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A Special Population of Regulatory T Cells Potentiates Muscle Repair
Open accessAbstract
Long recognized to be potent suppressors of immune responses, Foxp3(+)CD4(+) regulatory T (Treg) cells are being rediscovered as regulators of nonimmunological processes. We describe a phenotypically and functionally distinct population of Treg cells that rapidly accumulated in the acutely injured skeletal muscle of mice, just as invading myeloid-lineage cells switched from a proinflammatory to a proregenerative state. A Treg population of similar phenotype accumulated in muscles of genetically dystrophic mice. Punctual depletion of Treg cells during the repair process prolonged the proinflammatory infiltrate and impaired muscle repair, while treatments that increased or decreased Treg activities diminished or enhanced (respectively) muscle damage in a dystrophy model. Muscle Treg cells expressed the growth factor Amphiregulin, which acted directly on muscle satellite cells in vitro and improved muscle repair in vivo. Thus, Treg cells and their products may provide new therapeutic opportunities for wound repair and muscular dystrophies.
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“Several publications identified the epidermal growth factor receptor ligand amphiregulin as a key factor of tissue Treg cells to maintain homeostasis or induce tissue regeneration in a diverse set of tissues, including lung, muscle, and brain [447, 448].”
From Guidelines for the use of flow cytometry and cell sorting in immunological studies (third edition) (2021) · cites this paper as [447]
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“Together, these studies suggest that Treg cells protect from epithelial cell injury by both interacting with immune cells to suppress inflammation and by producing epithelial growth factors that signal to non-immune cells.”
From Amphiregulin from regulatory T cells promotes liver fibrosis and insulin resistance in non-alcoholic steatohepatitis (2024) · cites this paper as [26]
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“Production of amphiregulin (Areg) by regulatory T (Treg) cells promotes repair after acute tissue injury.”
From Amphiregulin from regulatory T cells promotes liver fibrosis and insulin resistance in non-alcoholic steatohepatitis (2024) · cites this paper as [26]
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“In these settings, Treg cell-derived Areg is notably independent of Treg cell-mediated immunosuppression, and acts on tissue-resident mesenchymal cells and stem cells - not immune cells 25,26,28 .”
From Amphiregulin from regulatory T cells promotes liver fibrosis and insulin resistance in non-alcoholic steatohepatitis (2024) · cites this paper as [26]
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“They have been shown to support tissue homeostasis and regeneration, ranging from regulating metabolic parameters in the adipose tissue to potentiating tissue repair [444-446], e.g., in skeletal muscles [447], lung tissue [448], or brain [449].”
From Guidelines for the use of flow cytometry and cell sorting in immunological studies (third edition) (2021) · cites this paper as [447]
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Citations
Cites
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Self-citationCD49b defines functionally mature Treg cells that survey skin and vascular tissues
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“Furthermore, Treg cells harbor powerful suppressive potential to promote tissue repair (1, 2) and modulate metabolic regulation (3).”
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“Under the control of interleukin (IL)-33, these myophil Tregs execute essential functions in promoting and orchestrating local regeneration upon muscle injury.(117,118) Importantly, they are significantly diminished in aged mice, leading to insufficient muscle repair upon injury.”
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“Skeletal muscle Tregs contain a distinct T-cell receptor repertoire (TCR) that is only expressed on Tregs that influx into the injured skeletal muscle, not on systemic, peripheral Tregs occupying the systemic lymph nodes or spleen (140).”
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“Also, regulatory T cells (Tregs) may actively suppress exacerbated pro-inflammatory responses (Schiaffino et al. 2017), and may also promote regeneration of skeletal muscle by acting on satellite cells (Burzyn et al. 2013; Matta et al. 2014; Arpaia et al. 2015).”
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“IL-33 and IL-2c promote regeneration during acute muscle injuries through their action on muscle Tregs (Burzyn et al., 2013; Kuswanto et al., 2016).”
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Self-citationLevels of S100B protein drive the reparative process in acute muscle injury and muscular dystrophy
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InfluentialTumor resident regulatory T cells
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An Update on Lymphocyte Subtypes in Asthma and Airway Disease
Moldaver, D. M., Larché, M., & Rudulier, C. D. (2016) · CHEST Journal · doi:10.1016/j.chest.2016.10.038 · Cited by 44
Zhang, R., Xu, K., Shao, Y., Sun, Y., Saredy, J., Cutler, E., Tian, Y., Liu, M., Liu, L., Drummer, C., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2020.632239 · Cited by 43
Ozone Pollution, Oxidative Stress, Regulatory T Cells and Antioxidants
Rivas-Arancibia, S., Hernández-Orozco, E., Rodrı́guez-Martı́nez, E., Valdés‐Fuentes, M., Cornejo-Trejo, V., Pérez-Pacheco, N., Dorado-Martı́nez, C., Zequeida-Carmona, D., & Caleti, I. E. (2022) · Antioxidants · doi:10.3390/antiox11081553 · Cited by 45
“Treg cells are present in healthy tissues and, after tissue injury, promote tissue regeneration in a manner dependent on the transmembrane glycoprotein of the epidermoid growth factor family or protein amphiregulin or AREG [20].”
