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    <title>Middendorp, S.</title>
    <link>http://repub.eur.nl/res/aut/370/</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>Constitutive activation of Bruton's tyrosine kinase induces the formation of autoreactive IgM plasma cells (Article)</title>
      <link>http://repub.eur.nl/res/pub/27544/</link>
      <pubDate>2010-09-01T00:00:00Z</pubDate>
      <description>B-cell receptor (BCR)-mediated signals provide the basis for B-cell differentiation in the BM and subsequently into follicular, marginal zone, or B-1 B-cell subsets. We have previously shown that B-cell-specific expression of the constitutive active E41K mutant of the BCR-associated molecule Bruton's tyrosine kinase (Btk) leads to an almost complete deletion of immature B cells in the BM. Here, we report that low-level expression of the E41K or E41K-Y223F Btk mutants was associated with reduced follicular B-cell numbers and significantly increased proportions of B-1 cells in the spleen. Crosses with 3-83μδ and VH81X BCR Tg mice showed that constitutive active Btk expression did not change follicular, marginal zone, or B-1 B-cell fate choice, but resulted in selective expansion or survival of B-1 cells. Residual B cells were hyperresponsive and manifested sustained Ca2+mobilization. They were spontaneously driven into germinal center-independent plasma cell differentiation, as evidenced by increased numbers of IgM+plasma cells in spleen and BM and significantly elevated serum IgM. Because anti-nucleosome autoantibodies and glomerular IgM deposition were present, we conclude that constitutive Btk activation causes defective B-cell tolerance, emphasizing that Btk signals are essential for appropriate regulation of B-cell activation. </description>
    </item> <item>
      <title>Mice deficient for CD137 ligand are predisposed to develop germinal center-derived B-cell lymphoma (Article)</title>
      <link>http://repub.eur.nl/res/pub/25326/</link>
      <pubDate>2009-11-19T00:00:00Z</pubDate>
      <description>In the germinal center (GC), B cells proliferate dramatically and diversify their immunoglobulin genes, which increases the risk of malignant transformation. The GC B-cell reaction relies on crosstalk with follicular dendritic cells (FDCs), to which the costimulatory receptor CD137 on FDCs and its ligand on GC B cells potentially contribute. We report that mice deficient for CD137 ligand (CD137L) are predisposed to develop B-cell lymphoma, with an incidence of approximately 60% at 12 months of age. Lymphoma membrane markers were characteristic of GC B cells. Longitudinal histologic analysis identified the GC as site of oncogenic transformation and classified 85% of the malignancies found in approximately 200 mice as GC-derived B-cell lymphoma. To delineate the mechanism underlying lymphomagenesis, gene expression profiles of wild-type and CD137L-deficient GC B cells were compared. CD137L deficiency was associated with enhanced expression of a limited gene set that included Bcl-10 and the GC response regulators Bcl-6, Spi-B, Elf-1, Bach2, and activation-induced cytidine deaminase. Among these are proto-oncogenes that mediate GC B-cell lymphoma development in humans. We conclude that CD137L ordinarily regulates the GC B-cell response and thereby acts as a tumor suppressor. </description>
    </item> <item>
      <title>NKT cells in mucosal immunity (Article)</title>
      <link>http://repub.eur.nl/res/pub/17032/</link>
      <pubDate>2009-08-31T00:00:00Z</pubDate>
      <description>The gastrointestinal tract allows the residence of an almost enumerable number of bacteria. To maintain homeostasis, the mucosal immune system must remain tolerant to the commensal microbiota and eradicate pathogenic bacteria. Aberrant interactions between the mucosal immune cells and the microbiota have been implicated in the pathogenesis of inflammatory disorders, such as inflammatory bowel disease (IBD). In this review, we discuss the role of natural killer T cells (NKT cells) in intestinal immunology. NKT cells are a subset of non-conventional T cells recognizing endogenous and/or exogenous glycolipid antigens when presented by the major histocompatibility complex (MHC) class I-like antigen-presenting molecules CD1d and MR1. Upon T-cell receptor (TCR) engagement, NKT cells can rapidly produce various cytokines that have important roles in mucosal immunity. Our understanding of NKT-cell-mediated pathways including the identification of specific antigens is expanding. This knowledge will facilitate the development of NKT cell-based interventions and immune therapies for human intestinal diseases.</description>
    </item> <item>
