Soluble GARP has potent antiinflammatory and immunomodulatory impact on human CD4+ T cells

SA Hahn, HF Stahl, C Becker, A Correll… - Blood, The Journal …, 2013 - ashpublications.org
SA Hahn, HF Stahl, C Becker, A Correll, FJ Schneider, A Tuettenberg, H Jonuleit
Blood, The Journal of the American Society of Hematology, 2013ashpublications.org
Glycoprotein A repetitions predominant (GARP) is expressed on the surface of activated
human regulatory T cells (Treg) and regulates the bioavailability of transforming growth
factor-β (TGF-β). GARP has been assumed to require membrane anchoring. To investigate
the function of GARP in more detail, we generated a soluble GARP protein (sGARP) and
analyzed its impact on differentiation and activation of human CD4+ T cells. We demonstrate
that sGARP efficiently represses proliferation and differentiation of naïve CD4+ T cells into T …
Abstract
Glycoprotein A repetitions predominant (GARP) is expressed on the surface of activated human regulatory T cells (Treg) and regulates the bioavailability of transforming growth factor-β (TGF-β). GARP has been assumed to require membrane anchoring. To investigate the function of GARP in more detail, we generated a soluble GARP protein (sGARP) and analyzed its impact on differentiation and activation of human CD4+ T cells. We demonstrate that sGARP efficiently represses proliferation and differentiation of naïve CD4+ T cells into T effector cells. Exposure to sGARP induces Foxp3, decreases proliferation and represses interleukin (IL)-2 and interferon-γ production, resulting in differentiation of naïve T cells into induced Treg. This is associated with Smad2/3 phosphorylation and partially inhibited by blockade of TGF-β signaling. Furthermore, in the presence of the proinflammatory cytokines IL-6 and IL-23, sGARP facilitates the differentiation of naïve T cells into Th17 cells. More important, in a preclinical humanized mouse model of xenogeneic graft-versus-host disease (GVHD), sGARP prevents T cell–mediated destructive inflammation by enhancing Treg and inhibiting T effector cell activity. These results demonstrate a crucial role of sGARP in modulation of peripheral tolerance and T effector cell function, opening the possibility to use sGARP as a potent immunomodulator of inflammatory diseases including transplant rejection, autoimmunity, and allergy.
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