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  1. AU="Navarro-Zapata, Alfonso"
  2. AU="Martin, Emanuel H"
  3. AU="Biswas, Arnab"
  4. AU="Kurt Pfister"
  5. AU="Stefano Brignola"
  6. AU="Nierzwicki, Łukasz"
  7. AU="Benvin, Iva"
  8. AU="Sardesai, S. C."
  9. AU="Aldrees, Rana"

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  1. Artikel ; Online: Ruxolitinib does not completely abrogate the functional capabilities of TLR4/9 ligand-activated NK cells.

    Mestre-Durán, Carmen / Martín-Cortázar, Carla / García-Solís, Blanca / Pernas, Alicia / Pertíñez, Lidia / Galán, Víctor / Sisinni, Luisa / Clares-Villa, Laura / Navarro-Zapata, Alfonso / Al-Akioui, Karima / Escudero, Adela / Ferreras, Cristina / Pérez-Martínez, Antonio

    Frontiers in immunology

    2023  Band 13, Seite(n) 1045316

    Abstract: Introduction: Natural killer (NK) cells are lymphocytes from the innate immune system part of the first defense barrier against infected and transformed cells, representing 5%-15% of peripheral blood lymphocytes. The cytotoxic capacity of NK cells is ... ...

    Abstract Introduction: Natural killer (NK) cells are lymphocytes from the innate immune system part of the first defense barrier against infected and transformed cells, representing 5%-15% of peripheral blood lymphocytes. The cytotoxic capacity of NK cells is controlled by a balance between inhibitory and activating NK receptors expressed on their surface, which recognize and interact with the ligands on stressed cells. The cytokines involved in NK cell activation, proliferation, survival, and cytotoxicity are signaled mainly through the Janus kinase and signal transducer and activator of transcription proteins (JAK/STAT) pathway. NK cells are also activated in response to pathogens through Toll-like receptors (TLRs) expressed on their surface. Ruxolitinib is a specific JAK1/2 inhibitor approved for treating myelofibrosis and for steroid-refractory acute and chronic graft-versus-host disease (SR-GvHD).
    Methods: Purified NK cells from healthy donors were stimulated with two TOLL-like receptor ligands, LPS and CpG, in the presence of different concentrations of Ruxolitinib.
    Results: This study showed the effects of ruxolitinib on TLR4 and TLR9 ligand-activated NK cells from healthy donors. Ruxolitinib did not completely inhibit STAT3 phosphorylation and had a moderate effect on NK cell cytokine activation via the TLR pathway. Only the highest doses of ruxolitinib led to a decrease in the pro-inflammatory cytokines tumor necrosis factor α, interferon-γ, interleukin-6, and interleukin-1β. The cytotoxic capacity of stimulated NK cells versus K562, SEM, and MV-4-11 cell lines was reduced by increasing doses of ruxolitinib, but it was not completely abolished and we observed no major changes in degranulation capacity. Phenotypic changes were observed in activated NK cells in the presence of ruxolitinib. In a small cohort of pediatric patients treated with ruxolitinib for SR-GvHD, we observed no decrease in NK cell counts; however, further prospective studies with larger cohorts are necessary to confirm this finding.
    Discussion: In summary, our results showed that the functional capabilities and phenotype of NK cells activated through TLR4/9 agonists were not completely abolished by the inhibition of the JAK-STAT pathway by ruxolitinib.
    Mesh-Begriff(e) Humans ; Janus Kinases/metabolism ; Toll-Like Receptor 4/metabolism ; Prospective Studies ; Ligands ; Signal Transduction ; STAT Transcription Factors/metabolism ; Killer Cells, Natural ; Cytokines/metabolism ; Toll-Like Receptors/metabolism ; Graft vs Host Disease
    Chemische Substanzen Janus Kinases (EC 2.7.10.2) ; ruxolitinib (82S8X8XX8H) ; Toll-Like Receptor 4 ; Ligands ; STAT Transcription Factors ; Cytokines ; Toll-Like Receptors ; TLR4 protein, human
    Sprache Englisch
    Erscheinungsdatum 2023-01-05
    Erscheinungsland Switzerland
    Dokumenttyp 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.2022.1045316
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: NKG2D-CAR memory T cells target pediatric T-cell acute lymphoblastic leukemia

