Very low-dose tolerance with nucleosomal peptides controls lupus and induces potent regulatory T cell subsets

J Immunol. 2005 Mar 15;174(6):3247-55. doi: 10.4049/jimmunol.174.6.3247.

Abstract

We induced very low-dose tolerance by injecting lupus prone (SWR x NZB)F1 (SNF1) mice with 1 mug nucleosomal histone peptide autoepitopes s.c. every 2 wk. The subnanomolar peptide therapy diminished autoantibody levels and prolonged life span by delaying nephritis, especially by reducing inflammatory cell reaction and infiltration in kidneys. H4(71-94) was the most effective autoepitope. Low-dose tolerance therapy induced CD8+, as well as CD4+ CD25+ regulatory T (Treg) cell subsets containing autoantigen-specific cells. These adaptive Treg cells suppressed IFN-gamma responses of pathogenic lupus T cells to nucleosomal epitopes at up to a 1:100 ratio and reduced autoantibody production up to 90-100% by inhibiting nucleosome-stimulated T cell help to nuclear autoantigen-specific B cells. Both CD4+ CD25+ and CD8+ Treg cells produced and required TGF-beta1 for immunosuppression, and were effective in suppressing lupus autoimmunity upon adoptive transfer in vivo. The CD4+ CD25+ T cells were partially cell contact dependent, but CD8+ T cells were contact independent. Thus, low-dose tolerance with highly conserved histone autoepitopes repairs a regulatory defect in systemic lupus erythematosus by generating long-lasting, TGF-beta-producing Treg cells, without causing allergic/anaphylactic reactions or generalized immunosuppression.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adoptive Transfer
  • Amino Acid Sequence
  • Animals
  • Antibodies, Antinuclear / blood
  • Autoantigens / administration & dosage
  • Autoantigens / genetics
  • CD4-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / immunology
  • Epitopes / administration & dosage
  • Epitopes / genetics
  • Female
  • Immune Tolerance
  • Immunosuppression Therapy
  • Lupus Erythematosus, Systemic / immunology*
  • Lupus Erythematosus, Systemic / pathology
  • Lupus Erythematosus, Systemic / therapy*
  • Lupus Nephritis / immunology
  • Lupus Nephritis / pathology
  • Lupus Nephritis / prevention & control
  • Lupus Nephritis / therapy
  • Mice
  • Mice, Inbred NZB
  • Molecular Sequence Data
  • Nuclear Proteins / genetics
  • Nuclear Proteins / immunology*
  • Nucleosomes / immunology*
  • Peptides / immunology
  • Receptors, Interleukin-2 / metabolism
  • T-Lymphocyte Subsets / immunology*
  • Transforming Growth Factor beta / biosynthesis

Substances

  • Antibodies, Antinuclear
  • Autoantigens
  • Epitopes
  • Nuclear Proteins
  • Nucleosomes
  • Peptides
  • Receptors, Interleukin-2
  • Transforming Growth Factor beta