# Bexarotene signaling in human B and T lymphocytes induces gut-homing receptor expression

## TL;DR

Bexarotene affects human B and T cells by increasing gut-homing receptors and CD38, influencing immune responses and cell differentiation.

## Contribution

Bexarotene's direct impact on retinoid target gene expression and gut-homing receptor modulation in B and T lymphocytes is demonstrated.

## Key findings

- BXR increased CD38 expression sixfold in B cells and threefold in T cells.
- BXR doubled gut-homing receptors CCR9 and integrin β7 on T and B cells.
- BXR treatment reduced gut-homing receptor frequency in CTCL patient blood cells.

## Abstract

Retinoic acid (RA) receptors (RARs) in human lymphocytes modulate the humoral and intestinal immune response by regulating target genes, including CD38, TGM2, and gut-homing markers. The impact of retinoid X receptors (RXRs) on this process is elusive.

To determine the impact of the RXR ligand bexarotene (BXR) on the activation and differentiation of human B and T lymphocytes.

In vitro BXR stimulation of human CD19+ B cells and CD4+ T helper cells was investigated regarding retinoid target gene expression using qPCR and flow cytometry and validated in peripheral B and T lymphocytes of patients with cutaneous T-cell lymphoma (CTCL) with and without BXR treatment.

BXR induced the canonical retinoid target gene CD38 in B cells and T cells (sixfold and threefold, respectively). BXR increased CD38 surface protein expression on B cells twofold and plasmablast differentiation threefold. The frequency of the gut-homing receptors CCR9 and integrin β7 was doubled on T and B cells after BXR stimulation, while cutaneous leucocyte-associated antigen (CLA) expression was decreased in B cells. Under BXR treatment, a reduced frequency of cells with these gut-homing receptors was observed in the blood of CTCL patients regarding memory T cells (mean off: 1.9%; on: 0.6%) and B cells (mean off: 5.7%, on: 4%).

BXR via RXRs directly targets B and T lymphocytes, inducing retinoid target gene expression, including gut-homing receptors.