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A human STAT3 gain-of-function variant confers T cell dysregulation without predominant Treg dysfunction in mice
Erica G. Schmitt, Kelsey A. Toth, Samuel I. Risma, Ana Kolicheski, Nermina Saucier, Rafael J. Feliciano Berríos, Zev J. Greenberg, Jennifer W. Leiding, Jack J. Bleesing, Akaluck Thatayatikom, Laura G. Schuettpelz, John R. Edwards, Tiphanie P. Vogel, Megan A. Cooper
Erica G. Schmitt, Kelsey A. Toth, Samuel I. Risma, Ana Kolicheski, Nermina Saucier, Rafael J. Feliciano Berríos, Zev J. Greenberg, Jennifer W. Leiding, Jack J. Bleesing, Akaluck Thatayatikom, Laura G. Schuettpelz, John R. Edwards, Tiphanie P. Vogel, Megan A. Cooper
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Research Article Immunology

A human STAT3 gain-of-function variant confers T cell dysregulation without predominant Treg dysfunction in mice

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Abstract

Primary immune regulatory disorders (PIRD) represent a group of disorders characterized by immune dysregulation, presenting with a wide range of clinical disease, including autoimmunity, autoinflammation, or lymphoproliferation. Autosomal dominant germline gain-of-function (GOF) variants in STAT3 result in a PIRD with a broad clinical spectrum. Studies in patients have documented a decreased frequency of FOXP3+ Tregs and an increased frequency of Th17 cells in some patients with active disease. However, the mechanisms of disease pathogenesis in STAT3 GOF syndrome remain largely unknown, and treatment is challenging. We developed a knock-in mouse model harboring a de novo pathogenic human STAT3 variant (p.G421R) and found these mice developed T cell dysregulation, lymphoproliferation, and CD4+ Th1 cell skewing. Surprisingly, Treg numbers, phenotype, and function remained largely intact; however, mice had a selective deficiency in the generation of iTregs. In parallel, we performed single-cell RNA-Seq on T cells from STAT3 GOF patients. We demonstrate only minor changes in the Treg transcriptional signature and an expanded, effector CD8+ T cell population. Together, these findings suggest that Tregs are not the primary driver of disease and highlight the importance of preclinical models in the study of disease mechanisms in rare PIRD.

Authors

Erica G. Schmitt, Kelsey A. Toth, Samuel I. Risma, Ana Kolicheski, Nermina Saucier, Rafael J. Feliciano Berríos, Zev J. Greenberg, Jennifer W. Leiding, Jack J. Bleesing, Akaluck Thatayatikom, Laura G. Schuettpelz, John R. Edwards, Tiphanie P. Vogel, Megan A. Cooper

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Figure 3

Tregs in STAT3 GOF mice.

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Tregs in STAT3 GOF mice.
(A) Frequency of CD3+CD4+Foxp3+ Tregs in the in...
(A) Frequency of CD3+CD4+Foxp3+ Tregs in the indicated tissues of adult mice. (B) Percentage (left) and number (right) of CD3+CD4+Foxp3+ Tregs in the peripheral lymph node of adult and old mice. (C) Representative flow cytometry from the peripheral blood of adult mice. (D) Representative flow cytometry from the peripheral lymph node showing staining for the indicated markers, gated on WT conventional T cells (Tconv) (CD3+CD4+EGFP–), or Tregs (CD3+CD4+EGFP+) from WT and G421R mice. Data are representative of at least 9 mice and 4 independent experiments. (E) Suppressive capacity of WT and G421R Tregs as measured by Tag-it Violet dilution on responder T cells. Graph depicting the mean ± SEM of the percent suppression, at each Treg/CD4 ratio (left). Representative histograms are shown along with the average proliferation of CD4+ T cells for selected Treg to CD4 ratios (right). Percent suppression = (percent proliferation of the CD4+ T cells at the 0:1 Treg/Teff ratio — percent proliferation of CD4+ T cells for each Treg to CD4 ratio)/percent proliferation of the CD4+ T cells at the 0:1 Treg/Teff ratio. Data were from 3 experiments consisting of 8–9 individual assays. (F) In vitro–derived iTregs were generated from WT or G421R CD4+EGFP–CD45RBhi naive T cells with anti-CD3, anti-CD28, TGF-β1, and IL-2. Representative flow cytometry (left) and scatter plot showing the frequency of CD4+Foxp3+ Tregs (right). Each point represents an individual mouse and at least 3 independent experiments. An unpaired t test was used for comparisons with 2 groups, a Welch’s t test was used for unequal variance, and — for 3 or more groups — 1-way ANOVA was used, except for in E, which was analyzed with 2-way ANOVA. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

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