Massive plasmablast response elicited in the acute phase of hantavirus pulmonary syndrome

M García, A Iglesias, VI Landoni, C Bellomo… - …, 2017 - Wiley Online Library
M García, A Iglesias, VI Landoni, C Bellomo, A Bruno, MT Córdoba, L Balboa…
Immunology, 2017Wiley Online Library
Beside its key diagnostic value, the humoral immune response is thought to play a protective
role in hantavirus pulmonary syndrome. However, little is known about the cell source of
these antibodies during ongoing human infection. Herein we characterized B‐cell subsets
circulating in Andes‐virus‐infected patients. A notable potent plasmablast (PB) response
that increased 100‐fold over the baseline levels was observed around 1 week after the
onset of symptoms. These PB present a CD 3neg CD 19low CD 20neg CD 38hi CD 27hi CD …
Summary
Beside its key diagnostic value, the humoral immune response is thought to play a protective role in hantavirus pulmonary syndrome. However, little is known about the cell source of these antibodies during ongoing human infection. Herein we characterized B‐cell subsets circulating in Andes‐virus‐infected patients. A notable potent plasmablast (PB) response that increased 100‐fold over the baseline levels was observed around 1 week after the onset of symptoms. These PB present a CD3neg CD19low CD20neg CD38hi CD27hi CD138+/− IgA+/− surface phenotype together with the presence of cytoplasmic functional immunoglobulins. They are large lymphocytes (lymphoblasts) morphologically coincident with the ‘immunoblast‐like’ cells that have been previously described during blood cytology examinations of hantavirus‐infected patients. Immunoreactivity analysis of white blood cell lysates suggests that some circulating PB are virus‐specific but we also observed a significant increase of reactivity against virus‐unrelated antigens, which suggests a possible bystander effect by polyclonal B‐cell activation. The presence of this large and transient PB response raises the question as to whether these cells might have a protective or pathological role during the ongoing hantavirus pulmonary syndrome and suggest their practical application as a diagnostic/prognostic biomarker.
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