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The Journal of Immunology, 2000, 164: 5596-5604.
Copyright © 2000 by The American Association of Immunologists

Heterogeneity of Tonsillar Subepithelial B Lymphocytes, the Splenic Marginal Zone Equivalents1

Mariella Dono2,*,{ddagger}, Simona Zupo*, Nicolò Leanza*,{ddagger}, Giovanni Melioli{dagger}, Manuela Fogli*, Andrea Melagrana§, Nicholas Chiorazzi and Manlio Ferrarini*,{ddagger}

* Servizio di Immunologia Clinica and {dagger} Servizio di Citometria Centro Biotechnologie Avanzate, Istituto Nazionale per la Ricerca sul Cancro, IST, Genova, Italy; {ddagger} Dipartimento di Oncologia, Biologia e Genetica, Università degli Studi di Genova, Genova, Italy; § Divisione ORL, Istituto Giannina Gaslini, Genova, Italy; and Department of Medicine, North Shore University Hospital and New York University School of Medicine, Manhasset, NY, 11030


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The VH4 genes expressed by both resting and in vivo-activated subepithelial (SE) B cells from human tonsils were studied. Resting SE B cells were subdivided according to the presence (IgDlow) or absence (IgM-only) of surface IgD. CD27 was abundant on activated SE B cells and low on resting IgM-only B cells. Resting IgDlow SE B cells could be subdivided into CD27low and CD27high cell fractions. Resting IgDlow SE B cells displayed VH4 genes with a substantial number of mutations (13/29 of the molecular clones were mutated), whereas 25/26 of the clones from resting IgM-only SE B cells were unmutated. Moreover, mutated VH4 genes were detected mainly within the CD27high cell fraction of the IgDlow SE B cells. Several identical unmutated VH4DJH sequences (11/32) were found in different molecular clones from resting IgM-only SE B cells, suggesting local cellular expansion. Both unmutated (14/25) and mutated (11/25) sequences were found in µ transcripts of activated SE B cells. Extensive mutation was observed in the {gamma} transcripts of activated SE B cells. Therefore, SE B cells are heterogeneous, being comprised of B cells with mutated Ig VH4 genes, that are Ag-experienced B cells, and a subset of B cells with unmutated VH4 genes that are either virgin cells or cells driven by Ags that did not induce or select for V gene mutations.


    Introduction
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The splenic marginal zone (MZ),3 defined as the outermost part of the white pulp, represents a microanatomical site populated primarily by B cells and macrophages (1, 2, 3). Splenic MZ B cells are characterized by particular morphologic, cytochemical, and immunophenotypic features (1, 4, 5). In addition, they have the capacity to mount T cell-independent responses to bacterial polysaccharides (TI-2 Ags) as unequivocally demonstrated in experimental animals and also supported by indirect evidence from different physiological and pathological conditions in humans (3, 6, 7, 8, 9, 10, 11).

MZ B cells of experimental animals are heterogeneous and are comprised of virgin and memory B cells and of cells that are capable of both T cell-dependent and T cell-independent responses (8, 9, 12, 13, 14, 15). As a result of obvious experimental constraints, studies of these issues are difficult in humans, although some information has been provided by analyses of VH gene expression (16, 17). During a T cell-dependent response, B cells expand in germinal centers (GC) where they accumulate point mutations in their VH and VL genes and are selected for increased affinity for the stimulating Ag (16, 17, 18, 19, 20). The presence of somatic mutations in VH or VL genes is, therefore, taken as evidence that a cell has been previously stimulated and has become a memory B cell. The absence of VH or VL somatic mutation can imply either that a cell is a virgin B cell or a B cell that was stimulated by an Ag that did not elicit T cell help. The presence of clonal amplification would help to distinguish these two possibilities. B cells stimulated and expanded by TI-2 Ags likely fall into this category. Studies on single MZ B cells have demonstrated that some of these cells express mutated and others unmutated V genes, thus indicating that they are heterogeneous (16, 17, 21).

