Regulatory B Cells in Autoimmune Diseases
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Cellular & Molecular Immunology (2013) 10, 122–132 ß 2013 CSI and USTC. All rights reserved 1672-7681/13 $32.00 www.nature.com/cmi REVIEW Regulatory B cells in autoimmune diseases Min Yang1,3,KeRui2,3, Shengjun Wang2 and Liwei Lu1 B cells are generally considered to be positive regulators of the immune response because of their capability to produce antibodies, including autoantibodies. The production of antibodies facilitates optimal CD41 T-cell activation because B cells serve as antigen-presenting cells and exert other modulatory functions in immune responses. However, certain B cells can also negatively regulate the immune response by producing regulatory cytokines and directly interacting with pathogenic T cells via cell-to-cell contact. These types of B cells are defined as regulatory B (Breg) cells. The regulatory function of Breg cells has been demonstrated in mouse models of inflammation, cancer, transplantation, and particularly in autoimmunity. In this review, we focus on the recent advances that lead to the understanding of the development and function of Breg cells and the implications of B cells in human autoimmune diseases. Cellular & Molecular Immunology (2013) 10, 122–132; doi:10.1038/cmi.2012.60; published online 7 January 2013 Keywords: autoimmune disease; interleukin-10; regulatory B cells INTRODUCTION we review the recent literature studying both the phenotypic and B-cell development in the bone marrow is a dynamic and com- functional characterization of Breg cells and the implications B plex process involving a delicate balance between cell proliferation cells have on the pathogenesis of autoimmune diseases. and apoptotic selection. This balance results in the generation of functional B cells that are responsible for eliciting humoral IDENTIFICATION OF BREG CELLS 1–3 immunity. The concept that suppressor B cells could regulate Despite the observations made in the 1970s that B cells with the immune response originated in 1974, when the ability of B suppressive functions possibly existed, the potential role of B cells to suppress delayed-type hypersensitivity responses in guinea cells with regulatory functions in inflammatory and auto- 4,5 pigs was described. However, the term ‘regulatory B cells’, immune diseases has only been recently appreciated. Janeway which defines B-cell subsets with regulatory properties, was first and colleagues first observed that B10.PL mice lacking B cells introduced by Mizoguchi and Bhan nearly 30 years later.6 Similar suffered an unusually severe and chronic form of experimental to regulatory T (Treg) cells, the regulatory function of B cells is autoimmune encephalomyelitis (EAE), indicating that B cells exerted via the production of regulatory cytokines, such as IL-10 have regulatory properties in a mouse model of EAE.12 and TGF-b, and the ability to express inhibitory molecules that Subsequently, it was found that B cells affected this auto- suppress pathogenic T cells and autoreactive B cells in a cell-to- immune disease by regulating IL-10.13 Mizoguchi and Bhan cell contact-dependent manner.7 Until recently, the exact origin were the first to introduce the term ‘regulatory B cells’ to and molecular identity of regulatory B (Breg) cells remained elu- describe these B-cell subsets with regulatory properties.6 sive. Accumulating evidence suggests that the Breg cell population While studying the putative pathogenic role of B cells in the is heterogeneous, meaning that this population can be derived development of colitis, the authors unexpectedly observed that from all B cells under the correct stimulatory context and time.8 It T cell receptor alpha (TCRa)2/2 mice that were crossed with B has been postulated that Breg cells can exert their suppressive cell-deficient mice spontaneously developed an earlier onset of functions with different mechanisms in various mouse models colitis that was more severe compared to TCRa2/2 mice.14 of disease, including inflammation, cancer and autoimmunity.9 Moreover, Mizoguchi et al. further demonstrated that a certain Moreover, dynamic changes in Breg cells have been associated B-cell subset from gut-associated lymphoid tissues in a chronic with the progression of human autoimmune diseases.10,11 Here, inflammatory environment secreted IL-10, upregulated 1Department of Pathology and Center for Infection and Immunology, The University of Hong Kong, Hong Kong, China and 2Department of Immunology, School of Medical Science and Laboratory Medicine, Jiangsu University, Zhenjiang, China 3These authors contributed equally to this work. Correspondence: Dr LW Lu, Department of Pathology and Center for Infection and Immunology, The University of Hong Kong, Pokfulam Road, Hong Kong, China. Received: 14 October 2012; accepted: 6 November 2012 Regulatory B cells in autoimmune diseases M Yang et al 123 expression of CD1d and suppressed the progression of intest- characterized