Regulatory T-cell deficiency leads to features of autoimmune liver disease overlap syndrome in scurfy mice

Scurfy mice have a complete deficiency of functional regulatory T cells (Treg) due to a frameshift mutation in the Foxp3 gene. The impaired immune homeostasis results in a lethal lymphoproliferative disorder affecting multiple organs, including the liver. The autoimmune pathology in scurfy mice is in part accompanied by autoantibodies such as antinuclear antibodies (ANA). ANA are serological hallmarks of several autoimmune disorders including autoimmune liver diseases (AILD). However, the underlying pathogenesis and the role of Treg in AILD remain to be elucidated. The present study therefore aimed to characterize the liver disease in scurfy mice

Regulatory T-cell deficiency leads to features of autoimmune liver disease overlap syndrome in scurfy mice

IntroductionScurfy mice have a complete deficiency of functional regulatory T cells (Treg) due to a frameshift mutation in the Foxp3 gene. The impaired immune homeostasis results in a lethal lymphoproliferative disorder affecting multiple organs, including the liver. The autoimmune pathology in scurfy mice is in part accompanied by autoantibodies such as antinuclear antibodies (ANA). ANA are serological hallmarks of several autoimmune disorders including autoimmune liver diseases (AILD). However, the underlying pathogenesis and the role of Treg in AILD remain to be elucidated. The present study therefore aimed to characterize the liver disease in scurfy mice.MethodsSera from scurfy mice were screened for ANA by indirect immunofluorescence assay (IFA) and tested for a wide range of AILD-associated autoantibodies by enzyme-linked immunosorbent assay, line immunoassay, and addressable laser bead immunoassay. CD4+ T cells of scurfy mice were transferred into T cell-deficient B6/nude mice. Monoclonal autoantibodies from scurfy mice and recipient B6/nude mice were tested for ANA by IFA. Liver tissue of scurfy mice was analyzed by conventional histology. Collagen deposition in scurfy liver was quantified via hepatic hydroxyproline content. Real-time quantitative PCR was used to determine fibrosis-related hepatic gene expression. Hepatic immune cells were differentiated by flow cytometry.ResultsAll scurfy mice produced ANA. AILD-associated autoantibodies, predominantly antimitochondrial antibodies, were detected at significantly higher levels in scurfy sera. CD4+ T cells from scurfy mice were sufficient to induce anti-dsDNA autoantibodies and ANA with an AILD-related nuclear envelope staining pattern. Liver histology revealed portal inflammation with bile duct damage and proliferation, as in primary biliary cholangitis (PBC), and interface hepatitis with portal-parenchymal necroinflammation, as found in autoimmune hepatitis (AIH). In scurfy liver, TNFα and fibrosis-related transcripts including Col1a1, Timp1, Acta2, Mmp2, and Mmp9 were upregulated. The level of proinflammatory monocytic macrophages (Ly-6Chi) was increased, while M2-type macrophages (CD206+) were downregulated compared to wildtype controls. Despite severe hepatic inflammation, fibrosis did not develop within 25 days, which is close to the lifespan of scurfy mice.DiscussionOur findings suggest that Treg-deficient scurfy mice spontaneously develop clinical, serological, and immunopathological characteristics of AILD with overlapping features of PBC and AIH

Zur Rolle der Antigendosis in IgE-vermittelten Immunantworten und der allergischen Atemwegsentzündung

