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Mary Kaileh                                                      NF-jB function in B lymphocytes
Ranjan Sen




                                                                 Summary: NF-jB proteins were identified in the search for mecha-
Authors’ address                                                 nisms that regulate B-lymphocyte-specific transcription of immunoglob-
Mary Kaileh1, Ranjan Sen1                                        ulin j light chain genes. Twenty-five years later, though the function of
1
 Gene Regulation Section, Laboratory of Molecular Biology        the jB site in the enhancer remains enigmatic, NF-jB proteins have been
and Immunology, National Institute on Aging, National Insti-     shown to have important roles in B-cell development, maintenance, and
tutes of Health, Baltimore, MD, USA.                             function. In this review, we summarize the functions of NF-jB in B cells.
                                                                 An overview of B-cell biology that identifies stages in the life of B lym-
Correspondence to:                                               phocytes for the general reader is followed by three sections that examine
Ranjan Sen                                                       the role of NF-jB family of proteins in B-cell development, mature B-cell
Gene Regulation Section                                          survival and B-cell function. We endeavor throughout to suggest mecha-
Laboratory of Molecular Biology and Immunology                   nisms and implications of the wide-ranging observations that have been
National Institute on Aging                                      made and conclude by highlighting the need to understand NF-jB-medi-
National Institutes of Health                                    ated gene expression in more depth.
251 Bayview Boulevard
Baltimore, MD 21224, USA                                         Keywords: NF-jB, B lymphocytes, BCR, function, development
Tel.: +410 558 8630
Fax: +410 558 8386
e-mail: ranjan.sen@nih.gov

Acknowledgements
                                                                      Overview of B-cell biology
The authors are supported entirely by the Intramural             The adaptive immune system is characterized by the ability to
Research Program of the NIH, National Institute on Aging
(Baltimore, MD). The authors have no conflicts of interest to
                                                                 respond to pathogens that have never been encountered
declare.                                                         before, to gear the response to the type of pathogen and to
                                                                 retain memory of the pathogenic encounter for subsequent
                                                                 challenge. This program is manifested by B and T lymphocytes
    This article is part of a series of                          of the immune system and the specially designed antigen
    reviews covering NF-jB appearing in                          receptors that are expressed by these cells. Unlike cells of the
    Volume 246 of Immunological Reviews.                         innate system that recognize limited numbers of pathogen-
    Video podcast available
                                                                 associated molecular patterns, each B and T lymphocyte
    Go to                                                        expresses a unique antigen receptor. Thereby, lymphocytes
    www.immunologicalreviews.com to                              provide millions of potential antigen-recognition specificities,
    watch interview with Guest Editor
                                                                 and generation of a diverse repertoire of lymphocytes is a key
    Sankar Ghosh
                                                                 feature of lymphoid development. To mount an effective
                                                                 immune response against any given pathogen, a limited num-
                                                                 ber of recognition specificities are selected from this vast rep-
                                                                 ertoire to be amplified and further differentiated to provide
                                                                 protection. At the end of the response a subset of pathogen-
Immunological Reviews 2012                                       specific cells must be preserved to provide memory. Thus, the
Vol. 246: 254–271
                                                                 history of lymphocytes consists of development, survival for a
Printed in Singapore. All rights reserved
                                                                 finite time period, selection by antigens for expansion and
Published 2012. This article is a US Government work             function, and long-term survival of memory.
and is in the public domain in the USA
Immunological Reviews
                                                                   For B cells, development starts with hematopoietic stem
0105-2896                                                        cells present in the fetal liver or the adult bone marrow. Fetal
                                              Published 2012. This article is a US Government work and is in the public domain in the USA
254                                                                                                   Immunological Reviews 246/2012
Kaileh & Sen Æ NF-jB function in B lymphocytes




B lymphopoiesis occurs in the fetal liver and provides the neo-                which leads to replacement of the light chain gene variable
nate with B cells. The functionality of these cells remains an                 region (5, 6). Association of the new light chain with the
area of much study, however it is very likely that they provide                existing IgH chain may, or may not, change receptor speci-
a degree of protection soon after birth (1). For much of the                   ficity away from self-reactivity. If it does, recombination
lifetime of vertebrates, B lymphopoiesis occurs in the adult                   ceases and the immature B cell can migrate to the periph-
bone marrow. A difference between B lymphocytes produced                       ery. Immature B-cells which remain self-reactive despite
in the fetal liver and the bone marrow is the specificity of their              consecutive VL replacements are eliminated by apoptosis. Of
antigen receptor repertoires. Generation of antigen receptor                   the approximately 18 million immature B cells that are pro-
diversity occurs at the distinct steps of B-cell development via               duced daily in mice, it has been estimated that approxi-
stage-specific rearrangement of immunoglobulin (Ig) heavy                       mately 1–2 million migrate to peripheral lymphoid organs,
(H) and light (L) chains genes (2–4). IgH gene assembly takes                  such as the spleen. It seems plausible that some form of
place first in pro-B cells (Fig. 1). Because V(D)J recombination                selection determines which immature B cells leave the bone
is error-prone, not all cells that initiate IgH gene rearrange-                marrow.
ments successfully produce IgH protein. IgH+ and IgH) cells                       Immature B cells that reach the spleen undergo further dif-
are distinguished on the basis of signals transduced via a pre-                ferentiation to produce mature B cells that are competent to
B-cell receptor (pre-BCR) composed of IgH chains and light-                    mount immune responses (7, 8). Two fundamental changes
chain-like molecules k5 and V-pre-B. pre-BCR+ cells undergo                    accompany peripheral B-cell differentiation. First, the func-
several rounds of cell division to produce pre-B-cells where                   tional consequences of BCR crosslinking are altered. Newly
IgL rearrangements take place.                                                 arrived immature B cells in the spleen, like their counterparts
   Light chains come in two varieties, kappa (j) and lambda                    in the bone marrow, die in response to BCR crosslinking. This
(k), in mice and humans. In pre-B cells, Igj rearrangements                    allows immature B cells to ‘checkout’ the peripheral environ-
occur first, followed by Igk rearrangements. Since all pre-B                    ment for potential self-reactivity. An important difference
cells contain IgH proteins, successful production Igj or Igk                   between antigen recognition by immature B cells in the spleen
allows IgH ⁄ L-containing B-cell receptors (BCRs) to be                        versus the bone marrow is that receptor editing does not
expressed on the cell surface. These cells are called immature                 occur in the spleen. During transition from immature to
B cells. If the BCR on the surface of an immature B-cell in the                mature B cells, the response to BCR-crosslinking changes from
bone marrow recognizes self-antigen, receptor editing occurs,                  cell death to cell proliferation. Second, mature B cells become




Fig. 1. Simplified scheme of B-cell differentiation in the bone marrow. Stages of B-cell differentiation from hematopoietic stem cells (HCS) dis-
cussed in this review are highlighted. The state of immunoglobulin (Ig) heavy (H) and light (L) chain gene rearrangements are noted below each
stage. The pre-B-cell receptor is composed of IgH chains and surrogate light chains; immature B cells express B-cell receptors composed of IgH plus
IgL. Receptor editing occurs in response to BCR cross-linking on immature B cells in the bone marrow, with the objective of reducing self-reactivity
by altering antigen recognition specificity. Cells that continue to be self-reactive are deleted by apoptosis, while those that are not can be exported to
the periphery.

Published 2012. This article is a US Government work and is in the public domain in the USA
Immunological Reviews 246/2012                                                                                                                        255
Kaileh & Sen Æ NF-jB function in B lymphocytes




responsive to the survival cytokine BAFF (also known as BLyS)       production by p50 ⁄ RelA double-deficient precursors is caused
which is essential for B-cell homeostasis.                          by a similar systemic stress response. While the simplest inter-
   Peripheral differentiation produces two major mature B-          pretation of the synergistic effect of the double-deletion is that
cell subsets: (i) mature marginal zone (MZ) B cells that can        p50 and RELA work together as NF-jB, it is also possible that
mount T-dependent and T-independent immune responses,               alternative functions of the p105 precursor are involved in
and (ii) follicular (FO) B cells that are the major source of       promoting cell survival during differentiation. Finally, Inlay
T-dependent immunity and B-cell memory. In addition, a              et al. (22) performed the key experiment of generating mice
third subset of mature B cells, known as B1 B cells, are            with mutations in the jB site of ijE. Igj rearrangement, de-
present in the periphery; these are believed to be of fetal         methylation and expression was unchanged on the mutant
origin (8). Here we review the role of NF-jB proteins in B-         allele, thereby providing incontrovertible evidence that the
cell development and function. Because this area of research        ijE jB site was not essential for j gene expression during nor-
has been reviewed before (9, 10), we highlight the possi-           mal B-cell development.
ble mechanisms involved and interesting interpretations of
the data, with a goal towards identifying areas for future
study.                                                                   Possible functions of the j enhancer jB site
                                                                    The strong conservation of the ijE jB site across species (23)
                                                                    suggests that it serves an important function. One possibility
     NF-jB proteins in B-cell development                           is that the ijE jB site regulates the developmental timing of
NF-jB proteins were identified based on binding to a highly          the j gene rearrangements in the bone marrow. During differ-
conserved sequence referred to as the jB site within the j          entiation, IgH gene rearrangements occur first at the pro-B cell
light chain gene enhancer (ijE) (11). Presence of NF-jB DNA         stage followed by Igj (or k) rearrangements at the subsequent
binding activity only in B lineage cells that transcribed IgL       pre-B-cell stage. Functionally, the order of rearrangements
genes, the demonstration that the jB element was important          ensures that each IgH chain that is generated pairs with multi-
for transcriptional activity of ijE (12) and later evidence of      ple light chains to increase B-cell repertoire diversity. How-
the role of ijE in Igj gene rearrangements (13, 14) suggested       ever, recent studies show that the j locus is in a permissive
a role for NF-jB transcription factor in j gene activation dur-     nuclear environment for recombination at the pro-B-cell stage
ing B-cell development. The first indication that this was not       (24, 25); yet, j transcription and the bulk of j recombination
true came from the analysis of Nfkb1 gene deleted mice, which       is restricted to the pre-B-cell stage. Taken together with the
lacked the p50 component of the ‘classical’ p50 ⁄ p65 NF-jB         observation of low levels of j recombination in pro-B cells
heterodimer (15–17). B-cell development and j gene expres-          (26, 27), one possibility is that p50 homodimer binding to
sion was unaffected in these mice (18) calling into question        the jB site may suppress recombination in pro-B cells. Relief
the prevailing hypothesis. Subsequently, p65 (RelA)-defi-            of suppression in pre-B cells would permit robust recombina-
ciency was also shown to not affect B-cell development (19).        tion to occur. In this scenario, mutation of the jB site is
   The double-deficiency of p50 and RelA was examined by             predicted to simply increase the level of j rearrangement in
reconstituting fetal liver cells of the appropriate genotypes       pro-B-cells. Since IgH rearrangements would occur simulta-
into irradiated mice (20). In these experiments p50 ⁄ RelA pre-     neously, such a timing defect may not be reflected in grossly
cursors generated B cells, but only in the presence of wild type    disrupted B-cell development. Rather, alteration of the order
cells. While demonstrating that p50 ⁄ RelA NF-jB was not            of rearrangements could be reflected more significantly in
essential for B-cell development (and by inference, Igj rear-       the diversity of the B-cell repertoire that is generated. Along
rangements), these observations also pointed towards an             the same conceptual lines, the ijE jB site may fine tune j
essential cell non-autonomous NF-jB-dependent function              gene expression in mature B cells. For example, p50 homo-
provided by hematopoietic cells for B-cell development. Based       dimers bound the jB site could reduce j gene transcription in
on a very similar phonotype of IjB kinase 2 (IKK2)-deficient         resting B cells by recruiting histone de-acetylases that are
precursors, Karin and colleagues proposed that systemic TNFa        associated with gene repression (28). During inflammatory
produced during hematopoeitic reconstitution killed off T cell      responses, p50 homo-dimers would be replaced by transcrip-
precursors that were unable to induce NF-jB (21). This effect       tion activating p50 ⁄ p65 or p50 ⁄ Rel heterodimers to enhance
was reduced when wild-type cells differentiated in the              j gene expression required to secrete large amounts of anti-
same milieu as the mutant cells. Perhaps the lack of B-cell         bodies of defined specificity.
                                                 Published 2012. This article is a US Government work and is in the public domain in the USA
256                                                                                                      Immunological Reviews 246/2012
Kaileh & Sen Æ NF-jB function in B lymphocytes




   Normal recombination order produces pro-B cells that                   ments. It is interesting to recall that onset of cellular quies-
express IgH chains but not IgL chains. Association of IgH                 cence has been related to induction of NF-jB and j gene
chain with non-rearranging k5 and V-pre-B polypeptides                    rearrangements in cell culture models as well. Specifically,
(surrogate light chains) expressed in pro-B cells generates a             Abelson virus transformed pro- ⁄ pre-B-cell lines contain very
signaling competent pre-B-cell receptor (pre-BCR). The pre-               little nuclear NF-jB and do not express Igj. Induction of qui-
BCR rescues pro-B cells from programmed cell death, induces               escence by turning off the Abl oncogene results in NF-jB
proliferation and differentiation to the pre-B-cell stage. The            induction and j gene expression and rearrangements
significant similarities in signaling pathways initiated at the            (46–48). In these systems, blocking NF-jB induction reduces
pre-BCR and the BCR (29, 30) have suggested that the pre-                 j transcription and rearrangements. Another possible function
BCR activates NF-jB during the pro-B to pre-B-cell transition.            for pre-BCR induced NF-jB could be to induce chemokine
Indeed, use of NF-jB reporter mice (31) as well as direct                 and chemokine receptor expression that would permit pre-
DNA binding assays (32) demonstrate higher levels of                      BCR-expressing cells to migrate to a different microenviron-
transcriptionally competent NF-jB in pre-B cells compared to              ment within the bone marrow. This may, in part, explain the
pro-B cells. Recently a role for ATM, downstream recombina-               reduced numbers of pre- and pro-B cells in p100) ⁄ ) and
tion-induced DNA double strand breaks, has been proposed as               p50) ⁄ RelB) mice (49, 50). Because such functions of pre-
an NF-jB-inducing stimulus (33). How such a signal coordi-                BCR induced NF-jB are likely to enhance rather than play an
nates with the pre-BCR-dependent developmental cues                       essential role in development, they may not be obvious in
remains unclear.                                                          steady-state analysis of bone marrow sub-compartments.
   Yet, there is little genetic evidence for an important devel-          Alternatively, NF-jB functions at these stages may be mani-
opmental role for NF-jB in the bone marrow. Other than the                fested at times of inflammatory stress or immune deficiency
p50 ⁄ RelA-double deficiency described above, none of the sin-             when accelerated development would be advantageous.
gle or compound mutations of NF-jB proteins result in a dis-
cernible block in B-cell differentiation (9, 10, 34, 35). Nor,
do conditional deletion of the IjB kinases affect the numbers                   NF-jB function in immature B cells in the bone marrow
or properties of pro- and pre-B cells (32, 36–38), despite                Successful completion of light chain gene rearrangements
reducing NF-jB DNA binding activity in pre-B-cells. Interest-             terminates V(D)J recombination at IgL loci and produces
ingly, modulating IjB function has been shown to affect early             immature B cells that express immunoglobulin (BCR) on the
B-cell differentiation. Specifically, ectopic expression of non-           cell surface. Cells expressing BCRs that are crosslinked by self-
degradable IjBa blocks transition of CD43+ pre-B cells to                 antigens in the bone marrow (self-reactive BCRs) undergo
CD43) pre-B-cells (31, 39), and the double-deletion of IjBa               receptor editing (Fig. 1). This process attempts to alter BCR
and IjBe leads to substantial loss of pre- and pro-B cells in the         specificity by re-activating V(D)J recombination at IgL loci to
bone marrow (40). The increased apoptosis observed in pre-B               generate new IgL chains to pair with the pre-existing IgH
cells that express a non-degradable form of IjBa suggests an              chain. Because Igk rearrangements follow the cessation of Igj
anti-apoptotic role for pre-BCR-induced NF-jB, which can be               rearrangements (51, 52), a substantial proportion of Igk-
rescued by transgenic provision of Bcl-xL. There is evidence              expressing B cells in the mouse are produced as a consequence
that apoptosis in pro-B cells that lack effective IjB function            of receptor editing. Several observations are consistent with a
may be mediated by TNFa (41).                                             role for NF-jB proteins at this stage of differentiation. First,
   Despite the lack of obvious developmental defects in B lym-            NF-jB DNA binding activity can be detected in immature
phopoiesis, it is tempting to speculate on the possible roles of          B cells, particularly those that are engaged in receptor editing
pre-BCR-induced NF-jB besides survival. First, the genes IRF4             (53, 54). Second, conditional deletion of NEMO, the double-
and 8 have been shown to be essential for appropriate devel-              deletion of IKK1 and IKK2, or deletion of TRAF6 (32) results
opment to pre-B cells (42–44). IRF4) ⁄ IRF8) pre-BCR+ cells               in a lower frequency of k+ immature B cells. Third, double-
continue to divide in response to IL-7 and do not initiate j              deletion of Nfkb1 and 2 genes leads to reduced numbers of
gene rearrangements. Because IRF-4 has been proposed to be                immature B cells (55).
a NF-jB target gene (45), it may be one of the targets of                    Analysis of the NEMO-deleted mice showed that the reduc-
pre-BCR-induced NF-jB. In this way pre-BCR signaling would                tion in k+ cells was not a consequence of reduced receptor
initiate a self-limiting proliferative phase; cessation of cell           editing because recombinase (RAG) gene expression and
division would permit the activation of j gene rearrange-                 RAG-induced DNA breaks were unaffected in this strain (32).
Published 2012. This article is a US Government work and is in the public domain in the USA
Immunological Reviews 246/2012                                                                                                              257
Kaileh & Sen Æ NF-jB function in B lymphocytes




