Egr2 and Egr3 in Regulatory T Cells Cooperatively Control Systemic
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Egr2 and Egr3 in regulatory T cells cooperatively PNAS PLUS control systemic autoimmunity through Ltbp3-mediated TGF-β3 production Kaoru Moritaa, Tomohisa Okamuraa,b,1, Mariko Inouea, Toshihiko Komaia, Shuzo Teruyaa, Yukiko Iwasakia, Shuji Sumitomoa, Hirofumi Shodaa, Kazuhiko Yamamotoa,b, and Keishi Fujioa,1 aDepartment of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan; and bMax Planck–University of Tokyo Center for Integrative Inflammology, The University of Tokyo, 4-6-1 Komaba, Meguro-ku, Tokyo 153-8505 Japan Edited by Shimon Sakaguchi, WPI Immunology Frontier Research Center, Osaka University, Osaka, Japan, and approved November 11, 2016 (received for review July 11, 2016) Systemic lupus erythematosus (SLE) is a prototypical autoimmune treatment, additional approaches for regulating B-cell hyperactivity disease characterized by multiorgan inflammation induced by auto- are needed. antibodies. Early growth response gene 2 (Egr2), a transcription Regulatory T-cell (Treg) subsets play a major role in the main- factor essential for T-cell anergy induction, controls systemic auto- tenance of immune homeostasis and the prevention of auto- immunity in mice and humans. We have previously identified a immunity (4). The most extensively studied Treg subset is + + − + + + + + + subpopulation of CD4 regulatory T cells, CD4 CD25 LAG3 cells, CD4 CD25 Foxp3 Tregs (CD25 Tregs) (5). The CD25 Tregs that characteristically express both Egr2 and LAG3 and control mice exhibit their suppressive function mainly by expressing CTLA4 β model of lupus via TGF- 3 production. However, due to the mild and CD25 on their cell surface (6). We previously reported phenotype of lymphocyte-specific Egr2-deficient mice, the presence + − − + + CD4 CD25 Foxp3 LAG3 Tregs (LAG3 Tregs), which ex- of an additional regulator has been speculated. Here, we show that ert their suppressive activities via IL-10 production in a Foxp3- Egr2 and Egr3 expressed in T cells cooperatively prevent humoral + immune responses by supporting TGF-β3 secretion. T cell-specific independent manner (7). In contrast to CD25 Tregs, high-affinity interactions with peptide/MHC ligands expressed in the thymus Egr2/Egr3 double-deficient (Egr2/3DKO) mice spontaneously devel- + are not required for the development of LAG3 Tregs. oped an early onset lupus-like disease that was more severe than in + + + T cell-specific Egr2-deficient mice. In accordance with the observation Accumulating evidence has shown that CD4 CD25 Foxp3 + that CD4+CD25−LAG3+ cells from Egr2/3DKO mice completely lost CXCR5 Tregs called follicular regulatory T (Tfr) cells directly the capacity to produce TGF-β3, the excessive germinal center reac- control GC responses and humoral immunity. However, there is tion in Egr2/3DKO mice was suppressed by the adoptive transfer of + − + WT CD4 CD25 LAG3 cells or treatment with a TGF-β3–expressing Significance vector. Intriguingly, latent TGF-β binding protein (Ltbp)3 expression INFLAMMATION maintained by Egr2 and Egr3 was required for TGF-β3 production IMMUNOLOGY AND + − + Transcription factors early growth response gene 2 (Egr2) and from CD4 CD25 LAG3 cells. Because Egr2 and Egr3 did not demon- Egr3 have long been regarded as negative regulators of T-cell strate cell intrinsic suppression of the development of follicular activation. Egr2 is also known as a susceptibility gene for sys- helper T cells, Egr2- and Egr3-dependent TGF-β3 production by + − + temic lupus erythematosus characterized by dysregulated CD4 CD25 LAG3 cells is critical for controlling excessive B-cell humoral immune responses to autoantigens. Previously, we responses. The unique attributes of Egr2/Egr3 in T cells may provide reported that Egr2-expressing CD4+CD25-LAG3+ regulatory an opportunity for developing novel therapeutics for autoantibody- T cells regulate lupus pathogenesis via production of TGF-β3. mediated diseases including SLE. However, the role of Egr2 and Egr3 in the regulation of hu- moral immunity is unclear. Here we report that Egr2 and Egr3 β Egr2 | Egr3 | TGF- 3 | systemic lupus erythematosus | regulatory T cell regulate germinal center reactions by promoting TGF-β3 pro- duction from regulatory T cells. Egr2 and Egr3 induce the ex- ntibodies play critical roles in protecting us from infectious pression of latent TGF-β binding protein 3 (Ltbp3), which is Athreats. Effective humoral immune responses depend on required for TGF-β3 secretion. These findings suggest that Egr2 germinal center (GC) reactions. Follicular B cells encounter anti- and Egr3 in T cells may be potential novel therapeutic targets gen in the GC and receive T-cell help to differentiate into memory for autoantibody-mediated autoimmune diseases. B cells and long-lived plasma cells that produce high-affinity anti- bodies (1). However, aberrant humoral immune responses against Author contributions: K.M., T.O., K.Y., and K.F. designed research; K.M., T.O., M.I., T.K., S.T., self-antigens lead