Abstract
We report here that dysregulation of CD19, a coreceptor that augments B-cell receptor (BCR) signaling, occurs at two B-cell differentiative stages in patients with systemic lupus erythematosus (SLE) and antineutrophil cytoplasmic autoantibody (ANCA) associated small vessel vasculitis (SVV). The naïve B cells of nearly all SLE and ANCA-SVV patients express ∼20% less CD19 than healthy control (HC) B cells. In contrast, a subset of memory B cells of some SLE and ANCA-SVV Pts (25-35%) express two to fourfold more CD19 than HC B cells. These CD19hi memory B cells are activated and exhibit evidence of antigen selection. Proteome array analysis of 67 autoantigens indicates that CD19hi SLE Pts exhibit a distinct autoantibody profile characterized by high levels of antibodies to small nuclear ribonucleoproteins and low levels of antiglomerular autoantibodies. These findings have implications for autoreactive B-cell activation and suggest a shared mechanism of B-cell tolerance loss in these two diseases.
Original language | English (US) |
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Pages (from-to) | 53-68 |
Number of pages | 16 |
Journal | Journal of Clinical Immunology |
Volume | 27 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2007 |
Keywords
- ANCA small-vessel vasculitis
- Autoantibodies
- Autoimmunity
- B lymphocytes
- CD19
- Systemic lupus erythematosus
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology