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Published in: BMC Pediatrics 1/2021

Open Access 01-12-2021 | IgA Vasculitis | Research article

Altered B cell compartment associated with Tfh cells in children with Henoch-Schonlein Purpura

Authors: Ning Zhang, Ge Tian, Yuanyuan Sun, Jing Pan, Wei Xu, Zhe Li

Published in: BMC Pediatrics | Issue 1/2021

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Abstract

Aim

IgA-producing B cells have been found to be associated with children diagnosed with Henoch-Schonlein purpura (HSP). The aim of the present study was to determine whether children with HSP possess altered B-cell subsets.

Methods

A total of 14 children diagnosed with HSP and age- and sex-matched healthy controls (HCs) were enrolled in our study. Peripheral blood mononuclear cells were isolated, and the percentage and absolute number of B-cell subsets and Follicular helper T (Tfh) cells were determined by flow cytometry. Finally, Spearman’s correlation coefficient was used to analyse the correlation between the percentage of Tfh cells and B-cell subsets.

Results

We found that compared to HCs, the frequency and absolute number of total B cells were significantly higher in children with HSP, but the percentages of plasma cells and naïve B cells were significantly lower. A significantly increased percentage and absolute number of memory nonswitched B cells were found in children with HSP compared with HCs. We observed that the expression of C-X-C chemokine receptor type 5 (CXCR5) on total CD4+ T cells and the percentage of CD4+CXCR5+ cells were significantly increased in patients with HSP. Moreover, significantly correlations between Tfh cells and various B-cell subsets were observed.

