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Karolinska institutet
Karolinska universitetssjukhuset
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Vivianne Malmström Group

Autoimmunity and adaptive immunity in rheumatic disease

About

Our overall aim is to identify critical immune reactions involved in development and perpetuation of rheumatic disease. We focus on both T and B cells and methods enabling the possibility to monitor immune responses in patient-derived research samples. In the longer perspective the data we generate can contribute to new therapeutic (curative or preventive) approaches beyond general immunosuppression, e.g. by antigen-specific tolerization or selective targeting of T cell clones etc.

Our research

We are experts on adaptive immunity and study specific immune reactions in patient-derived research samples. The diseases under investigation include rheumatoid arthritis (RA), ANCA-associated vasculitis, idiopathic inflammatory myopathies (myositis), Psoriatic arthritis (PsA) and systemic lupus erythematosus (SLE).
Many of these rheumatic diseases are characterized by a strong genetic association to genes in the HLA locus and to autoantibodies, which is the reason for our strong focus on B and T cells.

By close collaboration with clinician scientists and the rheumatology clinics at both K and ASC (Akademiskt Specialist Centrum) we have the unique possibility of studying immune reactions in well-characterized clinical material both with regard to time points (often longitudinal) in the disease process as well as with regard to tissue compartments (allowing e.g. comparison between site of inflammation and peripheral blood). We do deep immune profiling of lymphocyte phenotypes as well as receptor repertoire analyses of both B and T cells.

Ongoing research

  • Immune monitoring of autoreactive T cells in the periphery of RA patients and in individuals at risk of developing RA.
  • Immune profiling of autoreactive B cells in RA at different disease stages and in different tissues.
  • B cell immune profiling in blood and kidney in lupus nephritis, including dsDNA-reactivity.
  • BCR and TCR repertoires of autoreactive lymphocytes in RA, AAV, IIM and SLE.
  • T cell immune profiling in RA and PsA in blood and in the joint.
  • Studies of lymphocyte changes following DMARD therapy.
  • Multi-parameter flow and spectral flow cytometry.
  • Single cell sequencing.
  • In vitro lymphocyte assays e.g. fluorospots.
  • Multi-parameter tissue stainings.
  • Protein chemistry and structural biology.
  • Bioinformatic analyses.

Cooperations

We are experts in many facets of adaptive immunology but still collaborate extensively in order to do the best possible science out of the clinical samples we study. E.g. we collaborate within the division of rheumatology with:

Research group of:

Research teams of:

In addition, we have a strong network in Europe via the IMI-program RTCure.org.

Funding

We have ongoing grants from the

  • Swedish research council.
  • Gustav den V:s 80-year foundation.
  • The Swedish rheumatology association.

Group leader

Vivianne Malmström, professor, vivianne.malmstrom@ki.se

Group members

Alexandra Argyriou, postdoctoral researcher, alexandra.argyriou.2@ki.se

Cecilia Carlens, affiliated to research, cecilia.carlens@ki.se

Karine Chemin, senior research specialist, docent, karine.chemin@ki.se

Alexandra Circiumaru, affiliated to research, alexandra.circiumaru@ki.se

Elizabeth Clark, PhD student, elizabeth.clark@ki.se

Anatoly Dubnovitsky, project manager, +46852481436, anatoly.dubnovitsky@ki.se

Nora Euler, PhD student, nora.euler@ki.se

Masa Filipovic, postdoctoral researcher, masa.filipovic@ki.se

Marcelo Gomes Afonso, PhD student, marcelo.gomes.afonso@ki.se

Caroline Grönwall, senior research specialist, docent, caroline.gronwall@ki.se

Monika Hansson, senior lab manager, monika.hansson@ki.se

Aase Hensvold, affiliated to research, aase.hensvold@ki.se

Lennart Hess, research assistant, lennart.hess@ki.se

Annelien Hooijsma, PhD student, annelien.hooijsma@ki.se

Wenqi Huang, PhD student, wenqi.huang@ki.se

Lena Israelsson, affiliated to research, lena.israelsson@ki.se

Evlabia Karangoudini, affiliated to research, evlabia.karangoudini.2@ki.se

Lars Klareskog, senior professor, lars.klareskog@ki.se

Ravi Kumar, affiliated to research, ravi.kumar@ki.se

Bruno Raposo, senior lab manager, bruno.raposo@ki.se

Bence Rethi, senior research specialist, docent, bence.rethi@ki.se

Johan Rönnelid, affiliated to research, johan.ronnelid@ki.se

Carani Sanjeevi, affiliated to research, docent, sanjeevi.carani@ki.se

Marlene Schülein, PhD student, marlene.schuelein@ki.se

Merel Sijbranda, PhD student, merel.sijbranda@ki.se

Ragnhild Stålesen, biomedical scientist, ragnhild.stalesen@ki.se

Sara Turcinov, PhD student, sara.turcinov@ki.se

Kittikorn Wangriatisak, postdoctoral researcher, kittikorn.wangriatisak@ki.se

Annika van Vollenhoven, laboratory engineer, +46852481537, annika.van.vollenhoven@ki.se

Selected publications

About CMM

The Center for Molecular Medicine (CMM) is a foundation instituted by the Stockholm County Council (Region Stockholm). CMM is at the heart of a close partnership with the Karolinska University Hospital and Karolinska Institutet, fueling advancements in biomedical and clinical research.

Contact

Center for Molecular Medicine Foundation, org. nr. 815201-3689

Karolinska University Hospital L8:05

Visionsgatan 18

171 76 Stockholm, Sweden

communication@cmm.se

CMM
Karolinska institutet
Karolinska universitetssjukhuset