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Blood, 1 September 2007, Vol. 110, No. 5, pp. 1595-1602.
Prepublished online as a Blood First Edition Paper on June 1, 2007; DOI 10.1182/blood-2006-12-061648.


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IMMUNOBIOLOGY

Macrophages prevent the differentiation of autoreactive B cells by secreting CD40 ligand and interleukin-6

Michelle A. Kilmon1, Nikki J. Wagner1, Alaina L. Garland1, Li Lin2, Katja Aviszus3, Lawrence J. Wysocki3, and Barbara J. Vilen1

Departments of1 Microbiology and Immunology, and 2 Biostatistics and Data Management, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill; 3 Integrated Department of Immunology, National Jewish Medical and Research Center and University of Colorado Health Sciences Center, Denver

Activation of the innate immune system promotes polyclonal antibody secretion to eliminate invading pathogens. Inherent in this process is the potential to activate autoreactive B cells and induce autoimmunity. We showed previously that TLR-stimulated dendritic cells and macrophages regulate B cell tolerance to Smith antigen, in part through the secretion of interleukin-6 (IL-6). In this manuscript, we show that neutralization of IL-6 fails to abrogate macrophage-mediated repression and identify soluble CD40 ligand (CD40L) as a second repressive factor secreted by macrophages. CD40L selectively repressed Ig secretion by chronically antigen-experienced (anergic) immunoglobulin transgenic and nontransgenic B cells but not by transiently stimulated B cells. The importance of macrophages in maintaining B cell tolerance was apparent in lupus-prone MRL/lpr mice. Compared with C57BL/6 mice, macrophages from MRL/lpr mice were significantly less efficient at repressing immunoglobulin secretion coincident with diminished IL-6 and CD40 ligand production. These data indicate that macrophages regulate autoreactive B cells by secreting repressive factors that prohibit terminal differentiation of B cells. The regulation of autoreactive B cells by macrophages is diminished in lupus-prone mice suggesting a role in autoimmunity.


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