TY - JOUR A1 - Jodeleit, Henrika A1 - Palamides, Pia A1 - Beigel, Florian A1 - Mueller, Thomas A1 - Wolf, Eckhard A1 - Siebeck, Matthias A1 - Gropp, Roswitha T1 - Design and validation of a disease network of inflammatory processes in the NSG-UC mouse model JF - Journal of Translational Medicine N2 - Background: Ulcerative colitis (UC) is a highly progressive inflammatory disease that requires the interaction of epithelial, immune, endothelial and muscle cells and fibroblasts. Previous studies suggested two inflammatory conditions in UC-patients: ‘acute’ and ‘remodeling’ and that the design of a disease network might improve the understanding of the inflammatory processes. The objective of the study was to design and validate a disease network in the NOD-SCID IL2rγ\(^{null}\) (NSG)-UC mouse model to get a better understanding of the inflammatory processes. Methods: Leukocytes were isolated from the spleen of NSG-UC mice and subjected to flow cytometric analysis. RT-PCR and RNAseq analysis were performed from distal parts of the colon. Based on these analyses and the effects of interleukins, chemokines and growth factors described in the literature, a disease network was designed. To validate the disease network the effect of infliximab and pitrakinra was tested in the NSG-UC model. A clinical- and histological score, frequencies of human leukocytes isolated from spleen and mRNA expression levels from distal parts of the colon were determined. Results: Analysis of leukocytes isolated from the spleen of challenged NSG-UC mice corroborated CD64, CD163 and CD1a expressing CD14+ monocytes, CD1a expressing CD11b+ macrophages and HGF, TARC, IFNγ and TGFß1 mRNA as inflammatory markers. The disease network suggested that a proinflammatory condition elicited by IL-17c and lipids and relayed by cytotoxic T-cells, Th17 cells and CD1a expressing macrophages and monocytes. Conversely, the remodeling condition was evoked by IL-34 and TARC and promoted by Th2 cells and M2 monocytes. Mice benefitted from treatment with infliximab as indicated by the histological- and clinical score. As predicted by the disease network infliximab reduced the proinflammatory response by suppressing M1 monocytes and CD1a expressing monocytes and macrophages and decreased levels of IFNγ, TARC and HGF mRNA. As predicted by the disease network inflammation aggravated in the presence of pitrakinra as indicated by the clinical and histological score, elevated frequencies of CD1a expressing macrophages and TNFα and IFNγ mRNA levels. Conclusions: The combination of the disease network and the NSG-UC animal model might be developed into a powerful tool to predict efficacy or in-efficacy and potential mechanistic side effects. KW - Autoimmunity KW - Disease network KW - Inflammatory bowel disease KW - NSG KW - NSG-UC KW - Ulcerative colitis Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-225516 VL - 15 ER - TY - JOUR A1 - Kleist, Christian A1 - Mohr, Elisabeth A1 - Gaikwad, Sadanand A1 - Dittmar, Laura A1 - Kuerten, Stefanie A1 - Platten, Michael A1 - Mier, Walter A1 - Schmitt, Michael A1 - Opelz, Gerhard A1 - Terness, Peter T1 - Autoantigen-specific immunosuppression with tolerogenic peripheral blood cells prevents relapses in a mouse model of relapsing-remitting multiple sclerosis JF - Journal of Translational Medicine N2 - Background: Dendritic cells (DCs) rendered suppressive by treatment with mitomycin C and loaded with the autoantigen myelin basic protein demonstrated earlier their ability to prevent experimental autoimmune encephalomyelitis (EAE), the animal model for multiple sclerosis (MS). This provides an approach for prophylactic vaccination against autoimmune diseases. For clinical application such DCs are difficult to generate and autoantigens hold the risk of exacerbating the disease. Methods: We replaced DCs by peripheral mononuclear cells and myelin autoantigens by glatiramer acetate (Copaxone ®), a drug approved for the treatment of MS. Spleen cells were loaded with Copaxone®, incubated with mitomycin C (MICCop) and injected into mice after the first bout of relapsing-remitting EAE. Immunosuppression mediated by MICCop was investigated in vivo by daily assessment of clinical signs of paralysis and in in vitro restimulation assays of peripheral immune cells. Cytokine profiling was performed by enzyme-linked immunosorbent assay (ELISA). Migration of MICCop cells after injection was examined by biodistribution analysis of 111Indium-labelled MICCop. The number and inhibitory activity of CD4+CD25+FoxP3+ regulatory T cells were analysed by histology, flow cytometry and in vitro mixed lymphocyte cultures. In order to assess the specificity of MICCop-induced suppression, treated EAE mice were challenged with the control protein ovalbumin. Humoral and cellular immune responses were then determined by ELISA and in vitro antigen restimulation assay. Results: MICCop cells were able to inhibit the harmful autoreactive T-cell response and prevented mice from further relapses without affecting general immune responses. Administered MICCop migrated to various organs leading to an increased infiltration of the spleen and the central nervous system with CD4+CD25+FoxP3+ cells displaying a suppressive cytokine profile and inhibiting T-cell responses. Conclusion: We describe a clinically applicable cell therapeutic approach for controlling relapses in autoimmune encephalomyelitis by specifically silencing the deleterious autoimmune response. KW - Autoimmunity KW - Cell therapy KW - Copaxone® KW - Immune tolerance KW - Mitomycin C KW - Relapsing-remitting MS KW - Regulatory T cells Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-165787 VL - 14 IS - 99 ER - TY - THES A1 - Börner, Kevin T1 - How CLEC16A modifies the function of thymic epithelial cells T1 - Wie CLEC16A die Funktion von Thymus-Epithelzellen beeinflusst N2 - Genomweite Assoziationsstudien haben CLEC16A als ein Suszeptibilitätsgen für Typ 1 Diabetes und weitere Autoimmunerkrankungen identifiziert. Die genaue Funktion von CLEC16A bleibt jedoch ungeklärt. Studien zeigten, dass sowohl das Drosophila Ortholog ema als auch das murine Clec16a eine Rolle in Autophagie spielen. Autophagie trägt zur Beladung der MHC-Klasse-II Moleküle und somit der Antigenpräsentation bei. Darüber hinaus konnten Studien belegen, dass Autophagie zur Antigenpräsentation während der T-Zell Selektion in Thymus-Epithelzellen benötigt wird. Dies schlägt eine mögliche Funktion von CLEC16A in Thymus-Epithelzellen während der T-Zell Selektion vor. Außerdem berichteten Arbeiten, dass CLEC16A als quantitativer Trait Locus für seine Nachbargene fungiert und dass Clec16a KD in Langerhans Inseln im Pankreas die Insulinsekretion und den Glukosestoffwechsel beeinträchtigt. Dieser Arbeit vorausgehend hatten Schuster et al. eine Clec16a KD NOD Maus generiert, welche vor spontanem autoimmunem Diabetes geschützt war. Für diese Arbeit wurde vermutet, dass CLEC16A als Suszeptibilitätsgen für Typ 1 Diabetes den Prozess der Autophagie in Thymus-Epithelzellen beeinträchtigt und somit Antigenpräsentation und das T-Zell Repertoire beeinflusst. Um auf der Vorarbeit von Schuster et al. aufzubauen und diese zu ergänzen, zielte diese Arbeit darauf ab, den Einfluss von CLEC16A auf Thymus-Epithelzellen zu untersuchen. Hierfür wurde ein CLEC16A KD in menschlichen Zellen mittels RNA Interferenz erzeugt und Autophagie durch Immunoblotting untersucht. Zusätzlich wurde die Entzündung im Pankreasgewebe von Clec16a KD NOD Mäusen mittels H.E. Färbung beurteilt und bewertet. Thymus-Transplanationen wurden durchgeführt, um zu sehen, ob der Einfluss von Clec16a KD T-Zell intrinsisch ist. Außerdem wurden intraperitoneale Glukosetoleranztests durchgeführt, um den Blutzuckerstoffwechsel in Clec16a KD Mäusen zu beurteilen. Schließlich wurden mittels qPCR Expressionslevel der benachbarten