Conclusions

Our study showed a Tfh-cell-associated altered B cell compartment in children with HSP.
Literature
1.
go back to reference Basaran O, et al. Plasma exchange therapy for severe gastrointestinal involvement of Henoch Schonlein purpura in children. Clin Exp Rheumatol. 2015;33:–176. Basaran O, et al. Plasma exchange therapy for severe gastrointestinal involvement of Henoch Schonlein purpura in children. Clin Exp Rheumatol. 2015;33:–176.
2.
go back to reference Chen JY, Mao JH. Henoch-Schonlein purpura nephritis in children: incidence, pathogenesis and management. World journal of pediatrics: WJP. 2015;11:29–34.CrossRef Chen JY, Mao JH. Henoch-Schonlein purpura nephritis in children: incidence, pathogenesis and management. World journal of pediatrics: WJP. 2015;11:29–34.CrossRef
3.
go back to reference Jen HY, Chuang YH, Lin SC, Chiang BL, Yang YH. Increased serum interleukin-17 and peripheral Th17 cells in children with acute Henoch-Schonlein purpura. Pediatric allergy immunology: official publication of the European Society of Pediatric Allergy Immunology. 2011;22:862–8.CrossRef Jen HY, Chuang YH, Lin SC, Chiang BL, Yang YH. Increased serum interleukin-17 and peripheral Th17 cells in children with acute Henoch-Schonlein purpura. Pediatric allergy immunology: official publication of the European Society of Pediatric Allergy Immunology. 2011;22:862–8.CrossRef
4.
go back to reference Yi H. [Effect of Shenyankangfu tablet on urinary IL-6 and its therapeutic effect in children with Henoch-Schonlein purpura nephritis]. Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics. 2007;9:153–4.PubMed Yi H. [Effect of Shenyankangfu tablet on urinary IL-6 and its therapeutic effect in children with Henoch-Schonlein purpura nephritis]. Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics. 2007;9:153–4.PubMed
5.
go back to reference Yang B, et al. Effect of CD40/CD40L signaling on IL-10-producing regulatory B cells in Chinese children with Henoch-Schönlein purpura nephritis. Immunol Res. 2017;65:592–604.CrossRef Yang B, et al. Effect of CD40/CD40L signaling on IL-10-producing regulatory B cells in Chinese children with Henoch-Schönlein purpura nephritis. Immunol Res. 2017;65:592–604.CrossRef
6.
go back to reference Gonzalez-Gay MA, Blanco R, Castaneda S. Henoch-Schonlein purpura (IgA vasculitis): the paradox of the different incidence and clinical spectrum in children and adults. Clin Exp Rheumatol. 2017;35(Suppl 103):3–4.PubMed Gonzalez-Gay MA, Blanco R, Castaneda S. Henoch-Schonlein purpura (IgA vasculitis): the paradox of the different incidence and clinical spectrum in children and adults. Clin Exp Rheumatol. 2017;35(Suppl 103):3–4.PubMed
7.
go back to reference Lin W, et al. B cell subsets and dysfunction of regulatory B cells in IgG4-related diseases and primary Sjogren’s syndrome: the similarities and differences. Arthritis research therapy. 2014;16:R118.CrossRef Lin W, et al. B cell subsets and dysfunction of regulatory B cells in IgG4-related diseases and primary Sjogren’s syndrome: the similarities and differences. Arthritis research therapy. 2014;16:R118.CrossRef
8.
go back to reference Nakayamada S, Tanaka Y. T follicular helper (Tfh) cells in autoimmune diseases. Nihon Rinsho Men’eki Gakkai kaishi = Japanese journal of clinical immunology. 2016;39:1–7.CrossRef Nakayamada S, Tanaka Y. T follicular helper (Tfh) cells in autoimmune diseases. Nihon Rinsho Men’eki Gakkai kaishi = Japanese journal of clinical immunology. 2016;39:1–7.CrossRef
9.
go back to reference Jeon YH, Choi YS, Follicular Helper T (Tfh) Cells in Autoimmune Diseases and Allograft Rejection. Immune network16, 219–232 (2016). Jeon YH, Choi YS, Follicular Helper T (Tfh) Cells in Autoimmune Diseases and Allograft Rejection. Immune network16, 219–232 (2016).
10.
go back to reference Yang YH, Yu HH, Chiang BL. The diagnosis and classification of Henoch-Schonlein purpura: an updated review. Autoimmun rev. 2014;13:355–8.CrossRef Yang YH, Yu HH, Chiang BL. The diagnosis and classification of Henoch-Schonlein purpura: an updated review. Autoimmun rev. 2014;13:355–8.CrossRef
11.
go back to reference Kim AR, et al. Targeting inducible costimulator expressed on CXCR5(+)PD-1(+) T(H) cells suppresses the progression of pemphigus vulgaris. J Allergy Clin Immunol. 2020;146:1070–9.e1078.CrossRef Kim AR, et al. Targeting inducible costimulator expressed on CXCR5(+)PD-1(+) T(H) cells suppresses the progression of pemphigus vulgaris. J Allergy Clin Immunol. 2020;146:1070–9.e1078.CrossRef
12.
go back to reference Huang DL, et al. [Relationship between renal Th1/Th2 ratio and renal microvascular injury in children with Henoch-Sch-nlein purpura nephritis]. Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics. 2011;13:273–7.PubMed Huang DL, et al. [Relationship between renal Th1/Th2 ratio and renal microvascular injury in children with Henoch-Sch-nlein purpura nephritis]. Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics. 2011;13:273–7.PubMed
13.
go back to reference Roman C, Dima B, Muyshont L, Schurmans T, Gilliaux O. Indications and efficiency of dapsone in IgA vasculitis (Henoch-Schonlein purpura): case series and a review of the literature. Eur J Pediatrics. 2019;178:1275–81.CrossRef Roman C, Dima B, Muyshont L, Schurmans T, Gilliaux O. Indications and efficiency of dapsone in IgA vasculitis (Henoch-Schonlein purpura): case series and a review of the literature. Eur J Pediatrics. 2019;178:1275–81.CrossRef
14.
go back to reference Crayne CB, et al. Rituximab treatment for chronic steroid-dependent Henoch-Schonlein purpura: 8 cases and a review of the literature. Pediatr Rheumatol Online J. 2018;16:71.CrossRef Crayne CB, et al. Rituximab treatment for chronic steroid-dependent Henoch-Schonlein purpura: 8 cases and a review of the literature. Pediatr Rheumatol Online J. 2018;16:71.CrossRef
15.
go back to reference Hu X, et al. A Lower Proportion of Regulatory B Cells in Patients with Henoch-Schoenlein Purpura Nephritis. PLoS One. 2016;11:e0152368.CrossRef Hu X, et al. A Lower Proportion of Regulatory B Cells in Patients with Henoch-Schoenlein Purpura Nephritis. PLoS One. 2016;11:e0152368.CrossRef
16.
go back to reference Cao G, Chi S, Wang X, Sun J, Zhang Y. CD4 + CXCR5 + PD-1 + T Follicular Helper Cells Play a Pivotal Role in the Development of Rheumatoid Arthritis. Medical science monitor: international medical journal of experimental clinical research. 2019;25:3032–40.CrossRef Cao G, Chi S, Wang X, Sun J, Zhang Y. CD4 + CXCR5 + PD-1 + T Follicular Helper Cells Play a Pivotal Role in the Development of Rheumatoid Arthritis. Medical science monitor: international medical journal of experimental clinical research. 2019;25:3032–40.CrossRef
17.
go back to reference Bocharnikov AV, et al. PD-1hiCXCR5- T peripheral helper cells promote B cell responses in lupus via MAF and IL-21. JCI insight 4 (2019). Bocharnikov AV, et al. PD-1hiCXCR5- T peripheral helper cells promote B cell responses in lupus via MAF and IL-21. JCI insight 4 (2019).
18.
go back to reference Xie J, et al. Expansion of Circulating T Follicular Helper Cells in Children with Acute Henoch-Schönlein Purpura. Journal of Immunology Research. 2015;2015:1–9.CrossRef Xie J, et al. Expansion of Circulating T Follicular Helper Cells in Children with Acute Henoch-Schönlein Purpura. Journal of Immunology Research. 2015;2015:1–9.CrossRef
Metadata
Title
Altered B cell compartment associated with Tfh cells in children with Henoch-Schonlein Purpura
Authors
Ning Zhang
Ge Tian
Yuanyuan Sun
Jing Pan
Wei Xu
Zhe Li
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2021
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-021-02873-z

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