Background:
Despite
impaired
humoral
responses
after
SARS-CoV-2
vaccination,
the
incidence
and
severity
of
breakthrough
infections
is
not
increased
in
patients
with
immune-mediated
inflammatory
diseases
(IMID)
on
immunosuppressants
(ISPs).
This
could
be
explained
by
preserved
recall
but
data
are
lacking.
study
aimed
to
investigate
longitudinal
dynamics
response
delta
omicron
IMID
ISPs
compared
controls.Methods:
a
sub-study
ongoing
national
Target-to-B!
(T2B!)
study,
focusing
vaccination
patients.
We
included
controls
(IMID
healthy
individuals)
who
had
completed
primary
vaccinations
reported
between
July
1,
2021,
April
2022,
during
prevalence
variants.
Antibody
titers
against
wild-type
RBD,
S,
RBD
were
measured
at
various
time
points
post-infection
assess
responses.
Dynamics
assessed
for
separately,
different
controls.Findings:
480
participants.
comparable
following
or
infections.
However,
anti-CD20
therapy
S1P
modulators
showed
greatly
those
anti-TNF
moderately
greater
decline
antibodies
than
controls.Interpretations:
Most
do
influence
infections,
exception
modulators,
lesser
extent
anti-TNF,
which
shows
more
rapid
antibody
decay.Funding:
was
supported
ZonMw
(The
Netherlands
Organization
Health
Research
Development,
grant
10430072010007).
The
sponsor
no
role
design,
analyses
reporting
study.Declaration
Interest:
F
Eftimov
T
Kuijpers
report
(governmental)
grants
from
immune
SARS-Cov2
auto-immune
diseases.
also
reports
Prinses
Beatrix
Spierfonds,
CSL
Behring,
Kedrion,
Terumo
BCT,
Grifols,
Takeda
Pharmaceutical
Company,
GBS-CIDP
Foundation;
consulting
fees
UCB
Pharma
Behring;
honoraria
Grifols.
AJ
van
der
Kooi
Behring
participation
an
advisory
board
Argen-X.
M
Löwenberg
Galapagos
related
this
Bristol
Myers
Squibb,
Pfizer,
Takeda,
Tillotts.
Ph
I
Spuls
involved
performing
clinical
trials
many
pharmaceutical
industries
that
manufacture
drugs
used
treatment
e.g.
psoriasis
atopic
dermatitis,
financial
compensation
paid
department/hospital
chief
investigator
TREAT
NL
registry
taskforce
SECURE-AD
registry.
M.W.
Bekkenk
secretary
Dutch
Experimental
Dermatology
Board
head
pigmentary
disorders
group
within
Board,
Sanofi,
Novartis
Fondation
René
Touraine.
J
Killestein
has
speaking
relationships
Merck
Serono,
Biogen
Idec,
TEVA,
Genzyme,
Roche
Novartis;
Amsterdam
UMC,
location
VUmc,
MS
Center
received
support
research
activities
Bayer
Shcering
Pharma,
GlaxoSmithKline,
Roche,
Teva,
Novartis.
B
Horváth
unpaid
positions
as
medical
advisor
several
patient
groups,
position
ERN-SKIN,
associate
editor
British
Journal
Dermatology;
Abbvie,
Akari
Therapeutics,
Celgene,
Janssen-Cilag;
Abbvie.
J.J.G.M.
Verschuuren
Argenx,
Alexion
NMD
Pharma;
coinventor
patent
applications
based
MuSK-related
research.
DJ
Hijnen
AstraZeneca,
Janssen,
LEO
Galderma,
Lilly,
Sanofi
BIOMAP
IMI.
P.A.
Doorn
participated
Octapharma.
P.
Paassen
GSK;
GSK
Vifor
boards.
G.R.A.M.