Die Verabreichung von hohen Antigendosen im Rahmen der allergenspezifischen Immuntherapie (SIT) resultiert in der Induktion einer allergenspezifischen Toleranz in sensibilisierten Patienten. Vorangegangene Studien der Klinischen Forschergruppe Allergie identifizierten CD4-CD8- doppelt-negative T-Zellen (dnTZ), welche nach wiederholter intraperitonealer Injektion von hohen Dosen (HD) des an das Adjuvans Aluminiumhydroxid adsorbierten Antigens Keyhole Limpet Hemocyanin in Mäusen induziert wurden, als potente Suppressorzellen für die IgE-Produktion. Mäuse, die hingegen mit niedrigen Dosen (LD) desselben Antigens behandelt wurden, entwickelten eine starke, persistierende IgE-Immunantwort. rnIm Fokus meiner Doktorarbeit stand die phänotypische Charakterisierung der dnTZ aus HD-Mäusen sowie die Aufklärung möglicher inhibitorischer Wirkmechanismen. In Erweiterung der bisherigen Arbeiten und in Anlehnung an die klinische Praxis bei der Durchführung der SIT habe ich bei meinen Untersuchungen die subkutane Injektion ohne Adjuvans als alternative Applikationsroute verwendet. In meinen Studien konnte ich durch die zusätzliche Verwendung des klinisch relevanten Allergens Ovalbumin die Allgemeingültigkeit des Konzepts der antigendosisabhängigen Regulation der IgE- Produktion durch dnTZ verifizieren. Die Vakzinierung mit hohen Antigendosen verhinderte die Ausbildung einer IgE-Produktion in antigenspezifischer Weise. HD- Mäuse wiesen in vitro eine geringere Aktivierung von TH2-Zellen als LD-Mäuse auf. Im Mausmodell der allergischen Atemwegsentzündung wiesen HD-Mäuse eine reduzierte Atemwegsreaktivität sowie eine geringere pulmonale TH2-Zytokin- produktion auf. rnIch konnte zudem tendenziell eine leicht erhöhte Anzahl von dnTZ in HD-Mäusen messen. Die in HD-Mäusen induzierten dnTZ habe ich durchflusszytometrisch charakterisiert, konnte jedoch keinen eindeutigen Marker für suppressive dnTZ identifizieren. In einem adoptiven Transferexperiment war eine T- Zellpopulation von HD-Mäusen aus der γδ-T-Zell-Rezeptor-tragende T-Zellen depletiert worden waren, ähnlich wie die Ausgangs-T-Zellpopulation in der Lage die IgE-Produktion in den Rezipienten zu inhibieren, was darauf schließen lässt, dass die untersuchten regulatorischen dnTZ einen αβ-T-Zell-Rezeptor exprimieren. rnApplication of high allergen doses during specific immunotherapy (SIT) results in the induction of an allergen specific tolerance in sensitized patients. Previous studies in the Clinical Research Unit Allergology identified CD4-CD8- double negative T cells (dnTC), which arise after repeated intraperitoneal injection of mice with high doses (HD) of the antigen keyhole limpet hemocyanine (KLH) adsorbed to aluminiumhydroxide, as potent suppressor cells of IgE production. In contrast, mice treated with low doses (LD) of the same antigen revealed a strong and persisting IgE response.rnThis thesis focussed on the characterization of dnTC in HD mice as well as the elucidation of the underlying mechanisms of action of inhibitory dnTC. According to the clinical practice during SIT I used an alternative immunization protocol which works by subcutaneous application of the antigen without adjuvant. Administration of the clinically relevant allergen ovalbumin during my studies verified the generality of the concept of antigen dose dependent regulation of IgE production by dnTC. Vaccination of mice with high antigen doses prohibited establishment of IgE production antigen-specifically. HD mice exhibited reduced activation of restimulated Th2 cells in vitro. In a mouse model of allergic airway inflammation HD mice showed limited airway reactivity and reduced pulmonary Th2 cytokine production.rnFurthermore I could measure a slightly enhanced number/ frequency of dnTC in spleens of HD mice. Flow-cytometric analysis of dnTC failed to identify a potential marker for suppressive dnTC. In an adoptive transfer experiment HD T cells depleted of ɣẟ-TCR positive cells similar to undepleted HD T cells could suppress the induction of IgE production in the recipients which indicates that regulatory dnTC from HD mice express αβ-TCR. The exogenous addition of IL-2 in a coculture system ameliorated the inhibitory activity of suppressor cells from HD mice compared with LD mice.r

