Extrathymically generated regulatory T cells control mucosal TH2 inflammation

SZ Josefowicz, RE Niec, HY Kim, P Treuting, T Chinen… - Nature, 2012 - nature.com
SZ Josefowicz, RE Niec, HY Kim, P Treuting, T Chinen, Y Zheng, DT Umetsu, AY Rudensky
Nature, 2012nature.com
A balance between pro-and anti-inflammatory mechanisms at mucosal interfaces, which are
sites of constitutive exposure to microbes and non-microbial foreign substances, allows for
efficient protection against pathogens yet prevents adverse inflammatory responses
associated with allergy, asthma and intestinal inflammation. Regulatory T (Treg) cells
prevent systemic and tissue-specific autoimmunity and inflammatory lesions at mucosal
interfaces. These cells are generated in the thymus (tTreg cells) and in the periphery …
Abstract
A balance between pro- and anti-inflammatory mechanisms at mucosal interfaces, which are sites of constitutive exposure to microbes and non-microbial foreign substances, allows for efficient protection against pathogens yet prevents adverse inflammatory responses associated with allergy, asthma and intestinal inflammation. Regulatory T (Treg) cells prevent systemic and tissue-specific autoimmunity and inflammatory lesions at mucosal interfaces. These cells are generated in the thymus (tTreg cells) and in the periphery (induced (i)Treg cells), and their dual origin implies a division of labour between tTreg and iTreg cells in immune homeostasis. Here we show that a highly selective blockage in differentiation of iTreg cells in mice did not lead to unprovoked multi-organ autoimmunity, exacerbation of induced tissue-specific autoimmune pathology, or increased pro-inflammatory responses of T helper 1 (TH1) and TH17 cells. However, mice deficient in iTreg cells spontaneously developed pronounced TH2-type pathologies at mucosal sites—in the gastrointestinal tract and lungs—with hallmarks of allergic inflammation and asthma. Furthermore, iTreg-cell deficiency altered gut microbial communities. These results suggest that whereas Treg cells generated in the thymus appear sufficient for control of systemic and tissue-specific autoimmunity, extrathymic differentiation of Treg cells affects commensal microbiota composition and serves a distinct, essential function in restraint of allergic-type inflammation at mucosal interfaces.
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