<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.54487.3</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Correlations between components of the immune system</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 3; peer review: 2 approved, 1 not approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Shabat</surname>
                        <given-names>Yehudit</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Ilan</surname>
                        <given-names>Yaron</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-0802-1220</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Hadassah University Hospital, Jerusalem, Jerusalem, Israel, Israel</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:ilan@hadassah.org.il">ilan@hadassah.org.il</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>12</day>
                <month>3</month>
                <year>2024</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2021</year>
            </pub-date>
            <volume>10</volume>
            <elocation-id>1174</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>5</day>
                    <month>3</month>
                    <year>2024</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2024 Shabat Y and Ilan Y</copyright-statement>
                <copyright-year>2024</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/10-1174/pdf"/>
            <abstract>
                <sec>
                    <title>Background</title>
                    <p>No evidence of the possibility of altering a constituent of the immune system without directly affecting one of its associated components has yet been shown.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>A schematic model was developed in which two triggers, fasting and splenectomy, were studied for their ability to affect the expression of cell membrane epitopes and the cytokine secretion of out-of-body autogeneic and syngeneic lymphocytes.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>The effect of fasting and/or splenectomy on promoting correlations between immune systems was studied by determining the alterations in expressions of cell membrane epitopes and in cytokine secretion by out-of-body autogeneic and syngeneic lymphocytes. The effect of fasting as a trigger decreased expression of CD8 and CD25 and increased TNF&#x03b1; levels. The effect of splenectomy as a trigger was investigated in non-fasting mice by comparing splenectomized and non-splenectomized mice. An increase in the CD8 expression and in TNF&#x03b1;, IFNg, and IL10 secretion was noted. The effect of splenectomy as a trigger in fasting mice was determined by comparing splenectomized and non-splenectomized mice. Splenectomy significantly affected the expression of CD25 and CD4 CD25 and on secretion of TNF&#x03b1;, IFNg, and IL10. To determine the effect of keeping the cells in an out-of-body location on the expression of lymphocyte epitopes, tubes kept on top of the cages of the fasting mice were compared with tubes kept on top of empty cages. The results showed a significant change in the CD8 expression was noted. To determine the effect of keeping cells in an out-of-body location on cytokine secretion, tubes kept on cages were tested for cytokine levels significant decrease was noted in the secretion of TNF&#x03b1; and IFNg.</p>
                </sec>
                <sec>
                    <title>Conclusions</title>
                    <p>The study showed that a mouse could affect cells at a distance and alter the expression of surface markers and cytokine secretion following two types of triggers: fasting and/or splenectomy. The data characterized a system for the induction of correlations between two&#x2019;s immune system components without a transfer of mediators. It suggests that an out-of-body correlation can be induced between two components of the immune system.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>complex systems; immune memory; information transfer; immune response; randomness</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1">
                    <funding-source>Roaman-Epstein Research Foundation</funding-source>
                    <award-id>2010-YI</award-id>
                </award-group>
                <funding-statement>This work was supported by the Roaman-Epstein Research Foundation</funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
        <notes>
            <sec sec-type="version-changes">
                <label>Revised</label>
                <title>Amendments from Version 2</title>
                <p>Changes made to the new version: 
                    <list list-type="order">
                        <list-item>
                            <p>The Abstract, Introduction, Reuslts, and part of the Discussion sections were revised.</p>
                        </list-item>
                        <list-item>
                            <p>A new set of figures is included.</p>
                        </list-item>
                        <list-item>
                            <p>Table 2 was included to add a schematic description of the experiments conducted.</p>
                        </list-item>
                        <list-item>
                            <p>A conclusion section was added.</p>
                        </list-item>
                    </list>
                </p>
            </sec>
        </notes>
    </front>
    <body>
        <sec>
            <title>Abbreviations</title>
            <p>IFN&#x03b3;: interferon gamma</p>
            <p>TGF&#x03b2;: transforming growth factor beta</p>
            <p>TNF&#x03b1;: tumor necrosis alpha</p>
            <p>IL10: interleukin 10</p>
            <p>OL: an independent control laboratory</p>
        </sec>
        <sec id="sec1" sec-type="intro">
            <title>Introduction</title>
            <p>Living systems carry information, and the more complex a system is, the higher the likelihood it contains information. Like other biological systems, the immune system may not have a perfect structure or symmetry, but it optimizes functionality. The system&#x2019;s irregular pathways offer an opportunity to apply physics concepts to the biological system.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup>
            </p>
            <p>Correlations between immune system components always involve reactions mediated by a direct association between different system elements.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>
                </sup> Current paradigms of immune crosstalk between cells or at a subcellular molecular level are based on direct contact or the transfer of mediators in both health and disease.
