pathway used to clear platelets, which depends on the platelet glycoprotein being targeted. Moreover, ITP patients present with variable bleeding severities and treatment responses that do not closely correlate with platelet count. A gold standard diagnostic test for ITP is lacking, and biomarkers to assess disease severity are in their infancy. This review provides an update on the immunopathogenesis of ITP and summarizes currently available tests for ITP diagnosis, prediction of disease severity, and treatment responses. Given the heterogeneous pathogenesis and clinical presentation of ITP, we highlight the need for the development of diagnostic and prognostic tests that would allow for the individualized management of a complex disease. 相似文献
1. Although different impacts of various sources of selenium (Se) on chicken performance have been largely studied, there is a lack of comparative experiments studying the effects of these sources on the immune system and antioxidant indices of broiler tissues. The aim of this study was to examine the effects of various sources and levels of dietary Se supplements on performance, antioxidant status and immune parameters in Ross 308 broiler chickens.
2. A total of 1200 1-d-old male broilers (Ross × Ross 308) were divided into 8 treatments with 6 replicate pens and 25 birds per pen. This experiment was conducted as a completely randomised design with a 4 × 2 factorial arrangement. Main factors included Se sources as sodium selenite (SS), Se-enriched yeast (SY), DL-selenomethionine (SM) and nano-selenium (NS) and levels at 0.1 or 0.4 mg/kg Se.
3. Dietary supplementation of organic Se sources significantly improved average daily gain (ADG), gain: feed ratio and European production efficiency factor (P < 0.05) compared to birds fed on diets supplemented with inorganic source. In addition, ADG was increased in response to increased level of supplemental Se. Based on contrast comparison, there were significant differences in these parameters between organic versus inorganic sources of Se. However, there was no difference between contrast comparisons of NS versus SM and SY.
4. Total anti-sheep red blood cell (SRBC) and Immunoglobulin G (IgG) titres and hypersensitivity were enhanced by increasing supplemental concentration of Se and using organic sources of Se rather than SS (P < 0.05).
5. Oxidation resistance assessment of tissues demonstrated that supplementation of organic sources of Se and increase in supplemental concentration of Se ameliorated glutathione peroxidase activity, total antioxidant capacity and malondialdehyde formation (P < 0.05). Mostly, there were significant differences between organic versus inorganic sources of Se in oxidation resistance.
6. Overall, dietary supplementation of 0.4 mg/kg Se from an organic source resulted in better production performance and immune system response. Moreover, minimum formation of malondialdehyde in broiler tissue was observed in birds fed on diets supplemented with SM at 0.4 mg/kg.
7. It can be concluded that SM is more effective than other sources of Se in reducing lipid oxidation. 相似文献
The present study was conducted to investigate the effects of different levels of dietary arginine (Arg) and methionine (Met) on performance, immune responses, and carcass characteristics of broiler chickens. A total of 540 day‐old Ross 308 broiler chicks were randomly assigned into the nine experimental diets, consisting five replicates of 12 birds each. Dietary treatments included three different levels (90%, 100%, and 110% of National Research Council [NRC] specifications) of either dietary Arg or Met, which were fed to the birds according to a 3 × 3 factorial arrangement of treatments during a 42 days feeding trial. Results showed that supplementation of Arg and Met into the deficient‐diets increased (p < .01) weight gains during all trial periods. Although average daily feed intake (ADFI) was not influenced by dietary treatments, increasing Arg up to 100% of NRC recommendations improved (p < .05) feed conversion ratio (FCR) throughout the trial period. Similarly, supplementation of deficient‐diets with Met improved FCR values. There was a significant (p < .01) Arg × Met interaction for ADFI during the starter period; increasing the dietary Arg level increased ADFI when the diets were deficient in Met, while had an opposite effect in diets containing higher dietary Met levels. On the other hand, dietary Met fortification improved (p = .067) FCR values to a greater extent in 110% Arg‐diets during the entire trial period. Although different levels of Arg and Met had no marked effects on carcass yield and abdominal fat percentage, supplemental Arg up to 100% of NRC values increased (p < .01) the relative weights of spleen and bursa of Fabricius. Furthermore, bursa weight was affected by Arg × Met interaction (p < .01), so that supplemental Arg level of 100% of NRC increased the relative bursa weight in birds that were fed diets containing 90% and 110% of Met. Serum uric acid level was decreased (p < .05) as a result of dietary Arg fortification up to 110% of NRC recommended values. Supplementation of deficient‐diets with Met decreased (p < .05) serum cholesterol level. Although Newcastle antibody titer was not affected by dietary Arg or Met levels, Arg fortification of deficient‐diets increased (p < .001) antibody responses against infectious bronchitis (IBV) and bursal (IBD) disease viruses. Similarly, Met supplementation of deficient‐diets increased IBD antibody titer. There were significant (p < .05) Arg × Met interactions for IBV and IBD titers; Met fortification of 110% Arg‐diets was more effective in increasing antibody titers. An increase in dietary Met level up to 100% of NRC values increased (p < .001) serum concentration of γ‐globulins. The present findings imply that supplemental Arg could affect feed efficiency and antibody responses when the diets were already fortified with a sufficient Met level. 相似文献
Ghrelin is a peptide hormone that is mainly produced by the stomach. The kidney is a
major source of local ghrelin, and maintaining body fluid balance is considered a critical
role of renal ghrelin. However, there are no reports on renal ghrelin in small animal
medicine. The present study investigated the intrarenal localization of and change in
ghrelin expression in dogs with immune complex-mediated glomerulonephritis (ICGN). Ghrelin
immunoreactivity (IR) was observed in the distal tubules of normal kidneys. Ghrelin IR was
weak in ICGN kidneys, and the quantitative ghrelin IR score was significantly lower in
ICGN kidneys than in normal kidneys. In cases of ICGN, plasma creatinine concentrations
showed a positive correlation with the ghrelin IR score. 相似文献
This study aimed to investigate the protective effect of γ‐aminobutyric acid (GABA) on the development of immune function in chicks under heat stress (HS). One‐day‐old male Wenchang chicks were randomly divided into control (CK), HS and GABA+HS groups. The GABA+HS group was fed with 0.2 ml GABA solution (50 mg/kg) daily by oral gavage. The HS and GABA+HS groups were placed in 40 ± 0.5 °C environment for 2 h heat treatment from 13:00 each day. Blood samples were routinely taken at 14, 21, 28, 35 and 42 days respectively, and the contents of T and B lymphocyte subsets in the blood and tissue were analysed by flow cytometry after FITC/PE double staining; the plasma levels of interleukin (IL)‐2, immunoglobulin (Ig)A, IgG and IgM were determined using ELISA. The thymus and the bursa of fabricius were also collected to analyse for organ index and observe for the changes in tissue microstructure. In addition, the chicks received primary and secondary immunizations with attenuated Newcastle disease (ND) vaccine (LaSota strain) at 7 and 28 days respectively; conventional hemagglutination inhibition (HI) assay was performed to monitor the titre changes in plasma antibody against ND virus in the birds. Our results indicated that the indices of both thymus and bursa of fabricius, the intactness of tissue structure and development, the plasma levels of IL‐2, IgA, IgG and IgM, the titres of ND antibody, and the levels of B and T lymphocyte subsets in HS group were all significantly lower than those in CK group (p<0.05). However, all above indices were significantly improved in GABA+HS group compared with those in HS group (p<0.05). These results demonstrated that while HS seriously affected the development of immune function in Wenchang chicks, GABA effectively alleviated the damages of HS to the development of immune function in chicks. 相似文献