TY - JOUR A1 - Just, Katja S. A1 - Scholl, Catharina A1 - Boehme, Miriam A1 - Kastenmüller, Kathrin A1 - Just, Johannes M. A1 - Bleckwenn, Markus A1 - Holdenrieder, Stefan A1 - Meier, Florian A1 - Weckbecker, Klaus A1 - Stingl, Julia C. T1 - Individualized versus standardized risk assessment in patients at high risk for adverse drug reactions (the IDrug randomized controlled trial) – never change a running system? JF - Pharmaceuticals N2 - The aim of this study was to compare effects of an individualized with a standardized risk assessment for adverse drug reactions to improve drug treatment with antithrombotic drugs in older adults. A randomized controlled trial was conducted in general practitioner (GP) offices. Patients aged 60 years and older, multi-morbid, taking antithrombotic drugs and at least one additional drug continuously were randomized to individualized and standardized risk assessment groups. Patients were followed up for nine months. A composite endpoint defined as at least one bleeding, thromboembolic event or death reported via a trigger list was used. Odds ratios (OR) and 95% confidence intervals (CI) were calculated. In total, N = 340 patients were enrolled from 43 GP offices. Patients in the individualized risk assessment group met the composite endpoint more often than in the standardized group (OR 1.63 [95%CI 1.02–2.63]) with multiple adjustments. The OR was higher in patients on phenprocoumon treatment (OR 1.99 [95%CI 1.05–3.76]), and not significant on DOAC treatment (OR 1.52 [95%CI 0.63–3.69]). Pharmacogenenetic variants of CYP2C9, 2C19 and VKORC1 were not observed to be associated with the composite endpoint. The results of this study may indicate that the time point for implementing individualized risk assessments is of importance. KW - adverse drug reactions KW - pharmacogenetics KW - pharmacogenomics KW - personalized medicine KW - phenprocoumon KW - DOACs KW - older adults KW - bleeding KW - thromboembolism Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-248557 SN - 1424-8247 VL - 14 IS - 10 ER - TY - JOUR A1 - Wu, Hao A1 - Reimann, Sabine A1 - Siddiqui, Sophiya A1 - Haag, Rainer A1 - Siegmund, Britta A1 - Dernedde, Jens A1 - Glauben, Rainer T1 - dPGS Regulates the Phenotype of Macrophages via Metabolic Switching JF - Macromolecular Bioscience N2 - The synthetic compound dendritic polyglycerol sulfate (dPGS) is a pleiotropic acting molecule but shows a high binding affinity to immunological active molecules as L‐/P‐selectin or complement proteins leading to well described anti‐inflammatory properties in various mouse models. In order to make a comprehensive evaluation of the direct effect on the innate immune system, macrophage polarization is analyzed in the presence of dPGS on a phenotypic but also metabolic level. dPGS administered macrophages show a significant increase of MCP1 production paralleled by a reduction of IL‐10 secretion. Metabolic analysis reveals that dPGS could potently enhance the glycolysis and mitochondrial respiration in M0 macrophages as well as decrease the mitochondrial respiration of M2 macrophages. In summary the data indicate that dPGS polarizes macrophages into a pro‐inflammatory phenotype in a metabolic pathway‐dependent manner. KW - infection KW - macrophage polarization KW - MCP1 KW - metabolic switch KW - polyglycerol sulfates Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-212711 VL - 19 IS - 12 ER - TY - THES A1 - Knöpper, Konrad T1 - Lymph node heterogeneity is imprinted by unconventional T cells that are organized in functional units T1 - Lymphknoten Heterogenität ist durch unkonventionelle T Zellen reguliert, welche in funktionellen Einheiten organisiert sind N2 - The immune system has the function to defend organisms against a variety of pathogens and malignancies. To perform this task, different parts of the immune system work in concert and influence each other to balance and optimize its functional output upon activation. One aspect that determines this output and ultimately the outcome of the infection is the tissue context in which the activation takes place. As such, it