Adoptive cell therapy with induced regulatory T cells normalises the abortion rate in abortion-prone mice
F. Idali A F * , S. Rezaii-nia A * , H. Golshahi B , R. Fatemi A , M. M. Naderi C , L. Ballaii Goli A , A. H. Zarnani A D and M. Jeddi-Tehrani EA Reproductive Immunology Research Center, Avicenna Research Institute, ACECR, Evin, Tehran, Iran.
B Nanobiotechnology Research Center, Avicenna Research Institute, ACECR, Evin, Tehran, Iran.
C Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Evin, Tehran, Iran.
D Department of Immunology, School of Public Health, Tehran University of Medical Sciences, Enghelab Ave, Tehran, Iran.
E Monoclonal Antibody Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.
F Corresponding author. Email: f.ideali@ari.ir; farahid@yahoo.com
Reproduction, Fertility and Development - https://doi.org/10.1071/RD20063
Submitted: 3 March 2020 Accepted: 13 November 2020 Published online: 15 December 2020
Abstract
Ovarian hormones drive in vivo generation of regulatory T cells (Tregs) during pregnancy. Little is known about the therapeutic potential of in vitro hormone-derived Tregs in pregnancy loss. We investigated the effects of hormone-induced Tregs in a murine model of abortion. CD4+CD25– T cells were isolated from the spleens of CBA/J mice and stimulated with either 17β-oestradiol (E2), progesterone (P4) or transforming growth factor-β1 (TGFB1) plus retinoic acid (RA) for 4 days to generate induced Tregs (iTregs). On Days 1–4 of gestation, DBA/2-mated pregnant CBA/J female mice (abortion prone) were injected intravenously with iTregs or Tregs isolated from normal BALB/c-mated pregnant CBA/J mice (np-Tregs). On Day 14, the number of resorbed fetuses was assessed. Serum interferon (IFN)-γ and uterine forkhead box p3 (Foxp3) expression was analysed by ELISA and immunohistochemistry respectively. Using a 3H-thymidine incorporation assay, isolated CD4+CD25+ Tregs induced by the different treatments suppressed the proliferation of CD4+CD25– T cells. Adoptive transfer of iTregs (from all induction groups) significantly decreased fetal resorption in abortion-prone mice. There were no significant changes in serum IFN-γ concentrations after the adoptive transfer of iTregs or np-Tregs. Immunohistochemistry revealed significantly higher Foxp3 expression in gravid uteri from mice injected with np-Tregs and P4-induced iTregs than in the phosphate-buffered saline-treated group. The findings of this study indicate a potential therapeutic benefit of in vitro-induced Tregs in patients with recurrent abortion.
Keywords: abortion, induced regulatory T cells, 17β-oestradiol, progesterone, transforming growth factor β1.
References
Aluvihare, V. R., Kallikourdis, M., and Betz, A. G. (2004). Regulatory T cells mediate maternal tolerance to the fetus. Nat. Immunol. 5, 266–271.| Regulatory T cells mediate maternal tolerance to the fetus.Crossref | GoogleScholarGoogle Scholar | 14758358PubMed |
Apostolou, I., Verginis, P., Kretschmer, K., Polansky, J., Huhn, J., and Von Boehmer, H. (2008). Peripherally induced Treg: mode, stability, and role in specific tolerance. J. Clin. Immunol. 28, 619–624.
| Peripherally induced Treg: mode, stability, and role in specific tolerance.Crossref | GoogleScholarGoogle Scholar | 18841451PubMed |
Bacchetta, R., Passerini, L., Gambineri, E., Dai, M., Allan, S. E., Perroni, L., Dagna-Bricarelli, F., Sartirana, C., Matthes-Martin, S., Lawitschka, A., Azzari, C., Ziegler, S. F., Levings, M. K., and Roncarolo, M. G. (2006). Defective regulatory and effector T cell functions in patients with FOXP3 mutations. J. Clin. Invest. 116, 1713–1722.
| Defective regulatory and effector T cell functions in patients with FOXP3 mutations.Crossref | GoogleScholarGoogle Scholar | 16741580PubMed |
Brazão, V., Kuehn, C. C., Dos Santos, C. D., Da Costa, C. M., Júnior, J. C., and Carraro-Abrahāo, A. A. (2015). Endocrine and immune system interactions during pregnancy. Immunobiology 220, 42–47.
