轴性脊柱关节炎中调节性 T 细胞稳定性的损害:EZH2 和 pSTAT5 的作用。

IF 5.7 2区 医学 Q1 IMMUNOLOGY Frontiers in Immunology Pub Date : 2024-11-06 eCollection Date: 2024-01-01 DOI:10.3389/fimmu.2024.1484321
Majda Lyna Mebrek, Tessnime Abaab, Delphine Lemeiter, Magali Breckler, Roxane Hervé, Mylène Petit, Gaëlle Clavel, Johanna Sigaux, Marie-Christophe Boissier, Luca Semerano, Jérôme Biton, Natacha Bessis
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引用次数: 0

摘要

背景和目的:轴性脊柱关节炎(axSpA)是一种涉及脊柱、外周关节和内膜的慢性炎症性疾病。调节性 T 细胞(Treg)的功能障碍与炎症性疾病有关,但有关 Treg 参与 axSpA 的数据有限。Treg的稳定性是指它们在促炎症环境中保持其功能和特性的能力。EZH2 和磷酸化 STAT5(pSTAT5)在维持 Treg 稳定性方面发挥着关键作用。我们的目的是描述 axSpA 患者体内 Treg 稳定性的特征:方法:新鲜分离轴索挛缩症(axSpA)患者的外周血单核细胞(PBMCs),这些细胞均未接受过靶向治疗或接受过 TNF 抑制剂(TNFi)治疗,以及健康供体(HD)的外周血单核细胞(PBMCs)。流式细胞术分析了Treg的稳定性(EZH2、pSTAT5)和抑制性(TNFR2和CD39)标志物的表达:结果:与HD(针状体外实验)相比,axSpA患者Treg的EZH2表达量减少。EZH2主要由高度抑制性的TNFR2+和CD39+ Treg表达。此外,与 HD 相比,axSpA 患者 pSTAT5+ Treg 的频率也有所降低(p+ Treg 的频率在 TNFi 治疗 3 个月后比基线时有所增加(pConclusion):通过强调Treg表达EZH2和pSTAT5的缺陷,我们发现axSpA患者的Treg稳定性受损。要评估恢复轴性SpA中Treg稳定性的潜在治疗效果,就必须破译受这些分子影响的途径。
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Impairment of regulatory T cell stability in axial spondyloarthritis: role of EZH2 and pSTAT5.

Background and objectives: Axial spondyloarthritis (axSpA) is a chronic inflammatory disease involving the spine, peripheral joints, and entheses. Functional impairment of regulatory T cells (Treg) is linked to inflammatory diseases, but limited data is available regarding Treg involvement in axSpA. Treg stability refers to their ability to maintain their functions and characteristics in pro-inflammatory environments. EZH2 and phosphorylated STAT5 (pSTAT5) play a critical role in maintaining Treg stability. We aimed to characterize Treg stability in patients with axSpA.

Methods: Peripheral blood mononuclear cells (PBMCs) from axSpA patients, either naïve from targeted therapy or treated by TNF inhibitors (TNFi), and from healthy donors (HD), were freshly isolated. Expression of stability (EZH2, pSTAT5) and suppressive (TNFR2 and CD39) markers by Treg was analyzed by flow cytometry.

Results: EZH2 expression by Treg was decreased in axSpA patients as compared to HD (p<0.01). Mechanistic study showed that inhibition of EZH2 attenuated Treg differentiation and suppressive phenotype in vitro. EZH2 was predominantly expressed by highly suppressive TNFR2+ and CD39+ Treg. Additionally, axSpA patients also exhibited a reduced frequency of pSTAT5+ Treg compared to HD (p<0.05), and pSTAT5+ Treg frequency increased at 3 months of TNFi treatment compared to baseline (p<0.05). This last result suggested a restoration of Treg stability upon TNFi treatment.

Conclusion: By highlighting a deficient expression of EZH2 and pSTAT5 by Treg, we revealed an impaired Treg stability in axSpA. Deciphering the pathways influenced by these molecules is necessary to assess the potential therapeutic benefits of restoring Treg stability in axSpA.

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来源期刊
CiteScore
9.80
自引率
11.00%
发文量
7153
审稿时长
14 weeks
期刊介绍: Frontiers in Immunology is a leading journal in its field, publishing rigorously peer-reviewed research across basic, translational and clinical immunology. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Immunology is the official Journal of the International Union of Immunological Societies (IUIS). Encompassing the entire field of Immunology, this journal welcomes papers that investigate basic mechanisms of immune system development and function, with a particular emphasis given to the description of the clinical and immunological phenotype of human immune disorders, and on the definition of their molecular basis.
期刊最新文献
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