Mature anti-insulin B cells survive and present antigen in the absence of Bruton’s tyrosine kinase.

Abstract

Abstract Bruton’s tyrosine kinase (Btk) is a tec-family kinase present in B lymphocytes and innate immune cells. Btk is an important regulator of autoreactive B cells. In the non-obese diabetic (NOD) mouse model of type 1 diabetes (T1D), Btk-deficiency is protective against disease development and results in significant loss of anti-insulin IgG, even as total IgG is preserved. Anti-insulin B cells drive T1D by presenting antigen to autoreactive T cells. In a transgenic model, conventional Btk-deficiency reduces anti-insulin B cells by 95%, effectively blocking their development. However, the ability of mature anti-insulin B cells to survive or present antigen without Btk was unknown. We induced deletion of Btk using a loxP-flanked Btk mouse model paired with tamoxifen-inducible Cre. Surprisingly, these anergic anti-insulin B cells survive without Btk, as normal numbers of mature B cells were maintained in transgenic Btkflox/Cre-ERT2 animals after tamoxifen treatment. Btk-negative anti-insulin B cells also remained able to internalize and present antigen to cognate T cells and to phosphorylate phospholipase C γ2 in response to anti-IgM. These findings show that though anti-insulin B cells require Btk for their development, it is not required for mature anti-insulin B cell survival. In addition, our finding that Btk-negative anti-insulin B cells can present antigen may have implications for the use of Btk-inhibition in autoimmunity driven by this mechanism.</jats:p