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup>
                <sup>&#x2013;</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> These elements serve as links for relocating associations between immune system constituents. No evidence for correlations between components of the immune system that alter a constituent of this system without directly affecting one of its associated parts has been reported.</p>
            <p>This study aimed to develop a system where a correlation exists between two immune system components without either a direct interaction or a transfer of mediators. The data support the concept that out-of-body correlations can occur between immune system components in isolated structures.</p>
        </sec>
        <sec id="sec2" sec-type="methods">
            <title>Methods</title>
            <sec id="sec3">
                <title>Animals</title>
                <p>24 Male C57BL/6 healthy mice (11&#x2013;12 weeks old, 30 gr.) were obtained from Harlan Laboratories (Jerusalem, Israel) and maintained in the Animal Core of the Hadassah-Hebrew University Medical School. Mice were administered standard laboratory chow and water 
                    <italic toggle="yes">ad libitum</italic> and kept in a 12-hour light/dark cycle. Mice were administered standard laboratory chow and water 
                    <italic toggle="yes">ad libitum</italic> and kept in a 12-hour light/dark cycle. Animal experiments were carried out according to the guidelines of the Institutional Committee for Care and Use of Laboratory Animals and with the committee's approval. All efforts were made to ameliorate any suffering of animals by using mild anesthesia.</p>
            </sec>
            <sec id="sec4">
                <title>Experimental groups</title>
                <p>Six groups of mice (
                    <xref ref-type="table" rid="T1">Table 1</xref>) were studied, with four mice per group in each of the four experiments. The number of animals was determined based on statistical analysis. Data on all mice in each of the studies is included in the 
                    <italic toggle="yes">Underlying data</italic>.
                    <sup>
                        <xref ref-type="bibr" rid="ref21">21</xref>
                    </sup> Groups were selected based on the different parameters tested with the appropriate controls. 
                    <xref ref-type="table" rid="T2">Table 2</xref> provides a representation of the research protocol.</p>
                <table-wrap id="T1" orientation="portrait" position="float">
                    <label>Table 1. </label>
                    <caption>
                        <title>Experimental groups (n = 4 for each group).</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Group</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Mouse in cage</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Splenectomy</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Fasting</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Autogeneic cells on top of the cage</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Syngeneic cells on top of the cage</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">A</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">B</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">C</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">D</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">E</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">F</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">+</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">G/H</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
                <table-wrap id="T2" orientation="portrait" position="float">
                    <label>Table 2. </label>
                    <caption>
                        <title>A representation of the research protocol.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Step A</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Step B</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Step C</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Trigger:
                                    <break/>
                                    <p>
                                        <list list-type="bullet">
                                            <list-item>
                                                <label>&#x2022;</label>
                                                <p>Splenectomy</p>
                                            </list-item>
                                            <list-item>
                                                <label>&#x2022;</label>
                                                <p>Start fasting (21-24 hours)</p>
                                            </list-item>
                                        </list>
                                    </p>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Mouse kept in a cage for 24 hours with a tube containing autogenic or syngeneic cells on top of the cage.
                                    <break/>Blood tested for cytokines and epitopes expression on lymphocytes are taken at time 0.</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Blood taken and blood in tube tested after 24 hours:
                                    <break/>
                                    <p>
                                        <list list-type="bullet">
                                            <list-item>
                                                <label>&#x2022;</label>
                                                <p>The serum was tested for cytokines.</p>
                                            </list-item>
                                            <list-item>
                                                <label>&#x2022;</label>
                                                <p>Lymphocytes were analyzed for epitope expression.</p>
                                            </list-item>
                                        </list>
                                    </p>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
                <p>The mice in groups A and B underwent splenectomy followed by fasting. Each mouse was kept in a cage with a tube containing its own autogeneic (group A) or syngeneic (group B) lymphocytes on top. The mice in groups C and D underwent splenectomy but did not fast, and they were kept in cages with tubes containing autogeneic (group C) or syngeneic (group D) lymphocytes on top. The mice in groups E and F did not undergo splenectomy and were kept in cages with a tube containing syngeneic lymphocytes on top. The mice in group E fasted, while those in group F did not. Tubes marked G and H contained lymphocytes harvested from syngeneic donors and were kept on top of empty cages. The study design determined the number of animals to enable significance. Controls were used for each of the experiments based on the parameters tested. Studies were repeated in an outside laboratory for verification of the effect. Studies were conducted under the Arrive guidelines.</p>
            </sec>
            <sec id="sec5">
                <title>Study design</title>
                <p>The described system enabled us to study two types of triggers for the associations between two immune system constituents. Mice underwent splenectomy using standard procedure
                    <sup>
                        <xref ref-type="bibr" rid="ref6">6</xref>
                    </sup> or fasting (21-24 hours). Each mouse was kept in a separate cage for the duration of the experiment. Autogeneic or syngeneic splenocytes were prepared from splenectomized mice and kept for 24 hours in a tube on top of the cage at a distance of 10-20 cm from the mouse itself. Control cells were kept in a tube placed on top of the cages containing either non-splenectomized or non-fasting na&#x00ef;ve mice or were kept on top of empty cages without a mouse. In splenectomized mice, we tested the effect of splenectomy alone or combined with fasting on either autogeneic or syngeneic cells. In na&#x00ef;ve, non-splenectomized mice, we tested the effect of fasting on syngeneic cells. The effects of these triggers on the associations between immune components were examined by determining the expression of surface markers and cytokine secretion by the out-of-body lymphocytes. The study was replicated three times, and for each study, four mice per group were analyzed (marked 11A, 11B, and 11C). For epitope parameters, the experiment was repeated for the fourth time by an independent control laboratory (marked OL) for several parameters. Cytokine study was performed once in the controlled laboratory.</p>
            </sec>
            <sec id="sec6">
                <title>Flow cytometry</title>
                <p>Splenocytes were isolated, as described previously.