    Ibáñez-Navarro, Marta / Fernández, Adrián / Escudero, Adela / Esteso, Gloria / Campos-Silva, Carmen / Navarro-Aguadero, Miguel Ángel / Leivas, Alejandra / Caracuel, Beatriz Ruz / Rodríguez-Antolín, Carlos / Ortiz, Alejandra / Navarro-Zapata, Alfonso / Mestre-Durán, Carmen / Izquierdo, Manuel / Balaguer-Pérez, María / Ferreras, Cristina / Martínez-López, Joaquín / Valés-Gómez, Mar / Pérez-Martínez, Antonio / Fernández, Lucía

    Frontiers in immunology

    2023  Band 14, Seite(n) 1187665

    Abstract: Introduction: Refractory/relapsed pediatric acute leukemia are still clinically challenging and new therapeutic strategies are needed. Interactions between Natural Killer Group 2D (NKG2D) receptor, expressed in cytotoxic immune cells, and its ligands ( ... ...

    Abstract Introduction: Refractory/relapsed pediatric acute leukemia are still clinically challenging and new therapeutic strategies are needed. Interactions between Natural Killer Group 2D (NKG2D) receptor, expressed in cytotoxic immune cells, and its ligands (NKG2DL), which are upregulated in leukemic blasts, are important for anti-leukemia immunosurveillance. Nevertheless, leukemia cells may develop immunoescape strategies as NKG2DL shedding and/or downregulation.
    Methods: In this report, we analyzed the anti-leukemia activity of NKG2D chimeric antigen receptor (CAR) redirected memory (CD45RA
    Results: In vitro
    Discussion: The data here presented suggest, that, in combination with other therapeutic approaches, NKG2D-CAR T cells could be a novel treatment for pediatric T-ALL.
    Mesh-Begriff(e) Humans ; Child ; Mice ; Animals ; NK Cell Lectin-Like Receptor Subfamily K/metabolism ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Cell Line, Tumor ; Memory T Cells ; Receptors, Chimeric Antigen
    Chemische Substanzen NK Cell Lectin-Like Receptor Subfamily K ; Receptors, Chimeric Antigen
    Sprache Englisch
    Erscheinungsdatum 2023-10-18
    Erscheinungsland Switzerland
    Dokumenttyp 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.2023.1187665
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: A Mathematical Description of the Bone Marrow Dynamics during CAR T-Cell Therapy in B-Cell Childhood Acute Lymphoblastic Leukemia.

    Martínez-Rubio, Álvaro / Chulián, Salvador / Blázquez Goñi, Cristina / Ramírez Orellana, Manuel / Pérez Martínez, Antonio / Navarro-Zapata, Alfonso / Ferreras, Cristina / Pérez-García, Victor M / Rosa, María

    International journal of molecular sciences

    2021  Band 22, Heft 12

    Abstract: Chimeric Antigen Receptor (CAR) T-cell therapy has demonstrated high rates of response in recurrent B-cell Acute Lymphoblastic Leukemia in children and young adults. Despite this success, a fraction of patients' experience relapse after treatment. ... ...

    Abstract Chimeric Antigen Receptor (CAR) T-cell therapy has demonstrated high rates of response in recurrent B-cell Acute Lymphoblastic Leukemia in children and young adults. Despite this success, a fraction of patients' experience relapse after treatment. Relapse is often preceded by recovery of healthy B cells, which suggests loss or dysfunction of CAR T-cells in bone marrow. This site is harder to access, and thus is not monitored as frequently as peripheral blood. Understanding the interplay between B cells, leukemic cells, and CAR T-cells in bone marrow is paramount in ascertaining the causes of lack of response. In this paper, we put forward a mathematical model representing the interaction between constantly renewing B cells, CAR T-cells, and leukemic cells in the bone marrow. Our model accounts for the maturation dynamics of B cells and incorporates effector and memory CAR T-cells. The model provides a plausible description of the dynamics of the various cellular compartments in bone marrow after CAR T infusion. After exploration of the parameter space, we found that the dynamics of CAR T product and disease were independent of the dose injected, initial B-cell load, and leukemia burden. We also show theoretically the importance of CAR T product attributes in determining therapy outcome, and have studied a variety of possible response scenarios, including second dosage schemes. We conclude by setting out ideas for the refinement of the model.
    Mesh-Begriff(e) B-Lymphocytes/immunology ; Bone Marrow/immunology ; Child ; Humans ; Immunologic Memory ; Immunotherapy, Adoptive ; Models, Biological ; Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/immunology ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2021-06-14
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms22126371
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Donor selection for adoptive cell therapy with CD45RA

