B cell depletion reduces the development of atherosclerosis in mice.

The Journal of experimental medicine (2010-07-07)
Hafid Ait-Oufella, Olivier Herbin, Jean-David Bouaziz, Christoph J Binder, Catherine Uyttenhove, Ludivine Laurans, Soraya Taleb, Emily Van Vré, Bruno Esposito, José Vilar, Jérôme Sirvent, Jacques Van Snick, Alain Tedgui, Thomas F Tedder, Ziad Mallat

B cell depletion significantly reduces the burden of several immune-mediated diseases. However, B cell activation has been until now associated with a protection against atherosclerosis, suggesting that B cell-depleting therapies would enhance cardiovascular risk. We unexpectedly show that mature B cell depletion using a CD20-specific monoclonal antibody induces a significant reduction of atherosclerosis in various mouse models of the disease. This treatment preserves the production of natural and potentially protective anti-oxidized low-density lipoprotein (oxLDL) IgM autoantibodies over IgG type anti-oxLDL antibodies, and markedly reduces pathogenic T cell activation. B cell depletion diminished T cell-derived IFN-gamma secretion and enhanced production of IL-17; neutralization of the latter abrogated CD20 antibody-mediated atheroprotection. These results challenge the current paradigm that B cell activation plays an overall protective role in atherogenesis and identify new antiatherogenic strategies based on B cell modulation.

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DNase I, Amplification Grade