                    <sup>
                        <xref ref-type="bibr" rid="ref7">7</xref>
                    </sup> Flow cytometry was performed on splenocytes resuspended in 1 mL of Flow Cytometry Staining (FACS) buffer. Cells were stained with diluted antibodies (50 &#x03bc;L/sample). Cells were examined using FACS at times 0 and 24 hours for the expressions of epitopes, CD3, CD4, CD8, CD25, FoxP3, and NK1.1, on the lymphocytes (antibodies by BD Biosciences). Flow cytometry was performed using an LSR-II flow cytometer (BD Biosciences, DeNovo software). The following subsets were analyzed: CD4, CD25, CD4 CD25, Foxp3, CD4 Foxp3, CD4 CD25 Foxp3, CD4 CD25 Foxp3, CD8, CD8 Foxp3, CD8 CD25, CD8 CD25 Foxp3, CD8 CD25 Foxp3, CD3, NK1.1, and CD3 NK1.1. Full data of the study can be accessed from the 
                    <italic toggle="yes">Underlying Data</italic>
                    <sup>
                        <xref ref-type="bibr" rid="ref21">21</xref>
                    </sup> section.</p>
            </sec>
            <sec id="sec7">
                <title>Cytokine measurement</title>
                <p>One set of mice marked OL (n = 4) was analyzed in the control laboratory for IFN&#x03b3;, TNF&#x03b1;, IL10, and TGF&#x03b2; serum levels, IL10, and TGF&#x03b2;. Determination of IFN&#x03b3;, TNF&#x03b1;, and IL10 in supernatants was performed concurrently, using Flow Cytomix (Thermo Fisher Scientific (eBioscience)). TGF&#x03b2; levels were determined separately using ELISA Quantikine (MB100B) (R&amp;D Systems). Cytokine levels were determined according to the manufacturer's instructions.</p>
            </sec>
            <sec id="sec8">
                <title>Statistical analysis</title>
                <p>The Mann-Whitney SPSS test (software version 1.0) was performed for each experiment. Data of all individual mice in all studies is provided in the 
                    <italic toggle="yes">Underlying data</italic>.
                    <sup>
                        <xref ref-type="bibr" rid="ref21">21</xref>
                    </sup> Only parameters that showed significant changes in two experiments or more, including changes in opposing directions, were used for the final analysis.</p>
            </sec>
        </sec>
        <sec id="sec9" sec-type="results">
            <title>Results</title>
            <p>The effect of fasting and/or splenectomy on promoting correlations between immune systems was studied by determining the alterations in expressions of cell membrane epitopes and in cytokine secretion by out-of-body autogeneic and syngeneic lymphocytes.</p>
            <p>The effect of fasting as a trigger for altering the association that can modify epitope expression on out-of-body lymphocytes kept in tubes on top of cages was investigated in splenectomized mice. The effect on autogeneic cells was determined by comparing groups A (fasting) and C (non-fasting).</p>
            <p>
                <xref ref-type="fig" rid="f1">Figure 1A</xref> shows the effect of fasting on autogeneic lymphocytes; decreased expression of CD8 and CD25 was found in the mice in group A compared with mice in group C in experiments 11B (p = 0.02) and 11C (p = 0.019).</p>
            <p>Fasting significantly affected cytokine secretion by the out-of-body syngeneic lymphocytes in non-splenectomized mice.</p>
            <p>
                <xref ref-type="fig" rid="f1">Figure 1B</xref> shows a significant increase in the TNF&#x03b1; levels (p = 0.047) when comparing group E (fasting) to group F (non-fasting, the TNF&#x03b1; levels were undetectable in-group F).</p>
            <p>The data suggested that correlations between immune system components can be induced after fasting in splenectomized and non-splenectomized mice targeting out-of-body autogeneic and syngeneic lymphocytes. Fasting did not affect the syngeneic lymphocytes kept in a tube on top of the cages of splenectomized mice, as indicated by comparing groups B (fasting) and D (non-fasting).</p>
            <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                <label>Figure 1. </label>
                <caption>
                    <title>The effect of fasting as a trigger for inducing associations between components of the immune system of splenectomized mice was determined by comparing the autogeneic lymphocytes from groups A (fasting) vs. C (non-fasting); there was a significant effect on the expression of CD8 and CD25 epitopes.</title>
                    <p>The effect of fasting as a trigger on splenectomized mice was determined by comparing the syngeneic lymphocytes kept in tubes on top of the cages of the mice in groups B (fasting) vs. D (non-fasting). The effect of fasting as a trigger for an association that may alter the epitope expression and/or cytokine secretion of out-of-body lymphocytes kept in tubes on top of cages was determined by comparing the syngeneic lymphocytes of the mice in groups E (fasting) vs. F (non-fasting); there was a significant effect on the TNF&#x03b1; secretion.</p>
                </caption>
                <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/163303/17b84882-68e9-454a-9989-5dcf007c846c_figure1.gif"/>
            </fig>
            <p>The effect of splenectomy as a trigger for altering the association that can modify epitope expression and/or cytokine secretion from out-of-body syngeneic lymphocytes kept in tubes on top of cages was investigated in non-fasting mice by comparing groups D (splenectomized) and F (non-splenectomized).</p>
            <p>
                <xref ref-type="fig" rid="f2">Figure 2A</xref> shows a significant increase in the CD8 expression (between time points 0 and 24 h) in experiments 11A (p = 0.021) and OL (p = 0.021) in group D compared with that in group F; however, the changes in CD8 expression in experiment 11A were opposite to those in experiment OL. The secretion of three cytokines, TNF&#x03b1; (p = 0.014), IFN&#x03b3; (p = 0.021), and IL10 (p = 0.013), significantly increased in group D compared with group F, as shown in 
                <xref ref-type="fig" rid="f2">Figure 2B</xref>.</p>
            <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                <label>Figure 2. </label>
                <caption>
                    <title>The effect of splenectomy as a trigger for an association that may alter the epitope expression and/or cytokine secretion of out-of-body lymphocytes kept in tubes on top of cages was determined by comparing the syngeneic lymphocytes kept in the tubes on top of the cages containing the non-fasting mice from groups D (splenectomized) vs. F (non-splenectomized).</title>
