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  1. Book ; Online: Immune-Epithelial Crosstalk in Inflammatory Bowel Diseases and Mucosal Wound Healing

    Becker, Christoph / Leppkes, Moritz / Siegmund, Britta

    2018  

    Keywords Immunologic diseases. Allergy ; Medicine (General)
    Size 1 electronic resource (159 p.)
    Publisher Frontiers Media SA
    Document type Book ; Online
    Note English ; Open Access
    HBZ-ID HT020101920
    ISBN 9782889456185 ; 2889456188
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Rear Window-What Can the Gut Tell Us About Long-COVID?

    Leppkes, Moritz / Neurath, Markus F

    Gastroenterology

    2022  Volume 163, Issue 2, Page(s) 376–378

    MeSH term(s) COVID-19/complications ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2022-06-02
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80112-4
    ISSN 1528-0012 ; 0016-5085
    ISSN (online) 1528-0012
    ISSN 0016-5085
    DOI 10.1053/j.gastro.2022.05.044
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Conference proceedings: IL36R signaling in intestinal epithelial cells and neutrophils enhances intestinal wound healing

    Grapp, Hendrik / Leppkes, Moritz / Neufert, Clemens / Koop, Kristina

    Zeitschrift für Gastroenterologie

    2023  Volume 61, Issue 03

    Event/congress 50. Jahrestagung der Gesellschaft für Gastroenterologie in Bayern e.V., Erlangen, 2023-04-21
    Language German
    Publishing date 2023-03-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0043-1764068
    Database Thieme publisher's database

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  4. Article ; Online: Resolution of ulcerative colitis.

    Neurath, Markus F / Leppkes, Moritz

    Seminars in immunopathology

    2019  Volume 41, Issue 6, Page(s) 747–756

    Abstract: Ulcerative colitis designates an idiopathic chronic inflammatory bowel disease leading to bloody diarrhea and inflammatory alterations mostly restricted to the large intestine. Many studies continue to unravel important aspects of its etiopathogenesis, ... ...

    Abstract Ulcerative colitis designates an idiopathic chronic inflammatory bowel disease leading to bloody diarrhea and inflammatory alterations mostly restricted to the large intestine. Many studies continue to unravel important aspects of its etiopathogenesis, and recent pharmaceutical developments broaden the arsenal of therapeutic opportunity. In this review, we delve into the cellular and molecular determinants of successful resolution of ulcerative colitis, describing novel insights in each of the phases of mucosal healing starting from damaging insults to the mucosa, epithelial restitution, and its adaption to inflammation as well as lymphocyte-driven maintenance and resolution of chronic inflammation. Additionally, molecular switches from inflammation to resolution are explored, paving the way for future avenues to resolve ulcerative colitis.
    MeSH term(s) Animals ; Biomarkers ; Colitis, Ulcerative/diagnosis ; Colitis, Ulcerative/etiology ; Colitis, Ulcerative/metabolism ; Colitis, Ulcerative/therapy ; Disease Susceptibility ; Gastrointestinal Microbiome ; Humans ; Intestinal Mucosa/immunology ; Intestinal Mucosa/metabolism ; Intestinal Mucosa/pathology ; Lymphocytes/immunology ; Lymphocytes/metabolism ; Lymphocytes/pathology
    Chemical Substances Biomarkers
    Language English
    Publishing date 2019-07-05
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2316828-6
    ISSN 1863-2300 ; 1863-2297
    ISSN (online) 1863-2300
    ISSN 1863-2297
    DOI 10.1007/s00281-019-00751-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Dual Role for TNF-Producing T Cells in the Fetal Intestine.

    Leppkes, Moritz / Neurath, Markus F

    Immunity

    2019  Volume 50, Issue 2, Page(s) 278–280

    Abstract: The role of tumor necrosis factor (TNF) in the fetal intestine is poorly understood. In this issue of Immunity, Schreurs et al. (2019) identify important roles of TNF-producing T cells as both regulators of gut development and potential inducers of ... ...

    Abstract The role of tumor necrosis factor (TNF) in the fetal intestine is poorly understood. In this issue of Immunity, Schreurs et al. (2019) identify important roles of TNF-producing T cells as both regulators of gut development and potential inducers of colitis.
    MeSH term(s) CD4-Positive T-Lymphocytes ; Cytokines ; Humans ; Immunologic Memory ; Inflammation ; Intestines ; Tumor Necrosis Factor-alpha
    Chemical Substances Cytokines ; Tumor Necrosis Factor-alpha
    Language English
    Publishing date 2019-03-26
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 1217235-2
    ISSN 1097-4180 ; 1074-7613
    ISSN (online) 1097-4180
    ISSN 1074-7613
    DOI 10.1016/j.immuni.2019.01.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Protective effect of the novel calcineurin inhibitor voclosporin in experimental colitis.

