Publications by authors named "Cecile A C M Van Els"

Background: To date, it is still not clear why during the COVID-19 pandemic children generally developed no or milder symptoms compared to adults. As innate immune responses are crucial in the early defense against pathogens, we aimed at profiling these responses from both adults and children with a primary SARS-CoV-2 infection.

Methods: In the first months of the pandemic, PBMCs and serum were collected from peripheral blood of adults and children at different time points after testing SARS-CoV-2 PCR positive (PCR+).

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Background: Bordetella pertussis continues to cause whooping cough globally even in countries with high immunisation coverage. Booster vaccinations with acellular pertussis vaccines are thus used in children, adolescents, and adults. T cell immunity is crucial for orchestrating the immune response after vaccination.

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  • Young children and older adults are particularly vulnerable to invasive pneumococcal disease (IPD) due to lower levels of protective antibodies against Streptococcus pneumoniae.
  • Research measured IgG and IgA antibodies in serum and saliva across different age groups, revealing that younger children have significantly lower antibody levels and avidity compared to adults.
  • The findings suggest that repeated exposure to pneumococci through factors like daycare attendance boosts antibody levels, with young children’s low antibody profiles contributing to their susceptibility to IPD and older adults experiencing different influencing factors.
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Introduction: Accumulating evidence indicates the importance of T cell immunity in vaccination-induced protection against severe COVID-19 disease, especially against SARS-CoV-2 Variants-of-Concern (VOCs) that more readily escape from recognition by neutralizing antibodies. However, there is limited knowledge on the T cell responses across different age groups and the impact of CMV status after primary and booster vaccination with different vaccine combinations. Moreover, it remains unclear whether age has an effect on the ability of T cells to cross-react against VOCs.

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  • The study explores how patients on immunosuppressants (ISPs) respond to SARS-CoV-2 infections compared to healthy controls, particularly looking at antibody levels post-infection.
  • Patients with immune-mediated inflammatory diseases (IMIDs) on different ISP therapies showed variable antibody responses, with those on anti-CD20 and sphingosine-1 phosphate therapies having lower antibody levels.
  • Despite lower antibody titers, the breakthrough infections in these patients were mostly mild, indicating that ISPs may not severely impede the overall immune response to SARS-CoV-2.
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  • Streptococcus pneumoniae is a bacteria that can make kids and older people very sick.
  • Scientists checked the levels of special antibodies (IgG) in different age groups to see how the body fights this bacteria.
  • They found that babies have low antibody levels, which grow in adults but decrease as people get older, showing how our immune defenses change throughout life.
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  • RSV infections are a leading cause of serious respiratory illnesses, especially in infants and the elderly, but there's no clear protective marker against the virus.
  • Evidence shows that antibody functions are crucial for immunity, but there's limited understanding of how these responses vary and last over time.
  • This study examined various antibody characteristics across different age groups and found that younger children have lower antibody-dependent natural killer cell activation (ADNKA) compared to adults, and older adults show boosted antibody responses after RSV infection that stabilize over time, highlighting the complexity of immune responses to RSV.
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Background: Patients with immune-mediated inflammatory diseases (IMIDs) on immunosuppressants (ISPs) may have impaired long-term humoral immune responses and increased disease activity after SARS-CoV-2 infection. We aimed to investigate long-term humoral immune responses against SARS-CoV-2 and increased disease activity after a primary SARS-CoV-2 infection in unvaccinated IMID patients on ISPs.

Methods: IMID patients on active treatment with ISPs and controls (i.

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CD4 T cell-mediated immunity against Streptococcus pneumoniae (pneumococcus) can protect against recurrent bacterial colonization and invasive pneumococcal diseases (IPDs). Although such immune responses are common, the pertinent antigens have remained elusive. We identified an immunodominant CD4 T cell epitope derived from pneumolysin (Ply), a member of the bacterial cholesterol-dependent cytolysins (CDCs).

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Introduction: The characterization of (Bp) antigen-specific CD4 T cell cytokine responses should be included in the evaluation of immunogenicity of pertussis vaccines but is often hindered by the lack of standardized robust assays.

Methods: To overcome this limitation, we developed a two-step assay comprising a short-term stimulation of fresh whole blood with Bp antigens and cryopreservation of the stimulated cells, followed later on by batch-wise intracellular cytokine analysis by flow cytometry. Blood samples collected from recently acellular (aP) vaccine boosted subjects with a whole-cell- or aP-primed background was incubated for 24 hrs with Pertussis toxin, Filamentous hemagglutinin or a Bp lysate (400µl per stimulation).

