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Tolerogenic pDCs: spotlight on Foxo3
Vincenzo Bronte
Vincenzo Bronte
Published March 23, 2011
Citation Information: J Clin Invest. 2011;121(4):1247-1250. https://doi.org/10.1172/JCI57190.
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Commentary

Tolerogenic pDCs: spotlight on Foxo3

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Abstract

Cancer creates a peculiar inflammatory environment enriched for transcription factors with a negative influence on adaptive immunity. In this issue of the JCI, Watkins and colleagues identify Foxo3 as a master regulator of the tolerogenic program in tumor-associated, plasmacytoid DCs (pDCs). Foxo3 enables pDCs to induce tolerance in tumor antigen-specific CD8+ T cells, turning them into regulatory lymphocytes capable of inhibiting nearby CD8+ T lymphocytes. Provision of tumor-specific CD4+ T helper cells interrupts this circuit by inhibiting Foxo3 expression and fully licensing the antigen-presenting ability of pDCs. These data identify a new target for therapeutic intervention and provide insight into the transcription factor interplay in myeloid cells recruited to the cancer microenvironment.

Authors

Vincenzo Bronte

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Figure 2

Immunosuppressive pathways and TFs in a changing cancer environment.

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Immunosuppressive pathways and TFs in a changing cancer environment.
In ...
In initial phases of cancer formation, Foxo3 regulation in pDCs and DCs depends on binding of the costimulatory molecules CD80 and CD86 by their ligands. CTLA-4 induces nuclear localization of Foxo3 and de novo transcription of the enzymes IDO, SOD, and catalase. Foxo3 nuclear export and subsequent degradation is stimulated by the binding of CD28, activation of p38 MAPK, and IL-6 production. A mini-circuit of negative cross-regulation is indicated, since IDO negatively regulates IL-6 production by depletion of l-tryptophan, activation of GCN2, and induction of the inhibitory isoform of C/EBPβ. Through Jnk activation, environmentally produced ROS can also cause nuclear retention and activation of Foxo3. IL-6 is initially beneficial for the proliferation of tumor-specific CD8+ T lymphocytes; however, increased levels of IL-6 within tumor activate, via C/EBPβ, the transcription of ARG1, NOS2, and NADPH oxidase in MDSCs and TAMs, leading to enhanced generation of ROS and RNS. An additive and possibly synergistic enhancement of this circuit comes from the activity of HIF-1α in hypoxic areas of the tumor. RNS can turn off the immunosuppressive activity in pDCs and DCs by nitrating IDO but also directly inhibit CD4+ and CD8+ T lymphocytes, assuring the persistence of the negative influence on tumor-specific T cells.

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