Suppressive functions of activated B cells in autoimmune diseases reveal the dual roles of Toll-like receptors in immunity
Vicky Lampropoulou
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorElisabeth Calderon-Gomez
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorToralf Roch
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorPatricia Neves
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorPing Shen
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorUlrik Stervbo
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorPierre Boudinot
Virologie et Immunologie Moléculaires, INRA, Jouy-en-Josas, France.
Search for more papers by this authorStephen M. Anderton
Centre for Inflammation Research and Centre for Multiple Sclerosis Research, Queen’s Medical research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Search for more papers by this authorSimon Fillatreau
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorVicky Lampropoulou
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorElisabeth Calderon-Gomez
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorToralf Roch
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorPatricia Neves
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorPing Shen
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorUlrik Stervbo
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorPierre Boudinot
Virologie et Immunologie Moléculaires, INRA, Jouy-en-Josas, France.
Search for more papers by this authorStephen M. Anderton
Centre for Inflammation Research and Centre for Multiple Sclerosis Research, Queen’s Medical research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Search for more papers by this authorSimon Fillatreau
Laboratory of immune regulation, Deutsches Rheuma-Forschungszentrum, Berlin, Germany.
Search for more papers by this authorAbstract
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.
References
- 1 Edwards JC, et al. Efficacy of B-cell-targeted therapy with rituximab in patients with rheumatoid arthritis. N Engl J Med 2004; 350: 2572–2581.
- 2 Martin F, Chan AC. B cell immunobiology in disease: evolving concepts from the clinic. Annu Rev Immunol 2006; 24: 467–496.
- 3 Mizoguchi A, Mizoguchi E, Takedatsu H, Blumberg RS, Bhan AK. Chronic intestinal inflammatory condition generates IL-10-producing regulatory B cell subset characterized by CD1d upregulation. Immunity 2002; 16: 219–230.
- 4 Fillatreau S, Sweenie CH, McGeachy MJ, Gray D, Anderton SM. B cells regulate autoimmunity by provision of IL-10. Nat Immunol 2002; 3: 944–950.
- 5 Mizoguchi A, Bhan AK. A case for regulatory B cells. J Immunol 2006; 176: 705–710.
- 6 Fillatreau S, Gray D, Anderton SM. Not always the bad guys: B cells as regulators of autoimmune pathology. Nat Rev Immunol 2008; 8: 391–397.
- 7 Anderton SM, Fillatreau S. Activated B cells in autoimmune diseases: the case for a regulatory role. Nat Clin Pract Rheumatol 2008; 4: 657–666.
- 8 Lampropoulou V, et al. TLR-activated B cells suppress T cell-mediated autoimmunity. J Immunol 2008; 180: 4763–4773.
- 9 Goetz M, Atreya R, Ghalibafian M, Galle PR, Neurath MF. Exacerbation of ulcerative colitis after rituximab salvage therapy. Inflamm Bowel Dis 2007; 13: 1365–1368.
- 10 Hoehlig K, et al. Immune regulation by B cells and antibodies a view towards the clinic. Adv Immunol 2008; 98: 1–38.
- 11 Mizoguchi A, Mizoguchi E, Smith RN, Preffer FI, Bhan AK. Suppressive role of B cells in chronic colitis of T cell receptor alpha mutant mice. J Exp Med 1997; 186: 1749–1756.
- 12 Wolf SD, Dittel BN, Hardardottir F, Janeway CA Jr. Experimental autoimmune encephalomyelitis induction in genetically B cell-deficient mice. J Exp Med 1996; 184: 2271–2278.
- 13 Mizoguchi E, Mizoguchi A, Preffer FI, Bhan AK. Regulatory role of mature B cells in a murine model of inflammatory bowel disease. Int Immunol 2000; 12: 597–605.
- 14 Mauri C, Gray D, Mushtaq N, Londei M. Prevention of arthritis by interleukin 10-producing B cells. J Exp Med 2003; 197: 489–501.
- 15 Wagner U, Kaltenhauser S, Pierer M, Wilke B, Arnold S, Hantzschel H. B lymphocytopenia in rheumatoid arthritis is associated with the DRB1 shared epitope and increased acute phase response. Arthritis Res 2002; 4: R1.
- 16 Broglio L, Lauria G. Worsening after rituximab treatment in anti-mag neuropathy. Muscle Nerve 2005; 32: 378–379.