Cells with the morphology and immune phenotype of splenic MZ B cells have been described in the extrafollicular areas of other lymphoid tissues in humans, including the dome region of Peyer’s patches, the subcapsular sinus of lymph nodes, the thymic medulla, and the subepithelial (SE) region of tonsils (22, 23, 24, 25). These are often referred to as MZ or MZ-like B cells. The similarities of these cells and those from the splenic MZ are reinforced by the observation that tonsillar SE B cells respond efficiently to TI-2 Ags in vitro (26).

In previous studies, we defined conditions to isolate highly purified suspensions of tonsillar SE B cells that were used for further functional studies in vitro (25, 26). In the present study, we have analyzed the expressed VH genes of subsets of tonsillar SE B cells as a means to elucidate their activation histories and maturation stages. The results obtained support the notion that SE B cells are heterogeneous since they are comprised of both unmutated and mutated B cells that can be distinguished based upon surface phenotype. An unexpected finding of these studies was the observation that a subset of SE B cells that express mutated VH4 genes bear low levels of surface IgD.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell separation

Tonsils were obtained from 5- to 12-year-old children undergoing routine tonsillectomies. B cells were purified and further fractionated by discontinuous Percoll (Pharmacia Biotech, Uppsala, Sweden) density gradients as detailed previously (25). Briefly, purified B cells were separated into fractions of different density by centrifugation through 30, 40, 50, 60, and 100% Percoll fractions (see Fig. 1Go). The high-density B cells collected on the surface of 100% Percoll were fractionated into CD5+ cells (follicular mantle B cells (FM)) and CD5- cells (SE B cells) by immune rosetting (25, 27). GC B cells were purified from low-density B cells (30 and 40% Percoll fractions) by depletion of cells expressing CD39 and IgD using immune rosetting. To obtain the cells operationally called activated B cells, the medium size B cells from the 50% Percoll fractions were depleted of cells expressing CD5, CD38, and IgD by magnetic cell separation. Briefly, the B cells were incubated with the corresponding mAbs for 30 min at 4°C, followed by goat anti-mouse Ig microbeads (Miltenyi Biotec, Bergisch Gladbach, Germany) for 10 min at 4°C. CD5-IgD-CD38-negative B cells were recovered by negative selection by collecting cells not retained on the magnetic column using the MiniMACS system (Miltenyi Biotec).



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FIGURE 1. Summary of the procedures used for purification and of the main features of the B cell subsets investigated. *, the range of percentages of the cells recovered, relative to the total number of tonsillar B cells.

 
SE B cells were fractionated into IgD-negative (referred to as IgM-only SE B cells) or IgDlow SE B cells by staining with a FITC-conjugated rabbit anti-human {delta}-chain Ab (Dako, Glostrup, Denmark) and sorting on a FACS (Epics-Elite; Coulter, Hialeah, FL). In selected experiments, the IgDlow SE B cells were stained with CD27 mAb and a PE-conjugated secondary reagent and sorted into CD27low and CD27high cell subsets.

Morphology of the cells was analyzed on cytospin preparations stained with Giemsa and analyzed by light microscopy (25).

Flow cytometry

Cells were stained with the following Ab: anti-human µ-chain, anti-human {delta}-chain, anti-CD23, anti-CD10, anti-CD38 from Becton Dickinson (San Jose, CA); anti-CD27 from Jansenn Biochimica (Beerse, Belgium); anti-CD24 from Ortho Diagnostics (Raritan, NJ); anti-CD80 and anti-CD95 from Immunotech (Marseille, France); and FITC-conjugated goat anti-human {gamma}-chain from Southern Biotechnology Associates (Birmingham, AL). Anti-CD38, IB4 (28) and anti-CD39 (29) mAb were kindly provided by Dr. F. Malavasi (University of Torino, Torino, Italy) and Dr. G. Aversa (DNAX, Palo Alto, CA), respectively. Indirect immunofluorescence was performed using FITC- or PE-conjugated goat anti-mouse Ig isotypes as secondary reagents (30). Samples were analyzed by flow cytometry using a FACSort (Becton Dickinson).