| Endocrine and immune system interactions during pregnancy.Crossref | GoogleScholarGoogle Scholar | 25257860PubMed |
Carmichael, S. L., Shaw, G. M., Laurent, C., Croughan, M. S., Olney, R. S., and Lammer, E. J. (2005). Maternal progestin intake and risk of hypospadias. Arch. Pediatr. Adolesc. Med. 159, 957–962.
| Maternal progestin intake and risk of hypospadias.Crossref | GoogleScholarGoogle Scholar | 16203941PubMed |
Chen, G. Y., Chen, C., Wang, L., Chang, X., Zheng, P., and Liu, Y. (2008a). Cutting edge: broad expression of the FoxP3 locus in epithelial cells: a caution against early interpretation of fatal inflammatory diseases following in vivo depletion of FoxP3-expressing cells. J. Immunol. 180, 5163–5166.
| Cutting edge: broad expression of the FoxP3 locus in epithelial cells: a caution against early interpretation of fatal inflammatory diseases following in vivo depletion of FoxP3-expressing cells.Crossref | GoogleScholarGoogle Scholar | 18390696PubMed |
Chen, M. L., Yan, B. S., Bando, Y., Kuchroo, V. K., and Weiner, H. L. (2008b). Latency-associated peptide identifies a novel CD4+CD25+ regulatory T cell subset with TGFbeta-mediated function and enhanced suppression of experimental autoimmune encephalomyelitis. J. Immunol. 180, 7327–7337.
| Latency-associated peptide identifies a novel CD4+CD25+ regulatory T cell subset with TGFbeta-mediated function and enhanced suppression of experimental autoimmune encephalomyelitis.Crossref | GoogleScholarGoogle Scholar | 18490732PubMed |
Chen, T., Darrasse-Jeze, G., Bergot, A. S., Courau, T., Churlaud, G., Valdivia, K., Strominger, J. L., Ruocco, M. G., Chaouat, G., and Klatzmann, D. (2013). Self-specific memory regulatory T cells protect embryos at implantation in mice. J. Immunol. 191, 2273–2281.
| Self-specific memory regulatory T cells protect embryos at implantation in mice.Crossref | GoogleScholarGoogle Scholar | 23913969PubMed |
Dante, G., Vaccaro, V., and Facchinetti, F. (2013). Use of progestagens during early pregnancy. Facts Views Vis. ObGyn 5, 66–71.
| 24753930PubMed |
Day, J. R., Ogren, L. M., and Talamantes, F. (1986). The effect of hypophysectomy on serum placental lactogen and progesterone in the mouse. Endocrinology 119, 898–903.
| The effect of hypophysectomy on serum placental lactogen and progesterone in the mouse.Crossref | GoogleScholarGoogle Scholar | 3732149PubMed |
Fatemi, R., Mirzadegan, E., Vahedian, Z., Zarnani, A. H., Jeddi-Tehrani, M., and Idali, F. (2017). Low 17beta-estradiol levels are better inducers of regulatory conditioned T cells in-vitro. Iran. J. Immunol. 14, 159–171.
| 28630386PubMed |
Feng, G., Wood, K. J., and Bushell, A. (2008). Interferon-gamma conditioning ex vivo generates CD25+CD62L+Foxp3+ regulatory T cells that prevent allograft rejection: potential avenues for cellular therapy. Transplantation 86, 578–589.
| Interferon-gamma conditioning ex vivo generates CD25+CD62L+Foxp3+ regulatory T cells that prevent allograft rejection: potential avenues for cellular therapy.Crossref | GoogleScholarGoogle Scholar | 18724229PubMed |
Floess, S., Freyer, J., Siewert, C., Baron, U., Olek, S., Polansky, J., Schlawe, K., Chang, H. D., Bopp, T., Schmitt, E., Klein-Hessling, S., Serfling, E., Hamann, A., and Huehn, J. (2007). Epigenetic control of the foxp3 locus in regulatory T cells. PLoS Biol. 5, e38.
| Epigenetic control of the foxp3 locus in regulatory T cells.Crossref | GoogleScholarGoogle Scholar | 17298177PubMed |
Fontenot, J. D., Gavin, M. A., and Rudensky, A. Y. (2003). Foxp3 programs the development and function of CD4+CD25+ regulatory T cells. Nat. Immunol. 4, 330–336.