- 17 Renaud S, et al. Rituximab in the treatment of polyneuropathy associated with anti-MAG antibodies. Muscle Nerve 2003; 27: 611–615.
- 18 El Fassi D, Nielsen CH, Kjeldsen J, Clemmensen O, Hegedus L. Ulcerative colitis following B lymphocyte depletion with rituximab in a patient with Graves’ disease. Gut 2008; 57: 714–715.
- 19 Dass S, Vital EM, Emery P. Development of psoriasis after B cell depletion with rituximab. Arthritis Rheum 2007; 56: 2715–2718.
- 20 Duddy ME, Alter A, Bar-Or A. Distinct profiles of human B cell effector cytokines: a role in immune regulation? J Immunol 2004; 172: 3422–3427.
- 21 Duddy M, et al. Distinct effector cytokine profiles of memory and naive human B cell subsets and implication in multiple sclerosis. J Immunol 2007; 178: 6092–6099.
- 22 Kuchroo VK, Martin CA, Greer JM, Ju ST, Sobel RA, Dorf ME. Cytokines and adhesion molecules contribute to the ability of myelin proteolipid protein-specific T cell clones to mediate experimental allergic encephalomyelitis. J Immunol 1993; 151: 4371–4382.
- 23 Park H, et al. A distinct lineage of CD4 T cells regulates tissue inflammation by producing interleukin 17. Nat Immunol 2005; 6: 1133–1141.
- 24 Tian J, Zekzer D, Hanssen L, Lu Y, Olcott A, Kaufman DL. Lipopolysaccharide-activated B cells down-regulate Th1 immunity and prevent autoimmune diabetes in nonobese diabetic mice. J Immunol 2001; 167: 1081–1089.
- 25 Fuchs EJ, Matzinger P. B cells turn off virgin but not memory T cells. Science 1992; 258: 1156–1159.
- 26 Dalwadi H, et al. B cell developmental requirement for the G alpha i2 gene. J Immunol 2003; 170: 1707–1715.
- 27 Wei B, et al. Mesenteric B cells centrally inhibit CD4+ T cell colitis through interaction with regulatory T cell subsets. Proc Natl Acad Sci USA 2005; 102: 2010–2015.
- 28 Wei B, et al. Integration of B cells and CD8+ T in the protective regulation of systemic epithelial inflammation. Clin Immunol 2008; 127: 303–312.
- 29 Miyazaki D, Kuo CH, Tominaga T, Inoue Y, Ono SJ. Regulatory function of CpG-activated B cells in late-phase experimental allergic conjunctivitis. Invest Ophthalmol Vis Sci 2009; 50: 1626–1635.
- 30 Sun CM, Deriaud E, Leclerc C, Lo-Man R. Upon TLR9 signaling, CD5+ B cells control the IL-12-dependent Th1-priming capacity of neonatal DCs. Immunity 2005; 22: 467–477.
- 31 Moulin V, Andris F, Thielemans K, Maliszewski C, Urbain J, Moser M. B lymphocytes regulate dendritic cell (DC) function in vivo: increased interleukin 12 production by DCs from B cell-deficient mice results in T helper cell type 1 deviation. J Exp Med 2000; 192: 475–482.
- 32 Mauri C, Mars LT, Londei M. Therapeutic activity of agonistic monoclonal antibodies against CD40 in a chronic autoimmune inflammatory process. Nat Med 2000; 6: 673–679.
- 33 Silver KL, Crockford TL, Bouriez-Jones T, Milling S, Lambe T, Cornall RJ. MyD88-dependent autoimmune disease in Lyn-deficient mice. Eur J Immunol 2007; 37: 2734–2743.
- 34 Sadanaga A, et al. Protection against autoimmune nephritis in MyD88-deficient MRL/lpr mice. Arthritis Rheum 2007; 56: 1618–1628.
- 35 Durie FH, Fava RA, Foy TM, Aruffo A, Ledbetter JA, Noelle RJ. Prevention of collagen-induced arthritis with an antibody to gp39, the ligand for CD40. Science 1993; 261: 1328–1330.
- 36 Sadlack B, et al. Generalized autoimmune disease in interleukin-2-deficient mice is triggered by an uncontrolled activation and proliferation of CD4+ T cells. Eur J Immunol 1995; 25: 3053–3059.
