0 8 Retinoic retinoic JJ 9 13 acid acid NN 14 22 inhibits inhibit VBZ 23 27 CD40 CD40 NNP 28 29 + + SYM 30 52 interleukin-4-mediated interleukin-4-mediated JJ 53 56 IgE ige NN 57 67 production production NN 68 70 in in FW 71 76 vitro vitro FW 76 77 . . . 79 81 To to TO 82 91 elucidate elucidate VB 92 95 the the DT 96 100 role role NN 101 103 of of IN 104 112 retinoic retinoic JJ 113 117 acid acid NN 118 119 ( ( ( 119 121 RA RA NNP 121 122 ) ) ) 123 125 in in IN 126 135 anti-CD40 anti-cd40 NN 136 137 + + SYM 138 151 interleukin-4 interleukin-4 NN 152 153 ( ( ( 153 167 IL-4)-mediated il-4)-mediated JJ 168 174 B-cell B-cell NNP 175 185 activation activation NN 185 186 , , , 187 190 the the DT 191 197 effect effect NN 198 200 of of IN 201 208 10(-12) 10(-12) CD 209 211 to to TO 212 218 10(-6) 10(-6) CD 219 224 mol/L mol/l NN 225 227 RA RA NNP 228 231 was be VBD 232 239 studied study VBN 240 242 in in IN 243 252 anti-CD40 anti-cd40 NN 253 254 ( ( ( 254 255 1 1 CD 256 268 microgram/mL microgram/ml NN 268 269 ) ) ) 270 271 + + CC 272 276 IL-4 il-4 NN 277 278 ( ( ( 278 279 5 5 CD 280 295 ng/mL)-mediated ng/ml)-mediated JJ 296 309 proliferation proliferation NN 310 313 and and CC 314 316 Ig ig NN 317 326 synthesis synthesis NN 327 329 by by IN 330 335 human human JJ 336 346 peripheral peripheral JJ 347 352 blood blood NN 353 364 mononuclear mononuclear JJ 365 370 cells cell NNS 371 372 ( ( ( 372 376 PBMC PBMC NNP 376 377 ) ) ) 378 381 and and CC 382 383 B B NNP 384 389 cells cell NNS 390 392 in in IN 393 400 healthy healthy JJ 401 407 donors donor NNS 407 408 . . . 409 418 Anti-CD40 Anti-CD40 NNP 419 420 + + CC 421 434 IL-4-mediated il-4-mediated JJ 435 448 proliferation proliferation NN 449 451 of of IN 452 456 PBMC PBMC NNP 457 460 and and CC 461 462 B B NNP 463 468 cells cell NNS 469 472 was be VBD 473 482 inhibited inhibit VBN 483 485 by by IN 486 488 RA RA NNP 489 491 in in IN 492 493 a a DT 494 508 dose-dependent dose-dependent JJ 509 515 manner manner NN 515 516 , , , 517 521 with with IN 522 529 maximal maximal JJ 530 540 inhibition inhibition NN 541 543 of of IN 544 546 62 62 CD 546 547 % % NN 548 551 +/- +/- SYM 552 553 5 5 CD 553 554 % % NN 555 557 in in IN 558 562 PBMC PBMC NNP 563 566 and and CC 567 569 55 55 CD 569 570 % % NN 571 574 +/- +/- SYM 575 578 4.4 4.4 CD 578 579 % % NN 580 582 in in IN 583 584 B B NNP 585 590 cells cell NNS 591 593 by by IN 594 603 all-trans all-trans JJ 604 606 RA RA NNP 606 607 , , , 608 611 and and CC 612 614 58 58 CD 614 615 % % NN 616 619 +/- +/- SYM 620 623 6.7 6.7 CD 623 624 % % NN 625 628 and and CC 629 631 51 51 CD 631 632 % % NN 633 636 +/- +/- SYM 637 640 4.7 4.7 CD 640 641 % % NN 641 642 , , , 643 655 respectively respectively RB 656 658 by by IN 659 665 13-cis 13-cis JJ 666 668 RA RA NNP 668 669 . . . 