[HTML][HTML] Germinal center exclusion of autoreactive B cells is defective in human systemic lupus erythematosus

A Cappione, JH Anolik, A Pugh-Bernard… - The Journal of …, 2005 - Am Soc Clin Investig
A Cappione, JH Anolik, A Pugh-Bernard, J Barnard, P Dutcher, G Silverman, I Sanz
The Journal of clinical investigation, 2005Am Soc Clin Investig
Breach of B cell tolerance is central to the pathogenesis of systemic lupus erythematosus
(SLE). However, how B cell tolerance is subverted in human SLE is poorly understood due
to difficulties in identifying relevant autoreactive B cells and in obtaining lymphoid tissue. We
have circumvented these limitations by using tonsil biopsies to study autoreactive B cells
(9G4 B cells), whose regulation is abnormal in SLE. Here we show that 9G4 B cells are
physiologically excluded during the early stages of the GC reaction before acquiring a …
Breach of B cell tolerance is central to the pathogenesis of systemic lupus erythematosus (SLE). However, how B cell tolerance is subverted in human SLE is poorly understood due to difficulties in identifying relevant autoreactive B cells and in obtaining lymphoid tissue. We have circumvented these limitations by using tonsil biopsies to study autoreactive B cells (9G4 B cells), whose regulation is abnormal in SLE. Here we show that 9G4 B cells are physiologically excluded during the early stages of the GC reaction before acquiring a centroblast phenotype. Furthermore, we provide evidence to indicate that an anergic response to B cell receptor stimulation may be responsible for such behavior. In contrast, in SLE, 9G4 B cells progressed unimpeded through this checkpoint, successfully participated in GC reactions, and expanded within the post-GC IgG memory and plasma cell compartments. The faulty regulation of 9G4 B cells was not shared by RA patients. To our knowledge, this work represents the first comparative analysis of the fate of a specific autoreactive human B cell population. The results identify a defective tolerance checkpoint that appears to be specific for human SLE.
The Journal of Clinical Investigation