B cells reappear less mature and more activated after their anti-CD20–mediated depletion in multiple sclerosis
| Autor: | Wolfgang Brück, Sebastian Torke, Nitzan Nissimov, Zivar Hajiyeva, Katja Grondey, Martin S. Weber, Silke Häusser-Kinzel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Antigens Differentiation T-Lymphocyte Male 0301 basic medicine T-Lymphocytes Population T cells multiple sclerosis Antibodies anti-CD20 therapy repletion Andrology 03 medical and health sciences Immunology and Inflammation Multiple Sclerosis Relapsing-Remitting 0302 clinical medicine Immune system Antigens CD medicine Humans Lectins C-Type IL-2 receptor education B cell CD86 B cells B-Lymphocytes education.field_of_study Multidisciplinary CD40 biology Chemistry Biological Sciences Middle Aged Antigens CD20 3. Good health 030104 developmental biology medicine.anatomical_structure biology.protein Female B7-2 Antigen Antibody Immunologic Memory 030217 neurology & neurosurgery CD8 |
| Zdroj: | Proceedings of the National Academy of Sciences of the United States of America |
| ISSN: | 1091-6490 0027-8424 |
| DOI: | 10.1073/pnas.2012249117 |
| Popis: | Significance Anti-CD20–mediated B cell depletion is a highly effective therapy in MS. However, long-term effects of this approach on the immune system are not yet characterized in detail. After cessation of anti-CD20 treatment, B cells reappear immature yet highly activated. In addition, anti-CD20 treatment exerts long-lasting effects on T cells, which may be important for its clinical effect. These findings may help in guiding therapeutic decisions with regard to treatment intervals and follow-up therapies. B cell depletion via anti-CD20 antibodies is a highly effective treatment for multiple sclerosis (MS). However, little is known about the maturation/activation stage of the returning B cell population after treatment cessation and the wider effects on other immune cells. In the present study, 15 relapsing-remitting MS patients receiving 1,000 mg of rituximab were included. B, T, and myeloid cells were analyzed before anti-CD20 administration and in different time intervals thereafter over a period of 24 mo. In comparison to the phenotype before anti-CD20 treatment, the reappearing B cell pool revealed a less mature and more activated phenotype: 1) reappearing B cells were significantly enriched in transitional (before: 10.1 ± 1.9%, after: 58.8 ± 5.2%) and mature naive phenotypes (before: 45.5 ± 3.1%, after: 25.1 ± 3.5%); 2) the frequency of memory B cells was reduced (before: 36.7 ± 3.1%, after: 8.9 ± 1.7%); and 3) reappearing B cells showed an enhanced expression of activation markers CD25 (before: 2.1 ± 0.4%, after: 9.3 ± 2.1%) and CD69 (before: 5.9 ± 1.0%, after: 21.4 ± 3.0%), and expressed significantly higher levels of costimulatory CD40 and CD86. T cells showed 1) a persistent increase in naive (CD4+: before: 11.8 ± 1.3%, after: 18.4 ± 3.4%; CD8+: before: 12.5 ± 1.4%, after: 16.5 ± 2.3%) and 2) a decrease in terminally differentiated subsets (CD4+: before: 47.3 ± 3.2%, after: 34.4 ± 3.7%; CD8+: before: 53.7 ± 2.1%, after: 49.1 ± 2.7%). |
| Databáze: | OpenAIRE |
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