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García-Nicolás O, Godel A, Zimmer G, Summerfield A. Macrophage phagocytosis of SARS-CoV-2-infected cells mediates potent plasmacytoid dendritic cell activation. Cell Mol Immunol 2023:10.1038/s41423-023-01039-4. [PMID: 37253946 DOI: 10.1038/s41423-023-01039-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 05/06/2023] [Indexed: 06/01/2023] Open
Abstract
Early and strong interferon type I (IFN-I) responses are usually associated with mild COVID-19 disease, whereas persistent or unregulated proinflammatory cytokine responses are associated with severe disease outcomes. Previous work suggested that monocyte-derived macrophages (MDMs) are resistant and unresponsive to SARS-CoV-2 infection. Here, we demonstrate that upon phagocytosis of SARS-CoV-2-infected cells, MDMs are activated and secrete IL-6 and TNF. Importantly, activated MDMs in turn mediate strong activation of plasmacytoid dendritic cells (pDCs), leading to the secretion of high levels of IFN-α and TNF. Furthermore, pDC activation promoted IL-6 production by MDMs. This kind of pDC activation was dependent on direct integrin-mediated cell‒cell contacts and involved stimulation of the TLR7 and STING signaling pathways. Overall, the present study describes a novel and potent pathway of pDC activation that is linked to the macrophage-mediated clearance of infected cells. These findings suggest that a high infection rate by SARS-CoV-2 may lead to exaggerated cytokine responses, which may contribute to tissue damage and severe disease.
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Affiliation(s)
- O García-Nicolás
- Institute of Virology and Immunology (IVI), Sensemattstrasse 293, 3147, Mittelhäusern, Switzerland.
- Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
- Multidisciplinary Center for Infectious Diseases, University of Bern, Bern, Switzerland.
| | - A Godel
- Institute of Virology and Immunology (IVI), Sensemattstrasse 293, 3147, Mittelhäusern, Switzerland
- Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - G Zimmer
- Institute of Virology and Immunology (IVI), Sensemattstrasse 293, 3147, Mittelhäusern, Switzerland
- Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - A Summerfield
- Institute of Virology and Immunology (IVI), Sensemattstrasse 293, 3147, Mittelhäusern, Switzerland
- Department of Infectious Diseases and Pathobiology, Vetsuisse Faculty, University of Bern, Bern, Switzerland
- Multidisciplinary Center for Infectious Diseases, University of Bern, Bern, Switzerland
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Ronen E, Ishaaya AA, Nixon M, Godel A, Friesem AA, Davidson N. Phase locking of lasers with self-stabilized minimal coupling. Opt Express 2012; 20:28163-28170. [PMID: 23263051 DOI: 10.1364/oe.20.028163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
A novel configuration for phase locking two ring lasers with self-stabilized minimal exchange of power between them is presented. We show experimentally that losses introduced between the lasers are self compensated in order to maintain minimal power exchange between them. The experimental results are in good agreement with numerical results.
