1
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Rijvers L, van Langelaar J, Bogers L, Melief MJ, Koetzier SC, Blok KM, Wierenga-Wolf AF, de Vries HE, Rip J, Corneth OB, Hendriks RW, Grenningloh R, Boschert U, Smolders J, van Luijn MM. Human T-bet+ B cell development is associated with BTK activity and suppressed by evobrutinib. JCI Insight 2022; 7:160909. [PMID: 35852869 PMCID: PMC9462504 DOI: 10.1172/jci.insight.160909] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 07/14/2022] [Indexed: 11/17/2022] Open
Abstract
Recent clinical trials have shown promising results for the next-generation Bruton’s tyrosine kinase (BTK) inhibitor evobrutinib in the treatment of multiple sclerosis (MS). BTK has a central role in signaling pathways that govern the development of B cells. Whether and how BTK activity shapes B cells as key drivers of MS is currently unclear. Compared with levels of BTK protein, we found higher levels of phospho-BTK in ex vivo blood memory B cells from patients with relapsing-remitting MS and secondary progressive MS compared with controls. In these MS groups, BTK activity was induced to a lesser extent after anti-IgM stimulation. BTK positively correlated with CXCR3 expression, both of which were increased in blood B cells from clinical responders to natalizumab (anti–VLA-4 antibody) treatment. Under in vitro T follicular helper–like conditions, BTK phosphorylation was enhanced by T-bet–inducing stimuli, IFN-γ and CpG-ODN, while the expression of T-bet and T-bet–associated molecules CXCR3, CD21, and CD11c was affected by evobrutinib. Furthermore, evobrutinib interfered with in vitro class switching, as well as memory recall responses, and disturbed CXCL10-mediated migration of CXCR3+ switched B cells through human brain endothelial monolayers. These findings demonstrate a functional link between BTK activity and disease-relevant B cells and offer valuable insights into how next-generation BTK inhibitors could modulate the clinical course of patients with MS.
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Affiliation(s)
| | | | | | | | | | - Katelijn M. Blok
- Department of Neurology, MS Center ErasMS, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | | | - Helga E. de Vries
- Department of Molecular Cell Biology and Immunology, Amsterdam UMC, MS Center Amsterdam, Amsterdam Neuroscience, Amsterdam, Netherlands
| | | | - Odilia B.J. Corneth
- Department of Pulmonary Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Rudi W. Hendriks
- Department of Pulmonary Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
| | | | - Ursula Boschert
- Ares Trading SA, Eysins, Switzerland (an affiliate of Merck KGaA, Darmstadt, Germany)
| | - Joost Smolders
- Department of Immunology and
- Department of Neurology, MS Center ErasMS, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
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2
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Janssen M, Rijvers L, Koetzier SC, Wierenga-Wolf AF, Melief MJ, van Langelaar J, Runia TF, de Groot CJM, Neuteboom R, Smolders J, van Luijn MM. Pregnancy-induced effects on memory B-cell development in multiple sclerosis. Sci Rep 2021; 11:12126. [PMID: 34108575 PMCID: PMC8190290 DOI: 10.1038/s41598-021-91655-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 05/28/2021] [Indexed: 12/01/2022] Open
Abstract
In MS, pathogenic memory B cells infiltrate the brain and develop into antibody-secreting cells. Chemokine receptors not only define their brain-infiltrating capacity, but also assist in their maturation in germinal centers. How this corresponds to pregnancy, as a naturally occurring modifier of MS, is underexplored. Here, we aimed to study the impact of pregnancy on both ex vivo and in vitro B-cell differentiation in MS. The composition and outgrowth of peripheral B cells were compared between 19 MS pregnant patients and 12 healthy controls during the third trimester of pregnancy (low relapse risk) and postpartum (high relapse risk). Transitional, and not naive mature, B-cell frequencies were found to drop in the third trimester, which was most prominent in patients who experienced a pre-pregnancy relapse. Early after delivery, these frequencies raised again, while memory B -cell frequencies modestly declined. CXCR4 was downregulated and CXCR5, CXCR3 and CCR6 were upregulated on postpartum memory B cells, implying enhanced recruitment into germinal center light zones for interaction with T follicular helper (TFH) cells. Postpartum memory B cells of MS patients expressed higher levels of CCR6 and preferentially developed into plasma cells under TFH-like in vitro conditions. These findings imply that memory B- cell differentiation contributes to postpartum relapse risk in MS.
