Plasmablasts During Acute Dengue Infection Represent a Small Subset of a Broader Virus-specific Memory B Cell Pool.

Plasmablasts During Acute Dengue Infection Represent a Small Subset of a Broader Virus-specific Memory B Cell Pool.
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DOI:
10.1016/j.ebiom.2016.09.003
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发表时间:
2016-10
期刊:
影响因子:
11.1
通讯作者:
Fink, Katja
Fink, Katja
中科院分区:
医学1区
文献类型:
--
作者:
Appanna, Ramapraba;Srinivasan, K. G.;Xu, Mei Hui;Toh, Ying-Xiu;Velumani, Sumathy;Carbajo, Daniel;Lee, Chia Yin;Zuest, Roland;Balakrishnan, Thavamalar;Xu, Weili;Lee, Bernett;Poidinger, Michael;Zolezzi, Francesca;Leo, Yee Sin;Thein, Tun Linn;Wang, Cheng-, I;Fink, Katja

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Dengue is endemic in tropical countries worldwide and the four dengue virus serotypes often co-circulate. Infection with one serotype results in high titers of cross-reactive antibodies produced by plasmablasts, protecting temporarily against all serotypes, but impairing protective immunity in subsequent infections. To understand the development of these plasmablasts, we analyzed virus-specific B cell properties in patients during acute disease and at convalescence. Plasmablasts were unrelated to classical memory cells expanding in the blood during early recovery. We propose that only a small subset of memory B cells is activated as plasmablasts during repeat infection and that plasmablast responses are not representative of the memory B cell repertoire after dengue infection. Antibody sequences and functions were analyzed in longitudinal acute and convalescent samples from dengue patients Plasmablast antibodies were virus glycoprotein-specific whereas memory B cell-derived antibodies bound to more viral proteins plasmablasts seem to be activated from only a small subset of memory B cells Antibody-mediated immune memory is orchestrated by various B cell types that are relevant during different phases after an infection. Antibody-secreting cells or so-called plasmablasts are generated from activated specific memory B cell a few days after re-infection. However, little in known whether the antibodies produced by these plasmablasts are relevant for protection in humans and whether the parent memory B cells are further maintained in the memory pool, possibly as affinity-matured versions of the original clones. This is important in the context of vaccination since the repertoires of individual B cell subsets could represent biomarkers to assess efficacy and long-term protection. In addition, the generation of “protective” B cell subsets could potentially be influenced by vaccine design and by the use of adjuvants. We studied the relationship of plasmablasts and memory B cells in longitudinal blood samples from dengue patients. Dengue virus (DENV) has four serotypes and pre-existing antibodies can be cross-protective or can enhance disease after a heterologous infection via Fc-gamma-receptor-mediated uptake of virus-antibody complexes. B cell memory can therefore be both beneficial and detrimental. Here we studied plasmablasts and DENV-specific memory B cells and their relationship and protective potential by assessing antibody sequences and monoclonal antibodies. We found that both populations produced largely serotype cross-neutralizing antibodies, whereas more plasmablast antibodies were neutralizing. Few plasmablast clones could be found in the memory pool, suggesting that only a subset of memory B cells is activated during acute disease and that a separate repertoire of cells is retained as longer-term memory. In this study we started to dissect the complexity of B cell immune memory to dengue infection and the finding can inform further investigations into which immune cell subsets are disease-enhancing after a heterologous infection.
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