Interleukin 6 signaling promotes anti-aquaporin 4 autoantibody production from plasmablasts in neuromyelitis optica

被引:408
作者
Chihara, Norio [1 ,2 ]
Aranami, Toshimasa [1 ,3 ]
Sato, Wakiro [1 ]
Miyazaki, Yusei [1 ]
Miyake, Sachiko [1 ,3 ]
Okamoto, Tomoko [3 ,4 ]
Ogawa, Masafumi [3 ,4 ]
Toda, Tatsushi [2 ]
Yamamura, Takashi [1 ,3 ]
机构
[1] Natl Ctr Neurol & Psychiat, Natl Inst Neurosci, Dept Immunol, Kodaira, Tokyo 1878502, Japan
[2] Kobe Univ, Grad Sch Med, Dept Neurol, Kobe, Hyogo 6500017, Japan
[3] NCNP, Natl Ctr Hosp, Multiple Sclerosis Ctr, Tokyo 1878551, Japan
[4] NCNP, Natl Ctr Hosp, Dept Neurol, Tokyo 1878551, Japan
基金
日本学术振兴会;
关键词
neuroinflamatory disease; autoimmunity; multiple sclerosis; central nervous system; IL-6 receptor blockade; MEMORY B-CELLS; ANTI-INTERLEUKIN-6 RECEPTOR ANTIBODY; SYSTEMIC-LUPUS-ERYTHEMATOSUS; MARROW STROMAL CELLS; TRANSCRIPTION FACTOR; MULTIPLE-SCLEROSIS; MONOCLONAL-ANTIBODIES; DIAGNOSTIC-CRITERIA; BONE-MARROW; DIFFERENTIATION;
D O I
10.1073/pnas.1017385108
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
Neuromyelitis optica (NMO) is an inflammatory disease affecting the optic nerve and spinal cord, in which autoantibodies against aquaporin 4 (AQP4) water channel protein probably play a pathogenic role. Here we show that a B-cell subpopulation, exhibiting the CD19(int)CD27(high)CD38(high)CD180(-) phenotype, is selectively increased in the peripheral blood of NMO patients and that anti-AQP4 antibodies (AQP4-Abs) are mainly produced by these cells in the blood of these patients. These B cells showed the morphological as well as the phenotypical characteristics of plasmablasts (PB) and were further expanded during NMO relapse. We also demonstrate that interleukin 6 (IL-6), shown to be increased in NMO, enhanced the survival of PB as well as their AQP4-Ab secretion, whereas the blockade of IL-6 receptor (IL-6R) signaling by anti-IL-6R antibody reduced the survival of PB in vitro. These results indicate that the IL-6-dependent B-cell subpopulation is involved in the pathogenesis of NMO, thereby providing a therapeutic strategy for targeting IL-6R signaling.
引用
收藏
页码:3701 / 3706
页数:6
相关论文
共 43 条
[1]
BAFF selectively enhances the survival of plasmablasts generated from human memory B cells [J].
Avery, DT ;
Kalled, SL ;
Ellyard, JI ;
Ambrose, C ;
Bixler, SA ;
Thien, M ;
Brink, R ;
Mackay, F ;
Hodgkin, PD ;
Tangye, SG .
JOURNAL OF CLINICAL INVESTIGATION, 2003, 112 (02) :286-297
[2]
APRIL is critical for plasmablast survival in the bone marrow and poorly expressed by early-life bone marrow stromal cells [J].
Belnoue, Elodie ;
Pihlgren, Maria ;
McGaha, Tracy L. ;
Tougne, Chantal ;
Rochat, Anne-Francoise ;
Bossen, Claudia ;
Schneider, Pascal ;
Huard, Bertrand ;
Lambert, Paul-Henri ;
Siegrist, Claire-Anne .
BLOOD, 2008, 111 (05) :2755-2764
[3]
Intrathecal Pathogenic Anti-Aquaporin-4 Antibodies in Early Neuromyelitis Optica [J].
Bennett, Jeffrey L. ;
Lam, Chiwah ;
Kalluri, Sudhakar Reddy ;
Saikali, Philippe ;
Bautista, Katherine ;
Dupree, Cecily ;
Glogowska, Magdalena ;
Case, David ;
Antel, Jack P. ;
Owens, Gregory P. ;
Gilden, Don ;
Nessler, Stefan ;
Stadelmann, Christine ;
Hemmer, Bernhard .
ANNALS OF NEUROLOGY, 2009, 66 (05) :617-629
[4]
Neuromyelitis Optica: Pathogenicity of Patient Immunoglobulin In Vivo [J].
Bradl, Monika ;
Misu, Tatsuro ;
Takahashi, Toshiyuki ;
Watanabe, Mitsutoshi ;
Mader, Simone ;
Reindl, Markus ;
Adzemovic, Milena ;
Bauer, Jan ;
Berger, Thomas ;
Fujhara, Kazuo ;
Itoyama, Yasuto ;
Lassmann, Hans .
ANNALS OF NEUROLOGY, 2009, 66 (05) :630-643
[5]
Variable responses to rituximab treatment in neuromyelitis optica (Devic's disease) [J].
Capobianco, M. ;
Malucchi, S. ;
di Sapio, A. ;
Gilli, F. ;
Sala, A. ;
Bottero, R. ;
Marnetto, F. ;
Bozzo, C. Doriguzzi ;
Bertolotto, A. .
NEUROLOGICAL SCIENCES, 2007, 28 (04) :209-211
[6]
An open label study of the effects of rituximab in neuromyelitis optica [J].
Cree, BAC ;
Lamb, S ;
Morgan, K ;
Chen, A ;
Waubant, E ;
Genain, C .
NEUROLOGY, 2005, 64 (07) :1270-1272
[7]
Negative regulation of Toll-like receptor 4 signaling by the Toll-like receptor homolog RP105 [J].
Divanovic, S ;
Trompette, A ;
Atabani, SF ;
Madan, R ;
Golenbock, DT ;
Visintin, A ;
Finberg, RW ;
Tarakhovsky, A ;
Vogel, SN ;
Belkaid, Y ;
Kurt-Jones, EA ;
Karp, CL .
NATURE IMMUNOLOGY, 2005, 6 (06) :571-578
[8]
IL-21 induces differentiation of human naive and memory B cells into antibody-secreting plasma cells [J].
Ettinger, R ;
Sims, GP ;
Fairhurst, AM ;
Robbins, R ;
da Silva, YS ;
Spolski, R ;
Leonard, WJ ;
Lipsky, PE .
JOURNAL OF IMMUNOLOGY, 2005, 175 (12) :7867-7879
[9]
Resting Human Memory B Cells Are Intrinsically Programmed for Enhanced Survival and Responsiveness to Diverse Stimuli Compared to Naive B Cells [J].
Good, Kim L. ;
Avery, Danielle T. ;
Tangye, Stuart G. .
JOURNAL OF IMMUNOLOGY, 2009, 182 (02) :890-901
[10]
Pathogenic potential of IgG binding to water channel extracellular domain in neuromyelitis optica [J].
Hinson, S. R. ;
Pittock, S. J. ;
Lucchinetti, C. F. ;
Roemer, S. F. ;
Fryer, J. P. ;
Kryzer, T. J. ;
Lennon, V. A. .
NEUROLOGY, 2007, 69 (24) :2221-2231