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Chapter 3 Results

3.1 FcγRIIB

232T/T

mice show persistent impaired affinity maturation over time

To investigate whether reduced inhibitory function of FcγRIIB could affect the

selection of GC B cells, we have generated FcγRIIB232T/T mice to test our concept. We

have recently shown that the FcγRIIB-I232T polymorphism, of which the 232th amino

acid was substituted from isoleucine to threonine, in mice results in impairment in the

negative selection of GC B cells during GC reaction (Jhou, et al., 2018). To evaluate the

long-term effect of FcγRIIB232T/T on affinity maturation, we immunized female

wild-type and FcγRIIB232T/T mice with 50 µg of NP-CGG admixed with an equal volume of alum adjuvant. Serum samples were collected on days 14, 28 and 35. Serum

levels of high-affinity NP-specific IgG and total NP-specific IgG were measured with

ELISA plates coated with NP7-BSA and NP30-BSA proteins, respectively. The affinity

maturation status was measured by dividing high-affinity NP-specific IgG by total

NP-specific IgG from ELISA readings. We found that on day 14, the serum levels of

NP-specific IgG of FcγRIIB232T/T mice showed significantly lower affinity maturation

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(P < 0.05, Figure 2) than those of wild-type mice. By day 35, the affinity maturation

status of serum NP-specific IgGs of wild-type mice was close to 1, indicative of nearly

total elimination of the low-affinity NP-specific GC B cells to produce mostly

high-affinity NP-specific IgGs. In contrast, FcγRIIB232T/T mice revealed continued

retention of low-affinity NP-specific IgGs and a slower affinity maturation kinetic

toward maturation to high-affinity NP-specific IgGs over time. These data from

FcγRIIB232T/T mice suggest that pharmacological down-regulation of FcγRIIB

expression might induce a similar Ab phenotype resulting from reduced inhibitory

activity of FcγRIIB.

3.2 Association of FcγRIIB and BCR with the lipid raft after coligation was impaired in FcγRIIB

232T/T

mutant mice

The I232T polymorphism is a single nucleotide polymorphism (SNP) in the

transmembrane domain of FcγRIIB proteins. Coligation of FcγRIIB with immune

complex results in apoptosis of the centrocytes. We hypothesized that the mouse

FcγRIIB-I232T would alter its stability in the association with lipid raft as observed in

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human counterpart. To investigate this, confocal microscopy was applied to visualize

the effect of FcγRIIB-I232T on BCR in the lipid microdomain at the cell surface. The

ganglioside GM1, a lipid raft marker that binds to the subunit B of cholera toxin, and

FcγRIIB were respectively labeled as green with FITC and red with Cy3-conjugated

Abs. As shown in Figure 3A, the wild-type B lymphocytes showed remarkable yellow

cap structure at 30 to 60 min, indicating that the FcγRIIB were stably coligated within

the lipid raft with BCR in response to whole anti-Ig crosslinking. In contrast, B

lymphocytes from FcγRIIB232T/T mice showed discrete FcγRIIB and lipid raft

co-localization. Metamorph analysis tool was applied to quantify the percentage of

FcγRIIB localized in the lipid raft. From 15 to 60 min, we found that a significantly

lower co-localization in isolated FcγRIIB-232T B cells in comparison with the

wild-type B cells in a time-dependent fashion (Figure 3B). Our findings FcγRIIB-232T

B cells are consistent with those observed in human peripheral mononuclear cells

isolated from FcγRIIB-232T carriers (Kono, et al., 2005).

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3.3 Nilotinib administration during GC reaction has a negative impact on affinity maturation

To assess whether it is applicable to manipulate affinity maturation with FcγRIIB

targeting agent, we examine the effects of nilotinib, a specific c-Abl inhibitor. As

reviewed in the introduction, c-Abl is the key downstream signal protein involved in the

apoptosis pathway induced by aggregation of FcγRIIB via non-cognate ICs. Mice were

immunized twice with NP-CGG 50 ug admix with equal volume of alum on day 1 and

day 28 (Figure 1).

