Cited by 162T-cell and B-cell ImmunologyMyasthenia Gravis and ThymomaPsoriasis: Treatment and Pathogenesis

Control of Autoimmune Myocarditis and Multiorgan Inflammation by Glucocorticoid-Induced TNF Receptor Family-Related Proteinhigh, Foxp3-Expressing CD25+ and CD25− Regulatory T Cells

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Ono, Masahiro, Shimizu, Jun, Miyachi, Yoshiki, Sakaguchi, Shimon·2006·The Journal of Immunology

Abstract

Anomalies of naturally occurring CD4+ regulatory T cells (Treg) cause severe autoimmune/inflammatory diseases in humans and rodents. The transcription factor Foxp3 is currently the most specific marker for natural CD4+ Treg, but it would be useful if other Treg markers, particularly cell surface molecules, could be elucidated. We demonstrate in this study that the vast majority of Foxp3-expressing CD4+ T cells (whether CD25+ or CD25−) show constitutive high-level expression of glucocorticoid-induced TNFR family-related gene/protein (GITR). Transfer of T cell or thymocyte suspensions depleted of GITRhigh cells produces in BALB/c nude mice a wider spectrum and more severe forms of autoimmune diseases than does transfer of similar cell suspensions depleted of CD25+CD4+ T cells only. Notably, mice that receive cells depleted of GITRhigh populations develop severe multiorgan inflammation that includes fatal autoimmune myocarditis resembling giant cell myocarditis in humans, accompanying high-titer anti-myosin autoantibodies. Similar transfer of GITRhigh-depleted cells from prediabetic NOD mice to NOD-SCID mice accelerates the development of diabetes and induces skeletal muscle myositis and other autoimmune/inflammatory diseases. We conclude that GITRhigh, Foxp3-expressing natural Treg, containing both CD25+ and CD25− cell populations, contribute to preventing a variety of autoimmune/inflammatory diseases, and depletion of these cells allows the activation of even weak or rare autoreactive T cells yielding widespread severe autoimmune disease. Diseases induced in this way include many which have been suspected of an autoimmune etiology in humans without much evidence. GITRhigh, Foxp3-expressing natural Treg represent a potential target for the treatment and prevention of these diseases.

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Crossref · 10.4049/jimmunol.176.8.4748

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  • A decreased number of circulating regulatory T cells were found in patients with myocarditis, and adoptive transfer of CD4+ T cells with regulatory T-cell depletion induced fatal myocarditis in mice.

    “a decreased number of circulating regulatory T cells were found in patients with myocarditis, and adoptive transfer of CD4 + T cells with regulatory T-cell depletion induced fatal myocarditis in mice”

    From Autoimmune Myocarditis, Old Dogs and New Tricks. (2024) · cites this paper as [84]

    The section ‘Development of fatal autoimmune myocarditis and other autoimmune diseases in BALB/c nude mice transferred with GITR low T cells’ (page unavailable) reports fatal myocarditis after transfer of T cells depleted of GITR-high regulatory cells; the Discussion says CD4+ T cells could subsequently transfer the disease. The paper does not report a decreased number of circulating regulatory T cells in patients with myocarditis. Its Discussion instead says the relevance of the animal findings to human myocarditis remains to be determined. (LLM, conf=0.88)

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Authors
Ono, M., Shimizu, J., Miyachi, Y., & Sakaguchi, S.
Affiliations
  • Kyoto University (JP)
  • Tokyo Metropolitan Institute of Gerontology (JP)
Venue
The Journal of Immunology
Published
2006-04
Volume
176
Issue
8
Pages
4748-4756
ISSN
  • 0022-1767 (ISSN-L)
  • 1550-6606
OpenAlex
W2116252546
Cited by
162
References
52
Citations by year
2026: 4 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 9 · 2019: 3 · 2018: 6 · 2017: 8 · 2016: 14 · 2015: 9 · 2014: 7 · 2013: 9 · 2012: 4
FWCI
6.88
Type
journal article
Language
en
Open access
Locations
  • The Journal of Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
  • Health Sciences › Medicine › Neurology › Myasthenia Gravis and Thymoma
  • Life Sciences › Immunology and Microbiology › Immunology › Psoriasis: Treatment and Pathogenesis
Keywords
GITR, Foxp3, regulatory T cells, CD25+ T cells, autoimmune myocarditis, type 1 diabetes, autoreactive T cells, T cell transfer, NOD mice, giant cell myocarditis
MeSH terms
Animals, Autoimmune Diseases, Female, Inflammation, Mice, Inbred BALB C, Mice, Nude, Myocarditis, Receptors, Interleukin-2, Gene Expression, Mice, SCID, Mice, Inbred NOD, Receptors, Nerve Growth Factor, Receptors, Tumor Necrosis Factor, Adoptive Transfer, T-Lymphocytes, Regulatory, Mice, Forkhead Transcription Factors, Glucocorticoid-Induced TNFR-Related Protein

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