A potential role for B cells in suppressed immune responses in cord blood transplant recipients

We evaluated immune reconstitution in 58 adults who received hematopoietic SCTs from allogeneic siblings (allosib), matched unrelated donors (MUD) or cord blood (CB) at 90-day intervals for 1 year post transplant. CB recipients had a higher incidence of infections in the first 100 days compared with...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2013-01, Vol.48 (1), p.85-93
Hauptverfasser: Beaudette-Zlatanova, B C, Le, P T, Knight, K L, Zhang, S, Zakrzewski, S, Parthasarathy, M, Stiff, P J
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container_issue 1
container_start_page 85
container_title Bone marrow transplantation (Basingstoke)
container_volume 48
creator Beaudette-Zlatanova, B C
Le, P T
Knight, K L
Zhang, S
Zakrzewski, S
Parthasarathy, M
Stiff, P J
description We evaluated immune reconstitution in 58 adults who received hematopoietic SCTs from allogeneic siblings (allosib), matched unrelated donors (MUD) or cord blood (CB) at 90-day intervals for 1 year post transplant. CB recipients had a higher incidence of infections in the first 100 days compared with allosib and MUD recipients. The number of circulating T cells was lower in CB recipients compared with MUD recipients at 90 days and compared with allosib recipients at 180 days. Spectratype analysis of the TCR Vβ complementarity determining region 3 (CDR3) of patient lymphocytes revealed that the TCR repertoire remained poorly diversified even at 360 days in nearly all patients. In contrast, the number of circulating B cells was significantly elevated in CB recipients compared with allosib recipients throughout the first year post transplant and compared with MUD recipients at 9–12 months. Spectratype analysis of the B-cell receptor V H CDR3 showed that the B-cell repertoire was diversified in most patients by 90 days. CD5 pos B cells from assayed CB recipients expressed intracellular IL-10 early post transplant. Our data suggest that B cells, in addition to T cells, may have a role in impaired immune responses in CB transplant patients.
doi_str_mv 10.1038/bmt.2012.104
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CB recipients had a higher incidence of infections in the first 100 days compared with allosib and MUD recipients. The number of circulating T cells was lower in CB recipients compared with MUD recipients at 90 days and compared with allosib recipients at 180 days. Spectratype analysis of the TCR Vβ complementarity determining region 3 (CDR3) of patient lymphocytes revealed that the TCR repertoire remained poorly diversified even at 360 days in nearly all patients. In contrast, the number of circulating B cells was significantly elevated in CB recipients compared with allosib recipients throughout the first year post transplant and compared with MUD recipients at 9–12 months. Spectratype analysis of the B-cell receptor V H CDR3 showed that the B-cell repertoire was diversified in most patients by 90 days. CD5 pos B cells from assayed CB recipients expressed intracellular IL-10 early post transplant. Our data suggest that B cells, in addition to T cells, may have a role in impaired immune responses in CB transplant patients.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/bmt.2012.104</identifier><identifier>PMID: 22732699</identifier><identifier>CODEN: BMTRE9</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/250/1619/40 ; 631/250/1904 ; 631/532/1542 ; Adult ; Aged ; Analysis ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; B cells ; B-cell receptor ; B-Lymphocytes - immunology ; B-Lymphocytes - metabolism ; Biological and medical sciences ; Bone marrow ; Bone marrow transplantation ; Bone marrow, stem cells transplantation. Graft versus host reaction ; CD5 Antigens - blood ; CD5 Antigens - genetics ; CD5 Antigens - metabolism ; Cell Biology ; Complementarity Determining Regions - blood ; Complementarity Determining Regions - chemistry ; Complementarity Determining Regions - genetics ; Complementarity Determining Regions - metabolism ; complementarity-determining region 3 ; Cord blood ; Cord Blood Stem Cell Transplantation - adverse effects ; Data processing ; Donors ; Female ; Fetal blood ; Graft vs Host Disease - blood ; Graft vs Host Disease - epidemiology ; Graft vs Host Disease - immunology ; Graft vs Host Disease - metabolism ; Health aspects ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hemopoiesis ; Humans ; Illinois - epidemiology ; Immune reconstitution ; Immune response ; Immunocompromised Host ; Incidence ; Infection ; Interleukin 10 ; Interleukin-10 - metabolism ; Internal Medicine ; Lymphocytes B ; Lymphocytes T ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Opportunistic Infections - blood ; Opportunistic Infections - epidemiology ; Opportunistic Infections - immunology ; Opportunistic Infections - metabolism ; Organ donors ; original-article ; Physiological aspects ; Public Health ; Receptors, Antigen, B-Cell - blood ; Receptors, Antigen, B-Cell - chemistry ; Receptors, Antigen, B-Cell - genetics ; Receptors, Antigen, B-Cell - metabolism ; Receptors, Antigen, T-Cell - blood ; Receptors, Antigen, T-Cell - chemistry ; Receptors, Antigen, T-Cell - genetics ; Receptors, Antigen, T-Cell - metabolism ; Siblings ; Stem cell transplantation ; Stem Cells ; T-cell receptor ; T-Lymphocytes - immunology ; T-Lymphocytes - metabolism ; Transfusions. 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Our data suggest that B cells, in addition to T cells, may have a role in impaired immune responses in CB transplant patients.</description><subject>631/250/1619/40</subject><subject>631/250/1904</subject><subject>631/532/1542</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>B cells</subject><subject>B-cell receptor</subject><subject>B-Lymphocytes - immunology</subject><subject>B-Lymphocytes - metabolism</subject><subject>Biological and medical sciences</subject><subject>Bone marrow</subject><subject>Bone marrow transplantation</subject><subject>Bone marrow, stem cells transplantation. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>B cells</topic><topic>B-cell receptor</topic><topic>B-Lymphocytes - immunology</topic><topic>B-Lymphocytes - metabolism</topic><topic>Biological and medical sciences</topic><topic>Bone marrow</topic><topic>Bone marrow transplantation</topic><topic>Bone marrow, stem cells transplantation. Graft versus host reaction</topic><topic>CD5 Antigens - blood</topic><topic>CD5 Antigens - genetics</topic><topic>CD5 Antigens - metabolism</topic><topic>Cell Biology</topic><topic>Complementarity Determining Regions - blood</topic><topic>Complementarity Determining Regions - chemistry</topic><topic>Complementarity Determining Regions - genetics</topic><topic>Complementarity Determining Regions - metabolism</topic><topic>complementarity-determining region 3</topic><topic>Cord blood</topic><topic>Cord Blood Stem Cell Transplantation - adverse effects</topic><topic>Data processing</topic><topic>Donors</topic><topic>Female</topic><topic>Fetal blood</topic><topic>Graft vs Host Disease - blood</topic><topic>Graft vs Host Disease - epidemiology</topic><topic>Graft vs Host Disease - immunology</topic><topic>Graft vs Host Disease - metabolism</topic><topic>Health aspects</topic><topic>Hematology</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Hemopoiesis</topic><topic>Humans</topic><topic>Illinois - epidemiology</topic><topic>Immune reconstitution</topic><topic>Immune response</topic><topic>Immunocompromised Host</topic><topic>Incidence</topic><topic>Infection</topic><topic>Interleukin 10</topic><topic>Interleukin-10 - metabolism</topic><topic>Internal Medicine</topic><topic>Lymphocytes B</topic><topic>Lymphocytes T</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Opportunistic Infections - blood</topic><topic>Opportunistic Infections - epidemiology</topic><topic>Opportunistic Infections - immunology</topic><topic>Opportunistic Infections - metabolism</topic><topic>Organ donors</topic><topic>original-article</topic><topic>Physiological aspects</topic><topic>Public Health</topic><topic>Receptors, Antigen, B-Cell - blood</topic><topic>Receptors, Antigen, B-Cell - chemistry</topic><topic>Receptors, Antigen, B-Cell - genetics</topic><topic>Receptors, Antigen, B-Cell - metabolism</topic><topic>Receptors, Antigen, T-Cell - blood</topic><topic>Receptors, Antigen, T-Cell - chemistry</topic><topic>Receptors, Antigen, T-Cell - genetics</topic><topic>Receptors, Antigen, T-Cell - metabolism</topic><topic>Siblings</topic><topic>Stem cell transplantation</topic><topic>Stem Cells</topic><topic>T-cell receptor</topic><topic>T-Lymphocytes - immunology</topic><topic>T-Lymphocytes - metabolism</topic><topic>Transfusions. 