Abstract
Asthma is a chronic disease of airway inflammation due to excessive T helper cell type 2 (Th2) response. Present treatment based on inhalation of synthetic glucocorticoids can only control Th2-driven chronic eosinophilic inflammation, but cannot change the immune tolerance of the body to external allergens. Regulatory T cells (Tregs) are the main negative regulatory cells of the immune response. Tregs play a great role in regulating allergic, autoimmune, graft-versus-host responses, and other immune responses. In this review, we will discuss the classification and biological characteristics, the established immunomodulatory mechanisms, and the characteristics of induced differentiation of Tregs. We will also discuss the progress of Tregs in the field of asthma. We believe that further studies on the regulatory mechanisms of Tregs will provide better treatments and control strategies for asthma.
摘要
哮喘是一种由于II 型T 辅助细胞(Th2)反应过 度而引起的慢性气道炎症疾病。目前以吸入糖皮 质激素为基础的治疗仅能控制Th2 驱动的慢性嗜 酸性炎症,但是不能改变机体对外界过敏原的免 疫耐受状态。调节性T 细胞(Tregs)是免疫应答 的主要负调节细胞,Tregs 在调节变态反应、自 身免疫反应、移植物抗宿主反应和其他免疫反应 中发挥着重要作用。在本文中,我们综述了Tregs 的分类和生物学特性、免疫调节机制及诱导分化 特性。我们也探讨了Tregs 在哮喘领域的研究进 展。我们相信,进一步对Tregs 调控免疫反应机 制的研究会为哮喘防控提供更好的治疗方案和 策略
Similar content being viewed by others
References
Abbas AK, Benoist C, Bluestone JA, et al., 2013. Regulatory T cells:recommendations to simplify the nomenclature. Nat Immunol, 14(4):307–308. https://doi.org/10.1038/ni.2554
Albert MH, Liu Y, Anasetti C, et al., 2005. Antigen–dependent suppression of alloresponses by Foxp3–induced regulatory T cells in transplantation. Eur J Immunol, 35(9):2598–2607. https://doi.org/10.1002/eji.200526077
Baatjes AJ, Smith SG, Watson R, et al., 2015. T regulatory cell phenotypes in peripheral blood and bronchoalveolar lavage from non–asthmatic and asthmatic subjects. Clin Exp Allergy, 45(11):1654–1662. https://doi.org/10.1111/cea.12594
Bardel E, Larousserie F, Charlot–Rabiega P, et al., 2008. Human CD4+CD25+Foxp3+ regulatory T cells do not constitutively express IL–35. J Immunol, 181(10):6898–6905. https://doi.org/10.4049/jimmunol.181.10.6898
Berker M, Frank LJ, Gessner AL, et al., 2017. Allergies–A T cells perspective in the era beyond the TH1/TH2 paradigm. Clin Immunol, 174:73–83. https://doi.org/10.1016/j.clim.2016.11.001
Burks AW, Calderon MA, Casale T, et al., 2013. Update on allergy immunotherapy:American Academy of Allergy, Asthma & Immunology/European Academy of Allergy and Clinical Immunology/PRACTALL consensus report. J Allergy Clin Immunol, 131(5):1288–1296.e3. https://doi.org/10.1016/j.jaci.2013.01.049
Charbonnier LM, Wang S, Georgiev P, et al., 2015a. Control of peripheral tolerance by regulatory T cell–intrinsic Notch signaling. Nat Immunol, 16(11):1162–1173. https://doi.org/10.1038/ni.3288
Charbonnier LM, Janssen E, Chou J, et al., 2015b. Regulatory T–cell deficiency and immune dysregulation, polyendocrinopathy, enteropathy, X–linked–like disorder caused by loss–of–function mutations in LRBA. J Allergy Clin Immunol, 135(1):217–227.e9. https://doi.org/10.1016/j.jaci.2014.10.019
Collison LW, Workman CJ, Kuo TT, et al., 2007. The inhibitory cytokine IL–35 contributes to regulatory T–cell function. Nature, 450(7169):566–569. https://doi.org/10.1038/nature06306
Deaglio S, Robson SC, 2011. Ectonucleotidases as regulators of purinergic signaling in thrombosis, inflammation, and immunity. Adv Pharmacol, 61:301–332. https://doi.org/10.1016/B978-0-12-385526-8.00010-2
Deaglio S, Dwyer KM, Gao WD, et al., 2007. Adenosine generation catalyzed by CD39 and CD73 expressed on regulatory T cells mediates immune suppression. J Exp Med, 204(6):1257–1265. https://doi.org/10.1084/jem.20062512
Delgoffe GM, Woo SR, Turnis ME, et al., 2013. Stability and function of regulatory T cells is maintained by a neuropilin–1–semaphorin–4a axis. Nature, 501(7466):252–256. https://doi.org/10.1038/nature12428
