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Intragraft memory-like CD127hiCD4+Foxp3+ Tregs maintain transplant tolerance
Yuanfei Zhao, Leigh Nicholson, Hannah Wang, Yi Wen Qian, Wayne J. Hawthorne, Elvira Jimenez-Vera, Brian S. Gloss, Joey Lai, Adwin Thomas, Yi Vee Chew, Heather Burns, Geoff Y. Zhang, Yuan Min Wang, Natasha M. Rogers, Guoping Zheng, Shounan Yi, Stephen I. Alexander, Philip J. O’Connell, Min Hu
Yuanfei Zhao, Leigh Nicholson, Hannah Wang, Yi Wen Qian, Wayne J. Hawthorne, Elvira Jimenez-Vera, Brian S. Gloss, Joey Lai, Adwin Thomas, Yi Vee Chew, Heather Burns, Geoff Y. Zhang, Yuan Min Wang, Natasha M. Rogers, Guoping Zheng, Shounan Yi, Stephen I. Alexander, Philip J. O’Connell, Min Hu
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Research Article Transplantation

Intragraft memory-like CD127hiCD4+Foxp3+ Tregs maintain transplant tolerance

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Abstract

CD4+Foxp3+ regulatory T cells (Tregs) play an essential role in suppressing transplant rejection, but their role within the graft and heterogeneity in tolerance are poorly understood. Here, we compared phenotypic and transcriptomic characteristics of Treg populations within lymphoid organs and grafts in an islet xenotransplant model of tolerance. We showed Tregs were essential for tolerance induction and maintenance. Tregs demonstrated heterogeneity within the graft and lymphoid organs of tolerant mice. A subpopulation of CD127hi Tregs with memory features were found in lymphoid organs, presented in high proportions within long-surviving islet grafts, and had a transcriptomic and phenotypic profile similar to tissue Tregs. Importantly, these memory-like CD127hi Tregs were better able to prevent rejection by effector T cells, after adoptive transfer into secondary Rag–/– hosts, than naive Tregs or unselected Tregs from tolerant mice. Administration of IL-7 to the CD127hi Treg subset was associated with a strong activation of phosphorylation of STAT5. We proposed that memory-like CD127hi Tregs developed within the draining lymph node and underwent further genetic reprogramming within the graft toward a phenotype that had shared characteristics with other tissue or tumor Tregs. These findings suggested that engineering Tregs with these characteristics either in vivo or for adoptive transfer could enhance transplant tolerance.

Authors

Yuanfei Zhao, Leigh Nicholson, Hannah Wang, Yi Wen Qian, Wayne J. Hawthorne, Elvira Jimenez-Vera, Brian S. Gloss, Joey Lai, Adwin Thomas, Yi Vee Chew, Heather Burns, Geoff Y. Zhang, Yuan Min Wang, Natasha M. Rogers, Guoping Zheng, Shounan Yi, Stephen I. Alexander, Philip J. O’Connell, Min Hu

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Figure 9

The suppressive function of memory-like CD127hi Tregs is potent in vivo.

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The suppressive function of memory-like CD127hi Tregs is potent in vivo....
(A) Schematic illustration of procedures and timelines for assessing suppressive function of Tregs in Rag–/– mice receiving porcine NICC transplantation. DEREG mice were given CTLA4-Fc/MR1 described in Figure 1A. On ≥100 days after transplant, the CD4+GFP+ Tregs (tolerant Tregs) and CD127hi Tregs from tolerant mice, as well as control CD4+GFP+ Tregs from naive mice (naive Tregs), were sorted and collected. Rag–/– mice that received porcine NICC grafts were adoptively transferred with the tolerant Tregs, CD127hi Tregs, or naive Tregs at day 22 after transplant. The 3 Treg adoptive transfer Rag–/– mice groups and a Rag–/– group that did not receive Tregs (CD4+ T cells only) were challenged with Foxp3– CD4+GFP– T cells from Ly5.1Foxp3GFP mice on day 45 after transplant at 1:3 ratio (Treg/CD4+ T cell). The samples of these 4 groups and Rag–/– mice with grafts and without transferring/challenging cells (transplant only) ≥120 days after transplant were collected. (B) Representative insulin-stained IHC images of porcine NICC grafts (brown as positive insulin staining) in Rag–/– mice: 5 experimental groups. Scale bar: 150 μm. (C) Serum porcine C-peptide measurement for Rag–/– mice experimental groups, including transplant only (n = 11), CD4+ T cells only (n = 12), naive Tregs (n = 7), tolerant Tregs (n = 7), and CD127hi Tregs (n = 6). (D) Real-time RT-PCR performing measurement of Il-10, Tgf-β, Ebi3, and Blimp1 on sorted splenic CD127hiCD4+GFP+Foxp3+ Tregs from tolerant mice day 100 after transplantation (CD127hi Tregs) (n = 4), sorted splenic CD4+GFP– T cells (CD4+ T cells) (n = 6), and CD4+GFP+Foxp3+ Tregs from naive mice (naive Tregs) (n = 6). Kruskal-Wallis test was used for the comparisons of serum porcine-C-peptide in C. A 1-way ANOVA followed by Tukey’s multiple comparison was used in D. Data were collected from 5 independent experiments and shown as mean ± SEM. *P < 0.05, **P < 0.01, ***P < 0.001.

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