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Affiliation(s)
- Malou Janssen
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,Department of Neurology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Liza Rijvers
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Steven C Koetzier
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Annet F Wierenga-Wolf
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Marie-José Melief
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Jamie van Langelaar
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Tessel F Runia
- Department of Neurology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Christianne J M de Groot
- Department of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, VU Medical Center, Amsterdam, The Netherlands
| | - Rinze Neuteboom
- Department of Neurology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Joost Smolders
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands.,Department of Neurology, Erasmus MC, Rotterdam, The Netherlands.,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands
| | - Marvin M van Luijn
- Department of Immunology, Erasmus MC, Rotterdam, The Netherlands. .,MS Center ErasMS, Erasmus MC, Rotterdam, The Netherlands.
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3
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Janssen M, Bruijstens AL, van Langelaar J, Wong Y, Wierenga-Wolf AF, Melief MJ, Rijvers L, van Pelt ED, Smolders J, Wokke BH, van Luijn MM. Naive B cells in neuromyelitis optica spectrum disorders: impact of steroid use and relapses. Brain Commun 2020; 2:fcaa197. [PMID: 33305266 PMCID: PMC7714275 DOI: 10.1093/braincomms/fcaa197] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 10/14/2020] [Accepted: 10/16/2020] [Indexed: 12/19/2022] Open
Abstract
Neuromyelitis optica spectrum disorders are a group of rare, but severe autoimmune diseases characterized by inflammation of the optic nerve(s) and/or spinal cord. Although naive B cells are considered key players by escaping central tolerance checkpoints, it remains unclear how their composition and outgrowth differ in patients with neuromyelitis optica spectrum disorders. Under complete treatment-naive circumstances, we found that naive mature/transitional B-cell ratios were reduced in the blood of 10 patients with aquaporin-4 immunoglobulin G-positive disease (neuromyelitis optica spectrum disorders) as compared to 11 both age- and gender-matched healthy controls, eight patients with myelin oligodendrocyte glycoprotein-immunoglobulin G-associated disorders and 10 patients with multiple sclerosis. This was the result of increased proportions of transitional B cells, which were the highest in patients with neuromyelitis optica spectrum disorders with relapses and strongly diminished in a separate group of nine patients with neuromyelitis optica spectrum disorders and myelin oligodendrocyte glycoprotein-immunoglobulin G-associated disorders who received corticosteroid treatment. These findings need to be confirmed in longitudinal studies. For purified naive mature B cells of seven patients with neuromyelitis optica spectrum disorders and myelin oligodendrocyte glycoprotein-immunoglobulin G-associated disorders with relapses, Toll-like receptor 9 ligand synergized with interferon-γ to enhance plasmablast formation during germinal centre-like cultures. This was not seen for 11 patients without relapses and nine healthy controls. In the neuromyelitis optica spectrum disorders group, in vitro plasmablast formation corresponded to total and anti-aquaporin-4 immunoglobulin G secretion, of which the latter was found only for relapsing cases. These data indicate that naive B-cell homoeostasis is different and selectively targeted by corticosteroids in patients with neuromyelitis optica spectrum disorders. This also supports further exploration of naive B cells for their use in Toll-like receptor 9-dependent in vitro platforms in order to predict the activity of neuromyelitis optica spectrum disorders.
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Affiliation(s)
- Malou Janssen
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands.,Department of Neurology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GD, The Netherlands
| | - Arlette L Bruijstens
- Department of Neurology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GD, The Netherlands
| | - Jamie van Langelaar
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands
| | - YuYi Wong
- Department of Neurology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GD, The Netherlands
| | - Annet F Wierenga-Wolf
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands
| | - Marie-José Melief
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands
| | - Liza Rijvers
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands
| | - E Daniëlle van Pelt
- Department of Neurology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GD, The Netherlands
| | - Joost Smolders
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands.,Department of Neurology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GD, The Netherlands
| | - Beatrijs H Wokke
- Department of Neurology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GD, The Netherlands
| | - Marvin M van Luijn
- Department of Immunology, MS Center ErasMS, Erasmus MC, Rotterdam, 3015 GE, The Netherlands