      <title>Bruton's Tyrosine Kinase and Phospholipase Cγ2 Mediate Chemokine-Controlled B Cell Migration and Homing (Article)</title>
      <link>http://repub.eur.nl/res/pub/36722/</link>
      <pubDate>2007-01-01T00:00:00Z</pubDate>
      <description>Control of integrin-mediated adhesion and migration by chemokines plays a critical role in B cell development, differentiation, and function; however, the underlying signaling mechanisms are poorly defined. Here we show that the chemokine SDF-1 induced activation of Bruton's tyrosine kinase (Btk) and that integrin-mediated adhesion and migration in response to SDF-1 or CXCL13, as well as in vivo homing to lymphoid organs, was impaired in Btk-deficient (pre-)B cells. Furthermore, SDF-1 induced tyrosine phosphorylation of Phospholipase Cγ2 (PLCγ2), which, unlike activation of the migration regulatory GTPases Rac or Rap1, was mediated by Btk. PLCγ2-deficient B cells also exhibited impaired SDF-1-controlled migration. These results reveal that Btk and PLCγ2 mediate chemokine-controlled migration, thereby providing insights into the control of B cell homeostasis, trafficking, and function, as well as into the pathogenesis of the immunodeficiency disease X-linked agammaglobulinemia (XLA). </description>
    </item> <item>
      <title>Tumor suppressor function of Bruton tyrosine kinase is independent of its catalytic activity (Article)</title>
      <link>http://repub.eur.nl/res/pub/8158/</link>
      <pubDate>2005-01-01T00:00:00Z</pubDate>
      <description>During B-cell development in the mouse, Bruton tyrosine kinase (Btk) and
      the adaptor protein SLP-65 (Src homology 2 [SH2] domain-containing
      leukocyte protein of 65 kDa) limit the expansion and promote the
      differentiation of pre-B cells. Btk is thought to mainly function by
      phosphorylating phospholipase Cgamma2, which is brought into close
      proximity of Btk by SLP-65. However, this model was recently challenged by
      the identification of a role for Btk as a tumor suppressor in the absence
      of SLP-65 and by the finding that Btk function is partially independent of
      its kinase activity. To investigate if enzymatic activity is critical for
      the tumor suppressor function of Btk, we crossed transgenic mice
      expressing the kinase-inactive K430R-Btk mutant onto a Btk/SLP-65
      double-deficient background. We found that K430R-Btk expression rescued
      the severe developmental arrest at the pre-B-cell stage in Btk/SLP-65
      double-deficient mice. Moreover, K430R-Btk could functionally replace
      wild-type Btk as a tumor suppressor in SLP-65- mice: at 6 months of age,
      the observed pre-B-cell lymphoma frequencies were approximately 15% for
      SLP-65- mice, 44% for Btk/SLP-65-deficient mice, and 14% for K430R-Btk
      transgenic mice on the Btk/SLP-65-deficient background. Therefore, we
      conclude that Btk exerts its tumor suppressor function in pre-B cells as
      an adaptor protein, independent of its catalytic activity</description>
    </item> <item>
      <title>Btk at the Pre-B Cell Receptor Checkpoint (Doctoral Thesis)</title>
      <link>http://repub.eur.nl/res/pub/7271/</link>
      <pubDate>2004-05-19T00:00:00Z</pubDate>
      <description>Signalling from the BCR or its immature form, the pre-BCR, was shown to be crucial for B 
cell development. Gene-targeted mice have defined differential roles of components of the 
(pre-) BCR complex or its downstream signalling pathways. One of the proteins involved in 
(pre-) BCR signalling is the cytoplasmic protein Bruton’s tyrosine kinase (Btk). Mice deficient 
in Btk have B cell differentiation defects resulting in an X-linked immunodefi ciency (xid) 
phenotype. The xid phenotype is characterized by a reduction in the number of peripheral 
B cells and the residual B cell have an immature phenotype, indicating that the lack of Btk 
causes a block in peripheral B cell differentiation. Btk-deficient mice have low levels of 
serum IgM and IgG3, peritoneal B-1 cells are lacking and these mice are not able to respond 
normally to infection with T cell independent antigens. In contrast, humans with mutations 
in the Btk gene develop the much more severe X-linked agammaglobulinemia (XLA), which 
is characterized by an almost complete block at the pre-B cell stage in the BM, indicating 
a role for Btk at the pre-BCR checkpoint. Boys with XLA have almost no peripheral B cells 
and have very low serum levels of all Ig classes. Therefore, XLA patients hardly respond 
to bacterial antigens, but treatment with antibiotics and gamma globulin therapy is very 
effective. To determine the exact role of Btk during early B cell development in the mouse 
bone marrow, we studied pre-BCR checkpoint functions in the Btk-defi cient mice. 

