[PDF][PDF] A regulatory feedback between plasmacytoid dendritic cells and regulatory B cells is aberrant in systemic lupus erythematosus

M Menon, PA Blair, DA Isenberg, C Mauri - Immunity, 2016 - cell.com
M Menon, PA Blair, DA Isenberg, C Mauri
Immunity, 2016cell.com
Signals controlling the generation of regulatory B (Breg) cells remain ill-defined. Here we
report an" auto"-regulatory feedback mechanism between plasmacytoid dendritic cells
(pDCs) and Breg cells. In healthy individuals, pDCs drive the differentiation of CD19+ CD24
hi CD38 hi (immature) B cells into IL-10-producing CD24+ CD38 hi Breg cells and
plasmablasts, via the release of IFN-α and CD40 engagement. CD24+ CD38 hi Breg cells
conversely restrained IFN-α production by pDCs via IL-10 release. In systemic lupus …
Summary
Signals controlling the generation of regulatory B (Breg) cells remain ill-defined. Here we report an "auto"-regulatory feedback mechanism between plasmacytoid dendritic cells (pDCs) and Breg cells. In healthy individuals, pDCs drive the differentiation of CD19+CD24hiCD38hi (immature) B cells into IL-10-producing CD24+CD38hi Breg cells and plasmablasts, via the release of IFN-α and CD40 engagement. CD24+CD38hi Breg cells conversely restrained IFN-α production by pDCs via IL-10 release. In systemic lupus erythematosus (SLE), this cross-talk was compromised; pDCs promoted plasmablast differentiation but failed to induce Breg cells. This defect was recapitulated in healthy B cells upon exposure to a high concentration of IFN-α. Defective pDC-mediated expansion of CD24+CD38hi Breg cell numbers in SLE was associated with altered STAT1 and STAT3 activation. Both altered pDC-CD24+CD38hi Breg cell interactions and STAT1-STAT3 activation were normalized in SLE patients responding to rituximab. We propose that alteration in pDC-CD24+CD38hi Breg cell interaction contributes to the pathogenesis of SLE.
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