Frontiers in Immunology (Apr 2024)

Human regulatory memory B cells defined by expression of TIM-1 and TIGIT are dysfunctional in multiple sclerosis

  • Johnna F. Varghese,
  • Johnna F. Varghese,
  • Belinda J. Kaskow,
  • Belinda J. Kaskow,
  • Felipe von Glehn,
  • Felipe von Glehn,
  • Junning Case,
  • Zhenhua Li,
  • Amélie M. Julé,
  • Emma Berdan,
  • Shannan Janelle Ho Sui,
  • Yong Hu,
  • Yong Hu,
  • Rajesh Krishnan,
  • Rajesh Krishnan,
  • Tanuja Chitnis,
  • Tanuja Chitnis,
  • Vijay K. Kuchroo,
  • Vijay K. Kuchroo,
  • Howard L. Weiner,
  • Howard L. Weiner,
  • Clare Mary Baecher-Allan,
  • Clare Mary Baecher-Allan

DOI
https://doi.org/10.3389/fimmu.2024.1360219
Journal volume & issue
Vol. 15

Abstract

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BackgroundRegulatory B cells (Bregs) play a pivotal role in suppressing immune responses, yet there is still a lack of cell surface markers that can rigorously identify them. In mouse models for multiple sclerosis (MS), TIM-1 or TIGIT expression on B cells is required for maintaining self-tolerance and regulating autoimmunity to the central nervous system. Here we investigated the activities of human memory B cells that differentially express TIM-1 and TIGIT to determine their potential regulatory function in healthy donors and patients with relapsing-remitting (RR) MS.MethodsFACS-sorted TIM-1+/-TIGIT+/- memory B (memB) cells co-cultured with allogenic CD4+ T cells were analyzed for proliferation and induction of inflammatory markers using flow cytometry and cytokine quantification, to determine Th1/Th17 cell differentiation. Transcriptional differences were assessed by SMARTSeq2 RNA sequencing analysis.ResultsTIM-1-TIGIT- double negative (DN) memB cells strongly induce T cell proliferation and pro-inflammatory cytokine expression. The TIM-1+ memB cells enabled low levels of CD4+ T cell activation and gave rise to T cells that co-express IL-10 with IFNγ and IL-17A or FoxP3. T cells cultured with the TIM-1+TIGIT+ double positive (DP) memB cells exhibited reduced proliferation and IFNγ, IL-17A, TNFα, and GM-CSF expression, and exhibited strong regulation in Breg suppression assays. The functional activity suggests the DP memB cells are a bonafide Breg population. However, MS DP memB cells were less inhibitory than HC DP memB cells. A retrospective longitudinal study of anti-CD20 treated patients found that post-treatment DP memB cell frequency and absolute number were associated with response to therapy. Transcriptomic analyses indicated that the dysfunctional MS-derived DP memB/Breg population exhibited increased expression of genes associated with T cell activation and survival (CD80, ZNF10, PIK3CA), and had distinct gene expression compared to the TIGIT+ or TIM-1+ memB cells.ConclusionThese findings demonstrate that TIM-1/TIGIT expressing memory B cell subsets have distinct functionalities. Co-expression of TIM-1 and TIGIT defines a regulatory memory B cell subset that is functionally impaired in MS.

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