PCR

RNA was isolated from 0.5 to 5.0 x 106 cells using RNA-Clean method (TIB Molbiol, Genoa, Italy) according to the manufacturer’s instructions. For first-strand cDNA synthesis, the total RNA yield was reverse transcribed using oligo(dT) as primer and murine myeloblastosis virus reverse transcriptase (Life Technologies, Paisley, Scotland) in a 40-µl final volume (31). First-strand cDNA (1–5 µl) was amplified using a sense VH4 family-specific primer (5'-atgaaacacctgtggttcttcctcc) with the appropriate antisense CH constant region (µ: 5'-ttagacgagggggaaaagggtt; {gamma}: 5'-gtaggacagc(ct)gggaaggtgtgcac). PCR was conducted for 35 cycles using the following conditions: denaturation for 1 min at 94°C, annealing for 1 min at 57°C, and extension for 2 min at 72°C. All amplifications were performed in a Mastercycler 330 (Eppendorf Scientific, Hamburg, Germany). The calculated internal Taq polymerase error rate (corresponding to the frequency of nucleotide exchange introduced by Taq) in our system is 0.15%.

Genomic DNA was purified from resting IgM-only SE B cells by cell lysis and digestion with proteinase K, "salting out" extraction and precipitation with ethanol, and used as a template for the amplification of the VH4DJH genes as described previously (32).

DNA cloning and sequencing

The PCR products were purified with Advantage PCR Pure kit (Clontech Laboratories, Palo Alto, CA), ligated into TOPO TA vector, and then transformed into TOP10F' competent bacteria (Invitrogen, Carlsbad, CA). Multiple colonies were picked randomly and sequenced in both directions automatically using the Ready Reaction DyeDeoxy-Terminator or BigDye cycle sequencing kit and a sequenator (both from Perkin-Elmer Applied Biosystem, Milan, Italy). Nucleotide sequences were analyzed using the MacVector (Oxford Molecular Group, Oxford, U.K.) software and compared with those in the V Base Gold database (I. Tomlinson, Medical Research Council Centre for Protein Engineering, Cambridge, U.K.). D genes were assigned to the appropriate family based upon the criteria of Klein et al. (33). Reading frames of D segment were classified as yielding either a hydrophilic, a hydrophobic, or a stop codon segment (34).

All of the sequences were deposited in the European Molecular Biology Laboratory (EMBL) under the accession numbers AJ244928–AJ245073 and AJ279513–AJ279553.

HCDR3 analysis

CDR3 length was determined by counting the number of amino acids between codon 94 at the end of FR3 and codon 102 at the beginning of FR4. The estimated isoelectric point value defined the acidic and basic aa composition of the CDR3 and was determined using the MacVector software (version 6.01).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Definition of the different SE B cell subsets

Fig. 1Go summarizes the purification methods, phenotype, and typical yield of the various subset populations studied. In evaluating the latter data, it should be stressed that the more abundant cell subsets were represented by the large IgD+CD39+ cells (range, 25–30%), the medium size CD5+ cells (range, 15–20%), and the medium size IgD+CD38+CD5- cells (range, 15–20%). The major phenotypic features of each B cell subset have been described in detail previously (see Ref. 25) and are summarized in Fig. 1Go. Notably, resting SE B cells and resting FM B cells failed to express surface activation markers such as CD80 and CD95. Resting SE B cells were CD10-CD38+/-CD23-CD39-, and CD24+/- while resting FM B cells expressed CD23 and CD39 but not CD38 or CD10. GC B cells expressed CD38, CD10, and CD77. The B cells recovered from the 50% Percoll fraction and depleted of IgD+CD5+ and CD38+ cells expressed surface activation markers (CD80 and CD95, Fig. 1Go). Phenotypically, these B cells were identical to the memory B cells of the tonsillar SE area described previously (25, 35) and will be referred to as activated SE B cells.

