FoxP3+ regulatory T cells determine disease severity in rodent models of inflammatory neuropathies

PLoS One. 2014 Oct 6;9(10):e108756. doi: 10.1371/journal.pone.0108756. eCollection 2014.

Abstract

Inflammatory neuropathies represent disabling human autoimmune disorders with considerable disease variability. Animal models provide insights into defined aspects of their disease pathogenesis. Forkhead box P3 (FoxP3)+ regulatory T lymphocytes (Treg) are anti-inflammatory cells that maintain immune tolerance and counteract tissue damage in a variety of immune-mediated disorders. Dysfunction or a reduced frequency of Tregs have been associated with different human autoimmune disorders. We here analyzed the functional relevance of Tregs in determining disease manifestation and severity in murine models of autoimmune neuropathies. We took advantage of the DEREG mouse system allowing depletion of Treg with high specificity as well as anti-CD25 directed antibodies to deplete Tregs in mice in actively induced experimental autoimmune neuritis (EAN). Furthermore antibody-depletion was performed in an adoptive transfer model of chronic neuritis. Early Treg depletion increased clinical EAN severity both in active and adoptive transfer chronic neuritis. This was accompanied by increased proliferation of myelin specific T cells and histological signs of peripheral nerve inflammation. Late stage Treg depletion after initial disease manifestation however did not exacerbate inflammatory neuropathy symptoms further. We conclude that Tregs determine disease severity in experimental autoimmune neuropathies during the initial priming phase, but have no major disease modifying function after disease manifestation. Potential future therapeutic approaches targeting Tregs should thus be performed early in inflammatory neuropathies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Animals
  • Antibodies / pharmacology
  • Disease Models, Animal
  • Disease Progression*
  • Forkhead Transcription Factors / metabolism*
  • Heparin-binding EGF-like Growth Factor / metabolism
  • Humans
  • Interleukin-2 Receptor alpha Subunit / immunology
  • Lymphocyte Depletion
  • Mice, Inbred NOD
  • Mice, SCID
  • Myelin Sheath / metabolism
  • Neuritis, Autoimmune, Experimental / immunology*
  • Neuritis, Autoimmune, Experimental / pathology*
  • Peripheral Nervous System / pathology
  • T-Lymphocytes, Regulatory / immunology*

Substances

  • Antibodies
  • Forkhead Transcription Factors
  • Foxp3 protein, mouse
  • Heparin-binding EGF-like Growth Factor
  • Interleukin-2 Receptor alpha Subunit

Grants and funding

This study was funded in part by grants from the Fritz-Thyssen foundation (www.fritz-thyssen-stiftung.de), the Peripheral Nerve Society (www.pnsociety.com), the Deutsche Forschungsgemeinschaft (www.dfg.de; grant number ME-4050/1-1), and the Forschungskommission of the Heinrich-Heine University (www.medizin.hhu.de); all to GMzH. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.