| Foxp3 programs the development and function of CD4+CD25+ regulatory T cells.Crossref | GoogleScholarGoogle Scholar | 12612578PubMed |
Guerin, L. R., Moldenhauer, L. M., Prins, J. R., Bromfield, J. J., Hayball, J. D., and Robertson, S. A. (2011). Seminal fluid regulates accumulation of FOXP3+ regulatory T cells in the preimplantation mouse uterus through expanding the FOXP3+ cell pool and CCL19-mediated recruitment. Biol. Reprod. 85, 397–408.
| Seminal fluid regulates accumulation of FOXP3+ regulatory T cells in the preimplantation mouse uterus through expanding the FOXP3+ cell pool and CCL19-mediated recruitment.Crossref | GoogleScholarGoogle Scholar | 21389340PubMed |
Hall, B. M., Verma, N. D., Tran, G. T., and Hodgkinson, S. J. (2011). Distinct regulatory CD4+ T cell subsets; differences between naive and antigen specific T regulatory cells. Curr. Opin. Immunol. 23, 641–647.
| Distinct regulatory CD4+ T cell subsets; differences between naive and antigen specific T regulatory cells.Crossref | GoogleScholarGoogle Scholar | 21840184PubMed |
Haribhai, D., Lin, W., Edwards, B., Ziegelbauer, J., Salzman, N. H., Carlson, M. R., Li, S. H., Simpson, P. M., Chatila, T. A., and Williams, C. B. (2009). A central role for induced regulatory T cells in tolerance induction in experimental colitis. J. Immunol. 182, 3461–3468.
| A central role for induced regulatory T cells in tolerance induction in experimental colitis.Crossref | GoogleScholarGoogle Scholar | 19265124PubMed |
Haxhinasto, S., Mathis, D., and Benoist, C. (2008). The AKT–mTOR axis regulates de novo differentiation of CD4+Foxp3+ cells. J. Exp. Med. 205, 565–574.
| The AKT–mTOR axis regulates de novo differentiation of CD4+Foxp3+ cells.Crossref | GoogleScholarGoogle Scholar | 18283119PubMed |
Hughes, G. C., Clark, E. A., and Wong, A. H. (2013). The intracellular progesterone receptor regulates CD4+ T cells and T cell-dependent antibody responses. J. Leukoc. Biol. 93, 369–375.
| The intracellular progesterone receptor regulates CD4+ T cells and T cell-dependent antibody responses.Crossref | GoogleScholarGoogle Scholar | 23307939PubMed |
Ito, A., Bebo, B. F., Matejuk, A., Zamora, A., Silverman, M., Fyfe-Johnson, A., and Offner, H. (2001). Estrogen treatment down-regulates TNF-alpha production and reduces the severity of experimental autoimmune encephalomyelitis in cytokine knockout mice. J. Immunol. 167, 542–552.
| Estrogen treatment down-regulates TNF-alpha production and reduces the severity of experimental autoimmune encephalomyelitis in cytokine knockout mice.Crossref | GoogleScholarGoogle Scholar | 11418693PubMed |
Kim, H. P., and Leonard, W. J. (2007). CREB/ATF-dependent T cell receptor-induced FoxP3 gene expression: a role for DNA methylation. J. Exp. Med. 204, 1543–1551.
| CREB/ATF-dependent T cell receptor-induced FoxP3 gene expression: a role for DNA methylation.Crossref | GoogleScholarGoogle Scholar | 17591856PubMed |
Lee, J. H., Ulrich, B., Cho, J., Park, J., and Kim, C. H. (2011). Progesterone promotes differentiation of human cord blood fetal T cells into T regulatory cells but suppresses their differentiation into Th17 cells. J. Immunol. 187, 1778–1787.
| Progesterone promotes differentiation of human cord blood fetal T cells into T regulatory cells but suppresses their differentiation into Th17 cells.Crossref | GoogleScholarGoogle Scholar | 21768398PubMed |
Lee, J. H., Lydon, J. P., and Kim, C. H. (2012). Progesterone suppresses the mTOR pathway and promotes generation of induced regulatory T cells with increased stability. Eur. J. Immunol. 42, 2683–2696.
