Anush Martirosyan, Eva Kriegova, Jana Ulehlova, Zaven Karalyan, Tomas Papajik, Gayane Manukyan
Antiphospholipid antibodies (aPL) are drivers of inflammation and thrombosis in antiphospholipid syndrome (APS). However, the molecular mechanisms underlying infection-induced exacerbation of APS remain incompletely understood. To identify novel pathways contributing to the pro-inflammatory and pro-coagulant activation of monocytes in APS, we screened fourteen Toll-like receptor (TLR) ligands for their ability to induce tissue factor (TF) expression in a monocyte-like cell line (THP-1). Among these, Pam3CSK4, a synthetic TLR1/2 ligand, emerged as a potent inducer of TF in the presence of aPL. Subsequent experiments revealed that Pam3CSK4 synergized with aPL to amplify both TF expression and IL-1β secretion. This synergistic effect was mediated via NF-κB signaling and required activation of the NLRP3 inflammasome. aPL priming promoted ATP release, providing the second signal for NLRP3 activation. Inhibition of NLRP3 markedly reduced Pam3CSK4-induced TF expression, suggesting a critical role for inflammasome signaling in monocyte procoagulant responses. These in vitro findings were confirmed in a mouse model of APS, supporting the pathogenic relevance of the TLR1/2–NLRP3 axis in vivo. Taken together, our results validate the “second hit” paradigm in APS and suggest a novel TLR1/2–NLRP3 axis as a key mediator of infection-driven inflammatory and thrombotic responses in aPL-primed monocytes.
{"title":"Pam3CSK4 As a Second Hit in NLRP3-Dependent Activation of Monocytes Primed With Antiphospholipid Antibodies","authors":"Anush Martirosyan, Eva Kriegova, Jana Ulehlova, Zaven Karalyan, Tomas Papajik, Gayane Manukyan","doi":"10.1002/eji.70245","DOIUrl":"10.1002/eji.70245","url":null,"abstract":"<p>Antiphospholipid antibodies (aPL) are drivers of inflammation and thrombosis in antiphospholipid syndrome (APS). However, the molecular mechanisms underlying infection-induced exacerbation of APS remain incompletely understood. To identify novel pathways contributing to the pro-inflammatory and pro-coagulant activation of monocytes in APS, we screened fourteen Toll-like receptor (TLR) ligands for their ability to induce tissue factor (TF) expression in a monocyte-like cell line (THP-1). Among these, Pam3CSK4, a synthetic TLR1/2 ligand, emerged as a potent inducer of TF in the presence of aPL. Subsequent experiments revealed that Pam3CSK4 synergized with aPL to amplify both TF expression and IL-1β secretion. This synergistic effect was mediated via NF-κB signaling and required activation of the NLRP3 inflammasome. aPL priming promoted ATP release, providing the second signal for NLRP3 activation. Inhibition of NLRP3 markedly reduced Pam3CSK4-induced TF expression, suggesting a critical role for inflammasome signaling in monocyte procoagulant responses. These in vitro findings were confirmed in a mouse model of APS, supporting the pathogenic relevance of the TLR1/2–NLRP3 axis in vivo. Taken together, our results validate the “second hit” paradigm in APS and suggest a novel TLR1/2–NLRP3 axis as a key mediator of infection-driven inflammatory and thrombotic responses in aPL-primed monocytes.</p>","PeriodicalId":165,"journal":{"name":"European Journal of Immunology","volume":"56 7","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13390583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicoline H. M. Den Hollander, Chelsea Gootjes, Maurits G. Staal, Antoinette M. Joosten, Tatjana Nikolic, Bart O. Roep, Diahann T. S. L. Jansen
Type 1 diabetes (T1D) results from T cell-mediated destruction of insulin-producing pancreatic beta-cells. Recently, the immune-provoking role of stress-related neoantigens has become evident. Neoantigens unlikely contribute to central tolerance and therefore hold strong immunogenic potential, but their role in peripheral immune regulation is unknown. Here, we sought proof of concept that Tregs can be generated against islet neoantigen INS-DRiP that results from stress-induced ribosomal misreads of insulin mRNA. Tregs were induced from naïve CD4 T cells isolated from a healthy donor and co-cultured with monocyte-derived tolerogenic DCs either pulsed with neoantigen INS-DRiP or native autoantigen (proinsulin-peptide C19A3) that can induce Tregs in T1D patients. Their phenotypes, cytokine profiles and suppressive capacity were compared. Tregs induced against neoantigen completely inhibited proliferation of naïve T cells upon cognate antigen-pulsed DC stimulation, which was indistinguishable from Tregs induced against C19A3. Phenotype and cytokine profiling showed co-clustering of native autoantigen- and neoantigen-specific Tregs, and distinction from T cells generated with antigen-pulsed proinflammatory instead of tolerogenic DCs. Naïve T cells exist against islet neoantigen that can be primed to become Tregs despite the high immunogenic potential of neoantigen. Induction of immune regulation to neoantigens may be useful as immune intervention or prevention of T1D.