Restoration of k+ cells by ectopic expression of a Bcl-2 trans-      by extreme susceptibility to apoptosis upon BCR stimulation,
gene suggested a role for NF-jB-dependent survival; however,         making them the target of negative selection against self-reac-
Bcl-xL expression was not affected in NEMO or IKK1 ⁄ 2-defi-          tivity in the periphery. BCR-induced cell death is mediated by
cient immature B cells. Instead, mRNA of another pro-survival        the mitochondrial pathway utilizing the pro-apoptotic BH3-
kinase, Pim2, was attenuated in the absence of IKK activity.         only domain proteins Bak, Bax, and Bim (61–63). T1 cells
Pim2 is considered to be a target of the noncanonical (alter-        develop into mature B cells via an intermediate transitional-2
nate) NF-jB pathway (56) and implicated in the survival of           (T2) stage. Whether all T1 cells that arrive in the spleen differ-
mature B cells in response to BAFF (57, 58). Thus, extended          entiate further is not clear. Indeed, a current view is that T1
survival during receptor editing may be mediated, in part, by        cells are destined to die unless ‘positively selected’ for further
BAFF-dependent mechanisms. It is also possible that other            differentiation (64, 65).
receptors and ligands activate the noncanonical NF-jB path-             A critical role for NF-jB proteins during T1 to T2 differentia-
way at this differentiation step. A model that incorporates          tion is evident from several genetic mutations (Fig. 2). First,
both canonical (classical) and noncanonical NF-jB pathways           Rel ⁄ RelA double-mutant fetal liver cells produce only T1 cells
would explain the requirement for p50 ⁄ p52 in immature              after transfer to irradiated hosts (66, 67). The extreme sensitiv-
B cells as well as the role of TRAF6 in generating of k+ cells.      ity to apoptosis of the residual IgM+ cells in this genotype is
Consistent with a dual signaling model, recent studies show          partially rescued by a Bcl2 transgene; however, differentiation
that immature B cells, particularly those that express self-reac-    remains incomplete indicating that Rel proteins are required
tive sIg, are BAFF-responsive in vitro (59).                         for differentiation as well as cell survival. Consistent with the
   Overall, the following model emerges from these observa-          idea that REL and RELA are required for differentiation to T2
tions. Immature B cells in the bone marrow that express              cells, conditional deletion of either NEMO or the double dele-
self-reactive BCRs activate classical NF-jB via a NEMO ⁄ IKK-        tion of IKK1 and IKK2, also blocks differentiation to T2 cells
dependent pathway. One of the consequences is up regulation          (32). These observations suggest that signal-induced activation
of BAFF-receptor on these cells, making them more responsive         of classical NF-jB pathway proteins is essential for T2 differen-
to BAFF-dependent survival signals. Extended survival of these       tiation. The fact that single deletion of either Rel or RelA, or
cells permits continual receptor editing that is required to         either IKK gene, does not significantly impair differentiation
generate k+ immature B cells. Disruption of canonical NF-jB          likely reflects compensatory activity of the remaining proteins.
activation could affect cellular longevity by making cells less         The most likely source of NF-jB-induction in T1 cells is the
sensitive to BAFF or by reducing levels of p100, an NF-jB tar-       BCR. This is most clearly exemplified by conditional deletion
get gene that serves as the substrate for the alternate NF-jB        of CD79a, the BCR signal transducing module, in immature
pathway. As proposed by Derudders et al. (32), such short-           B cells in vitro (68, 69). Absence of this protein leads to dra-
lived cells would initiate receptor editing but not be able to       matic alteration of the gene expression profile in these cells
proceed to ‘all the way’ to generate normal numbers of k+            towards a pattern that is more similar to that seen in pro-B
immature B cells. Despite the requirement for NEMO or                cells. Thus, constitutive BCR signaling maintains the state of
IKK1 ⁄ 2, the signaling pathway from the BCR to NF-jB in             T1 cells and is required for developmental progression. Addi-
immature B cells remains unclear. In particular, k+ cell numbers     tionally, deficiency of several cytoplasmic signaling molecules
are unaffected in Bcl10-deficient mice (32, 60), leading to the       that transduce BCR signals in mature cells also affect periph-
proposal that the BCR on immature B cells may signal to IKKs by      eral differentiation at transitional stages. The most prominent
a CBM-independent pathway. Additional studies are required to        among these are Btk, PLCc, PI3K and the adapter proteins
clarify how the BCR activates NEMO ⁄ IKK in these cells.             BLNK and BCAP; however, the effect of each mutation varies
                                                                     (70–79). Thus, the case for BCR signaling in transitional
                                                                     B cells is strong.
     NF-jB function in peripheral B-cell differentiation                However, the case for BCR signaling to NF-jB is relatively
Immature B cells that arrive in the spleen are referred to as        weak. The strongest evidence against this idea is that defi-
transitional cells and require further differentiation into          ciency in any of the CBM complex (Carma-1, Bcl10, and
mature functional B cells (7, 8) (Fig. 2). The most immature         Malt1) proteins does not affect peripheral B-cell differentiation
transitional-1 (T1) cells are virtually indistinguishable from       significantly (80–84). Because these proteins are essential for
immature B cells in the bone marrow with regard to function          BCR-induced NF-jB activation in mature B and T cells (85,
and expression of cell surface markers. They are characterized       86), the lack of developmental phenotypes of CBM mutations
                                                  Published 2012. This article is a US Government work and is in the public domain in the USA
258                                                                                                       Immunological Reviews 246/2012
Kaileh & Sen Æ NF-jB function in B lymphocytes




Fig. 2. Simplified scheme of peripheral B-cell differentiation. Transitional Type 1 (T1) cells are the most immature cells to arrive in the spleen from
the bone marrow. T1 cells differentiate via an intermediate T2 stage to mature follicular (FO) and marginal zone (MZ) B cells. A T3 stage has been pro-
posed but is not discussed in this review. Single- or compound gene deletions that affect peripheral differentiation are noted and discussed in the text.


has been taken to indicate that BCR signaling to NF-jB is not                  signaling (see below). Third, T2 cells begin express higher
involved in transitional B cells. There is some evidence, how-                 levels of BAFF-R and become responsive to survival signaling
ever, that absence of Bcl10 adversely affects maturation of T2                 by BAFF. Two observations provide clues as to how BAFF-R
cells to follicular B cells (60). Moreover, biochemical studies                expression is regulated in the T1 to T2 transition: (i) BCR
also indicate that BCR crosslinking by anti-Ig does not induce                 crosslinking upregulates BAFF-R expression in mature B cells
classical NF-jB DNA binding in T1 cells (87, 88). How can                      (93), and (ii) this does not occur in Rel-deficient cells (88).
we reconcile the requirement for inducible canonical NF-jB                     Thus, upregulation of BAFF-R in T2 cells may also reflect the
components in T1 ⁄ T2 differentiation with the apparent                        connection of BCR signaling to Rel in these cells. Overall, T2
absence of a connection to the BCR? The most prosaic expla-                    cells bear a ‘more competent’ BCR and higher levels of BAFF-
nation is that the NF-jB-inducing signal originates at a recep-                R, which together may determine many of the characteristics
tor other than the BCR. While we cannot rule out this                          of these cells.
possibility till such a receptor is identified, we consider it                     While development beyond T2 stage requires BAFF ⁄ BAFF-R
more likely that the BCR in T1 cells is connected to IKKs dif-                 interactions, recent evidence indicates that such signals may
ferently than it is in mature cells (89). Mechanistically, this                be initiated earlier in T1 cells. Specifically, Hoek et al. (94)
may be because the BCR in T1 cells is not associated with lipid                showed that B-cell development in mice deficient for both Btk
rafts (90–92), resulting in a distinct constellation of signaling              and BAFF-R was blocked at the T1 development stage. Since
proteins in its vicinity.                                                      each individual mutation blocks differentiation at the T2
   Differentiation to the T2 transitional stage requires alternate             stage, these observations suggested that some BAFF signaling
NF-jB function. This is exemplified by blocks at the T2 stage                   occurred at the earlier stage as well. Additionally, Rowland
of development in Nfkb1 and Nfkb2 double-deficient precursors                   et al. (59) showed that differentiation of immature bone mar-
(55), as well as in IKK1-deficient precursors (56). The                         row B cells to transitional cells was enhanced in the presence
response of T2 cells to BCR crosslinking is distinct from T1                   of BAFF (T1 cells express BAFF-R, though at lower levels than
cells in several ways that involve NF-jB proteins. First, BCR                  T2 cells). Perhaps the reduced importance of BAFF ⁄ BAFF-R at
crosslinking induces classical NF-jB and long-term REL induc-                  the T1 stage is in part due to inefficient BCR signaling
tion in T2 cells (88). Both these are characteristic of the NF-                that prevents BAFF-R upregulation or efficient generation of
jB response of mature B cells (see below). Consequently, REL                   p100.
target genes, such as Bcl-xL and A1, are activated in T2 cells
but not in T1 cells. This is likely to be an important mecha-
nism that makes T2 cells less susceptible to BCR-induced cell                       NF-jB proteins in mature B-cell survival
death. The molecular basis for differential BCR signaling to                   NF-jB proteins have essential roles in the generation and ⁄ or
REL in T2 cells is not known. Second, BCR signals in T2 cells                  maintenance of mature B cells. Of the two major subsets of B
upregulate expression of Nfkb2 gene resulting in the produc-                   cells produced in the adult, MZ B cells are more susceptible to
tion of p100 protein (88). This is potentially an important                    NF-jB deficiency. This is reflected in reduced MZ B cells
aspect of the survival characteristics of T2 cells because p100                numbers in several Rel-family single gene deficiencies, includ-
is an important substrate for BAFF-R-dependent survival                        ing Nfkb1 and RelB (Fig. 2). Absence of Rel appears not to affect
Published 2012. This article is a US Government work and is in the public domain in the USA
Immunological Reviews 246/2012                                                                                                                        259
Kaileh & Sen Æ NF-jB function in B lymphocytes




MZ B cells, and their status in RelA deficiency has yet to be
clearly defined. Follicular (FO) mature B cells are less affected          BAFF ⁄ BAFF-R activates canonical and noncanonical
                                                                          NF-jB
by single gene deficiencies, though they are significantly
reduced in several compound deficiencies such as Nfkb1 ⁄ 2,           BAFF ⁄ BAFF-R interaction activates multiple pro-survival
Nfkb1 ⁄ RelB, and RelA ⁄ Rel. Both kinds of mature B-cell subsets    mechanisms in mature B cells, including activation of the non-
are also reduced in mice that lack IKK1 and IKK2 or NEMO.            canonical NF-jB pathway (103, 104). In accordance with an
These observations demonstrate that both canonical and               important role for this pathway in B-cell survival, Nfkb2-defi-
noncanonical pathway NF-jB proteins are required for mature          cient B cells are refractory to BAFF-dependent survival in vitro.
B-cell generation and ⁄ or maintenance, and that their function      However, the presence of mature follicular B cells in
must be induced via the IKKs.                                        Nfkb2- and RelB-deficient mice (105, 106) indicates that other
   Two receptors that are known to be essential for mature B-        features of BAFF-R signals compensate for the lack of these
cell survival are the BCR and the BAFF-R. Mice that carry            proteins in vivo. One of the prominent nuclear targets of the
genetic mutations in genes encoding either BAFF or the BAFF-         resulting p52 ⁄ RelB heterodimer is the gene encoding the
R lack mature B cells (95, 96). BAFF ⁄ BAFF-R stimulation is         Ser ⁄ Thr kinase Pim2 (56). Unlike Nfkb2-deficient B cells, how-
required continuously to maintain the peripheral B-cell pool         ever, Pim2-deficient B cells respond to BAFF treatment in vitro
since intravenous administration in mice of Fc receptor fusion       with increased viability indicating that p52 ⁄ RelB must activate
proteins that bind BAFF results in the rapid loss of mature B        additional survival genes in BAFF-treated cells (58). These
cells (97, 98). The survival response of mature B cells to BAFF      currently unknown genes appear to be downstream of mTOR
requires a signaling-competent BCR. This was shown by con-           because BAFF-responsiveness of Pim2-deficient cells is abro-
ditional deletion of genes encoding either the immunoglobu-          gated by rapamycin. Woodland et al. (58) connected BAFF-
lin heavy chain (99) or the signal-transducing chaperones Iga        dependent survival signaling via mTOR and PIM2 to the
and Igb (100); disruption of the BCR complex led to loss of          induction ⁄ maintenance of Mcl-1 expression. Though the
mature B cells within 24–48 h, despite the presence of sys-          mechanism of Mcl-1 induction ⁄ maintenance is not clear, this
temic BAFF.                                                          is an important connection because, along with components
   Because the BCR on naive B cells provides survival signals in     of the BCR or BAFF-R and BAFF, Mcl-1 is essential for survival
the absence of overt antigen, this kind of signaling has been        of mature B cells in mice (107).
referred to as ‘tonic signaling’ (101). BCR signaling that              In addition to the noncanonical NF-jB pathway, BAFF ⁄
occurs in immature B cells (discussed above) is also a kind of       BAFF-R interaction has also been shown to activate canonical
tonic signaling, though its similarity to survival signaling in      NF-jB via a Btk-dependent pathway, resulting in induction of
mature B cells remains unclear. While the term tonic signaling       RELA- and REL-containing DNA binding activities (108, 109).
implies that it occurs in the absence of BCR recognition, it is      This induction is relatively rapid and may provide short-term
quite possible that it is mediated by weak interactions of the       survival function to B cells treated with BAFF. However, long-
BCR with self-molecules whose affinity is below the threshold         term survival in the presence of BAFF requires kinases and
to induce negative selection (at the immature stage) or to           proteins of the noncanonical NF-jB pathway. Short-term
trigger self-reactivity (at the mature stage). Rajewsky and          canonical NF-jB activation by BAFF may also contribute to
colleagues (102) have genetically explored the signaling             BAFF-dependent survival by inducing p100 protein to serve as
pathway downstream of tonic BCR signaling and found that             a substrate for the noncanonical pathway. In this way, BAFF
loss of the BCR on mature B cells can be compensated by              treatment can initiate a positive autoregulatory loop involving
provision of a constitutively active form of the catalytic sub-      canonical and noncanonical NF-jB activation. However, the
unit of PI3 kinase. In contrast, constitutively active IKK2,         loop is not sufficient by itself to induce long-term BAFF-
constitutively active Akt or Bcl-2 did not rescue BCR defi-           dependent B-cell survival in the absence of the BCR.
ciency. The mechanism by which active PI3K permits B cells              Despite the critical role of the noncanonical NF-jB pathway
to respond to BAFF signaling remains unclear. It is likely           in mediating BAFF-dependent survival signals, expression of
that tonic BCR signaling is a source of constitutive NF-jB in        constitutively active IKK2 (Ikk2ca), which induces canonical
mature B cells via continued degradation of IjBa (see                NF-jB, in mice completely restores the B-cell deficiency in
below). While this may be an essential function, signaling           BAFF-R-deficient mice (110). This includes generation of fol-
to NF-jB does not recapitulate all functions of tonic BCR            licular mature and marginal zone B cells and restoration of
signaling.                                                           splenic architecture. B cells from Ikk2ca mice have higher
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Kaileh & Sen Æ NF-jB function in B lymphocytes




