<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2024.1409434</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Lipopolysaccharide-responsive beige-like anchor is involved in regulating NF-&#x3ba;B activation in B cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>P&#xe9;rez-P&#xe9;rez</surname>
<given-names>Daniela</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2670422"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fuentes-Panan&#xe1;</surname>
<given-names>Ezequiel M.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/392984"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Flores-Hermenegildo</surname>
<given-names>Jos&#xe9; Mizael</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2762886"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Romero-Ramirez</surname>
<given-names>Hector</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/475225"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Santos-Argumedo</surname>
<given-names>Leopoldo</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/199745"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kilimann</surname>
<given-names>Manfred W.</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2762741"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rodr&#xed;guez-Alba</surname>
<given-names>Juan Carlos</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2758472"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lopez-Herrera</surname>
<given-names>Gabriela</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/521219"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/resources/"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/validation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Doctorate Program in Biological Sciences, Autonomous National University of Mexico</institution>, <addr-line>Mexico City</addr-line>, <country>Mexico</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Immunodeficiency Laboratory, National Institute of Pediatrics</institution>, <addr-line>Mexico City</addr-line>, <country>Mexico</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Research Unit in Virology and Cancer, Children's Hospital of Mexico Federico G&#xf3;mez</institution>, <addr-line>Mexico City</addr-line>, <country>Mexico</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Molecular Biomedicine, Center for Research and Advanced Studies of the National Polytechnic Institute, CINVESTAV IPN</institution>, <addr-line>Mexico City</addr-line>, <country>Mexico</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Molecular Neurobiology, Max Planck Institute for Multidisciplinary Sciences</institution>, <addr-line>G&#xf6;ttingen</addr-line>, <country>Germany</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Medicine and Surgery Faculty, Autonomous University Benito Juarez from Oaxaca</institution>, <addr-line>Oaxaca</addr-line>, <country>Mexico</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>Neuroimmunology and Neurooncology Unit, The National Institute of Neurology and Neurosurgery (NINN)</institution>, <addr-line>Mexico City</addr-line>, <country>Mexico</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Wanli Liu, Tsinghua University, China</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Cf Li, Tsinghua University, China</p>
<p>Kihyuck Kwak, Yonsei University, Republic of Korea</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Gabriela Lopez-Herrera, <email xlink:href="mailto:lohegabyqbp@gmail.com">lohegabyqbp@gmail.com</email>; <email xlink:href="mailto:gablopezh@pediatria.gob.mx">gablopezh@pediatria.gob.mx</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>15</day>
<month>07</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1409434</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>03</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>06</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 P&#xe9;rez-P&#xe9;rez, Fuentes-Panan&#xe1;, Flores-Hermenegildo, Romero-Ramirez, Santos-Argumedo, Kilimann, Rodr&#xed;guez-Alba and Lopez-Herrera</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>P&#xe9;rez-P&#xe9;rez, Fuentes-Panan&#xe1;, Flores-Hermenegildo, Romero-Ramirez, Santos-Argumedo, Kilimann, Rodr&#xed;guez-Alba and Lopez-Herrera</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Lipopolysaccharide-responsive and beige-like anchor (LRBA) is a scaffolding protein that interacts with proteins such as CTLA-4 and PKA, the importance of which has been determined in various cell types, including T regulatory cells, B cells, and renal cells. LRBA deficiency is associated with an inborn error in immunity characterized by immunodeficiency and autoimmunity. In addition to defects in T regulatory cells, patients with LRBA deficiency also exhibit B cell defects, such as reduced cell number, low memory B cells, hypogammaglobulinemia, impaired B cell proliferation, and increased autophagy. Although <italic>Lrba<sup>-/-</sup>
</italic> mice do not exhibit the immunodeficiency observed in humans, responses to B cell receptors (BCR) in B cells have not been explored. Therefore, a murine model is for elucidating the mechanism of Lrba mechanism in B cells.</p>
</sec>
<sec>
<title>Aim</title>
<p>To compare and evaluate spleen-derived B cell responses to BCR crosslinking in C57BL6 <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>Spleen-derived B cells were obtained from 8 to 12-week-old mice. Subpopulations were determined by immunostaining and flow cytometry. BCR crosslinking was assessed by the F(ab&#x2019;)2 anti-&#x3bc; chain. Activation, proliferation and viability assays were performed using flow cytometry and protein phosphorylation was evaluated by immunoblotting. The nuclear localization of p65 was determined using confocal microscopy. Nur77 expression was evaluated by Western blot.</p>
</sec>
<sec>
<title>Results</title>
<p>
<italic>Lrba<sup>-/-</sup>
</italic> B cells showed an activated phenotype and a decreased proportion of transitional 1 B cells, and both proliferation and survival were affected after BCR crosslinking in the <italic>Lrba-/-</italic> mice. The NF-&#x3ba;B pathway exhibited a basal activation status of several components, resulting in increased activation of p50, p65, and I&#x3ba;B&#x3b1;, basal p50 activation was reduced by the Plc&#x3b3;2 inhibitor U73122. BCR crosslinking in <italic>Lrba<sup>-/</sup>
</italic>
<sup>-</sup> B cells resulted in poor p50 phosphorylation and p65 nuclear localization. Increased levels of Nur77 were detected.</p>
</sec>
<sec>
<title>Discussion</title>
<p>These results indicate the importance of Lrba in controlling NF-&#x3ba;B activation driven by BCR. Basal activation of NF-&#x3ba;B could impact cellular processes, such as, activation, differentiation, proliferation, and maintenance of B cells after antigen encounter.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Lrba</kwd>
<kwd>B cells</kwd>
<kwd>B-cell receptor</kwd>
<kwd>BCR signaling</kwd>
<kwd>Plc&#x3b3;2</kwd>
<kwd>NF-&#x3ba;B</kwd>
<kwd>p50 activation</kwd>
</kwd-group>
<contract-sponsor id="cn001">Instituto Nacional de Pediatria<named-content content-type="fundref-id">10.13039/100016928</named-content>
</contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="51"/>
<page-count count="13"/>
<word-count count="6569"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>B Cell Biology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>LRBA is a ubiquitous protein whose functions have been described in immune, kidney, and neuronal cells. Since 2012, over 100 pathogenic variants of LRBA have been associated with common variable immunodeficiency (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B5">5</xref>)as well as autoimmune disorders such as neonatal insulin-dependent diabetes mellitus (IDDM) (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B12">12</xref>), autoimmune lymphoproliferative syndrome (ALPS)-like syndrome (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B13">13</xref>), immune dysregulation, polyendocrinopathy, enteropathy, and X-linked syndrome (IPEX)-like syndrome (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>).</p>
<p>LRBA is a high molecular weight protein that belongs to a family of proteins containing Beige and Chediak-Higashi (BEACH), pleckstrin homology (PH)-like proteins, and WD40 repeats, named BEACH domain-containing proteins (BDCPs). BDCP variants affect cellular processes, such as apoptosis, lysosome size, autophagy, granule size, and neuronal synapse formation (<xref ref-type="bibr" rid="B15">15</xref>). Additionally, some of LRBA&#x2019;s predicted LRBA domains are related to vesicular trafficking, such as the Concanavalin A (ConA)-like, vacuolar protein sorting (VPS)-27, hepatocyte growth factor-regulated tyrosine kinase substrate (Hrs), and signal transducing adaptor molecule (STAM) VHS domains (<xref ref-type="bibr" rid="B16">16</xref>).</p>
<p>Moreover, LRBA functions as an A-kinase-anchoring protein (AKAP), enabling its interaction with the PKA regulatory subunit (<xref ref-type="bibr" rid="B17">17</xref>) and its substrates. This interaction facilitates the correct localization of signaling complexes, thereby ensuring their functionality (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Recent studies in <italic>Lrba</italic>
<sup>-/-</sup>knockout mice indicated that <italic>Lrba</italic> is involved in the PKA phosphorylation of aquaporin 2 in kidney cells (<xref ref-type="bibr" rid="B19">19</xref>).</p>
<p>Although the molecular functions of <italic>LRBA</italic> protein have been described in the recycling of CTLA-4 in T regulatory cells (<xref ref-type="bibr" rid="B2">2</xref>), a significant proportion of patients with <italic>LRBA</italic> deficiency present defects in the number of memory B cells, low serum antibodies, and autoimmunity such as thrombocytopenia and hemolytic anemia (<xref ref-type="bibr" rid="B1">1</xref>), suggesting an additional mechanism of <italic>LRBA</italic> in the correct function of B cells.</p>
<p>B cells are essential components of the immune response and lead to the production of specific antibodies. They respond to extrinsic signals that activate signaling pathways through different receptors, resulting in proliferation, survival, and differentiation. The B-cell receptor (BCR) is crucial for B cells; it consists of a membrane Immunoglobulin (mIg) coupled to the heterodimer Ig&#x3b1;/Ig&#x3b2;. Signaling through this receptor depends on the stage of B cell differentiation; in immature B cells, it promotes cell death, whereas in mature B cells, it leads to proliferation (<xref ref-type="bibr" rid="B20">20</xref>&#x2013;<xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>The cross-linking of mIg initiates BCR signaling after contact with the specific antigen, leading to the phosphorylation of immunoreceptor tyrosine-based activation motifs (ITAM) in Ig&#x3b1; and Ig&#x3b2; proteins, which are then recognized and bound to Lyn kinase. Subsequently, Syk kinase participates in phosphorylating Bruton&#x2019;s tyrosine-kinase (Btk) and the scaffolding B-cell linker protein (Blnk), allowing the converging signaling activation of mitogen-activated protein kinase (MAPK) and phospholipase-C gamma 2 (Plc&#x3b3;2). MAPK kinase signaling culminates in the activation of transcription factors such as AP-1 and Elk, while Plc&#x3b3;2 leads to the activation of nuclear factor of activated T-cells (NFAT) and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-&#x3ba;B) (<xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>NF-&#x3ba;B is a family of proteins with transcriptional activity involved in immune processes (<xref ref-type="bibr" rid="B24">24</xref>). The canonical pathway of NF-&#x3ba;B culminates in the nuclear translocation of p50/p65 dimers, allowing the targeting of genes. These proteins typically remain inactive in the cytosol thanks to the interaction with the inhibitor kappa B (I&#x3ba;B&#x3b1;). For p50/p65 activation, it is necessary the phosphorylation and subsequent degradation of I&#x3ba;B&#x3b1; driven by IKK&#x3b1;/IKK&#x3b2;. When the p65/p50 is released, it is phosphorylated by IKK&#x3b1; and PKA, a process necessary for entry to the nucleus. Although NF-&#x3ba;B is a transcription factor broadly expressed in cells, its specific functions in the development, survival, and activation of B cells have been described (<xref ref-type="bibr" rid="B25">25</xref>).</p>
<p>
<italic>LRBA</italic> human immunodeficiency manifests as substantial defects in B cells such as diminished B cell counts, reduced immunoglobulin production, and B cell proliferation. B cells also show poor survival and reduced autophagy (<xref ref-type="bibr" rid="B1">1</xref>), suggesting that proper <italic>LRBA</italic> function is crucial for B cell biology.</p>
<p>In this study, we explored B-cell defects in <italic>Lrba<sup>-/-</sup>
</italic> mice. Peripheral B cell differentiation in the spleen showed a slightly lower but significant proportion of Transitional 1 B cells. Additionally, low B cell proliferation and altered survival were observed in response to BCR crosslinking. Additionally, in the absence of Lrba, molecules involved in BCR signaling are altered, and Btk, Plc&#x3b3;2, I&#x3ba;B&#x3b1;, and p50 are overexpressed and hyperphosphorylated in basal conditions. Additionally, the phosphorylation of NF-&#x3ba;B components after BCR crosslinking showed a reduced response in <italic>Lrba<sup>-/-</sup>
</italic> B cells, and p65 showed a nuclear localization in basal conditions. Nur77 was overexpressed, suggesting chronic BCR activation. Our results indicate that Lrba is essential for controlling the activation of BCR signaling molecules.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Reagents and antibodies</title>
<p>Antibodies and reagents used in this work including NF-&#x3ba;B p50 (E-10), phospho NF-&#x3ba;B p50 (Ser336) (A-8), RELA/NF-&#x3ba;B p65 (A-12), phospho-RELA/NF-&#x3ba;B p65 (Ser536) (27. Ser536), NFKBA/IKb alpha (H-4), beta Actin (C4), Plc&#x3b3;2 (B-10) and Nur77 (C-5) were obtained from (Santa Cruz Biotechnology, CA, USA). Phospho-I&#x3ba;B&#x3b1; (Ser32/36) (5A5) mouse mAb #9246 was procured from (Cell Signaling Technology, MA, USA). Purified Anti-Human Btk antibody and BD Pharmingen Purified Mouse anti-Btk (Y551)/ItkY511 (24a/BTK) was purchased from BD Transduction Laboratories (NJ, USA), PE anti-Plc&#x3b3;2 Phospho (Tyr759) Recombinant Antibody (QA20A56) from Biolegend (CA, USA), and Plc&#x3b3;2 inhibitor U73122 (Merck Millipore, MA, USA). Additionally, PE anti mouse-Cd21/Cd35 Monoclonal Antibody (4E3), PerCP/Cy5.5 anti-mouse Cd44(IM7); (eBioscience, San Diego, CA, USA), goat anti-Mouse IgG (H+L) Secondary Antibody, Goat IgG anti-mouse Alexa Fluor 594 (Invitrogen), and Propidium Iodide (Thermo Scientific, MA, USA) were used. Polyclonal Anti-LRBA/BGL antibody was purchased from Abcam, Cambridge, UK). PE anti-mouse I-A<sup>b</sup> Antibody (AF6-120.1), APC anti-mouse/human Cd45R/B220 Antibody (RA3-6B2), and PerCP/Cyanine5.5 anti-mouse Cd24 Antibody (M1/69) were purchased from BioLegend (CA, USA). AffiniPureTM F(ab&#x2019;)2 Fragment Goat Anti-Mouse, &#x3bc; chain specific (referred to as Anti-IgM), secondary antibodies Peroxidase AffiniPure&#x2122; Goat Anti-Mouse IgG (H+L) and Peroxidase AffiniPure&#x2122; Goat Anti-Rabbit IgG (H+L) were obtained from Jackson ImmunoResearch Laboratories Inc&#xae;, PA, USA. DAPI was purchased from Sigma-Aldrich (St. Louis, MO).</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Mice</title>
<p>
<italic>Lrba<sup>-/-</sup>
</italic> mice were kindly donated by PhD Manfred W. Kilimann from the Max Planck Institute, Germany (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). C57BL/6 <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice were maintained in germ-free installations at the animal facility of the Centro de Investigacion y de Estudios Avanzados (CINVESTAV) according to the institutional animal guidelines for animal care and experimentation (Protocol number 0145-15, UPEAL-CINVESTAV-IPN). These mice have a deletion in exon four that drives the absence of the protein. For the experiments described here, the mice oscillated between 8 and 12 weeks of age. The mice were genotyped before the experiments were performed as described previously (<xref ref-type="bibr" rid="B26">26</xref>).</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Splenocytes</title>
<p>Mice were euthanized by cervical dislocation and spleens were obtained. The sizes and weights of the spleens were measured. Then, the spleens were disaggregated, and erythrocytes were lysed using a homemade solution (NH4Cl 0.15 M, KHCO3 10 mM, EDTA 100 Mm) for 5 min at 25 &#xb0;C. After cell counting, the samples were prepared for the assays described below.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Determination of peripheral B cell subpopulations and activation markers</title>
<p>B cell subpopulations were determined using flow cytometry. Total splenocytes were stained with anti-B220-APC, anti-Cd21-PE, and anti-Cd23-PerCP/Cy5.5 and anti-IgM APC-Cy7 antibodies, incubated for 30 min, and washed once with PBS. For analysis using FlowJo (Becton Dickinson), B220-positive cells were gated among lymphocytes, and Cd23, Cd21, and IgM levels were used to determine the proportions of T1 (Cd23-Cd21<sup>low</sup>IgM+), T2 (Cd23+Cd21<sup>hi</sup>IgM+), follicular B cells (Cd23+<sup>low</sup> Cd21<sup>low</sup>IgM<sup>low</sup>) and Marginal zone (MZ) B cells (Cd23+<sup>low</sup> Cd21<sup>high</sup>IgM+). Finally, absolute numbers for each subpopulation were calculated based on the percentages obtained for each B cell subpopulation. Data were acquired on a Northern Lights spectral flow cytometer (Cytek Biosciences, Fremont, CA, USA).</p>
<p>Splenocytes were incubated with anti-mouse PerCP/Cy5.5-Cd44, PE anti-mouse I-A<sup>b</sup>, and APC anti-B220 (Biolegend) for 30 minutes to detect activation marker expression, then washed once with PBS. Data were acquired using a FACs Aria I flow cytometer (Beckton Dickinson). Median fluorescence intensities (MFI) for Cd44 and I-A<sup>b</sup> were obtained using FlowJo software.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Proliferation assays</title>
<p>Proliferation assays were conducted using CellTrace&#x2122; CFSE (Life Technologies, Carlsbad, CA, USA). The splenocytes were harvested at a final concentration of 1 &#xd7; 10<sup>6</sup> cells and stained with CFSE at 0.5 &#x3bc;M. The stained splenocytes were then cultured in RPMI medium supplemented with 10% fetal bovine serum (FBS) (Gibco, NY, USA), penicillin-streptomycin 1X (Sigma-Aldrich&#xae;, MO, USA), and 100 ng/mL of recombinant murine IL-4 (Biolegend, CA, USA). Cells were plated in 24-well cell culture plates at a concentration of 2.5 &#xd7; 10<sup>5</sup> cells per well and stimulated with anti-IgM at a final concentration of 10 &#x3bc;g/ml. After 96 h of incubation, the cells were stained with anti-B220-APC and data acquisition was performed using a FACs Aria instrument (Becton Dickinson). Proliferation was analyzed from viable (propidium iodide negative) B220+ B cells.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Viability assays</title>
<p>Total splenocytes (5 &#xd7; 10<sup>5</sup> cells/ml) were cultured in 24-well cell culture plates for 4, 12, or 20 h. Anti-IgM stimuli were added at a concentration of 10 &#x3bc;g/mL. After incubation, cells were stained with anti-B220-APC and propidium iodide to evaluate cell viability. Analysis was performed using FlowJo software (Becton Dickinson).</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>B cell activation for phosphorylation assays</title>
<p>B cell assays were conducted using samples enriched for B cells through negative selection with magnetic beads, employing the MojoSortTM Mouse Pan B Cell Isolation Kit and following the manufacturer&#x2019;s instructions (Biolegend&#xae;, CA, USA). Briefly, cells were resuspended at a concentration of 1.5 &#xd7; 10<sup>8</sup> cells/mL in a handmade buffer for sorting B cells, consisting of PBS with 0.1% bovine serum albumin and 0.5 &#x3bc;M EDTA. Subsequently, 10 &#x3bc;l of the Biotin-Antibody cocktail from the MojoSortTM Mouse Pan B Cell Isolation Kit (Biolegend&#xae;, CA, USA) was added, and the mixture was incubated on ice for 15 min. After incubation, the cells were washed once and Streptavidin Nanobeads were added and incubated for another 15-min incubation. The cells were washed again, and B cells were isolated by incubating the cell suspension three times for 10 min each in a MojoSort&#x2122; Magnet (Biolegend&#xae;, CA, USA). The purified B cells were then resuspended in PBS at a concentration of 10 &#xd7; 10<sup>6</sup> cells/mL and stimulated with Anti-IgM (10 &#x3bc;g/mL) for 10 and 20 min at 37&#xb0;C. For inhibition assays, cells were treated similarly, however, they were preincubated with 0.25 &#x3bc;M U73122 for 2 h, and p50 phosphorylation was determined.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>BCR signaling proteins detection by Western blot</title>
<p>After stimulation, the cells were centrifuged and pellets were obtained. Whole-cell lysate was prepared by adding 100 &#x3bc;l of Cell Lysis Buffer 1&#xd7; (Cell Signaling Technologies&#xae;, MA, USA) along with the complete ULTRA tablets&#x2019; protein inhibitor cocktail (ROCHE&#xae;, Switzerland). The cells were centrifuged at 17200 &#xd7; <italic>g</italic> at 4&#xb0;C for 10 min, and supernatants were collected. Protein concentration was determined using a DC&#x2122; Protein Assay Kit II (Bio-Rad, Hercules, CA, USA). The lysates were then mixed with 20 &#x3bc;l of Laemmli buffer 6X added with 5% &#x3b2;-mercaptoethanol was added, and the mixture was boiled at 95&#xb0;C.</p>
<p>To evaluate the expression and/or phosphorylation of signaling proteins after BCR activation, samples were separated on a 12% acrylamide gel, and electrophoresis was performed for 3 h at 80V. Proteins were transferred to PVDF membranes for 25 min at 25V using a Trans-Blot Turbo Transfer System (Bio-Rad). The PVDF membranes were blocked for 30 min in a solution of 3% fat-free milk in TBS-Tween 0.1%. Primary antibodies including Btk, Plc&#x3b3;2, p50, pSer336 p50, p65, pSer536, p65, I&#x3ba;B&#x3b1;, and pSer32/36 I&#x3ba;B&#x3b1;, diluted at 1:500, and &#x3b2;-Actin, diluted at 1:2000, were incubated overnight. Secondary antibodies (anti-mouse IgG-HRP or anti-rabbit IgG-HRP, diluted 1:3000) were added and incubated for 90 min. The membranes were washed three times after incubation with 1% TBS-Tween 0.1% in 5% fat-free milk for 10 min.</p>
<p>For protein detection, SuperSignal&#x2122; West Femto Maximum Sensitivity Substrate (Thermo Scientific&#xae;, MA, USA) was used, and membrane visualization was performed using the ChemiDocTM XRS+ imaging system, densitometric analysis was performed using the ImageLab&#x2122; Software (Bio-Rad&#xae;, CA, USA).</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Intracellular staining for pY759 Plc&#x3b3;2 detection</title>
<p>Splenocytes were stained with APC anti-B220 for 30 minutes, fixed, and permeabilized with BD Phosflow&#x2122; Fix Buffer I and Perm Buffer III (Becton Dickinson), and following manufacturer&#x2019;s instructions. After permeabilization, the cells were incubated overnight with PE anti-pY759 Plc&#x3b3;2. The cells were then washed with PBS containing 1% FCS and acquired using a flow cytometer. MFI was calculated for each sample, and an index of expression was obtained by dividing the MFI of pY759 Plc&#x3b3;2 positive cells by the MFI of negative cells.</p>
</sec>
<sec id="s2_10">
<label>2.10</label>
<title>Intranuclear staining for p65 detection</title>
<p>For p65 staining, 5 &#xd7; 10<sup>5</sup> splenocytes were stimulated with anti-IgM (10&#x3bc;g/mL) for 5 and 15 min, as described previously. After washing with PBS, cells were fixed with 4% paraformaldehyde in PBS for 15 min at 4&#xb0;C. Then, cells were permeabilized with 0.2% Triton X-100 for 10 min at room temperature and blocked with 10% goat serum in PBS for 30 min at 37&#xb0;C. Subsequently, cells were incubated with anti-p65 antibody diluted 1:150 and incubated for 1 h at 4&#xb0;C. After incubation, cells were stained with anti-mouse IgG Alexa Fluor 596 (1:750) and DAPI (1:1000) for 30 min at 4&#xb0;C.</p>
<p>Cells were mounted on coverslips previously coated with 0.01% Poly L-lysine (Sigma-Aldrich&#xae;, MO, USA) and incubated for 1 h at 37&#xb0;C. The coverslips were then washed with PBS and mounted on slides using the Vectashield mounting medium (Vector Laboratories Inc., CA, USA).</p>
</sec>
<sec id="s2_11">
<label>2.11</label>
<title>Nur77 detection</title>
<p>For Nur77 detection, enriched B cells were lysed as described previously, and protein extracts were loaded into 12% acrylamide/bis-acrylamide gels and transferred onto nitrocellulose membranes. Procedures for Western blotting and protein detection were described in section 2.8.</p>
</sec>
<sec id="s2_12">
<label>2.12</label>
<title>Confocal microscopy</title>
<p>An LSM 710-Live Duo Scan confocal microscope (Zeiss, Germany) was used to visualize the cells. Subsequently, images were analyzed using FIJI software (<xref ref-type="bibr" rid="B28">28</xref>). The co-localization test and Colocalization Finder Plugin were used to determine the nuclear localization of p65 and Pearson&#x2019;s correlations.</p>
</sec>
<sec id="s2_13">
<label>2.13</label>
<title>Statistical analysis</title>
<p>Subpopulation proportions, proliferation, and viability were statistically analyzed using the Mann&#x2013;Whitney U test. Densitometric data from the immunoblots were obtained using ImageLab&#x2122; software (Bio-Rad). The amount of total or phosphorylated proteins was normalized by calculating the ratio of total protein or phosphorylated protein to housekeeping proteins. Statistical differences were determined using the Mann-Whitney U test.</p>
<p>For nuclear localization of p65, colocalization with DAPI was determined, and Pearson&#x2019;s coefficient was obtained using the FIJI software (<xref ref-type="bibr" rid="B28">28</xref>), where a coefficient close to one indicates strong nuclear localization of p65. Statistical analysis of variance (ANOVA) was performed to compare the nuclear localization of p65 in basal and BCR-crosslinked cells from both wild type (WT) and <italic>Lrba<sup>-/-</sup>
</italic> mice. All statistical analyses were conducted using GraphPad Prism software version 8.0 for Windows (GraphPad Software, San Diego, CA, USA; <ext-link ext-link-type="uri" xlink:href="http://www.graphpad.com">www.graphpad.com</ext-link>).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>
<italic>Lrba<sup>-/-</sup>
</italic> mice presented splenomegaly and defects in activation and peripheral differentiation</title>
<p>In humans, LRBA deficiency results in an extended phenotype that includes recurrent infections, autoimmunity, lymphoproliferation, and splenomegaly. Although <italic>Lrba<sup>-/-</sup>
</italic> mice appeared to have a healthy phenotype, evidence of splenomegaly was observed in this study. The weights of the spleens were measured (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). The spleen weight of <italic>Lrba<sup>-/-</sup>
</italic> mice was higher (0.1048 &#xb1; 0.009 g) than <italic>Lrba<sup>+/+</sup>
</italic> mice (0.0715 &#xb1; 0.0178 g), suggesting splenomegaly. Total splenocytes were obtained as previously described. In addition to the macroscopic data of the spleen (size and weight), the total splenocyte count was higher in <italic>Lrba<sup>-/-</sup>
</italic> mice (179.9 &#xb1; 50.6 &#xd7; 10<sup>6</sup> cells) than in WT mice (127.5 &#xb1; 25.04 &#xd7; 10<sup>6</sup> cells) as shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Peripheral B cell differentiation in <italic>Lrba</italic> deficient B cells. <bold>(A)</bold> Splenomegaly in <italic>Lrba<sup>-/-</sup>
</italic> mice. Representative image of the spleen in <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice (left). Spleen weight in <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice, (n=4, middle). Total splenocytes in <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice (right). <bold>(B)</bold> Peripheral B cells differentiation. Representative plots of Transitional 1 (T1), Transitional 2 (T2), Marginal Zone (MZ), and Follicular (Fo) B cells in the spleen from <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice evaluated by Cd21 and IgM expression. Representative zebra plot of T1, T2, Fo, and MZ B cells in a Cd23+ or Cd23- gate (left). Proportions from total B cells and number of cells are indicated in Graphs (right, n=4). * = p&lt;0.05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1409434-g001.tif"/>
</fig>
<p>Splenocytes were immediately stained with anti-Cd23, anti-Cd21, anti-IgM, and anti-B220 antibodies. There were no differences in the B cell proportion or total counts (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). The proportions of transitional 1 (T1), transitional 2 (T2), marginal zone (MZ), and follicular B cell subpopulations were determined by flow cytometry (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). T1 cell proportions were lower in <italic>Lrba<sup>-/-</sup>
</italic> mice (10.26 &#xb1; 2.93%) than in WT mice (23.98 &#xb1; 6.69%), which was statistically significant. T2 cell proportions were similar between both strains, with values of (14.24 &#xb1; 1.55%) for <italic>Lrba<sup>-/-</sup>
</italic> and (12.56 &#xb1; 3.97%) for <italic>Lrba<sup>+/+</sup>.</italic> Follicular B cell proportions were similar in <italic>Lrba<sup>-/-</sup>
</italic> mice (44.31 &#xb1; 10.35%) <italic>Lrba<sup>+/+</sup>
</italic> mice (32.37 &#xb1; 8.3%). Finally, there MZ cells are higher in <italic>Lrba<sup>-/-</sup>
</italic> mice (9.37 &#xb1; 2.07%) versus <italic>Lrba<sup>+/+</sup>
</italic> mice (5.01 &#xb1; 3.44%), <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>.</p>
<p>Absolute numbers of T1 B cells were lower in <italic>Lrba<sup>-/-</sup>
</italic> mice (4.16 &#xb1; 1.86) than in <italic>Lrba<sup>+/+</sup>
</italic> mice (12.96 &#xb1; 5.33). Also, the numbers of MZ cells were higher in <italic>Lrba<sup>-/-</sup>
</italic> mice (4.68 &#xb1; 1.63) than in <italic>Lrba<sup>+/+</sup>
</italic> mice (2.27 &#xb1; 1.63). No differences were observed with the total number of T2 (7.31 &#xb1; 2.85) in <italic>Lrba<sup>-/-</sup>
</italic> mice and (6.04 &#xb1; 3.2) in <italic>Lrba<sup>+/+</sup>
</italic> mice; follicular B cells (23.66 &#xb1; 12.02) in <italic>Lrba<sup>-/-</sup>
</italic> mice and (15.52 &#xb1; 7.22) in WT mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>).</p>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Defective B cell proliferation and survival in <italic>Lrba<sup>-/-</sup>
</italic> B cells after BCR activation</title>
<p>When immature B cells enter the spleen, a second negative selection occurs in T1 cells. Therefore, BCR signaling at this stage of differentiation drives cell death. Following this line of thought, the differences in T1 proportions in the absence of Lrba suggest a possible altered response to BCR cross-linking. Proliferation was measured to determine if <italic>Lrba<sup>-/-</sup>
</italic> B cells responded to BCR stimulation. Interestingly, the proportion of proliferating B cells stimulated with anti-IgM was lower in <italic>Lrba<sup>-/-</sup>
</italic> B cells (22.56 &#xb1; 12.8%) than in WT mice (40.34 &#xb1; 15.88%). These differences were significant (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). In contrast, Ki67 expression was measured as a marker for <italic>in situ</italic> proliferation, interestingly increased Ki67 expression was observed in <italic>Lrba<sup>-/-</sup>
</italic> B cells (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Proliferation, survival, and activation of B cells. <bold>(A)</bold> Representative histograms of CFSE staining of B cells cultured for 96 h with anti-IgM (left). Proportions of proliferating B cells activated through BCR and IL-4 (right). Results were gated from B220+ and Propidium iodide (PI) negative cells and analyzed by flow cytometry, n=5. <bold>(B)</bold> Basal activation of B cells. Cd44 and I-A<sup>b</sup> expression were assessed by flow cytometry in B220+ cells. MFI were compared. Cd44 n=6; I-A<sup>b</sup> n=4. * = p&lt;0.05; ** = p&lt;0.01. <bold>(C)</bold> B cell viability after BCR activation at 4, 12, and 20 (h) Representative plots were analyzed by flow cytometry (left). B cell viability at 4, 12, and 20 h of BCR stimulation (n=4, right).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1409434-g002.tif"/>
</fig>
<p>Increased expression of activation markers, as CD44 and I-A<sup>b</sup> were detected in B cells from <italic>Lrba<sup>-/-</sup>
</italic> mice. In the case of CD44, MFI was 409 &#xb1; 73.3 for <italic>Lrba<sup>-/-</sup>
</italic> and 296 &#xb1; 66.86 for <italic>Lrba<sup>+/+</sup>
</italic> B cells, while for I-A<sup>b</sup> expression, MFI was 1768 &#xb1; 506.6 for <italic>Lrba<sup>-/-</sup>
</italic> and 542.8 &#xb1; 230.9 for <italic>Lrba<sup>+/+</sup>
</italic> B cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>).</p>
<p>Lower proliferative responses detected in <italic>Lrba<sup>-/-</sup>
</italic> mice could be the result of altered cell survival, as previously reported for B cells from LRBA-deficient patients (<xref ref-type="bibr" rid="B1">1</xref>). Therefore, B cell survival assays were performed on unstimulated and BCR-stimulated cells over time. The proportion of Propidium Iodide (PI)-negative cells was calculated within the B220+ gate (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). At time 0 or under unstimulated conditions, B cells from both mice showed similar survival proportions (85.54% &#xb1; 1.9 for <italic>Lrba<sup>-/-</sup>
</italic> and 86.57% &#xb1; 2.96 for WT). After 4 h of culture and BCR crosslinking, survival was significantly higher in <italic>Lrba<sup>-/-</sup>
</italic> mice (93.27% &#xb1; 2.55) compared to that (85.55% &#xb1; 5.23) in WT mice. A similar trend was observed at 12 h of BCR activation: the proportion of viable B cells in <italic>Lrba<sup>-/-</sup>
</italic> mice was 84.07% &#xb1; 7.65 compared to 71.46% &#xb1; 7.48 observed in B cells from the WT counterpart. Interestingly, after 20 h of stimulation, <italic>Lrba<sup>-/-</sup>
</italic> B cell survival drastically decreased (62.26% &#xb1; 5.84) compared to WT B cell survival (69.21% &#xb1; 2.64) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). These data suggested that the low proliferative response after 96 h of stimulation may be due to reduced cell survival in response to BCR activation in B cells from <italic>Lrba<sup>-/-</sup>
</italic> mice.</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Altered basal expression of BCR signaling molecules in <italic>Lrba<sup>-/-</sup>
