A CD4+ T cell population expanded in lupus blood provides B cell help through interleukin-10 and succinate

Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic lupus erythematosus (SLE) 1 . Follicular helper T cells (T FH cells) have long been implicated in SLE pathogenesis. Yet a fraction of autoantibod...

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Published inNature medicine Vol. 25; no. 1; pp. 75 - 81
Main Authors Caielli, Simone, Veiga, Diogo Troggian, Balasubramanian, Preetha, Athale, Shruti, Domic, Bojana, Murat, Elise, Banchereau, Romain, Xu, Zhaohui, Chandra, Manjari, Chung, Cheng-Han, Walters, Lynnette, Baisch, Jeanine, Wright, Tracey, Punaro, Marilynn, Nassi, Lorien, Stewart, Katie, Fuller, Julie, Ucar, Duygu, Ueno, Hideki, Zhou, Joseph, Banchereau, Jacques, Pascual, Virginia
Format Journal Article
LanguageEnglish
Published New York Nature Publishing Group US 01.01.2019
Nature Publishing Group
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Abstract Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic lupus erythematosus (SLE) 1 . Follicular helper T cells (T FH cells) have long been implicated in SLE pathogenesis. Yet a fraction of autoantibodies in individuals with SLE are unmutated, supporting that autoreactive B cells also differentiate outside germinal centers 2 . Here, we describe a CXCR5 − CXCR3 + programmed death 1 (PD1) hi CD4 + helper T cell population distinct from T FH cells and expanded in both SLE blood and the tubulointerstitial areas of individuals with proliferative lupus nephritis. These cells produce interleukin-10 (IL-10) and accumulate mitochondrial reactive oxygen species as the result of reverse electron transport fueled by succinate. Furthermore, they provide B cell help, independently of IL-21, through IL-10 and succinate. Similar cells are generated in vitro upon priming naive CD4 + T cells with plasmacytoid dendritic cells activated with oxidized mitochondrial DNA, a distinct class of interferogenic toll-like receptor 9 ligand 3 . Targeting this pathway might blunt the initiation and/or perpetuation of extrafollicular humoral responses in SLE. A new population of T helper cells employs unique signals to support autoreactive B cells in patients with systemic lupus erythematosus.
AbstractList Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic lupus erythematosus (SLE)1. Follicular helper T cells (TFH cells) have long been implicated in SLE pathogenesis. Yet a fraction of autoantibodies in individuals with SLE are unmutated, supporting that autoreactive B cells also differentiate outside germinal centers2. Here, we describe a CXCR5-CXCR3+ programmed death 1 (PD1)hiCD4+ helper T cell population distinct from TFH cells and expanded in both SLE blood and the tubulointerstitial areas of individuals with proliferative lupus nephritis. These cells produce interleukin-10 (IL-10) and accumulate mitochondrial reactive oxygen species as the result of reverse electron transport fueled by succinate. Furthermore, they provide B cell help, independently of IL-21, through IL-10 and succinate. Similar cells are generated in vitro upon priming naive CD4+ T cells with plasmacytoid dendritic cells activated with oxidized mitochondrial DNA, a distinct class of interferogenic toll-like receptor 9 ligand3. Targeting this pathway might blunt the initiation and/or perpetuation of extrafollicular humoral responses in SLE.
Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic lupus erythematosus (SLE) . Follicular helper T cells (T cells) have long been implicated in SLE pathogenesis. Yet a fraction of autoantibodies in individuals with SLE are unmutated, supporting that autoreactive B cells also differentiate outside germinal centers . Here, we describe a CXCR5 CXCR3 programmed death 1 (PD1) CD4 helper T cell population distinct from T cells and expanded in both SLE blood and the tubulointerstitial areas of individuals with proliferative lupus nephritis. These cells produce interleukin-10 (IL-10) and accumulate mitochondrial reactive oxygen species as the result of reverse electron transport fueled by succinate. Furthermore, they provide B cell help, independently of IL-21, through IL-10 and succinate. Similar cells are generated in vitro upon priming naive CD4 T cells with plasmacytoid dendritic cells activated with oxidized mitochondrial DNA, a distinct class of interferogenic toll-like receptor 9 ligand . Targeting this pathway might blunt the initiation and/or perpetuation of extrafollicular humoral responses in SLE.
Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic lupus erythematosus (SLE)1. Follicular helper T cells (TFH cells) have long been implicated in SLE pathogenesis. Yet a fraction of autoantibodies in individuals with SLE are unmutated, supporting that autoreactive B cells also differentiate outside germinal centers2. Here, we describe a CXCR5−CXCR3+ programmed death 1 (PD1)hiCD4+ helper T cell population distinct from TFH cells and expanded in both SLE blood and the tubulointerstitial areas of individuals with proliferative lupus nephritis. These cells produce interleukin-10 (IL-10) and accumulate mitochondrial reactive oxygen species as the result of reverse electron transport fueled by succinate. Furthermore, they provide B cell help, independently of IL-21, through IL-10 and succinate. Similar cells are generated in vitro upon priming naive CD4+ T cells with plasmacytoid dendritic cells activated with oxidized mitochondrial DNA, a distinct class of interferogenic toll-like receptor 9 ligand3. Targeting this pathway might blunt the initiation and/or perpetuation of extrafollicular humoral responses in SLE.
Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic lupus erythematosus (SLE) 1 . Follicular helper T cells (T FH cells) have long been implicated in SLE pathogenesis. Yet a fraction of autoantibodies in individuals with SLE are unmutated, supporting that autoreactive B cells also differentiate outside germinal centers 2 . Here, we describe a CXCR5 − CXCR3 + programmed death 1 (PD1) hi CD4 + helper T cell population distinct from T FH cells and expanded in both SLE blood and the tubulointerstitial areas of individuals with proliferative lupus nephritis. These cells produce interleukin-10 (IL-10) and accumulate mitochondrial reactive oxygen species as the result of reverse electron transport fueled by succinate. Furthermore, they provide B cell help, independently of IL-21, through IL-10 and succinate. Similar cells are generated in vitro upon priming naive CD4 + T cells with plasmacytoid dendritic cells activated with oxidized mitochondrial DNA, a distinct class of interferogenic toll-like receptor 9 ligand 3 . Targeting this pathway might blunt the initiation and/or perpetuation of extrafollicular humoral responses in SLE. A new population of T helper cells employs unique signals to support autoreactive B cells in patients with systemic lupus erythematosus.
Author Xu, Zhaohui
Veiga, Diogo Troggian
Murat, Elise
Stewart, Katie
Nassi, Lorien
Athale, Shruti
Ucar, Duygu
Baisch, Jeanine
Walters, Lynnette
Domic, Bojana
Fuller, Julie
Banchereau, Romain
Chandra, Manjari
Zhou, Joseph
Caielli, Simone
Wright, Tracey
Punaro, Marilynn
Ueno, Hideki
Chung, Cheng-Han
Banchereau, Jacques
Pascual, Virginia
Balasubramanian, Preetha
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  organization: Pathologists Bio-Medical Laboratories
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Copyright Nature Publishing Group Jan 2019
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Snippet Understanding the mechanisms underlying autoantibody development will accelerate therapeutic target identification in autoimmune diseases such as systemic...
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SubjectTerms 631/250/249/1313/1613/1614
631/250/38
Apoptosis
Autoantibodies
Autoimmune diseases
B-Lymphocytes - immunology
Biomedical and Life Sciences
Biomedicine
Blood
Cancer Research
CD4 antigen
CD4-Positive T-Lymphocytes - immunology
Cell Proliferation
Chronic conditions
CXCR3 protein
CXCR5 protein
Cytokines
Dendritic cells
Dendritic Cells - metabolism
Deoxyribonucleic acid
DNA
DNA, Mitochondrial - genetics
Electron transport
Humans
Immunologic Memory
Infectious Diseases
Interleukin 10
Interleukin 21
Interleukin-10 - metabolism
Letter
Lupus
Lupus Erythematosus, Systemic - immunology
Lupus Erythematosus, Systemic - pathology
Lupus nephritis
Lupus Nephritis - immunology
Lymphocytes
Lymphocytes B
Lymphocytes T
Metabolic Diseases
Mitochondrial DNA
Molecular Medicine
Nephritis
Neurosciences
Oxidation-Reduction
Pathogenesis
PD-1 protein
Priming
Reactive oxygen species
Succinic Acid - metabolism
Systemic lupus erythematosus
Target recognition
Therapeutic applications
Toll-like receptors
Title A CD4+ T cell population expanded in lupus blood provides B cell help through interleukin-10 and succinate
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