has been shown that dendritic cells can relay information from the infection sites to draining lymph nodes. This way, the ensuing adaptive immune response that is initiated by dendritic cells, is optimized to the tissue context in which the infection needs to be cleared. Here, we set out to investigate whether unconventional T cells (UTC) could have a similar function in directing a site-specific immune response. Using flow cytometry, scRNA-sequencing and functional assays we demonstrated that UTC indeed drive a characteristic immune response in lymph nodes depending on the drained tissues. This function of UTC was directly connected to their lymphatic migration from tissues to draining lymph nodes reminiscent of dendritic cells. Besides these tissue-derived UTC that migrated via the lymph, we further identified circulatory UTC that migrated between lymph nodes via the blood. Functional characterization of UTC following bacterial infection in wt and single TCR-based lineage deficient mice that lacked subgroups of UTC further revealed that both tissue-derived and circulatory UTC were organized in functional units independent of their TCR-based lineage-affiliation (MAIT, NKT, gd T cells). Specific reporter mouse models revealed that UTC within the same functional unit were also located in the same microanatomical areas of lymph nodes, further supporting their shared function. Our data show that the numbers and function of UTC were compensated in single TCR-based lineage deficient mice that lacked subgroups of UTC. Taken together, our results characterize the transcriptional landscape and migrational behavior of UTC in different lymph nodes. UTC contribute to a functional heterogeneity of lymph nodes, which in turn guides optimized, site-specific immune responses. Additionally, we propose the classification of UTC within functional units independent of their TCR-based lineage. These results add significantly to our understanding of UTC biology and have direct clinical implications. We hope that our data will guide targeted vaccination approaches and cell-based therapies to optimize immune responses against pathogens and cancer. N2 - Das Immunsystem verteidigt den Host gegen eine Vielzahl an Pathogenen und malignen Transformationen. Um diese Aufgabe effizient zu erfüllen, arbeiten verschiedene Bereiche des Immunsystems zusammen, um bei Aktivierung optimal zu funktionieren. Einen potenziellen Einfluss auf die Immunantwort hat der Kontext, in dem die Aktivierung stattfindet. Es konnte gezeigt werden, dass dendritische Zellen Informationen von der Infektionsstelle im Gewebe zum drainierenden Lymphknoten transportieren. Auf diese Weise kann die adaptive Immunantwort, initiiert von den dendritischen Zellen, auf die Situation im Gewebe optimiert werden, um die Infektion zu bekämpfen. In dieser Arbeit wollten wir die Rolle der unkonventionellen T Zellen (UTC) in der Generierung der Ortsspezifischen Immunantwort untersuchen. Unter Verwendung von Durchflusszytometry, Einzelzell-RNS Sequenzierung und funktioneller Analyse Methoden, konnten wir zeigen, dass diese Zellen eine Lymphknoten-spezifische Immunantwort generieren, die vom drainierenden Gewebe abhängt. Diese Eigenschaft der UTC war direkt mit ihrer Fähigkeit geknüpft, wie dendritische Zellen vom Gewebe zu den Lymphknoten zu wandern. Neben dieser Gewebe-abstammenden UTC Population konnten wir auch eine im Blut zirkulierende Gruppe identifizieren. Während der Analyse dieser Zellen in bakterieller Infektion von wild typ und einzelnen TCR Identität-defizienten Mäusen stellte sich heraus, dass sie als funktionelle Einheiten agieren, unabhängig von ihrer TCR-basierten Identität (MAIT, NKT,  T Zellen). Mit spezifischen Reporter Maus Linien konnten wir zeigen, dass sich UTC in spezifischen mikroanatomischen Nischen in Lymphknoten befinden, was eine überlappende Funktion andeutet. Außerdem war die Anzahl und Funktion der UTC kompensiert in einzelnen TCR Identität-defizienten Mäusen. Zusammenfasst charakterisieren unsere Ergebnisse das Transkriptionsprofil und Migrations-verhalten der UTC in verschiedenen Lymphknoten. Wir