Innate-like self-reactive B cells infiltrate human renal allografts during transplant rejection

Y Asano, J Daccache, D Jain, K Ko, A Kinloch… - Nature …, 2021 - nature.com
Y Asano, J Daccache, D Jain, K Ko, A Kinloch, M Veselits, D Wolfgeher, A Chang
Nature communications, 2021nature.com
Intrarenal B cells in human renal allografts indicate transplant recipients with a poor
prognosis, but how these cells contribute to rejection is unclear. Here we show using single-
cell RNA sequencing that intrarenal class-switched B cells have an innate cell
transcriptional state resembling mouse peritoneal B1 or B-innate (Bin) cells. Antibodies
generated by Bin cells do not bind donor-specific antigens nor are they enriched for
reactivity to ubiquitously expressed self-antigens. Rather, Bin cells frequently express …
Abstract
Intrarenal B cells in human renal allografts indicate transplant recipients with a poor prognosis, but how these cells contribute to rejection is unclear. Here we show using single-cell RNA sequencing that intrarenal class-switched B cells have an innate cell transcriptional state resembling mouse peritoneal B1 or B-innate (Bin) cells. Antibodies generated by Bin cells do not bind donor-specific antigens nor are they enriched for reactivity to ubiquitously expressed self-antigens. Rather, Bin cells frequently express antibodies reactive with either renal-specific or inflammation-associated antigens. Furthermore, local antigens can drive Bin cell proliferation and differentiation into plasma cells expressing self-reactive antibodies. These data show a mechanism of human inflammation in which a breach in organ-restricted tolerance by infiltrating innate-like B cells drives local tissue destruction.
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