Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease

Abstract Castleman disease (CD) is a rare lymphoproliferative disorder. Among subtypes of CD, idiopathic multicentric CD-not otherwise specified (iMCD-NOS) has a poor prognosis and its pathogenesis is largely unknown. Here we present a xenotransplantation model of iMCD-NOS pathogenesis. Immunodefici...

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Main Authors: Takuya Harada, Yoshikane Kikushige, Toshihiro Miyamoto, Kazuko Uno, Hiroaki Niiro, Atsushi Kawakami, Tomohiro Koga, Koichi Akashi, Kazuyuki Yoshizaki
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-42718-0
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author Takuya Harada
Yoshikane Kikushige
Toshihiro Miyamoto
Kazuko Uno
Hiroaki Niiro
Atsushi Kawakami
Tomohiro Koga
Koichi Akashi
Kazuyuki Yoshizaki
author_facet Takuya Harada
Yoshikane Kikushige
Toshihiro Miyamoto
Kazuko Uno
Hiroaki Niiro
Atsushi Kawakami
Tomohiro Koga
Koichi Akashi
Kazuyuki Yoshizaki
author_sort Takuya Harada
collection DOAJ
description Abstract Castleman disease (CD) is a rare lymphoproliferative disorder. Among subtypes of CD, idiopathic multicentric CD-not otherwise specified (iMCD-NOS) has a poor prognosis and its pathogenesis is largely unknown. Here we present a xenotransplantation model of iMCD-NOS pathogenesis. Immunodeficient mice, transplanted with lymph node (LN) cells from iMCD-NOS patients, develop iMCD-like lethal inflammation, while mice transplanted with LN cells from non-iMCD patients without inflammation serve as negative control. Grafts depleted of human CD3+ T cells fail to induce inflammation in vivo. Upon engraftment, peripheral helper T (Tph) cells expand and levels of human CXCL13 substantially increase in the sera of mice. A neutralizing antibody against human CXCL13 blocks development of inflammation and improves survival in the recipient mice. Our study thus indicates that Tph cells, producing CXCL13 play a critical role in the pathogenesis of iMCD-NOS, and establishes iMCD-NOS as an immunoregulatory disorder.
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spelling doaj.art-9f865d2680994d2498a4c679391393862023-11-05T12:23:27ZengNature PortfolioNature Communications2041-17232023-10-0114111310.1038/s41467-023-42718-0Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman diseaseTakuya Harada0Yoshikane Kikushige1Toshihiro Miyamoto2Kazuko Uno3Hiroaki Niiro4Atsushi Kawakami5Tomohiro Koga6Koichi Akashi7Kazuyuki Yoshizaki8Department of Medicine and Biosystemic Science, Kyushu University Graduate School of MedicineDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of MedicineDepartment of Hematology, Faculty of Medicine, Institute of Medical Pharmaceutical and Health Sciences, Kanazawa UniversityLuis Pasteur Center for Medical ResearchDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of MedicineDepartment of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical SciencesDepartment of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical SciencesDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of MedicineThe Institute of Scientific and Industrial Research, SANKEN, Osaka UniversityAbstract Castleman disease (CD) is a rare lymphoproliferative disorder. Among subtypes of CD, idiopathic multicentric CD-not otherwise specified (iMCD-NOS) has a poor prognosis and its pathogenesis is largely unknown. Here we present a xenotransplantation model of iMCD-NOS pathogenesis. Immunodeficient mice, transplanted with lymph node (LN) cells from iMCD-NOS patients, develop iMCD-like lethal inflammation, while mice transplanted with LN cells from non-iMCD patients without inflammation serve as negative control. Grafts depleted of human CD3+ T cells fail to induce inflammation in vivo. Upon engraftment, peripheral helper T (Tph) cells expand and levels of human CXCL13 substantially increase in the sera of mice. A neutralizing antibody against human CXCL13 blocks development of inflammation and improves survival in the recipient mice. Our study thus indicates that Tph cells, producing CXCL13 play a critical role in the pathogenesis of iMCD-NOS, and establishes iMCD-NOS as an immunoregulatory disorder.https://doi.org/10.1038/s41467-023-42718-0
spellingShingle Takuya Harada
Yoshikane Kikushige
Toshihiro Miyamoto
Kazuko Uno
Hiroaki Niiro
Atsushi Kawakami
Tomohiro Koga
Koichi Akashi
Kazuyuki Yoshizaki
Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease
Nature Communications
title Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease
title_full Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease
title_fullStr Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease
title_full_unstemmed Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease
title_short Peripheral helper-T-cell-derived CXCL13 is a crucial pathogenic factor in idiopathic multicentric Castleman disease
title_sort peripheral helper t cell derived cxcl13 is a crucial pathogenic factor in idiopathic multicentric castleman disease
url https://doi.org/10.1038/s41467-023-42718-0
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