Department of Medicine 1, University Hospital Erlangen, University of Erlangen-Nuremberg, Erlangen, Germany.
Deutsches Zentrum Immuntherapie (DZI), University Hospital Erlangen, University of Erlangen-Nuremberg, Erlangen, Germany.
Front Immunol. 2021 Jan 29;11:590893. doi: 10.3389/fimmu.2020.590893. eCollection 2020.
Inflammatory bowel diseases (IBDs) are characterized by chronic, inflammatory gastrointestinal lesions and often require life-long treatment with immunosuppressants and repetitive surgical interventions. Despite progress in respect to the characterization of molecular mechanisms exerted by TNF-alpha, currently clinically approved therapeutics fail to provide long-term disease control for most patients. The transcription factor interferon regulatory factor 4 (IRF4) has been shown to play important developmental as well as functional roles within multiple immune cells. In the context of colitis, a T cell-intrinsic role of IRF4 in driving immune-mediated gut pathology is established. Here, we conversely addressed the impact of IRF4 inactivation in non-T cells on T cell driven colitis . Employing the CD4CD25 naïve T cell transfer model, we found that T cells fail to elicit colitis in IRF4-deficient compared to IRF4-proficient mice. Reduced colitis activity in the absence of IRF4 was accompanied by hampered T cell expansion both within the mesenteric lymph node (MLN) and colonic lamina propria (cLP). Furthermore, the influx of various myeloids, presumably inflammation-promoting cells was abrogated overall leading to a less disrupted intestinal barrier. Mechanistically, gene profiling experiments revealed a Th17 response dominated molecular expression signature in colon tissues of IRF4-proficient, colitic but not in colitis-protected mice. Colitis mitigation in T cell recipients resulted in reduced frequencies and absolute numbers of IL-17a-producing T cell subsets in MLN and cLP possibly due to a regulation of conventional dendritic cell subset 2 (cDC2) known to impact Th17 differentiation. Together, extending the T cell-intrinsic role for IRF4 in the context of Th17 cell driven colitis, the provided data demonstrate a Th17-inducing and thereby colitis-promoting role of IRF4 through a T cell-extrinsic mechanism highlighting IRF4 as a putative molecular master switch among transcriptional regulators driving immune-mediated intestinal inflammation through both T cell-intrinsic and T cell-extrinsic mechanisms. Future studies need to further dissect IRF4 controlled pathways within distinct IRF4-expressing myeloid cell types, especially cDC2s, to elucidate the precise mechanisms accounting for hampered Th17 formation and, according to our data, the predominant mechanism of colitis protection in T cell receiving mice.
炎症性肠病(IBD)的特征是慢性炎症性胃肠道病变,通常需要终身使用免疫抑制剂和重复手术干预。尽管在 TNF-α 发挥的分子机制方面取得了进展,但目前临床上批准的治疗方法并不能为大多数患者提供长期疾病控制。转录因子干扰素调节因子 4(IRF4)已被证明在多种免疫细胞中发挥重要的发育和功能作用。在结肠炎的背景下,IRF4 在驱动免疫介导的肠道病理学中的 T 细胞内在作用已经确立。在这里,我们相反地研究了非 T 细胞中 IRF4 失活对 T 细胞驱动的结肠炎的影响。利用 CD4CD25 幼稚 T 细胞转移模型,我们发现与 IRF4 功能正常的小鼠相比,IRF4 缺陷型小鼠的 T 细胞不能引发结肠炎。在没有 IRF4 的情况下,结肠炎活性降低伴随着肠系膜淋巴结(MLN)和结肠固有层(cLP)中 T 细胞的扩张受到阻碍。此外,各种髓样细胞(推测为炎症促进细胞)的流入总体上被阻断,导致肠道屏障破坏减少。从机制上讲,基因谱实验显示,在结肠组织中,IRF4 功能正常的结肠炎小鼠表现出以 Th17 为主导的分子表达特征,但在结肠炎保护的小鼠中则没有。在 T 细胞受体内减轻结肠炎导致 MLN 和 cLP 中 IL-17a 产生 T 细胞亚群的频率和绝对数量减少,这可能是由于调节已知影响 Th17 分化的传统树突状细胞亚群 2(cDC2)所致。总之,在 Th17 细胞驱动的结肠炎背景下,IRF4 的 T 细胞内在作用得到扩展,提供的数据表明,IRF4 通过 T 细胞外在机制发挥 Th17 诱导和结肠炎促进作用,突出了 IRF4 作为驱动免疫介导的肠道炎症的转录调节因子的潜在分子主开关,通过 T 细胞内在和 T 细胞外在机制。未来的研究需要进一步剖析不同 IRF4 表达髓样细胞类型(特别是 cDC2)中 IRF4 控制的途径,以阐明解释受阻 Th17 形成的精确机制,根据我们的数据,阐明在接受 T 细胞的小鼠中主要的结肠炎保护机制。
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