                    <p>The effect was significant for CD8 expression and for TNF&#x03b1;, IFN&#x03b3;, and IL10 secretion. The effect was also determined by comparing the syngeneic lymphocytes that were kept in tubes on top of the cages containing fasting mice from groups B (splenectomized) vs. E (non-splenectomized). It was significant for CD25 and CD4 CD25 expressions and TNF&#x03b1;, IFN&#x03b3;, and IL10 secretion.</p>
                </caption>
                <graphic id="gr2" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/163303/17b84882-68e9-454a-9989-5dcf007c846c_figure2.gif"/>
            </fig>
            <p>The effect of splenectomy as a trigger for modifying the epitope expression and/or cytokine secretion of out-of-body syngeneic lymphocytes was investigated in fasting mice by comparing groups B (splenectomized) and E (non-splenectomized).</p>
            <p>
                <xref ref-type="fig" rid="f2">Figure 2C</xref> shows that splenectomy significantly affected several parameters, as indicated by comparing the two groups in experiments 11B and 11C; however, the effects in group B were opposite to those in group E. The expression of CD25 (p = 0.02 and p = 0.03 for 11B and 11C, respectively) and CD4 CD25 (p = 0.021 and p = 0.034 for 11B and 11C, respectively) differed significantly between groups B and E.</p>
            <p>The secretion of TNF&#x03b1; (p = 0.021), IFN&#x03b3; (p = 0.02), and IL10 (p = 0.02) were significantly higher in group B compared with that in group E, as shown in 
                <xref ref-type="fig" rid="f2">Figure 2D</xref>. The results suggested that a link can be induced between immune system components after splenectomy in fasting and non-fasting mice in syngeneic lymphocytes.</p>
            <p>No significant differences were observed when assessing differences between the effects on out-of-body autogeneic vs. syngeneic cells; these differences were determined by performing a group A (autogeneic) vs. B (syngeneic) comparison of the lymphocytes harvested from the fasting-splenectomized mice and by performing a group C (autogeneic) vs. D (syngeneic) comparison of the non-fasting splenectomized mice.</p>
            <p>The results suggested that the associations made for autogeneic cells did not differ significantly from that made for syngeneic cells.</p>
            <p>To determine the effect of keeping the cells in an out-of-body location on the expression of lymphocyte epitopes, tubes kept on top of the cages of the fasting mice from groups A, B, and E were compared with tubes kept on top of empty cages (G), as shown in 
                <xref ref-type="fig" rid="f3">Figure 3</xref>. A significant change in the CD8 expression was noted by comparing groups B and G in 11B (p = 0.034) and OL (p = 0.043), as shown in 
                <xref ref-type="fig" rid="f3">Figure 3A</xref>; however, the changes in group B were opposite to those in group G. No significant effect was observed when comparing groups A and G.</p>
            <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                <label>Figure 3. </label>
                <caption>
                    <title>The effect of the presence of a mouse in a cage on altering the expression of membrane epitopes and cytokine secretion was determined by analyzing the differences between the tubes from all groups and the tubes kept on empty cages (G and H).</title>
                    <p>The effect was significant for CD8 expression when comparing groups B and G (3A); for the secretion of TNF&#x03b1; and IFN&#x03b3; when comparing groups A and G (3B); for the secretion of TNF&#x03b1;, IFN&#x03b3;, and IL10 when comparing groups B and G (3C); for the expression of Foxp3 when comparing groups F and H (3D); for TNF&#x03b1;, IFN&#x03b3;, and TGF&#x03b2; secretion when comparing groups C and H (3E, 3F); for IFN&#x03b3;, TNF&#x03b1;, and IL10 secretion when comparing groups D and H (3G); and for TNF&#x03b1; secretion when comparing groups F and H (3H).</p>
                </caption>
                <graphic id="gr3" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/163303/17b84882-68e9-454a-9989-5dcf007c846c_figure3.gif"/>
            </fig>
            <p>To determine the effect of keeping cells in an out-of-body location on cytokine secretion, tubes kept on cages were tested for cytokine levels. A significant decrease was noted for the secretion of TNF&#x03b1; (p = 0.021) and IFN&#x03b3; (p = 0.028) between groups A and G, as shown in 
                <xref ref-type="fig" rid="f3">Figure 3B</xref>. Similarly, a significant decrease was noted between groups B and G for the secretion of TNF&#x03b1; (p = 0.021), IFN&#x03b3; (p = 0.021), and IL10 (p = 0.018), as shown in 
                <xref ref-type="fig" rid="f3">Figure 3C</xref>. No significant difference was observed between groups E and G for the epitope expression or cytokine secretion.</p>
            <p>To determine the effect of keeping cells in an out-of-body location on the expression of lymphocyte epitopes, tubes kept on top of cages containing the non-fasting mice from groups C, D, and F were compared with tubes kept on top of empty cages (H). The Foxp3 expression significantly increased between groups F and H in all three experiments, as shown in 
                <xref ref-type="fig" rid="f3">Figure 3D</xref> (for 11A, p = 0.083; for 11B, p = 0.081; and 11C, p = 0.083; p = 0.006 for all three; this parameter was not tested in OL). No significant difference was observed when comparing groups C vs. H and D vs. H.</p>
            <p>To determine the effect of keeping cells in an out-of-body location for cytokine secretion, tubes kept on top of cages were assessed for cytokine levels. A significant decrease in IFN&#x03b3;, TNF&#x03b1;, and TGF&#x03b2; secretion was observed when comparing groups C and H, as shown in 
                <xref ref-type="fig" rid="f3">Figure 3E</xref> (p = 0.020) and 
                <xref ref-type="fig" rid="f3">Figure 3F</xref> (p = 0.43). A significant decrease in IFN&#x03b3;, TNF&#x03b1;, and IL10 secretion was observed between groups D and H, as shown in 
                <xref ref-type="fig" rid="f3">Figure 3G</xref> (p = 0.021). A significant increase in the TNF&#x03b1; secretion was observed between groups F and H, as shown in 
                <xref ref-type="fig" rid="f3">Figure 3H</xref> (p = 0.047). The data suggested that a fasting or non-fasting mouse in a cage affects its connections with syngeneic cells.</p>
