Publications by authors named "Stephane Buhler"

Molecular HLA typing techniques are currently undergoing a rapid evolution. While real-time PCR is established as the standard method in tissue typing laboratories regarding allocation of solid organs, next generation sequencing (NGS) for high-resolution HLA typing is becoming indispensable but is not yet suitable for deceased donors. By contrast, high-resolution typing is essential for stem cell transplantation and is increasingly required for questions relating to various disease associations.

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Article Synopsis
  • Genetic and non-genetic factors like graft-versus-host disease and viral infections significantly impact immune reconstitution after hematopoietic stem cell transplantation (HSCT).
  • A study of 54 HSCT recipients revealed a noticeable decrease in T-cell receptor (TCR) diversity over time, linked to cytomegalovirus (CMV) reactivation, which altered TCR composition and clonality.
  • CMV reactivation led to changes in natural killer (NK) cell populations, increasing certain types while decreasing others, suggesting CMV may promote the growth of specific T and NK cells to help establish a new immune repertoire.
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  • HLA antigen presentation and T-cell mediated immunity are crucial for managing acute viral infections like COVID-19, with the effectiveness linked to the variety of T-cell responses and how well peptides are presented.
  • A study analyzed T-cell receptors from 116 healthy individuals and transplant recipients, finding that many possess T-cell sequences capable of recognizing SARS-CoV-2 even without prior exposure.
  • The research suggests that genetic factors allow diverse T-cell responses against the virus, potentially explaining why many individuals mount effective immune responses before vaccination, possibly due to mechanisms like heterologous immunity.
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CD4+FOXP3+ regulatory T cells (Tregs) have demonstrated efficacy in the prevention and treatment of graft-versus-host disease (GVHD). Preclinical and clinical studies indicate that Tregs are able to protect from GVHD without interfering with the graft-versus-tumor (GVT) effect of hematopoietic cell transplantation (HCT), although the underlying molecular mechanisms are largely unknown. To elucidate Treg suppressive function during in vivo suppression of acute GVHD, we performed paired T-cell receptor (TCRα and ΤCRβ genes) repertoire sequencing and RNA sequencing analysis on conventional T cells (Tcons) and Tregs before and after transplantation in a major histocompatibility complex -mismatched mouse model of HCT.

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The Human Leukocyte Antigen (HLA) is a critical genetic system for different outcomes after solid organ and hematopoietic cell transplantation. Its polymorphism is usually determined by molecular technologies at the DNA level. A potential role of HLA allelic expression remains under investigation in the context of the allogenic immune response between donors and recipients.

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HLA compatibility is a key factor for survival after unrelated hematopoietic stem cell transplantation (HSCT). HLA-A, -B, -C, -DRB1, and -DQB1 are usually matched between donor and recipient. By contrast, HLA-DPB1 mismatches are frequent, although it is feasible to optimize donor selection and DPB1 matching with prospective typing.

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In transplantation, direct allorecognition is a complex interplay between T-cell receptors (TCR) and HLA molecules and their bound peptides expressed on antigen-presenting cells. In analogy to HLA mismatched hematopoietic stem cell transplantation (HSCT), the TCR CDR3β repertoires of alloreactive cytotoxic CD8 responder T cells, defined by the cell surface expression of CD137 and triggered by HLA mismatched stimulating cells, were analyzed in different HLA class I mismatched combinations. The same HLA mismatched stimulatory cells induced very different repertoires in distinct but HLA identical responders.

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Objectives: To quantitatively profile the T-cell repertoire in the peripheral blood of individuals genetically at risk for RA, namely first-degree relatives of RA patients (RA-FDR) at different phases of disease development.

Methods: Next-generation sequencing of the TCR CDR3β repertoire was performed on genomic DNA isolated from whole blood samples of RA-FDR selected at three different pre-clinical stages and of matched RA patients (n = 20/group). T-cell clones were identified by their unique sequence and their degree of expansion (frequency) within each sample was characterized.

