The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cassese, G.
Right arrow Articles by Manz, R. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cassese, G.
Right arrow Articles by Manz, R. A.
The Journal of Immunology, 2003, 171: 1684-1690.
Copyright © 2003 by The American Association of Immunologists

Plasma Cell Survival Is Mediated by Synergistic Effects of Cytokines and Adhesion-Dependent Signals1

Giuliana Cassese*, Sergio Arce*, Anja E. Hauser*, Katja Lehnert*, Beate Moewes*, Miro Mostarac*, Gwendolin Muehlinghaus*, Martin Szyska*, Andreas Radbruch{dagger} and Rudolf A. Manz2,*

Departments for * Humoral Immunology and {dagger} Cellular Immunology, Deutsches Rheumaforschungszentrum Berlin, Berlin, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Recent results suggest that plasma cell longevity is not an intrinsic capacity, but depends on yet unknown factors produced in their environment. In this study, we show that the cytokines IL-5, IL-6, TNF-{alpha}, and stromal cell-derived factor-1{alpha} as well as signaling via CD44 support the survival of isolated bone marrow plasma cells. The cytokines IL-7 and stem cell factor, crucially important for early B cell development, do not mediate plasma cell survival, indicating that plasma cells and early B cells have different survival requirements. As shown in IL-6-deficient mice, IL-6 is required for a normal induction, but not for the maintenance of plasma cell responses in vivo, indicating that the effects of individual survival factors are redundant. Optimal survival of isolated plasma cells requires stimulation by a combination of factors acting synergistically. These results strongly support the concept that plasma cell survival depends on niches in which a combination of specific signals, including IL-5, IL-6, stromal cell-derived factor-1{alpha}, TNF-{alpha}, and ligands for CD44, provides an environment required to mediate plasma cell longevity.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Upon antigenic stimulation, B cells can proliferate and differentiate into Ab-secreting plasma blasts and eventually into nondividing plasma cells, constitutively secreting thousands of Ab molecules per second (1). Primary Ab responses usually cease within days or weeks after immunization. However, following repeated immunization with T-dependent Ag, specific Ab titers can persist for years (2). Maintained Ab responses mainly consist of Ab of the IgG subclasses and constitute an essential part of the protective immune memory (3). The average lifetime of Ab-secreting plasma cells is shorter than 3 wk (4). However, some plasma cells can live much longer to produce persistent memory Ab titers (5, 6). The estimated t1/2 of these long-lived plasma cells in mice is ~6 mo (7). Like early B cells, most of these plasma cells reside in the bone marrow, although a smaller population can be found in the splenic red pulp (7, 8, 9). Recent evidence suggests that plasma cell longevity is not an intrinsic capacity of the cells, but is regulated by their environment (9). In consequence, a current concept of plasma cell homeostasis suggests that the survival of individual plasma cells depends on specific survival signals produced in a limited number of ecological niches, most of them present in the bone marrow, but also in inflamed tissues (10, 11).

The development of B cells from their precursors depends on the environment of the bone marrow (12, 13). It has been suggested that this process occurs in specific niches (14) in which a stepwise progression through a set of well-defined differentiation stages takes place that is controlled by survival and differentiation signals provided by the environment (15). Mature B cells leave the bone marrow to circulate through the periphery and secondary lymphoid tissues. At that stage of their development, cell fate is mainly determined by whether or not they encounter their cognate Ag, and costimulatory signals from T cells and dendritic cells (16).

Stimulation by survival factors results in the induction of antiapoptotic molecules, e.g., Bcl-2 or Bcl-xL, which maintain mitochondrial integrity and are required for the homeostasis of lympocyte subpopulations. (17, 18). This work is aimed to identify the mechanisms by which the survival of mature plasma cells is regulated.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice and immunizations

IL-5-/- and IL-6-/- mice were purchased from The Jackson Laboratory (Bar Harbor, ME). All mice were housed in specific pathogen-free conditions in the institute’s animal facility. Each mouse received 100 µg alum-precipitated OVA in 100 µl PBS i.p. Subsequently, 3–5 wk later, mice were boosted by i.v. injection of 100 µg OVA in 100 µl PBS.

ELISA and ELISPOT

For measurement of OVA-specific Ab in sera, 96-well plates were coated with OVA (Sigma-Aldrich, St. Louis, MO; 5 µg/ml in PBS). Sera were incubated for 1 h at 37°C at various dilutions. For detection, biotin-conjugated goat anti-mouse IgG (Southern Biotechnology Associates, Birmingham, AL) was added. The ELISA was developed with streptavidin-conjugated alkaline phosphatase (Boehringer Mannheim, Indianapolis, IN) and p-nitrophenylphosphate disodium salt (Merck, Darmstadt, Germany). IgG- and anti-OVA-secreting cells were detected by ELISPOT, as described (19).

Reagents and Ab

mAb IM7 (anti-CD44), IRAWB (anti-CD44), and KM81 (anti-CD44) were kindly provided by A. Hamann (Charité University Hospital, Berlin, Germany). mAb 90 (anti-CD38), 281-2 (anti-CD138), 1D3 (anti-CD19), R35-38 (isotype standard rat IgG2b), and R-3595 (isotype standard rat IgG2a) were obtained from BD PharMingen (San Diego, CA). Goat anti-mouse Ig-biotin and Fluoromount G were purchased from Southern Biotechnology Associates. MACS beads, mAb X-56 (anti-mouse IgG1), and the magnetic sorter MACS were provided by Miltenyi Biotec (Bergisch Gladbach, Germany). mAb R33.18.10 (anti-{kappa} light chain), 2.4G2 (anti-CD16/32), and 1C10 (anti-CD40) were purified from hybridoma supernatants. CyChrome-conjugated streptavidin, recombinant murine IL-1{beta}, IL-2, IL-4, IL-5, IL-7, IL-10, IL-18, and TNF-{alpha} were obtained from BD PharMingen; IL-6 and LIF from Cell Concepts (Umkirch, Germany); stromal cell-derived factor (SDF3)-1{alpha} was purchased from R&D Systems (Minneapolis, MN); hyaluronic acid (HA) from Sigma-Aldrich. IL-12 was a gift from the Genetics Institute (Boston, MA). Sulfate polystyrene latex microspheres (5 ± 0.1 µm mean diameter) were obtained from Interfacial Dynamics (Portland, OR).

