Abstract |
Antibodies specific for platelet factor 4 (PF4)/ heparin complexes are central to the pathogenesis of heparin-induced thrombocytopenia. Marginal zone B cells appear to be the source of such antibodies, but whether T-cell help is required is unclear. Here, we showed that induction of PF4/ heparin-specific antibodies by PF4/ heparin complexes was markedly impaired in mice depleted of CD4 T cells by anti-CD4 antibodies. Furthermore, Rag1-deficient recipient mice produced PF4/ heparin-specific antibodies upon PF4/ heparin challenge when reconstituted with a mixture of wild-type splenic B cells and splenocytes from B-cell-deficient (μMT) mice but not splenocytes from T- and B-cell-deficient (Rag1 knockout) mice. Lastly, mice with B cells lacking CD40, a B-cell costimulatory molecule that helps T-cell-dependent B-cell responses, displayed a marked reduction of PF4/ heparin-specific antibody production following PF4/ heparin challenge. Together, these findings show that helper T cells play a critical role in production of PF4/ heparin-specific antibodies.
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Authors | Yongwei Zheng, Mei Yu, Anand Padmanabhan, Richard H Aster, Liudi Yuan, Renren Wen, Demin Wang |
Journal | Blood
(Blood)
Vol. 125
Issue 11
Pg. 1826-9
(Mar 12 2015)
ISSN: 1528-0020 [Electronic] United States |
PMID | 25595736
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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Copyright | © 2015 by The American Society of Hematology. |
Chemical References |
- Homeodomain Proteins
- RAG-1 protein
- Platelet Factor 4
- Heparin
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Topics |
- Adoptive Transfer
- Animals
- Antibody Formation
- Antibody Specificity
- B-Lymphocytes
(immunology)
- CD4-Positive T-Lymphocytes
(immunology, metabolism)
- Disease Models, Animal
- Heparin
(adverse effects, chemistry, immunology)
- Homeodomain Proteins
(genetics, immunology)
- Humans
- Immunization
- Lymphocyte Depletion
- Mice
- Mice, Inbred C57BL
- Mice, Knockout
- Platelet Factor 4
(chemistry, immunology)
- Thrombocytopenia
(blood, etiology, immunology)
- Transplantation Chimera
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