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  • Programme Area 4

B Cell Memory

  • Human plasma cells
  • Memory B cells
  • Sjögren's syndrome
  • SLE

Immunomodulatory approaches targeting autoreactive B lineage cells while leaving protective B memory intact

The Dörner Lab researches on translational rheumatologic/clinical immunology research with a foscus on B lineage cells in autoimmunity. Based on the original identification of the plasma cell/plasmablast marker CD27++ as identifier of antibody producing cells and marker of disease activity in adult and juvenile SLE, ongoing research addresses abnormalities of B cell subsets from naïve towards plasma cell differentiation in autoimmune conditions.

About us

For comparison, the group studies characteristics of (auto)antigen specific plasmablast and memory B cells upon vaccination versus active autoimmune disease. Such studies address potential molecular differences between autoreactive and protective B and plasma cells which would candidate as selective target in treatment autoimmunity. Moreover, such differences can serve as biomarkers for disease activity, prognosis and/or therapeutic response.

After the original identification of unique CD19- plasma cells implying that human bone marrow plasma cells are several heterogeneous subsets, current studies address this heterogeneity by their detailed molecular and functional characteristics. In this context and within a collaborative project with Prof. Klaus Rajewsky’s group at the MDC, we apply state of the art CRISPR/Cas9 technology to identify molecular differences between normal plasma cells and autoimmune plasma cells from SLE patients that can provide the basis for innovative molecular therapies.

In contrast to the conventional view that B lineage cells in autoimmunity are hyperresponsiveness, we originally found hyporesponsive or anergic post-activated (APA) B lineage cells in SLE, RA and Sjögren’s  based on their reduced cytokine production, TLR and especially BCR responses. Most notable and with the most striking differences, BCR activation resulted in substantially reduced protein tyrosine kinase phosphorylation of downstream molecules (Syk, BTK and PLCg-2) together with increased expression of certain surface molecules such as CD22 connected to SHP-1, a receptor related phosphatase. Overall, APA B cells carry characteristically increased protein tyrosine phosphatase which is controlled by CD40 dependent transcription. Activation of CD40 results in reduced phosphatase activity and overcomes APA B cell abnormalities including normalization of BCR responses.

Various studies on the mechanism of innovative B cell therapeutics are underway in collaboration with the Charite Research Organization and our lab which provide insights into the underlying disease and disease mechanisms and therapeutic consequences on certain lymphocytes in relation to clinical responses. Here innovative therapeutics targeting B lineage cells beyond anti-CD20 targeting hold promise for more selective and effective treatments for systemic inflammatory diseases.

Team

Group leader
Univ. Prof. Dr. med. Thomas Dörner

Scientists
PD Dr. Eva Schrezenmeier
Dr. Ana-Luisa Stefanski
Dr. Annika Glenzer
Andreia Lino, PhD
Duc van Dang, PhD
Hector Rincon-Aravelo, PhD
Dr. Arman Aue
Franziska Szelinski, MSc
Dr. Luca Rapino (Univ. Rom/Sapienza)

Ph.D. students
Elias Rosenlehner
Tuan Anh Le, MSc
Yidan Chen
Jacob C. Ritter
Caterina E. Carli
Lea-Sophie Dreveton
Eduard Nitschke

Master Student
Ali Eren Nemci, BSc

Main cooperation partners

Farzin Mashreghi/Andrey Kruglov; Falk Hiepe/Tobias Alexander

Birgit Sawitzki (BIH), Carmen Scheibenbogen (Med. Immunology); Harald Prüß/Matthias Endres (KFO Neurology Charité); Carsten Perka/Sebastian Hardt/Tobias Jung (Orthopedic Surgery Charité); Wolfgang Henrich/Iris Dressler-Steinbach (Obstetric Medicine, Charité); Anja Kühl (Pathology Charité), Klemens Budde, Fabian Halleck, Philipp Enghard (Nephrology Charité)

Hendrik Schultze-Koops (LMU); Klaus Warnatz (Univ. Freiburg); Torsten Witte (MHH); Martin Aringer (Univ. Dresden); Johanna Mucke/Rebecca Fischer-Beetz (Univ. Düsseldorf); Christoph Specker (Essen)

Hendrik Schultze-Koops (LMU); Klaus Warnatz (Univ. Freiburg); Torsten Witte (MHH); Martin Aringer (Univ. Dresden); Johanna Mucke/Rebecca Fischer-Beetz (Univ. Düsseldorf); Christoph Specker (Essen)

Marie Wahren-Herlenius (Karolinska, Sweden); Uli Scherer/Rene Toes (Leiden, NL); Ian MacInnes (Univ. Glasgow, UK); Ian Bruce (Univ. Manchester, UK), David Isenberg (UCL, London UK), Ronald van Vollenhoven (Amsterdam MC, NL); Hendrika Bootsma (Groningen MC, NL), Peter Lipsky (AMPEL Biosolutions), Marielle Gatto (Univ. Milan, Italy), Andrea Doria (Univ. Padua, Italy)

Marie Wahren-Herlenius (Karolinska, Sweden); Uli Scherer/Rene Toes (Leiden, NL); Ian MacInnes (Univ. Glasgow, UK); Ian Bruce (Univ. Manchester, UK), David Isenberg (UCL, London UK), Ronald van Vollenhoven (Amsterdam MC, NL); Hendrika Bootsma (Groningen MC, NL), Peter Lipsky (AMPEL Biosolutions), Marielle Gatto (Univ. Milan, Italy), Andrea Doria (Univ. Padua, Italy)