1. Increased Frequency of a Unique Spleen Tyrosine Kinase Bright Memory B Cell Population in Systemic Lupus Erythematosus.
- Author
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Fleischer, Sarah J., Giesecke, Claudia, Mei, Henrik E., Lipsky, Peter E., Daridon, Capucine, and Dörner, Thomas
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SYSTEMIC lupus erythematosus diagnosis , *B cells , *ARTHRITIS , *AUTOANTIBODIES , *CELL culture , *CELL physiology , *CELL receptors , *FLOW cytometry , *IMMUNOGLOBULINS , *LYMPHOCYTES , *MEMORY , *MICROSCOPY , *RHEUMATOLOGY , *SPLEEN , *SYSTEMIC lupus erythematosus , *TUMOR necrosis factors , *PROTEIN-tyrosine kinase inhibitors , *PHYSIOLOGY - Abstract
Objective Systemic lupus erythematosus (SLE) is characterized by B cell hyperactivity and autoantibody production. As spleen tyrosine kinase (Syk) is pivotal in B cell activation, these experiments aimed to examine the extent to which Syk was abnormally expressed in SLE B cells and the nature of the B cell subset that differently expressed Syk. Methods B cells from healthy donors and SLE patients were analyzed by flow cytometry to assess basal expression of Syk and phosphorylated Syk. B cell subsets expressing higher levels of Syk were found, and their detailed phenotype, in vitro differentiation into plasmablasts/plasma cells, and Syk induction by cytokines were determined. Results Syk expression was higher in CD27+ memory B cells than in naive B cells from SLE patients. However, a significantly increased frequency of CD27− B cells with bright expression of Syk (Syk++) was found in SLE patients. CD27−Syk++ B cells showed enhanced basal expression of p-Syk and stronger Syk phosphorylation upon B cell receptor (BCR) engagement as compared to CD27−Syk+ B cells. CD27−Syk++ B cells were CD38− as well as CD19++, CD20++, and mainly CD21−, with decreased ABCB1 transporter activity. In contrast to CD27−Syk+ B cells, CD27−Syk++ B cells exhibited enhanced differentiation into CD27++ IgG-secreting cells and expressed somatically mutated BCR gene rearrangements. Syk++ B cells were inducible in vitro by stimulation with interferon-γ, lipopolysaccharide, or tumor necrosis factor α. Conclusion SLE patients exhibit an increased frequency of hitherto unknown CD27−Syk++ memory-like B cells, indicating that intracellular Syk density could distinguish CD27− memory B cells from truly naive B cell subsets. Furthermore, the CD27−Syk++ subset is a candidate for a source of increased plasma cells in SLE. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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