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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1614-1621.
Prepublished online as a Blood First Edition Paper on October 26, 2004; DOI 10.1182/blood-2004-07-2507.


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Submitted July 1, 2004
Accepted October 12, 2004

Generation of migratory antigen-specific plasma blasts and mobilisation of resident plasma cells in a secondary immune response

Marcus Odendahl, Henrik Mei, Bimba F Hoyer, Annett M Jacobi, Arne Hansen, Gwendolin Muehlinghaus, Claudia Berek, Falk Hiepe, Rudi Manz, Andreas Radbruch, and Thomas Dorner*

Department of Medicine, Rheumatology and Clinical Immunology, Charite University Medicine, Humboldt University at Berlin, Berlin, Germany; German Arthritis Research Center, Berlin, Germany
German Arthritis Research Center, Berlin, Germany
Department of Medicine, Rheumatology and Clinical Immunology, Charite University Medicine, Humboldt University at Berlin, Berlin, Germany
Institute of Transfusion Medicine, Coagulation Unit, Charite University Medicine, Berlin, Germany

* Corresponding author; email: thomas.doerner{at}charite.de.

Maintenance of protective humoral immunity depends on the generation and survival of antibody-secreting cells. The bone marrow provides niches for long-term survival of plasma cells generated in the course of systemic immune responses in secondary lymphoid organs. Here, we have analysed migratory human plasma blasts and plasma cells after secondary vaccination with tetanus toxin. On days 6 and 7 after immunization, CD19+/CD27high/intracellular IgGhigh/HLA-DRhigh/CD38high/CD20-/CD95+ tetanus toxin-specific antibody-secreting plasma blasts were released in large numbers from the secondary lymphoid organs into the blood. These cells show chemotactic responsiveness towards ligands for CXCR3 and CXCR4, probably guiding them into the bone marrow or inflamed tissue. At the same time, a population of CD19+/CD27high/intracellular IgGhigh/HLA-DRlow/CD38+/CD20-/CD95+ cells appeared in the blood in large numbers. These cells with the phenotype of long-lived plasma cells secreted antibodies of unknown specificity, not tetanus toxoid. The appearance of these plasma cells in the blood indicates successful competition for survival niches in the bone marrow between newly generated plasma blasts and resident plasma cells, as a fundamental mechanism for the establishment of humoral memory and its plasticity.


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