    Al-Akioui-Sanz, Karima / Pascual-Miguel, Bárbara / Díaz-Almirón, Mariana / Mestre-Durán, Carmen / Navarro-Zapata, Alfonso / Clares-Villa, Laura / Martín-Cortázar, Carla / Vicario, José Luis / Moreno, Miguel Ángel / Balas, Antonio / De Paz, Raquel / Minguillón, Jordi / Pérez-Martínez, Antonio / Ferreras, Cristina

    Cytotherapy

    2022  Band 25, Heft 3, Seite(n) 330–340

    Abstract: Background aims: We have previously demonstrated the safety and feasibility of adoptive cell therapy with CD45RA: Methods: We performed a longitudinal analysis from previously severe acute respiratory syndrome coronavirus 2-infected and infection- ... ...

    Abstract Background aims: We have previously demonstrated the safety and feasibility of adoptive cell therapy with CD45RA
    Methods: We performed a longitudinal analysis from previously severe acute respiratory syndrome coronavirus 2-infected and infection-naïve individuals covering 21 months from infection and 10 months after full vaccination with the BNT162b2 Pfizer/BioNTech vaccine.
    Results: We observed that cellular responses are maintained over time. Humoral responses increased after vaccination but were gradually lost. In addition, dexamethasone did not alter cell functionality or proliferation of CD45RA
    Conclusions: Our results suggest that the best donors for adoptive cell therapy would be recovered individuals and 2 months after vaccination, although further studies with larger cohorts would be needed to confirm this finding. Dexamethasone did not affect the characteristics of the memory T cells at a concentration used in the clinical practice and IL-15 showed a positive effect on SARS-CoV-2-specific CD45RA
    Mesh-Begriff(e) Humans ; Interferon-gamma/metabolism ; Interleukin-15 ; Memory T Cells ; Donor Selection ; BNT162 Vaccine ; COVID-19/therapy ; SARS-CoV-2 ; COVID-19 Drug Treatment ; Leukocyte Common Antigens/metabolism ; Phenotype ; Dexamethasone/pharmacology ; Dexamethasone/therapeutic use ; Cell Proliferation ; Antibodies, Viral ; Vaccination
    Chemische Substanzen Interferon-gamma (82115-62-6) ; Interleukin-15 ; BNT162 Vaccine ; Leukocyte Common Antigens (EC 3.1.3.48) ; Dexamethasone (7S5I7G3JQL) ; Antibodies, Viral
    Sprache Englisch
    Erscheinungsdatum 2022-12-12
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2039821-9
    ISSN 1477-2566 ; 1465-3249
    ISSN (online) 1477-2566
    ISSN 1465-3249
    DOI 10.1016/j.jcyt.2022.12.001
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Inherited human ezrin deficiency impairs adaptive immunity.

    García-Solís, Blanca / Van Den Rym, Ana / Martinez-Martínez, Laura / Franco, Teresa / Pérez-Caraballo, Jareb J / Markle, Janet / Cubillos-Zapata, Carolina / Marín, Ana V / Recio, María J / Regueiro, José R / Navarro-Zapata, Alfonso / Mestre-Durán, Carmen / Ferreras, Cristina / Martín Cotázar, Carla / Mena, Roció / de la Calle-Fabregat, Carlos / López-Lera, Alberto / Fernández Arquero, Miguel / Pérez-Martínez, Antonio /
    López-Collazo, Eduardo / Sánchez-Ramón, Silvia / Casanova, Jean-Laurent / Martínez-Barricarte, Rubén / de la Calle-Martín, Oscar / Pérez de Diego, Rebeca

    The Journal of allergy and clinical immunology

    2023  Band 152, Heft 4, Seite(n) 997–1009.e11

    Abstract: Background: Inborn errors of immunity (IEI) are a group of monogenic diseases that confer susceptibility to infection, autoimmunity, and cancer. Despite the life-threatening consequences of some IEI, their genetic cause remains unknown in many patients.! ...

