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NOTCH-induced rerouting of endosomal trafficking disables regulatory T cells in vasculitis
Ke Jin, … , Jorg J. Goronzy, Cornelia M. Weyand
Ke Jin, … , Jorg J. Goronzy, Cornelia M. Weyand
Published September 22, 2020
Citation Information: J Clin Invest. 2021;131(1):e136042. https://doi.org/10.1172/JCI136042.
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Research Article Autoimmunity Immunology Article has an altmetric score of 4

NOTCH-induced rerouting of endosomal trafficking disables regulatory T cells in vasculitis

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Abstract

The aorta and the large conductive arteries are immunoprivileged tissues and are protected against inflammatory attack. A breakdown of immunoprivilege leads to autoimmune vasculitis, such as giant cell arteritis, in which CD8+ Treg cells fail to contain CD4+ T cells and macrophages, resulting in the formation of tissue-destructive granulomatous lesions. Here, we report that the molecular defect of malfunctioning CD8+ Treg cells lies in aberrant NOTCH4 signaling that deviates endosomal trafficking and minimizes exosome production. By transcriptionally controlling the profile of RAB GTPases, NOTCH4 signaling restricted vesicular secretion of the enzyme NADPH oxidase 2 (NOX2). Specifically, NOTCH4hiCD8+ Treg cells increased RAB5A and RAB11A expression and suppressed RAB7A, culminating in the accumulation of early and recycling endosomes and sequestering of NOX2 in an intracellular compartment. RAB7AloCD8+ Treg cells failed in the surface translocation and exosomal release of NOX2. NOTCH4hiRAB5AhiRAB7AloRAB11AhiCD8+ Treg cells left adaptive immunity unopposed, enabling a breakdown in tissue tolerance and aggressive vessel wall inflammation. Inhibiting NOTCH4 signaling corrected the defect and protected arteries from inflammatory insult. This study implicates NOTCH4-dependent transcriptional control of RAB proteins and intracellular vesicle trafficking in autoimmune disease and in vascular inflammation.

Authors

Ke Jin, Zhenke Wen, Bowen Wu, Hui Zhang, Jingtao Qiu, Yanan Wang, Kenneth J. Warrington, Gerald J. Berry, Jorg J. Goronzy, Cornelia M. Weyand

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Figure 1

Functional deficiencies of CD8+ Treg cells in vasculitis.

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Functional deficiencies of CD8+ Treg cells in vasculitis.
(A) CD8+CD39+C...
(A) CD8+CD39+CD26– Tregs sorted from the peripheral blood of GCA patients and controls were mixed with CD4+ T cells and activated CD4+ pZAP70+ T cells were measured by flow cytometry after 15 minutes. Representative contour plots and results from 7 controls and 7 GCA patients. (B) CD8+ Tregs induced ex vivo from GCA patients and controls were mixed with CD4+ T cells, and pZAP70 was quantified as above. Representative contour plots and results from 6 controls and 6 GCA patients. (C and D) Freshly sorted and ex vivo–induced CD8+ Tregs were mixed with CFSE-labeled CD4+ T cells. Proliferation was measured 5 days later. Representative histograms from 6 controls and 6 GCA patients. (E and F) CD8+ Tregs were induced ex vivo, CFSE labeled, and mixed with heathy PBMCs before adoptive transfer into NSG mice. One control group received no CD8+ Tregs. (E) Absolute numbers of CD8+ Treg cells in the blood and spleen measured by flow cytometry. Results from 12 mice. (F) Absolute numbers of human CD4+ T cells in the spleen measured by flow cytometry. Results from 6 mice each. (G–I) Vasculitis was induced in human arteries engrafted into NSG mice. Ex vivo–induced CD8+ Tregs from patients and controls (HC) were coinjected. (G) Vessel wall–infiltrating T cells visualized by immunostaining for CD3 (green). Nuclei marked with DAPI. Representative images from the 3 study cohorts (n = 6 each). Scale bar: 20 μm. (H) Frequencies of vessel wall–infiltrating CD3+ T cells. Each dot represents 1 inflamed artery. (I) Tissue transcriptome of explanted arteries analyzed by RT-PCR; β-actin served as control. Each dot represents 1 artery specimen. Data are mean ± SEM. *P < 0.05; **P < 0.01; ***P < 0.001 by 1-way ANOVA and post-ANOVA pairwise 2-group comparisons conducted with Tukey’s method (E, F, H, and I) or unpaired Mann-Whitney-Wilcoxon rank test (A and B).

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