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雌激素信号受损是慢性炎症肠道中调节性T细胞功能丧失的基础。

Impaired estrogen signaling underlies regulatory T cell loss-of-function in the chronically inflamed intestine.

作者信息

Goodman Wendy A, Bedoyan Sarah M, Havran Hannah L, Richardson Brian, Cameron Mark J, Pizarro Theresa T

机构信息

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106;

Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH 44106.

出版信息

Proc Natl Acad Sci U S A. 2020 Jul 21;117(29):17166-17176. doi: 10.1073/pnas.2002266117. Epub 2020 Jul 6.

Abstract

Signaling of 17β-estradiol (estrogen) through its two nuclear receptors, α and β (ERα, ERβ), is an important mechanism of transcriptional regulation. Although ERs are broadly expressed by cells of the immune system, the mechanisms by which they modulate immune responses remain poorly understood. ERβ-specific signaling is reduced in patients with chronic inflammatory diseases, including systemic lupus erythematosus and inflammatory bowel disease, and our previous work suggests that dysregulation of ERβ-specific signaling contributes to enhanced intestinal inflammation in female SAMP/YitFC mice, a spontaneous model of Crohn's disease-like ileitis. The present study builds on these prior observations to identify a nonredundant, immunoprotective role for ERβ-specific signaling in TGF-β-dependent regulatory T cell (Treg) differentiation. Using a strain of congenic SAMP mice engineered to lack global expression of ERβ, we observed dramatic, female-specific exacerbation of intestinal inflammation accompanied by significant reductions in intestinal Treg frequency and function. Impaired Treg suppression in the absence of ERβ was associated with aberrant overexpression of (GILZ), a glucocorticoid-responsive transcription factor not normally expressed in mature Tregs, and ex vivo data reveal that forced overexpression of GILZ in mature Tregs inhibits their suppressive function. Collectively, our findings identify a pathway of estrogen-mediated immune regulation in the intestine, whereby homeostatic expression of ERβ normally functions to limit Treg-specific expression of GILZ, thereby maintaining effective immune suppression. Our data suggest that transcriptional cross-talk between glucocorticoid and steroid sex hormone signaling represents an important and understudied regulatory node in chronic inflammatory disease.

摘要

17β-雌二醇(雌激素)通过其两种核受体α和β(雌激素受体α、雌激素受体β)发出信号,是转录调控的重要机制。尽管雌激素受体在免疫系统细胞中广泛表达,但其调节免疫反应的机制仍知之甚少。在包括系统性红斑狼疮和炎症性肠病在内的慢性炎症性疾病患者中,雌激素受体β特异性信号传导减少,我们之前的研究表明,雌激素受体β特异性信号传导失调会导致雌性SAMP/YitFC小鼠肠道炎症加剧,这是一种克罗恩病样回肠炎的自发模型。本研究基于这些先前的观察结果,以确定雌激素受体β特异性信号传导在转化生长因子-β依赖性调节性T细胞(Treg)分化中的非冗余免疫保护作用。使用经过基因工程改造以缺乏雌激素受体β整体表达的同基因SAMP小鼠品系,我们观察到肠道炎症出现显著的雌性特异性加重,同时肠道Treg频率和功能显著降低。在缺乏雌激素受体β的情况下,Treg抑制受损与糖皮质激素反应性转录因子糖皮质激素诱导亮氨酸拉链蛋白(GILZ)的异常过表达有关,体外数据显示,在成熟Tregs中强制过表达GILZ会抑制其抑制功能。总的来说,我们的研究结果确定了肠道中雌激素介导的免疫调节途径,即雌激素受体β的稳态表达通常起到限制Treg特异性表达GILZ的作用,从而维持有效的免疫抑制。我们的数据表明,糖皮质激素和类固醇性激素信号之间的转录相互作用代表了慢性炎症性疾病中一个重要但研究不足的调节节点。

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