白细胞介素-10阳性调节性B细胞在脐带血中富集,可能对脐带血移植后的慢性移植物抗宿主病起到保护作用。
IL-10+ regulatory B cells are enriched in cord blood and may protect against cGVHD after cord blood transplantation.
作者信息
Sarvaria Anushruti, Basar Rafet, Mehta Rohtesh S, Shaim Hila, Muftuoglu Muharrem, Khoder Ahmad, Sekine Takuye, Gokdemir Elif, Kondo Kayo, Marin David, Daher May, Alousi Amin M, Alsuliman Abdullah, Liu Enli, Oran Betul, Olson Amanda, Jones Roy B, Popat Uday, Hosing Chitra, Champlin Richard, Shpall Elizabeth J, Rezvani Katayoun
机构信息
Stem Cell Transplantation and Cellular Therapy, University of Texas MD Anderson Cancer Center, Houston, TX; and.
Department of Haematology, Imperial College London, London, United Kingdom.
出版信息
Blood. 2016 Sep 8;128(10):1346-61. doi: 10.1182/blood-2016-01-695122. Epub 2016 Jul 20.
Cord blood (CB) offers a number of advantages over other sources of hematopoietic stem cells, including a lower rate of chronic graft-versus-host disease (cGVHD) in the presence of increased HLA disparity. Recent research in experimental models of autoimmunity and in patients with autoimmune or alloimmune disorders has identified a functional group of interleukin-10 (IL-10)-producing regulatory B cells (Bregs) that negatively regulate T-cell immune responses. At present, however, there is no consensus on the phenotypic signature of Bregs, and their prevalence and functional characteristics in CB remain unclear. Here, we demonstrate that CB contains an abundance of B cells with immunoregulatory function. Bregs were identified in both the naive and transitional B-cell compartments and suppressed T-cell proliferation and effector function through IL-10 production as well as cell-to-cell contact involving CTLA-4. We further show that the suppressive capacity of CB-derived Bregs can be potentiated through CD40L signaling, suggesting that inflammatory environments may induce their function. Finally, there was robust recovery of IL-10-producing Bregs in patients after CB transplantation, to higher frequencies and absolute numbers than seen in the peripheral blood of healthy donors or in patients before transplant. The reconstituting Bregs showed strong in vitro suppressive activity against allogeneic CD4(+) T cells, but were deficient in patients with cGVHD. Together, these findings identify a rich source of Bregs and suggest a protective role for CB-derived Bregs against cGVHD development in CB recipients. This advance could propel the development of Breg-based strategies to prevent or ameliorate this posttransplant complication.
与其他造血干细胞来源相比,脐血(CB)具有许多优势,包括在人类白细胞抗原(HLA)差异增加的情况下慢性移植物抗宿主病(cGVHD)发生率较低。最近在自身免疫实验模型以及自身免疫或同种免疫疾病患者中的研究发现了一组具有调节功能的分泌白细胞介素-10(IL-10)的B细胞(Bregs),它们对T细胞免疫反应具有负调节作用。然而,目前对于Bregs的表型特征尚无共识,其在脐血中的发生率和功能特性仍不清楚。在此,我们证明脐血中含有大量具有免疫调节功能的B细胞。在幼稚和过渡性B细胞区室中均鉴定出了Bregs,它们通过分泌IL-10以及涉及细胞毒性T淋巴细胞相关抗原4(CTLA-4)的细胞间接触来抑制T细胞增殖和效应功能。我们进一步表明,通过CD40L信号传导可增强脐血来源的Bregs的抑制能力,这表明炎症环境可能诱导其功能。最后,脐血移植后患者中分泌IL-10的Bregs有力地恢复,其频率和绝对数量高于健康供体外周血或移植前患者。重建的Bregs对同种异体CD4(+) T细胞具有强大的体外抑制活性,但在cGVHD患者中功能不足。总之,这些发现确定了Bregs的丰富来源,并表明脐血来源的Bregs对脐血接受者中cGVHD的发展具有保护作用。这一进展可能推动基于Bregs的策略的发展,以预防或改善这种移植后并发症。