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Cutting edge: circulating plasmablasts induce the differentiation of human T follicular helper cells via IL-6 production.

Identifieur interne : 002068 ( Main/Exploration ); précédent : 002067; suivant : 002069

Cutting edge: circulating plasmablasts induce the differentiation of human T follicular helper cells via IL-6 production.

Auteurs : Konstantia-Maria Chavele [Royaume-Uni] ; Eve Merry [Royaume-Uni] ; Michael R. Ehrenstein [Royaume-Uni]

Source :

RBID : pubmed:25681343

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English descriptors

Abstract

B cells require CD4(+) T follicular helper (Tfh) cells to progress through the germinal center and provide protective Ab responses. In this article, we reveal a reciprocal interaction whereby circulating human plasmablasts are potent inducers of the Tfh cell-differentiation program, including the expression of their key transcription factor Bcl-6. The markedly increased propensity of plasmablasts, compared with naive B cells, to induce Tfh cell differentiation was due to their increased production of IL-6. Specific targeting of IL-6 using tocilizumab therapy in patients with rheumatoid arthritis led to a significant reduction in circulating Tfh cell numbers and IL-21 production, which was correlated with reduced plasmablast formation. Our data uncover a positive-feedback loop between circulating plasmablasts and Tfh cells that could sustain autoimmunity and spread Ab-driven inflammation to unaffected sites; this represents an important therapeutic target, as well as reveals a novel mechanism of action for tocilizumab.

DOI: 10.4049/jimmunol.1401190
PubMed: 25681343


Affiliations:


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<term>Cell Proliferation</term>
<term>Cells, Cultured</term>
<term>Coculture Techniques</term>
<term>DNA-Binding Proteins (immunology)</term>
<term>DNA-Binding Proteins (metabolism)</term>
<term>Flow Cytometry</term>
<term>Humans</term>
<term>Inducible T-Cell Co-Stimulator Protein (immunology)</term>
<term>Inducible T-Cell Co-Stimulator Protein (metabolism)</term>
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<front>
<div type="abstract" xml:lang="en">B cells require CD4(+) T follicular helper (Tfh) cells to progress through the germinal center and provide protective Ab responses. In this article, we reveal a reciprocal interaction whereby circulating human plasmablasts are potent inducers of the Tfh cell-differentiation program, including the expression of their key transcription factor Bcl-6. The markedly increased propensity of plasmablasts, compared with naive B cells, to induce Tfh cell differentiation was due to their increased production of IL-6. Specific targeting of IL-6 using tocilizumab therapy in patients with rheumatoid arthritis led to a significant reduction in circulating Tfh cell numbers and IL-21 production, which was correlated with reduced plasmablast formation. Our data uncover a positive-feedback loop between circulating plasmablasts and Tfh cells that could sustain autoimmunity and spread Ab-driven inflammation to unaffected sites; this represents an important therapeutic target, as well as reveals a novel mechanism of action for tocilizumab. </div>
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