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4
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Rijvers L, Melief MJ, van Langelaar J, van der Vuurst de Vries RM, Wierenga-Wolf AF, Koetzier SC, Priatel JJ, Jorritsma T, van Ham SM, Hintzen RQ, van Luijn MM. The Role of Autoimmunity-Related Gene CLEC16A in the B Cell Receptor-Mediated HLA Class II Pathway. J Immunol 2020; 205:945-956. [PMID: 32641384 DOI: 10.4049/jimmunol.1901409] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Accepted: 06/09/2020] [Indexed: 12/14/2022]
Abstract
C-type lectin CLEC16A is located next to CIITA, the master transcription factor of HLA class II (HLA-II), at a susceptibility locus for several autoimmune diseases, including multiple sclerosis (MS). We previously found that CLEC16A promotes the biogenesis of HLA-II peptide-loading compartments (MIICs) in myeloid cells. Given the emerging role of B cells as APCs in these diseases, in this study, we addressed whether and how CLEC16A is involved in the BCR-dependent HLA-II pathway. CLEC16A was coexpressed with surface class II-associated invariant chain peptides (CLIP) in human EBV-positive and not EBV-negative B cell lines. Stable knockdown of CLEC16A in EBV-positive Raji B cells resulted in an upregulation of surface HLA-DR and CD74 (invariant chain), whereas CLIP was slightly but significantly reduced. In addition, IgM-mediated Salmonella uptake was decreased, and MIICs were less clustered in CLEC16A-silenced Raji cells, implying that CLEC16A controls both HLA-DR/CD74 and BCR/Ag processing in MIICs. In primary B cells, CLEC16A was only induced under CLIP-stimulating conditions in vitro and was predominantly expressed in CLIPhigh naive populations. Finally, CLIP-loaded HLA-DR molecules were abnormally enriched, and coregulation with CLEC16A was abolished in blood B cells of patients who rapidly develop MS. These findings demonstrate that CLEC16A participates in the BCR-dependent HLA-II pathway in human B cells and that this regulation is impaired during MS disease onset. The abundance of CLIP already on naive B cells of MS patients may point to a chronically induced stage and a new mechanism underlying B cell-mediated autoimmune diseases such as MS.
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Affiliation(s)
- Liza Rijvers
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - Marie-José Melief
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - Jamie van Langelaar
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - Roos M van der Vuurst de Vries
- MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,Department of Neurology, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - Annet F Wierenga-Wolf
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - Steven C Koetzier
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - John J Priatel
- Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia V6T 1Z4, Canada.,BC Children's Hospital Research Institute, Vancouver, British Columbia V5Z 4H4, Canada; and
| | - Tineke Jorritsma
- Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam University Medical Center, University of Amsterdam, 1066 CX Amsterdam, the Netherlands
| | - S Marieke van Ham
- Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam University Medical Center, University of Amsterdam, 1066 CX Amsterdam, the Netherlands
| | - Rogier Q Hintzen
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands.,Department of Neurology, Erasmus MC, 3015 CN Rotterdam, the Netherlands
| | - Marvin M van Luijn
- Department of Immunology, Erasmus MC, 3015 CN Rotterdam, the Netherlands; .,MS Center ErasMS, Erasmus MC, 3015 CN Rotterdam, the Netherlands
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5
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van Langelaar J, Rijvers L, Smolders J, van Luijn MM. B and T Cells Driving Multiple Sclerosis: Identity, Mechanisms and Potential Triggers. Front Immunol 2020; 11:760. [PMID: 32457742 PMCID: PMC7225320 DOI: 10.3389/fimmu.2020.00760] [Citation(s) in RCA: 128] [Impact Index Per Article: 32.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 04/03/2020] [Indexed: 12/25/2022] Open
Abstract
Historically, multiple sclerosis (MS) has been viewed as being primarily driven by T cells. However, the effective use of anti-CD20 treatment now also reveals an important role for B cells in MS patients. The results from this treatment put forward T-cell activation rather than antibody production by B cells as a driving force behind MS. The main question of how their interaction provokes both B and T cells to infiltrate the CNS and cause local pathology remains to be answered. In this review, we highlight key pathogenic events involving B and T cells that most likely contribute to the pathogenesis of MS. These include (1) peripheral escape of B cells from T cell-mediated control, (2) interaction of pathogenic B and T cells in secondary lymph nodes, and (3) reactivation of B and T cells accumulating in the CNS. We will focus on the functional programs of CNS-infiltrating lymphocyte subsets in MS patients and discuss how these are defined by mechanisms such as antigen presentation, co-stimulation and cytokine production in the periphery. Furthermore, the potential impact of genetic variants and viral triggers on candidate subsets will be debated in the context of MS.
