Publications by authors named "Alexandra Chloe Villani"

The Human Cell Atlas (HCA) is a global partnership "to create comprehensive reference maps of all human cells-the fundamental units of life - as a basis for both understanding human health and diagnosing, monitoring, and treating disease." ( https://www.humancellatlas.

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  • Immune checkpoint inhibitors, a type of cancer treatment, can cause serious side effects, including immune-related myocarditis (irMyocarditis), which can be fatal.
  • Researchers studied immune responses in the heart, tumor, and blood of 28 patients with irMyocarditis using advanced techniques like single-cell RNA sequencing and T-cell receptor (TCR) sequencing.
  • Their findings showed an increase in certain immune cells in the heart tissue of irMyocarditis patients and identified specific TCR clones associated with severe cases, shedding light on the disease's biology and potential biomarkers.
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  • - Pregnancy may worsen the severity of SARS-CoV-2 and other respiratory infections, but the reasons behind this increased risk are not well understood.
  • - A study involving 226 women, including 152 pregnant and 74 non-pregnant, showed that pregnant women experience significant changes in T cell responses and immune functions after SARS-CoV-2 infection.
  • - The study found increased levels of interleukin-27 in pregnant women, which is linked to T cell exhaustion, suggesting that unique immune responses during pregnancy could make them more vulnerable to viral infections.
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In naive individuals, sensory neurons directly detect and respond to allergens, leading to both the sensation of itch and the activation of local innate immune cells, which initiate the allergic immune response. In the setting of chronic allergic inflammation, immune factors prime sensory neurons, causing pathologic itch. Although these bidirectional neuroimmune circuits drive responses to allergens, whether immune cells regulate the set-point for neuronal activation by allergens in the naive state is unknown.

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  • Current methods for identifying immune-related adverse events (irAEs) in patients undergoing immune checkpoint inhibitor (ICI) therapy are not very effective, but large language models (LLMs) show promise in improving this process.
  • In a study, LLMs were compared to manual reviews and ICD codes for detecting common irAEs in hospitalized patients, demonstrating significantly higher sensitivity especially for conditions like hepatitis and myocarditis.
  • The LLM was faster in analysis—averaging 9.53 seconds per chart compared to 15 minutes for manual adjudication—indicating that LLMs could be a valuable tool in clinical settings for accurately identifying irAEs.
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Importance: Immune checkpoint inhibitors (ICIs) have revolutionized cancer care; however, accompanying immune-related adverse events (irAEs) confer substantial morbidity and occasional mortality. Life-threatening irAEs may require permanent cessation of ICI, even in patients with positive tumor response. Therefore, it is imperative to comprehensively define the spectrum of irAEs to aid individualized decision-making around the initiation of ICI therapy.

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Background: Asthma is often accompanied by type 2 immunity rich in IL-4, IL-5, and IL-13 cytokines produced by T2 lymphocytes or type 2 innate lymphoid cells (ILC2s). IL-2 family cytokines play a key role in the differentiation, homeostasis, and effector function of innate and adaptive lymphocytes.

Objective: IL-9 and IL-21 boost activation and proliferation of T2 and ILC2s, but the relative importance and potential synergism between these γ common chain cytokines are currently unknown.

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Identifying cellular identities is a key use case in single-cell transcriptomics. While machine learning has been leveraged to automate cell annotation predictions for some time, there has been little progress in scaling neural networks to large data sets and in constructing models that generalize well across diverse tissues. Here, we propose scTab, an automated cell type prediction model specific to tabular data, and train it using a novel data augmentation scheme across a large corpus of single-cell RNA-seq observations (22.

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Adult stem cells play a crucial role in tissue homeostasis and repair through multiple mechanisms. In addition to being able to replace aged or damaged cells, stem cells provide signals that contribute to the maintenance and function of neighboring cells. In the lung, airway basal stem cells also produce cytokines and chemokines in response to inhaled irritants, allergens, and pathogens, which affect specific immune cell populations and shape the nature of the immune response.

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  • - Diabetic kidney disease (DKD) is a major cause of kidney failure linked to diabetes and obesity, but effective treatments to slow its progression are currently unavailable.
  • - Research on single-cell transcriptomic profiles from DKD patients and mouse models reveals a growing population of macrophages expressing TREM2 in mice fed a high-fat diet, which correlates with obesity and diabetes.
  • - In mice lacking TREM2, increased kidney damage and cell injury were observed, indicating that boosting TREM2 macrophages could be a promising therapeutic approach for DKD.
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  • Immune checkpoint inhibitor (ICI) therapy has significantly advanced cancer treatment but is often complicated by immune-related adverse events like checkpoint inhibitor colitis (irColitis).
  • A study profiling around 300,000 cells from patients with irColitis uncovered key immune cell expansions and molecular changes in the colon mucosa and blood, highlighting the complexity of the condition.
  • Findings indicate that specific T cells and epithelial interactions are crucial for understanding irColitis and may lead to new therapeutic approaches for managing this side effect of ICI therapy.
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Pregnancy is a risk factor for increased severity of SARS-CoV-2 and other respiratory infections. The mechanisms underlying this risk have not been well-established, partly due to a limited understanding of how pregnancy shapes immune responses. To gain insight into the role of pregnancy in modulating immune responses at steady state and upon perturbation, we collected peripheral blood mononuclear cells (PBMC), plasma, and stool from 226 women, including 152 pregnant individuals (n = 96 with SARS-CoV-2 infection and n = 56 healthy controls) and 74 non-pregnant women (n = 55 with SARS-CoV-2 and n = 19 healthy controls).

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Lyme disease is caused by the bacterial pathogen , which can be readily modeled in laboratory mice. In order to understand the cellular and transcriptional changes that occur during infection, we conducted single-cell RNA sequencing (scRNA-seq) of ankle joints of infected C57BL/6 mice over time. We found that macrophages/monocytes, T cells, synoviocytes and fibroblasts all showed significant differences in gene expression of both inflammatory and non-inflammatory genes that peaked early and returned to baseline before the typical resolution of arthritis.

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  • This study investigates the impact of rare genetic variants on asthma and allergy traits in children from diverse backgrounds, moving beyond the focus on common genetic variations in mainly European populations.
  • Researchers analyzed whole-genome sequencing data from over 1,000 children, identifying rare variants associated with specific asthma-related traits and establishing links to three candidate genes: USF1, TNFRSF21, and PIK3R6.
  • The findings highlight significant associations between these genes and certain clinical phenotypes, including blood neutrophil count and total IgE levels, supported by additional data from human and mouse studies.
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Tissue-resident memory T (T ) cells play a central role in immune responses to pathogens across all barrier tissues after infection. However, the underlying mechanisms that drive T differentiation and priming for their recall effector function remains unclear. In this study, we leveraged both newly generated and publicly available single-cell RNA-sequencing (scRNAseq) data generated across 10 developmental time points to define features of CD8 T across both skin and small-intestine intraepithelial lymphocytes (siIEL).

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  • Identifying cellular identities is crucial in single-cell transcriptomics, where machine learning has made limited progress in handling large datasets and diverse biological contexts.
  • The proposed scTab model applies a feature-attention mechanism and a novel data augmentation approach to predict cell types across a large dataset of 22.2 million human cells, enhancing model generalization and uncertainty quantification.
  • Results indicate that scTab outperforms linear models for cross-tissue annotations and scales effectively with data size, with available resources for public use to facilitate further research in the field.
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  • Immune checkpoint inhibitors (ICIs) can lead to serious immune-related adverse events (irAEs), with ICI-related myocarditis (irMyocarditis) being particularly dangerous and the most lethal among these events.
  • Researchers explored immune responses in the heart, tumors, and blood of 28 patients with irMyocarditis compared to 23 controls, using advanced techniques like single-cell RNA sequencing and proteomics.
  • Key findings revealed a unique presence of specific immune cells in irMyocarditis heart tissue, distinct T cell responses in heart vs. tumor, and identified novel biomarkers related to fatality that could inform future therapies.
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Asthma is a chronic disease most commonly associated with allergy and type 2 inflammation. However, the mechanisms that link airway inflammation to the structural changes that define asthma are incompletely understood. Using a human model of allergen-induced asthma exacerbation, we compared the lower airway mucosa in allergic asthmatics and allergic non-asthmatic controls using single-cell RNA sequencing.

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  • * The authors introduce a modified Smart-Seq2 technique for bulk RNA sequencing, specifically designed for neutrophils from whole blood, detailing the processes of isolation, cDNA generation, and library preparation.
  • * This new method allows for larger studies and helps identify different subtypes of neutrophil transcripts, with more information available in referenced studies by LaSalle et al. and Boribong et al. from 2022.
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  • Researchers are investigating non-invasive biomarkers to diagnose immune checkpoint inhibitor-associated acute tubulointerstitial nephritis (ICI-nephritis), focusing on markers of immune dysregulation linked to CTLA4 deficiency.
  • The study compared sIL-2R levels and cell-based markers from patients with ICI-nephritis against various control groups, revealing that sIL-2R levels were significantly elevated in patients with ICI-nephritis.
  • A specific sIL-2R cutoff of 1.75-fold above the normal limit was found to be a strong indicator for diagnosing ICI-nephritis.
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Immune checkpoint inhibitors (ICIs) have yielded remarkable responses but often lead to immune-related adverse events (irAEs). Although germline causes for irAEs have been hypothesized, no individual variant associated with developing irAEs has been identified. We carried out a genome-wide association study of 1,751 patients on ICIs across 12 cancer types.

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The molecular underpinnings of organ dysfunction in acute COVID-19 and its potential long-term sequelae are under intense investigation. To shed light on these in the context of liver function, we performed single-nucleus RNA-seq and spatial transcriptomic profiling of livers from 17 COVID-19 decedents. We identified hepatocytes positive for SARS-CoV-2 RNA with an expression phenotype resembling infected lung epithelial cells.

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Mechanisms of neutrophil involvement in severe coronavirus disease 2019 (COVID-19) remain incompletely understood. Here, we collect longitudinal blood samples from 306 hospitalized COVID-19 patients and 86 controls and perform bulk RNA sequencing of enriched neutrophils, plasma proteomics, and high-throughput antibody profiling to investigate relationships between neutrophil states and disease severity. We identify dynamic switches between six distinct neutrophil subtypes.

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The presumed common origin of plasmacytoid and conventional dendritic cells has been the contentious subject of recent debate. In this issue of Immunity, Feng et al. employed an inducible cell barcoding system to track clonal relationships and uncovered a surprising close developmental relationship between cDC1s and pDCs.

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