FM B cells expressed both surface IgM and IgD, whereas GC and activated SE B cells displayed mostly surface IgG (Fig. 2Go). Resting SE B cells were comprised mostly of IgM+ B cells and of a smaller fraction of cells that also stained weakly for IgD (Fig. 2Go). In a typical experiment, the IgDlow cells represented 20–30% of the total resting SE B cells. Resting IgM-only and resting IgDlow SE B cells were purified by sorting and were restained for a number of surface markers (Fig. 3Go). Resting IgM-only SE B cells expressed lower levels of surface IgM than the resting IgDlow SE B cells. Consistent with their origin, both SE B cell subsets had low levels of CD23 and CD38 and a bimodal distribution of CD44 (see also Ref. 25). CD24 was slightly more abundant on the resting IgDlow SE B cell fraction. Morphologically, both resting IgM-only and IgDlow SE B cells were comprised of relatively large lymphocytes, with indented nuclei and a well-represented cytoplasm (Fig. 3Go and Ref. 25). Collectively, these features were those of SE (monocytoid) B cells previously reported by several groups including our own (25, 36).



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FIGURE 2. Immunofluorescence analysis of surface Ig isotypes. The various B cell subpopulations were stained with the indicated mAb (filled histograms). Dotted lines represent control immunofluorescence.

 


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FIGURE 3. Phenotypic and morphologic features of resting IgM-only and IgDlow SE B cells. Purified resting SE B cells were stained for surface IgD and sorted. The gates set for sorting are indicated. The few IgD-bright cells present in the suspension were discarded since they probably represented contaminant FM B cells. IgM-only SE B cells (left) and IgDlow SE B (right) were stained with a panel of mAb as reported (filled histograms). Dotted lines represent control fluorescence. Morphology of freshly sorted IgM-only and IgDlow SE B cells (bottom) is shown. Cytospin preparations of the two subpopulations were stained with Giemsa. Magnification, x1000.

 
The majority of resting IgM-only SE B cells use unmutated VH4 genes

The cDNA sequences of 32 molecular clones containing VH4DJH gene segments from the IgM-only SE B cells of three different tonsils were determined and compared with the corresponding germline genes (GL) (Table IGo). A number of identical sequences were found among different molecular clones (2-A2 and 2-A10, 2-A3 and 2-A4, 2-A7 and 2-A9; 3-A2 and 3-A7, 3-A3 and 3-A4 and 3-A12), suggesting an expansion of certain B cell clones in vivo. The VH4-34 gene was predominantly used by the B cells from all of the tonsils (12/26 of the clones analyzed, 46%) and particularly from tonsil 2 (7/8 of the clones, 87.5%). Overuse of this particular gene by tonsillar B cells has been noted (37). The sequences that deviated by >2% from the GL were considered as "mutated," while those with <2% mutations were defined "unmutated." Accordingly, 25 of 26 of the individual sequences of the IgM-only SE B cells analyzed (96.2%) were unmutated. The one mutated clone (3-A9) differed from the most similar germline gene by 3% (Table IGo).


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Table I. Molecular analyses of µ cDNA from resting IgM-only SE B cells1

 
In a subsequent set of experiments, resting IgM-only SE B cells were purified from a cell suspension of a single tonsillar preparation, the DNA was extracted, and the VH4DJH gene segments were amplified and sequenced. Fifteen molecular clones from genomic DNA were analyzed and all of them were found to be unmutated (99.5% average similarity to the germline genes). Within these sequences, there were two groups (one of five and one of two sequences) that were identical (data not shown; sequences deposited in EMBL under accession numbers AJ279538–AJ279553). This finding reinforces the notion that resting IgM-only SE B cells frequently contain clonally expanded B cells. These DNA sequencing experiments were conducted to exclude artifacts related to possible plasma cell contaminant that are enriched in Ig mRNA.

