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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Soc+Nephrol
2014 ; 25
(7
): 1575-85
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Immunologic human renal allograft injury associates with an altered IL-10/TNF-?
expression ratio in regulatory B cells
#MMPMID24610932
Cherukuri A
; Rothstein DM
; Clark B
; Carter CR
; Davison A
; Hernandez-Fuentes M
; Hewitt E
; Salama AD
; Baker RJ
J Am Soc Nephrol
2014[Jul]; 25
(7
): 1575-85
PMID24610932
show ga
Human B cells with immunoregulatory properties in vitro (Bregs) have been defined
by the expression of IL-10 and are enriched in various B-cell subsets. However,
proinflammatory cytokine expression in B-cell subsets is largely unexplored. We
examined the cytokine profiles of human PBMCs and found that subsets of
CD24(hi)CD38(hi) transitional B cells (TrBs), CD24(hi)CD27(+) memory B cells, and
naïve B cells express IL-10 and the proinflammatory cytokine TNF-?
simultaneously. TrBs had the highest IL-10/TNF-? ratio and suppressed
proinflammatory helper T cell 1 (Th1) cytokine expression by autologous T cells
in vitro more potently than memory B cells did, despite similar IL-10 expression.
Whereas neutralization of IL-10 significantly inhibited TrB-mediated suppression
of autologous Th1 cytokine expression, blocking TNF-? increased the suppressive
capacity of both memory and naïve B-cell subsets. Thus, the ratio of IL-10/TNF-?
expression, a measure of cytokine polarization, may be a better indicator of
regulatory function than IL-10 expression alone. Indeed, compared with TrB cells
from patients with stable kidney graft function, TrBs from patients with graft
rejection displayed similar IL-10 expression levels but increased TNF-?
expression (i.e., reduced IL-10/TNF-? ratio), did not inhibit in vitro expression
of Th1 cytokines by T cells, and abnormally suppressed expression of Th2
cytokines. In patients with graft dysfunction, a low IL-10/TNF-? ratio in TrBs
associated with poor graft outcomes after 3 years of follow-up. In summary, these
results indicate that B cell-mediated immune regulation is best characterized by
the cytokine polarization profile, a finding that was confirmed in renal
transplant patients.