BackgroundTreg-Centric View of Immunosuppressive Drugs in Transplantation: A Balancing Act
Camirand, G., & Riella, L. V. (2016) · American Journal of Transplantation · doi:10.1111/ajt.14029 · Cited by 43
Harnessing Advances in T Regulatory Cell Biology for Cellular Therapy in Transplantation
Lam, A. J., Hoeppli, R. E., & Levings, M. K. (2017) · Transplantation · doi:10.1097/tp.0000000000001757 · Cited by 41
“AREG acts directly onmuscle satellite cells in vitro and its administration to injured mice improves muscle repair.(79) In this section, we will discuss the tissue repair capacity of Treg cells and their possible applications for transplantation.”
BackgroundInfluentialDehydrated Human Amnion Chorion Membrane as Treatment for Pediatric Burns
Ahuja, N., Jin, R. M., Powers, C., Billi, A., & Bass, K. D. (2019) · Advances in Wound Care · doi:10.1089/wound.2019.0983 · Cited by 45
An emerging role of regulatory T-cells in cardiovascular repair and regeneration
Fung, T. H. W., Yang, Y., & Lui, K. O. (2020) · Theranostics · doi:10.7150/thno.47118 · Cited by 44
Redressing the interactions between stem cells and immune system in tissue regeneration
Fang, J., Feng, C., Chen, W., Hou, P., Liu, Z., Zuo, M., Han, Y., Xu, C., Melino, G., Verkhratsky, A., et al. (2021) · Biology Direct · doi:10.1186/s13062-021-00306-6 · Cited by 44
The Yin and Yang of Targeting KLRG1+ Tregs and Effector Cells
Borys, S. M., Bag, A. K., Brossay, L., & Adeegbe, D. O. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.894508 · Cited by 44
Tuft cells and fibroblasts promote thymus regeneration through ILC2-mediated type 2 immune response
Nevo, S., Frenkel, N., Kadouri, N., Gome, T., Rosenthal, N., Givony, T., Avin, A., Cruz, C. P., Kedmi, M., Lindzen, M., et al. (2024) · Science Immunology · doi:10.1126/sciimmunol.abq6930 · Cited by 42
Regulatory T Cells in Kidney Transplantation: New Directions?
Braza, F., Durand, M., Degauque, N., & Brouard, S. (2015) · American Journal of Transplantation · doi:10.1111/ajt.13395 · Cited by 44
“One very interesting example is the recent description of an amphiregulin-secreting Treg subset involved in muscle repair and regeneration (124).”
BackgroundTherapeutic Potential of Immunoproteasome Inhibition in Duchenne Muscular Dystrophy
Farini, A., Sitzia, C., Cassani, B., Cassinelli, L., Rigoni, R., Colleoni, F., Fusco, N., Gatti, S., Bella, P., Villa, C., et al. (2016) · Molecular Therapy · doi:10.1038/mt.2016.162 · Cited by 44
T-regulatory cells exhibit a biphasic response to prolonged endurance exercise in humans
Clifford, T., Wood, M. J., Stocks, P., Howatson, G., Stevenson, E., & Hilkens, C. (2017) · European Journal of Applied Physiology · doi:10.1007/s00421-017-3667-0 · Cited by 38
“Burzyn et al. (2013) found that Tregs accumulate in damaged skeletal muscle of mice, lending some support to this idea.”
Phenotypic and Functional Properties of Tumor-Infiltrating Regulatory T Cells
Lee, G. R. (2017) · Mediators of Inflammation · doi:10.1155/2017/5458178 · Cited by 44
“In addition, Treg cells acquire distinct immunomodulatory mechanisms when residing in different peripheral tissues [58].”
BackgroundRole of the IL-33/ST2L axis in colorectal cancer progression
Akimoto, M., & Takenaga, K. (2018) · Cellular Immunology · doi:10.1016/j.cellimm.2017.12.014 · Cited by 42
Regulatory T cells are required for normal and activin‐promoted wound repair in mice
Haertel, E., Joshi, N., Hiebert, P., Köpf, M., & Werner, S. (2018) · European Journal of Immunology · doi:10.1002/eji.201747395 · Cited by 42
Regenerating CNS myelin: Emerging roles of regulatory T cells and CCN proteins
Gallardo, N. D. L. V., Dittmer, M., Dombrowski, Y., & Fitzgerald, D. C. (2018) · Neurochemistry International · doi:10.1016/j.neuint.2018.11.024 · Cited by 42
“Furthermore, Treg-derived amphiregulin (AR) was critical in this setting (Burzyn et al., 2013).”