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Affiliation(s)
- E Ronen
- Dept. of Electrical and Computer Engineering, Ben-Gurion University of the Negev, Beer-Sheva 84105, Israel
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Rümenapf G, Geiger S, Godel A, Vogelsang W, Morbach S, Wilhelm N, Nagel N. A new case management concept to decrease the rehospitalisation rate in heurischemic. BMC Proc 2011. [PMCID: PMC3239762 DOI: 10.1186/1753-6561-5-s6-p326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Mailhol C, Tremeau-Martinage C, Paul C, Godel A, Lamant L, Giordano-Labadie F. [Severe drug hypersensitivity reaction (DRESS syndrome) to doxycycline]. Ann Dermatol Venereol 2009; 137:40-3. [PMID: 20110067 DOI: 10.1016/j.annder.2009.10.180] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2008] [Accepted: 05/29/2009] [Indexed: 01/16/2023]
Abstract
BACKGROUND While many cases of DRESS reaction to minocycline have been described, few of these involve doxycycline. CASE STUDY A 59-year-old woman of African origin was repatriated after a journey to Ghana for hyperthermia with infiltrated maculopapular exanthema, facial oedema (no mucosal involvement) and polyadenopathy. Laboratory tests revealed hypereosinophilia, hepatic cytolysis and mononucleosis syndrome. Cutaneous histology was non-specific. The patient had been taking doxycycline as antimalarial prophylaxis for three weeks before the onset of symptoms. DRESS to doxycycline was diagnosed. Patch-tests with doxycycline three months later proved negative. The patient's HLA phenotype was A3/A30 and B39/B42. DISCUSSION An intrinsic causal relationship with doxycycline was likely in this case (I3). Although patch-test sensitivity and specificity with doxycycline remains unknown in DRESS exploration, a negative result does not necessarily rule out the diagnosis. A number of cases of DRESS to doxycycline have been described recently, possibly as a result of more frequent prescription (malarial prophylaxis, acne). Subjects of African ethnicity or having specific HLA phenotypes are at higher risk of developing drug hypersensitivity. CONCLUSION This patient is the third case of DRESS to doxycycline described in the literature. The originality of this case lies in the allergological investigation using patch-tests and HLA determination.
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Affiliation(s)
- C Mailhol
- Service de dermatologie, hôpital Purpan, CHU de Toulouse, TSA 40031, 31059 Toulouse cedex 9, France
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Martin-Blondel G, Camara B, Godel A, Denis A, Rouquette I, Hermant C, Marchou B. Une cause rare de pneumopathie infiltrative. Rev Med Interne 2009; 30:894-5. [DOI: 10.1016/j.revmed.2008.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2008] [Revised: 09/21/2008] [Accepted: 09/27/2008] [Indexed: 11/16/2022]
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Martin-Blondel G, Camara B, Godel A, Denis A, Rouquette I, Hermant C, Marchou B. Une cause rare de pneumopathie infiltrative. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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7
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Sales P, Bonnet E, Castan B, Marchou B, Massip P, Delobel P, Godel A. R-03 Émergence de tularémie en Midi-Pyrénées. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73216-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Arista S, Léger P, Beyne-Rauzy O, Bidegain F, Delobel P, Astudillo L, Gaudin C, Godel A, Arlet-Suau E, Adoue D. Trois cas d'amputation de jambe: complicationmacrovasculaire de la sclérodermie ? Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80451-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Léger P, Beyne-Rauzy O, Bidegain F, Arista S, Delobel P, Gaudin C, Godel A, Adoue D. Répartition des lésions macrovasculaires au coursde la sclérodermie : à partir d'une étude cas-témoins prospective de 45 cas. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80336-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Bidegain F, Thébault S, Beyne-Rauzy O, Arista S, Godel A, Gaudin C, Delobel P, Alric L, Adoue D. Comparaison du syndrome de Reynolds et du CRESTsyndrome. À propos de 40 cas. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80328-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Godel A, Alvarez M, Arista S, Asnacios A, Delobel P, Porte L, Marchou B, Massip P. Une biopsie cutanée bien utile. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80145-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Busato F, Castex A, Godel A, Adoue D. Analyse des résultats d'un registredes pathomimies cutanées. Rev Med Interne 2003. [DOI: 10.1016/s0248-8663(03)80024-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Astudillo L, Godel A, Bennet A, Couret B, Arlet-Suau E. [Hypothyroid myopathy manifesting as severe rhabdomyolysis in the context of autoimmune thyroiditis]. Presse Med 2003; 32:843. [PMID: 12870388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/03/2023] Open
