Consequences of the recurrent MYD88L265P somatic mutation for B cell tolerance

JQ Wang, YS Jeelall, B Beutler, K Horikawa… - Journal of Experimental …, 2014 - rupress.org
JQ Wang, YS Jeelall, B Beutler, K Horikawa, CC Goodnow
Journal of Experimental Medicine, 2014rupress.org
MYD88L265P has recently been discovered as an extraordinarily frequent somatic mutation
in benign monoclonal IgM gammopathy, Waldenström's macroglobulinemia, and diffuse
large B cell lymphoma. In this study, we analyze the consequences for antigen-activated
primary B cells of acquiring MYD88L265P. The mutation induced rapid B cell division in the
absence of exogenous TLR ligands and was inhibited by Unc93b13d mutation and
chloroquine or TLR9 deficiency, indicating continued dependence on upstream TLR9 …
MYD88L265P has recently been discovered as an extraordinarily frequent somatic mutation in benign monoclonal IgM gammopathy, Waldenström’s macroglobulinemia, and diffuse large B cell lymphoma. In this study, we analyze the consequences for antigen-activated primary B cells of acquiring MYD88L265P. The mutation induced rapid B cell division in the absence of exogenous TLR ligands and was inhibited by Unc93b13d mutation and chloroquine or TLR9 deficiency, indicating continued dependence on upstream TLR9 activation. Proliferation and NF-κB activation induced by MYD88L265P were nevertheless rapidly countered by the induction of TNFAIP3, an NF-κB inhibitor frequently inactivated in MYD88L265Pbearing lymphomas, and extinguished by Bim-dependent apoptosis. MYD88L265P caused self-reactive B cells to accumulate in vivo only when apoptosis was opposed by Bcl2 overexpression. These results reveal checkpoints that fortify TLR responses against aberrant B cell proliferation in response to ubiquitous TLR and BCR self-ligands and suggest that tolerance failure requires the accumulation of multiple somatic mutations.
rupress.org