Dutto, J. | bioRxiv Science

bioRxiv2026

Altered follicular immunity in secondary lymphoid organs is associated with interferon hyperactivity in Down syndrome

Down syndrome, caused by trisomy 21, is characterized by chronic interferon-associated inflammation and immune dysregulation, yet the contribution of human secondary lymphoid organs to shaping this immune landscape remains unclear. Using multimodal single-cell and spatial profiling of human tonsils, we identify extensive remodeling of immune organization in trisomy 21. CD4 T cells are skewed away from canonical follicular helper (TFH) programs toward inflammatory TFH1-like and cytotoxic helper states enriched for interferon-responsive transcriptional programs. Tonsillar TFH cells exhibit increased interferon-{gamma} and interleukin-21 production, indicating inflammatory skewing toward type 1 helper immunity. These alterations are accompanied by changes in dendritic cell and CD8 T-cell compartments, reduced follicular size, increased extrafollicular TFH1-B-cell proximity and altered B-cell differentiation trajectories. Together, our findings identify trisomy 21 as a unique human context to investigate how chronic interferon-associated inflammation reshapes lymphoid tissue organization and adaptive immune cell fate decisions.

immunology↗

bioRxiv2025

Echinococcus granulosus antigen B acts as an LPS-scavenging lipoprotein in vitro preventing TLR4-mediated activation of dendritic cells

Echinococcus granulosus sensu lato antigen B (EgAgB) is a major parasite lipoprotein, produced by the hydatid and released at the host-parasite interface. Accumulating evidence supports that EgAgB may exert immunomodulatory effects on myeloid cells; however, the underlying molecular mechanisms remain poorly understood. We examined the impact of native EgAgB (nEgAgB) and recombinant EgAgB8/1 (rEgAgB) on lipopolysaccharide (LPS)-induced activation of bone marrow-derived dendritic cells (BMDC), to help elucidate these mechanisms. Both immunoaffinity-purified nEgAgB or rEgAgB induced modest BMDC activation, indicated by the production of IL-6, IL-12p40, and nitric oxide, but not IFN-{beta}. This activation was primarily attributed to LPS traces in EgAgB preparations since it was nearly abolished by a specific TLR4 inhibitor and in Tlr4-/- BMDC, while EgAgB binding to BMDC was TLR4-independent. Notably, both nEgAgB and rEgAgB inhibited LPS-induced cytokine and nitric oxide production, and disrupted TLR4 dimerization and endocytosis. Competitive binding assays showed that EgAgB and human high-density lipoprotein (hHDL) similarly inhibited LPS binding to macrophages and BMDC; however, EgAgB more effectively suppressed LPS-induced cytokine secretion. Contrastingly, EgAgB did not modulate BMDC responses to lipoteichoic acid, unlike hHDL. Using dynamic light scattering and an ELISA-like assay, we demonstrated a higher potential of EgAgB to bind LPS than hHDL. Additionally, docking analyses suggest the presence of a defined LPS-binding interface in EgAgB8/1 subunit. Overall, these findings reveal a novel binding property of EgAgB, which enables it to act as an extracellular LPS scavenger, interfering with TLR4-mediated LPS recognition and downstream proinflammatory responses in myeloid cells.

immunology↗