Massive plasmablast response elicited in the acute phase of Hantavirus Pulmonary Syndrome

GARCIA M; IGLESIAS A; LANDONI VI; BELLOMO C; BRUNO S; CORDOBA MT; BALBOA L; FERNÁNDEZ, GC; SASIAIN MC; MARTINEZ VP; SCHIERLOH P

IMMUNOLOGY

WILEY-BLACKWELL PUBLISHING, INC

Lugar: Londres; Año: 2017 vol. 151 p. 122 - 135

0019-2805

Beside its key diagnostic value, the humoral immune response is thoughtto play a protective role in hantavirus pulmonary syndrome. However, little is known about the cell source of these antibodies during ongoinghuman infection. Herein we characterized B-cell subsets circulating inAndes-virus-infected patients. A notable potent plasmablast (PB) responsethat increased 100-fold over the baseline levels was observed around1 week after the onset of symptoms. These PB present a CD3neg CD19low CD20neg CD38hi CD27hi CD138+/ IgA+/ surface phenotype together with the presence of cytoplasmic functional immunoglobulins.They are large lymphocytes (lymphoblasts) morphologically coincident with the ?immunoblast-like? cells that have been previously described during blood cytology examinations of hantavirus-infected patients. Immunoreactivity analysis of white blood cell lysates suggests that some circulating PB are virus-specific but we also observed a significant increase of reactivity against virus-unrelated antigens, which suggests a possible bystander effect by polyclonal B-cell activation. The presence of this large and transient PB response raises the question as to whether these cells might have a protective or pathological role during the ongoing hantavirus pulmonary syndrome and suggest their practical application as a diagnostic/prognostic biomarker.