Abstract
The apparent efficacy of B-cell depletion in autoimmune diseases has increased interest in targeting B cells. One goal of next generation therapies is to develop treatments that block B-cell activation and preserve resting nonautoimmune cells that maintain B cell memory. To do so, one needs to understand how B cells are activated and what receptors and intracellular signaling pathways regulate this process. This paper will summarize B-cell activation pathways and illustrate how these are being targeted in the development of new treatments for rheumatoid arthritis.
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References and Recommended Reading
Lam KP, Kuhn R, Rajewsky K: In vivo ablation of surface immunoglobulin on mature B cells by inducible gene targeting results in rapid cell death. Cell 1997, 90:1073- 1083.
Mackay F, Browning JL: BAFF: a fundamental survival factor for B cells. Nat Rev Immunol 2002, 2:465- 475.
Martin F, Kearney JF: B-cell subsets and the mature preimmune repertoire. Marginal zone and B1 B cells as part of a "natural immune memory." Immunol Rev 2000, 175:70- 79.
Balazs M, Martin F, Zhou T, Kearney J: Blood dendritic cells interact with splenic marginal zone B cells to initiate T-independent immune responses. Immunity 2002, 17:341- 352. A demonstration of the T-independent antibody response to bacterial antigen.
Lu TT, Cyster JG: Integrin-mediated long-term B cell retention in the splenic marginal zone. Science 2002, 297:409- 412.
Litinskiy MB, Nardelli B, Hilbert DM, et al.: DCs induce CD40- independent immunoglobulin class switching through BLyS and APRIL. Nat Immunol 2002, 3:822- 829. This paper shows that IgG switching could occur in inflammatory sites without T cell help.
Chen X, Martin F, Forbush FA, et al.: Evidence for selection of a population of multi-reactive B cells into the splenic marginal zone. Int Immunol 1997, 9:27- 41.
Kelsoe G: The germinal center reaction. Immunol Today 1995, 16:324- 326.
Camacho SA, Kosco-Vilbois MH, Berek C: The dynamic structure of the germinal center. Immunol Today 1998, 19:511- 514.
Kim CH, Rott LS, Clark-Lewis I, et al.: Subspecialization of CXCR5+ T cells: B helper activity is focused in a germinal center-localized subset of CXCR5+ T cells. J Exp Med 2001, 193:1373- 1381.
Garside P, Ingulli E, Merica RR, et al.: Visualization of specific B and T lymphocyte interactions in the lymph node. Science 1998, 281:96- 99.
Foy TM, Aruffo A, Bajorath J, et al.: Immune regulation by CD40 and its ligand gp39. Annu Rev Immunol 1996, 14:591- 617.
Foy TM, Laman JD, Ledbetter JA, et al.: gp39-CD40 interactions are essential for germinal center formation and the development of B cell memory. J Exp Med 1994, 180:157- 163.
Han S, Hathcock K, Zheng B, et al.: Cellular interaction in germinal centers: roles of CD40 ligand and B7-2 in established germinal centers. J Immunol 1995, 155:556- 567.
Kawabe T, Naka T, Yoshida K, et al.: The immune responses in CD40-deficient mice: impaired immunoglobulin class switching and germinal center formation. Immunity 1994, 1:167- 178.
Ansel KM, McHeyzer-Williams LJ, Ngo VN, et al.: In vivo-activated CD4 T cells upregulate CXC chemokine receptor 5 and reprogram their response to lymphoid chemokines. J Exp Med 1999, 190:1123- 1134.
Voigt I, Camacho SA, de Boer BA, et al.: CXCR5-deficient mice develop functional germinal centers in the splenic T cell zone. Eur J Immunol 2000, 30:560- 567.
Kuppers R, Zhao M, Hansmann ML, Rajewsky K: Tracing B cell development in human germinal centres by molecular analysis of single cells picked from histological sections. EMBO J 1993, 12:4955- 4967.
Rajewsky K: Clonal selection and learning in the antibody system. Nature 1996, 381:751- 758.
