Pediatric rheumatology

Hyperactivation and altered selection of B cells in patients with paediatric Sjogren’s syndrome

RMD OpenPublished Mechanistic study

Authors' conclusion

Our results point to a hyperactivation of B cells in pSS.

Study context

Population
Patients with paediatric Sjögren's syndrome and age-comparable healthy donors
Participants
17 vs 13
Comparison
Patients with Paediatric Sjögren's syndrome (pSS) vs age-comparable healthy donors
  • pSSn = 17
  • Controlsn = 13reference
Outcome
B cell and T cell phenotype, BAFF levels and selection of autoreactive B cells
Methodological detailscase-control, flow cytometry, ELISA
  • Case-control
  • Flow cytometry
  • ELISA

Main finding

As reported in the abstract

  • Relative frequency of total, transitional, naïve and switched memory B cells similar between pSS and controls
  • pSS: reduced frequency of unswitched memory B cells
  • pSS: increased frequency of atypical memory B cells
  • pSS: expansion of PD1hi CXCR5- T peripheral helper cells
  • BAFF levels higher in pSS vs controls; correlated with serum total IgG and anti-Ro titres
  • Frequency of autoreactive B cells in transitional, unswitched memory and plasmablast compartments significantly higher in pSS vs controls

Original publication

Hyperactivation and altered selection of B cells in patients with paediatric Sjogren’s syndrome. RMD Open. Published 6 March 2024. doi:10.1136/rmdopen-2023-003800

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