Abstract
B cells play a variety of immunoregulatory roles through their antigen-presentation ability and through cytokine and chemokine production. Innate immune activation of B cells may play a beneficial role through the generation of natural cross-reactive antibodies, by maintaining B cell memory and by exercising immunomodulatory functions that may provide protection against autoimmunity. In this article, we review human B cell populations and their functional properties, with a particular focus on a population of inherently autoreactive B cells, which seem to play an important physiological role in innate immunity, but which, if selected into adaptive immune responses, appear to become pathogenic agents in systemic lupus erythematosus.
Similar content being viewed by others
References
Martin F, Oliver AM, Kearney JF (2001) Marginal zone and B1 B cells unite in the early response against T-independent blood-borne particulate antigens. Immunity 14:617
Bernasconi NL, Traggiai E, Lanzavecchia A (2002) Maintenance of serological memory by polyclonal activation of human memory B cells. Science 298:2199
Chan O, Shlomchik MJ (1998) A new role for B cells in systemic autoimmunity: B cells promote spontaneous T cell activation in MRL-lpr/lpr mice. J Immunol 160:51
Harris DP, Haynes L, Sayles PC, et al (2000) Reciprocal regulation of polarized cytokine production by effector B and T cells. Nat Immunol 1:475
Yu P, Wang Y, Chin RK, et al (2002) B cells control the migration of a subset of dendritic cells into B cell follicles via CXC chemokine ligand 13 in a lymphotoxin-dependent fashion. J Immunol 168:5117
Schaerli P, Willimann K, Lang AB, et al (2000) CXC chemokine receptor 5 expression defines follicular homing T cells with B cell helper function. J Exp Med 192:1553
Boes M, Prodeus AP, Schmidt T, et al (1998) A critical role of natural immunoglobulin M in immediate defense against systemic bacterial infection. J Exp Med 188:2381
Ochsenbein AF, Fehr T, Lutz C, et al (1999) Control of early viral and bacterial distribution and disease by natural antibodies. Science 286:2156
Essen D van, Dullforce P, Gray D (2000) Role of B cells in maintaining helper T-cell memory. Phil Trans Royal Soc London Series B 355:351
Fillatreau S, Sweenie CH, McGeachy MJ, et al (2002) B cells regulate autoimmunity by provision of IL-10. Nat Immunol 3:944
Boes M, Schmidt T, Linkemann K, et al (2000) Accelerated development of IgG autoantibodies and autoimmune disease in the absence of secreted IgM. Proc Natl Acad Sci USA 97:1184
Tian J, Zekzer D, Hanssen L, et al (2001) Lipopolysaccharide-activated B cells down-regulate Th1 immunity and prevent autoimmune diabetes in nonobese diabetic mice. J Immunol 167:1081
Leadbetter EA, Rifkin IR, Hohlbaum AM, et al (2002) Chromatin-IgG complexes activate B cells by dual engagement of IgM and Toll-like receptors. Nature 416:603
Fields ML, Erikson J (2003) The regulation of lupus-associated autoantibodies: immunoglobulin transgenic models. Curr Opin Immunol 15:709
Pugh-Bernard AE, Silverman GJ, Cappione AJ, et al (2001) Regulation of inherently autoreactive VH4-34 B cells in the maintenance of human B cell tolerance. J Clin Invest 108:1061
Martin F, Kearney JF (2000) B-cell subsets and the mature preimmune repertoire. Marginal zone and B1 B cells as part of a “natural immune memory”. Immunol Rev 175:70
Carsetti R, Rosado MM, Wardmann H (2004) Peripheral development of B cells in mouse and man. Immunol Rev 197:179
Lopes-Carvalho T, Kearney JF (2004) Development and selection of marginal zone B cells. Immunol Rev 197:192
Wardemann H, Boehm T, Dear N, et al (2002) B-1a B cells that link the innate and adaptive immune responses are lacking in the absence of the spleen. J Exp Med 195:771
Kruetzmann S, Rosado MM, Weber H, et al (2003) Human immunoglobulin M memory B cells controlling Streptococcus pneumoniae infections are generated in the spleen. J Exp Med 197:939
