Ectopic germinal centers in the nasal turbinates contribute to B cell immunity to intranasal viral infection and vaccination

R Romain Gailleton (Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg) N Nimitha R. Mathew (Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg) L Laura Reusch (Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg) K Karin Schön (Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg) L Lydia Scharf (Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg) A Anneli Strömberg (Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg) A Andrea Cvjetkovic (Department of Otorhinolaryngology, Head & Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 45, Sweden) L Luaay Aziz (Department of Otorhinolaryngology, Head & Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 45, Sweden) J Johan Hellgren (Department of Otorhinolaryngology, Head & Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 45, Sweden) K Ka-Wei Tang (Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg) M Mats Bemark (Department of Clinical Immunology and Transfusion Medicine, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 46, Sweden) D Davide Angeletti

Abstract

The nasal mucosa is the first immunologically active site that respiratory viruses encounter and establishing immunity at the initial point of pathogen contact is essential for preventing viral spread. Influenza A virus (IAV) in humans preferentially replicates in the upper respiratory tract (URT) but mouse models of infection result in lower respiratory tract infection. Here, we optimize IAV inoculation to enhance replication in the nasal turbinate (NT) and study local B cell immunity. We demonstrate that URT-targeted IAV infection stimulates robust local B cell responses, including germinal center (GC) B cell formation in the NT, outside of classical nasal-associated lymphoid tissues. NT GC contributes to local tissue-resident B cell generation and enhances local antibody production. Furthermore, URT-focused immunization also induces significant GC formation in the NT. Finally, we detect steady-state GC in the NT of both mice and healthy humans, suggesting continuous immune surveillance triggered by environmental stimuli. These findings highlight the pivotal role of the NT in local and systemic immunity, with important implications for future mucosal vaccines targeting the upper airways.

Article Details

Volume / Issue Vol. 122, Issue 12
Published March 25, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (12)

R

Romain Gailleton

Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg

N

Nimitha R. Mathew

Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg

L

Laura Reusch

Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg

K

Karin Schön

Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg

L

Lydia Scharf

Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg

A

Anneli Strömberg

Department of Microbiology and Immunology, Institute of Biomedicine, University of Gothenburg

A

Andrea Cvjetkovic

Department of Otorhinolaryngology, Head & Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 45, Sweden

L

Luaay Aziz

Department of Otorhinolaryngology, Head & Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 45, Sweden

J

Johan Hellgren

Department of Otorhinolaryngology, Head & Neck Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 45, Sweden

K

Ka-Wei Tang

Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg

M

Mats Bemark

Department of Clinical Immunology and Transfusion Medicine, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg 413 46, Sweden

D

Davide Angeletti