Selective dysregulation of the FcγIIB receptor on memory B cells in SLE

M Mackay, A Stanevsky, T Wang, C Aranow… - The Journal of …, 2006 - rupress.org
M Mackay, A Stanevsky, T Wang, C Aranow, M Li, S Koenig, JV Ravetch, B Diamond
The Journal of experimental medicine, 2006rupress.org
The inappropriate expansion and activation of autoreactive memory B cells and
plasmablasts contributes to loss of self-tolerance in systemic lupus erythematosus (SLE).
Defects in the inhibitory Fc receptor, FcγRIIB, have been shown to contribute to B cell
activation and autoimmunity in several mouse models of SLE. In this paper, we demonstrate
that expression of FcγRIIB is routinely up-regulated on memory B cells in the peripheral
blood of healthy controls, whereas up-regulation of FcγRIIB is considerably decreased in …
The inappropriate expansion and activation of autoreactive memory B cells and plasmablasts contributes to loss of self-tolerance in systemic lupus erythematosus (SLE). Defects in the inhibitory Fc receptor, FcγRIIB, have been shown to contribute to B cell activation and autoimmunity in several mouse models of SLE. In this paper, we demonstrate that expression of FcγRIIB is routinely up-regulated on memory B cells in the peripheral blood of healthy controls, whereas up-regulation of FcγRIIB is considerably decreased in memory B cells of SLE patients. This directly correlates with decreased FcγRIIB-mediated suppression of B cell receptor–induced calcium (Ca2+) response in those B cells. We also found substantial overrepresentation of African-American patients among those who failed to up-regulate FcγRIIB. These results suggest that the inhibitory receptor, FcγRIIB, may be impaired at a critical checkpoint in SLE in the regulation of memory B cells; thus, FcγRIIB represents a novel target for therapeutic interventions in this disease.
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