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Host Response and Inflammation

Specific and Nonspecific B-Cell Function in the Small Intestines of Patients with Whipple's Disease

Anika Geelhaar, Verena Moos, Katina Schinnerling, Kristina Allers, Christoph Loddenkemper, Florence Fenollar, Bernard LaScola, Didier Raoult, Thomas Schneider
Anika Geelhaar
1Medizinische Klinik I, Charité-Universitätsmedizin Berlin, CBF, Berlin, Germany
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Verena Moos
1Medizinische Klinik I, Charité-Universitätsmedizin Berlin, CBF, Berlin, Germany
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  • For correspondence: verena.moos@charite.de
Katina Schinnerling
1Medizinische Klinik I, Charité-Universitätsmedizin Berlin, CBF, Berlin, Germany
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Kristina Allers
1Medizinische Klinik I, Charité-Universitätsmedizin Berlin, CBF, Berlin, Germany
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Christoph Loddenkemper
2Institut für Pathologie, Charité-Universitätsmedizin Berlin, CBF, Berlin, Germany
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Florence Fenollar
3Unité des Rickettsies, URMITE CNRS-IRD UMR 6236, Marseille, France
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Bernard LaScola
3Unité des Rickettsies, URMITE CNRS-IRD UMR 6236, Marseille, France
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Didier Raoult
3Unité des Rickettsies, URMITE CNRS-IRD UMR 6236, Marseille, France
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Thomas Schneider
1Medizinische Klinik I, Charité-Universitätsmedizin Berlin, CBF, Berlin, Germany
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DOI: 10.1128/IAI.00705-10
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    FIG. 1.

    Immunoglobulin production in duodenal biopsy specimens of Whipple's disease patients compared to healthy subjects, as evidenced by exemplary immunostaining of IgA (colored in red). (A) High number of IgA+ plasma cells in a healthy control; (B and C) low number of IgA+ plasma cells in a Whipple's disease patient before the start of treatment (B) and in the same Whipple's disease patient after 6 months of antimicrobial treatment (C).

  • FIG. 2.
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    FIG. 2.

    Percentage of immunoglobulin-producing plasma cells among all plasma cells in duodenal biopsy specimens from Whipple's disease (WD) patients and healthy controls as determined by immunohistochemistry. (A) Percentage of IgA+ plasma cells; (B) percentage of IgG+ plasma cells; (C) percentage of IgM+ plasma cells. Individual values, medians, and interquartile ranges are shown, and P values were determined by using the Mann-Whitney test.

  • FIG. 3.
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    FIG. 3.

    Immunoglobulin concentrations in supernatants of duodenal biopsy specimens obtained from healthy subjects and Whipple's disease patients during or after antimicrobial treatment. (A) IgA; (B) IgG2; (C) IgM. Individual values, medians, and interquartile ranges are shown, and P values were determined by using the Mann-Whitney test. WD, Whipple's disease.

  • FIG. 4.
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    FIG. 4.

    Western blot for T. whipplei-specific immunoglobulins. Exemplary Western blots of T. whipplei-specific IgA (lane 1) and IgG (lane 2) in the serum from a Whipple's disease (WD) patient (positive control), secretory IgA in biopsy specimen supernatants from three healthy controls (lanes 3 to 5), and secretory IgA in biopsy specimen supernatants from three Whipple's disease patients (lanes 6 to 8). Arrowheads indicate T. whipplei-antigens recognized by the respective supernatants and sera used as positive controls. C1 to C3, healthy subjects; WD1 to WD3, Whipple's disease patients.

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Specific and Nonspecific B-Cell Function in the Small Intestines of Patients with Whipple's Disease
Anika Geelhaar, Verena Moos, Katina Schinnerling, Kristina Allers, Christoph Loddenkemper, Florence Fenollar, Bernard LaScola, Didier Raoult, Thomas Schneider
Infection and Immunity Oct 2010, 78 (11) 4589-4592; DOI: 10.1128/IAI.00705-10

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Specific and Nonspecific B-Cell Function in the Small Intestines of Patients with Whipple's Disease
Anika Geelhaar, Verena Moos, Katina Schinnerling, Kristina Allers, Christoph Loddenkemper, Florence Fenollar, Bernard LaScola, Didier Raoult, Thomas Schneider
Infection and Immunity Oct 2010, 78 (11) 4589-4592; DOI: 10.1128/IAI.00705-10
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KEYWORDS

Antibodies, Bacterial
B-Lymphocytes
Duodenum
Intestinal Mucosa
Tropheryma
Whipple Disease

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