Resting IgDlow SE B cells use mutated and unmutated VH4 genes

Twenty-nine VH4 cDNA clones were generated from the resting IgDlow SE B cells (Table IIGo). VH4-34 was the most frequently encountered VH gene (12/29 clones; 41.4%) followed by VH4-31 (6/29 clones; 20.7%). A significant level of somatic mutation was observed in this B cell subset. Thirteen of 29 sequences (44.8%) displayed >2% difference from the most similar germline counterpart. In a total of 28 functional rearranged genes (1 of the 29 sequences had a stop codon, clone 2-B22, see Table IIGo), there were 173 point mutations resulting in an average mutation frequency of 2.09% (3.6% average degree of mutation among the mutated sequences).


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Table II. Molecular analyses of µ cDNA from resting IgDlow SE B cells1

 
VH4 gene expression by activated SE B cells

Tables III and IV summarize the analyses on 45 VH4 sequences from µ (n = 25) and {gamma} (n = 21) cDNA, respectively. As for the other SE B cell fractions, VH4-34 was the most frequently used VH4 gene (10/25 clones, 40%), followed by VH4-61 and VH4-39 (both 24%). There were repeated sequences in the µ transcripts (clones 1-C10 and 1-C11). The majority of VH genes were unmutated (14/25 clones, 56%). The overall average mutation frequency was 1.7% (4.8% average degree of mutation among mutated sequences).

In the {gamma} transcripts, 17 of 21 clones (81%) analyzed were mutated. The calculated mutation frequency was 5.7%, with a range of 2–14%. One sequence (clone 2-E127) showed a 3-bp insertion in CDR1, a phenomenon that is considered characteristic of cells that have gone through a germinal center (38, 39).

VH4 gene usage by FM and GC B cells

FM B cells are generally assumed to be virgin B cells, whereas GC B cells are located in the site where mutation of VH genes takes place (19, 40, 41). In these experiments, VH4 genes utilized by FM and GC B cells were analyzed and compared with the VH4 genes used by resting SE B cells (data not shown; sequences deposited in EMBL under accession numbers AJ245008–245052). Among the 23 sequences generated from FM B cells, 2 were identical. Of the 21 individual cDNA clones obtained from the FM B cells, 5 displayed between 1 and 2 bp substitutions and only 1 had three- point differences. The 12 total changes observed gave rise to an average mutation frequency of 0.19%. Usage of individual VH4 genes was random.

Twenty-four of the genes obtained from GC B cells were functional, whereas one had a stop codon in the CDR2 generated by somatic mutation. One sequence was found twice. VH4-34 accounted for 66.7% of the sequences analyzed in GC B cells (16/24 clones). The 23 individual sequences had accumulated a total of 193 substitutions with a mutation frequency of 2.7% (range, 1–6.5%). Two clonally related sequences that shared the same CDR3 and the same VH gene exhibited a number of different VH point mutations, indicating that they represented intraclonal variants of a common ancestral B cell (data not shown).

HCDR3 composition

CDR3 length was not significantly different within the various B cell subsets (range, 11.8–13 aa; Table VGo). D segments were identified in 63% (92/146) of the sequences generated from the different B cell subsets and their distribution reflected the estimated D gene composition in genomic DNA (42). D2, D3, and D4 gene segments were the most frequently used (17.4, 30.4, and 18.5%, respectively). Interestingly, only 1 sequence of the 92 analyzed (1.08%) contained a rearranged D7 segment (DQ52) that is typical of fetal B cells (43). This sequence was observed in the FM B cells. D segments were used mostly in their hydrophilic reading frame (56/92 sequences; 60.8%), with some differences in the various B cell subsets analyzed (see Table VGo). Although unmutated sequences utilize preferentially the hydrophilic reading frame (34), in the resting IgM-only SE B cells there was a balance between the hydrophilic reading frame (RF) and the hydrophobic RF. Such balance was also observed in the GC B cells (Table VGo).