Plasma cell isolation

Bone marrow cells were labeled with goat anti-mouse Ig-biotin (Southern Biotechnology Associates; 5 µg/ml), and subsequently incubated with streptavidin-CyChrome. Subsequently, staining of IgG1-secreting plasma cells was performed with minor modifications of the original protocol (20). Briefly, cells stained for surface Ig were washed and resuspended in 1 ml of freshly prepared EZ-link Sulfo-NHS-LC-biotin (Pierce, Rockford, IL; 0.5 mg/ml) in PBS (37°C, for 10 min). One milliliter of complete medium was added, and cells were incubated for another 10 min. After three washing steps with cold PBS/0.5% BSA (PBS/BSA), cells were incubated with anti-CD16/CD32 (10 µg/ml) and unconjugated R33.18.10 (30 µg/ml) for 5 min on ice. Then R33.18.10-avidin conjugated (30 µg/ml) was added. After 7 min on ice, the cell suspension was resuspended in complete medium and kept at room temperature for 10 min. Within 15 min, cells were slowly cooled down to 4°C. Subsequently, cells were incubated with digoxigenin-conjugated anti-IgG1 for 10 min, followed by incubation with anti-digoxigenin magnetic beads (10 min), and finally with anti-digoxigenin FITC (10 min). Then cells were washed, and IgG1-positive cells were enriched with a MiniMACS column (described by the manufacturer) and isolated by FACS.

Cell culture

Cell preparation and culture were done in RPMI 1640 medium (Life Technologies, Karlsruhe, Germany) supplemented with 10% FCS (Sigma-Aldrich) and referred to as complete medium. Plasma cells were sorted into 96-well plates (round bottom; Costar, Cambridge, MA) by FACS. One hundred plasma cells were cultured per well in 200 µl at 37°C in a humidified incubator.

Coating of latex microspheres with Abs

Beads were resuspended in PBS containing the indicated Ab (80 µg/ml) and incubated for 1.5 h at 37°C. Then beads were washed with PBS and incubated with complete medium for 30 min at room temperature.

RT-PCR

Cells were directly FACS sorted into tubes (10 or 100 cells/tube) and RT-PCR was performed. Plasma cells were identified, as described above. Mature B cells (B220 positive/CD24 intermediate) were sorted from spleen cell suspensions. For B cell stimulation, spleen cells were cultured at the density of 106 cells/ml in complete medium with LPS (25 µg/ml; Sigma-Aldrich). After 3 days of culture, activated B cells (CD138 positive/surface IgM positive) were sorted. RT-PCR was performed by using One-Step RT-PCR kit (Qiagen, Valencia, CA), according to the producer’s instructions. The PCR protocol consisted of 35 cycles (30 cycles for {beta}-actin) of 94°C for 45 s, 58°C for 45 s, and 72°C for 1 min using Master Cycler Personal (Eppendorf, Hamburg, Germany). The PCR amplification products were separated in 1.5% agarose gel and visualized by ethidium bromide staining. Bcl-2, Bcl-xL, Mcl-1, Bax, CD95, and {beta}-actin primers were as reported (21, 22).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of bone marrow plasma cells

Following immunization with OVA, the majority of bone marrow plasma cells in BALB/c mice secrete Ab of the IgG1 isotype (own unpublished data). This characteristic was used to identify them in bone marrow cell suspensions by using the cellular affinity matrix technology (20) allowing immunofluorescent labeling of Ab-secreting cells (Fig. 1A). Staining of membrane-bound Ig with saturating amounts of anti-Ig before use of the affinity matrix technology allowed to discriminate between membrane-bound and secreted Ig. To increase the numbers of plasma cells, mice were immunized and boosted with OVA. About 2 wk after the secondary immunization and stable thereafter, the frequency of IgG1-secreting plasma cells had increased to ~0.1%. These cells were enriched by MACS and isolated by FACS (Fig. 1A). When analyzed by intracellular immunofluorescence microscopy, the sorted cells were found to be Ab-containing cells having the typical morphology of plasma cells, with enlarged cytoplasm and an eccentric nucleus (Fig. 1B). As confirmed by ELISPOT, >90% of the cells stained for secreted IgG1 were Ab-secreting cell (ASC).



View larger version (30K):
[in this window]
[in a new window]
 
FIGURE 1. Purification of bone marrow plasma cells. A, FACS analysis of IgG-1-secreting bone marrow cells after MACS enrichment. Bone marrow cell suspensions were prepared from femurs of at least five mice. The cellular affinity matrix technology was used to label IgG1-secreting cells, as described in Materials and Methods. Subsequently, these cells were enriched by MACS and isolated by FACS. Dead cells were excluded according to propidium iodide staining. B, Cytospin analysis of isolated cells. FACS-sorted IgG1-secreting cells were cytocentrifuged onto slides, fixed, and stained with FITC-conjugated anti-IgG1 mAb. The cell preparate was then analyzed either by phase microscopy (left) or by fluorescence microscopy (right).

 
Isolated bone marrow plasma cells disappear rapidly in culture

The number of plasma cells in culture was determined by ELISPOT. When cultured without feeder cells, ~3% of the original plasma cell numbers were recovered after 3 days and none after 1 wk (Fig. 2A). In contrast, in cultures of nonprocessed total bone marrow cells, a less pronounced decline in the numbers of IgG-secreting cells was found. The frequency of surviving plasma cells in suspensions containing total bone marrow cells after 7 days was ~70%, with a high degree of variation. To test whether plasma cells are better supported in the intact organ, we determined the numbers of plasma cells in both femurs of the same mice either directly, or after 7 days of culture of intact bone. Remarkably, no decline of plasma cell numbers could be observed under this condition (Fig. 2A). Culture of isolated plasma cells together with a feeder layer derived from bone marrow of SCID mice resulted in the survival of 30% plasma cells until day 3 (Fig. 2B). These findings show that the survival of mature bone marow plasma cells depends on factors produced by their environment.



View larger version (21K):
[in this window]
[in a new window]
 
FIGURE 2. Bone marrow environment maintains plasma cell function. A, Isolated bone marrow plasma cells disappear rapidly in culture. Kinetics of plasma cells in cultures consisting of isolated plasma cells (100 cells/well), total bone marrow single cell suspension (106 cells/ml), or intact femurs were analyzed in culture by measuring the numbers of ASC by ELISPOT. Plasma cell numbers in intact femur cultures at days 0 (referred to as 100%) and 7 were compared in both femurs of individual mice (n = 4). Values are expressed as the mean ± SD of ASC numbers in duplicate cultures. One representative experiment is shown (n = 3). B, Isolated plasma cells are rescued by bone marrow cells. FACS-sorted IgG1-secreting cells (100 cells/well) were cultured alone or on a bone marrow feeder layer (105 cells/ml) prepared from SCID mice. The numbers of plasma cells in cultures were analyzed at day 3 by ELISPOT. The mean + SD of one representative experiment is shown (n = 2).

