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

JE Walter, F Rucci, L Patrizi, M Recher… - Journal of Experimental …, 2010 - rupress.org
JE Walter, F Rucci, L Patrizi, M Recher, S Regenass, T Paganini, M Keszei, I Pessach…
Journal of Experimental Medicine, 2010rupress.org
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 …
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.
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