Gene, wie zum Beispiel Dexi und Socs1, erhoben, um die Eigenschaften von CLEC16A als quantitativer Trait Locus einzuordnen. Gemeinsam mit den Ergebnissen von Schuster et al. kann diese Arbeit aufzeigen, dass Clec16a KD die Ausprägung von Insulitis im Pankreas reduziert und Clec16a KD NOD Mäuse vor spontanem Autoimmundiabetes schützt. Dieser Schutz vor Erkrankung wird durch beeinträchtigte Autophagie in Thymus-Epithelzellen hervorgerufen, welche die T-Zell Selektion beeinflusst und die Reaktivität von T-Zellen reduziert. Der Einfluss des Clec16a KD ist innerhalb des Thymus wirksam. Der Blutzuckerstoffwechsel in Clec16a KD NOD Mäusen bleibt unverändert und kann deshalb als Ursache für den Schutz vor Type 1 Diabetes ausgeschlossen werden. Clec16a und Dexi zeigen ähnliche Expressionslevel auf, dennoch benötigt es weitere detaillierte Studien, um eine Beziehung zwischen den beiden Genen etablieren zu können. Letztlich konnte die Beeinträchtigung von Autophagie in menschlichen CLEC16A KD Zellen nachgewiesen werden, was bedeutet, dass die Funktion von CLEC16A evolutionär konserviert ist und ein möglicher Zusammenhang zwischen CLEC16A Polymorphismen und einem erhöhten Risiko für Typ 1 Diabetes im Menschen besteht. N2 - Genome-wide association studies revealed CLEC16A as a candidate gene for Type 1 Diabetes and multiple other autoimmune disorders. The function of CLEC16A remains unknown. However, previous work showed that the CLEC16A ortholog ema and the murine Clec16a were both implicated in autophagy, a process partially required for MHC class II loading and antigen presentation. Furthermore, studies could show that autophagy was required in thymic epithelial cells for antigen presentation during T cell selection, suggesting a possible role of CLEC16A in T cell selection in the thymus. Additionally, it was postulated that CLEC16A may function as an expression quantitative trait locus for its neighboring genes and that Clec16a KD was involved in pancreatic islet function and impaired insulin secretion and glucose homeostasis. Prior to this work, Schuster et al. had created a Clec16a KD NOD mouse, which was protected from spontaneous autoimmune diabetes. For this work it was hypothesized that CLEC16A variation serves as a Type 1 Diabetes risk gene by affecting autophagy in thymic epithelial cells, which modulates antigen presentation and shapes the T cell repertoire. To expand and complement previous findings by Schuster et al., this thesis aimed to investigate how CLEC16A modifies the function of thymic epithelial cells. For this purpose, CLEC16A KD was induced in human cells via RNA interference and autophagy was studied through immunoblotting. Additionally, inflammation of pancreatic tissue in Clec16a KD NOD mice was scored using H.E. stained pancreatic sections. Thymic transplantation experiments were conducted to test whether the effects of Clec16a KD were T cell intrinsic. Also, intraperitoneal glucose tolerance tests were performed to study glucose homeostasis in Clec16a KD NOD animals. Finally, using qPCR, gene expression levels of neighboring genes such as Dexi and Socs1 were measured to study Clec16a as an expression quantitative trait locus. In combination with the findings of Schuster et al., this thesis demonstrates that Clec16a KD reduces the severity of insulitis and protects from onset of spontaneous diabetes in the NOD mouse. Disease protection is conveyed by impaired autophagy in TEC, which leads to altered T cell selection and hyporeactive CD4+ T cells. The effects of Clec16a KD in the NOD mouse are thymus intrinsic. Glucose homeostasis remains unchanged in the Clec16a KD NOD mouse and plays no role in disease protection. Clec16a and Dexi presented similar expression levels, but further studies are required to investigate a clear link between these two genes. Finally, impaired autophagy could be replicated in human CLEC16A KD cells, which demonstrates a