Systems level analysis of B-cell development identifies BDNF as a driver for human B lymphopoiesis

Abstract

B-cell aplasia is a major consequence of aging, chemotherapy, and B-cell-depleting immunotherapies, compromising immune protection against infections, cancer, and vaccines. Yet, unlike the myeloid and erythroid lineages, no strategy exists to accelerate human B-cell reconstitution. Here, we used an integrative systems biology approach to identify regulators of human B lymphopoiesis in the bone marrow (BM) microenvironment. By combining single-cell transcriptomic analysis of human BM with intercellular communication mapping, we generated an initial set of candidate factors predicted to act on developing B cells. To distinguish biologically meaningful putative regulators from a broad candidate space, we further intersected these findings with orthogonal human datasets capturing age-impaired B lymphopoiesis and protein dynamics associated with B-cell depletion and reconstitution. This convergent prioritization strategy highlighted a focused set of putative regulators, among which brain-derived neurotrophic factor (BDNF) emerged repeatedly as a top putative regulator. Functional interrogation in progenitor BM cells showed that several prioritized putative regulators induced transcriptional programs linked to early immune development, with BDNF consistently promoting pathways associated with B-cell differentiation. Importantly, in a human in vitro BM co-culture system, BDNF enhanced the differentiation of CD34+ hematopoietic progenitors into CD19+ progenitor B cells. Together, these findings identify BDNF as a previously unrecognized regulator of early human B lymphopoiesis and establish a general framework for uncovering functional hematopoietic regulators by integrating single-cell analysis with complementary biological and clinical signals. This approach may support future strategies to improve immune reconstitution in settings of prolonged B-cell depletion.