B cell-derived circulating granzyme B is a feature of acute infectious mononucleosis

Magdalena Hagn1, Archana Panikkar2, Corey Smith2

  • 1Cancer Immunology Program, Cancer Cell Death Laboratory, Peter MacCallum Cancer Centre , East Melbourne, Victoria, Australia ; Sir Peter MacCallum Department of Oncology, The University of Melbourne , Parkvillie, Victoria, Australia.

Insights

Granzyme B (GzmB) is typically from immune cells, but this study finds it can be secreted by Epstein-Barr virus (EBV)-infected B cells during infectious mononucleosis. This suggests a new source for GzmB in viral infections.

Area of Science:

  • Immunology
  • Virology
  • Cell Biology

Background:

  • Granzyme B (GzmB) is a serine protease primarily known for its role in apoptosis induction by cytotoxic T lymphocytes (CTLs) and natural killer (NK) cells.
  • Circulating GzmB in viral infections is usually attributed to CTLs or NK cells.
  • The origin of GzmB in certain viral infections remains incompletely understood.

Purpose of the Study:

  • To investigate the source of elevated Granzyme B (GzmB) levels in patients with infectious mononucleosis caused by Epstein-Barr virus (EBV).
  • To determine if B cells, beyond the typical CTLs and NK cells, can secrete GzmB during EBV infection.

Main Methods:

  • Analysis of GzmB levels in serum from patients with infectious mononucleosis.
  • In vitro stimulation of human B cells from healthy donors via B-cell receptor (BCR) ligation and IL-21.
  • Infection of B cells with EBV and assessment of GzmB secretion in response to stimuli during acute and latent phases.

Main Results:

  • Patients with infectious mononucleosis exhibited high circulating GzmB levels.
  • EBV infection significantly amplified GzmB secretion from B cells upon stimulation.
  • GzmB secretion by B cells was observed during the acute phase of EBV infection but ceased upon latency establishment.

Conclusions:

  • Infectious mononucleosis patients show elevated GzmB, potentially originating from EBV-infected B cells.
  • This study identifies a novel source of GzmB secretion by non-CTL/NK cells in the context of a human viral pathogen.
  • B cells can be a source of active GzmB during EBV infection, challenging the traditional view of GzmB origins.

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