Cell Reports (Jun 2023)

Extrafollicular IgD−CD27−CXCR5−CD11c− DN3 B cells infiltrate inflamed tissues in autoimmune fibrosis and in severe COVID-19

  • Hugues Allard-Chamard,
  • Naoki Kaneko,
  • Alice Bertocchi,
  • Na Sun,
  • Julie Boucau,
  • Hsiao-Hsuan Kuo,
  • Jocelyn R. Farmer,
  • Cory Perugino,
  • Vinay S. Mahajan,
  • Samuel J.H. Murphy,
  • Katherine Premo,
  • Thomas Diefenbach,
  • Musie Ghebremichael,
  • Grace Yuen,
  • Alekhya Kotta,
  • Zafer Akman,
  • Mathias Lichterfeld,
  • Bruce D. Walker,
  • Xu G. Yu,
  • Masafumi Moriyama,
  • Takashi Maehara,
  • Seiji Nakamura,
  • John H. Stone,
  • Robert F. Padera,
  • Shiv Pillai

Journal volume & issue
Vol. 42, no. 6
p. 112630

Abstract

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Summary: Although therapeutic B cell depletion dramatically resolves inflammation in many diseases in which antibodies appear not to play a central role, distinct extrafollicular pathogenic B cell subsets that accumulate in disease lesions have hitherto not been identified. The circulating immunoglobulin D (IgD)−CD27−CXCR5−CD11c+ DN2 B cell subset has been previously studied in some autoimmune diseases. A distinct IgD−CD27−CXCR5−CD11c− DN3 B cell subset accumulates in the blood both in IgG4-related disease, an autoimmune disease in which inflammation and fibrosis can be reversed by B cell depletion, and in severe COVID-19. These DN3 B cells prominently accumulate in the end organs of IgG4-related disease and in lung lesions in COVID-19, and double-negative B cells prominently cluster with CD4+ T cells in these lesions. Extrafollicular DN3 B cells may participate in tissue inflammation and fibrosis in autoimmune fibrotic diseases, as well as in COVID-19.

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