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  1. Article ; Online: Deficiencies of the T and natural killer cell system in major depressive disorder: T regulatory cell defects are associated with inflammatory monocyte activation.

    Grosse, Laura / Hoogenboezem, Thomas / Ambrée, Oliver / Bellingrath, Silja / Jörgens, Silke / de Wit, Harm J / Wijkhuijs, Annemarie M / Arolt, Volker / Drexhage, Hemmo A

    Brain, behavior, and immunity

    2016  Volume 54, Page(s) 38–44

    Abstract: Background: In a previous study, we found an up-regulated inflammatory monocyte gene expression profile in major depressive disorder (MDD) patients aged ⩾ 28 years and a down-regulated inflammatory gene expression profile in MDD patients aged<28 years. ... ...

    Abstract Background: In a previous study, we found an up-regulated inflammatory monocyte gene expression profile in major depressive disorder (MDD) patients aged ⩾ 28 years and a down-regulated inflammatory gene expression profile in MDD patients aged<28 years. In the same sample of patients, we aimed to investigate immune dysregulation in the lymphocyte arm of the immune system, particularly in the context of the described monocyte (de-)activation states.
    Methods: From deep frozen leukocytes, circulating percentages of monocytes, lymphocytes, B, T, and natural killer (NK) cells, and various functional subsets of T and T helper (Th) cells (Th1, Th2, Th17, and natural T regulatory cells) were measured in N=50 MDD patients and N=58 age- and gender-matched healthy controls (HC). In addition, serum levels of interleukin (IL)-6, sCD25, IL-7, IL-3, SCF, IGF-BP2, and EGF were evaluated.
    Results: MDD patients were in general characterized by an impaired maturation of Th2 cells, Th17 cells, and NK cells and by decreased serum levels of IL-7 and sCD25. MDD patients aged ⩾ 28 years additionally exhibited decreased percentages of CD4(+)CD25(high)FoxP3(+) T regulatory cells, next to signs of the above described partial T cell defects. Natural T regulatory cells were inversely associated with the pro-inflammatory state of the monocytes (r=-.311; p=.034) that characterized this patient subgroup.
    Conclusions: Deficiencies of the NK and T (regulatory) cell system and inflammatory monocyte immune activation co-occur as partly interrelated phenomena within the same MDD patients.
    MeSH term(s) Adult ; Case-Control Studies ; Cytokines/metabolism ; Depressive Disorder, Major/immunology ; Depressive Disorder, Major/metabolism ; Depressive Disorder, Major/pathology ; Female ; Humans ; Killer Cells, Natural/immunology ; Killer Cells, Natural/pathology ; Lymphocyte Activation ; Male ; Middle Aged ; Monocytes/immunology ; Monocytes/pathology ; T-Lymphocytes, Regulatory/immunology ; T-Lymphocytes, Regulatory/pathology ; Th17 Cells/immunology ; Th17 Cells/pathology ; Th2 Cells/immunology ; Th2 Cells/pathology
    Chemical Substances Cytokines
    Language English
    Publishing date 2016-05
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639219-2
    ISSN 1090-2139 ; 0889-1591
    ISSN (online) 1090-2139
    ISSN 0889-1591
    DOI 10.1016/j.bbi.2015.12.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Deficiencies of the T and natural killer cell system in major depressive disorder

    Grosse, Laura / Hoogenboezem, Thomas / Ambrée, Oliver / Bellingrath, Silja / Jörgens, Silke / de Wit, Harm J. / Wijkhuijs, Annemarie M. / Arolt, Volker / Drexhage, Hemmo A.

    Brain, Behavior, and Immunity

    2016  Volume 54, Page(s) 38–44

    Abstract: Background: In a previous study, we found an up-regulated inflammatory monocyte gene expression profile in major depressive disorder (MDD) patients aged >= 28 years and a down-regulated inflammatory gene expression profile in MDD patients aged <28 years. ...

