B cell-derived transforming growth factor-β1 expression limits the induction phase of autoimmune neuroinflammation

Studies in experimental autoimmune encephalomyelitis (EAE), a murine model of multiple sclerosis (MS), have shown that regulatory B cells modulate the course of the disease via the production of suppressive cytokines. While data indicate a role for transforming growth factor (TGF)-β1 expression in regulatory B cell functions, this mechanism has not yet been tested in autoimmune neuroinflammation. Transgenic mice deficient for TGF-β1 expression in B cells (B–TGF-β1−/−) were tested in EAE induced by recombinant mouse myelin oligodendrocyte glycoprotein (rmMOG). In this model, B–TGF-β1−/− mice showed an earlier onset of neurologic impairment compared to their littermate controls. Exacerbated EAE susceptibility in B–TGF-β1−/− mice was associated with augmented CNS T helper (Th)1/17 responses. Moreover, selective B cell TGF-β1–deficiency increased the frequencies and activation of myeloid dendritic cells, potent professional antigen-presenting cells (APCs), suggesting that B cell-derived TGF-β1 can constrain Th1/17 responses through inhibition of APC activity. Collectively our data suggest that B cells can down-regulate the function of APCs, and in turn encephalitogenic Th1/17 responses, via TGF-β1, findings that may be relevant to B cell-targeted therapies.

B cell-derived plasma cells did not express IL-35 were shown to lose their ability to recover from EAE 22 . Despite the recognized importance of TGF-β 1 in controlling the immune system 23 , no work to date has distinctly linked the in vivo regulatory functions of B cells to the production of TGF-β 1. Tian and colleagues (2001) were the first to report that transfusion of activated B cells secreting anti-inflammatory TGF-β could impair the activity of antigen presenting cells (APCs) and inhibit Th1 responses and in turn insulin dependent diabetes mellitus 24 . Cell surface-associated TGF-β 1 on activated murine B cells was later shown by Parekh and colleagues (2003) to exert potent in vitro inhibitory effects on CD8 + T cells 25 . In recent years, several in vitro assays or experimental models whereby cells were adoptively transferred have further revealed that B cell subpopulations expressing TGF-β can control Treg induction, immune tolerance promotion, and/or innate and adaptive immune response suppression [26][27][28][29][30][31][32][33][34][35][36][37][38] . While these studies altogether support a role for TGF-β in the regulatory capacity of B cells, the direct demonstration that TGF-β 1-producing regulatory B cells modulate the immune system in vivo is lacking. The need of an in vivo demonstration is further supported by data indicating that while the three TGF-β (TGF-β 1 -TGF-β 2 -TGF-β 3) isoforms identified to date have similar in vitro properties they exert discrete non-overlapping functions in vivo 23 .
Here, to evaluate the importance of B cell-derived production of TGF-β 1 in autoimmune neuroinflammation, we engineered mice selectively deficient in TGF-β 1 expression in B cells (B-TGF-β 1 −/− mice) and tested them in EAE induced by recombinant mouse MOG (rmMOG) protein, an EAE setting in which B cells contribute functionally to the disease process. Compared to littermate controls, transgenic mice with B cell-specific deletion of TGF-β 1 developed earlier onset of EAE and higher cumulative disease burden, and exhibited enhanced production of GM-CSF by Th17 cells as well as IFN-γ by Th1 cells in the CNS. No differences in regulatory T cell (Treg) levels were observed. Moreover B-TGF-β 1 −/− mice expressed a higher frequency of CD11c + CD11b + conventional myeloid splenic dendritic cells (DCs), as well as increased surface expression levels of MHC class II and CD86 molecules by those cells. This suggests that TGF-β 1-producing B cells restrained disease progression, at least partly, by affecting the immunogenic functions of myeloid DCs. Collectively, these data show that TGF-β 1 production by B cells is an important regulatory mechanism in T cell-mediated autoimmune diseases such as EAE and MS.

