RT Journal Article SR Electronic T1 PI3Kδ hyper-activation promotes the development of B cells that exacerbate Streptococcus pneumoniae infection in an antibody-independent manner JF bioRxiv FD Cold Spring Harbor Laboratory SP 280651 DO 10.1101/280651 A1 Anne-Katrien Stark A1 Anita Chandra A1 Krishnendu Chakraborty A1 Rafeah Alam A1 Valentina Carbonaro A1 Jonathan Clark A1 Srividya Sriskantharajah A1 Glyn Bradley A1 Alex G. Richter A1 Edward Banham-Hall A1 Menna R. Clatworthy A1 Sergey Nejentsev A1 J. Nicole Hamblin A1 Edith M. Hessel A1 Alison M. Condliffe A1 Klaus Okkenhaug YR 2018 UL http://biorxiv.org/content/early/2018/03/18/280651.abstract AB Streptococcus pneumoniae is a major cause of pneumonia and a leading cause of death world-wide. Antibody-mediated immune responses can offer protection against repeated exposure to S. pneumoniae, yet vaccines only offer partial protection. Patients with Activated PI3Kδ Syndrome (APDS) are highly susceptible to S. pneumoniae. We generated a conditional knockin mouse model of this disease and identified a CD19+B220− B cell subset that is induced by PI3Kδ signaling, is resident in the lungs, and which promotes increased susceptibility to S. pneumoniae during the early phase of infection via an antibody-independent mechanism. We show that an inhaled PI3Kδ inhibitor improves survival rates following S. pneumoniae infection in wild-type mice and in mice with activated PI3Kδ. These results suggest that a subset of B cells in the lung can promote the severity of S. pneumoniae infection, representing a novel therapeutic target.