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Recent Publications

Salivary microbiome responses to chlorhexidine and Coriandrum sativum essential oil mouthwashes in patients with periodontitis in a randomized 2-week clinical trial

Kazarina A, Vaškevica A, Emuliņa DE, Zayakin P, Hušča S, Pirsko V, Sokolovska L, Sergejeva N, Nakurte I, Pastare L, Ruhl S.

Accepted

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Clin. Oral Investig.

A randomized two-week clinical trial in patients with periodontitis, comparing how the salivary microbiome responds to chlorhexidine mouthwash and to a mouthwash containing coriander (Coriandrum sativum) essential oil.

Multiscale structural evolution of proline-rich protein genes shapes primate salivary defenses

Aguado WD, Karageorgiou C, Kassem S, Hernandez Rojas R, Veilleux CC, Melin AD, Vogel ER, Ruhl S, Gokcumen O, Pajić P.

2026

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Mol. Biol. Evol. msag224 (online ahead of print)

Comparative analysis of 27 primate species reveals how gene rearrangements and repeat variation contribute to the evolution of salivary proline-rich proteins.

Convergent evolution through independent rearrangements in the primate amylase locus

Karageorgiou C, Pajić P, Ruhl S, Gokcumen O.

2026

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Cell Rep. 45(6): 117445. Preprint: 10.1101/2025.08.14.670395

An analysis of 53 primate species shows the amylase locus to be a hotspot of structural variation, where independent gene duplications in different primate lineages repeatedly produced amylase copies expressed in the pancreas and salivary glands.

Identification of interbacterial adhesion between oral Schaalia species and streptococcal serine-rich repeat glycoproteins

Ahearn CP, Tettelin H, Vickerman MM, Ruhl S.

2026

Selected as Editor’s Choice article.

FEMS Microbiol. Lett. 373: fnag057

Schaalia isolates from dental plaque, tongue, and saliva bind to oral streptococci through the streptococcal serine-rich repeat glycoproteins, an interbacterial adhesion that helps explain how dental biofilms form.

The Oral Environment

Scannapieco FA, Ahearn CP, Ruhl S.

2026

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Book chapter. In: Lamont RJ, Hajishengallis G, Koo H, Belibasakis GN (eds.), Oral Microbiology and Immunology, 4th edition. ASM Press, Washington, DC.

Textbook chapter giving an overview of the environment in which oral microbes live.

Saliva Protein Genes in Humans were Shaped During Primate Evolution

Pajic P, Landau L, Gokcumen O, Ruhl S.

2025

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Genome Biol. Evol. 17(9): evaf165. Preprint: 10.1101/2024.02.14.580359

Gene duplication, loss, and changes in gene regulation reveal the evolutionary flexibility of genes encoding proteins in saliva.

Sialic Acid Identity Modulates Host Tropism of Sialoglycan-binding Viridans Group Streptococci

Morrison KM, Agarwal R, Stubbs HE, Yu H, Ruhl S, Chen X, Sullam PM, Bensing BA, Smith JC, Iverson TM*.

2025

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J. Biol. Chem. 301(9): 110540. Preprint: 10.1101/2025.06.24.660003

Using streptococcal adhesins that recognize both the human-type (Neu5Ac) and non-human-type (Neu5Gc) sialic acids, the study shows that sialic acid identity influences, but does not alone determine, which hosts viridans group streptococci prefer.

Human oral lectin ZG16B acts as a cell wall polysaccharide probe to decode host–microbe interactions with oral commensals

Ghosh S, Ahearn CP, Isabella CR, Marando VM, Dodge GJ, Bartlett H, McPherson RL, Dugan AE, Jain S, Neznanova L, Tettelin H, Putnik R, Grimes CL, Ruhl S, Kiessling LL, Imperiali B.

2023

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Proc. Natl. Acad. Sci. U.S.A. 120(22): e2216304120

The abundant salivary protein ZG16B is shown to be a lectin that binds cell wall polysaccharides of select oral commensals, most prominently Streptococcus vestibularis, and together with the salivary mucin MUC7 helps keep their growth in check.

A mechanism of gene evolution generating mucin function

Pajic P, Shen S, Qu J, May AJ, Knox SM, Ruhl S*, Gokcumen O*.

