RT Journal Article SR Electronic T1 Inhibition of immunoglobulin class-switching prevents pemphigus onset in desmoglein 3-specific B cell receptor knock-in mouse JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.05.23.445300 DO 10.1101/2021.05.23.445300 A1 Hisashi Nomura A1 Naoko Wada A1 Hayato Takahashi A1 Yuko Kase A1 Jun Yamagami A1 Shohei Egami A1 Hisato Iriki A1 Miho Mukai A1 Aki Kamata A1 Hiromi Ito A1 Hideki Fujii A1 Tomoyuki Ishikura A1 Haruhiko Koseki A1 Takashi Watanabe A1 Taketo Yamada A1 Osamu Ohara A1 Shigeo Koyasu A1 Masayuki Amagai YR 2021 UL http://biorxiv.org/content/early/2021/05/23/2021.05.23.445300.abstract AB Although immunoglobulin class-switching is essential for humoral immunity, its role in B-cell immune tolerance remains unclear. Pemphigus vulgaris is an autoimmune blistering disease caused by IgG targeting desmoglein 3, an adhesion molecule of keratinocytes. In this study, we generated knock-in mice that express anti-Dsg3 AK23 autoantibodies. Knock-in B cells developed normally in vivo and showed Ca2+ influx upon IgM cross-linking in vitro. The mice predominantly produced circulating AK23 IgM but little IgG antibodies. Although no IgG deposition or blister formation was observed in Dsg3-bearing tissues, Dsg3 immunization forced to induce pemphigus phenotype after class-switching to IgG in vivo. Transcriptomic analysis revealed that FCGR2B and FcγRIIB-related genes were downregulated in B cells from peripheral blood of pemphigus patients. Indeed, in AK23 knock-in mice, Fcgr2b deficiency or haploinsufficiency spontaneously led to class-switching, AK23 IgG production, and pemphigus phenotype development. Thus, inhibition of pathogenic class-switching is a crucial tolerogenic process to prevent pemphigus onset, where attenuated FcγRIIB signaling is one of the key predispositions to break this tolerogenic state.Competing Interest StatementThe authors have declared no competing interest.