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Affiliation(s)
- Jamie van Langelaar
- Department of Immunology, MS Center ErasMS, Erasmus MC, University Medical Center, Rotterdam, Netherlands
| | - Liza Rijvers
- Department of Immunology, MS Center ErasMS, Erasmus MC, University Medical Center, Rotterdam, Netherlands
| | - Joost Smolders
- Department of Immunology, MS Center ErasMS, Erasmus MC, University Medical Center, Rotterdam, Netherlands.,Department of Neurology, MS Center ErasMS, Erasmus MC, University Medical Center, Rotterdam, Netherlands.,Neuroimmunology Research Group, Netherlands Institute for Neuroscience, Amsterdam, Netherlands
| | - Marvin M van Luijn
- Department of Immunology, MS Center ErasMS, Erasmus MC, University Medical Center, Rotterdam, Netherlands
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6
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van Langelaar J, Rijvers L, Janssen M, Wierenga-Wolf AF, Melief MJ, Siepman TA, de Vries HE, Unger PPA, van Ham SM, Hintzen RQ, van Luijn MM. Induction of brain-infiltrating T-bet-expressing B cells in multiple sclerosis. Ann Neurol 2019; 86:264-278. [PMID: 31136008 PMCID: PMC6771938 DOI: 10.1002/ana.25508] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 05/24/2019] [Accepted: 05/24/2019] [Indexed: 12/24/2022]
Abstract
Objective Results from anti‐CD20 therapies demonstrate that B‐ and T‐cell interaction is a major driver of multiple sclerosis (MS). The local presence of B‐cell follicle‐like structures and oligoclonal bands in MS patients indicates that certain B cells infiltrate the central nervous system (CNS) to mediate pathology. Which peripheral triggers underlie the development of CNS‐infiltrating B cells is not fully understood. Methods Ex vivo flow cytometry was used to assess chemokine receptor profiles of B cells in blood, cerebrospinal fluid, meningeal, and brain tissues of MS patients (n = 10). Similar analyses were performed for distinct memory subsets in the blood of untreated and natalizumab‐treated MS patients (n = 38). To assess T‐bet(CXCR3)+ B‐cell differentiation, we cultured B cells from MS patients (n = 21) and healthy individuals (n = 34) under T helper 1‐ and TLR9‐inducing conditions. Their CNS transmigration capacity was confirmed using brain endothelial monolayers. Results CXC chemokine receptor 3 (CXCR3)‐expressing B cells were enriched in different CNS compartments of MS patients. Treatment with the clinically effective drug natalizumab prevented the recruitment of CXCR3high IgG1+ subsets, corresponding to their increased ability to cross CNS barriers in vitro. Blocking of interferon‐γ (IFNγ) reduced the transmigration potential and antigen‐presenting function of these cells. IFNγ‐induced B cells from MS patients showed increased T‐bet expression and plasmablast development. Additional TLR9 triggering further upregulated T‐bet and CXCR3, and was essential for IgG1 switching. Interpretation This study demonstrates that T‐bethigh IgG1+ B cells are triggered by IFNγ and TLR9 signals, likely contributing to enhanced CXCR3‐mediated recruitment and local reactivity in the CNS of MS patients. ANN NEUROL 2019;86:264–278
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Affiliation(s)
- Jamie van Langelaar
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Liza Rijvers
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Malou Janssen
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands.,Department of Neurology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Annet F Wierenga-Wolf
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Marie-José Melief
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Theodora A Siepman
- Department of Neurology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Helga E de Vries
- Department of Molecular Cell Biology and Immunology, Amsterdam University Medical Center, MS Center Amsterdam, Amsterdam Neuroscience, Amsterdam, the Netherlands
| | - Peter-Paul A Unger
- Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands
| | - S Marieke van Ham
- Department of Immunopathology, Sanquin Research and Landsteiner Laboratory, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.,Swammerdam Institute for Life Sciences, University of Amsterdam, Amsterdam, the Netherlands
| | - Rogier Q Hintzen
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands.,Department of Neurology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
| | - Marvin M van Luijn
- Department of Immunology, MS Center ErasMS, Erasmus Medical Center, University Medical Center, Rotterdam, the Netherlands
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7
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Rijvers L, Melief M, van der Vuurst de Vries RM, Stéphant M, van Langelaar J, Wierenga‐Wolf AF, Hogervorst JM, Geurts‐Moespot AJ, Sweep FCGJ, Hintzen RQ, van Luijn MM. The macrophage migration inhibitory factor pathway in human B cells is tightly controlled and dysregulated in multiple sclerosis. Eur J Immunol 2018; 48:1861-1871. [PMID: 30160778 PMCID: PMC6282801 DOI: 10.1002/eji.201847623] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 07/04/2018] [Accepted: 08/21/2018] [Indexed: 12/31/2022]
Abstract
In MS, B cells survive peripheral tolerance checkpoints to mediate local inflammation, but the underlying molecular mechanisms are relatively underexplored. In mice, the MIF pathway controls B-cell development and the induction of EAE. Here, we found that MIF and MIF receptor CD74 are downregulated, while MIF receptor CXCR4 is upregulated in B cells from early onset MS patients. B cells were identified as the main immune subset in blood expressing MIF. Blocking of MIF and CD74 signaling in B cells triggered CXCR4 expression, and vice versa, with separate effects on their proinflammatory activity, proliferation, and sensitivity to Fas-mediated apoptosis. This study reveals a new reciprocal negative regulation loop between CD74 and CXCR4 in human B cells. The disturbance of this loop during MS onset provides further insights into how pathogenic B cells survive peripheral tolerance checkpoints to mediate disease activity in MS.