 
Pro- and antiapoptotic gene expression in isolated plasma cells

Several reports suggested that the survival of normal and malignant plasma cells is regulated by the expression of pro- and antiapoptotic molecules (23, 24, 25). In this study, the presence of transcripts for Bcl-2, Bax, Bcl-xL, Mcl-1, and CD95 was investigated in isolated bone marrow plasma cells, resting mature B cells, and 3-day LPS-activated B cells by RT-PCR. All three cell types expressed Bax, Bcl-xL, and Mcl-1 (Fig. 3). We detected neither Bcl-2 nor CD95 transcripts in plasma cells. The observed absence of CD95 expression is in accordance with the described lack of this molecule on human bone marrow plasma cells (26).



View larger version (38K):
[in this window]
[in a new window]
 
FIGURE 3. Pro- and antiapoptotic gene expression in isolated plasma cells. Mature B cells (B220+, CD24 intermediate), LPS-activated B cells (3 days cultured, CD138+, IgM+), or plasma cells (IgG1-secreting cells, as identified in Fig. 1) were FACS sorted into tubes, and RT-PCR was performed, as described in Materials and Methods. PCR bands obtained for the indicated molecules for plasma cells (left), LPS-activated B cells (middle), and mature B cells (right) are shown for 10 and 100 sorted cells, respectively. In Bcl-xL lanes, the lower and upper bands consist of the primer pairs and Bcl-xL transcripts, respectively.

 
Identification of factors mediating plasma cell survival

The effect of cross-linking of various cell surface receptors or stimulation with cytokines produced in the bone marrow was investigated on isolated plasma cells (Table I). Addition of IL-5, IL-6, SDF-1{alpha}, TNF-{alpha}, or bone marrow supernatant resulted in 30–70% plasma cell recovery after 3 days. Additionally, we tested whether cross-linking of CD19, CD38, CD40, CD44, or CD138 affected plasma cell recovery. Although stimulation of CD44 resulted in ~60% surviving plasma cells, cross-linking of the other receptors with stimulating Ab did not result in significantly increased frequencies of surviving plasma cells compared with the isotype controls. Among the cytokines tested, IL-6 showed the most pronounced effect on plasma cell survival. Its effectiveness was concentration dependent (Fig. 4A). The addition of this cytokine immediately following isolation rescued 70% plasma cells until day 3 in culture, while the addition of IL-6 later did not rescue plasma cells (Fig. 4B). This observation is in accordance with the idea that plasma cells require constitutive signals to survive. To ensure that in our culture system IL-6 induced plasma cell survival rather than proliferation, bone marrow plasma cells were cultured in presence of hydroxyurea (OH-U), an inhibitor of proliferation (Fig. 4C). At the concentrations used in our experiments, OH-U completely blocks the proliferation of plasma blasts, i.e., the direct precursors of the nonproliferating plasma cells (27) (data not shown). However, OH-U did not reduce the numbers of plasma cells cultured together with IL-6 (Fig. 4C). Similar results were obtained for IL-5, SDF-1{alpha}, and stimulation by the CD44 ligand HA (data not shown). This observation indicates that these factors stimulate the survival, but not the proliferation of these cells.


View this table:
[in this window]
[in a new window]
 
Table I. Various cytokine-mediated and contact-dependent signals can support plasma cell survival

 


View larger version (16K):
[in this window]
[in a new window]
 
FIGURE 4. Effects of IL-6 on plasma cell function. A, Dose-response curve of IL-6. rIL-6 was added to isolated plasma cells (100 cells/well) at the concentrations indicated (0.01–50 ng/ml), and the numbers of ASC were determined after 3 days in culture by ELISPOT. Values are expressed as the mean + SD in duplicate cultures (n = 3). B, Plasma cells require IL-6 stimulation immediately after isolation. IL-6 (10 ng/ml) was added to isolated plasma cells at the time points indicated (day 0 = onset of culture). The numbers of ASC after 3 days of culture were evaluated by ELISPOT. The mean + SD of one representative experiment is shown (n = 2). C, IL-6 does not induce cell proliferation. Plasma cells were cultured (100 cells/well) in the absence or presence of OH-U (0.5 mM), with or without IL-6 (10 ng/ml). The numbers of ASC after 3 days of culture were determined by ELISPOT. Values show one representative experiment (n = 2) and are expressed as the average + SD in duplicate cultures.

 
IL-6 is not essential for long-term Ab production in vivo

The active component of the bone marrow supernatant is IL-6, as shown by the uneffectiveness of supernatants prepared from IL-6-deficient (IL-6-/-) mice in supporting plasma cell survival (Fig. 5). In accordance, the addition of the neutralizing anti-IL-6 Ab 20F3 severely reduced the positive effect of bone marrow supernatant (data not shown). Supernatants prepared from IL-5-/- mice were as effective as those obtained from wild-type animals. Whereas IL-5-/- and IL-6-/- mice were on C57BL/6 background, plasma cells had been isolated from BALB/c mice. Supernatants derived from BALB/c and C57BL/6 bone marrow cultures equally supported the survival of BALB/c plasma cells, excluding a role of the genetic background. These results demonstrate that IL-6 is an essential component of the supernatants used in our experiments, and led to the question as to whether this molecule might also play a crucial role for the homeostasis of plasma cells in vivo.



View larger version (12K):
[in this window]
[in a new window]
 
FIGURE 5. IL-6 is required to support plasma cell function in bone marrow cultures. Purified plasma cells (100 cells/well) were cultured together with various concentrations of bone marrow supernatants prepared from C57BL/6, IL-6-/-, IL-5 -/-, and BALB/c mice, as indicated. The numbers of ASC after 3 days of culture were determined by ELISPOT. Values are expressed as the average + SD in duplicate cultures.

 
A deficiency in mounting humoral immune responses has been reported in IL-6-/- mice (28). In these animals, 10 days after boost immunization, specific Ab titers were reduced ~10-fold compared with wild-type controls. To test whether this effect was due to a reduced plasma cell lifetime, we followed the kinetics of OVA-specific Ab titers for 5 mo after secondary immunization (Fig. 6A). The specific Ab titers measured following this immunization protocol are maintained by long-lived plasma cells (8, 29). IL-6-/- mice required a longer period of time to mount a specific Ab response. However, ~4 wk after immunization, Ab titers were equally high and stable during the following 20 wk in both groups of animals. Also, as long as 21 wk after secondary immunization, the absolute numbers of OVA-specific bone marrow plasma cells were similar in IL-6-/- and wild-type mice (Fig. 6B). These results show that IL-6 is not essential to support plasma cell survival in vivo.



View larger version (24K):
[in this window]
[in a new window]
 
FIGURE 6. IL-6 is required for a normal induction, but not for the maintenance of Ab responses in vivo. A, Kinetics of serum Ag-specific IgG titers, determined by ELISA, were compared in IL-6-/- and wild-type mice following boost immunization with OVA (day 0 of analysis). The data shown represent the average ± SD of 8–10 mice in each group. B, IL-6-/- and wild-type mice have equal numbers of OVA-specific plasma cells in their bone marrow. At 21 wk after boost immunization, numbers of OVA-specific plasma cells were measured by ELISPOT. Values expressed are the average + SD of six to eight mice in each group.