BackgroundTorre-Villalvazo, I., Alemán, G., Valle‐Rios, R., & Noriega, L. G. (2019) · Nutrition Research · doi:10.1016/j.nutres.2019.06.006 · Cited by 45
Stability and Maintenance of Foxp3+ Treg Cells in Non-lymphoid Microenvironments
Korn, T., & Muschaweckh, A. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.02634 · Cited by 43
Gene therapy with regulatory T cells: A beneficial alliance
Biswas, M., Kumar, S. R. P., Terhorst, C., & Herzog, R. W. (2018) · Frontiers in Immunology · doi:10.3389/fimmu.2018.00554 · Cited by 41
Papait, A., Cancedda, R., Mastrogiacomo, M., & Poggi, A. D. (2016) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.2361 · Cited by 41
High self-reactivity drives T-bet and potentiates Treg function in tissue-specific autoimmunity
Sprouse, M. L., Scavuzzo, M. A., Blum, S. I., Shevchenko, I., Lee, T., Makedonas, G., Borowiak, M., Bettini, M. L., & Bettini, M. (2018) · JCI Insight · doi:10.1172/jci.insight.97322 · Cited by 40
New Insights Into the Biology of CD8 Regulatory T Cells
Nakagawa, H., Wang, L., Cantor, H., & Kim, H. (2018) · Advances in immunology · doi:10.1016/bs.ai.2018.09.001 · Cited by 41
Moldenhauer, L. M., Schjenken, J. E., Hope, C. M., Green, E. S., Zhang, B., Eldi, P., Hayball, J. D., Barry, S. C., & Robertson, S. A. (2019) · The Journal of Immunology · doi:10.4049/jimmunol.1900084 · Cited by 41
“consequences for the kinetics of muscle repair and growth (68).”
BackgroundMethodImmunometabolism of regulatory T cells in cancer
Saravia, J., & Chi, H. (2025) · Oncogene · doi:10.1038/s41388-025-03458-1 · Cited by 45
“However, it is now understood that T reg cell functions extend to homeostatic tissue maintenance (e.g., in the skin [169]) and wound repair (e.g., in damaged muscle tissue [170]), and adoptive T reg cell therapies have been proposed for treatment of non-immune diseases [171].”
Amphiregulin may be a new biomarker of classically activated macrophages
Chen, M., Liu, G., Mu, H., Zhou, M., Zhang, S., & Xu, Y. (2015) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2015.09.037 · Cited by 38
Tertiary lymphoid organs in systemic autoimmune diseases: pathogenic or protective?
Shipman, W. D., Dasoveanu, D., & Lu, T. T. (2017) · F1000Research · doi:10.12688/f1000research.10595.1 · Cited by 42
The Janus Face of IL-33 Signaling in Tumor Development and Immune Escape
Choi, M.-R., Sosman, J. A., & Zhang, B. (2021) · Cancers · doi:10.3390/cancers13133281 · Cited by 40
“IL-33 stimulates ST2Treg cells and AREG expression, which enhances immune regulatory functions and tissue repair [104,105].”
BackgroundRegulatory T cell-derived IL-1Ra suppresses the innate response to respiratory viral infection
Griffith, J. W., Faustino, L., Cottrell, V. I., Nepal, K., Hariri, L. P., Chiu, R. S.-Y., Jones, M. C., Julé, A. M., Gabay, C., & Luster, A. D. (2023) · Nature Immunology · doi:10.1038/s41590-023-01655-2 · Cited by 45
“…and profiles based on their tissue of residence, they are typically derived from the thymus and express the IL-33 receptor ST2 and the type 2 helper T cell-associated transcription factor GATA3, suggesting that these homeostatic tissue T reg cells share a common differentiation pathway 9,10 .”
BackgroundMyocardial fibrosis seen through the lenses of T-cell biology
Ramos, G. C., Hofmann, U., & Frantz, S. (2016) · Journal of Molecular and Cellular Cardiology · doi:10.1016/j.yjmcc.2016.01.018 · Cited by 41
Okerblom, J., Schwarz, F., Olson, J., Fletes, W., Ali, S. R., Martin, P. T., Glass, C. K., Nizet, V., & Varki, A. P. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1601471 · Cited by 39
Jin, R. M., Warunek, J., & Wohlfert, E. A. (2018) · ImmunoHorizons · doi:10.4049/immunohorizons.1800024 · Cited by 40
Mock, J. R., Dial, C. F., Tune, M. K., Norton, D. L., Martin, J. R., Gomez, J. C., Hagan, R. S., Dang, H., & Doerschuk, C. M. (2019) · JCI Insight · doi:10.1172/jci.insight.124958 · Cited by 41
“Our prior studies demonstrate that Tregs enhance alveolar epithelial proliferation after injury in vivo and that Tregs directly promote AT2 proliferation in vitro, in part by a contact-independent mechanism, through the expression of keratinocyte growth factor (KGF) (16).”
