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CD38+ B cells affect immunotherapy for allergic rhinitis.

Gui-Xiang Tian1, Ke-Ping Peng2, Ming-Hui Liu1

  • 1Department of Ultrasound, The Second Xiangya Hospital of Central South University, Changsha, China; Research Center of Ultrasonography, The Second Xiangya Hospital of Central South University, Changsha, China.

The Journal of Allergy and Clinical Immunology
|January 30, 2022
PubMed
Summary

Antigen-specific CD38+ B cells hinder allergen-specific immunotherapy (AIT) by producing IL-6, which converts regulatory T cells. Inhibiting these B cells enhances AIT effectiveness in allergic rhinitis treatment.

Keywords:
AllergyB cellCD38immunotherapyregulatory T cell

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Area of Science:

  • Immunology
  • Allergy Research
  • Cell Biology

Background:

  • Allergen-specific immunotherapy (AIT) is a primary treatment for allergic diseases, but its efficacy requires enhancement.
  • CD38-expressing B cells (CD38+ B cells) are implicated in allergic disease development and immune regulation.

Purpose of the Study:

  • To investigate the specific role of antigen-specific CD38+ B cells within the context of AIT.
  • To understand the mechanisms by which CD38+ B cells influence AIT outcomes.

Main Methods:

  • Analysis of AIT outcomes in 48 perennial allergic rhinitis (AR) patients using flow cytometry and ELISA.
  • Development of an AR murine model to assess the function of CD38+ B cells during AIT.
  • Assessment of peripheral blood immune cell populations and serum cytokine levels.

Main Results:

  • Antigen-specific CD38+ B cells were identified in AR patients and their frequency negatively correlated with AIT success.
  • A negative correlation was observed between CD38+ B cell frequency and regulatory T cell (Treg) frequency in patients undergoing AIT.
  • CD38+ B cells produced IL-6 upon antigen exposure, promoting the conversion of Tregs to T helper 17 (TH17) cells.
  • Administration of anti-CD38 antibody significantly improved AIT therapeutic effects.

Conclusions:

  • Antigen-specific CD38+ B cells impair AIT efficacy by driving Treg to TH17 cell differentiation via IL-6 production.
  • Targeting and inhibiting CD38+ B cells can significantly enhance the therapeutic benefits of AIT for allergic conditions.