 
Synergistic signals are required to support plasma cell longevity

Stimulation of isolated plasma cells by a single survival factor did not support the function of these cells for longer than 3 days. After 5 days in the presence of IL-6 or cross-linking of CD44, the percentages of viable plasma cells did not exceed 25% (Fig. 7). However, together with IL-6, the activating anti-CD44 Ab IM7 and IRAWB and the natural ligand HA, but not the blocking anti-CD44 Ab KM81, led to the recovery of 70–85% plasma cells after 5 days of culture. Isotype control Ab together with IL-6 did not show any effect other than IL-6 alone. Additive effects of CD44 stimulation together with IL-6 would have been much lower than the observed percentages of surviving plasma cells, showing that both stimuli act synergistically.



View larger version (22K):
[in this window]
[in a new window]
 
FIGURE 7. Stimulation by IL-6, together with CD44 triggering, acts synergistically in supporting function of plasma cells. Isolated bone marrow plasma cells were cultured together with various stimuli, as indicated. Three different immobilized anti-CD44 Ab (IM7, IRAW, and KM81; 4 µg/ml) and soluble HA (10 µg/ml) were used. IM7 and IRAW are stimulating anti-CD44 mAb; KM81 is a blocking anti-CD44 mAb. HA is a component of extracellular matrix and is the major ligand of CD44 in vivo. IL-6 was added when indicated at 10 ng/ml. After 5 days of culture, the numbers of surviving plasma cells were determined by ELISPOT. The mean + SD in duplicate cultures of one representative experiment (n = 3) is shown.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
There is increasing evidence that the lifetime of plasma cells is determined by their microenvironment rather than intrinsic factors (9, 10, 11). As an initial study in the field, this work was aimed to identify the signals and mechanisms that regulate plasma cell survival in vitro.

Bone marrow plasma cells were identified by their ability to secrete IgG1, the most abundant isotype expressed in this cell population. The isolated Ab-secreting cells expressed only little MHCII (data not shown), indicating that these cells were terminally differentiated plasma cells activated at least 12 days earlier (8). In culture, ASC could be detected for a prolonged period of time in the presence of other bone marrow cells. Because plasma cells are considered to produce and secrete large amounts of Abs constitutively, the observed loss of ASC in the absence of feeder cells or their products is most likely due to cell death by neglect. In accordance, it has been shown that stromal cells can prevent apoptosis of plasma cells isolated from tonsils (23). However, it could not be formally excluded that the factors identified stimulate plasma cell function rather than plasma cell survival. Studies on mice overexpressing the antiapoptotic molecule Bcl-2 as a transgene demonstrated sustained survival of Ab-secreting cells (30). In human bone marrow plasma cells, Bcl-2 protein has been detected in high levels (26). The absence of mRNA for Bcl-2 in isolated plasma cells observed in this study may explain the rapid disappearance of these cells when cultured without survival factors or feeder cells. It can be speculated, that upon isolation, the lack of survival factors may immediately lead to the loss of Bcl-2 expression, while the protein, with its longer t1/2, could still be present. This idea is supported by the finding that IL-6 rescued plasma cells when added immediately after isolation, but not when added later. The potential of IL-6 to induce Bcl-2 expression has been demonstrated earlier (31). Independent of whether the survival factors identified in this study induce the expression of Bcl-2 or not, the requirement for IL-6 immediately following detachment of plasma cells from their normal environment shows that to survive, these cells require the continuous stimulation by specific factors, e.g., IL-6.

In the present work, we showed that among the many molecules tested, only IL-5, IL-6, TNF-{alpha}, SDF-1{alpha}, and HA had the capacity to support plasma cell survival. These factors are produced by bone marrow stromal cells, suggesting a role for these molecules in the regulation of plasma cell survival in the bone marrow microenvironment. These molecules have also been described as modulators of inflammation (32, 33), indicating that inflamed tissues may offer optimal conditions for plasma cells. Indeed, plasma cells can persist quite well in inflamed tissue (19).

It has been suggested that IL-6 enhances the terminal differentiation of B lymphocytes (34, 35) and promotes the growth of malignant plasma cells (36). Whether IL-6 acts as a factor promoting survival, proliferation, or differentiation has not been clarified in these studies. In our experiments, IL-6 appeared to act as survival factor for mature plasma cells, because its effect on maintaining cell numbers in culture did not depend on DNA synthesis. As shown in IL-6-/- mice, IL-6 is not essential for the maintenance of serum Ab titers and numbers of OVA-specific plasma cells. Because the OVA-specific Ab titers induced with application of our immunization protocol were maintained by long-lived plasma cells (8, 29), this result indicates that IL-6 is not required for supporting the survival of plasma cells in vivo. Interestingly, the onset of the Ab response in the IL-6-/- mice was delayed compared with that of wild-type animals. However, the IL-6-/- mice had normal long-lasting memory Ab titers and numbers of OVA-specific plasma cells in the bone marrow. These data are in accordance with the observation that induction and strength of an Ab response are regulated independently (37). Although the time period required for the initiation of the response depends on the numbers of Ag-specific memory B cells available, the final strength of the Ab response is regulated by the amount of Ag that possibly determines the number of plasma cells initially formed. Thus, one possible explanation for the delayed humoral immune response in the IL-6-/- mice is that the impaired germinal center formation in these mice (28) results in reduced numbers of Ag-specific memory B cells and consequently in a delayed response. Alternatively, IL-6 might be crucial for supporting the survival or proliferation of plasma blasts, which is required to mount the final plasma cell numbers.

Together with previous reports, the work presented in this study suggests that SDF-1{alpha} and its cognate receptor, i.e., CXCR4, play multiple roles in the regulation of plasma cell homeostasis. In fetal liver chimeras, the lack of CXCR4 on plasma cells leads to a >3-fold reduction of Ag-specific plasma cells found in the bone marrow at day 7 after immunization (38). In wild-type mice, Ab-secreting cells migrate toward SDF-1{alpha} (39) at the time point of their translocation from spleen to the bone marrow. These data suggest that this chemokine is important for the migration of early plasma cells into the bone marrow. Once there, the cells completely lose the capacity to migrate toward this chemokine. However, they maintain the expression of CXCR4 (39). These results indicate that on mature plasma cells, this receptor mediates another function than the regulation of migration. As suggested by the work presented in this study, this function is to support the survival of plasma cell. The reduced numbers of bone marrow plasma cells in CXCR4-deficient chimeras could be mainly due to reduced migration of plasma cells/plasma blasts into this organ. However, this result may in part also be due to reduced survival of these cells.

