The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae

The anti-CD20 antibody Rituximab to deplete CD20+ B cells is an effective treatment for rheumatoid arthritis and B cell malignancies, but is associated with an increased incidence of respiratory infections. Using mouse models we have investigated the consequences of B cell depletion on natural and a...

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Main Authors: Giuseppe Ercoli, Elisa Ramos-Sevillano, Rie Nakajima, Rafael Ramiro de Assis, Algis Jasinskas, David Goldblatt, Philip Felgner, Gisbert Weckbecker, Jeremy Brown
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2020.611661/full
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author Giuseppe Ercoli
Elisa Ramos-Sevillano
Rie Nakajima
Rafael Ramiro de Assis
Algis Jasinskas
David Goldblatt
Philip Felgner
Gisbert Weckbecker
Jeremy Brown
author_facet Giuseppe Ercoli
Elisa Ramos-Sevillano
Rie Nakajima
Rafael Ramiro de Assis
Algis Jasinskas
David Goldblatt
Philip Felgner
Gisbert Weckbecker
Jeremy Brown
author_sort Giuseppe Ercoli
collection DOAJ
description The anti-CD20 antibody Rituximab to deplete CD20+ B cells is an effective treatment for rheumatoid arthritis and B cell malignancies, but is associated with an increased incidence of respiratory infections. Using mouse models we have investigated the consequences of B cell depletion on natural and acquired humoral immunity to Streptococcus pneumoniae. B cell depletion of naïve C57Bl/6 mice reduced natural IgM recognition of S. pneumoniae, but did not increase susceptibility to S. pneumoniae pneumonia. ELISA and flow cytometry assays demonstrated significantly reduced IgG and IgM recognition of S. pneumoniae in sera from mice treated with B cell depletion prior to S. pneumoniae nasopharyngeal colonization compared to untreated mice. Colonization induced antibody responses to protein rather than capsular antigen, and when measured using a protein array B cell depletion prior to colonization reduced serum levels of IgG to several protein antigens. However, B cell depleted S. pneumoniae colonized mice were still partially protected against both lung infection and septicemia when challenged with S. pneumoniae after reconstitution of their B cells. These data indicate that although B cell depletion markedly impairs antibody recognition of S. pneumoniae in colonized mice, some protective immunity is maintained, perhaps mediated by cellular immunity.
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spelling doaj.art-254598317059450e979cd18bc29cd6e82022-12-21T22:42:26ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-01-011110.3389/fimmu.2020.611661611661The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniaeGiuseppe Ercoli0Elisa Ramos-Sevillano1Rie Nakajima2Rafael Ramiro de Assis3Algis Jasinskas4David Goldblatt5Philip Felgner6Gisbert Weckbecker7Jeremy Brown8Centre for Inflammation and Tissue Repair, UCL Respiratory, Division of Medicine, University College Medical School, Rayne Institute, London, United KingdomCentre for Inflammation and Tissue Repair, UCL Respiratory, Division of Medicine, University College Medical School, Rayne Institute, London, United KingdomVaccine Research and Development Center, Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United StatesVaccine Research and Development Center, Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United StatesVaccine Research and Development Center, Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United StatesDepartment of Immunobiology, UCL Great Ormond Street Institute of Child Health, NIHR Biomedical Research Centre, London, United KingdomVaccine Research and Development Center, Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United StatesNovartis Institute for BioMedical Research, Novartis, Basel, SwitzerlandCentre for Inflammation and Tissue Repair, UCL Respiratory, Division of Medicine, University College Medical School, Rayne Institute, London, United KingdomThe anti-CD20 antibody Rituximab to deplete CD20+ B cells is an effective treatment for rheumatoid arthritis and B cell malignancies, but is associated with an increased incidence of respiratory infections. Using mouse models we have investigated the consequences of B cell depletion on natural and acquired humoral immunity to Streptococcus pneumoniae. B cell depletion of naïve C57Bl/6 mice reduced natural IgM recognition of S. pneumoniae, but did not increase susceptibility to S. pneumoniae pneumonia. ELISA and flow cytometry assays demonstrated significantly reduced IgG and IgM recognition of S. pneumoniae in sera from mice treated with B cell depletion prior to S. pneumoniae nasopharyngeal colonization compared to untreated mice. Colonization induced antibody responses to protein rather than capsular antigen, and when measured using a protein array B cell depletion prior to colonization reduced serum levels of IgG to several protein antigens. However, B cell depleted S. pneumoniae colonized mice were still partially protected against both lung infection and septicemia when challenged with S. pneumoniae after reconstitution of their B cells. These data indicate that although B cell depletion markedly impairs antibody recognition of S. pneumoniae in colonized mice, some protective immunity is maintained, perhaps mediated by cellular immunity.https://www.frontiersin.org/articles/10.3389/fimmu.2020.611661/fullStreptococcus pneumoniaeanti-protein antibodycolonizationB cell depletionCD20
spellingShingle Giuseppe Ercoli
Elisa Ramos-Sevillano
Rie Nakajima
Rafael Ramiro de Assis
Algis Jasinskas
David Goldblatt
Philip Felgner
Gisbert Weckbecker
Jeremy Brown
The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae
Frontiers in Immunology
Streptococcus pneumoniae
anti-protein antibody
colonization
B cell depletion
CD20
title The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae
title_full The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae
title_fullStr The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae
title_full_unstemmed The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae
title_short The Influence of B Cell Depletion Therapy on Naturally Acquired Immunity to Streptococcus pneumoniae
title_sort influence of b cell depletion therapy on naturally acquired immunity to streptococcus pneumoniae
topic Streptococcus pneumoniae
anti-protein antibody
colonization
B cell depletion
CD20
url https://www.frontiersin.org/articles/10.3389/fimmu.2020.611661/full
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