Publications by authors named "J L Waaijer"

Elderly with late-onset recurrent respiratory tract infections (RRTI) often have specific anti-polysaccharide antibody deficiency (SPAD). We hypothesized that late-onset RRTI is caused by mild immunodeficiencies, such as SPAD, that remain hidden through adult life. We analyzed seventeen elderly RRTI patients and matched controls.

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Article Synopsis
  • Allogeneic hematopoietic stem cell transplantation (HSCT) outcomes are influenced by how quickly the immune system recovers, with a study comparing antithymocyte globulin (ATG) and alemtuzumab in 148 pediatric patients.
  • Alemtuzumab significantly delayed the recovery of key immune cells (CD3(+) T cells, CD4(+) T cells, CD8(+) T cells, and natural killer cells) compared to ATG, leading to lower donor chimerism and increased disease relapse risk.
  • Patients treated with alemtuzumab experienced lower overall survival and event-free survival rates, prompting a recommendation for further analysis to optimize HSCT conditioning regimens based on drug exposure.
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We prospectively studied the reconstitution of lymphocyte subpopulations in a group of 22 children, who survived disease-free at least 6 months after allogeneic BMT for a haematological malignancy. Absolute counts of total lymphocytes, B lymphocytes, T lymphocytes, and CD4+ helper T lymphocytes reached the 5th percentile (p5) of age-matched reference values within 6 months after BMT in 15, 17, 7 and 2 patients, respectively. In particular, CD4+ helper T lymphocyte reconstitution was very slow.

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Fetal B lymphocytes in mice and humans use a limited number of the available VH gene segments. Mouse fetal B cells primarily utilize 3' VH elements, suggesting that the localization of these elements determines their rearrangement frequency. The previously reported non-random usage of human VH genes has been more difficult to explain.

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We found an unusual fc gamma receptor IIIa (CD16) phenotype on the natural killer (NK) cells of a 3-year-old boy, who suffered from recurrent viral respiratory tract infections since birth. He also had severe clinical problems after Bacille Calmette-Geérin (BCG) vaccination and following Epstein-Barr virus and Varicella Zoster virus infections. His peripheral blood lymphocytes contained a normal percentage and absolute number of CD3-CD7+ cells, which were positively stained with the CD16 monoclonal antibodies (MoAbs) 3G8 and CLBFcRgran1, but did marginally stain with the CD16 MoAb Lau11c/B73.

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