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Delobel P, Thébault S, Godel A, Alric L, Dutfaut M. Lymphoprolifération LGL, gammapathie monoclonale et dysimmunité réactionnelles à une primo-infection à cytomégalovirus. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80658-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Beyne-Raury O, Arista S, Godel A, Fortenfant F, Oksman F, Delobel P, Busato F, Porte L, Blancher A, Adoue D. Dépistage des anticorps antinucléaires par immunofluorescence indirecte sur cellules Hep-2 évaluation du rendement diagnostique et conséquences. À propos de 10 000 demandes. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80423-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Godel A, Madaule S, Arista S, Alvarez M, Delobel P, Carreiro M, Ecoiffier M, Beyne-Rauzy O, Sailler L, Ollier S, Arlet P. Lymphome endovasculaire : Diagnostic confirme après 8 ans d'évolution ;choc cytokinique sous rituximab. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80667-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Mehrenberger M, Godel A, Busato F, Astudillo L, Ferry G, Arlet-Suau E. Une dyspnée exceptionnelle dans un myélome: La platypnée-orthodéoxie. À propos d'un cas. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80251-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Busato F, Pontier S, Berry A, Mehrenberger M, Godel A, Daste G, Angles O, Genestal M, Laurent G, Recco P. Un piège diagnostique : La pneumocystose pulmonaire granulomateuse. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80322-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Astudillo L, Sailler L, Madaule S, Godel A, Arista S, Couret B, Arlet-Suau E. Une atteinte cérébrale rare au cours du lupus systémique : L'hydrocéphalie. Rev Med Interne 2002. [DOI: 10.1016/s0248-8663(02)80198-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Pauli-Magnus C, Mürdter T, Godel A, Mettang T, Eichelbaum M, Klotz U, Fromm MF. P-glycoprotein-mediated transport of digitoxin, alpha-methyldigoxin and beta-acetyldigoxin. Naunyn Schmiedebergs Arch Pharmacol 2001; 363:337-43. [PMID: 11284449 DOI: 10.1007/s002100000354] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Digoxin is a drug with a narrow therapeutic index, which is substrate of the ATP-dependent efflux pump P-glycoprotein. Increased or decreased digoxin plasma concentrations occur in humans due to inhibition or induction of this drug transporter in organs with excretory function such as small intestine, liver and kidneys. Whereas particle size, dissolution rate and lipophilic properties have been identified as determinants for absorption of digitalis glycosides, little is known about P-glycoprotein transport characteristics of digitalis glycosides such as digitoxin, alpha-methyldigoxin, beta-acetyldigoxin and ouabain. Using polarized P-glycoprotein-expressing cell lines we therefore studied whether these compounds are substrates of P-glycoprotein. Polarized transport of digitalis glycosides was assessed in P-glycoprotein-expressing Caco-2 and L-MDR1 cells (LLC-PK1 cells stably transfected with the human MDR1 P-glycoprotein). Inhibition of P-glycoprotein-mediated transport of these compounds in Caco-2 cells was determined using the cyclosporine analogue PSC-833 (valspodar) as inhibitor of P-glycoprotein. No polarized transport was observed for ouabain. However, basal-to-apical transport of digitoxin, alpha-methyldigoxin and beta-acetyldigoxin was greater than apical-to-basal transport in Caco-2 and L-MDR1 cells. In Caco-2 cells net transport rates of these compounds were similar to those of digoxin (digoxin: 16.0+/-4.4%, digitoxin: 15.0+/-3.3%, beta-acetyldigoxin: 16.2+/-1.6%, alpha-methyldigoxin: 13.5+/-4.8%). Furthermore, polarized transport of these compounds could be completely inhibited by 1 microM PSC-833. In summary, these data provide evidence that not only digoxin, but also digitoxin, alpha-methyldigoxin and beta-acetyldigoxin are substrates of P-glycoprotein.
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Affiliation(s)
- C Pauli-Magnus
- Dr. Margarete Fischer-Bosch-Institut für Klinische Pharmakologie, Stuttgart, Germany.
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Klotz U, Godel A. Once-daily dosing of gentamicin: experience with therapeutic drug monitoring and Bayesian pharmacokinetics. Ther Drug Monit 1994; 16:534-5. [PMID: 7846756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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