title: Engagement of complement receptor 2 on the surface of B cells from patients with systemic lupus erythematosus contributes to the increased responsiveness to antigen stimulation.
abstract: B cells from patients with systemic lupus erythematosus (SLE) display increased responses following cross-linking of the surface antigen receptor. We explored the possibility that the increased responses are at least partially due to simultaneous cross-linking of the complement receptor 2 (CR2). To this end, we stimulated fresh B cells from SLE patients with an anti-IgD antibody conjugated to the Epstein-Barr virus gp350 protein, which binds to CR2, and recorded the free intracytoplasmic calcium response during the first 10 min. Despite the fact that SLE B cells were found to express half as many surface CR2 as normal B cells, both peak responses and the percentage of responding cells were significantly increased in the former. These observations suggest that regulatory molecules such as CR2 are involved in the increased B cell responses in SLE patients. We propose that certain immune complexes that circulate in the sera of SLE patients that have anti-surface immunoglobulin specificities and are decorated with natural ligands of CR2, such as C3d, elicit and promote B cell overactivity.
authors.affiliation: Department of Medicine, Walter Reed Army Medical Center, Washington, DC, USA.
authors.forename: J P
authors.initials: JP
authors.lastname: Mitchell
authors.forename: E J
authors.initials: EJ
authors.lastname: Enyedy
authors.forename: M P
authors.initials: MP
authors.lastname: Nambiar
authors.forename: A
authors.initials: A
authors.lastname: Lees
authors.forename: G C
authors.initials: GC
authors.lastname: Tsokos
mesh_terms: D000328:Adult; D000368:Aged; D000888:Antibodies, Anti-Idiotypic / Q000276:immunology; D001402:B-Lymphocytes / Q000276:immunology*; D002118:Calcium / Q000378:metabolism; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D011947:Receptors, Antigen, B-Cell / Q000502:physiology; D017464:Receptors, Complement 3d / Q000502:physiology*
chemical_list: D000888:Antibodies, Anti-Idiotypic; D011947:Receptors, Antigen, B-Cell; D017464:Receptors, Complement 3d; C039951:anti-IgD; D002118:Calcium