Table 3.

Dependence of IgM production on culture condition

Cell populationNo. 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 
 CD19+ B cells alone 100 000 
 CD19+ B cells plus CD4+ T cells 50 000 > 7 500 40 0  
Patient no. 2 (CVID group A)     
 PBMCs 7 500 
 CD19+ B cells alone 100 000 
 CD19+ B cells plus CD4+ T cells 50 000 > 7 500 110 0  
Patient no. 3 (CVID group A)     
 PBMCs 60 000 
 CD19+ B cells alone 100 000 
 CD19+ B cells plus CD4+ T cells 50 000 > 7 500 290 80  
 CD19+ B cells plus CD19 PBMCs 50 000 
Cell populationNo. 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 
 CD19+ B cells alone 100 000 
 CD19+ B cells plus CD4+ T cells 50 000 > 7 500 40 0  
Patient no. 2 (CVID group A)     
 PBMCs 7 500 
 CD19+ B cells alone 100 000 
 CD19+ B cells plus CD4+ T cells 50 000 > 7 500 110 0  
Patient no. 3 (CVID group A)     
 PBMCs 60 000 
 CD19+ B cells alone 100 000 
 CD19+ B cells plus CD4+ T cells 50 000 > 7 500 290 80  
 CD19+ B cells plus CD19 PBMCs 50 000 

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 (CD19PBMCs) 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.

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