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Immunobiology of B Cells in Inflammatory Bowel Disease

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Crohn's Disease and Ulcerative Colitis

Abstract

B cells are an important component of mucosal immune responses in normal and diseased states. Whether B cells play a regulatory or pathogenic role in inflammatory bowel disease (IBD) has not been determined. The pathogenic role of antibodies has been suggested by the frequent presence of circulating antibodies to self- and microbial antigens in IBD. Antibodies could also regulate inflammation through Fc receptors of IgG. Although most studies performed in the experimental models of IBD suggest that B cells suppress mucosal inflammation either by secreting cytokines or by interacting with T cells, a pathogenic role of B cells has been raised in a model of ileitis. An inducible B-cell subset, termed Breg, develops in gut-associated lymphoid tissues under intestinal inflammatory conditions and causes attenuation of colitis through production of a regulatory cytokine IL-10 and by regulating T-cell expansion. An IL-12p70 producing B-cell subset capable of inhibiting colitis has also been identified. Future human studies including functional characterization of mucosal lymphocytes in normal and diseased states are needed to determine whether B cells regulate human intestinal inflammation as shown in the experimental models.

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Correspondence to Atul K. Bhan M.B.B.S., M.D. .

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Mizoguchi, A., Bhan, A.K. (2017). Immunobiology of B Cells in Inflammatory Bowel Disease. In: Baumgart, D. (eds) Crohn's Disease and Ulcerative Colitis. Springer, Cham. https://doi.org/10.1007/978-3-319-33703-6_9

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