Heightened TLR7 signaling primes BCR-activated B cells in chronic graft-versus-host disease for effector functions.

dc.contributor.author

Bracken, Sonali J

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Suthers, Amy N

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DiCioccio, Rachel A

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Su, Hsuan

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Anand, Sarah

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Poe, Jonathan C

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Jia, Wei

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Visentin, Jonathan

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Basher, Fahmin

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Jordan, Collin Z

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McManigle, William C

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Li, Zhiguo

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Hakim, Frances T

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Pavletic, Steven Z

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Bhuiya, Nazmim S

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Ho, Vincent T

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Horwitz, Mitchell E

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Chao, Nelson J

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Sarantopoulos, Stefanie

dc.date.accessioned

2024-07-16T15:46:16Z

dc.date.available

2024-07-16T15:46:16Z

dc.date.issued

2024-02

dc.description.abstract

Abstract

Chronic graft-versus-host disease (cGVHD) is a debilitating, autoimmune-like syndrome that can occur after allogeneic hematopoietic stem cell transplantation. Constitutively activated B cells contribute to ongoing alloreactivity and autoreactivity in patients with cGVHD. Excessive tissue damage that occurs after transplantation exposes B cells to nucleic acids in the extracellular environment. Recognition of endogenous nucleic acids within B cells can promote pathogenic B-cell activation. Therefore, we hypothesized that cGVHD B cells aberrantly signal through RNA and DNA sensors such as Toll-like receptor 7 (TLR7) and TLR9. We found that B cells from patients and mice with cGVHD had higher expression of TLR7 than non-cGVHD B cells. Using ex vivo assays, we found that B cells from patients with cGVHD also demonstrated increased interleukin-6 production after TLR7 stimulation with R848. Low-dose B-cell receptor (BCR) stimulation augmented B-cell responses to TLR7 activation. TLR7 hyperresponsiveness in cGVHD B cells correlated with increased expression and activation of the downstream transcription factor interferon regulatory factor 5. Because RNA-containing immune complexes can activate B cells through TLR7, we used a protein microarray to identify RNA-containing antigen targets of potential pathological relevance in cGVHD. We found that many of the unique targets of active cGVHD immunoglobulin G (IgG) were nucleic acid-binding proteins. This unbiased assay identified the autoantigen and known cGVHD target Ro-52, and we found that RNA was required for IgG binding to Ro-52. Herein, we find that BCR-activated B cells have aberrant TLR7 signaling responses that promote potential effector responses in cGVHD.
dc.identifier

506666

dc.identifier.issn

2473-9529

dc.identifier.issn

2473-9537

dc.identifier.uri

https://hdl.handle.net/10161/31278

dc.language

eng

dc.publisher

American Society of Hematology

dc.relation.ispartof

Blood advances

dc.relation.isversionof

10.1182/bloodadvances.2023010362

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Animals

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Humans

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Mice

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Immunoglobulin G

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Receptors, Antigen, B-Cell

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Nucleic Acids

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RNA

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Toll-Like Receptor 7

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Bronchiolitis Obliterans Syndrome

dc.title

Heightened TLR7 signaling primes BCR-activated B cells in chronic graft-versus-host disease for effector functions.

dc.type

Journal article

duke.contributor.orcid

Bracken, Sonali J|0000-0003-1814-4099

duke.contributor.orcid

Li, Zhiguo|0000-0002-9975-6005

duke.contributor.orcid

Horwitz, Mitchell E|0000-0001-9863-8464

duke.contributor.orcid

Chao, Nelson J|0000-0001-6725-7220

pubs.begin-page

667

pubs.end-page

680

pubs.issue

3

pubs.organisational-group

Duke

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School of Medicine

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Staff

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Biostatistics & Bioinformatics

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Integrative Immunobiology

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Medicine

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Pathology

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Medicine, Rheumatology and Immunology

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Duke Cancer Institute

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University Institutes and Centers

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Duke Global Health Institute

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Duke Regeneration Center

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Medicine, Hematologic Malignancies and Cellular Therapy

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Biostatistics & Bioinformatics, Division of Biostatistics

pubs.publication-status

Published

pubs.volume

8

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