</italic> B cells</title>
<p>The inadequate proliferative and survival responses to BCR crosslinking suggested an inadequate response in this pathway. BCR signaling begins with the phosphorylation of ITAM motifs and activates kinases such as Syk and Lyn. Following this, Btk is phosphorylated, leading to the activation of Plc&#x3b3;2. The evaluation of proximal BCR signaling protein expression revealed increased basal expression of Btk and Plc&#x3b3;2; these results were statistically significant when densitometric analysis using &#x3b2;-actin as a control was performed (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Btk, Plc&#x3b3;2, I&#x3ba;B&#x3b1;, p50, and p65 expression in B cells. <bold>(A)</bold> Representative immunoblot of Btk, Plc&#x3b3;2, I&#x3ba;B&#x3b1;, p50, and p65 expression in B cells in basal conditions (left). GAPDH or &#x3b2;-Actin were used as loading controls. Densitometric analysis of Btk, Plc&#x3b3;2, I&#x3ba;B&#x3b1;, p50, and p65 in basal conditions (right, n=4 to 6). <bold>(B)</bold> Phosphorylated Plc&#x3b3;2 expression in B cells assessed by Flow Cytometry (top). Index of MFI from positive divided by negative phospho-Plc&#x3b3;2 in <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice (bottom, n=4). <bold>(C)</bold> Representative immunoblot showing phosphorylated components of NF-&#x3ba;B, I&#x3ba;B&#x3b1;, p50, and p65 in B cells. (left). Densitometric analysis of phosphorylated components of pSer32/36 I&#x3ba;B&#x3b1;, pSer336 p50, and pSer536 p65 compared to the loading control. Phosphorylated residues are indicated (right), n=5. * = p&lt;0.05; ** = p&lt;0.01. <bold>(D)</bold> Plc&#x3b3;2 inhibition assays with U73122, representative blot (left); densitometric analysis of Plc&#x3b3;2 inhibition (right).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1409434-g003.tif"/>
</fig>
<p>Diacylglycerol production after Plc&#x3b3;2 activation has a direct impact on NF-&#x3ba;B activation. NF-&#x3ba;B is composed of I&#x3ba;B&#x3b1;, p50, and p65. Expression of I&#x3ba;B&#x3b1; and p65 was similar between <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> B cells. However, p50 expression increased in <italic>Lrba<sup>-/-</sup>
</italic> B cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). The expression of I&#x3ba;B&#x3b1;, p50, and p65 was similar in total splenocytes (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>). Increased expression of proximal BCR signaling molecules suggests that this signaling pathway is altered. Therefore, we explored the phosphorylation status of NF-&#x3ba;B.</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Altered basal activation of NF-&#x3ba;B in the absence of Lrba</title>
<p>Plc&#x3b3;2 phosphorylation was explored; however, as shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>, a tendency towards increased phosphorylation for Plc&#x3b3;2 was observed (14.4 &#xb1; 3.69 for <italic>Lrba<sup>-/-</sup>
</italic>, and 8.41 &#xb1; 4.72 for <italic>Lrba<sup>-/-</sup>
</italic>), but the differences were not significant (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>), similar data was obtained for Btk phosphorylation, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>.</p>
<p>NF-&#x3ba;B is a family of transcription factors broadly expressed in different cell types, and importantly, in immune responses with significance in BCR signaling. Following the finding that proximal BCR signaling molecules were overexpressed, the impact of such high expression on the phosphorylation status of NF-&#x3ba;B components was explored. Notably, higher levels of phosphorylated p50 and I&#x3ba;B proteins were detected in basal conditions in <italic>Lrba<sup>-/-</sup>
</italic> B cells, <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>. These data indicated an exacerbated activated state without BCR crosslinking. However, p65 phosphorylation under basal conditions was similar to <italic>Lrba<sup>+/+</sup>
</italic> B cells. I&#x3ba;B&#x3b1;, p50, and p65 phosphorylation were similar in total splenocytes (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary 2B</bold>
</xref>), suggesting that the abnormalities are exclusive to B cells. Treatment with the Plc&#x3b3;2 inhibitor U73122 notably reduced the levels of p50 phosphorylation (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>).</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Absence of NF-&#x3ba;B phosphorylation after BCR crosslinking in <italic>Lrba<sup>-/-</sup>
</italic> B cells</title>
<p>We next explored whether NF-&#x3ba;B components could be further activated when the BCR is cross-linked. Purified B cells were obtained by negative selection and activated for 10 or 20 min with anti-IgM. Consistent with previous results, in unstimulated cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>), I&#x3ba;B&#x3b1; and p50 were over phosphorylated in <italic>Lrba<sup>-/-</sup>
</italic> B cells under basal conditions. Importantly, after 10 min of stimulation with anti-IgM, no increase in the levels of phosphorylation of I&#x3ba;B&#x3b1;, p50, and p65 was detected, in contrast to the observed response in <italic>Lrba<sup>+/+</sup>
</italic> B cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). When the phosphorylation of I&#x3ba;B&#x3b1;, p50, and p65 was explored after 20 min of activation with anti-IgM, the phosphorylation remained at similar levels in <italic>Lrba<sup>-/-</sup>
</italic> B cells than the unstimulated conditions; meanwhile, the levels of phosphorylation of these molecules in the <italic>Lrba<sup>+/+</sup>
</italic> B cells returned to basal values (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). These data suggest that <italic>Lrba</italic> deficiency correlates with spontaneous B cell activation; however, such cells are unable to respond appropriately to BCR stimulation.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Activation of NF-&#x3ba;B in B cells after BCR crosslinking <italic>in vitro</italic> <bold>(A)</bold> B cells stimulated through BCR at 10 and 20 min, representative blot (left). Densitometric analysis of I&#x3ba;B&#x3b1;, p65, and p50 phosphorylation after BCR crosslinking (right). Phosphorylated residues are indicated. n=3. <bold>(B)</bold> Nuclear localization of p65. Representative images of p65 (red) in the nuclei (blue) in <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> splenocytes analyzed by confocal microscopy. Merged fluorochromes and nuclear localization representation are indicated. <bold>(C)</bold> Pearson&#x2019;s coefficient of nuclear localization of p65 in splenocytes from <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> cells. n=50 cells per condition (top right). Increased nuclear p65 localization after 5 min of activation with anti-IgM (bottom right). <bold>(D)</bold> Representative blot for Nur77 expression in B cells from <italic>Lrba<sup>-/-</sup>
</italic> and <italic>Lrba<sup>+/+</sup>
</italic> mice (left). Densitometric analysis for Nur77 expression (right, n=3). * = p&lt;0.05; ** = p&lt;0.01,*** = p&lt;0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1409434-g004.tif"/>
</fig>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>p65 is constitutively located in the nuclei of <italic>Lrba<sup>-/-</sup>
</italic> splenocytes</title>
<p>NF-&#x3ba;B activation culminates in the entry of the transcription factor formed by p50/p65 into the nucleus, inducing transcription of genes important for survival, proliferation, and activation of B cells. Until now, I&#x3ba;B&#x3b1; and p50 have shown increased basal phosphorylation levels, and no further activation is observed in BCR-crosslinked B cells. However, p65 does not exhibit this behavior as it has low phosphorylation levels in unstimulated or BCR-crosslinked B cells. We wondered whether the high levels of p50 phosphorylation, the cellular location of p65 was affected. To investigate this, the nuclear localization of p65 in splenocytes was explored using confocal microscopy. Interestingly, higher nuclear colocalization of p65 was observed in <italic>Lrba<sup>-/-</sup>
</italic> cells under unstimulated conditions. After five min of BCR crosslinking, nuclear p65 significantly increased in both <italic>Lrba<sup>-/-</sup>
</italic> and WT mice. However, 15 min after activation, nuclear p65 levels remained unchanged in both mice (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B, C</bold>
</xref>). The Pearson&#x2019;s correlation analysis confirmed that these results were significant (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). This data is consistent with the increased phosphorylation status of NF-&#x3ba;B in non-BCR activated <italic>Lrba<sup>-/-</sup>
</italic> B cells.</p>
<p>In addition, BCR crosslinking after 5 and 15 min induced p65 nuclear localization in WT splenocytes; however, in <italic>Lrba<sup>-/-</sup>
</italic> mice, the increase in the nuclear localization of p65 was less pronounced (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>).</p>
</sec>
<sec id="s3_7">
<label>3.7</label>
<title>Nur77 is overexpressed in B cells <italic>Lrba<sup>-/-</sup>
</italic>
</title>
<p>Chronic B cell stimulation by BCR has been associated with Nur77 induction. Here, we evaluated Nur77 expression to show that the spontaneous activation of BCR signaling in <italic>Lrba<sup>-/-</sup>
</italic> mice originates from a chronic process. As shown in <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>, Nur77 was overexpressed in B cells from these mice.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>
<italic>LRBA</italic> deficiency is one of the most frequent monogenic causes of CVID (<xref ref-type="bibr" rid="B29">29</xref>) and is classified as a group of primary immunodeficiencies involving antibodies (<xref ref-type="bibr" rid="B30">30</xref>). Patients with <italic>LRBA</italic> deficiency exhibit hypogammaglobulinemia, splenomegaly, autoimmune disorders, reduced levels of total B-cells, and diminished peripheral differentiation into memory phenotypes (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). These findings suggest defects in B-cell function, which have been poorly explored in <italic>LRBA</italic> deficiency.</p>
<p>Here, we investigated possible defects in the function of <italic>Lrba<sup>-/-</sup>
</italic> B cells in a previously described murine model in which the functions of Lrba in olfactory cilia, cochlear hair cells, and T regulatory cells have been described (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B33">33</xref>). <italic>Lrba<sup>-/-</sup>
</italic> mice showed no defects in the number and response to stimuli as LPS in B2 cells. Other findings included elevated IgA and IgG2b levels and reduced numbers of B1 cells (<xref ref-type="bibr" rid="B13">13</xref>). However, some data from humans, such as splenomegaly, reduced circulating B cell counts, and poor differentiation of memory B cells (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B32">32</xref>) led us to hypothesize that possible defects in response to BCR may occur.</p>
<p>To explore this hypothesis, we first evaluated the size and weight of the spleens in mice, as well as the total number of splenocytes (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). In <italic>Lrba<sup>-/-</sup>
