In this study, we show that the simultaneous ablation of E3 ubiquitin ligases c-Cbl and Cbl-b in B cells results in manifestation of SLE-like autoimmune disease, evidenced by the high levels of serum autoantibodies against the dsDNA and ANA, as well as pathological alterations in kidney and other major organs. The mutant B cells were not generally hyper-responsive to antigen stimulation in terms of antibody production and proliferation. However, BCR anergy to soluble protein antigen (sHEL) was impaired. Since in this mouse model the c-Cbl and Cbl-b are simultaneously inactivated only in B cells, we conclude that Cbl proteins control B cell-intrinsic checkpoint of tolerance induction.
B cell-mediated autoimmunity is frequently linked to the hyperactivation of B cells. In this regard, mice deficient in tyrosine kinase Lyn, tyrosine phosphatase SHP-1, or membrane receptor CD22 exhibit B-cell hyper-responsiveness upon BCR stimulation and manifest systemic autoimmune diseases (
Cyster and Goodnow, 1995;
Hibbs et al., 1995;
O’Keefe et al., 1996). In addition to this mechanism, mutations that influence B-cell apoptosis and survival may also affect immune tolerance, as the germline deletion of PKC-δ or over-production of BAFF in mice, both of which promote the survival of B cells, cause severe autoimmune diseases (
Lesley et al., 2004;
Saijo et al., 2003;
Thien et al., 2004). In contrast to these two mechanisms, we found that Cbl-dko B cells were not hyperactive to antigen stimulation both
in vitro and
in vivo. They were not resistant to BCR-induced apoptosis, nor did they exhibit any enhancement in BAFF signaling. These findings thus suggest that Cbl proteins control B-cell tolerance through a different mechanism. It is generally believed that B-cell tolerance may occur at immature B cell stage. In contrast to mature B cells which are activated when encountering an antigen, immature B cells usually become tolerized upon BCR triggering (
Allman et al., 2001;
Carsetti et al., 1995;
Loder et al., 1999;
Monroe, 2004;
Rajewsky, 1996). Under physiological condition, immature B cells may take 3–4 days to become immune competent mature B cells (
Allman et al., 1993;
Rolink et al., 1998). This period of B-cell maturation naturally constitutes a time window when autoreactive B cells can be checked by various tolerance mechanisms such as clonal deletion, BCR editing, and anergy (
Chen et al., 1995;
Goodnow et al., 1995;
Nemazee and Buerki, 1989). Our preliminary data suggest that the Cbl-dko mutation may expedite B-cell maturation (
Supplementary Fig. 3). We therefore propose that this alteration could dramatically shorten the susceptible period of immune tolerance against autoreactive B cells, consequently breaking down the immune tolerance. This hypothetic model of B-cell tolerance is also supported by a recent observation showing that administration of female hormone prolactin may concomitantly facilitate B-cell maturation and development of SLE-like disease in anti-DNA antibody transgenic mice (
Peeva et al., 2003). Since our results revealed that B-cell anergy to soluble HEL antigen was impaired in Cbl-dko mice, more experiments are needed to assess whether a shortened duration of B-cell maturation is directly responsible for the impaired B-cell anergy to autoantigen in Cbl-dko mice. It should be noted that we also found that while the mutant B cells still underwent BCR editing, the efficiency of the secondary rearrangement of the κ chains in the absence of Cbl proteins seemed to be less efficient (
Supplementary Fig. 4b). It is therefore necessary to further investigate whether BCR editing is partially impaired by Cbl-dko mutation. Finally, since we found that Cbl-dko mice possessed significantly more B1 B cells, it remains to be determined whether the observed autoimmune symptom is linked to the abnormal development and function of B1 B cells.
Molecular mechanisms by which Cbl proteins regulate BCR signaling remain unclear. Previous experiments show that both c-Cbl and Cbl-b may function as E3 ubiquitin ligases in T cells (
Joazeiro et al., 1999). c-Cbl and Cbl-b directly or indirectly form complexes with the Ig-α, Syk, PLC-γ2, PI-3 kinase (p85), Vav, and BLNK ((
Bachmaier et al., 2000;
Fang and Liu, 2001;
Rao et al., 2002a;
Sohn et al., 2003) and data not shown). However, we noted that in B cells the Cbl-dko mutation abolished BCR-induced Ig-α and Syk ubiquitination but it did not affect the ubiquitination states of PI-3 kinase, PLC-γ2, Vav, and BLNK, despite the fact that tyrosine phosphorylation of these molecules was markedly altered. Since Ig-α and Syk function at the top of the BCR signaling cascade, our results thus support the idea that Cbl proteins may negatively regulate BCR signaling cascade at the top of BCR-induced tyrosine phosphorylation cascade by promoting Ig-α and Syk ubiquitination. As we could not detect any meaningful degradation of Ig-α and Syk even after one hour of BCR stimulation, we believe that the ubiquitination of Ig-α and Syk by Cbl proteins might not direct them for degradation, but rather alter their transportation and/or association with other molecules during BCR signaling. A similar observation that PI-3 kinase (p85) is ubiquitinated but not degraded by Cbl-b has been reported in T cells (
Fang and Liu, 2001). This conclusion of course cannot exclude the possibility that only a small fraction of Ig-α and Syk are ubiquitinated by Cbl proteins so that the degradation of these molecules is below the detectable level in our assay system.
It should be mentioned that T cells in our Cbl-dko mice were deficient in Cbl-b. Since our Cbl-b
−/− mice are susceptible to autoimmune diseases (
Chiang et al., 2000), it is possible that in Cbl-dko mice the Cbl-b
−/− T cells also contribute to the development of SLE-like disease. However, since we did not find a similar autoimmune symptom in the littermate Cbl-b
−/− (
c-cblf/f cbl-b−/− CD19-Cre−) mice, we believe that B cell-intrinsic ablation of c-Cbl and Cbl-b are necessary for the development of the SLE-like diseases in our animal model. In supporting this idea, our results showed that Cbl-dko B cells indeed exhibited B cell-intrinsic alterations in terms of maturation and BCR signaling. Additionally, anergy of Ig
HEL B cells to sHEL was abolished, indicating that a B cell-intrinsic defect has developed in the absence of Cbl proteins. Further experiments are certainly required to assess to which extent B cell-intrinsic Cbl-dko mutation affects B-cell tolerance induction and whether Cbl-dko B cells are sufficient for the manifestation of the SLE-like diseases in the absence of T-cell help.