        </sec>
        <sec id="sec10" sec-type="discussion">
            <title>Discussion</title>
            <p>The present study presents measurements of parameters over a set of mutually unbiased states, which demonstrated an ability to induce a correlation between components of the immune system through an indirect effect in an isolated system. The described experiment showed that a mouse could affect cells at a distance and alter the expression of surface markers and cytokine secretion following two triggers: fasting and/or splenectomy. In the described laboratory setting, only the measured observables resulting from this effect can be detected. The effects were compared for cells kept on top of cages containing mice that did not undergo a splenectomy and did not fast with cells kept in empty cages (
                <xref ref-type="fig" rid="f1">Figures 1</xref> and 
                <xref ref-type="fig" rid="f2">2</xref> vs. 
                <xref ref-type="fig" rid="f3">Figure 3</xref>).</p>
            <p>In biological systems, different levels of associated states may be present. These levels might depend on the degree of comparison and/or correlation between donors and recipients that act simultaneously on various immune system components.
                <sup>
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup>
                <sup>&#x2013;</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> In the present schematic model, a correlation between two systems, a cell or other immune system component, allows for the recovery of a new state of a lymphocyte or cytokine-secreting cell.</p>
            <p>The lymphocyte expression of cell surface markers and cytokine secretion involved different pathways.
                <sup>
                    <xref ref-type="bibr" rid="ref7">7</xref>
                </sup>
                <sup>&#x2013;</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup> The classical transportation of immune signals is based on messages delivered by molecules (e.g., chemokines) secreted by different subsets of cells that transmit a direct signal to a target cell or a subcellular organelle (e.g., receptor) through physical contact or a messenger molecule. The present data demonstrated that a correlation can be induced independent of a direct interaction in an isolated system. The observed effects cannot be explained by classical immunology suggesting a correlation-dependent phenomenon in the described system (
                <xref ref-type="fig" rid="f1">Figures 1</xref> and 
                <xref ref-type="fig" rid="f2">2</xref>).</p>
            <p>The effect that underlines the outcome observed in the present study on autogeneic cells can be explained by an inherent association between two immune system components, suggesting an undefined historical correlation between the two parts of the system. At the same time, the effects observed on syngeneic cells may imply a wave-dependent phenomenon between foreign components of the immune system.</p>
            <p>The fidelity obtained in the current schematic model shows excellent adherence correlations properties when targeting the expression of cell membrane epitopes and cytokine secretion of lymphocytes. The results from each mouse in the described system suggest an inherent pattern that repeats itself. Each attempt for separate mice is viewed as independent of all others. Using a standard trigger, fasting or splenectomy, enables our protocol to succeed without filtering results, and the effects are relatively reliable. The experiments were repeated in an independent laboratory, further supporting the feasibility of setting up isolated conditions under which these effects can be measured (
                <xref ref-type="fig" rid="f1">Figuers 1</xref>-
                <xref ref-type="fig" rid="f3">3</xref>).</p>
            <p>The lack of effects for all parameters in all experiments (see 
                <italic toggle="yes">Underlying data</italic>
                <sup>
                    <xref ref-type="bibr" rid="ref21">21</xref>
                </sup>) and changes in opposing directions for some of the measured observables may result from the multiple confounding factors that act simultaneously, which are hard to control, or from the disordered nature of the immune pathways and networks. These are inherent to any biological system.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup>
                <sup>&#x2013;</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>
                </sup> The out-of-body correlation was significant for several investigated parameters in repeated experiments. For some of the observables, the changes were small and could be claimed to result from intra-test variability. However, each mouse was tested in a separate cage, which can be considered independent of the others. Only parameters that significantly changed in two separate experiments were used for the final data analysis.</p>
            <p>The results described in the present study may support built-in memory in an isolated system, which is mandatory for such correlations to occur. Although memory in immune systems is based on the direct delivery of mediators or messenger molecules secreted by immune cells,
                <sup>
                    <xref ref-type="bibr" rid="ref15">15</xref>
                </sup>
                <sup>,</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref16">16</xref>
                </sup> a &#x201c;wave type of memory&#x201d; is required at both the transmitting and receiving sites for such a correlation to occur. This type of immune memory may explain some of the observations in the present study.</p>
            <p>The effects observed in the present study may occur at a cellular or subcellular level and may act per theories that apply some of the principles of quantum physics to biological systems.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup>
                <sup>,</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref17">17</xref>
                </sup>
                <sup>&#x2013;</sup>
                <sup>
                    <xref ref-type="bibr" rid="ref19">19</xref>
                </sup>
            </p>
            <p>A model using a non-natural computer-brain interface to induce an out-of-body effect, which showed non-invasive information transfer between the brains of different species, has been reported.
