Interferon-β therapy specifically reduces pathogenic memory B cells in multiple sclerosis patients by inducing a FAS-mediated apoptosis

Immunol Cell Biol. 2016 Oct;94(9):886-894. doi: 10.1038/icb.2016.55. Epub 2016 Jun 6.

Abstract

Growing evidences put B lymphocytes on a central stage in multiple sclerosis (MS) immunopathology. While investigating the effects of interferon-β (IFN-β) therapy, one of the most used first-line disease-modifying drugs for the treatment of relapsing-remitting MS, in circulating B-cell sub-populations, we found a specific and marked decrease of CD27+ memory B cells. Interestingly, memory B cells are considered a population with a great disease-driving relevance in MS and resulted to be also target of B-cell depleting therapies. In addition, Epstein-Barr virus (EBV), associated with MS etiopathogenesis, harbors in this cell type and an IFN-β-induced reduction of the memory B-cell compartment, in turn, resulted in a decreased expression of the EBV gene latent membrane protein 2A in treated patients. We found that in vivo IFN-β therapy specifically and highly induced apoptosis in memory B cells, in accordance with a strong increase of the apoptotic markers Annexin-V and active caspase-3, via a mechanism requiring the FAS-receptor/TACI (transmembrane activator and CAML interactor) signaling. Thus, efficacy of IFN-β therapy in MS may rely not only on its recognized anti-inflammatory activities but also on the specific depletion of memory B cells, considered to be a pathogenic cell subset, reducing their inflammatory impact in target organs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Apoptosis / drug effects*
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / immunology*
  • Fas Ligand Protein / metabolism
  • Female
  • Gene Expression Regulation / drug effects
  • Humans
  • Immunologic Memory / drug effects*
  • Interferon-beta / pharmacology*
  • Interferon-beta / therapeutic use*
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Multiple Sclerosis / drug therapy*
  • Multiple Sclerosis / immunology*
  • Multiple Sclerosis / pathology
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy
  • Multiple Sclerosis, Relapsing-Remitting / immunology
  • Multiple Sclerosis, Relapsing-Remitting / pathology
  • Transmembrane Activator and CAML Interactor Protein / metabolism
  • Tumor Necrosis Factor Receptor Superfamily, Member 7 / metabolism
  • Viral Matrix Proteins / genetics
  • Viral Matrix Proteins / metabolism
  • Young Adult
  • fas Receptor / metabolism*

Substances

  • EBV-associated membrane antigen, Epstein-Barr virus
  • FAS protein, human
  • Fas Ligand Protein
  • TNFRSF13B protein, human
  • Transmembrane Activator and CAML Interactor Protein
  • Tumor Necrosis Factor Receptor Superfamily, Member 7
  • Viral Matrix Proteins
  • fas Receptor
  • Interferon-beta