Park, Jong-Chan, Noh, Jinsung, Jang, Sukjin, Kim, Ki Hyun, Choi, Hayoung, Lee, Dongjoon, Kim, Jieun, Chung, Junho, Lee, Dong Young, Lee, Yonghee, Lee, Hyunho, Yoo, Duck Kyun, Lee, Amos Chungwon, Byun, Min Soo, Yi, Dahyun, Han, Sun-Ho, Kwon, Sunghoon, and Mook-Jung, Inhee
Alzheimer's disease (AD) is the most prevalent type of dementia. Reports have revealed that the peripheral immune system is linked to neuropathology; however, little is known about the contribution of B lymphocytes in AD. For this longitudinal study, 133 participants are included at baseline and second-year follow-up. Also, we analyze B cell receptor (BCR) repertoire data generated from a public dataset of three normal and 10 AD samples and perform BCR repertoire profiling and pairwise sharing analysis. As a result, longitudinal increase in B lymphocytes is associated with increased cerebral amyloid deposition and hyperactivates induced pluripotent stem cell-derived microglia with loss-of-function for beta-amyloid clearance. Patients with AD share similar class-switched BCR sequences with identical isotypes, despite the high somatic hypermutation rate. Thus, BCR repertoire profiling can lead to the development of individualized immune-based therapeutics and treatment. We provide evidence of both quantitative and qualitative changes in B lymphocytes during AD pathogenesis. [Display omitted] • Longitudinal increase in B cells is associated with cerebral amyloid deposition • B cell receptor repertoire profiling and pairwise sharing analysis are conducted • Patients with Alzheimer's disease share similar class-switched BCR sequences • B cell-derived immunoglobulin G induces microglial dysfunction in the brain Park et al. perform longitudinal analyses, B cell receptor repertoire profiling, and imaging analyses to identify the contribution of B lymphocytes to Alzheimer's disease pathology. They identify longitudinal increase in B lymphocyte populations, ensuing hyperactivation of microglia, and commonalities of BCR repertoires in Alzheimer's disease. [ABSTRACT FROM AUTHOR]