                <sup>
                    <xref ref-type="bibr" rid="ref20">20</xref>
                </sup> A translation of the intention of a human volunteer to stimulate the rat brain motor area responsible for tail movement has also been demonstrated. The data suggested the feasibility of a computer-mediated brain&#x2013;brain interface that can link the neural functions between two biological entities.</p>
            <p>The system described here provides a robust model for biological applications of correlations in immunology and biology. The model demonstrated here could also be used as an elementary constituent of a wave-type repeater in other biological systems. The state implemented in this protocol is based on complex systems, which enables modifying the surface markers and cytokine secretion of lymphocytes. Even with a relatively low success probability, this system can be scaled to more complex biological systems.</p>
            <p>The optimal function of the immune system may require an alliance between classical and correlative immunology. The present data shed light on several ununderstood biological phenomena, including inter-immune cell interactions, brain&#x2013;immune component connections, environmental impacts, genotype-phenotype interfaces, and organism-host interactions. By enabling diagnostic and therapeutic procedures to be performed on out-of-body autogeneic or syngeneic tissues or organisms, these concepts may apply to developing improved methods for diagnosing and treating immune-associated disorders.</p>
            <p>Study limitations include using the defined model and extrapolations to other biological systems that may require further studies.</p>
        </sec>
        <sec id="sec14" sec-type="conclusions">
            <title>Conclusions</title>
            <p>This study measured parameters on a group of mutually unbiased states, demonstrating the ability to induce a correlation between immune system components through an indirect effect in an isolated system. The experiment revealed that a mouse could affect cells at a distance and alter the expression of surface markers and cytokine secretion following two triggers: fasting and/or splenectomy. The findings of this research characterized a system for establishing a correlation between two components of the immune system without the need for mediators. The data suggests that two immune system components could induce an out-of-body correlation.</p>
        </sec>
    </body>
    <back>
        <sec id="sec11" sec-type="data-availability">
            <title>Data availability</title>
            <sec id="sec12">
                <title>Underlying data</title>
                <p>Dryad: Correlations between components of the immune system, 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.5061/dryad.prr4xgxn3">https://doi.org/10.5061/dryad.prr4xgxn3</ext-link>.
                    <sup>

                        <xref ref-type="bibr" rid="ref21">21</xref>
</sup>
                </p>
                <p>This project contains the following underlying data:

                    <list list-type="bullet">
                        <list-item>
                            <label>-</label>
                            <p>LDB_EM_Supplementary_File_1.5.xls</p>
                        </list-item>
                    </list>
                </p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/publicdomain/zero/1.0/">Creative Commons Zero &#x201c;No rights reserved&#x201d; data waiver</ext-link> (CC0 1.0 Public domain dedication).</p>
            </sec>
            <sec id="sec13">
                <title>Reporting guidelines</title>
                <p>PLoS Biol: ARRIVE checklist for &#x2018;Correlations between components of the immune system&#x2019;, 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pbio.3000411">https://doi.org/10.1371/journal.pbio.3000411</ext-link>.
