New XI CONGRÉS · 2017. 11. 27. · Member: Dr. Jordi Bas Minguet Member: Dra. Virgínia Mas Bosch...
Transcript of New XI CONGRÉS · 2017. 11. 27. · Member: Dr. Jordi Bas Minguet Member: Dra. Virgínia Mas Bosch...
XI CONGRÉS
Societat Catalana d’Immunologia (SCI)
Programa Final
Barcelona, 16 i 17 de Novembre de 2017
Regulació de la Resposta Immunitària
Immunoregulation
2 www.sci.cat
Organization Committee (SCI Board):
Welcome to the Congress,
On behalf of the organising committee, we would like to warmly welcome you to the
XIth Societat Catalana d’Immunologia Congress (SCI congress). We believe that our
meeting will present high level scientific knowledge with the contribution of immunologists
and specialists who are experts in this field.
Dr. Ricardo Pujol Borrell
SCI President
XIth Congress of the Catalan Society of Immunology: Immunoregulation, has been accredited by the Catalan Lifelong Learning Board of the
Healthcare Professions with 0,7 credits (Record: 09/020427-MD, 2017.11.23)
President: Dr. Ricardo Pujol Borrell Vice President: Dra. Annabel Valledor Fernández Secretary: Dr. Francesc Rudilla Salvador Treasurer: Dra. Milagros García Ormaechea Member: Dra. Aina Teniente Serra Member: Dr. Jordi Bas Minguet Member: Dra. Virgínia Mas Bosch Member: Dra. M. Esther Moga Naranjo
Congress Office: Sr.Xavier Nieves ([email protected])
www. sci.cat 3
4 www.sci.cat
This Congress is sponsored by:
Gold Sponsors
Silver Sponsor
www.sci.cat 5
Content
Regulació de la Resposta Immunitària ................................................................................ 1
Immunoregulation ................................................................................................................ 1
This Congress is sponsored by: ........................................................................................... 4
Content ................................................................................................................................ 5
Scheme first day .................................................................................................................. 6
Scheme second day ............................................................................................................ 7
Corporative Abbreviations .................................................................................................... 9
Abstracts ............................................................................................................................ 10
Oral Communications Session I Clinical Immunology 1 - 6....................................... 10
Oral Communications Session II Innate Response 7 - 9 .......................................... 16
Oral Communications Session III From Innate to Adaptative Immunity 10 - 15 ........ 19
e-poster List ....................................................................................................................... 25
Posters Clinical Immunology 1 - 8 .................................................................................. 25
Posters Innate Response 9 - 16 ..................................................................................... 33
Posters From Innate to Adaptative Immunity 17 - 24 ..................................................... 41
2018 Events ....................................................................................................................... 49
Lifelong Learning SCI Program 2018 ............................................................................. 49
New members .................................................................................................................... 50
Registration form to SCI ................................................................................................. 50
Participant information ....................................................................................................... 51
Useful information .......................................................................................................... 51
List of participants and authors ...................................................................................... 52
Other useful information and notes ................................................................................ 54
Awards to the best communication and to the best poster at the XI Congress SCI 2017, sponsored by SCI
This year SCI sponsors the awards for the best communication (400 €) and for the best poster (250 €) of this congress. The Chairpersons of the different sessions of the congress and the board members of the SCI will select the best oral communications presented, taking into account its scientific value and the aspects related to the presentation. The poster awarded will be chosen by the congress attendees activating the electronic vote inside the electronic panels of the posters. The results will be announced at the end of the congress.
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Scheme first day
Thursday, November 16th
15:30 16:00
Arrival, Registration and Documentation delivery
16:00 16:05
Welcome to the XIth CONGRESS of SCI Dr. Ricardo Pujol Borrell (President of SCI)
16:05 17:00
Chair: Dr. Manel Juan (Hospital Clínic)
Dra. SANDRA HERVÁS CIMA, Universidad de Navarra, Spain
“Enrichment and separate expansion of tumor-infiltrating CD8 T cells expressing PD-1 improves the efficacy of adoptive therapy”
17:00 17:30
Poster viewing – Coffee Break Posters can be viewed on the 4 electronic panels located in the Hall
17:30 18:30
Chair: Dra. Marta Vives-Pi (IGTP)
Dr. JOAN VERDAGUER Universitat de Lleida, Spain
“T and B lymphocyte cross talk in Type 1 Diabetes”
18:30 20:00
Oral Communications Session I: Clinical Immunology
Chairs: Dr. Cándido Juarez (HSCSP) and Dra. Virgínia Mas (HUBell) 18:30h Immunological effects of dimethyl fumarate in multiple sclerosis patients. María José
Mansilla et al. (oral presentation 1).
18:45h Mitotic atypical IFI patterns on HEp-2 cells and Cancer association. G. Vila-Pijoan et al.
(oral presentation 2). 19:00h Virus specific T lymphocytes expansion for adoptive immunotherapy. Marta Grau-
Vorster et al. (oral presentation 3). 19:15h The importance of assessing own reference values. Sergio Navarro Velázquez et al.
(oral presentation 4). 19:30h Antigen-Specific Liposomal Nanotherapy Drives Immunoregulation in Human Type 1
Diabetes. Silvia Rodríguez-Fernández et al. (oral presentation 5). 19:45h Congenital disorder of glycosylation type II b: description of a clinical case. Andrés
Baucells de la Peña et al. (oral presentation 6).
20:00 End of session
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Scheme second day
Friday, November 17th
08:30 08:55
Arrival, Registration and Documentation delivery
09:00 10:00
Chair: Dra. Eva Martínez-Cáceres (HUGTiP)
Dr. JOSEP DALMAU IDIBAPS, UB, H. Clínic, Barcelona.
“Autoimmune encephalitis: from symptom to synapse”
10:00 11:00
Oral Communications Session II: Innate Response
Chair: Dra. Maria Rosa Sarrias (IGTP) and Dra. Annabel Valledor (UB)
10:00h Involvement of autophagy in the processing and/or presentation of diabetogenic
autoantigens by dendritic cells. Javier Vega Ramos et al. (oral presentation 7).
10:20h Mesenchymal Stem Cells induce de novo expression of CD73 in human monocytes in
vitro and in a swine model of myocardial infarction in vivo. Marta Monguió-Tortajada et
al. (oral presentation 8).
10:40h Mitofusin 2 links mitochondria with immune response. J. Tur et al. (oral presentation 9).
11:00 11:30
Poster viewing – Coffee Break Posters can be viewed on the 4 electronic panels located in the Hall
11:30 12:30
Chair: Dr. Pablo Engel (UB)
Dra. BELÉN DE ANDRÉS Centro Nacional de Microbiología, ISCIII, Madrid, Spain.
“Altered distribution of aged B lymphocytes. Implications on the humoral responses”
12:30 13:30
Ordinary General Meeting / Junta General Ordinària SOCIETAT CATALANA d’IMMUNOLOGIA (SCI) (12:30h – First Call) Us hi esperem a tots: els socis i no-socis!!
13:30 15:00
Poster viewing – LUNCH Posters can be viewed on the 4 electronic panels located in the Hall
15:00 16:30
Oral Communications Session III: From Innate to Adaptative Immunity
Chair: Dr. Ramón Gimeno (IMIM) and Dra. Milagros García (H. Clínic)
15:00h HLA-DRB1*15:01 and HLA-DRB5*01:01 Present Complementary Peptide Repertoires.
Erika Scholz et al. (oral presentation 10).
15:15h Role of intermediate proteasome β5i in the generation of HLA class I ligands. Erika
Scholz et al. (oral presentation 11).
8 www.sci.cat
15:30h Identification of new CYCLIN D3 signaling pathways responsible for pancreatic beta cell
fitness. Celeste Santos-Rosendo et al. (oral presentation 12).
15:45h Severe phenotype of LRBA deficiency in a patient with a novel homozygous mutation
due to a chromosome 4 segmental uniparental isodisomy. Pere Soler-Palacín et al.
(oral presentation 13).
16:00h Functional study of tumor infiltrating lymphocytes in a breast cancer patient: an
approach to personalized medicine. Andrea Aran et al. (oral presentation 14).
16:15h MSC induction of Breg is mediated by secreted soluble factors but not by extracellular
vesicles. Laura Carreras-Planella et al. (oral presentation 15).
16:30 17:00
Poster viewing – Coffee Break Posters can be viewed on the 4 electronic panels located in the Hall
17:00 18:00
Chair: Dra. Elisabet Calderón (Instituto Grifols)
Dr. SIMON FILLATREAU INSERM, CNRS, Institut Necker-Enfants Malades (INEM), Paris, France
“Cytokine-producing B cells and plasma cells: novel key
players in immune regulation”
18:00 18:30
Chair: Dr. Ricardo Pujol Borrell (HUVH, UAB)
Drs. SIMON FILLATREAU, BELÉN DE ANDRÉS, JOAN VERDAGUER
ROUND TABLE: “B cell pathology”
18:30 18:45
Prize to the best communication and poster in the Congress, sponsored by Miltenyi Biotec and Werfen Dr. Ricardo Pujol Borrell (President of SCI). End of Congress
www.sci.cat 9
Corporative Abbreviations
BST Banc de Sang i Teixits
CIBERCV Centro de Investigación Biomédica en Red Enfermedades
Cardiovasculares
CIBERDEM Centro de Investigación Biomédica en Red de Diabetes y
Enfermedades Metabólicas Asociadas
CIBERehd Centro de Investigación Biomédica en Red de Enfermedades
Hepáticas y Digestivas
CIG, UNIL Center fo Integrative Genomics, Université de Lausanne
CIMA Centro de Investigación Médica Aplicada
HSCSP Hospital de la Santa Creu i Sant Pau
HUBell Hospital Universitari de Bellvitge
HUGTiP Hospital Universitari Germans Trias i Pujol
HUVH Hospital Universitari Vall d’Hebron
ICREA Institució Catalana de Recerca i Estudis Avançats
ICREC Insuficiència Cardíaca i REgeneració Cardíaca
IDIBAPS Institut d'Investigacions Biomèdiques August Pi i Sunyer
IDIBELL Institut d'Investigació Biomèdica de Bellvitge
IGTP Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol
IIBB Institut d'Investigacions Biomèdiques de Barcelona
IMIM Institut Hospital del Mar d'Investigacions Mèdiques
INSA Institut de Recerca en Nutrició i Seguretat Alimentària
INSERM Institut National de la Santé Et de la Recherche Médicale
IRB Barcelona Institut de Recerca Biomèdica Barcelona
IRB Lleida Institut de Recerca Biomèdica Lleida
ISCiii Instituto de Salud Carlos III
PCB Parc Científic de Barcelona
REMAR-IVECAT REcerca en Malalties d’Afectació Renal- Innovation in Vesicles and
Cells for Application in Therapy
SCI Societat Catalana d’Immunologia
UAB Universitat Autònoma de Barcelona
UB Universitat de Barcelona
UPF Universitat Pompeu Fabra
VHIR Vall d’Hebron Institut de Recerca
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Abstracts
Oral Communications Session I
Clinical Immunology 1 - 6
1 Immunological effects of dimethyl fumarate in multiple
sclerosis patients
María José Mansilla1,2
; Juan Navarro-Barriuso1,2
; Silvia Presas-Rodríguez3,4
; Aina Teniente-Serra1,2
;
Bibiana Quirant-Sánchez3,4
; Cristina Ramo-Tello3,4
; Eva M. Martínez-Cáceres1,2
1Immunology Division, Germans Trias i Pujol University Hospital and Research Institute.;
2Department of
Cellular Biology, Physiology and Immunology, Universitat Autònoma de Barcelona; 3Multiple Sclerosis Unit,
Department of Neurosciences, Hospital Universitari Germans Trias i Pujol; 4Department of Medicine,
Universitat Autònoma de Barcelona
Background: Dimethyl fumarate (DMF) is an oral drug for the treatment of relapsing-
remitting multiple sclerosis (RRMS), with an anti-inflammatory effect. It is relatively well
tolerated, but it has an important impact over several leukocyte subpopulations.
Consequently, immune monitorization becomes necessary to understand the effect of
DMF on the immune system and to relate these changes to the clinical outcome and
potential adverse effects.
Objective: To analyze the immunological changes induced by DMF in samples of whole
blood of RRMS patients.
Methods: Longitudinal prospective study of peripheral blood T, B, NK, monocyte and DC
subpopulations using multiparametric flow cytometry in whole blood from 11 RRMS
patients under DMF treatmentat baseline and after 1, 3, 6 and 12 months of follow up.
Results: The study revealed a selective reduction of effector central memory T cells and
memory B cells in a 52.3±14.1%, 37.3±16.1% and 54.3±20.3%, respectively after 12
months. In contrast, the relative prevalence of both T and B naïve subpopulations
increased in a 58.4±25.6% and 47.1±31.6%, respectively. Additionally, a switch in the
central memory Th2/Th1 ratio from 0.8±0.3 to 1.4±0.6 and an increase of transitional B
cells in absolute number (from 5±3 to 10±5 cells/μL) were spotted. All these changes were
progressive from month 1, and already significant by month 6. All results were statistically
significant (p<0.05).
Conclusions: The beneficial effect of DMF reducing the number of clinical relapses in MS
patients seems to be related with the effect of DMF depleting effector T cells and
increasing transitional B cells.
This work was partially supported by project PI14/01175, integrated in the Plan Nacional
de I+D+I and cosupported by the ISCIII-Subdirección General de Evaluación and the
Fondo Europeo de Desarrollo Regional (FEDER).
www.sci.cat 11
Oral Communications Session I
Clinical Immunology 1 - 6
2 Mitotic atypical IFI patterns on HEp-2 cells and Cancer
association
Vila-Pijoan G.
1; Sanz-Martínez M.T.
1; Pujol-Borrell R.
1,2; Marín-Sánchez A.
1
1Immunology Division, Hospital Universitari Vall d’Hebron (HUVH), Barcelona, Catalonia, Spain;
2Immunology Group, Vall d’Hebron Research Institute (VHIR), Barcelona, Catalonia, Spain
Introduction: An association between autoimmune diseases and cancer is well
established, and it has been in part attributed to the immune-system response to cancer
antigens. With the advent of immune-checkpoint immunotherapy many cancer patients are
tested for autoantibodies prior to treatment and this constitutes an opportunity to
investigate other tumor-associated autoantibodies.
