B cells require Type 1 interferon to produce alloantibodies to transfused KEL-expressing red blood cells in mice
Seema Patel
Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia
Search for more papers by this authorStephanie C. Eisenbarth
Department of Laboratory Medicine
Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut
Search for more papers by this authorChristopher A. Tormey
Department of Laboratory Medicine
Pathology & Laboratory Medicine Service, VA Connecticut Healthcare System, West Haven, Connecticut
Search for more papers by this authorSean R. Stowell
Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia
Search for more papers by this authorAkiko Iwasaki
Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut
Howard Hughes Medical Institute, Chevy Chase, Maryland.
Search for more papers by this authorCorresponding Author
Jeanne E. Hendrickson
Department of Laboratory Medicine
Department of Pediatrics
Address reprint requests to: Jeanne E. Hendrickson, MD, Yale University Departments of Laboratory Medicine and Pediatrics, 330 Cedar Street, Clinic Building 405, PO Box 208035, New Haven, CT 06520-8035; e-mail: [email protected].Search for more papers by this authorSeema Patel
Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia
Search for more papers by this authorStephanie C. Eisenbarth
Department of Laboratory Medicine
Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut
Search for more papers by this authorChristopher A. Tormey
Department of Laboratory Medicine
Pathology & Laboratory Medicine Service, VA Connecticut Healthcare System, West Haven, Connecticut
Search for more papers by this authorSean R. Stowell
Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia
Search for more papers by this authorAkiko Iwasaki
Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut
Howard Hughes Medical Institute, Chevy Chase, Maryland.
Search for more papers by this authorCorresponding Author
Jeanne E. Hendrickson
Department of Laboratory Medicine
Department of Pediatrics
Address reprint requests to: Jeanne E. Hendrickson, MD, Yale University Departments of Laboratory Medicine and Pediatrics, 330 Cedar Street, Clinic Building 405, PO Box 208035, New Haven, CT 06520-8035; e-mail: [email protected].Search for more papers by this authorThis work was supported by grants from the National Blood Foundation (R13672) (DRG) and NIH/NHLBI (R01 HL126076) (JEH) and (T32 HL007974-14) (Brian Smith, M.D.).
Abstract
BACKGROUND
Alloantibodies to red blood cell (RBC) antigens can cause significant hemolytic events. Prior studies have demonstrated that inflammatory stimuli in animal models and inflammatory states in humans, including autoimmunity and viremia, promote alloimmunization. However, molecular mechanisms underlying these findings are poorly understood. Given that Type 1 interferons (IFN-α/β) regulate antiviral immunity and autoimmune pathology, the hypothesis that IFN-α/β regulates RBC alloimmunization was tested in a murine model.
STUDY DESIGN AND METHODS
Leukoreduced murine RBCs expressing the human KEL glycoprotein were transfused into control mice (WT), mice lacking the unique IFN-α/β receptor (IFNAR1–/–), or bone marrow chimeric mice lacking IFNAR1 on specific cell populations. Anti-KEL IgG production, expressed as mean fluorescence intensity (MFI), and B-cell differentiation were examined.
RESULTS
Transfused WT mice produced anti-KEL IgG alloantibodies (peak response MFI, 50.4). However, the alloimmune response of IFNAR1–/– mice was almost completely abrogated (MFI, 4.2; p < 0.05). The response of bone marrow chimeric mice lacking IFNAR1 expression in all hematopoietic cells or specifically in B cells was also diminished (MFI, 3.8 and 5.4, respectively, compared to control chimeras, MFI, 65.6; p < 0.01). Accordingly, transfusion-induced differentiation of IFNAR1–/– B cells into germinal center B cells and plasma cells was significantly reduced, compared to WT B cells.
CONCLUSIONS
This study demonstrates that B cells require signaling from IFN-α/β to produce alloantibodies to the human KEL glycoprotein in mice. These findings provide a potential mechanistic basis for inflammation-induced alloimmunization. If these findings extend to human studies, patients with IFN-α/β–associated conditions may have an elevated risk of alloimmunization and benefit from personalized transfusion protocols.
Supporting Information
Additional Supporting Information may be found in the online version of this article at the publisher's website.
