Frontiers in Cardiovascular Medicine (Feb 2022)

IFNγ-Stimulated B Cells Inhibit T Follicular Helper Cells and Protect Against Atherosclerosis

  • Hidde Douna,
  • J. de Mol,
  • Jacob Amersfoort,
  • Frank H. Schaftenaar,
  • Mate G. Kiss,
  • Mate G. Kiss,
  • Bianca E. Suur,
  • Mara J. Kroner,
  • Christoph J. Binder,
  • Christoph J. Binder,
  • Ilze Bot,
  • Gijs H. M. Van Puijvelde,
  • Johan Kuiper,
  • Amanda C. Foks

DOI
https://doi.org/10.3389/fcvm.2022.781436
Journal volume & issue
Vol. 9

Abstract

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B and T cells are interconnected in the T follicular helper—germinal center B cell (TFH-GC B cell) axis, which is hyperactive during atherosclerosis development and loss of control along this axis results in exacerbated atherosclerosis. Inhibition of the TFH–GC B cell axis can be achieved by providing negative co-stimulation to TFH cells through the PD-1/PD-L1 pathway. Therefore, we investigated a novel therapeutic strategy using PD-L1-expressing B cells to inhibit atherosclerosis. We found that IFNγ-stimulated B cells significantly enhanced PD-L1 expression and limited TFH cell development. To determine whether IFNγ-B cells can reduce collar-induced atherosclerosis, apoE−/− mice fed a Western-type diet were treated with PBS, B cells or IFNγ-B cells for a total of 5 weeks following collar placement. IFNγ-B cells significantly increased PD-L1hi GC B cells and reduced plasmablasts. Interestingly, IFNγ-B cells–treated mice show increased atheroprotective Tregs and T cell-derived IL-10. In line with these findings, we observed a significant reduction in total lesion volume in carotid arteries of IFNγ-B cells-treated mice compared to PBS-treated mice and a similar trend was observed compared to B cell-treated mice. In conclusion, our data show that IFNγ-stimulated B cells strongly upregulate PD-L1, inhibit TFH cell responses and protect against atherosclerosis.

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