Pre-BCR signalling regulates the clonal expansion of pre-B cells and subsequent 
downregulation of the V(D)J recombinase system ensures allelic exclusion. Furthermore, 
downregulation of surrogate light chain (SLC) and IL-7R expression terminates the 
proliferation of large pre-B cells and induces differentiation into small pre-B cells when the 
cells have stopped cycling. Modulating the expression of various cell surface and intracellular 
proteins regulates cellular maturation during the transition of large into small pre-B cells. In 
small pre-B cells, the rearrangement machinery is activated again and L chain recombination 
is initiated. Functional L chain rearrangement leads to the expression of the BCR on the cell 
surface and the cells are transferred to the IgM+ immature B cell compartment.</description>
    </item> <item>
      <title>Cellular maturation defects in Bruton's tyrosine kinase-deficient immature B cells are amplified by premature B cell receptor expression and reduced by receptor editing (Article)</title>
      <link>http://repub.eur.nl/res/pub/10300/</link>
      <pubDate>2004-01-01T00:00:00Z</pubDate>
      <description>In the mouse, Bruton's tyrosine kinase (Btk) is essential for efficient
      developmental progression of CD43(+)CD2(-) large cycling into
      CD43(-)CD2(+) small resting pre-B cells in the bone marrow and of
      IgM(high) transitional type 2 B cells into IgM(low) mature B cells in the
      spleen. In this study, we show that the impaired induction of cell surface
      changes in Btk-deficient pre-B cells was still noticeable in kappa(+)
      immature B cells, but was largely corrected in lambda(+) immature B cells.
      As lambda gene rearrangements are programmed to follow kappa
      rearrangements and lambda expression is associated with receptor editing,
      we hypothesized that the transit time through the pre-B cell compartment
      or receptor editing may affect the extent of the cellular maturation
      defects in Btk-deficient B cells. To address this issue, we used 3-83 mu
      delta transgenic mice, which prematurely express a complete B cell
      receptor and therefore manifest accelerated B cell development. In
      Btk-deficient 3-83 mu delta mice, the IgM(+) B cells in the bone marrow
      exhibited a very immature phenotype (pre-BCR(+)CD43(+)CD2(-)) and were
      arrested at the transitional type 1 B cell stage upon arrival in the
      spleen. However, these cellular maturation defects were largely restored
      when Btk-deficient 3-83 mu delta B cells were on a centrally deleting
      background and therefore targeted for receptor editing. Providing an
      extended time window for developing B cells by enforced expression of the
      antiapoptotic gene Bcl-2 did not alter the Btk dependence of their
      cellular maturation. We conclude that premature B cell receptor expression
      amplifies the cellular maturation defects in Btk-deficient B cells, while
      extensive receptor editing reduces these defects.</description>
    </item> <item>
      <title>Function of Bruton's tyrosine kinase during B cell development is partially independent of its catalytic activity (Article)</title>
      <link>http://repub.eur.nl/res/pub/10244/</link>
      <pubDate>2003-01-01T00:00:00Z</pubDate>
      <description>The Tec family member Bruton's tyrosine kinase (Btk) is a cytoplasmic
      protein tyrosine kinase that transduces signals from the pre-B and B cell
      receptor (BCR). Btk is involved in pre-B cell maturation by regulating
      IL-7 responsiveness, cell surface phenotype changes, and the activation of
      lambda L chain gene rearrangements. In mature B cells, Btk is essential
      for BCR-mediated proliferation and survival. Upon BCR stimulation, Btk is
      transphosphorylated at position Y551, which promotes its catalytic
      activity and subsequently results in autophosphorylation at position Y223
      in the Src homology 3 domain. To address the significance of Y223
      autophosphorylation and the requirement of enzymatic activity for Btk
      function in vivo, we generated transgenic mice that express the
      autophosphorylation site mutant Y223F and the kinase-inactive mutant
      K430R, respectively. We found that Y223 autophosphorylation was not
      required for the regulation of IL-7 responsiveness and cell surface
      phenotype changes in differentiating pre-B cells, or for peripheral B cell
      differentiation. However, expression of the Y223F-Btk transgene could not
      fully rescue the reduction of lambda L chain usage in Btk-deficient mice.
      In contrast, transgenic expression of kinase-inactive K430R-Btk completely
      reconstituted lambda usage in Btk-deficient mice, but the defective
      modulation of pre-B cell surface markers, peripheral B cell survival, and
      BCR-mediated NF-kappaB induction were partially corrected. From these
      findings, we conclude that: 1) autophosphorylation at position Y223 is not
      essential for Btk function in vivo, except for regulation of lambda L
      chain usage, and 2) during B cell development, Btk partially acts as an
      adapter molecule, independent of its catalytic activity.</description>
    </item> <item>
      <title>Impaired hematopoiesis in mice lacking the transcription factor Sp3 (Article)</title>
      <link>http://repub.eur.nl/res/pub/8232/</link>
      <pubDate>2003-01-01T00:00:00Z</pubDate>
      <description>As the zinc-finger transcription factor specificity protein 3 (Sp3) has
      been implicated in the regulation of many hematopoietic-specific genes, we
      analyzed the role of Sp3 in hematopoiesis. At embryonic day 18.5 (E18.5),
      Sp3-/- mice exhibit a partial arrest of T-cell development in the thymus
      and B-cell numbers are reduced in liver and spleen. However, pre-B-cell
      proliferation and differentiation into immunoglobulin M-positive (IgM+) B
      cells in vitro are not affected. At E14.5 and E16.5, Sp3-/- mice exhibit a
      significant delay in the appearance of definitive erythrocytes in the
      blood, paralleled by a defect in the progression of differentiation of
      definitive erythroid cells in vitro. Perinatal death of the null mutants
      precludes the analysis of adult hematopoiesis in Sp3-/- mice. We therefore
      investigated the ability of E12.5 Sp3-/- liver cells to contribute to the
      hematopoietic compartment in an in vivo transplantation assay. Sp3-/-
      cells were able to repopulate the B- and T-lymphoid compartment, albeit
      with reduced efficiency. In contrast, Sp3-/- cells showed no significant
      engraftment in the erythroid and myeloid lineages. Thus, the absence of
      Sp3 results in cell-autonomous hematopoietic defects, affecting in
      particular the erythroid and myeloid cell lineages.</description>
    </item> <item>
      <title>Bruton's tyrosine kinase cooperates with the B cell linker protein SLP-65 as a tumor suppressor in Pre-B cells (Article)</title>
      <link>http://repub.eur.nl/res/pub/8407/</link>
      <pubDate>2003-01-01T00:00:00Z</pubDate>
      <description>Expression of the pre-B cell receptor (pre-BCR) leads to activation of the
      adaptor molecule SLP-65 and the cytoplasmic kinase Btk. Mice deficient for
      one of these signaling proteins have an incomplete block in B cell
      development at the stage of large cycling pre-BCR+CD43+ pre-B cells. Our
      recent findings of defective SLP-65 expression in approximately 50% of
      childhood pre-B acute lymphoblastic leukemias and spontaneous pre-B cell
      lymphoma development in SLP-65-/- mice demonstrate that SLP-65 acts as a
      tumor suppressor. To investigate cooperation between Btk and SLP-65, we
      characterized the pre-B cell compartment in single and double mutant mice,
      and found that the two proteins have a synergistic role in the
      developmental progression of large cycling into small resting pre-B cells.
      We show that Btk/SLP-65 double mutant mice have a dramatically increased
      pre-B cell tumor incidence ( approximately 75% at 16 wk of age), as
      compared with SLP-65 single deficient mice (&lt;10%). These findings
      demonstrate that Btk cooperates with SLP-65 as a tumor suppressor in pre-B
      cells. Furthermore, transgenic low-level expression of a constitutive
      active form of Btk, the E41K-Y223F mutant, prevented tumor formation in
      Btk/SLP-65 double mutant mice, indicating that constitutive active Btk can
      substitute for SLP-65 as a tumor suppressor.</description>
    </item> <item>
      <title>Impaired precursor B cell differentiation in Bruton's tyrosine kinase-deficient mice (Article)</title>
      <link>http://repub.eur.nl/res/pub/9870/</link>
      <pubDate>2002-01-01T00:00:00Z</pubDate>
      <description>Bruton's tyrosine kinase (Btk) is a cytoplasmic signaling molecule that is
      crucial for precursor (pre-B) cell differentiation in humans. In this
      study, we show that during the transition of large cycling to small
      resting pre-B cells in the mouse, Btk-deficient cells failed to
      efficiently modulate the expression of CD43, surrogate L chain, CD2, and
      CD25. In an analysis of the kinetics of pre-B cell differentiation in
      vivo, Btk-deficient cells manifested a specific developmental delay within
      the small pre-B cell compartment of about 3 h, when compared with
      wild-type cells. Likewise, in in vitro bone marrow cultures, Btk-deficient
      large cycling pre-B cells showed increased IL-7 mediated expansion and
      reduced developmental progression into noncycling CD2(+)CD25(+) surrogate
      L chain-negative small pre-B cells and subsequently into Ig-positive B
      cells. Furthermore, the absence of Btk resulted in increased proliferative
      responses to IL-7 in recombination-activating gene-1-deficient pro-B
      cells. These findings identify a novel role for Btk in the regulation of
      the differentiation stage-specific modulation of IL-7 responsiveness in
      pro-B and pre-B cells. Moreover, our results show that Btk is critical for
      an efficient transit through the small pre-B cell compartment, thereby
      regulating cell surface phenotype changes during the developmental
      progression of cytoplasmic mu H chain expressing pre-B cells into immature
      IgM(+) B cells.</description>
    </item> <item>
      <title>Bruton's tyrosine kinase regulates the activation of gene rearrangements at the lambda light chain locus in precursor B cells in the mouse (Article)</title>
      <link>http://repub.eur.nl/res/pub/9639/</link>
      <pubDate>2001-01-01T00:00:00Z</pubDate>
      <description>Bruton's tyrosine kinase (Btk) is a nonreceptor tyrosine kinase involved
          in precursor B (pre-B) cell receptor signaling. Here we demonstrate that
          Btk-deficient mice have an approximately 50% reduction in the frequency of
          immunoglobulin (Ig) lambda light chain expression, already at the immature
          B cell stage in the bone marrow. Conversely, transgenic mice expressing
          the activated mutant Btk(E41K) showed increased lambda usage. As the
          kappa/lambda ratio is dependent on (a) the level and kinetics of kappa and
          lambda locus activation, (b) the life span of pre-B cells, and (c) the
          extent of receptor editing, we analyzed the role of Btk in these
          processes. Enforced expression of the Bcl-2 apoptosis inhibitor did not
          alter the Btk dependence of lambda usage. Crossing 3-83mudelta
          autoantibody transgenic mice into Btk-deficient mice showed that Btk is
          not essential for receptor editing. Also, Btk-deficient surface Ig(+) B
          cells that were generated in vitro in interleukin 7-driven bone marrow
          cultures manifested reduced lambda usage. An intrinsic defect in lambda
          locus recombination was further supported by the finding in Btk-deficient
          mice of reduced lambda usage in the fraction of pre-B cells that express
          light chains in their cytoplasm. These results implicate Btk in the
          regulation of the activation of the lambda locus for V(D)J recombination
          in pre-B cells.</description>
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