Mucosal Immunity
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Scooped by Gilbert C FAURE
December 28, 2020 7:58 AM
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Assigning immunoglobulin class from single-cell transcriptomes in IgA1-secreting versus membrane subpopulations | BioTechniques

IgA nephropathy (IgAN) is the most common primary glomerulonephritis worldwide [1]. This autoimmune disease is characterized by elevated blood levels of abnormally glycosylated IgA1 (galactose-deficient in some O-glycans; Gd-IgA1). Identifying IgA1-secreting subpopulations responsible for production of Gd-IgA1, and their unique transcriptional profile, would help identify critical mechanisms in the pathobiology of IgAN. To identify transcriptional mechanisms of Gd-IgA1 production in IgA1-secreting subpopulations, we used a previously generated biobank of Epstein–Barr virus (EBV)-immortalized B cells from peripheral blood of IgAN patients and healthy controls [2–6]. The aberrant glycosylation of Gd-IgA1 is related to abnormal expression and activity of key glycosyltransferases [2,3,5]. To assess mechanisms that drive abnormal glycosylation of IgA1 in cells from IgAN patients versus controls, we used high-throughput single-cell RNA sequencing (scRNA-seq) to map differential transcriptional responses in IgA1-secreting subpopulations. To identify IgA1-secreting cells, we used the IGHA1 secreted splice variant. The splice variant is located on the 3′ end of the transcript, but the VDJ clonality – also of interest when discerning immunoglobulin function – is on the 5′ end of the gene. Thus we approached the analysis using scRNA-seq kits that targeted either the 3′ or the 5′ end (Figure 1). The purpose of this study was to develop a bioinformatic process to identify individual cells that have the IgA1-secreting isoform, the IgA1 membrane isoform or both isoforms; however, during our analysis of these IgA1 subpopulations, we found significant expression of other immunoglobulin heavy chains in the same cells, necessitating a process to identify which isotype class each cell should be called for. This problem of needing sequence identification at both ends of the transcript is well recognized, and a recent publication has looked at using 3′ end reverse transcription with targeted capture and nanopore sequencing [7]. This study used both whole-transcriptome analysis from the 3′ end and long-read sequencing via Oxford Nanopore technology. The advantage was the availability of both whole-cell transcriptome and VDJ sequences; however, the process required significantly more PCR amplification upstream for hybridization capture, which can bias expression levels, and the nanopore sequencing technology generally has low recovery rates [7]. For our studies we needed an analysis process that could be hypothesis-driven, allowing for specific subpopulations determined a priori, and then we needed to perform both hypothesis testing and unbiased analysis on these subpopulations. For this, we turned to Alteryx, a software package used to handle large databases that allows users to generate unique workflows to quickly analyze data for gene expression profiles across all their datasets. Coupled with the R single-cell package ‘Seurat’, we generated the curated data sets from the EBV-immortalized cells derived from human peripheral blood B cells [8]. Analysis of the raw and curated data from Seurat and Alteryx indicated that EBV-immortalized cells express multiple isotype classes of heavy chain genes; however, due to allelic exclusion during isotype switching, this is not biologically possible [9]. After analyzing the distribution profiles of expression of heavy chain isotypes in each cell, we defined an approach to make more appropriate calls of isotype heavy chains. With this process, we modified the hg38 reference database to include IGHA1 splice variants for secretory and membrane-bound antibodies. This approach enabled a more accurate assessment of the immunoglobulin isotype calls and identification of critical IgA1-secreting subpopulations. Materials & methods A previously established biobank of EBV-immortalized peripheral blood mononuclear cells (PBMCs) was used [2,4–6]. Briefly, PBMCs isolated from patients with IgAN or other renal disease and healthy controls underwent EBV immortalization, a process that only targets B cells. For the purposes of this study, we only used IgAN donors, but immortalized B cells from healthy controls exhibit similar immunoglobulin heavy chain patterns [2]. Heterogenic mixtures (populations secreting multiple isotypes of immunoglobulin heavy chain) of B cells were grown in RPMI 1640 medium with 10% fetal bovine serum at 5% CO2 [2,4,6]. Cells were centrifuged at 4°C, stored on ice for 30 min and, for the purpose of removing clumped and dead cells, were isolated as single live cells by using forward and side scatter in an Aria II flow cytometer before single-cell transcriptomic analysis. B cells were assessed using 10× Genomics 3′ transcriptome (v2.0, n = 4) and 5′ VDJ and GEX transcriptome kits (v1.1, n = 5), with target cell numbers of 3000 [10,11]. The target cell number of 3000 was used as recommended by 10× Genomics and See et al. who found that approximately 2000 cells were sufficient to target isotype subpopulations [12]. Transcripts were sequenced on an Illumina NextSeq 500, at 50,000 reads per cell. The sequences were called using 10× Genomics Cell Ranger v3.1. In addition to using the hg38 reference genome, splice variants for IGHA1 secreted (ENSG00000282633.1) and membrane-bound (ENSG00000211895.5) (IgHA1s and IgHA1m) were added to the reference genome. Raw data were curated and normalized using Seurat v3.0 and analyzed using Alteryx Designer x64© in the following manner (Figure 1; example workflow in Supplementary Figure 1) [13]. Using the 5′ VDJ and GEX 10× Genomics kit, we identified antibody isotypes from the 5′ VDJ results and imported those barcodes into the 5′ GEX data for further comparison of immunoglobulin heavy chain calls. Matrix data from Cell Ranger were read into Seurat v3.0 using the open source RStudio (v1.2.1335) [14,15]. Seurat was used to curate and normalize the data, using the instructions listed on the website (https://satijalab.org/seurat/v3.0/pbmc3k_tutorial.html): The Seurat object was created, and mitochondrial percentage assessed for each cell. Violin plots were created to visualize outliers and distribution characteristics. The EBV-immortalized cells are larger than primary B cells and have a higher mitochondrial content and gene set than primary cells (for visualization of primary PBMCs, see Vignettes in [14]). Thus for quality control (QC), minimum and maximum gene features were set at 1000/5000, and mitochondrial percentage at <20% (Figure 2 & Supplementary Figure 2). Data were then normalized using the LogNormalize function at 10,000. Normalized data from the Seurat object were copied into a new matrix and saved