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Table V. Summary of HCDR3 characteristics in the different B cell subsets

 
When the overall distribution of the different JH segments was analyzed, JH4 and JH6 were the most common JH segments used (45.2 and 21.9%, respectively), a finding that is in agreement with the distribution of these genes in unseparated B cells (44). However, there were considerable differences in JH gene use by the various B cell subsets. Specifically, there was an overexpression of the infrequently used JH3 segment (6/29 clones, 20.7%) in the resting IgDlow SE B cells as well as in the activated IgG+ SE B cells (4/21 clones, 19%). In contrast, the FM B cells showed an increased usage of JH5 segment (6/21 clones; 28.5%). In the GC B cells, the most frequently employed JH segment was JH6 (10/24 clones; 41.7%).

The long stretches of tyrosines encoded at the 3' end by JH6 were mostly conserved in the resting IgM-only SE B cells, in GC B cells, and especially in the activated SE IgM+ B cells that had a minimum of three Y residues per JH6 sequence. In contrast, the tyrosines in the JH6 sequences were significantly altered in the resting IgDlow SE B cells, where only one of six sequences retained these residues. The FM and the activated IgG+ B cells were excluded from this analysis due to the low presence of JH6 gene segments (3/21 clones and 2/21 clones, respectively).

CD27 expression

In these experiments, we determined whether the CD27, usually found on somatically mutated B cells (45, 46), was differentially expressed by the various B cell subsets. Analyses of CD27 expression revealed that virtually all FM B cells were CD27 negative, whereas CD27 was found on both GC B cells and activated SE B cells. Resting IgM-only SE B cells displayed a small shift in the fluorescence profile when stained with anti-CD27 mAb, while the flow cytometry profile of resting IgDlow SE B cells indicated the presence of two subsets characterized by different expression of this markers (Fig. 4Go). Resting IgDlow SE B cells were stained for CD27 and sorted as depicted in Fig. 4Go. Two subsets of CD27low- and CD27high-IgDlow SE B cells, respectively, could be isolated. They were subsequently analyzed for the level of somatic mutation in their rearranged VH4 genes. Eleven molecular clones were obtained from the µ transcripts of the CD27low-IgDlow SE B cells. All of them were in germline configuration (average, 99.75% of homology with the germline genes). In contrast, 11 of the 14 molecular clones (78.5%) obtained from the CD27high-IgDlow SE B cells showed somatic mutations (5–20 bp differences from the most homologous germline counterparts), and only 3 sequences (21.5%) were virtually unmutated (range, 99–100% homology) (data not shown; sequences in EMBL under accession numbers AJ279513-AJ279537).



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FIGURE 4. Immunofluorescence analysis of CD27 expression by different B cell subsets. The indicated populations were stained with anti-CD27 mAb (filled histograms) or an unrelated (control) mAb (dotted lines) and analyzed by flow cytometry. Resting IgDlow SE B cells were stained with CD27, sorted into CD27low and CD27high cell fractions, and reanalyzed. The gates (M1 and M2) used for sorting are indicated.

 

    Discussion
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The aim of this study was to characterize the degree of B cell subset diversity among SE B cells and to collect information on their previous levels and types of antigenic stimulation. SE B cells are a heterogeneous population based on activation state (resting vs activated), IgD expression (IgDlow vs IgDneg), and Ig isotype production (IgM vs IgG). Before discussing these data, we should perhaps comment on the definition of SE B cells. This B cell subset has been identified as a group of B cells located underneath the tonsillar epithelium with special morphology and phenotype (for a review, see Ref. 2). These characteristic features have been used here to trace and purify these B cells from tonsillar B cell suspensions. Although it cannot be excluded that cells with the features of SE B cells can be present in other tonsillar sites, they have not been demonstrated using immunohistochemical methods. Therefore, if these cells are present outside the SE area, they should represent minor "contaminants."

