[HTML][HTML] Circulating and intrahepatic antiviral B cells are defective in hepatitis B

AR Burton, LJ Pallett, LE McCoy… - The Journal of …, 2018 - Am Soc Clin Investig
AR Burton, LJ Pallett, LE McCoy, K Suveizdyte, OE Amin, L Swadling, E Alberts
The Journal of clinical investigation, 2018Am Soc Clin Investig
B cells are increasingly recognized as playing an important role in the ongoing control of
hepatitis B virus (HBV). The development of antibodies against the viral surface antigen
(HBV surface antigen [HBsAgs]) constitutes the hallmark of resolution of acute infection and
is a therapeutic goal for functional cure of chronic HBV (CHB). We characterized B cells
directly ex vivo from the blood and liver of patients with CHB to investigate constraints on
their antiviral potential. Unexpectedly, we found that HBsAg-specific B cells persisted in the …
B cells are increasingly recognized as playing an important role in the ongoing control of hepatitis B virus (HBV). The development of antibodies against the viral surface antigen (HBV surface antigen [HBsAgs]) constitutes the hallmark of resolution of acute infection and is a therapeutic goal for functional cure of chronic HBV (CHB). We characterized B cells directly ex vivo from the blood and liver of patients with CHB to investigate constraints on their antiviral potential. Unexpectedly, we found that HBsAg-specific B cells persisted in the blood and liver of many patients with CHB and were enriched for T-bet, a signature of antiviral potential in B cells. However, purified, differentiated HBsAg-specific B cells from patients with CHB had defective antibody production, consistent with undetectable anti-HBs antibodies in vivo. HBsAg-specific and global B cells had an accumulation of CD21CD27 atypical memory B cells (atMBC) with high expression of inhibitory receptors, including PD-1. These atMBC demonstrated altered signaling, homing, differentiation into antibody-producing cells, survival, and antiviral/proinflammatory cytokine production that could be partially rescued by PD-1 blockade. Analysis of B cells within healthy and HBV-infected livers implicated the combination of this tolerogenic niche and HBV infection in driving PD-1hiatMBC and impairing B cell immunity.
The Journal of Clinical Investigation