as an .rds file for future analysis. The following commands allow pulling out the data from the Seurat object and into an .rds file for further analysis by Alteryx: ○ normdataset <- pbmc[[“RNA”]]@data ○ normnames <- normdataset@Dimnames ○ normdata <- normdataset@x ○ normmatrix <- matrix(normdata, ncol = “number of cells in object”, nrow = “number of gene in object”, dimnames = list(normnames[[1]], normnames[[2]]), byrow = TRUE) ○ normgenenames <- normnames [[1]]. Both ‘normmatrix’ and ‘normgenenames’ were saved as .rds files. To compare isotype class calls in Seurat and in our workflow, we identified a subset of IGHA1s-containing cells in Seurat using the following commands only after the Seurat object had been normalized and scaled using either the standard workflow or ‘SCTransform’ (for SCTransform we also regressed out mitochondrial percentage as suggested): IGHA1s_sub <- subset(‘SeuratObject’, subset = IGHA1s >0) WhichCells(IGHA1s_sub) The cell IDs were then imported into our Alteryx workflow and used to isolate those specific cells identified by Seurat as IGHA1s expressers. All immunoglobulin heavy chain isotypes for each cell were assessed. To input the .rds files into Alteryx, we set up a workflow using the R script tool, with the following commands code: dat <- as.data.frame(readRDS(“C:/filename/normmatrix.rds”)) write.Alteryx(dat, 1) dat2 <- as.data.frame(readRDS(“C:/filename/normgenenames.rds”)) write.Alteryx(dat2, 2) Using the Output Data tool, we copied the new files in Alteryx database format (.yxdb) to the appropriate file. Using Alteryx, we can query and categorize the data matrices from Seurat to find and analyze subpopulations of cells based on their gene expression profiles. This is done by creating workflows that employ a suite of tools designed to manage large datasets. Single-isotype heavy chain-expressing cells were subgrouped based on their expression isotype (IGHM, IGHG1 etc.), and IGHA1 specifically into IGHA1s and IGHA1m subpopulations. Once specific subpopulations were grouped, either analysis was performed in Alteryx or the data were exported into a matrix table for further processing in R or other statistics packages. The relative homology of IGHA1s and IGHG1 was assessed using cDNA transcripts from Ensembl (www.eseast.ensembl.org) of IGHA1 secretory (ENST00000633714.1/ ENSG00000282633.1) and IGHG1-201/202/203 (ENST00000390542.6/ ENST00000390548.6/ ENST00000390549.6). Additional cDNA sequences used for comparison are: IGHG2-202 (ENST00000641095.1), IGHG3-202 (ENST00000641136.1), IGHG4-202 (ENST00000641978.1) and IGHM-202 (ENST00000637539.2). Results & discussion Immortalized B cells and IgA1-secreting cell lines derived from peripheral blood of patients with IgAN and healthy controls were used as model systems for mechanistic studies of Gd-IgA1 production [2]. EBV immortalization targets cells with CD21 receptors and thus creates a heterogenic mixture of B cells and immunoglobulin-secreting cells [16]. A mature B cell can be activated by a specific antigen and various cytokines to undergo a class switch from IgM/IgD to express other antibodies (IgA1/IgA2/IgG1-4/IgE). Once this occurs, the plasma cell or memory B cell does not produce any other antibody isotype [17]. With this in mind, we compared the expression of IGHA1s across all cells in two tested samples (Figure 3). As expected, we saw a range of expression levels, but we did not expect to see the IGHA1s gene expressed in all cells. As both samples were from a mixture of B cells that also secrete IgG and/or IgM (data not shown), we can assume that some or even a majority of the gene calls for IGHA1s were incorrect, and that most of the IGHA1s calls constituted background noise. These observations appear contradictory to the conventional doctrine of ‘one B cell, one antibody’; however, another publication found similar results [18]. Using the same 10× Genomics 5′ VDG and GEX platform, Shi et al. found that a significant number of B cells (∼10–40%) at various stages of differentiation express multiple immunoglobulin heavy chain transcripts [18]. Although the study did not assess the secretory sequence of the immunoglobulin heavy chain transcripts, the results were consistent with our findings. To better elucidate the potential for confounding isotype heavy chain calls in the same cell, we compared IGHA1s expression across all cells with the ratio of other heavy chain isotypes (Figure 4). Figure 4A shows the relationship between IGHA1s and IGHG1 expression in individual cells from a heterogenic B cell population assessed with a 5′ kit. This figure shows that, while there is some variability, as cells increase IGHA1s expression the relative amount of IGHG1 also expressed appears stable. Figure 4B, a close-up panel of Figure 4A, highlights that the majority of cells expressing IGHA1s are low expressers and likely constitute background noise. Figure 4C shows the exact same cells as in Figure 4A & B, but includes information on expression of all other heavy chain isotypes for every cell. These data indicate that across all cells, there will be some level of expression of multiple heavy chain isotypes, confounding the ability to make an isotype-specific designation because the ratio of other isotype heavy chains is variable. This phenomenon is consistent across multiple cell lines, the only difference being the variability of contaminating heavy chain isotypes in different samples (Supplementary Figure 3A–C). We employed the 5′ VDJ-GEX kit from 10× Genomics, which sequences the VDJ transcripts in the same cells along with 5′ GEX transcriptomes. Using the Loupe Browser from 10× Genomics, we incorporated the 5′ VDJ data into the 5′ GEX transcriptome data and exported the cell barcode IDs specific to IGHA1-positive cell calls based on the VDJ analysis [19]. We used this subpopulation of cells to compare IGHA1s and IGHG1 expression (Figure 5). Although the pattern of IGHG1 expression to IGHA1s was slightly different (the cells in Figure 5 are the same cells as in Figure 4), we still found significant IGHG1 expression across a significant number of moderate- to high-expressing IGHA1s cells using the 5′ VDJ scRNA-seq kit. While the power of this approach can yield sequence data on the VDJ regions when combined with transcriptome profiling, the limitation is the poor coverage at the 3′ end where the secreted/membrane sequence is located. Structural homology can be an issue in overlapping calls of similar sequences, but there is limited alignment similarity in the immunoglobin heavy chains [20]. Given that we were observing expression of multiple heavy chain isotypes in the same cell, the simplest answer is that we could be seeing doublets in our capture (i.e., two cells in one droplet), or another mRNA capture overlap from lysed cells. Therefore we checked whether the initial QC steps performed in Seurat to remove data outliers were sufficient. We compared our normal QC workflow with another