All but 1 (96.2%) of 26 molecular clones obtained from resting IgM-only SE B cells expressed unmutated VH4 genes. This could not be accounted for by contamination of FM B cells based on surface marker analyses ( Figs. 1–3GoGoGo) and morphological, cytochemical, and functional studies (25, 26). The presence of unmutated B cells among tonsillar SE B cells apparently went unnoticed in previous molecular studies aimed at characterizing the memory cell compartment of SE B cells (40). In the present study, the detection of a substantial number of unmutated VH4 sequences was possibly facilitated by the separation of SE B cells into resting and activated cells and the subsequent purification of the IgM-only B cells. Previous studies on the B cells from the dome region of Peyer’s patches (another source of MZ-like B cells) indicated that up to 25% of these cells exhibited unmutated VH4 genes, a result that is more in line with our data and the most recent findings on the splenic MZ B cells and on the B cells from subcapsular sinuses of lymph nodes (16, 17, 21).

The finding of unmutated SE B cells suggests the following scenario regarding the antigenic stimulation and subsequent fate of cells. When virgin unmutated SE B cells first reach the tonsils, they seed beneath the epithelial linings where they are constantly exposed to incoming pathogens. Here, antigenic stimulation of two types can occur. The first involves foreign proteins which can elicit the help of T cells and other accessory cells to execute a T cell-dependent immune reaction that can result in somatic mutation. The second is initiated by bacterial polysaccharides (TI-2 Ags) that promote the proliferation and plasma cell differentiation of SE B cells in the absence of T cell help. The two types of response are not mutually exclusive, although it is not known whether the same resting SE B cells can be involved in the two different pathways.

The observations that numerous molecular clones (11/32) from the resting IgM-only SE B cells had identical unmutated sequences provides strong evidence for local amplification of this subset. Moreover, a similar finding was noticed when analyzing the DNA (rather than cDNA from RNA) prepared from resting IgM-only SE B cells. Since this approach circumvents the artifact that can be introduced by plasma cells, that have markedly enhanced IgV gene mRNA, these data unequivocally confirmed the in situ proliferation and accumulation of B cells with identical unmutated VHDJH sequences. In addition, the finding of a number of molecular clones with unmutated VH4 sequences in the µ transcripts from activated SE B cells (see Tables III and IV) also suggests local activation and expansion of these cells. Finally, the presence of plasma cells in the SE area supports the notion of local plasma cell differentiation (25). Based on these findings, it is very unlikely that the clonally expanded unmutated B cell clones are virgin cells. It is more likely that they represent B cells that have been activated, expanded, and matured by Ags that did not or could not induce and select for V gene mutations. TI-2 Ags are the most probable candidates in the case of SE (MZ-like) B cells. The finding that resting IgM-only SE B cells express some (albeit low) levels of CD27 (see Fig. 4Go) is in line with the notion of previous antigenic stimulation.

Stimulation of SE B cells by T cell-dependent Ags may result in their migration to GCs where the B cells could accumulate point mutations and undergo isotype switching. A minority of mutated SE B cells could also derive from TI-2 Ag stimulation as suggested by certain studies (47, 48). Mutated SE B cells may move again from the GCs to the SE area or migrate to the peripheral blood or to the splenic MZ or to other equivalent sites. Indeed, a minority of IgM-only cells sharing some of the phenotypic features of SE B cells have been detected in the circulation (41, 49, 50). Interestingly, VH and VL gene analyses have determined that these cells are almost invariably mutated, suggesting that primarily memory cells tend to recirculate. The mutation frequency of VH genes found in the peripheral blood IgM-only B cells is comparable to that determined here for the µ transcripts from tonsillar activated SE B cells. The degree of antigenic selection to which circulating IgM-only B cells were subjected was calculated by determining the overall ratio between replacement (R) and silent (S) mutations in the framework region (FR) region. Since the FRs are important for the integrity of the Ab combining site, R mutations should be counterselected during antigenic stimulation in GCs, resulting in a low R:S ratio in memory cells (51, 52, 53, 54). Based on these criteria, the observed overall FR R:S ratio in circulating IgM-only B cells was 1.5 (55). We found an almost identical value by applying the same type of approach to the µ transcripts from activated SE B cells (Table VIGo). The notion that SE B cells generate memory cells with point mutations in their VH genes through a passage within the GC is not in conflict with the hypothesis that also FM B cells give origin to memory B cells with the same features. Unfortunately, it is impossible at present to determine the reciprocal contribution to the mutated memory cell pool by these two subsets, since clonally related sequences were not found across the different subsets. This is similar to the observations of other groups (20, 40, 41).