Bone marrow plasma cells express high levels of CD44 (8, 26), a cell surface glycoprotein whose principal ligand is HA, a component of the extracellular matrix (40). CD44 is widely expressed and participates in lymphopoiesis, adhesion to the extracellular matrix, homing to lymph nodes, and lymphocyte activation (41, 42). It has been proposed that the interaction of CD44 present on myeloma cells with extracellular matrix produced by stromal cells localizes myeloma cells to the bone marrow. In addition, it stimulates IL-6 production by the stromal cells (43). In this study, we show that CD44 engagement could represent per se a crucial survival stimulus for nonmalignant plasma cells.

As far as tested in this study, one signal alone was not able to extend the lifetime of isolated plasma cells for more then 3 days. However, stimulation with a combination of survival factors, e.g., stimulation with anti-CD44 and IL-6, synergistically supported the survival of the vast majority of plasma cells for 5 days. Also, plasma cell survival requires the continuous presence of survival factors, as shown by the requirement for IL-6 immediately following isolation. This observation is in accordance with the notion that Blimp-1, one of the key molecules required for plasma cell differentiation (44), induces apoptosis, if not counterbalanced by antiapoptotic members of the Bcl-2 family (45). Together, these results support the hypothesis that the survival of plasma cells depends on the presence of niches, in which a specific combination of factors is present.

We were not able to sustain plasma cell survival in vitro for much longer than 5 days. This is by far shorter than the estimated t1/2 of these cells in vivo, i.e., ~6 mo. We may have missed another factor that is essential for long-term plasma cell survival. Alternatively, the conditions in culture possibly vary from those in vivo in several aspects relevant for cell survival. These differences could include suboptimal stimulation by the survival factors tested, e.g., due to their degradation, but could also be due to other parameters, such as glucose concentration, pH, or nutrients, which may not resemble physiological conditions. As indicated by the finding that plasma cell survived best in the intact femur, the three-dimensional microarchitecture of the bone marrow tissue might be required for normal plasma cell homeostasis. Plasma cell survival studies in an organ culture system are necessary to clarify this issue.

Plasma cell survival niches are not necessarily exclusive for this cell type. An attractive speculation is that they might be shared with early B cells (11). This idea is supported, e.g., by the observation that a stromal cell-mediated feedback loop between pre-B cells and plasma cells seems to exist in the bone marrow (46). In the present work, the cytokines IL-7 and stem cell factor, both essential for the survival and differentiation of early B cell stages in the bone marrow (47), did not act on plasma cells, arguing against identical survival requirements supporting B cell precursors and plasma cells. However, our data do not exclude the existence of a general mechanism regulating B cell and plasma cell homeostasis.

Our results suggest that mature bone marrow plasma cells are prone to apoptosis, but can be rescued by survival factors produced in their environment. They strongly support the concept that the homeostasis of plasma cells requires specific survival niches and identify the cytokines IL-5, IL-6, TNF-{alpha}, and SDF-1{alpha} as well as HA as likely components of these niches. Importantly, our data show that IL-6, to date the most important growth factor described for malignant plasma cells, is a powerful, however not essential survival factor also for normal plasma cells. The observed redundancy in the function of IL-6 to support plasma cell survival might be expected because of the importance of persisting Ab responses to maintain immune protection. However, this finding is important for our understanding of the mechanism regulating the homeostasis of plasma cells and may explain why anti-IL-6 Ab therapy alone is not sufficient to deplete multiple myeloma cells efficiently. Additionally, it stresses the complexity of the regulation of plasma cell formation and survival. In this initial study, specific factors were identified supporting plasma cell survival in vitro. The detailed role that these factors play for the homeostasis of plasma cells in vivo remains to be elucidated.


    Acknowledgments
 
We thank Anette Peddinghaus for excellent technical assistance.


    Footnotes
 
1 This work was supported by the Deutsche Forschungsgemeinschaft Grant M2273 and by the European Community (Grants ERBFMBICT 983532 and QLK2-CT-2001-01205 Memovax). Back

2 Address correspondence and reprint requests to Dr. Rudolf A. Manz, Deutsches Rheumaforschungszentrum, Department for Humoral Immunology, Schumannstrasse 21/22, D-10117 Berlin, Germany. E-mail address: manz{at}drfz.de Back

3 Abbreviations used in this paper: SDF, stromal cell-derived factor; ASC, Ab-secreting cell; HA, hyaluronic acid; OH-U, hydroxyurea. Back

