Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease

Abstract Inflammation is a pathological hallmark of Parkinson’s disease (PD). Chronic pro-inflammatory responses contribute to the loss of neurons in the neurodegenerative process. The present study was undertaken to define the peripheral innate and adaptive immune contributions to inflammation in p...

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Main Authors: Aaron D. Thome, Farah Atassi, Jinghong Wang, Alireza Faridar, Weihua Zhao, Jason R. Thonhoff, David R. Beers, Eugene C. Lai, Stanley H. Appel
Format: Article
Language:English
Published: Nature Portfolio 2021-05-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-021-00188-5
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author Aaron D. Thome
Farah Atassi
Jinghong Wang
Alireza Faridar
Weihua Zhao
Jason R. Thonhoff
David R. Beers
Eugene C. Lai
Stanley H. Appel
author_facet Aaron D. Thome
Farah Atassi
Jinghong Wang
Alireza Faridar
Weihua Zhao
Jason R. Thonhoff
David R. Beers
Eugene C. Lai
Stanley H. Appel
author_sort Aaron D. Thome
collection DOAJ
description Abstract Inflammation is a pathological hallmark of Parkinson’s disease (PD). Chronic pro-inflammatory responses contribute to the loss of neurons in the neurodegenerative process. The present study was undertaken to define the peripheral innate and adaptive immune contributions to inflammation in patients with PD. Immunophenotyping revealed a shift of peripheral myeloid and lymphoid cells towards a pro-inflammatory phenotype. Regulatory T cells (Tregs) were reduced in number, and their suppression of T responder proliferation decreased. The PD Tregs did not suppress activated pro-inflammatory myeloid cells. Ex vivo expansion of Tregs from patients with PD restored and enhanced their suppressive functions while expanded Tregs displayed increased expression of foxp3, il2ra (CD25), nt5e (CD73), il10, il13, ctla4, pdcd1 (PD1), and gzmb. Collectively, these findings documented a shift towards a pro-inflammatory peripheral immune response in patients with PD; the loss of Treg suppressive functions may contribute significantly to this response, supporting PD as a disorder with extensive systemic pro-inflammatory responses. The restoration and enhancement of Treg suppressive functions following ex vivo expansion may provide a potential cell therapeutic approach for patients with PD.
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spelling doaj.art-31fbf101a5d54be486190d6c220e76d42023-11-02T11:09:16ZengNature Portfolionpj Parkinson's Disease2373-80572021-05-017111210.1038/s41531-021-00188-5Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s diseaseAaron D. Thome0Farah Atassi1Jinghong Wang2Alireza Faridar3Weihua Zhao4Jason R. Thonhoff5David R. Beers6Eugene C. Lai7Stanley H. Appel8Department of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalDepartment of Neurology, Houston Methodist Neurological Institute, Houston Methodist Research Institute, Houston Methodist HospitalAbstract Inflammation is a pathological hallmark of Parkinson’s disease (PD). Chronic pro-inflammatory responses contribute to the loss of neurons in the neurodegenerative process. The present study was undertaken to define the peripheral innate and adaptive immune contributions to inflammation in patients with PD. Immunophenotyping revealed a shift of peripheral myeloid and lymphoid cells towards a pro-inflammatory phenotype. Regulatory T cells (Tregs) were reduced in number, and their suppression of T responder proliferation decreased. The PD Tregs did not suppress activated pro-inflammatory myeloid cells. Ex vivo expansion of Tregs from patients with PD restored and enhanced their suppressive functions while expanded Tregs displayed increased expression of foxp3, il2ra (CD25), nt5e (CD73), il10, il13, ctla4, pdcd1 (PD1), and gzmb. Collectively, these findings documented a shift towards a pro-inflammatory peripheral immune response in patients with PD; the loss of Treg suppressive functions may contribute significantly to this response, supporting PD as a disorder with extensive systemic pro-inflammatory responses. The restoration and enhancement of Treg suppressive functions following ex vivo expansion may provide a potential cell therapeutic approach for patients with PD.https://doi.org/10.1038/s41531-021-00188-5
spellingShingle Aaron D. Thome
Farah Atassi
Jinghong Wang
Alireza Faridar
Weihua Zhao
Jason R. Thonhoff
David R. Beers
Eugene C. Lai
Stanley H. Appel
Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease
npj Parkinson's Disease
title Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease
title_full Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease
title_fullStr Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease
title_full_unstemmed Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease
title_short Ex vivo expansion of dysfunctional regulatory T lymphocytes restores suppressive function in Parkinson’s disease
title_sort ex vivo expansion of dysfunctional regulatory t lymphocytes restores suppressive function in parkinson s disease
url https://doi.org/10.1038/s41531-021-00188-5
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