Immune modulation
Our group, in close collaboration with the group of Marieke van Ham, investigates T cell-dependent B cell responses to gain understanding of the pathogenesis of B cell-mediated autoimmune diseases and other unwanted antibody responses, e.g. alloimmunization against blood products. We focus on T cell-dependent B cell responses, since T cells are essential for formation of affinity matured and class-switched pathogenic (IgG) antibodies. To do so we study the cellular interactions and differentiation underlying human B cell responses by integrating fundamental knowledge obtained in in vitro B cell cultures with translational data obtained by analyzing patient samples ex vivo.

Research lines
The research consists of three interconnected research lines:
Ex vivo analysis of antigen-specific B cells
Using specific antigen-probes and a dual fluorescent labelling approach we are able to identify and analyze the small fraction of antigen-specific B cells present in the overall pool of B cells in much detail by using multiparameter high-dimensional flow cytometry directly ex vivo during immunological intervention and disease. Hereby, we were able to demonstrate that so-called “atypical” CD11c+ B cells, previously related to autoimmunity and chronic exposure, are early precursors of a normal B cell response in humans. Furthermore, our results obtained in SARS-CoV-2 infected or vaccinated individuals suggest that a heterogenous activated B cell compartment precedes the classical MBC and ASC compartments and likely encompasses the decision point between ASC and MBC formation. These recent ex vivo antigen-specific B cell analyses reveal the complexity of the B cell compartment that arises upon antigen stimulation preceding classical MBC and ASC formation, in that it contains several CD11c+ B cell populations and activated B cells with multiple phenotypes. These populations partly overlap, as we identified a subset of CD11c positive activated B cells.
We currently use integrated surface protein expression, single cell transcriptomic and B cell receptor repertoire analysis of sorted antigen-specific B cells at different time points after antigen exposure to study the relatedness of different B cell subsets. Furthermore, based on transcriptomic analysis of the B cell precursors and their differentiation trajectory, we expect to obtain insight in regulatory and metabolic networks underlying the B cell differentiation.
We specifically aim to:
Identify specifically the B cell precursors of long-lived B cell responses
Insights in contribution of CD11c+ B cells to long-lived B cell response
Define ways to monitor and potentially irradicate recently induced B cell differentiation precursors of undesired MBC and ASC formation
Determine phenotypic landscape of Immunoglobulin and complement receptors on human B cell subsets
Investigate impact of immunomodulatory therapies on B cell responses
Ex vivo analysis of antigen-specific T cells
Considering the important role of CD4 T cell in the development of B cell responses, we also focus on the analyses of antigen-specific CD4 T cells ex vivo. A challenge in studying antigen-specific CD4 T cells is their very low frequency. This research lines connects very well with the experience in studying modulation of CD4 T cell responses by dendritic cells. Currently we are using several new approaches to determine frequency, but more importantly also phenotype of the antigen-specific CD4 T cells, such as a new platform for generation of MHCII multimers, an optimized activation-induced marker (AIM) assay, as well as antigen-specific TCR-fingerprinting based Thelper profiling.
We specifically aim to:
- Optimize analysis of antigen-specific CD4 T cells responses
- Study the role of B cells in CD4 T cell differentiation
- Decipher the role of CD4 T cell responses during tolerance-inducing (cell) therapy and vaccination
In vitro (3D lymph node organoid) B cell differentiation
We have extensive experience in studying B cell differentiation in minimalistic cultures in vitro starting from naïve B cells. Hereby we study the requirements for T cell-dependent B cell differentiation. We unravelled the first differentiation pathways from T-dependent human naïve B cells into IgG-secreting plasma cells using scRNAseq and identified a novel precursor of ASCs. In order to recapitulate GC B cell response in vitro even better as in our existing 2D in vitro culture systems, we are currently developing a more complex 3D lymph node like B cell culture system which include T and B cells to study B cell differentiation in a culture system that resembles in vivo environment and cellular interactions more closely.
We specifically aim to:
Establish 3D lymph node like multicellular organoid cultures that recapitulate the GC response
Establish factors that regulate bifurcation of human B cell differentiation into MBC and ASC
Explore ways to interfere in development of long-lived B cell responses as strategy for future targeted therapies to prevent unwanted B cell responses (eg during alloimmunization or autoimmunity) without affecting earlier established protective humoral responses.