Desreumaux P, Foussat A, Allez M, et al., 2012. Safety and efficacy of antigen–specific regulatory T–cell therapy for patients with refractory Crohn’s disease. Gastroenterology, 143(5):1207–1217.e2. https://doi.org/10.1053/j.gastro.2012.07.116
Fu CL, Chuang YH, Chau LY, et al., 2006. Effects of adenovirusexpressing IL–10 in alleviating airway inflammation in asthma. J Gene Med, 8(12):1393–1399. https://doi.org/10.1002/jgm.974
Gambineri E, Torgerson TR, Ochs HD, 2003. Immune dysregulation, polyendocrinopathy, enteropathy, and X–linked inheritance (IPEX), a syndrome of systemic autoimmunity caused by mutations of FOXP3, a critical regulator of T–cell homeostasis. Curr Opin Rheumatol, 15(4):430–435. https://doi.org/10.1097/00002281-200307000-00010
Gondek DC, Lu LF, Quezada SA, et al., 2005. Cutting edge:contact–mediated suppression by CD4+CD25+ regulatory cells involves a granzyme B–dependent, perforin–independent mechanism. J Immunol, 174(4):1783–1786. https://doi.org/10.4049/jimmunol.174.4.1783
Grossman WJ, Verbsky JW, Barchet W, et al., 2004. Human T regulatory cells can use the perforin pathway to cause autologous target cell death. Immunity, 21(4):589–601. https://doi.org/10.1016/j.immuni.2004.09.002
Hansen G, McIntire JJ, Yeung VP, et al., 2000. CD4+ T helper cells engineered to produce latent TGF–β1 reverse allergeninduced airway hyperreactivity and inflammation. J Clin Invest, 105(1):61–70. https://doi.org/10.1172/JCI7589
Hartl D, Koller B, Mehlhorn AT, et al., 2007. Quantitative and functional impairment of pulmonary CD4+CD25hi regulatory T cells in pediatric asthma. J Allergy Clin Immunol, 119(5):1258–1266. https://doi.org/10.1016/j.jaci.2007.02.023
Heederik D, von Mutius E, 2012. Does diversity of environmental microbial exposure matter for the occurrence of allergy and asthma? J Allergy Clin Immunol, 130(1):44–50. https://doi.org/10.1016/j.jaci.2012.01.067
Hershey GK, Friedrich MF, Esswein LA, et al., 1997. The association of atopy with a gain–of–function mutation in the α subunit of the interleukin–4 receptor. N Engl J Med, 337(24):1720–1725. https://doi.org/10.1056/NEJM199712113372403
Jethwa H, Adami AA, Maher J, 2014. Use of gene–modified regulatory T–cells to control autoimmune and alloimmune pathology:is now the right time? Clin Immunol, 150(1):51–63. https://doi.org/10.1016/j.clim.2013.11.004
Jiang YQ, Zhao ST, Yang X, et al., 2015. Dll4 in the DCs isolated from OVA–sensitized mice is involved in Th17 differentiation inhibition by 1,25–dihydroxyvitamin D3 in vitro. J Asthma, 52(10):989–995. https://doi.org/10.3109/02770903.2015.1056349
Joetham A, Schedel M, O'Connor BP, et al., 2017. Inducible and naturally occurring regulatory T cells enhance lung allergic responses through divergent transcriptional pathways. J Allergy Clin Immunol, 139(4):1331–1342. https://doi.org/10.1016/j.jaci.2016.06.051
John M, Lim S, Seybold J, et al., 1998. Inhaled corticosteroids increase interleukin–10 but reduce macrophage inflammatory protein–1α, granulocyte–macrophage colonystimulating factor, and interferon–γ release from alveolar macrophages in asthma. Am J Respir Crit Care Med, 157(1):256–262. https://doi.org/10.1164/ajrccm.157.1.9703079
Jordan MS, Boesteanu A, Reed AJ, et al., 2001. Thymic selection of CD4+CD25+ regulatory T cells induced by an agonist self–peptide. Nat Immunol, 2(4):301–306. https://doi.org/10.1038/86302
Kanamori M, Nakatsukasa H, Okada M, et al., 2016. Induced regulatory T cells:their development, stability, and applications. Trends Immunol, 37(11):803–811. https://doi.org/10.1016/j.it.2016.08.012
Kitani A, Fuss I, Nakamura K, et al., 2003. Transforming growth factor (TGF)–β1–producing regulatory T cells induce Smad–mediated interleukin 10 secretion that facilitates coordinated immunoregulatory activity and amelioration of TGF–β1–mediated fibrosis. J Exp Med, 198(8):1179–1188. https://doi.org/10.1084/jem.20030917