Received for publication August 14, 2002. Accepted for publication June 9, 2003.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Jerne, N. K., C. Henry, A. A. Nordin, H. Fuji, A. M. Koros, I. Lefkovits. 1974. Plaque forming cells: methodology and theory. Transplant Rev. 18:130.[Medline]
  2. Slifka, M. K., R. Ahmed. 1996. Long-term humoral immunity against viruses: revisiting the issue of plasma cell longevity. Trends Microbiol. 4:394.[Medline]
  3. Ahmed, R., D. Gray. 1996. Immunological memory and protective immunity: understanding their relation. Science 272:54.[Abstract]
  4. Ho, F., J. E. Lortan, I. C. MacLennan, M. Khan. 1986. Distinct short-lived and long-lived antibody-producing cell populations. Eur. J. Immunol. 16:1297.[Medline]
  5. Slifka, M. K., R. Ahmed. 1998. Long-lived plasma cells: a mechanism for maintaining persistent antibody production. Curr. Opin. Immunol. 10:252.[Medline]
  6. McHeyzer-Williams, M. G., R. Ahmed. 1999. B cell memory and the long-lived plasma cell. Curr. Opin. Immunol. 11:172.[Medline]
  7. Slifka, M. K., R. Antia, J. K. Whitmire, R. Ahmed. 1998. Humoral immunity due to long-lived plasma cells. Immunity 8:363.[Medline]
  8. Manz, R. A., M. Lohning, G. Cassese, A. Thiel, A. Radbruch. 1998. Survival of long-lived plasma cells is independent of antigen. Int. Immunol. 10:1703.[Abstract/Free Full Text]
  9. Sze, D. M., K. M. Toellner, C. Garcia de Vinuesa, D. R. Taylor, I. C. MacLennan. 2000. Intrinsic constraint on plasmablast growth and extrinsic limits of plasma cell survival. J. Exp. Med. 192:813.[Abstract/Free Full Text]
  10. Manz, R. A., A. Radbruch. 2002. Plasma cells for a lifetime?. Eur. J. Immunol. 32:923.[Medline]
  11. Manz, R. A., S. Arce, G. Cassese, A. E. Hauser, F. Hiepe, A. Radbruch. 2002. Humoral immunity and long-lived plasma cells. Curr. Opin. Immunol. 14:517.[Medline]
  12. Osmond, D. G.. 1990. B cell development in the bone marrow. Semin. Immunol. 2:173.[Medline]
  13. Rolink, A., F. Melchers. 1993. B lymphopoiesis in the mouse. Adv. Immunol. 53:123.[Medline]
  14. Freitas, A., J. Chen. 2002. Introduction: regulation of lymphocyte homeostasis. Microbes Infect. 4:529.[Medline]
  15. Lu, L., D. G. Osmond. 2000. Apoptosis and its modulation during B lymphopoiesis in mouse bone marrow. Immunol. Rev. 175:158.[Medline]
  16. Plas, D. R., J. C. Rathmell, C. B. Thompson. 2002. Homeostatic control of lymphocyte survival: potential origins and implications. Nat. Immun. 3:515.
  17. Nakayama, K., I. Negishi, K. Kuida, Y. Shinkai, M. C. Louie, L. E. Fields, P. J. Lucas, V. Stewart, F. W. Alt, D. Loh. 1993. Disappearance of the lymphoid system in Bcl-2 homozygous mutant chimeric mice. Science 261:1584.[Abstract/Free Full Text]
  18. Motoyama, N., F. Wang, K. A. Roth, H. Sawa, K. Nakayama, I. Negishi, S. Senju, Q. Zhang, S. Fujii, D. Y. Loh. 1995. Massive cell death of immature hematopoietic cells and neurons in Bcl-x-deficient mice. Science 267:1506.[Abstract/Free Full Text]
  19. Cassese, G., S. Lindenau, B. de Boer, S. Arce, A. Hauser, G. Riemekasten, C. Berek, F. Hiepe, V. Krenn, A. Radbruch, R. A. Manz. 2001. Inflamed kidneys of NZB/W mice are a major site for the homeostasis of plasma cells. Eur. J. Immunol. 31:2726.[Medline]
  20. Manz, R., M. Assenmacher, E. Pfluger, S. Miltenyi, A. Radbruch. 1995. Analysis and sorting of live cells according to secreted molecules, relocated to a cell-surface affinity matrix. Proc. Natl. Acad. Sci. USA 92:1921.[Abstract/Free Full Text]
  21. Grossmann, M., L. A. O’Reilly, R. Gugasyan, A. Strasser, J. M. Adams, S. Gerondakis. 2000. The anti-apoptotic activities of Rel and RelA required during B-cell maturation involve the regulation of Bcl-2 expression. EMBO J. 19:6351.[Medline]
  22. Tomayko, M. M., M. P. Cancro. 1998. Long-lived B cells are distinguished by elevated expression of A1. J. Immunol. 160:107.[Abstract/Free Full Text]
  23. Merville, P., J. Dechanet, A. Desmouliere, I. Durand, O. de Bouteiller, P. Garrone, J. Banchereau, Y. J. Liu. 1996. Bcl-2+ tonsillar plasma cells are rescued from apoptosis by bone marrow fibroblasts. J. Exp. Med. 183:227.[Abstract/Free Full Text]
  24. Zhang, B., I. Gojo, R. G. Fenton. 2002. Myeloid cell factor-1 is a critical survival factor for multiple myeloma. Blood 99:1885.[Abstract/Free Full Text]
  25. Degrassi, A., D. M. Hilbert, S. Rudikoff, A. O. Anderson, M. Potter, H. G. Coon. 1993. In vitro culture of primary plasmacytomas requires stromal cell feeder layers. Proc. Natl. Acad. Sci. USA 90:2060.[Abstract/Free Full Text]
  26. Medina, F., C. Segundo, A. Campos-Caro, I. Gonzalez-Garcia, J. A. Brieva. 2002. The heterogeneity shown by human plasma cells from tonsil, blood, and bone marrow reveals graded stages of increasing maturity, but local profiles of adhesion molecule expression. Blood 99:2154.[Abstract/Free Full Text]
  27. Brieva, J. A., E. Roldan, M. L. De la Sen, C. Rodriguez. 1991. Human in vivo-induced spontaneous IgG-secreting cells from tonsil, blood and bone marrow exhibit different phenotype and functional level of maturation. Immunology 72:580.[Medline]
  28. Kopf, M., S. Herren, M. V. Wiles, M. B. Pepys, M. H. Kosco-Vilbois. 1998. Interleukin 6 influences germinal center development and antibody production via a contribution of C3 complement component. J. Exp. Med. 188:1895.[Abstract/Free Full Text]
  29. Manz, R. A., A. Thiel, A. Radbruch. 1997. Lifetime of plasma cells in the bone marrow. Nature 388:133.[Medline]
  30. Smith, K. G., U. Weiss, K. Rajewsky, G. J. Nossal, D. M. Tarlinton. 1994. Bcl-2 increases memory B cell recruitment but does not perturb selection in germinal centers. Immunity 1:803.[Medline]
  31. Rahman, Z., H. Yoshikawa, Y. Nakajima, K. Tasaka. 2001. Down-regulation of Pim-1 and Bcl-2 is accompanied with apoptosis of interleukin-6-depleted mouse B-cell hybridoma 7TD1 cells. Immunol. Lett. 75:199.[Medline]
  32. Brennan, F. R., J. K. O’Neill, S. J. Allen, C. Butter, G. Nuki, D. Baker. 1999. CD44 is involved in selective leukocyte extravasation during inflammatory central nervous system disease. Immunology 98:427.[Medline]
  33. Horuk, R.. 1998. Chemokines beyond inflammation. Nature 393:524.[Medline]
  34. Roldan, E., J. A. Brieva. 1991. Terminal differentiation of human bone marrow cells capable of spontaneous and high-rate immunoglobulin secretion: role of bone marrow stromal cells and interleukin 6. Eur. J. Immunol. 21:2671.[Medline]
  35. Skibinski, G., A. Skibinska, G. D. Stewart, K. James. 1998. Enhancement of terminal B lymphocyte differentiation in vitro by fibroblast-like stromal cells from human spleen. Eur. J. Immunol. 28:3940.[Medline]
  36. Kawano, M., T. Hirano, T. Matsuda, T. Taga, Y. Horii, K. Iwato, H. Asaoku, B. Tang, O. Tanabe, H. Tanaka, et al 1988. Autocrine generation and requirement of BSF-2/IL-6 for human multiple myelomas. Nature 332:83.[Medline]
  37. Bachmann, M. F., T. M. Kundig, H. Hengartner, R. M. Zinkernagel. 1994. Regulation of IgG antibody titers by the amount persisting of immune-complexed antigen. Eur. J. Immunol. 24:2567.[Medline]
  38. Hargreaves, D. C., P. L. Hyman, T. T. Lu, V. N. Ngo, A. Bidgol, G. Suzuki, Y. R. Zou, D. R. Littman, J. G. Cyster. 2001. A coordinated change in chemokine responsiveness guides plasma cell movements. J. Exp. Med. 194:45.[Abstract/Free Full Text]
  39. Hauser, A. E., G. F. Debes, S. Arce, G. Cassese, A. Hamann, A. Radbruch, R. A. Manz. 2002. Chemotactic responsiveness toward ligands for CXCR3 and CXCR4 is regulated on plasma blasts during the time course of a memory immune response. J. Immunol. 169:1277.[Abstract/Free Full Text]
  40. Lesley, J., R. Hyman, P. W. Kincade. 1993. CD44 and its interaction with extracellular matrix. Adv. Immunol. 54:271.[Medline]
  41. Haynes, B. F., M. J. Telen, L. P. Hale, S. M. Denning. 1989. CD44: a molecule involved in leukocyte adherence and T-cell activation. Immunol. Today 10:423.[Medline]
  42. Rafi, A., M. Nagarkatti, P. S. Nagarkatti. 1997. Hyaluronate-CD44 interactions can induce murine B-cell activation. Blood 89:2901.[Abstract/Free Full Text]
  43. Uchiyama, H., B. A. Barut, A. F. Mohrbacher, D. Chauhan, K. C. Anderson. 1993. Adhesion of human myeloma-derived cell lines to bone marrow stromal cells stimulates interleukin-6 secretion. Blood 82:3712.[Abstract/Free Full Text]
  44. Turner, C. A., Jr, D. H. Mack, M. M. Davis. 1994. Blimp-1, a novel zinc finger-containing protein that can drive the maturation of B lymphocytes into immunoglobulin-secreting cells. Cell 77:297.[Medline]
  45. Knodel, M., A. W. Kuss, D. Lindemann, I. Berberich, A. Schimpl. 1999. Reversal of Blimp-1-mediated apoptosis by A1, a member of the Bcl-2 family. Eur. J. Immunol. 29:2988.[Medline]
  46. Tsujimoto, T., I. A. Lisukov, N. Huang, M. S. Mahmoud, M. M. Kawano. 1996. Plasma cells induce apoptosis of pre-B cells by interacting with bone marrow stromal cells. Blood 87:3375.[Abstract/Free Full Text]
  47. Kondo, M., I. L. Weissman. 2000. Function of cytokines in lymphocyte development. Curr. Top. Microbiol. Immunol. 251:59.[Medline]