Kasaian MT, Casali P (1993) Autoimmunity-prone B-1 (CD5 B) cells, natural antibodies and self recognition. Autoimmunity 15:315
Zandvoort A, Lodewijk ME, Boer NK de, et al (2001) CD27 expression in the human splenic marginal zone: the infant marginal zone is populated by naive B cells. Tissue Antigen 58:234
Weller S, Braun MC, Tan BK, et al (2004) Human blood IgM “memory” B cells are circulating splenic marginal zone B cells harboring a pre-diversified immunoglobulin repertoire. Blood:2004
Pascual V, Liu YJ, Magalski A, et al (1994) Analysis of somatic mutation in five B cell subsets of human tonsil. J Exp Med 180:329
Bohnhorst J, Bjorgan MB, Thoen JE, et al (2001) Bm1-bm5 classification of peripheral blood B cells reveals circulating germinal center founder cells in healthy individuals and disturbance in the b cell subpopulations in patients with primary sjogren’s syndrome. J Immunol 167:3610
Klein U, Rajewsky K, Kuppers R (1998) Human immunoglobulin (Ig)M+IgD+ peripheral blood B cells expressing the CD27 cell surface antigen carry somatically mutated variable region genes; CD27 as a general marker for somatically mutated (memory) B cells. J Exp Med 188:1679
Weller S, Faili A, Garcia C, et al (2001) CD40-CD40L independent Ig gene hypermutation suggests a second B cell diversification pathway in humans. Proc Natl Acad Sci USA 98:1166
Cocca BA, Seal SN, D’Agnillo P, et al (2001) Structural basis for autoantibody recognition of phosphatidylserine-beta 2 glycoprotein I and apoptotic cells. Proc Natl Acad Sci USA 98:13826
Potter KN, Li YC, Capra JD (1994) The cross-reactive idiotopes recognized by the monoclonal antibodies 9G4 and LC1 are located in framework region 1 of two non-overlapping subsets of human VH4 family encoded antibodies. Scand J Immunol 40:43
Potter KN, Hobby P, Klijn S, et al (2002) Evidence for involvement of a hydrophobic patch in framework region 1 of human V4-34-encoded Igs in recognition of the red blood cell I antigen. J Immunol 169:3777
Zheng NY, Wilson K, Wang X, et al (2004) Human immunoglobulin selection associated with class switch and possible tolerogenic origins for C delta class-switched B cells. J Clin Invest 113:1188
Mockridge CI, Rahman A, Buchan S, et al (2004) Common patterns of B cell perturbation and expanded V4-34 immunoglobulin gene usage in autoimmunity and infection. Autoimmunity 37:9
Chapman CJ, Spellerberg MB, Smith GA, et al (1993) Autoanti-red cell antibodies synthesized by patients with infectious mononucleosis utilize the VH4-21 gene segment. J Immunol 151:1051
Cappione AJ, Pugh-Bernard AE, Anolik JH, et al (2004) Lupus IgG VH4.34 antibodies bind to a 220-kDa glycoform of CD45/B220 on the surface of human B lymphocytes. J Immunol 172:4298
Stevenson FK, Smith GJ, North J, et al (1989) Identification of normal B-cell counterparts of neoplastic cells which secrete cold agglutinins of anti-I and anti-i specificity. Br J Haematol 72:9
Chapman C, Spellerberg M, Hamblin T, et al (1995) Pattern of usage of the VH4-21 gene by B lymphocytes in a patient with EBV infection indicates ongoing mutation and class switching. Ann N Y Acad Sci 764:195
Silberstein LE, Jefferies LC, Goldman J, et al (1991) Variable region gene analysis of pathologic human autoantibodies to the related i and I red blood cell antigens. Blood 78:2372
Pascual V, Victor K, Spellerberg M, et al (1992) VH restriction among human cold agglutinins. The VH4-21 gene segment is required to encode anti-I and anti-i specificities. J Immunol 149:2337
Parr TB, Johnson TA, Silberstein LE, et al (1994) Anti-B cell autoantibodies encoded by VH 4-21 genes in human fetal spleen do not require in vivo somatic selection. Eur J Immunol 24:2941
Li Y, Spellerberg MB, Stevenson FK, et al (1996) The I binding specificity of human VH 4-34 (VH 4-21) encoded antibodies is determined by both VH framework region 1 and complementarity determining region 3. J Mol Biol 256:577
