1. Calcineurin inhibitors suppress acute graft-versus-host disease via NFAT-independent inhibition of T cell receptor signaling
- Author
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Otsuka, Shizuka, Melis, Nicolas, Gaida, Matthias M., Dutta, Debjani, Weigert, Roberto, and Ashwell, Jonathan D.
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T cells -- Physiological aspects -- Health aspects -- Genetic aspects ,Calcineurin -- Physiological aspects -- Health aspects -- Genetic aspects ,Graft versus host reaction -- Prevention -- Development and progression ,Immunosuppressive agents -- Usage -- Physiological aspects -- Genetic aspects ,Transcription factors -- Physiological aspects -- Health aspects ,Health care industry - Abstract
Inhibitors of calcineurin phosphatase activity (CNIs) such as cyclosporin A (CsA) are widely used to treat tissue transplant rejection and acute graft-versus-host disease (aGVHD), for which inhibition of gene expression dependent on nuclear factor of activated T cells (NFAT) is the mechanistic paradigm. We recently reported that CNIs inhibit TCR-proximal signaling by preventing calcineurin-mediated dephosphorylation of [Lck.sup.S59], an inhibitory modification, raising the possibility of another mechanism by which CNIs suppress immune responses. Here we used T cells from mice that express [Lck.sup.S59A], which cannot accept a phosphate at residue 59, to initiate aGVHD. Although CsA inhibited NFAT-dependent gene upregulation in alloaggressive T cells expressing either [Lck.sup.WT] or [Lck.sup.S59A], it was ineffective in treating disease when the T cells expressed [Lck.sup.S59A]. Two important NFAT-independent T cell functions were found to be CsA-resistant in [Lck.sup.S59A] T cells: upregulation of the cytolytic protein perforin in tissue-infiltrating [CD8.sup.+] T cells and antigen-specific T/DC adhesion and clustering in lymph nodes. These results demonstrate that effective treatment of aGVHD by CsA requires NFAT-independent inhibition of TCR signaling. Given that NFATs are widely expressed and off-target effects are a major limitation in CNI use, it is possible that targeting TCR-associated calcineurin directly may provide effective therapies with less toxicity., Introduction The suppression of immune responses is one of the pillars of therapeutic strategies to treat autoimmunity, immune-mediated inflammatory diseases, and rejection of transplanted tissue (1-3). Activated T cells play [...]
- Published
- 2021
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