    Lindemann, Aylin / Roth, Dominik / Koop, Kristina / Neufert, Clemens / Zundler, Sebastian / Atreya, Raja / Neurath, Markus F / Leppkes, Moritz

    Frontiers in medicine

    2023  Volume 10, Page(s) 1177450

    Abstract: Background and aims: Acute severe steroid-refractory ulcerative colitis remains a medically challenging condition with frequent need of surgery. It can be treated with the calcineurin inhibitor cyclosporine A with the need for therapeutic drug ... ...

    Abstract Background and aims: Acute severe steroid-refractory ulcerative colitis remains a medically challenging condition with frequent need of surgery. It can be treated with the calcineurin inhibitor cyclosporine A with the need for therapeutic drug monitoring and significant toxicity. Recently, a novel calcineurin inhibitor, voclosporin, has been approved for the treatment of lupus nephritis with no need for therapeutic drug monitoring and an improved long-term safety profile. However, the therapeutic effect of voclosporin in acute severe steroid-refractory ulcerative colitis is still uncertain. We aimed to assess the therapeutic potential of voclosporin to ameliorate inflammation in an experimental model of colitis.
    Methods: We used the dextran sodium sulfate-induced model of colitis in C57BL/6 J wildtype mice treated with either cyclosporine A, voclosporin or solvent control. We employed endoscopy, histochemistry, immunofluorescence, bead-based multiplex immunoassays and flow cytometry to study the therapeutic effect of calcineurin inhibitors in a preventive setting.
    Results: Acute colitis was induced by dextran sodium sulfate characterized by weight loss, diarrhea, mucosal erosions and rectal bleeding. Both cyclosporine A and voclosporin strongly ameliorated the course of disease and reduced colitis severity in a similar manner.
    Conclusion: Voclosporin was identified as biologically effective in a preclinical model of colitis and may be a potential therapeutic option in treating acute severe steroid-refractory ulcerative colitis.
    Language English
    Publishing date 2023-06-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1177450
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Editorial: Immune-Epithelial Crosstalk in Inflammatory Bowel Diseases and Mucosal Wound Healing.

    Leppkes, Moritz / Siegmund, Britta / Becker, Christoph

    Frontiers in immunology

    2018  Volume 9, Page(s) 1171

    MeSH term(s) Animals ; Cell Communication ; Epithelial Cells/physiology ; Humans ; Immunity, Mucosal ; Inflammatory Bowel Diseases/immunology ; Intestinal Mucosa/physiology ; Mucous Membrane/immunology ; T-Lymphocytes/immunology ; Wound Healing
    Language English
    Publishing date 2018-05-30
    Publishing country Switzerland
    Document type Editorial ; Introductory Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2018.01171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Detection by flow cytometry of anti-neutrophil cytoplasmic antibodies in a novel approach based on neutrophil extracellular traps.

    Roitsch, Stefan / Gößwein, Stefanie / Neurath, Markus F / Leppkes, Moritz

    Autoimmunity

    2019  Volume 51, Issue 6, Page(s) 288–296

    Abstract: Background: Anti-neutrophil-cytoplasmic antibodies (ANCA) are auto-antibodies directed against components of neutrophil granulocytes and may be found in various inflammatory conditions, like small-vessel vasculitis or ulcerative colitis (UC). Routine ... ...

    Abstract Background: Anti-neutrophil-cytoplasmic antibodies (ANCA) are auto-antibodies directed against components of neutrophil granulocytes and may be found in various inflammatory conditions, like small-vessel vasculitis or ulcerative colitis (UC). Routine ANCA screening is performed on ethanol-fixed neutrophils using indirect immunofluorescence technique. Yet, how neutrophil granule proteins become available to immunologic presentation is a matter of debate. In recent years, various studies have shown that neutrophils are able to extrude their chromatin decorated with granular proteins as neutrophil extracelullar traps (NETs).
    Aim: We hypothesized that (I) ANCA immunoreactivity may be found on NETs and (II) NETs may serve as a useful tool in a novel approach for ANCA detection.
    Methods: Sera from patients suffering from either ANCA-associated vasculitis (n = 10), UC (n = 30) or sera from patients without diagnosed ANCA-associated diseases (n = 20), respectively, were subjected to indirect immunofluorescence and a newly developed method to detect ANCA by flow cytometry employing microbead technology.
    Results: ANCA-related immunofluorescence was readily detectable on ethanol-fixed NETs, establishing NETs as a structure carrying ANCA target antigens. Moreover, we observed that neutrophils form NETs in response to microbeads and stick to the surface of these beads. Using these NET-coated microbeads in flow cytometry, we were capable of reliably detecting p-ANCA, c-ANCA, and a-ANCA in tested patient sera. UC-related complex DNase-1-sensitive ANCA (NET-ANCA) antigens were also detected on NET-coated microbeads.
    Conclusion: NET-coated microbeads may be commercially developed as a novel tool for automated ANCA screening assays using flow cytometry.
    MeSH term(s) Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/blood ; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/diagnosis ; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/immunology ; Antibodies, Antineutrophil Cytoplasmic/blood ; Antibodies, Antineutrophil Cytoplasmic/immunology ; Autoantigens/immunology ; Autoantigens/metabolism ; Colitis, Ulcerative/blood ; Colitis, Ulcerative/diagnosis ; Colitis, Ulcerative/immunology ; Extracellular Traps/immunology ; Extracellular Traps/metabolism ; Feasibility Studies ; Flow Cytometry/methods ; Fluorescent Antibody Technique/methods ; Humans ; Microspheres ; Neutrophils/immunology ; Neutrophils/metabolism
    Chemical Substances Antibodies, Antineutrophil Cytoplasmic ; Autoantigens
    Language English
    Publishing date 2019-04-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1025450-x
    ISSN 1607-842X ; 0891-6934
    ISSN (online) 1607-842X
    ISSN 0891-6934
    DOI 10.1080/08916934.2018.1527317
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Conference proceedings: Protektiver Effekt des neuartigen, zugelassenen Calcineurin-Inhibitors Voclosporin in experimenteller Colitis