Schutte ME, Es JH van, Silberstein LE, et al (1993) VH4.21-encoded natural autoantibodies with anti-i specificity mirror those associated with cold hemagglutinin disease. J Immunol 151:6569
Andris JS, Miller AB, Abraham SR, et al (1997) Variable region gene segment utilization in rhesus monkey hybridomas producing human red blood cell-specific antibodies: predominance of the VH4 family but not VH4-21 (V4-34). Mol Immunol 34:237
Sanz I, Hwang LY, Hasemann C, et al (1988) Polymorphisms of immunologically relevant loci in human disease. Autoimmunity and human heavy chain variable regions. Ann N Y Acad Sci 546:133
Williams C, Weigel L, Sanz I, et al (1991) Small human VH gene families show remarkably little polymorphism. In: Cazenave P (ed) Anti-idiotypic vaccines. Progress in vaccinology. Springer, New York, p 22
van Dijk KW, Sasso EH, Milner EC (1991) Polymorphism of the human Ig VH4 gene family. J Immunol 146:3646
Weng NP, Snyder JG, Yu-Lee LY, et al (1992) Polymorphism of human immunoglobulin VH4 germ-line genes. Eur J Immunol 22:1075
Wang H, Clarke SH (2004) Positive selection focuses the VH12 B-cell repertoire towards a single B1 specificity with survival function. Immunol Rev 197:51
Eda S, Yamanaka M, Beppu M (2004) Carbohydrate-mediated phagocytic recognition of early apoptotic cells undergoing transient capping of CD43 glycoprotein. J Biol Chem 279:5967
Feizi T, Monger E (1967) Search for I antigen in human tissues. Nature 216:1025
Feizi T (1973) Immunochemical studies of mammalian glycoproteins with blood group I activity. Clin Sci Mol Med 45:17P
Feizi T, Turberville C, Westwood JH (1975) Blood-group precursors and cancer-related antigens. Lancet II:391
Feizi T (1978) The I and i antigens on certain normal and pathologic tissues. Rev Fran Trans Immuno-Hematol 21:165
Feizi T (1981) The blood group Ii system: a carbohydrate antigen system defined by naturally monoclonal or oligoclonal autoantibodies of man. Immunol Commun 10:127
Thompson KM, Sutherland J, Barden G, et al (1991) Human monoclonal antibodies against blood group antigens preferentially express a VH4-21 variable region gene-associated epitope. Scand J Immunol 34:509
Pascual V, Victor K, Lelsz D, et al (1991) Nucleotide sequence analysis of the V regions of two IgM cold agglutinins. Evidence that the VH4-21 gene segment is responsible for the major cross-reactive idiotype. J Immunol 146:4385
Grillot-Courvalin C, Brouet JC, Piller F, et al (1992) An anti-B cell autoantibody from Wiskott-Aldrich syndrome which recognizes i blood group specificity on normal human B cells. Eur J Immunol 22:1781
Smith G, Spellerberg M, Boulton F, et al (1995) The immunoglobulin VH gene, VH4-21, specifically encodes autoanti-red cell antibodies against the I or i antigens. Vox Sanguinis 68:231
Silberstein LE, George A, Durdik JM, et al (1996) The V4-34 encoded anti-i autoantibodies recognize a large subset of human and mouse B-cells. Blood Cells Mol Dis 22:126
Thomas MD, Clough K, Melamed MD, et al (1999) A human monoclonal antibody encoded by the V4-34 gene segment recognises melanoma-associated ganglioside via CDR3 and FWR1. Hum Antibodies 9:95
Bhat NM, Bieber MM, Spellerberg MB, et al (2000) Recognition of auto- and exoantigens by V4-34 gene encoded antibodies. Scand J Immunol 51:134
Stevenson FK, Longhurst C, Chapman CJ, et al (1993) Utilization of the VH4-21 gene segment by anti-DNA antibodies from patients with systemic lupus erythematosus. J Autoimmun 6:809
Thorpe SJ, Turner CE, Stevenson FK, et al (1998) Human monoclonal antibodies encoded by the V4-34 gene segment show cold agglutinin activity and variable multireactivity which correlates with the predicted charge of the heavy-chain variable region. Immunology 93:129
Bhat NM, Bieber MM, Chapman CJ, et al (1993) Human antilipid A monoclonal antibodies bind to human B cells and the i antigen on cord red blood cells. J Immunol 151:5011
