Further insights into the anti-PF4/heparin IgM immune response

Summary Anti-platelet factor 4 (PF4)/heparin antibodies are not only the cause of heparin-induced thrombocytopenia but might also play a role in the antibacterial host defence. Recently, marginal zone (MZ) B cells were identified to be crucial for anti-PF4/heparin IgG antibody production in mice. Co...

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Veröffentlicht in:Thrombosis and haemostasis 2016-04, Vol.115 (4), p.752-761
Hauptverfasser: Krauel, Krystin, Schulze, Annika, Jouni, Rabie, Hackbarth, Christine, Hietkamp, Bernhard, Selleng, Sixten, Koster, Andreas, Jensch, Inga, Linde, Julia van der, Schwertz, Hansjörg, Bakchoul, Tamam, Hundt, Matthias, Greinacher, Andreas
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container_end_page 761
container_issue 4
container_start_page 752
container_title Thrombosis and haemostasis
container_volume 115
creator Krauel, Krystin
Schulze, Annika
Jouni, Rabie
Hackbarth, Christine
Hietkamp, Bernhard
Selleng, Sixten
Koster, Andreas
Jensch, Inga
Linde, Julia van der
Schwertz, Hansjörg
Bakchoul, Tamam
Hundt, Matthias
Greinacher, Andreas
description Summary Anti-platelet factor 4 (PF4)/heparin antibodies are not only the cause of heparin-induced thrombocytopenia but might also play a role in the antibacterial host defence. Recently, marginal zone (MZ) B cells were identified to be crucial for anti-PF4/heparin IgG antibody production in mice. Combining human studies and a murine model of polymicrobial sepsis we further characterised the far less investigated anti-PF4/heparin IgM immune response. We detected anti-PF4/heparin IgM antibodies in the sera of paediatric patients < 6 months of age after cardiac surgery and in sera of splenectomised mice subjected to polymicrobial sepsis. In addition, PF4/heparin-specific IgM B cells were not only found in murine spleen, but also in peritoneum and bone marrow upon in vitro stimulation. Together, this indicates involvement of additional B cell populations, as MZ B cells are not fully developed in humans until the second year of life and are restricted to the spleen in mice. Moreover, PF4/heparin-specific B cells were detected in human cord blood upon in vitro stimulation and PF4 -/- mice produced anti-PF4/heparin IgM antibodies after polymicrobial sepsis. In conclusion, the anti-PF4/heparin IgM response is a potential innate immune reaction driven by a B cell population distinct from MZ B cells. Supplementary Material to this article is available online at www.thrombosis-online.com.
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Recently, marginal zone (MZ) B cells were identified to be crucial for anti-PF4/heparin IgG antibody production in mice. Combining human studies and a murine model of polymicrobial sepsis we further characterised the far less investigated anti-PF4/heparin IgM immune response. We detected anti-PF4/heparin IgM antibodies in the sera of paediatric patients &lt; 6 months of age after cardiac surgery and in sera of splenectomised mice subjected to polymicrobial sepsis. In addition, PF4/heparin-specific IgM B cells were not only found in murine spleen, but also in peritoneum and bone marrow upon in vitro stimulation. Together, this indicates involvement of additional B cell populations, as MZ B cells are not fully developed in humans until the second year of life and are restricted to the spleen in mice. Moreover, PF4/heparin-specific B cells were detected in human cord blood upon in vitro stimulation and PF4 -/- mice produced anti-PF4/heparin IgM antibodies after polymicrobial sepsis. In conclusion, the anti-PF4/heparin IgM response is a potential innate immune reaction driven by a B cell population distinct from MZ B cells. 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Recently, marginal zone (MZ) B cells were identified to be crucial for anti-PF4/heparin IgG antibody production in mice. Combining human studies and a murine model of polymicrobial sepsis we further characterised the far less investigated anti-PF4/heparin IgM immune response. We detected anti-PF4/heparin IgM antibodies in the sera of paediatric patients &lt; 6 months of age after cardiac surgery and in sera of splenectomised mice subjected to polymicrobial sepsis. In addition, PF4/heparin-specific IgM B cells were not only found in murine spleen, but also in peritoneum and bone marrow upon in vitro stimulation. Together, this indicates involvement of additional B cell populations, as MZ B cells are not fully developed in humans until the second year of life and are restricted to the spleen in mice. Moreover, PF4/heparin-specific B cells were detected in human cord blood upon in vitro stimulation and PF4 -/- mice produced anti-PF4/heparin IgM antibodies after polymicrobial sepsis. In conclusion, the anti-PF4/heparin IgM response is a potential innate immune reaction driven by a B cell population distinct from MZ B cells. 