PMID- 25556717 OWN - NLM STAT- MEDLINE DCOM- 20151217 LR - 20220408 IS - 1398-9995 (Electronic) IS - 0105-4538 (Linking) VI - 70 IP - 4 DP - 2015 Apr TI - IgE+ B cells are scarce, but allergen-specific B cells with a memory phenotype circulate in patients with allergic rhinitis. PG - 420-8 LID - 10.1111/all.12563 [doi] AB - BACKGROUND: Despite the critical role of immunoglobulin E (IgE) in allergy, circulating IgE+ B cells are scarce. Here, we describe in patients with allergic rhinitis B cells with a memory phenotype responding to a prototypic aeroallergen. METHODS: Fifteen allergic rhinitis patients with grass pollen allergy and 13 control subjects were examined. Blood mononuclear cells stained with carboxyfluorescein diacetate succinimidyl ester (CFSE) were cultured with Bahia grass pollen. Proliferation and phenotype were assessed by multicolour flow cytometry. RESULTS: In blood of allergic rhinitis patients with high serum IgE to grass pollen, most IgE(hi) cells were CD123+ HLA-DR(-) basophils, with IgE for the major pollen allergen (Pas n 1). Both B and T cells from pollen-allergic donors showed higher proliferation to grass pollen than nonallergic donors (P = 0.002, and 0.010, respectively), whereas responses to vaccine antigens and mitogen did not differ between groups. Allergen-driven B cells that divided rapidly (CD19(mid) CD3(-) CFSE(lo) ) showed higher CD27 (P = 0.008) and lower CD19 (P = 0.004) and CD20 (P = 0.004) expression than B cells that were slow to respond to allergen (CD19(hi) CD3(-) CFSE(mid) ). Moreover, rapidly dividing allergen-driven B cells (CD19(mid) CFSE(lo) CD27(hi) ) showed higher expression of the plasmablast marker CD38 compared with B cells (CD19(hi) CFSE(mid) CD27(lo) ) that were slow to divide. CONCLUSION: Patients with pollen allergy but not control donors have a population of circulating allergen-specific B cells with the phenotype and functional properties of adaptive memory B-cell responses. These cells could provide precursors for allergen-specific IgE production upon allergen re-exposure. CI - (c) 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Wong, K J AU - Wong KJ AD - Lung and Allergy Research Centre, School of Medicine, The University of Queensland, Woolloongabba, Qld, Australia. FAU - Timbrell, V AU - Timbrell V FAU - Xi, Y AU - Xi Y FAU - Upham, J W AU - Upham JW FAU - Collins, A M AU - Collins AM FAU - Davies, J M AU - Davies JM LA - eng PT - Journal Article DEP - 20150202 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Allergens) RN - 0 (Immunoglobulin G) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Allergens/*immunology/metabolism MH - B-Lymphocyte Subsets/*immunology/*metabolism MH - Case-Control Studies MH - Female MH - Humans MH - Immunoglobulin E/blood/*immunology/metabolism MH - Immunoglobulin G/blood/immunology MH - *Immunologic Memory MH - Lymphocyte Activation MH - Male MH - Middle Aged MH - Phenotype MH - Poaceae/adverse effects MH - Pollen/immunology MH - Protein Binding/immunology MH - Rhinitis, Allergic/diagnosis/*immunology/*metabolism MH - Rhinitis, Allergic, Seasonal/diagnosis/immunology/metabolism MH - Young Adult OTO - NOTNLM OT - B cells OT - allergic rhinitis OT - grass pollen OT - immunoglobulin E OT - immunoglobulin E B cells EDAT- 2015/01/06 06:00 MHDA- 2015/12/19 06:00 CRDT- 2015/01/06 06:00 PHST- 2014/12/19 00:00 [accepted] PHST- 2015/01/06 06:00 [entrez] PHST- 2015/01/06 06:00 [pubmed] PHST- 2015/12/19 06:00 [medline] AID - 10.1111/all.12563 [doi] PST - ppublish SO - Allergy. 2015 Apr;70(4):420-8. doi: 10.1111/all.12563. Epub 2015 Feb 2.