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Lupus-associated atypical memory B cells are mTORC1-hyperactivated and functionally dysregulated.

Chunmei Wu1,2, Qiong Fu1, Qiang Guo1

  • 1Department of Rheumatology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

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Atypical memory B cells (AtMs) are expanded in lupus patients. Targeting the mTORC1 pathway in these cells may offer a new therapeutic strategy for lupus treatment.

Keywords:
B cellscytokinessystemic lupus erythematosus

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Area of Science:

  • Immunology
  • Cell Biology
  • Systems Biology

Background:

  • Atypical memory B cells (AtMs) are expanded in active lupus patients.
  • The generation and role of these cells in lupus pathogenesis are not well understood.

Purpose of the Study:

  • To comprehensively characterize lupus AtMs.
  • To identify potential therapeutic targets within this B cell population for lupus treatment.

Main Methods:

  • Flow cytometry to analyze peripheral B cell subsets.
  • RNA sequencing and functional studies on sorted B cells.
  • Multiplexed immunohistochemistry to detect renal B cells in lupus nephritis.

Main Results:

  • CD24-CD20hi AtMs were increased in Chinese lupus cohorts.
  • Upregulated pathways in lupus AtMs include B cell signaling, metabolism, and endocytosis.
  • Activated mTORC1 pathway in lupus AtMs; rapamycin inhibited T-bet+ B cell generation and AtM differentiation.
  • Lupus AtMs showed dysfunctional phenotypes, accelerated apoptosis, impaired T cell co-stimulation, and pro-inflammatory cytokine production.
  • AtMs accumulated in lupus nephritis kidneys, correlating with disease severity.

Conclusions:

  • mTORC1-overactivated lupus AtMs exhibit abnormal differentiation, metabolic, and functional dysregulation.
  • Inhibiting mTORC1 signaling is a potential therapeutic strategy for targeting AtMs in lupus.