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T Regulatory Cells in Bone Remodelling

  • Osteoimmunology (M Nakamura and M Humphrey, Section Editors)
  • Published:
Current Osteoporosis Reports Aims and scope Submit manuscript

Abstract

Purpose of the Review

In this review, we present the role of regulatory T (Treg) cells in bone remodelling and bone-related disease such as osteoporosis or inflammatory bone loss. We also discuss the cellular and molecular mechanism how Treg cells regulate osteoclastogenesis.

Recent Findings

Treg cells could regulate osteoclastogenesis by secreting TGF-β and IL-10 as well as IL-4 cytokines. Moreover, Treg cells can additionally regulate osteoclast differentiation, in a cell-to-cell contact via the cytotoxic T lymphocyte antigen (CTLA-4). The latter induces the apoptosis of osteoclasts dependent on CD80/86 in vitro and in vivo.

Summary

Treg cells mediate immunosuppressive function that controls undesired immune reactions, such as autoimmunity. Recently, Treg cells have been shown to influence non-immunological processes, such as bone homeostasis. Accumulated evidences have demonstrated that Treg cells can suppress osteoclast differentiation in vitro and in vivo.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Walker MR, Kasprowicz DJ, Gersuk VH, Benard A, Van Landeghen M, Buckner JH, Ziegler SF. Induction of FoxP3 and acquisition of T regulatory activity by stimulated human CD4+CD25- T cells. J Clin Invest. 2003;112:1437–43.

    Article  CAS  PubMed  Google Scholar 

  2. Bautista JL, Lio C-WJ, Lathrop SK, Forbush K, Liang Y, Luo J, Rudensky AY, Hsieh C-S. Intraclonal competition limits the fate determination of regulatory T cells in the thymus. Nat Immunol. 2009;10:610–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Zhou X, Bailey-Bucktrout S, Jeker LT, Bluestone JA. Plasticity of CD4(+) FoxP3(+) T cells. Curr Opin Immunol. 2009;21:281–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Medzhitov R, Shevach EM, Trinchieri G, et al. Highlights of 10 years of immunology in nature reviews immunology. Nat Publ Group. 2011;11:693–702.

    CAS  Google Scholar 

  5. Yang XO, Nurieva R, Martinez GJ, et al. Molecular antagonism and plasticity of regulatory and inflammatory T cell programs. Immunity. 2008;29:44–56.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Vignali DAA, Collison LW, Workman CJ. How regulatory T cells work. Nat Publ Group. 2008;8:523–32.

    CAS  Google Scholar 

  7. Deaglio S, Dwyer KM, Gao W, et al. Adenosine generation catalyzed by CD39 and CD73 expressed on regulatory T cells mediates immune suppression. J Exp Med. 2007;204:1257–65.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Wing K, Onishi Y, Prieto-Martin P, Yamaguchi T, Miyara M, Fehervari Z, Nomura T, Sakaguchi S. CTLA-4 control over Foxp3+ regulatory T cell function. Science. 2008;322:271–5.

    Article  CAS  PubMed  Google Scholar 

  9. Schett G. Osteoimmunology in rheumatic diseases. Arthritis Res Ther. 2009;11:210.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Schett G. Effects of inflammatory and anti-inflammatory cytokines on the bone. Eur J Clin Investig. 2011;41:1361–6.

    Article  CAS  Google Scholar 

  11. Martin TJ, Seeman E. New mechanisms and targets in the treatment of bone fragility. Clin Sci. 2007;112:77.

    Article  CAS  PubMed  Google Scholar 

  12. Takayanagi H. The unexpected link between osteoclasts and the immune system. Adv Exp Med Biol. 2010;658:61–8.

    Article  CAS  PubMed  Google Scholar 

  13. Takayanagi H. Osteoimmunology: shared mechanisms and crosstalk between the immune and bone systems. Nat Rev Immunol. 2007;7:292–304.

    Article  CAS  PubMed  Google Scholar 

  14. Schett G, Bozec A (2015) 22 Osteoimmunology, Sixth Edition. Rheumatology 165–168

  15. Zaiss MM, Sarter K, Hess A, Engelke K, Böhm C, Nimmerjahn F, Voll R, Schett G, David J-P. Increased bone density and resistance to ovariectomy-induced bone loss in FoxP3-transgenic mice based on impaired osteoclast differentiation. Arthritis & Rheumatism. 2010;62:2328–38.

