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Immunization Under Stress: Limits B Cell Clonal Expansion, and Promotes Selection of Higher Affinity Antibody Variants

Adrenergic signaling plays a central role in physiological regulation, including modulation of processes in the immune system. However, the effects of adrenergic activation on antibody-mediated immune response remain unknown. Here, we investigate the effects of stress - induced β-adrenergic receptor activation on the B cell response at molecular and the systemic levels. We find that β-adrenergic agonist treatment of B cells from three convalescent SARS coronavirus-2 donors, reduced both membrane IgG expression and clonal expansion when the cells were stimulated ex vivo with spike receptor binding domain (RBD). Interestingly, monoclonal anti-RBD antibodies cloned from B cells cultured in the presence of β-adrenergic agonist, exhibited higher affinity for RBD compared to antibodies cloned from control cultures, suggesting that clones under stress exhibit higher antigen affinity. As a corollary, following ovalbumin immunization in mice, physiological stress during germinal center reaction phase increased the levels of antigen specific serum IgG. At the same time, B cell clonal expansion and membrane IgG expression were reduced, along with an increase in MHC class II expression. These effects were abolished by treatment with the non-selective β-adrenergic antagonist, propranolol. Our study suggests that under stress conditions selection of high affinity variants comes in the expense of clonal expansion.