Deficient leptin receptor signaling in T cells of human SLE

BackgroundSystemic lupus erythematosus (SLE) is a prototypic autoimmune disease mainly mediated by IgG autoantibody. While follicular helper T (Tfh) cells are crucial for supporting IgG autoantibody generation in human SLE, underlying mechanisms for Tfh cell mal-differentiation remain unclear.Method...

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Main Authors: Ting Liu, Ming Zheng, Li Jia, Mingyuan Wang, Longhai Tang, Zhenke Wen, Miaojia Zhang, Fenghong Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1157731/full
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author Ting Liu
Ting Liu
Ming Zheng
Li Jia
Mingyuan Wang
Longhai Tang
Zhenke Wen
Miaojia Zhang
Fenghong Yuan
author_facet Ting Liu
Ting Liu
Ming Zheng
Li Jia
Mingyuan Wang
Longhai Tang
Zhenke Wen
Miaojia Zhang
Fenghong Yuan
author_sort Ting Liu
collection DOAJ
description BackgroundSystemic lupus erythematosus (SLE) is a prototypic autoimmune disease mainly mediated by IgG autoantibody. While follicular helper T (Tfh) cells are crucial for supporting IgG autoantibody generation in human SLE, underlying mechanisms for Tfh cell mal-differentiation remain unclear.MethodsIn total, 129 SLE patients and 37 healthy donors were recruited for this study. Circulating leptin was determined by ELISA from patients with SLE and healthy individuals. CD4 T cells isolated from SLE patients and healthy donors were activated with anti-CD3/CD28 beads under cytokine-unbiased conditions in the presence or absence of recombinant leptin protein, followed by detection for Tfh cell differentiation by quantifying intracellular transcription factor Bcl-6 and cytokine IL-21. AMPK activation was assessed by analyzing phosphor-AMPK using phosflow cytometry and immunoblots. Leptin receptor expression was determined using flow cytometry and its overexpression was achieved by transfection with an expression vector. Humanized SLE chimeras were induced by injecting patients’ immune cells into immune-deficient NSG mice and used for translational studies.ResultsCirculating leptin was elevated in patients with SLE, inversely associated with disease activity. In healthy individuals, leptin efficiently inhibited Tfh cell differentiation through inducing AMPK activation. Meanwhile, leptin receptor deficiency was a feature of CD4 T cells in SLE patients, impairing the inhibitory effect of leptin on the differentiation of Tfh cells. As a result, we observed the coexistence of high circulating leptin and increased Tfh cell frequencies in SLE patients. Accordingly, overexpression of leptin receptor in SLE CD4 T cells abrogated Tfh cell mal-differentiation and IgG anti-dsDNA generation in humanized lupus chimeras.ConclusionLeptin receptor deficiency blocks the inhibitory effect of leptin on SLE Tfh cell differentiation, serving as a promising therapeutic target for lupus management.
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spelling doaj.art-3d058c8d5c93422b94bcb359a0965aa42023-03-17T04:23:22ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.11577311157731Deficient leptin receptor signaling in T cells of human SLETing Liu0Ting Liu1Ming Zheng2Li Jia3Mingyuan Wang4Longhai Tang5Zhenke Wen6Miaojia Zhang7Fenghong Yuan8Department of Rheumatology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, ChinaDepartment of Rheumatology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaJiangsu Key Laboratory of Infection and Immunity, Institutes of Biology and Medical Sciences, Soochow University, Suzhou, ChinaJiangsu Key Laboratory of Infection and Immunity, Institutes of Biology and Medical Sciences, Soochow University, Suzhou, ChinaDepartment of Research Center, Suzhou Blood Center, Suzhou, ChinaDepartment of Research Center, Suzhou Blood Center, Suzhou, ChinaJiangsu Key Laboratory of Infection and Immunity, Institutes of Biology and Medical Sciences, Soochow University, Suzhou, ChinaDepartment of Rheumatology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaDepartment of Rheumatology, the Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi People’s Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi, ChinaBackgroundSystemic lupus erythematosus (SLE) is a prototypic autoimmune disease mainly mediated by IgG autoantibody. While follicular helper T (Tfh) cells are crucial for supporting IgG autoantibody generation in human SLE, underlying mechanisms for Tfh cell mal-differentiation remain unclear.MethodsIn total, 129 SLE patients and 37 healthy donors were recruited for this study. Circulating leptin was determined by ELISA from patients with SLE and healthy individuals. CD4 T cells isolated from SLE patients and healthy donors were activated with anti-CD3/CD28 beads under cytokine-unbiased conditions in the presence or absence of recombinant leptin protein, followed by detection for Tfh cell differentiation by quantifying intracellular transcription factor Bcl-6 and cytokine IL-21. AMPK activation was assessed by analyzing phosphor-AMPK using phosflow cytometry and immunoblots. Leptin receptor expression was determined using flow cytometry and its overexpression was achieved by transfection with an expression vector. Humanized SLE chimeras were induced by injecting patients’ immune cells into immune-deficient NSG mice and used for translational studies.ResultsCirculating leptin was elevated in patients with SLE, inversely associated with disease activity. In healthy individuals, leptin efficiently inhibited Tfh cell differentiation through inducing AMPK activation. Meanwhile, leptin receptor deficiency was a feature of CD4 T cells in SLE patients, impairing the inhibitory effect of leptin on the differentiation of Tfh cells. As a result, we observed the coexistence of high circulating leptin and increased Tfh cell frequencies in SLE patients. Accordingly, overexpression of leptin receptor in SLE CD4 T cells abrogated Tfh cell mal-differentiation and IgG anti-dsDNA generation in humanized lupus chimeras.ConclusionLeptin receptor deficiency blocks the inhibitory effect of leptin on SLE Tfh cell differentiation, serving as a promising therapeutic target for lupus management.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1157731/fullSLET cellleptinleptin receptorAMPK
spellingShingle Ting Liu
Ting Liu
Ming Zheng
Li Jia
Mingyuan Wang
Longhai Tang
Zhenke Wen
Miaojia Zhang
Fenghong Yuan
Deficient leptin receptor signaling in T cells of human SLE
Frontiers in Immunology
SLE
T cell
leptin
leptin receptor
AMPK
title Deficient leptin receptor signaling in T cells of human SLE
title_full Deficient leptin receptor signaling in T cells of human SLE
title_fullStr Deficient leptin receptor signaling in T cells of human SLE
title_full_unstemmed Deficient leptin receptor signaling in T cells of human SLE
title_short Deficient leptin receptor signaling in T cells of human SLE
title_sort deficient leptin receptor signaling in t cells of human sle
topic SLE
T cell
leptin
leptin receptor
AMPK
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1157731/full
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