Altered BCR and TLR signals promote enhanced positive selection of autoreactive transitional B cells in Wiskott-Aldrich syndrome
Open accessAbstract
Wiskott-Aldrich syndrome (WAS) is an X-linked immunodeficiency disorder frequently associated with systemic autoimmunity, including autoantibody-mediated cytopenias. WAS protein (WASp)–deficient B cells have increased B cell receptor (BCR) and Toll-like receptor (TLR) signaling, suggesting that these pathways might impact establishment of the mature, naive BCR repertoire. To directly investigate this possibility, we evaluated naive B cell specificity and composition in WASp-deficient mice and WAS subjects (n = 12). High-throughput sequencing and single-cell cloning analysis of the BCR repertoire revealed altered heavy chain usage and enrichment for low-affinity self-reactive specificities in murine marginal zone and human naive B cells. Although negative selection mechanisms including deletion, anergy, and receptor editing were relatively unperturbed, WASp-deficient transitional B cells showed enhanced proliferation in vivo mediated by antigen- and Myd88-dependent signals. Finally, using both BCR sequencing and cell surface analysis with a monoclonal antibody recognizing an intrinsically autoreactive heavy chain, we show enrichment in self-reactive cells specifically at the transitional to naive mature B cell stage in WAS subjects. Our combined data support a model wherein modest alterations in B cell–intrinsic, BCR, and TLR signals in WAS, and likely other autoimmune disorders, are sufficient to alter B cell tolerance via positive selection of self-reactive transitional B cells.
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During B cell development and BCR editing, defective actin polymerization at immune synapses results in weaker signals, allowing for survival of autoreactive B cells with inherently stronger signals.
“During B cell development and BCR editing, defective actin polymerization at immune synapses results in weaker signals, allowing for survival of autoreactive B cells with inherently stronger signals [9, 39, 40].”
From HEM1 Actin Immunodysregulatory Disorder: Genotypes, Phenotypes, and Future Directions (2022) · cites this paper as [39]
The Discussion (page unavailable) says WASp deficiency promotes rather than weakens BCR signaling and favors positive selection of low-affinity autoreactive transitional B cells. The Results section on negative selection (page unavailable) reports essentially identical receptor-editing measurements in deficient and control cells. These findings contradict the proposed weaker-signal, altered-editing mechanism; the cited passages do not establish the immune-synapse mechanism. (LLM, conf=0.90)
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HEM1 Actin Immunodysregulatory Disorder: Genotypes, Phenotypes, and Future Directions
Cook, S., Lenardo, M. J., & Freeman, A. F. (2022) · Journal of Clinical Immunology · doi:10.1007/s10875-022-01327-0 · Cited by 24 · see citing works
- Authors
- Kolhatkar, N. S., Brahmandam, A., Thouvenel, C. D., Becker-Herman, S., Jacobs, H. M., Schwartz, M. A., Allenspach, E. J., Khim, S., Panigrahi, A. K., Luning Prak, E. T., Thrasher, A. J., Notarangelo, L. D., Candotti, F., Torgerson, T. R., Sanz, I., & Rawlings, D. J.
- Affiliations
- University of Washington (US)
- University of Pennsylvania (US)
- Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 4
- University College London (GB)
- Boston Children's Hospital (US)
- National Institutes of Health (US)
- Lowance Center for Human Immunology 8 and 9
- Corresponding author
- Rawlings, David J.
- ORCID
- Venue
- Journal of Experimental Medicine
- Publisher
- Rockefeller University Press
- Published
- 2015-09-14
- Volume
- 212
- Issue
- 10
- Pages
- 1663-1677
- ISSN
- 0022-1007 (ISSN-L)
- 1540-9538
- PMC
- PMC4577851
- OpenAlex
- W1641024157
- Cited by
- 76
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 8 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 9 · 2018: 8 · 2017: 11 · 2016: 10 · 2015: 1
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Experimental Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Cancer Research Institute
- National Institutes of Health
- National Heart, Lung, and Blood Institute (R01HL075453, P01HL059561)
- National Institute of General Medical Sciences (T32GM007266)
- National Institute of Allergy and Infectious Diseases (R01AI084457, R37AI049660, R01AI071163, U19AI110483)
- National Institute of Diabetes and Digestive and Kidney Diseases (DP3DK097672, U01DK070430)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Keywords
- Wiskott-Aldrich syndrome, B cell receptor signaling, Toll-like receptor signaling, positive selection, transitional B cells, naive B cells, B cell tolerance, autoimmunity, MyD88, marginal zone B cells, B cell receptor repertoire, X-linked immunodeficiency
- MeSH terms
- Adolescent, Adult, Animals, B-Lymphocytes, Child, Child, Preschool, Humans, Infant, Mice, Inbred C57BL, Mice, Transgenic, Receptors, Antigen, B-Cell, Wiskott-Aldrich Syndrome, Case-Control Studies, Mice, Knockout, Cytoprotection, Toll-Like Receptors, Wiskott-Aldrich Syndrome Protein, B-Cell Activating Factor, Myeloid Differentiation Factor 88, Young Adult, High-Throughput Nucleotide Sequencing
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