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10.1002/art.38734

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suck abstract from ncbi


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pmid24909310
      Arthritis+Rheumatol 2014 ; 66 (9 ): 2558-69
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  • Primary Sjögren s syndrome is characterized by distinct phenotypic and transcriptional profiles of IgD+ unswitched memory B cells #MMPMID24909310
  • Roberts ME ; Kaminski D ; Jenks SA ; Maguire C ; Ching K ; Burbelo PD ; Iadarola MJ ; Rosenberg A ; Coca A ; Anolik J ; Sanz I
  • Arthritis Rheumatol 2014[Sep]; 66 (9 ): 2558-69 PMID24909310 show ga
  • OBJECTIVE: The significance of distinct B cell abnormalities in primary Sjögren's syndrome (SS) remains to be established. We undertook this study to analyze the phenotype and messenger RNA (mRNA) transcript profiles of B cell subsets in patients with primary SS and to compare them with those in sicca syndrome patients and healthy controls. METHODS: CD19+ B cells from 26 patients with primary SS, 27 sicca syndrome patients, and 22 healthy controls were analyzed by flow cytometry. Gene expression profiles of purified B cell subsets (from 3-5 subjects per group per test) were analyzed using Affymetrix gene arrays. RESULTS: Patients with primary SS had lower frequencies of CD27+IgD- switched memory B cells and CD27+IgD+ unswitched memory B cells compared with healthy controls. Unswitched memory B cell frequencies were also lower in sicca syndrome patients and correlated inversely with serologic hyperactivity in both disease states. Further, unswitched memory B cells in primary SS had lower expression of CD1c and CD21. Gene expression analysis of CD27+ memory B cells separated patients with primary SS from healthy controls and identified a subgroup of sicca syndrome patients with a primary SS-like transcript profile. Moreover, unswitched memory B cell gene expression analysis identified 187 genes differentially expressed between patients with primary SS and healthy controls. CONCLUSION: A decrease in unswitched memory B cells with serologic hyperactivity is characteristic of both established primary SS and a subgroup of sicca syndrome, which suggests the value of these B cells both as biomarkers of future disease progression and for understanding disease pathogenesis. Overall, the mRNA transcript analysis of unswitched memory B cells suggests that their activation in primary SS takes place through innate immune pathways in the context of attenuated antigen-mediated adaptive signaling. Thus, our findings provide important insight into the mechanisms and potential consequences of decreased unswitched memory B cells in primary SS.
  • |Adult [MESH]
  • |Aged [MESH]
  • |B-Lymphocyte Subsets/immunology/*metabolism [MESH]
  • |B-Lymphocytes/immunology/*metabolism [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunoglobulin D/immunology/*metabolism [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]


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