Glucocorticoid receptor in T cells mediates protection from autoimmunity in pregnancy

JB Engler, N Kursawe, ME Solano… - Proceedings of the …, 2017 - National Acad Sciences
JB Engler, N Kursawe, ME Solano, K Patas, S Wehrmann, N Heckmann, F Lühder…
Proceedings of the National Academy of Sciences, 2017National Acad Sciences
Pregnancy is one of the strongest inducers of immunological tolerance. Disease activity of
many autoimmune diseases including multiple sclerosis (MS) is temporarily suppressed by
pregnancy, but little is known about the underlying molecular mechanisms. Here, we
investigated the endocrine regulation of conventional and regulatory T cells (Tregs) during
reproduction. In vitro, we found the pregnancy hormone progesterone to robustly increase
Treg frequencies via promiscuous binding to the glucocorticoid receptor (GR) in T cells. In …
Pregnancy is one of the strongest inducers of immunological tolerance. Disease activity of many autoimmune diseases including multiple sclerosis (MS) is temporarily suppressed by pregnancy, but little is known about the underlying molecular mechanisms. Here, we investigated the endocrine regulation of conventional and regulatory T cells (Tregs) during reproduction. In vitro, we found the pregnancy hormone progesterone to robustly increase Treg frequencies via promiscuous binding to the glucocorticoid receptor (GR) in T cells. In vivo, T-cell–specific GR deletion in pregnant animals undergoing experimental autoimmune encephalomyelitis (EAE), the animal model of MS, resulted in a reduced Treg increase and a selective loss of pregnancy-induced protection, whereas reproductive success was unaffected. Our data imply that steroid hormones can shift the immunological balance in favor of Tregs via differential engagement of the GR in T cells. This newly defined mechanism confers protection from autoimmunity during pregnancy and represents a potential target for future therapy.
National Acad Sciences