| Progesterone suppresses the mTOR pathway and promotes generation of induced regulatory T cells with increased stability.Crossref | GoogleScholarGoogle Scholar | 22740122PubMed |
Mao, G., Wang, J., Kang, Y., Tai, P., Wen, J., Zou, Q., Li, G., Ouyang, H., Xia, G., and Wang, B. (2010). Progesterone increases systemic and local uterine proportions of CD4+CD25+ Treg cells during midterm pregnancy in mice. Endocrinology 151, 5477–5488.
| Progesterone increases systemic and local uterine proportions of CD4+CD25+ Treg cells during midterm pregnancy in mice.Crossref | GoogleScholarGoogle Scholar | 20844003PubMed |
Offner, H. (2004). Neuroimmunoprotective effects of estrogen and derivatives in experimental autoimmune encephalomyelitis: therapeutic implications for multiple sclerosis. J. Neurosci. Res. 78, 603–624.
| Neuroimmunoprotective effects of estrogen and derivatives in experimental autoimmune encephalomyelitis: therapeutic implications for multiple sclerosis.Crossref | GoogleScholarGoogle Scholar | 15515048PubMed |
Pantaleo, M., Piccinno, M., Roncetti, M., Mutinati, M., Rizzo, A., and Sciorsci, R. L. (2013). Evaluation of serum concentrations of interleukin (IL)-4, IL-10, and IL-12 during pregnancy in bitches. Theriogenology 79, 970–973.
| Evaluation of serum concentrations of interleukin (IL)-4, IL-10, and IL-12 during pregnancy in bitches.Crossref | GoogleScholarGoogle Scholar | 23422356PubMed |
Polanczyk, M. J., Carson, B. D., Subramanian, S., Afentoulis, M., Vandenbark, A. A., Ziegler, S. F., and Offner, H. (2004). Cutting edge: estrogen drives expansion of the CD4+CD25+ regulatory T cell compartment. J. Immunol. 173, 2227–2230.
| Cutting edge: estrogen drives expansion of the CD4+CD25+ regulatory T cell compartment.Crossref | GoogleScholarGoogle Scholar | 15294932PubMed |
Polanczyk, M. J., Hopke, C., Vandenbark, A. A., and Offner, H. (2006). Estrogen-mediated immunomodulation involves reduced activation of effector T cells, potentiation of Treg cells, and enhanced expression of the PD-1 costimulatory pathway. J. Neurosci. Res. 84, 370–378.
| Estrogen-mediated immunomodulation involves reduced activation of effector T cells, potentiation of Treg cells, and enhanced expression of the PD-1 costimulatory pathway.Crossref | GoogleScholarGoogle Scholar | 16676326PubMed |
Powell, J. D., and Delgoffe, G. M. (2010). The mammalian target of rapamycin: linking T cell differentiation, function, and metabolism. Immunity 33, 301–311.
| The mammalian target of rapamycin: linking T cell differentiation, function, and metabolism.Crossref | GoogleScholarGoogle Scholar | 20870173PubMed |
Sakaguchi, S., Sakaguchi, N., Asano, M., Itoh, M., and Toda, M. (1995). Immunologic self-tolerance maintained by activated T cells expressing IL-2 receptor alpha-chains (CD25). Breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. J. Immunol. 155, 1151–1164.
| 7636184PubMed |
Salem, M. L. (2004). Estrogen, a double-edged sword: modulation of TH1- and TH2-mediated inflammations by differential regulation of TH1/TH2 cytokine production. Curr. Drug Targets Inflamm. Allergy 3, 97–104.
| Estrogen, a double-edged sword: modulation of TH1- and TH2-mediated inflammations by differential regulation of TH1/TH2 cytokine production.Crossref | GoogleScholarGoogle Scholar | 15032646PubMed |
Sasaki, Y., Sakai, M., Miyazaki, S., Higuma, S., Shiozaki, A., and Saito, S. (2004). Decidual and peripheral blood CD4+CD25+ regulatory T cells in early pregnancy subjects and spontaneous abortion cases. Mol. Hum. Reprod. 10, 347–353.
| Decidual and peripheral blood CD4+CD25+ regulatory T cells in early pregnancy subjects and spontaneous abortion cases.Crossref | GoogleScholarGoogle Scholar | 14997000PubMed |
Selvaraj, R. K., and Geiger, T. L. (2008). Mitigation of experimental allergic encephalomyelitis by TGF-beta induced Foxp3+ regulatory T lymphocytes through the induction of anergy and infectious tolerance. J. Immunol. 180, 2830–2838.
