Abstract

BackgroundThe use of anti-B cell based therapies in immune-mediated diseases targeting general B cell markers or molecules important for B cell function has increased the clinical needs of monitoring B cell subpopulations.ResultsWe analyzed the expression profile of cell surface markers CD86 and B and T lymphocyte attenuator (BTLA) in B cell subtypes using flow cytometry, including naïve, transitional, switched memory, non-switched memory and double-negative memory B cells and plasmablasts, and investigated the dependence of age and sex in a healthy adult blood donor population. The switched memory B cell subtype displayed a divergent expression of the markers, with increased CD86 and decreased BTLA as compared to non-switched and double negative memory cells, as well as compared to naïve B cells. Plasmablasts expressed highly increased CD86 compared to all other subtypes and a decreased expression of BTLA compared to naïve cells, but still higher compared to the memory cell populations. Transitional B cells had CD86 and BTLA expression similar to the other naïve cells.ConclusionsWe show divergent expression of CD86 and BTLA in memory cells and plasmablasts compared to naïve B cells independent of age and sex. Furthermore, a similarly divergent difference of expression pattern was seen between the memory cell subtypes, altogether indicating that the combination of CD86 and BTLA might be markers for a permissive activation state. We suggest the combination of CD86 and BTLA expression on B cell subtypes as a potentially important tool in monitoring the status of B cell subtypes before and after treatments influencing the B cell compartment.

Highlights

  • The use of anti-B cell based therapies in immune-mediated diseases targeting general B cell markers or molecules important for B cell function has increased the clinical needs of monitoring B cell subpopulations

  • Mean fluorescence intensity (MFI) for B and T lymphocyte attenuator (BTLA) and CD86 were determined for all subpopulations described below

  • It remains to be seen how this combined expression pattern is affected in infectious diseases or in response to treatments of immune-mediated diseases. To our knowledge this is the first publication to describe the combination of CD86 and BTLA cell surface markers on different B cell subtypes

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Summary

Introduction

The use of anti-B cell based therapies in immune-mediated diseases targeting general B cell markers or molecules important for B cell function has increased the clinical needs of monitoring B cell subpopulations. The impact on clinical outcome by anti-B cell treatments has sometimes been surprisingly high, even in diseases classically regarded as T cell driven, and despite the survival of the long-lived antibody producing plasma cells (PC). This fact has highlighted other B cell functions besides antibody production, e.g. cytokine production and T cell modulation ability, as important factors in disease progression. Determining B cell subtypes is of importance in IgG4-related disease [3] and a more detailed description of the status of B cells might be valuable in predicting outcome of vaccination and potentially in making decisions on vaccine regimes [4], and in evaluating activity of chronic viral infections [5]

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