    Abstract Background: In a previous study, we found an up-regulated inflammatory monocyte gene expression profile in major depressive disorder (MDD) patients aged >= 28 years and a down-regulated inflammatory gene expression profile in MDD patients aged <28 years. In the same sample of patients, we aimed to investigate immune dysregulation in the lymphocyte arm of the immune system, particularly in the context of the described monocyte (de-)activation states. Methods: From deep frozen leukocytes, circulating percentages of monocytes, lymphocytes, B, T, and natural killer (NK) cells, and various functional subsets of T and T helper (T-h) cells (T(h)1, T(h)2, T(h)17, and natural T regulatory cells) were measured in N = 50 MDD patients and N = 58 age- and gender-matched healthy controls (HC). In addition, serum levels of interleukin (IL)-6, sCD25, IL-7, IL-3, SCF, IGF-BP2, and EGF were evaluated. Results: MDD patients were in general characterized by an impaired maturation of Th2 cells, Th17 cells, and NK cells and by decreased serum levels of IL-7 and sCD25. MDD patients aged >= 28 years additionally exhibited decreased percentages of CD4(+)CD25(high)FoxP3(+) T regulatory cells, next to signs of the above described partial T cell defects. Natural T regulatory cells were inversely associated with the pro-inflammatory state of the monocytes (r = -.311; p = .034) that characterized this patient subgroup. Conclusions: Deficiencies of the NK and T (regulatory) cell system and inflammatory monocyte immune activation co-occur as partly interrelated phenomena within the same MDD patients. (C) 2015 Elsevier Inc. All rights reserved.
    Keywords Entzündung ; Gene Expression ; Genexpression ; Immune System ; Immunoreactivity ; Immunreaktivität ; Immunsystem ; Inflammation ; Lymphocytes ; Lymphozyten ; Major Depression ; Natural Killer Cells ; Natürliche Killerzellen
    Language English
    Document type Article
    ZDB-ID 639219-2
    ISSN 0889-1591
    ISSN 0889-1591
    DOI 10.1016/j.bbi.2015.12.003
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  3. Article: Monocyte-derived dendritic cells in bipolar disorder.

    Knijff, Esther M / Ruwhof, Cindy / de Wit, Harm J / Kupka, Ralph W / Vonk, Ronald / Akkerhuis, Grard W / Nolen, Willem A / Drexhage, Hemmo A

    Biological psychiatry

    2005  Volume 59, Issue 4, Page(s) 317–326

    Abstract: Background: Dendritic cells (DC) are key regulators of the immune system, which is compromised in patients with bipolar disorder. We sought to study monocyte-derived DC in bipolar disorder.: Methods: Monocytes purified from blood collected from DSM- ... ...

