A mutated B cell chronic lymphocytic leukemia subset that recognizes and responds to fungi.

A mutated B cell chronic lymphocytic leukemia subset that recognizes and responds to fungi.
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DOI:
10.1084/jem.20121801
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发表时间:
2013-01-14
期刊:
The Journal of experimental medicine
影响因子:
--
通讯作者:
van Noesel CJ
van Noesel CJ
中科院分区:
其他
文献类型:
--
作者:
Hoogeboom R;van Kessel KP;Hochstenbach F;Wormhoudt TA;Reinten RJ;Wagner K;Kater AP;Guikema JE;Bende RJ;van Noesel CJ

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A subset of chronic lymphocytic leukemia with mutated IGHV-genes express BCRs specific for an antigenic determinant of yeast and filamentous fungi, β-(1,6)-glucan. B cell chronic lymphocytic leukemia (CLL), the most common leukemia in adults, is a clonal expansion of CD5+CD19+ B lymphocytes. Two types of CLLs are being distinguished as carrying either unmutated or somatically mutated immunoglobulins (Igs), which are associated with unfavorable and favorable prognoses, respectively. More than 30% of CLLs can be grouped based on their expression of stereotypic B cell receptors (BCRs), strongly suggesting that distinctive antigens are involved in the development of CLL. Unmutated CLLs, carrying Ig heavy chain variable (IGHV) genes in germline configuration, express low-affinity, poly-, and self-reactive BCRs. However, the antigenic specificity of CLLs with mutated IGHV-genes (M-CLL) remained elusive. In this study, we describe a new subset of M-CLL, expressing stereotypic BCRs highly specific for β-(1,6)-glucan, a major antigenic determinant of yeasts and filamentous fungi. β-(1,6)-glucan binding depended on both the stereotypic Ig heavy and light chains, as well as on a distinct amino acid in the IGHV-CDR3. Reversion of IGHV mutations to germline configuration reduced the affinity for β-(1,6)-glucan, indicating that these BCRs are indeed affinity-selected for their cognate antigen. Moreover, CLL cells expressing these stereotypic receptors proliferate in response to β-(1,6)-glucan. This study establishes a class of common pathogens as functional ligands for a subset of somatically mutated human B cell lymphomas.
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