Aberrant autoantibody production is characteristic of systemic lupus erythematosus (SLE) but follicular regulatory T (TFR) cells potentially can suppress this abnormality. Here, we investigate functional changes in TFR cells from SLE patients.
Circulating TFR cells were collected from 19 SLE patients and 14 healthy controls to compare molecular expression and in vitro suppressive capacity of follicular helper T (TFH) cell proliferation. We then tested IL-2 in SLE-TFR cells to check restoration of suppressor function.
Programmed death-1 (PD-1) expression in SLE-TFR cells was positively correlated with anti-DNA antibody levels and disease activity. These cells had impaired suppressive function for TFH cells with decreased expression of suppression mediators forkhead box p3 (Foxp3), cytotoxic T-lymphocyte antigen 4 (CTLA4), and IL-2 receptor alpha (IL2Rα). In vitro IL-2 stimulation restored expression of these molecules.
SLE-TFR cells have functional TFH suppression defects but low-dose IL-2 therapy could be useful to restore this ability.

Figure 1

Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
Representative image of TFR cells used for fluoresceine activated cell sorting. CXCR5: C-X-C chemokine receptor 5.
Suppression assay with PD-1hi TFR cells from HCs.
Characteristics of SLE patients enrolled in the study. Patient 11, 17, 18 were treatment-naïve at the time of sample collection. Means and standard deviations for age, prednisolone dose, anti-DNA antibody titers, and SLEDAI-2k are given in the bottom row. SLEDAI-2k: systemic lupus erythematosus disease activity index-2k, HCQ: hydroxychloroquine, TAC: tacrolimus, MMF: mycophenolate mofetil, BEL: belimumab, AZA: azathioprine, CsA: ciclosporin A, CY: cyclophosphamide hydrate.
Comparison of clinical features of patients with SLE and healthy controls (HCs). Values presented as mean ± standard deviations. SLEDAI-2k: systemic lupus erythematosus disease activity index-2k.
Antibodies used for flow cytometric analysis. All antibodies were used with appropriate isotype controls. CCR: C-C chemokine receptor, CTLA4: cytotoxic T-lymphocyte antigen 4, CXCR: C-X-C chemokine receptor, Foxp3: forkhead box p3, GITR: glucocorticoid-induced TNF receptor, PD-1: programmed death-1, PerCP: peridinin-chlorophyll-protein, Cy: cyanine, PE: phycoerythrin, APC: allophycocyanin.
Primers used for pyrosequencing.
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Posted 15 Mar, 2021
Posted 15 Mar, 2021
Aberrant autoantibody production is characteristic of systemic lupus erythematosus (SLE) but follicular regulatory T (TFR) cells potentially can suppress this abnormality. Here, we investigate functional changes in TFR cells from SLE patients.
Circulating TFR cells were collected from 19 SLE patients and 14 healthy controls to compare molecular expression and in vitro suppressive capacity of follicular helper T (TFH) cell proliferation. We then tested IL-2 in SLE-TFR cells to check restoration of suppressor function.
Programmed death-1 (PD-1) expression in SLE-TFR cells was positively correlated with anti-DNA antibody levels and disease activity. These cells had impaired suppressive function for TFH cells with decreased expression of suppression mediators forkhead box p3 (Foxp3), cytotoxic T-lymphocyte antigen 4 (CTLA4), and IL-2 receptor alpha (IL2Rα). In vitro IL-2 stimulation restored expression of these molecules.
SLE-TFR cells have functional TFH suppression defects but low-dose IL-2 therapy could be useful to restore this ability.

Figure 1

Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
Representative image of TFR cells used for fluoresceine activated cell sorting. CXCR5: C-X-C chemokine receptor 5.
Suppression assay with PD-1hi TFR cells from HCs.
Characteristics of SLE patients enrolled in the study. Patient 11, 17, 18 were treatment-naïve at the time of sample collection. Means and standard deviations for age, prednisolone dose, anti-DNA antibody titers, and SLEDAI-2k are given in the bottom row. SLEDAI-2k: systemic lupus erythematosus disease activity index-2k, HCQ: hydroxychloroquine, TAC: tacrolimus, MMF: mycophenolate mofetil, BEL: belimumab, AZA: azathioprine, CsA: ciclosporin A, CY: cyclophosphamide hydrate.
Comparison of clinical features of patients with SLE and healthy controls (HCs). Values presented as mean ± standard deviations. SLEDAI-2k: systemic lupus erythematosus disease activity index-2k.
Antibodies used for flow cytometric analysis. All antibodies were used with appropriate isotype controls. CCR: C-C chemokine receptor, CTLA4: cytotoxic T-lymphocyte antigen 4, CXCR: C-X-C chemokine receptor, Foxp3: forkhead box p3, GITR: glucocorticoid-induced TNF receptor, PD-1: programmed death-1, PerCP: peridinin-chlorophyll-protein, Cy: cyanine, PE: phycoerythrin, APC: allophycocyanin.
Primers used for pyrosequencing.
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