[HTML][HTML] Calcineurin inhibitors suppress acute graft-versus-host disease via NFAT-independent inhibition of T cell receptor signaling

S Otsuka, N Melis, MM Gaida, D Dutta… - The Journal of …, 2021 - Am Soc Clin Investig
S Otsuka, N Melis, MM Gaida, D Dutta, R Weigert, JD Ashwell
The Journal of Clinical Investigation, 2021Am Soc Clin Investig
Calcineurin inhibitors (CNIs) such as cyclosporin A and FK506 are widely administered
immunosuppressive drugs. Calcineurin relieves inhibitory phosphorylation from nuclear
factor of activated T cells (NFAT) transcription factors downstream of T cell receptor
engagement, resulting in their nuclear translocation and the production of cytokines,
including IL-2, IFN-γ, and TNF-α. It was previously believed that CNIs downregulate
immunity by reducing NFAT activation. However, work from Otsuka et al. in this issue of the …
Abstract
Calcineurin inhibitors (CNIs) such as cyclosporin A and FK506 are widely administered immunosuppressive drugs. Calcineurin relieves inhibitory phosphorylation from nuclear factor of activated T cells (NFAT) transcription factors downstream of T cell receptor engagement, resulting in their nuclear translocation and the production of cytokines, including IL-2, IFN-γ, and TNF-α. It was previously believed that CNIs downregulate immunity by reducing NFAT activation. However, work from Otsuka et al. in this issue of the JCI revealed a second mechanism by which CNIs suppress T cell function. The authors previously reported that calcineurin removes an inhibitory phosphate from the tyrosine kinase Lck at Ser59 (Lck-S59) and that this dephosphorylation positively regulates T cell activation. In the present work, the authors showed that inhibition of Lck-S59 dephosphorylation was essential for the CNI-mediated suppression of acute graft-versus-host disease (aGVHD). These findings have important implications for future approaches to the management of aGVHD, organ transplant rejection, and autoimmune disease.
The Journal of Clinical Investigation