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Affiliation(s)
- Liza Rijvers
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Marie‐José Melief
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Roos M. van der Vuurst de Vries
- Department of NeurologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Maeva Stéphant
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Jamie van Langelaar
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Annet F. Wierenga‐Wolf
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Jeanet M. Hogervorst
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | | | - Fred C. G. J. Sweep
- Department of Laboratory MedicineRadboud University Medical CenterNijmegenThe Netherlands
| | - Rogier Q. Hintzen
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- Department of NeurologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
| | - Marvin M. van Luijn
- Department of ImmunologyErasmus MCUniversity Medical CenterRotterdamThe Netherlands
- MS Center ErasMSErasmus MCUniversity Medical CenterRotterdamThe Netherlands
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8
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Heeringa JJ, Rijvers L, Arends NJ, Driessen GJ, Pasmans SG, Dongen JJM, Jongste JC, Zelm MC. IgE-expressing memory B cells and plasmablasts are increased in blood of children with asthma, food allergy, and atopic dermatitis. Allergy 2018; 73:1331-1336. [PMID: 29380876 DOI: 10.1111/all.13421] [Citation(s) in RCA: 48] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/24/2018] [Indexed: 12/11/2022]
Abstract
Despite the critical role of soluble IgE in the pathology of IgE-mediated allergic disease, little is known about abnormalities in the memory B cells and plasma cells that produce IgE in allergic patients. We here applied a flow cytometric approach to cross-sectionally study blood IgE+ memory B cells and plasmablasts in 149 children with atopic dermatitis, food allergy, and/or asthma and correlated these to helper T(h)2 cells and eosinophils. Children with allergic disease had increased numbers of IgE+CD27- and IgE+CD27+ memory B cells and IgE+ plasmablasts, as well as increased numbers of eosinophils and Th2 cells. IgE+ plasmablast numbers correlated positively with Th2 cell numbers. These findings open new possibilities for diagnosis and monitoring of treatment in patients with allergic diseases.
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Affiliation(s)
- J. J. Heeringa
- Department of Immunology Erasmus MC University Medical Center Rotterdam The Netherlands
- Department of Pediatrics Erasmus MC University Medical Center Rotterdam The Netherlands
| | - L. Rijvers
- Department of Immunology Erasmus MC University Medical Center Rotterdam The Netherlands
| | - N. J. Arends
- Department of Allergy Erasmus MC University Medical Center Rotterdam The Netherlands
| | - G. J. Driessen
- Department of Pediatrics Erasmus MC University Medical Center Rotterdam The Netherlands
- Department of Pediatrics Haga Teaching Hospital Juliana Children's Hospital The Hague The Netherlands
| | - S. G. Pasmans
- Department of Pediatric Dermatology Erasmus MC University Medical Center Rotterdam The Netherlands
| | - J. J. M. Dongen
- Department of Immunology Erasmus MC University Medical Center Rotterdam The Netherlands
- Department of Immunology Leiden University Medical Center Leiden The Netherlands
| | - J. C. Jongste
- Department of Pediatrics Division of Respiratory Medicine Erasmus MC University Medical Center Rotterdam The Netherlands
| | - M. C. Zelm
- Department of Immunology Erasmus MC University Medical Center Rotterdam The Netherlands
- Department of Immunology and Pathology Central Clinical School Monash University and Alfred Hospital Melbourne VIC Australia
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9
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Begieneman MPV, Ter Horst EN, Rijvers L, Meinster E, Leen R, Pankras JE, Fritz J, Kubat B, Musters RJP, van Kuilenburg ABP, Stap J, Niessen HWM, Krijnen PAJ. Dopamine induces lipid accumulation, NADPH oxidase-related oxidative stress, and a proinflammatory status of the plasma membrane in H9c2 cells. Am J Physiol Heart Circ Physiol 2016; 311:H1097-H1107. [PMID: 27521422 DOI: 10.1152/ajpheart.00633.2015] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2015] [Accepted: 07/15/2016] [Indexed: 01/08/2023]
Abstract