Material and Methods: We selected the cases corresponding to ANA tests on HEp-2 cells
(NOVA Lite®, INOVA Diagnostics, Werfen) reported as "mitotic atypical pattern" by our
laboratory among all the samples tested from 2015 to 2017. Positive sera were classified
following the International Consensus on ANA patterns (ICAP) as CENP-F-like (AC-14),
mitotic chromosomal coat (AC-28); we also considered a group that showed the so called
“Pleomorphic-not-PCNA” pattern. Clinical records were reviewed for cancer diagnosis and
the results of tumor markers (CEA, hCG, CA 125, CA 19.9, CA 15.3, CA 72.4, SCC
antigen, B2MG, AFP, enolase, CYFRA 21,1, TK) if available.
Results: From 36.541 ANA tests, 44 from 22 patients were reported as “mitotic atypical
pattern”: (13 Pleomorphic-not-PCNA, 7 CENP-F-like and 2 mitotic chromosomal coat).
Clinical records revealed that 5/22 had a cancer diagnosis, 4/22 showed the CENP-F-like
pattern and 1/22 the Pleomorphic-not-PCNANop- 52-like. Tumor markers were available in
9/22 patients and were positive in 5 of whom, 2 showed a mitotic chromosomal coat
pattern without a malignancy diagnosis at the time of the study.
Discussion: We have confirmed that the CENP-F-like pattern is strongly associated to
malignancy (57% of the cases in our study). Interestingly, the two patients positive for the
mitotic chromosomal coat pattern had elevated laboratory tumor markers.
Conclusions: Even though further studies are needed to elucidate whether they can be
used as biomarkers, the detection of atypical patterns in ANA screening test on HEp-2
cells should alert the clinicians to the possibility of a malignancy.
12 www.sci.cat
Oral Communications Session I
Clinical Immunology 1 - 6
3 Virus specific T lymphocytes expansion for adoptive
immunotherapy
Marta Grau-Vorster1,2
; Anna del Mazo-Barbara1; María López-Montañés
1,2; Sergi Querol
1; Joaquim
Vives1; Irene Oliver-Vila
1; Francesc Rudilla
1
1Banc de Sang i Teixits (BST);
2Vall d'Hebron Institut de Recerca (VHIR)
Introduction: Adoptive immunotherapy with virus-specific T lymphocytes (VST) can
prevent immunodeficient patients from virus reactivation or de novo infection by
reconstituting the immune system. Nowadays, this treatment has several limitations, such
as HLA-compatibility restriction, and the high costs and time required in the production
processes of personalised medicines.
Experimental approach: We propose the generation of a third-party VST bank through
large-scale expansion compliant with Good Manufacturing Practice standards while
reducing production costs and time, and with its pertinent HLAmatched virus-specific
register.
Methodology: A full factorial design of experiments (DoE) was used for the screening of
different cytokine combinations (IL-2, IL-7, IL-12 and IL-15) in VST media formulation.
Traditional plastic culture system and siliconemembrane technology (G-Rex, Wilson Wolf
Manufacturing) were also compared. First, cytomegalovirus (CMV) peptides were used to
stimulate lymphocytes specifically. Readouts included purity, in terms of CD8+ and CD4+,
and specificity (interferon gamma (IFN-γ) expression). This strategy was compared to
other methods found in the literature that also used peptides for specific stimulation. Once
established the optimal media composition, a physiological VST stimulus was tested,
consisting of viral peptide-pulsed dendritic cells (DCs) derived from monocytes.
Furthermore, anti-CD3+anti-CD28 antibodies were added after 5 days of culture,
according to the latent period, in order to enhance VST proliferation.
Results: The combination of the cytokines IL-2+IL-7+IL-15 in a G-Rex system resulted in
optimum conditions for VST expansion. The use of DCs for T lymphocyte stimulation and
the addition of anti-CD3+anti-CD28 resulted in a successful 14-day expansion with high
expansion factor (80-fold) and specificity (16.4%).
Conclusions: A scalable process with high values of VST was successfully defined by
formulating cell culture media with IL-2+IL-7+IL-15, stimulating lymphocytes with pulsed-
DCs and enhancing cell growth by adding anti-CD3+anti-CD28 5 days later. A further
improvement to the approach presented here would consider specificity for other viruses.
www.sci.cat 13
Oral Communications Session I
Clinical Immunology 1 - 6
4 The importance of assessing own reference values
Sergio Navarro Velazquez1; Virgínia Mas Bosch
1; Francisco Morandeira Rego
1; Elisabet Poyatos
Canton1; Rafael Mayol Calvet
1; Jordi Bas Minguet
1
1Department of Immunology, Bellvitge University Hospital
Introduction: Many clinical laboratories use reference values established by the
manufacturer but these values may not always apply to their target populations.
Objectives: Therefore, we attempted to establish our own reference values for different
serum proteins: complement factor 3 (C3c), complement factor 4 (C4), complement factor
B or properdin (PFB), ceruloplasmin (CER), alpha-1-antitrypsin (AAT) and complement
factor 1 inhibitor (C1I).
Materials and methods: Blood samples were obtained from 50 healthy individuals (58%
women): 25 blood donors and 25 lab staff volunteers after completion of a health
questionnaire. 50% were fasting. Samples were centrifuged (4000 rpm for 10’) and sera
were frozen at -80° C until analysis. The concentration of the different proteins was
determined by nephelometry (BNII, Siemens®) in 5 different batches. A statistical study
with analyze-it® was carried out, which showed that fasting did not affect the results of any
test. After removing the outlier values, Harris and Boid partition criteria for age and gender
were applied. Then, Poison’s distribution tests were performed and reference intervals
were calculated.
Results: All values followed a normal (or normal-logarithmic) distribution. The newly
obtained reference values were clearly different for CER (Before 220-610 mg/L, After 178-
431 mg/L), but also in the other lab tests, albeit to a lesser extent. Fasting and age had no
influence on these values; however, gender clearly influenced the reference values of CER
(Women 201-465 mg/L, Men 167-381 mg/L) and AAT (Women 951-1785 mg/L, Men 861-
1591 mg/L), recommending the establishment of gender-specific reference values for
these tests.
Conclusions: It would be appropriate to validate these reference intervals with a further
sample batch before setting the new reference values. Furthermore, it is highly
recommended to carry out similar studies in all laboratories to assess whether the
reference values proposed by manufacturers are appropriate in their own area of
influence.
14 www.sci.cat
Oral Communications Session I
Clinical Immunology 1 - 6
5 Antigen-Specific Liposomal Nanotherapy Drives
Immunoregulation in Human Type 1 Diabetes
Silvia Rodríguez-Fernández
1; Irma Pujol-Autonell
1; Ferran Briansó
2,3; David Perna-Barrull
1; Mary
Cano-Sarabia4; Sonia García-Jimeno
4; Adrian Villalba
1; Alex Sánchez
2,3; Eva Aguilera
5; Federico
Vázquez5; Joan Verdaguer
6,7; Daniel Maspoch
4,8; Marta Vives-Pi
1,7
1Immunology Division, Germans Trias i Pujol Research Institute, UAB, Badalona;
2Statistics and
Bioinformatics Unit, Vall d'Hebron Research Institute, Barcelona; 3Department of Genetics, Microbiology and
Statistics, University of Barcelona, Barcelona; 4Catalan Institute of Nanoscience and Nanotechnology,
Bellaterra; 5Endocrinology Section, Germans Trias i Pujol University Hospital, Badalona;
6Department of
Experimental Medicine, University of Lleida, IRBLleida, Lleida; 7CIBERDEM, ISCiii, Barcelona;
8ICREA,
Barcelona
Type 1 diabetes (T1D) is a metabolic disease caused by the autoimmune destruction of
insulin-producing pancreatic beta-cells, which, to date, cannot be prevented or reverted.
New and antigen-specific strategies are necessary to re-establish self-tolerance and allow
target tissue regeneration. Relying on the tolerogenic potential of apoptotic cells, we
demonstrated that liposomes mimicking apoptotic beta-cells can halt the autoimmune
attack and prevent T1D in a mouse model of the disease through the generation of
tolerogenic dendritic cells (DCs). These liposomes are rich in phosphatidylserine (PS) —a
characteristic phospholipid of the apoptotic cell membrane— and contain beta-cell
autoantigens. To validate the tolerogenic effect of apoptotic mimicry in human T1D, PS-
liposomes loaded with human insulin peptides as autoantigens were generated with
optimum size and composition for phagocytosis. DCs were derived in vitro from peripheral
blood monocytes isolated from patients with T1D and control age-related subjects, with
similar yield, purity, viability and efficiency of differentiation. Human DCs from both groups
rapidly and efficiently phagocyted PS-liposomes with identical phagocytosis kinetics.
Engulfment of PS-liposomes induced a tolerogenic phenotype and functionality in DCs,
which displayed low membrane expression of class I and II HLA, CD40, CD86 and CD25
molecules and impaired capacity to induce autologous T cell proliferation. RNAsequencing
was performed in DCs to detect changes after PS-liposomes phagocytosis, showing 233
differentially expressed genes primarily taking part in immune response, cytokine signaling
and vesicle transport. Genes involved in antigen presentation were downregulated
whereas tolerogenic-related genes were mostly upregulated. In conclusion, PS-liposomes
phagocytosis leads to phenotypic and functional changes in human DCs, analogous to
those observed in mice and accountable for tolerance induction and autoimmunity
blockade. These results reinforce the potential of this immunotherapy to re-establish
immunological tolerance, opening the door to new approaches in autoimmunity.
Funding: ISCiii (PI15/00198); CERCA and AGAUR, GenCat; La Marató de TV3 (201632-
10).
www.sci.cat 15
Oral Communications Session I
Clinical Immunology 1 - 6
6 Congenital disorder of glycosylation type II b: description of a
clinical case
Andrés Baucells de la Peña
1; Gemma Boera-Carnicero
1; Aida Pariente-Cano
1; Isabel Badell
2; Oscar
de la Calle-Martín1; Laura Martínez-Martínez
1
1Immunology Dept., Hospital de la Santa Creu i Sant Pau;
2Pediatrics Dept., Hospital de la Santa Creu i Sant
Pau
Introduction: The congenital disorders of glycosylation (CDGs) are genetic disorders
affecting the Nglycosylation process. Alterations in the endoplasmic reticulum glucosidase
I, the mannosyl-oligosaccharide glucosidase (MOGS) encoded by the MOGS gene, are
responsible for CDG type IIb (CDG-IIb). Only 3 patients worldwide have been identified
with this extremely rare disease. The first one, described in 2000, was a neonate with
severe generalized hypotonia, hypoventilation, dysmorphic features, hepatomegaly,
feeding problems and seizures. He died at age 74 days. The other 2 patients were
described in 2014 and were two siblings of 11 and 6 years old with dysmorphic features
affected by a complex neurological condition including hypotonia and seizures. Both
patients presented with severe hypogammaglobulinemia but curiously, without remarkable
infections.
Material and methods: We report a 15 months old boy who was remitted to study due to
severe hypogammaglobulinemia (IgG:164 mg/dL, IgA:<7 mg/dL, IgM:16 mg/dL). The
patient was a premature neonate (29 week, 1530 g) with failure to thrive. He also
presented with anisocoria and feeding problems. His clinical history of infections was
limited to recurrent enterovirus constipations and intermittent bronchitis. First, X-linked
agammaglobulinemia was suspected. But the presence of high lymphocyte numbers,
including B cells (34.8%), together with dysmorphic features (macrocephaly, bulging
forehead, low-set ears and prominent abdomen) prompted us to suspect a CDG-IIb. So,
MOGS gene was analysed by sequencing.
Results: We identified two diferent heterozygotic mutations in the MOGS gene: c.G715A,
resulting in the substitution of aspartic 239 by asparragine in the maternal allele, and
c.C877T changing proline 293 by serine in the paternal allele. Both parents were
heterozygous for each of these mutations. None of them were found in the three previous
reported patients.
Conclusion: Severe hypogammaglobulimenia together with dysmorphic features led us to
identify a new patient with CDG-IIb bearing two novel mutations: p.Asp239Asn and
p.Pro293Ser.
16 www.sci.cat
Oral Communications Session II Innate Response 7 - 9
7 Autophagic machinery in DCs plays a critical role in
diabetogenesis by impairing CD4 T cell activation and
recruitment Javier Vega Ramos
1; Elena López
1; Pau Serra
1; Pere Santamaria
1,2
1Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Barcelona, Spain;
2Julia McFarlane
Diabetes Research Centre and Department of Microbiology, Immunology and Infectious Diseases, Cuming
School of Medicine, University of Calgary, Canada
Atg5 and other autophagy related proteins have been found to be necessary for optimal
processing and presentation of phagocytosed antigens by conventional Dendritic Cells
(DC), but the role of this process in the activation of diabetogenic CD4 and/or CD8 T-cells
is unknown. Currently, we are investigating the role of the autophagy machinery (Atg5) in
DC for direct priming of diabetogenic CD4 and CD8 T cells. To address this question, we
generated mice expressing CD11c- driven Cre transgenes in non-transgenic, CD4 TCR
transgenic (4.1) and CD8 TCR transgenic (8.3), NOD.Atg5loxP/loxP. In these mice,
autophagic machinery is knocked down specifically in DC. We found that the incidence of
diabetes is clearly reduced in non-transgenic and 4.1-TCR transgenic mice, showing an
important role for autophagy in the MHC-II driven antigen processing and/or presentation
of diabetogenic autoantigens to CD4 T cells in vivo. On the other hand, 8.3-TCR
transgenic mice only showed a minor reduction in the incidence of diabetes, showing that
ATG5 deletion in DC does not impair cross-presentation of diabetogenic autoantigens to
8.3-CD8 T cells, nor 8.3-CD8 T cells recruitment and activation. No phenotypical
differences have been observed in T cells from CD11c-Cre expressing 4.1 or 8.3-TCR
transgenic NOD.Atg5loxP/loxP mice and their control counterparts. Altogether, our data
suggest that the autophagic machinery in DC plays a critical role in the activation of
diabetogenic CD4 T cells, presumably via effects on exogenous antigen presentation of
diabetogenic autoantigens.
www.sci.cat 17
Oral Communications Session II
Innate Response 7 - 9
8 Mesenchymal Stem Cells induce de novo expression of CD73
in human monocytes in vitro and in a swine model of
myocardial infarction in vivo Marta Monguió-Tortajada
1,2; Santiago Roura
3,4,5; Carolina Gálvez-Montón
3,5; Marcella Franquesa
1,6;
Antoni Bayes-Genis3,5,7,8
; Francesc E. Borràs1,2,6
1REMAR-IVECAT Group, Health Science Research Institute Germans Trias i Pujol, Can Ruti Campus;
2Universitat Autònoma de Barcelona;
3ICREC Research Program, Health Science Research Institute
Germans Trias i Pujol, Can Ruti Campus; 4Center of Regenerative Medicine in Barcelona;
5CIBERCV,
Instituto de Salud Carlos III; 6Nephrology Service, Germans Trias i Pujol University Hospital;
7Cardiology
Service, Germans Trias i Pujol University Hospital; 8Department of Medicine, UAB
The ectoenzymes CD39 and CD73 regulate the purinergic signaling through thehydrolysis
of ATP/ADP to AMP and to Adenosine, respectively. This shifts the pro-inflammatory
milieu induced by extracellular ATP to the anti-inflammatory regulation by Adenosine.
