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Fillinger U, Denz A, Njoroge MM, Tambwe MM, Takken W, van Loon JJA, Moore SJ, Saddler A, Chitnis N, Hiscox A. A randomized, double-blind placebo-control study assessing the protective efficacy of an odour-based 'push-pull' malaria vector control strategy in reducing human-vector contact. Sci Rep 2023; 13:11197. [PMID: 37433881 DOI: 10.1038/s41598-023-38463-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 07/08/2023] [Indexed: 07/13/2023] Open
Abstract
Novel malaria vector control strategies targeting the odour-orientation of mosquitoes during host-seeking, such as 'attract-and-kill' or 'push-and-pull', have been suggested as complementary tools to indoor residual spraying and long-lasting insecticidal nets. These would be particularly beneficial if they can target vectors in the peri-domestic space where people are unprotected by traditional interventions. A randomized double-blind placebo-control study was implemented in western Kenya to evaluate: a 'push' intervention (spatial repellent) using transfluthrin-treated fabric strips positioned at open eave gaps of houses; a 'pull' intervention placing an odour-baited mosquito trap at a 5 m distance from a house; the combined 'push-pull' package; and the control where houses contained all elements but without active ingredients. Treatments were rotated through 12 houses in a randomized-block design. Outdoor biting was estimated using human landing catches, and indoor mosquito densities using light-traps. None of the interventions provided any protection from outdoor biting malaria vectors. The 'push' reduced indoor vector densities dominated by Anopheles funestus by around two thirds. The 'pull' device did not add any benefit. In the light of the high Anopheles arabiensis biting densities outdoors in the study location, the search for efficient outdoor protection and effective pull components needs to continue.
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Affiliation(s)
- Ulrike Fillinger
- International Centre of Insect Physiology and Ecology (Icipe), Human Health Theme, Nairobi, 00100, Kenya.
| | - Adrian Denz
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Kreuzstrasse 2, Allschwil, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
| | - Margaret M Njoroge
- International Centre of Insect Physiology and Ecology (Icipe), Human Health Theme, Nairobi, 00100, Kenya
- Laboratory of Entomology, Wageningen University & Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
| | - Mohamed M Tambwe
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Kreuzstrasse 2, Allschwil, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
- Vector Control Product Testing Unit (VCPTU), Department of Environmental Health and Ecological Sciences, Ifakara Health Institute, P.O. Box 74, Bagamoyo, Tanzania
| | - Willem Takken
- Laboratory of Entomology, Wageningen University & Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
| | - Joop J A van Loon
- Laboratory of Entomology, Wageningen University & Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
| | - Sarah J Moore
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Kreuzstrasse 2, Allschwil, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
- Vector Control Product Testing Unit (VCPTU), Department of Environmental Health and Ecological Sciences, Ifakara Health Institute, P.O. Box 74, Bagamoyo, Tanzania
- The Nelson Mandela African Institution of Science and Technology (NM-AIST), Tengeru, P.O. Box 447, Arusha, Tanzania
| | - Adam Saddler
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Kreuzstrasse 2, Allschwil, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
- Vector Control Product Testing Unit (VCPTU), Department of Environmental Health and Ecological Sciences, Ifakara Health Institute, P.O. Box 74, Bagamoyo, Tanzania
- Telethon Kids Institute, Perth, Australia
| | - Nakul Chitnis
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Kreuzstrasse 2, Allschwil, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
| | - Alexandra Hiscox
- Laboratory of Entomology, Wageningen University & Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
- Arctech Innovation Ltd., The Cube, Londoneast-Uk Business and Technical Park, Yew Tree Avenue, Dagenham, RM10 7FN, UK
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Smith T, Denz A, Ombok M, Bayoh N, Koenker H, Chitnis N, Briet O, Yukich J, Gimnig JE. Incidence and consequences of damage to insecticide-treated mosquito nets in Kenya. Malar J 2021; 20:476. [PMID: 34930254 PMCID: PMC8686568 DOI: 10.1186/s12936-021-03978-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Accepted: 11/10/2021] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Efforts to improve the impact of long-lasting insecticidal nets (LLINs) should be informed by understanding of the causes of decay in effect. Holes in LLINs have been estimated to account for 7-11% of loss in effect on vectorial capacity for Plasmodium falciparum malaria in an analysis of repeated cross-sectional surveys of LLINs in Kenya. This does not account for the effect of holes as a cause of net attrition or non-use, which cannot be measured using only cross-sectional data. There is a need for estimates of how much these indirect effects of physical damage on use and attrition contribute to decay in effectiveness of LLINs. METHODS Use, physical integrity, and survival were assessed in a cohort of 4514 LLINs followed for up to 4 years in Kenya. Flow diagrams were used to illustrate how the status of nets, in terms of categories of use, physical integrity, and attrition, changed between surveys carried out at 6-month intervals. A compartment