</italic> mice, signs of splenomegaly were observed despite a healthy phenotype. These findings suggest lymphocyte expansion in the absence of infection, similar to that observed in patients with human LRBA deficiency. In addition, we evaluated the splenic stages of B cell differentiation. Naive B cells that egress from the bone marrow toward the spleen can be distinguished using cellular markers. These were categorized as transitional type 1 (T1) and T2 B cells (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). Upon encountering antigens, T1 B cells undergo apoptosis. This process helps to deplete autoreactive B cells through apoptosis. T2 B cells respond positively to BCR crosslinking and proliferate to differentiate into mature B cells (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). When T1, T2, and follicular B cells were examined, a slight yet significant reduction in the proportion of T1 cells was observed in <italic>Lrba<sup>-/-</sup>
</italic> mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Similar data was obtained after the total counts of T1, T2, MZ and follicular B cells were calculated (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) (<xref ref-type="bibr" rid="B13">13</xref>). Analysis of MZ B cells showed slightly increased proportions and total numbers in <italic>Lrba<sup>-/-</sup>
</italic>mice. MZ B cells are important for immunity to encapsulated bacteria, and their development has been suggested to depend on BCR signaling strength (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B38">38</xref>).</p>
<p>Because T2 and follicular B cells showed a proliferative response after BCR crosslinking (<xref ref-type="bibr" rid="B36">36</xref>), <italic>in vitro</italic> assays were conducted to determine the proliferative capacity of B cells in <italic>Lrba<sup>-/-</sup>
</italic>mice after activation with anti-IgM. B cells from the <italic>Lrba<sup>-/-</sup>
</italic> mice showed a lower proliferative response after 96 h of BCR activation (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Previous studies with <italic>Lrba<sup>-/-</sup>
</italic> mice showed normal proliferation; however, under different conditions, such as LPS stimulation for 72 h (<xref ref-type="bibr" rid="B26">26</xref>), a defective proliferative response to BCR stimulation may be observed owing to an absent response to the stimuli, which may consequently lead to cellular death. Therefore, cell survival was evaluated for more than 20 h. Interestingly, <italic>Lrba<sup>-/-</sup>
</italic>B cells showed higher survival after 4 and 12 h of activation than their WT counterparts; however, at 20 h, B cell survival decreased dramatically in <italic>Lrba<sup>-/-</sup>
</italic>mice (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). Reduced survival at 48 h was even more dramatic (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). Expression of activated markers in basal conditions was also explored, CD44 and I-A<sup>b</sup> were measured in B cells, both markers were observed in higher levels in <italic>Lrba<sup>-/-</sup>
</italic>mice, indicating a basal activation status of these cells; both CD44 and MHC-II (I-A<sup>b</sup>) are expressed in BCR-primed B cells, while I-A<sup>b</sup>, <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref> (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Increased Ki67 expression was observed in <italic>Lrba<sup>-/-</sup>
</italic> B cells indicating <italic>in situ</italic> B cell proliferation (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;1C</bold>
</xref>). Importantly, B cells depend on additional signals for a proper antibody response, such as T cell co-stimulation and activation through TLRs (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>). The survival and proliferative response improved in the presence of these signals in <italic>Lrba<sup>-/-</sup>
</italic> B cells, suggesting that these pathways function properly (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). Data regarding the reduced proliferation and survival of <italic>Lrba<sup>-/-</sup>
</italic>B cells in response to BCR suggest defects in BCR signaling, which have not been described previously.</p>
<p>The first events following BCR crosslinking include the activation of Lyn, Syk, and Btk kinases. Then, the phosphorylation of Blnk allows its binding to Btk kinase and Plc&#x3b3;2. Once activated Plc&#x3b3;2 produces second messengers from membrane phospholipids, such as inositol 1,4,5-triphosphate (IP3) and diacylglycerol (DAG). DAG leads to activation of (NF-&#x3ba;B) (<xref ref-type="bibr" rid="B22">22</xref>). Here, we first explored the expression of proximal components. Notably, <italic>Lrba<sup>-/-</sup>
</italic> B cells showed higher levels of Btk and Plc&#x3b3;2 expression (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2B, C</bold>
</xref>), additionally, a tendency towards increased levels of phosphorylated Btk and Plc&#x3b3;2 was detected, but not significant differences were observed (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B, C</bold>
</xref>).</p>
<p>NF-kB component expression was also evaluated. NF-&#x3ba;B is a transcriptional factor expressed ubiquitously, but in lymphocytes, it is important for the response of antigen receptors (TCR and BCR) (<xref ref-type="bibr" rid="B25">25</xref>). The NF-&#x3ba;B complex is composed of p50, p65, and I&#x3ba;B&#x3b1; and its activation in B cells after BCR crosslinking drives the transcription of genes important for progression in the cell cycle and induces pro- and anti-apoptotic proteins as Bcl-2 and Bcl-xL (<xref ref-type="bibr" rid="B43">43</xref>). Importantly, p50 was also overexpressed in the <italic>Lrba<sup>-/-</sup>
</italic> B cells, while p65 and I&#x3ba;B&#x3b1; showed similar levels of expression between both WT and <italic>Lrba<sup>-/-</sup>
</italic> B cells (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2C&#x2013;E</bold>
</xref>). These data confirmed altered BCR signaling in <italic>Lrba<sup>-/-</sup>
</italic>B cells.</p>
<p>To determine if NF-&#x3ba;B is properly activated, the phosphorylation of NF-&#x3ba;B components was evaluated in non-stimulated or BCR-stimulated cells. Increased levels of phospho Ser32/36 I&#x3ba;B&#x3b1; and phospho Ser336 p50 were detected even in unstimulated <italic>Lrba<sup>-/-</sup>
</italic> B cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>); phospho ser536 p65 levels were similar between <italic>Lrba<sup>-/-</sup>
</italic> and WT mice (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). Interestingly, Plc&#x3b3;2 inhibition assays with U73122 notably reduced the levels of p50 phosphorylation indicating that the increased NF-kB activation is due to spontaneous BCR activation (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>). These data suggest that Lrba is important for controlling the expression and activation of downstream BCR signaling components. These findings coincide with a study conducted on a B cell line deficient in LRBA, where phosphorylation and activity of NF-&#x3ba;B showed higher levels than WT cell line. This study proposes a regulatory role for LRBA in NF-&#x3ba;B activation (<xref ref-type="bibr" rid="B44">44</xref>). Altogether, these data mean that in the absence of Lrba, spontaneous activation of BCR occurs.</p>
<p>Upon BCR crosslinking, no increase in the phosphorylation levels of IkB&#x3b1;, p50, and p65 was detected (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>), indicating that the exacerbated phosphorylation in I&#x3ba;B&#x3b1; and p50 at basal condition prevents a proper response in the <italic>Lrba<sup>-/-</sup>
</italic> B cells to BCR crosslinking. Of note, p65 phosphorylation behaves differently than I&#x3ba;B&#x3b1; and p50 in <italic>Lrba<sup>-/-</sup>
</italic> B cells, as p65 expression was similar between <italic>Lrba<sup>-/-</sup>
</italic> and WT B cells and did not show increased levels of phosphorylation in basal conditions. Importantly, it did not increase phosphorylation levels after BCR crosslinking (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>).</p>
<p>Finally, we detected the presence of p65 in the nuclei of <italic>Lrba<sup>-/-</sup>
</italic> splenocytes. Interestingly, p65 nuclear localization was significantly higher in <italic>Lrba<sup>-/-</sup>
</italic> cells than in WT cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Upon BCR crosslinking p65 nuclear localization increased in both WT and <italic>Lrba<sup>-/-</sup>
</italic> splenocytes, however, the increased proportion of nuclear p65 after 5 min of activation was much higher in the WT splenocytes (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4B, C</bold>
</xref>). These data agree with a higher activation of p65 in basal conditions but with a poor response of NF-&#x3ba;B upon BCR cross-linking. Importantly, BCR activation also induces the activation of additional branches of signaling, such as NF-AT and ERK (<xref ref-type="bibr" rid="B45">45</xref>), such pathways may also be affected, defects in the activation of these branches in the <italic>Lrba<sup>-/-</sup>
</italic> B cells should be explored in future studies.</p>
<p>Basal activation of NF-kB may lead to B cell exhaustion. Chronic overactivation of B cells linked to HIV infection leads to a state of exhaustion characterized by the loss of CD21 expression in mature B cells and a lower capacity for proliferation (<xref ref-type="bibr" rid="B46">46</xref>). Other manifestations of B cell exhaustion include a decreased antibody response preceded by hypergammaglobulinemia provoked by initial polyclonal activation due to acute infection (<xref ref-type="bibr" rid="B47">47</xref>). However, B cell exhaustion is not exclusively caused by HIV infection; there are reports of B cell exhaustion in individuals who have had contact with the parasite <italic>Plasmodium falciparum</italic> (<xref ref-type="bibr" rid="B48">48</xref>). Additionally, B cell exhaustion could be significant in the development and progression of non-infectious diseases, such as chronic graft-versus-host disease (<xref ref-type="bibr" rid="B49">49</xref>) and colorectal cancer (<xref ref-type="bibr" rid="B50">50</xref>). Altogether, our results provide a new perspective, in which defects in the functions of B cells observed in patients with LRBA deficiency may stem from a poor response after chronic activation of B cells, which ultimately leads to the induction of B cell death or cessation of proliferation.</p>
<p>Chronic BCR activation has been correlated with increased Nur77 expression. This nuclear orphan receptor was significantly expressed at higher levels in <italic>Lrba<sup>-/-</sup>
</italic> B cells (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>), suggesting that the increased basal activation observed in <italic>Lrba<sup>-/-</sup>
</italic> mice is constant. The function of Nur77 in B cells is currently under investigation; it is known that its expression is high in anergic B cells, correlates with self-reactivity, and may be involved in apoptosis or anergy induction (<xref ref-type="bibr" rid="B51">51</xref>). The consequences of increased Nur77 expression in Lrba deficiency should be further explored.</p>