Klatka M, Kaszubowska L, Grywalska E, et al., 2014. Treatment of Graves’ disease with methimazole in children alters the proliferation of Treg cells and CD3+ T lymphocytes. Folia Histochem Cytobiol, 52(1):69–77. https://doi.org/10.5603/FHC.2014.0008
Koch MA, Thomas KR, Perdue NR, et al., 2012. T–bet+ Treg cells undergo abortive Th1 cell differentiation due to impaired expression of IL–12 receptor β2. Immunity, 37(3):501–510. https://doi.org/10.1016/j.immuni.2012.05.031
Komatsu N, Mariotti–Ferrandiz ME, Wang Y, et al., 2009. Heterogeneity of natural Foxp3+ T cells:a committed regulatory T–cell lineage and an uncommitted minor population retaining plasticity. Proc Natl Acad Sci USA, 106(6):1903–1908. https://doi.org/10.1073/pnas.0811556106
Komatsu N, Okamoto K, Sawa S, et al., 2014. Pathogenic conversion of Foxp3+ T cells into TH17 cells in autoimmune arthritis. Nat Med, 20(1):62–68. https://doi.org/10.1038/nm.3432
Krishnamoorthy N, Khare A, Oriss TB, et al., 2012. Early infection with respiratory syncytial virus impairs regulatory T cell function and increases susceptibility to allergic asthma. Nat Med, 18(10):1525–1530. https://doi.org/10.1038/nm.2896
Lapierre P, Béland K, Yang R, et al., 2013. Adoptive transfer of ex vivo expanded regulatory T cells in an autoimmune hepatitis murine model restores peripheral tolerance. Hepatology, 57(1):217–227. https://doi.org/10.1002/hep.26023
Lewkowich IP, Herman NS, Schleifer KW, et al., 2005. CD4+CD25+ T cells protect against experimentally induced asthma and alter pulmonary dendritic cell phenotype and function. J Exp Med, 202(11):1549–1561. https://doi.org/10.1084/jem.20051506
Liang BT, Workman C, Lee J, et al., 2008. Regulatory T cells inhibit dendritic cells by lymphocyte activation gene–3 engagement of MHC class II. J Immunol, 180(9):5916–5926. https://doi.org/10.4049/jimmunol.180.9.5916
Lu YJ, Wang JR, Gu J, et al., 2014. Rapamycin regulates iTreg function through CD39 and Runx1 pathways. J Immunol Res, 2014:989434. https://doi.org/10.1155/2014/989434
Massoud AH, Charbonnier LM, Lopez D, et al., 2016. An asthma–associated IL4R variant exacerbates airway inflammation by promoting conversion of regulatory T cells to TH17–like cells. Nat Med, 22(9):1013–1022. https://doi.org/10.1038/nm.4147
Mathias CB, Hobson SA, Garcia–Lloret M, et al., 2011. IgE–mediated systemic anaphylaxis and impaired tolerance to food antigens in mice with enhanced IL–4 receptor signaling. J Allergy Clin Immunol, 127(3):795–805.e6. https://doi.org/10.1016/j.jaci.2010.11.009
Melnik BC, John SM, Carrera–Bastos P, et al., 2016. Milk:a postnatal imprinting system stabilizing FoxP3 expression and regulatory T cell differentiation. Clin Transl Allergy, 6:18. https://doi.org/10.1186/s13601-016-0108-9
Miyara M, Yoshioka Y, Kitoh A, et al., 2009. Functional delineation and differentiation dynamics of human CD4+ T cells expressing the FoxP3 transcription factor. Immunity, 30(6):899–911. https://doi.org/10.1016/j.immuni.2009.03.019
Nakamura K, Kitani A, Fuss I, et al., 2004. TGF–β1 plays an important role in the mechanism of CD4+CD25+ regulatory T cell activity in both humans and mice. J Immunol, 172(2):834–842. https://doi.org/10.4049/jimmunol.172.2.834
Nakao A, Miike S, Hatano M, et al., 2000. Blockade of transforming growth factor β/Smad signaling in T cells by overexpression of Smad7 enhances antigen–induced airway inflammation and airway reactivity. J Exp Med, 192(2):151–158. https://doi.org/10.1084/jem.192.2.151
Niedbala W, Wei XQ, Cai BL, et al., 2007. IL–35 is a novel cytokine with therapeutic effects against collageninduced arthritis through the expansion of regulatory T cells and suppression of Th17 cells. Eur J Immunol, 37(11):3021–3029. https://doi.org/10.1002/eji.200737810
