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Blood, 17 September 2009, Vol. 114, No. 12, pp. 2411-2416.
Prepublished online as a Blood First Edition Paper on July 20, 2009; DOI 10.1182/blood-2009-04-211417.


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IMMUNOBIOLOGY

Apolipoprotein-mediated lipid antigen presentation in B cells provides a pathway for innate help by NKT cells

Lenka L. Allan1, Katrin Hoefl1, Dong-Jun Zheng1, Brian K. Chung1, Frederick K. Kozak2, Rusung Tan1,3, and Peter van den Elzen1,3

1 Department of Pathology and Laboratory Medicine, University of British Columbia, Child and Family Research Institute; and 2 Division of Pediatric Otolaryngology and 3 Department of Pathology and Laboratory Medicine, Children's and Women's Hospital of British Columbia, Vancouver, BC

Natural killer T (NKT) cells are innate-like lymphocytes that recognize lipid antigens and have been shown to enhance B-cell activation and antibody production. B cells typically recruit T-cell help by presenting internalized antigens recognized by their surface antigen receptor. Here, we demonstrate a highly efficient means whereby human B cells present lipid antigens to NKT cells, capturing the antigen using apolipoprotein E (apoE) and the low-density lipoprotein receptor (LDL-R). ApoE dramatically enhances B-cell presentation of alpha-galactosylceramide ({alpha}GalCer), an exogenous CD1d presented antigen, inducing activation of NKT cells and the subsequent activation of B cells. B cells express the LDL-R on activation, and the activation of NKT cells by B cells is completely LDL-R dependent, as shown by blocking experiments and the complete lack of presentation when using apoE2, an isoform of apoE incapable of LDL-R binding. The dependence on apoE and the LDL-R is much more pronounced in B cells than we had previously seen in dendritic cells, which can apparently use alternate pathways of lipid antigen uptake. Thus, B cells use an apolipoprotein-mediated pathway of lipid antigen presentation, which constitutes a form of innate help for B cells by NKT cells.


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