IL-21 Rescues The Defect of IL-10-Producing Regulatory B Cells and Improves Allergic Asthma in DOCK8 Deficient Mice
Abstract Purpose Mutations in human DOCK8 cause a combined immunodeficiency syndrome characterized by allergic diseases such as asthma and food allergy. However, the underlying mechanism is unclear. Regulatory B (Breg) cells that produce IL-10 exert potent immunosuppressive functions in patients with allergic and autoimmune disorders. DOCK8-deficient B cells have been revealed diminished responses to LPS stimulation, suggesting a possible defect in IL-10-producing Breg cells in those with DOCK8 deficiency, which may contribute to allergies.Methods we collected peripheral blood mononuclear cells from DOCK8-deficient patients and generated a DOCK8KO mouse model to study the effect of DOCK8 deficiency on the Regulatory B cells.Results We show that DOCK8-deficient patients and DOCK8KO mice harbor quantitative and qualitative defects in IL-10-producing Breg cells; these defects are caused by abnormal DOCK8-/- IL-21-producing CD4+ T cells. We found that recombinant murine (rm)IL-21 restores the function of Bregs both in vitro and in DOCK8KO mice, leading to reduced inflammatory cell infiltration of the lungs in a murine asthma model. Conclusion Overall, the results provide new insight into the potential design of Breg-based or IL-21-based therapeutic strategies for allergic diseases, including asthma with DOCK8 deficiency.