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Novel concepts employing autologous, ex vivo expanded natural regulatory T cells (nTreg) for adoptive transfer has potential to prevent organ rejection after kidney transplantation. However, the impact of dialysis and maintenance immunosuppression on the nTreg phenotype and peripheral survival is not well understood, but essential when assessing patient eligibility. The current study investigates regulatory T-cells in dialysis and kidney transplanted patients and the feasibility of generating a clinically useful nTreg product from these patients. Heparinized blood from 200 individuals including healthy controls, dialysis patients with end stage renal disease and patients 1, 5, 10, 15, 20 years after kidney transplantation were analyzed. Differentiation and maturation of nTregs were studied by flow cytometry in order to compare dialysis patients and kidney transplanted patients under maintenance immunosuppression to healthy controls. CD127 expressing CD4(+)CD25(high)FoxP3(+) nTregs were detectable at increased frequencies in dialysis patients with no negative impact on the nTreg end product quality and therapeutic usefulness of the ex vivo expanded nTregs. Further, despite that immunosuppression mildly altered nTreg maturation, neither dialysis nor pharmacological immunosuppression or previous acute rejection episodes impeded nTreg survival in vivo. Accordingly, the generation of autologous, highly pure nTreg products is feasible and qualifies patients awaiting or having received allogenic kidney transplantation for adoptive nTreg therapy. Thus, our novel treatment approach may enable us to reduce the incidence of organ rejection and reduce the need of long-term immunosuppression.
From face to face
(2019)
Despite advances in the conceptualisation of facial mimicry, its role in the processing of social information is a matter of debate. In the present study, we investigated the relationship between mimicry and cognitive and emotional empathy. To assess mimicry, facial electromyography was recorded for 70 participants while they completed the Multifaceted Empathy Test, which presents complex context-embedded emotional expressions. As predicted, inter-individual differences in emotional and cognitive empathy were associated with the level of facial mimicry. For positive emotions, the intensity of the mimicry response scaled with the level of state emotional empathy. Mimicry was stronger for the emotional empathy task compared to the cognitive empathy task. The specific empathy condition could be successfully detected from facial muscle activity at the level of single individuals using machine learning techniques. These results support the view that mimicry occurs depending on the social context as a tool to affiliate and it is involved in cognitive as well as emotional empathy.