Volume 233, Issue 1 pp. 146-161

Suppressive functions of activated B cells in autoimmune diseases reveal the dual roles of Toll-like receptors in immunity

Vicky Lampropoulou

Vicky Lampropoulou

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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Elisabeth Calderon-Gomez

Elisabeth Calderon-Gomez

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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Toralf Roch

Toralf Roch

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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Patricia Neves

Patricia Neves

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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Ping Shen

Ping Shen

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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Ulrik Stervbo

Ulrik Stervbo

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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Pierre Boudinot

Pierre Boudinot

Virologie et Immunologie Moléculaires, INRA, Jouy-en-Josas, France.

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Stephen M. Anderton

Stephen M. Anderton

Centre for Inflammation Research and Centre for Multiple Sclerosis Research, Queen’s Medical research Institute, University of Edinburgh, Edinburgh, United Kingdom.

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Simon Fillatreau

Simon Fillatreau

Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.

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First published: 23 December 2009
Citations: 88
S. Fillatreau
Deutsches Rheuma-Forschungszentrum
Chariteplatz 1
10117 Berlin
Germany
Tel.: +49 0 30 284 60 752
Fax: +49 0 30 284 60 603
e-mail: [email protected]

Abstract

Summary: B lymphocytes contribute to immunity through production of antibodies, antigen presentation to T cells, and secretion of cytokines. B cells are generally considered in autoimmune diseases as drivers of pathogenesis. This view is certainly justified, given the successful utilization of the B cell-depleting reagent rituximab in patients with rheumatoid arthritis or other autoimmune pathologies. In a number of cases, however, the depletion of B cells led to an exacerbation of symptoms in patients with autoimmune disorders. In a similar manner, mice lacking B cells can develop an aggravated course of disease in several autoimmune models. These paradoxical observations are now explained by the concept that activated B cells can suppress immune responses through the production of cytokines, especially interleukin-10. Here, we review the stimulatory signals that induce interleukin-10 secretion and suppressive functions in B cells and the phenotype of the B cells with such characteristics. Finally, we formulate a model explaining how this process of immune regulation by activated B cells can confer advantageous properties to the immune system in its combat with pathogens. Altogether, this review proposes that B-cell-mediated regulation is a fundamental property of the immune system, with features of great interest for the development of new cell-based therapies for autoimmune diseases.

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