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Circulating and intrahepatic antiviral B cells are defective in hepatitis B [url=]Alice R. Burton,1[/url] [url=]Laura J. Pallett,1[/url] [url=]Laura E. McCoy,1[/url] [url=]Kornelija Suveizdyte,1[/url] [url=]Oliver E. Amin,1[/url] [url=]Leo Swadling,1[/url] [url=]Elena Alberts,1[/url] [url=]Brian R. Davidson,2[/url] [url=]Patrick T.F. Kennedy,3[/url] [url=]Upkar S. Gill,3[/url] [url=]Claudia Mauri,4[/url] [url=]Paul A. Blair,4[/url] [url=]Nadege Pelletier,5 and[/url] [url=]Mala K. Maini1[/url] First published August 9, 2018-[url=]More info[/url] Related 1 article:Entering the spotlight: hepatitis B surface antigen–specific B cells
Christoph Neumann-Haefelin, Robert Thimme
Category:Commentary
AbstractB cells are increasingly recognized as playing an important role in the ongoing control of hepatitis B virus (HBV). The development of antibodies against the viral surface antigen (HBV surface antigen [HBsAgs]) constitutes the hallmark of resolution of acute infection and is a therapeutic goal for functional cure of chronic HBV (CHB). We characterized B cells directly ex vivo from the blood and liver of patients with CHB to investigate constraints on their antiviral potential. Unexpectedly, we found that HBsAg-specific B cells persisted in the blood and liver of many patients with CHB and were enriched for T-bet, a signature of antiviral potential in B cells. However, purified, differentiated HBsAg-specific B cells from patients with CHB had defective antibody production, consistent with undetectable anti-HBs antibodies in vivo. HBsAg-specific and global B cells had an accumulation of CD21–CD27– atypical memory B cells (atMBC) with high expression of inhibitory receptors, including PD-1. These atMBC demonstrated altered signaling, homing, differentiation into antibody-producing cells, survival, and antiviral/proinflammatory cytokine production that could be partially rescued by PD-1 blockade. Analysis of B cells within healthy and HBV-infected livers implicated the combination of this tolerogenic niche and HBV infection in driving PD-1hiatMBC and impairing B cell immunity.
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