670 673 IgE IgE NNP 674 683 synthesis synthesis NN 684 687 was be VBD 688 692 even even RB 693 697 more more RBR 698 706 markedly markedly RB 707 716 inhibited inhibit VBN 717 719 by by IN 720 722 RA RA NNP 723 731 starting start VBG 732 734 at at IN 735 749 concentrations concentration NNS 750 752 of of IN 753 761 >10(-14) >10(-14) JJ 762 767 mol/L mol/l NN 768 771 for for IN 772 773 B B NNP 774 779 cells cell NNS 780 783 and and CC 784 792 >10(-10) >10(-10) JJ 793 798 mol/L mol/l NN 799 802 for for IN 803 807 PBMC PBMC NNP 807 808 . . . 809 816 Maximal maximal JJ 817 827 inhibition inhibition NN 828 830 of of IN 831 834 IgE ige NN 835 845 production production NN 846 849 for for IN 850 851 B B NNP 852 857 cells cell NNS 858 861 was be VBD 862 864 at at IN 865 871 10(-8) 10(-8) CD 872 877 mol/L mol/l NN 878 881 for for IN 882 891 all-trans all-trans JJ 892 894 RA RA NNP 895 896 ( ( ( 896 898 94 94 CD 898 899 % % NN 900 903 +/- +/- SYM 904 907 1.8 1.8 CD 907 908 % % NN 908 909 ) ) ) 910 913 and and CC 914 916 96 96 CD 916 917 % % NN 918 921 +/- +/- SYM 922 925 3.2 3.2 CD 925 926 % % NN 927 930 for for IN 931 937 13-cis 13-cis JJ 938 940 RA RA NNP 940 941 . . . 942 945 Low low JJ 946 960 concentrations concentration NNS 961 963 of of IN 964 966 RA RA NNP 967 977 inhibiting inhibit VBG 978 981 IgE ige NN 982 991 synthesis synthesis NN 992 993 ( ( ( 993 1000 10(-10) 10(-10) CD 1001 1006 mol/L mol/l NN 1006 1007 ) ) ) 1008 1016 affected affect VBD 1017 1024 neither neither CC 1025 1031 B-cell b-cell NN 1032 1045 proliferation proliferation NN 1046 1049 nor nor CC 1050 1053 the the DT 1054 1064 production production NN 1065 1067 of of IN 1068 1071 IgA IgA NNP 1071 1072 , , , 1073 1076 IgG IgG NNP 1076 1077 , , , 1078 1081 and and CC 1082 1085 IgM IgM NNP 1085 1086 . . . 1087 1098 Elucidation elucidation NN 1099 1101 of of IN 1102 1105 the the DT 1106 1115 mechanism mechanism NN 1116 1124 involved involve VBN 1125 1127 in in IN 1128 1132 this this DT 1133 1143 inhibition inhibition NN 1144 1146 of of IN 1147 1150 IgE IgE NNP 1151 1161 production production NN 1162 1167 shows show VBZ 1168 1172 that that IN 1173 1180 epsilon epsilon NN 1181 1189 germline germline NN 1190 1203 transcription transcription NN 1204 1206 is be VBZ 1207 1216 decreased decrease VBN 1217 1219 by by IN 1220 1222 RA RA NNP 1222 1223 , , , 1224 1231 whereas whereas IN 1232 1242 production production NN 1243 1245 of of IN 1246 1262 interferon-gamma interferon-gamma NN 1263 1264 ( ( ( 1264 1273 IFN-gamma IFN-gamma NNP 1273 1274 ) ) ) 1275 1278 was be VBD 1279 1282 not not RB 1283 1291 enhanced enhance VBN 1292 1294 in in IN 1295 1298 the the DT 1299 1307 presence presence NN 1308 1310 of of IN 1311 1313 RA RA NNP 1313 1314 . . . 