Mesenchymal stem cells (MSCs) have potent immunomodulatory capabilities, including
monocyte modulation towards an anti-inflammatory phenotype aiding tissue repair. In vitro,
we observed that human cardiac adipose tissue-derived MSCs (cATMSCs) and umbilical
cord MSCs (UCMSCs) similarly polarize monocytes towards a regulatory M2 phenotype,
which maintained the expression of CD39 and induced expression of CD73 in a cell
contact dependent fashion, correlating with increased functional activity.
In addition, the local treatment with porcine cATMSCs using an engineered bioactive graft
promoted the in vivo CD73 expression on host monocytes in a preclinical swine model of
myocardial infarction.
Our results suggest the upregulation of ectonucleotidases on MSCconditioned monocytes
as an effective mechanism to amplify the long-lasting immunomodulatory and healing
effects of MSCs delivery.
18 www.sci.cat
Oral Communications Session II
Innate Response 7 - 9
9 Mitofusin 2 links mitochondria with immune response
Juan Tur1; Selma Pereira-Lopes
1; Tania Vico
1; Maribel Hernández-Alvarez
2,3,4; Juan P. Muñoz
2,3,4; Emil
R. Unanue 5; Antonio Zorzano
2,3,4; Antonio Celada
1; Jorge Lloberas
1
1Grup Biologia del Macròfag, Departament de Biologia Cel·lular, Fisiologia i Immunologia, PCB, UB;
2Centro
de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM; 3Institute for Research in Biomedicine (IRB Barcelona);
4Departament de Bioquímica i Biomedicina
Molecular, Facultat de Biologia, UB; 5Department of Pathology and Immunology; Washington University
School of Medicine in St. Louis
Mitofusin 2 (Mfn2) plays a major role in mitochondrial fusion and the establishment of
mitochondriaendoplasmic reticulum contact sites. Mitochondria are critical regulators of the
metabolism, and have a central role in the innate immune system. Because macrophages
play a major protagonist in inflammation, here we analyze the effect of Mfn2 on the
functional activity of these cells. Using a Mfn2 myeloid conditional KO mouse we show that
in macrophages, Mfn2 is required for the adaptation of mitochondrial respiration to stress
conditions, and for the production of reactive oxygen species (ROS) upon proinflammatory
activation. The lack of ROS production is at the base of a defective production of
proinflammatory cytokines and nitric oxide. In addition, the lack of Mfn2 is associated to a
dysfunctional autophagy, apoptosis, phagocytosis, and antigen processing. These results
unravel an unexpected role for Mfn2 in macrophages, involving ROS production, and
inflammation.
www.sci.cat 19
Oral Communications Session III From Innate to Adaptative Immunity 10 - 15
10 HLA-DRB1*15:01 and HLA-DRB5*01:01 Present
Complementary Peptide Repertoires
Erika Scholz1,2
; Miguel Marcilla3; Xavier Daura
1,4; David Arribas-Layton
5; Eddie A. James
5; Iñaki
Álvarez1,2
1Institut de Biotecnologia i de Biomedicina, Universitat Autònoma de Barcelona, Bellaterra, Spain;
2Immunology Unit, Department of Cell Biology, Physiology and Immunology, Universitat Autònoma de
Barcelona; 3Proteomics Unit, Centro Nacional de Biotecnología (CSIC), Madrid, Spain;
4Catalan Institution
for Research and Advanced Studies (ICREA), Barcelona, Spain; 5Benaroya Research Institute at Virginia
Mason, Seattle, WA, United States
Human leukocyte antigen (HLA)-DR15 is a haplotype associated with multiple sclerosis. It
contains the two DRB* genes DRB1*1501 (DR2b) and DRB5*0101 (DR2a). The reported
anchor motif of the corresponding HLA-DR molecules was determined in 1994 based on a
small number of peptide ligands and binding assays. DR2a could display a set of peptides
complementary to that presented by DR2b or, alternatively, a similar peptide repertoire but
recognized in a different manner by T cells. It is known that DR2a and DR2b share some
peptide ligands, although the degree of similarity of their associated peptidomes remains
unclear. In addition, the contribution of each molecule to the global peptide repertoire
presented by the HLA-DR15 haplotype has not been evaluated. We used mass
spectrometry to analyze the peptide pools bound to DR2a and DR2b, identifying 169 and
555 unique peptide ligands of DR2a and DR2b, respectively. The analysis of these sets of
peptides allowed the refinement of the corresponding binding motifs revealing novel
anchor residues that had been overlooked in previous analyses. Moreover, the number of
shared ligands between both molecules was low, indicating that DR2a and DR2b present
complementary peptide repertoires to T cells. Finally, our analysis suggests that,
quantitatively, both molecules contribute to the peptide repertoire presented by cells
expressing the HLA-DR15 haplotype.
20 www.sci.cat
Oral Communications Session III From Innate to Adaptative Immunity 10 - 15
11 Role of intermediate proteasome β5i in the generation of HLA
class I ligands
Erika Scholz1; Anna Mestre-Ferrer
1; Françesc Canals
2; Montserrat Carrascal
3; Iñaki Álvarez
1
1Immunology Unit, Department of Cell Biology, Physiology and Immunology and Institut de Biotecnologia;
2Vall d'Hebron University Hospital Research Institute Proteomics Laboratory, Barcelona, Spain;
3CSIC/UAB
Proteomics Laboratory, IIBB-CSIC/Institut d'Investigacions Biomèdiques August Pi i Sunyer
The proteasome is a multicatalytic complex responsible for most of the cytosolic protein
degradation. In addition to the standard proteasome (containing the catalytic subunits β1,
β2 and β5) and the immunoproteasome (β1i, β2i and β5i), intermediate proteasomes are
present in normal tissues and, in a higher percentage, in dendritic and tumoral cells. Two
intermediate proteasomes have been described: one containing β5i with the components
of the standard proteasome β1 and β2, and other containing the components of the
immunoproteasome β1i and β5i with β2. Their relevance has been demonstrated as some
HLA-I ligands derived from tumors are generated specifically by intermediate
proteasomes. The activity of intermediate proteasomes have been studied through
digestions with purified 20S proteasome of fluorogenic substrates or HLA-I ligand peptide
precursors. Here, we identified by the first time some peptides associated to HLA-I in cells
expressing the constitutive proteasome or the intermediate proteasome β5i. The
generation of some specific or common HLA-I ligands sequenced in these cells was
studied by in vitro digestions of peptide precursors with purified 20S proteasomes. The
cleavage of the peptide bonds generating the N- and C-termini of the ligands by both
proteasomes allowed to explain the presence or absence of some ligands in each cell.
Finally, an exhaustive analysis of the proteasome specificity showed that the intermediate
proteasome β5i presents an increased trypsin-like activity and a decreased chymotrypsin-
like activity.
www.sci.cat 21
Oral Communications Session III
From Innate to Adaptative Immunity 10 - 15
12 Identification of new CYCLIN D3 signaling pathways
responsible for pancreatic beta cell fitness
Celeste Santos-Rosendo1; Celia Vived
1; Isabel López Mejía
2; Estela Rosell-Mases
1; Leire Egía-
Mendikute1; Marta Corral
1; Joan Verdaguer
1; Thomas Stratmann
3; Lluís Fajas
2; Conchi Mora
1
1Immunology Unit. Departament of Experimental Medicine. University of Lleida IRBLleida;
2Center for
Integrative Genomics, CIG, UNIL Sorge, Lausanne, Switzerland; 3Department of Cell Biology, Physiology
and Immunology, Faculty of Biology, University of Barcelona.
Autoimmune diabetes (T1D) is caused by the destruction of insulin producing pancreatic
beta cells. Proinflammatory cytokines released in the autoimmune attack deeply alter the
physiology and viability of beta cells leading them to an apoptotic death.
Cyclin D3 is involved in CDK-dependent cell cycle progression. Our group has reported
that cyclin D3, which is downregulated in beta cells upon inflammation, is essential for
protecting beta cells in front of the inflammation-induced apoptosis and for maintaining
proper function of beta cells, both in a cell-cycle independent fashion.
We evaluated differences in the kinome from between pancreatic islets from 11-week- old
NODSCID either wild type (NS-WT) or cyclin D3 deficient (NS-KO) female mice, that had
been submitted to glucose challenge intraperitoneally after fasting for 16h. The kinome
was assessed with tyrosine and serine/threonine kinase microarrays (PamGene
International BV). It was performed according to the manufacturer’s instructions on a
PamStation12 instrument. The list of peptides the phosphorylation of which is significantly
different between control (NS-WT) and test (NS-KO) conditions were uploaded to GeneGo
for pathway analysis.
Then, the expression and activity of selected candidate proteins was assessed by Western
Blot using pancreatic islets from both, 11 week NS-KO and NS-WT female hyperglucemic
mice by glucose injection.
We focused on those differences not attributable to the CDK activity.
From the differential kinome analysis we obtained a list of candidates. We selected the
candidates that were not related with the cell cycle and proliferation. Cyclin D3 deficiency
has a dramatic impact on the activity of some the Ser/Thr kinase. Most of Ser/Thr kinase
showed more activity in NS-KO than in NS-WT islets. In the opposite sense, on average,
most of Tyr kinases were less active in the absence of cyclin D3.
22 www.sci.cat
Oral Communications Session III
From Innate to Adaptative Immunity 10 - 15
13 Severe phenotype of LRBA deficiency in a patient with a novel
homozygous mutation due to a chromosome 4 segmental
uniparental isodisomy
Pere Soler-Palacín1,2
; Marina García-Prat1,2
; Andrea Martín-Nalda1,2
; Clara Franco-Jarava2,3
; Mónica
Martínez-Gallo2,3
; Alberto Plaja4; Mattia Bosio
5; Stephan Ossowski
5; Roger Colobran
2,3,4
1Pediatric Infectious Diseases and Immunodeficiencies Unit (UPIIP), Hospital Universitari Vall d’Hebron;
2Jeffrey Model Foundation Excellence Center, Barcelona, Catalonia, Spain.;
3Immunology Division, Hospital
Universitari Vall d’Hebron (HUVH), Vall d’Hebron Research Institute (VHIR); 4Department of Clinical and
Molecular Genetics, Hospital Universitari Vall d’Hebron (HUVH), Barcelona; 5Centre for Genomic Regulation
(CRG), The Barcelona Institute of Science and Technology, and Universitat Pompeu Fabra (UPF),
Barcelona, Catalonia, Spain
LRBA deficiency was described for the first time in 2012 as an autosomal recessive
disorder caused by biallelic mutations in LRBA gene (OMIM #614700). It was initially
characterized by early-onset hypogammaglobulinemia, autoimmune manifestations,
susceptibility to inflammatory bowel disease (IBD), and recurrent infections. However,
further reports clearly expanded this phenotype (including patients without
hypogammaglobulinemia) showing that LRBA deficiency is a clinically variable syndrome
with a wide spectrum of clinical manifestations. We present a female patient who at the
age of 8 months presented with type 1 diabetes, psoriasis, oral thrush and enlarged liver
and spleen. She also suffered recurrent bacterial and viral infections including
pneumococcal meningitis and Epstein Barr (EBV) viremia. She underwent two consecutive
stem cell transplants (SCT) at the age of 8 and 9 years, and finally died.
The patient and her parents were subjected to WES (Whole Exome Sequencing), which
revealed a homozygous 1-bp insertion in exon 23 of LRBA patient’s gene causing a
truncated protein. The patient’s healthy mother was heterozygous for the mutation and her
father was wild type. This finding suggested that either one copy of paternal Chr4 bore a
deletion including the LRBA locus, or the patient inherited two copies of the mutant
maternal LRBA allele. Patient’s WES data showed a loss of heterozygosity (LOH) region
of 1 Mb in Chr4 including LRBA gene. Comparative genomic hybridization (CGH) array of
the patient and father genomic DNA was performed with normal results, ruling out genomic
copy number abnormalities.
Here we present for the first time a patient with LRBA deficiency due to a uniparental
disomy (UPD). In contrast to classical Mendelian inheritance, UPD is the inheritance of 2
copies of a region of chromosome from only one parent. Specifically, our patient carries a
small segmental isodisomy of maternal origin affecting 1 Mb of chromosome 4.
www.sci.cat 23
Oral Communications Session III
From Innate to Adaptative Immunity 10 - 15
14 Functional study of tumor infiltrating lymphocytes in a breast
cancer patient: an approach to personalized medicine
Andrea Aran1; Mireia Bernuz
1; Vicente Peg
2; Cristina Bernadó
2; Esther Zamora
2; Jesús Soberino
3;
José Pérez3; Esther Holgado
3,4; Joaquín Arribas
2; Javier Cortés
2,3,4; Mercé Martí
1
1Institut de Biotecnologia i Biomedicina - Universitat Autònoma de Barcelona;
2Vall d’Hebron Institute of
Oncology; 3Instituto Oncológico Baselga - Quirón Hospital;
4Ramón y Cajal University Hospital
Breast cancer (BC) is the most common of women cancers. Triple-negative BC (TNBC),
negative for estrogen and progesterone receptor and HER-2 genes, represent a clinical
challenge because they do not respond to endocrine therapy or other targeted agents.
Thus, there is an urgent need of a personalized approach to treatment. Studying of tumor
infiltrating lymphocytes (TILs) is a promising field because of their good correlation with
patient survival, especially those with high CD8/Treg ratio.
