GITR Agonism Triggers Antitumor Immune Responses through IL21-Expressing Follicular Helper T Cells
CANCER IMMUNOLOGY RESEARCH
Authors: Koh, Choong-Hyun; Kim, Il-Kyu; Shin, Kwang-Soo; Jeon, Insu; Song, Boyeong; Lee, Jeong-Mi; Bae, Eun-Ah; Seo, Hyungseok; Kang, Tae-Seung; Kim, Byung-Seok; Chung, Yeonseok; Kang, Chang-Yuil
Abstract
Although treatment with the glucocorticoid-induced tumor necrosis factor receptor-related protein (GITR) agonistic antibody (DTA-1) has shown antitumor activity in various tumor models, the underlying mechanism is not fully understood. Here, we demonstrate that interleukin (IL)-21-producing follicular helper T (Tfh) cells play a crucial role in DTA-1-induced tumor inhibition. The administration of DTA-1 increased IL21 expression by Tfh cells in an antigen-specific manner, and this activation led to enhanced antitumor cytotoxic T lymphocyte (CTL) activity. Mice treated with an antibody that neutralizes the IL21 receptor exhibited decreased antitumor activity when treated with DTA-1. Tumor growth inhibition by DTA-1 was abrogated in Bcl6(fl/fl)Cd4(Cre) mice, which are genetically deficient in Tfh cells. IL4 was required for optimal induction of IL21-expressing Tfh cells by GITR costimulation, and c-Maf mediated this pathway. Thus, our findings identify GITR costimulation as an inducer of IL21-expressing Tfh cells and provide a mechanism for the antitumor activity of GITR agonism.
Interleukin 21 contributes to the mucosal T helper cell type 1 response in coeliac disease
GUT
Authors: Fina, D.; Sarra, M.; Caruso, R.; Blanco, G. Del Vecchio; Pallone, F.; MacDonald, T. T.; Monteleone, G.
Abstract
Background: In coeliac disease (CD), the upper bowel lesion is associated with a marked infiltration of the mucosa with Th1 cells secreting interferon gamma (IFN gamma) and expressing the Th1-associated transcription factor, T-bet. However, the molecular mechanisms which regulate T-bet and promote the Th1 cell response are unknown. Objective: To examine whether interleukin 21 (IL21), a cytokine that regulates T cell activation, has a role in CD. Methods: Duodenal mucosal samples were taken from CD patients and normal controls. IL21 and T-bet were examined by real-time PCR and western blotting, and IFN gamma was assessed by real-time PCR and ELISA. The effect of blockade of endogenous IL21 on the expression of T-bet was examined in an ex vivo culture of biopsies taken from untreated CD patients. Finally, the role of IL21 in controlling T-bet and IFN gamma was also evaluated in cultures of biopsies taken from treated CD patients and cultured with a peptic-tryptic digest of gliadin (PT) in the presence or absence of a neutralising IL21 antibody. Results: Enhanced IL21 RNA and protein expression was seen in duodenal samples from untreated CD patients. Blockade of IL21 activity in biopsies of untreated CD patients reduced T-bet and IFN gamma secretion. Stimulation of treated CD biopsies with PT enhanced IL21 expression, and neutralisation of IL21 largely prevented PT-driven T-bet and IFN gamma induction. Conclusions: IL21 is overproduced in the mucosa of CD patients, where it helps sustain T-bet expression and IFN gamma production.