This article has been cited by other articles:


Home page
J. Immunol.Home page
M. Abram, M. Wegmann, V. Fokuhl, S. Sonar, E. O. Luger, S. Kerzel, A. Radbruch, H. Renz, and M. Zemlin
Nerve Growth Factor and Neurotrophin-3 Mediate Survival of Pulmonary Plasma Cells during the Allergic Airway Inflammation
J. Immunol., April 15, 2009; 182(8): 4705 - 4712.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
H. E. Mei, T. Yoshida, W. Sime, F. Hiepe, K. Thiele, R. A. Manz, A. Radbruch, and T. Dorner
Blood-borne human plasma cells in steady state are derived from mucosal immune responses
Blood, March 12, 2009; 113(11): 2461 - 2469.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
E. Mohr, K. Serre, R. A. Manz, A. F. Cunningham, M. Khan, D. L. Hardie, R. Bird, and I. C. M. MacLennan
Dendritic Cells and Monocyte/Macrophages That Create the IL-6/APRIL-Rich Lymph Node Microenvironments Where Plasmablasts Mature
J. Immunol., February 15, 2009; 182(4): 2113 - 2123.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
A. Geffroy-Luseau, G. Jego, R. Bataille, L. Campion, and C. Pellat-Deceunynck
Osteoclasts support the survival of human plasma cells in vitro
Int. Immunol., June 1, 2008; 20(6): 775 - 782.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
E. Belnoue, M. Pihlgren, T. L. McGaha, C. Tougne, A.-F. Rochat, C. Bossen, P. Schneider, B. Huard, P.-H. Lambert, and C.-A. Siegrist
APRIL is critical for plasmablast survival in the bone marrow and poorly expressed by early-life bone marrow stromal cells
Blood, March 1, 2008; 111(5): 2755 - 2764.
[Abstract] [Full Text] [PDF]


Home page
JEMHome page
D. Emslie, K. D'Costa, J. Hasbold, D. Metcalf, K. Takatsu, P. O. Hodgkin, and L. M. Corcoran
Oct2 enhances antibody-secreting cell differentiation through regulation of IL-5 receptor {alpha} chain expression on activated B cells
J. Exp. Med., February 18, 2008; 205(2): 409 - 421.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
G. B. Rohner, M. D. Snape, D. F. Kelly, T. John, A. Morant, L.-M. Yu, A. Borkowski, F. Ceddia, R. Borrow, C.-A. Siegrist, et al.
The Magnitude of the Antibody and Memory B Cell Responses during Priming with a Protein-Polysaccharide Conjugate Vaccine in Human Infants Is Associated with the Persistence of Antibody and the Intensity of Booster Response
J. Immunol., February 15, 2008; 180(4): 2165 - 2173.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
I. Gonzalez-Garcia, B. Rodriguez-Bayona, F. Mora-Lopez, A. Campos-Caro, and J. A. Brieva
Increased survival is a selective feature of human circulating antigen-induced plasma cells synthesizing high-affinity antibodies
Blood, January 15, 2008; 111(2): 741 - 749.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
S. T. Pals, D. J. J. de Gorter, and M. Spaargaren
Lymphoma dissemination: the other face of lymphocyte homing
Blood, November 1, 2007; 110(9): 3102 - 3111.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
J. M. van Laar, M. Melchers, Y. K. O. Teng, B. van der Zouwen, R. Mohammadi, R. Fischer, L. Margolis, W. Fitzgerald, J.-C. Grivel, F. C. Breedveld, et al.
Sustained Secretion of Immunoglobulin by Long-Lived Human Tonsil Plasma Cells
Am. J. Pathol., September 1, 2007; 171(3): 917 - 927.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
H. A. Minges Wols, J. A. Ippolito, Z. Yu, J. L. Palmer, F. A. White, P. T. Le, and P. L. Witte
The effects of microenvironment and internal programming on plasma cell survival
Int. Immunol., July 2, 2007; (2007) dxm051v1.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
D. R. Withers, C. Fiorini, R. T. Fischer, R. Ettinger, P. E. Lipsky, and A. C. Grammer
T cell dependent survival of CD20+ and CD20 plasma cells in human secondary lymphoid tissue
Blood, June 1, 2007; 109(11): 4856 - 4864.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
J. Huggins, T. Pellegrin, R. E. Felgar, C. Wei, M. Brown, B. Zheng, E. C. B. Milner, S. H. Bernstein, I. Sanz, and M. S. Zand
CpG DNA activation and plasma-cell differentiation of CD27- naive human B cells
Blood, February 15, 2007; 109(4): 1611 - 1619.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
E. Scandella, K. Fink, T. Junt, B. M. Senn, E. Lattmann, R. Forster, H. Hengartner, and B. Ludewig
Dendritic Cell-Independent B Cell Activation During Acute Virus Infection: A Role for Early CCR7-Driven B-T Helper Cell Collaboration
J. Immunol., February 1, 2007; 178(3): 1468 - 1476.
[Abstract] [Full Text] [PDF]