Kelsoe G: B cell diversification and differentiation in the periphery. J Exp Med 1994, 180:5- 6.
Takahashi Y, Cerasoli DM, Dal Porto JM, et al.: Relaxed negative selection in germinal centers and impaired affinity maturation in bcl-xL transgenic mice. J Exp Med 1999, 190:399- 410.
William J, Euler C, Christensen S, Shlomchik MJ: Evolution of autoantibody responses via somatic hypermutation outside of germinal centers. Science 2002, 297:2066- 2070. This paper shows that antibodies with somatic mutations, which are typical of disease-associated autoantibodies, can be produced outside the germinal center, at least in models of lupus.
Kurosaki T: Regulation of B cell fates by BCR signaling components. Curr Opin Immunol 2002, 14:341–347.
Gauld SB, Dal Porto JM, Cambier JC: B cell antigen receptor signaling: roles in cell development and disease. Science 2002, 296:1641- 1642. An overview of BCR signaling.
Ishiai M, Kurosaki M, Pappu R, et al.: BLNK required for coupling Syk to PLCg2 and Rac1-JNK in B cells. Immunity 1999, 10:117- 125.
Winslow MM, Neilson JR, Crabtree GR: Calcium signaling in lymphocytes. Curr Opin Immunol 2003, 15:299- 307.
Takai T, Ono M, Hikida M, et al.: Augmented humoral and anaphylactic responses in Fc gamma RII-deficient. Nature 1996, 379:346- 349.
Fearon DT, Carroll MC: Regulation of B lymphocyte responses to foreign and self-antigens by the CD19/CD21 complex. Annu Rev Immunol 2000, 18:393- 422.
Doody GM, Dempsey PW, Fearon DT: Activation of B lymphocytes: integrating signals from CD19, CD22 and FcgIIb1. Curr Opin Immunol 1996, 8:378- 382.
Chang L, Karin M: Mammalian MAP kinase signaling cascades. Nature 2001, 410:37- 40.
Hao S, Kurosaki T, August A: Differential regulation of NFAT and SRF by the B cell receptor via a PLCgamma-Ca(2+)- dependent pathway. EMBO J 2003, 22:4166- 4177.
Crabtree GR: Calcium, calcineurin, and the control of transcription. J Biol Chem 2001, 276:2313- 2316.
Crabtree GR, Olson EN: NFAT signaling: choreographing the social lives of cells. Cell 2002, 109:S67- S79.
Karin M, Ben-Neriah Y: Phosphorylation meets ubiquitination: the control of NF-kappaB activity. Annu Rev Immunol 2000, 18:621- 663.
Karin M, Yamamoto Y, Wang QM: The IKK NF-kappa B system: a treasure trove for drug development. Nat Rev Drug Discov 2004, 3:17- 26.
O’Shea JJ, Gadina M, Schreiber RD: Cytokine signaling in 2002: new surprises in the Jak/Stat pathway. Cell 2002, 109:S121- S131.
Changelian PS, Flanagan ME, Ball DJ, et al.: Prevention of organ allograft rejection by a specific Janus kinase 3 inhibitor. Science 2003, 302:875- 878. An excellent example of rational drug development.
Karin M, Lin A: NF-kappaB at the crossroads of life and death. Nat Immunol 2002, 3:221–227.
Kopp E, Medzhitov R: Recognition of microbial infection by Toll-like receptors. Curr Opin Immunol 2003, 15:396- 401.
Claudio E, Brown K, Park S, et al.: BAFF-induced NEMO-independent processing of NF-kappa B2 in maturing B cells. Nat Immunol 2002, 3:958- 965.
Xu LG, Shu HB: TNFR-associated factor-3 is associated with BAFF-R and negatively regulates BAFF-R-mediated NF-kappa B activation and IL-10 production. J Immunol 2002, 169:6883- 6889.
Kayagaki N, Yan M, Seshasayee D, et al.: BAFF/BLyS receptor 3 binds the B cell survival factor BAFF ligand through a discrete surface loop and promotes processing of NF-kappaB2. Immunity 2002, 17:515- 524.
