Table Of ContentAdvances in Experimental Medicine and Biology  1060
Benjamin M.J Owens
Matthew A. Lakins   Editors 
Stromal 
Immunology
Advances in Experimental Medicine and Biology
Editorial Board:
IRUN R. COHEN, The Weizmann Institute of Science, Rehovot, Israel
ABEL LAJTHA, N.S. Kline Institute for Psychiatric Research, Orangeburg, NY, USA
JOHN D. LAMBRIS, University of Pennsylvania, Philadelphia, PA, USA
RODOLFO PAOLETTI, University of Milan, Milan, Italy
NIMA REZAEI, Tehran University of Medical Sciences, Tehran, Iran
More information about this series at http://www.springer.com/series/5584
Benjamin M.J Owens  •  Matthew A. Lakins
Editors
Stromal Immunology
Editors
Benjamin M.J Owens Matthew A. Lakins
Somerville College F-star Biotechnology Ltd.,
University of Oxford Babraham Research Campus
Oxford, UK Cambridge, UK
EUSA Pharma
Hemel Hempstead
Hertfordshire, UK
ISSN 0065-2598          ISSN 2214-8019  (electronic)
Advances in Experimental Medicine and Biology
ISBN 978-3-319-78125-9        ISBN 978-3-319-78127-3  (eBook)
https://doi.org/10.1007/978-3-319-78127-3
Library of Congress Control Number: 2018948663
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Preface
The concept for this book arose as a result of growing interest in the investigation of 
non-hematopoietic stromal cells and their impact on immune responses. Through 
interactions during diverse doctoral and postdoctoral research programmes  spanning 
several years at the University of York, the University of Cambridge and the 
University of Oxford, we recognised a need for a cohesive group to bring together 
scientists interested in the concepts underlying stromal immunology, and the 
Stromal Immunology Group (StIG) was born.
Having organised several successful international StIG conferences, we felt that 
a missing part of the picture was an advanced book comprising a collection of writ-
ings from leaders in stromal immunology that could act as a primer for professional 
researchers new to this specialist field. This book would also provide support for the 
teaching of graduate and undergraduate students in science and medicine.
What follows is the collected work of scientists and physicians from across the 
world, all of whom share a belief in the huge potential for research into stromal 
immunology to contribute to medical research. Topics covered range from the inter-
action between leukocytes and lymph node stromal cells, inflammatory responses of 
mesenchymal stem cells and fibroblasts to the key roles of stromal cells in response 
to infection, the tumour microenvironment and the healthy and inflamed intestine. 
Important avenues for future research are addressed, as are the uses of advanced cell 
culture systems for the investigation of human tissue stromal cell function and stro-
mal cell targeting for therapeutic benefit.
Numerous studies have addressed the significant therapeutic potential of exploit-
ing stromal cells in combating disease. Pancreatic cancer, for example, and specifi-
cally pancreatic ductal adenocarcinoma (PDAC), is a stromal-rich, lethal malignancy 
fundamentally resistant to standard of care therapies. Much work has been carried 
out targeting the desmoplasmic nature of PDAC, particularly the cancer-associated 
fibroblast and endothelial cell containing component. Whilst strategies aimed at 
depleting these cell types to aid drug perfusion and immune cell infiltration work 
well in murine models, the translatability of such approaches remains in question.
This approach is not limited to pancreatic cancer. Many other stromal-rich 
tumours which employ a highly desmoplastic stroma as a physical barrier to immune 
v
vi Preface
cell infiltration could be treated in such a way. Breast, prostate, and colon cancer all 
recruit and influence their tumour microenvironment in order to regulate immune 
escape, promote metastasis and aid progression. These cancers, and more recently 
others such as non-small cell lung carcinoma, are put through a prognostic test 
evaluating their tumour:stroma ratio and the outcome is used to successfully predict 
prognosis and the chances of relapse. Soon, tools such as the tumour:stroma ratio 
measurement could serve as an influencing factor on suggested treatment and 
whether targeting the stroma is a valid approach for those specific diseases.
Similarly, gaining a deeper understanding of specific mediators of stromal cell 
activation in chronically inflamed tissue – such as the recent discovery of Oncostatin 
M as a driver of intestinal stromal cell activation during inflammatory bowel dis-
ease – may lead to the identification of novel therapeutic axes that can be targeted 
to  revolutionise  therapy  for  patients  with  these  debilitating  inflammatory 
conditions.
We hope that this introduction to advanced concepts in stromal immunology 
serves as a useful, stimulating and enjoyable tool for those with an interest in 
 learning more about this exciting area of immunology, and we look forward to 
 seeing the field expand and grow over the coming years.