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CB recipients had a higher incidence of infections in the first 100 days compared with allosib and MUD recipients. The number of circulating T cells was lower in CB recipients compared with MUD recipients at 90 days and compared with allosib recipients at 180 days. Spectratype analysis of the TCR Vβ complementarity determining region 3 (CDR3) of patient lymphocytes revealed that the TCR repertoire remained poorly diversified even at 360 days in nearly all patients. In contrast, the number of circulating B cells was significantly elevated in CB recipients compared with allosib recipients throughout the first year post transplant and compared with MUD recipients at 9–12 months. Spectratype analysis of the B-cell receptor V H CDR3 showed that the B-cell repertoire was diversified in most patients by 90 days. CD5 pos B cells from assayed CB recipients expressed intracellular IL-10 early post transplant. Our data suggest that B cells, in addition to T cells, may have a role in impaired immune responses in CB transplant patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>22732699</pmid><doi>10.1038/bmt.2012.104</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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1476-5365
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subjects 631/250/1619/40
631/250/1904
631/532/1542
Adult
Aged
Analysis
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
B cells
B-cell receptor
B-Lymphocytes - immunology
B-Lymphocytes - metabolism
Biological and medical sciences
Bone marrow
Bone marrow transplantation
Bone marrow, stem cells transplantation. Graft versus host reaction
CD5 Antigens - blood
CD5 Antigens - genetics
CD5 Antigens - metabolism
Cell Biology
Complementarity Determining Regions - blood
Complementarity Determining Regions - chemistry
Complementarity Determining Regions - genetics
Complementarity Determining Regions - metabolism
complementarity-determining region 3
Cord blood
Cord Blood Stem Cell Transplantation - adverse effects
Data processing
Donors
Female
Fetal blood
Graft vs Host Disease - blood
Graft vs Host Disease - epidemiology
Graft vs Host Disease - immunology
Graft vs Host Disease - metabolism
Health aspects
Hematology
Hematopoietic Stem Cell Transplantation - adverse effects
Hemopoiesis
Humans
Illinois - epidemiology
Immune reconstitution
Immune response
Immunocompromised Host
Incidence
Infection
Interleukin 10
Interleukin-10 - metabolism
Internal Medicine
Lymphocytes B
Lymphocytes T
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Opportunistic Infections - blood
Opportunistic Infections - epidemiology
Opportunistic Infections - immunology
Opportunistic Infections - metabolism
Organ donors
original-article
Physiological aspects
Public Health
Receptors, Antigen, B-Cell - blood
Receptors, Antigen, B-Cell - chemistry
Receptors, Antigen, B-Cell - genetics
Receptors, Antigen, B-Cell - metabolism
Receptors, Antigen, T-Cell - blood
Receptors, Antigen, T-Cell - chemistry
Receptors, Antigen, T-Cell - genetics
Receptors, Antigen, T-Cell - metabolism
Siblings
Stem cell transplantation
Stem Cells
T-cell receptor
T-Lymphocytes - immunology
T-Lymphocytes - metabolism
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Transplantation
Transplantation, Homologous
title A potential role for B cells in suppressed immune responses in cord blood transplant recipients
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