Home page
Rheumatology (Oxford)Home page
S. Langer, D. Langnickel, P. Enghard, R. Undeutsch, G. R. Burmester, F. Hiepe, A. Radbruch, and G. Riemekasten
The systemic and SmD183-119-autoantigen-specific cytokine memory of Th cells in SLE patients
Rheumatology, February 1, 2007; 46(2): 238 - 245.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. R. Sheng, L. Li, B. B. Ganesh, C. Vasu, B. S. Prabhakar, and M. N. Meriggioli
Suppression of Experimental Autoimmune Myasthenia Gravis by Granulocyte-Macrophage Colony-Stimulating Factor Is Associated with an Expansion of FoxP3+ Regulatory T Cells
J. Immunol., October 15, 2006; 177(8): 5296 - 5306.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
I. Gonzalez-Garcia, E. Ocana, G. Jimenez-Gomez, A. Campos-Caro, and J. A. Brieva
Immunization-Induced Perturbation of Human Blood Plasma Cell Pool: Progressive Maturation, IL-6 Responsiveness, and High PRDI-BF1/BLIMP1 Expression Are Critical Distinctions between Antigen-Specific and Nonspecific Plasma Cells
J. Immunol., April 1, 2006; 176(7): 4042 - 4050.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
N. Pelletier, M. Casamayor-Palleja, K. De Luca, P. Mondiere, F. Saltel, P. Jurdic, C. Bella, L. Genestier, and T. Defrance
The Endoplasmic Reticulum Is a Key Component of the Plasma Cell Death Pathway
J. Immunol., February 1, 2006; 176(3): 1340 - 1347.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
D. A. Culton, B. P. O'Conner, K. L. Conway, R. Diz, J. Rutan, B. J. Vilen, and S. H. Clarke
Early Preplasma Cells Define a Tolerance Checkpoint for Autoreactive B Cells
J. Immunol., January 15, 2006; 176(2): 790 - 802.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. Pihlgren, M. Friedli, C. Tougne, A.-F. Rochat, P.-H. Lambert, and C.-A. Siegrist
Reduced Ability of Neonatal and Early-Life Bone Marrow Stromal Cells to Support Plasmablast Survival
J. Immunol., January 1, 2006; 176(1): 165 - 172.
[Abstract] [Full Text] [PDF]


Home page
JEMHome page
M. Shapiro-Shelef, K.-I Lin, D. Savitsky, J. Liao, and K. Calame
Blimp-1 is required for maintenance of long-lived plasma cells in the bone marrow
J. Exp. Med., December 5, 2005; 202(11): 1471 - 1476.
[Abstract] [Full Text] [PDF]


Home page
JDRHome page
G. Hajishengallis, S. Arce, C.M. Gockel, T.D. Connell, and M.W. Russell
Immunomodulation with Enterotoxins for the Generation of Secretory Immunity or Tolerance: Applications for Oral Infections
Journal of Dental Research, December 1, 2005; 84(12): 1104 - 1116.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. L. Hutchings, S. C. Gilbert, A. V. S. Hill, and A. C. Moore
Novel Protein and Poxvirus-Based Vaccine Combinations for Simultaneous Induction of Humoral and Cell-Mediated Immunity
J. Immunol., July 1, 2005; 175(1): 599 - 606.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
E. Parretta, G. Cassese, P. Barba, A. Santoni, J. Guardiola, and F. Di Rosa
CD8 Cell Division Maintaining Cytotoxic Memory Occurs Predominantly in the Bone Marrow
J. Immunol., June 15, 2005; 174(12): 7654 - 7664.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
G. Muehlinghaus, L. Cigliano, S. Huehn, A. Peddinghaus, H. Leyendeckers, A. E. Hauser, F. Hiepe, A. Radbruch, S. Arce, and R. A. Manz
Regulation of CXCR3 and CXCR4 expression during terminal differentiation of memory B cells into plasma cells
Blood, May 15, 2005; 105(10): 3965 - 3971.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
I. Rochman, W. E. Paul, and S. Z. Ben-Sasson
IL-6 Increases Primed Cell Expansion and Survival
J. Immunol., April 15, 2005; 174(8): 4761 - 4767.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
M. Odendahl, H. Mei, B. F. Hoyer, A. M. Jacobi, A. Hansen, G. Muehlinghaus, C. Berek, F. Hiepe, R. Manz, A. Radbruch, et al.
Generation of migratory antigen-specific plasma blasts and mobilization of resident plasma cells in a secondary immune response
Blood, February 15, 2005; 105(4): 1614 - 1621.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
T. C. Becker, S. M. Coley, E. J. Wherry, and R. Ahmed
Bone Marrow Is a Preferred Site for Homeostatic Proliferation of Memory CD8 T Cells
J. Immunol., February 1, 2005; 174(3): 1269 - 1273.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. Ohata, N. J. Zvaifler, M. Nishio, D. L. Boyle, S. L. Kalled, D. A. Carson, and T. J. Kipps
Fibroblast-Like Synoviocytes of Mesenchymal Origin Express Functional B Cell-Activating Factor of the TNF Family in Response to Proinflammatory Cytokines
J. Immunol., January 15, 2005; 174(2): 864 - 870.
[Abstract] [Full Text] [PDF]


Home page
JEMHome page
D. M. Tarlinton and P. D. Hodgkin
Targeting Plasma Cells in Autoimmune Diseases
J. Exp. Med., June 7, 2004; 199(11): 1451 - 1454.
[Abstract] [Full Text] [PDF]


Home page
JEMHome page
B. F. Hoyer, K. Moser, A. E. Hauser, A. Peddinghaus, C. Voigt, D. Eilat, A. Radbruch, F. Hiepe, and R. A. Manz
Short-lived Plasmablasts and Long-lived Plasma Cells Contribute to Chronic Humoral Autoimmunity in NZB/W Mice
J. Exp. Med., June 7, 2004; 199(11): 1577 - 1584.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cassese, G.
Right arrow Articles by Manz, R. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cassese, G.
Right arrow Articles by Manz, R. A.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS