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Defective B Cell Tolerance (SLE)

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B lymphocytes: SLE is characterized by the generation of large amounts of auto antibodies directed against variety of self-antigens, and the loss of B cell tolerance plays a key role in the disease (Ahmadpoor et al et al., 2014). Defective B cell tolerance is a hallmark of SLE; B cell tolerance is defective at several levels in SLE, both central and peripheral checkpoints that remove self-reactive B cells are defective in patients with SLE (Liu and Davidson, 2012). B-cell tolerance is developed at multiple checkpoints throughout B cell development, both in the bone marrow (BM) and the periphery. In BM, the immature B lymphocytes that recognize self antigens with high affinity, a strong BCR signal, are either passively deleted or their specificity …show more content…

These include: ptpn22 polymorphisms, and limited Fc type II receptor–mediated suppression (George and Tsokos, 2011). Peripheral selection is similarly defective in SLE, allowing auto reactive B cells further differentiate into pathogenic memory and plasma cells. This could be the result of defects in B cell signaling or death, excess of T cell help, excess of self antigens, or even impaired function of various regulatory cells, for example: B cells or T cells. Auto reactive B cells can also be expanded outside germinal centers, this result from excess inflammatory signals, such as IL-12, TLR ligation, or CD40 ligation, which preferentially promote B cell expansion in extra-follicular foci and the generation of short-lived plasma cells (Liu and Davidson, …show more content…

However, B cells can contribute to the SLE pathogenesis through additional pathways; B cells of patients with SLE have been shown to present auto-antigens to T cells and further amplify T-cell activation, regulate and organize inflammatory responses through cytokine and chemokine secretion (such as IL- 10, IL-6, interferon-γ, and lymphotoxin-α), and regulating other immune cells (Ahmadpoor et al et al.,

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