[HTML][HTML] Precision DNA demethylation ameliorates disease in lupus-prone mice

H Li, MG Tsokos, S Bickerton, A Sharabi, Y Li… - JCI insight, 2018 - ncbi.nlm.nih.gov
H Li, MG Tsokos, S Bickerton, A Sharabi, Y Li, VR Moulton, P Kong, TM Fahmy, GC Tsokos
JCI insight, 2018ncbi.nlm.nih.gov
Defective DNA methylation in T cells leads to a series of T cell abnormalities in lupus;
however, the full effect of T cell lineage–specific DNA methylation on disease expression
has not been explored. Here, we show that 5-azacytidine, a DNA methyltransferase inhibitor,
targeted to either CD4 or CD8 T cells in mice with established disease using a nanolipogel
delivery system dramatically ameliorates lupus-related pathology through distinct
mechanisms. In vivo targeted delivery of 5-azacytidine into CD4 T cells favors the expansion …
Abstract
Defective DNA methylation in T cells leads to a series of T cell abnormalities in lupus; however, the full effect of T cell lineage–specific DNA methylation on disease expression has not been explored. Here, we show that 5-azacytidine, a DNA methyltransferase inhibitor, targeted to either CD4 or CD8 T cells in mice with established disease using a nanolipogel delivery system dramatically ameliorates lupus-related pathology through distinct mechanisms. In vivo targeted delivery of 5-azacytidine into CD4 T cells favors the expansion and function of Foxp3+ Tregs, whereas targeted delivery to CD8 T cells enhances the cytotoxicity and restrains the expansion of pathogenic TCR-αβ+ CD4–CD8–double-negative T cells. Our results signify the importance of cell-specific inhibition of DNA methylation in the treatment of established lupus.
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