School of Immunology and Microbial Sciences, King's College London, London, UK.
School of Clinical Sciences, Monash University, Melbourne, VIC, Australia.
J Crohns Colitis. 2021 Dec 18;15(12):2054-2065. doi: 10.1093/ecco-jcc/jjab103.
BACKGROUND AND AIMS: Differential responsiveness to interleukin [IL]-2 between effector CD4+ T cells [Teff] and regulatory T cells [Treg] is a fundamental mechanism of immunoregulation. The single nucleotide polymorphism [SNP] rs61839660, located within IL2RA [CD25], has been associated with the development of Crohn's disease [CD]. We sought to identify the T cell immune phenotype of IBD patients who carry this SNP. METHODS: Teff and Treg were isolated from individuals homozygous [TT], heterozygous [CT], or wild-type [CC] for the minor allele at rs61839660, and used for phenotyping [flow cytometry, Cytometry Time Of Flight] functional assays or T cell receptor [TCR] sequencing. Phosphorylation of signal transducer and activator of transcription 5 [STAT5] was assessed in response to IL-2, IL-7, and in the presence of basiliximab, a monoclonal antibody directed against CD25. Teff pro-inflammatory cytokine expression levels were assessed by reverse transcription quantitative polymerase chain reaction after IL-2 and/or TCR stimulation. RESULTS: Presence of the minor T allele enhances CD25 expression, leading to increased STAT5 phosphorylation and pro-inflammatory cytokine transcript expression by Teff in response to IL-2 stimulation in vitro. Teff from TT individuals demonstrate a more activated gut homing phenotype. TCR sequencing analysis suggests that TT patients may have a reduced clonal capacity to mount an optimal regulatory T cell response. CONCLUSIONS: rs61839660 regulates the responsiveness of T cells to IL-2 signalling by modulating CD25 expression. As low-dose IL-2 is being trialled as a selective Treg modulator in CD, these findings highlight the potential for adverse effects in patients with this genotype.
背景与目的:效应性 CD4+T 细胞(Teff)和调节性 T 细胞(Treg)对白细胞介素[IL]-2 的反应性差异是免疫调节的基本机制。位于白细胞介素 2 受体 A(CD25)内的单核苷酸多态性(SNP)rs61839660 与克罗恩病[CD]的发展有关。我们试图确定携带该 SNP 的 IBD 患者的 T 细胞免疫表型。
方法:从 rs61839660 中的次要等位基因纯合[TT]、杂合[CT]或野生型[CC]的个体中分离出 Teff 和 Treg,并用于表型[流式细胞术、飞行时间细胞术]功能测定或 T 细胞受体[TCR]测序。评估了信号转导和转录激活因子 5[STAT5]的磷酸化对 IL-2、IL-7 的反应性,以及在巴利昔单抗(一种针对 CD25 的单克隆抗体)存在下的磷酸化。通过反转录定量聚合酶链反应(PCR)评估 IL-2 和/或 TCR 刺激后 Teff 前炎性细胞因子表达水平。
结果:存在较小的 T 等位基因增强 CD25 的表达,导致 Teff 在体外对 IL-2 刺激的 STAT5 磷酸化和前炎性细胞因子转录表达增加。TT 个体的 Teff 表现出更活跃的肠道归巢表型。TCR 测序分析表明,TT 患者可能具有降低的克隆能力来产生最佳的调节性 T 细胞反应。
结论:rs61839660 通过调节 CD25 的表达来调节 T 细胞对 IL-2 信号的反应性。由于低剂量 IL-2 正在 CD 中作为选择性 Treg 调节剂进行试验,这些发现强调了这种基因型患者可能产生不良反应的潜力。
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