one with a lower nFeature (3500) cutoff, a lower nFeature and nCount (15,000) and the new SCTransform function in Seurat (VlnPlots shown in Supplementary Figure 4). We found that these modified workflows did not affect the multiple isotype IGH calls in our cells (Supplementary Figure 5). Given the overlap in calls among the different heavy chain isotypes, we needed to find the best route to assign the appropriate antibody isotype. A previous publication analyzing transcriptome and VDJ clonality in B cells from breast cancer tissue found similar issues with assigning isotype class and used a cut-off value of tenfold higher than the next highest expressing heavy chain isotype in that cell [21]. However, because each cell line likely has a unique proportion of immunoglobulin producers in the total population, using a predetermined expression cutoff would not work well. Using IGHA1s, we mapped the relative ratio of its expression to the next highest expressed heavy chain isotype (IGH) for each cell (Figure 6). We can calculate this relationship using the slope of the IGHA1s/IGH, and this can help determine whether the informatic calls for a positive IGHA1s cell are improving. It is important to note that the expression levels have been log-normalized, so biological expression differences are much larger. Although we found a significant positive correlation between cells with higher IGHA1s expression and an increased ratio of IGHA1s/IGH expression, we do not believe we should use a simple expression cut-off measurement to make appropriate isotype calls, because some cells with IGHA1s expression had low IGHA1s/IGH expression ratios (Figure 6). This phenomenon held true for three other cell lines assessed (Supplementary Figure 6). Because we found consistent overlap in the heavy chain isotype calls in the same cell, we assessed expression across multiple heterogenic cell lines from various donors to determine what may be an appropriate ratio to make for a cell heavy chain isotype call. The ratio of IGHA1s/next highest IGH expressed was calculated for each cell across multiple cell lines and transcriptome PCR kits (3′ transcriptome, 5′ GEX and 5′ VDJ). The number of cells that met specific IGHA1s/IGH ratio minimums were tabulated and presented as a percentage of total population (ratios >2, >3, >4; Table 1). Additionally, the average IGHA1s/IGH ratio and standard deviation (SD) were calculated for the total population and used to find cells that fell within one or two SD higher than the average ratio; these were presented as a percentage of the total population (1SD, 2SD; Table 1). As shown in Table 1, there were substantial differences between cell lines in the amount of IGHA1s expression, but also in the relationship between the SD percentage and the hard ratio cutoff numbers. We did not see a consistent relationship between 1SD or 2SD cell numbers and the hard cutoff ratio numbers (>2, >3, >4), suggesting that biological variability may confound any attempt to assign isotype based on SD. Table 1. Percentage of cells out of the total population falling within a specific IGHA1s/next-highest isotype heavy chain expression ratio. 5′ GEX Percentage of total population, IGHA1s/IGH ratio IGHA1s/IGH ratio   >2 >3 >4 1SD† 2SD† Avg SD Cell line A 1.76 0.54 0.23 11.45 4.24 0.48 0.49 Cell line B 4.26 1.60 0.70 9.46 4.46 0.63 0.67 Cell line C 6.96 3.19 1.84 8.21 3.77 0.86 0.91 5′ VDJ Cell line A 0.45 0.09 0.09 2.93 1.26 0.46 0.48 Cell line B 3.36 1.31 0.66 7.41 3.48 0.62 0.67 Cell line C 0.48 0.14 0.00 1.21 0.48 0.80 0.64 3′ GEX Cell line D 8.02 3.66 1.68 9.93 4.50 0.85 0.87 Cell line E 4.06 1.59 0.77 9.72 4.26 0.69 0.63 Cell line F 9.84 4.95 2.72 9.84 4.58 0.93 1.07 Cell line G 3.23 1.44 0.58 9.09 3.69 0.60 0.63 Three cell lines (A, B and C) were analyzed using two different kits: 5′ GEX and 5′ VDJ. Four cell lines (D, E, F and G) were analyzed using the 3′ GEX kit. Each cell was analyzed for its IGHA1s/IGH ratio using the highest other expressing immunoglobulin heavy chain in that cell. The total number of cells meeting the ratio criteria of >2, >3 and >4 were added up and presented as a percentage of the total population. The average IGHA1s/IGH ratio for all the cells in the population was calculated, as well as the SD of the total population (right-hand column). These were used to calculate how many cells had IGHA1s/IGH ratios higher than one or two SD above the average. †1 or 2 SD higher than the average ratio (Avg + 1*SD or Avg + 2*SD). Avg: Average; IGH: Immunoglobulin heavy chain isotype; IGHA1s: IgA1-secreting; SD: Standard deviation. To assess the overlap of IGHA1 secreted and membrane splice variants, ratios for IGHA1s/IGHA1m were calculated for every cell (Figure 7). A pattern similar to that seen in Figure 6 was observed, but with higher ratios associating with higher expression of IGHA1s. A significant difference between IGHA1s/m splice variants and IGHA1s and other IGH expression is the substantially higher slope value for IGHA1s/IGHA1m ratios (1.95 vs 0.68; Figures 6 & 7). It is unclear whether this greater specificity in calls for IGHA1s versus IGHA1m versus delineation from other IGH has a technical or biological underpinning. As shown in Table 2, the percentage of cells with high ratios of IGHA1s/IGHA1m was substantially greater than the comparisons shown in Table 1. This observation further supports the idea that making the call between IGHA1s and IGHA1m splice variants is easier than for alternative IGH expressers when comparing with IGHA1s. However, while most antibody-secreting cells do not express cell-surface B cell receptor, there are data suggesting that some antibody-secreting cells have an active B cell receptor [22]. This means that there will be subpopulations of cells that are only IgA1 secretors, some that are only IgA1 presenters and some that are both. Table 2. Percentage of cells out of the total population falling within a specific IGHA1s/IGHA1m ratio. 