The survival of B cells is compromised in kidney disease

Abstract Antibody-mediated protection against pathogens is crucial to a healthy life. However, the recent SARS-CoV-2 pandemic has shown that pre-existing comorbid conditions including kidney disease account for compromised humoral immunity to infections. Individuals with kidney disease are not only...

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Main Authors: Doureradjou Peroumal, Chetan V. Jawale, Wonseok Choi, Hossein Rahimi, Danielle Antos, De-dong Li, Shuxia Wang, Godhev K. Manakkat Vijay, Isha Mehta, Raymond West, Muthusamy Thangaraju, Thomas D. Nolin, Jishnu Das, John F. Alcorn, Partha S. Biswas
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-55187-w
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author Doureradjou Peroumal
Chetan V. Jawale
Wonseok Choi
Hossein Rahimi
Danielle Antos
De-dong Li
Shuxia Wang
Godhev K. Manakkat Vijay
Isha Mehta
Raymond West
Muthusamy Thangaraju
Thomas D. Nolin
Jishnu Das
John F. Alcorn
Partha S. Biswas
author_facet Doureradjou Peroumal
Chetan V. Jawale
Wonseok Choi
Hossein Rahimi
Danielle Antos
De-dong Li
Shuxia Wang
Godhev K. Manakkat Vijay
Isha Mehta
Raymond West
Muthusamy Thangaraju
Thomas D. Nolin
Jishnu Das
John F. Alcorn
Partha S. Biswas
author_sort Doureradjou Peroumal
collection DOAJ
description Abstract Antibody-mediated protection against pathogens is crucial to a healthy life. However, the recent SARS-CoV-2 pandemic has shown that pre-existing comorbid conditions including kidney disease account for compromised humoral immunity to infections. Individuals with kidney disease are not only susceptible to infections but also exhibit poor vaccine-induced antibody response. Using multiple mouse models of kidney disease, we demonstrate that renal dysfunction inhibits germinal center (GC) response against T-dependent antigens. GC B cells exhibit increased apoptosis in kidney disease. Uremic toxin hippuric acid drives loss of mitochondrial membrane potential, leading to increased apoptosis of GC B cells in a G-protein–coupled receptor 109A dependent manner. Finally, GC B cells and antibody titer are diminished in mice with kidney disease following influenza virus infection, a major cause of mortality in individuals with renal disorders. These results provide a mechanistic understanding of how renal dysfunction suppresses humoral immunity in patients with kidney disease.
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spelling doaj-art-4ad87ab755714ebe8b2a36f9cb4fc75a2025-08-20T02:26:35ZengNature PortfolioNature Communications2041-17232024-12-0115111910.1038/s41467-024-55187-wThe survival of B cells is compromised in kidney diseaseDoureradjou Peroumal0Chetan V. Jawale1Wonseok Choi2Hossein Rahimi3Danielle Antos4De-dong Li5Shuxia Wang6Godhev K. Manakkat Vijay7Isha Mehta8Raymond West9Muthusamy Thangaraju10Thomas D. Nolin11Jishnu Das12John F. Alcorn13Partha S. Biswas14Division of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghDepartment of Immunology, University of PittsburghDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghDepartment of Immunology, University of PittsburghDepartment of Immunology, University of PittsburghDepartment of Pharmacy and Therapeutics, University of PittsburghDepartment of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta UniversityDepartment of Pharmacy and Therapeutics, University of PittsburghDepartment of Immunology, University of PittsburghDepartment of Immunology, University of PittsburghDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of PittsburghAbstract Antibody-mediated protection against pathogens is crucial to a healthy life. However, the recent SARS-CoV-2 pandemic has shown that pre-existing comorbid conditions including kidney disease account for compromised humoral immunity to infections. Individuals with kidney disease are not only susceptible to infections but also exhibit poor vaccine-induced antibody response. Using multiple mouse models of kidney disease, we demonstrate that renal dysfunction inhibits germinal center (GC) response against T-dependent antigens. GC B cells exhibit increased apoptosis in kidney disease. Uremic toxin hippuric acid drives loss of mitochondrial membrane potential, leading to increased apoptosis of GC B cells in a G-protein–coupled receptor 109A dependent manner. Finally, GC B cells and antibody titer are diminished in mice with kidney disease following influenza virus infection, a major cause of mortality in individuals with renal disorders. These results provide a mechanistic understanding of how renal dysfunction suppresses humoral immunity in patients with kidney disease.https://doi.org/10.1038/s41467-024-55187-w
spellingShingle Doureradjou Peroumal
Chetan V. Jawale
Wonseok Choi
Hossein Rahimi
Danielle Antos
De-dong Li
Shuxia Wang
Godhev K. Manakkat Vijay
Isha Mehta
Raymond West
Muthusamy Thangaraju
Thomas D. Nolin
Jishnu Das
John F. Alcorn
Partha S. Biswas
The survival of B cells is compromised in kidney disease
Nature Communications
title The survival of B cells is compromised in kidney disease
title_full The survival of B cells is compromised in kidney disease
title_fullStr The survival of B cells is compromised in kidney disease
title_full_unstemmed The survival of B cells is compromised in kidney disease
title_short The survival of B cells is compromised in kidney disease
title_sort survival of b cells is compromised in kidney disease
url https://doi.org/10.1038/s41467-024-55187-w
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