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Progress Report Aditya Murthy 991368337 May 12, 2017 Does CTLA-4 cross-linking on activated CD4+CD25- cells convert them to a regulatory phenotype in vitro? Aditya Murthy Abstract The subset of T cells that are CD4+CD25+ regulate the activity of other T cells and play an important role in controlling response to self vs. non-self antigens (Ags). The ability of these Regulatory T cells (Treg) to suppress an immune response via educating other T cells has potential utility in treating various autoimmune diseases such as immune deficient diabetes mellitus (IDDM), systemic lupus erythematosus (SLE), and experimental autoimmune thyroiditis (EAT) among others. However, the function of the CD4+CD25- cells, termed Effector T cells (Teff), in regulating an immune response has not been fully investigated. Both Treg and Teff cells, once activated, express the negative costimulatory receptor Cytotoxic T Lymphocyte-associated Antigen 4 (CTLA-4; CD152). CTLA-4 is perhaps the most well documented signalling molecule involved in the suppression of an immune response by Treg cells. The mechanism of CTLA-4 activity and its consequences have not been fully elucidated. In this study we analysed the ability of CD4+CD25+ and CD4+CD25- cells to convert naïve T cells to a regulatory phenotype via CTLA-4 cross-linkage in vitro. Thus far, the project’s experimental data shows that activated Treg cells and Teff cells display similar levels of cell surface CTLA-4. Therefore the functional roles of CTLA-4 in these T cell subsets need to be compared in order to elucidate the mechanism(s) involved in CTLA-4 mediated conversion of naïve T cells to a regulatory phenotype. 1 Progress Report Aditya Murthy 991368337 May 12, 2017 Regulatory T Cells Treg cells constitute 5-10% of the T cell population and control other T cells, suppressing their activity and thereby preventing harmful autoimmune responses to self Ags. Treg cells have been categorised as those T cells that express CD4, CD25 (IL-2R α-chain), and constitutively express CTLA-4 on the cell surface (1-3). On the other hand, Teff cells are those that are CD4+CD25- and do not constitutively express CTLA-4 (4-6). These cells are under the control of the Treg subpopulation, and exhibit pro- or anti- inflammatory effects, either through humoral or cell-mediated mechanisms depending on the stimulus provided. It is well established that the Treg cells have suppressive functions and downregulate an immune response by relaying anti-proliferative signals to the Teff population (1, 7). Consequently, the Teff cells respond by developing a regulatory phenotype themselves (8, 9). Additionally, a forkhead-winged-helix transcription factor (foxp3) has been the subject of great interest in the development and maintenance of Treg cells. Several groups (7, 10-12) have shown that foxp3 is not only a specific marker for Treg cells, but is needed to convert naïve T cells to a regulatory phenotype. However these findings require further investigation, since T cell phenotypes change drastically as periods of stimulation, activation and anergy affect gene expression patterns over time. 2 Progress Report Aditya Murthy 991368337 May 12, 2017 CTLA-4 Several attempts to explain the suppressive function of Treg cells, ranging from direct cell-cell contact to release of regulatory cytokines (1, 7-9), list CTLA-4 as the most potent costimulatory molecule involved in Treg mediated suppression of Teff activity. However a specific mechanism of CTLA-4 function that affects Teff phenotype has yet to be elucidated. The well established two signal theory states that TCR engagement with its respective antigen-MHC complex and CD28 engagement with its ligands B7.1 (CD80) and B7.2 (CD86) are required for T cell activation (13-15). This activation results in the expression of CTLA-4 on CD4+CD25- cells that otherwise have biologically insignificant levels of surface CTLA-4. Since Treg cells constitutively express greater levels of surface CTLA-4, activation results in enhanced potency of Treg function (16). CTLA-4 is a negative costimulator of T cell function and has high affinity for its ligands B7.1 and B7.2 on APCs (17, 18). It is a homologue of CD28, which is a positive costimulator of T cell activity and has higher T cell surface expression levels than CTLA4, but lower affinity for ligands B7.1 and B7.2 (19-23). Thus the two costimulatory receptors compete for the same ligand, and a dynamic balance of Teff activation or suppression is maintained via the ratio of CTLA-4 and CD28 concentrations, and their subsequent interaction with B7 ligands. The cross-linking of CTLA-4 with B7.1 leads to immunosuppressive consequences, downregulating T cell proliferation and increasing secretion of regulatory cytokines such as TGF-β and IL-10 (4, 13, 20). Several in vivo studies have clearly shown that CTLA-4 deficiency results in severe lymphoproliferative disorders (2, 4, 24). Thus the importance of CTLA-4 in immunosuppression has been well established. 3 Progress Report Aditya Murthy 991368337 May 12, 2017 Progress Cell surface CTLA-4 expression levels on inactive and active Treg and Teff cells were compared by flow cytometry. It was observed that, when activated, CD4+CD25- (Teff) cells exhibit CTLA-4 levels similar to that of activated CD4+CD25+ (Treg) cells. These findings may suggest functional similarity between active Treg and Teff populations. If similarity does indeed exist (and is otherwise absent in Teff populations not expressing high levels of CTLA-4), then one may conclude that Treg cells can convert Teff cells to a regulatory phenotype, and that CTLA-4 is a critical factor in this conversion. Future To test for functional similarity, the following assays will be performed: Comparison of the cytokine profiles (IL-10, TGF-β) of inactive Treg and Teff cells cells activated by CTLA-4 cross-linking with plate-bound anti-CTLA-4 mAbs. ELISA will be used to compare the cytokine concentrations. This will answer questions pertaining to the cellautonomous effects of CTLA-4 cross-linking. Finally to test the suppressive effect of activated Teff cells, naïve T cells will be combined with activated Teff and Treg cells in separate assays in varying ratios. 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