メスマウスにおけるB細胞の代謝再プログラミングを介したインフルエンザワクチン応答に対するエストラジオールの増強

Reproductive-aged females mount stronger antibody responses to influenza vaccination than males, with the sex difference waning in older age. Estradiol has been implicated as a driver, but the mechanisms mediating how estradiol affects B cell function remain elusive. Adult (3 months) and aged (17 months) male and female mice were vaccinated and boosted with inactivated influenza vaccine. Metabolomics analysis of splenic B cells revealed that adult female B cells were enriched in lipid metabolic pathways, whereas B cells from males were enriched in central carbon-associated pathways following vaccination. B cells from vaccinated adult females exhibited greater expression of mTOR and related proteins than those from males, a difference diminished in aged mice. In adult females, estradiol depletion reduced, and replacement increased, mTOR activity in B cells, particularly in germinal center B cells and plasmablasts in lymphoid tissues, and plasma cells in bone marrow. In males, neither testosterone depletion nor repletion altered B cell metabolism. These findings are consistent with evidence that estradiol enhances mTOR activation via estrogen receptor α (ERα) signaling, suggesting coordinated regulation between estrogen and mTOR signaling in B cells. Inhibition of mTOR with rapamycin impaired vaccine-induced antibody responses and protection in adult females. In aged females, supplementation with estradiol or treatment with a selective ERα agonist increased mTOR signaling and enhanced antibody responses compared with mock-treated aged females. These data identify estrogen signaling as a regulator of B cell metabolism that supports greater expansion and function of antibody-secreting cells following vaccination in females compared with males.

Vaccine-induced immunity differs between the sexes, with adult females mounting stronger antibody responses to influenza vaccination than age-matched males. We show that estradiol in females regulates B cell metabolism to promote the maturation and metabolic activation of antibody-secreting B cells, thereby enhancing humoral immunity and protection following vaccination. mTOR signaling in B cells was greater in adult females than males after vaccination, which was diminished with aging or depletion of estradiol. Therapeutic treatment of aged females with either estradiol or a selective estrogen receptor α modulator increased mTOR signaling and improved vaccine-induced antibody responses, thereby eliminating the effects of aging on influenza immunity. Harnessing estrogen-signaling mechanisms to improve responses to influenza vaccines could be a novel therapeutic strategy to improve public health.