Excess catecholamine levels are suggested to be cardiotoxic and to underlie stress-induced heart failure. The cardiotoxic effects of norepinephrine and epinephrine are well recognized. However, although cardiac and circulating dopamine levels are also increased in stress cardiomyopathy patients, knowledge regarding putative toxic effects of excess dopamine levels on cardiomyocytes is scarce. We now studied the effects of elevated dopamine levels in H9c2 cardiomyoblasts. H9c2 cells were cultured and treated with dopamine (200 μM) for 6, 24, and 48 h. Subsequently, the effects on lipid accumulation, cell viability, flippase activity, reactive oxygen species (ROS) production, subcellular NADPH oxidase (NOX) protein expression, and ATP/ADP and GTP/GDP levels were analyzed. Dopamine did not result in cytotoxic effects after 6 h. However, after 24 and 48 h dopamine treatment induced a significant increase in lipid accumulation, nitrotyrosine levels, indicative of ROS production, and cell death. In addition, dopamine significantly reduced flippase activity and ATP/GTP levels, coinciding with phosphatidylserine exposure on the outer plasma membrane. Furthermore, dopamine induced a transient increase in cytoplasmic and (peri)nucleus NOX1 and NOX4 expression after 24 h that subsided after 48 h. Moreover, while dopamine induced a similar transient increase in cytoplasmic NOX2 and p47phox expression, in the (peri)nucleus this increased expression persisted for 48 h where it colocalized with ROS. Exposure of H9c2 cells to elevated dopamine levels induced lipid accumulation, oxidative stress, and a proinflammatory status of the plasma membrane. This can, in part, explain the inflammatory response in patients with stress-induced heart failure.
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Affiliation(s)
- Mark P V Begieneman
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; .,Netherlands Forensic Institute, The Hague, the Netherlands.,Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, the Netherlands
| | - Ellis N Ter Horst
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands.,Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, the Netherlands.,Interuniversity Cardiology Institute of the Netherlands, Utrecht, the Netherlands
| | - Liza Rijvers
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands
| | - Elisa Meinster
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands
| | - René Leen
- Laboratory Genetic Metabolic Diseases and Department of Pediatrics/Emma's Children Hospital, Academic Medical Center Amsterdam, Amsterdam, the Netherlands
| | - Jeannette E Pankras
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands
| | - Jan Fritz
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands
| | - Bela Kubat
- Netherlands Forensic Institute, The Hague, the Netherlands.,Department of Pathology, Maastricht University Medical Center, Maastricht, the Netherlands
| | - René J P Musters
- Department of Physiology, VU University Medical Center, Amsterdam, the Netherlands
| | | | - Jan Stap
- Core Facility Cellular Imaging/LCAM-AMC, Amsterdam, the Netherlands; and
| | - Hans W M Niessen
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands.,Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, the Netherlands.,Department of Cardiothoracic Surgery, VU University Medical Center, Amsterdam, the Netherlands
| | - Paul A J Krijnen
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands.,Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, the Netherlands
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10
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Begieneman MPV, Rijvers L, Kubat B, Paulus WJ, Vonk ABA, van Rossum AC, Schalkwijk CG, Stooker W, Niessen HWM, Krijnen PAJ. Atrial fibrillation coincides with the advanced glycation end product N(ε)-(carboxymethyl)lysine in the atrium. Am J Pathol 2016. [PMID: 26216282 DOI: 10.1016/j.ajpath.2015.04.018] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Presence of advanced glycation end products (AGEs) in the heart induces a proinflammatory phenotype. However, the presence of AGEs within atrial tissue of atrial fibrillation (AF) patients is unknown and was analyzed here. Left atrial appendage tissue from 33 AF patients and 9 controls was analyzed for the presence of the major AGEs N(ε)-(carboxymethyl)lysine (CML), VCAM-1, neutrophilic granulocytes, lymphocytes, and macrophages in both the fat tissue and myocardium separately. The total amount of fibrosis was also analyzed. Presence of CML was significantly higher in blood vessels of the left atrial appendage in AF patients as compared to controls, independent of diabetes mellitus. In AF patients, VCAM-1 expression in blood vessels and the numbers of infiltrated neutrophilic granulocytes, lymphocytes, and macrophages significantly increased compared to controls, and were highest in the fat tissue; there was no significant difference in fibrosis compared to controls. Interestingly, total amount of CML and fibrosis in AF and control patients correlated positively. Finally, there was no difference between AF patients based on AF type or surgical indication in the presence of CML, VCAM-1 expression, inflammatory cells, and fibrosis. Our results indicate that in AF the intramyocardial blood vessels of the left atrial appendage have an increased CML presence and proinflammatory status coinciding with a local increase in the number of inflammatory cells.
