Antigen-specific Tregs maintain immune privileges of male reproductive tract

This week Journal of Clinical Investigation published very good research article that shed light on how tolerance to sequestered self-antigens expressed by immune privileged  tissues are established. 

Some tissues such as brain, eye, testis or ovaries are thought to be "immune privileged" organs meaning that ordinarily immune system does not see their antigens. However, in this paper, the authors showed that in fact some testes antigens in male mice, for example lactate dehydrogenase 3 (LDH3), are actually secreted and detected by immune system.   

Series of experiments confirmed that WT male mice did not respond to LDH3 immunization, while female and LDH3-null male mice mount detectable immune response to it. This suggested that male mice were physiologically tolerant to LDH3. Notable, both male and female mice could be immunized against another testis antigen, zonadhesin (ZAN), implying absence of tolerance to ZAN in male mice. 

So, how male mice were tolerant to LDH3? To answer it, the authors temporally depleted Tregs and it led to immune response to LDH3 in immunized WT male mice. since no changes were seen in response to ZAN, the authors concluded that tolerance to LDH3 in WT male mice was dependent of presence of FOXP3+ Tregs.

Furthermore, depletion of Tregs even in absence of testes antigen immunization still led to autoimmune pathology in testes in ~40% of male mice ("autoimmune orchitis occurs in autoimmune polyendocrine syndrome 1 (APS1) patients due to mutations of AIRE, possibly associated with impaired thymic deletion of autoreactive T cells and deficient Treg function"). 

In summary, this study suggests that "immune privilege" is not absolute and self-antigens that naturally leak maintain tolerance by induction of antigen-specific Tregs.

David Usharauli

  

Without thymic assistance peripheral tolerance to self is easily breached

Yesterday journal Immunity published an important paper about mechanisms of immune tolerance. This study showed that peripheral immune tolerance, as we knew it, doesn't really exist. Here is my analysis of main findings from this study.

The authors have used 4 types of mouse strains for this study, each of them expressing nominal neo-self protein, Cre recombinase, under the guidance of ubiquitous or tissue-specific promoters (UBC-Cre (everywhere), RIP-Cre (insulin producing cells), CC10-Cre (lung tissue), Vil-Cre (intestine tissue). To track endogenous Cre:I-A^bspecific CD4 T cells the authors designed CD4 T cell Cre [pp61-71]:I-A^b tetramers. Staining for Cre:I-A^b tetramer positive CD4 T cells revealed that all strains, except UBC-Cre mice, harbored equal number of Cre:I-A^b specific CD4 T cells.

To test the functionality of Cre:I-A^b tetramer positive CD4 T cells mice were immunized with Cre peptide/CFA. Both WT and RIP-Cre mice showed similar expansion of Cre:I-A^b tetramer positive CD4 T cells. UBC-Cre mice showed minimal expansion as expected [due to low frequency]. Interestingly, expansion of Cre:I-A^b tetramer positive CD4 T cells from CC10-Cre and Vil-Cre were minimal too, even though these mice harbored similar frequency of Cre:I-A^b tetramer positive CD4 T cells as WT or RIP-Cre mice.

These results suggested that in CC10-Cre and Vil-Cre mice Cre:I-A^b tetramer positive CD4 T cells were actively "contained". Indeed, CC10-Cre and Vil-Cre mice harbored large proportion of Cre:I-A^b tetramer positive Foxp3⁺ CD4 T cells

and depletion of Foxp3⁺ CD4 T cells in these mice [but not in WT, RIP-Cre or UBC-Cre mice] allowed further expansion of Foxp3-negative Cre:I-A^b tetramer positive CD4 T cells upon Cre peptide/CFA immunization.

Additional experiments revealed that development of Cre:I-A^b tetramer positive Foxp3⁺ CD4 T cells were not affected in Foxp3^ΔCNS1 BM chimera mice, implying that Cre:I-A^b tetramer positive Foxp3⁺ CD4 T cells were mostly thymic Foxp3⁺ CD4 T cells.

However, peripheral antigen expression promoted tonic signaling and active cycling of Cre:I-A^b tetramer positive Foxp3⁺ CD4 T cells in CC10-Cre and Vil-Cre mice.

Finally, the authors showed that multiple immunization [Lm-Cre infection followed by Cre/CFA immunization] was able to overcome Foxp3⁺ CD4 T cell-mediated non-deletional tolerance in RIP-Cre, CC10-Cre and Vil-Cre mice [but not in UBC-Cre mice] that resulted in antigen-specific tissue retention of Cre:I-A^b tetramer positive CD4 T cells and could even induce a transient increase in blood glucose level in RIP-Cre mice [though none of these mice showed any overt sustained autoimmunity].

In summary, these results indicate that (a) peripheral tolerance is primarily maintained by non-deletional action of thymus derived Foxp3⁺ CD4 T cells, and (b) without ectopic expression of peripheral antigen in the thymus [via Aire or Fezl], such non-deletional tolerance could be easily breached by recurrent infection resulting in sustained autoimmunity.

David Usharauli