                    <sup>

                        <xref ref-type="bibr" rid="ref22">22</xref>
</sup>
                </p>
            </sec>
        </sec>
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    <sub-article article-type="reviewer-report" id="report255016">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.163303.r255016</article-id>
            <title-group>
                <article-title>Reviewer response for version 3</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Malik</surname>
                        <given-names>Rohit</given-names>
                    </name>
                    <xref ref-type="aff" rid="r255016a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-2478-2556</uri>
                </contrib>
                <aff id="r255016a1">
                    <label>1</label>Department of Pharmacology, Gurugram Global College of Pharmacy, SRM Modi Nagar College of Pharmacy, SRMIST, Delhi-NCR Campus, Ghaziabad, Gurugram, Haryana, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>15</day>
                <month>4</month>
                <year>2024</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2024 Malik R</copyright-statement>
                <copyright-year>2024</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport255016" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.54487.3"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The Authors updated the manuscript as per the suggestions.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Ethnopharmacology and Natural Product Chemistry</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report245655">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.156314.r245655</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Malik</surname>
                        <given-names>Rohit</given-names>
                    </name>
                    <xref ref-type="aff" rid="r245655a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-2478-2556</uri>
                </contrib>
                <aff id="r245655a1">
                    <label>1</label>Department of Pharmacology, Gurugram Global College of Pharmacy, SRM Modi Nagar College of Pharmacy, SRMIST, Delhi-NCR Campus, Ghaziabad, Gurugram, Haryana, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>28</day>
                <month>2</month>
                <year>2024</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2024 Malik R</copyright-statement>
                <copyright-year>2024</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport245655" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.54487.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The manuscript necessitates significant revisions:</p>
            <p> 1)&#x00a0;The Abstract's Results section is unclear, as it merely presents outcomes without clearly articulating the determination process as stated.</p>
            <p> 2)&#x00a0;Reconstruct the Conclusion section of the Abstract to align with your findings.</p>
            <p> 3) Add the complete abbreviations as mentioned in the manuscript.</p>
            <p> 4) Major revisions are needed in the Introduction section to justify the aspects of your study adequately.</p>
            <p> 5) Why n=4 in animals groupings, instead of n=6 Justify.</p>
            <p> 6) Insert a graphical representation of the research protocol with the grouping of animals and day-wise plan.</p>
            <p> 7) Cross-check the sequence of references in the manuscript.</p>
            <p> 8) Why was SPSS used instead of GraphPad Prism?</p>
            <p> 9) Regenerate the figures to include standard deviation (SD), standard error of the mean (SEM), degrees of freedom (Df) values, comparisons among all groups, and R-squared values for a clearer understanding of the results.</p>
            <p> 10) In the discussion part, mention the findings with figure numbers when compared with previous studies.</p>
            <p> 11) Add the conclusion part to the manuscript.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>No</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Ethnopharmacology and Natural Product Chemistry</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment11187-245655">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Ilan</surname>
                            <given-names>Yaron</given-names>
                        </name>
                        <aff>Hadassah-University Medical Center, Israel</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>None</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>1</day>
                    <month>3</month>
                    <year>2024</year>
                </pub-date>
            </front-stub>
            <body>
                <p>
                    <bold>Response to reviewers</bold> 
                    <list list-type="order">
                        <list-item>
                            <p>
                                <italic>The Abstract's Results section is unclear, as it merely presents outcomes without clearly articulating the determination process as stated.</italic>
                            </p>
                        </list-item>
                    </list> 
                    <bold>Response:</bold> The paragraph was rewritten for improved clarity.</p>
                <p> </p>
                <p> 
                    <italic>2)&#x00a0;Reconstruct the Conclusion section of the Abstract to align with your findings.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> We accepted the comment, and the paragraph was revised.</p>
                <p> </p>
                <p> 
                    <italic>3) Add the complete abbreviations as mentioned in the manuscript.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> Corrected</p>
                <p> </p>
                <p> 
                    <italic>4) Major revisions are needed in the Introduction section to justify the aspects of your study adequately.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> The 
                    <italic>Introduction</italic> section was revised for improved clarity.</p>
                <p> </p>
                <p> 
                    <italic>5) Why n=4 in animals groupings, instead of n=6 Justify.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> The study design determined the number of animals to enable significance. We have revised the relevant section for improved accuracy.</p>
                <p> </p>
                <p> 
                    <italic>6) Insert a graphical representation of the research protocol with the grouping of animals and day-wise plan.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> We have revised Table 1 and added Table 2 with a graphical representation of the research protocol as suggested.</p>
                <p> </p>
                <p> 
                    <italic>7) Cross-check the sequence of references in the manuscript.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> Corrected.</p>
                <p> </p>
                <p> 
                    <italic>8) Why was SPSS used instead of GraphPad Prism?</italic>
                </p>
                <p> 
                    <bold>Response:</bold> The method was recommended by one of the reviewers.</p>
                <p> </p>
                <p> 
                    <italic>9) Regenerate the figures to include standard deviation (SD), standard error of the mean (SEM), degrees of freedom (Df) values, comparisons among all groups, and R-squared values for a clearer understanding of the results.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> A new set of figures is included with the SD. We have revised the relevant paragraphs in the results to include the statistical data.</p>
                <p> </p>
                <p> 
                    <italic>10) In the discussion part, mention the findings with figure numbers when compared with previous studies.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> Corrected as suggested.</p>
                <p> </p>
                <p> 
                    <italic>11) Add the conclusion part to the manuscript.</italic>
                </p>
                <p> 
                    <bold>Response:</bold> A conclusion section was added as suggested.</p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report210454">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.156314.r210454</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Mukherjee</surname>
                        <given-names>Suprabhat</given-names>
                    </name>
                    <xref ref-type="aff" rid="r210454a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-5709-9190</uri>
                </contrib>
                <aff id="r210454a1">
                    <label>1</label>Integrative Biochemistry &amp; Immunology Laboratory, Department of Animal Science, Kazi Nazrul University, Asansol, West Bengal, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>6</day>
                <month>10</month>
                <year>2023</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2023 Mukherjee S</copyright-statement>
