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Iron capture through CD71 drives perinatal and tumor-associated Treg expansion
Ilenia Pacella, … , Vincenzo Barnaba, Silvia Piconese
Ilenia Pacella, … , Vincenzo Barnaba, Silvia Piconese
Published July 2, 2024
Citation Information: JCI Insight. 2024;9(15):e167967. https://doi.org/10.1172/jci.insight.167967.
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Research Article Immunology Metabolism

Iron capture through CD71 drives perinatal and tumor-associated Treg expansion

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Abstract

Besides suppressing immune responses, regulatory T cells (Tregs) maintain tissue homeostasis and control systemic metabolism. Whether iron is involved in Treg-mediated tolerance is completely unknown. Here, we showed that the transferrin receptor CD71 was upregulated on activated Tregs infiltrating human liver cancer. Mice with a Treg-restricted CD71 deficiency spontaneously developed a scurfy-like disease, caused by impaired perinatal Treg expansion. CD71-null Tregs displayed decreased proliferation and tissue-Treg signature loss. In perinatal life, CD71 deficiency in Tregs triggered hepatic iron overload response, characterized by increased hepcidin transcription and iron accumulation in macrophages. Lower bacterial diversity, and reduction of beneficial species, were detected in the fecal microbiota of CD71 conditional knockout neonates. Our findings indicate that CD71-mediated iron absorption is required for Treg perinatal expansion and is related to systemic iron homeostasis and bacterial gut colonization. Therefore, we hypothesize that Tregs establish nutritional tolerance through competition for iron during bacterial colonization after birth.

Authors

Ilenia Pacella, Alessandra Pinzon Grimaldos, Alessandra Rossi, Gloria Tucci, Marta Zagaglioni, Elena Potenza, Valeria Pinna, Ivano Rotella, Ilenia Cammarata, Valeria Cancila, Beatrice Belmonte, Claudio Tripodo, Giuseppe Pietropaolo, Chiara Di Censo, Giuseppe Sciumè, Valerio Licursi, Giovanna Peruzzi, Ylenia Antonucci, Silvia Campello, Francesca Guerrieri, Valerio Iebba, Rita Prota, Maria Di Chiara, Gianluca Terrin, Valerio De Peppo, Gian Luca Grazi, Vincenzo Barnaba, Silvia Piconese

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Figure 1

Human Tregs express CD71 when activated in vitro or in vivo in tumor.

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Human Tregs express CD71 when activated in vitro or in vivo in tumor.
(A...
(A) OX40+/OX40– CD45RAlo Tregs and conventional T cells (Tconvs) were sorted from the peripheral blood (PB) or cirrhosis/tumor (CT) of 5 patients with HCC, and gene expression analysis was performed (12). The heatmap displays the fold-change over the respective control (OX40– Tconvs or Tregs in PB) in the genes accounting for the pathway of interest, showing statistically significant enrichment (Reactome, P < 0.05). (B and C) Representative plots (upper panel) and cumulative data (lower panel) showing CD71 expression (B) or CD71+Ki67+ percentage (C) in the indicated cell subsets (CD45RAlo) from matched samples of PB or tumor (TUM) from patients with HCC (n = 13). Numbers in the histogram plot indicate the geometric mean fluorescence intensity (gMFI) of CD71. *P < 0.05, ***P < 0.005, by Wilcoxon’s matched pairs signed rank test. (D) Spearman’s correlation between CD71 expression in the indicated cell subsets from TUM samples, and serum iron concentrations, in patients with HCC (n = 5). (E) Immunofluorescence of CD71 and FOXP3 in a representative HCC sample. Original magnification, 63×. (F) Fluorescent transferrin internalization in the indicated cell subsets from representative HCC sample. Numbers indicate the gMFI. (G) Expression of CD71 and OX40 on Tregs from PB of a representative healthy donor (HD), either freshly isolated (PRE) or after 2 weeks’ expansion in vitro (POST). (H) In vitro–expanded and CellTrace Violet–labeled (CTV-labeled) Tregs (shown in red) were tested in standard suppression assay at different ratios against autologous CFSE-labeled Tconvs (blue), plus anti-CD71 blocking mAb or isotype control. Representative profiles of dye dilution (left panel) and cumulative analysis of proliferating cell percentages (right panel) are shown. Ratios indicate the Treg/Tconv proportions. Data shown are from a representative HD out of 2. Each condition was tested in 2–4 replicates. Bars indicate means ± SD. *P < 0.05, ***P < 0.005, by Student’s t test, unpaired.

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