We have studied TILs from a TNBC patient to characterize the immune response. TILs
were obtained from a core biopsy that was cut in serial slices and cultured. IHC was
performed to observe the infiltration of T cells in the tumor site. Molecular and functional
phenotype of TILs was studied by immunostaining of TILs, cytokine release and
suppression assays, all analyzed by flow cytometry. TCRs from TILs, before and after
expansions, have been sequenced in order to find if there are monoclonal expansions.
IHC images showed a high infiltration of CD8 and CD4 T cells. Although TILs were a
mixture of both populations in all cultures, different CD8/CD4 ratios were observed related
with their location on the biopsy. This different distribution of CTLs and CD4 TILs also
affected the immune mediators detected in the supernatant, i.e. higher presence of
cytotoxicity-related proteins Granzyme B and IFN-γ in cultures with CTLs dominance. No
cytokine profile could be defined on cultured with predominant CD4 T cells. Then, TILs
were expanded in vitro and tested in standard regulation assays. Cultures with
predominant CTLs showed less capacity of inhibiting alloreactive proliferation compared
with CD4 T cell cultures.
We have observed a heterogeneous distribution of TILs in the biopsy that may be useful to
select the appropriate T cells to design tailored approaches to TNBC treatment.
24 www.sci.cat
Oral Communications Session III
From Innate to Adaptative Immunity 10 - 15
15 MSC induction of Breg is mediated by secreted soluble factors
but not by extracellular vesicles
Laura Carreras-Planella1,2
; Marta Monguió-Tortajada1,2
; Francesc E. Borràs 1,2,3
; Marcella Franquesa1,3
1REMAR-IVECAT Group, Germans Trias i Pujol Health Science Research Institute, Can Ruti Campus,
Badalona; 2Department of Cell Biology, Physiology and Immunology, Autonomous University of Barcelona,
Barcelona; 3Nephrology Department, Germans Trias i Pujol University Hospital, Can Ruti Campus,
Badalona, Spain.
Regulatory B cells (Breg), one of the newest members of the regulatory immune cells
family, are in the spotlight for their role in immune homeostasis maintenance and tolerance
achievement in autoimmune diseases and transplantation. Secretion of IL-10 is their
widest accepted mechanism of action. Mesenchymal stem or stromal cells (MSC) have
attracted the attention for their immunomodulatory actions on T cells,
monocytes/macrophages and NK making them promising therapeutic tools in immune-
related diseases. More recently it has been shown that MSC immunomodulate B cells by
abrogating plasmablast formation, maintaining an inactivated phenotype (CD27-) and
inducing IL-10-producing Breg.
The aim of this study is to elucidate the mechanism
by which MSC induce Breg focusing on the effect of
MSC culture supernatant (SN) on B cells. Using size
exclusion chromatography, MSC SN was
fractionated to separate extracellular vesicles (EV)
from other secreted factors, which are mostly
proteins (Fprot). Then, we tested the effect of the
whole or the fractionated SN on B cells and
analysed the proportion of the different B cell
subsets by flow cytometry and their secretion of IL-
10 by ELISA.
We showed that MSC culture SN can partially
induce B cell subsets modification and IL-10 secretion in a similar way to that of MSC.
Fprot fractions, rich in proteins and free from EVs, shaped B cell populations like MSC and
also induced IL-10 secretion, contrary to EV-containing fractions, which had no effect on B
cells. This indicates that the effect of MSC on B cells is at least partially induced by
secreted soluble molecules. When properly identified and isolated, MSC’s secreted
proteins could be used as a therapeutic agent in immune-mediated diseases taking
advantage of their capacity of Breg induction.
www.sci.cat 25
e-poster List
Posters
Clinical Immunology 1 - 8 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
1 Wiskott-Aldrich syndrome mimicking classical combined
immunodeficiency
Perurena-Prieto, Janire1; Franco-Jarava, Clara
1,5; Mari, Ana V.
2; Domínguez-Alonso, Carmen
2; Martín-
Nalda, Andrea3,5
; Aragon, Larraitz1; García-Prat, Marina
3,5; Colobran, Roger
1,4,5; Regueiro, Jose R.
2;
Soler-Palacín Pere3,5
1Immunology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain;
2Dept. of Immunology,
Faculty of Medicine, Complutense University, and Hospital 12 de Octubre Health; 3Pediatric Infectious
Diseases and Immunodeficiencies Unit, Hospital Universitari Vall d'Hebron, Barc; 4Genetics Department,
Hospital Universitari Vall d’Hebron, Barcelona, Spain; 5Jeffrey Modell Diagnostic and Research Center for
Primary Immunodeficiencies, Barcelona, Spain
Introduction: Wiskott-Aldrich syndrome (WAS) is a rare X-linked recessive primary
immunodeficiency characterized by micro-thrombocytopenia and immune-deregulation.
WAS is caused by mutations in the WAS gene that codes the WAS protein (WASP), a key
regulator of the actin cytoskeleton. The diagnosis of WAS can be difficult because of its
variable clinical presentation. Minor abnormalities of lymphocyte subsets and function are
frequent, but usually the lymphocyte count is normal in early childhood.
Objective: To illustrate the difficulties of immunological diagnosing of WAS in early
childhood by reporting a case recently diagnosed at our center.
Clinical data and methods: A 3-months old boy with persistent laryngo-tracheo-bronchitis
and thrombocytopenia was investigated for a possible immunodeficiency. Lymphocyte
subpopulations and intraand extracellular HLA-I expression were analyzed by flow
cytometry. Subcellular distribution of HLA-I was examined by confocal microscopy. An
HTLV-1 transformed T lymphocyte cell line was generated and used in some of these
analyses. Western blotting and Sanger sequencing was applied to establish the final
diagnosis.
Results: Initial laboratory test showed severe T cell lymphocytopenia of CD8+ cells with
very low naïve and central memory CD4+ cells. B and NK cells were normal. IgA and IgE
were increased. Proliferation in response to OKT3, PHA or PMA+Ionomycin was severely
impaired. Extracellular, but not intracellular, HLA-I expression levels were reduced.
Confocal microscopy suggested accumulation of HLA-I in Golgi but in later samples HLA-I
expression was normal. Sequencing of WAS detected an unreported mutation coding a
protein predicted to be prone to degradation, as confirmed by Western analysis.
Conclusions: Initial clinical presentation of WAS can sometimes be remarkably similar to
classical combined immunodeficiencies. Platelet count and size should be carefully
assessed to consider WAS. Infection and dexamethasone can reduce HLA-I expression
wrongly leading to the suspicion of bare lymphocyte Type I syndrome.
26 www.sci.cat
Posters
Clinical Immunology 1 - 8
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
2 Biological immunotherapy and thyroidal disorders
Carla Fernández-Prendes1; Marc Cucurull
2; Sofia España
2; Alejandra Carolina Pérez
3; Aram Boada
4;
Nina Richarz4; Natalia Rivera
4; Olatz Etxaniz
2; Clara Esteve
5; Bibiana Quirant
5; Aina Teniente
5;
Montserrat Marqués3; María Luisa Granada
1; Eva Martínez-Cáceres
1
1Bioquímica Clínica, Hospital Universitario Germans Trias i Pujol, Badalona;
2Oncología Médica, Hospital
Universitario Germans Trias i Pujol, Badalona; 3Endocrinología, Hospital Universitario Germans Trias i Pujol,
Badalona; 4Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona;
5Inmunología, Hospital
Universitario Germans Trias i Pujol, Badalona
The increasing use of antibodies targeting immune check-points inhibitors (CPI) especially
antiprogrammed cell death-1 (anti-PD1), anti programmed death-ligand 1 (anti-PDL1) or
anti-cytotoxic Tlymphocyte– associated antigen 4 (anti- CTLA4) in the treatment of
malignancies like lung cancer or melanoma has led to a parallel increase on immune-
related adverse effects such as thyroidal disorders, many of them autoimmune.
The aim of this study was to analyze the incidence of thyroidal alterations in patients
treated with CPI in a tertiary hospital of the Barcelonès-Nord.
Method: retrospective analysis of patients treated with CPI between 2014 and 2017 The
prevalence of thyroidal alterations was evaluated using thyrotropin rr[0,35-4,94] and free
thyroxine (fT4 rr[0,7-1,48ng/dl]). 290 patients were divided according to the drug
received.Thyroidal disorders were qualified as important when TSH (μUI/ml) was <0,1 or
>10 and /or fT4 (ng/dl) < 0,5 or >2.
Results: 63,8% patients suffered lung cancer, 18,3% melanoma, 6,9% urothelial
carcinoma and 11% other types of cancer. The table shows patients grouped according to
the drug received, its mechanism of action and the severity of thyroidal alterations. Drug Mechanism of actión Nº of patients Severity Thyroidal disorders (%)
PEMBROLIZUMAB anti-PD1 43 Mild: 7 Important: 10 39.53
NIVOLUMAB anti-PD1 139 Mild: 25 Important: 25 35.97
ATEZOLIZUMAB anti-PDL1 36 Mild: 8 Important: 7 41.66
DURVALUMAB anti–PDL1 11 Mild: 1 Important: 0 9.09
IPILIMUMAB anti-CTLA4 5 Mild: 0 Important: 1 20.00
IPILIMUMAB/NIVOLUMAB anti-CTLA4; anti-PD1 8 Mild: 2 Important: 1 27.27
Others 48
The prevalence of thyroid disorders varied widely depending on the drug received (from
41,66% in patients treated with Atezolizumab to 9,09% in patients treated with
Durvalumab). Thyroidal disorders were not associated to the mechanism of action of the
drug received.
Conclusion: Given the high frequency of thyroidal pathology in patients treated with CPI,
it is important to protocol the monitoring of thyroidal hormones and anti-thyroidal
antibodies periodically.
www.sci.cat 27
Posters
Clinical Immunology 1 - 8 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
3 Immunological characterization of IgA nephropathy patients
Clara Esteve Cols1,2
; Fredzzia Amanda Graterol Torres3; Aina Teniente Serra
1,2; Bibiana Quirant
Sánchez1,2
; Jordi Ara del Rey3; Eva Mª Martínez-Cáceres
1,2
1Immunology Department Hospital Universitari Germans Trias i Pujol, Badalona (Spain);
2Department of Cell
Biology, Physiology and Immunology, Universitat Autònoma de Barcelona, Bellate; 3Nephrology Department
Hospital Universitari Germans Trias i Pujol, Badalona (Spain)
IgA Nephropathy (IgAN) is the leading form of primary glomerulonephritis affecting
glomerular mesangium, which cause proteinuria, hematuria, hypertension and reduction of
renal glomerular filtrate. Approximately 40% of cases are related to end-stage renal failure,
requiring either dialysis or renal transplantation. Although the pathogenic mechanisms
responsible of the disease are unknown, it has been postulated that the immune system
plays an important role. The gold-standard technique for IgAN diagnosis is renal biopsy. In
the last years, the better knowledge of the disease, has led several authors to describe
serum biomarkers that may be useful for diagnosis and prognosis, such as levels of
partially degalactosilated IgA1 (Gd-IgA1), of specific IgG against Gd-IgA1, as well as
sCD89 and Gd-IgA1 immune complexes. Until now, it has not been performed an
exhaustive analysis of peripheral leukocyte subpopulations and CD89 expression on
monocytes, which are the objectives of this study.
A prospective study of 22 patients diagnosed of IgAN by renal biopsy has been performed.
By flow cytometry of whole blood, immunophenotype of leukocyte subpopulations and
CD89 expression in three monocytes subpopulations has been characterized. Analysis of
serum levels of Gd-IgA1 has been performed with commercial kit of ELISA, Gd-IgA1
Assay kit-IBL.
The results of this study have shown that those patients with poor renal function and more
severe renal biopsy have lower Mean Fluorescence Intensity (MFI) of CD89 on non-
classical monocytes. The immunophenotype showed that patients had a higher
percentage of activated and efector memory CD4+ and CD8+ lymphocytes, lower
percentages of B transitional lymphocytes and plasmablasts, and higher percentages of
NK lymphocytes CD56dimCD16+ and myeloid dendritic cells.
In conclusion, this preliminary study shows that MFI of CD89 on non-classical monocytes
could be used as a prognostic biomarker of IgAN. In parallel, the immunophenotype
maybe useful for IgAN diagnosis.
28 www.sci.cat
Posters
Clinical Immunology 1 - 8 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
4 New insights into Cyclin D3 interactions in the development of
Type 1 Diabetes
Celia Vived1; Celeste Santos
1; MªAngeles de la Torre
1; Leire Egía-Mendikute
1; Estela Rosell-Mases
1;
Joan Verdaguer1; Conchi Mora
1
1IRB Lleida/Universidad de Lleida
Type 1 diabetes (T1D) is an autoimmune condition caused by the lymphocyte-mediated
destruction of the insulin-producing β cells in pancreatic islets. Our group has previously
described that cyclin D3 is downregulated in a dose-dependent manner in β cells by
leukocyte infiltration into the islets of the nonobese diabetic (NOD) type 1 diabetes-prone
mouse model. This protein, classically related to cell proliferation, is targeted in
autoimmune diabetes and exerts a protective role on β cells by promoting their survival
without affecting proliferation.
We have identified by the yeast two-hybrid technology (Y2H) a number of molecules other
than the CDKs that physically interact with cyclin D3. We have seen that cyclin D3
interacts with proteins involved in several physiological processes such as the UPR
(unfolded protein response) which promotes the production of reactive oxygen species
(ROS) in the beta cell, causing oxidative stress and damaging the mitochondrial function.
Other processes in which these candidates are involved are the mitochondrial function and
the redox balance and, vesicle trafficking. Cyclin D3-mediated regulation of insulin
secretion through vesicle trafficking would account on the relevance of cyclin D3 in islet
physiology.
