Sequential class switch recombination to IgE and allergen-induced accumulation of IgE+ plasmablasts occur in the nasal mucosa of local allergic rhinitis patients

© 2022 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd..

BACKGROUND: The involvement of allergen-specific (s)IgE in local allergic rhinitis (LAR) has been debated. Here, we investigate the effect of nasal allergen challenge with Dermatophagoides pteronyssinus (NAC-DP) in mucosal and peripheral B-cell subpopulations in LAR patients.

METHODS: Nine LAR, 5 allergic rhinitis (AR), and 5 non-atopic healthy control (HC) individuals were subjected to a 3-day NAC-DP protocol, and nasal biopsies and blood samples were collected before and after provocation. Nasal biopsies were used for immunohistochemistry and gene expression studies, whereas the frequency of lymphocyte subsets and basophil activation test (BAT) were analyzed in blood samples by flow cytometry. sIgG was measured in sera.

RESULTS: NAC-DP induced an increase in IgE+ CD38+ plasmablasts in the nasal mucosa of LAR patients, but not in AR or HC individuals. Markers of sequential recombination to IgE (εCSR) (from IgG) were observed in 33% of LAR, 20% of AR, and 0% of HC subjects. NAC-DP increased the proportion of peripheral CD19+ CD20+ CD38+ plasmablasts in AR and LAR patients, but not in HC. Expression of the mucosal homing receptor CXCR3 in peripheral CD19+ CD20+ CD38+ plasmablasts from LAR, AR, and HC individuals was 7%, 5%, and 0.5%, respectively. In vitro DP stimulation increased proliferating CD19+ CD20+ CD38+ plasmablasts in LAR and AR patients, but not in HC. Serum DP-sIgG was higher in LAR and AR patients as compared to HC. BAT was positive in 33%, 100%, and 0% of LAR, AR, and HC subjects, respectively.

CONCLUSION: These results suggest that allergen exposure induces the sequential εCSR of IgG+ CD19+ CD20+ CD38+ plasmablasts in the nasal mucosa of LAR patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:77

Enthalten in:

Allergy - 77(2022), 9 vom: 06. Sept., Seite 2712-2724

Sprache:

Englisch

Beteiligte Personen:

Testera-Montes, Almudena [VerfasserIn]
Palomares, Francisca [VerfasserIn]
Jurado-Escobar, Raquel [VerfasserIn]
Fernandez-Santamaria, Ruben [VerfasserIn]
Ariza, Adriana [VerfasserIn]
Verge, Jesus [VerfasserIn]
Salas, Maria [VerfasserIn]
Campo, Paloma [VerfasserIn]
Mayorga, Cristobalina [VerfasserIn]
Torres, Maria Jose [VerfasserIn]
Rondon, Carmen [VerfasserIn]
Eguiluz-Gracia, Ibon [VerfasserIn]

Links:

Volltext

Themen:

37341-29-0
Allergens
Antigens, Dermatophagoides
Basophil activation test
Class switch recombination
IgE
Immunoglobulin E
Immunoglobulin G
Journal Article
Local allergic rhinitis
Plasma cell
Plasmablast
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 08.09.2022

Date Revised 26.01.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/all.15292

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM33870227X