Abstract

IL-35 is an anti-inflammatory cytokine and is thought to be produced by regulatory T (Treg) cells. A previous study found that IL-35 was upregulated in the serum of patients with active tuberculosis (ATB), and IL-35-producing B cells infiltrated to tuberculous granuloma of patients with ATB. Purified B cells from such patients generated more IL-35 after stimulation by antigens of Mycobacterium tuberculosis and secreted more IL-10. However, the function and the underlying mechanisms of IL-35-producing B cells in TB progression have not been investigated. The present study found that the expression of mRNA of IL-35 subsets Ebi3 and p35 was elevated in mononuclear cells from peripheral blood, spleen, bone marrow, and lung tissue in a mouse model infected with Mycobacterium bovis BCG, as tested by real-time polymerase chain reaction. Accordingly, the flow cytometry analysis showed that the counts of a subset of IL-35+ B cells were elevated in the circulating blood and in the spleen, bone marrow, and lung tissue in BCG-infected mice, whereas anti-TB therapy reduced IL-35-producing B cells. Interestingly, BCG infection could drive the infiltration of IL-35-producing B cells into the lung tissue, and the elevated counts of IL-35-producing B cells positively correlated with the bacterial load in the lungs. Importantly, the injection of exogenous IL-35 stimulated the elevation in the counts of IL-35-producing B cells and was associated with the downregulation of Th1/Th17 and upregulation of Foxp3+Treg.The study showed that a subset of IL-35-producing B cells might take part in the downregulation of immune response in mycobacterial infection.

Highlights

  • Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), commonly known as tubercle bacillus, is a major health problem worldwide, with approximately one third of the global population infected and 10 million new cases reported officially to the World Health Organization in 2­ 0171,2

  • For further understanding the roles of IL-35 played in pulmonary tuberculosis, a mouse model was prepared with M. bovis BCG infection (Fig. S1), and mononuclear cells were isolated from peripheral blood, lung, spleen, and bone marrow

  • Flow cytometry with intracellular cytokine staining (ICS) analysis showed that the frequencies of ­p35+ and ­Ebi3+ B cells were much higher in BCG-infected mice than in control mice 2, 4, and 8 weeks after BCG infection, which was consistent with the mRNA expression (Fig. 2)

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Summary

Introduction

Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), commonly known as tubercle bacillus, is a major health problem worldwide, with approximately one third of the global population infected and 10 million new cases reported officially to the World Health Organization in 2­ 0171,2. A study reported that M. tuberculosis mannose-capped lipoarabinomannan induces IL-10-producing B cells and hinders ­CD4+Th1 ­immunity[25] These findings suggested that IL-10-producing Bregs impaired protective immunity and increased disease severity. A novel subset of Bregs producing an anti-inflammatory cytokine, IL-35, was reported during Salmonella infections and experimental autoimmune encephalomyelitis (EAE). These cells play a key role in i­mmunosuppression[26,27]. A mouse model infected with Mycobacterium bovis bacillus was used to further validate previous findings in patients with TB that Mtb infection could induce the increase in IL-35-producing B cells and their infiltration into TB lesion tissue. It explored the correlation between IL-35-producing B cells and the effector/regulatory T cells in mycobacterial infection

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