2022

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Sci. Adv. 8(34): eabm8757

Across mammals, new mucin genes arose repeatedly when secreted proline-rich proteins gained repeats rich in serine and threonine that become heavily O-glycosylated, revealing a recurring route by which new gene functions evolve.

Older Publications

For our complete publication list, visit:

Complete List of Publications from our Laboratory in Google Scholar

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Complete List of Publications from our Laboratory in Pubmed

MyBibliography

The Crossroads of Glycoscience, Infection, and Immunology

McKitrick TR, Ackerman ME, Anthony RM, Bennett CS, Demetriou M, Hudalla GA, Ribbeck K, Ruhl S, Woo CM, Yang L, Zost SJ, Schnaar RL, Doering TL.

2021

Front. Microbiol. 12: 731008

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A perspective based on a 2020 NIH workshop, outlining where glycoscience intersects with infection and immunity and how new glycan tools and resources can advance research.

Saliva and serum protein adsorption on chemically modified silica surfaces

Lehnfeld J, Dukashin Y, Mark J, White GD, Wu S, Katzur V, Müller R*, Ruhl S*.

2021

J. Dent. Res. 100: 1047–1054

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Using silica surfaces with seven different chemical coatings, the study shows that the amount of saliva and serum protein that adsorbs depends on the coating, but not in a way that simple surface properties such as wettability, surface energy, or charge can predict.

The Human Salivary Proteome Wiki: A community-driven research platform

Lau WW, Hardt M, Zhang YH, Freire M, Ruhl S.

2021

J. Dent. Res. 100: 1510–1519

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Introduces the Human Salivary Proteome Wiki, a public, community-curated database that collects and annotates information on the proteins found in human saliva.

Functional Specialization of Human Salivary Glands and Origins of Proteins Intrinsic to Human Saliva

Saitou M, Gaylord E, Xu D, Neznanova L, Nathan S, Grawe A, Chang J, Ryan W, Ruhl S*, Knox SM*, Gokcumen O*.

2020

Cell Rep. 33(7): 108402

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To understand the glandular origins of proteins in saliva, we performed the hitherto most comprehensive investigation of gene expression in healthy human salivary glands. Our results revealed that each mature salivary gland type contributes a distinct repertoire of proteins to saliva. We provide evidence that these unique, gland-specific secreted protein profiles emerge late in gland development. Our results suggest that the origins of salivary proteins in whole mixed saliva can be parsed out only through an integrative analysis of both protein and RNA levels.

The effects of modified sialic acids on mucus and erythrocytes on influenza A virus HA and NA functions

Barnard KN, Alford-Lawrence BK, Buchholz DW, Wasik BR, LaClair JR, Yu H, Honce R, Ruhl S, Pajic P, Daugherity EK, Chen X, Schultz-Cherry SL, Aguilar HC, Varki A, Parrish CR.

2020

J. Virol. 94: e01567-19. Preprint: 10.1101/800300

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Chemically modified forms of sialic acid found on mucus, in saliva, and on red blood cells of different animals can inhibit binding and cleavage by influenza A virus hemagglutinin and neuraminidase.

Human and Non-Human Lineage-Specific Footprints in the Salivary Proteome

Thamadilok S, Choi KS, Ruhl L, Schulte F, Reddy MS, Kazim AL, Hardt M, Gokcumen O, Ruhl S.

2020

Mol. Biol. Evol. 37: 395–405

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Here, we compared the proteomes of human saliva and the saliva of our closest extant evolutionary relatives, chimpanzees and gorillas, using macaques as an outgroup, with the aim to uncover features in saliva protein composition that are unique to each species. We found that humans produce a waterier saliva, containing less than half total protein than great apes and Old World monkeys. For all major salivary proteins in humans, we could identify counterparts in chimpanzee and gorilla saliva. However, we discovered unique protein profiles in saliva of humans that were distinct from those of nonhuman primates. These findings open up the possibility that dietary differences and pathogenic pressures may have shaped a distinct salivary proteome in the human lineage.