nuclear levels of classical NF-jB proteins, such as RELA, but             NF-jB. Additionally, high basal PI3K activity may enhance
not of p52, suggesting that generation and survival of mature             responses to NF-jB-inducing stimuli during immune
B cells in these animals is entirely dependent on canonical NF-           responses. The continuous requirement for PI3K activity in B
jB pathway signaling. These observations suggest that synergy             cells is exemplified by the absence of mature B cells in mice
between BCR and BAFF-R for B-cell survival may ultimately                 deficient in various components of PI3K (74, 77, 121), as
funnel through activation of classical NF-jB. Perhaps the con-            well as the extreme sensitivity of mature B cells to apoptosis
stitutive NF-jB DNA binding activity that is present in human             upon pharmacologic inhibition of PI3K ex vivo. However, these
and mouse mature B cells reflects canonical pathway activation             components have not been conditionally deleted after B-cell
by both these receptors.                                                  maturation is complete to unequivocally distinguish whether
                                                                          they are required for differentiation and ⁄ or maintenance of
                                                                          mature B cells. BAFF-R signaling also induces expression of
     Cross-talk between BCR and BAFF-R                                    CD21, a component of the CD19 ⁄ CD21 co-receptor complex
Regulating B-cell homeostasis via two receptors provides flexi-            (122, 123). This complex lowers the threshold for BCR sig-
bility in modulating survival requirements during different               naling thereby completing another mutually re-enforcing
phases of the immune response. For this, it is imperative that            loop, whereby signals through the BCR feed into the BAFF-R
the two receptors cross-talk. This occurs at multiple levels              pathway and, conversely, BAFF-R signals enhance BCR signal-
between BAFF-R and the BCR. As briefly described in preced-                ing. Each of these loops involves components of canonical and
ing section, BCR crosslinking on mature cells increases expres-           noncanonical pathway NF-jB proteins.
sion of the BAFF-R, thereby sensitizing cells to BAFF
signaling. In addition, NF-jB activation by of the BCR acti-
vates Nfkb2 and RelB gene expression (111–113), which are                       NF-jB function in mature B cells
substrates for alternate pathway activation by BAFF-R. We                 Beyond the essential requirement for NF-jB proteins for B-cell
have proposed that activation of p100 as a consequence of                 maturation and homeostasis, inducible NF-jB activation is
tonic BCR signaling may be an important determinant for the               critical for effective immune responses. The major initiators of
dual requirement of the BCR and BAFF-R for maintenance of                 NF-jB signaling in B cells are the BCR, various members of
mature B cells (114). In these studies, pharmacological inhibi-           the TNF receptor superfamily (in particular BAFF-R, TACI,
tion of Syk tyrosine kinase activity in mature B cells ex vivo            BCMA and CD40), and Toll-like receptors (in particular TLR4
abrogated BCR ligand-independent upregulation of p100. Syk                and 9). The constitutive nuclear NF-jB found in murine sple-
inhibitor-treated cells did not maintain long-term alternate              nic B cells consists primarily of REL-containing complexes
NF-jB activation in response to BAFF, which correlated with               (124–126); the hetero-dimeric partner is most likely p50,
reduced survival of these cells. Our interpretation of these              though the presence of B cells in Nfkb1-null mice indicates that
observations is that continuous p100 protein production in                p52 can substitute effectively or that REL homodimers suffice
response to BCR-initiated signals is essential for BAFF-depen-            in the absence of p50. Similarly, REL and RELA also have
dent cell survival. In follow up studies, we found that PI3K              mutually compensatory functions because genetic deletion of
activity is required for tonic, or BCR-inducible, expression of           either does not impair the generation of mature B-cells. We
p100 (unpublished data, MK and RS). Thus, one way in                      have proposed that the predominance of REL-containing com-
which PI3K activity may compensate for tonic BCR signals is               plexes in B cells may be due to increased nuclear export of
by generating a pool of p100 protein that can mediate BAFF-               RELA-containing complexes by IjBa because of the nuclear
R-initiated survival signals.                                             export sequence (NES) present at the C-terminus of RELA
   Conversely, BAFF-R-initiated signals enhance BCR signals in            (127–130). REL does not contain a corresponding NES and
several ways. For example, BAFF ⁄ BAFF-R interaction induces              may therefore be better retained in the nucleus compared to
PI3K and Akt activation (58, 115, 116). PI3K activity has been            RELA. Indeed, B-cell differentiation and function is hampered
shown to be essential for BCR-induced NF-jB activation in B               in mice whose IjBa-protein lacks an NES (131). In these mice
cells (117), and active forms of Akt have been shown to                   non-functional REL ⁄ IjBa- complexes accumulate in B-cell
induce NF-jB-dependent transcription in reporter assays                   nuclei, making them unavailable for IKK-dependent activation.
(118–120). Continuous in vivo stimulation of B cells with                 This leads to reduced Nfkb2 and RelB gene expression and, as a
BAFF may produce constitutively high basal PI3K activity in               consequence, both canonical and noncanonical NF-jB induc-
these cells that lowers the threshold of tonic BCR signaling to           tion and function is impaired. These observations show that
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shuttling of NF-jB proteins between the nucleus and                     significantly diminished in REL-containing complexes. Based
cytoplasm is an essential functional feature of these proteins,         on additional biochemical studies, Ferch et al. (133) con-
and highlight the connection between canonical and noncano-             cluded that presence of MALT1 in the WT CBM complex tar-
nical NF-jB signaling in the maintenance of mature B cells.             gets IKK activity to REL ⁄ IjB complexes, whereas the
                                                                        heterodimeric CARMA1 ⁄ Bcl10 complex can target IKK only to
                                                                        RELA-containing complexes. An obvious implication of this
     NF-jB response to BCR crosslinking                                 observation is the existence of another level of molecular rec-
BCR crosslinking with anti-l chain F(ab¢)2 fragment has been            ognition that distinguishes RELA- or REL complexes. This
used as a surrogate for antigen-dependent B-cell activation.            could occur, for example, by spatial segregation of RELA- or
This treatment leads to rapid NF-jB nuclear translocation via           REL complexes within the cytosol such that active IKKs need
the canonical pathway. The signaling pathway that connects              to be directed to different subcellular regions to activate each
the BCR to NF-jB has been intensely studied and summarized              complex. Alternatively, RELA- or REL-containing complexes
in several excellent reviews (10, 132). Briefly, BCR crosslink-          may need to be recruited to distinct compartments for the
ing activates Src tyrosine kinases leading to phosphorylation           associated IjBs to be phosphorylated by IKK; in this model,
of ITAM motifs in BCR-associated signaling proteins CD79a               the sub-compartments that contain CB or CBM complexes
and b (Iga and Igb). These phosphorylated ITAMs recruit and             may be different. Finally, it is possible that REL and RELA are
thereby activate the Syk kinase, which via phosphorylation of           differentially associated with IjBa, b, and e. In this scenario,
adapter proteins such as BLNK, Bam32, and BCAP results in               ‘weakened’ NF-jB signaling via the CB complex may target
the activation of downstream kinases cascades including                 one IjB better than the others, leading to induction of the Rel
MAPKs and PI3K. Syk also activates Btk, which is essential for          proteins associated with that IjB but not the other IjBs. Some
phosphorylating and activating PLCc. PLCc enzymatic activity            evidence for differential REL ⁄ IjB association and its functional
results in the generation of IP3 and diacyl glycerol; the former        consequences have been previously noted in T cells (134).
binds to receptors in the endoplasmic reticulum (ER) to                    Spatial control may also explain the essential requirement
release calcium from ER stores and the latter is required to            for PI3K in canonical NF-jB activation via the BCR. Since dele-
activate protein kinase C b (PKCb). PKCb phosphorylates the             tion of genes encoding PI3K catalytic or regulatory subunits
adapter CARMA1 leading to generation of a complex contain-              lead to developmental defects that prevent generation of
ing CARMA1, Malt1 and Bcl10 (the CBM complex) which                     mature B cells, the best evidence of a role for PI3K in NF-jB
serves as a scaffold to bring together the IjB kinases and the          activation comes from pharmacologic inhibition of PI3K dur-
kinase that activates IKKs. In B cells the latter is likely to be the   ing BCR crosslinking of mature wildtype cells (117). The most
TGFb-activated kinase 1 (TAK1). TAK1-mediated phosphory-                likely point of intersection of PI3K with the signaling scheme
lation of IKK2 results in IKK2 activation, which then phospho-          summarized above is Btk. Reduced NF-jB induction in B cells
rylates IjB proteins leading to their ubiquitination and                from xid mice (135, 136), that express Btk protein with a
degradation. As a consequence NF-jB proteins, that were                 point mutation in the membrane-targeting PH domain, has
bound to the IjBs are free to translocate to the nucleus and            been attributed to lack of Btk activity. However, recent studies
activate gene expression. This multi-enzyme cascade leads to            show that Btk activation, as evidenced by production of phos-
NF-jB activation within 30 min of BCR crosslinking in naive             pho-Btk is normal in xid B cells. The problem seems to be that
murine splenic B cells; the resulting nuclear NF-jB consists of         xid Btk is unstable and present at low levels in the cells, sug-
RELA- and REL-containing homo- and heterodimers.                        gesting that membrane recruitment by interaction with PIP3
   Despite the considerable detail in which this pathway is             stabilizes the protein (137). Thus, PI3K-dependent PIP3 pro-
understood, some features remain unclear. One of these is the           duction is a key intermediate in maintaining sufficient levels
intriguing observation that the characteristics of B cells singly       of Btk. Additionally, PLCc activation by membrane-bound Btk
deficient in either CARMA1, or Bcl10 or Malt1 are not                    may localize active PLCc close to its substrate in the plasma
identical with regard to NF-jB activation. In particular, Bcl10-        membrane for effective function. In this manner, membrane
deficient B cells do not activate IKKs (and thereby do not               localization of Btk and PLCc may drive NF-jB activation in
induce NF-jB) in response to BCR crosslinking whereas Malt1-            B cells. It is interesting to note that NF-jB activation in T cells
deficient B cells activate IKKs (though not as robustly as               also requires PI3K, though for different reasons. In T cells,
wildtype B cells) leading to IjB degradation (133). However,            non-classical PKCh is the enzyme that activates the CBM
nuclear NF-jB that is induced in Malt1-deficient B cells is              complex by phosphorylating CARMA1. PKCh activation is
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Kaileh & Sen Æ NF-jB function in B lymphocytes




mediated by the kinase PDK1 which, like Btk, contains a PH                autoimmunity, together with elevated expression of NF-jB
domain and requires binding to PI3K-dependent PIP3 for                    target genes (154–156). However, the stage at which B-cell
activity (138). PI3K activity in T cells requires co-crosslinking         activation is most susceptible to A20-dependent downregula-
of the T-cell antigen receptor and the co-receptor CD28; in               tion remains unclear. Similarly CYLD-deficiency results in
B cells PI3K may be activated by BCR-associated CD19 (139,                higher basal levels of NF-jB in B cells due to higher IKK2
140) or activation of the adapter protein BCAP after BCR                  activity and increased numbers of MZ B cells (157, 158).
crosslinking (141, 142).