5′ GEX Percentage of total population, IGHA1s/IGHA1m IGHA1s/IGHA1m ratio   >2 >3 >4 1SD† 2SD† Avg SD Cell line A 23.22 11.99 4.82 12.17 4.10 0.48 0.49 Cell line B 16.99 10.81 5.94 9.05 4.50 0.63 0.67 Cell line C 56.62 47.20 20.24 9.95 3.29 0.86 0.91 5′ VDJ Cell line A 6.45 3.25 1.35 3.43 1.22 0.46 0.48 Cell line B 13.55 8.56 4.67 8.56 3.81 0.62 0.67 Cell line C 3.96 3.19 1.35 0.72 0.24 0.80 0.64 3′ GEX Cell line D 20.09 9.58 5.14 33.71 4.59 0.85 0.87 Cell line E 19.07 7.42 3.92 10.74 4.55 0.69 0.63 Cell line F 16.08 8.23 4.83 9.93 4.83 0.93 1.07 Cell line G 19.94 10.97 6.14 9.92 4.30 0.60 0.63 Three cell lines (A, B and C) were analyzed from two different kits, 5′ GEX and 5′ VDJ. Four cell lines (D, E, F and G) were analyzed from the 3′ GEX kit. Each cell was analyzed for its IGHA1s/IGHA1m ratio. The total number of cells meeting the ratio criteria of >2, >3 and >4 were added up and presented as a percentage of the total population. The average IGHA1s/IGHA1m ratio for all the cells in the population was calculated, as well as the SD of the total population (right-hand column). These were used to calculate how many cells had an IGHA1s/IGHA1m ratio higher than one or two SD above the average. †1 or 2 SD higher than the average ratio (Avg + 1*SD or Avg + 2*SD). Avg: Average; IGHA1m: IgA1 membrane-bound; IGHA1s: IgA1-secreting; SD: Standard deviation. Screening for only cells that have a ratio >2 of IGHA1s/IGH, we calculated the IGHA1s/IGHA1m ratio and plotted against IGHA1s expression level. This approach provided a mechanism to screen cells for IGHA1s specificity versus other IGH expressers and determine the splice variants for IGHA1 secretion, membrane or both within a cell. Figure 8A shows the relationship between IGHA1s/IGHA1m in cells where the IGHA1s expression ratio was >2 compared with expression of all other IGH isotypes. The slope (and ratios) in Figure 8A is significantly higher than the slope in the total cell population in IGHA1s/IGHA1m analysis (Figure 7A), indicating that selecting for lower background of other non-IGHA1 IGH transcripts can increase the specificity for IGHA1s-expressing cells. Figure 8B shows the relationship of IGHA1s to all other IGH isotypes expressed in the same cell after screening for a ratio >2. This workflow compares well for isotype specificity (IGHA1s in this case) when viewed against the overall isotype overlap in Figure 4C & Figure 6. An alternate workflow to assess splice variants at the 3′ end using nanopore technology has also been employed with the 10× Genomics 3′ kit. The cDNA was split for gene expression analysis and whole sequencing of antibody genes, providing significant coverage on the 3′ end for secretion versus membrane delineation. This approach requires both nanopore and next-generation sequencing technologies and has a lower recovery of cell barcodes, but could potentially be used alongside a standard 3′ gene expression workflow [7]. Using a combination of R tools to curate the data and Alteryx to visualize and subcategorize cell populations, we can better identify critical IgA1-producing cells with more accurate isotype calls. With this bioinformatic and single-cell transcriptome approach, we can cast a broader net to assess heterogenic populations of IgA1-secreting cells using complex mixtures of immortalized as well as primary B cells. Future perspective Future work in primary PBMCs is necessary to assess this bioinformatic workflow in nonimmortalized cells to address potential transcriptional variables associated with the immortalization process. EBV does not infect and immortalize all the B cells in a PBMC pool; thus the immortalized pool only provides a random snapshot of some of the B cells, further highlighting the need for primary cell work. Additionally, to help validate class identification, we will combine immunoglobulin cell-surface detection and single-cell transcriptomics when assessing B cells. One of these technologies used by 10× Genomics is CITE-seq (Cellular Indexing and Transcriptomes and Epitopes), which combines nucleotide-tagged antibodies for cell-surface targets [23]. This work will help to classify some B cells but may be problematic in those antibody-secreting cells that do not present with cell-surface antibodies. This limitation can be addressed by using known subcloned B cells lines that secrete a single isotype. Supplementary data To view the supplementary data that accompany this paper please visit the journal website at: www.future-science.com/doi/suppl/10.2144/btn-2020-0044 Author contributions C Reily designed the study, performed data analysis and drafted the manuscript. N Xu performed data analysis. D Crossman designed the 10× Ranger pipeline and performed data analysis. All authors were responsible for manuscript editing. Acknowledgments The authors thank J Novak and B Julian for providing the immortalized cell lines (with IRB approval) and for their advice on this project, and L Shanrun for his support in running and executing the single-cell transcriptomics core at the University of Alabama at Birmingham. C Reily appreciates J Novak and A Agarwal for their mentoring during the K01 award. Financial & competing interests disclosure This work was supported by grants from the National Institutes of Health (R03DK122194, K01DK106341) and University of Alabama at Birmingham Center for Clinical and Translational Science (UL1TR003096). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. Ethical conduct of research The authors state that they have obtained appropriate institutional review board approval through the University of Alabama at Birmingham IRB (#070413006). In addition, informed consent was obtained from all donors and participants. Open access This work is licensed under the Attribution-NonCommercial-NoDerivatives 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ References 1. Wyatt RJ, Julian BA. IgA nephropathy. N. Engl. J. Med. 368(25), 2402–2414 (2013).Crossref, Medline, CAS, Google Scholar 2. Suzuki H, Moldoveanu Z, Hall S et al. IgA1-secreting cell lines from patients with IgA nephropathy produce aberrantly glycosylated IgA1. J. Clin. Invest. 118(2), 629–639 (2008).Medline, CAS, Google Scholar 3. Suzuki H, Raska M, Yamada K et al. Cytokines alter IgA1 O-glycosylation by dysregulating C1GalT1 and ST6GalNAc-II enzymes. J. Biol. Chem. 289, 5330–5339 (2014).Crossref, Medline, CAS, Google Scholar 4. Yamada K, Huang ZQ, Raska M et al. Inhibition of STAT3 signaling reduces IgA1 autoantigen production in IgA nephropathy. Kidney Int. Rep. 2(6), 1194–1207 (2017).Crossref, Medline, Google Scholar 5. Kiryluk K, Li Y, Moldoveanu Z et al. GWAS for serum galactose-deficient IgA1 implicates critical genes of the O-glycosylation pathway. 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WH Freeman, NY, USA (2013).Google Scholar 18. Shi Z, Zhang Q, Yan H et al. More than one antibody of individual B cells revealed by single-cell immune profiling. Cell Discov. 5, 64 (2019).Crossref, CAS, Google Scholar 19. 10× Genomics. What is Loupe browser? https://support.10×genomics.com/single-cell-gene-expression/software/visualization/latest/what-is-loupe-cell-browserGoogle Scholar 20. Janeway CA, Travers P, Walport M, Schlomchik MJ. Structural Variation in Immunoglobulin Constant Regions. Garland Science, NY, USA (2001).Google Scholar 21. Hu Q, Hong Y, Qi P et al. An atlas of infiltrated B-lymphocytes in breast cancer revealed by paired single-cell RNA-sequencing and antigen receptor profiling. bioRxiv doi:10.1101/695601 (2019). [Epub ahead of print]Google Scholar 22. Pinto D, Montani E, Bolli M et al. A functional BCR in human IgA and IgM plasma cells. Blood 121(20), 4110–4114 (2013).Crossref, Medline, CAS, Google Scholar 23. Stoeckius M, Hafemeister C, Stephenson W et al. 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Gatekeepers of the fetus: Characterization of placental macrophages | Journal of Experimental Medicine | Rockefeller University Press

