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    <title>Baert, M.R.</title>
    <link>http://repub.eur.nl/res/aut/1910/</link>
    <description>List of Publications</description>
    <language>en</language>
    <image>
      <url>http://repub.eur.nl/static-eur/img/logo.png</url>
      <title>RePub, Erasmus University Rotterdam</title>
      <link>http://repub.eur.nl</link>
    </image>
    <item>
      <title>Correction of murine Rag1 deficiency by self-inactivating lentiviral vector-mediated gene transfer (Article)</title>
      <link>http://repub.eur.nl/res/pub/26260/</link>
      <pubDate>2011-09-01T00:00:00Z</pubDate>
      <description>Severe combined immunodeficiency (SCID) patients with an inactivating mutation in recombination activation gene 1 (RAG1) lack B and T cells due to the inability to rearrange immunoglobulin (Ig) and T-cell receptor (TCR) genes. Gene therapy is a valid treatment option for RAG-SCID patients, especially for patients lacking a suitable bone marrow donor, but developing such therapy has proven challenging. As a preclinical model for RAG-SCID, we used Rag1-/-mice and lentiviral self-inactivating (SIN) vectors harboring different internal elements to deliver native or codon-optimized human RAG1 sequences. Treatment resulted in the appearance of B and T cells in peripheral blood and developing B and T cells were detected in central lymphoid organs. Serum Ig levels and Ig and TCR VΒ gene segment usage was comparable to wild-type (WT) controls, indicating that RAG-mediated rearrangement took place. Remarkably, relatively low frequencies of B cells produced WT levels of serum immunoglobulins. Upon stimulation of the TCR, corrected spleen cells proliferated and produced cytokines. In vivo challenge resulted in production of antigen-specific antibodies. No leukemia development as consequence of insertional mutagenesis was observed. The functional reconstitution of the B-as well as the T-cell compartment provides proof-of-principle for therapeutic RAG1 gene transfer in Rag1-/-mice using lentiviral SIN vectors. </description>
    </item> <item>
      <title>Correction of B-cell development in Btk-deficient mice using lentiviral vectors with codon-optimized human BTK (Article)</title>
      <link>http://repub.eur.nl/res/pub/20311/</link>
      <pubDate>2010-09-01T00:00:00Z</pubDate>
      <description>X-linked agammaglobulinemia (XLA) is the most common primary immunodeficiency (PID) in man and caused by mutations in the Bruton's tyrosine kinase (BTK) gene. XLA is characterized by a B-cell differentiation arrest in bone marrow, absence of mature B cells and immunoglobulins (Igs), and recurrent bacterial infections. We used self-inactivating lentiviral vectors expressing codon-optimized human BTK under the control of three different ubiquitous or B cell-specific promoters. Btk-/- mice engrafted with transduced cells showed correction of both precursor B-cell and peripheral B-cell development. Lentiviral vectors containing the wildtype BTK sequence did not correct the phenotype. All treated mice with codon-optimized BTK exhibited the recovery of B1 cells in the peritoneal cavity, and of serum IgM and IgG3 levels. Calcium mobilization responses upon B-cell receptor stimulation as well as in vivo responses to T cell-independent antigens were restored. Viral promoters overexpressing BTK &gt;100-fold above normal resulted in erythro-myeloid proliferations independent of insertional mutagenesis. However, transplantation into secondary Btk-/- recipients using cellular promoters resulted in functional restoration of peripheral B cells and IgM levels, without any adverse effects. In conclusion, transduction of human BTK corrects B-cell development and antigen-specific antibody responses in Btk-/- mice, thus indicating the feasibility of lentiviral gene therapy for XLA, provided that BTK expression does not vastly exceed normal levels.Leukemia advance online publication, 24 June 2010; doi:10.1038/leu.2010.140.</description>
    </item> <item>
      <title>Wnt3a deficiency irreversibly impairs hematopoietic stem cell self-renewal and leads to defects in progenitor cell differentiation (Article)</title>
      <link>http://repub.eur.nl/res/pub/19345/</link>
      <pubDate>2009-01-15T00:00:00Z</pubDate>