model defined in terms of ordinary differential equations (ODEs) was used to estimate the transition rates between the categories. Effects of physical damage to LLINs on use and attrition were quantified by simulating counterfactuals in which there was no damage. RESULTS Allowing for the direct effect of holes, the effect on use, and the effect on attrition, 18% of the impact on vectorial capacity was estimated to be lost because of damage. The estimated median lifetime of the LLINs was 2.9 years, but this was extended to 5.7 years in the counterfactual without physical damage. Nets that were in use were more likely to be in a damaged state than unused nets but use made little direct difference to LLIN lifetimes. Damage was reported as the reason for attrition for almost half of attrited nets, but the model estimated that almost all attrited nets had suffered some damage before attrition. CONCLUSIONS Full quantification of the effects of damage will require measurement of the supply of new nets and of household stocks of unused nets, and also of their impacts on both net use and retention. The timing of mass distribution campaigns is less important than ensuring sufficient supply. In the Kenyan setting, nets acquired damage rapidly once use began and the damage led to rapid attrition. Increasing the robustness of nets could substantially increase their lifetime and impact but the impact of LLIN programmes on malaria transmission is ultimately limited by levels of use. Longitudinal analyses of net integrity data from different settings are needed to determine the importance of physical damage to nets as a driver of attrition and non-use, and the importance of frequent use as a cause of physical damage in different contexts.
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Affiliation(s)
- Thomas Smith
- Swiss Tropical and Public Health Institute, 4051, Basel, Switzerland.
- University of Basel, 4001, Basel, Switzerland.
| | - Adrian Denz
- Swiss Tropical and Public Health Institute, 4051, Basel, Switzerland
- University of Basel, 4001, Basel, Switzerland
| | - Maurice Ombok
- Kenya Medical Research Institute (KEMRI), Kisumu, Kenya
| | - Nabie Bayoh
- Kenya Medical Research Institute (KEMRI), Kisumu, Kenya
| | | | - Nakul Chitnis
- Swiss Tropical and Public Health Institute, 4051, Basel, Switzerland
- University of Basel, 4001, Basel, Switzerland
| | - Olivier Briet
- Swiss Tropical and Public Health Institute, 4051, Basel, Switzerland
- University of Basel, 4001, Basel, Switzerland
| | - Joshua Yukich
- Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | - John E Gimnig
- Division of Parasitic Diseases and Malaria, Centers for Disease Control (CDC) and Prevention, Atlanta, GA, USA
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Denz A, Njoroge MM, Tambwe MM, Champagne C, Okumu F, van Loon JJA, Hiscox A, Saddler A, Fillinger U, Moore SJ, Chitnis N. Predicting the impact of outdoor vector control interventions on malaria transmission intensity from semi-field studies. Parasit Vectors 2021; 14:64. [PMID: 33472661 PMCID: PMC7819244 DOI: 10.1186/s13071-020-04560-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 12/21/2020] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Semi-field experiments with human landing catch (HLC) measure as the outcome are an important step in the development of novel vector control interventions against outdoor transmission of malaria since they provide good estimates of personal protection. However, it is often infeasible to determine whether the reduction in HLC counts is due to mosquito mortality or repellency, especially considering that spatial repellents based on volatile pyrethroids might induce both. Due to the vastly different impact of repellency and mortality on transmission, the community-level impact of spatial repellents can not be estimated from such semi-field experiments. METHODS We present a new stochastic model that is able to estimate for any product inhibiting outdoor biting, its repelling effect versus its killing and disarming (preventing host-seeking until the next night) effects, based only on time-stratified HLC data from controlled semi-field experiments. For parameter inference, a Bayesian hierarchical model is used to account for nightly variation of semi-field experimental conditions. We estimate the impact of the products on the vectorial capacity of the given Anopheles species using an existing mathematical model. With this methodology, we analysed data from recent semi-field studies in Kenya and Tanzania on the impact of transfluthrin-treated eave ribbons, the odour-baited Suna trap and their combination (push-pull system) on HLC of Anopheles arabiensis in the peridomestic area. RESULTS Complementing previous analyses of personal protection, we found that the transfluthrin-treated eave ribbons act mainly by killing or disarming mosquitoes. Depending on the actual ratio of disarming versus killing, the vectorial capacity of An. arabiensis is reduced by 41 to 96% at 70% coverage with the transfluthrin-treated eave ribbons and by 38 to 82% at the same coverage with the push-pull system, under the assumption of a similar impact on biting indoors compared to outdoors. CONCLUSIONS The results of this analysis of semi-field data suggest that transfluthrin-treated eave ribbons are a promising tool against malaria transmission by An. arabiensis in the peridomestic area, since they provide both personal and community protection. Our modelling framework can estimate the community-level impact of any tool intervening during the mosquito host-seeking state using data from only semi-field experiments with time-stratified HLC.
