gms | German Medical Science

Deutscher Rheumatologiekongress 2020, 48. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 34. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh)

09.09. - 12.09.2020, virtuell

Breg-mediated CD4+ T cell suppression is mainly induced by co-inhibitory molecules and can be enhanced by presence of IL-10 and ß-adrenergic receptor activation

Meeting Abstract

  • Nadine Honke - Poliklinik und Funktionsbereich für Rheumatologie & Hiller Forschungszentrum Rheumatologie, Universitätsklinikum Düsseldorf, Düsseldorf
  • Birgit Opgenoorth - Poliklinik und Funktionsbereich für Rheumatologie & Hiller Forschungszentrum Rheumatologie, Universitätsklinikum Düsseldorf, Düsseldorf
  • Matthias Schneider - Poliklinik und Funktionsbereich für Rheumatologie & Hiller Forschungszentrum Rheumatologie, Universitätsklinikum Düsseldorf, Düsseldorf
  • Georg Pongratz - Poliklinik und Funktionsbereich für Rheumatologie & Hiller Forschungszentrum Rheumatologie, Universitätsklinikum Düsseldorf, Düsseldorf

Deutsche Gesellschaft für Rheumatologie. Deutsche Gesellschaft für Orthopädische Rheumatologie. Deutscher Rheumatologiekongress 2020, 48. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 34. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh). sine loco [digital], 09.-12.09.2020. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocRA.41

doi: 10.3205/20dgrh140, urn:nbn:de:0183-20dgrh1400

Published: September 9, 2020

© 2020 Honke et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Introduction: Regulatory B cells (Bregs) can inhibit inflammation mediated by CD4+ T cells, a crucial population in the pathogenesis of rheumatoid arthritis (RA). Recently, we were able to show that B cells produce their own catecholamines to modulate Breg function. In the current study, we tested if an additional ß-adrenergic receptor (ß-ADR) stimulus can enhance the suppression of CD4+ T cells. Moreover, we investigated the importance of co-inhibitory molecules (PD-L1/FasL) and of the anti-inflammatory cytokine IL-10 in the suppression of CD4+ T cells.

Methods: On activated murine B cells or B cells and splenocytes from collagen-induced arthritis (CIA) mice, modulation of Bregs and their effect on CD4+ T cell proliferation was examined. Pre-inactivated or pre-activated B cells and CD3/CD28-activated splenocytes were cocultured or separately cultivated by using transwells in the presence or absence of an anti-IL-10-depleting antibody for 72h. CD4+ T cell proliferation and PDL-1/FasL expression on B cells was monitored by FACS. B cell-derived IL-10 was measured in the supernatant by ELISA.

Results: FACS analysis showed that CpG-activated Bregs have the ability to suppress CD4+ T cell proliferation (C vs. CpG, n=12, p****<0.0001). This suppression was associated with elevated IL-10 production (C vs. CpG, n= 8, p****<0.0001) and PDL-1/FasL expression (C vs. CpG, n = 11-12, p ****=<0,0001/p***=0,0006). Addition of ADR-ß agonists norepinephrine (NE) or isoproterenol (Isopr.) to CpG-activated Bregs further enhanced suppression of CD4+ T cell proliferation (CpG vs. CpG/NE, n=12, p*=0,0465; CpG vs. CpG/Isopr., n=12, p***=0,0006). This higher suppression correlates with enhanced IL-10 production by Bregs (CpG vs. CpG+Isopr., n=8, % rel. to control ~40%, p**=0,0045; CpG vs. CpG+NE, n=8, % rel. to control ~16%, p**=0,0012). Presence of IL-10 in co-culture experiments enhanced suppression of CD4+ T cell proliferation (CpG vs. CpG+anti-IL-10, n= 6, p**=0,0019) while IL-10 in transwells promotes CD4+ T cell proliferation (CpG vs. CpG + anti-IL-10, n = 6, p****<0,0001).

Conclusion: In conclusion, our data suggest that CpG-activated Bregs primarily suppress CD4+ T cell proliferation in a cell-cell-contact-dependent way and that this suppression is enhanced by additional presence of IL-10 and ß-ADR signaling. These pathways could also be used to modulate Breg function for therapeutic purposes.

Disclosures: None declared