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Table VI. Summary of the mutation pattern in the VH4 genes expressed by the different B cell subsets

 
A striking result of this study was the consistent observation of a fraction of resting SE B cells that expressed low levels of surface IgD. The existence of a subset of SE B cells with low surface IgD was suggested by previous immunohistochemical studies that demonstrated IgD-expressing cells underneath or sometimes within the tonsil epithelia (56). These SE B cells had lower IgD levels than FM B cells and, unlike them, did not express CD23 or CD39 (Fig. 3Go and Ref. 25). Furthermore, these cells had much higher VH4 mutation frequencies than the FM and the resting IgM-only SE B cells (Table VIGo). Analyses of CD27 expression by resting IgDlow SE B cells revealed that they could be subdivided into two distinct subsets (CD27low- and CD27high- IgDlow SE B cells, see Fig. 4Go) that differed in mutation frequencies in their VH4 genes. Indeed, these mutations were found mainly in the CD27high- IgDlow SE B cells. This raises a number of unresolved questions on the mutual relationship of these two subsets of IgDlow SE B cells. Two groups independently reported the existence of IgM+ IgD+ memory B cells in the human bone marrow and peripheral blood, respectively (55, 57). These cells had an overall percentage of V gene mutations comparable to that of the resting CD27high-IgDlow SE B cells described here and, at least in the case of peripheral blood B cells, a comparable phenotype (57). As in the case of our mutated tonsillar IgDlow SE B cells, peripheral blood IgM+ IgD+ memory B cells were found to express CD27 (45).

The origin of resting IgDlow SE B cells is not known. One possibility is that they derive from a rare type of tonsil GC subset that contains IgM+ IgD+ CD38+ B cells (58, 59). The virgin cells that seed and expand in these GC have not, however, been delineated. Moreover, the mode of recirculation of these cells, and hence the relationship between resting IgDlow tonsillar SE B cells and those from other sites, is not known. Whatever their origin and relationship with other B cell subsets may be, it is clear that IgM+ IgD+ B cells collectively represent a substantial part of the memory B cell pool (45).

The present study delineates a somewhat surprising heterogeneity of tonsillar SE B cells that are comprised of subsets differentiated by surface markers, states of activation, isotype expression, and functional properties. The relationships of these subsets among themselves and with the other B cells from the peripheral blood and lymphoid organs are not completely clear, although tonsillar SE B cells may represent a suitable source of MZ-equivalent B cells for further functional studies.


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Table III. Molecular analyses of µ cDNA from activated SE B cells1

 

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Table IV. Molecular analyses of {gamma} cDNA from activated SE B cells1

 

    Acknowledgments
 
We thank Rosanna Massara for skillful technical help, Teresa Tavilla for excellent secretarial assistance, and Dr. Massimo Ulivi for advice on several aspects of this work.


    Footnotes
 
1 This work was supported by grants from Associazione Italiana per la Ricerca sul Cancro, Progetto di Ricerca di Ateneo, Cofinanziamento Murst 1999 and AI 10811. Back

2 Address correspondence and reprint requests to Dr. Mariella Dono, Servizio di Immunologia Clinica, Istituto Nazionale per la Ricerca sul Cancro, IST, Largo go Rosanna Benzi, no. 10, 16132 Genova GE, Italy. Back

3 Abbreviations used in this paper: MZ, marginal zone; SE, subepithelial; FM, follicular mantle; GC, germinal center; RF, reading frame; FR, framework region; R, replacement; S, silent. Back

Received for publication June 3, 1999. Accepted for publication March 14, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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