<p>This study provides new insights into the importance of Lrba in B cell function via BCR activation. The perspectives for this work are widely open to elucidating how this overactivation affects the expression of surviving and proliferation-associated genes, the mechanism by which Lrba interacts with components of BCR signaling, and to prove whether these phenomena are similar in humans.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>, further inquiries can be directed to the corresponding author/s.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Unidad de Producci&#xf3;n y Experimentaci&#xf3;n en Animales de Laboratorio (UPEAL) del Centro de Investigaciones Avanzadas del Instituto Polit&#xe9;cnico Nacional (CINVESTAV-IPN). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>D-PP: Conceptualization, Validation, Writing &#x2013; review &amp; editing, Formal analysis, Investigation, Methodology, Writing &#x2013; original draft. EM-FP: Writing &#x2013; review &amp; editing, Conceptualization, Supervision, Validation. JM-FH: Conceptualization, Methodology, Writing &#x2013; review &amp; editing. H-RR: Writing &#x2013; review &amp; editing, Resources. L-SA: Resources, Conceptualization, Writing &#x2013; original draft. MW-K: Resources, Writing &#x2013; original draft. JC-RA: Conceptualization, Writing &#x2013; original draft. G-LH: Conceptualization, Funding acquisition, Resources, Supervision, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
</body>
<back>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Financing was granted by the Recursos Fiscales del Instituto Nacional de Pediatria, Project number 2020/017, and by the CONAHCyT project numbers A1-S-26657 and CBF-2023-2024-376. D-PP received a CONAHCyT graduate scholarship (number 818438) to obtain her PhD.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>This paper is part of the requirements for obtaining a doctoral degree at Posgrado en Ciencias Biol&#xf3;gicas, UNAM. Authors acknowledge Adrian Munguia for assistance and teaching in spectral flow cytometry.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2024.1409434/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2024.1409434/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lopez-Herrera</surname> <given-names>G</given-names>
</name>
<name>
<surname>Tampella</surname> <given-names>G</given-names>
</name>
<name>
<surname>Pan-Hammarstr&#xf6;m</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Herholz</surname> <given-names>P</given-names>
</name>
<name>
<surname>Trujillo-Vargas</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Phadwal</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>Deleterious mutations in LRBA are associated with a syndrome of immune deficiency and autoimmunity</article-title>. <source>Am J Hum Genet</source>. (<year>2012</year>) <volume>90</volume>:<fpage>986</fpage>&#x2013;<lpage>1001</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ajhg.2012.04.015</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lo</surname> <given-names>B</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>K</given-names>
</name>
<name>
<surname>Lu</surname> <given-names>W</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Kanellopoulou</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Patients with LRBA deficiency show CTLA4 loss and immune dysregulation responsive to abatacept therapy</article-title>. <source>Sci (1979)</source>. (<year>2015</year>) <volume>349</volume>:<page-range>436&#x2013;40</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.aaa1663</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Burns</surname> <given-names>SO</given-names>
</name>
<name>
<surname>Zenner</surname> <given-names>HL</given-names>
</name>
<name>
<surname>Plagnol</surname> <given-names>V</given-names>
</name>
<name>
<surname>Curtis</surname> <given-names>J</given-names>
</name>
<name>
<surname>Mok</surname> <given-names>K</given-names>
</name>
<name>
<surname>Eisenhut</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>LRBA gene deletion in a patient presenting with autoimmunity without hypogammaglobulinemia</article-title>. <source>J Allergy Clin Immunol</source>. (<year>2012</year>) <volume>130</volume>:<page-range>1428&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jaci.2012.07.035</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>van Schouwenburg</surname> <given-names>PA</given-names>
</name>
<name>
<surname>Davenport</surname> <given-names>EE</given-names>
</name>
<name>
<surname>Kienzler</surname> <given-names>AK</given-names>
</name>
<name>
<surname>Marwah</surname> <given-names>I</given-names>
</name>
<name>
<surname>Wright</surname> <given-names>B</given-names>
</name>
<name>
<surname>Lucas</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>Application of whole genome and RNA sequencing to investigate the genomic landscape of common variable immunodeficiency disorders</article-title>. <source>Clin Immunol</source>. (<year>2015</year>) <volume>160</volume>:<page-range>301&#x2013;14</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.clim.2015.05.020</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maffucci</surname> <given-names>P</given-names>
</name>
<name>
<surname>Filion</surname> <given-names>CA</given-names>
</name>
<name>
<surname>Boisson</surname> <given-names>B</given-names>
</name>
<name>
<surname>Itan</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Shang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Casanova</surname> <given-names>JL</given-names>
</name>
<etal/>
</person-group>. <article-title>Genetic diagnosis using whole exome sequencing in common variable immunodeficiency</article-title>. <source>Front Immunol</source>. (<year>2016</year>) <volume>7</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2016.00220</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Johnson</surname> <given-names>MB</given-names>
</name>
<name>
<surname>De Franco</surname> <given-names>E</given-names>
</name>
<name>
<surname>Lango Allen</surname> <given-names>H</given-names>
</name>
<name>
<surname>Al Senani</surname> <given-names>A</given-names>
</name>
<name>
<surname>Elbarbary</surname> <given-names>N</given-names>
</name>
<name>
<surname>Siklar</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Recessively inherited LRBA mutations cause autoimmunity presenting as neonatal diabetes</article-title>. <source>Diabetes</source>. (<year>2017</year>) <volume>66</volume>:<page-range>2316&#x2013;22</page-range>. doi: <pub-id pub-id-type="doi">10.2337/db17-0040</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Soler-Palac&#xed;n</surname> <given-names>P</given-names>
</name>
<name>
<surname>Garcia-Prat</surname> <given-names>M</given-names>
</name>
<name>
<surname>Mart&#xed;n-Nalda</surname> <given-names>A</given-names>
</name>
<name>
<surname>Franco-Jarava</surname> <given-names>C</given-names>
</name>
<name>
<surname>Rivi&#xe8;re</surname> <given-names>JG</given-names>
</name>
<name>
<surname>Plaja</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>LRBA deficiency in a patient with a novel homozygous mutation due to chromosome 4 segmental uniparental isodisomy</article-title>. <source>Front Immunol</source>. (<year>2018</year>) <volume>9</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2018.02397</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schreiner</surname> <given-names>F</given-names>
</name>
<name>
<surname>Plamper</surname> <given-names>M</given-names>
</name>
<name>
<surname>Dueker</surname> <given-names>G</given-names>
</name>
<name>
<surname>Schoenberger</surname> <given-names>S</given-names>
</name>
<name>
<surname>G&#xe1;mez-D&#xed;az</surname> <given-names>L</given-names>
</name>
<name>
<surname>Grimbacher</surname> <given-names>B</given-names>
</name>
<etal/>
</person-group>. <article-title>Infancy-onset T1DM, short stature, and severe immunodysregulation in two siblings with a homozygous LRBA mutation</article-title>. <source>J Clin Endocrinol Metab</source>. (<year>2016</year>) <volume>101</volume>:<page-range>898&#x2013;904</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1210/jc.2015-3382</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ung</surname> <given-names>C</given-names>
</name>
<name>
<surname>Sanchez</surname> <given-names>AV</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Davoudi</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ahmadi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Navarro-Gomez</surname> <given-names>D</given-names>
</name>
<etal/>
</person-group>. <article-title>Whole exome sequencing identification of novel candidate genes in patients with proliferative diabetic retinopathy</article-title>. <source>Vision Res</source>. (<year>2017</year>) <volume>139</volume>:<page-range>168&#x2013;76</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.visres.2017.03.007</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sanyoura</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lundgrin</surname> <given-names>EL</given-names>
</name>
<name>
<surname>Subramanian</surname> <given-names>HP</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>M</given-names>
</name>
<name>
<surname>Sodadasi</surname> <given-names>P</given-names>
</name>
<name>
<surname>Greeley</surname> <given-names>SAW</given-names>
</name>
<etal/>
</person-group>. <article-title>Novel compound heterozygous LRBA deletions in a 6-month-old with neonatal diabetes</article-title>. <source>Diabetes Res Clin Pract</source>. (<year>2021</year>) <volume>175</volume>:<fpage>108798</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.diabres.2021.108798</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yadav</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>R</given-names>
</name>
<name>
<surname>Rawat</surname> <given-names>A</given-names>
</name>
<name>
<surname>Venkatesan</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Neonatal diabetes with a rare LRBA mutation</article-title>. <source>BMJ Case Rep</source>. (<year>2022</year>) <volume>15</volume>:<page-range>1&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/bcr-2022-250243</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Galati</surname> <given-names>A</given-names>
</name>
<name>
<surname>Muciaccia</surname> <given-names>R</given-names>
</name>
<name>
<surname>Marucci</surname> <given-names>A</given-names>
</name>
<name>
<surname>Di Paola</surname> <given-names>R</given-names>
</name>
<name>
<surname>Menzaghi</surname> <given-names>C</given-names>
</name>
<name>
<surname>Ortolani</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Early-onset diabetes in an infant with a novel frameshift mutation in LRBA</article-title>. <source>Int J Environ Res Public Health</source>. (<year>2022</year>) <volume>19</volume>:<page-range>1&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijerph191711031</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>G&#xe1;mez-D&#xed;az</surname> <given-names>L</given-names>
</name>
<name>
<surname>August</surname> <given-names>D</given-names>
</name>
<name>
<surname>Stepensky</surname> <given-names>P</given-names>
</name>
<name>
<surname>Revel-Vilk</surname> <given-names>S</given-names>
</name>
<name>
<surname>Seidel</surname> <given-names>MG</given-names>
</name>
<name>
<surname>Noriko</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>The extended phenotype of LPS-responsive beige-like anchor protein (LRBA) deficiency</article-title>. <source>J Allergy Clin Immunol</source>. (<year>2016</year>) <volume>137</volume>:<page-range>223&#x2013;30</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jaci.2015.09.025</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gambineri</surname> <given-names>E</given-names>
</name>
<name>
<surname>Ciullini Mannurita</surname> <given-names>S</given-names>
</name>
<name>
<surname>Hagin</surname> <given-names>D</given-names>
</name>
<name>
<surname>Vignoli</surname> <given-names>M</given-names>
</name>
<name>
<surname>Anover-Sombke</surname> <given-names>S</given-names>
</name>
<name>
<surname>DeBoer</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>Clinical, immunological, and molecular heterogeneity of 173 patients with the phenotype of immune dysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome</article-title>. <source>Front Immunol</source>. (<year>2018</year>) <volume>9</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2018.02411</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cullinane</surname> <given-names>AR</given-names>