We are interested in the molecules obtained from Y2H that are not involved in the cell
cycle, in order to dissect metabolism and viability and cell cycle. In this way, we can
analyse this new role of cyclin D3 in the viability and fitness of beta-pancreatic cells and it
helps the translation into future therapeutic targets for T1D.
www.sci.cat 29
Posters
Clinical Immunology 1 - 8 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
5 Sustained Spontaneous Partial Remission in a Pediatric
Patient with Type 1 Diabetes
Silvia Rodríguez-Fernández
1; Marta Murillo
2; Mireia Fonolleda
1; Adrian Villalba
1; Federico Vázquez
3;
Joan Bel2; Marta Vives-Pi
1,4
1Immunology Division, Germans Trias i Pujol Research Institute, UAB, Badalona;
2Pediatrics Section,
Germans Trias I Pujol University Hospital, Badalona; 3Endocrinology and Nutrition Section, Germans Trias i
Pujol University Hospital, Badalona; 4CIBERDEM, Barcelona
Type 1 diabetes (T1D) is a metabolic disorder of unknown etiology that results from
autoimmune beta-cell destruction. Shortly after initiation of insulin therapy, patients may
experience a spontaneous partial remission phase called honeymoon, in which insulin
requirements decrease and glycemic control improves during a few months. It is
hypothesized that honeymoon occurs after a transient recovery of immune tolerance,
which allows for beta-cell regeneration.
We present a 18-year-old girl, diagnosed at 12 years with T1D, with spontaneous partial
remission sustained for more than 6 years. At diagnosis, glycemia was 487 mg/dl without
ketoacidosis, HbA1c levels were 13.5% and plasma C-peptide (a molecule secreted
alongside insulin which serves to monitor residual betacell function) was 1 ng/ml.
Autoantibodies to glutamic acid decarboxylase and islet antigen 2 were negative. HLA
typing was DRB1*04:01 (DR4) and DQB1*03:02 (DQ8). She was transitioned to basal-
bolus subcutaneous insulin regimen. One month after diagnosis, HbA1c was 8%,
improving to 5.2% afterwards. During the next 6 years, HbA1c was <5.7% and insulin
requirements were ≤0.8 UI/kg/24h, and stimulated Cpeptide was 1.3 ng/ml from a basal 1
ng/ml level. Autoantibodies remained negative, except for autoantibodies to insulin.
Lymphocyte subsets analysis showed reduced T-lymphocyte counts, normal CD4/CD8
ratio and decreased percentages of Treg, both memory and activated. Betatrophin level,
an angiopoietin-like family hormone increased in T1D, was significantly augmented 6
years after diagnosis compared to controls. Monogenic diabetes was ruled out by genetic
study of glucokinase, HNF1A and HNF4A genes, the most frequent types of diabetes
maturity-onset diabetes of the young (MODY). The patient is currently in partial remission,
requiring an insulin dosage of 0.38 UI/kg/day and HbA1c 5.2%. Therefore, a balance
between low-grade autoimmunity and regeneration seems to be maintained in
honeymoon. The assessment of the patient progress will help elucidate the immunological
significance of this stage.
30 www.sci.cat
Posters
Clinical Immunology 1 - 8 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
6 A new case of IgE multiple myeloma
Sergio Navarro Velázquez1; Virgínia Mas Bosch
1; Francisco Morandeira Rego
1; Elisabet Poyatos
Canton1; Sonia Barrachina Moles
1; Cristina Fuertes Purificacion
2; Jordi Bas Minguet
1
1Department of Immunology, Bellvitge University Hospital;
2Department of Clinical Biochemistry and
Immunology, Bellvitge University Hospital
Introduction: Multiple myeloma (MM) is a neoplastic syndrome characterized by
proliferation of plasma cells in the bone marrow and the subsequent appearance of a
monoclonal immunolgobulinin the patient's serum. The four typical clinical manifestations
of MM include: hypercalcaemia, renal insufficiency, anaemia and osteolytic lesions.
Different types of MM can be distinguished: IgG and IgA are the most frequent (55% and
20%), followed by light chain-secreting MM (18%). The non-secretory, the IgD and the IgM
type are much rarer (4.4%, 1.7% and 0.3%), and IgE MM is extremely uncommon (<
0.1%). Recently, we observed a band corresponding to IgE kappa while analyzing the
serum of a 74 year-old man with an intracranial hematoma, lumbar protrusion and a
history of stroke.
Objective: To verify the IgE kappa isotype of the band, as it is extremely rare.
Materials and methods: Capillary electrophoresis and immunotyping (IT) were carried
out with Capillarys 2 flex piercing, Sebia. IFIX with specific IgD and IgE antisera was
performed with Hydrasis 2, Sebia. Total IgE quantification was carried out with
ImmunoCAP® (Thermo Fisher Scientific).
Results: Capillary electrophoresis showed a monoclonal component (MC) < 3.5 g/L in
the gamma region. To establish the isotype of the peak we performed IT and we observed
a peak decrease in kappa, but not in G, A or M. A subsequent IFIX detected a clear band
of IgE kappa isotype of 1.227.200 karb.u./L.
Conclusions: We verified the presence of IgE kappa in the patient’s serum, based on
these findings. We suggest a role for MM in the development of the patient’s clinical
picture that needs a more detailed study.
www.sci.cat 31
Posters
Clinical Immunology 1 - 8
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
7 Comparison of anti-PLA2R autoantibodies detected by ELISA
and indirect immunofluorescence
Elisabet Poyatos
1; Francisco Morandeira
1; Juliana Bordignon
2; Xavier Fulladosa
2; Sergio Navarro
1;
Virgínia Mas1; María Jesús García
1; Julia Saiz
1; Jordi Bas
1
1Immunology Department. Hospital Universitari de Bellvitge;
2Nephrology Department. Hospital Universitari
de Bellvitge
Introduction: The detection of anti-phospholipase A2 receptor antibodies (PLA2R)
identifies a subset of patients with primary membranous glomerulonephritis (MGN) who
can benefit of immunosuppressive treatment and allows therapy monitoring. ELISA and
immunofluorescence (IIF) are currently available techniques but there are few data
comparing its performance.
Objectives: To compare anti-PLA2R detection by both techniques and to validate the
manufacturer's recommended ELISA reference limits in our clinical setting.
Material and methods: 83 samples from 71 patients were analyzed in parallel by ELISA
and IIF on PLA2R-transfected cells (Euroimmun). The relationship between ELISA and IIF
was established using a Cohen kappa index with Analyze-it® software. 33 samples from
healthy volunteers were also included. A clinical data review was also performed.
Results: Seventy-six samples (91.6%) from 64 patients obtained a concordant
classification by the two methods. Discordant results were obtained in seven (0.084%)
(kappa index: 0.79), 3 (IIF-positive) of which yielded significant ELISA values albeit they
didn’t reach the manufacturer's reference limit. 31 healthy individuals showed undetectable
ELISA values. All patients with concordant results and PLA2R antibodies had MGN
(n=15). The remaining 49 patients were PLA2R-negative (59% MGN -59% remission-,
37% no MGN, 4% no information). The seven discordant results comprised three patients
in remission of MGN (IIF+, ELISA-), two in relapse (one IIF doubtful, ELISA+; one IIF+,
ELISA-), one in partial remission (IIF+, ELISA-) and one in doubtful remission (IIF+, doubtful
ELISA).
Conclusions: The two techniques showed an overall good agreement. Anti-PLA2R
antibody tests had a high positive predictive value. The PLA2R ELISA was slightly less
sensitive than IIF but it may be more objective and convenient for therapy monitoring. In
the few discordant cases, the clinical features showed a better relationship with ELISA.
The reference limits established by the manufacturer may be lowered. A larger study is
needed to confirm these points.
32 www.sci.cat
Posters
Clinical Immunology 1 - 8 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
8 Optimization of cytogram interpretation for HLA-B*27 testing
by flow cytometry compared to PCR genotyping
Elisabet Poyatos1; Ariadna Padró
2; Sònia Barrachina
1; Rafel Mayol
1; Virgínia Mas
1; Francisco
Morandeira1; Sergio Navarro
1; Jordi Bas
1
1Immunology Department. Hospital Universitari de Bellvitge;
2Genetics Department. Hospital Universitari de
Bellvitge
Introduction: HLA-B27 allele is present in more than 90% in patients with ankylosing
spondylitis (AS) and less than 8% in European population. Since flow cytometry (FCM)
may give false positive results due to cross reaction with other surface antigens (B7, B40)
the confirmation of positives by allele-specific PCR melting assay is the most convenient
procedure for HLA B27 testing. Cut-off setting is critical to discriminate true negative
samples by FCM in that further genotyping is not necessary. This allow to reduce the
number of genetic tests, thus optimizing economical resources.
Objectives: Optimization of FCM minimum percentage of cells above cut-off values,
according to DNA genotyping, with assessment of patient clinical features.
Materials and methods: Data from 180 patients tested for HLA-B27 by CD3-PE/anti-HLA-
B27-FITC incubation and FCM (FACScalibur, Becton Dickinson) plus real time PCR with
melting curve analysis (ECO, Illumina) from 2015 to 2016 were included. Percentage of
cells above cut-off (set at 70 green fluorescence units) and the mean immunofluorescence
channel (MIF) were recorded in samples with (n=130) or without (n=50) HLAB27
genotype. Clinical assessment was performed in these patients and in a further group of
50 patients without available cytograms.
Results: All HLA-B27 negative samples by PCR genotyping showed less than 68% cells
over cut-off (except three cross-reacting) and a MIF less than 100 units (30% between 70
and 100) by FC. Mean percentage of positives was 94% ± 4.51SD, and a MIF>70. All AS
patients were HLA-B27 (27% of positive samples). Other spondylopathies accounted for
21% of positives and 13% of negatives.
Conclusions: Lowering the percentage of cells over cut-off to 67% accommodated 100%
of positives and prevented DNA testing of 47 samples. MIF values are not useful to
discriminate positive samples. A prospective study is ongoing to validate this cut-off.
www.sci.cat 33
Posters
Innate Response 9 - 16
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
9 Development of a CCR5-Δ32/Δ32 inventory within the best cell
quality umbilical cord blood units of the Spanish Registry
Emma Enrich1; Francisco Vidal
1; Francesc Rudilla
1; Jose Luis Caro
1; Maria Piron
1; Nina Borràs
1;
Laura Mongay1; Sílvia Sauleda
1; Sergi Querol
1
1Banc de Sang i Teixits, Vall d’Hebron Institut de Recerca, Universitat Autònoma Barcelona (VHIR-UAB)
A homozygous 32-base pair deletion in the gene that codifies for the chemokine receptor
CCR5 confers natural resistance to CCR5-tropic HIV-1 infection. The case of a patient with
HIV infection and haematological disease, who underwent hematopoietic transplantation
from a CCR5-Δ32/Δ32 unrelated donor and who has not shown evidence of HIV-1
infection after the procedure, has suggested the possibility to use CCR5-Δ32/Δ32 umbilical
cord blood in HIV patients in need of hematopoietic transplantation. In this regard, the
main objective of this study was to achieve an inventory of CCR5-Δ32/Δ32 cord blood
units from the Spanish Registry and to study their biological characteristics of interest.
CCR5 variants of the 20,236 best cell quality units of the Spanish Registry were
characterized using a twosteps strategy, based on two in-house developed tests: Real-
Time PCR for the screening of all units and then capillary electrophoresis to confirm
sequence of those detected as positive for the CCR5-Δ32 variant. In addition, data
analysis was performed to determine CD34+ and total nucleated cells counting, donors
geographical and ancestral origin and also blood type, gender and HLA typing properties
of the units according their CCR5 genotype.
The results showed 130 (0.64%) units homozygous for the deletion, 2,646 (13.08%) were
found to be heterozygous and 17,460 (86.28%) did not present the mutation. A significant
association was found among donor's ancestral origin and the mutation, with a higher
percentage of CCR5-Δ32 units with European ancestry. Interestingly, statistically
significant lower amount of CD34+ cells was found in the CCR5-Δ32 homozygous units.
In summary, we have obtained 130 CCR5-Δ32/Δ32 cord blood units in an inventory of
20,236 ready for use in transplantation. Further studies are required to determine the
clinical impact of lower amounts of CD34+ cells found in these units.
34 www.sci.cat
Posters
Innate Response 9 - 16
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
10 Immunomodulatory effects of an early life prebiotic
supplementation to suckling rats
Azagra-Boronat I.1,2
; Massot-Cladera M.1,2
; Knipping K.3; Tims S.
3; van’t Land B.
3,4; Stahl B.
3; Knol J.
3;
Garssen J.3,5
; Franch A.1,2
; Castell M.1,2
; Rodríguez-Lagunas M.J.1,2
; Pérez-Cano F.J.1,2
1Departament de Bioquímica i Fisiologia. Facultat de Farmàcia i Ciències de l’Alimentació. UB.;
2Institut de
Recerca en Nutrició i Seguretat Alimentària (INSA-UB), Santa Coloma de Gramenet, Spain; 3Nutricia
Research, Utrecht, the Netherlands; 4University Medical Centre Utrecht/Wilhelmina Children's Hospital,
Department of Pediatric Immunology, Utrecht, the Netherlands; 5Utrecht Institute for Pharmaceutical
Sciences, Faculty of Science, Utrecht University, Utrecht, the Netherlands
Early life immune and microbiota development are influenced by several bioactive and
prebiotic factors present in breast milk. Aiming to mimic breast milk composition, infant
formulas include dietary ingredients with this prebiotic effect. The aim of this work was to
study the influence of a supplementation with an Early Life Prebiotic (ELP) during the
suckling period on the development of immunity and the microbial composition and
functionality.
In order to achieve this objective, neonatal Lewis rats received either ELP or PBS (control)
through oral gavage during the period of strictly suckling (until day 16 of life). The levels of
the different Ig classes (IgG, IgM, IgA) and subclasses (IgG1, IgG2a, IgG2b and IgG2c)
were quantified using a ProcartaPlex® Multiplex Assay. Microbiota composition was
evaluated by sequencing the rRNA V3-V4 from the 16S RNA in caecal samples. The urine
metabolomic analysis was performed by NMR and the short chain fatty acids (SCFA)
quantification in caecal samples by GC-MS.
In suckling rats increased concentrations of plasmatic Th1-associated Ig (IgG2b+IgG2c in
rat) was detected in rats receiving ELP as compared to control without affecting Th2-
associated Ig (IgG1+IgG2a in rat) at both day 8 and 16 of life. In addition, significantly
(p<0.05) increased plasmatic IgA levels were detected in rats receiving ELP as compared
to control rats. Within ELP receiving rats changes in some microbial groups were detected,
for instance, it boosted the proportion and diversity of Lactobacillus species. Moreover, it
increased the relative proportion of butyric acid, but not the other SCFA. The urinary
metabolome was also clearly affected in those animals due to ELP, affecting the
proportion of several microbial and endogenous metabolites.
