Expansion of immunoglobulin-secreting cells and defects in B cell tolerance in Rag-dependent immunodeficiency

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Jolan E Walter - , Harvard Medical School (HMS) (Author)
  • Francesca Rucci - (Author)
  • Laura Patrizi - (Author)
  • Mike Recher - (Author)
  • Stephan Regenass - (Author)
  • Tiziana Paganini - (Author)
  • Marton Keszei - (Author)
  • Itai Pessach - (Author)
  • Philipp A Lang - (Author)
  • Pietro Luigi Poliani - (Author)
  • Silvia Giliani - (Author)
  • Waleed Al-Herz - (Author)
  • Morton J Cowan - (Author)
  • Jennifer M Puck - (Author)
  • Jack Bleesing - (Author)
  • Tim Niehues - (Author)
  • Catharina Schuetz - , Department of Paediatrics (Author)
  • Harry Malech - (Author)
  • Suk See DeRavin - (Author)
  • Fabio Facchetti - (Author)
  • Andrew R Gennery - (Author)
  • Emma Andersson - (Author)
  • Naynesh R Kamani - (Author)
  • JoAnn Sekiguchi - (Author)
  • Hamid M Alenezi - (Author)
  • Javier Chinen - (Author)
  • Ghassan Dbaibo - (Author)
  • Gehad ElGhazali - (Author)
  • Adriano Fontana - (Author)
  • Srdjan Pasic - (Author)
  • Cynthia Detre - (Author)
  • Cox Terhorst - (Author)
  • Frederick W Alt - (Author)
  • Luigi D Notarangelo - (Author)

Abstract

The contribution of B cells to the pathology of Omenn syndrome and leaky severe combined immunodeficiency (SCID) has not been previously investigated. We have studied a mut/mut mouse model of leaky SCID with a homozygous Rag1 S723C mutation that impairs, but does not abrogate, V(D)J recombination activity. In spite of a severe block at the pro-B cell stage and profound B cell lymphopenia, significant serum levels of immunoglobulin (Ig) G, IgM, IgA, and IgE and a high proportion of Ig-secreting cells were detected in mut/mut mice. Antibody responses to trinitrophenyl (TNP)-Ficoll and production of high-affinity antibodies to TNP-keyhole limpet hemocyanin were severely impaired, even after adoptive transfer of wild-type CD4(+) T cells. Mut/mut mice produced high amounts of low-affinity self-reactive antibodies and showed significant lymphocytic infiltrates in peripheral tissues. Autoantibody production was associated with impaired receptor editing and increased serum B cell-activating factor (BAFF) concentrations. Autoantibodies and elevated BAFF levels were also identified in patients with Omenn syndrome and leaky SCID as a result of hypomorphic RAG mutations. These data indicate that the stochastic generation of an autoreactive B cell repertoire, which is associated with defects in central and peripheral checkpoints of B cell tolerance, is an important, previously unrecognized, aspect of immunodeficiencies associated with hypomorphic RAG mutations.

Details

Original languageEnglish
Pages (from-to)1541-54
Number of pages14
JournalThe Journal of experimental medicine
Volume207
Issue number7
Publication statusPublished - 5 Jul 2010
Peer-reviewedYes

External IDs

PubMedCentral PMC2901061
Scopus 77954408510
ORCID /0009-0003-6519-0482/work/148606602

Keywords

Keywords

  • Animals, Antibody Formation/immunology, Antibody-Producing Cells/immunology, Autoantibodies/blood, B-Cell Activating Factor/blood, B-Lymphocytes/immunology, Cell Proliferation, Homeodomain Proteins/genetics, Humans, Immune Tolerance/immunology, Immunity/immunology, Immunization, Immunologic Deficiency Syndromes/blood, Mice, Mice, Inbred C57BL, Mice, Mutant Strains, Mutation/genetics, Spleen/immunology