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Critical role of CD4 T cells in PF4/heparin antibody production in mice. Blood 2015 Mar 12;125(11):1826-9

Date

01/18/2015

Pubmed ID

25595736

Pubmed Central ID

PMC4357587

DOI

10.1182/blood-2014-09-603464

Scopus ID

2-s2.0-84941938986 (requires institutional sign-in at Scopus site)   24 Citations

Abstract

Antibodies specific for platelet factor 4 (PF4)/heparin complexes are central to the pathogenesis of heparin-induced thrombocytopenia. Marginal zone B cells appear to be the source of such antibodies, but whether T-cell help is required is unclear. Here, we showed that induction of PF4/heparin-specific antibodies by PF4/heparin complexes was markedly impaired in mice depleted of CD4 T cells by anti-CD4 antibodies. Furthermore, Rag1-deficient recipient mice produced PF4/heparin-specific antibodies upon PF4/heparin challenge when reconstituted with a mixture of wild-type splenic B cells and splenocytes from B-cell-deficient (μMT) mice but not splenocytes from T- and B-cell-deficient (Rag1 knockout) mice. Lastly, mice with B cells lacking CD40, a B-cell costimulatory molecule that helps T-cell-dependent B-cell responses, displayed a marked reduction of PF4/heparin-specific antibody production following PF4/heparin challenge. Together, these findings show that helper T cells play a critical role in production of PF4/heparin-specific antibodies.

Author List

Zheng Y, Yu M, Padmanabhan A, Aster RH, Yuan L, Wen R, Wang D

Author

Richard H. Aster MD Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adoptive Transfer
Animals
Antibody Formation
Antibody Specificity
B-Lymphocytes
CD4-Positive T-Lymphocytes
Disease Models, Animal
Heparin
Homeodomain Proteins
Humans
Immunization
Lymphocyte Depletion
Mice
Mice, Inbred C57BL
Mice, Knockout
Platelet Factor 4
Thrombocytopenia
Transplantation Chimera