conserved function of CLEC16A and suggests a possible link between CLEC16A variation and risk of autoimmune disease in human. KW - Thymus KW - Toleranz KW - Autoimmunität KW - Diabetes mellitus Typ 1 KW - Epithelzelle KW - CLEC16A KW - T cell selection KW - Antigen presentation KW - Autophagy KW - Autoimmunity KW - T Zell Selektion KW - Antigenpräsentation KW - Autophagie Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-200230 ER - TY - THES A1 - Herrero-González, Josep E. T1 - Pathogenic relevance of autoantibodies to type XVII collagen from pemphigoid gestationis patients T1 - Untersuchungen zur Pathogenität von Autoantikörpern gegen Typ XVII Kollagen von Patienten mit Pemphigoid gestationis N2 - Pemphigoid gestationis (PG) and bullous pemphigoid (BP) are subepidermal autoimmune blistering diseases characterized by self-reactive T and B cells specific for the transmembrane hemidesmosomal protein type XVII collagen/BP180. Major T and B cell epitopes are located within the immunodominant 16th non-collagenous domain A (NC16A) of type XVII collagen. It has been suggested that pathogenically relevant autoantibodies also bind to this immunodominant region. The aim of this study was to map the epitopes targeted by blister-inducing human autoantibodies. For this purpose, we used an in vitro model of autoantibody-induced leucocyte-dependent dermal-epidermal separation. In contrast to the majority of patients with BP (7 of 10), preadsorption against a recombinant form of the NC16A region abolished the blister-inducing potential of autoantibodies from all PG patients tested (n=5). Using overlapping synthetic peptides, we demonstrate that PG autoantibodies bind to 2 defined epitopes within the NC16A region (aa 500-514 and aa 511-523). Preadsorption using an affinity matrix containing these two epitopes completely abolished dermal-epidermal separation induced by PG autoantibodies (in 8 of 9 patients). These findings provide new insights into the pathogenesis of pemphigoid diseases and should prove helpful for the development of an antigen-specific immunoadsorption therapy in PG. N2 - Pemphigoid gestationis (PG) und bullöses Pemphigoid (BP) sind subepidermal Blasen bildende Autoimmundermatosen, die durch autoreaktive T- und B-Zellen gegen das hemidesmosomale Transmembranprotein Kollagen Typ XVII / BP180 gekennzeichnet sind. Die Haupt T- und B-Zell Epitope liegen in der immundominanten, nicht-kollagenösen 16. Domäne A (NC16A) des Kollagen Typ XVII. Man ging davon aus, dass auch die pathogenen Autoantikörper gegen diese immundominante Region gerichtet sind. Das Ziel dieser Studie war es, die pathogenetisch relevanten Epitope beim PG zu kartieren. Hierfür wurde ein in vitro-Modell eingesetzt, in dem Autoantikörper Leukozyten-abhängig eine dermo-epidermale Spaltbildung induzieren. Im Gegensatz zu einem Großteil der Patienten mit BP (7 von 10) führte die Präadsorption gegen eine rekombinante Form der NC16A-Region zum Verlust des Blasen induzierenden Potentials aller untersuchten PG-Seren (n=5). Mithilfe überlappender synthetischer Peptide konnten wir zeigen, dass die Autoantikörper im Serum von PG Patienten an zwei definierte Epitope innerhalb der NC16A-Region (aa 500-514 und aa 511-523) binden. Die Präadsorption gegen eine Affinitätsmatrix, an die diese 2 Epitope gebunden waren, führte zum Verlust der dermo-epidermalen Spaltbildung durch PG-Autoantikörper (in 8 von 9 Patienten). Diese Ergebnisse geben weitere Einblicke in die Pathogenese der Pemphigoid-Erkrankungen und dürften zur Entwicklung Antigen-spezifischer Immunadsorptionstherapien des PG beitragen. KW - Autoimmunität KW - Autoantikörper KW - typ XVII Collagen KW - Blasen bildende Autoimmundermatosen KW - Pemphigoid gestationis KW - Autoimmunity KW - autoantibodies KW - type XVII collagen KW - autoimmune blistering diseases KW - pemphigoid gestationis Y1 - 2007 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-22329 ER -