B 细胞调控视神经脊髓炎水通道蛋白 4 自身抗原的耐受。

B cells orchestrate tolerance to the neuromyelitis optica autoantigen AQP4.

机构信息

Institute for Experimental Neuroimmunology, Technical University of Munich School of Medicine and Health, Munich, Germany.

Department of Neurology, Technical University of Munich School of Medicine and Health, Munich, Germany.

出版信息

Nature. 2024 Mar;627(8003):407-415. doi: 10.1038/s41586-024-07079-8. Epub 2024 Feb 21.

Abstract

Neuromyelitis optica is a paradigmatic autoimmune disease of the central nervous system, in which the water-channel protein AQP4 is the target antigen. The immunopathology in neuromyelitis optica is largely driven by autoantibodies to AQP4. However, the T cell response that is required for the generation of these anti-AQP4 antibodies is not well understood. Here we show that B cells endogenously express AQP4 in response to activation with anti-CD40 and IL-21 and are able to present their endogenous AQP4 to T cells with an AQP4-specific T cell receptor (TCR). A population of thymic B cells emulates a CD40-stimulated B cell transcriptome, including AQP4 (in mice and humans), and efficiently purges the thymic TCR repertoire of AQP4-reactive clones. Genetic ablation of Aqp4 in B cells rescues AQP4-specific TCRs despite sufficient expression of AQP4 in medullary thymic epithelial cells, and B-cell-conditional AQP4-deficient mice are fully competent to raise AQP4-specific antibodies in productive germinal-centre responses. Thus, the negative selection of AQP4-specific thymocytes is dependent on the expression and presentation of AQP4 by thymic B cells. As AQP4 is expressed in B cells in a CD40-dependent (but not AIRE-dependent) manner, we propose that thymic B cells might tolerize against a group of germinal-centre-associated antigens, including disease-relevant autoantigens such as AQP4.

摘要

视神经脊髓炎是一种中枢神经系统的典型自身免疫性疾病,水通道蛋白 AQP4 是其靶抗原。视神经脊髓炎的免疫病理学主要由针对 AQP4 的自身抗体驱动。然而,对于产生这些抗 AQP4 抗体所需的 T 细胞反应还不是很清楚。在这里,我们表明 B 细胞在受到抗 CD40 和 IL-21 的激活后,会内源性地表达 AQP4,并且能够将其内源性 AQP4 呈递给具有 AQP4 特异性 T 细胞受体 (TCR) 的 T 细胞。一群胸腺 B 细胞模拟了 CD40 刺激的 B 细胞转录组,包括 AQP4(在小鼠和人类中),并有效地清除了胸腺 TCR 库中 AQP4 反应性克隆。尽管在髓质胸腺上皮细胞中表达了足够的 AQP4,但在 B 细胞中敲除 Aqp4 可以挽救 AQP4 特异性 TCR,并且 B 细胞条件性 AQP4 缺陷小鼠完全有能力在有性生发中心反应中产生 AQP4 特异性抗体。因此,AQP4 特异性胸腺细胞的阴性选择依赖于胸腺 B 细胞对 AQP4 的表达和呈递。由于 AQP4 在 B 细胞中的表达依赖于 CD40(而不是 AIRE),我们提出胸腺 B 细胞可能耐受一组生发中心相关抗原,包括与疾病相关的自身抗原,如 AQP4。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4134/10937377/f0516b62e7b2/41586_2024_7079_Fig1_HTML.jpg

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