    Abstract Background: Inborn errors of immunity (IEI) are a group of monogenic diseases that confer susceptibility to infection, autoimmunity, and cancer. Despite the life-threatening consequences of some IEI, their genetic cause remains unknown in many patients.
    Objective: We investigated a patient with an IEI of unknown genetic etiology.
    Methods: Whole-exome sequencing identified a homozygous missense mutation of the gene encoding ezrin (EZR), substituting a threonine for an alanine at position 129.
    Results: Ezrin is one of the subunits of the ezrin, radixin, and moesin (ERM) complex. The ERM complex links the plasma membrane to the cytoskeleton and is crucial for the assembly of an efficient immune response. The A129T mutation abolishes basal phosphorylation and decreases calcium signaling, leading to complete loss of function. Consistent with the pleiotropic function of ezrin in myriad immune cells, multidimensional immunophenotyping by mass and flow cytometry revealed that in addition to hypogammaglobulinemia, the patient had low frequencies of switched memory B cells, CD4
    Conclusions: Autosomal-recessive human ezrin deficiency is a newly recognized genetic cause of B-cell deficiency affecting cellular and humoral immunity.
    Mesh-Begriff(e) Humans ; CD8-Positive T-Lymphocytes ; Cytoskeleton/metabolism ; Cell Membrane/metabolism ; Immunity, Humoral
    Chemische Substanzen ezrin
    Sprache Englisch
    Erscheinungsdatum 2023-06-08
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 121011-7
    ISSN 1097-6825 ; 1085-8725 ; 0091-6749
    ISSN (online) 1097-6825 ; 1085-8725
    ISSN 0091-6749
    DOI 10.1016/j.jaci.2023.05.022
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Donor's graft ex vivo T-cell depletion with fludarabine reduces graft-versus-host disease signs and improves survival after intestinal transplantation - an experimental study.

    Vela, Maria / Stringa, Pablo / González-Navarro, Pablo / Machuca, Mariana / Pascual-Miguel, Bárbara / Mestre, Carmen / Arreola, Nidia M / Papa-Gobbi, Rodrigo / Navarro-Zapata, Alfonso / Pires-Lobo, Sara C / Andrés, Ane M / Hernández-Oliveros, Francisco / Pérez-Martínez, Antonio

    Transplant international : official journal of the European Society for Organ Transplantation

    2020  Band 33, Heft 10, Seite(n) 1302–1311

    Abstract: Intestinal passenger T leukocytes are responsible for graft-versus-host disease (GvHD) in intestinal transplantation (ITx). We hypothesized that ex vivo fludarabine treatment of the bowel graft would diminish the risk of GvHD and improve overall survival ...

    Abstract Intestinal passenger T leukocytes are responsible for graft-versus-host disease (GvHD) in intestinal transplantation (ITx). We hypothesized that ex vivo fludarabine treatment of the bowel graft would diminish the risk of GvHD and improve overall survival post-transplant. We performed isolated heterotopic small bowel transplantations from Lewis (LEW) to Brown Norway (BN) rat strains, which generated GvHD signs from the fourth day post-transplant. These symptoms included rash, weight loss, piloerection, and diarrhea. The grafts of one of the experimental groups were immersed and sealed in cold Celsior preservation solution with 1000 µm fludarabine for 1 h, prior to its implantation into recipient animals. No histological signs of intestinal tissue alterations were observed after fludarabine treatment. Fludarabine-treated bowel recipients showed significantly later and milder clinical signs of GvHD and reduced total donor cell chimerism, as determined by flow cytometry using strain-specific anti-HLA antibodies. Additionally, fludarabine treatment prolonged recipients' overall survival (13.5 days ± 0.3 days vs. 9.2 days ± 0.5). We conclude that active modification of the intestinal leukocyte composition is advantageous in our ITx animal model. Immunosuppression with fludarabine during the surgical procedure, which could be translated directly to the clinic, protects bowel recipients from GvHD and improves overall post-transplant survival.
    Mesh-Begriff(e) Animals ; Graft vs Host Disease/drug therapy ; Graft vs Host Disease/prevention & control ; Rats ; Rats, Inbred Lew ; T-Lymphocytes ; Transplantation, Homologous ; Vidarabine/analogs & derivatives
    Chemische Substanzen Vidarabine (FA2DM6879K) ; fludarabine (P2K93U8740)
    Sprache Englisch
    Erscheinungsdatum 2020-07-16
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639435-8
    ISSN 1432-2277 ; 0934-0874
    ISSN (online) 1432-2277
    ISSN 0934-0874
    DOI 10.1111/tri.13672
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel: Optimizing the Procedure to Manufacture Clinical-Grade NK Cells for Adoptive Immunotherapy.

