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Interaktion von B-Zellen und Dendritischen Zellen am Beispiel der chronischen Graft-versus-Host Disease / Disturbed B cell and DC-Homeostasis in Pediatric cGVHD Patients-Cocultivation Experiments and Review of the Literature

Interaktion von B-Zellen und Dendritischen Zellen am Beispiel der chronischen Graft-versus-Host Disease / B cells and DCs are suspected to play an important role in the pathogenesis of cGvHD, which is a serious complication of HSCT with high morbidity. It is characterized by immune responses of donor immune cells against recipient-derived antigens. Pathogenesis is not yet fully understood, however reconstitution of B cells after HSCT has similarities to physiologic ontogeny. Immunophenotyping and co-cultivation-experiments of B cells and DCs from pediatric patients with cGvHD as well as healthy donors were conducted. Significant differences between patients and healthy donors were observed with increased memory, transitional, CD69+ and CD86+ phenotype and lower levels of naïve B cells due to apoptosis. Co-cultivation revealed this to be primarily B cell-dependent without major effects of and with DCs. There was a decreased CD11c- phenotype in patients and less apoptosis of DCs. Our data suggest a disturbed homeostasis in B cells with increased memory phenotype in patients, whereas DCs could not influence these differences, therefore DCs are not imposing as promising targets. B cell-dependent approaches should be further investigated.

Identiferoai:union.ndltd.org:uni-wuerzburg.de/oai:opus.bibliothek.uni-wuerzburg.de:16200
Date January 2018
CreatorsZipfel, Julian
Source SetsUniversity of Würzburg
Languagedeu
Detected LanguageEnglish
Typedoctoralthesis, doc-type:doctoralThesis
Formatapplication/pdf
Rightshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.de, info:eu-repo/semantics/openAccess

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