1. PD-1hiCXCR5- T peripheral helper cells promote B cell responses in lupus via MAF and IL-21.
- Author
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Bocharnikov AV, Keegan J, Wacleche VS, Cao Y, Fonseka CY, Wang G, Muise ES, Zhang KX, Arazi A, Keras G, Li ZJ, Qu Y, Gurish MF, Petri M, Buyon JP, Putterman C, Wofsy D, James JA, Guthridge JM, Diamond B, Anolik JH, Mackey MF, Alves SE, Nigrovic PA, Costenbader KH, Brenner MB, Lederer JA, and Rao DA
- Subjects
- Adult, Aged, CD11c Antigen metabolism, CRISPR-Cas Systems genetics, Case-Control Studies, Cell Communication drug effects, Cell Communication genetics, Cell Communication immunology, Cell Culture Techniques, Cell Separation, Cells, Cultured, Coculture Techniques, Female, Flow Cytometry, Gene Knockout Techniques, Humans, Interleukins antagonists & inhibitors, Lupus Erythematosus, Systemic blood, Lymphocyte Activation drug effects, Lymphocyte Activation genetics, Male, Middle Aged, Programmed Cell Death 1 Receptor metabolism, Proto-Oncogene Proteins c-maf genetics, RNA-Seq, Receptors, CXCR5 metabolism, T-Lymphocytes, Helper-Inducer metabolism, B-Lymphocytes immunology, Interleukins metabolism, Lupus Erythematosus, Systemic immunology, Proto-Oncogene Proteins c-maf metabolism, T-Lymphocytes, Helper-Inducer immunology
- Abstract
Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by pathologic T cell-B cell interactions and autoantibody production. Defining the T cell populations that drive B cell responses in SLE may enable design of therapies that specifically target pathologic cell subsets. Here, we evaluated the phenotypes of CD4+ T cells in the circulation of 52 SLE patients drawn from multiple cohorts and identified a highly expanded PD-1hiCXCR5-CD4+ T cell population. Cytometric, transcriptomic, and functional assays demonstrated that PD-1hiCXCR5-CD4+ T cells from SLE patients are T peripheral helper (Tph) cells, a CXCR5- T cell population that stimulates B cell responses via IL-21. The frequency of Tph cells, but not T follicular helper (Tfh) cells, correlated with both clinical disease activity and the frequency of CD11c+ B cells in SLE patients. PD-1hiCD4+ T cells were found within lupus nephritis kidneys and correlated with B cell numbers in the kidney. Both IL-21 neutralization and CRISPR-mediated deletion of MAF abrogated the ability of Tph cells to induce memory B cell differentiation into plasmablasts in vitro. These findings identify Tph cells as a highly expanded T cell population in SLE and suggest a key role for Tph cells in stimulating pathologic B cell responses.
- Published
- 2019
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