zeigen, dass UTC zum Teil für die Lymphknoten spezifische Unterschiede verantwortlich sind und damit eine spezifische, optimierte Immunantwort steuern. Diese Ergebnisse erweitern unser Wissen über die Biologie von UTC signifikant und haben direkte klinische Relevanz. Auf der Basis dieses Wissens können neue Impfansätze oder Zelltherapie Strategien genauer designend werden. KW - unconventional T cells Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-296949 ER - TY - JOUR A1 - Ryma, Matthias A1 - Tylek, Tina A1 - Liebscher, Julia A1 - Blum, Carina A1 - Fernandez, Robin A1 - Böhm, Christoph A1 - Kastenmüller, Wolfgang A1 - Gasteiger, Georg A1 - Groll, Jürgen T1 - Translation of collagen ultrastructure to biomaterial fabrication for material-independent but highly efficient topographic immunomodulation JF - Advanced materials N2 - Supplement-free induction of cellular differentiation and polarization solely through the topography of materials is an auspicious strategy but has so far significantly lagged behind the efficiency and intensity of media-supplementation-based protocols. Consistent with the idea that 3D structural motifs in the extracellular matrix possess immunomodulatory capacity as part of the natural healing process, it is found in this study that human-monocyte-derived macrophages show a strong M2a-like prohealing polarization when cultured on type I rat-tail collagen fibers but not on collagen I films. Therefore, it is hypothesized that highly aligned nanofibrils also of synthetic polymers, if packed into larger bundles in 3D topographical biomimetic similarity to native collagen I, would induce a localized macrophage polarization. For the automated fabrication of such bundles in a 3D printing manner, the strategy of “melt electrofibrillation” is pioneered by the integration of flow-directed polymer phase separation into melt electrowriting and subsequent selective dissolution of the matrix polymer postprocessing. This process yields nanofiber bundles with a remarkable structural similarity to native collagen I fibers, particularly for medical-grade poly(ε-caprolactone). These biomimetic fibrillar structures indeed induce a pronounced elongation of human-monocyte-derived macrophages and unprecedentedly trigger their M2-like polarization similar in efficacy as interleukin-4 treatment. KW - biofabrication KW - extracellular matrix KW - immunomodulation KW - macrophages KW - melt electrofibrillation KW - melt electrowriting Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-256381 VL - 33 IS - 33 ER - TY - JOUR A1 - Sodemann, Elisa B. A1 - Dähling, Sabrina A1 - Klopfleisch, Robert A1 - Boiarina, Ekaterina A1 - Cataldo, Didier A1 - Alhasan, Moumen M. A1 - Yildirim, Ali Ö. A1 - Witzenrath, Martin A1 - Tabeling, Christoph A1 - Conrad, Melanie L. T1 - Maternal asthma is associated with persistent changes in allergic offspring antibody glycosylation JF - Clinical & Experimental Allergy N2 - Background Maternal asthma during pregnancy is considered an environmental risk factor for asthma development in children. Immunoglobulin G (IgG) antibodies that are transferred from the mother to the fetus are known to act in a pro‐ or anti‐inflammatory manner depending on their glycosylation status. Objective Using a mouse model, we examined how maternal allergic airway inflammation during pregnancy influenced offspring experimental asthma severity, as well as maternal and offspring serum IgG antibody glycosylation patterns. Additionally, the effects of maternal and offspring exposure to the same or different allergens were investigated. Methods Female mice were either sham sensitized or sensitized to casein (CAS) or ovalbumin (OVA) before mating. Subsequently, allergic lung inflammation was induced in pregnant dams via aerosol allergen challenge (sham, CAS or OVA). After weaning, pups were subjected to an experimental asthma protocol using OVA. Asn‐297 IgG glycosylation was analysed in maternal and offspring serum. Results When mothers and offspring were sensitized to the same allergen (OVA‐OVA), offspring had more severe experimental asthma. This