Spellerberg MB, Chapman CJ, Mockridge CI, et al (1995) Dual recognition of lipid A and DNA by human antibodies encoded by the VH4-21 gene: a possible link between infection and lupus. Hum Antibodies Hybridomas 6:52
Bieber MM, Bhat NM, Teng NN (1995) Anti-endotoxin human monoclonal antibody A6H4C5 (HA-1A) utilizes the VH4.21 gene. Clin Infect Dis 21:S186
Steinberg AD, Gourley MF, Klinman DM, et al (1991) NIH conference. Systemic lupus erythematosus. Ann Intern Med 115:548
Krieg AM (1995) CpG DNA: a pathogenic factor in systemic lupus erythematosus? J Clin Immunol 15:284
Ronnblom L, Alm GV (2001) An etiopathogenic role for the type I IFN system in SLE. Trends Immunol 22:427
Isenberg D, Spellerberg M, Williams W, et al (1993) Identification of the 9G4 idiotope in systemic lupus erythematosus. Br J Rheumatol 32:876
Isenberg DA, McClure C, Farewell V, et al (1998) Correlation of 9G4 idiotope with disease activity in patients with systemic lupus erythematosus. Ann Rheum Dis 57:566
Vollenhoven RF van, Bieber MM, Powell MJ, et al (1999) VH4-34 encoded antibodies in systemic lupus erythematosus: a specific diagnostic marker that correlates with clinical disease characteristics. J Rheumatol 26:1727
Feizi T, Taylor-Robinson D (1967) Cold agglutinin anti-I and Mycoplasma pneumoniae. Immunology 13:405
Loomes LM, Uemura K, Childs RA, et al (1984) Erythrocyte receptors for Mycoplasma pneumoniae are sialylated oligosaccharides of Ii antigen type. Nature 307:560
Pugh-Bernard AE, Cappione A, Anolik J, et al (2004) From cold-agglutinin disease to systemic lupus erythematosus: lessons in human B-cell tolerance and Its breakdown. Trans Med Hemother 31:84
Ciaffoni S, Luzzati R, Roata C, et al (1992) Presence and significance of cold agglutinins in patients with HIV infection. Haematologica 77:233
Riboldi P, Gaidano G, Schettino EW, et al (1994) Two acquired immunodeficiency syndrome-associated Burkitt’s lymphomas produce specific anti-i IgM cold agglutinins using somatically mutated VH4-21 segments. Blood 83:2952
Bhat NM, Lee LM, Vollenhoven RV, et al (2002) VH4-34 encoded antibody in systemic lupus erythematosus: effect of isotype. J Rheumatol 29:2114
Rincon I del, Zeidel M, Rey E, et al (2000) Delineation of the human systemic lupus erythematosus anti-smith antibody response using phage-display combinatorial libraries. J Immunol 165:7011
Bhat NM, Bieber MM, Stevenson FK, et al (1996) Rapid cytotoxicity of human B lymphocytes induced by VH4-34 (VH4.21) gene-encoded monoclonal antibodies. Clin Exp Immunol 105:183
Bleesing JJ, Brown MR, Novicio C, et al (2002) A composite picture of TCRalpha/beta(+) CD4(-)CD8(-) T cells (alpha/beta-DNTCs) in humans with autoimmune lymphoproliferative syndrome. Clin Immunol 104:21
Bave U, Alm GV, Ronnblom L (2000) The Combination of apoptotic U937 cells and lupus IgG is a potent IFN-alpha inducer. J Immunol 165:3519
Blanco P, Palucka AK, Gill M, et al (2001) Induction of dendritic cell differentiation by IFN-alpha in systemic lupus erythematosus. Science 294:1540
Majeti R, Xu Z, Parslow TG, et al (2000) An inactivating point mutation in the inhibitory wedge of CD45 causes lymphoproliferation and autoimmunity. Cell 103:1059
Cyster JG, Healy JI, Kishihara K, et al (1996) Regulation of B-lymphocyte negative and positive selection by tyrosine phosphatase CD45. Nature 381:325
Williams GW, Bluestein HG, Steinberg AD (1981) Brain-reactive lymphocytotoxic antibody in the cerebrospinal fluid of patients with systemic lupus erythematosus: correlation with central nervous system involvement. Clin Immunol Immunopathol 18:126
Kraj P, Rao SP, Glas AM, et al (1997) The human heavy chain Ig V region gene repertoire is biased at all stages of B cell ontogeny, including early pre-B cells. J Immunol 158:5824
Pascual V, Widhopf G, Capra JD (1992) The human VH repertoire: a restricted set of VH genes may be the target of immune regulation. Int Rev Immunol 8:147
