[HTML][HTML] Autophagy-dependent regulatory T cells are critical for the control of graft-versus-host disease

L Le Texier, KE Lineburg, B Cao, C McDonald-Hyman… - JCI insight, 2016 - ncbi.nlm.nih.gov
L Le Texier, KE Lineburg, B Cao, C McDonald-Hyman, L Leveque-El Mouttie, J Nicholls…
JCI insight, 2016ncbi.nlm.nih.gov
Regulatory T cells (Tregs) play a crucial role in the maintenance of peripheral tolerance.
Quantitative and/or qualitative defects in Tregs result in diseases such as autoimmunity,
allergy, malignancy, and graft-versus-host disease (GVHD), a serious complication of
allogeneic stem cell transplantation (SCT). We recently reported increased expression of
autophagy-related genes (Atg) in association with enhanced survival of Tregs after SCT.
Autophagy is a self-degradative process for cytosolic components that promotes cell …
Abstract
Regulatory T cells (Tregs) play a crucial role in the maintenance of peripheral tolerance. Quantitative and/or qualitative defects in Tregs result in diseases such as autoimmunity, allergy, malignancy, and graft-versus-host disease (GVHD), a serious complication of allogeneic stem cell transplantation (SCT). We recently reported increased expression of autophagy-related genes (Atg) in association with enhanced survival of Tregs after SCT. Autophagy is a self-degradative process for cytosolic components that promotes cell homeostasis and survival. Here, we demonstrate that the disruption of autophagy within FoxP3+ Tregs (B6. Atg7 fl/fl-FoxP3cre+) resulted in a profound loss of Tregs, particularly within the bone marrow (BM). This resulted in dysregulated effector T cell activation and expansion, and the development of enterocolitis and scleroderma in aged mice. We show that the BM compartment is highly enriched in TIGIT+ Tregs and that this subset is differentially depleted in the absence of autophagy. Moreover, following allogeneic SCT, recipients of grafts from B6. Atg7 fl/fl-FoxP3cre+ donors exhibited reduced Treg reconstitution, exacerbated GVHD, and reduced survival compared with recipients of B6. WT-FoxP3cre+ grafts. Collectively, these data indicate that autophagy-dependent Tregs are critical for the maintenance of tolerance after SCT and that the promotion of autophagy represents an attractive immune-restorative therapeutic strategy after allogeneic SCT.
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