In conclusion, ELP modulates both immunological as well as microbial development of
suckling rats, suggesting importance of this type of compounds in early life.
www.sci.cat 35
Posters
Innate Response 9 - 16 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
11 Resistin in ascitic fluid of patients with cirrhosis modifies
innate immune function
Lídia Perea1; Juan Camilo Nieto
1; Germán Soriano
2; Elisabet Sánchez
2; Eva Román
2; Carlos
Guarner2; Carlos Zamora
1; Elisabet Cantó
1; Cándido Juárez
1; Silvia Vidal
1
1Department of Immunology, Institut de Recerca and Hospital Santa Creu i Sant Pau, Barcelona;
2Department of Gastroenterology, Hospital Santa Creu i Sant Pau, Barcelona
Introduction: Patients with decompensated cirrhosis have complications such as
spontaneous bacterial peritonitis (SBP) that lead to a defective immune response. We
hypothesized that this defect could be induced by the content of the ascitic fluid.
Methods: We tested the effect of cell-free sterile ascites (SA) and SBP at diagnosis and
after treatment on healthy neutrophils (oxidative burst and NETosis). We measured
resistin, IL-6 and IL-1Ra levels in ascitic fluids and we correlated them with clinical
characteristics. We also tested the effect of priming with resistin on healthy neutrophils and
monocytes.
Results: We observed that healthy neutrophils cultured with SBP ascitic fluid exhibited
lower oxidative burst levels and lower NET production that healthy neutrophils cultured
with SA. NET production was significantly increased in patients treated with antibiotic. At
diagnosis, SBP contained higher resistin, IL-6 and IL-1Ra levels than SA. After antibiotic
treatment, resistin and IL-6 levels tended to decrease without reaching SA levels. We
found negative correlations between resistin levels and neutrophil function. Furthermore,
resistin was associated with clinical characteristics of SBP and severity of cirrhosis.
Interestingly, we demonstrated that monocytes pre-treated with resistin and exposed to
E.coli expressed lower percentage of CD14+CD16+ cells and TNF-α production compared
to untreated monocytes exposed to E.coli. Finally, we also associated the high resistin and
IL-6 levels in SBP at diagnosis with the poor prognosis of SBP episode.
Conclusions: The content of ascitic fluids from patients with SBP reduces the capacity of
healthy neutrophils. Resistin could be one of the major players in this reduction.
36 www.sci.cat
Posters
Innate Response 9 - 16 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
12 Altered phenotypic and functional features of healthy donor
monocytes with bound platelets
Mariscal-Rodríguez A.1; Zamora C.
.1; Martínez-Martínez L.
1; Perea L.
1; Ortiz M.A.
1; Cantó E.
1; Vidal S.
1
1Hospital de la Santa Creu i Sant Pau
There are aggregates of platelets with lymphocytes and monocytes in non-pathological
conditions. We have previously shown that the frequencies of these aggregates are
altered in inflammatory chronic diseases. These alterations can have pathological
consequences, because current findings suggest that the binding of platelets regulates the
function of lymphocytes and monocytes.
In this research project we have analysed the possible differences between monocytes
with or without bound platelets from healthy donors at the level of the expression of
surface markers, the secretion of anti and proinflammatory cytokines (IL-10 and TNF-α)
and the phagocytic ability by flow cytometry.
We found that monocytes with or without bound platelets had a different expression of
CD11c and CD54, as adhesion markers, and HLA-DR, as a molecule involved in antigen
presentation. We also found that monocytes with bound platelets secreted more IL-10 than
monocytes without bound platelets. Besides, those monocytes with activated platelets
secreted even more IL-10. However, TNF-α secretion was comparable in monocytes with
or without bound platelets. Finally, we observed that monocytes with bound platelets
phagocyted E. coli cells more efficiently than monocytes without bound platelets.
Our findings suggest that monocytes with bound platelets had a modified adhesion
capacity, antigen presentation ability, cytokine secretion and phagocytosis capacity. Our
currently global analysis of the function suggests that monocytes with bound platelets have
an anti-inflammatory role. Further experiments will be performed to determine whether the
platelet binding modifies monocyte function or whether the platelet binds those monocytes
with an altered phenotype.
www.sci.cat 37
Posters
Innate Response 9 - 16
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
13 Gene expression changes in intestinal epithelial barrier
molecules after leptin or adiponectin supplementation in
suckling rats
Abril-Gil M.1,2
; Grases-Pintó B.1,2
; Marín-Morote L.1,2
; Castell M.1,2
; Rodríguez-Lagunas M.J.1,2
; Pérez-
Cano F.J.1,2
; Franch A.1,2
1Departament de Bioquímica i Fisiologia, Facultat de Farmàcia i Ciències de l’Alimentació (UB);
2Institut de
Recerca en Nutrició i Seguretat Alimentària (INSA·UB)
The gastrointestinal tract not only has a central role in nutrients digestion and absorption
but it is also a physiological key barrier between the body and the outer environment. This
physical, microbiological and immune barrier involved in such protection is in continuous
development during early life. Breastfeeding plays a key role in the maturation of the
intestinal barrier and milk adipokines may influence in this process.
The present study aimed to evaluate the adipokines’ role in the maturation of the intestinal
barrier in rats by shedding light on their influence on the innate immunity development and
the presence of the intestinal epithelial barrier proteins.
For this purpose, suckling Wistar rats were daily supplemented with leptin, adiponectin or
vehicle throughout the suckling period. In the middle (day 10) and at the end (day 21) of
suckling, a fragment of small intestine was obtained to determine the intestinal expression
of genes related to the innate immune defence (mucin-2 and mucin-3) and to the epithelial
barrier integrity (ZO-1, occludin, claudin-2 and claudin-4) by RT-PCR. At the end of
suckling, the gene expression of toll-like receptors 2 and 4 was also evaluated.
The results revealed a significant increase in the intestinal gene expression of claudin-4
and mucin-2 due to the leptin supplementation only during the first half of the suckling. On
the contrary, even though adiponectin supplementation did not modify the gene expression
of the studied molecules in early suckling period, it was able to enhance the innate
defence just after weaning by increasing mucin-2 and mucin-3 gene expression in
comparison with the reference group (p<0.05). The TLR gene expression was not modified
by adipokines supplementation.
From these results, we can conclude that the leptin or adiponectin supplementation may
play a role in the maturation of the intestinal epithelial barrier in suckling rats.
38 www.sci.cat
Posters
Innate Response 9 - 16
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
14 Expression analyses of porcine Tumor Necrosis Factor
receptor 2 variants.
Sebastián G. Kuguel1; Mireia Uribe-Herranz
1; Cristina Costa
1
1Institut d’Investigació Biomèdica de Bellvitge (IDIBELL), L’Hospitalet de Llobregat, Barcelona
TNF participates in transplant rejection by promoting immune cell activation and
inflammation. To elucidate its mechanisms in xenotransplantation, we previously cloned
the cDNA of porcine TNF-Receptor 2 (pTNFR2) and found four isoforms generated by two
alternative splicings. The processing of ΔE7-10 splicing resulted in loss of the
transmembrane region and production of soluble variants, whereas the ΔE4 splicing
shortened the TNF-binding domain compromising this function.
We hypothesized that the various isoforms display distinct activities and performed
expression studies to elucidate their roles.
First, we carried out quantitative RT-PCR to determine the relative amount of the two
alternative splicings in porcine aortic endothelial cells (PAEC) and porcine costal
chondrocytes (PCC) in resting and cytokine-stimulated conditions. The predominant
isoform was the full receptor, but pro-inflammatory IL-1α and TNFα upregulated the mRNA
expression of all isoforms. For subcellular localization studies, a series of experiments
based on immunofluorescence and confocal microscopy were conducted with porcine cells
and cells genetically-modified to express the membrane-bound isoforms. Our polyclonal
anti-pTNFR2 antibodies recognized both pTNFR2 and pTNFR2ΔE4 by immunostaining.
Co-staining with phalloidin in PAEC confirmed that only a small proportion of the receptor
was expressed on the cell surface (14% average), whereas recombinant overexpression
of pTNFR2 substantially increased the co-localization at the plasma membrane (40%).
Transient transfection in Hela cells of pTNFR2-EYFP and pTNFR2ΔE4-EYFP fusion
proteins containing the TNF-binding and transmembrane regions produced a very different
pattern. A high proportion of the pTNFR2-EYFP co-localized with phalloidin at the plasma
membrane (~37%), whereas all pTNFR2ΔE4-EYFP remained inside the cell. In fact, the
expression pattern of pTNFR2ΔE4, but not of pTNFR2, was compatible with a
predominant expression in the endoplasmic reticulum.
Thus, we reveal the expression pattern of pTNFR2 isoforms as it may have an impact on
the process of xenograft rejection.
www.sci.cat 39
Posters
Innate Response 9 - 16 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
15 Validation and characterization of a genetic biomarker for a
vitamin D3-induced tolerogenic dendritic cell-based therapy in
multiple sclerosis
Juan Navarro-Barriuso1,2
; María José Mansilla1,2
; Chiara Bernardi1,2
; Bibiana Quirant-Sánchez1,2
; Aina
Teniente-Serra1,2
; Silvia Presas-Rodríguez3,4
; Cristina Ramo-Tello3; Eva María Martínez-Cáceres
1,2
1Immunology Division, Germans Trias i Pujol University Hospital and Research Institute.;
2Department of
Cellular Biology, Physiology and Immunology, Universitat Autònoma de Barcelona.; 3Multiple Sclerosis Unit,
Department of Neurosciences, Hospital Universitari Germans Trias i Pujol.; 4Department of Medicine.
Universitat Autònoma de Barcelona
Background: A breach of tolerance against determined self-peptides may lead to a
complex and pathologic disorder of the immune system, causing autoimmune diseases
such as multiple sclerosis (MS). Novel autologous vitamin D3-induced tolerogenic dendritic
cell (vitD3-tolDC)-based therapies have become promising therapeutic alternatives to
conventional treatments for autoimmune diseases by their potential ability to restore
tolerance against the peptide they present. To guarantee the safety and tolerogenicity of
vitD3-tolDC prior to administration into patients in a clinical trial, it is important to have fast,
reliable and robust biomarkers. In this context, the so-named Gene 2, encoding an
structural protein, could be a good candidate.
Objective: To validate and characterize Gene 2 as a potential biomarker of vitD3-tolDC.
Methods: Twenty four monocyte-derived dendritic cell differentiations of immature (iDC),
mature (mDC) and vitD3-tolDC from healthy donors and 10 from MS patients were
generated and characterized phenotypically and functionally (inhibition of allogeneic
PBMC proliferation). RNA was extracted and retrotranscribed into cDNA, and the
expression of Gene 2 was analyzed by qPCR. Expression was considered differential
when logFC >0.5. The expression and distribution of the protein encoded by Gene 2 was
characterized by immunocytochemistry (ICC) in 4 differentiations from healthy donors.
Results: In HD, Gene 2 was overexpressed in vitD3-tolDC compared to mDC (logFCHD
1.02 ± 0.22), while the mean expression between iDC and mDC remained unchanged
(logFC <0.5). The same behavior was observed in patients (logFCpatients 0.51 ± 0.30). At
the protein level, Gene 2 presented a 3-fold expression in vitD3-tolDC respect iDC and
mDC. Statistical significance was reached in all cases (p<0.05).
Conclusions: The results suggest that Gene 2 may be a robust biomarker to characterize
vitD3-tolDC products. Nevertheless, its characterization should be performed in samples
from patients included in a clinical trial in order to confirm these results.
40 www.sci.cat
Posters
Innate Response 9 - 16 The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
16 Blimp-1 and neonatal-Fc-receptor gene expression as
biomarkers to study the intestinal barrier maturation in
suckling rats
Massot-Cladera M.1,2
; Abril-Gil M.1,2
; Grases-Pintó B.1,2
; Azagra-Boronat I.1,2
; Rodríguez-Lagunas
M.J.1,2
; Castell M.1,2
; Franch A.1,2
; Pérez-Cano F.J.1,2
1Departament de Bioquímica i Fisiologia, Facultat de Farmàcia i Ciències de l’Alimentació, UB;
2Institut de
Recerca en Nutrició i Seguretat Alimentària (INSA-UB), Universitat de Barcelona
The immature gastrointestinal tract from neonatal mammals is adapted to the digestion of
milk and is permeable to essential milk-borne bioactive macromolecules present in
mother’s milk such as IgG antibodies. It is well known that the neonatal-Fc-receptor (FcRn)
mediates the binding and transfer of IgG across the small intestine during the
breastfeeding period. Moreover, the transcription factor B-lymphocyteinduced maturation-
protein-1 (Blimp-1) has been recently suggested that is also involved in the intestinal
maturation in rats.
In this sense, the aim of the present study was to establish the process of maturation of
the intestinal barrier in rats by means of monitoring the expression of both Blimp-1 and
FcRn genes along the suckling period.
In order to achieve this purpose, a 5 mm fragment of the middle part of the small intestine
was collected from strictly suckling-animals (at days 8, 10 and 14 of life) and weaned (at
day 21) rats. Gene expression of both molecules was evaluated by Real Time-PCR using
TaqmanÒ specific probes and primers.
FcRn expression in the small intestine during suckling was similar in the first two weeks of
life, but when the ingestion of solid food diet started, its levels were much lower (p<0.05
vs. day 14). The intestinal Blimp-1 expression showed an increasing pattern during the first
ten days of suckling (p<0.05), but its expression was suddenly lowered later (day 14) and
kept constant until the end of the studied period (p<0.05 vs. day 10).
From these results it can be concluded that the maturation of the small intestine in rats can
be defined by the different expression of FcRn and Blimp-1 genes, which show a
characteristic pattern along the suckling period. The modulation of these biomarkers can
help to evaluate the influence of compounds on the intestinal maturation process.
www.sci.cat 41
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
17 Modulatory role of platelets in lymphocyte populations of
psoriasis patients
Maria Teresa Sanz Martínez1; Carlos Zamora Atenza
1; Emma Mata
1; Miguel Ángel Sánchez Martínez
1;
Luis Puig Sanz1; Cándido Juárez Rubio
1; Silvia Vidal Alcorisa
1; Esther Moga Naranjo
1
1Hospital de la Santa Creu i Sant Pau
Psoriasis is an autoimmune-related chronic inflammatory skin disease strongly associated
with Th17 cells. Th17 cells produce IL-17A among other cytokines, which seems to have a
prominent pathogenic role in skin inflammation.