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Affiliation(s)
- Mark P V Begieneman
- Department of Pathology, VU Medical Center, Amsterdam, The Netherlands; Department of Pathology, the Netherlands Forensic Institute, The Hague, The Netherlands; ICaR-VU, Amsterdam, The Netherlands.
| | - Liza Rijvers
- Department of Pathology, VU Medical Center, Amsterdam, The Netherlands
| | - Bela Kubat
- Department of Pathology, the Netherlands Forensic Institute, The Hague, The Netherlands
| | - Walter J Paulus
- Department of Physiology, VU Medical Center, Amsterdam, The Netherlands
| | - Alexander B A Vonk
- Department of Cardiothoracic Surgery, VU Medical Center, Amsterdam, The Netherlands
| | | | - Casper G Schalkwijk
- Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Wim Stooker
- Department of Cardiothorascic Surgery, Once Lieve Vrouwe Gasthius, Amsterdam, The Netherlands
| | - Hans W M Niessen
- Department of Pathology, VU Medical Center, Amsterdam, The Netherlands; ICaR-VU, Amsterdam, The Netherlands; Department of Cardiothoracic Surgery, VU Medical Center, Amsterdam, The Netherlands
| | - Paul A J Krijnen
- Department of Pathology, VU Medical Center, Amsterdam, The Netherlands; ICaR-VU, Amsterdam, The Netherlands
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11
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Begieneman MP, Emmens RW, Rijvers L, Woudstra L, Paulus WJ, Kubat B, Vonk AB, van Rossum AC, Wouters D, Zeerleder S, van Ham M, Schalkwijk CG, Niessen HW, Krijnen PA. Myocardial infarction induces atrial inflammation that can be prevented by C1-esterase inhibitor. J Clin Pathol 2016; 69:1093-1099. [PMID: 27153875 DOI: 10.1136/jclinpath-2016-203639] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 04/08/2016] [Accepted: 04/10/2016] [Indexed: 11/03/2022]
Abstract
AIMS Inflammation plays an important role in the pathogenesis of myocardial infarction (MI). Whether MI induces atrial inflammation is unknown however. Here, we analysed atrial inflammation in patients with MI and in rats with experimentally induced MI. The effect of the anti-inflammatory agent C1-esterase inhibitor (C1inh) on atrial inflammation in rats was also analysed. METHODS In the hearts of patients who died at different time points after MI (total n=24, mean age=60), neutrophils (myeloperoxidase-positive cells), lymphocytes (CD45-positive cells) and macrophages (CD68-positive cells) were quantified in the myocardium of the left and right atria and the infarcted left and non-infarcted right ventricles and compared with control patients (n=5, mean age=59). For the left and right atria, inflammatory cells were also quantified in the atrial adipose tissue. MI was induced in 17 rats, of which 10 were subsequently treated with C1inh for 6 days. Forty-two days post-MI, lymphocytes, macrophages and the endothelial inflammation marker Nε-(carboxymethyl)lysine (CML) were analysed in the myocardium of both the atria and ventricles. RESULTS In all investigated areas of the human hearts increased lymphocytes and macrophages were observed to a varying extent, especially between 6 h and 5 days following MI. Similarly, in rats MI resulted in an increase of inflammatory cells and CML in the atria. C1inh treatment decreased atrial inflammation. CONCLUSIONS MI induces atrial inflammation in patients and in rats. C1inh treatment could counteract this MI-induced atrial inflammation in rats.