The cAMP pathway as therapeutic target in autoimmune and inflammatory diseases

Nucleotide signaling molecules contribute to the regulation of cellular pathways. In the immune system cAMP is well established as a potent regulator of innate and adaptive immune cell functions. Therapeutic strategies to interrupt or enhance cAMP generation or effects have immunoregulatory potential in autoimmune and inflammatory disorders. Here, we provide an overview of the cyclic AMP axis and its role as a regulator of immune functions and discuss the clinical and translational relevance of interventions with these processes

Tolerance through Education: How Tolerogenic Dendritic Cells Shape Immunity

Dendritic cells (DCs) are central players in the initiation and control of responses, regulating the balance between tolerance and immunity. Tolerogenic DCs are essential in the maintenance of central and peripheral tolerance by induction of clonal T cell deletion and T cell anergy, inhibition of memory and effector T cell responses, and generation and activation of regulatory T cells. Therefore, tolerogenic DCs are promising candidates for specific cellular therapy of allergic and autoimmune diseases and for treatment of transplant rejection. Studies performed in rodents have demonstrated the efficacy and feasibility of tolerogenic DCs for tolerance induction in various inflammatory diseases. In the last years, numerous protocols for the generation of human monocyte-derived tolerogenic DCs have been established and some first phase I trials have been conducted in patients suffering from autoimmune disorders, demonstrating the safety and efficiency of this cell-based immunotherapy. This review gives an overview about methods and protocols for the generation of human tolerogenic DCs and their mechanisms of tolerance induction with the focus on interleukin-10-modulated DCs. In addition, we will discuss the prerequisites for optimal clinical grade tolerogenic DC subsets and results of clinical trials with tolerogenic DCs in autoimmune diseases

Dietary wheat amylase trypsin inhibitors exacerbate murine allergic airway inflammation.

BACKGROUND Wheat amylase trypsin inhibitors (ATI) are dietary non-gluten proteins that activate the toll-like receptor 4 on myeloid cells, promoting intestinal inflammation. AIM OF THE STUDY We investigated the effects of dietary ATI on experimental allergic airway inflammation. METHODS Mice on a gluten and ATI-free diet (GAFD), sensitized with PBS or ovalbumin (OVA) and challenged with OVA, were compared to mice on a commercial standard chow, a gluten diet naturally containing ~ 0.75% of protein as ATI (G+AD), a gluten diet containing ~ 0.19% of protein as ATI (G-AD) and a GAFD with 1% of protein as ATI (AD). Airway hyperreactivity (AHR), inflammation in bronchoalveolar lavage (BAL) and pulmonary tissue sections were analyzed. Allergic sensitization was assessed ex vivo via proliferation of OVA-stimulated splenocytes. RESULTS Mice on a GAFD sensitized with PBS did not develop AHR after local provocation with methacholine. Mice on a GAFD or on a G-AD and sensitized with OVA developed milder AHR compared to mice fed a G+AD or an AD. The increased AHR was paralleled by increased BAL eosinophils, IL-5 and IL-13 production, and an enhanced ex vivo splenocyte activation in the ATI-fed groups. CONCLUSIONS Dietary ATI enhance allergic airway inflammation in OVA-challenged mice, while an ATI-free or ATI-reduced diet has a protective effect on AHR. Nutritional wheat ATI, activators of intestinal myeloid cells, may be clinically relevant adjuvants to allergic airway inflammation

HSV-1 triggers paracrine fibroblast growth factor response from cortical brain cells via immediate-early protein ICP0.