Cook MC, Korner H, Riminton DS, et al.: Generation of splenic follicular structure and B cell movement in tumor necrosis factor- deficient mice. J Exp Med 1998, 188:1503- 1510.
Endres R, Alimzhanov MB, Plitz T, et al.: Mature follicular dendritic cell networks depend on expression of lymphotoxin beta receptor by radioresistant stromal cells and of lymphotoxin beta and tumor necrosis factor by B cells. J Exp Med 1999, 189:159- 168.
Fu YX, Huang G, Wang Y, Chaplin DD: B lymphocytes induce the formation of follicular dendritic cell clusters in a lymphotoxin alpha-dependent fashion. J Exp Med 1998, 187:1009- 1018.
Coope HJ, Atkinson PG, Huhse B, et al.: CD40 regulates the processing of NF-kappaB2 p100 to p52. EMBO J 2002, 21:5375- 5385.
Calderhead DM, Kosaka Y, Manning EM, Noelle RJ: CD40- CD154 interactions in B-cell signaling. Curr Top Microbiol Immunol 2000, 245:73- 99.
Leonard WJ, O’Shea JJ: Jaks and STATs: biological implications. Annu Rev Immunol 1998, 16:293- 322.
Hofmann SR, Ettinger R, Zhou YJ, et al.: Cytokines and their role in lymphoid development, differentiation and homeostasis. Curr Opin Allergy Clin Immunol 2002, 2:495- 506.
O’Shea JJ, Visconti R, Cheng TP, Gadina M: Jaks and STATs as therapeutic targets. Ann Rheum Dis 2000, 59:i115- 118.
Nielen MM, van Schaardenburg D, Reesink HW, et al.: Specific autoantibodies precede the symptoms of rheumatoid arthritis: a study of serial measurements in blood donors. Arthritis Rheum 2004, 50:380- 386.
Rantapaa-Dahlqvist S, de Jong BA, Berglin E, et al.: Antibodies against cyclic citrullinated peptide and IgA rheumatoid factor predict the development of rheumatoid arthritis. Arthritis Rheum 2003, 48:2741- 2749.
Matsumoto I, Staub A, Benoist C, Mathis D: Arthritis provoked by linked T and B cell recognition of a glycolytic enzyme. Science 1999, 286:1732- 1735. Demonstrates that antibodies to ubiquitous antigens, once developed, can cause arthritis.
Leadbetter EA, Rifkin IR, Hohlbaum AM, et al.: Chromatin-IgG complexes activate B cells by dual engagement of IgM and Toll-like receptors. Nature 2002, 416:603- 607.
Rifkin IR, Leadbetter EA, Beaudette BC, et al.: Immune complexes present in the sera of autoimmune mice activate rheumatoid factor B cells. J Immunol 2000, 165:1626- 1633.
Mamula MJ, Fatenejad S, Craft J: B cells process and present lupus autoantigens that initiate autoimmune T cell responses. J Immunol 1994, 152:1453- 1461. Demonstrates that activated B cells can break T cell tolerance.
Takemura S, Klimiuk PA, Braun A, et al.: T cell activation in rheumatoid synovium is B cell dependent. J Immunol 2001, 167:4710- 4718.
Cambridge G, Leandro MJ, Edwards JC, et al.: Serologic changes following B lymphocyte depletion therapy for rheumatoid arthritis. Arthritis Rheum 2003, 48:2146- 2154.
De Vita S, Zaja F, Sacco S, et al.: Efficacy of selective B cell blockade in the treatment of rheumatoid arthritis: evidence for a pathogenetic role of B cells. Arthritis Rheum 2002, 46:2029- 2033.
Leandro MJ, Edwards JC, Cambridge G: Clinical outcome in 22 patients with rheumatoid arthritis treated with B lymphocyte depletion. Ann Rheum Dis 2002, 61:883- 888.
Silverman GJ, Weisman S: Rituximab therapy and autoimmune disorders: prospects for anti-B cell therapy. Arthritis Rheum 2003, 48:1484- 1492.