was evidenced by altered antibody concentrations, increased bronchoalveolar lavage inflammatory cell influx and decreased lung tissue and lung draining lymph node regulatory T cell percentages. When mothers and offspring were sensitized to different allergens (CAS‐OVA), this phenotype was no longer observed. Additionally, maternal serum from allergic mothers had significantly higher levels of pro‐inflammatory IgG1, shown by decreased galactosylation and sialylation at the Asn‐297 glycosylation site. Similar glycosylation patterns were observed in the serum of adult allergic offspring from allergic mothers. Conclusions and Clinical Relevance We observed a strong association between maternal experimental asthma during pregnancy, increased offspring airway inflammation and pro‐inflammatory IgG glycosylation patterns in mothers and offspring. IgG glycosylation is not a standard measurement in the clinical setting, and we argue that it may be an important parameter to include in future clinical studies. KW - allergic airway inflammation KW - asthma risk KW - IgG glycosylation KW - maternal asthma KW - pregnancy KW - sialylation Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-214071 VL - 50 IS - 4 SP - 520 EP - 531 ER - TY - JOUR A1 - Peters, Annika E. A1 - Knöpper, Konrad A1 - Grafen, Anika A1 - Kastenmüller, Wolfgang T1 - A multifunctional mouse model to study the role of Samd3 JF - European Journal of Immunology N2 - The capacity to develop immunological memory is a hallmark of the adaptive immune system. To investigate the role of Samd3 for cellular immune responses and memory development, we generated a conditional knock-out mouse including a fluorescent reporter and a huDTR cassette for conditional depletion of Samd3-expressing cells. Samd3 expression was observed in NK cells and CD8 T cells, which are known for their specific function against intracellular pathogens like viruses. After acute viral infections, Samd3 expression was enriched within memory precursor cells and the frequency of Samd3-expressing cells increased during the progression into the memory phase. Similarly, during chronic viral infections, Samd3 expression was predominantly detected within precursors of exhausted CD8 T cells that are critical for viral control. At the functional level however, Samd3-deficient CD8 T cells were not compromised in the context of acute infection with Vaccinia virus or chronic infection with Lymphocytic choriomeningitis virus. Taken together, we describe a novel multifunctional mouse model to study the role of Samd3 and Samd3-expressing cells. We found that Samd3 is specifically expressed in NK cells, memory CD8 T cells, and precursor exhausted T cells during viral infections, while the molecular function of this enigmatic gene remains further unresolved. KW - viral infection KW - CD8 T cell KW - mouse model KW - NK cell KW - SAMD3 Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-257362 VL - 52 IS - 2 ER - TY - JOUR A1 - Jost, Priska A1 - Klein, Franziska A1 - Brand, Benjamin A1 - Wahl, Vanessa A1 - Wyatt, Amanda A1 - Yildiz, Daniela A1 - Boehm, Ulrich A1 - Niemeyer, Barbara A. A1 - Vaeth, Martin A1 - Alansary, Dalia T1 - Acute downregulation but not genetic ablation of murine MCU impairs suppressive capacity of regulatory CD4 T cells JF - International Journal of Molecular Sciences N2 - By virtue of mitochondrial control of energy production, reactive oxygen species (ROS) generation, and maintenance of Ca\(^{2+}\) homeostasis, mitochondria play an essential role in modulating T cell function. The mitochondrial Ca\(^{2+}\) uniporter (MCU) is the pore-forming unit in the main protein complex mediating mitochondrial Ca\(^{2+}\) uptake. Recently, MCU has been shown to modulate Ca\(^{2+}\) signals at subcellular organellar interfaces, thus fine-tuning NFAT translocation and T cell activation. The mechanisms underlying this modulation and whether MCU has additional T cell subpopulation-specific effects remain elusive. However, mice with germline or tissue-specific ablation of Mcu did not show impaired T cell responses in vitro or in vivo, indicating