IL-4 receptor blockade is a global repressor of naïve B cell development and responses in a dupilumab-treated patient

Published by Elsevier Inc.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 244(2022) vom: 21. Nov., Seite 109130
1. Verfasser: Mountz, John D (VerfasserIn)
Weitere Verfasser: Gao, Min, Ponder, David M, Liu, Shanrun, Sun, Chiao-Wang, Alduraibi, Fatima, Sullivan, Kathryn, Pat, Betty, Dell'Italia, Louis J, Hsu, Hui-Chen
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Case Reports Journal Article Research Support, U.S. Gov't, Non-P.H.S. Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural COVID-19 vaccination Dupilumab IL-4 receptor Memory B cells Naive B cells mehr... Antibodies, Monoclonal Antibodies, Monoclonal, Humanized COVID-19 Vaccines Receptors, Antigen, B-Cell Receptors, Interleukin-4 Interleukin-4 207137-56-2 dupilumab 420K487FSG RNA 63231-63-0
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100 1 |a Mountz, John D  |e verfasserin  |4 aut 
245 1 0 |a IL-4 receptor blockade is a global repressor of naïve B cell development and responses in a dupilumab-treated patient 
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520 |a Here, we report a case of atopic dermatitis (AD) in a patient who received biweekly doses of dupilumab, an antibody against the IL-4 receptor α chain (IL-4Rα). Single cell RNA-sequencing showed that naïve B cells expressed the highest levels of IL4R compared to other B cell subpopulations. Compared to controls, the dupilumab-treated patient exhibited diminished percentages of IL4R+IGHD+ naïve B cells and down-regulation of IL4R, FCER2 (CD23), and IGHD. Dupilumab treatment resulted in upregulation of genes associated with apoptosis and inhibition of B cell receptor signaling and down-regulation of class-switch and memory B cell development genes. The dupilumab-treated patient exhibited a rapid decline in COVID-19 anti-spike and anti-receptor binding domain antibodies between 4 and 8 and 11 months post COVID-19 vaccination. Our data suggest that intact and persistent IL-4 signaling is necessary for maintaining robust survival and development of naïve B cells, and maintaining a long term vaccine response 
650 4 |a Case Reports 
650 4 |a Journal Article 
650 4 |a Research Support, U.S. Gov't, Non-P.H.S. 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Research Support, N.I.H., Extramural 
650 4 |a COVID-19 vaccination 
650 4 |a Dupilumab 
650 4 |a IL-4 receptor 
650 4 |a Memory B cells 
650 4 |a Naive B cells 
650 7 |a Antibodies, Monoclonal  |2 NLM 
650 7 |a Antibodies, Monoclonal, Humanized  |2 NLM 
650 7 |a COVID-19 Vaccines  |2 NLM 
650 7 |a Receptors, Antigen, B-Cell  |2 NLM 
650 7 |a Receptors, Interleukin-4  |2 NLM 
650 7 |a Interleukin-4  |2 NLM 
650 7 |a 207137-56-2  |2 NLM 
650 7 |a dupilumab  |2 NLM 
650 7 |a 420K487FSG  |2 NLM 
650 7 |a RNA  |2 NLM 
650 7 |a 63231-63-0  |2 NLM 
700 1 |a Gao, Min  |e verfasserin  |4 aut 
700 1 |a Ponder, David M  |e verfasserin  |4 aut 
700 1 |a Liu, Shanrun  |e verfasserin  |4 aut 
700 1 |a Sun, Chiao-Wang  |e verfasserin  |4 aut 
700 1 |a Alduraibi, Fatima  |e verfasserin  |4 aut 
700 1 |a Sullivan, Kathryn  |e verfasserin  |4 aut 
700 1 |a Pat, Betty  |e verfasserin  |4 aut 
700 1 |a Dell'Italia, Louis J  |e verfasserin  |4 aut 
700 1 |a Hsu, Hui-Chen  |e verfasserin  |4 aut 
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856 4 0 |u http://dx.doi.org/10.1016/j.clim.2022.109130  |3 Volltext 
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