      <description>Canonical Wnt signaling has been implicated in various aspects of hematopoiesis. Its role is controversial due to different outcomes between various inducible Wnt-signaling loss-of-function models and also compared with gain-of-function systems. We therefore studied a mouse deficient for a Wnt gene that seemed to play a nonredundant role in hematopoiesis. Mice lacking Wnt3a die prenatally around embryonic day (E) 12.5, allowing fetal hematopoiesis to be studied using in vitro assays and transplantation into irradiated recipient mice. Here we show that Wnt3a deficiency leads to a reduction in the numbers of hematopoietic stem cells (HSCs) and progenitor cells in the fetal liver (FL) and to severely reduced reconstitution capacity as measured in secondary transplantation assays. This deficiency is irreversible and cannot be restored by transplantation into Wnt3a competent mice. The impaired long-term repopulation capacity of Wnt3a-/- HSCs could not be explained by altered cell cycle or survival of primitive progenitors. Moreover, Wnt3a deficiency affected myeloid but not B-lymphoid development at the progenitor level, and affected immature thymocyte differentiation. Our results show that Wnt3a signaling not only provides proliferative stimuli, such as for immature thymocytes, but also regulates cell fate decisions of HSC during hematopoiesis.</description>
    </item> <item>
      <title>Isolation of human and mouse hematopoietic stem cells. (Article)</title>
      <link>http://repub.eur.nl/res/pub/15560/</link>
      <pubDate>2009-01-01T00:00:00Z</pubDate>
      <description>Hematopoietic stem cells (HSC) are rare with estimated frequencies of 1 in 10,000 bone marrow cells and 1 in every 100,000 blood cells. The most important characteristic of HSC is their capacity to provide complete restoration of all blood cell lineages after bone marrow ablation. Therefore they are considered as the ideal targets for various clinical applications including stem cell transplantation and gene therapy. In adult mice and men, the main stem cell source is the bone marrow. For clinical applications HSC derived from umbilical cord blood (UCB) and G-CSF mobilized peripheral blood (PB) have been demonstrated to have several advantages compared to bone marrow; therefore, they are slowly replacing BM as alternative source of stem cells. The mouse is the model organism of choice for immunological and hematological research; therefore, studies of murine HSC are an important research topic. Here we described the most often used protocols and methods to isolate human and mouse HSC to high purity.</description>
    </item> <item>
      <title>Ectopic retroviral expression of LMO2, but not IL2Rγ, blocks human T-cell development from CD34+ cells: Implications for leukemogenesis in gene therapy (Article)</title>
      <link>http://repub.eur.nl/res/pub/36301/</link>
      <pubDate>2007-04-01T00:00:00Z</pubDate>
      <description>The occurrence of leukemia in a gene therapy trial for SCID-X1 has highlighted insertional mutagenesis as an adverse effect. Although retroviral integration near the T-cell acute lymphoblastic leukemia (T-ALL) oncogene LIM-only protein 2 (LMO2) appears to be a common event, it is unclear why LMO2 was preferentially targeted. We show that of classical T-ALL oncogenes, LMO2 is most highly transcribed in CD34+ progenitor cells. Upon stimulation with growth factors typically used in gene therapy protocols transcription of LMO2, LYL1, TAL1 and TAN1 is most prominent. Therefore, these oncogenes may be susceptible to viral integration. The interleukin-2 receptor gamma chain (IL2Rγ), which is mutated in SCID-X1, has been proposed as a cooperating oncogene to LMO2. However, we found that overexpressing IL2Rγ had no effect on T-cell development. In contrast, retroviral overexpression of LMO2 in CD34+ cells caused severe abnormalities in T-cell development, but B-cell and myeloid development remained unaffected. Our data help explain why LMO2 was preferentially targeted over many of the other known T-ALL oncogenes. Furthermore, during T-cell development retrovirus-mediated expression of IL2Rγ may not be directly oncogenic. Instead, restoration of normal IL7-receptor signaling may allow progression of T-cell development to stages where ectopic LMO2 expression causes aberrant thymocyte growth.</description>
    </item> <item>
      <title>Wnt signaling in the thymus is regulated by differential expression of intracellular signaling molecules. (Article)</title>
      <link>http://repub.eur.nl/res/pub/13983/</link>
      <pubDate>2006-02-28T00:00:00Z</pubDate>