Independent Amylase Gene Copy Number Bursts Correlate with Dietary Preferences in Mammals

Pajic P, Pavlidis P, Dean K, Neznanova L, Romano R-A, Garneau D, Daugherity E, Globig A, Ruhl S*, Gokcumen O*.

2019

eLife

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Here, we present comprehensive evidence for AMY copy number expansions that independently occurred in several mammalian species which consume diets rich in starch. We also provide correlative evidence that AMY gene duplications may be an essential first step for amylase to be expressed in saliva. Our findings underscore the overall importance of gene copy number amplification as a flexible and fast evolutionary mechanism that can independently occur in different branches of the phylogeny.

Glycan Recognition at the Saliva – Oral Microbiome Interface

Cross BW, Ruhl S.

2018

Cell Immunol. 333: 19–33

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Review article describing the important roles of salivary glycans in oral microbial ecology and host defense.

Archaic Hominin Introgression in Africa Contributes to Functional Salivary MUC7 Genetic Variation

Xu D, Pavlidis P, Taskent RO, Alachiotis N, Flanagan C, DeGiorgio M, Blekhman R, Ruhl S*, Gokcumen O*.

2017

Mol. Biol. Evol. 34(10): 2704–2715

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Our investigation revealed a significant association of MUC7 haplotypic variation with the composition of the oral microbiome. Furthermore, we conclude that a divergent MUC7 haplotype likely originated in an unknown African hominin population and introgressed into ancestors of modern Africans.

Recent evolution of the salivary mucin MUC7

Xu D, Pavlidis P, Thamadilok S, Redwood E, Fox S, Blekhman R, Ruhl S*, Gokcumen O*.

2016

Sci. Rep. 6: 31791

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Traces how the gene for the salivary mucin MUC7 has changed in recent human and primate evolution, with a focus on variation in its glycosylated repeat region.

Absence of capsule reveals glycan-mediated binding and recognition of salivary mucin MUC7 by Streptococcus pneumoniae

Thamadilok S, Roche-Håkansson H, Håkansson AP, Ruhl S.

2016

Mol. Oral Microbiol. 31: 175–188

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Shows that Streptococcus pneumoniae lacking its polysaccharide capsule binds the salivary mucin MUC7 through recognition of its glycans, a binding that the capsule normally masks.

Oral streptococci utilize a Siglec-like domain of serine-rich repeat adhesins to preferentially target platelet sialoglycans in human blood

Deng L, Bensing BA, Thamadilok S, Yu H, Lau K, Chen X, Ruhl S, Sullam PM, Varki A.

2014

PLoS Pathog. 10: e1004540

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Oral streptococci use the Siglec-like binding domain of their serine-rich repeat adhesins to selectively target sialic acid-containing glycans on platelets in human blood, with implications for infective endocarditis.

Probing of microbial biofilm communities for coadhesion partners

Ruhl S, Eidt A, Melzl H, Reischl U, Cisar JO.

2014

Appl. Environ. Microbiol. 80: 6583–6590

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Describes an overlay method for screening the many species of dental plaque and other mixed biofilms for bacteria that adhere to one another (coadhesion partners).

Saliva-microbe interactions and salivary gland dysfunction

Baker OJ, Edgerton M, Kramer JM, Ruhl S.

2014

Adv. Dent. Res. 26: 7–14

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Review of how saliva and its components interact with oral microbes, and how salivary gland dysfunction can disturb this balance.

Implications of salivary protein binding to commensal and pathogenic bacteria

Heo SM, Ruhl S, Scannapieco FA.

2013

J. Oral Biosci. 55: 169–174

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Review of how salivary proteins bind to commensal and pathogenic bacteria, and what these interactions mean for oral and systemic health.

Salivary protein adsorption and Streptococcus gordonii adhesion to dental material surfaces

Schweikl H, Hiller K-A, Carl U, Schweiger R, Eidt A, Ruhl S, Müller R, Schmalz G.

2013

Dent. Mater. 29: 1080–1089

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Examines which salivary proteins adsorb to different dental material surfaces and how this protein layer influences the adhesion of Streptococcus gordonii.

Host defense proteins derived from human saliva bind to Staphylococcus aureus

Heo SM, Choi KS, Kazim LA, Reddy MS, Haase EM, Scannapieco FA, Ruhl S.