that ‘chronic’ loss of MCU can be functionally compensated in lymphocytes. The current work aimed to specifically investigate whether and how MCU influences the suppressive potential of regulatory CD4 T cells (Treg). We show that, in contrast to genetic ablation, acute siRNA-mediated downregulation of Mcu in murine Tregs results in a significant reduction both in mitochondrial Ca\(^{2+}\) uptake and in the suppressive capacity of Tregs, while the ratios of Treg subpopulations and the expression of hallmark transcription factors were not affected. These findings suggest that permanent genetic inactivation of MCU may result in compensatory adaptive mechanisms, masking the effects on the suppressive capacity of Tregs. KW - mitochondrial calcium uniporter KW - regulatory T cells KW - suppressive capacity Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-313621 SN - 1422-0067 VL - 24 IS - 9 ER - TY - THES A1 - Rüttger, Lennart T1 - Regulatory T cells limit antiviral CD8 T cell responses through IL-2 competition T1 - Regulatorische T-Zellen limitieren antivirale CD8 T-Zellantworten durch IL-2 Konkurrenz N2 - Regulatory T cells (Treg) are critical immune cells to ensure immune homeostasis. Treg do so by establishing tolerance to self-antigens as well as food-derived antigens. Additionally, they fine-tune immune responses to limit the damage caused by inevitable inflammation during the resolution of an ongoing infection or anti-tumor response. Despite countless efforts to gain a detailed understanding of the mechanisms Treg utilize to regulate adaptive immune responses, in vivo evidence is rather limited. We were interested in the cell-cell interactions of Treg and their spatio-temporal dynamics during a viral infection. We sought to address Interleukin-2 (IL-2) competition as a viable mechanism to control anti-viral CD8 T cell responses. We used intra-vital 2-photon imaging to analyze the interactions between Treg and activated T cells during viral infection. Additionally, we performed multiple loss- and gain-of-function experiments, addressing the IL-2 active signaling of CD8, CD4, and regulatory T cells to understand the competitive sensing of IL-2. Finally, we performed single-cell RNA sequencing to understand the cell-intrinsic differences in Treg caused by infection. We found that IL-2 competition by Treg limits the CD8 T cell response and can alter the differentiation of CD8 T cells. Furthermore, we show that Treg do not arrest in proximity to CD8 T cells for prolonged periods and therefore are unlikely to regulate CD8 T cells via contact-dependent mechanisms previously proposed. Our data support an area control model in which Treg scavenge IL-2 while actively migrating through the LN, constantly limiting access to IL-2. Establishing CD4 T cells as the major source of IL-2 during the later phases of infection, we provide direct evidence that Treg compete with CD8 T cells for CD4-derived IL-2. Finally, we show that IL-2 limitation is in correlation with CD25 expression levels and has an impact on the differentiation of CD8 T cells. Altering the differentiation of CD8 T cells to increase effector or memory functions has huge implications in clinical treatments, e.g ’checkpoint immunotherapy’. Especially in scenarios like checkpoint immunotherapy, where an efficient expansion of CD8 T cells is vital to the success of the treatment, it is invaluable to understand the spatio-temporal dynamics of Treg. Not only can the expansion phase be optimized, but also side effects can be better controlled by ensuring the adequate timing of treatments and boosting the anti-inflammatory response after the initial establishment of CD8 T cells. On top of this, the gained understanding of the regulatory mechanism of Treg can help to enhance the efficacy of autoimmune disorder treatments. Overall, this study addressed highly relevant questions in the Treg field and answered aspects of Treg regulation, refining their mode of action and the spatio-temporal dynamics during viral infection, providing evidence for IL-2 competition as a major regulatory mechanism controlling