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B Cell–Activating Factor. An Orchestrator of Lymphoid Follicles in Severe Chronic Obstructive Pulmonary Disease
by
Agustí, Alvar
, Tejera, Paula
, Sholl, Lynette
, Polverino, Francesca
, Iglesias, Amanda
, Sauleda, Jaume
, Rosas, Ivan O.
, Pinto-Plata, Victor
, Laucho-Contreras, Maria
, Celli, Bartolome R.
, Rios, Angel
, Jahn, Andreas
, Owen, Caroline A.
, Cosio, Borja G.
, Pons, Jaime
, Divo, Miguel
in
Adaptive Immunity
/ Adult
/ Aged
/ Apoptosis
/ B-Cell Activating Factor - immunology
/ B-Cell Activating Factor - metabolism
/ B-Lymphocytes - immunology
/ B-Lymphocytes - metabolism
/ Biomarkers - metabolism
/ Bronchoalveolar Lavage Fluid - immunology
/ Case-Control Studies
/ Chronic obstructive pulmonary disease
/ Disease Progression
/ Female
/ Humans
/ Lavage
/ Lymphoid Tissue - immunology
/ Lymphoid Tissue - pathology
/ Male
/ Middle Aged
/ Original
/ Pulmonary Disease, Chronic Obstructive - immunology
/ Pulmonary Disease, Chronic Obstructive - metabolism
/ Pulmonary Disease, Chronic Obstructive - pathology
/ Severity of Illness Index
/ Smoking - adverse effects
/ Smoking - immunology
2015
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B Cell–Activating Factor. An Orchestrator of Lymphoid Follicles in Severe Chronic Obstructive Pulmonary Disease
by
Agustí, Alvar
, Tejera, Paula
, Sholl, Lynette
, Polverino, Francesca
, Iglesias, Amanda
, Sauleda, Jaume
, Rosas, Ivan O.
, Pinto-Plata, Victor
, Laucho-Contreras, Maria
, Celli, Bartolome R.
, Rios, Angel
, Jahn, Andreas
, Owen, Caroline A.
, Cosio, Borja G.
, Pons, Jaime
, Divo, Miguel
in
Adaptive Immunity
/ Adult
/ Aged
/ Apoptosis
/ B-Cell Activating Factor - immunology
/ B-Cell Activating Factor - metabolism
/ B-Lymphocytes - immunology
/ B-Lymphocytes - metabolism
/ Biomarkers - metabolism
/ Bronchoalveolar Lavage Fluid - immunology
/ Case-Control Studies
/ Chronic obstructive pulmonary disease
/ Disease Progression
/ Female
/ Humans
/ Lavage
/ Lymphoid Tissue - immunology
/ Lymphoid Tissue - pathology
/ Male
/ Middle Aged
/ Original
/ Pulmonary Disease, Chronic Obstructive - immunology
/ Pulmonary Disease, Chronic Obstructive - metabolism
/ Pulmonary Disease, Chronic Obstructive - pathology
/ Severity of Illness Index
/ Smoking - adverse effects
/ Smoking - immunology
2015
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B Cell–Activating Factor. An Orchestrator of Lymphoid Follicles in Severe Chronic Obstructive Pulmonary Disease
by
Agustí, Alvar
, Tejera, Paula
, Sholl, Lynette
, Polverino, Francesca
, Iglesias, Amanda
, Sauleda, Jaume
, Rosas, Ivan O.
, Pinto-Plata, Victor
, Laucho-Contreras, Maria
, Celli, Bartolome R.
, Rios, Angel
, Jahn, Andreas
, Owen, Caroline A.
, Cosio, Borja G.
, Pons, Jaime
, Divo, Miguel
in
Adaptive Immunity
/ Adult
/ Aged
/ Apoptosis
/ B-Cell Activating Factor - immunology
/ B-Cell Activating Factor - metabolism
/ B-Lymphocytes - immunology
/ B-Lymphocytes - metabolism
/ Biomarkers - metabolism
/ Bronchoalveolar Lavage Fluid - immunology
/ Case-Control Studies
/ Chronic obstructive pulmonary disease
/ Disease Progression
/ Female
/ Humans
/ Lavage
/ Lymphoid Tissue - immunology
/ Lymphoid Tissue - pathology
/ Male
/ Middle Aged
/ Original
/ Pulmonary Disease, Chronic Obstructive - immunology
/ Pulmonary Disease, Chronic Obstructive - metabolism
/ Pulmonary Disease, Chronic Obstructive - pathology
/ Severity of Illness Index
/ Smoking - adverse effects
/ Smoking - immunology
2015
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B Cell–Activating Factor. An Orchestrator of Lymphoid Follicles in Severe Chronic Obstructive Pulmonary Disease
Journal Article
B Cell–Activating Factor. An Orchestrator of Lymphoid Follicles in Severe Chronic Obstructive Pulmonary Disease
2015
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Overview
Abstract
Rationale
Patients with chronic obstructive pulmonary disease (COPD) have increased pulmonary lymphoid follicle (LF) counts. B cell–activating factor of tumor necrosis factor family (BAFF) regulates B cells in health, but its role in COPD pathogenesis is unclear.
Objectives
To determine whether BAFF expression in pulmonary LFs correlates with COPD severity, LF size or number, and/or readouts of B-cell function in LFs.
Methods
We correlated BAFF immunostaining in LFs in lung explants or biopsies from nonsmoking control subjects (NSC), smokers without COPD (SC), and patients with COPD with the number and size of LFs, and LF B-cell apoptosis, activation, and proliferation. We analyzed serum BAFF levels and BAFF expression in B cells in blood and bronchoalveolar lavage samples from the same subject groups. We assessed whether: (1) cigarette smoke extract (CSE) increases B-cell BAFF expression and (2) recombinant BAFF (rBAFF) rescues B cells from CSE-induced apoptosis by inhibiting activation of nuclear factor-κB (NF-κB).
Measurements and Main Results
Patients with Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage IV COPD had increased numbers and larger pulmonary LFs than patients with GOLD stages I–II COPD and SC. We identified two main types of pulmonary LFs: (1) type A, the predominant type in GOLD stages I–II COPD and SC, characterized by abundant apoptotic but few BAFF-positive cells (mostly B cells); and (2) type B, the main type in GOLD stage IV COPD, characterized by abundant BAFF-positive cells but few apoptotic cells (mostly B cells). BAFF levels were also higher in blood and bronchoalveolar lavage B cells in patients with COPD versus NSC and SC. Surprisingly, rBAFF blocked CSE-induced B-cell apoptosis by inhibiting CSE-induced NF-κB activation.
Conclusions
Our data support the hypothesis that B-cell BAFF expression creates a self-perpetuating loop contributing to COPD progression by promoting pulmonary B-cell survival and LF expansion.
Publisher
Oxford University Press,American Thoracic Society
Subject
/ Adult
/ Aged
/ B-Cell Activating Factor - immunology
/ B-Cell Activating Factor - metabolism
/ Bronchoalveolar Lavage Fluid - immunology
/ Chronic obstructive pulmonary disease
/ Female
/ Humans
/ Lavage
/ Lymphoid Tissue - immunology
/ Male
/ Original
/ Pulmonary Disease, Chronic Obstructive - immunology
/ Pulmonary Disease, Chronic Obstructive - metabolism
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