- 37 Pasare C, Medzhitov R. Toll pathway-dependent blockade of CD4+CD25+ T cell-mediated suppression by dendritic cells. Science 2003; 299: 1033–1036.
- 38 Skupsky J, Su Y, Lei TC, Scott DW. Tolerance induction by gene transfer to lymphocytes. Curr Gene Ther 2007; 7: 369–380.
- 39 Kang Y, Melo M, Deng E, Tisch R, El-Amine M, Scott DW. Induction of hyporesponsiveness to intact foreign protein via retroviral-mediated gene expression: the IgG scaffold is important for induction and maintenance of immune hyporesponsiveness. Proc Natl Acad Sci USA 1999; 96: 8609–8614.
- 40 Litzinger MT, Su Y, Lei TC, Soukhareva N, Scott DW. Mechanisms of gene therapy for tolerance: B7 signaling is required for peptide-IgG gene-transferred tolerance induction. J Immunol 2005; 175: 780–787.
- 41 Hathcock KS, Laszlo G, Pucillo C, Linsley P, Hodes RJ. Comparative analysis of B7-1 and B7-2 costimulatory ligands: expression and function. J Exp Med 1994; 180: 631–640.
- 42 Mueller DL, Jenkins MK, Schwartz RH. Clonal expansion versus functional clonal inactivation: a costimulatory signalling pathway determines the outcome of T cell antigen receptor occupancy. Annu Rev Immunol 1989; 7: 445–480.
- 43 El-Amine M, Melo M, Kang Y, Nguyen H, Qian J, Scott DW. Mechanisms of tolerance induction by a gene-transferred peptide-IgG fusion protein expressed in B lineage cells. J Immunol 2000; 165: 5631–5636.
- 44 Zambidis ET, Barth RK, Scott DW. Both resting and activated B lymphocytes expressing engineered peptide-Ig molecules serve as highly efficient tolerogenic vehicles in immunocompetent adult recipients. J Immunol 1997; 158: 2174–2182.
- 45 Agarwal RK, Kang Y, Zambidis E, Scott DW, Chan CC, Caspi RR. Retroviral gene therapy with an immunoglobulin-antigen fusion construct protects from experimental autoimmune uveitis. J Clin Invest 2000; 106: 245–252.
- 46 Melo ME, et al. Gene transfer of Ig-fusion proteins into B cells prevents and treats autoimmune diseases. J Immunol 2002; 168: 4788–4795.
- 47 Xu B, Scott DW. A novel retroviral gene therapy approach to inhibit specific antibody production and suppress experimental autoimmune encephalomyelitis induced by MOG and MBP. Clin Immunol 2004; 111: 47–52.
- 48 Soukhareva N, Jiang Y, Scott DW. Treatment of diabetes in NOD mice by gene transfer of Ig-fusion proteins into B cells: role of T regulatory cells. Cell Immunol 2006; 240: 41–46.
- 49 Liang W, et al. B-cell delivered gene transfer of human S-Ag-Ig fusion protein protects from experimental autoimmune uveitis. Clin Immunol 2006; 118: 35–41.
- 50 Satpute SR, Soukhareva N, Scott DW, Moudgil KD. Mycobacterial Hsp65-IgG-expressing tolerogenic B cells confer protection against adjuvant-induced arthritis in Lewis rats. Arthritis Rheum 2007; 56: 1490–1496.
- 51 Chen C, Rivera A, Ron N, Dougherty JP, Ron Y. A gene therapy approach for treating T-cell-mediated autoimmune diseases. Blood 2001; 97: 886–894.
- 52 Chen CC, Rivera A, Dougherty JP, Ron Y. Complete protection from relapsing experimental autoimmune encephalomyelitis induced by syngeneic B cells expressing the autoantigen. Blood 2004; 103: 4616–4618.
- 53 Kaufman DL, et al. Spontaneous loss of T-cell tolerance to glutamic acid decarboxylase in murine insulin-dependent diabetes. Nature 1993; 366: 69–72.
- 54 Blair PA, et al. Selective targeting of B cells with agonistic anti-CD40 is an efficacious strategy for the generation of induced regulatory T2-like B cells and for the suppression of lupus in MRL/lpr mice. J Immunol 2009; 182: 3492–3502.
- 55 Bourke E, Bosisio D, Golay J, Polentarutti N, Mantovani A. The toll-like receptor repertoire of human B lymphocytes: inducible and selective expression of TLR9 and TLR10 in normal and transformed cells. Blood 2003; 102: 956–963.