1315 1317 To to TO 1318 1331 differentiate differentiate VB 1332 1339 whether whether IN 1340 1343 the the DT 1344 1346 RA RA NNP 1347 1353 effect effect NN 1354 1357 was be VBD 1358 1366 mediated mediate VBN 1367 1369 by by IN 1370 1372 RA RA NNP 1373 1382 receptors receptor NNS 1383 1388 alpha alpha NN 1388 1389 , , , 1390 1394 beta beta NN 1394 1395 , , , 1396 1399 and and CC 1400 1405 gamma gamma NN 1405 1406 , , , 1407 1410 the the DT 1411 1421 expression expression NN 1422 1424 of of IN 1425 1428 the the DT 1429 1437 retinoic retinoic JJ 1438 1442 acid acid NN 1443 1452 receptors receptor NNS 1453 1454 ( ( ( 1454 1457 RAR RAR NNP 1457 1458 ) ) ) 1459 1462 was be VBD 1463 1471 examined examine VBN 1472 1474 by by IN 1475 1482 reverse reverse JJ 1483 1507 transcriptase-polymerase transcriptase-polymerase NN 1508 1513 chain chain NN 1514 1522 reaction reaction NN 1523 1524 ( ( ( 1524 1530 RT-PCR RT-PCR NNP 1530 1531 ) ) ) 1531 1532 . . . 1533 1536 The the DT 1537 1541 data datum NNS 1542 1546 show show VBP 1547 1551 that that IN 1552 1564 unstimulated unstimulated JJ 1565 1570 human human JJ 1571 1581 peripheral peripheral JJ 1582 1583 B B NNP 1584 1589 cells cell NNS 1590 1597 express express VBP 1598 1602 mRNA mrna NN 1603 1605 of of IN 1606 1609 the the DT 1610 1612 RA RA NNP 1613 1621 receptor receptor NN 1622 1627 alpha alpha NN 1627 1628 , , , 1629 1633 beta beta NN 1633 1634 , , , 1635 1638 and and CC 1639 1644 gamma gamma NN 1644 1645 . . . 1646 1651 Using use VBG 1652 1661 retinoids retinoid NNS 1662 1666 with with IN 1667 1676 different different JJ 1677 1685 receptor receptor NN 1686 1693 binding binding NN 1694 1705 specificity specificity NN 1706 1707 ( ( ( 1707 1712 CD336 CD336 NNP 1712 1713 , , , 1714 1719 CD437 CD437 NNP 1719 1720 , , , 1721 1727 CD2019 CD2019 NNP 1727 1728 , , , 1729 1734 CD367 CD367 NNP 1734 1735 ) ) ) 1735 1736 , , , 1737 1751 dose-dependent dose-dependent JJ 1752 1762 inhibition inhibition NN 1763 1765 of of IN 1766 1769 IgE IgE NNP 1770 1779 synthesis synthesis NN 1780 1783 was be VBD 1784 1789 shown show VBN 1790 1792 by by IN 1793 1796 all all DT 1797 1801 four four CD 1802 1811 derivates derivate NNS 1811 1812 , , , 1813 1816 but but CC 1817 1820 was be VBD 1821 1825 most most RBS 1826 1832 marked mark VBN 1833 1835 by by IN 1836 1838 an an DT 1839 1841 RA RA NNP 1842 1849 binding bind VBG 1850 1853 the the DT 1854 1859 alpha alpha NN 1860 1868 receptor receptor NN 1869 1873 with with IN 1874 1878 high high JJ 1879 1890 specificity specificity NN 1890 1891 . . . 1892 1897 Taken take VBN 1898 1906 together together RB 1906 1907 , , , 1908 1912 this this DT 1913 1918 study study NN 1919 1924 shows show VBZ 1925 1929 that that IN 1930 1932 RA RA NNP 1933 1941 inhibits inhibit VBZ 1942 1945 IgE ige NN 1946 1956 production production NN 1957 1959 of of IN 1960 1969 anti-CD40 anti-cd40 JJ 1970 1971 + + CC 1972 1987 IL-4-stimulated il-4-stimulated JJ 1988 1989 B B NNP 1990 1995 cells cell NNS 1996 1998 in in FW 1999 2004 vitro vitro FW 2004 2005 . . . 2006 2015 Copyright Copyright NNP 2016 2020 1998 1998 CD 2021 2023 by by IN 2024 2027 The The NNP 2028 2036 American American NNP 2037 2044 Society Society NNP 2045 2047 of of IN 2048 2058 Hematology Hematology NNP 2058 2059 . . .