Indoleamine 2,3-dioxygenase controls conversion of Foxp3+ Tregs to TH17-like cells in tumor-draining lymph nodes

MD Sharma, DY Hou, Y Liu, PA Koni… - Blood, The Journal …, 2009 - ashpublications.org
MD Sharma, DY Hou, Y Liu, PA Koni, R Metz, P Chandler, AL Mellor, Y He, DH Munn
Blood, The Journal of the American Society of Hematology, 2009ashpublications.org
Abstract The immunoregulatory enzyme indoleamine 2, 3-dioxygenase (IDO) is expressed
by a subset of murine plasmacytoid DCs (pDCs) in tumor-draining lymph nodes (TDLNs),
where it can potently activate Foxp3+ regulatory T cells (Tregs). We now show that IDO
functions as a molecular switch in TDLNs, maintaining Tregs in their normal suppressive
phenotype when IDO was active, but allowing inflammation-induced conversion of Tregs to
a polyfunctional T-helper phenotype similar to proinflammatory T-helper-17 (TH17) cells …
Abstract
The immunoregulatory enzyme indoleamine 2,3-dioxygenase (IDO) is expressed by a subset of murine plasmacytoid DCs (pDCs) in tumor-draining lymph nodes (TDLNs), where it can potently activate Foxp3+ regulatory T cells (Tregs). We now show that IDO functions as a molecular switch in TDLNs, maintaining Tregs in their normal suppressive phenotype when IDO was active, but allowing inflammation-induced conversion of Tregs to a polyfunctional T-helper phenotype similar to proinflammatory T-helper-17 (TH17) cells when IDO was blocked. In vitro, conversion of Tregs to the TH17-like phenotype was driven by antigen-activated effector T cells and required interleukin-6 (IL-6) produced by activated pDCs. IDO regulated this conversion by dominantly suppressing production of IL-6 in pDCs, in a GCN2-kinase dependent fashion. In vivo, using a model of established B16 melanoma, the combination of an IDO-inhibitor drug plus antitumor vaccine caused up-regulation of IL-6 in pDCs and in situ conversion of a majority of Tregs to the TH17 phenotype, with marked enhancement of CD8+ T-cell activation and antitumor efficacy. Thus, Tregs in TDLNs can be actively reprogrammed in situ into T-helper cells, without the need for physical depletion, and IDO serves as a key regulator of this critical conversion.
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