And remember, ‘It’s all about the Stroma’
Oxford, UK  Benjamin M.J Owens  
Hertfordshire, UK
Cambridge, UK   Matthew A. Lakins
Acknowledgements
This textbook was produced as a collaboration between the British Society for 
Immunology,  the  BSI  Stromal  Immunology  Group  and  Springer  Publishing, 
USA. We are indebted to all the authors for their valuable contributions.
vii
Contents
 1   Leukocyte-Stromal Interactions Within Lymph Nodes . . . . . . . . . . . .    1
Joshua D’Rozario, David Roberts, Muath Suliman,  
Konstantin Knoblich, and Anne Fletcher
 2   Stromal Cell Responses in Infection . . . . . . . . . . . . . . . . . . . . . . . . . . .   23
Paul M. Kaye
 3   Fibroblasts and Osteoblasts in Inflammation and Bone Damage . . .   37
Jason D. Turner, Amy J. Naylor, Christopher Buckley,  
Andrew Filer, and Paul-Peter Tak
 4   Molecular and Cellular Requirements for the Assembly  
of Tertiary Lymphoid Structures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   55
C. G. Mueller, S. Nayar, J. Campos, and F. Barone
 5   Mesenchymal Stem Cells as Endogenous Regulators  
of Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   73
Hafsa Munir, Lewis S. C. Ward, and Helen M. McGettrick
 6   Stromal Cells in the Tumor Microenvironment . . . . . . . . . . . . . . . . . .   99
Alice E. Denton, Edward W. Roberts, and Douglas T. Fearon
 7   Immunosuppression by Intestinal Stromal Cells . . . . . . . . . . . . . . . . .  115
Iryna V. Pinchuk and Don W. Powell
 8   Novel Models to Study Stromal Cell- Leukocyte  
Interactions in Health and Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . .  131
Mattias Svensson and Puran Chen
 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  147
ix
Contributors
F. Barone Rheumatology Research Group, Institute of Inflammation and Ageing 
(IIA), University of Birmingham, Birmingham, UK
Christopher Buckley Rheumatology Research Group, Institute for Inflammation 
and Ageing, College of Medical and Dental Sciences, University of Birmingham, 
Queen Elizabeth Hospital, Birmingham, UK
The Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK
J. Campos Rheumatology Research Group, Institute of Inflammation and Ageing 
(IIA), University of Birmingham, Birmingham, UK
Puran  Chen Center  for  Infectious  Medicine,  F59,  Department  of  Medicine, 
Karolinska  Institutet,  Karolinska  University  Hospital,  Huddinge,  Stockholm, 
Sweden
Joshua D’Rozario Department of Biochemistry and Molecular Biology, Monash 
University, Clayton, VIC, Australia
Institute  of  Immunology  and  Immunotherapy,  University  of  Birmingham, 
Birmingham, UK
Alice E. Denton Lymphocyte Signalling and Development, Babraham Institute, 
Cambridge, UK
Douglas  T.  Fearon Cold  Spring  Harbor  Laboratory,  Weill  Cornell  Medical 
College, New York, NY, USA
Andrew Filer Rheumatology Research Group, Institute for Inflammation and 
Ageing, College of Medical and Dental Sciences, University of Birmingham, Queen 
Elizabeth Hospital, Birmingham, UK
Anne Fletcher Department of Biochemistry and Molecular Biology, Monash 
University, Clayton, VIC, Australia
Institute  of  Immunology  and  Immunotherapy,  University  of  Birmingham, 
Birmingham, UK
xi
xii Contributors
Paul M. Kaye Centre for Immunology and Infection, Department of Biology and 
Hull York Medical School, University of York, York, UK
Konstantin  Knoblich Department  of  Biochemistry  and  Molecular  Biology, 
Monash University, Clayton, VIC, Australia
Institute  of  Immunology  and  Immunotherapy,  University  of  Birmingham, 
Birmingham, UK
Helen M. McGettrick Rheumatology Research Group, Institute of Inflammation 
and Ageing, University of Birmingham, Birmingham, UK
C. G. Mueller CNRS UPR 3572, Laboratory of Immunopathology and Therapeutic 
Chemistry/Laboratory of Excellence MEDALIS, Institut de Biologie Moléculaire et 
Cellulaire, Université de Strasbourg, Strasbourg, France
Hafsa Munir MRC Cancer Unit/Hutchison, University of Cambridge, Cambridge, 
UK
S. Nayar Rheumatology Research Group, Institute of Inflammation and Ageing 
(IIA), University of Birmingham, Birmingham, UK
Amy J. Naylor Rheumatology Research Group, Institute for Inflammation and 
Ageing, College of Medical and Dental Sciences, University of Birmingham, Queen 
Elizabeth Hospital, Birmingham, UK
Iryna V. Pinchuk Departments of Internal Medicine, University of Texas Medical 
Branch, Galveston, TX, USA
Microbiology and Immunology, University of Texas Medical Branch, Galveston, 
TX, USA
Don W. Powell Departments of Internal Medicine, University of Texas Medical 
Branch, Galveston, TX, USA
Neuroscience, Cell Biology and Anatomy, University of Texas Medical Branch, 
Galveston, TX, USA
David  Roberts Institute  of  Immunology  and  Immunotherapy,  University  of 
Birmingham, Birmingham, UK
Edward W. Roberts Department of Pathology, University of California San 
Francisco, San Francisco, CA, USA
Muath  Suliman Institute  of  Immunology  and  Immunotherapy,  University  of 
Birmingham, Birmingham, UK
Mattias Svensson Center for Infectious Medicine, F59, Department of Medicine, 
Karolinska  Institutet,  Karolinska  University  Hospital,  Huddinge,  Stockholm, 
Sweden