    Article  CAS  Google Scholar 

  16. Kim YG, Lee C-K, Nah S-S, Mun SH, Yoo B, Moon H-B. Human CD4+CD25+ regulatory T cells inhibit the differentiation of osteoclasts from peripheral blood mononuclear cells. Biochem Biophys Res Commun. 2007;357:1046–52.

    Article  CAS  PubMed  Google Scholar 

  17. Kelchtermans H, Geboes L, Mitera T, Huskens D, Leclercq G, Matthys P. Activated CD4+CD25+ regulatory T cells inhibit osteoclastogenesis and collagen-induced arthritis. Ann Rheum Dis. 2009;68:744–50.

    Article  CAS  PubMed  Google Scholar 

  18. Luo CY, Wang L, Sun C, Li DJ. Estrogen enhances the functions of CD4(+)CD25(+)Foxp3(+) regulatory T cells that suppress osteoclast differentiation and bone resorption in vitro. Cell Mol Immunol. 2011;8:50–8.

    Article  CAS  PubMed  Google Scholar 

  19. Axmann R, Herman S, Zaiss M, Franz S, Polzer K, Zwerina J, Herrmann M, Smolen J, Schett G. CTLA-4 directly inhibits osteoclast formation. Ann Rheum Dis. 2008;67:1603–9.

    Article  CAS  PubMed  Google Scholar 

  20. Zaiss MM, Axmann R, Zwerina J, Polzer K, Gückel E, Skapenko A, Schulze-Koops H, Horwood N, Cope A, Schett G. Treg cells suppress osteoclast formation: a new link between the immune system and bone. Arthritis & Rheumatism. 2007;56:4104–12.

    Article  CAS  Google Scholar 

  21. •• Bozec A, Zaiss MM, Kagwiria R, et al. T cell costimulation molecules CD80/86 inhibit osteoclast differentiation by inducing the IDO/tryptophan pathway. Sci Transl Med. 2014;6:235ra60–0. This study provides the molecular mechanism how CTLA-4 induced inhibition of the osteoclastogenesis dependent of CD80/86 pathway

  22. Pernis AB. Estrogen and CD4+ T cells. Curr Opin Rheumatol. 2007;19:414–20.

    Article  CAS  PubMed  Google Scholar 

  23. Tai P, Wang J, Jin H, et al. Induction of regulatory T cells by physiological level estrogen. J Cell Physiol. 2008;214:456–64.

    Article  CAS  PubMed  Google Scholar 

  24. Lipsky PE, van der Heijde DM, St Clair EW, et al. Infliximab and methotrexate in the treatment of rheumatoid arthritis. Anti-tumor necrosis factor trial in rheumatoid arthritis with concomitant therapy study group. N Engl J Med. 2000;343:1594–602.

    Article  CAS  PubMed  Google Scholar 

  25. van Amelsfort JMR, Jacobs KMG, Bijlsma JWJ, Lafeber FPJG, Taams LS. CD4(+)CD25(+) regulatory T cells in rheumatoid arthritis: differences in the presence, phenotype, and function between peripheral blood and synovial fluid. Arthritis & Rheumatism. 2004;50:2775–85.