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Affiliation(s)
- Adrian Denz
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland.
- University of Basel, Petersplatz 1, Basel, Switzerland.
| | - Margaret M Njoroge
- Human Health Theme, International Centre of Insect Physiology and Ecology (icipe), 00100, Nairobi, Kenya
- Laboratory of Entomology, Wageningen University and Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
| | - Mgeni M Tambwe
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
| | - Clara Champagne
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
| | - Fredros Okumu
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
- School of Public Health, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa
- School of Life Science and Biotechnology, Nelson Mandela African Institution of Science and Technology, P.O. Box 447, Arusha, Tanzania
- Institute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, UK
| | - Joop J A van Loon
- Laboratory of Entomology, Wageningen University and Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
| | - Alexandra Hiscox
- Laboratory of Entomology, Wageningen University and Research, P.O. Box 16, 6700 AA, Wageningen, The Netherlands
- ARCTEC, London School of Hygiene and Tropical Medicine, Keppel Street, WC1E 7HT, London, UK
| | - Adam Saddler
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
| | - Ulrike Fillinger
- Human Health Theme, International Centre of Insect Physiology and Ecology (icipe), 00100, Nairobi, Kenya
| | - Sarah J Moore
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
- Environmental Health and Ecological Sciences Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
| | - Nakul Chitnis
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, Basel, Switzerland
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Saddler A, Kreppel KS, Chitnis N, Smith TA, Denz A, Moore JD, Tambwe MM, Moore SJ. The development and evaluation of a self-marking unit to estimate malaria vector survival and dispersal distance. Malar J 2019; 18:441. [PMID: 31870365 PMCID: PMC6929409 DOI: 10.1186/s12936-019-3077-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 12/14/2019] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND A clear understanding of mosquito biology is fundamental to the control efforts of mosquito-borne diseases such as malaria. Mosquito mark-release-recapture (MMRR) experiments are a popular method of measuring the survival and dispersal of disease vectors; however, examples with African malaria vectors are limited. Ethical and technical difficulties involved in carrying out MMRR studies may have held back research in this area and, therefore, a device that marks mosquitoes as they emerge from breeding sites was developed and evaluated to overcome the problems of MMRR. METHODS A modified self-marking unit that marks mosquitoes with fluorescent pigment as they emerge from their breeding site was developed based on a previous design for Culex mosquitoes. The self-marking unit was first evaluated under semi-field conditions with laboratory-reared Anopheles arabiensis to determine the marking success and impact on mosquito survival. Subsequently, a field evaluation of MMRR was conducted in Yombo village, Tanzania, to examine the feasibility of the system. RESULTS During the semi-field evaluation the self-marking units successfully marked 86% of emerging mosquitoes and there was no effect of fluorescent marker on mosquito survival. The unit successfully marked wild male and female Anopheles gambiae sensu lato (s.l.) in sufficiently large numbers to justify its use in MMRR studies. The estimated daily survival probability of An. gambiae s.l. was 0.87 (95% CI 0.69-1.10) and mean dispersal distance was 579 m (95% CI 521-636 m). CONCLUSIONS This study demonstrates the successful use of a self-marking device in an MMRR study with African malaria vectors. This method may be useful in investigating population structure and dispersal of mosquitoes for deployment and evaluation of future vector control tools, such as gene drive, and to better parameterize mathematical models.
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Affiliation(s)
- Adam Saddler
- Ifakara Health Institute, Environmental Health and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania.
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland.
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland.
