Autoreactivity in naive human fetal B cells is associated with commensal bacteria recognition

JW Chen, TA Rice, JM Bannock, AA Bielecka… - Science, 2020 - science.org
JW Chen, TA Rice, JM Bannock, AA Bielecka, JD Strauss, JR Catanzaro, H Wang…
Science, 2020science.org
Restricted V (D) J recombination during fetal development was postulated to limit antibody
repertoire breadth and prevent autoimmunity. However, newborn serum contains abundant
autoantibodies, suggesting that B cell tolerance during gestation is not yet fully established.
To investigate this apparent paradox, we evaluated the reactivities of more than 450
antibodies cloned from single B cells from human fetal liver, bone marrow, and spleen. We
found that incomplete B cell tolerance in early human fetal life favored the accumulation of …
Restricted V(D)J recombination during fetal development was postulated to limit antibody repertoire breadth and prevent autoimmunity. However, newborn serum contains abundant autoantibodies, suggesting that B cell tolerance during gestation is not yet fully established. To investigate this apparent paradox, we evaluated the reactivities of more than 450 antibodies cloned from single B cells from human fetal liver, bone marrow, and spleen. We found that incomplete B cell tolerance in early human fetal life favored the accumulation of polyreactive B cells that bound both apoptotic cells and commensal bacteria from healthy adults. Thus, the restricted fetal preimmune repertoire contains potentially beneficial self-reactive innate-like B cell specificities that may facilitate the removal of apoptotic cells during development and shape gut microbiota assembly after birth.
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