TGF-β1-producing regulatory B cells limit the induction phase of EAE.
The role of TGF-β 1 production by B cells was investigated in EAE induced by rmMOG protein, a protocol that activates the cellular component of B cell immunity 14 . Mice containing TGF-β 1-deficient B cells (B-TGF-β 1 −/− ) and control (B-TGF-β 1 +/+ ) mice were monitored for up to 25 days post-immunization (chronic phase). There was a significant difference between B-TGF-β 1 +/+ and B-TGF-β 1 −/− mice, as shown by the comparison of the mean EAE scores monitored over a period of 25 days (Fig. 1a). No difference in survival was found between groups over the 25 days of disease (Fig. 1b). Selective B cell TGF-β 1-deficiency caused an earlier onset and peak disease (Fig. 1c). Moreover, an increase of the area under curve (AUC) (equivalent of the cumulative total EAE scores) was observed in absence of TGF-β 1-producing B cells (Fig. 1d). Despite faster development of the clinical disease in B-TGF-β 1 −/− mice, both sets of mice eventually reached similar EAE severity, as measured by the comparison of maximum EAE scores (Fig. 1e). Of note, B-TGF-β 1 −/− mice showed higher EAE scores during the acute (day 14) (Fig. 1f), but not the chronic (day 25) (Fig. 1g) phase of the disease. These data suggest that TGF-β 1-producing B cells are maximally effective during early EAE initiation, while they may not have a direct role during disease progression. B cell-specific TGF-β1 deficiency increases CNS inflammation. Histological features of EAE induced by active sensitization with rmMOG protein are inflammation and demyelination. To assess the degree of inflammation and demyelination during the acute (day 14) and chronic (day 25) phase of the disease, spinal cord (SC) sections from EAE mice were stained with hematoxylin and eosin (H&E) or luxol fast blue/PAS (LFB-PAS), respectively. Histological examination of SC disease burden corroborated the clinical EAE score assessments during the acute and chronic phases of the disease: as shown in Fig. 2a,b, the extent of inflammation and demyelination was higher in B-TGF-β 1 −/− mice than in B-TGF-β 1 +/+ mice during acute EAE. During the chronic phase, inflammatory cell infiltration and demyelination were similar between the groups of mice (Fig. 2c,d). Taken together, these data show that selective ablation of TGF-β 1-producing B cells increased disease susceptibility and neuroinflammation during acute EAE disease.
Increased disease severity in B-TGF-β1 −/− mice is associated with enhanced frequencies of proinflammatory T cells in the CNS. We next examined the potential effects of B cell-specific TGF-β 1 deficiency in rmMOG protein-induced EAE on proinflammatory CNS T cell responses. To represent the acute inflammatory phase of EAE disease, we chose day 14 post-induction. Consistent with clinical and histological observations, the overall numbers (data not shown) and frequencies of CNS-infiltrating Th1 and Th17 cells during the acute stage of the disease were more extensive in B-TGF-β 1 −/− mice when compared to B-TGF-β 1 +/+ mice (Fig. 3a). While CNS-infiltrating CD4 + T cells showed equivalent production of IL-17A in both groups (data not shown), a higher population of CD4 + T cells that expressed both IL-17A and GM-CSF, a well-known Th17 cytokine, was found in B-TGF-β 1 −/− mice in comparison to B-TGF-β 1 +/+ mice (Fig. 3b). CNS CD4 + T cells from B-TGF-β 1 −/− mice also globally showed increased production of GM-CSF (Fig. 3c). As for the Th1-type cytokine, a larger population of CNS-infiltrating CD4 + T cells expressing IFN-γ along with IL-17A was detected in B-TGF-β 1 −/− mice in comparison to B-TGF-β 1 +/+ mice (Fig. 3d). Likewise, total IFN-γ production by CNS CD4 + T cells was augmented in B-TGF-β 1 −/− mice in comparison to B-TGF-β 1 +/+ mice (Fig. 3e). Interestingly, no differences in the levels of CNS-infiltrating CD4 + CD25 + FoxP3 + regulatory T cells (Tregs) were noted between the groups of mice (Fig. 3f,g), nor was there any difference in the ability of Tregs to produce IL-10 ( Fig. 3h).