to the development of autoimmune diseases. Y.I., S.S., and H.S. performed research; K.M., T.O., M.I., T.K., S.T., Y.I., S.S., H.S., and K.F. contributed new reagents/analytic tools; K.M., T.O., K.Y., and K.F. analyzed data; and K.M., Indeed, suggestive clinical symptoms and the detection of autoan- T.O., K.Y., and K.F. wrote the paper. tibodies in patient sera are essential diagnostic elements. Systemic Conflict of interest statement: K.Y. received financial support or fees from AbbVie, Astellas, lupus erythematosus (SLE) is regarded as a prototypic autoimmune BMS, Daiichi-Sankyo, Mitsubishi Tanabe, Pfizer, Sanofi, Santen, Takeda, Teijin, Boehringer disease with loss of immune tolerance to nucleic acid antigens. Ingelheim, Chugai, Eisai, Ono, Taisho Toyama, UCB, ImmunoFuture, Asahi Kasei, and Antinuclear antibodies (ANAs), which are autoantibodies against Janssen. K.F. received financial support or fees from Astellas, BMS, Daiichi-Sankyo, Mitsubishi Tanabe, Pfizer, Santen, Takeda, Chugai, Eisai, Taisho Toyama, UCB, and Janssen. nuclear components, including dsDNA, are frequently found in The remaining authors declare no competing financial interests. patients with SLE (2). The importance of B cells in the patho- This article is a PNAS Direct Submission. genesis of SLE is further confirmed by the fact that anti–Bcell– Freely available online through the PNAS open access option. activating factor (BAFF) monoclonal antibody (Belimumab) was Data deposition: The sequence reported in this paper has been deposited in the GenBank approved by the Food and Drug Administration for treatment of database (accession no. NM_008520.2). SLE in 2011 (3). BAFF is a transmembrane protein member of the 1To whom correspondence may be addressed. Email: [email protected] or tomohisa- TNF ligand superfamily, and its overexpression is associated with [email protected]. both murine lupus and human SLE. However, as a sizeable pro- This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10. portion of patients with SLE remain refractory to Belimumab 1073/pnas.1611286114/-/DCSupplemental. www.pnas.org/cgi/doi/10.1073/pnas.1611286114 PNAS | Published online November 30, 2016 | E8131–E8140 Downloaded by guest on September 24, 2021 little evidence regarding the contributions of other Treg pop- development of a mild form of systemic autoimmunity at nearly ulations to humoral immune tolerance. Recently, we have reported 1yofage(8).ToinvestigatetheroleofEgr2andEgr3in + that LAG3 Tregs (7) regulate humoral immunity and lupus dis- T cells, we constructed a mouse strain in which both Egr2 and ease in MRL-Faslpr/lpr (MRL/lpr) mice via TGF-β3 production (8). Egr3 were deleted specifically in T cells. First, we established loxP- Although TGF-β1 is well known for its antiinflammatory effects flanked alleles encoding Egr3 (Egr3fl/fl)mice(Fig. S1A). Egr3fl/fl (9), we have previously revealed the regulatory activity of TGF-β3 mice and Egr2 floxed (Egr2fl/fl) mice (23) were then crossed with + + on humoral immune responses. LAG3 Tregs, which characteris- mice transgenic for Cd4-Cre mice to obtain Egr3fl/flEgr2fl/fl Cd4- + tically express the transcription factor early growth response gene Cre [Egr2 and Egr3 double conditional knockout (Egr2/3DKO)] 2 (Egr2), were identified as Foxp3-independent Tregs that produce mice. When efficiency of the Cre-mediated recombination in T high amounts of IL-10, and forced expression of Egr2 in naïve cells was evaluated in initial breedings (Fig. S1 B–D), Egr2 and T cells induced IL-10 and LAG3 expression (7). Furthermore, we Egr3 expression was abrogated in naïve T cells, but not in B cells, and our collaborators have also shown that polymorphisms in derived from Egr2/3DKO mice. Egr2/3DKO mice exhibited a EGR2 influence SLE susceptibility (10). Intriguingly, lymphocyte- statistically significant decrease in survival compared with WT specific Egr2-deficient mice develop a mild lupus-like autoimmune and Egr2CKO mice (Fig. 1A). Egr2/3DKO mice generated phenotype (11). These studies suggest that the expression of Egr2 higher concentrations of anti-dsDNA autoantibodies in their se- + in LAG3 Tregs contributes to the control of SLE pathogenesis. rum and progressive proteinuria (Fig. 1 B and C), which are the Egr2, a member of the Egr family, is a C2H2-type zinc finger hallmark features of SLE in humans (24). Antibodies to dsDNA transcription factor that was first identified as a major regulator of were also detected with the Crithidia luciliae immunofluorescence myelination and hindbrain development (12, 13). Egr2 deficiency tests (Fig. S2A). Egr2/3DKO mice also had inflammatory der- results in perinatal or neonatal death due to respiratory or feeding matitis, which was not observed in WT and Egr2CKO mice. Be- deficits (12). Recent studies have focused on the role of Egr2 in ginning at ∼16 wk of age, Egr2/3DKO mice developed skin immune responses and revealed that Egr2 is essential for full in- inflammation on their backs that was accompanied by hair loss duction of T-cell clonal anergy (14, 15). Egr2 has long been (Fig.