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HIF-1 regulates pathogenic cytotoxic T cells in lupus skin disease
Alicia J. Little, Ping-Min Chen, Matthew D. Vesely, Rahanna N. Khan, Jacob Fiedler, James Garritano, Fahrisa I. Maisha, Jennifer M. McNiff, Joe Craft
Alicia J. Little, Ping-Min Chen, Matthew D. Vesely, Rahanna N. Khan, Jacob Fiedler, James Garritano, Fahrisa I. Maisha, Jennifer M. McNiff, Joe Craft
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Research Article Dermatology

HIF-1 regulates pathogenic cytotoxic T cells in lupus skin disease

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Abstract

Cutaneous lupus erythematosus (CLE) is a disfiguring autoimmune skin disease characterized by an inflammatory infiltrate rich in T cells, which are strongly implicated in tissue damage. How these cells adapt to the skin environment and promote tissue inflammation and damage is not known. In lupus nephritis, we previously identified an inflammatory gene program in kidney-infiltrating T cells that is dependent on HIF-1, a transcription factor critical for the cellular and developmental response to hypoxia as well as inflammation-associated signals. In our present studies using a mouse model of lupus skin disease, we find that skin-infiltrating CD4+ and CD8+ T cells also express high levels of HIF-1. Skin-infiltrating T cells demonstrated a strong cytotoxic signature at the transcript and protein levels, and HIF-1 inhibition abrogated skin and systemic diseases in association with decreased T cell cytotoxic activity. We also demonstrate in human CLE tissue that the T cell–rich inflammatory infiltrate exhibited increased amounts of HIF-1 and a cytotoxic signature. Granzyme B–expressing T cells were concentrated at sites of skin tissue damage in CLE, suggesting relevance of this pathway to human disease.

Authors

Alicia J. Little, Ping-Min Chen, Matthew D. Vesely, Rahanna N. Khan, Jacob Fiedler, James Garritano, Fahrisa I. Maisha, Jennifer M. McNiff, Joe Craft

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Figure 1

Skin-infiltrating T cells show dominant HIF-1 transcript and protein signatures.

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Skin-infiltrating T cells show dominant HIF-1 transcript and protein sig...
(A) Heatmap indicating differential expression of cytotoxic T, Th17, and Th1 cell markers between CD4+ and CD8+ skin-infiltrating and splenic T cells. Data show 2 or 3 biological replicates. (B) Gene set enrichment analysis (GSEA) plots comparing gene signatures of skin-infiltrating with splenic CD4+ T cells based upon the hypoxia signature generated by comparing triple prolyl-hydroxylase–knockout (PHD-KO) CD4+ with WT CD4+ T cells (17). (C) GSEA plots comparing gene signatures of skin-infiltrating with splenic CD8+ T cells based upon the hypoxia signature generated by comparing VHL tumor suppressor KO CD8+ T cells with lymphocytic choriomeningitis virus–specific P14 T cell receptor transgenic CD8+ T cells taken from virally infected mice (9). (D and E) Representative data and summary of HIF1α staining of splenic versus skin-infiltrating CD4+ and CD8+ T cells isolated from the skin of MRL/lpr mice 20 to 22 weeks old. (F) Pimonidazole staining of splenic vs. skin-infiltrating CD4+and CD8+ T cells isolated from the skin of MRL/lpr mice 20 to 22 weeks old. Representative of 2 experiments, n = 6–7 animals per group. (G and H) IF images of MRL/lpr diseased skin stained for HIF1α (G) or isotype control (H) (magenta), CD4 (blue), and CD8 (yellow). White arrowheads indicate HIF-1–expressing CD4+ or CD8+ T cells. Representative of 7 total sections from 2 mice (see Supplemental Figure 2). Data shown are mean ± SEM. Statistical analysis by 2-tailed paired Student’s t test (E and F). ****P < 0.0001. EPI, epidermis; SG, sebaceous gland; HF, hair follicle.

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