Gatekeepers of the fetus: Characterization of placental macrophages | Journal of Experimental Medicine | Rockefeller University Press | Mucosal Immunity | Scoop.it
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Nasal Vaccine Delivery - ScienceDirect

The mucosal surfaces represent the major site of entry of many pathogens, and major challenges in vaccine development include safety and stability in …...
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Circulating mucosal associated invariant T cells identify patients responding to anti-PD1 therapy | Research Square

Circulating mucosal associated invariant T cells identify patients responding to anti-PD1 therapy | Research Square | Mucosal Immunity | Scoop.it
Immune checkpoint inhibitors that maintain anti-tumor T cell response are used for treating patients with metastatic melanoma. Since the response to treatment is extremely variable, biomarkers are urgently needed to identify patients who could benefit from such therapy.
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Molecules | Free Full-Text | Metabolomic Profile of Personalized Donor Human Milk

Molecules | Free Full-Text | Metabolomic Profile of Personalized Donor Human Milk | Mucosal Immunity | Scoop.it
Human milk could be considered an active and complex mixture of beneficial bacteria and bioactive compounds. Since pasteurization drastically reduces the microbial content, we recently demonstrated that pasteurized donor human milk (DHM) could be inoculated with different percentages (10% and 30%)...
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The microbiome in autoimmune diseases - De Luca - 2019 - Clinical & Experimental Immunology

The microbiome in autoimmune diseases - De Luca - 2019 - Clinical & Experimental Immunology | Mucosal Immunity | Scoop.it
Summary The microbiome is represented by microorganisms which live in a symbiotic way with the mammalian. Microorganisms have the ability to influence different physiological aspects such as the im...
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Antibodies in mucous membrane may dominate early COVID-19 immune response: Study | Science-Environment

Antibodies in mucous membrane may dominate early COVID-19 immune response: Study | Science-Environment | Mucosal Immunity | Scoop.it
According to the scientists, including those from Sorbonne University in Paris, the IgA antibodies found in the mucosa dominate the early response to the SARS-CoV-2 virus compared to other antibodies such as the IgM and IgG.
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The interaction of intestinal microbiota and innate lymphoid cells in health and disease throughout life - Ganal‐Vonarburg - 2020 - Immunology

The interaction of intestinal microbiota and innate lymphoid cells in health and disease throughout life - Ganal‐Vonarburg - 2020 - Immunology | Mucosal Immunity | Scoop.it
Summary Immunity is shaped by commensal microbiota. From early life onwards, microbes colonize mucosal surfaces of the body and thereby trigger the establishment of immune homeostasis and defense m...
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Hundreds of IgA Nephropathy Patients Share Experience with FDA, Professionals, Drug-makers

Hundreds of IgA Nephropathy Patients Share Experience with FDA, Professionals, Drug-makers | Mucosal Immunity | Scoop.it
/PRNewswire/ -- The National Kidney Foundation (NKF) in partnership with the IGA Nephropathy Foundation of America, Inc. (IGANF), submitted the "Voice of the...
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December 8, 2020 12:13 PM
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Triggering an IgA response could increase COVID-19 vaccine efficacy

Studies suggest that SARS-CoV-2-specific IgA antibodies are more neutralising and therefore COVID vaccines should encourage an IgA response.
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December 1, 2020 6:23 AM
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The global burden of IBD: from 2015 to 2025

The global burden of IBD: from 2015 to 2025 | Mucosal Immunity | Scoop.it
IBD is a chronic, incurable disease and can be a major burden to health-care resources. Moreover, the epidemiology of IBD is changing worldwide. In this Perspectives, Gilaad Kaplan discusses the current global burden of IBD and how this might evolve over the next decade, as well as the challenges...
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November 30, 2020 2:53 PM
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Lung transplantation for patients with severe COVID-19 | Science Translational Medicine

Lung transplantation for patients with severe COVID-19 | Science Translational Medicine | Mucosal Immunity | Scoop.it
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November 26, 2020 2:15 PM
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The oncogenic pathways of papillomaviruses - Kaynarcalidan - - Veterinary and Comparative Oncology

The oncogenic pathways of papillomaviruses - Kaynarcalidan - - Veterinary and Comparative Oncology | Mucosal Immunity | Scoop.it
Abstract Papillomaviruses are oncogenic DNA viruses and induce hyperplastic benign lesions of both cutaneous and mucosal tissues in their various hosts, including many domestic and wild animals as ...
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December 25, 2020 1:32 PM
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Intranasal vaccination with a lentiviral vector protects against SARS-CoV-2 in preclinical animal models

Intranasal vaccination with a lentiviral vector protects against SARS-CoV-2 in preclinical animal models | Mucosal Immunity | Scoop.it
Ku et al. present a lentiviral vaccination vector that encodes a full-length, membrane-anchored
form of SARS-CoV-2 Spike glycoprotein and induces neutralizing antibodies and T cell
responses. An intranasal boost strategy triggers a localized immune response in the upper respiratory tract that...
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December 22, 2020 3:15 AM
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Sore Eyes Significant Symptom, IgA Antibodies Dominate Early Response, Prophylactic Nasal Spray Development: COVID-19 Updates

Sore Eyes Significant Symptom, IgA Antibodies Dominate Early Response, Prophylactic Nasal Spray Development: COVID-19 Updates | Mucosal Immunity | Scoop.it
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at last....

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December 21, 2020 8:28 AM
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Cells | Free Full-Text | Diet Rich in Simple Sugars Promotes Pro-Inflammatory Response via Gut Microbiota Alteration and TLR4 Signaling

Cells | Free Full-Text | Diet Rich in Simple Sugars Promotes Pro-Inflammatory Response via Gut Microbiota Alteration and TLR4 Signaling | Mucosal Immunity | Scoop.it
Diet is a strong modifier of microbiome and mucosal microenvironment in the gut. Recently, components of western-type diets have been associated with metabolic and immune diseases. Here, we studied how high-sugar diet (HSD) consumption influences gut mucosal barrier and immune response under...
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December 16, 2020 2:39 PM
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The intestinal barrier, an arbitrator turned provocateur in IBD

The intestinal barrier, an arbitrator turned provocateur in IBD | Mucosal Immunity | Scoop.it
Key studies published in 2020 demonstrate that an impaired intestinal barrier precedes clinical diagnosis of inflammatory bowel disease (IBD) by years. Furthermore, studies identify novel regulators of the intestinal barrier, including intestinal macrophages and diurnal variations of diet–microbiome interactions, which could be future therapeutic strategies for IBD.