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Fig. S1. IFNAR expression is required for alloimmunization to KEL RBCs. Data show experimental replications of Figure 1. Peripheral blood of KEL-expressing transgenic mice was transfused into recipients. Serum anti-KEL IgG was measured by flow cytometric crossmatch. (A) Anti-KEL IgG in serum of WT or IFNAR1-/- mice 28 days after transfusion. (B) Serum anti-KEL IgG of transfused WT mice injected i.p. with anti-IFNAR1 blocking antibody (MAR1-5A3), an isotype control IgG1 antibody (MOPC-21), or PBS on Day -1, +2, and +7, relative to transfusion on Day 0. (C) Anti-KEL IgG of transfused WT, IFNAR1-/-, and bone marrow chimeric mice. Recipients were irradiated and reconstituted with donor bone marrow cells, 8 weeks prior to transfusion. “n/a”; non applicable. *p < 0.05 by (A, C) Mann Whitney U test and (B) Kruskal-Wallis test with a Dunn's posttest. Fig. S2. IFNAR expression by B cells is required for KEL RBC alloimmunization. Data show experimental replications of Figure 2D (A), 3D (B), and 4D (C). (A) Mixed chimeras were generated by reconstituting irradiated CD45.2+ WT recipients with a mixture of Zbtb46-DTR (CD45.1+, CD45.2+) and either IFNAR1-/- (CD45.2+) or WT (CD45.1+) bone marrow. Serum anti-KEL IgG produced by indicated chimeras treated with PBS or DT prior to transfusion with KEL RBCs. Z46-DTR = Zbtb46-DTR. n.s., not significant by Kruskal-Wallis test with a Dunn's posttest. (B, C) Anti-KEL IgG in serum of indicated chimeras following transfusion with KEL RBCs. *p < 0.05, **p < 0.01 and n.s., not significant, by Mann Whitney U test. (B) Mixed chimeras were generated by reconstituting irradiated IFNAR1-/- (CD45.2+) recipients with a mixture of TCRα-/- (CD45.2+) and either IFNAR1-/- (CD45.2+) or WT (CD45.1+) bone marrow. (C) Mixed chimeras were generated by reconstituting irradiated WT (CD45.2+) recipients with a mixture of muMT- (CD45.2+) and either IFNAR1-/- (CD45.2+) or WT (CD45.1+) bone marrow. Chimeras reconstituted with only IFNAR1-/- bone marrow (left) served as negative controls for alloimmunization. Fig. S3. IFNAR expression promotes germinal center B cell development. Data show experimental replications of Figure 5. IFNAR1-/- and WT mice were transfused with KEL RBCs. (A-C) Spleen GC B cells (CD19+IgDloFas+GL7hi) from (A) naïve or transfused mice (B) 8 or (C) 36 days after transfusion were quantified by flow cytometry as percent of CD19+ B cells (left) and cell number (right). (D) Serum anti-KEL IgG measured by flow cytometric cross-match 36 days after transfusion. (C, D) Mice received a second transfusion 28 days following the first transfusion. Data are from one of two independent experiments with 3-5 mice per group. *p < 0.05, n.s., not significant, by Mann Whitney U test. Experiments with 3 mice per group were not tested for statistical significance. Fig. S4. IFNAR expression promotes plasma cell differentiation. Data show experimental replications of Figure 6B-C. WT and IFNAR1-/- mice were transfused 28 days following an initial transfusion, and plasma cells were analyzed 14 days later. (A) Bone marrow plasma cells (CD19+IgDloB220loCD138+) were quantified by flow cytometry as (B) percent of CD19+ B cells and (C) cell number. Data show one of two independent experiments with 4 mice per group. *p < 0.05, n.s. not significant, by Mann Whitney U test. |
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REFERENCES
- 1 Pfuntner A, Wier LM, Stocks C. Most frequent procedures performed in U.S. Hospitals, 2010: Statistical Brief #149. Rockville (MD): Healthcare Cost and Utilization Project (HCUP); 2006.
- 2 Körmöczi GF, Mayr WR. Responder individuality in red blood cell alloimmunization. Transfus Med Hemother 2014; 41: 446-51.
- 3 Yazdanbakhsh K, Ware RE, Noizat-Pirenne F. Red blood cell alloimmunization in sickle cell disease: pathophysiology, risk factors, and transfusion management. Blood 2012; 120: 528-37.
- 4Fatalities reported to the FDA following blood collection and transfusion: annual summary for fiscal year 2014 [Internet]. 2014 [cited 2016 Nov 11]. Available from: http://www.fda.gov/downloads/biologicsbloodvaccines/safetyavailability/reportaproblem/transfusiondonationfatalities/ucm459461.pdf.
- 5 Nickel RS, Hendrickson JE, Fasano RM, et al. Impact of red blood cell alloimmunization on sickle cell disease mortality: a case series. Transfusion 2016; 56: 107-14.
- 6 Telen MJ, Afenyi-Annan A, Garrett ME, et al. Alloimmunization in sickle cell disease: changing antibody specificities and association with chronic pain and decreased survival. Transfusion 2015; 55: 1378-87.
- 7 Fasano RM, Booth GS, Miles M, et al. Red blood cell alloimmunization is influenced by recipient inflammatory state at time of transfusion in patients with sickle cell disease. Br J Haematol 2015; 168: 291-300.
- 8 Ramsey G, Smietana SJ. Multiple or uncommon red cell alloantibodies in women: association with autoimmune disease. Transfusion 1995; 35: 582-6.