Nieminen K, Laaksonen K, Savolainen J, 2009. Three–year follow–up study of allergen–induced in vitro cytokine and signalling lymphocytic activation molecule mRNA responses in peripheral blood mononuclear cells of allergic rhinitis patients undergoing specific immunotherapy. Int Arch Allergy Immunol, 150(4):370–376. https://doi.org/10.1159/000226238
Noval Rivas M, Burton OT, Wise P, et al., 2015. Regulatory T cell reprogramming toward a Th2–cell–like lineage impairs oral tolerance and promotes food allergy. Immunity, 42(3):512–523. https://doi.org/10.1016/j.immuni.2015.02.004
Oh JW, Seroogy CM, Meyer EH, et al., 2002. CD4 T–helper cells engineered to produce IL–10 prevent allergeninduced airway hyperreactivity and inflammation. J Allergy Clin Immunol, 110(3):460–468. https://doi.org/10.1067/mai.2002.127512
Ohnmacht C, Park JH, Cording S, et al., 2015. The microbiota regulates type 2 immunity through RORγt+ T cells. Science, 349(6251):989–993. https://doi.org/10.1126/science.aac4263
Olson BM, Sullivan JA, Burlingham WJ, 2013. Interleukin 35:a key mediator of suppression and the propagation of infectious tolerance. Front Immunol, 4:315. https://doi.org/10.3389/fimmu.2013.00315
Prinz I, Koenecke C, 2012. Therapeutic potential of induced and natural FoxP3+ regulatory T cells for the treatment of Graft–versus–host disease. Arch Immunol Ther Exp (Warsz), 60(3):183–190. https://doi.org/10.1007/s00005-012-0172-3
Read S, Malmström V, Powrie F, 2000. Cytotoxic T lymphocyteassociated antigen 4 plays an essential role in the function of CD25+CD4+ regulatory cells that control intestinal inflammation. J Exp Med, 192(2):295–302. https://doi.org/10.1084/jem.192.2.295
Reddel HK, Levy ML, 2015. The GINA asthma strategy report:what’s new for primary care? NPJ Prim Care Respir Med, 25:15050. https://doi.org/10.1038/npjpcrm.2015.50
Rosa–Rosa L, Zimmermann N, Bernstein JA, et al., 1999. The R576 IL–4 receptor α allele correlates with asthma severity. J Allergy Clin Immunol, 104(5):1008–1014. https://doi.org/10.1016/s0091-6749(99)70082-5
Round JL, Mazmanian SK, 2010. Inducible Foxp3+ regulatory T–cell development by a commensal bacterium of the intestinal microbiota. Proc Natl Acad Sci USA, 107(27):12204–12209. https://doi.org/10.1073/pnas.0909122107
Round JL, Lee SM, Li J, et al., 2011. The Toll–like receptor 2 pathway establishes colonization by a commensal of the human microbiota. Science, 332(6032):974–977. https://doi.org/10.1126/science.1206095
Rudensky AY, 2011. Regulatory T cells and Foxp3. Immunol Rev, 241(1):260–268. https://doi.org/10.1111/j.1600-065X.2011.01018.x
Sagoo P, Ali N, Garg G, et al., 2011. Human regulatory T cells with alloantigen specificity are more potent inhibitors of alloimmune skin graft damage than polyclonal regulatory T cells. Sci Transl Med, 3(83):83ra42. https://doi.org/10.1126/scitranslmed.3002076
Sakaguchi S, Wing K, Onishi Y, et al., 2009. Regulatory T cells:how do they suppress immune responses? Int Immunol, 21(10):1105–1111. https://doi.org/10.1093/intimm/dxp095
Sato H, Sasaki N, Minamitani K, et al., 2012. Higher dose of methimazole causes frequent adverse effects in the management of Graves’ disease in children and adolescents. J Pediatr Endocrinol Metab, 25(9–10):863–867. https://doi.org/10.1515/jpem-2012-0138
Scottà C, Esposito M, Fazekasova H, et al., 2013. Differential effects of rapamycin and retinoic acid on expansion, stability and suppressive qualities of human CD4+CD25+ FOXP3+ T regulatory cell subpopulations. Haematologica, 98(8):1291–1299. https://doi.org/10.3324/haematol.2012.074088
Sitkovsky M, Lukashev D, Deaglio S, et al., 2008. Adenosine A2A receptor antagonists:blockade of adenosinergic effects and T regulatory cells. Br J Pharmacol, 153(S1):S457–S464. https://doi.org/10.1038/bjp.2008.23
