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TAp63, a methotrexate target in CD4+ T cells, suppresses Foxp3 expression and exacerbates autoimmune arthritis
Kensuke Suga, … , Osamu Ohara, Hiroshi Nakajima
Kensuke Suga, … , Osamu Ohara, Hiroshi Nakajima
Published May 22, 2023
Citation Information: JCI Insight. 2023;8(10):e164778. https://doi.org/10.1172/jci.insight.164778.
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Research Article Immunology

TAp63, a methotrexate target in CD4+ T cells, suppresses Foxp3 expression and exacerbates autoimmune arthritis

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Abstract

Methotrexate (MTX) is a standard, first-line therapy for rheumatoid arthritis (RA); however, its precise mechanisms of action other than antifolate activity are largely unknown. We performed DNA microarray analyses of CD4+ T cells in patients with RA before and after MTX treatment and found that TP63 was the most significantly downregulated gene after MTX treatment. TAp63, an isoform of TP63, was highly expressed in human IL-17–producing Th (Th17) cells and was suppressed by MTX in vitro. Murine TAp63 was expressed at high levels in Th cells and at lower levels in thymus-derived Treg cells. Importantly, TAp63 knockdown in murine Th17 cells ameliorated the adoptive transfer arthritis model. RNA-Seq analyses of human Th17 cells overexpressing TAp63 and those with TAp63 knockdown identified FOXP3 as a possible TAp63 target gene. TAp63 knockdown in CD4+ T cells cultured under Th17 conditions with low-dose IL-6 increased Foxp3 expression, suggesting that TAp63 balances Th17 cells and Treg cells. Mechanistically, TAp63 knockdown in murine induced Treg (iTreg) cells promoted hypomethylation of conserved noncoding sequence 2 (CNS2) of the Foxp3 gene and enhanced the suppressive function of iTreg cells. Reporter analyses revealed that TAp63 suppressed the activation of the Foxp3 CNS2 enhancer. Collectively, TAp63 suppresses Foxp3 expression and exacerbates autoimmune arthritis.

Authors

Kensuke Suga, Akira Suto, Shigeru Tanaka, Yutaka Sugawara, Takahiro Kageyama, Junichi Ishikawa, Yoshie Sanayama, Kei Ikeda, Shunsuke Furuta, Shin-Ichiro Kagami, Arifumi Iwata, Koichi Hirose, Kotaro Suzuki, Osamu Ohara, Hiroshi Nakajima

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Figure 5

TAp63 knockdown in iTreg cells induces hypomethylation of TSDR in the Foxp3 locus and enhances the suppressive function.

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TAp63 knockdown in iTreg cells induces hypomethylation of TSDR in the Fo...
(A) Murine naive CD4+ T cells were cultured under Th17-polarizing conditions at indicated concentrations of IL-6 and infected with retroviruses of an LMP-IRES-NGFR vector of mTAp63KD or a nonsilencing vector. Representative flow cytometry profiles and the frequency of Foxp3- or RORγt-expressing cells in infected cells are shown. Data are reported as mean ± SEM. n = 3–4 experiments. *P < 0.05 by unpaired t test. (B) Murine naive CD4+ T cells were cultured under iTreg-polarizing conditions and infected with retroviruses of LMP-nonsilencing-IRES-NGFR or LMP-mTAp63KD-IRES-NGFR. Representative flow cytometry profiles of annexin V versus DAPI and the frequency of annexin V+ cells among DAPI− cells at day 3 are shown (left panels). Data are compiled from 3 independent experiments (n = 3 each) and analyzed by unpaired t test. (C) Naive CD45.2+CD4+ T cells from Foxp3YFP-Cre mice were cultured under iTreg-polarizing conditions and infected with retroviruses of LMP-mTAp63KD-IRES-NGFR (TAp63KD) or LMP-nonsilencing-IRES-NGFR (NS). Infected NGFR+ Foxp3YFP+ cells (iTreg) were sorted and co-cultured with CellTrace Violet–labeled naive CD45.1+CD4+ T cells (responder) at the indicated ratio. Representative histograms of CellTrace Violet and mean ± SEM of division index of responder cells are shown (left panels). Representative flow cytometry profiles of Foxp3 versus CD45.2 and the frequency of Foxp3+ cells among CD45.2+ cells at day 2 are shown (right panels). Data are compiled from 3 independent experiments (n = 3 each). *P < 0.05, unpaired t test. (D) iTreg cells were prepared as described in C, and DNA methylation status for the Foxp3 CNS2 region was determined by the bisulfite sequencing analysis. Data are shown as a lollipop methylation diagram. The black circle indicates a 100% ratio of methylation of CpGs.

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