Autoinflammatory & rare systemic diseases

B cell subsets in adult-onset Still’s disease: potential candidates for disease pathogenesis and immunophenotyping

Arthritis Res TherPublished Mechanistic study

Authors' conclusion

B cell subsets are significantly altered in AOSD patients, potentially contributing to the disease pathogenesis.

Study context

Population
Adult-onset Still's disease (AOSD) patients and healthy controls (HCs); B cell subsets in peripheral blood
Comparison
AOSD patients vs healthy controls
Outcome
Frequencies of B cell subsets in peripheral blood
Methodological detailsflow cytometry, unbiased hierarchical clustering
  • Flow cytometry
  • Unbiased hierarchical clustering

Main finding

As reported in the abstract

Frequencies of peripheral blood B cell subsets, AOSD vs HCs
  • Disease-promoting subsets (naïve B cells, DN B cells, plasmablasts) increased in AOSD
  • Potential regulatory subsets (UM B cells, CD24hiCD27+ B10 cells) decreased in AOSD

Further findings

Correlation of altered B cell subsets with clinical features in AOSD

Altered B cell subsets correlated with clinical and immunological features, e.g. immune cells, coagulation features, liver enzymes

B cell immunophenotyping clusters of AOSD patients

Three groups: group 1 (naïve B cells-dominant), group 2 (CD27+ memory B cells-dominant), group 3 (precursors of autoantibody-producing plasma cells-dominant)
The three groups differed in immune cells, liver or myocardial enzymes, coagulation features and systemic score

Original publication

B cell subsets in adult-onset Still’s disease: potential candidates for disease pathogenesis and immunophenotyping. Arthritis Res Ther. Published 15 June 2023. doi:10.1186/s13075-023-03070-2

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