2013

Infect. Immun. 81: 1364–1373

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Identifies human salivary proteins with host-defense functions that bind to Staphylococcus aureus.

The scientific exploration of saliva in the post-proteomic era: from database back to basic function

Ruhl S.

2012

Expert Rev. Proteomics 9: 85–96

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Review arguing that, with the salivary proteome now catalogued, research should return to the basic functions of saliva and its proteins.

Surface-immobilized PAMAM-dendrimers modified with cationic or anionic terminal functions: physicochemical surface properties and conformational changes after application of liquid interface stress

Katzur V, Eichler M, Deigele E, Stage C, Karageorgiev P, Geis-Gerstorfer J, Schmalz G, Ruhl S, Rupp F, Müller R.

2011

J. Colloid. Interface Sci. 366: 179–190

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Characterizes surfaces coated with PAMAM dendrimers carrying positively or negatively charged end groups, including how the coatings change under liquid interface stress.

The impact of dendrimer-grafted surface modifications to model silicon surfaces on protein adsorption and bacterial adhesion

Eichler M, Katzur V, Scheideler Lutz, Haupt M, Geis-Gerstorfer J, Schmalz G, Ruhl S, Müller R, Rupp F.

2011

Biomaterials 32: 9168–9179

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Tests how grafting dendrimers onto model silicon surfaces affects protein adsorption and the subsequent adhesion of bacteria.

Integrity of proteins in human saliva after sterilization by gamma irradiation

Ruhl S, Berlenbach P, Langenfelder S, Hörl D, Lehn N, Hiller K-A, Schmalz G, Durchschlag H.

2011

Appl. Environ. Microbiol. 77: 749–755

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Assesses whether gamma irradiation can sterilize human saliva samples while keeping their proteins intact for research use.

Outer membrane protein (OMP) expression profile in Helicobacter pylori clinical isolates

Odenbreit S, Swoboda K, Barwig I, Ruhl S, Borén T, Koletzko S, Haas R.

2009

Infect. Immun. 77: 3782–3790

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Profiles the expression of outer membrane proteins, including adhesins, across clinical isolates of Helicobacter pylori.

Influences of protein films on antibacterial or bacteria-repellent surface coatings in a model system using silicon wafers

Müller R, Eidt A, Hiller K-A, Katzur V, Subat M, Schweikl H, Imazato S, Ruhl S, Schmalz G.

2009

Biomaterials 30: 4921–4929

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Uses silicon wafers as a model to test how an adsorbed protein film alters the performance of antibacterial and bacteria-repellent surface coatings.

Resemblance of salivary protein profiles in children with early childhood caries

Zehetbauer S, Wojahn T, Hiller K-A, Schmalz G, Ruhl S.

2009

Eur. J. Oral Sci. 117: 369–373

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Compares salivary protein profiles of young children with and without early childhood caries.

Identification of glycoprotein receptors within the human salivary proteome for the lectin-like BabA and SabA adhesins of Helicobacter pylori by fluorescence-based 2-D bacterial overlay

Walz A, Odenbreit S, Stühler K, Wattenberg A, Meyer HE, Mahdavi J, Borén T, Ruhl S.

2009

Proteomics 9: 1582–1592

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Uses a fluorescence-based two-dimensional bacterial overlay to identify salivary glycoproteins that serve as receptors for the Helicobacter pylori adhesins BabA and SabA.

Helicobacter pylori in human oral cavity and stomach

Bürgers R, Schneider-Brachert W, Reischl U, Behr A, Hiller K-A, Lehn N, Schmalz G, Ruhl S.

2008

Eur. J. Oral Sci. 116: 297–304

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Investigates whether Helicobacter pylori found in the mouth relates to H. pylori infection of the stomach in the same patients.

Adhesion of eukaryotic cells and Staphylococcus aureus to silicon model surfaces

Müller R, Ruhl S, Hiller K-A, Schmalz G, Schweikl H.

2007

J. Biomed. Mater. Res. A 84A: 817–827

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Compares how human cells and Staphylococcus aureus adhere to silicon model surfaces with different chemical modifications.