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Schulze, Annika ; Jouni, Rabie ; Hackbarth, Christine ; Hietkamp, Bernhard ; Selleng, Sixten ; Koster, Andreas ; Jensch, Inga ; Linde, Julia van der ; Schwertz, Hansjörg ; Bakchoul, Tamam ; Hundt, Matthias ; Greinacher, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c327t-9b7172a767a2e1ac8307f700b2b90ddb5c7bd73c1d04d85dd0ae860a0de558383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Animals</topic><topic>Antibody Formation</topic><topic>B-Lymphocytes - immunology</topic><topic>Cellular Haemostasis and Platelets</topic><topic>Coinfection - immunology</topic><topic>Disease Models, Animal</topic><topic>Female</topic><topic>Humans</topic><topic>Immunity, Innate</topic><topic>Immunoglobulin M - blood</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Mice, Knockout</topic><topic>Platelet Factor 4 - genetics</topic><topic>Platelet Factor 4 - immunology</topic><topic>Sepsis - immunology</topic><topic>Thrombocytopenia - chemically induced</topic><topic>Thrombocytopenia - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krauel, Krystin</creatorcontrib><creatorcontrib>Schulze, Annika</creatorcontrib><creatorcontrib>Jouni, Rabie</creatorcontrib><creatorcontrib>Hackbarth, Christine</creatorcontrib><creatorcontrib>Hietkamp, Bernhard</creatorcontrib><creatorcontrib>Selleng, Sixten</creatorcontrib><creatorcontrib>Koster, Andreas</creatorcontrib><creatorcontrib>Jensch, Inga</creatorcontrib><creatorcontrib>Linde, Julia van der</creatorcontrib><creatorcontrib>Schwertz, Hansjörg</creatorcontrib><creatorcontrib>Bakchoul, Tamam</creatorcontrib><creatorcontrib>Hundt, Matthias</creatorcontrib><creatorcontrib>Greinacher, Andreas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Thrombosis and haemostasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krauel, Krystin</au><au>Schulze, Annika</au><au>Jouni, Rabie</au><au>Hackbarth, Christine</au><au>Hietkamp, Bernhard</au><au>Selleng, Sixten</au><au>Koster, Andreas</au><au>Jensch, Inga</au><au>Linde, Julia van der</au><au>Schwertz, Hansjörg</au><au>Bakchoul, Tamam</au><au>Hundt, Matthias</au><au>Greinacher, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Further insights into the anti-PF4/heparin IgM immune response</atitle><jtitle>Thrombosis and haemostasis</jtitle><addtitle>Thromb Haemost</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>115</volume><issue>4</issue><spage>752</spage><epage>761</epage><pages>752-761</pages><issn>0340-6245</issn><eissn>2567-689X</eissn><abstract>Summary Anti-platelet factor 4 (PF4)/heparin antibodies are not only the cause of heparin-induced thrombocytopenia but might also play a role in the antibacterial host defence. Recently, marginal zone (MZ) B cells were identified to be crucial for anti-PF4/heparin IgG antibody production in mice. Combining human studies and a murine model of polymicrobial sepsis we further characterised the far less investigated anti-PF4/heparin IgM immune response. We detected anti-PF4/heparin IgM antibodies in the sera of paediatric patients &lt; 6 months of age after cardiac surgery and in sera of splenectomised mice subjected to polymicrobial sepsis. In addition, PF4/heparin-specific IgM B cells were not only found in murine spleen, but also in peritoneum and bone marrow upon in vitro stimulation. Together, this indicates involvement of additional B cell populations, as MZ B cells are not fully developed in humans until the second year of life and are restricted to the spleen in mice. Moreover, PF4/heparin-specific B cells were detected in human cord blood upon in vitro stimulation and PF4 -/- mice produced anti-PF4/heparin IgM antibodies after polymicrobial sepsis. In conclusion, the anti-PF4/heparin IgM response is a potential innate immune reaction driven by a B cell population distinct from MZ B cells. Supplementary Material to this article is available online at www.thrombosis-online.com.</abstract><cop>Germany</cop><pub>Schattauer GmbH</pub><pmid>26467272</pmid><doi>10.1160/TH15-08-0654</doi><tpages>10</tpages></addata></record>
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subjects Animals
Antibody Formation
B-Lymphocytes - immunology
Cellular Haemostasis and Platelets
Coinfection - immunology
Disease Models, Animal
Female
Humans
Immunity, Innate
Immunoglobulin M - blood
Infant
Infant, Newborn
Male
Mice
Mice, Inbred C57BL
Mice, Knockout
Platelet Factor 4 - genetics
Platelet Factor 4 - immunology
Sepsis - immunology
Thrombocytopenia - chemically induced
Thrombocytopenia - immunology
title Further insights into the anti-PF4/heparin IgM immune response
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