    Article  Google Scholar 

  26. Ruprecht CR, Gattorno M, Ferlito F, Gregorio A, Martini A, Lanzavecchia A, Sallusto F. Coexpression of CD25 and CD27 identifies FoxP3+ regulatory T cells in inflamed synovia. J Exp Med. 2005;201:1793–803.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Han GM, O'Neil-Andersen NJ, Zurier RB, Lawrence DA. CD4+CD25high T cell numbers are enriched in the peripheral blood of patients with rheumatoid arthritis. Cell Immunol. 2008;253:92–101.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Cao D, van Vollenhoven R, Klareskog L, Trollmo C, Malmström V. CD25brightCD4+ regulatory T cells are enriched in inflamed joints of patients with chronic rheumatic disease. Arthritis Res Ther. 2004;6:R335–46.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Ehrenstein MR, Evans JG, Singh A, Moore S, Warnes G, Isenberg DA, Mauri C. Compromised function of regulatory T cells in rheumatoid arthritis and reversal by anti-TNFalpha therapy. J Exp Med. 2004;200:277–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Nadkarni S, Mauri C, Ehrenstein MR. Anti-TNF-alpha therapy induces a distinct regulatory T cell population in patients with rheumatoid arthritis via TGF-beta. J Exp Med. 2007;204:33–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Valencia X, Stephens G, Goldbach-Mansky R, Wilson M, Shevach EM, Lipsky PE. TNF downmodulates the function of human CD4+CD25hi T-regulatory cells. Blood. 2006;108:253–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Flores-Borja F, Jury EC, Mauri C, Ehrenstein MR. Defects in CTLA-4 are associated with abnormal regulatory T cell function in rheumatoid arthritis. Proc Natl Acad Sci U S A. 2008;105:19396–401.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Walker EJ, Hirschfield GM, Xu C, et al. CTLA4/ICOS gene variants and haplotypes are associated with rheumatoid arthritis and primary biliary cirrhosis in the Canadian population. Arthritis & Rheumatism. 2009;60:931–7.

    Article  CAS  Google Scholar 

  34. Lin C-H, Hünig T. Efficient expansion of regulatory T cells in vitro and in vivo with a CD28 superagonist. Eur J Immunol. 2003;33:626–38.

    Article  CAS  PubMed  Google Scholar 

  35. Beyersdorf N, Gaupp S, Balbach K, Schmidt J, Toyka KV, Lin C-H, Hanke T, Hünig T, Kerkau T, Gold R. Selective targeting of regulatory T cells with CD28 superagonists allows effective therapy of experimental autoimmune encephalomyelitis. J Exp Med. 2005;202:445–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Brand DD, Latham KA, Rosloniec EF. Collagen-induced arthritis. Nat Protoc. 2007;2:1269–75.

    Article  CAS  PubMed  Google Scholar 

  37. Morgan ME, Sutmuller RPM, Witteveen HJ, van Duivenvoorde LM, Zanelli E, Melief CJM, Snijders A, Offringa R, de Vries RRP, Toes REM. CD25+ cell depletion hastens the onset of severe disease in collagen-induced arthritis. Arthritis & Rheumatism. 2003;48:1452–60.

    Article  Google Scholar 

  38. Morgan ME, Flierman R, van Duivenvoorde LM, Witteveen HJ, van Ewijk W, van Laar JM, de Vries RRP, Toes REM. Effective treatment of collagen-induced arthritis by adoptive transfer of CD25+ regulatory T cells. Arthritis & Rheumatism. 2005;52:2212–21.

    Article  CAS  Google Scholar 

  39. • Kong N, Lan Q, Chen M, et al. Induced T regulatory cells suppress osteoclastogenesis and bone erosion in collagen-induced arthritis better than natural T regulatory cells. Ann Rheum Dis. 2012;71:1567–72. This study provides evidence that both nTregs and iTregs greatly suppressed osteoclastogenesis in vitro, but only iTregs sustained this effect when interleukin-6 was present

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kelchtermans H, De Klerck B, Mitera T, Van Balen M, Bullens D, Billiau A, Leclercq G, Matthys P. Defective CD4+CD25+ regulatory T cell functioning in collagen-induced arthritis: an important factor in pathogenesis, counter-regulated by endogenous IFN-gamma. Arthritis Res Ther. 2005;7:R402–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Prabhala RH, Neri P, Bae JE, et al. Dysfunctional T regulatory cells in multiple myeloma. Blood. 2006;107:301–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This study was supported by the Deutsche Forschungsgemeinschaft (CRC1181-A01, SPP1468, IMMUNOBONE; BO3811/1-1, Emmy Noether to A.B, and SPP1937 to M.M.Z.).

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Correspondence to Aline Bozec.

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Conflict of Interest

Aline Bozec and Mario Zaiss declare no conflict of interest.

Human and Animal Rights and Informed Consent

All report studies with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards.

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This article is part of the Topical Collection on Osteoimmunology

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Bozec, A., Zaiss, M.M. T Regulatory Cells in Bone Remodelling. Curr Osteoporos Rep 15, 121–125 (2017). https://doi.org/10.1007/s11914-017-0356-1

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  • DOI: https://doi.org/10.1007/s11914-017-0356-1

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