Study effect of antigen density and antigen context on B cell differentiation
Investigate the effect of immune modulating cellular (extracorporeal photopheresis (ECP) and tolerogenic dendritic cell) therapies on B cells in vitro
Key publications
TNF inhibitors affect the induction and maintenance of spike-specific B-cell responses after mRNA vaccination. Kummer LY, Kuijper LH, Fernández Blanco L, Bos A, Kreher C, Verstegen NJ, Duurland MC, Konijn VA, Jorritsma T, Tempert M, Menage C, Steenhuis M, van Gils MJ, Claireaux M, Garcia-Vallejo JJ, D'Haens GR, Löwenberg M, Volkers AG, van Dam KP, Stalman EW, Wieske L, Tas SW, Boekel L, Wolbink G, Rispens T, Kuijpers TW, Eftimov F, van Ham SM, ten Brinke A. RMD Open. 2025 Aug 4;11(3):e005724. doi: 10.1136/rmdopen-2025-005724.
Deep profiling of B cells responding to various pathogens uncovers compartments in IgG memory B cell and antibody-secreting lineages. Claireaux M, Elias G, Kerster G, Kuijper LH, Duurland MC, Paul AGA, Burger JA, Poniman M, Olijhoek W, de Jong N, de Jongh R, Wynberg E, van Willigen HDG, Prins M, De Bree GJ, de Jong MD, Kuijpers TW, Eftimov F, van der Schoot CE, Rispens T, Garcia-Vallejo JJ, Ten Brinke A, van Gils MJ, van Ham SM. Sci Adv. 2025 Feb 21;11(8):eado1331. doi: 10.1126/sciadv.ado1331. Epub 2025 Feb 19.
Longevity of antibody responses is associated with distinct antigen-specific B cell subsets early after infection. Kuijper LH, Kreher C, Elias G, Claireaux M, Kerster G, Bos AV, Duurland MC, Konijn VAL, Paul AGA, de Jong N, de Jongh R, Steenhuis M, Garcia-Vallejo JJ, van Gils MJ, Kuijpers TW, Eftimov F, Rispens T, van der Schoot CE, van Ham SM, ten Brinke A. Front Immunol. 2024 Dec 17;15:1505719. doi: 10.3389/fimmu.2024.1505719. eCollection 2024.
Methotrexate treatment hampers induction of vaccine-specific CD4 T cell responses in patients with IMID. Kummer LYL, Fernández Blanco L, Kreher C, Bos A, Kuijper LH, Verstegen NJM, van de Sandt CE, Konijn VAL, Duurland MC, Menage C, Jorritsma T, Steenhuis M, Hagen RR, van den Dijssel J, de Jongh R, Ashhurst T, van Gils MJ, Garcia-Vallejo JJ, Claireaux M, Stalman EW, van Dam KPJ, Wieske L, Boekel L, Wolbink G, Tas SW, Rispens T, Kuijpers TW, Eftimov F, van Ham SM, Ten Brinke A; T2B! Immunity Against SARS-CoV-2 Study Group. RMD Open. 2024 Oct 7;10(4):e004664. doi: 10.1136/rmdopen-2024-004664.
Verstegen NJM, Hagen RR, Kreher C, Kuijper LH, van den Dijssel J, Ashhurst T, Kummer LYL, Palomares Cabeza V, Steenhuis M, Duurland MC, de Jongh R, van der Schoot CE, Konijn VAL, Mul E, Kedzierska K, van Dam KPJ, Stalman EW, Boekel L, Wolbink G, Tas SW, Killestein J, Rispens T, Wieske L, Kuijpers TW, Eftimov F, van Kempen ZLE, van Ham SM*, ten Brinke A*, van de Sandt CE* (*shared last). T cell activation markers CD38 and HLA-DR indicative of non-seroconversion in anti-CD20-treated patients with multiple sclerosis following SARS-CoV-2 mRNA vaccination. J Neurol Neurosurg Psychiatry. 2024 Mar 28:jnnp-2023-332224. doi: 10.1136/jnnp-2023-332224
Verstegen NJM, Pollastro S, Unger PA, Marsman C, Elias G, Jorritsma T, Streutker M, Bassler K, Haendler K, Rispens T, Schultze JL, ten Brinke A, Beyer M, van Ham SM. Single-cell analysis reveals dynamics of human B cell differentiation and identifies novel B and antibody-secreting cell intermediates Elife. 2023 Mar 2;12:e83578. doi: 10.7554/eLife.83578.
Steuten J, Bos AV, Kuijper LH, Claireaux M, Olijhoek W, Elias G, Duurland MC, Jorritsma T, Marsman C, Paul AGA, Garcia Vallejo JJ, van Gils MJ, Wieske L, Kuijpers TW, Eftimov F, van Ham SM, ten Brinke A. Distinct dynamics of antigen-specific induction and differentiation of different CD11c+ Tbet+ B cell subsets. J Allergy Clin Immunol. 2023 Feb 27:S0091-6749(23)00234-8.
Koers J, Marsman C, Steuten J, Tol S, Derksen NIL, ten Brinke A, van Ham SM, Rispens T. Oxygen level is a critical regulator of human B cell differentiation and IgG class switch recombination. Front Immunol. 2022 Dec 14;13:1082154.
Verstegen NJM, Hagen RR, van den Dijssel J, Kuijper LH, Kreher C, Ashhurst T, Kummer LYL, Steenhuis M, Duurland M, Jongh R, Jong N, van der Schoot E, Bos AV, Mul E, Kedzierska K, van Dam PJ, Stalman EW, Boekel L, Wolbink GL, Tas SW, Killestein J, van Kempen ZLE, Wieske L, Kuijpers TW, Eftimov F, Rispens T, van Ham SM*, ten Brinke A*, van de Sandt CE*; T2B! immunity against SARS-CoV-2 study group. *shared last author. Immune dynamics in SARS-CoV-2 experienced immunosuppressed rheumatoid arthritis or multiple sclerosis patients vaccinated with mRNA-1273. Elife. 2022 Jul 15;11:e77969.
Unger PA, Verstegen NJM, Marsman C, Jorritsma T, Rispens T, ten Brinke A, van Ham SM. Minimalistic In Vitro Culture to Drive Human Naive B Cell Differentiation into Antibody-Secreting Cells. Cells. 2021 May 12;10(5):1183.
Funding
- PPOC internal funding (in competition), various grants
- Horizon Europe (IMMUTOL) Home - IMMUTOL
- EU Horizon -MSCA DN (exTra) exTra- Doctoral Network – Innovative Applications of Extracorporeal Photopheresis in Solid Organ Transplantation

Liubov (L.) Babii



Dorina (D.I.) Roem-Haagsma