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Affiliation(s)
- Mark Pv Begieneman
- Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands.,ICaR-VU, Amsterdam, The Netherlands.,Netherlands Forensic Institute (NFI), The Hague, The Netherlands
| | - Reindert W Emmens
- Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands.,ICaR-VU, Amsterdam, The Netherlands.,Department of Immunopathology, Sanquin Research, Amsterdam, The Netherlands
| | - Liza Rijvers
- Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
| | - Linde Woudstra
- Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands.,ICaR-VU, Amsterdam, The Netherlands
| | - Walter J Paulus
- ICaR-VU, Amsterdam, The Netherlands.,Department of Physiology, VU University Medical Center, Amsterdam, The Netherlands
| | - Bela Kubat
- Netherlands Forensic Institute (NFI), The Hague, The Netherlands
| | - Alexander Ba Vonk
- ICaR-VU, Amsterdam, The Netherlands.,Department of Cardiac Surgery, VU University Medical Center, Amsterdam, The Netherlands
| | - Albert C van Rossum
- ICaR-VU, Amsterdam, The Netherlands.,Department of Cardiology, VU University Medical Center, Amsterdam, The Netherlands
| | - Diana Wouters
- Department of Immunopathology, Sanquin Research, Amsterdam, The Netherlands
| | - Sacha Zeerleder
- Department of Immunopathology, Sanquin Research, Amsterdam, The Netherlands.,Department of Hematology, Academic Medical Center, Amsterdam, The Netherlands
| | - Marieke van Ham
- Department of Immunopathology, Sanquin Research, Amsterdam, The Netherlands
| | - Casper G Schalkwijk
- Department of Internal Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Hans Wm Niessen
- Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands.,ICaR-VU, Amsterdam, The Netherlands.,Department of Cardiac Surgery, VU University Medical Center, Amsterdam, The Netherlands
| | - Paul Aj Krijnen
- Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands.,ICaR-VU, Amsterdam, The Netherlands
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12
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Begieneman MPV, Emmens RW, Rijvers L, Kubat B, Paulus WJ, Vonk ABA, Rozendaal L, Biesbroek PS, Wouters D, Zeerleder S, van Ham M, Heymans S, van Rossum AC, Niessen HWM, Krijnen PAJ. Ventricular myocarditis coincides with atrial myocarditis in patients. Cardiovasc Pathol 2015; 25:141-8. [PMID: 26764148 DOI: 10.1016/j.carpath.2015.12.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Revised: 10/06/2015] [Accepted: 12/01/2015] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Atrial fibrillation (AF) is a common complication in myocarditis. Atrial inflammation has been suggested to play an important role in the pathophysiology of AF. However, little is known about the occurrence of atrial inflammation in myocarditis patients. Here, we analyzed inflammatory cell numbers in the atria of myocarditis patients without symptomatic AF. METHODS Cardiac tissue was obtained postmortem from lymphocytic myocarditis patients (n=6), catecholamine-induced myocarditis patients (n=5), and control patients without pathological evidence of heart disease (n=5). Tissue sections of left and right ventricle and left and right atrium were stained for myeloperoxidase (neutrophilic granulocytes), CD45 (lymphocytes), and CD68 (macrophages). These cells were subsequently quantified in atrial and ventricular myocardium and atrial adipose tissue. RESULTS In lymphocytic myocarditis patients, a significant increase was observed for lymphocytes in the left atrial adipose tissue. In catecholamine-induced myocarditis patients, significant increases were found in the atria for all three inflammatory cell types. Infiltrating inflammatory cell numbers in the atrial myocardium correlated positively with those in the ventricles, especially in catecholamine-induced myocarditis patients. CONCLUSIONS To a varying extent, atrial myocarditis occurs concurrently with ventricular myocarditis in patients diagnosed with myocarditis of different etiology. This provides a substrate that potentially predisposes myocarditis patients to the development of AF and subsequent complications such as sudden cardiac death and heart failure.
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Affiliation(s)
- Mark P V Begieneman
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands; Dutch Forensic Institute, The Hague, the Netherlands
| | - Reindert W Emmens
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands; Department of Immunopathology, Sanquin Research, Amsterdam, the Netherlands.
| | - Liza Rijvers
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands
| | - Bela Kubat
- Dutch Forensic Institute, The Hague, the Netherlands
| | - Walter J Paulus
- ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands; Department of Physiology, VU University Medical Center, Amsterdam, the Netherlands
| | - Alexander B A Vonk
- Department of Cardiac Surgery, VU University Medical Center, Amsterdam, the Netherlands
| | - Lawrence Rozendaal
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands
| | - P Stefan Biesbroek
- Department of Cardiology, VU University Medical Center, Amsterdam, the Netherlands
| | - Diana Wouters
- Department of Immunopathology, Sanquin Research, Amsterdam, the Netherlands
| | - Sacha Zeerleder
- Department of Immunopathology, Sanquin Research, Amsterdam, the Netherlands; Department of Hematology, Academic Medical Center, Amsterdam, the Netherlands
| | - Marieke van Ham
- Department of Immunopathology, Sanquin Research, Amsterdam, the Netherlands
| | - Stephane Heymans
- Department of Cardiology, Maastricht University Medical Center, Maastricht, the Netherlands
| | - Albert C van Rossum
- ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands; Department of Cardiology, VU University Medical Center, Amsterdam, the Netherlands
| | - Hans W M Niessen
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands; Department of Cardiac Surgery, VU University Medical Center, Amsterdam, the Netherlands
| | - Paul A J Krijnen
- Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; ICaR-VU, VU University Medical Center, Amsterdam, the Netherlands
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