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Cover Page

The handle

http://hdl.handle.net/1887/136912

holds various files of this Leiden University

dissertation.

Author: Barnhoorn, M.C.

Title: Stromal cells in inflammatory bowel disease : perspectives of local mesenchymal

stromal cell therapy

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Copyright © 2020 Marieke Barnhoorn. All rights reserved. No part of this thesis may be reproduced, stored or transmitted in any way or by any means without the prior permission of the author, or when applicable, of the publishers of the scientific papers.

ISBN: 978-94-6380-760-9

Design and Lay-out: Vera van Ommeren, persoonlijkproefschrift.nl Printing: ProefschriftMaken

Cover: Fart in the wind, Do Ho Suh

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Stromal cells in Inflammatory Bowel Disease

Perspectives of local mesenchymal stromal cell therapy

Proefschrift ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus Prof. mr. C.J.J.M. Stolker,

volgens besluit van het College voor Promoties, te verdedigen op donderdag 7 mei 2020

klokke 15:00 uur

Door

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Promotor: Prof. dr. ir. H.W. Verspaget Co-promotores: Dr. A.E. van der Meulen-de Jong

Dr. L.J.A.C. Hawinkels Promotiecommissie: Prof. dr. J.J. Zwaginga

Prof. dr. C.J. van der Woude (Erasmus MC)

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TABLE OF CONTENTS

Chapter 1 General introduction 9

Chapter 2 Stromal cells in the pathogenesis of inflammatory bowel disease 21

Chapter 3 Immunoregulatory role of fibroblasts derived from Crohn’s disease

associated perianal fistulas. 57

Chapter 4 Long-term evaluation of allogeneic bone marrow-derived

mesenchymal stromal cells for treatment of Crohn’s disease perianal fistulas

85

Chapter 5 Lymphoproliferative disease in the rectum 4 years after local mesenchymal stromal cell therapy for refractory perianal Crohn’s fistulas: a case report

101

Chapter 6 Intraluminal injection of mesenchymal stromal cells in spheroids

attenuates experimental colitis 113

Chapter 7 Endoscopic administration of mesenchymal stromal cells reduce

inflammation in experimental colitis 141

Chapter 8 Mesenchymal stromal cell-derived exosomes contribute to epithelial regeneration in experimental inflammatory bowel disease 167 Chapter 9 The local cytokine milieu in patients with inflammatory bowel disease

impacts phenotype and function of mesenchymal stromal cells 185

Chapter 10 Summarizing discussion 215

Appendix Nederlandse samenvatting 234

List of publications 238

Curriculum vitae 239

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