Fluorescence-based bacterial overlay method for simultaneous in situ quantification of surface-attached bacteria

Müller R, Gröger G, Hiller K-A, Schmalz G, Ruhl S.

2007

Appl. Environ. Microbiol. 73: 2653–2660

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Introduces a fluorescence-based overlay method for measuring bacteria attached to surfaces directly in place, for many samples at once.

Chemiluminescence-based detection and comparison of protein amounts adsorbed on differently modified silica surfaces

Müller R, Hiller K-A, Schmalz G, Ruhl S.

2006

Anal. Biochem. 359: 194–202

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Presents a chemiluminescence-based method to measure and compare the amounts of protein adsorbed on chemically modified silica surfaces.

Helicobacter pylori adhesion to carbohydrates

Aspholm M, Kalia A, Ruhl S, Schedin S, Arnqvist A, Sjöström R, Gerhard M, Semino-Mora C, Dubois A, Unemo M, Danielsson D, Teneberg S, Kon W, Berg D, Borén T.

2006

Meth. Enzymol. 417: 293–339

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Methods chapter on studying how Helicobacter pylori binds to host carbohydrates through its adhesins.

Proteome analysis of glandular parotid and submandibular-sublingual saliva in comparison to whole human saliva by two-dimensional gel electrophoresis

Walz A, Wattenberg A, Meyer HE, Schmalz G, Blüggel M, Ruhl S.

2006

Proteomics 6: 1631–1639

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Compares the protein make-up of parotid and submandibular-sublingual gland secretions with whole saliva using two-dimensional gel electrophoresis.

Identification and characterization of binding properties of Helicobacter pylori by glycoconjugate arrays

Walz A, Odenbreit S, Mahdavi J, Borén T, Ruhl S.

2005

Glycobiology 15: 700–708

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Uses glycoconjugate arrays to identify and characterize the carbohydrate structures that Helicobacter pylori binds.

Proteins in whole saliva during the first year of infancy

Ruhl S, Rayment SA, Schmalz G, Hiller K-A and Troxler RF.

2005

J. Dent. Res. 84: 29–34

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Follows how the protein composition of whole saliva changes during the first year of life.

Salivary receptors for the proline rich protein-binding and lectin-like adhesins of oral actinomyces and streptococci

Ruhl S, Sandberg AL and Cisar JO.

2004

J. Dent. Res. 83: 505–510

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Identifies the salivary molecules recognized by the proline-rich protein-binding and lectin-like adhesins of oral actinomyces and streptococci.

Salivary proteins and cytokines in drug-induced gingival overgrowth

Ruhl S, Hamberger S, Betz R, Sukkar T, Schmalz G, Seymour RA, Hiller K-A and Thomason JM.

2004

J. Dent. Res. 83: 322–326

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Examines salivary proteins and cytokines in patients with gingival overgrowth caused by medication.

Adhesion of viridans group streptococci to sialic acid-, galactose- and N-acetylgalactosamine-containing receptors

Takahashi Y, Ruhl S, Yoon J-W, Sandberg AL and Cisar JO.

2002

Oral Microbiol. Immunol. 17: 257–262

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Characterizes the binding of viridans group streptococci to receptors containing sialic acid, galactose, or N-acetylgalactosamine.

Identification of polymorphonuclear leukocyte and HL-60 cell receptors for adhesins of Streptococcus gordonii and Actinomyces naeslundii

Ruhl S, Cisar JO, Sandberg AL.

2000

Infect. Immun. 68: 6346–6354

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Identifies the receptors on neutrophils and HL-60 cells that are recognized by adhesins of Streptococcus gordonii and Actinomyces naeslundii.

Specific inhibitors of bacterial adhesion: Observations from the study of gram-positive bacteria that initiate biofilm formation on the tooth surface

Cisar JO, Takahashi Y, Ruhl S, Donkersloot JA, and Sandberg AL.

1997

Adv. Dent. Res. 11: 168–175

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Discusses specific inhibitors of bacterial adhesion, based on studies of the gram-positive bacteria that first colonize the tooth surface.

A specific cell surface antigen of Streptococcus gordonii is associated with bacterial hemagglutination and adhesion to α2-3-linked sialic acid-containing receptors

Takahashi Y, Sandberg AL, Ruhl S, Muller J, and Cisar JO.

