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Marginal Zone B Cells Support T Cell Reconstitution Following ATG Lymphoablation in Heart Allograft Recipients.

Y. Yamamoto, R. Fan, M. Nicosia, V. Gorbacheva, R. Fairchild, A. Valujskikh

Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH

Meeting: 2022 American Transplant Congress

Abstract number: 285

Keywords: B cells, Heart, Mice

Topic: Basic Science » Basic Science » 04 - B-cell / Antibody /Autoimmunity

Session Information

Session Name: B-cell / Antibody /Autoimmunity

Session Type: Rapid Fire Oral Abstract

Date: Monday, June 6, 2022

Session Time: 3:30pm-5:00pm

 Presentation Time: 4:30pm-4:40pm

Location: Hynes Room 310

*Purpose: Lymphoablation with anti-thymocyte globulin (ATG) is a common therapy in solid organ transplantation. However homeostatic proliferation of pre-existing memory T cells undermines the graft-prolonging benefits of lymphoablation. We have reported that B cells activated by depletion-resistant CD4 T cells produce proinflammatory cytokines, and are essential mediators of CD8 T cell homeostatic reconstitution. Our current goal is to identify B cell subsets mediating T cell reconstitution.

*Methods: C57BL/6 (B6) recipients were transplanted with BALB/c heart allografts and treated with mATG (1mg i.p. on d.0 and d.4). The numbers and location of B220+CD21/35+IgMint follicular (FO) and B220+CD21/35hiIgMhi marginal zone (MZ) B cells in the spleen and their ability to produce IL-6 and TNFα were evaluated by flow cytometry and immunohistochemistry. To test whether MZ B cells are required for optimal T cell reconstitution, recipients were treated with anti-integrin mAb (aVLA4 and aLFA1α, 100ug i.p. each on d.-4 and d.-2) to displace B cells from the marginal zone. We also used CD19wt/cre Notch2fl/fl B6 mice with impaired MZ B cell development as recipients (ΔMZB mice).

*Results: On d. 5 posttransplant, we found a prominent decrease in the B220+ cells within the marginal zone in allograft recipients treated with mATG. The numbers of spleen MZ B cells were decreased by 36% vs 54% in FO B cell subset. These changes in MZ B cells were not observed in untreated allograft recipients, isograft recipients, or mATG treated non-transplanted mice. Spleen marginal zone was repopulated by B cells by d. 12 posttransplant, and the proportion of cytokine-producing MZ B cells was higher than that in FO B cells (5% IL-6+ and 18% TNFα+ MZ B cells vs. 3% and 6% FO B cells). Anti-integrin mAb treatment displaced B cells from marginal zone prior to transplantation. The heart allograft recipients treated with anti-integrin mAb had impaired recovery of CD4 and CD8 T cells in the peripheral blood and spleen. In parallel experiments, ΔMZB heart allograft recipients treated with mATG had significantly diminished CD8 T cell recovery in the spleen compared to CD19wt/cre littermates.

*Conclusions: Our data suggest that MZ and FO B cells are differentially affected by mATG lymphoablation in heart allograft recipients and that MZ B cells act as sensors of allograft-induced inflammation to facilitate homeostatic T cell reconstitution.

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To cite this abstract in AMA style:

Yamamoto Y, Fan R, Nicosia M, Gorbacheva V, Fairchild R, Valujskikh A. Marginal Zone B Cells Support T Cell Reconstitution Following ATG Lymphoablation in Heart Allograft Recipients. [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/marginal-zone-b-cells-support-t-cell-reconstitution-following-atg-lymphoablation-in-heart-allograft-recipients/. Accessed May 18, 2025.

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