Natural killer cells determine the outcome of B cell–mediated autoimmunity

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Nathalie Lefort ◽  
Elodie Manie ◽  
Laure Coulombel ◽  
Yves Levy

Abstract In this study we report the molecular and functional characterization of very early interleukin 7 receptor α (IL-7Rα)+-CD79a+CD19– B-cell progenitors, produced by human CD34+CD19–CD10– cord blood cells grown in the presence of stromal cells and cytokines. Purified IL-7Rα+CD79a+CD19– cells transcribed the B-lymphoid specific genes E2A, EBF, TdT, Rag-1, had initiated DJH rearrangements, but almost lacked Pax-5 mRNA. When exposed to appropriate environmental conditions, these cells repressed B-cell genes and completely differentiated into CD14+ macrophages, CD56+ natural killer cells, and CD4high T cells. Retention of the DJH rearranged genes in both CD14+ and CD56+ cells unambiguously demonstrates that early B-cell genes, expressed prior to Pax-5, can be activated in a multipotent human progenitor cell whose final fate, including in non-B lineages, is determined by external signals.


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