| Mitigation of experimental allergic encephalomyelitis by TGF-beta induced Foxp3+ regulatory T lymphocytes through the induction of anergy and infectious tolerance.Crossref | GoogleScholarGoogle Scholar | 18292504PubMed |
Shima, T., Sasaki, Y., Itoh, M., Nakashima, A., Ishii, N., Sugamura, K., and Saito, S. (2010). Regulatory T cells are necessary for implantation and maintenance of early pregnancy but not late pregnancy in allogeneic mice. J. Reprod. Immunol. 85, 121–129.
| Regulatory T cells are necessary for implantation and maintenance of early pregnancy but not late pregnancy in allogeneic mice.Crossref | GoogleScholarGoogle Scholar | 20439117PubMed |
Shima, T., Inada, K., Nakashima, A., Ushijima, A., Ito, M., Yoshino, O., and Saito, S. (2015). Paternal antigen-specific proliferating regulatory T cells are increased in uterine-draining lymph nodes just before implantation and in pregnant uterus just after implantation by seminal plasma-priming in allogeneic mouse pregnancy. J. Reprod. Immunol. 108, 72–82.
| Paternal antigen-specific proliferating regulatory T cells are increased in uterine-draining lymph nodes just before implantation and in pregnant uterus just after implantation by seminal plasma-priming in allogeneic mouse pregnancy.Crossref | GoogleScholarGoogle Scholar | 25817463PubMed |
Stewart, D. R., Overstreet, J. W., Nakajima, S. T., and Lasley, B. L. (1993). Enhanced ovarian steroid secretion before implantation in early human pregnancy. J. Clin. Endocrinol. Metab. 76, 1470–1476.
| 8501152PubMed |
Tai, P., Wang, J., Jin, H., Song, X., Yan, J., Kang, Y., Zhao, L., An, X., Du, X., Chen, X., Wang, S., Xia, G., and Wang, B. (2008). Induction of regulatory T cells by physiological level estrogen. J. Cell. Physiol. 214, 456–464.
| Induction of regulatory T cells by physiological level estrogen.Crossref | GoogleScholarGoogle Scholar | 17654501PubMed |
Teles, A., Zenclussen, A. C., and Schumacher, A. (2013). Regulatory T cells are baby’s best friends. Am. J. Reprod. Immunol. 69, 331–339.
| Regulatory T cells are baby’s best friends.Crossref | GoogleScholarGoogle Scholar | 23289369PubMed |
Wahabi, H. A., Fayed, A. A., Esmaeil, S. A., and Bahkali, K. H. (2018). Progestogen for treating threatened miscarriage. Cochrane Database Syst. Rev. 8, CD005943.
| 30081430PubMed |
Yang, J., Liu, L., Yang, Y., Kong, N., Jiang, X., Sun, J., and Xie, R. (2017). Adoptive cell therapy of induced regulatory T cells expanded by tolerogenic dendritic cells on murine autoimmune arthritis. J. Immunol. Res. 2017, 7573154.
| Adoptive cell therapy of induced regulatory T cells expanded by tolerogenic dendritic cells on murine autoimmune arthritis.Crossref | GoogleScholarGoogle Scholar | 29423417PubMed |
Zenclussen, A. C., Gerlof, K., Zenclussen, M. L., Sollwedel, A., Bertoja, A. Z., Ritter, T., Kotsch, K., Leber, J., and Volk, H. D. (2005). Abnormal T-cell reactivity against paternal antigens in spontaneous abortion: adoptive transfer of pregnancy-induced CD4+CD25+ T regulatory cells prevents fetal rejection in a murine abortion model. Am. J. Pathol. 166, 811–822.
| Abnormal T-cell reactivity against paternal antigens in spontaneous abortion: adoptive transfer of pregnancy-induced CD4+CD25+ T regulatory cells prevents fetal rejection in a murine abortion model.Crossref | GoogleScholarGoogle Scholar | 15743793PubMed |
Ziegler, S. F. (2006). FOXP3: of mice and men. Annu. Rev. Immunol. 24, 209–226.
| FOXP3: of mice and men.Crossref | GoogleScholarGoogle Scholar | 16551248PubMed |