IntroductionAn adequate immune response is the result of a fine balance between a multitude of activating and inhibitory signals, and disruption of this delicate balance can lead to autoimmunity or immunodeficiency. Activation signals can be negatively regulated by cell surface receptors bearing immunoreceptor tyrosine-based inhibitory motifs (ITIMs) in their cytoplasmic tail. 1 Examples of ITIM-containing receptors expressed on B cells include Fc␥RIIB, CD22, CD72, paired Ig-like receptor (PIR)-B, CD85j, Fc receptorlike (FCRL)4, and CD305. [2][3][4][5] The coligation of the B-cell receptor (BCR) and ITIM-containing receptors results in the attenuation of BCR-mediated signals. 3,5,6 Depending on the developmental stage or activation status, B cells express different sets of inhibitory receptors on their cell surface. 5,7,8 For example, CD305 is highly expressed on naive human B cells, and its expression is low in memory B cells, 5 whereas FCRL4 is mostly expressed on a subset of memory cells and is almost absent on naive B cells. 7 The expression of certain ITIM-containing receptors, such as FCRL4 and CD85j, is increased in specific B-cell subsets that are substantially expanded in certain disease settings, such as in HIV-infected viremic patients with high viral loads 9 and in persons exposed to Plasmodium falciparum. 10 It is acknowledged that the deregulation of the expression of these receptors contributes to the B-cell dysfunctions observed in HIV and malarial chronic infections. 11 CD300a belongs to the CD300 family of activating/inhibitory receptors whose genes are clustered in human chromosome 17. 12 CD300a is a type I transmembrane receptor with an IgV-like extracellular domain and a cytoplasmic tail that has 3 classic ITIM motifs 12,13 and is expressed on cells of both lymphoid and myeloid lineages. 12 Its ligation is capable of inhibiting natural killer cell-mediated cytotoxicity, 13,14 Fc␥RIIa-mediated reactive oxygen species production and Ca 2ϩ flux in neutrophils, 15 Fc⑀RI-mediated activation of mast cells, 16 and eosinophil responses to eotaxin, granulocyte-macrophage colony-stimulating factor, and IL-5. 17 In a murine model of asthma, treatment of mice with a bispecific antibody linking CD300a to CCR3 reversed remodeling and airway inflammation. 18 In another in vivo study, a bispecific antibody fragment linking CD300a to IgE was able to abrogate allergic reactions. 19 Finally, a recent study showed that a bispecific antibody that links kit with CD300a abrogates the allergic reaction induced by stem cell factor in a model of anaphylaxis. 20 All these studies highlight the potential of specifically targeting CD300a for therapeutic purposes.In this study, we demonstrate that CD300a is differentially expressed on human B-cell subsets and can function as a negative regulator of BCR-mediated signaling. Furthermore, we show that the expression of this receptor is deregulated in HIV-infected patients, suggesting a potential role for CD300a in HIV-associated disease progression. The online version of thi...