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We report detailed peptide-binding affinities between 438 HLA Class I and Class II proteins and complete proteomes of seven pandemic human viruses, including coronaviruses, influenza viruses and HIV-1. We contrast these affinities with HLA allele frequencies across hundreds of human populations worldwide. Statistical modelling shows that peptide-binding affinities classified into four distinct categories depend on the HLA locus but that the type of virus is only a weak predictor, except in the case of HIV-1.

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Four novel HLA-A alleles were detected using two next-generation sequencing technologies.

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Seven novel HLA-C alleles were detected using two next-generation sequencing technologies.

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Article Synopsis
  • Immune reconstitution after allogeneic hematopoietic stem cell transplantation (HSCT) leads to a new T-cell repertoire, influenced by factors like conditioning, infections, and graft versus host disease (GVHD).
  • A study involving 116 full chimeric HSCT recipients revealed minimal overlap in T-cell receptor (TCR) diversity before and after transplantation, indicating that new T-cell development is the main pathway.
  • Key factors such as older patient or donor age and CMV infection were associated with lower TCR diversity one year post-transplant, while CMV-specific T-cell clones impacted the repertoire's composition but did not predict GVHD or other complications.
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HLA matching is a critical factor for successful allogeneic hematopoietic stem cell transplantation. For unrelated donor searches, matching is usually based on high-resolution typing at five HLA loci, looking for a 10/10 match. Some studies have proposed that further matching at the haplotype level could be beneficial for clinical outcome.

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Testing for ANCA is useful for the diagnosis and monitoring of disease activity in ANCA associated vasculitis. ANCA testing is also sometimes requested for other indications. The relevance of indirect immunofluorescence in ANCA testing is controversial and has recently been the object of new international recommendations.

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Seven novel alleles were identified using two next generation sequencing technologies. Three alleles were confirmed.

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The above article originally published with an incomplete bibliographic information for Bitarello et al. (2016) and presented correctly in this article.

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Human leukocyte antigen (HLA) genes play a key role in the immune response to infectious diseases, some of which are highly prevalent in specific environments, like malaria in sub-Saharan Africa. Former case-control studies showed that one particular HLA-B allele, B*53, was associated with malaria protection in Gambia, but this hypothesis was not tested so far within a population genetics framework. In this study, our objective was to assess whether pathogen-driven selection associated with malaria contributed to shape the HLA-B genetic landscape of Africa.

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HLA-C locus mismatches (MMs) are the most frequent class I disparities in unrelated hematopoietic stem cell transplantation (HSCT) and have a detrimental impact on clinical outcome. Recently, a few retrospective clinical studies have reported some variability in the immunogenicity of HLA-C incompatibilities. To get better insight into presumably permissive HLA-C MMs, we have developed a one-way mixed lymphocyte reaction (MLR) assay allowing to quantify activated CD56CD137CD8 lymphocytes in HLA-C incompatible combinations.

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The HLA-A locus is surrounded by HLA class Ib genes: HLA-E, HLA-H, HLA-G and HLA-F. HLA class Ib molecules are involved in immuno-modulation with a central role for HLA-G and HLA-E, an emerging role for HLA-F and a yet unknown function for HLA-H. Thus, the principal objective of this study was to describe the main allelic associations between HLA-A and HLA-H, -G, -F and -E.

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The polymorphism of HLA genes can be used to reconstruct human peopling history. However, this huge diversity impairs successful matching in stem cell transplantation, a situation which has led to the recruitment of millions of donors worldwide. In parallel to the increase of recruitment, registries are progressively relying on information from population genetics to optimize their donor pools in terms of HLA variability.

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The main function of HLA class I molecules is to present pathogen-derived peptides to cytotoxic T lymphocytes. This function is assumed to drive the maintenance of an extraordinary amount of polymorphism at each HLA locus, providing an immune advantage to heterozygote individuals capable to present larger repertories of peptides than homozygotes. This seems contradictory, however, with a reduced diversity at individual HLA loci exhibited by some isolated populations.

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