- 9 Ryder AB, Hendrickson JE, Tormey CA. Chronic inflammatory autoimmune disorders are a risk factor for red blood cell alloimmunization. Br J Haematol 2015; 174: 483-5.
- 10 Papay P, Hackner K, Vogelsang H, et al. High risk of transfusion-induced alloimmunization of patients with inflammatory bowel disease. Am J Med 2012; 125: 717 e1-8.
- 11 Yazer MH, Triulzi DJ, Shaz B, et al. Does a febrile reaction to platelets predispose recipients to red blood cell alloimmunization? Transfusion 2009; 49: 1070-5.
- 12 Evers D, van der Bom JG, Tijmensen J, et al. Red cell alloimmunisation in patients with different types of infections. Br J Haematol 2016; 175: 956-66.
- 13 Bao W, Yu J, Heck S, et al. Regulatory T-cell status in red cell alloimmunized responder and nonresponder mice. Blood 2009; 113: 5624-7.
- 14 Ryder AB, Zimring JC, Hendrickson JE. Factors influencing RBC alloimmunization: lessons learned from murine models. Transfus Med Hemother 2014; 41: 406-19.
- 15 Yu J, Heck S, Yazdanbakhsh K. Prevention of red cell alloimmunization by CD25 regulatory T cells in mouse models. Am J Hematol 2007; 82: 691-6.
- 16 Hendrickson J, Roback JD, Hillyer CD, et al. Discrete toll like receptor agonists have differential effects on alloimmunization to red blood cells. Transfusion 2008; 48: 1869-77.
- 17 Arneja A, Salazar JE, Jiang W, et al. Interleukin-6 receptor-alpha signaling drives anti-RBC alloantibody production and T-follicular helper cell differentiation in a murine model of red blood cell alloimmunization. Haematologica 2016; 101: e440-e4.
- 18 McNab F, Mayer-Barber K, Sher A, et al. Type I interferons in infectious disease. Nat Rev Immunol 2015; 15: 87-103.
- 19 Le Bon A, Schiavoni G, D'Agostino G, et al. Type i interferons potently enhance humoral immunity and can promote isotype switching by stimulating dendritic cells in vivo. Immunity 2001; 14: 461-70.
- 20 Proietti E, Bracci L, Puzelli S, et al. Type I IFN as a natural adjuvant for a protective immune response: lessons from the influenza vaccine model. J Immunol 2002; 169: 375-83.
- 21 Le Bon A, Thompson C, Kamphuis E, et al. Cutting edge: enhancement of antibody responses through direct stimulation of B and T cells by type I IFN. J Immunol 2006; 176: 2074-8.
- 22 Müller U, Steinhoff U, Reis LF, et al. Functional role of type I and type II interferons in antiviral defense. Science 1994; 264: 1918-21.
- 23 Davidson S, Crotta S, McCabe TM, et al. Pathogenic potential of interferon αβ in acute influenza infection. Nat Commun 2014; 5: 3864.
- 24 Teijaro JR, Ng C, Lee AM, et al. Persistent LCMV infection is controlled by blockade of type I interferon signaling. Science 2013; 340: 207-11.
- 25 Wilson EB, Yamada DH, Elsaesser H, et al. Blockade of chronic type I interferon signaling to control persistent LCMV infection. Science 2013; 340: 202-7.
- 26 Assassi S, Mayes MD, Arnett FC, et al. Systemic sclerosis and lupus: points in an interferon-mediated continuum. Arthritis Rheum 2010; 62: 589-98.
- 27 Båve U, Nordmark G, Lövgren T, et al. Activation of the type I interferon system in primary Sjogren's syndrome: a possible etiopathogenic mechanism. Arthritis Rheum 2005; 52: 1185-95.
- 28 Higgs BW, Liu Z, White B, et al. Patients with systemic lupus erythematosus, myositis, rheumatoid arthritis and scleroderma share activation of a common type I interferon pathway. Ann Rheum Dis 2011; 70: 2029-36.
- 29 Olsen N, Sokka T, Seehorn CL, et al. A gene expression signature for recent onset rheumatoid arthritis in peripheral blood mononuclear cells. Ann Rheum Dis 2004; 63: 1387-92.
- 30 Baechler EC, Batliwalla FM, Karypis G, et al. Interferon-inducible gene expression signature in peripheral blood cells of patients with severe lupus. Proc Natl Acad Sci U S A 2003; 100: 2610-5.
- 31 Crow MK, Kirou KA, Wohlgemuth J. Microarray analysis of interferon-regulated genes in SLE. Autoimmunity 2003; 36: 481-90.
- 32 Feng X, Wu H, Grossman JM, et al. Association of increased interferon-inducible gene expression with disease activity and lupus nephritis in patients with systemic lupus erythematosus. Arthritis Rheum 2006; 54: 2951-62.