After the second booster of NP-CGG, we administered the wild-type female mice

with nilotinib with the dose of 2 mg/kg/day daily from the sixth day (day 35) to the

ninth day (day 37), which was the most active time of GC reaction, clonal selection and

apoptosis of low-affinity GC B cells. Immunized mice were sacrificed on day 38, the

following day after last treatment of nilotinib. Sera and splenocytes were collected.

NP-specific IgG secreting PCs and IgG levels were detected and quantified with

ELISPOT and ELISA assays, respectively. Low-affinity NP-specific IgG secreting PCs

were measured with subtracting the NP7-specific IgG-secreting PC count from

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NP30-specific IgG-secreting PC count. In nilotinib-treated group, the low-affinity

NP-specific IgG secreting cell count was significantly higher (P < 0.05, Figure 4A).

Correspondingly, the affinity maturation status of the circulating NP-specific IgGs was

significantly reduced (P < 0.05, Figure 4B).

3.4 GW501516 increases respective total and low-affinity Ag-specific IgG PCs at the dose of 3 and 6 mg/kg/day during GC reaction

To observe the effects of GW501516 on the selection process of GC reaction, we

gave each wild-type female mouse with either 3 or 6 mg/kg/day on the sixth to the ninth

day after the secondary immunization when IgG ICs were abundantly present. The

choice of doses was based on a study of obese rhesus monkey, of which lipid-lowering

effect by GW501516 was dramatically observed at 3 mg/kg/day given for 1 month.

More importantly, the dosage of 3 mg/kg/day was safe and not reported to induce

carcinogenesis in mice in previous studies. Due to the short-term treatment of

GW501516 for 4 days, a higher dose of 6 mg/kg/day of GW501516 was also included

in our study to observe a potential dose-dependent effect. The control group was given

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an equal volume of diluted dimethyl sulfoxide (DMSO) in PBS, which is the vehicle of

GW501516. We performed ELISPOT assay to assess Ag-specific IgG secreting PCs in

spleen. We found that mice respectively given 3 and 6 mg/kg/day of GW501516 could

generate more NP30-specific IgG secreting PCs than those of control mice. Moreover,

the increase in the both groups of 3 and 6 mg/kg/day was statistically significant (P <

0.05, Figure 5B). The total Ag-specific IgG secreting cells show increment in each dose

but no dose dependent effect was observed. The number of NP7-specific IgG secreting

cells, considered as high affinity NP-specific IgG secreting cells, did not show a

significant change (Figure 5A). The low-affinity Ag-specific IgG secreting PC count,

defined as the numbers of NP30-specific IgG secreting PC numbers minus NP7-specific

IgG secreting PC numbers, increased at the dose of 3 and 6 mg/kg/day in a

dose-dependent fashion (P < 0.05, Figure 5C). The effect was apparent on 6 mg/kg/day

probably because of no significant increase and also mild decrease in some of the mice

in the numbers of high-affinity NP+ PCs.

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3.5 GW501516 increases the serum levels of total and low-affinity Ag-specific IgG at the dose of 3 and 6 mg/kg/day in wild-type mice

In order to assess whether the serum IgG level was associated with the numbers of

IgG secreting PCs, we performed indirect ELISA with either NP2-BSA (1 BSA

conjugated with 2 NPs) or NP30-BSA as the Ag coated onto 96-well plates. Serum

samples were diluted with PBS in a factor of 4 x 104. The relative NP Ag-specific IgG

concentrations expressed in arbitrary units per ml (AU/ml) were calculated from

semilog regression of the OD450 levels of standard serum. The average of total

antigen-specific (NP30-specific) IgGs increased approximately 2 folds in both 3 and 6

mg/kg/day groups but the results did not show a dose-dependent pattern (P < 0.05,

Figure 6B). The level of high-affinity IgGs (NP2-specific) did not show significant

differences (Figure 6A). We divided the high-affinity Ag-specific IgG level over total