- 56 Bernasconi NL, Onai N, Lanzavecchia A. A role for Toll-like receptors in acquired immunity: up-regulation of TLR9 by BCR triggering in naive B cells and constitutive expression in memory B cells. Blood 2003; 101: 4500–4504.
- 57 Lei TC, Su Y, Scott DW. Tolerance induction via a B-cell delivered gene therapy-based protocol: optimization and role of the Ig scaffold. Cell Immunol 2005; 235: 12–20.
- 58 Parekh VV, Prasad DV, Banerjee PP, Joshi BN, Kumar A, Mishra GC. B cells activated by lipopolysaccharide, but not by anti-Ig and anti-CD40 antibody, induce anergy in CD8+ T cells: role of TGF-beta 1. J Immunol 2003; 170: 5897–5911.
- 59 Hardy RR, Hayakawa K. B cell development pathways. Annu Rev Immunol 2001; 19: 595–621.
- 60
Rolink AG,
Andersson J,
Melchers F.
Characterization of immature B cells by a novel monoclonal antibody, by turnover and by mitogen reactivity.
Eur J Immunol
1998; 28: 3738–3748.
10.1002/(SICI)1521-4141(199811)28:11<3738::AID-IMMU3738>3.0.CO;2-Q CAS PubMed Web of Science® Google Scholar
- 61 Rolink AG, Andersson J, Melchers F. Molecular mechanisms guiding late stages of B-cell development. Immunol Rev 2004; 197: 41–50.
- 62 Loder F, et al. B cell development in the spleen takes place in discrete steps and is determined by the quality of B cell receptor-derived signals. J Exp Med 1999; 190: 75–89.
- 63 Allman D, Lindsley RC, DeMuth W, Rudd K, Shinton SA, Hardy RR. Resolution of three nonproliferative immature splenic B cell subsets reveals multiple selection points during peripheral B cell maturation. J Immunol 2001; 167: 6834–6840.
- 64 Rolink AG, Tschopp J, Schneider P, Melchers F. BAFF is a survival and maturation factor for mouse B cells. Eur J Immunol 2002; 32: 04–10.
- 65 Su TT, Rawlings DJ. Transitional B lymphocyte subsets operate as distinct checkpoints in murine splenic B cell development. J Immunol 2002; 168: 2101–2110.
- 66 Sonoda KH, Stein-Streilein J. CD1d on antigen-transporting APC and splenic marginal zone B cells promotes NKT cell-dependent tolerance. Eur J Immunol 2002; 32: 848–857.
- 67 Stein-Streilein J. Immune regulation and the eye. Trends Immunol 2008; 29: 548–554.
- 68 Baumgarth N, Tung JW, Herzenberg LA. Inherent specificities in natural antibodies: a key to immune defense against pathogen invasion. Springer Semin Immunopathol 2005; 26: 347–362.
- 69 Cong YZ, Rabin E, Wortis HH. Treatment of murine CD5- B cells with anti-Ig, but not LPS, induces surface CD5: two B-cell activation pathways. Int Immunol 1991; 3: 467–476.
- 70 Vinuesa CG, et al. Recirculating and germinal center B cells differentiate into cells responsive to polysaccharide antigens. Eur J Immunol 2003; 33: 297–305.
- 71 Agenes F, Freitas AA. Transfer of small resting B cells into immunodeficient hosts results in the selection of a self-renewing activated B cell population. J Exp Med 1999; 189: 319–330.
- 72 Colgan SP, Hershberg RM, Furuta GT, Blumberg RS. Ligation of intestinal epithelial CD1d induces bioactive IL-10: critical role of the cytoplasmic tail in autocrine signaling. Proc Natl Acad Sci USA 1999; 96: 13938–13943.
- 73 Dombrowicz D, et al. Role of the high affinity immunoglobulin E receptor in bacterial translocation and intestinal inflammation. J Exp Med 2001; 193: 25–34.
- 74 Matsushita T, Yanaba K, Bouaziz JD, Fujimoto M, Tedder TF. Regulatory B cells inhibit EAE initiation in mice while other B cells promote disease progression. J Clin Invest 2008; 118: 3420–3430.
- 75
Makowska A,
Faizunnessa NN,
Anderson P,
Midtvedt T,
Cardell S.
