Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis

B cell depletion in patients with relapsing-remitting multiple sclerosis (RRMS) markedly prevents new MRI-detected lesions and disease activity, suggesting the hypothesis that altered B cell function leads to the activation of T cells driving disease pathogenesis. Here, we performed comprehensive an...

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Main Authors: Hiromitsu Asashima, Pierre-Paul Axisa, Thi Hong Giang Pham, Erin E. Longbrake, William E. Ruff, Nikhil Lele, Inessa Cohen, Khadir Raddassi, Tomokazu S. Sumida, David A. Hafler
Format: Article
Language:English
Published: American Society for Clinical Investigation 2022-10-01
Series:The Journal of Clinical Investigation
Subjects:
Online Access:https://doi.org/10.1172/JCI156254
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author Hiromitsu Asashima
Pierre-Paul Axisa
Thi Hong Giang Pham
Erin E. Longbrake
William E. Ruff
Nikhil Lele
Inessa Cohen
Khadir Raddassi
Tomokazu S. Sumida
David A. Hafler
author_facet Hiromitsu Asashima
Pierre-Paul Axisa
Thi Hong Giang Pham
Erin E. Longbrake
William E. Ruff
Nikhil Lele
Inessa Cohen
Khadir Raddassi
Tomokazu S. Sumida
David A. Hafler
author_sort Hiromitsu Asashima
collection DOAJ
description B cell depletion in patients with relapsing-remitting multiple sclerosis (RRMS) markedly prevents new MRI-detected lesions and disease activity, suggesting the hypothesis that altered B cell function leads to the activation of T cells driving disease pathogenesis. Here, we performed comprehensive analyses of CD40 ligand– (CD40L-) and IL-21–stimulated memory B cells from patients with MS and healthy age-matched controls, modeling the help of follicular helper T cells (Tfh cells), and found a differential gene expression signature in multiple B cell pathways. Most striking was the impaired TIGIT expression on MS-derived B cells mediated by dysregulation of the transcription factor TCF4. Activated circulating Tfh cells (cTfh cells) expressed CD155, the ligand of TIGIT, and TIGIT on B cells revealed their capacity to suppress the proliferation of IL-17–producing cTfh cells via the TIGIT/CD155 axis. Finally, CCR6+ cTfh cells were significantly increased in patients with MS, and their frequency was inversely correlated with that of TIGIT+ B cells. Together, these data suggest that the dysregulation of negative feedback loops between TIGIT+ memory B cells and cTfh cells in MS drives the activated immune system in this disease.
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spelling doaj.art-0c9d8420a9fe4098b16d60ae277572052023-11-07T16:19:26ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382022-10-0113220Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosisHiromitsu AsashimaPierre-Paul AxisaThi Hong Giang PhamErin E. LongbrakeWilliam E. RuffNikhil LeleInessa CohenKhadir RaddassiTomokazu S. SumidaDavid A. HaflerB cell depletion in patients with relapsing-remitting multiple sclerosis (RRMS) markedly prevents new MRI-detected lesions and disease activity, suggesting the hypothesis that altered B cell function leads to the activation of T cells driving disease pathogenesis. Here, we performed comprehensive analyses of CD40 ligand– (CD40L-) and IL-21–stimulated memory B cells from patients with MS and healthy age-matched controls, modeling the help of follicular helper T cells (Tfh cells), and found a differential gene expression signature in multiple B cell pathways. Most striking was the impaired TIGIT expression on MS-derived B cells mediated by dysregulation of the transcription factor TCF4. Activated circulating Tfh cells (cTfh cells) expressed CD155, the ligand of TIGIT, and TIGIT on B cells revealed their capacity to suppress the proliferation of IL-17–producing cTfh cells via the TIGIT/CD155 axis. Finally, CCR6+ cTfh cells were significantly increased in patients with MS, and their frequency was inversely correlated with that of TIGIT+ B cells. Together, these data suggest that the dysregulation of negative feedback loops between TIGIT+ memory B cells and cTfh cells in MS drives the activated immune system in this disease.https://doi.org/10.1172/JCI156254AutoimmunityImmunology
spellingShingle Hiromitsu Asashima
Pierre-Paul Axisa
Thi Hong Giang Pham
Erin E. Longbrake
William E. Ruff
Nikhil Lele
Inessa Cohen
Khadir Raddassi
Tomokazu S. Sumida
David A. Hafler
Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis
The Journal of Clinical Investigation
Autoimmunity
Immunology
title Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis
title_full Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis
title_fullStr Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis
title_full_unstemmed Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis
title_short Impaired TIGIT expression on B cells drives circulating follicular helper T cell expansion in multiple sclerosis
title_sort impaired tigit expression on b cells drives circulating follicular helper t cell expansion in multiple sclerosis
topic Autoimmunity
Immunology
url https://doi.org/10.1172/JCI156254
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