Scientific RepoRts | 6:34594 | DOI: 10.1038/srep34594 Selective B cell TGF-β1-deficiency increases peripheral proinflammatory Th17 responses. As EAE was accelerated in B-TGF-β 1 −/− mice, suggesting a critical role for TGF-β 1-producing B cells in the priming of T cells during EAE, we next evaluated how deficiency of TGF-β 1 expression by B cells influenced the peripheral development of pathogenic cells in vivo. Compared with control mice, B-TGF-β 1 −/− demonstrated normal spleen cellularity (data not shown). As shown by intracellular flow cytometry during acute EAE (day 14), levels of splenic CD4 + T cells expressing IL-17A was increased in B-TGF-β 1 −/− mice in comparison to B-TGF-β 1 +/+ mice (Fig. 4a). Moreover, a larger proportion of splenic CD4 + T cells that produce GM-CSF was detected in B-TGF-β 1 −/− mice than in B-TGF-β 1 +/+ mice (Fig. 4b). Peripheral IFN-γ -producing CD4 + T cells were found in similar frequencies in both groups (Fig. 4c). Finally, comparable percentages of CD25 + FoxP3 + CD4 + Tregs and intracellular expression levels of IL-10 by these cells were also noted ( Fig. 4d), discounting a function for B cell-derived TGF-β 1 expression in driving the generation/expansion or survival of Tregs in vivo. Furthermore, as recent data indicate that MOG-specific Abs may accelerate CNS inflammation and disease by an interplay with T cells 39,40 and that B-cell derived TGF-β 1 can control T-dependent responses 41 , we evaluated whether selective ablation of TGF-β 1 production in B cells was associated with increased titers of MOG-reactive IgGs. Similar serum levels of MOG-specific IgGs were detected in both B-TGF-β 1 +/+ and B-TGF-β 1 −/− mice prior to disease induction as well as during the acute and chronic phases of EAE (Fig. 4e). These data suggest that the more pronounced proinflammatory T cell phenotype and accelerated EAE seen B-TGF-β 1 −/− mice does not implicate altered auto-Ab production.
B cell TGF-β1-deficiency augments the frequencies of myeloid DCs and activation status of antigen APCs. Data from our B-TGF-β 1 −/− mice indicate that B cell-derived TGF-β 1 production restrains the development of proinflammatory T cell subsets. As B cells can exert anti-inflammatory properties via inhibiting the maturation and proinflammatory differentiation of other APCs in vivo 14,42 , we evaluated the influence of selective B cell TGF-β 1-deficiency on the frequency of specific populations of APCs during the acute phase of EAE. Selective B cell TGF-β 1-deficiency was associated with a higher frequency of CD11c + CD11b + myeloid DCs in EAE mice (Fig. 5a), suggesting that B cell-derived TGF-β 1 expression could control the turnover of this APC subset. In contrast to myeloid DCs, no differences were observed in the frequencies of splenic CD11c + CD11b − lymphoid DCs, CD11c − CD11b + monocytes/macrophages, or B220 + CD19 + B cells (Fig. 5a). Interestingly, no changes between groups were found in naïve mice, suggesting that B cell-derived TGF-β 1 expression specifically control the development of myeloid DCs during inflammation ( Supplementary Fig. S1). We next evaluated whether selective B cell TGF-β 1-deficiency caused aberrant expression of MHC class II (Fig. 5b), and co-stimulatory CD86 (Fig. 5c) and CD80 (Fig. 5d) molecules. As shown in Fig. 5e, CD11c + CD11b + myeloid DCs expressed higher levels of MHC class II and CD86 in B-TGF-β 1 −/− mice than in B-TGF-β 1 +/+ mice. No differences were however observed for CD80 expression (Fig. 