Atively correlated with the mean methylation status of the promoter region in the 5-azaC-treated cells (Figure 3G).CD11a affected the proliferative response of CD4+ T cells to autologous PBMCsBecause CD11a participates in T cell-dependent B cell stimulation, the effect of CD11a on IgG production by B cells was examined. CD4+ T cells from SSc patients or healthy subjects were co-cultured with autologous B cells with or without anti-CD11a mAb for 8 days. The amount of IgG in the supernatants was measured by ELISA. As shown in Figure 4C, there was significantly more total IgG production in B cells co-cultured with autologous CD4+ T cells from SSc patients than in CD4+ T cells from normal subjects. Co-culture of untreated and 5-azaC-treated CD4+ T cells and autologous B cells showed more production of IgG by B cells (Figure 4D). Untreated B cells produced significantly less IgG than B cells co-cultured with SSc CD4+ T cells or 5-azaC-treated CD4+ T cells (P <0.05 and P <0.05, respectively) (Figure 4C,D). To determine whether CD11a is involved in excessive IgG synthesis by B cells, a blocking anti-CD11a was used in the co-culture of the CD4+ T cells with autologous B cells. Anti-CD11a mAb significantly diminished the levels of PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28549975 IgG production by autologous B cells co-cultured with SSc CD4+ T cells or 5-azaCtreated CD4+ T cells but its isotype control, IgG, did not (P <0.05 and P <0.05, respectively; Figure 4C,D). A suppressive effect of anti-CD11a mAb on B cells was unlikely because the same amount of anti-CD11a yielded no significant reduction of IgG production by purified B cells stimulated with lipopolysaccharide (P >0.05).CD11a overexpressed on CD4+ T cells induced COL1A2 mRNA expression by normal fibroblastsTo assess the effects of overexpressing CD11a on the proliferation of SSc CD4+ T cells and 5-azaC-treated CD4+ T cells, normal CD4+ T cells and SSc CD4+ T cells were cultured with autologous peripheral blood mononuclear cells (PBMCs). SSc CD4+ T cells showed significantly higher proliferative response to autologous PBMCs (as antigen-presenting cells) without antigen than normal CD4+ T cells. The neutralizing antibodies to CD11a (anti-CD11a monoclonal antibody (mAb)) markedly decreased the proliferative response of SSc CD4+ T cells. The isotype control IgG showed no inhibitory effect (Figure 4A). Similarly, 5-azaC-treated CD4+ T cells showed greater proliferation than untreated CD4+ T cells. Anti-CD11a mAb, but not the isotype control IgG, dramatically reduced the proliferation of 5-azaCtreated CD4+ T cells (Figure 4B).The effect of CD11a expressed on SSc CD4+ T cells or 5-azaC-treated CD4+ T cells on collagen expression in normal fibroblasts was alpha-Amanitin web investigated. Different groups of CD4+ T cells were co-cultured with normal fibroblasts with or without anti-CD11a antibody for 3 days. Significant increases in COL1A2 mRNA expression were observed in normal fibroblasts co-cultured with CD4+ T cells from SSc patients than those from normal controls (P <0.01; Figure 5A). There was also a significant increase of COL1A2 mRNA expression in fibroblasts cocultured with 5-azaC-treated CD4+ T cells compared to untreated CD4+ T cells (P <0.01; Figure 5B). This is the first demonstration that 5-azaC-treated CD4+ T cells induce the COL1A2 expression by fibroblasts. The mechanisms underlying these pro-fibrotic actions remain to be identified. The anti-CD11a mAb markedly reduced COL1A2 mRNA transcription in normal fibroblasts stimulated by SSc CD4+ T cells.