D'Haens
Agomab,
AM
AMT,
Arena
Pharmaceuticals,
Meiers
Boehringer
Ingelheim,
Celltrion,
Eli
Exeliom
Biosciences,
Exo
Biologics,
Galapagos,
Index
Kaleido,
Gilead,
Glaxo
Smith
Kline,
Gossamerbio,
Immunic,
Johnson
Johnson,
Origo,
Polpharma,
Procise
Diagnostics,
Prometheus
laboratories,
Progenity,
Protagonist;
Arena,
BMS,
Takeda;
boards
Seres
Health,
AstraZeneca.
R.B.
Takkenberg
Sobi
Norgine
Norgine.
SH
Goedee
member
Society
Clinical
Neurophysiology
(unpaid),
speaker
Shire/Takeda.
AH
Zwinderman
safety
monitoring
Torrent
Ltd
Foresee
Pharmaceuticals
Co.
No
other
disclosures
reported.Ethical
Approval:
ethical
committee
AMC
(2020.194)
approved
study.
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Aug. 3, 2023
Abstract
Advances
in
single
cell
analysis,
especially
cytometric
approaches,
have
profoundly
innovated
immunological
research.
This
has
resulted
an
expansion
of
high
dimensional
data,
posing
great
challenges
for
comprehensive
and
unbiased
analysis.
Conventional
manual
analysis
thus
becomes
untenable,
while
most
computational
methods
lack
flexibility
interoperability,
hampering
usability.
Here,
the
first
time,
we
adapted
Seurat,
a
RNA
sequencing
(scRNA-seq)
package,
end-to-end
flow
data
We
showcased
its
robust
analytical
capacity
by
analyzing
adult
blood
cord
T
profiles,
which
was
validated
Spectre,
another
Importantly,
unique
CD8
+
CD45RA
CD27
CD161
subset,
identified
characterized
using
cytometry
scRNA-seq
from
published
dataset.
Collectively,
Seurat
possesses
potential
It
facilitates
thorough
interpretations
pipeline,
implementing
data-driven
investigation
clinical
immunology.
Journal of Allergy and Clinical Immunology,
Journal Year:
2024,
Volume and Issue:
154(3), P. 754 - 766.e7
Published: May 17, 2024
Background
Despite
impaired
humoral
responses
in
patients
treated
with
immunosuppressants
(ISPs),
recent
studies
found
similar
severity
of
SARS-CoV-2
breakthrough
infections
compared
to
controls.
One
potential
explanation
is
the
rapid
generation
upon
infection,
but
evidence
lacking.
Objectives
To
investigate
longitudinal
dynamics
antibody
repertoire
after
delta
and
omicron
immune-mediated
inflammatory
diseases
(IMID)
on
ISPs
Methods
As
prospective
sub-study
national
Target-to-B!
(T2B!)
consortium,
we
included
IMID
controls
who
reported
between
July
1,
2021,
April
2022.
get
an
impression
repertoire,
three
titers
wild-type
RBD,
S,
RBD
were
measured
at
four
time
points
infections.
Results
We
302
178
Antibody
increased
up
28
days
both
groups.
However,
anti-CD20
therapy
sphingosine-1
phosphate
receptor
(S1P)
modulators,
considerably
lower
In
anti-TNF
group,
observed
slightly
early
stages
a
faster
decline
antibodies
infection
Breakthrough
mostly
mild
hospitalization
was
required
less
than
1%
cases.
Conclusions
Most
do
not
influence
exhibit
recall
response
cross-reactive
clones
towards
new
viral
variants.
or
S1P
greatly
impaired,
lesser
extent
those
anti-TNF.
Nevertheless,
only
few
severe
cases
reported.
Immunology,
Journal Year:
2024,
Volume and Issue:
173(1), P. 106 - 124
Published: May 26, 2024
Abstract
Advances
in
single‐cell
level
analytical
techniques,
especially
cytometric
approaches,
have
led
to
profound
innovation
biomedical
research,
particularly
the
field
of
clinical
immunology.
This
has
resulted
an
expansion
high‐dimensional
data,
posing
great
challenges
for
comprehensive
and
unbiased
analysis.