5e). While increasing CD86 expression by lymphoid DCs (Fig. 5f), selective B cell TGF-β 1-deficiency had no effect on monocyte/macrophage expression of MHC class II, CD86 or CD80 (Fig. 5g). Finally, TGF-β 1-deficient B cells had elevated surface levels of MHC class II molecules (Fig. 5h). Altogether, these data suggest that lack of TGF-β 1-producing regulatory B cells favors the activation of inflammatory T cells and the development of more activated APCs. TGF-β1-deficient B cells promote normal proinflammatory CD4 + T cell responses. B cells are essential for generating optimal pathogenic CD4 + T cell responses following recombinant protein immunization 3,14 . As B cells from B-TGF-β 1 −/− EAE mice showed increased levels of MHC class II surface expression (Fig. 5h) we next addressed whether TGF-β 1-deficient B cells from EAE mice had increased capacity to promote the activation of CD4 + T cells. To study B cell APC function in the absence of any possible effects caused by residual endotoxin contamination commonly found in recombinant protein preparations, B cells were collected from B-TGF-β 1 +/+ and B-TGF-β 1 −/− mice immunized with OVA protein and used as APCs in co-cultures with OVA-specific TCR Tg cells (OT-II cells) and endotoxin-free OVA protein. Immunization of mice with intact OVA protein was previously shown to be as potent as immunization with rmMOG to activate B cells in situ, suggesting that B cell activation is a characteristic associated with immunization with protein 14 . Despite increased expression of MHC class II molecules, B cells from B-TGF-β 1 −/− mice showed no superior capacity to induce T cell proliferation in comparison to B cells from B-TGF-β 1 +/+ in response to OVA protein (Fig. 6a,b). Further analysis of proinflammatory cytokine production by CD4 + T cells showed no differences in their expression of IL-17 (Fig. 6c), GM-CSF (Fig. 6d) or IFN-γ (Fig. 6e). Altogether, these data indicate that selective B cell TGF-β 1-deficiency does not enhance APC function of activated B cells and that augmented proinflammatory T cell responses in B-TGF-β 1 −/− EAE mice likely reflect increased APC function of more professional APCs such as myDCs.

Selective B cell TGF-β1-deficiency augments the capability of residual APCs to activate proinflammatory T cells. Previous studies have indicated that cytokine-producing B cells may locally
regulate other APCs 42,43 . Thus, we evaluated whether lack of TGF-β 1 production by B cells influenced the function of remaining APCs. For this purpose, we isolated spleen cells from either B-TGF-β 1 +/+ or B-TGF-β 1 −/− mice primed with OVA protein, and cultured them, after depletion of both B and T lymphocytes, with naïve OVA-specific OT-II CD4 + T cells and endotoxin-free OVA protein. When compared to remaining splenocytes  from B-TGF-β 1 +/+ mice, splenocytes remaining from B-TGF-β 1 −/− mice exhibited an increased capacity to promote T cell proliferation in response to OVA protein (Fig. 7a,b). While we found an increased percentage of dividing CD4 + T cells in co-cultures with remaining splenocytes from B-TGF-β 1 −/− mice, no statistically significant differences were found in the expression levels of proinflammatory cytokines produced by those CD4 + T cells in this assay (Fig. 7c-e). In summary, these results suggest that selective deficiency of TGF-β 1-producing B cells could augment the T-cell stimulatory functions of APCs in vitro, and therefore the Ag-specific proinflammatory T responses.

