B cell depletion reduces the development of atherosclerosis in mice

H Ait-Oufella, O Herbin, JD Bouaziz… - Journal of Experimental …, 2010 - rupress.org
H Ait-Oufella, O Herbin, JD Bouaziz, CJ Binder, C Uyttenhove, L Laurans, S Taleb
Journal of Experimental Medicine, 2010rupress.org
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 …
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-γ 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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