Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation

Background. Recent clinical trials using regulatory T cells (Treg) support the therapeutic potential of Treg-based therapy in transplantation and autoinflammatory diseases. Despite these clinical successes, the effect of Treg on inflamed tissues, as well as their impact on immune effector function i...

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Main Authors: S. Landman, V. L. de Oliveira, M. Peppelman, E. Fasse, E. van Rijssen, S. C. Bauland, P. van Erp, I. Joosten, H. J. P. M. Koenen
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2020/7680131
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author S. Landman
V. L. de Oliveira
M. Peppelman
E. Fasse
E. van Rijssen
S. C. Bauland
P. van Erp
I. Joosten
H. J. P. M. Koenen
author_facet S. Landman
V. L. de Oliveira
M. Peppelman
E. Fasse
E. van Rijssen
S. C. Bauland
P. van Erp
I. Joosten
H. J. P. M. Koenen
author_sort S. Landman
collection DOAJ
description Background. Recent clinical trials using regulatory T cells (Treg) support the therapeutic potential of Treg-based therapy in transplantation and autoinflammatory diseases. Despite these clinical successes, the effect of Treg on inflamed tissues, as well as their impact on immune effector function in vivo, is poorly understood. Therefore, we here evaluated the effect of human Treg injection on cutaneous inflammatory processes in vivo using a humanized mouse model of human skin inflammation (huPBL-SCID-huSkin). Methods. SCID beige mice were transplanted with human skin followed by intraperitoneal (IP) injection of 20‐40×106 allogeneic human PBMCs. This typically results in human skin inflammation as indicated by epidermal thickening (hyperkeratosis) and changes in dermal inflammatory markers such as the antimicrobial peptide hBD2 and epidermal barrier cytokeratins K10 and K16, as well as T cell infiltration in the dermis. Ex vivo-expanded human Treg were infused intraperitoneally. Human cutaneous inflammation and systemic immune responses were analysed by immunohistochemistry and flow cytometry. Results. We confirmed that human Treg injection inhibits skin inflammation and the influx of effector T cells. As a novel finding, we demonstrate that human Treg injection led to a reduction of IL-17-secreting cells while promoting a relative increase in immunosuppressive FOXP3+ Treg in the human skin, indicating active immune regulation in controlling the local proinflammatory response. Consistent with the local control (skin), systemically (splenocytes), we observed that Treg injection led to lower frequencies of IFNγ and IL-17A-expressing human T cells, while a trend towards enrichment of FOXP3+ Treg was observed. Conclusion. Taken together, we demonstrate that inhibition of skin inflammation by Treg infusion, next to a reduction of infiltrating effector T cells, is mediated by restoring both the local and systemic balance between cytokine-producing effector T cells and immunoregulatory T cells. This work furthers our understanding of Treg-based immunotherapy.
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spelling doaj-art-f5e43202ae9444d5bc9a5cdd231ec3be2025-02-03T06:06:43ZengWileyJournal of Immunology Research2314-88612314-71562020-01-01202010.1155/2020/76801317680131Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin InflammationS. Landman0V. L. de Oliveira1M. Peppelman2E. Fasse3E. van Rijssen4S. C. Bauland5P. van Erp6I. Joosten7H. J. P. M. Koenen8Laboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsBauland Kliniek, Mill, NetherlandsDepartment of Dermatology, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Radboudumc. P.O. Box 9101, 6500 HB, Nijmegen, NetherlandsBackground. Recent clinical trials using regulatory T cells (Treg) support the therapeutic potential of Treg-based therapy in transplantation and autoinflammatory diseases. Despite these clinical successes, the effect of Treg on inflamed tissues, as well as their impact on immune effector function in vivo, is poorly understood. Therefore, we here evaluated the effect of human Treg injection on cutaneous inflammatory processes in vivo using a humanized mouse model of human skin inflammation (huPBL-SCID-huSkin). Methods. SCID beige mice were transplanted with human skin followed by intraperitoneal (IP) injection of 20‐40×106 allogeneic human PBMCs. This typically results in human skin inflammation as indicated by epidermal thickening (hyperkeratosis) and changes in dermal inflammatory markers such as the antimicrobial peptide hBD2 and epidermal barrier cytokeratins K10 and K16, as well as T cell infiltration in the dermis. Ex vivo-expanded human Treg were infused intraperitoneally. Human cutaneous inflammation and systemic immune responses were analysed by immunohistochemistry and flow cytometry. Results. We confirmed that human Treg injection inhibits skin inflammation and the influx of effector T cells. As a novel finding, we demonstrate that human Treg injection led to a reduction of IL-17-secreting cells while promoting a relative increase in immunosuppressive FOXP3+ Treg in the human skin, indicating active immune regulation in controlling the local proinflammatory response. Consistent with the local control (skin), systemically (splenocytes), we observed that Treg injection led to lower frequencies of IFNγ and IL-17A-expressing human T cells, while a trend towards enrichment of FOXP3+ Treg was observed. Conclusion. Taken together, we demonstrate that inhibition of skin inflammation by Treg infusion, next to a reduction of infiltrating effector T cells, is mediated by restoring both the local and systemic balance between cytokine-producing effector T cells and immunoregulatory T cells. This work furthers our understanding of Treg-based immunotherapy.http://dx.doi.org/10.1155/2020/7680131
spellingShingle S. Landman
V. L. de Oliveira
M. Peppelman
E. Fasse
E. van Rijssen
S. C. Bauland
P. van Erp
I. Joosten
H. J. P. M. Koenen
Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation
Journal of Immunology Research
title Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation
title_full Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation
title_fullStr Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation
title_full_unstemmed Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation
title_short Successful Regulatory T Cell-Based Therapy Relies on Inhibition of T Cell Effector Function and Enrichment of FOXP3+ Cells in a Humanized Mouse Model of Skin Inflammation
title_sort successful regulatory t cell based therapy relies on inhibition of t cell effector function and enrichment of foxp3 cells in a humanized mouse model of skin inflammation
url http://dx.doi.org/10.1155/2020/7680131
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