BackgroundInfluentialFang, J., Zhang, S., Liu, Z., Pan, Y., Cao, L., Hou, P., Chen, Y., Zhang, Y., Li, X., Liu, R., et al. (2020) · Stem Cells Translational Medicine · doi:10.1002/sctm.19-0447 · Cited by 41
Chen, C., & Poss, K. D. (2017) · Annual Review of Genetics · doi:10.1146/annurev-genet-120116-024554 · Cited by 44
“Injury causes clotting and inflammation, and there are many recent studies that report evidence for pro-regenerative roles of immune cells like macrophages and T-cells (12; 67; 87; 135).”
BackgroundHaunhorst, S., Bloch, W., Javelle, F., Krüger, K., Baumgart, S., Drube, S., Lemhöfer, C., Reuken, P. A., Stallmach, A., Müller, M. K., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1070994 · Cited by 43
The Generation and Regulation of Tissue‐Resident Tregs and Their Role in Autoimmune Diseases
Wang, S., Zou, X., Zhang, Y., Wang, X., Yang, W., & Li, Y. (2020) · Journal of Immunology Research · doi:10.1155/2020/8815280 · Cited by 38
“Areg belongs to the family of epithelial growth factors, a growth factor overexpressed by muscle Tregs that can enhance muscle regeneration [51].”
Current status and perspectives of regulatory T cell-based therapy
Qu, G., Chen, J., Li, Y., Yuan, Y., Liang, R., & Li, B. (2022) · Journal of genetics and genomics/Journal of Genetics and Genomics · doi:10.1016/j.jgg.2022.05.005 · Cited by 40
Dubuisson, N., Versele, R., Planchon, C., Selvais, C. M., Noël, L., Abou‐Samra, M., & de Carrizosa, M. A. D. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms232416080 · Cited by 41
“In DMD, degenerating dystrophin-absent fibres secrete proinflammatory cytokines and chemokines, implying the continuous recruitment of the above-mentioned immune cells which in turn activate M1 macrophages, leading to a chronic inflammatory state producing high concentrations of proinflammatory cytokines such as IFNγ,…”
BackgroundClancy‐Thompson, E., Chen, G. Z., Tyler, P. M., Servos, M. M., Barisa, M., Brennan, P. J., Ploegh, H. L., & Dougan, S. K. (2017) · The Journal of Immunology · doi:10.4049/jimmunol.1700214 · Cited by 40
Metadata
- Authors
- Burzyn, D., Kuswanto, W., Kolodin, D., Shadrach, J. L., Cerletti, M., Jang, Y., Sefik, E., Tan, T. G., Wagers, A. J., Benoist, C., & Mathis, D.
- Affiliations
- Harvard University (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Mathis, Diane
- ORCID
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 155
- Issue
- 6
- Pages
- 1282-1295
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC3894749
- OpenAlex
- W2151328705
- Cited by
- 1,234
- References
- 35
- Citations by year
- 2026: 98 · 2025: 96 · 2024: 101 · 2023: 103 · 2022: 112 · 2021: 117 · 2020: 106 · 2019: 111 · 2018: 112 · 2017: 100 · 2016: 73 · 2015: 62 · 2014: 41 · 2013: 1
- FWCI
- 26.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health
- Harvard Stem Cell Institute
- National Institute on Aging (R01AG033053)
- National Heart, Lung, and Blood Institute (U01HL100402)
- National Institute of Allergy and Infectious Diseases (R37AI051530)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK036836, R01DK092541)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Health Sciences › Medicine › Surgery › Wound Healing and Treatments
- Keywords
- regulatory T cells, Foxp3, muscle repair, skeletal muscle injury, muscle regeneration, muscular dystrophy, amphiregulin, satellite cells, myeloid cells, Treg depletion, wound healing
- MeSH terms
- Animals, Glycoproteins, Lymphoid Tissue, Mice, Inbred C57BL, Muscular Dystrophies, Receptors, Antigen, T-Cell, Regeneration, Muscle, Skeletal, Intercellular Signaling Peptides and Proteins, T-Lymphocytes, Regulatory, Mice, Transcriptome, EGF Family of Proteins, Amphiregulin
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