    Abstract Background: Dendritic cells (DC) are key regulators of the immune system, which is compromised in patients with bipolar disorder. We sought to study monocyte-derived DC in bipolar disorder.
    Methods: Monocytes purified from blood collected from DSM-IV bipolar disorder outpatients (n = 53, 12 without lithium treatment) and healthy individuals (n = 34) were differentiated into DC via standard granulocyte-macrophpage colony-stimulating factor/interleukin-4 culture (with/without 1, 5, and 10 mmol/L lithium chloride). The DC were analyzed for DC-specific and functional markers and for T-cell stimulatory potency.
    Results: Monocytes of bipolar patients showed a mild hampering in their differentiation into fully active DC, showing a weak residual expression of the monocyte marker CD14 and a relatively low potency to stimulate autologous T cells. Lithium treatment abolished this mild defect, and monocyte-derived DC of treated bipolar patients showed signs of activation (i.e., an up-regulated potency to stimulate autologous T cells and a higher expression of the DC-specific marker CD1a). This activated phenotype contrasted with the suppressed phenotype of monocyte-derived DC exposed to lithium in vitro (10 mmol/L) during culture.
    Conclusions: Dendritic cells show mild aberrancies in bipolar disorder that are fully restored to even activation after in vivo lithium treatment.
    MeSH term(s) Adult ; Antigens, CD/biosynthesis ; Antigens, CD1/biosynthesis ; Antimanic Agents/therapeutic use ; Autoantibodies/analysis ; Autoantibodies/immunology ; Bipolar Disorder/drug therapy ; Bipolar Disorder/immunology ; Bipolar Disorder/pathology ; Cell Differentiation/physiology ; Cell Lineage/physiology ; Coculture Techniques ; Dendritic Cells/immunology ; Dendritic Cells/pathology ; Female ; Flow Cytometry ; Granulocyte-Macrophage Colony-Stimulating Factor/pharmacology ; Humans ; Immunoglobulins/biosynthesis ; Interleukin-4/physiology ; Lithium Chloride/therapeutic use ; Male ; Membrane Glycoproteins/biosynthesis ; Middle Aged ; Monocytes/immunology ; Monocytes/pathology ; T-Lymphocytes/immunology ; T-Lymphocytes/physiology ; CD83 Antigen
    Chemical Substances Antigens, CD ; Antigens, CD1 ; Antimanic Agents ; Autoantibodies ; CD1a antigen ; Immunoglobulins ; Membrane Glycoproteins ; Interleukin-4 (207137-56-2) ; Granulocyte-Macrophage Colony-Stimulating Factor (83869-56-1) ; Lithium Chloride (G4962QA067)
    Language English
    Publishing date 2005-09-13
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 209434-4
    ISSN 1873-2402 ; 0006-3223
    ISSN (online) 1873-2402
    ISSN 0006-3223
    DOI 10.1016/j.biopsych.2005.06.041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Accessory cells with a veiled morphology and movement pattern generated from monocytes after avoidance of plastic adherence and of NADPH oxidase activation. A comparison with GM-CSF/IL-4-induced monocyte-derived dendritic cells.

    Ruwhof, Cindy / Canning, Martha O / Grotenhuis, Kristel / de Wit, Harm J / Florencia, Zenovia Z / de Haan-Meulman, Meeny / Drexhage, Hemmo A

    Immunobiology

    2002  Volume 205, Issue 3, Page(s) 247–266

    Abstract: Veiled cells (VC) present in afferent lymph transport antigen from the periphery to the draining lymph nodes. Although VC in lymph form a heterogeneous population, some of the cells clearly belong on morphological grounds to the Langerhans cell (LC)/ ... ...