                                                                                Function of Phase I NF-jB
     Kinetics of NF-jB activation by BCR                                  Identifying target genes of a specific transcription factor
NF-jB induced by the canonical pathway in response to BCR                 requires a combination of assays which must include: (i) eval-
crosslinking is transient (143). This wave of NF-jB contains              uation of transcript levels in the presence, or absence, of the
both RELA- and REL-containing DNA-binding proteins,                       transcription factor, (ii) chromatin immunoprecipitation to
reaches a maximum at 1–2 h post-activation and is consider-               determine transcription factor binding to important regulatory
ably reduced by 6 h. Thereafter, nuclear RELA levels remain               sequences of putative target genes, and (iii) evaluation of the
low despite continued presence of BCR crosslinking antibody.              importance of the identified binding sites for gene transcrip-
At longer time points lasting until 24 h the NF-jB response is            tion. NF-jB targets in activated B cells have not been indenti-
dominated by REL. We refer to these as Phases I and II of NF-             fied in this comprehensive fashion; however, the identity of
jB induction and have proposed that each serves distinct func-            some putative NF-jB targets affords a perspective into the
tions. These observations raise two questions: (i) what is the            function of phase I NF-jB. Amongst genes that were highly
mechanism that restricts classical NF-jB to one cycle of activa-          induced within the first 3 h were the chemokines CCL3 and
tion, and (ii) what are the functions of each phase?                      CCL4, the chemokine receptor CCR7, the transcription factors
   Several possible mechanisms have been put forward for lim-             IRF4 and c-Myc and the signaling proteins DUSP1 and Plk3.
iting the duration of NF-jB activation in various cell types and          CCL3 and 4 are interesting because they serve as chemoattrac-
in response to diverse NF-jB activators (144). However, most              tants for CD4+ T cells (159). By attracting CD4+ T cells, anti-
of these mechanisms have not been experimentally evaluated                gen exposure increases the probability of B cells to present
in BCR-activated B cells. Our working model is that the major             antigens to T cells of the right specificity. Once activated such
contributor to Phase I NF-jB downregulation is repression                 T cells would provide help to B cells via the CD40 ⁄ CD40L
mediated by newly-synthesized IjBa. This is the oldest model              pathway. The chemokine receptor CCR7 has been implicated
of post-activation NF-jB suppression (145, 146) and is based              in the movement of B cells towards the T-cell zone in the
on NF-jB-dependent transcription and de novo synthesis of                 spleen (160), which is enriched for CCL21, the chemokine
IjBa protein. The newly synthesized IjBa migrates into the                ligand of CCR7. We have proposed that these Phase I NF-jB
nucleus, removes DNA-bound IjBa and exports it out of the                 genes would maximize the possibility of B ⁄ T encounter to ini-
nucleus (130, 147, 148). The cytosolic NF-jB ⁄ IjB complex                tiate T-dependent B-cell immune responses. The transcription
may not be re-induced despite continuous BCR crosslinking                 factor c-Myc is essential for G1 progression of activated B cells
for several reasons. One possibility is that re-expression of sur-        (161, 162), and IRF4 is known to be required for cell growth
face Ig after receptor endocytosis takes substantially longer             and differentiation of B cells (163). Thus, putative NF-jB tar-
(149, 150) than the duration of phase I NF-jB. Moreover,                  get genes induced during Phase I serve a range of functions
continued BCR crosslinking and resulting re-endocytosis may               including re-distribution of B cells, inducing cell cycle pro-
prevent expression of substantial levels of the BCR to permit             gression and differentiation, and altering signal transducing
effective IKK activation to induce a second cycle of canonical            properties.
NF-jB activation. Additional mechanisms may also reduce the                  One of the ways we imagine that T-dependent immune
effectiveness of BCR signaling to NF-jB, such as inactivation             responses are initiated is antigen binding to the BCR, followed
of Bcl10 by degradation or phosphorylation as has been noted              by endocytosis, proteolytic digestion, and expression of anti-
in T cells (151, 152), or activation of de-ubiquitinating                 genic peptides on MHC class II molecules on the cell surface.
enzymes such as A20 and CYLD (153). An important role for                 These MHC class II-bound peptides are recognized by T cells
A20 in B-cell physiology is evident from the observation that             of the appropriate specificity, leading to activation of antigen-
B-cell-specific A20 deficiency leads to hyper proliferation and             specific T cells that provide B-cell help. To mimic this
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Immunological Reviews 246/2012                                                                                                              263
Kaileh & Sen Æ NF-jB function in B lymphocytes




scenario, where there is limited BCR engagement with antigen,       CsA points to two well-studied transcription factors, NF-AT
we used a pulse-activation protocol to stimulate B-cells with       and Mef2c, whose nuclear induction and ⁄ or transcriptional
single round of surface BCR signaling. Virtually the entire         activity are suppressed by CsA (168–170). Though phenotyp-
phase I NF-jB program was recapitulated with this form of           ically Mef2c-deficient B cells resemble Rel-deficient B cells in
pulse BCR-activation. Nuclear RELA and REL proteins were            terms of their sensitivity to BCR-induced death and lack of
induced with indistinguishable kinetics in pulse- versus con-       BclxL mRNA induction (171), REL induction in response
tinuously activated cells, and gene expression analysis in          to anti-IgM occurred normally in Mef2c-deficient B cells.
pulse- or continuously activated cells showed that 70–80% of        Though Rel induction has not yet been directly analyzed in
inducible genes were comparably induced during the period           NF-AT-deficient mice, Gerondakis and colleagues (172) have
of phase I NF-jB activation under both conditions (143).            previously proposed that Rel mRNA in TCR-activated T cells is
These included 80% of putative NF-jB target genes induced           induced by NF-AT. Our working hypothesis is that Rel gene
over the course of the first 3 h, among which were genes             induction by the BCR is also mediated by NF-AT proteins.
highlighted above. Despite normal up- and down-regulation
of c-Myc mRNA, however, pulse-activated B cells did not
show any evidence of G1 progression. Instead, these cells                NF-jB response to CD40
responded more robustly to CD40 crosslinking as evidenced           T-dependent immune responses generate different classes of
by biochemical markers of G1 progression such as Cdk2 ⁄ 4           high affinity antibodies via class switch recombination (CSR)
and Cyclin D2 ⁄ E expression, and phosphorylation of retino-        and somatic hypermutation (SHM). These processes which
blastoma protein. Additionally anti-CD40 treatment of pulse-        occur in germinal centers within the spleen and Peyer’s
activated B cells resulted in a more rapid increase of cell size    patches within the gut, critically require CD40 on the B-cell
compared to naive B cells activated by CD40. Taken together,        surface and induced CD40 ligand (CD40L) on CD4+ T-
with activation of CCL3, CCL4 and CCR7 our working model            follicular helper cells. CD40 or CD40L deficiency in mice leads
is that pulse-activation primes B cells in different ways to        to defective affinity maturation of antibody responses, and
receive T-cell help.                                                mutations in the CD40L gene in humans is one of the causes
                                                                    of hyper-IgM syndrome, which is associated with lack of IgG
                                                                    in the serum and recurrent bacterial infections. Ex vivo stimula-
     Characteristics of phase II NF-jB                              tion of naive B cells by CD40 crosslinking, or via CD40L, leads
Phase II NF-jB, which requires continuous BCR crosslinking,         to cell proliferation and CSR; signaling to NF-jB is essential
is dominated by nuclear expression of REL and coincides with        for these functions of CD40.
de novo Rel transcription and translation. Early studies showed        Like other members of the TNF-receptor superfamily, CD40
that long-term survival of BCR-activated cells was severely         signals canonical NF-jB induction by activating IKK complex
impaired in Rel-deficient B cells due to reduced expression of       via TRAF proteins (173, 174). One of the most significant dif-
the anti-apoptotic genes Bcl-xL and A1 (164, 165). These            ferences between CD40-induced and BCR-induced canonical
observations are almost entirely the results of Phase II Rel        NF-jB is that unlike the BCR, CD40 induces persistent NF-jB
activation. Accordingly, Bcl-xL is transiently expressed in         activation (175). This NF-jB comprises of both RELA- and
pulse-activated cells, while A1 expression requires continuous      REL-containing DNA-binding activities. The basis for persistent
treatment with anti-IgM. Thus, a major function of Phase II         NF-jB activation by CD40 has not been satisfactorily explained.
NF-jB is to maintain cell viability in BCR-activated cells in       Like the mechanism proposed for persistent NF-jB activation
order to permit cell division. Rel is known to be an inducible      by LPS in mouse embryo fibroblasts (176, 177), one possibility
gene and has been proposed to be auto-regulated by NF-jB.           is that CD40 crosslinking produces an NF-jB-inducing cyto-
Our preliminary results show that phase II Rel induction            kine that feeds back to reactivate NF-jB in these cells. However,
occurs normally in PKCb-deficient B cells where classical NF-        such a cytokine has not been identified. Alternatively, it is pos-
jB activation is impaired, and in WT B cells activated in the       sible that downregulatory mechanisms, such as degradation of
presence of a pharmacologic inhibitor of IKK2. These observa-       intermediate cytosolic signaling proteins, are not efficiently
tions indicate that canonical NF-jB induction is not required       activated after CD40 stimulation. In this scenario, post-activa-
to induce phase II REL. Instead, Rel expression is sensitive to     tion repression by de novo synthesized IjBa may be ineffective
calcium chelators and is blocked by cyclosporine A (CsA)            because the rate of IjBa degradation (by continued CD40 sig-
treatment during BCR activation (166, 167). Sensitivity to          naling) out-competes the rate of new IjBa synthesis.
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264                                                                                                      Immunological Reviews 246/2012
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   Despite persistent induction of RELA, Rel-deficient B cells do          LPS-induced NF-jB DNA binding and j gene transcription in
not proliferate or carry out CSR in response to CD40. Thus,               pre-B-cell lines was the basis of the idea that NF-jB directly
RELA apparently cannot substitute for some essential func-                activated j gene transcription via the j intron enhancer. More-
tion(s) of REL. The transcription factors E2F3, Myc, and IRF4             over, ‘super-induction’ of NF-jB DNA binding activity by LPS
have been proposed to be Rel-responsive target genes involved             in the presence of protein translational inhibitors led to the
in the proliferative response; whether these genes are suffi-              post-translational model (180) that is currently referred to as
cient to explain the lack of proliferation of Rel) ⁄ ) B cells            the canonical pathway. Super-induction of NF-jB also pre-
remains to be determined. The critical role of REL in mediat-             saged the idea of post-induction repression by a newly synthe-
ing CD40 signals is also emphasized by the lack of organized              sized inhibitor of NF-jB. LPS was used in these early studies
germinal center formation after immunization of Rel-deficient              because of its well-known property of being a B-cell mitogen.
mice with T-dependent antigens as well as reduced CSR in vivo                The current state of the mature B-cell response to LPS has
and in vitro (178). This effect is exacerbated in p50 ⁄ REL dou-          been recently reviewed (181). LPS treatment induces REL-
ble-deficient mice. It is interesting that CD40 treatment of B             and RELA-containing NF-jB persistently via the canonical
cells does not induce the equivalent of Phase II REL that is              pathway; the noncanonical NF-jB pathway is not activated by
mediated by de novo Rel transcription and translation. This is            LPS. LPS-induced proliferation is significantly reduced in B
consistent with the observation that Rel transcription depends            cells that lack Nfkb1 or Rel, though G1 progression occurs nor-
on a CsA-sensitive pathway, which is not activated by CD40.               mally. NFkb1- and Rel-deficient cells are also more sensitive to
Thus, the proliferative function of REL in CD40-treated cells is          apoptosis after LPS treatment, and this effect is heightened
mediated entirely via IKK activation.                                     considerably in Nfkb1 ⁄ Rel double-deficient cells. These obser-
   Stimulation via CD40 also activates the alternate NF-jB                vations suggest that viability of LPS-activated B cells in syner-
pathway via recruitment of TRAFs 2 and 3 leading to p100                  gistically maintained by these two factors. Gerondakis and
degradation and release of p52 ⁄ RelB to activate transcription.          colleagues (182) have provided a plausible mechanism for the
Whereas BAFF-R-induced p52 is essential for B-cell survival               cooperative effects of NFKB1 and REL on B-cell survival. They
ex vivo, CD40-induced p52 is not required for cell viability              showed that NFKB1-associated Tpl1 kinase activates the ERK
(175). The major function of the pathway may be to induce                 pathway in LPS-treated cells. Active ERK phosphorylates the
chemokine genes that are required for generation and mainte-              pro-apoptotic protein Bim leading to its degradation. Concur-
nance of germinal centers. An important difference between                rently, LPS-induced nuclear REL activates transcription of anti-
CD40 and BAFF-R with regard to alternate NF-jB activation is              apoptotic Bcl-XL and A1 gene expression, which neutralize
that CD40 efficiently induces expression of p100 whereas                   the activity of residual Bim by direct interactions. Thus, in
BAFF-R does not. By constantly replenishing the store of p100             wildtype B cells reduced Bim and elevated Bcl-XL ⁄ A1 together
required to generate p52, CD40 stimulation is able to main-               maintain cell viability. Absence of one of the survival path-
tain long-term noncanonical NF-jB activity. p100 upregula-                ways in either of the single gene deficiencies results in partial
tion is presumably due to sustained classical NF-jB induction             sensitivity to cell death, while the absence of both survival
by CD40, but this has not been established yet. The close                 pathways makes Nfkb1 ⁄ Rel double-deficient cells super-sensi-
working relationship between the canonical and noncanonical               tive to apoptosis. Beyond maintaining cell viability, Rel is also
NF-jB pathways in response to CD40 is exemplified by identi-               essential for S-phase entry of LPS-treated B cells.
fication of hypomorphic mutations in NEMO that cause
hyper-IgM syndrome in humans (179) that has a phenotype
very similar to deficiency of CD40L (and thereby loss of all                     Perspectives: conclusions and outstanding questions
CD40-dependent signaling). Jain et al. (179) showed that B                Through the work of many scientists the influence of NF-jB
cells from these patients induce classical NF-jB poorly, and lack         now extends well beyond its originally proposed role as a j
somatic mutations and class switched Ig genes. Thus, loss of the          gene activating transcription factor that is important for B-cell
classical pathway alone is sufficient to impair CD40 function.             development. Yet, its essential role in generation, maintenance
                                                                          and function of B lymphocytes is pleasing from the notional
                                                                          perspective that an analysis that started with a B-cell gene is
     NF-jB response to LPS                                                continuing to yield insights into B-cell biology. The most ele-
Bacterial lipopolysaccharide was the first identified NF-jB-                gant advances that have been made in the NF-jB field are the
inducing agent (180). The close correlation between                       delineation of signaling pathways that connect diverse cellular
Published 2012. This article is a US Government work and is in the public domain in the USA
Immunological Reviews 246/2012                                                                                                              265
Kaileh & Sen Æ NF-jB function in B lymphocytes




stimuli to NF-jB. Identification of the components involved                    responses to strategic combinations of stimuli, which are more
and their subsequent genetic manipulation have revealed                       likely to represent how cells respond in vivo. Tedious though it
many biological situations that utilize NF-jB. Biochemical                    may be, there seems to be no way to get these insights without
studies of how these components function have provided tar-                   conditional deletions of the Rel genes themselves. Given the
gets for therapeutic intervention. An area that appears ready                 complexity of the problem, it is reasonable to consider what
for equally sophisticated analyses is the regulation of gene                  benefits (other than understanding) will accrue from such
transcription by NF-jB.                                                       endeavors. One possibility that continues to motivate us is that
   At the simplest level the function of the jB site in the j                 uncovering subunit-specific transcriptional mechanisms may
enhancer remains mysterious. In this review, we have hypoth-                  make it possible to selectively alter expression of small subsets
esized possible functions for this site based on the idea that its            of NF-jB target genes for therapy.
high conservation between species must serve a purpose.                          Finally, it will be interesting to explore cross-talk between
Additional studies are necessary to confirm or refute these                    the canonical and noncanonical NF-jB pathways more deeply.
conjectures. Moreover, little is known about cooperation                      One situation where this is pertinent is in the genera-
between the jB site and other protein binding sites within the                tion ⁄ maintenance of mature B cells, where both pathways
enhancer. Obviously, this functional question cannot be                       have been shown to be essential. These pathways could func-
addressed till we understand the function of the jB site itself.              tion independently or be mutually synergistic. Our working
   A broader, more open-ended, question pertains to the sub-                  hypothesis is that they work synergistically, and the basis of
unit-specific functions of Rel family proteins. It is noteworthy               synergy lies in (i) genes that are activated independently by
that many of the functional studies have been carried out with                each pathway, but function cooperatively and (ii) genes
conditional deletions of canonical or noncanonical signal                     whose transcriptional activity requires both pathways to be
transducing components rather than manipulating genes                         activated simultaneously. A second situation where both NF-
encoding Rel family members. While these studies demon-                       jB pathways are likely to be pertinent is in the germinal cen-
strate the importance of one or the other pathway, they do not                ter reaction. Two aspects of the GC reaction make it particu-
readily provide insight into biological phenomena based on                    larly interesting: (i) CD40 activates both NF-jB pathways
NF-jB-dependent gene expression. This applies particularly to                 simultaneously and persistently, which will likely be reflected
distinguishing between the overlapping functions of REL and                   in the transcriptional response, and (ii) BCR signaling, and
RELA. Additional complexity is introduced because REL- or                     accompanying classical NF-jB-dependent gene expression,
RELA-dependent transcription is likely to be tissue- and signal-              must be incorporated into the analysis to understand the
specific. A comprehensive understanding of NF-jB-dependent                     selection process that results in affinity maturation. Indeed,
gene expression must take into account the kinetics of REL- or                gene expression that requires interactions between the two
RELA induction and downregulation, as well as post-transcrip-                 NF-jB pathways may be particularly sensitive to manipula-
tional mechanisms that determine the duration of NF-jB                        tion. We expect that understanding cell- and stimulus-spe-
responses. Once responses to single stimuli are understood in                 cific NF-jB transcriptional responses will be an important
terms of gene expression patterns, we can begin to explore                    aspect of future research in this area.