antiviral CD8 T cell responses. N2 - Regulatorische T Zellen (Treg) sind wichtige Immunzellen die der Aufrechterhaltung der Homöostase dienen. Sie induzieren tolerogene Immunantworten gegenüber Antigenen des eigenen Körpers und erlauben uns die Aufnahme von harmlosen ’Fremdantigenen’ aus unserer Nahrung, indem Sie unerwünschte Immunantworten unterdrücken. Zusätzlich ermöglichen Treg eine Feinabstimmung der adaptiven Immunantwort, indem sie die Entzündungsreaktion und die damit einhergehende Gewebeschädigung minimieren, zeitgleich aber die Expansion von Effektorzellen angepasst an das Infektionsgeschehen erlauben. So kann der Erreger schnellstmöglich bekämpft werden, ohne dass die Integrität des Gewebes beeinträchtigt wird und die Gewebefunktion aufrechterhalten werden kann. Viele wissenschaftliche Studien haben sich bereits mit den Regulationsmechanismen von Treg beschäftigt. Es werden heutzutage unzählige Mechanismen beschrieben, die in den meisten Fällen jedoch auf Ergebnissen aus Zellkulturexperimenten beruhen und somit häufig unzureichend belegt sind. Aus diesem Grund wollten wir sowohl das zeitliche als auch räumliche Verhalten von regulatorischen T Zellen im Laufe einer viralen Infektion genauer untersuchen und dabei vor allem Zell-Zell Interaktionen analysieren. Besonderes Augenmerk lag dabei auf dem zuvor beschriebenen Mechanismus der Interleukin-2 (IL-2) Konkurrenz. Dieser zeichnet sich dadurch aus, dass regulatorische T Zellen IL-2, ein wichtiges Zytokin für das Überleben von Effektorzellen, aufnehmen und somit die vorhandene Menge an IL-2 beeinflussen können. Dies geschieht in ständiger Konkurrenz zu Zellen der adaptiven Immunantwort. Wir haben Zell-Zell Interaktionen von Treg mit ihren potenziellen Konkurrenten mithilfe von intravitaler Mikroskopie, im Laufe einer viralen Infektion untersucht. Außerdem haben wir verschiedene ’gain’-und ’loss-of-function’ Experimente durchgeführt, um die IL-2 Konkurrenz zwischen CD8, CD4 und regulatorischen T Zellen besser verstehen zu können. Zusätzlich haben wir das Transkriptom von Treg in zwei verschiedenen Kontexten, Infektion und Homöostase, mittels einer Einzelzellanalyse miteinander verglichen. Wir konnten zeigen, dass Treg dazu in der Lage sind antivirale T Zellantworten allein durch IL-2 Konkurrenz zu modulieren. Hierbei wird nicht nur die Anzahl, sondern auch die Differenzierung von zytotoxischen T Zellen beeinflusst. Dabei haben wir festgestellt, dass Treg während der Immunantwort in Lymphknoten migratorisch aktiv bleiben und keine langen (> 15 min) Zell-Zell Interaktionen mit aktivierten CD8 T Zellen oder dendritischen Zellen eingehen. Dies deutet auf einen primär kontaktunabhängigen Regulationsmechanismus bei der Steuerung von antiviralen T Zellantworten hin. Abschließend konnten wir zeigen, dass CD8 T Zellen während ihrer Expansionsphase stark auf von CD4 T Zellen produziertes IL-2 angewiesen sind. CD4 T Zellen stellen in dieser Phase der Infektion die Hauptquelle von IL-2 dar. So können Treg den Zugang von CD8 T Zellen zu der Hauptquelle von IL-2 räumlich soweit begrenzen, dass dies die Expansion und Differenzierung der CD8 T Zellpopulation nachhaltig beeinflusst. Diese Studie beantwortet relevante Fragen zur Funktionsweise von regulatorischen T Zellen während einer viralen Infektion und zeigt vor allem die räumlichen und zeitlichen Komponenten der Regulation im Detail auf. Diese Studie zeigt, dass IL-2 Konkurrenz einen Hauptregulationsmechanismus von regulatorischen T Zellen darstellen und CD8 T Zellantworten unabhängig regulieren kann. Dies ermöglicht die (Weiter-)Entwicklung und Präzisierung von klinischen Anwendungen und Therapieansätzen zur Bekämpfung von Krebs- und Autoimmunerkrankungen. Besonders für die Expansion von zytotoxischen T Zellen, welche bei der ’Checkpoint’ Immuntherapie zur Behandlung von soliden Tumoren von besonderer Bedeutung ist, ist das Verständnis der Funktionsweise von regulatorischen T Zellen für den Erfolg der Behandlung entscheidend. KW - Regulatorischer T-Lymphozyt KW - Interleukin 2 KW - Treg KW - IL-2 Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-296747 ER -