Dependence of IgM production on culture condition
Cell population . | No. of incubated B cells per well . | IgM, ng/mL . | IgG, ng/mL . | IgA, ng/mL . |
---|---|---|---|---|
Patient no. 1 (CVID group B) | ||||
PBMCs | 30 000 | > 7 500 | 170 | 0 |
CD19+ B cells alone | 100 000 | 0 | 0 | 0 |
CD19+ B cells plus CD4+ T cells | 50 000 | > 7 500 | 40 | 0 |
Patient no. 2 (CVID group A) | ||||
PBMCs | 7 500 | 0 | 0 | 0 |
CD19+ B cells alone | 100 000 | 0 | 0 | 0 |
CD19+ B cells plus CD4+ T cells | 50 000 | > 7 500 | 110 | 0 |
Patient no. 3 (CVID group A) | ||||
PBMCs | 60 000 | 0 | 0 | 0 |
CD19+ B cells alone | 100 000 | 0 | 0 | 0 |
CD19+ B cells plus CD4+ T cells | 50 000 | > 7 500 | 290 | 80 |
CD19+ B cells plus CD19− PBMCs | 50 000 | 0 | 0 | 0 |
Cell population . | No. of incubated B cells per well . | IgM, ng/mL . | IgG, ng/mL . | IgA, ng/mL . |
---|---|---|---|---|
Patient no. 1 (CVID group B) | ||||
PBMCs | 30 000 | > 7 500 | 170 | 0 |
CD19+ B cells alone | 100 000 | 0 | 0 | 0 |
CD19+ B cells plus CD4+ T cells | 50 000 | > 7 500 | 40 | 0 |
Patient no. 2 (CVID group A) | ||||
PBMCs | 7 500 | 0 | 0 | 0 |
CD19+ B cells alone | 100 000 | 0 | 0 | 0 |
CD19+ B cells plus CD4+ T cells | 50 000 | > 7 500 | 110 | 0 |
Patient no. 3 (CVID group A) | ||||
PBMCs | 60 000 | 0 | 0 | 0 |
CD19+ B cells alone | 100 000 | 0 | 0 | 0 |
CD19+ B cells plus CD4+ T cells | 50 000 | > 7 500 | 290 | 80 |
CD19+ B cells plus CD19− PBMCs | 50 000 | 0 | 0 | 0 |
Ig production was measured either after incubation of PBMCs (5 × 105 cells/500 μL), isolated CD19+B cells alone (0.5 × 105 cells/200 μL), or in coculture with 2 × 105 CD4+ T cells or 2 × 105 CD19-depleted PBMCs (CD19−PBMCs) for 8 days. The results are presented for patient no. 1 (CVID group B according to Bryant et al9) and patient no. 2 and patient no. 3 (both CVID group A). See Table 2 for comparison with healthy donors and “Patients, materials, and methods” for further details. The numbers of B cells incubated per test are recorded in the second column. In patient no. 2, the low peripheral B-cell number is likely to be the main reason for failure of a detectable IgM production. It normalized after increasing the number of incubated B cells. PBMCs of patient no. 3, however, contained a sufficient number of B cells, but IgM production was only detectable after cocultivation of purified CD4+ T cells and CD19+ B cells. The missing IgM production after adding CD19-depleted PBMCs to isolated B cells suggests a suppressive effect of the remaining populations.