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Published 2012. This article is a US Government work and is in the public domain in the USA
Immunological Reviews 246/2012                                                                                                                         267
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5 n fkapa b

  • 1. Mary Kaileh NF-jB function in B lymphocytes Ranjan Sen Summary: NF-jB proteins were identified in the search for mecha- Authors’ address nisms that regulate B-lymphocyte-specific transcription of immunoglob- Mary Kaileh1, Ranjan Sen1 ulin j light chain genes. Twenty-five years later, though the function of 1 Gene Regulation Section, Laboratory of Molecular Biology the jB site in the enhancer remains enigmatic, NF-jB proteins have been and Immunology, National Institute on Aging, National Insti- shown to have important roles in B-cell development, maintenance, and tutes of Health, Baltimore, MD, USA. function. In this review, we summarize the functions of NF-jB in B cells. An overview of B-cell biology that identifies stages in the life of B lym- Correspondence to: phocytes for the general reader is followed by three sections that examine Ranjan Sen the role of NF-jB family of proteins in B-cell development, mature B-cell Gene Regulation Section survival and B-cell function. We endeavor throughout to suggest mecha- Laboratory of Molecular Biology and Immunology nisms and implications of the wide-ranging observations that have been National Institute on Aging made and conclude by highlighting the need to understand NF-jB-medi- National Institutes of Health ated gene expression in more depth. 251 Bayview Boulevard Baltimore, MD 21224, USA Keywords: NF-jB, B lymphocytes, BCR, function, development Tel.: +410 558 8630 Fax: +410 558 8386 e-mail: ranjan.sen@nih.gov Acknowledgements Overview of B-cell biology The authors are supported entirely by the Intramural The adaptive immune system is characterized by the ability to Research Program of the NIH, National Institute on Aging (Baltimore, MD). The authors have no conflicts of interest to respond to pathogens that have never been encountered declare. before, to gear the response to the type of pathogen and to retain memory of the pathogenic encounter for subsequent challenge. This program is manifested by B and T lymphocytes This article is part of a series of of the immune system and the specially designed antigen reviews covering NF-jB appearing in receptors that are expressed by these cells. Unlike cells of the Volume 246 of Immunological Reviews. innate system that recognize limited numbers of pathogen- Video podcast available associated molecular patterns, each B and T lymphocyte Go to expresses a unique antigen receptor. Thereby, lymphocytes www.immunologicalreviews.com to provide millions of potential antigen-recognition specificities, watch interview with Guest Editor and generation of a diverse repertoire of lymphocytes is a key Sankar Ghosh feature of lymphoid development. To mount an effective immune response against any given pathogen, a limited num- ber of recognition specificities are selected from this vast rep- ertoire to be amplified and further differentiated to provide protection. At the end of the response a subset of pathogen- Immunological Reviews 2012 specific cells must be preserved to provide memory. Thus, the Vol. 246: 254–271 history of lymphocytes consists of development, survival for a Printed in Singapore. All rights reserved finite time period, selection by antigens for expansion and Published 2012. This article is a US Government work function, and long-term survival of memory. and is in the public domain in the USA Immunological Reviews For B cells, development starts with hematopoietic stem 0105-2896 cells present in the fetal liver or the adult bone marrow. Fetal Published 2012. This article is a US Government work and is in the public domain in the USA 254 Immunological Reviews 246/2012
  • 2. Kaileh & Sen Æ NF-jB function in B lymphocytes B lymphopoiesis occurs in the fetal liver and provides the neo- which leads to replacement of the light chain gene variable nate with B cells. The functionality of these cells remains an region (5, 6). Association of the new light chain with the area of much study, however it is very likely that they provide existing IgH chain may, or may not, change receptor speci- a degree of protection soon after birth (1). For much of the ficity away from self-reactivity. If it does, recombination lifetime of vertebrates, B lymphopoiesis occurs in the adult ceases and the immature B cell can migrate to the periph- bone marrow. A difference between B lymphocytes produced ery. Immature B-cells which remain self-reactive despite in the fetal liver and the bone marrow is the specificity of their consecutive VL replacements are eliminated by apoptosis. Of antigen receptor repertoires. Generation of antigen receptor the approximately 18 million immature B cells that are pro- diversity occurs at the distinct steps of B-cell development via duced daily in mice, it has been estimated that approxi- stage-specific rearrangement of immunoglobulin (Ig) heavy mately 1–2 million migrate to peripheral lymphoid organs, (H) and light (L) chains genes (2–4). IgH gene assembly takes such as the spleen. It seems plausible that some form of place first in pro-B cells (Fig. 1). Because V(D)J recombination selection determines which immature B cells leave the bone is error-prone, not all cells that initiate IgH gene rearrange- marrow. ments successfully produce IgH protein. IgH+ and IgH) cells Immature B cells that reach the spleen undergo further dif- are distinguished on the basis of signals transduced via a pre- ferentiation to produce mature B cells that are competent to B-cell receptor (pre-BCR) composed of IgH chains and light- mount immune responses (7, 8). Two fundamental changes chain-like molecules k5 and V-pre-B. pre-BCR+ cells undergo accompany peripheral B-cell differentiation. First, the func- several rounds of cell division to produce pre-B-cells where tional consequences of BCR crosslinking are altered. Newly IgL rearrangements take place. arrived immature B cells in the spleen, like their counterparts Light chains come in two varieties, kappa (j) and lambda in the bone marrow, die in response to BCR crosslinking. This (k), in mice and humans. In pre-B cells, Igj rearrangements allows immature B cells to ‘checkout’ the peripheral environ- occur first, followed by Igk rearrangements. Since all pre-B ment for potential self-reactivity. An important difference cells contain IgH proteins, successful production Igj or Igk between antigen recognition by immature B cells in the spleen allows IgH ⁄ L-containing B-cell receptors (BCRs) to be versus the bone marrow is that receptor editing does not expressed on the cell surface. These cells are called immature occur in the spleen. During transition from immature to B cells. If the BCR on the surface of an immature B-cell in the mature B cells, the response to BCR-crosslinking changes from bone marrow recognizes self-antigen, receptor editing occurs, cell death to cell proliferation. Second, mature B cells become Fig. 1. Simplified scheme of B-cell differentiation in the bone marrow. Stages of B-cell differentiation from hematopoietic stem cells (HCS) dis- cussed in this review are highlighted. The state of immunoglobulin (Ig) heavy (H) and light (L) chain gene rearrangements are noted below each stage. The pre-B-cell receptor is composed of IgH chains and surrogate light chains; immature B cells express B-cell receptors composed of IgH plus IgL. Receptor editing occurs in response to BCR cross-linking on immature B cells in the bone marrow, with the objective of reducing self-reactivity by altering antigen recognition specificity. Cells that continue to be self-reactive are deleted by apoptosis, while those that are not can be exported to the periphery. Published 2012. This article is a US Government work and is in the public domain in the USA Immunological Reviews 246/2012 255
  • 3. Kaileh & Sen Æ NF-jB function in B lymphocytes responsive to the survival cytokine BAFF (also known as BLyS) production by p50 ⁄ RelA double-deficient precursors is caused which is essential for B-cell homeostasis. by a similar systemic stress response. While the simplest inter- Peripheral differentiation produces two major mature B- pretation of the synergistic effect of the double-deletion is that cell subsets: (i) mature marginal zone (MZ) B cells that can p50 and RELA work together as NF-jB, it is also possible that mount T-dependent and T-independent immune responses, alternative functions of the p105 precursor are involved in and (ii) follicular (FO) B cells that are the major source of promoting cell survival during differentiation. Finally, Inlay T-dependent immunity and B-cell memory. In addition, a et al. (22) performed the key experiment of generating mice third subset of mature B cells, known as B1 B cells, are with mutations in the jB site of ijE. Igj rearrangement, de- present in the periphery; these are believed to be of fetal methylation and expression was unchanged on the mutant origin (8). Here we review the role of NF-jB proteins in B- allele, thereby providing incontrovertible evidence that the cell development and function. Because this area of research ijE jB site was not essential for j gene expression during nor- has been reviewed before (9, 10), we highlight the possi- mal B-cell development. ble mechanisms involved and interesting interpretations of the data, with a goal towards identifying areas for future study. Possible functions of the j enhancer jB site The strong conservation of the ijE jB site across species (23) suggests that it serves an important function. One possibility NF-jB proteins in B-cell development is that the ijE jB site regulates the developmental timing of NF-jB proteins were identified based on binding to a highly the j gene rearrangements in the bone marrow. During differ- conserved sequence referred to as the jB site within the j entiation, IgH gene rearrangements occur first at the pro-B cell light chain gene enhancer (ijE) (11). Presence of NF-jB DNA stage followed by Igj (or k) rearrangements at the subsequent binding activity only in B lineage cells that transcribed IgL pre-B-cell stage. Functionally, the order of rearrangements genes, the demonstration that the jB element was important ensures that each IgH chain that is generated pairs with multi- for transcriptional activity of ijE (12) and later evidence of ple light chains to increase B-cell repertoire diversity. How- the role of ijE in Igj gene rearrangements (13, 14) suggested ever, recent studies show that the j locus is in a permissive a role for NF-jB transcription factor in j gene activation dur- nuclear environment for recombination at the pro-B-cell stage ing B-cell development. The first indication that this was not (24, 25); yet, j transcription and the bulk of j recombination true came from the analysis of Nfkb1 gene deleted mice, which is restricted to the pre-B-cell stage. Taken together with the lacked the p50 component of the ‘classical’ p50 ⁄ p65 NF-jB observation of low levels of j recombination in pro-B cells heterodimer (15–17). B-cell development and j gene expres- (26, 27), one possibility is that p50 homodimer binding to sion was unaffected in these mice (18) calling into question the jB site may suppress recombination in pro-B cells. Relief the prevailing hypothesis. Subsequently, p65 (RelA)-defi- of suppression in pre-B cells would permit robust recombina- ciency was also shown to not affect B-cell development (19). tion to occur. In this scenario, mutation of the jB site is The double-deficiency of p50 and RelA was examined by predicted to simply increase the level of j rearrangement in reconstituting fetal liver cells of the appropriate genotypes pro-B-cells. Since IgH rearrangements would occur simulta- into irradiated mice (20). In these experiments p50 ⁄ RelA pre- neously, such a timing defect may not be reflected in grossly cursors generated B cells, but only in the presence of wild type disrupted B-cell development. Rather, alteration of the order cells. While demonstrating that p50 ⁄ RelA NF-jB was not of rearrangements could be reflected more significantly in essential for B-cell development (and by inference, Igj rear- the diversity of the B-cell repertoire that is generated. Along rangements), these observations also pointed towards an the same conceptual lines, the ijE jB site may fine tune j essential cell non-autonomous NF-jB-dependent function gene expression in mature B cells. For example, p50 homo- provided by hematopoietic cells for B-cell development. Based dimers bound the jB site could reduce j gene transcription in on a very similar phonotype of IjB kinase 2 (IKK2)-deficient resting B cells by recruiting histone de-acetylases that are precursors, Karin and colleagues proposed that systemic TNFa associated with gene repression (28). During inflammatory produced during hematopoeitic reconstitution killed off T cell responses, p50 homo-dimers would be replaced by transcrip- precursors that were unable to induce NF-jB (21). This effect tion activating p50 ⁄ p65 or p50 ⁄ Rel heterodimers to enhance was reduced when wild-type cells differentiated in the j gene expression required to secrete large amounts of anti- same milieu as the mutant cells. Perhaps the lack of B-cell bodies of defined specificity. Published 2012. This article is a US Government work and is in the public domain in the USA 256 Immunological Reviews 246/2012
  • 4. Kaileh & Sen Æ NF-jB function in B lymphocytes Normal recombination order produces pro-B cells that ments. It is interesting to recall that onset of cellular quies- express IgH chains but not IgL chains. Association of IgH cence has been related to induction of NF-jB and j gene chain with non-rearranging k5 and V-pre-B polypeptides rearrangements in cell culture models as well. Specifically, (surrogate light chains) expressed in pro-B cells generates a Abelson virus transformed pro- ⁄ pre-B-cell lines contain very signaling competent pre-B-cell receptor (pre-BCR). The pre- little nuclear NF-jB and do not express Igj. Induction of qui- BCR rescues pro-B cells from programmed cell death, induces escence by turning off the Abl oncogene results in NF-jB proliferation and differentiation to the pre-B-cell stage. The induction and j gene expression and rearrangements significant similarities in signaling pathways initiated at the (46–48). In these systems, blocking NF-jB induction reduces pre-BCR and the BCR (29, 30) have suggested that the pre- j transcription and rearrangements. Another possible function BCR activates NF-jB during the pro-B to pre-B-cell transition. for pre-BCR induced NF-jB could be to induce chemokine Indeed, use of NF-jB reporter mice (31) as well as direct and chemokine receptor expression that would permit pre- DNA binding assays (32) demonstrate higher levels of BCR-expressing cells to migrate to a different microenviron- transcriptionally competent NF-jB in pre-B cells compared to ment within the bone marrow. This may, in part, explain the pro-B cells. Recently a role for ATM, downstream recombina- reduced numbers of pre- and pro-B cells in p100) ⁄ ) and tion-induced DNA double strand breaks, has been proposed as p50) ⁄ RelB) mice (49, 50). Because such functions of pre- an NF-jB-inducing stimulus (33). How such a signal coordi- BCR induced NF-jB are likely to enhance rather than play an nates with the pre-BCR-dependent developmental cues essential role in development, they may not be obvious in remains unclear. steady-state analysis of bone marrow sub-compartments. Yet, there is little genetic evidence for an important devel- Alternatively, NF-jB functions at these stages may be mani- opmental role for NF-jB in the bone marrow. Other than the fested at times of inflammatory stress or immune deficiency p50 ⁄ RelA-double deficiency described above, none of the sin- when accelerated development would be advantageous. gle or compound mutations of NF-jB proteins result in a dis- cernible block in B-cell differentiation (9, 10, 34, 35). Nor, do conditional deletion of the IjB kinases affect the numbers NF-jB function in immature B cells in the bone marrow or properties of pro- and pre-B cells (32, 36–38), despite Successful completion of light chain gene rearrangements reducing NF-jB DNA binding activity in pre-B-cells. Interest- terminates V(D)J recombination at IgL loci and produces ingly, modulating IjB function has been shown to affect early immature B cells that express immunoglobulin (BCR) on the B-cell differentiation. Specifically, ectopic expression of non- cell surface. Cells expressing BCRs that are crosslinked by self- degradable IjBa blocks transition of CD43+ pre-B cells to antigens in the bone marrow (self-reactive BCRs) undergo CD43) pre-B-cells (31, 39), and the double-deletion of IjBa receptor editing (Fig. 1). This process attempts to alter BCR and IjBe leads to substantial loss of pre- and pro-B cells in the specificity by re-activating V(D)J recombination at IgL loci to bone marrow (40). The increased apoptosis observed in pre-B generate new IgL chains to pair with the pre-existing IgH cells that express a non-degradable form of IjBa suggests an chain. Because Igk rearrangements follow the cessation of Igj anti-apoptotic role for pre-BCR-induced NF-jB, which can be rearrangements (51, 52), a substantial proportion of Igk- rescued by transgenic provision of Bcl-xL. There is evidence expressing B cells in the mouse are produced as a consequence that apoptosis in pro-B cells that lack effective IjB function of receptor editing. Several observations are consistent with a may be mediated by TNFa (41). role for NF-jB proteins at this stage of differentiation. First, Despite the lack of obvious developmental defects in B lym- NF-jB DNA binding activity can be detected in immature phopoiesis, it is tempting to speculate on the possible roles of B cells, particularly those that are engaged in receptor editing pre-BCR-induced NF-jB besides survival. First, the genes IRF4 (53, 54). Second, conditional deletion of NEMO, the double- and 8 have been shown to be essential for appropriate devel- deletion of IKK1 and IKK2, or deletion of TRAF6 (32) results opment to pre-B cells (42–44). IRF4) ⁄ IRF8) pre-BCR+ cells in a lower frequency of k+ immature B cells. Third, double- continue to divide in response to IL-7 and do not initiate j deletion of Nfkb1 and 2 genes leads to reduced numbers of gene rearrangements. Because IRF-4 has been proposed to be immature B cells (55). a NF-jB target gene (45), it may be one of the targets of Analysis of the NEMO-deleted mice showed that the reduc- pre-BCR-induced NF-jB. In this way pre-BCR signaling would tion in k+ cells was not a consequence of reduced receptor initiate a self-limiting proliferative phase; cessation of cell editing because recombinase (RAG) gene expression and division would permit the activation of j gene rearrange- RAG-induced DNA breaks were unaffected in this strain (32). Published 2012. This article is a US Government work and is in the public domain in the USA Immunological Reviews 246/2012 257