      <description>Wnt signaling is essential for T cell development in the thymus, but the stages in which it occurs and the molecular mechanisms underlying Wnt responsiveness have remained elusive. Here we examined Wnt signaling activity in both human and murine thymocyte populations by determining beta-catenin levels, Tcf-reporter activation and expression of Wnt-target genes. We demonstrate that Wnt signaling occurs in all thymocyte subsets, including the more mature populations, but most prominently in the double negative (DN) subsets. This differential sensitivity to Wnt signaling was not caused by differences in the presence of Wnts or Wnt receptors, as these appeared to be expressed at comparable levels in all thymocyte subsets. Rather, it can be explained by high expression of activating signaling molecules in DN cells, e.g., beta-catenin, plakoglobin, and long forms of Tcf-1, and by low levels of inhibitory molecules. By blocking Wnt signaling from the earliest stage onwards using overexpression of Dickkopf, we show that inhibition of the canonical Wnt pathway blocks development at the most immature DN1 stage. Thus, responsiveness to developmental signals can be regulated by differential expression of intracellular mediators rather than by abundance of receptors or ligands.</description>
    </item> <item>
      <title>New insights on human T cell development by quantitative T cell receptor gene rearrangement studies and gene expression profiling (Article)</title>
      <link>http://repub.eur.nl/res/pub/8406/</link>
      <pubDate>2005-01-01T00:00:00Z</pubDate>
      <description>To gain more insight into initiation and regulation of T cell receptor
      (TCR) gene rearrangement during human T cell development, we analyzed TCR
      gene rearrangements by quantitative PCR analysis in nine consecutive T
      cell developmental stages, including CD34+ lin- cord blood cells as a
      reference. The same stages were used for gene expression profiling using
      DNA microarrays. We show that TCR loci rearrange in a highly ordered way
      (TCRD-TCRG-TCRB-TCRA) and that the initiating Ddelta2-Ddelta3
      rearrangement occurs at the most immature CD34+CD38-CD1a- stage. TCRB
      rearrangement starts at the CD34+CD38+CD1a- stage and complete in-frame
      TCRB rearrangements were first detected in the immature single positive
      stage. TCRB rearrangement data together with the PTCRA (pTalpha)
      expression pattern show that human TCRbeta-selection occurs at the
      CD34+CD38+CD1a+ stage. By combining the TCR rearrangement data with gene
      expression data, we identified candidate factors for the
      initiation/regulation of TCR recombination. Our data demonstrate that a
      number of key events occur earlier than assumed previously; therefore,
      human T cell development is much more similar to murine T cell development
      than reported before.</description>
    </item> <item>
      <title>Wnt target genes identified by DNA microarrays in immature CD34+ thymocytes regulate proliferation and cell adhesion (Article)</title>
      <link>http://repub.eur.nl/res/pub/10281/</link>
      <pubDate>2004-01-01T00:00:00Z</pubDate>
      <description>The thymus is seeded by very small numbers of progenitor cells that
      undergo massive proliferation before differentiation and rearrangement of
      TCR genes occurs. Various signals mediate proliferation and
      differentiation of these cells, including Wnt signals. Wnt signals induce
      the interaction of the cytoplasmic cofactor beta-catenin with nuclear T
      cell factor (TCF) transcription factors. We identified target genes of the
      Wnt/beta-catenin/TCF pathway in the most immature (CD4-CD8-CD34+)
      thymocytes using Affymetrix DNA microarrays in combination with three
      different functional assays for in vitro induction of Wnt signaling. A
      relatively small number (approximately 30) of genes changed expression,
      including several proliferation-inducing transcription factors such as
      c-fos and c-jun, protein phosphatases, and adhesion molecules, but no
      genes involved in differentiation to mature T cell stages. The adhesion
      molecules likely confine the proliferating immature thymocytes to the
      appropriate anatomical sites in the thymus. For several of these target
      genes, we validated that they are true Wnt/beta-catenin/TCF target genes
      using real-time quantitative PCR and reporter gene assays. The same core
      set of genes was repressed in Tcf-1-null mice, explaining the block in
      early thymocyte development in these mice. In conclusion, Wnt signals
      mediate proliferation and cell adhesion, but not differentiation of the
      immature thymic progenitor pool.</description>
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