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Aging Down-Regulates the Transcription Factor E2A, Activation-Induced Cytidine Deaminase, and Ig Class Switch in Human B Cells¹

Daniela Frasca^*,, Ana Marie Landin^*, Suzanne C. Lechner, John G. Ryan, Robert Schwartz, Richard L. Riley^* and Bonnie B. Blomberg^2,*

^* Department of Microbiology and Immunology, Department of Psychiatry, and Department of Family Medicine, University of Miami Miller School of Medicine, Miami, FL 33101; and Graduate School of Cell Biology and Development, University of Rome La Sapienza, Rome, Italy

Elderly humans have compromised humoral and cellular immune responses, which lead to reduced protection to infectious agents and to vaccines. Currently, available vaccines suboptimally protect the elderly population. The capacity to class switch the Ig H chain is critical to the effectiveness of humoral immune responses in mice and humans. We have previously shown in mice that the E2A-encoded transcription factor E47, which regulates many B cell functions, is down-regulated in old splenic B cells. This leads to a reduction in the activation-induced cytidine deaminase (AID), which is known to induce class switch recombination and Ig somatic hypermutation. The old activated murine B cells also have less AID and less switched Abs. We have extended our study here to investigate whether aging also affects Ab production and E47 and AID expression in B cells isolated from the peripheral blood of human subjects (18–86 years). Our results obtained with activated CD19⁺ B cells show that the expression of E47, AID, and Ig1 circle transcripts progressively decrease with age. We also show an age-related decline in the percentage of switch memory B cells (IgG⁺/IgA⁺), an increase in that of naive B cells (IgG^–/IgA^–/CD27^–) for most individuals, and no decrease in that of IgM memory cells in peripheral blood, consistent with our data on the decrease seen in class switch recombination in vitro. Our results provide a possible molecular mechanism for a B cell intrinsic defect in the humoral immune response with aging and suggest avenues for improvement of vaccine response in elderly humans.

The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

¹ This work was supported by National Institutes of Health Grants AG17618, AG23717, AG28586 (to B.B.B.), AG025256, and AI064591 (to R.L.R.).

² Address correspondence and reprint requests to Dr. Bonnie B. Blomberg, Department of Microbiology and Immunology, University of Miami, Miller School of Medicine, P.O. Box 016960 (R-138), Miami, FL 33101. E-mail address: bblomber{at}med.miami.edu

³ Abbreviations used in this paper: S, switch; AID, activation-induced cytidine deaminase; CSR, class switch recombination; CTs, circle transcripts; GC, germinal center; HIGM, hyper IgM; Ig, immunoglobulin; mRNA, messenger RNA; PBMC, peripheral blood mononuclear cells; SHM, somatic hypermutation; sq, semiquantitative; q, quantitative.