Platelets are closely linked to the pathogenesis of inflammatory skin diseases, the degree
of platelet activation correlates with disease activity. It has been recently proposed that
platelets can modulate cytokine production by binding to lymphocytes in other
inflammatory diseases such as rheumatoid arthritis. Our working hypothesis is that
platelets could play an important role in the modulation of immune cells of psoriasis
patients.
For this purpose we analyzed the percentage of lymphocytes with bound platelets through
the expression of CD41a (a specific marker of platelets) on PBMCs from control volunteers
(HC) and psoriasis patients (Pso) by flow cytometry. In order to compare the percentages
of platelet-linked lymphocytes populations, we firstly investigated the total percentage of
lymphocyte subpopulations. A significant higher percentage of CD19+ lymphocytes was
observed in Pso, however the percentage of CD8+ and CD4+ lymphocytes were similar in
Pso and HC. Subsequently, we compared the phenotype of CD4+ lymphocytes. We next
analyzed CD161 expression, a marker described in cells with potencial capacity to
produce IL17. Our results showed a significant higher percentage of CD4+CD161+ cells in
Pso than in HC. Finally, we analyzed the percentage of lymphocytes with bound platelets.
Our results showed that Pso had a higher percentage of CD8+CD41a+ lymphocytes and
lower percentage of CD4+CD41a+ lymphocytes than HC. We did not observe diferences
in the percentages of CD19+CD41a+ lymphocytes. Interestingly, the lower percentage of
CD4+CD41a+ lymphocytes in Pso was due to a decrease in the percentage of
CD4+CD41a+CD161+ lymphocytes.
The higher percentage of CD4+CD161+ lymphocytes with a lower linkage to the binding of
platelets, could explain the increase of IL17 production reported in psoriasis patients.
42 www.sci.cat
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
18 The supplementation of TGF-β2, EGF or FGF21 in suckling rats
influences mesenteric lymph node cell composition
Paulina Torres-Castro1,2
; Blanca Grases-Pintó1,2
; Mar Abril-Gil1,2
; Margarida Castell1,2
; Francisco J.
Pérez-Cano1,2
; Àngels Franch1,2
1Departament de Bioquímica i Fisiologia, Facultat de Farmàcia i Cièncias de l'Alimentació, UB;
2Institut de
Recerca en Nutrició i Seguretat Alimentària (INSA-UB), Universitat de Barcelona (UB)
The immune system starts its development during pregnancy and keeps the maturation in
the postnatal period. Breast milk provides bioactive components, such as specific growth
factors, that promote the maturation of the immune system in the newborn.
The aim of the present study was to ascertain whether supplementation with transforming
growth factor (TGF)-β2, epidermal growth factor (EGF) or fibroblast growth factor 21
(FGF21), components present in breast milk, to suckling rats could influence the
lymphocyte composition of mesenteric lymph nodes (MLN). For this purpose, suckling
Wistar rats were daily supplemented by oral gavage with TGF-β2, EGF, FGF21 or vehicle
(reference) throughout the suckling period (three weeks). On days 14 and 21, MLN cell
composition was established by immunofluorescence staining and flow cytometry analysis.
In suckling rats, TCRαβ+ cells constituted the main lymphocyte population in MLN followed
by B cells and, in less proportion, TCRγδ+, NK and NKT cells. Although the proportions of
these lymphocytes were not affected by growth factors supplementation, a decrease in the
percentage of TCRγδ+ cells by EGF was found at day 21 (p<0.05 vs. reference).
Regarding minor lymphocyte subsets, it was on day 14 when changes associated with
supplementation were observed. In particular, the proportion of CD8αβ+ cells was
decreased after supplementation with EGF; whereas TCRγδ+CD8- cell percentage was
increased due to FGF21 intervention.The supplementation during 14 days with any of the
three growth factors studied induced a decrease in the proportion of NK cells expressing
CD8, which reached values similar to those from reference 21-day-old rats.
These results demonstrate that TGF-β2, EGF or FGF21 supplementation in early life is
able to modify the lymphocyte composition in MLN, suggesting their contribution to the
maturation of neonatal intestinal immune system.
www.sci.cat 43
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
19 Mild Acid Elution (MAE) vs. Immunoprecipitation (IP): A cell
surface specific approach against the state-of-art method to
elute HLA Class I peptides
Roc Farriol Duran1,2
1Immunologia Cel·lular, Institut de Biotecnologia i Biomedicina, UAB;
2Centre for Proteomics and
Metabolomics, Leiden University Medical Center (The Netherlands)
MHC molecules are virtually expressed on the surface of every cell where MHC-peptide
complexes are the main actors in antigen presentation to T-cells. Hence, the MHC-
peptide-TCR interaction is crucial for the unravelling of the adaptative immune response.
As a set, the presented peptides are named immunopeptidome and they are studied in a
mass spectrometry-based (MS) emerging field called MHC peptidomics. MHC peptide
isolation and purification are crucial for their characterization via MS. Traditionally, the
state-of-art method to isolate MHC peptides has been immunoprecipitation of MHCpeptide
complexes from cell lysates. However, this technique has yield limitations. It requires large
amounts of cells, which apart from making it time consuming and economically restrictive,
are not always available; for instance, in patient samples. Alternatively, there is a method
that has been available since the 90s, Mild Acid Elution (MAE). MAE is based on the
disruption of the β2m subunit from MHC-Class I molecules and the release of the bound
peptides to the supernatant when alive cells are exposed to a citrate shock (pH=3.3). The
simplicity of this procedure makes it much more straightforward and affordable than the
traditional IP’s, that in addition require the use of antibodies. Nevertheless, its cell surface
specificity comes with a greater peptide inespecificity. Seemingly, a greater yield can be
expected thanks to a smaller sample loss and potentially to the iterative capacity of this
approach. The benefits and drawbacks of MAE and IP and their outcome differences are
discussed in this comparative study.
44 www.sci.cat
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
20 Spleen lymphocyte composition is modulated by leptin and
adiponectin supplementation in suckling rats
Grases-Pintó B.1,2
; Abril-Gil M.1,2
; Castell M.1,2
; Pérez-Cano F.J.1,2
; Franch A.1,2
1Departament de Bioquímica i Fisiologia, Facultat de Farmàcia i Ciències de l’Alimentació, UB;
2Institut de
Recerca en Nutrició i Seguretat Alimentària (INSA-UB), Universitat de Barcelona (UB)
Just after birth, the innate and adaptive immune responses are very deficient and is during
the early postnatal period when the immune system develops and acquires its defence
capability against pathogens. It is well known that breast milk is nutritionally adapted to the
requirements of the newborn and plays a role in the immune development process. Among
other bioactive factors present in breast milk, the adipokines, leptin and adiponectin, could
have an effect on the neonatal immune system maturation.
The aim of the present study was to ascertain whether a nutritional supplementation with
leptin or adiponectin in neonatal rats was able to influence the lymphocyte composition of
the spleen during the suckling period.
For this purpose, suckling Wistar rats were daily supplemented by oral gavage for 21 days
with either leptin or adiponectin. During (day 14) and at the end of the suckling period (day
21), spleen lymphocyte composition was established by multiple immunofluorescence
staining and flow cytometry analysis.
During the suckling period, the daily supplementation with leptin or adiponectin influenced
the proportion of the main lymphocyte subpopulations in the splenic tissue, leading to
subset proportions more similar to those of older animals. In particular, at day 14, animals
supplemented with those adipokines had significantly higher proportions of TCRαβ+
lymphocytes and NKT cells than animals receiving vehicle, approaching to composition
found in 21-day-old animals. Moreover, at the end of the suckling, the leptin
supplementation induced a 33% higher proportion of splenic TCRαβ+ lymphocytes with
respect to the percentage found in reference animals at the same age.
Overall, these results suggest that leptin and adiponectin play a role in the maturation of
the immune cells present in the spleen during the suckling period.
www.sci.cat 45
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
21 Peripheral lymphocyte subpopulations at onset of type 1
diabetes: imbalance of naïve and memory T cells
Aina Teniente Serra1,2
; Eduarda Pizarro3; Mª Teresa Julián.
3; Marco A Fernández
4; Eva Maria
Martínez-Cáceres1,2
1Immunology Department Hospital Universitari Germans Trias i Pujol, Badalona (Spain);
2Department of Cell
Biology, Physiology and Immunology, Universitat Autònoma de Barcelona, Bellaterra; 3Department of
Endocrinology, Hospital de Mataró (Spain); 4Flow Cytometry Facility, Germans Trias i Pujol Research
Institute (IGTP), Campus Can Ruti, Badalona
Introduction: Type 1 diabetes (T1D) is an autoimmune disorder characterized by
destruction of pancreatic beta cells resulting in insulin dependency. Changes in T and B
cell subpopulations in peripheral blood of T1D patients have been described, but a
comprehensive multiparametric flow cytometric analysis is still lacking.
Aim: To identify changes in peripheral blood T- and B- cell compartments in patients at
onset of T1D.
Material and methods: CD4+ and CD8+ T cells (including naïve, central memory, effector
memory and terminally differentiated effector (TEMRA), Th17 and Tregs) and B cells
subsets (naïve, unswitched memory, switched memory and transitional B cells) were
analyzed in peripheral blood of T1D patients at onset (n=26) and healthy donors (HD;
n=40) using multiparametric flow cytometry.
Results: A decrease in the percentage of early and late effector memory CD4+ and CD8+
T cells (T CD4+: p=0.001 and p<0.001, T CD8+: p=0.046 and p<0.001), TEMRA CD4+ and
CD8+ cells (p=0.003 and p=0.004, respectively) was found. In contrast, the percentage of
naïve CD4+ T cells (p=0.010), and percentage and absolute counts of naïve CD8+ T cells
(p<0.001 and p=0.001) were increased in peripheral blood of T1D patients compared with
HD. Moreover, an increase in percentage of total B cells and transitional B cells was
observed in patients compared with HD (p=0.015 and p=0.006, respectively). No changes
were found either in Tregs or in Th17 subpopulations.
Conclusion: The observed changes in the percentage and/or absolute number of
lymphocyte subpopulations support that effector cells migrate to the pancreas participating
in the autoimmune response.
46 www.sci.cat
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
22 RORC antagonist inhibits IL-17 production in gut commensal-
specific T cells and mucosa from Crohn’s disease patients
Bassolas-Molina H.1; Raymond E.
2; Labadia M.
2; Wahle J.
2; Harcken C.
2; Hughes R.
3; Turner M.
3;
Smith D..3; Calderón-Gómez E.
1; Esteller M.
1; Carrasco A.
4,5; Esteve M.
4,5; Dotti I.
1; Ferrer-Picón E.
1;
Planell N.1; Masamunt M.C.
1; Gallego M.
1; Barastegui R.
1; Arajol C.
6; Guardiola J.
6; Nabozny G.
2;
Panés J.1; Salas A.
1
1Department of Gastroenterology, IDIBAPS, Hospital Clínic, CIBERehd, Barcelona, Spain;
2Department of
Immunology and Respiratory, Boehringer Ingelheim Pharmaceuticals Inc. Ridgefield Conne; 3Department of
Small Molecule Discovery Research, Boehringer Ingelheim Pharmaceuticals Inc. Ridgefiel; 4Department of
Gastroenterology, Hospital Universitari Mutua Terrassa, Terrassa, Barcelona, Spain; 5Centro de
Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Madrid; 6Department of Gastroenterology, Hospital Universitari de Bellvitge- IDIBELL, Barcelona, Spain.
Increasing evidence suggests that Crohn's disease (CD) results from an aberrant immune
response to commensal microorganisms. Since deregulated pathways include Th17
responses, the inhibition of RORC represents a potential therapeutic strategy. Our aim
was to determine the ex vivo effect of RORC antagonism on circulating leukocytes and
intestinal tissue samples.
Peripheral blood mononuclear cells (PBMCs) from CD patients were cultured for 7 days
with commensal microbial proteins (FrvX and YidX) in the presence of a RORC antagonist.
We also examined the effects of commensal-specific CD4+ T cells treated with a RORC
inhibitor on healthy intestinal epithelial crypts.In addition, intestinal biopsies from active CD
patients were cultured with a RORC antagonist for 18h.
The RORC antagonist specifically inhibited transcription of Th17-related genes in bacterial
antigenstimulated PBMCs (n=12). Intestinal crypts cultured with supernatants from FrvX
(n=8) and YidX (n=7) specific CD4+ T cells previously treated with RORC inhibitor showed
decreased expression of CXCL1, CXCL8 and CCL20. Remarkably, biopsies from CD
patients treated with the RORC inhibitor significantly decreased transcription of IL-17A, IL-
17F and IL-26 in both colon (n=10) and ileum (n=8) of CD patients with active
inflammation. Other genes such as CSF2, CXCL1, CXCL8, IFNG, S100A8, IL-6 and
DEFA5 were also significantly regulated by RORc antagonist in ileal CD.
In conclusion, we demonstrate that blocking RORC specifically decreases the expression
of a subset of IL-17 dependent genes in the context of CD. This effect is observed in both
immune and epithelial cells, indicating that RORC antagonism could represent a
therapeutic approach for treating CD.
www.sci.cat 47
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
23 Diagnostic algorithm for the detection of anti-SOX1 antibodies
M. García Ormaechea1; M. Español-Rego
1; E. Martínez Hernández
2,3; L. Sabater
2; L. Querol
4; I. Illa
4; F.
Graus2,3
1Servei d’Immunologia, Centre Diagnòstic Biomèdic, Hospital Clínic de Barcelona;
2Neuroimmunology
Program, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Barcelona; 3Servei de Neurologia,
Hospital Clínic de Barcelona; 4Unitat de Neuromuscular, Hospital de la Santa Creu i Sant Pau, Barcelona
Introduction: The Lambert-Eaton myasthenic syndrome (LEMS) is a neuromuscular
disorder with an associated cancer in up to 50% of patients, mostly lung cancer (LC). The
detection of anti-SOX1 antibodies is useful in the diagnosis of paraneoplastic LEMS,
although they had been detected sporadically in idiopathic neuropathies by
immunoblot/ELISA. Currently, there are commercial immunoblots for the detection of anti-
SOX1 antibodies but comparison with a specific technique is lacking and their sensitivity is
unknown.
