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Sodium chloride inhibits the suppressive function of FOXP3+ regulatory T cells
Amanda L. Hernandez, Alexandra Kitz, Chuan Wu, Daniel E. Lowther, Donald M. Rodriguez, Nalini Vudattu, Songyan Deng, Kevan C. Herold, Vijay K. Kuchroo, Markus Kleinewietfeld, David A. Hafler
Amanda L. Hernandez, Alexandra Kitz, Chuan Wu, Daniel E. Lowther, Donald M. Rodriguez, Nalini Vudattu, Songyan Deng, Kevan C. Herold, Vijay K. Kuchroo, Markus Kleinewietfeld, David A. Hafler
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Research Article Autoimmunity Immunology Inflammation

Sodium chloride inhibits the suppressive function of FOXP3+ regulatory T cells

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Abstract

FOXP3+ Tregs are central for the maintenance of self-tolerance and can be defective in autoimmunity. In multiple sclerosis and type-1 diabetes, dysfunctional self-tolerance is partially mediated by a population of IFNγ-secreting Tregs. It was previously reported that increased NaCl concentrations promote the induction of proinflammatory Th17 cells and that high-salt diets exacerbate experimental models of autoimmunity. Here, we have shown that increasing NaCl, either in vitro or in murine models via diet, markedly impairs Treg function. NaCl increased IFNγ secretion in Tregs, and reducing IFNγ — either by neutralization with anti-IFNγ antibodies or shRNA-mediated knockdown — restored suppressive activity in Tregs. The heightened IFNγ secretion and loss of Treg function were mediated by the serum/glucocorticoid-regulated kinase (SGK1). A high-salt diet also impaired human Treg function and was associated with the induction of IFNγ-secreting Tregs in a xenogeneic graft-versus-host disease model and in adoptive transfer models of experimental colitis. Our results demonstrate a putative role for an environmental factor that promotes autoimmunity by inducing proinflammatory responses in CD4 effector cells and Treg pathways.

Authors

Amanda L. Hernandez, Alexandra Kitz, Chuan Wu, Daniel E. Lowther, Donald M. Rodriguez, Nalini Vudattu, Songyan Deng, Kevan C. Herold, Vijay K. Kuchroo, Markus Kleinewietfeld, David A. Hafler

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Figure 5

Neutralizing IFNγ restores Treg suppression in high-salt conditions.

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Neutralizing IFNγ restores Treg suppression in high-salt conditions.
(A)...
(A) Tregs were stimulated for 24 hours, 48 hours, and 72 hours with plate-bound αCD3 and soluble αCD28 at 1 μg/ml respectively with IL-2 (25 U/ml) either in the presence (+NaCl) or absence (media) of an additional 40 mM NaCl prior to being analyzed via qPCR for changes in TBet (TBX21) and IFNG (n = 5). (B) CD4 effector cells were labeled with CFSE, stimulated with αCD2/αCD3/αCD28-coated beads, and cultured alone or cocultured with Tregs. A neutralizing monoclonal antibody for IFNγ was added to the start of the culture at onset at 10 μg/ml (αIFNγ Ab, gray). A normal goat IgG Control was added to the start of culture to account for any nonspecific changes. CFSE dilution was measured by flow cytometry after 5 days in both cell populations. (C) The bar graph depicts a summary of independent experiments (n = 5). Statistical analyses were performed using paired Student’s t test. (D–F) Tregs were stimulated overnight with plate-bound αCD3 (1 μg/ml) and soluble αCD28 (1 μg/ml). The following day, a GFP-tagged viral construct containing shRNA specific for IFNG (shIFNG, gray) and a nontarget viral (control, white) construct were added to the culture at MOI = 5 with IL-2 (25 U/ml). The culture was left for 5 days, and transduced live cells were sorted by GFP+ and propidium iodide. IFNG knockdown was confirmed via qPCR (D). Transduced GFP+ Tregs were cultured in a CFSE suppression assay at a Treg/CD4 effector cell ratio of 1:3. CFSE dilution was measured by flow cytometry after 5 days (E). The bar graphs depict a summary of experiments demonstrating recovery of suppression in shIFNG in relation to control Tregs (n = 4) (F).

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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