Foreign CpG-DNA from viruses and bacteria can activate memory B cells through binding to toll-like receptor 9, and this pathway has been hypothesized to be involved in the continuous activation of memory B cells ensuring life-long humoral immunity. In this study, we demonstrate that retinoic acid (RA) is a potent coactivator of this pathway in human B cells. RA enhanced the CpG-mediated proliferation of CD27 ؉ memory B cells, and the proliferative response was accompanied by increased immunoglobulin (Ig) secretion indicative of plasma-cell formation. The RA-induced proliferation was preceded by enhanced expression of cyclin D3, and both the expression of cyclin D3 and the induced Ig secretion were found to be dependent on IL-10. Of importance, RA increased the CpG-induced phosphorylation of ERK1/2, p38MAPK, and IB as early as 30 minutes after stimulation. By using specific inhibitors, all the RA-mediated events, including proliferation, cyclin D3 expression, IL-10 se-
IntroductionVitamin A is important for an optimal functioning of the immune system, but the mechanisms involved are not fully understood. A part of the increased resistance to infection has been attributed to improved epithelial integrity, but a direct effect on cells of the immune system is also established. [1][2][3] We and others have shown that all-trans retinoic acid has a stimulatory role in T lymphocytes. [4][5][6][7][8][9][10][11] However, there has been some controversy regarding the importance of vitamin A for B-cell activity. Some reports document that retinoids are required for B-cell activity 12 and have the potential to enhance differentiation and antibody responses of B cells, [13][14][15][16] and that B-cell responses are impaired in vitamin A-deficient rats. 17 We have previously shown that RA inhibits the proliferation of human and murine B-cell precursors 18 as well as peripheral-blood B cells stimulated via B-cell receptor (BcR). 19 We also demonstrated that the inhibition of B-cell proliferation was accompanied by inhibition of the cell-cycle machinery driving the cells from G 1 to S phase. 20 In the primary immune response, naive B cells proliferate and differentiate into plasma cells that secrete antibodies mainly of the immunoglobulin-M (IgM) class. During this process, somatic hypermutation and isotype switching take place, producing highaffinity antibodies of the IgG class. 21 Some B cells embark on a different program to become long-lived memory B cells, which are characterized by lower threshold for activation and differentiation. 22 In the past 2 decades, it has become clear that B cells can be activated by DNA from bacteria and viruses. 23 The discrimination between human and bacterial/viral DNA is based on the fact that CpG dinucleotides are underrepresented and generally methylated in vertebrate DNA, while they are present at expected frequency and are unmethylated in bacteria and viruses. 23,24 Unmethylated CpG DNA is recognized by toll-like receptor 9 (TLR9), which is primarily expressed in memory B cells and plas...