    Lindemann, Aylin / Roth, Dominik / Koop, Kristina / Neufert, Clemens / Zundler, Sebastian / Atreya, Raja / Neurath, MarkusF. / Leppkes, Moritz

    Zeitschrift für Gastroenterologie

    2023  Volume 61, Issue 03

    Event/congress 50. Jahrestagung der Gesellschaft für Gastroenterologie in Bayern e.V., Erlangen, 2023-04-21
    Language German
    Publishing date 2023-03-01
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 201387-3
    ISSN 1439-7803 ; 0044-2771 ; 0172-8504
    ISSN (online) 1439-7803
    ISSN 0044-2771 ; 0172-8504
    DOI 10.1055/s-0043-1764086
    Database Thieme publisher's database

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  10. Article ; Online: Interleukin 36 receptor-inducible matrix metalloproteinase 13 mediates intestinal fibrosis.

    Koop, Kristina / Enderle, Karin / Hillmann, Miriam / Ruspeckhofer, Laura / Vieth, Michael / Sturm, Gregor / Trajanoski, Zlatko / Kühl, Anja A / Atreya, Raja / Leppkes, Moritz / Baum, Patrick / Roy, Janine / Martin, Andrea / Neurath, Markus F / Neufert, Clemens

    Frontiers in immunology

    2023  Volume 14, Page(s) 1163198

    Abstract: Background: Fibrostenotic disease is a common complication in Crohn's disease (CD) patients hallmarked by transmural extracellular matrix (ECM) accumulation in the intestinal wall. The prevention and medical therapy of fibrostenotic CD is an unmet high ... ...

    Abstract Background: Fibrostenotic disease is a common complication in Crohn's disease (CD) patients hallmarked by transmural extracellular matrix (ECM) accumulation in the intestinal wall. The prevention and medical therapy of fibrostenotic CD is an unmet high clinical need. Although targeting IL36R signaling is a promising therapy option, downstream mediators of IL36 during inflammation and fibrosis have been incompletely understood. Candidate molecules include matrix metalloproteinases which mediate ECM turnover and are thereby potential targets for anti-fibrotic treatment. Here, we have focused on understanding the role of MMP13 during intestinal fibrosis.
    Methods: We performed bulk RNA sequencing of paired colon biopsies taken from non-stenotic and stenotic areas of patients with CD. Corresponding tissue samples from healthy controls and CD patients with stenosis were used for immunofluorescent (IF) staining. MMP13 gene expression was analyzed in cDNA of intestinal biopsies from healthy controls and in subpopulations of patients with CD in the IBDome cohort. In addition, gene regulation on RNA and protein level was studied in colon tissue and primary intestinal fibroblasts from mice upon IL36R activation or blockade. Finally,
    Results: Bulk RNA sequencing revealed high upregulation of MMP13 in colon biopsies from stenotic areas, as compared to non-stenotic regions of patients with CD. IF analysis confirmed higher levels of MMP13 in stenotic tissue sections of CD patients and demonstrated αSMA+ and Pdpn+ fibroblasts as a major source. Mechanistic experiments demonstrated that MMP13 expression was regulated by IL36R signaling. Finally, MMP13 deficient mice, as compared to littermate controls, developed less fibrosis in the chronic DSS model and showed reduced numbers of αSMA+ fibroblasts. These findings are consistent with a model suggesting a molecular axis involving IL36R activation in gut resident fibroblasts and MMP13 expression during the pathogenesis of intestinal fibrosis.
    Conclusion: Targeting IL36R-inducible MMP13 could evolve as a promising approach to interfere with the development and progression of intestinal fibrosis.
    MeSH term(s) Animals ; Mice ; Matrix Metalloproteinase 13 ; Crohn Disease/metabolism ; Colon ; Fibrosis ; Constriction, Pathologic ; Interleukins/metabolism
    Chemical Substances Matrix Metalloproteinase 13 (EC 3.4.24.-) ; Interleukins
    Language English
    Publishing date 2023-05-03
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2023.1163198
    Database MEDical Literature Analysis and Retrieval System OnLINE

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