Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis

Abstract Background Helios is important for functional and phenotype stability of regulatory T cells (Tregs). However, the role of Helios in autoimmune diseases and its regulation remains unclear. This study aimed to investigate the role of Helios+ Tregs in myasthenia gravis (MG) and glucocorticoid-...

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Main Authors: Yi Li, Shumei Yang, Zhibin Li, Huanyu Meng, Wanling Jin, Huan Yang, Weifan Yin
Format: Article
Language:English
Published: BMC 2019-05-01
Series:Journal of Translational Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12967-019-1916-1
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author Yi Li
Shumei Yang
Zhibin Li
Huanyu Meng
Wanling Jin
Huan Yang
Weifan Yin
author_facet Yi Li
Shumei Yang
Zhibin Li
Huanyu Meng
Wanling Jin
Huan Yang
Weifan Yin
author_sort Yi Li
collection DOAJ
description Abstract Background Helios is important for functional and phenotype stability of regulatory T cells (Tregs). However, the role of Helios in autoimmune diseases and its regulation remains unclear. This study aimed to investigate the role of Helios+ Tregs in myasthenia gravis (MG) and glucocorticoid-induced tumor necrosis factor receptor (GITR) and its ligand (GITRL) in the modulation of Helios. Method Multicolor flow cytometry was performed to analyze Helios+ Tregs in peripheral blood from MG patients and healthy donors (HDs). Enzyme-linked immunosorbent assay (ELISA) was used to determine the levels of soluble GITRL/GITR in plasma. Tregs were isolated via magnetic separation and treated with recombinant GITRL and GITR-Fc. Membrane GITRL on Tregs and expression of Helios and other markers (FOXP3, CD25, CD39, CTLA-4, PD-L1 and IL-10) involved in immunosuppressive activity were determined by flow cytometry. Result Both Helios+ Tregs and soluble GITR were decreased in generalized MG (GMG) patients (n = 14), compared with HDs (n = 14) and ocular MG (OMG) patients (n = 16). Helios+ Tregs possessed greater immunosuppressive capacity compared to Helios− Tregs. Further analysis indicates soluble GITR was negatively correlated with quantitative MG score and promoted Helios expression and enhanced function of Tregs independently of membrane GITRL. Conclusion This work demonstrates abnormal changes in Helios+ Tregs and soluble GITR in MG, as well as direct regulation of Helios by GITR in the context of Tregs. This work provides new insight into the role of GITR in the regulatory pathway of Helios and pathogenesis of MG.
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spelling doaj.art-7d964fe359514bab9118620fba6be3252022-12-21T19:23:24ZengBMCJournal of Translational Medicine1479-58762019-05-0117111010.1186/s12967-019-1916-1Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravisYi Li0Shumei Yang1Zhibin Li2Huanyu Meng3Wanling Jin4Huan Yang5Weifan Yin6Department of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Xiangya Hospital, Central South UniversityDepartment of Neurology, Second Xiangya Hospital, Central South UniversityAbstract Background Helios is important for functional and phenotype stability of regulatory T cells (Tregs). However, the role of Helios in autoimmune diseases and its regulation remains unclear. This study aimed to investigate the role of Helios+ Tregs in myasthenia gravis (MG) and glucocorticoid-induced tumor necrosis factor receptor (GITR) and its ligand (GITRL) in the modulation of Helios. Method Multicolor flow cytometry was performed to analyze Helios+ Tregs in peripheral blood from MG patients and healthy donors (HDs). Enzyme-linked immunosorbent assay (ELISA) was used to determine the levels of soluble GITRL/GITR in plasma. Tregs were isolated via magnetic separation and treated with recombinant GITRL and GITR-Fc. Membrane GITRL on Tregs and expression of Helios and other markers (FOXP3, CD25, CD39, CTLA-4, PD-L1 and IL-10) involved in immunosuppressive activity were determined by flow cytometry. Result Both Helios+ Tregs and soluble GITR were decreased in generalized MG (GMG) patients (n = 14), compared with HDs (n = 14) and ocular MG (OMG) patients (n = 16). Helios+ Tregs possessed greater immunosuppressive capacity compared to Helios− Tregs. Further analysis indicates soluble GITR was negatively correlated with quantitative MG score and promoted Helios expression and enhanced function of Tregs independently of membrane GITRL. Conclusion This work demonstrates abnormal changes in Helios+ Tregs and soluble GITR in MG, as well as direct regulation of Helios by GITR in the context of Tregs. This work provides new insight into the role of GITR in the regulatory pathway of Helios and pathogenesis of MG.http://link.springer.com/article/10.1186/s12967-019-1916-1GITRLGITRHeliosMyasthenia gravisRegulatory T cells
spellingShingle Yi Li
Shumei Yang
Zhibin Li
Huanyu Meng
Wanling Jin
Huan Yang
Weifan Yin
Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis
Journal of Translational Medicine
GITRL
GITR
Helios
Myasthenia gravis
Regulatory T cells
title Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis
title_full Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis
title_fullStr Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis
title_full_unstemmed Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis
title_short Soluble glucocorticoid-induced tumor necrosis factor receptor regulates Helios expression in myasthenia gravis
title_sort soluble glucocorticoid induced tumor necrosis factor receptor regulates helios expression in myasthenia gravis
topic GITRL
GITR
Helios
Myasthenia gravis
Regulatory T cells
url http://link.springer.com/article/10.1186/s12967-019-1916-1
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