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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+Exp+Med
2015 ; 212
(10
): 1663-77
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Altered BCR and TLR signals promote enhanced positive selection of autoreactive
transitional B cells in Wiskott-Aldrich syndrome
#MMPMID26371186
Kolhatkar NS
; Brahmandam A
; Thouvenel CD
; Becker-Herman S
; Jacobs HM
; Schwartz MA
; Allenspach EJ
; Khim S
; Panigrahi AK
; Luning Prak ET
; Thrasher AJ
; Notarangelo LD
; Candotti F
; Torgerson TR
; Sanz I
; Rawlings DJ
J Exp Med
2015[Sep]; 212
(10
): 1663-77
PMID26371186
show ga
Wiskott-Aldrich syndrome (WAS) is an X-linked immunodeficiency disorder
frequently associated with systemic autoimmunity, including autoantibody-mediated
cytopenias. WAS protein (WASp)-deficient B cells have increased B cell receptor
(BCR) and Toll-like receptor (TLR) signaling, suggesting that these pathways
might impact establishment of the mature, naive BCR repertoire. To directly
investigate this possibility, we evaluated naive B cell specificity and
composition in WASp-deficient mice and WAS subjects (n = 12). High-throughput
sequencing and single-cell cloning analysis of the BCR repertoire revealed
altered heavy chain usage and enrichment for low-affinity self-reactive
specificities in murine marginal zone and human naive B cells. Although negative
selection mechanisms including deletion, anergy, and receptor editing were
relatively unperturbed, WASp-deficient transitional B cells showed enhanced
proliferation in vivo mediated by antigen- and Myd88-dependent signals. Finally,
using both BCR sequencing and cell surface analysis with a monoclonal antibody
recognizing an intrinsically autoreactive heavy chain, we show enrichment in
self-reactive cells specifically at the transitional to naive mature B cell stage
in WAS subjects. Our combined data support a model wherein modest alterations in
B cell-intrinsic, BCR, and TLR signals in WAS, and likely other autoimmune
disorders, are sufficient to alter B cell tolerance via positive selection of
self-reactive transitional B cells.