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Small intestinal CD8+TCRγδ+NKG2A+ intraepithelial lymphocytes have attributes of regulatory cells in patients with celiac disease
Govind Bhagat, … , Peter H.R. Green, John S. Manavalan
Govind Bhagat, … , Peter H.R. Green, John S. Manavalan
Published December 6, 2007
Citation Information: J Clin Invest. 2008;118(1):281-293. https://doi.org/10.1172/JCI30989.
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Research Article Immunology

Small intestinal CD8+TCRγδ+NKG2A+ intraepithelial lymphocytes have attributes of regulatory cells in patients with celiac disease

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Abstract

Intraepithelial lymphocytes (IELs) bearing the γδ TCR are more abundant in the small intestinal mucosa of patients with celiac disease (CD) compared with healthy individuals. However, their role in disease pathogenesis is not well understood. Here, we investigated the functional attributes of TCRγδ+ IELs isolated from intestinal biopsies of patients with either active celiac disease (ACD) or those on a gluten-free diet (GFD). We found that compared with individuals with ACD, individuals on GFD have a higher frequency of CD8+TCRγδ+ IELs that express the inhibitory NK receptor NKG2A and intracellular TGF-β1. TCR triggering as well as cross-linking of NKG2A increased both TGF-β1 intracellular expression and secretion in vitro. Coculture of sorted TCRγδ+NKG2A+ IELs, IL-15–stimulated TCRαβ+ IELs, and HLA-E+ enterocytes resulted in a decreased percentage of cytotoxic CD8+TCRαβ+ IELs expressing intracellular IFN-γ and granzyme-B and surface NKG2D. This inhibition was partially abrogated by blocking either TGF-β alone or both NKG2A and HLA-E. Thus, our data indicate that suppression was at least partially mediated by TGF-β secretion as a result of engagement of NKG2A with its ligand, HLA-E, on enterocytes and/or TCRαβ+ IELs. These findings demonstrate that human small intestinal CD8+TCRγδ+ IELs may have regulatory potential in celiac disease.

Authors

Govind Bhagat, Afzal J. Naiyer, Jayesh G. Shah, Jason Harper, Bana Jabri, Timothy C. Wang, Peter H.R. Green, John S. Manavalan

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Figure 6

Suppression by CD3+TCRγδ+ NKG2A+ IELs is mediated by TGF-β1 secretion.

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Suppression by CD3+TCRγδ+ NKG2A+ IELs is mediated by TGF-β1 secretion.
 ...
(A) Representative flow cytometry histograms showing percentage of CD3+TCRαβ IELs expressing intracellular IFN-γ (left) and granzyme B (right) in cocultures of CD3+TCRαβ IELs with ESA+ ECs were stimulated with rhIL-15 in the presence (bottom row) or absence (top row) of rhTGF-β1. (B) Percentage (mean ± SEM) of CD3+TCRαβ IELs expressing intracellular IFN-γ and granzyme B in cocultures of CD3+TCRαβ IELs with ESA+ ECs, in the presence of rhIL-15 to which different concentrations of rhTGF-β1 were added. Data shown are from 3 independent experiments. (C) Percentage (mean ± SEM) of CD3+TCRαβ+ IELs expressing intracellular IFN-γ and granzyme B in cocultures of CD3+TCRαβ+ IELs with ESA+ ECs, in the bottom chamber of a diffusion chamber system. When CD3+TCRγδ+NKG2A+ IELs with HLA-E+ ECs (from an ACD patient) were added to the top chamber, a significant decrease (*) in the percentage of CD3+TCRαβ IELs expressing intracellular IFN-γ (P = 0.006) and granzyme B (P = 0.003) was seen. However, inhibition of intracellular IFN-γ and granzyme B expression by CD3+TCRαβ IELs in the bottom chamber was blocked when 1 μg/ml of anti-human TGF-β1 antibody was added to the bottom chamber. This led to an increase in the percentage of CD3+TCRαβ+ IELs expressing intracellular IFN-γ by 28.0% ± 4.1% and granzyme B by 21.2% ± 9.3%, compared with cultures with mouse IgG1 (control). Addition of anti-human IL-10 did not block the suppressive effect of CD3+TCRγδ+NKG2A+ IELs; data shown from 4 independent experiments (P values determined by Wilcoxon’s signed-rank test).

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