Ag-specific IgGs as the antibody avidity index as a functional readout of affinity

maturation. The higher the ratio, the better the affinity maturation in terms of

high-affinity IgG production. The results showed a significant decrease in the affinity

maturation in 3 mg/kg/day but not in 6 mg/kg/day. As a result, the circulating IgG

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levels were highly relevant to the IgG secreting cell count in the spleen. Notably, the

interpretation of IgG levels is slightly distinct from antigen secreting cell count since the

affinity maturation terminates and the germinal centers diminished in the spleen after

the primary immunization. But the circulating IgGs continue to increase affinity till day

35 as shown in Figure 2. The average ratio was about 0.8 in 3 mg/kg/day (Figure 6C)

compared with 1 in control group, which indicating complete affinity maturation on

day10 after the second booster. The results were consistent with the prediction that

GW501516 can increase low-affinity antibody production and impair negative selection

during the GC reaction. On average, high-affinity antibody levels were not affected, but

the GW501516-treated mice presented a greater variation than the control group.

Namely, the GW501516 treatment has an ambiguous effect on high-affinity Abs.

3.6 GW501516 increases total Ag-specific IgM secreting PCs at the dose of 6 mg/kg/day during GC reaction

Our results had shown effects of GW501516 on the GC reaction and humoral

response of repeated immunization. Traditionally, IgM is not considered as the main

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component of affinity maturation since the centrocytes undergo class switch to IgG

secreting PCs. Especially after the secondary immunization, IgM has little role in the

humoral immunity. Circulating IgMs are produced from extrafollicular PCs that do not

participated in the GC reaction. To evaluate whether GW501516 had effects on

extrafollicular IgM secreting PCs, we performed ELISPOT assay to determine the

numbers of IgM secreting PCs in the spleen. GW501516 administration increased the

levels of NP30-specific (total NP-specific) IgM at the dose of 6 mg/kg/day (P < 0.05,

Figure 7B) but not 3 mg/kg/day. In the group of mice treated with 3 mg/kg/day, the

effect of GW501516 varies that some of the mice decreased but some increased in total

numbers of NP-specific PCs (Figure 7A). When the numbers of high-affinity IgM PCs

were analyzed, no significant difference was observed in each dose. However, the

numbers of low-affinity IgM NP+ PCs (total IgM PCs minus high-affinity IgM PCs)

increased significantly in mice treated with 6 mg/kg/day for 4 days (P < 0.05, Figure

7C). The avidity index was 0.5 in control group but the GW501516-treated group

display an average 0.6 and up to 0.8 in some mice.

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3.7 GW501516 increases the serum levels of high-affinity Ag-specific IgM at the dose of 3 and 6 mg/kg/day and total Ag-specific IgM at 6 mg/kg/day

To assess whether the result of Ag-specific IgM PCs is associated with serum

levels of Ag-specific IgMs, we performed ELISAs. The serum samples were diluted in a

factor of 2 x 104. The serum Ab levels were displayed in arbitrary units per ml.

Consistent with the findings in NP30-specific (total NP-specific) IgM secreting PCs, the

serum total Ag-specific IgM levels increased in mice treated with 6 mg/kg/day (P <0.05,

Figure 8B) but not in 3 mg/kg/day. On the other hand, the NP2-specific (high affinity

NP-specific) IgMs increased in both 3 and 6 mg/kg/day in a dose-dependent pattern,

which was not concordant with the results in IgM-secreting PCs (Figure 8B). The

antibody avidity index of the high-affinity Ag-specific IgMs over the total NP-specific

IgMs showed increased ratios in both groups of 3 and 6 mg/kg/day treatments owing to

the higher levels of high-affinity Ag-specific IgMs (Figure 8C). The result indicates

that the effect of GW501516 on FcγRIIB might not be the only factor to influence the

humoral immunity and affinity maturation. GW501516 might also affect the memory B

cell response, Ab secretion, and class switch of centrocytes and Tfh activity.

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Chapter 4 Discussion

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