Altered B cell homeostasis and toll-like receptor 9-driven response in type 1 diabetes carriers of the C1858T PTPN22 allelic variant: implications in the disease pathogenesis

PLoS One. 2014 Oct 21;9(10):e110755. doi: 10.1371/journal.pone.0110755. eCollection 2014.

Abstract

Type 1 diabetes is an autoimmune disease caused by the destruction of pancreatic beta cells by autoreactive T cells. Among the genetic variants associated with type 1 diabetes, the C1858T (Lyp) polymorphism of the protein tyrosine phosphatase non-receptor type 22 (PTPN22) gene alters the function of T cells but also of B cells in innate and adaptive immunity. The Lyp variant was shown to diminish interferon production and responses upon Toll-like receptor stimulation in macrophages and dendritic cells, possibly leading to uncontrolled infections as triggers of the diabetogenic process. The aim of this study was to unravel the yet uncharacterized effects that the variant could exert on the immune and autoimmune responses, particularly regarding the B cell phenotype, in the peripheral blood lymphocytes of diabetic patients and healthy controls in basal conditions and after unmethylated bacterial DNA CpG stimulation. The presence of the Lyp variant resulted in a significant increase in the percentage of transitional B cells in C/T carriers patients and controls compared to C/C patients and controls, in C/T carrier patients compared to C/C controls and in C/T carrier patients compared to C/C patients. A significant reduction in the memory B cells was also observed in the presence of the risk variant. After four days of CpG stimulation, there was a significant increase in the abundance of IgM+ memory B cells in C/T carrier diabetics than in C/C subjects and in the groups of C/T carrier individuals than in C/C individuals. IgM- memory B cells tended to differentiate more precociously into plasma cells than IgM+ memory B cells in heterozygous C/T subjects compared to the C/C subjects. The increased Toll-like receptor response that led to expanded T cell-independent IgM+ memory B cells should be further investigated to determine the putative contribution of innate immune responses in the disease pathogenesis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alleles
  • B-Lymphocytes / immunology*
  • B-Lymphocytes / pathology
  • Cell Differentiation
  • Child
  • CpG Islands / genetics
  • DNA, Bacterial / administration & dosage
  • Diabetes Mellitus, Type 1 / genetics*
  • Diabetes Mellitus, Type 1 / immunology
  • Diabetes Mellitus, Type 1 / pathology
  • Female
  • Genetic Association Studies
  • Genetic Predisposition to Disease
  • Homeostasis
  • Humans
  • Insulin-Secreting Cells / immunology
  • Insulin-Secreting Cells / pathology
  • Male
  • Polymorphism, Single Nucleotide
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22 / genetics*
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22 / immunology
  • T-Lymphocytes / immunology
  • T-Lymphocytes / pathology
  • Toll-Like Receptor 9 / genetics*
  • Toll-Like Receptor 9 / immunology

Substances

  • DNA, Bacterial
  • TLR9 protein, human
  • Toll-Like Receptor 9
  • PTPN22 protein, human
  • Protein Tyrosine Phosphatase, Non-Receptor Type 22

Grants and funding

AF received funding from Italian Ministry of Health Ricerca Corrente 201202R002822-201302R002984-201302R003158. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.