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December 14, 2020 3:47 AM
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Bacteria can travel from one continent to another in atmospheric dust: Study : The Tribune India

Bacteria can travel from one continent to another in atmospheric dust: Study : The Tribune India | Mucosal Immunity | Scoop.it
Aerosols act like a "launch vehicle" for bacteria Some bacteria can travel from one continent to another 'hidden' in atmospheric dust, according to a new study which says these microbes may not only affect human and animal health but also impact climate and ecosystems.
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December 9, 2020 9:12 AM
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Coronavirus [COVID-19] and IgA Deficiency:Mini Review Article

Spread of COVID-19 in all of the world caused the warning alert from WHO. It began from China and was the reason of many death through the world since 2019 December. Elders and people with previous diseases such as IgA deficiency [IgAD] are more susceptible to get COVID family.
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December 9, 2020 9:09 AM
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Maternal gatekeepers: How maternal antibody Fc characteristics influence passive transfer and infant protection

Maternal gatekeepers: How maternal antibody Fc characteristics influence passive transfer and infant protection | Mucosal Immunity | Scoop.it
Citation: Langel SN, Otero CE, Martinez DR, Permar SR (2020) Maternal gatekeepers: How maternal antibody Fc characteristics influence passive transfer and infant protection. PLoS Pathog 16(3): e1008303. https://doi.org/10.1371/journal.ppat.1008303 Editor: Matthew J. Evans, Mount Sinai School of Medicine, UNITED STATES Published: March 26, 2020 Copyright: © 2020 Langel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Funding: SNL is supported by an NIH National Institute of Allergy and Infectious Diseases (NIAID: https://www.niaid.nih.gov) Ruth L. Kirschstein National Research Service Award T32 AI007392. CEO is supported by an NIH NIAID Ruth L. Kirschstein National Research Service Award T32 CA009111. DRM is supported by an NIH NIAID Ruth L. Kirschstein National Research Service Award T32 AI007151 and a Burroughs Wellcome Postdoctoral Enrichment Award (www.bwfund.org). SRP is supported by NIH NIAID R01 AI122909, P01 AI129859, and P01 AI117915. The funders had no role in study design, data collection, analysis, decision to publish, or preparation of the manuscript. The content is solely the view of the authors and does not necessarily represent the official views of the National Institutes of Health. Competing interests: I have read the journal's policy and have the following conflicts: SRP serves as a consultant for Pfizer, Sanofi, Moderna, and Merck vaccines and has a sponsored program on preclinical cytomegalovirus vaccine development with Merck and Moderna. All other authors declare no competing interests. Introduction Maternal antibodies (MatAbs) passively transferred across the placenta and into breast milk are critical for protection against infectious disease and immune development during the first year of life [1]. Passive transfer in the placenta and mammary gland (MG) is dependent on MatAbs binding to crystallizable fragment (Fc) receptors (FcRs) on polarized epithelial cells. For example, immunoglobulin G (IgG) transfers through the placenta by Fc domain binding to the Fc receptor neonatal (FcRn) on syncytiotrophoblasts [2], providing the fetus with a systemic source of protective IgG antibodies [3]. Additionally, maternal dimeric immunoglobulin A (dIgA) antibodies transfer into breast milk by binding to the polymeric immunoglobulin receptor (pIgR) on MG epithelial cells through the antibody joining chain (J-chain) [4] and provide immune protection in the gut while shaping microbiota colonization [4,5]. Yet MatAbs can interfere with the neonatal immune response, particularly after vaccination [6]. This Pearl explores the role of monomeric IgG, the only antibody isotype to cross the placenta, and polymeric IgA, the major antibody species in breast milk, and their Fc domain characteristics on passive transfer to and functional activity in the newborn. The IgG Fc domain and its effector functions in the context of MatAb passive transfer Antibodies contain 2 domains that exert a wide range of effector functions. The antigen-binding fragment (Fab) domain binds foreign antigens and drives antibody diversity [7], whereas the Fc is responsible for initiating innate immune cell activation and passive antibody transfer [8]. The classical FcRn-driven IgG transport mechanism is responsible for shuttling IgG within acidified endosomes across the syncytiotrophoblast cell barrier from maternal to fetal circulation (Fig 1A) [2]. Once in the neonate, the IgG Fc domain can engage classical type I Fc gamma (Fcγ) receptors (activating [FcγRI, FcγRIIa, FcγRIIc, FcγRIIIa, FcγRIIIb]; inhibitory [FcγRIIb]) or complement to mediate nonneutralizing functions like antibody-dependent cell-mediated cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP), or complement-dependent cytotoxicity (CDC), respectively (Fig 1A) [9]. Nonclassical type II FcRs are C-type lectin receptors, including CD209 (DC-SIGN) and CD23, which bind IgG to facilitate immune complex formation [9]. Considering each family of Fc receptors initiates distinct effector functions, the diversity of the Fc domain allows tailoring of nonneutralizing Fc-mediated activity to protect against viruses like HIV, influenza, and cytomegalovirus [10–12]. Alternatively, pathogens such as dengue virus utilize complement and FcR pathways for antibody-dependent enhancement of disease [13]. Download: PPT PowerPoint slide PNG larger image TIFF original image Fig 1. Maternal antibody passive transfer and functional activity in the neonate. (A) IgG passive transfer in the placenta influences FcγR-mediated cell cytotoxicity, phagocytosis, and complement activation in the developing fetus/newborn. (B) IgA passive transfer in the mammary gland results in FcαR- and IgA-mediated cell activation and microbiota regulation, respectively. Fab, antigen-binding fragment; Fc, crystallizable fragment; FcαR, Fc alpha receptor; FcRn, Fc receptor neonatal; FcγR, Fc gamma receptor; IgA, immunoglobulin A; IgG, immunoglobulin G; J-chain, joining chain; pIgR, polymeric immunoglobulin receptor. https://doi.org/10.1371/journal.ppat.1008303.g001 The IgG Fc domain mediates considerable heterogeneity of its effector functions depending on the subclass and glycan profile. For example, each IgG subclass (IgG1-4) has one N-glycosylation site in each CH2 domain, an important binding site for FcγRs (Fig 2). Interestingly, there are up to 36 possible antibody glycan profiles that could theoretically be present on each CH2 domain. This allows for combinatorial diversity of the Fc region with 144 different potential functional states for the 4 IgG subclasses [14]. This is relevant in the context of maternal–fetal immunity, as FcRn has different binding affinities to each IgG subclass, which may reflect their placental transfer efficiency [15]. Additionally, recent data suggest that Fc glycan profiles create antibody transfer hierarchies in the placenta of both healthy and HIV-infected pregnant women. For example, in healthy pregnant women, there is a shift toward IgG galactosylated antibodies, which have higher FcRn-binding affinity, are more efficiently transferred across the placenta, and enhance natural killer (NK) cell degranulation and chemokine secretion [16]. Additionally, binding of tetanus toxoid–specific IgG to placental FcγRIIa H131, FcγRIIa R131, and FcγRIIIa F158 (but not canonical FcRn) was positively associated with placental IgG transfer efficiency in HIV-infected women, suggesting that noncanonical placental FcRs may also play a role in IgG placental transfer [17,18]. Fc-mediated differential selection of IgG antibodies in the placenta is likely an adaptive evolutionary mechanism to passively transfer the most effective antibodies to the infant, which can be altered by disease status. Download: PPT PowerPoint slide PNG larger image TIFF original image Fig 2. Schematic representation of IgA and IgG glycosylation. N-linked glycosylation is depicted as yellow circles, whereas O-linked glycosylation is depicted as green stars. IgA, immunoglobulin A; IgG, immunoglobulin G; sIgA2, secretory IgA. https://doi.org/10.1371/journal.ppat.1008303.g002 Do IgA Fc region characteristics influence IgA passive transfer or effector function in breast milk? IgA antibodies bind their own unique Fc receptors that facilitate epithelial cell transcytosis and innate immune cell activation. dIgA antibodies are composed of 2 monomers, linked by a 15-kDa J-chain. Transport of dIgA into breast