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Iron-dependent epigenetic modulation promotes pathogenic T cell differentiation in lupus
Xiaofei Gao, … , Qianjin Lu, Ming Zhao
Xiaofei Gao, … , Qianjin Lu, Ming Zhao
Published May 2, 2022
Citation Information: J Clin Invest. 2022;132(9):e152345. https://doi.org/10.1172/JCI152345.
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Research Article Autoimmunity

Iron-dependent epigenetic modulation promotes pathogenic T cell differentiation in lupus

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Abstract

The trace element iron affects immune responses and vaccination, but knowledge of its role in autoimmune diseases is limited. Expansion of pathogenic T cells, especially T follicular helper (Tfh) cells, has great significance to systemic lupus erythematosus (SLE) pathogenesis. Here, we show an important role of iron in regulation of pathogenic T cell differentiation in SLE. We found that iron overload promoted Tfh cell expansion, proinflammatory cytokine secretion, and autoantibody production in lupus-prone mice. Mice treated with a high-iron diet exhibited an increased proportion of Tfh cell and antigen-specific GC response. Iron supplementation contributed to Tfh cell differentiation. In contrast, iron chelation inhibited Tfh cell differentiation. We demonstrated that the miR-21/BDH2 axis drove iron accumulation during Tfh cell differentiation and further promoted Fe2+-dependent TET enzyme activity and BCL6 gene demethylation. Thus, maintaining iron homeostasis might be critical for eliminating pathogenic Th cells and might help improve the management of patients with SLE.

Authors

Xiaofei Gao, Yang Song, Jiali Wu, Shuang Lu, Xiaoli Min, Limin Liu, Longyuan Hu, Meiling Zheng, Pei Du, Yaqin Yu, Hai Long, Haijing Wu, Sujie Jia, Di Yu, Qianjin Lu, Ming Zhao

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Figure 2

HID contributes to pathogenic T cell differentiation in lupus mice.

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HID contributes to pathogenic T cell differentiation in lupus mice.
3-we...
3-week-old female MRL/lpr mice were fed with a normal iron diet (ND, 50 mg/kg, n = 8) or a high-iron diet (HID, 500 mg/kg, n = 8) for 20 weeks. (A–F) Representative flow cytometry and (A) quantification of CD4+Ki67+ cells, (B) CD4+CD44+CD62L– effector memory (EM) cells, (C) CD4+CXCR5+PD-1+ Tfh cells, (D) B220+GL-7+FAS+ GC B cells, (E) CD4+CXCR5+PD-1+FOXP3+ Tfr cells, and (F) CD4+CD25+FOXP3+ Tregs in MRL/lpr mice fed with ND or HID. (G–J) Quantification of (G) CD4+IFN-γ+ cells, (H) CD4+IL-17A+ cells, (I) CD4+ IL-4+ cells, and (J) CD4+ IL-21+ cells in MRL/lpr mice fed with ND or HID. (K) Serum levels of anti-dsDNA IgG in MRL/lpr mice fed with ND or HID. (L) Urine protein of MRL/lpr mice fed with ND or HID. (M) Representative morphology (by H&E and PAS staining) and histological scoring of kidneys of MRL/lpr mice after 20 weeks of ND or HID treatment. Scale bar: 50 μm. Cells were isolated from dLNs and spleens of 23-week-old ND- and HID-treated mice. Data are shown as mean ± SEM. Data are representative of 2 independent experiments. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001 (unpaired 2-tailed Student’s t test for A–K and unpaired 2-tailed Mann-Whitney U tests for L and M).

Copyright © 2022 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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