IL-4 producing MAIT cells support antibody production in the peripheral
blood of Heonch-Schönlein purpura patients
Abstract
Background To investigate the phenotype and function of
mucosal-associated invariant T (MAIT) cells in the peripheral blood of
patients with Henoch-Schönlein purpura (HSP), owing to the lack of
evidence on the role of MAIT cells in HSP. Methods Blood
samples from patients with HSP and healthy donors (HDs) were assessed by
flow cytometry and single-cell RNA sequencing (scRNA-seq) to analyze the
proportion, phenotype, and function of MAIT cells. We analyzed
Th-cytokines in the serum of patients with HSP by cytometric bead array
(CBA). IgA in cocultured supernatant was detected by CBA to analyze
antibody production by B cells. Results We found that the
percentage of MAIT cells in patients with HSP was significantly reduced
compared with that in HDs. HSP MAIT cells displayed activation phenotype
with up-regulated CD69, FOS, and JUN, indicating that these cells were
in the early stage of development. HSP MAIT cells also displayed a
Th2-like profile with the capacity to produce interleukin (IL)-4 and
IL-5. We also demonstrated that IL-4 was correlated with IgA levels in
the serum of patients with HSP. Additionally, CD40L was up-regulated in
HSP MAIT cells, and CD40L+ MAIT cells showed an enhanced ability to
produce IL-4, leading to IgA secretion in patients with HSP.
Conclusion Our data demonstrate that MAIT cells in patients
with HSP exhibit an activated phenotype. The IL-4 production of CD40L+
MAIT cells in patients with HSP could take part in the pathogenesis of
HSP and this finding suggested that targeting MAIT cells may constitute
an attractive strategy for HSP.