ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway

BackgroundMaintenance immunosuppression is required for suppression of alloimmunity or allograft rejection. However, continuous use of immunosuppressants may lead to various side effects, necessitating the use of alternative immunosuppressive drugs. The early secreted antigenic target of 6 kDa (ESAT...

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Main Authors: Xiaofei Huang, Yuqun Zeng, Jingru Lin, Huazhen Liu, Chun-Ling Liang, Yuchao Chen, Feifei Qiu, Jonathan S. Bromberg, Zhenhua Dai
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1529226/full
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author Xiaofei Huang
Xiaofei Huang
Yuqun Zeng
Jingru Lin
Huazhen Liu
Huazhen Liu
Chun-Ling Liang
Chun-Ling Liang
Yuchao Chen
Yuchao Chen
Feifei Qiu
Feifei Qiu
Jonathan S. Bromberg
Zhenhua Dai
Zhenhua Dai
author_facet Xiaofei Huang
Xiaofei Huang
Yuqun Zeng
Jingru Lin
Huazhen Liu
Huazhen Liu
Chun-Ling Liang
Chun-Ling Liang
Yuchao Chen
Yuchao Chen
Feifei Qiu
Feifei Qiu
Jonathan S. Bromberg
Zhenhua Dai
Zhenhua Dai
author_sort Xiaofei Huang
collection DOAJ
description BackgroundMaintenance immunosuppression is required for suppression of alloimmunity or allograft rejection. However, continuous use of immunosuppressants may lead to various side effects, necessitating the use of alternative immunosuppressive drugs. The early secreted antigenic target of 6 kDa (ESAT-6) is a virulence factor and immunoregulatory protein of mycobacterium tuberculosis (Mtb), which alters host immunity through dually regulating development or activation of various immune cells. ESAT-6 may be a potential alternative immunosuppressant that could be utilized to suppress allograft rejection although it remains unknown whether ESAT-6 actually regulates alloimmunity.MethodsIn this study, murine skin or heart allotransplantation was performed to determine the effects of ESAT-6 protein on allograft survival. Flow cytometric analyses were conducted to quantify CD4+Foxp3+ Tregs, while immunohistochemistry was carried out to observe allograft immunopathology. Western blotting was used to detect IĸBα/c-Rel signaling during Treg induction. Finally, CD4+CD25- conventional T cells were cultured to induce Tregs and their proliferation.ResultsHere we found that ESAT-6 significantly extended murine skin and heart allograft survival, alleviated CD3+ T cell infiltration and increased Foxp3+ Tregs in an allograft. ESAT-6 augmented the percentage of CD4+Foxp3+ Tregs, whereas it decreased the frequency of Th1 and CD4+/CD8+ effector T cells in spleen and lymph nodes (LNs) posttransplantation. ESAT-6 also induced CD4+Foxp3+ Tregs from CD4+CD25- T cells in vitro by activating IĸBα/c-Rel signaling pathway, whereas inhibition of c-Rel signaling blocked Treg induction. Moreover, it suppressed conventional CD4+CD25- T cell proliferation in vitro in the absence of antigen-presenting cells (APCs), with an increase in IL-10 and decrease in IFN-γ production. On the other hand, it did not significantly alter DC maturation after allotransplantation.ConclusionThus, ESAT-6 suppresses alloimmunity and inhibits allograft rejection by inducing CD4+Foxp3+ Tregs through IĸBα/c-Rel signaling pathway.
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spelling doaj-art-3b46dc3343af46a58400d9a83c1ea2e82025-01-09T06:10:38ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15292261529226ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathwayXiaofei Huang0Xiaofei Huang1Yuqun Zeng2Jingru Lin3Huazhen Liu4Huazhen Liu5Chun-Ling Liang6Chun-Ling Liang7Yuchao Chen8Yuchao Chen9Feifei Qiu10Feifei Qiu11Jonathan S. Bromberg12Zhenhua Dai13Zhenhua Dai14Section of Immunology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaDepartment of Nephrology, Zhejiang Provincial People’s Hospital, Affiliated People’s Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaSection of Immunology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaSection of Immunology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaSection of Immunology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaSection of Immunology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaKidney and Pancreas Transplantation, Department of Surgery and Department of Microbiology and Immunology, University of Maryland School of Medicine, Baltimore, MD, United StatesSection of Immunology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaImmunology Program, Guangdong Provincial Academy of Chinese Medical Sciences, Guangzhou, Guangdong, ChinaBackgroundMaintenance immunosuppression is required for suppression of alloimmunity or allograft rejection. However, continuous use of immunosuppressants may lead to various side effects, necessitating the use of alternative immunosuppressive drugs. The early secreted antigenic target of 6 kDa (ESAT-6) is a virulence factor and immunoregulatory protein of mycobacterium tuberculosis (Mtb), which alters host immunity through dually regulating development or activation of various immune cells. ESAT-6 may be a potential alternative immunosuppressant that could be utilized to suppress allograft rejection although it remains unknown whether ESAT-6 actually regulates alloimmunity.MethodsIn this study, murine skin or heart allotransplantation was performed to determine the effects of ESAT-6 protein on allograft survival. Flow cytometric analyses were conducted to quantify CD4+Foxp3+ Tregs, while immunohistochemistry was carried out to observe allograft immunopathology. Western blotting was used to detect IĸBα/c-Rel signaling during Treg induction. Finally, CD4+CD25- conventional T cells were cultured to induce Tregs and their proliferation.ResultsHere we found that ESAT-6 significantly extended murine skin and heart allograft survival, alleviated CD3+ T cell infiltration and increased Foxp3+ Tregs in an allograft. ESAT-6 augmented the percentage of CD4+Foxp3+ Tregs, whereas it decreased the frequency of Th1 and CD4+/CD8+ effector T cells in spleen and lymph nodes (LNs) posttransplantation. ESAT-6 also induced CD4+Foxp3+ Tregs from CD4+CD25- T cells in vitro by activating IĸBα/c-Rel signaling pathway, whereas inhibition of c-Rel signaling blocked Treg induction. Moreover, it suppressed conventional CD4+CD25- T cell proliferation in vitro in the absence of antigen-presenting cells (APCs), with an increase in IL-10 and decrease in IFN-γ production. On the other hand, it did not significantly alter DC maturation after allotransplantation.ConclusionThus, ESAT-6 suppresses alloimmunity and inhibits allograft rejection by inducing CD4+Foxp3+ Tregs through IĸBα/c-Rel signaling pathway.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1529226/fulltransplantationESAT-6alloimmunityregulatory T cell (Treg)immunoregulation
spellingShingle Xiaofei Huang
Xiaofei Huang
Yuqun Zeng
Jingru Lin
Huazhen Liu
Huazhen Liu
Chun-Ling Liang
Chun-Ling Liang
Yuchao Chen
Yuchao Chen
Feifei Qiu
Feifei Qiu
Jonathan S. Bromberg
Zhenhua Dai
Zhenhua Dai
ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway
Frontiers in Immunology
transplantation
ESAT-6
alloimmunity
regulatory T cell (Treg)
immunoregulation
title ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway
title_full ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway
title_fullStr ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway
title_full_unstemmed ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway
title_short ESAT-6 protein suppresses allograft rejection by inducing CD4+Foxp3+ regulatory T cells through IκBα/cRel pathway
title_sort esat 6 protein suppresses allograft rejection by inducing cd4 foxp3 regulatory t cells through iκbα crel pathway
topic transplantation
ESAT-6
alloimmunity
regulatory T cell (Treg)
immunoregulation
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1529226/full
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