| | - Katharina S Kreppel
- Ifakara Health Institute, Environmental Health and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
- Nelson Mandela African Institution of Science and Technology, P.O. Box 447, Tengeru, Tanzania
| | - Nakul Chitnis
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland
| | - Thomas A Smith
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland
| | - Adrian Denz
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland
| | - Jason D Moore
- Ifakara Health Institute, Environmental Health and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland
| | - Mgeni M Tambwe
- Ifakara Health Institute, Environmental Health and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland
| | - Sarah J Moore
- Ifakara Health Institute, Environmental Health and Ecological Sciences, P.O. Box 74, Bagamoyo, Tanzania
- Swiss Tropical & Public Health Institute, Socinstrasse 57, 4051, Basel, Switzerland
- University of Basel, Petersplatz 1, 4001, Basel, Switzerland
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Canzler U, Bartsch H, Ulitzsch S, Kurien BT, Dorri Y, Scofield RH, Grossmann K, Lehmann W, Pilarsky C, Denz A, Grützmann R, Conrad K, Schmitz M, Rieber EP, Distler W, Bachmann MP. Detection of autoantibodies to tumour-associated antigens in sera of patients with systemic autoimmunity using a novel protein microblot array. Scand J Immunol 2009; 69:563-9. [PMID: 19439018 DOI: 10.1111/j.1365-3083.2009.02257.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
It is well known that sera of patients with systemic autoimmunity contain autoantibodies to nuclear antigens. It is also known that patients with systemic autoimmunity have an increased risk for the development of tumours. Interestingly, tumour patients frequently develop autoantibodies and there is a growing list of potential tumour-associated antigens. It is, however, not known whether or not patients with systemic autoimmunity also develop antibodies to tumour-associated antigens. Here we describe the development of a novel multiprotein array allowing us to screen for autoantibodies to 30 different tumour-associated antigens in parallel. Using this novel assay, we found that the frequency of autoantibodies to the selected tumour-associated antigens is increased between 2- and 14-fold in patients with systemic autoimmunity compared with an age-matched control group.
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Affiliation(s)
- U Canzler
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Carl Gustav Carus Technische Universität Dresden, Germany
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Rückert F, Hennig M, Petraki CD, Wehrum D, Distler M, Denz A, Schröder M, Dawelbait G, Kalthoff H, Saeger HD, Diamandis EP, Pilarsky C, Grützmann R. Co-expression of KLK6 and KLK10 as prognostic factors for survival in pancreatic ductal adenocarcinoma. Br J Cancer 2008; 99:1484-92. [PMID: 18854834 PMCID: PMC2579692 DOI: 10.1038/sj.bjc.6604717] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Kallikreins play an important role in tumour microenvironment and as cancer biomarkers in different cancer entities. Previous studies suggested an upregulation of KLK10 and KLK6 in pancreatic ductal adenocarcinoma (PDAC). Therefore, we evaluated the clinicopathological role of these kallikreins and their value as biomarkers in PDAC. Differential expression was validated by DNA-microarrays and immunohistochemistry in normal and malignant pancreatic tissues. Sera concentrations of both kallikreins were evaluated using ELISA. In silico analysis of possible protein interactions and gene silencing of KLK10 in vitro using siRNAs gave further insights in the pathomechanisms. Gene expression analysis and immunohistochemistry demonstrated a strong expression for KLK10 and KLK6 in PDAC. Statistical analysis showed that co-expression of these kallikreins correlated with an R1-resection status (P=0.017) and worse outcome for overall survival (P=0.031). Multivariate analysis proofed that co-expression is an independent prognostic factor for survival (P=0.043). Importantly, KLK10 knockdown in AsPC-1 cells significantly reduced cell migration, whereas computational analysis suggested interaction of KLK6 with angiogenetic factors as an important mechanism. Co-expression of KLK10 and KLK6 plays an unfavourable role in PDAC. Our results suggest that this effect is likely mediated by an interaction with the factors of the extracellular matrix and enhancement of cancer cell motility.
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Affiliation(s)
- F Rückert
- Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University of Dresden, Fetscherstrasse 74, Dresden 01307, Germany.
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Abstract
Common variable immunodeficiency (CVID) is characterized by defective B cell maturation and antibody formation resulting in low serum antibody levels of most or all Ig isotypes. A specific subgroup of patients ("type A") has normal numbers of mature surface (s)IgM / sIgD- positive circulating B cells. However, since these lymphocytes do not respond to in vitro stimulation by differentiation and Ig synthesis, they seem to suffer from so far unknown intrinsic defects. Analyzing the expression pattern of a large set of B cell activation-specific surface markers, we found that type A CVID patients show a highly reduced expression of the CD28 / CTLA-4 ligand CD86 (B7-2) and of the lymphocyte activation marker CDw137 when compared to B cells of healthy donors and non-type-A CVID patients. The lowered CD86 expression levels were found to correlate with reduced levels of CD86 mRNA. Since combined stimulation via B cell antigen receptor and CD40 cross-linking did not rescue the defects in CD86 and CDw137 expression, B cells of CVID type A patients resemble functionally unresponsive lymphocytes incapable of cooperating with T cells. The fact that these cells accumulate in type A CVID patients suggests a causal relationship with the pathogenesis of this disease.
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Affiliation(s)
- A Denz
- Division of Rheumatology and Clinical Immunology, Department of Internal Medicine, University Hospital Freiburg, Freiburg, Germany
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