Fasting-induced FOXO4 blunts human CD4+ T helper cell responsiveness

K Han, K Singh, MJ Rodman, S Hassanzadeh… - Nature …, 2021 - nature.com
K Han, K Singh, MJ Rodman, S Hassanzadeh, K Wu, A Nguyen, RD Huffstutler, F Seifuddin
Nature metabolism, 2021nature.com
Intermittent fasting blunts inflammation in asthma and rheumatoid arthritis, suggesting that
fasting may be exploited as an immune-modulatory intervention. However, the mechanisms
underpinning the anti-inflammatory effects of fasting are poorly characterized,–. Here, we
show that fasting in humans is sufficient to blunt CD4+ T helper cell responsiveness. RNA
sequencing and flow cytometry immunophenotyping of peripheral blood mononuclear cells
from volunteers subjected to overnight or 24-h fasting and 3 h of refeeding suggest that …
Abstract
Intermittent fasting blunts inflammation in asthma and rheumatoid arthritis, suggesting that fasting may be exploited as an immune-modulatory intervention. However, the mechanisms underpinning the anti-inflammatory effects of fasting are poorly characterized, –. Here, we show that fasting in humans is sufficient to blunt CD4+ T helper cell responsiveness. RNA sequencing and flow cytometry immunophenotyping of peripheral blood mononuclear cells from volunteers subjected to overnight or 24-h fasting and 3 h of refeeding suggest that fasting blunts CD4+ T helper cell activation and differentiation. Transcriptomic analysis reveals that longer fasting has a more robust effect on CD4+ T-cell biology. Through bioinformatics analyses, we identify the transcription factor FOXO4 and its canonical target FK506-binding protein 5 (FKBP5) as a potential fasting-responsive regulatory axis. Genetic gain- or loss-of-function of FOXO4 and FKBP5 is sufficient to modulate TH1 and TH17 cytokine production. Moreover, we find that fasting-induced or genetic overexpression of FOXO4 and FKBP5 is sufficient to downregulate mammalian target of rapamycin complex 1 signalling and suppress signal transducer and activator of transcription 1/3 activation. Our results identify FOXO4–FKBP5 as a new fasting-induced, signal transducer and activator of transcription–mediated regulatory pathway to blunt human CD4+ T helper cell responsiveness.
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