  • 5. Kaileh & Sen Æ NF-jB function in B lymphocytes Restoration of k+ cells by ectopic expression of a Bcl-2 trans- by extreme susceptibility to apoptosis upon BCR stimulation, gene suggested a role for NF-jB-dependent survival; however, making them the target of negative selection against self-reac- Bcl-xL expression was not affected in NEMO or IKK1 ⁄ 2-defi- tivity in the periphery. BCR-induced cell death is mediated by cient immature B cells. Instead, mRNA of another pro-survival the mitochondrial pathway utilizing the pro-apoptotic BH3- kinase, Pim2, was attenuated in the absence of IKK activity. only domain proteins Bak, Bax, and Bim (61–63). T1 cells Pim2 is considered to be a target of the noncanonical (alter- develop into mature B cells via an intermediate transitional-2 nate) NF-jB pathway (56) and implicated in the survival of (T2) stage. Whether all T1 cells that arrive in the spleen differ- mature B cells in response to BAFF (57, 58). Thus, extended entiate further is not clear. Indeed, a current view is that T1 survival during receptor editing may be mediated, in part, by cells are destined to die unless ‘positively selected’ for further BAFF-dependent mechanisms. It is also possible that other differentiation (64, 65). receptors and ligands activate the noncanonical NF-jB path- A critical role for NF-jB proteins during T1 to T2 differentia- way at this differentiation step. A model that incorporates tion is evident from several genetic mutations (Fig. 2). First, both canonical (classical) and noncanonical NF-jB pathways Rel ⁄ RelA double-mutant fetal liver cells produce only T1 cells would explain the requirement for p50 ⁄ p52 in immature after transfer to irradiated hosts (66, 67). The extreme sensitiv- B cells as well as the role of TRAF6 in generating of k+ cells. ity to apoptosis of the residual IgM+ cells in this genotype is Consistent with a dual signaling model, recent studies show partially rescued by a Bcl2 transgene; however, differentiation that immature B cells, particularly those that express self-reac- remains incomplete indicating that Rel proteins are required tive sIg, are BAFF-responsive in vitro (59). for differentiation as well as cell survival. Consistent with the Overall, the following model emerges from these observa- idea that REL and RELA are required for differentiation to T2 tions. Immature B cells in the bone marrow that express cells, conditional deletion of either NEMO or the double dele- self-reactive BCRs activate classical NF-jB via a NEMO ⁄ IKK- tion of IKK1 and IKK2, also blocks differentiation to T2 cells dependent pathway. One of the consequences is up regulation (32). These observations suggest that signal-induced activation of BAFF-receptor on these cells, making them more responsive of classical NF-jB pathway proteins is essential for T2 differen- to BAFF-dependent survival signals. Extended survival of these tiation. The fact that single deletion of either Rel or RelA, or cells permits continual receptor editing that is required to either IKK gene, does not significantly impair differentiation generate k+ immature B cells. Disruption of canonical NF-jB likely reflects compensatory activity of the remaining proteins. activation could affect cellular longevity by making cells less The most likely source of NF-jB-induction in T1 cells is the sensitive to BAFF or by reducing levels of p100, an NF-jB tar- BCR. This is most clearly exemplified by conditional deletion get gene that serves as the substrate for the alternate NF-jB of CD79a, the BCR signal transducing module, in immature pathway. As proposed by Derudders et al. (32), such short- B cells in vitro (68, 69). Absence of this protein leads to dra- lived cells would initiate receptor editing but not be able to matic alteration of the gene expression profile in these cells proceed to ‘all the way’ to generate normal numbers of k+ towards a pattern that is more similar to that seen in pro-B immature B cells. Despite the requirement for NEMO or cells. Thus, constitutive BCR signaling maintains the state of IKK1 ⁄ 2, the signaling pathway from the BCR to NF-jB in T1 cells and is required for developmental progression. Addi- immature B cells remains unclear. In particular, k+ cell numbers tionally, deficiency of several cytoplasmic signaling molecules are unaffected in Bcl10-deficient mice (32, 60), leading to the that transduce BCR signals in mature cells also affect periph- proposal that the BCR on immature B cells may signal to IKKs by eral differentiation at transitional stages. The most prominent a CBM-independent pathway. Additional studies are required to among these are Btk, PLCc, PI3K and the adapter proteins clarify how the BCR activates NEMO ⁄ IKK in these cells. BLNK and BCAP; however, the effect of each mutation varies (70–79). Thus, the case for BCR signaling in transitional B cells is strong. NF-jB function in peripheral B-cell differentiation However, the case for BCR signaling to NF-jB is relatively Immature B cells that arrive in the spleen are referred to as weak. The strongest evidence against this idea is that defi- transitional cells and require further differentiation into ciency in any of the CBM complex (Carma-1, Bcl10, and mature functional B cells (7, 8) (Fig. 2). The most immature Malt1) proteins does not affect peripheral B-cell differentiation transitional-1 (T1) cells are virtually indistinguishable from significantly (80–84). Because these proteins are essential for immature B cells in the bone marrow with regard to function BCR-induced NF-jB activation in mature B and T cells (85, and expression of cell surface markers. They are characterized 86), the lack of developmental phenotypes of CBM mutations Published 2012. This article is a US Government work and is in the public domain in the USA 258 Immunological Reviews 246/2012
  • 6. Kaileh & Sen Æ NF-jB function in B lymphocytes Fig. 2. Simplified scheme of peripheral B-cell differentiation. Transitional Type 1 (T1) cells are the most immature cells to arrive in the spleen from the bone marrow. T1 cells differentiate via an intermediate T2 stage to mature follicular (FO) and marginal zone (MZ) B cells. A T3 stage has been pro- posed but is not discussed in this review. Single- or compound gene deletions that affect peripheral differentiation are noted and discussed in the text. has been taken to indicate that BCR signaling to NF-jB is not signaling (see below). Third, T2 cells begin express higher involved in transitional B cells. There is some evidence, how- levels of BAFF-R and become responsive to survival signaling ever, that absence of Bcl10 adversely affects maturation of T2 by BAFF. Two observations provide clues as to how BAFF-R cells to follicular B cells (60). Moreover, biochemical studies expression is regulated in the T1 to T2 transition: (i) BCR also indicate that BCR crosslinking by anti-Ig does not induce crosslinking upregulates BAFF-R expression in mature B cells classical NF-jB DNA binding in T1 cells (87, 88). How can (93), and (ii) this does not occur in Rel-deficient cells (88). we reconcile the requirement for inducible canonical NF-jB Thus, upregulation of BAFF-R in T2 cells may also reflect the components in T1 ⁄ T2 differentiation with the apparent connection of BCR signaling to Rel in these cells. Overall, T2 absence of a connection to the BCR? The most prosaic expla- cells bear a ‘more competent’ BCR and higher levels of BAFF- nation is that the NF-jB-inducing signal originates at a recep- R, which together may determine many of the characteristics tor other than the BCR. While we cannot rule out this of these cells. possibility till such a receptor is identified, we consider it While development beyond T2 stage requires BAFF ⁄ BAFF-R more likely that the BCR in T1 cells is connected to IKKs dif- interactions, recent evidence indicates that such signals may ferently than it is in mature cells (89). Mechanistically, this be initiated earlier in T1 cells. Specifically, Hoek et al. (94) may be because the BCR in T1 cells is not associated with lipid showed that B-cell development in mice deficient for both Btk rafts (90–92), resulting in a distinct constellation of signaling and BAFF-R was blocked at the T1 development stage. Since proteins in its vicinity. each individual mutation blocks differentiation at the T2 Differentiation to the T2 transitional stage requires alternate stage, these observations suggested that some BAFF signaling NF-jB function. This is exemplified by blocks at the T2 stage occurred at the earlier stage as well. Additionally, Rowland of development in Nfkb1 and Nfkb2 double-deficient precursors et al. (59) showed that differentiation of immature bone mar- (55), as well as in IKK1-deficient precursors (56). The row B cells to transitional cells was enhanced in the presence response of T2 cells to BCR crosslinking is distinct from T1 of BAFF (T1 cells express BAFF-R, though at lower levels than cells in several ways that involve NF-jB proteins. First, BCR T2 cells). Perhaps the reduced importance of BAFF ⁄ BAFF-R at crosslinking induces classical NF-jB and long-term REL induc- the T1 stage is in part due to inefficient BCR signaling tion in T2 cells (88). Both these are characteristic of the NF- that prevents BAFF-R upregulation or efficient generation of jB response of mature B cells (see below). Consequently, REL p100. target genes, such as Bcl-xL and A1, are activated in T2 cells but not in T1 cells. This is likely to be an important mecha- nism that makes T2 cells less susceptible to BCR-induced cell NF-jB proteins in mature B-cell survival death. The molecular basis for differential BCR signaling to NF-jB proteins have essential roles in the generation and ⁄ or REL in T2 cells is not known. Second, BCR signals in T2 cells maintenance of mature B cells. Of the two major subsets of B upregulate expression of Nfkb2 gene resulting in the produc- cells produced in the adult, MZ B cells are more susceptible to tion of p100 protein (88). This is potentially an important NF-jB deficiency. This is reflected in reduced MZ B cells aspect of the survival characteristics of T2 cells because p100 numbers in several Rel-family single gene deficiencies, includ- is an important substrate for BAFF-R-dependent survival ing Nfkb1 and RelB (Fig. 2). Absence of Rel appears not to affect Published 2012. This article is a US Government work and is in the public domain in the USA Immunological Reviews 246/2012 259
  • 7. Kaileh & Sen Æ NF-jB function in B lymphocytes MZ B cells, and their status in RelA deficiency has yet to be clearly defined. Follicular (FO) mature B cells are less affected BAFF ⁄ BAFF-R activates canonical and noncanonical NF-jB by single gene deficiencies, though they are significantly reduced in several compound deficiencies such as Nfkb1 ⁄ 2, BAFF ⁄ BAFF-R interaction activates multiple pro-survival Nfkb1 ⁄ RelB, and RelA ⁄ Rel. Both kinds of mature B-cell subsets mechanisms in mature B cells, including activation of the non- are also reduced in mice that lack IKK1 and IKK2 or NEMO. canonical NF-jB pathway (103, 104). In accordance with an These observations demonstrate that both canonical and important role for this pathway in B-cell survival, Nfkb2-defi- noncanonical pathway NF-jB proteins are required for mature cient B cells are refractory to BAFF-dependent survival in vitro. B-cell generation and ⁄ or maintenance, and that their function However, the presence of mature follicular B cells in must be induced via the IKKs. Nfkb2- and RelB-deficient mice (105, 106) indicates that other Two receptors that are known to be essential for mature B- features of BAFF-R signals compensate for the lack of these cell survival are the BCR and the BAFF-R. Mice that carry proteins in vivo. One of the prominent nuclear targets of the genetic mutations in genes encoding either BAFF or the BAFF- resulting p52 ⁄ RelB heterodimer is the gene encoding the R lack mature B cells (95, 96). BAFF ⁄ BAFF-R stimulation is Ser ⁄ Thr kinase Pim2 (56). Unlike Nfkb2-deficient B cells, how- required continuously to maintain the peripheral B-cell pool ever, Pim2-deficient B cells respond to BAFF treatment in vitro since intravenous administration in mice of Fc receptor fusion with increased viability indicating that p52 ⁄ RelB must activate proteins that bind BAFF results in the rapid loss of mature B additional survival genes in BAFF-treated cells (58). These cells (97, 98). The survival response of mature B cells to BAFF currently unknown genes appear to be downstream of mTOR requires a signaling-competent BCR. This was shown by con- because BAFF-responsiveness of Pim2-deficient cells is abro- ditional deletion of genes encoding either the immunoglobu- gated by rapamycin. Woodland et al. (58) connected BAFF- lin heavy chain (99) or the signal-transducing chaperones Iga dependent survival signaling via mTOR and PIM2 to the and Igb (100); disruption of the BCR complex led to loss of induction ⁄ maintenance of Mcl-1 expression. Though the mature B cells within 24–48 h, despite the presence of sys- mechanism of Mcl-1 induction ⁄ maintenance is not clear, this temic BAFF. is an important connection because, along with components Because the BCR on naive B cells provides survival signals in of the BCR or BAFF-R and BAFF, Mcl-1 is essential for survival the absence of overt antigen, this kind of signaling has been of mature B cells in mice (107). referred to as ‘tonic signaling’ (101). BCR signaling that In addition to the noncanonical NF-jB pathway, BAFF ⁄ occurs in immature B cells (discussed above) is also a kind of BAFF-R interaction has also been shown to activate canonical tonic signaling, though its similarity to survival signaling in NF-jB via a Btk-dependent pathway, resulting in induction of mature B cells remains unclear. While the term tonic signaling RELA- and REL-containing DNA binding activities (108, 109). implies that it occurs in the absence of BCR recognition, it is This induction is relatively rapid and may provide short-term quite possible that it is mediated by weak interactions of the survival function to B cells treated with BAFF. However, long- BCR with self-molecules whose affinity is below the threshold term survival in the presence of BAFF requires kinases and to induce negative selection (at the immature stage) or to proteins of the noncanonical NF-jB pathway. Short-term trigger self-reactivity (at the mature stage). Rajewsky and canonical NF-jB activation by BAFF may also contribute to colleagues (102) have genetically explored the signaling BAFF-dependent survival by inducing p100 protein to serve as pathway downstream of tonic BCR signaling and found that a substrate for the noncanonical pathway. In this way, BAFF loss of the BCR on mature B cells can be compensated by treatment can initiate a positive autoregulatory loop involving provision of a constitutively active form of the catalytic sub- canonical and noncanonical NF-jB activation. However, the unit of PI3 kinase. In contrast, constitutively active IKK2, loop is not sufficient by itself to induce long-term BAFF- constitutively active Akt or Bcl-2 did not rescue BCR defi- dependent B-cell survival in the absence of the BCR. ciency. The mechanism by which active PI3K permits B cells Despite the critical role of the noncanonical NF-jB pathway to respond to BAFF signaling remains unclear. It is likely in mediating BAFF-dependent survival signals, expression of that tonic BCR signaling is a source of constitutive NF-jB in constitutively active IKK2 (Ikk2ca), which induces canonical mature B cells via continued degradation of IjBa (see NF-jB, in mice completely restores the B-cell deficiency in below). While this may be an essential function, signaling BAFF-R-deficient mice (110). This includes generation of fol- to NF-jB does not recapitulate all functions of tonic BCR licular mature and marginal zone B cells and restoration of signaling. splenic architecture. B cells from Ikk2ca mice have higher Published 2012. This article is a US Government work and is in the public domain in the USA 260 Immunological Reviews 246/2012