    Abstract Veiled cells (VC) present in afferent lymph transport antigen from the periphery to the draining lymph nodes. Although VC in lymph form a heterogeneous population, some of the cells clearly belong on morphological grounds to the Langerhans cell (LC)/ dendritic cell (DC) series. Here we show that culturing monocytes for 24 hrs while avoiding plastic adherence (polypropylene tubes) and avoiding the activation of NADPH oxidase (blocking agents) results in the generation of a population of veiled accessory cells. The generated VC were actively moving cells like lymph-borne VC in vivo. The monocyte (mo)-derived VC population existed of CD14(dim/-) and CD14(brighT) cells. Of these the CD14(dim/-) VC were as good in stimulating allogeneic T cell proliferation as immature DC (iDC) obtained after one week of adherent culture of monocytes in granulocyte-macrophage-colony stimulating factor (GM-CSF)/interleukin (IL)-4. This underscores the accessory cell function of the mo-derived CD14(dim/-) VC. Although the CD14(dim/-)VC had a modest expression of the DC-specific marker CD83 and were positive for S100, expression of the DC-specific markers CD1a, Langerin, DC-SIGN, and DC-LAMP were absent. This indicates that the here generated CD14(dim/-) VC can not be considered as classical LC/DC. It was also impossible to turn the CD14(dim/-) mo-derived VC population into typical DC by culture for one week in GM-CSF/IL-4 or LPS. In fact the cells died tinder such circumstances, gaining some macrophage characteristics before dying. The IL-12 production from mo-derived CD14(dim/-) VC was lower, whereas the production of IL-10 was higher as compared to iDC. Consequently the T cells that were stimulated by these mo-derived VC produced less IFN-gamma as compared with T cells stimulated by iDC. Our data indicate that it is possible to rapidly generate a population of CD14(dim/-) veiled accessory cells from monocytes. The marker pattern and cytokine production of these VC indicate that this population is not a classical DC population. The cells might earlier be related to the veiled macrophage-like cells also earlier described in afferent lymph.
    MeSH term(s) Antigen-Presenting Cells/cytology ; Antigen-Presenting Cells/immunology ; Antigen-Presenting Cells/physiology ; Cell Adhesion/drug effects ; Cell Movement/drug effects ; Cell Movement/physiology ; Dendritic Cells/cytology ; Dendritic Cells/immunology ; Dendritic Cells/physiology ; Enzyme Activation/physiology ; Granulocyte-Macrophage Colony-Stimulating Factor/pharmacology ; Humans ; Interleukin-4/pharmacology ; Monocytes/cytology ; Monocytes/immunology ; Monocytes/physiology ; NADPH Oxidases/metabolism
    Chemical Substances Interleukin-4 (207137-56-2) ; Granulocyte-Macrophage Colony-Stimulating Factor (83869-56-1) ; NADPH Oxidases (EC 1.6.3.-)
    Language English
    Publishing date 2002-07
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 563292-4
    ISSN 1878-3279 ; 0171-2985
    ISSN (online) 1878-3279
    ISSN 0171-2985
    DOI 10.1078/0171-2985-00129
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  5. Article: An imbalance in the production of IL-1beta and IL-6 by monocytes of bipolar patients: restoration by lithium treatment.

    Knijff, Esther M / Breunis, M Nadine / Kupka, Ralph W / de Wit, Harm J / Ruwhof, Cindy / Akkerhuis, Grard W / Nolen, Willem A / Drexhage, Hemmo A

    Bipolar disorders

    2007  Volume 9, Issue 7, Page(s) 743–753

    Abstract: Objectives: To study the ex vivo interleukin (IL)-1beta and IL-6 production of monocytes in bipolar disorder (BD) patients in the absence/presence of lithium.: Methods: Monocytes of outpatients with DSM-IV BD (n=80, of whom 64 were lithium-treated) ... ...

    Abstract Objectives: To study the ex vivo interleukin (IL)-1beta and IL-6 production of monocytes in bipolar disorder (BD) patients in the absence/presence of lithium.
    Methods: Monocytes of outpatients with DSM-IV BD (n=80, of whom 64 were lithium-treated) and of healthy control subjects (n=59) were cultured in vitro and exposed (24 h) or not exposed to lipopolysaccharide (LPS) and/or graded concentrations of lithium chloride (LiCl). IL-1beta and IL-6 production was assessed by enzyme-linked immunosorbent assay (ELISA) (supernatants).
    Results: Monocytes stimulated by LPS from non-lithium-treated bipolar patients were characterized by an abnormal IL-1beta/IL-6 production ratio, i.e., low IL-1beta and high IL-6 production. Lithium treatment increased IL-1beta and decreased IL-6 production and thus restored the aberrant ratio. In vitro exposure of monocytes to LiCl did not have the same effects as lithium treatment: the procedure decreased IL-1beta production and had minimal effects on IL-6 production.
    Conclusions: Blood monocytes have an altered proinflammatory status in BD. Lithium treatment restores this altered status. Short-term in vitro exposure of monocytes to lithium has other effects than lithium treatment.
    MeSH term(s) Adult ; Ambulatory Care ; Bipolar Disorder/blood ; Bipolar Disorder/drug therapy ; Bipolar Disorder/metabolism ; Cells, Cultured ; Diagnostic and Statistical Manual of Mental Disorders ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; In Vitro Techniques ; Interleukin-1beta/biosynthesis ; Interleukin-6/biosynthesis ; Lipopolysaccharides/pharmacology ; Lithium Chloride/pharmacology ; Lithium Compounds/therapeutic use ; Male ; Middle Aged ; Monocytes/drug effects ; Monocytes/immunology ; Monocytes/metabolism ; Psychiatric Status Rating Scales ; Psychotropic Drugs/therapeutic use
    Chemical Substances Interleukin-1beta ; Interleukin-6 ; Lipopolysaccharides ; Lithium Compounds ; Psychotropic Drugs ; Lithium Chloride (G4962QA067)
    Language English
    Publishing date 2007-11
    Publishing country Denmark
    Document type Comparative Study ; Journal Article
    ZDB-ID 1472242-2
    ISSN 1399-5618 ; 1398-5647
    ISSN (online) 1399-5618
    ISSN 1398-5647
    DOI 10.1111/j.1399-5618.2007.00444.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A relative resistance of T cells to dexamethasone in bipolar disorder.