CD1high B cells: a population of mixed origin.
Eur J Immunol
1999; 29: 3285–3294.
10.1002/(SICI)1521-4141(199910)29:10<3285::AID-IMMU3285>3.0.CO;2-P CAS PubMed Web of Science® Google Scholar
- 76 Yanaba K, Bouaziz JD, Haas KM, Poe JC, Fujimoto M, Tedder TF. A regulatory B cell subset with a unique CD1dhiCD5+ phenotype controls T cell-dependent inflammatory responses. Immunity 2008; 28: 639–650.
- 77 Yanaba K, Bouaziz JD, Matsushita T, Tsubata T, Tedder TF. The development and function of regulatory B cells expressing IL-10 (B10 cells) requires antigen receptor diversity and TLR signals. J Immunol 2009; 182: 7459–7472.
- 78 Evans JG, et al. Novel suppressive function of transitional 2 B cells in experimental arthritis. J Immunol 2007; 178: 7868–7878.
- 79 Yin Z, et al. IL-10 regulates murine lupus. J Immunol 2002; 169: 2148–2155.
- 80 Shimomura Y, et al. Regulatory role of B-1 B cells in chronic colitis. Int Immunol 2008; 20: 729–737.
- 81 Moritoki Y, et al. B cells suppress the inflammatory response in a mouse model of primary biliary cirrhosis. Gastroenterology 2009; 136: 1037–1047.
- 82 Martin F, Kearney JF. B1 cells: similarities and differences with other B cell subsets. Curr Opin Immunol 2001; 13: 195–201.
- 83 Madan R, et al. Nonredundant roles for B cell-derived IL-10 in immune counter-regulation. J Immunol 2009; 183: 2312–2320.
- 84 Radhakrishnan S, et al. Reprogrammed FoxP3+ T regulatory cells become IL-17+ antigen-specific autoimmune effectors in vitro and in vivo. J Immunol 2008; 181: 3137–3147.
- 85 Janeway CA Jr. Approaching the asymptote? Evolution and revolution in immunology. Cold Spring Harb Symp Quant Biol 1989; 54: 1–13.
- 86 Bretscher P, Cohn M. A theory of self-nonself discrimination. Science 1970; 169: 1042–1049.
- 87 Alon U. Network motifs: theory and experimental approaches. Nat Rev Genet 2007; 8: 450–461.
- 88 Alon U. Biological networks: the tinkerer as an engineer. Science 2003; 301: 1866–1867.
- 89 Gray M, Miles K, Salter D, Gray D, Savill J. Apoptotic cells protect mice from autoimmune inflammation by the induction of regulatory B cells. Proc Natl Acad Sci USA 2007; 104: 14080–14085.
- 90 Beutler B. Microbe sensing, positive feedback loops, and the pathogenesis of inflammatory diseases. Immunol Rev 2009; 227: 248–263.
- 91 Rubtsov AV, Swanson CL, Troy S, Strauch P, Pelanda R, Torres RM. TLR agonists promote marginal zone B cell activation and facilitate T-dependent IgM responses. J Immunol 2008; 180: 3882–3888.
- 92 Pancer Z. Dynamic expression of multiple scavenger receptor cysteine-rich genes in coelomocytes of the purple sea urchin. Proc Natl Acad Sci USA 2000; 97: 13156–13161.
- 93 Hibino T, et al. The immune gene repertoire encoded in the purple sea urchin genome. Dev Biol 2006; 300: 349–365.
- 94 Van Der Aa LM, et al. A large new subset of TRIM genes highly diversified by duplication and positive selection in teleost fish. BMC Biol 2009; 7: 7.
- 95 Laing KJ, Purcell MK, Winton JR, Hansen JD. A genomic view of the NOD-like receptor family in teleost fish: identification of a novel NLR subfamily in zebrafish. BMC Evol Biol 2008; 8: 42.
- 96 Misch EA, Hawn TR. Toll-like receptor polymorphisms and susceptibility to human disease. Clin Sci 2008; 114: 347–360.
- 97 Jerne NK. Towards a network theory of the immune system. Ann Immunol (Paris) 1974; 125C: 373–389.
- 98 Kitano H. Biological robustness. Nat Rev Genet 2004; 5: 826–837.
- 99 Scheffold A, Huhn J, Hofer T. Regulation of CD4+CD25+ regulatory T cell activity: it takes (IL-)two to tango. Eur J Immunol 2005; 35: 1336–1341.
