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EB 病毒感染与多发性硬化症中 CXCR3 B 细胞发育的关联:免疫疗法的影响。

The association of Epstein-Barr virus infection with CXCR3 B-cell development in multiple sclerosis: impact of immunotherapies.

机构信息

Department of Immunology, MS Center ErasMS, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.

Department of Neurology, Maasstad Hospital, Rotterdam, The Netherlands.

出版信息

Eur J Immunol. 2021 Mar;51(3):626-633. doi: 10.1002/eji.202048739. Epub 2020 Nov 25.

Abstract

Epstein-Barr virus (EBV) infection of B cells is associated with increased multiple sclerosis (MS) susceptibility. Recently, we found that CXCR3-expressing B cells preferentially infiltrate the CNS of MS patients. In chronic virus-infected mice, these types of B cells are sustained and show increased antiviral responsiveness. How EBV persistence in B cells influences their development remains unclear. First, we analyzed ex vivo B-cell subsets from MS patients who received autologous bone marrow transplantation (n = 9), which is often accompanied by EBV reactivation. The frequencies of nonclass-switched and class-switched memory B cells were reduced at 3-7 months, while only class-switched B cells returned back to baseline at 24-36 months posttransplantation. At these time points, EBV DNA load positively correlated to the frequency of CXCR3 , and not CXCR4 or CXCR5 , class-switched B cells. Second, for CXCR3 memory B cells trapped within the blood of MS patients treated with natalizumab (anti-VLA-4 antibody n = 15), latent EBV infection corresponded to enhanced in vitro formation of anti-EBNA1 IgG-secreting plasma cells under GC-like conditions. These findings imply that EBV persistence in B cells potentiates brain-homing and antibody-producing CXCR3 subsets in MS.

摘要

EB 病毒(EBV)感染 B 细胞与多发性硬化症(MS)易感性增加有关。最近,我们发现表达 CXCR3 的 B 细胞优先浸润 MS 患者的中枢神经系统。在慢性病毒感染的小鼠中,这些类型的 B 细胞持续存在,并表现出增强的抗病毒反应性。EBV 在 B 细胞中的持续存在如何影响其发育尚不清楚。首先,我们分析了接受自体骨髓移植(n=9)的 MS 患者的体外 B 细胞亚群,这通常伴随着 EBV 再激活。非类别转换和类别转换记忆 B 细胞的频率在 3-7 个月时降低,而只有类别转换 B 细胞在移植后 24-36 个月时恢复到基线。在这些时间点,EBV DNA 载量与 CXCR3 而不是 CXCR4 或 CXCR5 类别转换 B 细胞的频率呈正相关。其次,对于在接受那他珠单抗(抗 VLA-4 抗体 n=15)治疗的 MS 患者血液中被困的 CXCR3 记忆 B 细胞,潜伏 EBV 感染对应于在 GC 样条件下体外形成更多的抗 EBNA1 IgG 分泌浆细胞。这些发现表明,EBV 在 B 细胞中的持续存在增强了 MS 中归脑和产生抗体的 CXCR3 亚群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/759b/7984177/bb444a084e68/EJI-51-626-g004.jpg

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