Cappione A, Anolik J, Zheng B, et al (2003) Attenuation of B cell receptor signaling in human autoreactive B cells. Implications for SLE. Arthritis Rheum 48:S270
Goodnow CC, Cyster JG, Hartley SB, et al (1995) Self-tolerance checkpoints in B lymphocyte development. Adv Immunol 59:279
Brunswick M, June CH, Finkelman FD, et al (1989) Surface immunoglobulin-mediated B-cell activation in the absence of detectable elevations in intracellular ionized calcium: a model for T-cell-independent B-cell activation. Proc Natl Acad Sci USA 86:6724
Anolik J, Cappione A, Sanz I (2002) Biochemical and DNA microarray analysis of BCR-mediated signaling in a population of autoreactive human B-lymphocytes. Arthritis Rheum 46:S588
Healy JI, Dolmetsch RE, Lewis RS, et al (1998) Quantitative and qualitative control of antigen receptor signalling in tolerant B lymphocytes. Novartis Found Symp 215:137
Vora KA, Wang LC, Rao SP, et al (2003) Cutting edge: Germinal centers formed in the absence of B cell-activating factor belonging to the TNF family exhibit impaired maturation and function. J Immunol 171:547
Rahman ZS, Rao SP, Kalled SL, et al (2003) Normal induction but attenuated progression of germinal center responses in BAFF and BAFF-R signaling-deficient mice. J Exp Med 198:1157
Seo SJ, Fields ML, Buckler JL, et al (2002) The impact of T helper and T regulatory cells on the regulation of anti-double-stranded DNA B cells. Immunity 16:535
Rathmell JC, Cooke MP, Ho WY, et al (1995) CD95 (Fas)-dependent elimination of self-reactive B cells upon interaction with CD4+ T cells. Nature 376:181
Sobel ES, Katagiri T, Katagiri K, et al (1991) An intrinsic B cell defect is required for the production of autoantibodies in the lpr model of murine systemic autoimmunity. J Exp Med 173:1441
James JA, Neas BR, Moser KL, et al (2001) Systemic lupus erythematosus in adults is associated with previous Epstein-Barr virus exposure. Arthritis Rheum 44:1122
Leadbetter EA, Rifkin IR, Marshak-Rothstein A (2003) Toll-like receptors and activation of autoreactive B cells. Curr Dir Autoimmun 6:105
Pascual V, Banchereau J, Palucka AK (2003) The central role of dendritic cells and interferon-alpha in SLE. Curr Opin Rheumatol 15:548
Gross JA, Johnston J, Mudri S, et al (2000) TACI and BCMA are receptors for a TNF homologue implicated in B-cell autoimmune disease. Nature 404:995
Zhou T, Zhang J, Carter R, et al (2003) BLyS and B cell autoimmunity. Curr Dir Autoimmun 6:21
Pugh-Bernard A, Hocknell K, Cappione A, et al (2002) VH4-34 anti-I/i autoantibodies recognize apoptotic cells. Arthritis Rheum 46:S126
Devitt A, Moffatt OD, Raykundalia C, et al (1998) Human CD14 mediates recognition and phagocytosis of apoptotic cells. Nature 392:505
Chan VW, Mecklenbrauker I, Su I, et al (1998) The molecular mechanism of B cell activation by toll-like receptor protein RP-105. J Exp Med 188:93
Miura Y, Shimazu R, Miyake K, et al (1998) RP105 is associated with MD-1 and transmits an activation signal in human B cells. Blood 92:2815
Feizi T (1980) Structural and biological aspects of blood group I and i antigens on glycolipids and glycoproteins. Rev Franc Trans Immuno-Hematol 23:563
Shinkai K, Locksley RM (2000) CD1, tuberculosis, and the evolution of major histocompatibility complex molecules. J Exp Med 191:907
Sieling PA, Chatterjee D, Porcelli SA, et al (1995) CD1-restricted T cell recognition of microbial lipoglycan antigens. Science 269:227
Shamshiev A, Donda A, Carena I, et al (1999) Self glycolipids as T-cell autoantigens. Eur J Immunol 29:1667
Sugita M, Brenner MB (2000) T lymphocyte recognition of human group 1 CD1 molecules: implications for innate and acquired immunity. Semin Immunol 12:511
Prendergast MM, Lastovica AJ, Moran AP (1998) Lipopolysaccharides from Campylobacter jejuni O:41 strains associated with Guillain-Barre syndrome exhibit mimicry of GM1 ganglioside. Infect Immun 66:3649