  • 8. Kaileh & Sen Æ NF-jB function in B lymphocytes nuclear levels of classical NF-jB proteins, such as RELA, but NF-jB. Additionally, high basal PI3K activity may enhance not of p52, suggesting that generation and survival of mature responses to NF-jB-inducing stimuli during immune B cells in these animals is entirely dependent on canonical NF- responses. The continuous requirement for PI3K activity in B jB pathway signaling. These observations suggest that synergy cells is exemplified by the absence of mature B cells in mice between BCR and BAFF-R for B-cell survival may ultimately deficient in various components of PI3K (74, 77, 121), as funnel through activation of classical NF-jB. Perhaps the con- well as the extreme sensitivity of mature B cells to apoptosis stitutive NF-jB DNA binding activity that is present in human upon pharmacologic inhibition of PI3K ex vivo. However, these and mouse mature B cells reflects canonical pathway activation components have not been conditionally deleted after B-cell by both these receptors. maturation is complete to unequivocally distinguish whether they are required for differentiation and ⁄ or maintenance of mature B cells. BAFF-R signaling also induces expression of Cross-talk between BCR and BAFF-R CD21, a component of the CD19 ⁄ CD21 co-receptor complex Regulating B-cell homeostasis via two receptors provides flexi- (122, 123). This complex lowers the threshold for BCR sig- bility in modulating survival requirements during different naling thereby completing another mutually re-enforcing phases of the immune response. For this, it is imperative that loop, whereby signals through the BCR feed into the BAFF-R the two receptors cross-talk. This occurs at multiple levels pathway and, conversely, BAFF-R signals enhance BCR signal- between BAFF-R and the BCR. As briefly described in preced- ing. Each of these loops involves components of canonical and ing section, BCR crosslinking on mature cells increases expres- noncanonical pathway NF-jB proteins. sion of the BAFF-R, thereby sensitizing cells to BAFF signaling. In addition, NF-jB activation by of the BCR acti- vates Nfkb2 and RelB gene expression (111–113), which are NF-jB function in mature B cells substrates for alternate pathway activation by BAFF-R. We Beyond the essential requirement for NF-jB proteins for B-cell have proposed that activation of p100 as a consequence of maturation and homeostasis, inducible NF-jB activation is tonic BCR signaling may be an important determinant for the critical for effective immune responses. The major initiators of dual requirement of the BCR and BAFF-R for maintenance of NF-jB signaling in B cells are the BCR, various members of mature B cells (114). In these studies, pharmacological inhibi- the TNF receptor superfamily (in particular BAFF-R, TACI, tion of Syk tyrosine kinase activity in mature B cells ex vivo BCMA and CD40), and Toll-like receptors (in particular TLR4 abrogated BCR ligand-independent upregulation of p100. Syk and 9). The constitutive nuclear NF-jB found in murine sple- inhibitor-treated cells did not maintain long-term alternate nic B cells consists primarily of REL-containing complexes NF-jB activation in response to BAFF, which correlated with (124–126); the hetero-dimeric partner is most likely p50, reduced survival of these cells. Our interpretation of these though the presence of B cells in Nfkb1-null mice indicates that observations is that continuous p100 protein production in p52 can substitute effectively or that REL homodimers suffice response to BCR-initiated signals is essential for BAFF-depen- in the absence of p50. Similarly, REL and RELA also have dent cell survival. In follow up studies, we found that PI3K mutually compensatory functions because genetic deletion of activity is required for tonic, or BCR-inducible, expression of either does not impair the generation of mature B-cells. We p100 (unpublished data, MK and RS). Thus, one way in have proposed that the predominance of REL-containing com- which PI3K activity may compensate for tonic BCR signals is plexes in B cells may be due to increased nuclear export of by generating a pool of p100 protein that can mediate BAFF- RELA-containing complexes by IjBa because of the nuclear R-initiated survival signals. export sequence (NES) present at the C-terminus of RELA Conversely, BAFF-R-initiated signals enhance BCR signals in (127–130). REL does not contain a corresponding NES and several ways. For example, BAFF ⁄ BAFF-R interaction induces may therefore be better retained in the nucleus compared to PI3K and Akt activation (58, 115, 116). PI3K activity has been RELA. Indeed, B-cell differentiation and function is hampered shown to be essential for BCR-induced NF-jB activation in B in mice whose IjBa-protein lacks an NES (131). In these mice cells (117), and active forms of Akt have been shown to non-functional REL ⁄ IjBa- complexes accumulate in B-cell induce NF-jB-dependent transcription in reporter assays nuclei, making them unavailable for IKK-dependent activation. (118–120). Continuous in vivo stimulation of B cells with This leads to reduced Nfkb2 and RelB gene expression and, as a BAFF may produce constitutively high basal PI3K activity in consequence, both canonical and noncanonical NF-jB induc- these cells that lowers the threshold of tonic BCR signaling to tion and function is impaired. These observations show that Published 2012. This article is a US Government work and is in the public domain in the USA Immunological Reviews 246/2012 261
  • 9. Kaileh & Sen Æ NF-jB function in B lymphocytes shuttling of NF-jB proteins between the nucleus and significantly diminished in REL-containing complexes. Based cytoplasm is an essential functional feature of these proteins, on additional biochemical studies, Ferch et al. (133) con- and highlight the connection between canonical and noncano- cluded that presence of MALT1 in the WT CBM complex tar- nical NF-jB signaling in the maintenance of mature B cells. gets IKK activity to REL ⁄ IjB complexes, whereas the heterodimeric CARMA1 ⁄ Bcl10 complex can target IKK only to RELA-containing complexes. An obvious implication of this NF-jB response to BCR crosslinking observation is the existence of another level of molecular rec- BCR crosslinking with anti-l chain F(ab¢)2 fragment has been ognition that distinguishes RELA- or REL complexes. This used as a surrogate for antigen-dependent B-cell activation. could occur, for example, by spatial segregation of RELA- or This treatment leads to rapid NF-jB nuclear translocation via REL complexes within the cytosol such that active IKKs need the canonical pathway. The signaling pathway that connects to be directed to different subcellular regions to activate each the BCR to NF-jB has been intensely studied and summarized complex. Alternatively, RELA- or REL-containing complexes in several excellent reviews (10, 132). Briefly, BCR crosslink- may need to be recruited to distinct compartments for the ing activates Src tyrosine kinases leading to phosphorylation associated IjBs to be phosphorylated by IKK; in this model, of ITAM motifs in BCR-associated signaling proteins CD79a the sub-compartments that contain CB or CBM complexes and b (Iga and Igb). These phosphorylated ITAMs recruit and may be different. Finally, it is possible that REL and RELA are thereby activate the Syk kinase, which via phosphorylation of differentially associated with IjBa, b, and e. In this scenario, adapter proteins such as BLNK, Bam32, and BCAP results in ‘weakened’ NF-jB signaling via the CB complex may target the activation of downstream kinases cascades including one IjB better than the others, leading to induction of the Rel MAPKs and PI3K. Syk also activates Btk, which is essential for proteins associated with that IjB but not the other IjBs. Some phosphorylating and activating PLCc. PLCc enzymatic activity evidence for differential REL ⁄ IjB association and its functional results in the generation of IP3 and diacyl glycerol; the former consequences have been previously noted in T cells (134). binds to receptors in the endoplasmic reticulum (ER) to Spatial control may also explain the essential requirement release calcium from ER stores and the latter is required to for PI3K in canonical NF-jB activation via the BCR. Since dele- activate protein kinase C b (PKCb). PKCb phosphorylates the tion of genes encoding PI3K catalytic or regulatory subunits adapter CARMA1 leading to generation of a complex contain- lead to developmental defects that prevent generation of ing CARMA1, Malt1 and Bcl10 (the CBM complex) which mature B cells, the best evidence of a role for PI3K in NF-jB serves as a scaffold to bring together the IjB kinases and the activation comes from pharmacologic inhibition of PI3K dur- kinase that activates IKKs. In B cells the latter is likely to be the ing BCR crosslinking of mature wildtype cells (117). The most TGFb-activated kinase 1 (TAK1). TAK1-mediated phosphory- likely point of intersection of PI3K with the signaling scheme lation of IKK2 results in IKK2 activation, which then phospho- summarized above is Btk. Reduced NF-jB induction in B cells rylates IjB proteins leading to their ubiquitination and from xid mice (135, 136), that express Btk protein with a degradation. As a consequence NF-jB proteins, that were point mutation in the membrane-targeting PH domain, has bound to the IjBs are free to translocate to the nucleus and been attributed to lack of Btk activity. However, recent studies activate gene expression. This multi-enzyme cascade leads to show that Btk activation, as evidenced by production of phos- NF-jB activation within 30 min of BCR crosslinking in naive pho-Btk is normal in xid B cells. The problem seems to be that murine splenic B cells; the resulting nuclear NF-jB consists of xid Btk is unstable and present at low levels in the cells, sug- RELA- and REL-containing homo- and heterodimers. gesting that membrane recruitment by interaction with PIP3 Despite the considerable detail in which this pathway is stabilizes the protein (137). Thus, PI3K-dependent PIP3 pro- understood, some features remain unclear. One of these is the duction is a key intermediate in maintaining sufficient levels intriguing observation that the characteristics of B cells singly of Btk. Additionally, PLCc activation by membrane-bound Btk deficient in either CARMA1, or Bcl10 or Malt1 are not may localize active PLCc close to its substrate in the plasma identical with regard to NF-jB activation. In particular, Bcl10- membrane for effective function. In this manner, membrane deficient B cells do not activate IKKs (and thereby do not localization of Btk and PLCc may drive NF-jB activation in induce NF-jB) in response to BCR crosslinking whereas Malt1- B cells. It is interesting to note that NF-jB activation in T cells deficient B cells activate IKKs (though not as robustly as also requires PI3K, though for different reasons. In T cells, wildtype B cells) leading to IjB degradation (133). However, non-classical PKCh is the enzyme that activates the CBM nuclear NF-jB that is induced in Malt1-deficient B cells is complex by phosphorylating CARMA1. PKCh activation is Published 2012. This article is a US Government work and is in the public domain in the USA 262 Immunological Reviews 246/2012
  • 10. Kaileh & Sen Æ NF-jB function in B lymphocytes mediated by the kinase PDK1 which, like Btk, contains a PH autoimmunity, together with elevated expression of NF-jB domain and requires binding to PI3K-dependent PIP3 for target genes (154–156). However, the stage at which B-cell activity (138). PI3K activity in T cells requires co-crosslinking activation is most susceptible to A20-dependent downregula- of the T-cell antigen receptor and the co-receptor CD28; in tion remains unclear. Similarly CYLD-deficiency results in B cells PI3K may be activated by BCR-associated CD19 (139, higher basal levels of NF-jB in B cells due to higher IKK2 140) or activation of the adapter protein BCAP after BCR activity and increased numbers of MZ B cells (157, 158). crosslinking (141, 142). Function of Phase I NF-jB Kinetics of NF-jB activation by BCR Identifying target genes of a specific transcription factor NF-jB induced by the canonical pathway in response to BCR requires a combination of assays which must include: (i) eval- crosslinking is transient (143). This wave of NF-jB contains uation of transcript levels in the presence, or absence, of the both RELA- and REL-containing DNA-binding proteins, transcription factor, (ii) chromatin immunoprecipitation to reaches a maximum at 1–2 h post-activation and is consider- determine transcription factor binding to important regulatory ably reduced by 6 h. Thereafter, nuclear RELA levels remain sequences of putative target genes, and (iii) evaluation of the low despite continued presence of BCR crosslinking antibody. importance of the identified binding sites for gene transcrip- At longer time points lasting until 24 h the NF-jB response is tion. NF-jB targets in activated B cells have not been indenti- dominated by REL. We refer to these as Phases I and II of NF- fied in this comprehensive fashion; however, the identity of jB induction and have proposed that each serves distinct func- some putative NF-jB targets affords a perspective into the tions. These observations raise two questions: (i) what is the function of phase I NF-jB. Amongst genes that were highly mechanism that restricts classical NF-jB to one cycle of activa- induced within the first 3 h were the chemokines CCL3 and tion, and (ii) what are the functions of each phase? CCL4, the chemokine receptor CCR7, the transcription factors Several possible mechanisms have been put forward for lim- IRF4 and c-Myc and the signaling proteins DUSP1 and Plk3. iting the duration of NF-jB activation in various cell types and CCL3 and 4 are interesting because they serve as chemoattrac- in response to diverse NF-jB activators (144). However, most tants for CD4+ T cells (159). By attracting CD4+ T cells, anti- of these mechanisms have not been experimentally evaluated gen exposure increases the probability of B cells to present in BCR-activated B cells. Our working model is that the major antigens to T cells of the right specificity. Once activated such contributor to Phase I NF-jB downregulation is repression T cells would provide help to B cells via the CD40 ⁄ CD40L mediated by newly-synthesized IjBa. This is the oldest model pathway. The chemokine receptor CCR7 has been implicated of post-activation NF-jB suppression (145, 146) and is based in the movement of B cells towards the T-cell zone in the on NF-jB-dependent transcription and de novo synthesis of spleen (160), which is enriched for CCL21, the chemokine IjBa protein. The newly synthesized IjBa migrates into the ligand of CCR7. We have proposed that these Phase I NF-jB nucleus, removes DNA-bound IjBa and exports it out of the genes would maximize the possibility of B ⁄ T encounter to ini- nucleus (130, 147, 148). The cytosolic NF-jB ⁄ IjB complex tiate T-dependent B-cell immune responses. The transcription may not be re-induced despite continuous BCR crosslinking factor c-Myc is essential for G1 progression of activated B cells for several reasons. One possibility is that re-expression of sur- (161, 162), and IRF4 is known to be required for cell growth face Ig after receptor endocytosis takes substantially longer and differentiation of B cells (163). Thus, putative NF-jB tar- (149, 150) than the duration of phase I NF-jB. Moreover, get genes induced during Phase I serve a range of functions continued BCR crosslinking and resulting re-endocytosis may including re-distribution of B cells, inducing cell cycle pro- prevent expression of substantial levels of the BCR to permit gression and differentiation, and altering signal transducing effective IKK activation to induce a second cycle of canonical properties. NF-jB activation. Additional mechanisms may also reduce the One of the ways we imagine that T-dependent immune effectiveness of BCR signaling to NF-jB, such as inactivation responses are initiated is antigen binding to the BCR, followed of Bcl10 by degradation or phosphorylation as has been noted by endocytosis, proteolytic digestion, and expression of anti- in T cells (151, 152), or activation of de-ubiquitinating genic peptides on MHC class II molecules on the cell surface. enzymes such as A20 and CYLD (153). An important role for These MHC class II-bound peptides are recognized by T cells A20 in B-cell physiology is evident from the observation that of the appropriate specificity, leading to activation of antigen- B-cell-specific A20 deficiency leads to hyper proliferation and specific T cells that provide B-cell help. To mimic this Published 2012. This article is a US Government work and is in the public domain in the USA Immunological Reviews 246/2012 263
