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Multi-parametric flow cytometric and genetic investigation of the peripheral B cell compartment in human type 1 diabetes.


ABSTRACT: The appearance of circulating islet-specific autoantibodies before disease diagnosis is a hallmark of human type 1 diabetes (T1D), and suggests a role for B cells in the pathogenesis of the disease. Alterations in the peripheral B cell compartment have been reported in T1D patients; however, to date, such studies have produced conflicting results and have been limited by sample size. In this study, we have performed a detailed characterization of the B cell compartment in T1D patients (n?=?45) and healthy controls (n?=?46), and assessed the secretion of the anti-inflammatory cytokine interleukin (IL)-10 in purified B cells from the same donors. Overall, we found no evidence for a profound alteration of the B cell compartment or in the production of IL-10 in peripheral blood of T1D patients. We also investigated age-related changes in peripheral B cell subsets and confirmed the sharp decrease with age of transitional CD19(+) CD27(-) CD24(hi) CD38(hi) B cells, a subset that has recently been ascribed a putative regulatory function. Genetic analysis of the B cell compartment revealed evidence for association of the IL2-IL21?T1D locus with IL-10 production by both memory B cells (P?=?6·4?×?10(-4) ) and islet-specific CD4(+) T cells (P?=?2·9?×?10(-3) ). In contrast to previous reports, we found no evidence for an alteration of the B cell compartment in healthy individuals homozygous for the non-synonymous PTPN22?Trp(620) T1D risk allele (rs2476601; Arg(620) Trp). The IL2-IL21 association we have identified, if confirmed, suggests a novel role for B cells in T1D pathogenesis through the production of IL-10, and reinforces the importance of IL-10 production by autoreactive CD4(+) T cells.

SUBMITTER: Thompson WS 

PROVIDER: S-EPMC4137841 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature

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Multi-parametric flow cytometric and genetic investigation of the peripheral B cell compartment in human type 1 diabetes.

Thompson W S WS   Pekalski M L ML   Simons H Z HZ   Smyth D J DJ   Castro-Dopico X X   Guo H H   Guy C C   Dunger D B DB   Arif S S   Peakman M M   Wallace C C   Wicker L S LS   Todd J A JA   Ferreira R C RC  

Clinical and experimental immunology 20140901 3


The appearance of circulating islet-specific autoantibodies before disease diagnosis is a hallmark of human type 1 diabetes (T1D), and suggests a role for B cells in the pathogenesis of the disease. Alterations in the peripheral B cell compartment have been reported in T1D patients; however, to date, such studies have produced conflicting results and have been limited by sample size. In this study, we have performed a detailed characterization of the B cell compartment in T1D patients (n = 45) a  ...[more]

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