human Breg cells with the phenotype inal inflammation by downregulating inflammatory cascades CD24hiCD271, which is a phenotype related to memory B associated with IL-1 and signal transducer and activator of cells.11 transcription 3 (STAT3) activation.15 Although great progress has been made in the characteriza- Early studies have revealed that B-1 cells in the peritoneal tion of Breg cells, the cell surface markers and/or specific tran- cavity are a major source of B cell-derived IL-10.16 Upon IL- scription factor(s) that are unique to Breg cells have not been 12 stimulation, B1a cells, but not B-1b cells, have the ability defined in mice and humans. Most of the currently identified to produce IL-10.17 Recently, the production of Th2 cyto- Breg cells exert their suppressive function at least partially kines by conventional B2 cells has been extensively investi- through the production of regulatory cytokines, such as IL- gated. The marginal-zone (MZ) B cells have been shown to 10 and TGF-b. This production of regulatory cytokines has regulate immunity by producing IL-10 in response to CpG been demonstrated by both in vitro functional assays and in stimulation in a mouse model of lupus.18 Moreover, splenic vivo mouse studies. transitional 2-MZ precursor (T2-MZP) B cells that express high amounts of CD21, CD23, CD24, IgM and CD1d from BREG CELLS IN AUTOIMMUNE DISEASES both naive and arthritic mice are capable of producing IL- The regulatory functions of Breg cells have been extensively 10. Remarkably, the regulatory function of T2-MZP cells characterized in various animal models of inflammation, can- depends on IL-10 production because T2-MZP cells from cer and autoimmune diseases. B cells are generally considered IL-102/2 DBA mice show no protection against the develop- to play a pathogenic role in the development of autoimmune 19 diseases because B cells produce autoantibodies that cause tar- ment of arthritis. Tedder and colleagues have identified a 26 subset of IL-10-producing B10 cells that contain the unique get tissue damage. However, autoantibodies can also exert a hi 1 protective effect via the clearance of apoptotic cells and reduc- phenotype CD1d CD5 . These cells share certain pheno- 27 typic markers with B-1a, MZ B and T2-MZP cells.20 B10 tion of autoantigen load. Moreover, B cells also act as anti- gen-presenting cells, which are cells that contribute to the cells normally represent 1%–2% of splenocytes in wild-type activation and amplification of naive, activated and autoreac- mice and approximately 10% in hCD19 transgenic mice. tive T-cell responses.28–30 It has been reported that antigens Notably, IL-10 production has been found to be restricted presented by resting B cells can induce the differentiation of to this B10 cell subset. Interestingly, IL-10 production was tolerogenic CD41 T cells.31,32 Furthermore, B cells, similar to T decreased in CD192/2 mice but increased in hCD19 trans- cells, can be defined as B effector 1 and 2 cells. B effector 1 cells genic mice. Rafei et al. have reported a Breg cell subset produce Th1-associated pro-inflammatory cytokines, includ- induced by a granulocyte-macrophage colony-stimulating ing tumor-necrosis factor (TNF)-a, IFN-c and IL-12, whereas factor–IL-15 fusion protein known as GIFT15.21 These B effector 2 cells produce Th2-associated cytokines, including GIFT15-induced Breg cells possess a phenotype akin to IL-4 and IL-13.33 Notably, certain regulatory B cells that pro- B10 and T2-MZP Breg cells. A study by Ding et al.revealed duce IL-10 or TGF-b have recently been shown to possess that T-cell Ig domain and mucin domain protein 1 (TIM-1) 6 inhibitory functions in autoimmune diseases. Thus, current is expressed by a large majority of IL-10-producing Breg B studies on the functional implications of Breg cells in the cells, which consist of a heterogeneous population including hi 1 pathogenesis of autoimmune diseases can facilitate the transitional B, MZ B, FO B and CD1d CD5 B10 cells. development of combined therapies for autoimmune diseases. TIM-11 B cells express IL-4 and IL-10, promote Th2 res- 22 In the following sections, the role of Breg cells in mouse models ponse and directly transfer allograft tolerance. Recently, of various autoimmune diseases, including rheumatoid arth- Qian et al. have reported that regulatory dendritic cells can ritis, autoimmune diabetes, autoimmune encephalomyelitis program splenic T1, T2, MZ and B1 cells to differentiate into and lupus, will be discussed. a distinct regulatory B-cell subset with the phenotype hi hi CD19 FccIIb . This B-cell subset exerts potent regulatory Breg cells in experimental arthritis functions, such as the secretion of IL-10 both in vitro and in Rheumatoid arthritis (RA) is a chronic inflammatory disease 23 vivo. that is characterized by inflammation in the synovium. This Aside from mouse Breg cells, the existence of human Breg inflammation is associated with the infiltration of activated T cells has recently been revealed.