  • 11. Kaileh & Sen Æ NF-jB function in B lymphocytes scenario, where there is limited BCR engagement with antigen, CsA points to two well-studied transcription factors, NF-AT we used a pulse-activation protocol to stimulate B-cells with and Mef2c, whose nuclear induction and ⁄ or transcriptional single round of surface BCR signaling. Virtually the entire activity are suppressed by CsA (168–170). Though phenotyp- phase I NF-jB program was recapitulated with this form of ically Mef2c-deficient B cells resemble Rel-deficient B cells in pulse BCR-activation. Nuclear RELA and REL proteins were terms of their sensitivity to BCR-induced death and lack of induced with indistinguishable kinetics in pulse- versus con- BclxL mRNA induction (171), REL induction in response tinuously activated cells, and gene expression analysis in to anti-IgM occurred normally in Mef2c-deficient B cells. pulse- or continuously activated cells showed that 70–80% of Though Rel induction has not yet been directly analyzed in inducible genes were comparably induced during the period NF-AT-deficient mice, Gerondakis and colleagues (172) have of phase I NF-jB activation under both conditions (143). previously proposed that Rel mRNA in TCR-activated T cells is These included 80% of putative NF-jB target genes induced induced by NF-AT. Our working hypothesis is that Rel gene over the course of the first 3 h, among which were genes induction by the BCR is also mediated by NF-AT proteins. highlighted above. Despite normal up- and down-regulation of c-Myc mRNA, however, pulse-activated B cells did not show any evidence of G1 progression. Instead, these cells NF-jB response to CD40 responded more robustly to CD40 crosslinking as evidenced T-dependent immune responses generate different classes of by biochemical markers of G1 progression such as Cdk2 ⁄ 4 high affinity antibodies via class switch recombination (CSR) and Cyclin D2 ⁄ E expression, and phosphorylation of retino- and somatic hypermutation (SHM). These processes which blastoma protein. Additionally anti-CD40 treatment of pulse- occur in germinal centers within the spleen and Peyer’s activated B cells resulted in a more rapid increase of cell size patches within the gut, critically require CD40 on the B-cell compared to naive B cells activated by CD40. Taken together, surface and induced CD40 ligand (CD40L) on CD4+ T- with activation of CCL3, CCL4 and CCR7 our working model follicular helper cells. CD40 or CD40L deficiency in mice leads is that pulse-activation primes B cells in different ways to to defective affinity maturation of antibody responses, and receive T-cell help. mutations in the CD40L gene in humans is one of the causes of hyper-IgM syndrome, which is associated with lack of IgG in the serum and recurrent bacterial infections. Ex vivo stimula- Characteristics of phase II NF-jB tion of naive B cells by CD40 crosslinking, or via CD40L, leads Phase II NF-jB, which requires continuous BCR crosslinking, to cell proliferation and CSR; signaling to NF-jB is essential is dominated by nuclear expression of REL and coincides with for these functions of CD40. de novo Rel transcription and translation. Early studies showed Like other members of the TNF-receptor superfamily, CD40 that long-term survival of BCR-activated cells was severely signals canonical NF-jB induction by activating IKK complex impaired in Rel-deficient B cells due to reduced expression of via TRAF proteins (173, 174). One of the most significant dif- the anti-apoptotic genes Bcl-xL and A1 (164, 165). These ferences between CD40-induced and BCR-induced canonical observations are almost entirely the results of Phase II Rel NF-jB is that unlike the BCR, CD40 induces persistent NF-jB activation. Accordingly, Bcl-xL is transiently expressed in activation (175). This NF-jB comprises of both RELA- and pulse-activated cells, while A1 expression requires continuous REL-containing DNA-binding activities. The basis for persistent treatment with anti-IgM. Thus, a major function of Phase II NF-jB activation by CD40 has not been satisfactorily explained. NF-jB is to maintain cell viability in BCR-activated cells in Like the mechanism proposed for persistent NF-jB activation order to permit cell division. Rel is known to be an inducible by LPS in mouse embryo fibroblasts (176, 177), one possibility gene and has been proposed to be auto-regulated by NF-jB. is that CD40 crosslinking produces an NF-jB-inducing cyto- Our preliminary results show that phase II Rel induction kine that feeds back to reactivate NF-jB in these cells. However, occurs normally in PKCb-deficient B cells where classical NF- such a cytokine has not been identified. Alternatively, it is pos- jB activation is impaired, and in WT B cells activated in the sible that downregulatory mechanisms, such as degradation of presence of a pharmacologic inhibitor of IKK2. These observa- intermediate cytosolic signaling proteins, are not efficiently tions indicate that canonical NF-jB induction is not required activated after CD40 stimulation. In this scenario, post-activa- to induce phase II REL. Instead, Rel expression is sensitive to tion repression by de novo synthesized IjBa may be ineffective calcium chelators and is blocked by cyclosporine A (CsA) because the rate of IjBa degradation (by continued CD40 sig- treatment during BCR activation (166, 167). Sensitivity to naling) out-competes the rate of new IjBa synthesis. Published 2012. This article is a US Government work and is in the public domain in the USA 264 Immunological Reviews 246/2012
  • 12. Kaileh & Sen Æ NF-jB function in B lymphocytes Despite persistent induction of RELA, Rel-deficient B cells do LPS-induced NF-jB DNA binding and j gene transcription in not proliferate or carry out CSR in response to CD40. Thus, pre-B-cell lines was the basis of the idea that NF-jB directly RELA apparently cannot substitute for some essential func- activated j gene transcription via the j intron enhancer. More- tion(s) of REL. The transcription factors E2F3, Myc, and IRF4 over, ‘super-induction’ of NF-jB DNA binding activity by LPS have been proposed to be Rel-responsive target genes involved in the presence of protein translational inhibitors led to the in the proliferative response; whether these genes are suffi- post-translational model (180) that is currently referred to as cient to explain the lack of proliferation of Rel) ⁄ ) B cells the canonical pathway. Super-induction of NF-jB also pre- remains to be determined. The critical role of REL in mediat- saged the idea of post-induction repression by a newly synthe- ing CD40 signals is also emphasized by the lack of organized sized inhibitor of NF-jB. LPS was used in these early studies germinal center formation after immunization of Rel-deficient because of its well-known property of being a B-cell mitogen. mice with T-dependent antigens as well as reduced CSR in vivo The current state of the mature B-cell response to LPS has and in vitro (178). This effect is exacerbated in p50 ⁄ REL dou- been recently reviewed (181). LPS treatment induces REL- ble-deficient mice. It is interesting that CD40 treatment of B and RELA-containing NF-jB persistently via the canonical cells does not induce the equivalent of Phase II REL that is pathway; the noncanonical NF-jB pathway is not activated by mediated by de novo Rel transcription and translation. This is LPS. LPS-induced proliferation is significantly reduced in B consistent with the observation that Rel transcription depends cells that lack Nfkb1 or Rel, though G1 progression occurs nor- on a CsA-sensitive pathway, which is not activated by CD40. mally. NFkb1- and Rel-deficient cells are also more sensitive to Thus, the proliferative function of REL in CD40-treated cells is apoptosis after LPS treatment, and this effect is heightened mediated entirely via IKK activation. considerably in Nfkb1 ⁄ Rel double-deficient cells. These obser- Stimulation via CD40 also activates the alternate NF-jB vations suggest that viability of LPS-activated B cells in syner- pathway via recruitment of TRAFs 2 and 3 leading to p100 gistically maintained by these two factors. Gerondakis and degradation and release of p52 ⁄ RelB to activate transcription. colleagues (182) have provided a plausible mechanism for the Whereas BAFF-R-induced p52 is essential for B-cell survival cooperative effects of NFKB1 and REL on B-cell survival. They ex vivo, CD40-induced p52 is not required for cell viability showed that NFKB1-associated Tpl1 kinase activates the ERK (175). The major function of the pathway may be to induce pathway in LPS-treated cells. Active ERK phosphorylates the chemokine genes that are required for generation and mainte- pro-apoptotic protein Bim leading to its degradation. Concur- nance of germinal centers. An important difference between rently, LPS-induced nuclear REL activates transcription of anti- CD40 and BAFF-R with regard to alternate NF-jB activation is apoptotic Bcl-XL and A1 gene expression, which neutralize that CD40 efficiently induces expression of p100 whereas the activity of residual Bim by direct interactions. Thus, in BAFF-R does not. By constantly replenishing the store of p100 wildtype B cells reduced Bim and elevated Bcl-XL ⁄ A1 together required to generate p52, CD40 stimulation is able to main- maintain cell viability. Absence of one of the survival path- tain long-term noncanonical NF-jB activity. p100 upregula- ways in either of the single gene deficiencies results in partial tion is presumably due to sustained classical NF-jB induction sensitivity to cell death, while the absence of both survival by CD40, but this has not been established yet. The close pathways makes Nfkb1 ⁄ Rel double-deficient cells super-sensi- working relationship between the canonical and noncanonical tive to apoptosis. Beyond maintaining cell viability, Rel is also NF-jB pathways in response to CD40 is exemplified by identi- essential for S-phase entry of LPS-treated B cells. fication of hypomorphic mutations in NEMO that cause hyper-IgM syndrome in humans (179) that has a phenotype very similar to deficiency of CD40L (and thereby loss of all Perspectives: conclusions and outstanding questions CD40-dependent signaling). Jain et al. (179) showed that B Through the work of many scientists the influence of NF-jB cells from these patients induce classical NF-jB poorly, and lack now extends well beyond its originally proposed role as a j somatic mutations and class switched Ig genes. Thus, loss of the gene activating transcription factor that is important for B-cell classical pathway alone is sufficient to impair CD40 function. development. Yet, its essential role in generation, maintenance and function of B lymphocytes is pleasing from the notional perspective that an analysis that started with a B-cell gene is NF-jB response to LPS continuing to yield insights into B-cell biology. The most ele- Bacterial lipopolysaccharide was the first identified NF-jB- gant advances that have been made in the NF-jB field are the inducing agent (180). The close correlation between delineation of signaling pathways that connect diverse cellular Published 2012. This article is a US Government work and is in the public domain in the USA Immunological Reviews 246/2012 265
  • 13. Kaileh & Sen Æ NF-jB function in B lymphocytes stimuli to NF-jB. Identification of the components involved responses to strategic combinations of stimuli, which are more and their subsequent genetic manipulation have revealed likely to represent how cells respond in vivo. Tedious though it many biological situations that utilize NF-jB. Biochemical may be, there seems to be no way to get these insights without studies of how these components function have provided tar- conditional deletions of the Rel genes themselves. Given the gets for therapeutic intervention. An area that appears ready complexity of the problem, it is reasonable to consider what for equally sophisticated analyses is the regulation of gene benefits (other than understanding) will accrue from such transcription by NF-jB. endeavors. One possibility that continues to motivate us is that At the simplest level the function of the jB site in the j uncovering subunit-specific transcriptional mechanisms may enhancer remains mysterious. In this review, we have hypoth- make it possible to selectively alter expression of small subsets esized possible functions for this site based on the idea that its of NF-jB target genes for therapy. high conservation between species must serve a purpose. Finally, it will be interesting to explore cross-talk between Additional studies are necessary to confirm or refute these the canonical and noncanonical NF-jB pathways more deeply. conjectures. Moreover, little is known about cooperation One situation where this is pertinent is in the genera- between the jB site and other protein binding sites within the tion ⁄ maintenance of mature B cells, where both pathways enhancer. Obviously, this functional question cannot be have been shown to be essential. These pathways could func- addressed till we understand the function of the jB site itself. tion independently or be mutually synergistic. Our working A broader, more open-ended, question pertains to the sub- hypothesis is that they work synergistically, and the basis of unit-specific functions of Rel family proteins. It is noteworthy synergy lies in (i) genes that are activated independently by that many of the functional studies have been carried out with each pathway, but function cooperatively and (ii) genes conditional deletions of canonical or noncanonical signal whose transcriptional activity requires both pathways to be transducing components rather than manipulating genes activated simultaneously. A second situation where both NF- encoding Rel family members. While these studies demon- jB pathways are likely to be pertinent is in the germinal cen- strate the importance of one or the other pathway, they do not ter reaction. Two aspects of the GC reaction make it particu- readily provide insight into biological phenomena based on larly interesting: (i) CD40 activates both NF-jB pathways NF-jB-dependent gene expression. This applies particularly to simultaneously and persistently, which will likely be reflected distinguishing between the overlapping functions of REL and in the transcriptional response, and (ii) BCR signaling, and RELA. Additional complexity is introduced because REL- or accompanying classical NF-jB-dependent gene expression, RELA-dependent transcription is likely to be tissue- and signal- must be incorporated into the analysis to understand the specific. A comprehensive understanding of NF-jB-dependent selection process that results in affinity maturation. Indeed, gene expression must take into account the kinetics of REL- or gene expression that requires interactions between the two RELA induction and downregulation, as well as post-transcrip- NF-jB pathways may be particularly sensitive to manipula- tional mechanisms that determine the duration of NF-jB tion. We expect that understanding cell- and stimulus-spe- responses. Once responses to single stimuli are understood in cific NF-jB transcriptional responses will be an important terms of gene expression patterns, we can begin to explore aspect of future research in this area. References 1. Dorshkind K, Montecino-Rodriguez E. Fetal generation of antigen receptor diversity. 9. Gerondakis S, Siebenlist U. Roles of the NF- B-cell lymphopoiesis and the emergence of Cell 2009;138:435–448. kappaB pathway in lymphocyte develop- B-1-cell potential. Nat Rev Immunol 5. Luning Prak ET, Monestier M, Eisenberg RA. ment and function. Cold Spring Harb Per- 2007;7:213–219. 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