</name>
<name>
<surname>Sch&#xe4;ffer</surname> <given-names>AA</given-names>
</name>
<name>
<surname>Huizing</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>The BEACH is hot: A LYST of emerging roles for BEACH -domain containing proteins in human disease</article-title>. <source>Traffic</source>. (<year>2013</year>) <volume>14</volume>:<page-range>749&#x2013;66</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/tra.12069</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>JW</given-names>
</name>
<name>
<surname>Howson</surname> <given-names>J</given-names>
</name>
<name>
<surname>Haller</surname> <given-names>E</given-names>
</name>
<name>
<surname>Kerr</surname> <given-names>WG</given-names>
</name>
</person-group>. <article-title>Identification of a novel lipopolysaccharide-inducible gene with key features of both a kinase anchor proteins and chs1/beige proteins</article-title>. <source>J Immunol</source>. (<year>2001</year>) <volume>166</volume>:<page-range>4586&#x2013;95</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.166.7.4586</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moreno-Corona</surname> <given-names>NC</given-names>
</name>
<name>
<surname>Lopez-Ortega</surname> <given-names>O</given-names>
</name>
<name>
<surname>Flores Hermenegildo</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Berron-Ruiz</surname> <given-names>L</given-names>
</name>
<name>
<surname>Rodriguez-Alba</surname> <given-names>JC</given-names>
</name>
<name>
<surname>Santos-Argumedo</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>Lipopolysaccharide-responsive beige-like anchor acts as a cAMP-dependent protein kinase anchoring protein in B cells</article-title>. <source>Scand J Immunol</source>. (<year>2020</year>) <volume>92</volume>:<page-range>1&#x2013;13</page-range>. doi: <pub-id pub-id-type="doi">10.1111/sji.12922</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hou</surname> <given-names>T</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>W</given-names>
</name>
</person-group>. <article-title>Prediction of peptides binding to the PKA RII&#x3b1; subunit using a hierarchical strategy</article-title>. <source>Bioinformatics</source>. (<year>2011</year>) <volume>27</volume>:<page-range>1814&#x2013;21</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/bioinformatics/btr294</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hara</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Ando</surname> <given-names>F</given-names>
</name>
<name>
<surname>Oikawa</surname> <given-names>D</given-names>
</name>
<name>
<surname>Ichimura</surname> <given-names>K</given-names>
</name>
<name>
<surname>Yanagawa</surname> <given-names>H</given-names>
</name>
<name>
<surname>Sakamaki</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>LRBA is essential for urinary concentration and body water homeostasis</article-title>. <source>Proc Natl Acad Sci</source>. (<year>2022</year>) <volume>119</volume>:<page-range>2&#x2013;10</page-range>. doi: <pub-id pub-id-type="doi">10.1073/pnas.2202125119</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kurosaki</surname> <given-names>T</given-names>
</name>
<name>
<surname>Shinohara</surname> <given-names>H</given-names>
</name>
<name>
<surname>Baba</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>B cell signaling and fate decision</article-title>. <source>Annu Rev Immunol</source>. (<year>2010</year>) <volume>28</volume>:<page-range>21&#x2013;55</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev.immunol.021908.132541</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Richards</surname> <given-names>S</given-names>
</name>
<name>
<surname>Watanabe</surname> <given-names>C</given-names>
</name>
<name>
<surname>Santos</surname> <given-names>L</given-names>
</name>
<name>
<surname>Craxton</surname> <given-names>A</given-names>
</name>
<name>
<surname>Clark</surname> <given-names>EA</given-names>
</name>
</person-group>. <article-title>Regulation of B-cell entry into the cell cycle</article-title>. <source>Immunol Rev</source>. (<year>2008</year>) <volume>224</volume>:<page-range>183&#x2013;200</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1600-065X.2008.00652.x</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Herzog</surname> <given-names>S</given-names>
</name>
<name>
<surname>Reth</surname> <given-names>M</given-names>
</name>
<name>
<surname>Jumaa</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>Regulation of B-cell proliferation and differentiation by pre-B-cell receptor signalling</article-title>. <source>Nat Rev Immunol</source>. (<year>2009</year>) <volume>9</volume>:<page-range>195&#x2013;205</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nri2491</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Treanor</surname> <given-names>B</given-names>
</name>
</person-group>. <article-title>B-cell receptor: from resting state to activate</article-title>. <source>Immunology</source>. (<year>2012</year>) <volume>136</volume>:<page-range>21&#x2013;27</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1365-2567.2012.03564.x</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hayden</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Ghosh</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>NF-&#x3ba;B, the first quarter-century: remarkable progress and outstanding questions</article-title>. <source>Genes Dev</source>. (<year>2012</year>) <volume>26</volume>:<page-range>203&#x2013;34</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/gad.183434.111</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gerondakis</surname> <given-names>S</given-names>
</name>
<name>
<surname>Siebenlist</surname> <given-names>U</given-names>
</name>
</person-group>. <article-title>Roles of the NF- B pathway in lymphocyte development and function</article-title>. <source>Cold Spring Harb Perspect Biol</source>. (<year>2010</year>) <volume>2</volume>:<page-range>1&#x2013;30</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1101/cshperspect.a000182</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>G&#xe1;mez-D&#xed;az</surname> <given-names>L</given-names>
</name>
<name>
<surname>Neumann</surname> <given-names>J</given-names>
</name>
<name>
<surname>J&#xe4;ger</surname> <given-names>F</given-names>
</name>
<name>
<surname>Proietti</surname> <given-names>M</given-names>
</name>
<name>
<surname>Felber</surname> <given-names>F</given-names>
</name>
<name>
<surname>Soulas-Sprauel</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Immunological phenotype of the murine Lrba knockout</article-title>. <source>Immunol Cell Biol</source>. (<year>2017</year>) <volume>95</volume>:<page-range>789&#x2013;802</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/icb.2017.52</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kurtenbach</surname> <given-names>S</given-names>
</name>
<name>
<surname>Gie&#xdf;l</surname> <given-names>A</given-names>
</name>
<name>
<surname>Str&#xf6;mberg</surname> <given-names>S</given-names>
</name>
<name>
<surname>Kremers</surname> <given-names>J</given-names>
</name>
<name>
<surname>Atorf</surname> <given-names>J</given-names>
</name>
<name>
<surname>Rasche</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>The BEACH protein LRBA promotes the localization of the heterotrimeric G-protein golf to olfactory cilia</article-title>. <source>Sci Rep</source>. (<year>2017</year>) <volume>7</volume>:<page-range>1&#x2013;19</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-017-08543-4</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schindelin</surname> <given-names>J</given-names>
</name>
<name>
<surname>Arganda-Carreras</surname> <given-names>I</given-names>
</name>
<name>
<surname>Frise</surname> <given-names>E</given-names>
</name>
<name>
<surname>Kaynig</surname> <given-names>V</given-names>
</name>
<name>
<surname>Longair</surname> <given-names>M</given-names>
</name>
<name>
<surname>Pietzsch</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>Fiji: an open-source platform for biological-image analysis</article-title>. <source>Nat Methods</source>. (<year>2012</year>) <volume>9</volume>:<page-range>676&#x2013;82</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nmeth.2019</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bogaert</surname> <given-names>DJA</given-names>
</name>
<name>
<surname>Dullaers</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lambrecht</surname> <given-names>BN</given-names>
</name>
<name>
<surname>Vermaelen</surname> <given-names>KY</given-names>
</name>
<name>
<surname>De Baere</surname> <given-names>E</given-names>
</name>
<name>
<surname>Haerynck</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Genes associated with common variable immunodeficiency: one diagnosis to rule them all</article-title>? <source>J Med Genet</source>. (<year>2016</year>) <volume>53</volume>:<page-range>575&#x2013;90</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1136/jmedgenet-2015-103690</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Di Renzo</surname> <given-names>M</given-names>
</name>
<name>
<surname>Pasqui</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Auteri</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Common variable immunodeficiency: a review</article-title>. <source>Clin Exp Med</source>. (<year>2004</year>) <volume>3</volume>:<page-range>211&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10238-004-0027-2</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alangari</surname> <given-names>A</given-names>
</name>
<name>
<surname>Alsultan</surname> <given-names>A</given-names>
</name>
<name>
<surname>Adly</surname> <given-names>N</given-names>
</name>
<name>
<surname>Massaad</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Kiani</surname> <given-names>IS</given-names>
</name>
<name>
<surname>Aljebreen</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>LPS-responsive beige-like anchor (LRBA) gene mutation in a family with inflammatory bowel disease and combined immunodeficiency</article-title>. <source>J Allergy Clin Immunol</source>. (<year>2012</year>) <volume>130</volume>:<page-range>481&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jaci.2012.05.043</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alkhairy</surname> <given-names>OK</given-names>
</name>
<name>
<surname>Abolhassani</surname> <given-names>H</given-names>
</name>
<name>
<surname>Rezaei</surname> <given-names>N</given-names>
</name>
<name>
<surname>Fang</surname> <given-names>M</given-names>
</name>
<name>
<surname>Andersen</surname> <given-names>KK</given-names>
</name>
<name>
<surname>Chavoshzadeh</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Spectrum of phenotypes associated with mutations in LRBA</article-title>. <source>J Clin Immunol</source>. (<year>2016</year>) <volume>36</volume>:<page-range>33&#x2013;45</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10875-015-0224-7</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vogl</surname> <given-names>C</given-names>
</name>
<name>
<surname>Butola</surname> <given-names>T</given-names>
</name>
<name>
<surname>Haag</surname> <given-names>N</given-names>
</name>
<name>
<surname>Hausrat</surname> <given-names>TJ</given-names>
</name>
<name>
<surname>Leitner</surname> <given-names>MG</given-names>
</name>
<name>
<surname>Moutschen</surname> <given-names>M</given-names>
</name>
<etal/>
