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Publication : Excessive CD11c<sup>+</sup>Tbet<sup>+</sup> B cells promote aberrant T<sub>FH</sub> differentiation and affinity-based germinal center selection in lupus.

First Author  Zhang W Year  2019
Journal  Proc Natl Acad Sci U S A Volume  116
Issue  37 Pages  18550-18560
PubMed ID  31451659 Mgi Jnum  J:279309
Mgi Id  MGI:6360510 Doi  10.1073/pnas.1901340116
Citation  Zhang W, et al. (2019) Excessive CD11c(+)Tbet(+) B cells promote aberrant TFH differentiation and affinity-based germinal center selection in lupus. Proc Natl Acad Sci U S A 116(37):18550-18560
abstractText  Excessive self-reactive and inadequate affinity-matured antigen-specific antibody responses have been reported to coexist in lupus, with elusive cellular and molecular mechanisms. Here, we report that the antigen-specific germinal center (GC) response-a process critical for antibody affinity maturation-is compromised in murine lupus models. Importantly, this defect can be triggered by excessive autoimmunity-relevant CD11c(+)Tbet(+) age-associated B cells (ABCs). In B cell-intrinsic Ship-deficient (ShipDeltaB) lupus mice, excessive CD11c(+)Tbet(+) ABCs induce deregulated follicular T-helper (TFH) cell differentiation through their potent antigen-presenting function and consequently compromise affinity-based GC selection. Excessive CD11c(+)Tbet(+) ABCs and deregulated TFH cell are also present in other lupus models and patients. Further, over-activated Toll-like receptor signaling in Ship-deficient B cells is critical for CD11c(+)Tbet(+) ABC differentiation, and blocking CD11c(+)Tbet(+) ABC differentiation in ShipDeltaB mice by ablating MyD88 normalizes TFH cell differentiation and rescues antigen-specific GC responses, as well as prevents autoantibody production. Our study suggests that excessive CD11c(+)Tbet(+) ABCs not only contribute significantly to autoantibody production but also compromise antigen-specific GC B-cell responses and antibody-affinity maturation, providing a cellular link between the coexisting autoantibodies and inadequate affinity-matured antigen-specific antibodies in lupus models and a potential target for treating lupus.
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