Plasma cells (PCs) are the final B-cell differentiation stage. Recent evidence reveals relevant functional differences within the PC compartment. In rodents, early PCs formed in secondary lymphoid tissues show enhanced apoptosis and short life span, whereas PCs present in a final destination organ, such as the bone marrow (BM), have reached a stable prolonged survival state. BM PCs arrive at this organ as a circulating precursor whose cellular nature remains uncertain. An initial aim of this study was to characterize this circulating cell. We hypothesized that antibody-secreting cells detectable in the human blood after immunization might be a candidate precursor. These cells were obtained from the blood of volunteers immunized 6 days earlier with tetanus toxoid (tet), and they were unambiguously identified as PCs, as demonstrated by their expression of the CD38 h phenotype, by morphology, by immunoglobulin (Ig) intracytoplasmic staining, and by IgG-tet-secreting capacity in vitro. In addition, by using the common CD38 h feature, human PCs from tonsil (as a possible source of early PCs), from blood from tet-immunized donors (as the putative precursors of BM PCs), and from BM (as a deposit organ) have been purified and their phenotypes compared. The results show that a variety of differentiation molecules, proteins involved in the control of apoptosis, the B-cell transcription factors, positive regulatory domain I-binding factor 1/B lymphocyteinduced maturation protein 1 and B cellspecific activating protein and, at least partially, the chemokine receptor CXCR4 were expressed by human PCs following a gradient of increasing maturity in the direction: tonsil3blood3BM. However, PCs from these different organs showed a local pattern of adhesion molecule expression. These observations are dis-
IntroductionPlasma cells (PCs) are the morphologically well-defined cellular end point of the B-lymphocyte differentiation sequence, and, as such, they exhibit biochemical and structural features indicative of their full commitment to the synthesis and secretion of antibody (Ab). Therefore, PCs are ultimately responsible for the humoral immune response. Experiments in rodents have revealed that, soon after antigen (Ag) entry, PCs are formed in inductive territories of the secondary lymphoid tissue, initially within Ag-activated foci occurring in the T-cell areas of draining lymphoid tissue and, if the Ag persists, they are also generated in germinal centers (GCs). [1][2][3] After this early phase, the number of PCs falls drastically in these areas and they start accumulating in final deposit locations, namely the bone marrow (BM) and the lamina propria (LP), for systemic and mucosal humoral responses, respectively. [4][5][6] PCs present in the deposit organs are not formed in situ, but they derive from close precursors generated in distant lymphoid organs as a result of Ag stimulation, which migrate into these areas through the circulation. 7,8 The nature of this PC precursor has not been fully clarified. It is well established...