Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02445;
J Immunol. 2013 Oct 15;191(8):4447-55. doi: 10.4049/jimmunol.1300992. Epub 2013 Sep 13.
Dendritic cells (DCs) are the central architects of the immune response, inducing inflammatory or tolerogenic immunity, dependent on their activation status. As such, DCs are highly attractive therapeutic targets and may hold the potential to control detrimental immune responses. TIM-4, expressed on APCs, has complex functions in vivo, acting both as a costimulatory molecule and a phosphatidylserine receptor. The effect of TIM-4 costimulation on T cell activation remains unclear. In this study, we demonstrate that Ab blockade of DC-expressed TIM-4 leads to increased induction of induced regulatory T cells (iTregs) from naive CD4(+) T cells, both in vitro and in vivo. iTreg induction occurs through suppression of IL-4/STAT6/Gata3-induced Th2 differentiation. In addition, blockade of TIM-4 on previously activated DCs still leads to increased iTreg induction. iTregs induced under TIM-4 blockade have equivalent potency to control and, upon adoptive transfer, significantly prolong skin allograft survival in vivo. In RAG(-/-) recipients of skin allografts adoptively transferred with CD4(+) T cells, we show that TIM-4 blockade in vivo is associated with a 3-fold prolongation in allograft survival. Furthermore, in this mouse model of skin transplantation, increased induction of allospecific iTregs and a reduction in T effector responses were observed, with decreased Th1 and Th2 responses. This enhanced allograft survival and protolerogenic skewing of the alloresponse is critically dependent on conversion of naive CD4(+) to Tregs in vivo. Collectively, these studies identify blockade of DC-expressed TIM-4 as a novel strategy that holds the capacity to induce regulatory immunity in vivo.
树突状细胞(DCs)是免疫反应的核心构建者,可根据其激活状态诱导炎症或耐受免疫。因此,DCs是极具吸引力的治疗靶点,可能具有控制有害免疫反应的潜力。TIM-4 在 APC 上表达,在体内具有复杂的功能,既是共刺激分子,也是磷脂酰丝氨酸受体。TIM-4 共刺激对 T 细胞激活的影响尚不清楚。在这项研究中,我们证明了 Ab 阻断 DC 表达的 TIM-4 导致体外和体内诱导的调节性 T 细胞(iTregs)从幼稚 CD4+T 细胞中的诱导增加。iTreg 诱导通过抑制 IL-4/STAT6/Gata3 诱导的 Th2 分化发生。此外,先前激活的 DC 上的 TIM-4 阻断仍然导致 iTreg 诱导增加。在 TIM-4 阻断下诱导的 iTregs 具有与对照等效的效力,并且在过继转移后,可显著延长体内皮肤同种异体移植物的存活。在接受过继转移的 CD4+T 细胞的 RAG(-/-) 皮肤同种异体移植物受体中,我们显示体内 TIM-4 阻断与移植物存活延长 3 倍相关。此外,在这种皮肤移植的小鼠模型中,观察到同种异体特异性 iTregs 的诱导增加和 T 效应应答的减少,伴有 Th1 和 Th2 应答的减少。这种增强的同种异体移植物存活和对同种异体反应的耐受倾向的转变严重依赖于体内幼稚 CD4+T 细胞向 Tregs 的转化。总之,这些研究确定了阻断 DC 表达的 TIM-4 是一种新策略,具有在体内诱导调节性免疫的能力。
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