Graduate Program in Cellular and Molecular Biology, University of Michigan, Ann Arbor, MI 48109.
Life Sciences Institute, University of Michigan, Ann Arbor, MI 48109.
J Immunol. 2019 Jul 15;203(2):557-568. doi: 10.4049/jimmunol.1900192. Epub 2019 Jun 10.
Graft-versus-host disease (GVHD) is the most serious complication of allogeneic hematopoietic cell transplantation. Notch signals delivered during the first 48 h after transplantation drive proinflammatory cytokine production in conventional T cells (Tconv) and inhibit the expansion of regulatory T cells (Tregs). Short-term Notch inhibition induces long-term GVHD protection. However, it remains unknown whether Notch blockade blunts GVHD through its effects on Tconv, Tregs, or both and what early Notch-regulated molecular events occur in alloantigen-specific T cells. To address these questions, we engineered T cell grafts to achieve selective Notch blockade in Tconv versus Tregs and evaluated their capacity to trigger GVHD in mice. Notch blockade in Tconv was essential for GVHD protection as GVHD severity was similar in the recipients of wild-type Tconv combined with Notch-deprived versus wild-type Tregs. To identify the impact of Notch signaling on the earliest steps of T cell activation in vivo, we established a new acute GVHD model mediated by clonal alloantigen-specific 4C CD4 Tconv. Notch-deprived 4C T cells had preserved early steps of activation, IL-2 production, proliferation, and Th cell polarization. In contrast, Notch inhibition dampened IFN-γ and IL-17 production, diminished mTORC1 and ERK1/2 activation, and impaired transcription of a subset of Myc-regulated genes. The distinct Notch-regulated signature had minimal overlap with known Notch targets in T cell leukemia and developing T cells, highlighting the specific impact of Notch signaling in mature T cells. Our findings uncover a unique molecular program associated with the pathogenic effects of Notch in T cells at the earliest stages of GVHD.
移植物抗宿主病(GVHD)是异基因造血细胞移植最严重的并发症。移植后 48 小时内传递的 Notch 信号驱动常规 T 细胞(Tconv)产生促炎细胞因子,并抑制调节性 T 细胞(Treg)的扩增。短期 Notch 抑制诱导长期 GVHD 保护。然而,目前尚不清楚 Notch 阻断是否通过其对 Tconv、Treg 或两者的作用来减轻 GVHD,以及在同种抗原特异性 T 细胞中发生哪些早期 Notch 调节的分子事件。为了解决这些问题,我们设计了 T 细胞移植物,以实现 Tconv 中对 Notch 的选择性阻断,而在 Treg 中则不阻断,并评估它们在小鼠中引发 GVHD 的能力。Tconv 中的 Notch 阻断对于 GVHD 保护至关重要,因为接受野生型 Tconv 与 Notch 缺失的 Treg 结合的受体的 GVHD 严重程度相似。为了确定 Notch 信号对体内 T 细胞激活的最早步骤的影响,我们建立了一种新的急性 GVHD 模型,该模型由克隆性同种抗原特异性 4C CD4 Tconv 介导。Notch 缺失的 4C T 细胞保留了激活、IL-2 产生、增殖和 Th 细胞极化的早期步骤。相比之下,Notch 抑制抑制了 IFN-γ 和 IL-17 的产生,降低了 mTORC1 和 ERK1/2 的激活,并损害了一组 Myc 调节基因的转录。独特的 Notch 调节特征与 T 细胞白血病和发育中的 T 细胞中已知的 Notch 靶标几乎没有重叠,这突出了 Notch 信号在成熟 T 细胞中的特定影响。我们的研究结果揭示了与 GVHD 最早阶段 Notch 在 T 细胞中的致病作用相关的独特分子程序。