Conventional
manual
analysis
is
thus
becoming
untenable
handle
these
challenges.
Furthermore,
most
newly
developed
computational
methods
lack
flexibility
interoperability,
hampering
their
accessibility
usability.
Here,
we
adapted
Seurat,
R
package
originally
RNA
sequencing
(scRNA‐seq)
analysis,
flow
data
Based
on
a
20‐marker
antibody
panel
analyses
T‐cell
profiles
both
adult
blood
cord
(CB),
showcased
robust
capacity
Seurat
which
was
further
validated
by
Spectre,
another
package,
conventional
Importantly,
identified
unique
CD8
+
population
defined
as
CD45RA
CD27
CD161
T
cell
that
predominantly
present
CB.
We
characterised
its
IFN‐γ‐producing
potential
cytotoxic
properties
using
cytometry
experiments
scRNA‐seq
from
published
dataset.
Collectively,
human
CB
subset
demonstrated
widely
used
possesses
be
repurposed
facilitates
thorough
interpretation
complicated
single
pipeline
opens
novel
avenue
data‐driven
investigation
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: Dec. 17, 2024
Upon
infection,
T
cell-driven
B
cell
responses
in
GC
reactions
induce
memory
cells
and
antibody-secreting
that
secrete
protective
antibodies.
How
formation
of
specifically
long-lived
plasma
is
regulated
via
the
interplay
between
specific
CD4+
not
well
understood.
Generally,
antibody
levels
decline
over
time
after
clearance
primary
infection.
Authorea (Authorea),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 30, 2024
Advances
in
single-cell
level
analytical
techniques,
especially
cytometric
approaches,
have
led
to
profound
innovation
biomedical
research,
particularly
the
field
of
clinical
immunology.
This
has
resulted
an
expansion
high-dimensional
data,
posing
great
challenges
for
comprehensive
and
unbiased
analysis.
Conventional
manual
analysis
is
thus
becoming
untenable
handle
these
challenges.
Furthermore,
most
newly
developed
computational
methods
lack
flexibility
interoperability,
hampering
their
accessibility
usability.
Here,
we
adapted
Seurat,
R
package
originally
RNA
sequencing
(scRNA-seq)
analysis,
flow
data
Based
on
a
20-marker
antibody
panel
analyses
T
cell
profiles
both
adult
blood
cord
blood,
showcased
robust
capacity
Seurat
which
was
further
validated
by
Spectre,
another
package,
conventional
Importantly,
identified
unique
CD8
population
defined
as
CD45RA
CD27
CD161
cell,
that
predominantly
present
blood.
We
characterized
its
IFN-γ-producing
potential
cytotoxic
properties
using
cytometry
experiments
scRNA-seq
from
published
dataset.
Collectively,
human
subset
demonstrated
widely
used
possesses
be
repurposed
facilitates
thorough
interpretation
complicated
single
pipeline
opens
novel
avenue
data-driven
investigation
European Journal of Neurology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 5, 2024
Abstract
Background
and
purpose
There
are
concerns
for
safety
regarding
SARS‐CoV‐2
vaccines
patients
with
autoimmune
neuromuscular
disease.
We
compared
daily
functioning
using
disease‐specific
patient‐reported
outcome
measures
(PROMs)
before
after
vaccinations.
Methods
In
this
substudy
of
a
prospective
observational
cohort
study
(Target‐to‐B!),
myasthenia
gravis
(MG),
chronic
inflammatory
demyelinating
polyneuropathy
(CIDP),
multifocal
motor
neuropathy
(MMN),
idiopathic
myopathy
(IIM)
vaccinated
against
were
included.
Surveys
(Myasthenia
Gravis
Activities
Daily
Living,
Inflammatory
Rasch‐Built
Overall
Disability
Scale,
Multifocal
Motor
Neuropathy
Health
Assessment
Questionnaire–Disability
Index)
sent
first
vaccination
every
60
days
thereafter
up
to
12
months.