milk is dependent on C-terminal binding of the J-chain to a portion of pIgR, known as the secretory component, on the basolateral surface of MG epithelial cells [19]. Without the J-chain, IgA antibodies are secreted as monomers and are not actively transported across the mucosal epithelium [20]. After transport of the J-chain/pIgR complex to the apical portion of the cell, pIgR is cleaved, releasing secretory IgA (sIgA) into breast milk and other mucosal fluids (Fig 1B) [21]. IgA also binds to Fc alpha receptor (FcαR) [22] on the surface of myeloid cells. Monomeric serum IgA induces inhibitory signals, whereas IgA immune complexes have increased avidity to and cross-link FcαRI, resulting in proinflammatory responses [23]. The dominant immunoglobulin class in breast milk sIgA has decreased affinity for FcαRI likely due to steric hindrance from the attached secretory component [24]. Although the opsonic activity of sIgA is poor compared with monomeric and dIgA [25], sIgA can initiate macrophage phagocytosis and neutrophil respiratory burst [26,27]. Further defining the anti- and proinflammatory effects of IgA subclass–FcR interactions would allow fine tuning of breast milk immunity and may represent an attractive therapeutic strategy. Considering breast milk sIgA protects from pathogenic insult and facilitates maturation of the microbiota in early life [28], understanding breast milk antibody Fc–mediated effector functions is integral to neonatal intestinal health (Fig 1B). This is further supported by the fact that bacteria have evolved mechanisms to block IgA and FcαR interactions [29]. Additionally, it is likely that the more complex and extensive glycosylation pattern of IgA antibodies (Fig 2) impacts effector function in milk. Indeed, mucosal secretions, including breast milk, contain mostly IgA2 [30], which has 2 [IgA2m(1)] or 3 [IgA2m(2)] additional conserved N-glycans compared with IgA1 [31], which dominates in serum [32]. Recent evidence demonstrates that IgA glycan–bacteria interactions regulate gut microbiota composition and metabolism as well as retrograde transport of sIgA immune complexes back to the lamina propria independent of antibody–epitope interactions [33–35]. Additionally, the sialic acid in IgA antibody’s C-terminal tail competes with receptor binding to some viruses, providing an innate line of defense against infection [36]. This is relevant to breast milk IgA passive transfer, considering that the leading causes of severe pediatric gastroenteritis worldwide (rotavirus and norovirus) both utilize sialic acid receptors for intestinal infection [37,38]. Studies are needed to define the mechanisms of Fc-mediated IgA effector functions in breast milk, including their interactions with the developing infant microbiome and protection against intestinal viral infections. MatAb interference is influenced by MatAb Fc domain–receptor interactions Despite the well-documented benefits of MatAbs on early life immunity [3], a mounting body of evidence indicates that MatAbs can inhibit immune responses to certain infant vaccinations [6,39]. A recent meta-analysis demonstrated that MatAbs acquired transplacentally inhibited antibody responses to priming vaccinations and these effects were not overcome by administration of a booster dose [40]. This highlights the “window of susceptibility” that exists for infants when MatAbs are not high enough for seroprotection yet still interfere with infant vaccine responses. Multiple mechanisms have been proposed to describe both Fab- and Fc-mediated MatAb interference. These include live virus vaccine neutralization, inhibition of B-cell responses by epitope masking [39], and IgG Fc binding to FcγRIIB [41]. Kim and colleagues demonstrated that B-cell responses to a live attenuated measles vaccine were inhibited by passively transferred measles-specific IgG antibodies in a FcγRIIB-dependent manner, suggesting that IgG Fc region characteristics contribute to suppression of the immune response [41]. Additionally, removing the glycans from IgG2b abolished its immunosuppressive activity both in vitro and in vivo [42,43]. Considering that the mechanisms of MatAb interference likely differ depending on vaccine type (live attenuated, inactivated, subunit), route of delivery (oral, subcutaneous [SQ], intramuscular [IM]), and adjuvant formulation, defining glycan-dependent passive transfer of maternal IgG antibody subclasses in the placenta is crucial for developing effective maternal immunization strategies. Although less studied, IgA antibodies in breast milk may also contribute to interference of immune responses to oral infant vaccines such as rotavirus and poliovirus [44,45]. Indeed, the 2 oral rotavirus vaccines Rotarix and Rotateq demonstrate lower efficacy and immunogenicity in infants from some low- and middle-income countries (LMICs) [46,47] where women tend to have higher titers of antirotavirus IgA antibodies and neutralizing activity in milk [48,49]. The high rotavirus neutralizing activity in breast milk of women from LMICs may partially explain the decrease in rotavirus vaccine efficacy; however, IgA MatAb interference is not well defined [49]. Although infant CD4+ T-cell responses are mostly unaffected by MatAb interference [6,39], recent work demonstrated that MatAbs dampen mucosal T-cell responses against commensal bacteria [50] and limit the expansion of T follicular helper (TFH) cells in the germinal center (GC) [39]. The premature decline in GC TFH cells resulted in the reduction or prevention of plasma cell and memory B-cell generation in a MatAb- and antigen dose–dependent manner [39]. Interestingly, at low or intermediate titers, MatAbs did not prevent the induction of memory B cells, suggesting a gradient effect of MatAbs on infant immune responses [39]. Defining the functional consequences of MatAb gradients will be essential for infant vaccine design and immunization timing. For example, and in addition to previously discussed mechanisms, there is evidence that preexisting antibodies can promote higher affinity antibody responses due to competitive binding in the GC [51] and increased uptake and antigen presentation through immune complexes (ICs) [52] in a Fc glycosylation–dependent manner [53,54]. However, more research is needed to determine the effects of these mechanisms in the setting of passively transferred MatAbs and infant GC responses. Harnessing MatAb Fc region characteristics and receptor interactions to fine-tune maternal immunizations that maximize infant protection Passive transfer of MatAbs is central to pathogen protection and immune system development in early life. However, MatAb-mediated interference dampens antibody responses to vaccinations, leaving children more susceptible to infections while increasing transmission rates to unvaccinated cohorts. Recent work demonstrated that maternal IgG antibodies are differentially transferred across the placenta in an Fc glycan–dependent manner [16,17]. Considering vaccination strategies could direct antigen-specific antibody glycosylation [55], defining MatAb glycan profiles represents an adaptable and powerful mechanism to fine-tune maternal immunizations that maximize infant protection while limiting MatAb interference. Future studies are needed to determine (1) how maternal vaccination and their distinct adjuvant mixtures alter IgG Fc domain glycosylation and whether certain glycan profiles are associated with IgG Fc-mediated MatAb interference and (2) whether or not the IgA Fc domain regulates passive transfer in the MG or effector function in breast milk. Defining the molecular mechanisms of Fc-mediated functional activity at the maternal–fetal/neonatal interface is critical for developing next-generation maternal vaccines and antibody-based therapeutics to improve the health of the mother–neonatal dyad. References 1. Hurley WL, Theil PK. Perspectives on immunoglobulins in colostrum and milk. Nutrients. 2011 Apr;3(4): 442–474. pmid:22254105; PubMed Central PMCID: PMC3257684. View Article PubMed/NCBI Google Scholar 2. Simister NE, Story CM, Chen HL, Hunt JS. An IgG-transporting Fc receptor expressed in the syncytiotrophoblast of human placenta. Eur J Immunol. 1996 July;26(7): 1527–1531. pmid:8766556 View Article PubMed/NCBI Google Scholar 3. Fouda GG, Martinez DR, Swamy GK, Permar SR. The Impact of IgG transplacental transfer on early life immunity. Immunohorizons. 2018 Jan 1;2(1): 14–25. pmid:29457151 View Article PubMed/NCBI Google Scholar 4. Rogier EW, Frantz AL, Bruno MEC, Wedlund L, Cohen DA, Stromberg AJ, et al. 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December 9, 2020 9:08 AM
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Involvement of activated cytotoxic T lymphocytes and natural killer cells in Henoch–Schönlein purpura nephritis - Imai - 2020 - Clinical & Translational Immunology