Discussion
Evidence suggests that some B cell subsets may have an important role in immune regulation of autoimmune neuroinflammation 19,21,22,[44][45][46] . The goal of this investigation was to evaluate the contribution of B cell-derived TGF-β 1, a regulatory cytokine with pleiotropic functions in control of T cell responses, in the context of CNS autoimmunity. To this end, we created mice with TGF-β 1-deficiency restricted to B cells (B-TGF-β 1 −/− mice) and tested them in a mouse model of MS that endorses participation of B cells. In comparison to mice containing B cells that expressed TGF-β 1 (B-TGF-β 1 +/+ ), B-TGF-β 1 −/− mice were more susceptible to EAE induced by rmMOG and exhibited increased CNS inflammation as well as proinflammatory Th1 and Th17 responses. Our results further indicate that B cell-derived TGF-β 1 production does not restrain T cell immunity by directly inhibiting proliferation or cytokine production of T cells, but rather influences the proinflammatory profile of potent professional APCs. Regulation by TGF-β 1 opens up new avenues for novel populations, or mechanisms of action, of regulatory B cells in CNS autoimmunity.
Studies in various experimental animal models have identified multiple types of regulatory B cells exhibiting diverse mechanisms of immune suppression. In acute EAE models B cells were shown to orchestrate disease recovery 47 through the production of regulatory cytokines 21,22 , or via interaction with Tregs 44,46 . While these studies indicate that regulatory B cell activities may be critical for resolving disease, additional observations also support a regulatory role for B cells during disease induction 14,19,45 . Our study indicates that regulatory TGF-β 1-producing B cells exert their anti-inflammatory effects early, but not late, during the course of EAE. Mechanistically, we found that selective B cell TGF-β 1-deficiency up-regulated the maturation markers CD86 and MHC class II on myeloid DCs, potent APCs that play a critical role in Ag presentation of CD4 + T cell activation during EAE initiation, while not affecting the generation or maintenance of regulatory T cells, which have been shown to inhibit late-phase disease 48 .
Regulatory B cells have been reported to either directly control T cell responses through cognate interactions 49 or to locally regulate APCs via secretion of anti-inflammatory cytokines 48 . A major mediator of B cell suppression so far is IL-10. B cell-derived IL-10 was shown to limit production of IL-12 by DCs and restrain Th1 differentiation 42,50 . Likewise, TLR-activated B cells limit the capacity of DCs to secrete IL-6 and IL-23 and to induce Th17 differentiation via IL-10 43 . In addition to IL-10 production, TGF-β 1 expression has also been shown to regulate CNS autoimmune T cell responses indirectly through DCs. More specifically, data indicate that the lack of TGF-β 1 signaling in DCs is sufficient to promote severe EAE 51 . Here, our data suggest that B cell-derived TGF-β 1 decreases the Ag-presenting capacity and/or co-stimulatory activity of myeloid DCs. As myeloid DCs recently emerged as a unique APC population capable of driving Th17 differentiation in CNS during EAE 52 , our data stress the importance of the interplay of TGF-β 1 and DCs in the control of EAE.
In contrast to changes seen during EAE, frequency and phenotype of myeloid DCs were unaffected in naïve mice containing selective B cell TGF-β 1 deficiency (Fig. S1). These observations suggest that inflammatory signals may be essential for the development of TGF-β 1-producing B cells. The importance of inflammation in the development of regulatory TGF-β 1-expressing B cells calls into question the location of their maturation during EAE pathogenesis. While most EAE studies characterized the spleen as the primary location for regulatory B cell development 53 , regulatory B cells in the draining lymph nodes (dLNs) of EAE mice have recently been reported to be critical in restraining autoimmune neuroinflammation by inhibition of DC function in the development of encephalitogenic T cells 54 . Whether B cell-derived TGF-β 1 production exerts it suppressive function in the dLNs of EAE mice remains to be investigated. Additional mechanisms of immune suppression mediated by B cells during EAE may include accumulation within the CNS 19 . Conceivably, B cell-derived TGF-β 1 could further contribute to immune modulation in situ. Interestingly, consistent with the regulatory function of IL-10-producing B cells involved in disease initiation, amelioration of EAE symptoms was shown to be associated to a quick expansion of these cells in the spleen but not in the CNS 48 . As our data also suggest that TGF-β 1-producing B cells exert their protective functions during EAE initiation, it is unlikely that they would be contributing to regulation of CNS autoimmunity in situ.
