論文

国際誌
2021年2月3日

BAFF Promotes Heightened BCR Responsiveness and Manifestations of Chronic GVHD after Allogeneic Stem Cell Transplantation.

Blood
  • Wei Jia
  • Jonathan C Poe
  • Hsuan Su
  • Sarah Anand
  • Glenn K Matsushima
  • Jeffrey C Rathmell
  • Ivan Maillard
  • Vedran Radojcic
  • Kazuhiro Imai
  • Nancy J Reyes
  • Diana M Cardona
  • Zhiguo Li
  • Amy Suthers
  • Itaevia Curry-Chisolm
  • Rachel A DiCioccio
  • Daniel R Saban
  • Benny J Chen
  • Nelson J Chao
  • Stefanie Sarantopoulos
  • 全て表示

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1182/blood.2020008040

Chronic graft versus host disease (cGVHD) patients have increased B cell-activating factor (BAFF) levels, but whether BAFF promotes disease after allogeneic bone marrow transplantation (allo-BMT) remains unknown. In a major MHC-mismatched model with cGVHD-like manifestations we first examined B-lymphopenic mMT allo-BMT recipients and found that increased BAFF levels in cGVHD mice were not merely a reflection of B cell number. Mice that later developed cGVHD, had significantly increased numbers of recipient fibroblastic reticular cells (FRCs) with higher BAFF transcript levels. Increased BAFF production by donor cells also likely contributed to cGVHD since BAFF transcript in CD4+ T cells from diseased mice and patients was increased. Chronic GVHD manifestations in mice associated with high BAFF/B cell ratios and persistence of B Cell Receptor (BCR)-activated B cells in peripheral blood and lesional tissue. By employing BAFF transgenic (Tg) mice donor cells, we addressed whether high BAFF contributed to BCR activation in cGVHD. BAFF increased NOTCH2 expression on B cells, augmenting BCR-responsiveness to surrogate antigen and NOTCH ligand. BAFF-Tg B cells had significantly increased protein levels of the proximal BCR signaling molecule SYK, and high SYK protein was maintained by BAFF after in vitro BCR-activation or when alloantigen was present in vivo. Using T-cell depleted (BM only) BAFF-Tg donors, we found that BAFF promoted cGVHD manifestations, circulating GL7+ B cells and alloantibody production. We demonstrate that pathological production of BAFF promotes an altered B-cell compartment and augments BCR-responsiveness. Our findings compel studies of therapeutic targeting of BAFF and BCR pathways in cGVHD patients.

リンク情報
DOI
https://doi.org/10.1182/blood.2020008040
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33534893
ID情報
  • DOI : 10.1182/blood.2020008040
  • PubMed ID : 33534893

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