Involvement of activated cytotoxic T lymphocytes and natural killer cells in Henoch–Schönlein purpura nephritis - Imai - 2020 - Clinical & Translational Immunology | Mucosal Immunity | Scoop.it
Abstract Objectives Immunoglobulin A vasculitis/Henoch–Schönlein purpura (IgAV/HSP) is a major cause of vasculitis in children. It is often accompanied by nephritis (HSPN) and could progress to chr...
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December 8, 2020 12:28 PM
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Inflammasomes are activated in response to SARS-CoV-2 infection and are associated with COVID-19 severity in patients | Journal of Experimental Medicine | Rockefeller University Press

Inflammasomes are activated in response to SARS-CoV-2 infection and are associated with COVID-19 severity in patients | Journal of Experimental Medicine | Rockefeller University Press | Mucosal Immunity | Scoop.it
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December 8, 2020 12:12 PM
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Coronavirus likely infects upper airway cells first; blood pressure drugs unlikely to increase risk

Coronavirus likely infects upper airway cells first; blood pressure drugs unlikely to increase risk | Mucosal Immunity | Scoop.it
Cells in the nasal passages and upper airways are likely the coronavirus' major point of entry into the body, according to a study by Stanford Medicine researchers.
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December 1, 2020 4:31 AM
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Frontiers | Mucosal Immunity in COVID-19: A Neglected but Critical Aspect of SARS-CoV-2 Infection | Immunology

Frontiers | Mucosal Immunity in COVID-19: A Neglected but Critical Aspect of SARS-CoV-2 Infection | Immunology | Mucosal Immunity | Scoop.it
The mucosal immune system is the largest component of the entire immune system, having evolved to provide protection at the main sites of infectious threat: the mucosae. As SARS-CoV-2 initially infects the upper respiratory tract, its first interactions with the immune system must occur predominantly at the respiratory mucosal surfaces, during both inductive and effector phases of the response. However, almost all studies of the immune response in COVID-19 have focused exclusively on serum antibodies and systemic cell-mediated immunity including innate responses. This article proposes that there is a significant role for mucosal immunity and for secretory as well as circulating IgA antibodies in COVID-19, and that it is important to elucidate this in order to comprehend especially the asymptomatic and mild states of the infection, which appear to account for the majority of cases. Moreover, it is possible that mucosal immunity can be exploited for beneficial diagnostic, therapeutic, or prophylactic purposes.
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found through https://www.scienceboard.net/index.aspx?sec=sup&sub=can&pag=dis&ItemID=1765

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November 29, 2020 4:08 AM
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The Leaky Gut: Mechanisms, Measurement and Clinical Implications in Humans

The Leaky Gut: Mechanisms, Measurement and Clinical Implications in Humans | Mucosal Immunity | Scoop.it
The objectives of this review on “leaky gut” for clinicians are to discuss the components of the intestinal barrier, the diverse measurements of intestinal permeability, their perturbation in non-inflammatory “stressed states”, ...
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