Distinct roles of ICOS and CD40L in human T-B cell adhesion and antibody production.

CD40-CD40L and inducible co-stimulatory molecule (ICOS)-ICOSL ligations are demonstrated to play critical roles in CD4T-B interaction for B cell activation and differentiation in mouse models. Herein, by using a micropipette adhesion assay and an in vitro CD4T-B cell coculture system simultaneously, we intended to dissect their roles in human CD4T-B adhesion and IgG/IgM production. With the upregulation of CD40L and ICOS expressions on CD4 T cells upon TCR/CD28 stimulation in vitro, activated CD4 T cells exhibited enhanced adhesion with autologous B cells at a single cell level when compared to the resting counterparts. Blockade of ICOS dramatically damped the adhesion between CD4 T and B cells whereas less effect of CD40L blockade was observed. On the contrary, blockade of CD40L led to the dramatic decrease in IgG/IgM production when B cells were cocultured with activated CD4 T cells together with the decrease in the induction of CD19 B cells. However, ICOS blockade displayed less attenuation on IgG/IgM production. Distinct roles of CD40-CD40L and ICOS-ICOSL in cell adhesion and IgG/IgM production were also observed in CD4T-B cell interaction in system lupus erythematosus patients. The blockade of CD40L, rather than ICOS, led to the dramatic decrease in the phosphorylation of Pyk2 in CD19 B cells and total B cells. Our study thus provides the evidence that CD40L and ICOS on activated CD4 T cells either upon in vitro activation or at the pathogenic state function diversely during CD4T-B cell interactions. While ICOS-ICOSL ligation is more likely to be engaged in cell adhesion, CD40-CD40L provides indispensable signal for B cell differentiation and IgG/IgM production. Our results are thus indicative for the segregating costimulation of CD40-CD40L and ICOS-ICOSL on CD4 T cells for B cell activation and differentiation, which might be helpful for the dissection of SLE pathogenesis.