Olalekan Susan A, Cao Yanxia, Hamel Keith M, Finnegan Alison
Department of Immunology/Microbiology, Rush University Medical Center, Cohn Research Building, Chicago, IL, USA.
Eur J Immunol. 2015 Apr;45(4):988-98. doi: 10.1002/eji.201445036. Epub 2015 Feb 11.
Clinical efficacy in the treatment of rheumatoid arthritis with anti-CD20 (Rituximab)-mediated B-cell depletion has garnered interest in the mechanisms by which B cells contribute to autoimmunity. We have reported that B-cell depletion in a murine model of proteoglycan-induced arthritis (PGIA) leads to an increase in Treg cells that correlate with decreased autoreactivity. Here, we demonstrate that the increase in Treg cells after B-cell depletion is due to an increase in the differentiation of naïve CD4(+) T cells into Treg cells. Since the development of PGIA is dependent on IFN-γ and B cells are reported to produce IFN-γ, we hypothesized that B-cell-specific IFN-γ plays a role in the development of PGIA. Accordingly, mice with B-cell-specific IFN-γ deficiency were as resistant to the induction of PGIA as mice that were completely IFN-γ deficient. Importantly, despite a normal frequency of IFN-γ-producing CD4(+) T cells, B-cell-specific IFN-γ-deficient mice exhibited a higher percentage of Treg cells compared with that in WT mice. These data indicate that B-cell IFN-γ production inhibits Treg-cell differentiation and exacerbates arthritis. Thus, we have established that IFN-γ, specifically derived from B cells, uniquely contributes to the pathogenesis of autoimmunity through prevention of immunoregulatory mechanisms.
抗CD20(利妥昔单抗)介导的B细胞清除疗法在类风湿性关节炎治疗中的临床疗效引发了人们对B细胞促成自身免疫机制的兴趣。我们曾报道,在蛋白聚糖诱导的关节炎(PGIA)小鼠模型中,B细胞清除会导致调节性T细胞(Treg)增加,且这与自身反应性降低相关。在此,我们证明B细胞清除后Treg细胞的增加是由于初始CD4(+) T细胞向Treg细胞分化增加所致。由于PGIA的发展依赖于γ干扰素(IFN-γ),且有报道称B细胞可产生IFN-γ,我们推测B细胞特异性IFN-γ在PGIA的发展中起作用。相应地,B细胞特异性IFN-γ缺陷小鼠与完全缺乏IFN-γ的小鼠一样,对PGIA的诱导具有抗性。重要的是,尽管产生IFN-γ的CD4(+) T细胞频率正常,但与野生型(WT)小鼠相比,B细胞特异性IFN-γ缺陷小鼠的Treg细胞百分比更高。这些数据表明,B细胞产生的IFN-γ会抑制Treg细胞分化并加重关节炎。因此,我们已确定,特别是源自B细胞的IFN-γ,通过阻止免疫调节机制,独特地促成了自身免疫的发病机制。