Tregs restrain dendritic cell autophagy to ameliorate autoimmunity

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Themis Alissafi - , Academy of Athens (Author)
  • Aggelos Banos - , Academy of Athens (Author)
  • Louis Boon - , Bioceros (Author)
  • Tim Sparwasser - , TWINCORE Zentrum für Experimentelle und Klinische Infektionsforschung GmbH (Author)
  • Alessandra Ghigo - , University of Turin (Author)
  • Kajsa Wing - , Karolinska Institutet (Author)
  • Dimitrios Vassilopoulos - , National and Kapodistrian University of Athens (Author)
  • Dimitrios Boumpas - , Academy of Athens, National and Kapodistrian University of Athens (Author)
  • Triantafyllos Chavakis - , Institute of Clinical Chemistry and Laboratory Medicine (Author)
  • Ken Cadwell - , New York University (Author)
  • Panayotis Verginis - , Academy of Athens (Author)

Abstract

Design of efficacious Treg-based therapies and establishment of clinical tolerance in autoimmune diseases have proven to be challenging. The clinical implementation of Treg immunotherapy has been hampered by various impediments related to the stability and isolation procedures of Tregs as well as the specific in vivo targets of Treg modalities. Herein, we have demonstrated that Foxp3+ Tregs potently suppress autoimmune responses in vivo through inhibition of the autophagic machinery in DCs in a cytotoxic T-lymphocyte-associated protein 4-dependent (CTLA4-dependent) manner. Autophagydeficient DCs exhibited reduced immunogenic potential and failed to prime autoantigen-specific CD4+ T cells to mediate autoimmunity. Mechanistically, CTLA4 binding promoted activation of the PI3K/Akt/mTOR axis and FoxO1 nuclear exclusion in DCs, leading to decreased transcription of the autophagy component microtubule-associated protein 1 light chain 3β (Lc3b). Human DCs treated with CTLA4-Ig, a fusion protein composed of the Fc region of IgG1 and the extracellular domain of CTLA4 (also known as abatacept, marketed as Orencia), demonstrated reduced levels of autophagosome formation, while DCs from CTLA4-Ig-treated rheumatoid arthritis patients displayed diminished LC3B transcripts. Collectively, our data identify the canonical autophagy pathway in DCs as a molecular target of Foxp3+ Treg-mediated suppression that leads to amelioration of autoimmune responses. These findings may pave the way for the development of therapeutic protocols that exploit Tregs for the treatment of autoimmunity as well as diseases in which disturbed tolerance is a common denominator.

Details

Original languageEnglish
Pages (from-to)2789-2804
Number of pages16
JournalJournal of Clinical Investigation
Volume127
Issue number7
Publication statusPublished - 30 Jun 2017
Peer-reviewedYes

External IDs

Scopus 85021731404
PubMed 28581446

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Library keywords