    Fernández, Adrián / Navarro-Zapata, Alfonso / Escudero, Adela / Matamala, Nerea / Ruz-Caracuel, Beatriz / Mirones, Isabel / Pernas, Alicia / Cobo, Marta / Casado, Gema / Lanzarot, Diego / Rodríguez-Antolín, Carlos / Vela, María / Ferreras, Cristina / Mestre, Carmen / Viejo, Aurora / Leivas, Alejandra / Martínez, Joaquín / Fernández, Lucía / Pérez-Martínez, Antonio

    Cancers

    2021  Band 13, Heft 3

    Abstract: Natural killer (NK) cells represent promising tools for cancer immunotherapy. We report the optimization of an NK cell activation-expansion process and its validation on clinical-scale.: Methods: RPMI-1640, stem cell growth medium (SCGM), NK MACS and ... ...

    Abstract Natural killer (NK) cells represent promising tools for cancer immunotherapy. We report the optimization of an NK cell activation-expansion process and its validation on clinical-scale.
    Methods: RPMI-1640, stem cell growth medium (SCGM), NK MACS and TexMACS were used as culture mediums. Activated and expanded NK cells (NKAE) were obtained by coculturing total peripheral blood mononuclear cells (PBMC) or CD45RA
    Results: NK MACS and TexMACs achieved the highest NK cell purity and lowest T cell contamination. Obtaining NKAE cells from CD45RA
    Conclusions: GMP-grade NK cells for clinical use can be obtained by using different starting cells and aAPC.
    Sprache Englisch
    Erscheinungsdatum 2021-02-02
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13030577
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: SARS-CoV-2 specific memory T lymphocytes from COVID-19 convalescent donors: identification, biobanking and large scale production for Adoptive Cell Therapy

    Ferreras, Cristina / Pascual-Miguel, Barbara / Mestre-Duran, Carmen / Navarro-Zapata, Alfonso / Clares-Villa, Laura / Martin-Cortazar, Carla / De Paz, Raquel / Marcos, Antonio / Vicario, Jose Luis / Balas, Antonio / Garcia-Sanchez, Felix / Eguizabal, Cristina / Solano, Carlos / Mora-Rillo, Marta / Soria, Bernat / Perez-Martinez, Antonio

    bioRxiv

    Abstract: SARS-CoV-2 is causing a second outbreak so the hope for its complete eradication is far from happening. In the absence of effective vaccines, it is mandatory to find effective treatments with low adverse effects able to treat hospitalized patients with ... ...

    Abstract SARS-CoV-2 is causing a second outbreak so the hope for its complete eradication is far from happening. In the absence of effective vaccines, it is mandatory to find effective treatments with low adverse effects able to treat hospitalized patients with COVID-19 disease. In this work, we determined the existence of SARS-CoV-2 specific T cells within the CD45RA- T memory cells from the blood of convalescent donors. Memory T cells can respond quickly to the infection and provide long-term immune protection to reduce the severity of the COVID-19 symptoms. Also, CD45RA- memory T cells confer protection from other pathogens the donors encountered in their life. This is vital to clear other secondary infections usually developed in hospitalized COVID-19 patients. SARS-CoV-2 specific memory T cells were found within all the CD45RA- subsets CD3+, CD4+, CD8+, and in the central memory and effector memory subpopulations. The procedure to obtain the cells is feasible, easy to implement for small scale manufacture, quick and cost-effective involving minimal manipulation, and without GMP condition requirements. This biobank of specific SARS-CoV-2 memory T cells would be immediately available off-the-shelf to treat moderate/severe cases of COVID-19 increasing the therapeutic options available for these patients.
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-10-26
    Verlag Cold Spring Harbor Laboratory
    Dokumenttyp Artikel ; Online
    DOI 10.1101/2020.10.23.352294
    Datenquelle COVID19

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