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Peer-reviewedCC BY 4.0Frontiers in Immunology

Context-dependent immunoregulation by BAFF: reconciling its pro-tumorigenic, anti-tumor, and autoimmune roles through a multi-factorial lens

5 affiliations
  1. 1The First Affiliated Hospital of Dalian Medical University
  2. 2Dalian Medical University
  3. 3Department of Urology, First Hospital of Shanxi Medical University
  4. 4Department of Gastroenterology, Shengjing Hospital of China Medical University
  5. 5Department of Cardiology, Dandong First Hospital

Abstract

B cell activating factor (BAFF), originally characterized as a canonical survival factor for B cells, is now recognized as a pleiotropic immunoregulator that bridges innate and adaptive immunity. Its biological effects are highly context-dependent, manifesting as promotion of malignant B-cell survival in hematological malignancies, conflicting activities in solid tumors, and disruption of B-cell tolerance in autoimmune diseases. Current literature has largely examined BAFF within disease-specific frameworks, leaving cross-disease mechanistic relationships inadequately resolved. In this review, we propose a multi-factorial framework for integrating evidence across cancer and autoimmunity through four proposed variables: ligand concentration, oligomeric form, cellular source, and receptor availability. By dissecting receptor signaling via BAFF receptor (BAFF-R), transmembrane activator and calcium modulator and cyclophilin ligand interactor (TACI), and B cell maturation antigen (BCMA), we evaluate the therapeutic landscape, safety profiles, and combination strategies of BAFF-targeted agents. The framework is a working hypothesis, not a validated causal model. We propose three integrated perspectives: (i) a proposed multi-factorial framework for interpreting BAFF’s divergent functions; (ii) a conceptual, testable inverted U-shaped working hypothesis for solid tumors, without validated concentration thresholds; and (iii) the translational utility of BAFF system molecules as stratification biomarkers and precision therapeutic targets. Autoimmune disease data provide conceptual support for this concentration-form-context framework, which was initially developed to reconcile contradictory observations in tumors. The framework requires direct experimental titration and oligomer-specific validation. Finally, we identify critical knowledge gaps, including distinct signaling pathways elicited by BAFF oligomers and crosstalk with inflammatory networks, to inform next-generation personalized immunotherapy.

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BibTeX
@article{shang2026contextdependent,
  title = {{Context-dependent immunoregulation by BAFF: reconciling its pro-tumorigenic, anti-tumor, and autoimmune roles through a multi-factorial lens}},
  author = {Jiayi Shang and Minli Jin and Kui Jiang and Weiqi Liu and Jinji Li and Xiaochi Chen},
  journal = {Frontiers in Immunology},
  year = {2026},
  month = oct,
  doi = {10.3389/fimmu.2026.1975879},
  url = {https://www.frontiersin.org/articles/10.3389/fimmu.2026.1975879/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Context-dependent immunoregulation by BAFF: reconciling its pro-tumorigenic, anti-tumor, and autoimmune roles through a multi-factorial lens
AU  - Jiayi Shang
AU  - Minli Jin
AU  - Kui Jiang
AU  - Weiqi Liu
AU  - Jinji Li
AU  - Xiaochi Chen
PY  - 2026
DA  - 2026/10/28
JO  - Frontiers in Immunology
DO  - 10.3389/fimmu.2026.1975879
UR  - https://www.frontiersin.org/articles/10.3389/fimmu.2026.1975879/full
AB  - B cell activating factor (BAFF), originally characterized as a canonical survival factor for B cells, is now recognized as a pleiotropic immunoregulator that bridges innate and adaptive immunity. Its biological effects are highly context-dependent, manifesting as promotion of malignant B-cell survival in hematological malignancies, conflicting activities in solid tumors, and disruption of B-cell tolerance in autoimmune diseases. Current literature has largely examined BAFF within disease-specific frameworks, leaving cross-disease mechanistic relationships inadequately resolved. In this review, we propose a multi-factorial framework for integrating evidence across cancer and autoimmunity through four proposed variables: ligand concentration, oligomeric form, cellular source, and receptor availability. By dissecting receptor signaling via BAFF receptor (BAFF-R), transmembrane activator and calcium modulator and cyclophilin ligand interactor (TACI), and B cell maturation antigen (BCMA), we evaluate the therapeutic landscape, safety profiles, and combination strategies of BAFF-targeted agents. The framework is a working hypothesis, not a validated causal model. We propose three integrated perspectives: (i) a proposed multi-factorial framework for interpreting BAFF’s divergent functions; (ii) a conceptual, testable inverted U-shaped working hypothesis for solid tumors, without validated concentration thresholds; and (iii) the translational utility of BAFF system molecules as stratification biomarkers and precision therapeutic targets. Autoimmune disease data provide conceptual support for this concentration-form-context framework, which was initially developed to reconcile contradictory observations in tumors. The framework requires direct experimental titration and oligomer-specific validation. Finally, we identify critical knowledge gaps, including distinct signaling pathways elicited by BAFF oligomers and crosstalk with inflammatory networks, to inform next-generation personalized immunotherapy.
SN  - 1664-3224
ER  -