BACKGROUND: Herpes simplex virus-1 (HSV-1) infections of the central nervous system (CNS) can result in HSV-1 encephalitis (HSE) which is characterized by severe brain damage and long-term disabilities. Different cell types including neurons and astrocytes become infected in the course of an HSE which leads to an activation of glial cells. Activated glial cells change their neurotrophic factor profile and modulate inflammation and repair. The superfamily of fibroblast growth factors (FGFs) is one of the largest family of neurotrophic factors comprising 22 ligands. FGFs induce pro-survival signaling in neurons and an anti-inflammatory answer in glial cells thereby providing a coordinated tissue response which favors repair over inflammation. Here, we hypothesize that FGF expression is altered in HSV-1-infected CNS cells. METHOD: We employed primary murine cortical cultures comprising a mixed cell population of astrocytes, neurons, microglia, and oligodendrocytes. Astrocyte reactivity was morphometrically monitored by an automated image analysis algorithm as well as by analyses of A1/A2 marker expression. Altered FGF expression was detected by quantitative real-time PCR and its paracrine FGF activity. In addition, HSV-1 mutants were employed to characterize viral factors important for FGF responses of infected host cells. RESULTS: Astrocytes in HSV-1-infected cortical cultures were transiently activated and became hypertrophic and expressed both A1- and A2-markers. Consistently, a number of FGFs were transiently upregulated inducing paracrine neurotrophic signaling in neighboring cells. Most prominently, FGF-4, FGF-8, FGF-9, and FGF-15 became upregulated in a switch-on like mechanism. This effect was specific for CNS cells and for a fully functional HSV-1. Moreover, the viral protein ICP0 critically mediated the FGF switch-on mechanism. CONCLUSIONS: HSV-1 uses the viral protein ICP0 for the induction of FGF-expression in CNS cells. Thus, we propose that HSV-1 triggers FGF activity in the CNS for a modulation of tissue response upon infection

DataSheet_1_Regulatory T-cell deficiency leads to features of autoimmune liver disease overlap syndrome in scurfy mice.docx

IntroductionScurfy mice have a complete deficiency of functional regulatory T cells (Treg) due to a frameshift mutation in the Foxp3 gene. The impaired immune homeostasis results in a lethal lymphoproliferative disorder affecting multiple organs, including the liver. The autoimmune pathology in scurfy mice is in part accompanied by autoantibodies such as antinuclear antibodies (ANA). ANA are serological hallmarks of several autoimmune disorders including autoimmune liver diseases (AILD). However, the underlying pathogenesis and the role of Treg in AILD remain to be elucidated. The present study therefore aimed to characterize the liver disease in scurfy mice.MethodsSera from scurfy mice were screened for ANA by indirect immunofluorescence assay (IFA) and tested for a wide range of AILD-associated autoantibodies by enzyme-linked immunosorbent assay, line immunoassay, and addressable laser bead immunoassay. CD4+ T cells of scurfy mice were transferred into T cell-deficient B6/nude mice. Monoclonal autoantibodies from scurfy mice and recipient B6/nude mice were tested for ANA by IFA. Liver tissue of scurfy mice was analyzed by conventional histology. Collagen deposition in scurfy liver was quantified via hepatic hydroxyproline content. Real-time quantitative PCR was used to determine fibrosis-related hepatic gene expression. Hepatic immune cells were differentiated by flow cytometry.ResultsAll scurfy mice produced ANA. AILD-associated autoantibodies, predominantly antimitochondrial antibodies, were detected at significantly higher levels in scurfy sera. CD4+ T cells from scurfy mice were sufficient to induce anti-dsDNA autoantibodies and ANA with an AILD-related nuclear envelope staining pattern. Liver histology revealed portal inflammation with bile duct damage and proliferation, as in primary biliary cholangitis (PBC), and interface hepatitis with portal-parenchymal necroinflammation, as found in autoimmune hepatitis (AIH). In scurfy liver, TNFα and fibrosis-related transcripts including Col1a1, Timp1, Acta2, Mmp2, and Mmp9 were upregulated. The level of proinflammatory monocytic macrophages (Ly-6Chi) was increased, while M2-type macrophages (CD206+) were downregulated compared to wildtype controls. Despite severe hepatic inflammation, fibrosis did not develop within 25 days, which is close to the lifespan of scurfy mice.DiscussionOur findings suggest that Treg-deficient scurfy mice spontaneously develop clinical, serological, and immunopathological characteristics of AILD with overlapping features of PBC and AIH.</p