Allergy and Immunology
Kellner Lab

Kellner Lab

The Kellner Lab focuses on patient-relevant research and investigates immune deficiency and dysregulation and the development of chronic lung disease in patients with immune deficiency and dysregulation. We are actively involved in basic, translational, and clinical research to understand the mechanisms of different immune deficiencies and how they may change over time. Our research bridges pediatrics and internal medicine, allergy and immunology and immunodeficiency / immune regulatory specialties, and clinical practice and research.

We are working to find new treatments and cures for primary immune deficiencies with the Primary Immune Deficiency Program at Cincinnati Children’s, whose research efforts are made possible with the support and involvement of patients. Immune deficiency has been classically regarded as a pediatric disease, but advances in both treatment and screening have transformed our understanding of the field and resulted in an increasing patient population of adults with immune deficiency. Thus, there is an emerging need for trained clinical and research experts in the area of adult immune deficiency. The adult immune deficiency clinics fulfill unmet patient needs and provide the basis for developing, related research programs. The ability to expand the immune deficiency cohort of patients from pediatric through adulthood will support more studies in the future, including natural history studies.

The Kellner Lab also investigates common variable immunodeficiency (CVID) and granulomatous lymphocytic interstitial lung disease in the context of treatment, monitoring, and understanding the pathophysiology. For this research, we leverage the United States Immunodeficiency Database (USIDNET) and the Rare Lung Diseases Consortium (RLDC, U54HL127672, PI Trapnell), which is a part of the Rare Diseases Clinical Research Network (RDCRN), an initiative of the Office of Rare Diseases Research (ORDR), NCATS. The RLDC is funded through a collaboration between the NCATS and the NHLBI and has large, national cohorts for patient-relevant research.

Cellular Defects in CVID with Chronic Lung Disease

As published in the Journal of Clinical Immunology, patients with common variable immunodeficiency (CVID) and chronic lung disease may be more likely to have lower peripheral T cell counts and complications of those cellular defects compared with patients with CVID without chronic lung disease. Read more about the study.

Publications

Kliewer, KL; Murray-Petzold, C; Collins, MH; Abonia, JP; Bolton, SM; DiTommaso, LA; Martin, LJ; Zhang, X; Mukkada, VA; Putnam, PE; et al. Benralizumab for eosinophilic gastritis: a single-site, randomised, double-blind, placebo-controlled, phase 2 trial. The Lancet Gastroenterology and Hepatology. 2023; 8:803-815.

Patel, GB; Kellner, ES; Clayton, E; Chhiba, KD; Alakija, O; Bryce, PJ; Wechsler, JB; Singh, AM. Quality of life is lower in adults labeled with childhood-onset food allergy than in those with adult-onset food allergy. Annals of Allergy, Asthma, and Immunology. 2021; 127:70-75.e2.

Prince, BT; Thielen, BK; Williams, KW; Kellner, ES; Arnold, DE; Cosme-Blanco, W; Redmond, MT; Hartog, NL; Chong, HJ; Holland, SM. Geographic Variability and Pathogen-Specific Considerations in the Diagnosis and Management of Chronic Granulomatous Disease. Pediatric Health, Medicine and Therapeutics. 2020; 11:257-268.

Lee, PY; Kellner, ES; Huang, Y; Furutani, E; Huang, Z; Bainter, W; Alosaimi, MF; Stafstrom, K; Platt, CD; Stauber, T; et al. Genotype and functional correlates of disease phenotype in deficiency of adenosine deaminase 2 (DADA2). Journal of Allergy and Clinical Immunology. 2020; 145:1664-1672.e10.

Kellner, ES; Rathbun, PA; Marshall, GS; Tolusso, LK; Smolarek, TA; Sun, M; Chandra, S; Bleesing, J; Marsh, RA. The Value of Chromosome Analysis to Interrogate Variants in DNMT3B Causing Immunodeficiency, Centromeric Instability, and Facial Anomaly Syndrome Type I (ICF1). Journal of Clinical Immunology. 2019; 39:857-859.

Kellner, ES; Fuleihan, R; Cunningham-Rundles, C; Wechsler, JB; Consortium, US I D N E T. Cellular Defects in CVID Patients with Chronic Lung Disease in the USIDNET Registry. Journal of Clinical Immunology. 2019; 39:569-576.

Kellner, ES; Krupski, C; Kuehn, HS; Rosenzweig, SD; Yoshida, N; Kojima, S; Boutboul, D; Latour, S; Barlogis, V; Galambrun, C; et al. Allogeneic hematopoietic stem cell transplant outcomes for patients with dominant negative IKZF1/IKAROS mutations. Journal of Allergy and Clinical Immunology. 2019; 144:339-342.