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Institut für Systemimmunologie

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  • Kastenmüller, Wolfgang (2)
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Individualized versus standardized risk assessment in patients at high risk for adverse drug reactions (the IDrug randomized controlled trial) – never change a running system? (2021)
Just, Katja S. ; Scholl, Catharina ; Boehme, Miriam ; Kastenmüller, Kathrin ; Just, Johannes M. ; Bleckwenn, Markus ; Holdenrieder, Stefan ; Meier, Florian ; Weckbecker, Klaus ; Stingl, Julia C.
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.
Lymph node heterogeneity is imprinted by unconventional T cells that are organized in functional units (2022)
Knöpper, Konrad
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.
A multifunctional mouse model to study the role of Samd3 (2022)
Peters, Annika E. ; Knöpper, Konrad ; Grafen, Anika ; Kastenmüller, Wolfgang
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.
Translation of collagen ultrastructure to biomaterial fabrication for material-independent but highly efficient topographic immunomodulation (2021)
Ryma, Matthias ; Tylek, Tina ; Liebscher, Julia ; Blum, Carina ; Fernandez, Robin ; Böhm, Christoph ; Kastenmüller, Wolfgang ; Gasteiger, Georg ; Groll, Jürgen
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.
Maternal asthma is associated with persistent changes in allergic offspring antibody glycosylation (2020)
Sodemann, Elisa B. ; Dähling, Sabrina ; Klopfleisch, Robert ; Boiarina, Ekaterina ; Cataldo, Didier ; Alhasan, Moumen M. ; Yildirim, Ali Ö. ; Witzenrath, Martin ; Tabeling, Christoph ; Conrad, Melanie L.
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.
dPGS Regulates the Phenotype of Macrophages via Metabolic Switching (2019)
Wu, Hao ; Reimann, Sabine ; Siddiqui, Sophiya ; Haag, Rainer ; Siegmund, Britta ; Dernedde, Jens ; Glauben, Rainer
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.
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