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J Immunol. 2015 Mar 1;194(5):2110-6. doi: 10.4049/jimmunol.1402029. Epub 2015 Feb 2.

IFN-β treatment requires B cells for efficacy in neuroautoimmunity.

Author information

1
Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA 94305; Department of Neurology, University of California San Francisco, San Francisco, CA 94158; and.
2
Department of Arthritis and Clinical Immunology Research, Oklahoma Medical Research Foundation, Oklahoma City, OK 73104.
3
Department of Neurology and Neurological Sciences, Stanford University, Stanford, CA 94305;
4
Department of Arthritis and Clinical Immunology Research, Oklahoma Medical Research Foundation, Oklahoma City, OK 73104 bob-axtell@omrf.org.

Abstract

IFN-β remains the most widely prescribed treatment for relapsing remitting multiple sclerosis. Despite widespread use of IFN-β, the therapeutic mechanism is still partially understood. Particularly, the clinical relevance of increased B cell activity during IFN-β treatment is unclear. In this article, we show that IFN-β pushes some B cells into a transitional, regulatory population that is a critical mechanism for therapy. IFN-β treatment increases the absolute number of regulatory CD19(+)CD24(++)CD38(++) transitional B cells in peripheral blood relative to treatment-naive and Copaxone-treated patients. In addition, we found that transitional B cells from both healthy controls and IFN-β-treated MS patients are potent producers of IL-10, and that the capability of IFN-β to induce IL-10 is amplified when B cells are stimulated. Similar changes are seen in mice with experimental autoimmune encephalomyelitis. IFN-β treatment increases transitional and regulatory B cell populations, as well as IL-10 secretion in the spleen. Furthermore, we found that IFN-β increases autoantibody production, implicating humoral immune activation in B cell regulatory responses. Finally, we demonstrate that IFN-β therapy requires immune-regulatory B cells by showing that B cell-deficient mice do not benefit clinically or histopathologically from IFN-β treatment. These results have significant implications for the diagnosis and treatment of relapsing remitting multiple sclerosis.

PMID:
25646307
PMCID:
PMC4340715
DOI:
10.4049/jimmunol.1402029
[Indexed for MEDLINE]
Free PMC Article

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