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  • Increased Fab glycosylation of autoantibodies is prevalent in chronic B cell-mediated autoimmune diseases, with varying levels found across several conditions including rheumatoid arthritis and systemic lupus erythematosus.
  • Assessment methods included lectin affinity chromatography and autoantigen-specific immunoassays to determine glycosylation levels.
  • The study demonstrated that chronic disease states lead to increased Fab glycosylation, while acute autoimmune diseases did not show this association, suggesting a complex relationship between autoantigen exposure and glycosylation.
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For patients with immune-mediated inflammatory diseases (IMIDs), concerns exist about increased disease activity after vaccination. We aimed to assess changes in disease activity after SARS-CoV-2 vaccination in patients with IMIDs, and determine risk factors for increased disease activity. In this substudy of a prospective observational cohort study (Target-to-B!), we included patients with IMIDs who received a SARS-CoV-2 vaccine.

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To investigate B-cell differentiation and maturation occurring in the germinal center (GC) using culture systems, key factors and interactions of the GC reaction need to be accurately simulated. This study aims at improving GC simulation using 3D culture techniques. Human B-cells were incorporated into PEG-4MAL hydrogels, to create a synthetic extracellular matrix, supported by CD40L cells, human tonsil-derived lymphoid stromal cells, and cytokines.

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Objectives: To compare the cumulative incidence and disease severity of reported SARS-CoV-2 omicron breakthrough infections between patients with immune-mediated inflammatory diseases (IMID) on immunosuppressants and controls, and to investigate determinants for breakthrough infections.

Methods: Data were used from an ongoing national prospective multicentre cohort study on SARS-CoV-2 vaccination responses in patients with IMID in the Netherlands (Target-to-B! (T2B!) study). Patients wih IMID on immunosuppressants and controls (patients with IMID not on immunosuppressants and healthy controls) who completed primary immunisation were included.

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  • * Despite this, the T-cell response to the Omicron BA.1 variant remains relatively intact, showing that T-cells can still recognize the virus to some extent.
  • * However, there is a significant loss of T-cell reactivity to certain important CD4 T-cell epitopes caused by mutations in the Omicron BA.1 strain, highlighting the need to track these changes in virus strains for future immunity predictions.
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Respiratory infection caused by is a leading cause of morbidity and mortality in older adults. Acquired CD4 T cell mechanism are essential for the protection against colonization and subsequent development of infections by . In this study, we hypothesized that age-related changes within the CD4 T-cell population compromise CD4 T-cell specific responses to , thereby contributing to increased susceptibility at older age.

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Pertussis, a human-specific respiratory infectious disease caused by the Gram-negative bacterium (Bp), remains endemic with epidemic years despite high vaccination coverage. Whereas pertussis vaccines and natural infection with Bp confer immune protection, the duration of protection varies and is not lifelong. Recent evidence indicates a considerable underestimation of the pertussis burden among older adults.

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Pertussis is a respiratory infection caused by the Gram-negative bacterium . Despite high vaccination coverage this disease remains a public health concern worldwide. A better understanding of the protective immune responses to is required for the development of improved vaccines.

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Background: Concerns have been raised regarding the risks of SARS-CoV-2 breakthrough infections in vaccinated patients with immune-mediated inflammatory diseases treated with immunosuppressants, but clinical data on breakthrough infections are still scarce. The primary objective of this study was to compare the incidence and severity of SARS-CoV-2 breakthrough infections between patients with immune-mediated inflammatory diseases using immunosuppressants, and controls (patients with immune-mediated inflammatory diseases not taking immunosuppressants and healthy controls) who had received full COVID-19 vaccinations. The secondary objective was to explore determinants of breakthrough infections of the delta (B.

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Article Synopsis
  • - The study investigates how specific immunosuppressive therapies affect the immune response to SARS-CoV-2 vaccination in patients with immune-mediated inflammatory disorders, focusing on the humoral immune response.
  • - Conducted in the Netherlands with over 3,200 participants, the research compares the immune responses of patients on immunosuppressants to controls, including healthy individuals and those without systemic immunosuppressants.
  • - Findings indicate that certain immunosuppressive treatments, like anti-CD20 therapy and S1P modulators, result in lower chances of achieving adequate immunity post-vaccination, regardless of the type of immune disorder present.
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