                <copyright-year>2023</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport210454" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.54487.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>Authors have addressed all the queries.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>NA</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report197558">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.57980.r197558</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Das</surname>
                        <given-names>Biswadeep</given-names>
                    </name>
                    <xref ref-type="aff" rid="r197558a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r197558a1">
                    <label>1</label>School&#x00a0;of&#x00a0;Biotechnology,&#x00a0;Kalinga&#x00a0;Institute&#x00a0;of&#x00a0;Industrial&#x00a0;Technology, KIIT&#x00a0;Deemed&#x00a0;to&#x00a0;Be&#x00a0;University, Bhubaneswar, Odisha, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>11</day>
                <month>9</month>
                <year>2023</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2023 Das B</copyright-statement>
                <copyright-year>2023</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport197558" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.54487.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The manuscript depicts the correlation of different components of the immune system in fasting and splenectomy scenarios. Though the topic is moderately interesting, and in context to metabolism and immune system cross-talk, the overall manuscript and the methods are inadequate to justify its claims.</p>
            <p> </p>
            <p> Major&#x00a0; issues: 
                <list list-type="order">
                    <list-item>
                        <p>The introduction is too small and does not involve the rationale behind selecting such a research work. Need to elaborate significantly.</p>
                    </list-item>
                    <list-item>
                        <p>Methods are the major limitation: The selection of mice need to be well defined. Flow cytometry is very subtly written. The authors say that, "The following subsets were analyzed: CD4, CD25, CD4 CD25, Foxp3, CD4 Foxp3, CD4 CD25 Foxp3, CD4 CD25 Foxp3, CD8, CD8 Foxp3, CD8 CD25, CD8 CD25 Foxp3, CD8 CD25 Foxp3, CD3, NK1.1, and CD3 NK1.1."</p>
                        <p> </p>
                        <p> However, this is just a random statement.&#x00a0;How to classify the different immune cells without using a backbone flow cytometry, LCA? First major classification need to be done, followed by subset analysis. Where are the raw files of flow cytometry? What about autofluorescence and compensation? How did u confirm the expression of these markers using experimental and instrumental controls?</p>
                    </list-item>
                    <list-item>
                        <p>Western blot need to be done to confirm the existence of the markers in the given population. It is missing.</p>
                    </list-item>
                </list> Results: 
                <list list-type="order">
                    <list-item>
                        <p>No flow cytometry graph or quadrant analysis. Just a mere bar diagram does not prove the analysis. Western blot has to be shown for all the markers as confirmed by flow cytometer.</p>
                    </list-item>
                </list> In view of these facts, I cant be more positive and have to opt for rejection, unless all these issues are addressed.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>No</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Biomedical genetics and diganostics</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment10237-197558">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Ilan</surname>
                            <given-names>Yaron</given-names>
                        </name>
                        <aff>Hadassah-University Medical Center, Israel</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>NA</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>17</day>
                    <month>9</month>
                    <year>2023</year>
                </pub-date>
            </front-stub>
            <body>
                <p>
                    <list list-type="order">
                        <list-item>
                            <p>The 
                                <italic>Introduction </italic>section was revised as proposed for better clarity. The relevant references were inserted.</p>
                        </list-item>
                        <list-item>
                            <p>A supplementary file is included with all the data of all experiments. The relevant section in the Methods was revised for better clarity.</p>
                        </list-item>
                        <list-item>
                            <p>Western blots were not conducted in the present study and are subject to future studies.</p>
                        </list-item>
                        <list-item>
                            <p>The data of all studies is included in the supplementary file. The graphs were not included as multiple analyses were conducted in these experiments.</p>
                        </list-item>
                    </list>
                </p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report144783">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.57980.r144783</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Mukherjee</surname>
                        <given-names>Suprabhat</given-names>
                    </name>
                    <xref ref-type="aff" rid="r144783a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-5709-9190</uri>
                </contrib>
                <aff id="r144783a1">
                    <label>1</label>Integrative Biochemistry &amp; Immunology Laboratory, Department of Animal Science, Kazi Nazrul University, Asansol, West Bengal, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>2</day>
                <month>9</month>
                <year>2022</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2022 Mukherjee S</copyright-statement>
                <copyright-year>2022</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport144783" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.54487.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>
                <list list-type="bullet">
                    <list-item>
                        <p>Approval/reference number of the meeting of the Institutional Animal Ethics Committee for the Mice related experiments is required.</p>
                    </list-item>
                    <list-item>
                        <p>Figures need to be revised.</p>
                    </list-item>
                    <list-item>
                        <p>Names of the cytokines should be formatted correctly.</p>
                    </list-item>
                    <list-item>
                        <p>Please perform ANOVA following a post-hoc test to test the difference amongst the cytokine level.</p>
                    </list-item>
                    <list-item>
                        <p>Immunofluorescence data may be added to strengthen the data of FACS and ELISA.</p>
                    </list-item>
                </list> These changes are necessary to improve the manuscript.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Immunology of Inflammatory and Infectious diseases</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment10236-144783">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Ilan</surname>
                            <given-names>Yaron</given-names>
                        </name>
                        <aff>Hadassah-University Medical Center, Israel</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>NA</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>17</day>
                    <month>9</month>
                    <year>2023</year>
                </pub-date>
            </front-stub>
            <body>
                <p>
                    <list list-type="order">
                        <list-item>
                            <p>Approval details were added.</p>
                        </list-item>
                        <list-item>
                            <p>All figures were replaced with a more explicit version.</p>
                        </list-item>
                        <list-item>
                            <p>Corrected.</p>
                        </list-item>
                        <list-item>
                            <p>The Mann-Whitney SPSS test (software version 1.0) was used for revised statistical analysis.</p>
                        </list-item>
                        <list-item>
                            <p>These were not performed in the current study and are subject to future experiments.</p>
                        </list-item>
                    </list>
                </p>
            </body>
        </sub-article>
    </sub-article>
</article>