Major unanswered questions are what mechanisms induce the production of TGF-β 1 by cells and what subsets of B cells are exerting the TGF-β 1 regulation. Recent observations established that different inflammatory environments induce distinct regulatory B cell populations 20 . Remarkably, B cells were shown to produce relatively low levels of pro-and active TGF-β in physiological conditions 55,56 , while they were reported to express high levels of active TGF-β in response to LPS stimulation 24,25 . Importantly, LPS-activated B cells were documented to comparably express much higher levels of TGF-β 1 than B cells stimulated with anti-Ig plus anti-CD40 Ab, a T-dependent mode of B cell activation 25 . As mentioned earlier, microbial signals may contribute to the regulatory function of B cell-derived TGF-β 1. In addition to signaling via innate receptors, evidence also suggests that B cell receptor (BCR) recognition is important in induction of regulatory B cells expressing IL-10 21,57,58 . Whether the development and function of TGF-β 1-producing B cells requires Ag receptor diversity and Toll-like receptor (TLR) signals function remains to be determined. The characterization of TGF-β 1-producing B cells may further shed light on whether these cells are restricted to a unique subset of regulatory B cells or, alternatively, if they represent a hallmark of an inflammatory microenvironment. The quantification of TGF-β 1 expression by B cells (Supplementary Fig. S2) indicates that TGF-β 1-producing B cells do not belong to the CD5 + CD1d hi B10 subset 59 or CD138 + plasma cells, which have been shown to be the main source of IL-10 and IL-35 during EAE 22,54 . The immunophenotypical characterization of TGF-β 1-expressing B cells will be an important focus of future studies. Finally, while there is ample evidence to support the clinical efficacy of pan-B cell depletion, using depleting anti-CD20 mAbs, for the treatment of MS 1,2 , B cell depletion may also promote the occurrence of CNS inflammation in some settings 14,[60][61][62][63] . It would hence be worthwhile to evaluate whether human TGF-β 1-secreting B cells 32 can contribute to the regulation of inflammatory and autoimmune diseases, including MS.
The observation that TGF-β 1 production by B cells restrained proinflammatory T cell activation, and histologic and clinical manifestations of CNS autoimmunity, provides novel insight regarding B-APC cell communication in the pathogenesis of MS and the use of B cell depletion in its therapy.

Materials and Methods
Mice. WT  according to the manufacturer's instructions. Following separation, B cells were evaluated for purity (> 99%) by flow cytometry staining for B220. When necessary, cells were enriched a second time using a fresh tube to obtain > 95% cell purities. For T cell co-culture assays using remaining splenocytes as APCs, spleens were isolated and B220 + B cells (EasySep ™ , kit #18954) and CD3 + T cells (Ebioscience, kit #8802-6840-74) were removed Scientific RepoRts | 6:34594 | DOI: 10.1038/srep34594 by positive magnetic separation. Naïve CD4 + T cells were isolated from spleens of OT-II mice by depletion of non-CD4 + T cells (negative selection, (EasySep ™ , kit #19852). Cells were cultured in RPMI supplemented with 2% FCS, β -mercaptoethanol, 2 mmol/L L-glutamine, 50 IU/mL penicillin, 50 μ g/mL streptomycin, 1X insulin-transferrin-selenium, and 5 μ M HEPES. For CFSE dilution, 2.5 × 10 5 purified B220 + B cells or remaining splenocytes were co-cultured in 96-well plates with 2 × 10 4 naïve T cells isolated from OVA TCR Tg (OT-II) mice in the presence of endotoxin-free OVA protein. After 72 hrs, T cell proliferation was assessed by CFSE dilution assay after gating on CD4 + T cells. FACS or ELISA evaluated T cell differentiation after 72 hrs. CNS cell isolation. CNS mononuclear cells were isolated from EAE mice at peak of disease after cardiac perfusion with PBS, as previously described 3 . Briefly, minced CNS (spinal cord) tissues were digested with collagenase D (2.5 mg/ml; Roche Diagnostics, Indianapolis, IN) at 37 °C for 60 min. Mononuclear cells were isolated by discontinuous Percoll gradient (70/30%) (Sigma-Aldrich) centrifugation. Lymphocytes were collected from the 30:70% interface and washed. Total cell numbers were determined by counting on a hemocytometer, and viability was assessed by trypan blue exclusion. To exclude the possibility of generating artifacts during the isolation process of CNS-infiltrating cells, the percentages rather than the "absolute" cell numbers were displayed to facilitate comparison of results.
