B cells mediate lung ischemia/reperfusion injury by recruiting classical monocytes via synergistic B cell receptor/TLR4 signaling

Ischemia/reperfusion injury-mediated (IRI-mediated) primary graft dysfunction (PGD) adversely affects both short- and long-term outcomes after lung transplantation, a procedure that remains the only treatment option for patients suffering from end-stage respiratory failure. While B cells are known to regulate adaptive immune responses, their role in lung IRI is not well understood. Here, we demonstrated by intravital imaging that B cells are rapidly recruited to injured lungs, where they extravasate into the parenchyma. Using hilar clamping and transplant models, we observed that lung-infiltrating B cells produce the monocyte chemokine CCL7 in a TLR4-TRIF-dependent fashion, a critical step contributing to classical monocyte (CM) recruitment and subsequent neutrophil extravasation, resulting in worse lung function. We found that synergistic BCR-TLR4 activation on B cells is required for the recruitment of CMs to the injured lung. Finally, we corroborated our findings in reperfused human lungs, in which we observed a correlation between B cell infiltration and CM recruitment after transplantation. This study describes a role for B cells as critical orchestrators of lung IRI. As B cells can be depleted with currently available agents, our study provides a rationale for clinical trials investigating B cell-targeting therapies.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:134

Enthalten in:

The Journal of clinical investigation - 134(2024), 6 vom: 23. Jan.

Sprache:

Englisch

Beteiligte Personen:

Farahnak, Khashayar [VerfasserIn]
Bai, Yun Zhu [VerfasserIn]
Yokoyama, Yuhei [VerfasserIn]
Morkan, Deniz B [VerfasserIn]
Liu, Zhiyi [VerfasserIn]
Amrute, Junedh M [VerfasserIn]
De Filippis Falcon, Alejandro [VerfasserIn]
Terada, Yuriko [VerfasserIn]
Liao, Fuyi [VerfasserIn]
Li, Wenjun [VerfasserIn]
Shepherd, Hailey M [VerfasserIn]
Hachem, Ramsey R [VerfasserIn]
Puri, Varun [VerfasserIn]
Lavine, Kory J [VerfasserIn]
Gelman, Andrew E [VerfasserIn]
Bharat, Ankit [VerfasserIn]
Kreisel, Daniel [VerfasserIn]
Nava, Ruben G [VerfasserIn]

Links:

Volltext

Themen:

Chemokines
Immunology
Journal Article
Monocytes
Organ transplantation
Receptors, Antigen, B-Cell
TLR4 protein, human
Toll-Like Receptor 4
Transplantation

Anmerkungen:

Date Completed 18.03.2024

Date Revised 18.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1172/JCI170118

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369776968