Methods: We studied 203 serum samples using cell based assay (CBA), rat cerebellar
immunohistochemistry (IHQ) and commercial immunoblot (IB). We included 64 patients
with anti-SOX1 antibodies and 139 as disease controls (41 idiopathic sensitive
neuropathy, 49 chronic inflammatory demyelinating polyneuropathy, 18 paraneoplastic
neuropathy without LC and 31 anti-MAG positive monoclonal gammopathy).
Results: 79.7% anti-SOX1 positive patients were male. Mean age was 64 years. 98.4%
patients had cancer (61 lung, 1 prostate and 1 breast); 25% presented cerebellar
degeneration; 22% LEMS; 22% limbic encephalitis; 11% encephalomyelitis; 11%
neuropathy/neuronopathy; 3% Stiff-man syndrome; 6% LC without any neurological
syndrome and 2% cerebellar syndrome without cancer. 10.9% anti-SOX1 positive serum
samples by CBA were negative by IHQ but positive by IB (IHQ false negatives) and
another 10.9% were negative by IB (IB false negatives). Regarding the 139 controls, only
1 patient, with sensitive neuropathy and parotid cancer, was positive for SOX1 by IB but
seronegative by CBA and by IHQ (IB false positive). Anti- SOX1 abs were detected by all
three tests in 78% of patients.
Conclusions: Anti-SOX1 antibodies are LC markers. It is important to assess the risk of
LC in samples negative by IB (>40 years, smoking, classic paraneoplastic syndrome),
since 11% of patients have anti-SOX1 antibodies by CBA. False positive results are rare
and should be confirmed by CBA if clinical picture is discordant.
48 www.sci.cat
Posters
From Innate to Adaptative Immunity 17 - 24
The authors will attend the poster on 16/11/2017: 17:30h; 17/11/2017: 11:00h, 13:30h, 16:30h.
24 The Trex2 exonuclease and the DNase1L2 endonuclease
cooperate in the DNA degradation process during lingual
keratinocyte cornification
Joan Climent1,2
; Joan Manils1; Heinz Fischer
3; Eduard Casas
4; Celia García-Martínez
1; Jordi Bas
1,2;
Tanya Vavouri4; Supawadee Sukseree
3; Josep María de Anta
1; Erwin Tschachler
3; Leopold Eckhart
3;
Concepció Soler1
1Pathology and Experimental Therapeutics, Faculty of Medicine and Health Sciences, Universitat de
Barcelona; 2Immunology Dept, Hospital Universitari de Bellvitge;
3Research Division of Biology and
Pathobiology of the Skin, Medical University of Vienna, Austria; 4Institute Germans Trias i Pujol, Spain
Introduction: Cornification is a unique mode of programmed cell death in keratinocytes
undergoing terminal differentiation on the skin epidermis and other squamous epithelia. It
is associated with the physiological degradation of nuclear DNA. Delay or absence of this
DNA fragmentation and degradation events may result in an aberrant DNA-driven immune
response.
Objectives: Taking in account that Trex2 processes DNA from 3’-OH ends that can be
generated by DNase1L2 we hypothesized that both nucleases might cooperate in DNA
degradation during keratinocyte enucleation. Here, we investigated the effects in mice of
simultaneous loss of these two keratinocyte-specific nucleases in keratinocyte enucleation.
Methods: Histological and immunological studies in single (DNase1L2-/- or Trex2-/-) and
double (DNase1L2-/-Trex2-/-) deficient mice were perfomed to asses the extent of
fragmented-DNA retention and the DNA driven immunological response in keratinocyte-
built tissues, such as skin and tongue epithelia.
Results: Both DNases cooperated in the DNA degradation during keratinocyte
cornification in tongue epithelium, but were dispensable for homeostatic epidermal skin
cornification. Simultaneous loss of Trex2 and DNase1L2 led to a synergistic accumulation
of DNA fragments rather than a simple sum of single knockout phenotypes. The abnormal
accumulation of cytosolic DNA in lingual corneocytes was not associated to DNAdriven
immune responses, antinuclear autoantibody generation and inflammation.
Conclusions: 1) There is a tissuedependent interplay of Trex2 and DNase1L2 in
keratinocyte DNA degradation during lingual cornification. 2) Lingual epithelium displays
physiological tolerance to aberrantly retained endogenous DNA that may be explained in
part by low expression of key DNA sensing and signaling genes.
www.sci.cat 49
2018 Events
Lifelong Learning SCI Program 2018 Data i hora: 1 de febrer de 2018, a les 18:30h
“Virus del Papil·loma humà: Disseny de la vacuna, implantació i test per a
screening”
Dr. Jorge Lloberas (Departament de Biologia Cel·lular, Fisiologia i Immunologia,
Universitat de Barcelona), Dr. Xavier Bosch (Institut Català d’Oncologia), Dra. Cristina
Vanrell Barbat (Servei d’Obstetrícia i Ginecologia de l’Hospital de la Santa Creu i Sant
Pau, Barcelona). Auditori, Acadèmia de Ciències Mèdiques (Major de Can Caralleu 1-7,
Barcelona).
Data i hora: 1 de març de 2018, a les 18:30h
“Transcriptòmica del Lupus Eritematós Sistèmic”
Dra. Cristina Sole Marcé (Grup de Malalties Sistèmiques Autoimmunes de l'Institut de
Recerca Vall d'Hebron, Barcelona), Dra. Teresa Sardón (Anaxomics). Auditori, Acadèmia
de Ciències Mèdiques (Major de Can Caralleu 1-7, Barcelona).
Data i hora: 26 d'abril de 2018, a les 16:00h.
“Systems Biology”
Dr. Alex Sánchez Pla (Grup de Bioinformàtica de l'Institut de Recerca Vall d'Hebron,
Barcelona), Dr. Xavier de la Cruz Montserrat (Grup de Bioinformàtica Translacional a
l'Institut de Recerca Vall d'Hebron, Barcelona), Dr. Roger Colobran Oriol (Grup
d'Immunogenètica, Hospital Vall d'Hebron, Barcelona). Sala Pere i Joan Coromines de
l’Institut d'Estudis Catalans (C/ del Carme, 47, Barcelona).
Data i hora: 3 de maig de 2018, a les 18:30h.
“Gut Microbiome and Inflammatory Bowel Diseases”
Dra. Chaysavanh Manichanh (Fisiologia i Fisiopatologia del tracte digestiu, Institut de
Recerca Vall d’Hebron, Barcelona). Auditori, Acadèmia de Ciències Mèdiques (Major de
Can Caralleu 1-7, Barcelona).
Data i hora: 7 de juny de 2018, a les 18:30h.
“Situació actual de la Investigació en Tuberculosis i desenvolupament de noves
vacunes”
Dr. Carlos Martin Montañés (Universitat de Zaragoza), Dr. Pere Joan Cardona (Unitat
de Tuberculosi Experimental. Institut Germans Trias i Pujol, Badalona) Auditori, Acadèmia
de Ciències Mèdiques (Major de Can Caralleu 1-7, Barcelona).
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Congress Venue: Academia de Ciències Mèdiques, Auditori de l’Acadèmia c/ Major de Can Caralleu 1 08017 Barcelona. www.sci.cat Transportation:
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By bus: o Line 66 (Pl. Catalunya – Sarrià) o Line 60 (Pl. Glòries – Zona Universitaria) o Line V3 (Zona Franca –Can Caralleu) o Line 130 (Pl. Artós – Can Caralleu))
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52 www.sci.cat
List of participants and authors
Abril-Gil M. 37, 40, 42, 44 Aguilera E. 14 Álvarez I. 19, 20 Ara del Rey J. 27 Aragon L. 25 Arajol C. 46 Aran A. 7, 23 Arribas J. 23 Arribas-Layton D. 19 Azagra-Boronat I. 34, 40 Badell I. 15 Barastegui R. 46 Barrachina S. 30, 32 Bas J. 13, 30, 31, 32, 48 Bassolas-Molina H. 46 Baucells de la Peña A. 6, 15 Bayes-Genis A. 17 Bel J. 29 Bernadó C. 23 Bernardi C. 39 Bernuz M. 23 Boada A. 26 Boera-Carnicero G. 15 Bordignon J. 31 Borràs F.E. 17, 24 Borràs N. 33 Bosio M. 22 Briansó F. 14 Calderón E. 8 Calderón-Gómez E. 46 Canals F. 20 Cano-Sarabia M. 14 Cantó E. 35, 36 Carrascal M. 20 Carrasco A. 46 Carreras-Planella L. 7, 24 Casas E. 48 Castell M. 34, 37, 40, 42, 44 Celada A. 18 Climent J. 48 Colobran R. 22, 25 Corral M. 21 Cortés J. 23 Costa C. 38 Cucurull M. 26 Dalmau J. 7 Daura X. 19 De Andrés B. 7 de Anta J.M. 48 De la Calle O. 15 de la Torre M.A. 28 del Mazo-Barbara A. 12 Domínguez-Alonso C. 25 Dotti I. 46 Eckhart L. 48 Egía-Mendikute L. 21, 28 Engel P. 7 Enrich E. 33 España S. 26 Español-Rego M. 47 Esteller M. 46
Esteve C. 26, 27 Esteve M. 46 Etxaniz O. 26 Fajas Ll. 21 Farriol R. 43 Fernández M.A. 45 Fernández-Prendes C. 26 Ferrer-Picón E. 46 Fillatreau S. 8 Fischer H. 48 Fonolleda M. 29 Franch A. 34, 37, 40, 42, 44 Franco-Jarava C. 22, 25 Franquesa M. 17, 24 Fuertes C. 30 Fulladosa X. 31 Gallego M. 46 Gálvez-Montón C. 17 García M. 7, 47 García M.J. 31 García-Jimeno S. 14 García-Martínez C. 48 García-Prat M. 22, 25 Garssen J. 34 Gimeno R. 7 Granada M.L. 26 Grases-Pintó B. 37, 40, 42, 44 Graterol F.A. 27 Graus F. 47 Grau-Vorster M. 6, 12 Guardiola J. 46 Guarner C. 35 Harcken C. 46 Hernández-Álvarez M. 18 Hervás S. 6 Holgado E. 23 Hughes R. 46 Illa I. 47 James E.A. 19 Juan M. 6 Juarez C. 6 Juárez C. 35, 41 Julián M.T. 45 Knipping K. 34 Knol J. 34 Kuguel S.G. 38 Labadia M. 46 Lloberas J. 18 López E. 16 López I. 21 López-Montañés M. 12 Manils J. 48 Mansilla M.J. 6, 10, 39 Marcilla M. 19 Mari A.V. 25 Marín-Morote L. 37 Marín-Sánchez A. 11 Mariscal-Rodríguez A. 36 Marqués M. 26 Martí M. 23 Martínez E. 47
www.sci.cat 53
Martínez-Cáceres E.M. 7, 10, 26, 27, 39, 45 Martínez-Gallo M. 22 Martínez-Martínez L. 15, 36 Martín-Nalda A. 22, 25 Mas V. 6, 13, 30, 31, 32 Masamunt M.C. 46 Maspoch D. 14 Massot-Cladera M. 34, 40 Mata E. 41 Mayol R. 13, 32 Mestre-Ferrer A. 20 Moga E. 41 Mongay L. 33 Monguió-Tortajada M. 7, 17, 24 Mora C. 21, 28 Morandeira F. 13, 30, 31, 32 Muñoz J.P. 18 Murillo M. 29 Nabozny G. 46 Navarro S. 6, 13, 30, 31, 32 Navarro-Barriuso J. 10, 39 Nieto J.C. 35 Oliver-Vila I. 12 Ortiz M.A. 36 Ossowski S. 22 Padró A. 32 Panés J. 46 Pariente-Cano A. 15 Peg V. 23 Perea L. 35, 36 Pereira-Lopes S. 18 Pérez A.C. 26 Pérez J. 23 Pérez-Cano F.J. 34, 37, 40, 42, 44 Perna-Barrull D. 14 Perurena-Prieto J. 25 Piron M. 33 Pizarro E. 45 Plaja A. 22 Planell N. 46 Poyatos E. 13, 30, 31, 32 Presas-Rodríguez S. 10, 39 Puig L. 41 Pujol-Autonell I. 14 Pujol-Borrell R. 2, 6, 8, 11 Querol L. 47 Querol S. 12, 33 Quirant B. 10, 26, 27, 39 Ramo-Tello C. 10, 39 Raymond E. 46 Regueiro J.R. 25 Richarz N. 26 Rivera N. 26
Rodríguez-Fernández S. 6, 14, 29 Rodríguez-Lagunas M.J. 34, 37, 40 Román E. 35 Rosell-Mases E. 21, 28 Roura S. 17 Rudilla F. 12, 33 Sabater L. 47 Saiz J. 31 Salas A. 46 Sánchez A. 14 Sánchez E. 35 Sánchez M.A. 41 Santamaria P. 16 Santos-Rosendo C. 7, 21, 28 Sanz M.T. 11, 41 Sarrias M.R. 7 Sauleda S. 33 Scholz E. 7, 19, 20 Serra P. 16 Smith D. 46 Soberino J. 23 Soler C. 48 Soler-Palacín P. 7, 22, 25 Soriano G. 35 Stahl B. 34 Stratmann T. 21 Sukseree S. 48 Teniente A. 10, 26, 27, 39, 45 Tims S. 34 Torres-Castro P. 42 Tschachler E. 48 Tur J. 7, 18 Turner M. 46 Unanue E. 18 Uribe-Herranz M. 38 Valledor A. 7 van’t Land B. 34 Vavouri T. 48 Vázquez F. 14, 29 Vega J. 7, 16 Verdaguer J. 6, 14, 21, 28 Vico T. 18 Vidal F. 33 Vidal S. 35, 36, 41 Vila-Pijoan G. 6, 11 Villalba A. 14, 29 Vived C. 21, 28 Vives J. 12 Vives-Pi M. 6, 14, 29 Wahle J. 46 Zamora C. 35, 36, 41 Zamora E. 23 Zorzano A. 18
54 www.sci.cat
Other useful information and notes
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www.sci.cat 55
XI CONGRÉS
Societat Catalana d’Immunologia (SCI)
Barcelona, 16 i 17 de novembre 2017
The contents of this congress will be accessible in a few months in our website www.congressci.com
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