{"title":"Generation of Regulatory T Cells Against Islet Neoantigen","authors":"Nicoline H. M. Den Hollander, Chelsea Gootjes, Maurits G. Staal, Antoinette M. Joosten, Tatjana Nikolic, Bart O. Roep, Diahann T. S. L. Jansen","doi":"10.1002/eji.70229","DOIUrl":"https://doi.org/10.1002/eji.70229","url":null,"abstract":"<p>Type 1 diabetes (T1D) results from T cell-mediated destruction of insulin-producing pancreatic beta-cells. Recently, the immune-provoking role of stress-related neoantigens has become evident. Neoantigens unlikely contribute to central tolerance and therefore hold strong immunogenic potential, but their role in peripheral immune regulation is unknown. Here, we sought proof of concept that Tregs can be generated against islet neoantigen INS-DRiP that results from stress-induced ribosomal misreads of insulin mRNA. Tregs were induced from naïve CD4 T cells isolated from a healthy donor and co-cultured with monocyte-derived tolerogenic DCs either pulsed with neoantigen INS-DRiP or native autoantigen (proinsulin-peptide C19A3) that can induce Tregs in T1D patients. Their phenotypes, cytokine profiles and suppressive capacity were compared. Tregs induced against neoantigen completely inhibited proliferation of naïve T cells upon cognate antigen-pulsed DC stimulation, which was indistinguishable from Tregs induced against C19A3. Phenotype and cytokine profiling showed co-clustering of native autoantigen- and neoantigen-specific Tregs, and distinction from T cells generated with antigen-pulsed proinflammatory instead of tolerogenic DCs. Naïve T cells exist against islet neoantigen that can be primed to become Tregs despite the high immunogenic potential of neoantigen. Induction of immune regulation to neoantigens may be useful as immune intervention or prevention of T1D.</p>","PeriodicalId":165,"journal":{"name":"European Journal of Immunology","volume":"56 7","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eji.70229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148358011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Serena Bettoni, Ebba Qviberg, Edward Chaloner, Hayley Lavender, Maisem Laabei
Discovered in the late 19th century as a heat-sensitive plasma factor called “alexin”, complement was first identified for its ability to work with antibodies to destroy microorganisms. Over the past two centuries, research advances have firmly established the complement system as a fundamental component of the immune system, with broader roles in immune surveillance, inflammation, and clearing immune complexes and apoptotic debris, while also bridging innate and adaptive immunity. Due to complement playing a central role in modulating biological processes on a system-wide scale, dysregulation or excessive activation can drive harmful inflammation and self-tissue damage. Despite some initial safety concerns and biological complexity, therapeutic targeting of the complement system has, over the past decade, emerged as a key strategy for controlling disorders in which its unregulated activation becomes pathogenic. However, inhibition of complement, particularly at the level of C3 or C5, predisposes patients to infections, most notably by encapsulated bacteria. These include a markedly increased risk of invasive infections caused by Neisseria meningitidis, as well as susceptibility to Streptococcus pneumoniae, Haemophilus influenzae, and other opportunistic viral and fungal pathogens. In this review, we aim to describe the infection risks associated with therapeutic complement inhibition and outline emerging approaches to mitigate their complications. These include optimised vaccination protocols, antimicrobial prophylaxis, patient education, and surveillance programs, as well as next-generation approaches such as pathway-selective inhibitors, personalised risk stratification, and adjunctive immune support. Enhancing these protective measures will be vital to optimising the therapeutic benefit of complement inhibition while reducing infectious morbidity and mortality.
{"title":"Complement Inhibition in the Clinic: Are We Doing Enough to Protect Patients From Infection?","authors":"Serena Bettoni, Ebba Qviberg, Edward Chaloner, Hayley Lavender, Maisem Laabei","doi":"10.1002/eji.70233","DOIUrl":"https://doi.org/10.1002/eji.70233","url":null,"abstract":"<p>Discovered in the late 19th century as a heat-sensitive plasma factor called “alexin”, complement was first identified for its ability to work with antibodies to destroy microorganisms. Over the past two centuries, research advances have firmly established the complement system as a fundamental component of the immune system, with broader roles in immune surveillance, inflammation, and clearing immune complexes and apoptotic debris, while also bridging innate and adaptive immunity. Due to complement playing a central role in modulating biological processes on a system-wide scale, dysregulation or excessive activation can drive harmful inflammation and self-tissue damage. Despite some initial safety concerns and biological complexity, therapeutic targeting of the complement system has, over the past decade, emerged as a key strategy for controlling disorders in which its unregulated activation becomes pathogenic. However, inhibition of complement, particularly at the level of C3 or C5, predisposes patients to infections, most notably by encapsulated bacteria. These include a markedly increased risk of invasive infections caused by <i>Neisseria meningitidis</i>, as well as susceptibility to <i>Streptococcus pneumoniae, Haemophilus influenzae</i>, and other opportunistic viral and fungal pathogens. In this review, we aim to describe the infection risks associated with therapeutic complement inhibition and outline emerging approaches to mitigate their complications. These include optimised vaccination protocols, antimicrobial prophylaxis, patient education, and surveillance programs, as well as next-generation approaches such as pathway-selective inhibitors, personalised risk stratification, and adjunctive immune support. Enhancing these protective measures will be vital to optimising the therapeutic benefit of complement inhibition while reducing infectious morbidity and mortality.</p>","PeriodicalId":165,"journal":{"name":"European Journal of Immunology","volume":"56 7","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eji.70233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148358012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emna Hannachi, Robin V. Lacombe, Amélia Trecco, Victoria Daventure, Sandrine Delignat, Jordan D. Dimitrov, Claire Deligne, Sébastien Lacroix-Desmazes
Removal of Fc-fragments from human IgG or Fc-fused proteins. (1) IgG or Fc-fusion proteins are incubated with IdeS-Fc; (2) Fc fragments are retained using protein G agarose beads; and (3) the F(ab’)2 fragments or Fc-free proteins are collected by centrifugation in the original buffer without IdeS contamination.