Brossay L, Chioda M, Burdin N, et al (1998) CD1d-mediated recognition of an alpha-galactosylceramide by natural killer T cells is highly conserved through mammalian evolution. J Exp Med 188:1521
D’Andrea A, Goux D, De Lalla C, et al (2000) Neonatal invariant Valpha24+ NKT lymphocytes are activated memory cells. Eur J Immunol 30:1544
Benlagha K, Bendelac A (2000) CD1d-restricted mouse V alpha 14 and human V alpha 24 T cells: lymphocytes of innate immunity. Semin Immunol 12:537
Park SH, Benlagha K, Lee D, et al (2000) Unaltered phenotype, tissue distribution and function of Valpha14(+) NKT cells in germ-free mice. Eur J Immunol 30:620
Porcelli S, Morita CT, Brenner MB (1992) CD1b restricts the response of human CD4−8− T lymphocytes to a microbial antigen. Nature 360:593
Gumperz JE, Brenner MB (2001) CD1-specific T cells in microbial immunity. Curr Opin Immunol 13:471
Zeng D, Dick M, Cheng L, et al (1998) Subsets of transgenic T cells that recognize CD1 induce or prevent murine lupus: role of cytokines. J Exp Med 187:525
Kawano T, Nakayama T, Kamada N, et al (1999) Antitumor cytotoxicity mediated by ligand-activated human V alpha24 NKT cells. Cancer Res 59:5102
Sharif S, Arreaza GA, Zucker P, et al (2001) Activation of natural killer T cells by alpha-galactosylceramide treatment prevents the onset and recurrence of autoimmune Type 1 diabetes. Nat Med 7:1057
Singh AK, Wilson MT, Hong S, et al (2001) Natural killer T cell activation protects mice against experimental autoimmune encephalomyelitis. J Exp Med 194:1801
Chan OT, Hannum LG, Haberman AM, et al (1999) A novel mouse with B cells but lacking serum antibody reveals an antibody-independent role for B cells in murine lupus. J Exp Med 189:1639
Mohan C, Morel L, Yang P, et al (1998) Accumulation of splenic B1a cells with potent antigen-presenting capability in NZM2410 lupus-prone mice. Arthritis Rheum 41:1652
Oliver AM, Martin F, Kearney JF (1999) IgM(high)CD21(high) lymphocytes enriched in the splenic marginal zone generate effector cells more rapidly than the bulk of follicular B cells. J Immunol 162:7198
Datta SK, Patel H, Berry D (1987) Induction of a cationic shift in IgG anti-DNA autoantibodies. Role of T helper cells with classical and novel phenotypes in three murine models of lupus nephritis. J Exp Med 165:1252
Shivakumar S, Tsokos GC, Datta SK (1989) T cell receptor alpha/beta expressing double-negative (CD4-/CD8-) and CD4+ T helper cells in humans augment the production of pathogenic anti-DNA autoantibodies associated with lupus nephritis. J Immunol 143:103
Porcelli S, Yockey CE, Brenner MB, et al (1993) Analysis of T cell antigen receptor (TCR) expression by human peripheral blood CD4-8- alpha/beta T cells demonstrates preferential use of several V beta genes and an invariant TCR alpha chain. J Exp Med 178:1
Devi BS, Van Noordin S, Krausz T, et al (1998) Peripheral blood lymphocytes in SLE—hyperexpression of CD154 on T and B lymphocytes and increased number of double negative T cells. J Autoimmun 11:471
Zeng D, Lee MK, Tung J, et al (2000) Cutting edge: A role for CD1 in the pathogenesis of lupus in NZB/NZW mice. J Immunol 164:5000
Straus SE, Sneller M, Lenardo MJ, et al (1999) An inherited disorder of lymphocyte apoptosis: the autoimmune lymphoproliferative syndrome. Ann Intern Med 130:591
Anolik J, Barnard J, Cappione A, Pugh-Bernard A, Felger R, Looney J, Sanz I (2004) Rituximab normalizes peripheral B-cell abnormalities in SLE. Arthritis Rheum (in press)
Acknowledgements
This work was supported in part by grants to J.A. (NIAMS K08AR048303 and the Lupus Foundation of America) and I.S. (RO1 AI049660-01A1 and U19 AI56390).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Milner, E.C.B., Anolik, J., Cappione, A. et al. Human innate B cells: a link between host defense and autoimmunity?. Springer Semin Immun 26, 433–452 (2005). https://doi.org/10.1007/s00281-004-0188-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00281-004-0188-9