- 33 Ytterberg SR, Schnitzer TJ. Serum interferon levels in patients with systemic lupus erythematosus. Arthritis Rheum 1982; 25: 401-6.
- 34 Petri M, Wallace DJ, Spindler A, et al. Sifalimumab, a human anti-interferon-α monoclonal antibody, in systemic lupus erythematosus: a phase I randomized, controlled, dose-escalation study. Arthritis Rheum 2013; 65: 1011-21.
- 35 Yao Y, Richman L, Higgs BW, et al. Neutralization of interferon-alpha/beta-inducible genes and downstream effect in a phase I trial of an anti-interferon-alpha monoclonal antibody in systemic lupus erythematosus. Arthritis Rheum 2009; 60: 1785-96.
- 36 Kontos S, Grimm AJ, Hubbell JA. Engineering antigen-specific immunological tolerance. Curr Opin Immunol 2015; 35: 80-8.
- 37 Grimm AJ, Kontos S, Diaceri G, et al. Memory of tolerance and induction of regulatory T cells by erythrocyte-targeted antigens. Sci Rep 2015; 5: 15907.
- 38 Smith NH, Henry KL, Cadwell CM, et al. Generation of transgenic mice with antithetical KEL1 and KEL2 human blood group antigens on red blood cells. Transfusion 2012; 52: 2620-30.
- 39 Calabro S, Gallman A, Gowthaman U, et al. Bridging channel dendritic cells induce immunity to transfused red blood cells. J Exp Med 2016; 213: 887-96.
- 40 Gibb DR, Calabro S, Liu D, et al. The Nlrp3 Inflammasome does not regulate alloimmunization to transfused red blood cells in mice. EBioMedicine 2016; 9: 77-86.
- 41 Stowell SR, Girard-Pierce KR, Smith NH, et al. Transfusion of murine red blood cells expressing the human KEL glycoprotein induces clinically significant alloantibodies. Transfusion 2014; 54: 179-89.
- 42 Gibb DR, El Shikh M, Kang DJ, et al. ADAM10 is essential for Notch2-dependent marginal zone B cell development and CD23 cleavage in vivo. J Exp Med 2010; 207: 623-35.
- 43 Ito T, Amakawa R, Inaba M, et al. Differential regulation of human blood dendritic cell subsets by IFNs. J Immunol 2001; 166: 2961-9.
- 44 Montoya M, Schiavoni G, Mattei F, et al. Type I interferons produced by dendritic cells promote their phenotypic and functional activation. Blood 2002; 99: 3263-71.
- 45 Meredith MM, Liu K, Darrasse-Jeze G, et al. Expression of the zinc finger transcription factor zDC (Zbtb46, Btbd4) defines the classical dendritic cell lineage. J Exp Med 2012; 209: 1153-65.
- 46 Havenar-Daughton C, Kolumam GA, Murali-Krishna K. Cutting edge: the direct action of type I IFN on CD4 T cells is critical for sustaining clonal expansion in response to a viral but not a bacterial infection. J Immunol 2006; 176: 3315-9.
- 47 Coro ES, Chang WL, Baumgarth N. Type I IFN receptor signals directly stimulate local B cells early following influenza virus infection. J Immunol 2006; 176: 4343-51.
- 48 Fink K, Lang KS, Manjarrez-Orduno N, et al. Early type I interferon-mediated signals on B cells specifically enhance antiviral humoral responses. Eur J Immunol 2006; 36: 2094-105.
- 49 Poeck H, Wagner M, Battiany J, et al. Plasmacytoid dendritic cells, antigen, and CpG-C license human B cells for plasma cell differentiation and immunoglobulin production in the absence of T-cell help. Blood 2004; 103: 3058-64.
- 50 Diamond MS, Kinder M, Matsushita H, et al. Type I interferon is selectively required by dendritic cells for immune rejection of tumors. J Exp Med 2011; 208: 1989-2003.
- 51 Douagi I, Gujer C, Sundling C, et al. Human B cell responses to TLR ligands are differentially modulated by myeloid and plasmacytoid dendritic cells. J Immunol 2009; 182: 1991-2001.
- 52 Jego G, Palucka AK, Blanck JP, et al. Plasmacytoid dendritic cells induce plasma cell differentiation through type I interferon and interleukin 6. Immunity 2003; 19: 225-34.
- 53 Zhu J, Huang X, Yang Y. Type I IFN signaling on both B and CD4 T cells is required for protective antibody response to adenovirus. J Immunol 2007; 178: 3505-10.
- 54 Bach P, Kamphuis E, Odermatt B, et al. Vesicular stomatitis virus glycoprotein displaying retrovirus-like particles induce a type I IFN receptor-dependent switch to neutralizing IgG antibodies. J Immunol 2007; 178: 5839-47.