- 100 Bettelli E, et al. Reciprocal developmental pathways for the generation of pathogenic effector Th17 and regulatory T cells. Nature 2006; 441: 235–238.
- 101 Correale J, Farez M, Razzitte G. Helminth infections associated with multiple sclerosis induce regulatory B cells. Ann Neurol 2008; 64: 187–199.
- 102 Velupillai P, Harn DA. Oligosaccharide-specific induction of interleukin 10 production by B220+ cells from schistosome-infected mice: a mechanism for regulation of CD4+ T-cell subsets. Proc Natl Acad Sci USA 1994; 91: 18–22.
- 103 Mangan NE, Fallon RE, Smith P, Van Rooijen N, McKenzie AN, Fallon PG. Helminth infection protects mice from anaphylaxis via IL-10-producing B cells. J Immunol 2004; 173: 6346–6356.
- 104 Bach JF. The effect of infections on susceptibility to autoimmune and allergic diseases. N Engl J Med 2002; 347: 911–920.
- 105 Roelofs MF, et al. The expression of toll-like receptors 3 and 7 in rheumatoid arthritis synovium is increased and costimulation of toll-like receptors 3, 4, and 7/8 results in synergistic cytokine production by dendritic cells. Arthritis Rheum 2005; 52: 2313–2322.
- 106 Sacre SM, et al. The Toll-like receptor adaptor proteins MyD88 and Mal/TIRAP contribute to the inflammatory and destructive processes in a human model of rheumatoid arthritis. Am J Pathol 2007; 170: 518–525.
- 107 Van Der Heijden IM, et al. Presence of bacterial DNA and bacterial peptidoglycans in joints of patients with rheumatoid arthritis and other arthritides. Arthritis Rheum 2000; 43: 593–598.
- 108 Roelofs MF, et al. Identification of small heat shock protein B8 (HSP22) as a novel TLR4 ligand and potential involvement in the pathogenesis of rheumatoid arthritis. J Immunol 2006; 176: 7021–7027.
- 109 Midwood K, et al. Tenascin-C is an endogenous activator of Toll-like receptor 4 that is essential for maintaining inflammation in arthritic joint disease. Nat Med 2009; 15: 774–780.
- 110 McPherson M, Wei B, Turovskaya O, Fujiwara D, Brewer S, Braun J. Colitis immunoregulation by CD8+ T cell requires T cell cytotoxicity and B cell peptide antigen presentation. Am J Physiol Gastrointest Liver Physiol 2008; 295: G485–G492.
- 111 Sugimoto K, Ogawa A, Shimomura Y, Nagahama K, Mizoguchi A, Bhan AK. Inducible IL-12-producing B cells regulate Th2-mediated intestinal inflammation. Gastroenterology 2007; 133: 124–136.
- 112 Rossi F, Dietrich G, Kazatchkine MD. Anti-idiotypes against autoantibodies in normal immunoglobulins: evidence for network regulation of human autoimmune responses. Immunol Rev 1989; 110: 135–149.
- 113 Mangan S, Itzkovitz S, Zaslaver A, Alon U. The incoherent feed-forward loop accelerates the response-time of the gal system of Escherichia coli. J Mol Biol 2006; 356: 1073–1081.
- 114 Rothlin CV, Ghosh S, Zuniga EI, Oldstone MB, Lemke G. TAM receptors are pleiotropic inhibitors of the innate immune response. Cell 2007; 131: 1124–1136.
- 115 Lu Q, Lemke G. Homeostatic regulation of the immune system by receptor tyrosine kinases of the Tyro 3 family. Science 2001; 293: 306–311.
- 116 Hanada T, et al. Suppressor of cytokine signaling-1 is essential for suppressing dendritic cell activation and systemic autoimmunity. Immunity 2003; 19: 437–450.
- 117 Boone DL, et al. The ubiquitin-modifying enzyme A20 is required for termination of Toll-like receptor responses. Nat Immunol 2004; 5: 1052–1060.
- 118 Lee EG, et al. Failure to regulate TNF-induced NF-kappaB and cell death responses in A20-deficient mice. Science 2000; 289: 2350–2354.
- 119 Turer EE, et al. Homeostatic MyD88-dependent signals cause lethal inflammation in the absence of A20. J Exp Med 2008; 205: 451–464.