Regression
models
constructed
assess
differences
in
PROM
scores
related
vaccination,
unrelated
vaccination.
also
assessed
the
proportion
deterioration
at
least
minimal
clinically
important
difference
(MCID)
between
thereafter.
Results
included
325
(median
age
=
59
years,
interquartile
range
47–67,
156
[48%]
female
sex),
whom
137
(42%)
had
MG,
79
(24%)
CIDP,
43
(13%)
MMN,
66
(20%)
IIM.
did
not
differ
from
paired
PROMs,
MCID
was
observed
three
49
(6%)
MG
patients,
none
reported
treatment
change.
eight
29
(28%),
two
(25%)
Conclusions
no
effect
on
diseases,
confirming
its
these
patients.
In
this
thesis,
our
research
regarding
personalized
treatment
with
natalizumab
and
ocrelizumab
in
multiple
sclerosis
(MS)
by
extending
intervals
the
road
towards
implementation
of
a
approach
into
clinical
practice
are
outlined.
Natalizumab
highly
effective
treatments
for
reducing
disease
activity
MS.
Both
approved
standard
intervals,
while
biological
needs
can
vary
between
persons
A
approach,
which
tailored
based
on
individual
pharmacokinetic
(PK)
pharmacodynamic
(PD)
parameters,
might
lead
way
to
optimizing
current
strategies.
Personalizing
reduce
burden,
potential
risks,
healthcare
costs.
For
natalizumab,
we
detected
several
factors
that
influence
PK.
We
found
pregnancy
subcutaneous
administration
were
associated
lower
drug
trough
concentrations.
These
especially
important
consider
when
patients
receive
extended
interval
dosing
(EID),
where
every
four
weeks
is
prolonged
concentrations
lower.
It
remains
keep
levels
above
therapeutic
cut-off
ensure
adequate
suppression
MS
activity.
Measurement
provide
insight
studied
EID
measurement
adequately
controlled.
also
showed
be
reliably
measured
finger
prick,
providing
an
alternative
route
collect
blood
samples.
After
evaluating
wearing-off
symptoms
at
end
cycle,
observed
occurrence
did
not
increase
majority
participants
first
year
after
EID.
When
discontinuing
switching
ocrelizumab,
direct
switch
preferred
sustained
compared
indirect
bridging
therapy.
switching,
neurologists
should
aware
progressive
multifocal
leukoencephalopathy
(PML),
still
develop
discontinuation
(carry-over
PML).
With
regard
described
association
concentrations,
anti-drug
antibodies,
B-cells,
enabling
physicians
predict
optimal
more
precisely.
considered
concentration
as
good
predictor
SARS-CoV-2
vaccination
response.
B-cell
counts
during
COVID-19
pandemic.
The
was
able
extend
their
without
short-term
Finally,
using
occur
frequently
similar
characteristics
symptoms.
Other
than
BMI,
there
no
predictors
these
Informing
most
likely
possible
uncertainty
have
To
conclude,
has
become
personalized.
quest
biomarker
monitoring
right
both
continues,
promising
study
data
its
practice,
further
paving
approach.
Background:
Despite
impaired
humoral
responses
after
SARS-CoV-2
vaccination,
the
incidence
and
severity
of
breakthrough
infections
is
not
increased
in
patients
with
immune-mediated
inflammatory
diseases
(IMID)
on
immunosuppressants
(ISPs).
This
could
be
explained
by
preserved
recall
but
data
are
lacking.
study
aimed
to
investigate
longitudinal
dynamics
response
delta
omicron
IMID
ISPs
compared
controls.Methods:
a
sub-study
ongoing
national
Target-to-B!
(T2B!)
study,
focusing
vaccination
patients.
We
included
controls
(IMID
healthy
individuals)
who
had
completed
primary
vaccinations
reported
between
July
1,
2021,
April
2022,
during
prevalence
variants.