Smith PM, Howitt MR, Panikov N, et al., 2013. The microbial metabolites, short–chain fatty acids, regulate colonic Treg cell homeostasis. Science, 341(6145):569–573. https://doi.org/10.1126/science.1241165
Stämpfli MR, Cwiartka M, Gajewska BU, et al., 1999. Interleukin–10 gene transfer to the airway regulates allergic mucosal sensitization in mice. Am J Respir Cell Mol Biol, 21(5):586–596. https://doi.org/10.1165/ajrcmb.21.5.3755
Stanilov NS, Miteva L, Cirovski G, et al., 2016. Increased transforming growth factor β and interleukin 10 transcripts in peripheral blood mononuclear cells of colorectal cancer patients. Contemp Oncol, 20(6):458–462. https://doi.org/10.5114/wo.2016.65605
Stelmach I, Sobocińska A, Majak P, et al., 2012. Comparison of the long–term efficacy of 3–and 5–year house dust mite allergen immunotherapy. Ann Allergy Asthma Immunol, 109(4):274–278. https://doi.org/10.1016/j.anai.2012.07.015
Suárez–Fueyo A, Ramos T, Galán A, et al., 2014. Grass tablet sublingual immunotherapy downregulates the TH2 cytokine response followed by regulatory T–cell generation. J Allergy Clin Immunol, 133(1):130–138.e2. https://doi.org/10.1016/j.jaci.2013.09.043
Swamy RS, Reshamwala N, Hunter T, et al., 2012. Epigenetic modifications and improved regulatory T–cell function in subjects undergoing dual sublingual immunotherapy. J Allergy Clin Immunol, 130(1):215–224.e7. https://doi.org/10.1016/j.jaci.2012.04.021
Tachdjian R, Mathias C, Al Khatib S, et al., 2009. Pathogenicity of a disease–associated human IL–4 receptor allele in experimental asthma. J Exp Med, 206(10):2191–2204. https://doi.org/10.1084/jem.20091480
Tachdjian R, Al Khatib S, Schwinglshackl A, et al., 2010. In vivo regulation of the allergic response by the IL–4 receptor α chain immunoreceptor tyrosine–based inhibitory motif. J Allergy Clin Immunol, 125(5):1128–1136.e8. https://doi.org/10.1016/j.jaci.2010.01.054
Thornton AM, Shevach EM, 1998. CD4+CD25+ immunoregulatory T cells suppress polyclonal T cell activation in vitro by inhibiting interleukin 2 production. J Exp Med, 188(2):287–296. https://doi.org/10.1084/jem.188.2.287
Wang L, Fan J, Chen SQ, et al., 2013. Graft–versus–host disease is enhanced by selective CD73 blockade in mice. PLoS ONE, 8(3):e58397. https://doi.org/10.1371/journal.pone.0058397
Wills–Karp M, Santeliz J, Karp CL, 2001. The germless theory of allergic disease:revisiting the hygiene hypothesis. Nat Rev Immunol, 1(1):69–75. https://doi.org/10.1038/35095579
Won HY, Hwang ES, 2016. Transcriptional modulation of regulatory T cell development by novel regulators NR4As. Arch Pharm Res, 39(11):1530–1536. https://doi.org/10.1007/s12272-016-0803-z
Xia MC, Viera–Hutchins L, Garcia–Lloret M, et al., 2015. Vehicular exhaust particles promote allergic airway inflammation through an aryl hydrocarbon receptor–notch signaling cascade. J Allergy Clin Immunol, 136(2):441–453. https://doi.org/10.1016/j.jaci.2015.02.014
Yawn J, Lawrence LA, Carroll WW, et al., 2015. Vitamin D for the treatment of respiratory diseases:is it the end or just the beginning? J Steroid Biochem Mol Biol, 148:326–337. https://doi.org/10.1016/j.jsbmb.2015.01.017
Zheng Y, Chaudhry A, Kas A, et al., 2009. Regulatory T–cell suppressor program co–opts transcription factor IRF4 to control TH2 responses. Nature, 458(7236):351–356. https://doi.org/10.1038/nature07674
Zhou XY, Bailey–Bucktrout S, Jeker LT, et al., 2009. Plasticity of CD4+FoxP3+ T cells. Curr Opin Immunol, 21(3):281–285. https://doi.org/10.1016/j.coi.2009.05.007
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zhao, St., Wang, Cz. Regulatory T cells and asthma. J. Zhejiang Univ. Sci. B 19, 663–673 (2018). https://doi.org/10.1631/jzus.B1700346
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1631/jzus.B1700346