    Knijff, Esther M / Breunis, M Nadine / van Geest, Marielle C / Kupka, Ralph W / Ruwhof, Cindy / de Wit, Harm J / Nolen, Willem A / Drexhage, Hemmo A

    Bipolar disorders

    2006  Volume 8, Issue 6, Page(s) 740–750

    Abstract: Objective: A relative resistance of immune cells to steroids has been established in patients with major depression (MD). In this study, we investigated the in vitro responsiveness of T cells to dexamethasone (DEX) of patients with bipolar disorder (BD). ...

    Abstract Objective: A relative resistance of immune cells to steroids has been established in patients with major depression (MD). In this study, we investigated the in vitro responsiveness of T cells to dexamethasone (DEX) of patients with bipolar disorder (BD).
    Methods: T cells of outpatients with DSM-IV BD (n = 54) and of healthy control subjects (HC; n = 29) were isolated, cultured and stimulated with phytohemagglutinin (PHA) for 72 h. The suppressive effect of graded concentrations of DEX (5 x 10(-9)-10(-5) M) on PHA-induced CD25 (IL-2R) expression was measured by fluorescence-activated cell sorting (FACS) analysis. Data were correlated to the T-cell activation status in the peripheral blood of the same patients and to their diagnosis, current mood state, ultradian cycling pattern and current use of medication, including lithium.
    Results: T cells of patients with BD were less sensitive to DEX-induced suppressive effects as compared with T cells of HC. These data were particularly evident at 10(-7) M DEX (mean % suppression +/- SEM BD: 18.9% +/- 3.5 versus HC: 35.8% +/- 4.7, p = 0.001). We found no correlations of this relative in vitro DEX resistance of T cells neither with the previously mentioned clinical characteristics nor with the actual activation status of the T cells in the BD patients.
    Conclusion: A relative T-cell resistance to steroids, as has been observed in MD previously, may be a trait phenomenon of BD, independent of mood state.
    MeSH term(s) Adult ; Bipolar Disorder/immunology ; Bipolar Disorder/physiopathology ; CD3 Complex ; Cells, Cultured ; Dexamethasone/pharmacology ; Diagnostic and Statistical Manual of Mental Disorders ; Female ; Glucocorticoids/pharmacology ; Humans ; Interleukin-2 Receptor alpha Subunit ; Lymphocyte Activation ; Male ; Middle Aged ; Severity of Illness Index ; T-Lymphocytes/drug effects
    Chemical Substances CD3 Complex ; Glucocorticoids ; Interleukin-2 Receptor alpha Subunit ; Dexamethasone (7S5I7G3JQL)
    Language English
    Publishing date 2006-12
    Publishing country Denmark
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1472242-2
    ISSN 1399-5618 ; 1398-5647
    ISSN (online) 1399-5618
    ISSN 1398-5647
    DOI 10.1111/j.1399-5618.2006.00359.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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