Volume 57, Issue 11 pp. 2595-2608
IMMUNOHEMATOLOGY

B cells require Type 1 interferon to produce alloantibodies to transfused KEL-expressing red blood cells in mice

David R. Gibb

David R. Gibb

Department of Laboratory Medicine

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Jingchun Liu

Jingchun Liu

Department of Laboratory Medicine

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Manjula Santhanakrishnan

Manjula Santhanakrishnan

Department of Laboratory Medicine

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Prabitha Natarajan

Prabitha Natarajan

Department of Laboratory Medicine

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David J. Madrid

David J. Madrid

Department of Pediatrics

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Seema Patel

Seema Patel

Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia

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Stephanie C. Eisenbarth

Stephanie C. Eisenbarth

Department of Laboratory Medicine

Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut

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Christopher A. Tormey

Christopher A. Tormey

Department of Laboratory Medicine

Pathology & Laboratory Medicine Service, VA Connecticut Healthcare System, West Haven, Connecticut

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Sean R. Stowell

Sean R. Stowell

Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia

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Akiko Iwasaki

Akiko Iwasaki

Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut

Howard Hughes Medical Institute, Chevy Chase, Maryland.

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Jeanne E. Hendrickson

Corresponding 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 author
First published: 23 August 2017
Citations: 27

This 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.

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