The role of soluble mediators in the clinical course of EBV infection and B cell homeostasis after kidney transplantation

Sci Rep. 2020 Nov 11;10(1):19594. doi: 10.1038/s41598-020-76607-z.

Abstract

Epstein-Barr virus (EBV) reactivation can lead to serious complications in kidney transplant patients, including post-transplant lymphoproliferative disorder (PTLD). Here, we have assessed the impact of EBV on B cell homeostasis at cellular and humoral level. In a multicenter study monitoring 540 kidney transplant patients during the first post-transplant year, EBV reactivation was detected in 109 patients. Thirteen soluble factors and B cell counts were analyzed in an EBV+ sub-cohort (N = 54) before, at peak and after EBV clearance and compared to a control group (N = 50). The B cell activating factor (BAFF) was significantly elevated among EBV+ patients. No additional soluble factors were associated with EBV. Importantly, in vitro experiments confirmed the proliferative effect of BAFF on EBV-infected B cells, simultaneously promoting EBV production. In contrast, elevated levels of BAFF in EBV+ patients did not lead to B cell expansion in vivo. Moreover, diminished positive inter-correlations of soluble factors and alterations of the bi-directional interplay between B cell and soluble factors were observed in EBV+ patients at peak and after clearance. Our data suggest that such alterations may counteract the proliferative effect of BAFF, preventing B cell expansion. The role of these alterations in lymphoma development should be analyzed in future studies.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • B-Cell Activating Factor / blood
  • B-Cell Activating Factor / metabolism*
  • B-Cell Activating Factor / pharmacology
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / physiology
  • B-Lymphocytes / virology*
  • Cell Line
  • Epstein-Barr Virus Infections / etiology*
  • Epstein-Barr Virus Infections / immunology
  • Female
  • Homeostasis
  • Humans
  • Kidney Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Viral Load
  • Viremia / etiology

Substances

  • B-Cell Activating Factor
  • TNFSF13B protein, human