Anti-TNF drives regulatory T cell expansion by paradoxically promoting membrane TNF-TNF-RII binding in rheumatoid arthritis

The interplay between inflammatory and regulatory pathways orchestrates an effective immune response that provides protection from pathogens while limiting injury to host tissue. Tumor necrosis factor (TNF) is a pivotal inflammatory cytokine, but there is conflicting evidence as to whether it boosts or inhibits regulatory T cells (T reg cells). In this study, we show that the therapeutic anti-TNF antibody adalimumab, but not the soluble TNF receptor etanercept, paradoxically promoted the interaction between monocytes and T reg cells isolated from patients with rheumatoid arthritis (RA). Adalimumab bound to monocyte membrane TNF from RA patients and unexpectedly enhanced its expression and its binding to TNF-RII expressed on T reg cells. As a consequence, adalimumab expanded functional Foxp3(+) T reg cells equipped to suppress Th17 cells through an IL-2/STAT5-dependent mechanism. Our data not only highlight the beneficial effect of membrane TNF on T reg cell numbers during chronic inflammation, but in addition reveal how a therapeutic antibody that is thought to act by simply blocking its target can enhance the regulatory properties of this proinflammatory cytokine

T cell receptor reversed polarity recognition of a self-antigen major histocompatibility complex

Central to adaptive immunity is the interaction between the αβ T cell receptor (TCR) and peptide presented by the major histocompatibility complex (MHC) molecule. Presumably reflecting TCR-MHC bias and T cell signaling constraints, the TCR universally adopts a canonical polarity atop the MHC. We report the structures of two TCRs, derived from human induced T regulatory (iTreg) cells, complexed to an MHC class II molecule presenting a proinsulin-derived peptide. The ternary complexes revealed a 180° polarity reversal compared to all other TCR-peptide-MHC complex structures. Namely, the iTreg TCR α-chain and β-chain are overlaid with the α-chain and β-chain of MHC class II, respectively. Nevertheless, this TCR interaction elicited a peptide-reactive, MHC-restricted T cell signal. Thus TCRs are not 'hardwired' to interact with MHC molecules in a stereotypic manner to elicit a T cell signal, a finding that fundamentally challenges our understanding of TCR recognition

Emancipation in and integration of elementary and nursery schools 1981

Attitudes of heads of elementary schools, nursery schools and experimental combinations of elementary and nursery schools ( basisschool ) regarding the future 'basisschool' and emancipation of women. Mail-survey sex school staff / full-time or part-time / nr. of working hours in week / function position / present division of functions and tasks between male and female teachers / use of educational material especially selected for its emancipatory value / type of school catholic, Dutch reformed-protestant, normal neutral or specific neutral/ nursery school, elementary school, integrated 'basisschool' / reason for appointment to head of school / sex of extra teachers for experimental 'basisschool' / opinion about policy to integrate all elementary and nursery schools into 'basisschool' / future head of 'basisschool' / intention to apply for position of head of 'basisschool' / present cooperation in experiment with other elementary and nursery schools. Interviews on attitudes towards emancipation and roles of men and women / division of tasks and functions between men and women in schools / chances of women / perceived influence of institutions or persons concerning division of tasks and functions and procedures for appointment of heads of integrated 'basisschool'. Background variables: basic characteristics/ household characteristics/ occupation/employment/ religio

Onderwijs emancipatie en integratie 1981

Attitudes of heads of elementary schools, nursery schools and experimental combinations of elementary and nursery schools ( basisschool ) regarding the future 'basisschool' and emancipation of women. Mail-survey sex school staff / full-time or part-time / nr. of working hours in week / function position / present division of functions and tasks between male and female teachers / use of educational material especially selected for its emancipatory value / type of school catholic, Dutch reformed-protestant, normal neutral or specific neutral/ nursery school, elementary school, integrated 'basisschool' / reason for appointment to head of school / sex of extra teachers for experimental 'basisschool' / opinion about policy to integrate all elementary and nursery schools into 'basisschool' / future head of 'basisschool' / intention to apply for position of head of 'basisschool' / present cooperation in experiment with other elementary and nursery schools. Interviews on attitudes towards emancipation and roles of men and women / division of tasks and functions between men and women in schools / chances of women / perceived influence of institutions or persons concerning division of tasks and functions and procedures for appointment of heads of integrated 'basisschool'. Background variables: basic characteristics/ household characteristics/ occupation/employment/ religio

Psammomatoid Ossifying Fibroma Is Defined by SATB2 Rearrangement

Psammomatoid ossifying fibroma (PsOF), also known as juvenile PsOF, is a benign fibro-osseous neoplasm predominantly affecting the extragnathic bones, particularly the frontal and ethmoid bones, with a preference for adolescents and young adults. The clinical and morphologic features of PsOF may overlap with those of other fibro-osseous lesions, and additional molecular markers would help increase diagnostic accuracy. Because identical chromosomal breakpoints at bands Xq26 and 2q33 have been described in 3 cases of PsOF located in the orbita, we aimed to identify the exact genes involved in these chromosomal breakpoints and determine their frequency in PsOF using transcriptome sequencing and fluorescence in situ hybridization (FISH). We performed whole RNA transcriptome sequencing on frozen tissue in 2 PsOF index cases and identified a fusion transcript involving SATB2, located on chromosome 2q33.1, and AL513487.1, located on chromosome Xq26, in one of the cases. The fusion was validated using reverse transcription (RT)-PCR and SATB2 FISH. The fusion lead to a truncated protein product losing most of the functional domains. Subsequently, we analyzed an additional 24 juvenile PsOFs, 8 juvenile trabecular ossifying fibromas (JTOFs), and 11 cemento-ossifying fibromas (COFs) for SATB2 using FISH and found evidence of SATB2 gene rearrangements in 58% (7 of 12) of the evaluable PsOF cases but not in any of the evaluable JTOF (n = 7) and COF (n = 7) cases. A combination of SATB2 immunofluorescence and a 2-color SATB2 FISH in our index case revealed that most tumor cells harboring the rearrangement lacked SATB2 expression. Using immunohistochemistry, 65% of PsOF, 100% of JTOF, and 100% of COF cases showed moderate or strong staining for SATB2. In these cases, we observed a mosaic pattern of expression with >25% of the spindle cells in between the bone matrix, with osteoblasts and osteocytes being positive for SATB2. Interestingly, 35% (8 of 23) of PsOFs, in contrast to JTOFs and COFs, showed SATB2 expression in <5% of cells. To our knowledge, this is the first report that shows the involvement of SATB2 in the development of a neoplastic lesion. In this study, we have showed that SATB2 rearrangement is a recurrent molecular alteration that appears to be highly specific for PsOF. Our findings support that PsOF is not only morphologically and clinically but also genetically distinct from JTOF and COF