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APRIL/BLyS Blockade Improves Depletion of Antibody Secreting B Cells Compared to BLyS Blockade Alone in Sensitized Murine Kidney Transplant Model

N. Bath,1 X. Ding,1 N. Wilson,2 B. Verhoven,1 A. Sukhwal,1 L. Coons,1 S. Panzer,2 A. Djamali,2 R. Redfield.1

1Surgery, University of Wisconsin, Madison, WI
2Medicine, University of Wisconsin, Madison, WI.

Meeting: 2018 American Transplant Congress

Abstract number: 182

Keywords: Alloantibodies, Immunoglobulins (Ig), Kidney transplantation, Mice

Session Information

Session Name: Concurrent Session: B-cell / Antibody

Session Type: Concurrent Session

Date: Monday, June 4, 2018

Session Time: 2:30pm-4:00pm

 Presentation Time: 3:42pm-3:54pm

Location: Room 615/616/617

Introduction: Antibody mediated rejection (AMR) remains a significant problem in highly sensitized individuals undergoing kidney transplantation. APRIL (A Proliferation Inducing Ligand) and BLyS (B Lymphocyte Stimulator) are critical survival factors for B lymphocytes and plasma cells, which are the primary source of alloantibody. We examined the effect of blocking APRIL/BLyS together and BLyS alone in a sensitized kidney transplant model.

Methods: c57/B6 mice were sensitized with intraperitoneal injections of BALB/c splenocytes. Following four weeks of sensitization, animals then received control Ig, BAFF-R Ig (to block BLyS alone) or TACI-Ig (to block APRIL and BLyS) for 7-10 days prior to transplantation with BALB/c kidneys. All animals were continued on treatment and received cyclosporine (10mg/kg) post-transplant. Animals were harvested on post-operative day 7. Spleen, bone marrow and lymph nodes were analyzed using flow cytometry and ELISPOT. Transplanted kidneys were analyzed via immunohistochemistry.

Results: APRIL/BLyS blockade demonstrated a significant reduction in antibody secreting B cell production of IgM and IgG in spleen and bone marrow compared to BLyS blockade alone or control Ig treatment (p<0.05). Additionally, APRIL/BLyS blockade resulted in a significant depletion of follicular B lymphocytes (CD138+IgD+) in splenocytes when compared to control Ig (p < 0.05). No significant change was noted in marginal zone B lymphocytes (CD138-IgD+). Newly formed B lymphocytes (CD138-IgD-) were decreased in animals with APRIL/BLyS blockade but was not statistically significant.

Conclusion: APRIL/BLyS blockade significantly depleted IgM and IgG production in antibody secreting B cells and decreased populations of mature B lymphocytes as seen in the follicular B lymphocytes. These findings support further studies of APRIL/BLyS blockade as a method to target alloantibody.

CITATION INFORMATION: Bath N., Ding X., Wilson N., Verhoven B., Sukhwal A., Coons L., Panzer S., Djamali A., Redfield R. APRIL/BLyS Blockade Improves Depletion of Antibody Secreting B Cells Compared to BLyS Blockade Alone in Sensitized Murine Kidney Transplant Model Am J Transplant. 2017;17 (suppl 3).

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To cite this abstract in AMA style:

Bath N, Ding X, Wilson N, Verhoven B, Sukhwal A, Coons L, Panzer S, Djamali A, Redfield R. APRIL/BLyS Blockade Improves Depletion of Antibody Secreting B Cells Compared to BLyS Blockade Alone in Sensitized Murine Kidney Transplant Model [abstract]. https://atcmeetingabstracts.com/abstract/april-blys-blockade-improves-depletion-of-antibody-secreting-b-cells-compared-to-blys-blockade-alone-in-sensitized-murine-kidney-transplant-model/. Accessed May 9, 2025.

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