</person-group>. <article-title>The BEACH protein LRBA is required for hair bundle maintenance in cochlear hair cells and for hearing</article-title>. <source>EMBO Rep</source>. (<year>2017</year>) <volume>18</volume>:<page-range>2015&#x2013;29</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.15252/embr.201643689</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chung</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Silverman</surname> <given-names>M</given-names>
</name>
<name>
<surname>Monroe</surname> <given-names>JG</given-names>
</name>
</person-group>. <article-title>Transitional B cells: step by step towards immune competence</article-title>. <source>Trends Immunol</source>. (<year>2003</year>) <volume>24</volume>:<page-range>343&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S1471-4906(03)00119-4</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Allman</surname> <given-names>DM</given-names>
</name>
<name>
<surname>Ferguson</surname> <given-names>SE</given-names>
</name>
<name>
<surname>Cancro</surname> <given-names>MP</given-names>
</name>
</person-group>. <article-title>Peripheral B cell maturation. I. Immature peripheral B cells in adults are heat-stable antigenhi and exhibit unique signaling characteristics</article-title>. <source>J Immunol</source>. (<year>1992</year>) <volume>149</volume>:<page-range>2533&#x2013;40</page-range>. doi: <pub-id pub-id-type="doi">10.4049/jimmunol.149.8.2533</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Petro</surname> <given-names>JB</given-names>
</name>
<name>
<surname>Gerstein</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Lowe</surname> <given-names>J</given-names>
</name>
<name>
<surname>Carter</surname> <given-names>RS</given-names>
</name>
<name>
<surname>Shinners</surname> <given-names>N</given-names>
</name>
<name>
<surname>Khan</surname> <given-names>WN</given-names>
</name>
</person-group>. <article-title>Transitional type 1 and 2 B lymphocyte subsets are differentially responsive to antigen receptor signaling</article-title>. <source>J Biol Chem</source>. (<year>2002</year>) <volume>277</volume>:<page-range>48009&#x2013;19</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1074/jbc.M200305200</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cariappa</surname> <given-names>A</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>M</given-names>
</name>
<name>
<surname>Parng</surname> <given-names>C</given-names>
</name>
<name>
<surname>Nebelitskiy</surname> <given-names>E</given-names>
</name>
<name>
<surname>Carroll</surname> <given-names>M</given-names>
</name>
<name>
<surname>Georgopoulos</surname> <given-names>K</given-names>
</name>
<etal/>
</person-group>. <article-title>The follicular versus marginal zone B lymphocyte cell fate decision is regulated by aiolos, btk, and CD21</article-title>. <source>Immunity</source>. (<year>2001</year>) <volume>14</volume>:<page-range>603&#x2013;15</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S1074-7613(01)00135-2</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dammers</surname> <given-names>PM</given-names>
</name>
<name>
<surname>Kroese</surname> <given-names>FGM</given-names>
</name>
</person-group>. <article-title>Recruitment and selection of marginal zone B&#x2004;cells is independent of exogenous antigens</article-title>. <source>Eur J Immunol</source>. (<year>2005</year>) <volume>35</volume>:<page-range>2089&#x2013;99</page-range>. doi: <pub-id pub-id-type="doi">10.1002/eji.200526118</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Camp</surname> <given-names>RL</given-names>
</name>
<name>
<surname>Kraus</surname> <given-names>TA</given-names>
</name>
<name>
<surname>Birkeland</surname> <given-names>ML</given-names>
</name>
<name>
<surname>Pur&#xe9;</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>High levels of CD44 expression distinguish virgin from antigen-primed B cells</article-title>. <source>J Exp Med</source>. (<year>1991</year>) <volume>173</volume>:<page-range>763&#x2013;6</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.173.3.763</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cheng</surname> <given-names>PC</given-names>
</name>
<name>
<surname>Steele</surname> <given-names>CR</given-names>
</name>
<name>
<surname>Gu</surname> <given-names>L</given-names>
</name>
<name>
<surname>Song</surname> <given-names>W</given-names>
</name>
<name>
<surname>Pierce</surname> <given-names>SK</given-names>
</name>
</person-group>. <article-title>MHC class II antigen processing in B cells: accelerated intracellular targeting of antigens</article-title>. <source>J Immunol</source>. (<year>1999</year>) <volume>162</volume>:<page-range>7171&#x2013;80</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.162.12.7171</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>C</given-names>
</name>
</person-group>. <article-title>Germinal center reaction</article-title>. <source>Adv Exp Med Biol.</source> (<year>2020</year>) <volume>1254</volume>:<page-range>105&#x2013;16</page-range>. doi: <pub-id pub-id-type="doi">10.1007/978-981-15-3532-1_4</pub-id>
</citation>
</ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Suzuki</surname> <given-names>K</given-names>
</name>
</person-group>. <article-title>Diversified igA&#x2013;bacteria interaction in gut homeostasis</article-title>. <source>Adv Exp Med Biol.</source> (<year>2020</year>) <volume>1254</volume>:<page-range>105&#x2013;16</page-range>. doi: <pub-id pub-id-type="doi">10.1007/978-981-15-3532-1_9</pub-id>
</citation>
</ref>
<ref id="B43">
<label>43</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cheng</surname> <given-names>S</given-names>
</name>
<name>
<surname>Hsia</surname> <given-names>CY</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>B</given-names>
</name>
<name>
<surname>Liou</surname> <given-names>ML</given-names>
</name>
<name>
<surname>Fang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Pandolfi</surname> <given-names>PP</given-names>
</name>
<etal/>
</person-group>. <article-title>BCR-mediated apoptosis associated with negative selection of immature B cells is selectively dependent on Pten</article-title>. <source>Cell Res</source>. (<year>2009</year>) <volume>19</volume>:<page-range>196&#x2013;207</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/cr.2008.284</pub-id>
</citation>
</ref>
<ref id="B44">
<label>44</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>J</given-names>
</name>
</person-group>. <source>Animal model and method for studying gene-gene interactions</source>. <publisher-loc>USA</publisher-loc>:  <publisher-name>World Intellectual Property Organization. International Bureau</publisher-name>. (<year>2016</year>).</citation>
</ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tanaka</surname> <given-names>S</given-names>
</name>
<name>
<surname>Baba</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>B cell receptor signaling</article-title>. <source>Adv Exp Med Biol.</source> (<year>2020</year>) <volume>1254</volume>:<page-range>23&#x2013;6</page-range>. doi: <pub-id pub-id-type="doi">10.1007/978-981-15-3532-1_2</pub-id>
</citation>
</ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Amu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ruffin</surname> <given-names>N</given-names>
</name>
<name>
<surname>Rethi</surname> <given-names>B</given-names>
</name>
<name>
<surname>Chiodi</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Impairment of B-cell functions during HIV-1 infection</article-title>. <source>AIDS</source>. (<year>2013</year>) <volume>27</volume>:<page-range>2323&#x2013;34</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1097/QAD.0b013e328361a427</pub-id>
</citation>
</ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moir</surname> <given-names>S</given-names>
</name>
<name>
<surname>Ho</surname> <given-names>J</given-names>
</name>
<name>
<surname>Malaspina</surname> <given-names>A</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>W</given-names>
</name>
<name>
<surname>DiPoto</surname> <given-names>AC</given-names>
</name>
<name>
<surname>O&#x2019;Shea</surname> <given-names>MA</given-names>
</name>
<etal/>
</person-group>. <article-title>Evidence for HIV-associated B cell exhaustion in a dysfunctional memory B cell compartment in HIV-infected viremic individuals</article-title>. <source>J Exp Med</source>. (<year>2008</year>) <volume>205</volume>:<page-range>1797&#x2013;805</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20072683</pub-id>
</citation>
</ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weiss</surname> <given-names>GE</given-names>
</name>
<name>
<surname>Crompton</surname> <given-names>PD</given-names>
</name>
<name>
<surname>Li</surname> <given-names>S</given-names>
</name>
<name>
<surname>Walsh</surname> <given-names>LA</given-names>
</name>
<name>
<surname>Moir</surname> <given-names>S</given-names>
</name>
<name>
<surname>Traore</surname> <given-names>B</given-names>
</name>
<etal/>
</person-group>. <article-title>Atypical memory B cells are greatly expanded in individuals living in a malaria-endemic area</article-title>. <source>J&#xa0;Immunol</source>. (<year>2009</year>) <volume>183</volume>:<page-range>2176&#x2013;82</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.0901297</pub-id>
</citation>
</ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Khoder</surname> <given-names>A</given-names>
</name>
<name>
<surname>Alsuliman</surname> <given-names>A</given-names>
</name>
<name>
<surname>Basar</surname> <given-names>R</given-names>
</name>
<name>
<surname>Sobieski</surname> <given-names>C</given-names>
</name>
<name>
<surname>Kondo</surname> <given-names>K</given-names>
</name>
<name>
<surname>Alousi</surname> <given-names>AM</given-names>
</name>
<etal/>
</person-group>. <article-title>Evidence for B cell exhaustion in chronic graft-versus-host disease</article-title>. <source>Front Immunol</source>. (<year>2018</year>) <volume>8</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2017.01937</pub-id>
</citation>
</ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sorrentino</surname> <given-names>C</given-names>
</name>
<name>
<surname>D&#x2019;Antonio</surname> <given-names>L</given-names>
</name>
<name>
<surname>Fieni</surname> <given-names>C</given-names>
</name>
<name>
<surname>Ciummo</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Di Carlo</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>Colorectal cancer-associated immune exhaustion involves T and B lymphocytes and conventional NK cells and correlates with a shorter overall survival</article-title>. <source>Front Immunol</source>. (<year>2021</year>) <volume>12</volume>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2021.778329</pub-id>
</citation>
</ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tan</surname> <given-names>C</given-names>
</name>
<name>
<surname>Mueller</surname> <given-names>JL</given-names>
</name>
<name>
<surname>Noviski</surname> <given-names>M</given-names>
</name>
<name>
<surname>Huizar</surname> <given-names>J</given-names>
</name>
<name>
<surname>Lau</surname> <given-names>D</given-names>
</name>
<name>
<surname>Dubinin</surname> <given-names>A</given-names>
</name>
<etal/>
</person-group>. <article-title>Nur77 links chronic antigen stimulation to B cell tolerance by restricting the survival of self-reactive B cells in the periphery</article-title>. <source>J Immunol</source>. (<year>2019</year>) <volume>202</volume>:<page-range>1&#x2013;18</page-range> Article 778329. doi:&#xa0;<pub-id pub-id-type="doi">10.4049/jimmunol.1801565</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>