Flow cytometric analysis. For six-color immunofluorescence analysis, single-cell suspensions (1 × 10 6 cells) were incubated with anti-mouse FcRIIB/FcRIIIA mAb (2.4G2) (BD Bioscience) to avoid nonspecific staining and were subsequently stained at 4 °C using predetermined optimal concentrations of mAb for 30 min. as previously described 3 . Blood erythrocytes were lysed before staining using FACS lysing solution (BD Biosciences).  Detection of anti-MOG antibodies. Serum MOG-specific IgG antibodies were measured using a noncommercial ELISA as previously described 65,66 . 96-Maxisorb plates (Costar) were precoated with rmMOG (1-117) protein (10 μ g/ml in PBS), blocked with 1% BSA (Sigma-Aldrich), and incubated with sera for 2 hrs at the indicated dilution. After washing, MOG-specific IgG retained by the plate-bound MOG was detected with horseradish-peroxidase-conjugated anti-mouse IgG (eBioscience). OVA protein-coated plates were used as negative controls for nonspecific binding. SOFTmax ELISA plate reader (450-nm wavelength) and software (Molecular Devices) were used for data analysis.

Histology and immunohistochemistry. Spinal cords (SCs) were removed and fixed in 4%
neutral-buffered formalin, paraffin-embedded and sectioned (3 μ M). Representative sections were stained with Luxol fast blue (LFB)-hematoxylin and eosin (H&E) (for inflammation and demyelination) and examined by light microscopy and scanned with Axioscan.Z1 (Zeiss). The number of inflammatory foci per section was counted in each H&E-stained section in a blinded fashion. The degree of demyelination was determined as a percentage of demyelinated area in comparison to total area of white matter in SC sections.
RNA Isolation and Real-time Quantitative PCR. RNA was prepared from MACS-sorted CD19 + B cells or FACS-sorted CD138 − , CD138 + plasma cells, CD19 + CD5 − CD1d lo or CD19 + CD5 + CD1d hi Bregs using Qiagen RNAeasy Mini Kits and subjected to DNase I (Roche Diagnostics) digestion. Random hexamer primers (Promega, Madison, WI) and Superscript II RNase H reverse transcriptase (Invitrogen, Carlsbad, CA) were used to generate cDNA. TGF-β 1 transcripts were quantified by real-time PCR analysis using SYBR Green as the detection agent. The PCR was performed with the 7500 Real Time PCR System (Applied Biosystems). TGF-β 1 mRNA expression was normalized to β -actin expression and was quantified using the relative standard curve method, followed by comparison with the results from control samples (unmanipulated B cells). For all reactions, each condition was performed in triplicate.
Scientific RepoRts | 6:34594 | DOI: 10.1038/srep34594 Statistical analysis. Data are presented as mean ± SEM. For clinical scores, significance between groups was analyzed using the Mann-Whitney U test. A value of P < 0.05 was considered significant. All other statistical analysis was performed using a Student's t-test or a two-way multiple-range analysis of variance test (ANOVA) for multiple comparisons. A value of p < 0.05 was considered significant.