Dysregulated IL-21-mediated phosphorylation and nuclear translocation of STAT3 in B-cells of HIV-infected individuals may be associated with increased IFN-α activity (#180)
B-cell dysfunction, including a decrease in both the magnitude and isotype diversification of IgG antibody responses, is observed in HIV-infected individuals. Given that interleukin (IL)-21 is an essential regulator of B-cell differentiation into antibody-secreting cells, defects in the IL-21 signalling pathway, including STAT3, may be occurring. As interferon (IFN)-α has been implicated in HIV-induced B-cell dysfunction, the aim of this study was to compare IL-21 induced phosphorylation and nuclear translocation of STAT3 in B-cell subsets from HIV patients and seronegative controls, and assess the effect of IFN-α upon this pathway.
Thirty HIV-1 infected patients and ten HIV seronegative controls were recruited. HIV-1 infected patients comprised both antiretroviral therapy (ART)-naïve (n=10) and ART-treated (n=20) patients. Peripheral blood mononuclear cells (PBMC) were stimulated with 50ng/mL IL-21 for 15 minutes. In a subset of controls, PBMC were additionally pre-cultured in the absence or presence of IFN-α2b. Phosphorylation and nuclear translocation of STAT3 was assessed in naïve (CD20+ CD27-) and memory (CD20+ CD27+) B-cells by flow cytometry.
Frequencies of phosphorylated (p)STAT3+ total B-cells were significantly lower in ART-naïve patients compared to controls (p=0.003) and ART-treated patients (p=0.03). When naïve and memory B-cells were assessed separately, these differences were only evident within the naïve B-cell subpopulation. Similarly, the proportions of pSTAT3+ naïve B-cells exhibiting nuclear translocation were lower in ART-naïve patients compared to controls (p=0.009) and ART-treated patients (p=0.01). These differences were not evident in the memory B-cell subpopulation. IFN-α2b increased pSTAT3 in naïve B-cells (p=0.002) but decreased pSTAT3 in memory B-cells (p=0.002). IFN-α2b also inhibited pSTAT3 translocation in naïve B-cells only (p=0.02).
IL-21-mediated phosphorylation and nuclear translocation of STAT3 is perturbed in B-cells of HIV patients and increased IFN-α activity may be responsible. This could contribute to B-cell dysfunction in HIV infection and the subsequent generation and maintenance of long-term humoral immune memory.