Takemura S, Braun A, Crowson C, et al.: Lymphoid neogenesis in rheumatoid synovitis. J Immunol 2001, 167:1072- 1080.
Schroder AE, Greiner A, Seyfert C, Berek C: Differentiation of B cells in the nonlymphoid tissue of the synovial membrane of patients with rheumatoid arthritis. Proc Natl Acad Sci U S A 1996, 93:221- 225.
Zhou T, Zhang J, Carter R, Kimberly R: BLyS and B cell autoimmunity. Curr Dir Autoimmun 2003, 6:21- 37.
Zhang J, Roschke V, Baker KP, et al.: Cutting edge: a role for B lymphocyte stimulator in systemic lupus erythematosus. J Immunol 2001, 166:6- 10.
Tan S-M, Xu D, Roschke V, et al.: Local production of B lymphocyte stimulator protein and APRIL in arthritic joints of patients with inflammatory arthritis. Arthritis Rheum 2003, 48:982- 992.
O’Shea JJ, Ma A, Lipsky P: Cytokines and autoimmunity. Nat Rev Immunol 2002, 2:37- 45.
Wendling D, Racadot E, Wijdenes J: Treatment of severe rheumatoid arthritis by anti-interleukin 6 monoclonal antibody. J Rheumatol 1993, 20:259- 262.
Zuany-Amorim C, Hastewell J, Walker C: Toll-like receptors as potential therapeutic targets for multiple diseases. Nat Rev Drug Discov 2002, 1:797- 807.
Choy EH, Isenberg DA, Garrood T, et al.: Therapeutic benefit of blocking interleukin-6 activity with an anti-interleukin-6 receptor monoclonal antibody in rheumatoid arthritis: a randomized, double-blind, placebo-controlled, dose-escalation trial. Arthritis Rheum 2002, 46:3143- 3150.
Bruhl H, Cihak J, Stangassinger M, et al.: Depletion of CCR5- expressing cells with bispecific antibodies and chemokine toxins: a new strategy in the treatment of chronic inflammatory diseases and HIV. J Immunol 2001, 166:2420- 2426.
Kremer JM, Westhovens R, Leon M, et al.: Treatment of rheumatoid arthritis by selective inhibition of T-cell activation with fusion protein CTLA4Ig. N Engl J Med 2003, 349:1907- 1915.
Kraan MC, van Kuijk AW, Dinant HJ, et al.: Alefacept treatment in psoriatic arthritis: reduction of the effector T cell population in peripheral blood and synovial tissue is associated with improvement of clinical signs of arthritis. Arthritis Rheum 2002, 46:2776- 2784.
Krueger GG, Papp KA, Stough DB, et al.: A randomized, doubleblind, placebo-controlled phase III study evaluating efficacy and tolerability of 2 courses of alefacept in patients with chronic plaque psoriasis. J Am Acad Dermatol 2002, 47:821- 833.
Kavanaugh AF, Schulze-Koops H, Davis LS, Lipsky PE: Repeat treatment of rheumatoid arthritis patients with a murine anti-intercellular adhesion molecule 1 monoclonal antibody. Arthritis Rheum 1997, 40:849- 853.
Ghosh S, Goldin E, Gordon FH, et al.: Natalizumab for active Crohn’s disease. N Engl J Med 2003, 348:24- 32.
Dedrick RL, Walicke P, Garovoy M: Anti-adhesion antibodies efalizumab, a humanized anti-CD11a monoclonal antibody. Transpl Immunol 2002, 9:181- 186.
Smolen JS, Steiner G: Therapeutic strategies for rheumatoid arthritis. Nat Rev Drug Discov 2003, 2:473- 488.
Shanahan JC, Moreland LW, Carter RH: Upcoming biologic agents for the treatment of rheumatic diseases. Curr Opin Rheumatol 2003, 15:226- 236.
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Carter, R.H. B cells: New ways to inhibit their function in rheumatoid arthritis. Curr Rheumatol Rep 6, 357–363 (2004). https://doi.org/10.1007/s11926-004-0010-7
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DOI: https://doi.org/10.1007/s11926-004-0010-7