Antibody
titers
against
wild-type
RBD,
S,
RBD
were
measured
at
various
time
points
post-infection
assess
responses.
Dynamics
assessed
for
separately,
different
controls.Findings:
480
participants.
comparable
following
or
infections.
However,
anti-CD20
therapy
S1P
modulators
showed
greatly
those
anti-TNF
moderately
greater
decline
antibodies
than
controls.Interpretations:
Most
do
influence
infections,
exception
modulators,
lesser
extent
anti-TNF,
which
shows
more
rapid
antibody
decay.Funding:
was
supported
ZonMw
(The
Netherlands
Organization
Health
Research
Development,
grant
10430072010007).
The
sponsor
no
role
design,
analyses
reporting
study.Declaration
Interest:
F
Eftimov
T
Kuijpers
report
(governmental)
grants
from
immune
SARS-Cov2
auto-immune
diseases.
also
reports
Prinses
Beatrix
Spierfonds,
CSL
Behring,
Kedrion,
Terumo
BCT,
Grifols,
Takeda
Pharmaceutical
Company,
GBS-CIDP
Foundation;
consulting
fees
UCB
Pharma
Behring;
honoraria
Grifols.
AJ
van
der
Kooi
Behring
participation
an
advisory
board
Argen-X.
M
Löwenberg
Galapagos
related
this
Bristol
Myers
Squibb,
Pfizer,
Takeda,
Tillotts.
Ph
I
Spuls
involved
performing
clinical
trials
many
pharmaceutical
industries
that
manufacture
drugs
used
treatment
e.g.
psoriasis
atopic
dermatitis,
financial
compensation
paid
department/hospital
chief
investigator
TREAT
NL
registry
taskforce
SECURE-AD
registry.
M.W.
Bekkenk
secretary
Dutch
Experimental
Dermatology
Board
head
pigmentary
disorders
group
within
Board,
Sanofi,
Novartis
Fondation
René
Touraine.
J
Killestein
has
speaking
relationships
Merck
Serono,
Biogen
Idec,
TEVA,
Genzyme,
Roche
Novartis;
Amsterdam
UMC,
location
VUmc,
MS
Center
received
support
research
activities
Bayer
Shcering
Pharma,
GlaxoSmithKline,
Roche,
Teva,
Novartis.
B
Horváth
unpaid
positions
as
medical
advisor
several
patient
groups,
position
ERN-SKIN,
associate
editor
British
Journal
Dermatology;
Abbvie,
Akari
Therapeutics,
Celgene,
Janssen-Cilag;
Abbvie.
J.J.G.M.
Verschuuren
Argenx,
Alexion
NMD
Pharma;
coinventor
patent
applications
based
MuSK-related
research.
DJ
Hijnen
AstraZeneca,
Janssen,
LEO
Galderma,
Lilly,
Sanofi
BIOMAP
IMI.
P.A.
Doorn
participated
Octapharma.
P.
Paassen
GSK;
GSK
Vifor
boards.
G.R.A.M.
D'Haens
Agomab,
AM
AMT,
Arena
Pharmaceuticals,
Meiers
Boehringer
Ingelheim,
Celltrion,
Eli
Exeliom
Biosciences,
Exo
Biologics,
Galapagos,
Index
Kaleido,
Gilead,
Glaxo
Smith
Kline,
Gossamerbio,
Immunic,
Johnson
Johnson,
Origo,
Polpharma,
Procise
Diagnostics,
Prometheus
laboratories,
Progenity,
Protagonist;
Arena,
BMS,
Takeda;
boards
Seres
Health,
AstraZeneca.
R.B.
Takkenberg
Sobi
Norgine
Norgine.
SH
Goedee
member
Society
Clinical
Neurophysiology
(unpaid),
speaker
Shire/Takeda.
AH
Zwinderman
safety
monitoring
Torrent
Ltd
Foresee
Pharmaceuticals
Co.
No
other
disclosures
reported.Ethical
Approval:
ethical
committee
AMC
(2020.194)
approved
study.