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IL-4 alters TLR7-induced B cell developmental program in lupus.
Changming Lu1, Shanrun Liu1, Min Gao2
1Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Clinical Immunology (Orlando, Fla.)
|March 11, 2025
Summary
Interleukin-4 (IL-4) therapy reduces autoantibodies in systemic lupus erythematosus (SLE) by reprogramming B cell development. This therapy counteracts Toll-like receptor 7 (TLR7)-driven B cell populations implicated in SLE pathogenesis.
Area of Science:
- Immunology
- Autoimmunity
- B cell biology
Background:
- Toll-like receptor 7 (TLR7) stimulation drives autoantibody production in systemic lupus erythematosus (SLE) via specific B cell subsets.
- Double-negative 2 (DN2) B cells, characterized as T-bet+CD11c+IgD-CD27-, are key players in this pathogenic process.
Purpose of the Study:
- To investigate the therapeutic potential of Interleukin-4 (IL-4) in modulating TLR7-induced B cell responses in SLE.
- To determine how IL-4 affects the development and phenotype of B cells in the context of TLR7 activation.
Main Methods:
- Administration of IL-4 to autoimmune BXD2 mice treated with the TLR7 agonist R848.
- Single-cell transcriptomics analysis to assess B cell populations and gene expression.
- In vitro stimulation of SLE patient B cells with a DN2 polarizing cocktail and IL-4.
Main Results:
- IL-4 treatment significantly reduced autoantibodies and pathogenic T-bet+CD11c+IgD- B cells in mice.
- IL-4 redirected B cell development towards follicular, CD23+ germinal center (GC), and DN4-like memory B cells.
- IL-4 suppressed R848-induced GC B cell proliferation and reduced interferon response genes in SLE patient B cells.
Conclusions:
- IL-4 administration effectively counteracts TLR7-driven DN2 and GC B cell populations in SLE models.
- IL-4 promotes a developmental reprogramming of B cells, offering a potential therapeutic strategy for SLE.
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