1997

Infect. Immun. 65: 5042–5051

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Links a specific cell surface antigen of Streptococcus gordonii to its ability to agglutinate red blood cells and bind α2-3-linked sialic acid receptors.

Recognition of IgA1 by oral actinomyces and streptococcal lectins

Ruhl S, Sandberg AL, Cole MF, and Cisar JO.

1996

Infect. Immun. 64: 5421–5424

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Shows that lectins of oral actinomyces and streptococci recognize the glycans of human IgA1.

Putative glycoprotein and glycolipid polymorphonuclear leukocyte receptors for the Actinomyces naeslundii WVU45 lectin

Sandberg AL, Ruhl S, Joralmon RA, Brennan MJ, Sutphin MJ, and Cisar JO.

1995

Infect. Immun. 63: 2625–2631

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Identifies candidate glycoprotein and glycolipid receptors on neutrophils for the lectin of Actinomyces naeslundii WVU45.

Interferon-γ antagonizes interleukin-6-induced expression of interleukin-4 receptors in murine myeloid cells by a transcriptional mechanism

Ruhl S, Feldman GM, Akahane K, and Pluznik DH.

1993

Blood 82: 2641–2648

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Shows that interferon-γ blocks the interleukin-6-induced expression of interleukin-4 receptors in mouse myeloid cells at the level of transcription.

Soluble interleukin-4 receptor production by murine myeloid progenitor cells: induction by interleukin-6 and interferon-γ

Ruhl S, Pluznik DH, and Feldman GM.

1993

Cytokine 5: 144–149

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Shows that mouse myeloid progenitor cells produce a soluble form of the interleukin-4 receptor when stimulated with interleukin-6 and interferon-γ.

Dissociation of early and late markers of murine myeloid differentiation by interferon-gamma and interleukin-6

Ruhl S and Pluznik DH.

1993

J. Cell. Physiol. 155: 130–138

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Shows that interferon-γ and interleukin-6 can separate early and late markers of myeloid differentiation in mouse cells.

Interleukin-1 augments the expression of interleukin-2 receptors on differentiating myeloid cells

Ruhl S, Schwabe M, and Pluznik DH.

1992

Exp. Hematol. 20: 1208–1215

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Shows that interleukin-1 increases interleukin-2 receptor expression on differentiating myeloid cells.

Transient expression of the IL-2 receptor α-chain in IL-6-induced myeloid cells is regulated by autocrine production of prostaglandin E2

Ruhl S, Begley CG, Bickel M, and Pluznik DH.

1992

Exp. Hematol. 20: 619–625

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Shows that the brief appearance of the IL-2 receptor α-chain on IL-6-stimulated myeloid cells is controlled by prostaglandin E2 that the cells produce themselves.

Regulation of interleukin-4 receptors on murine myeloid progenitor cells by interleukin-6

Feldman GM, Ruhl S, Bickel M, Finbloom D, and Pluznik DH.

1991

Blood 78: 1678–1684

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Shows that interleukin-6 regulates interleukin-4 receptor expression on mouse myeloid progenitor cells.

Induction of interferon-β and 2'5'-oligoadenylate synthetase mRNA by interleukin-6 during differentiation of murine myeloid cells

Bickel M, Dveksler G, Dieffenbach CW, Ruhl S, Midura SB, and Pluznik DH.

1990

Cytokine 2: 1–9

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Shows that interleukin-6 induces interferon-β and 2'5'-oligoadenylate synthetase mRNA as mouse myeloid cells differentiate.

Adenosine and its derivates control human monocyte differentiation into highly accessory cells versus macrophages

Najar HM, Ruhl S, Bru-Capdeville AC, and Peters JH.

1990

J. Leuk. Biol. 47: 429–439

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Shows that adenosine and related compounds steer human monocytes toward becoming highly accessory cells rather than macrophages.

Veiled accessory cells deduced from monocytes

Peters JH, Ruhl S, and Friedrichs D.

1987

Immunobiol. 176: 154–166

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Describes the generation of veiled accessory cells from human blood monocytes.

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