BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation

Abstract Induction of immunosuppressive T-regulatory cells (Tregs) is a desirable goal in autoimmunity, and perhaps other immune diseases of activation. One promising avenue is with the bacille-calmette-guérin (BCG) vaccine in autoimmune type 1 diabetes (T1D). Its administration is associated with g...

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Autores principales: Ryan C. Keefe, Hiroyuki Takahashi, Lisa Tran, Kacie Nelson, Nathan Ng, Willem M. Kühtreiber, Denise L. Faustman
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/09f73d65921c45aab18448f13edbdcdf
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spelling oai:doaj.org-article:09f73d65921c45aab18448f13edbdcdf2021-12-02T16:26:37ZBCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation10.1038/s41598-021-94529-22045-2322https://doaj.org/article/09f73d65921c45aab18448f13edbdcdf2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94529-2https://doaj.org/toc/2045-2322Abstract Induction of immunosuppressive T-regulatory cells (Tregs) is a desirable goal in autoimmunity, and perhaps other immune diseases of activation. One promising avenue is with the bacille-calmette-guérin (BCG) vaccine in autoimmune type 1 diabetes (T1D). Its administration is associated with gradual clinical improvements in human autoimmunity over a 2–3 year post-vaccination period. We hypothesize that those improvements, and their unusually long time course to fully materialize, are partially attributable to BCG’s induction of Tregs. Here we report on a 3 year-long longitudinal cohort of T1Ds and examine the mechanism by which Treg induction occurs. Using the Human Infinium Methylation EPIC Bead Chip, we show that BCG vaccination is associated with gradual demethylation of most of 11 signature genes expressed in highly potent Tregs: Foxp3, TNFRSF18, CD25, IKZF2, IKZF4, CTLA4, TNFR2, CD62L, Fas, CD45 and IL2; nine of these 11 genes, by year 3, became demethylated at the majority of CpG sites. The Foxp3 gene was studied in depth. At baseline Foxp3 was over-methylated compared to non-diabetic controls; 3 years after introduction of BCG, 17 of the Foxp3 gene’s 22 CpG sites became significantly demethylated including the critical TSDR region. Corresponding mRNA, Treg expansion and clinical improvement supported the significance of the epigenetic DNA changes. Taken together, the findings suggest that BCG has systemic impact on the T cells of the adaptive immune system, and restores immune balance through Treg induction.Ryan C. KeefeHiroyuki TakahashiLisa TranKacie NelsonNathan NgWillem M. KühtreiberDenise L. FaustmanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-17 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ryan C. Keefe
Hiroyuki Takahashi
Lisa Tran
Kacie Nelson
Nathan Ng
Willem M. Kühtreiber
Denise L. Faustman
BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation
description Abstract Induction of immunosuppressive T-regulatory cells (Tregs) is a desirable goal in autoimmunity, and perhaps other immune diseases of activation. One promising avenue is with the bacille-calmette-guérin (BCG) vaccine in autoimmune type 1 diabetes (T1D). Its administration is associated with gradual clinical improvements in human autoimmunity over a 2–3 year post-vaccination period. We hypothesize that those improvements, and their unusually long time course to fully materialize, are partially attributable to BCG’s induction of Tregs. Here we report on a 3 year-long longitudinal cohort of T1Ds and examine the mechanism by which Treg induction occurs. Using the Human Infinium Methylation EPIC Bead Chip, we show that BCG vaccination is associated with gradual demethylation of most of 11 signature genes expressed in highly potent Tregs: Foxp3, TNFRSF18, CD25, IKZF2, IKZF4, CTLA4, TNFR2, CD62L, Fas, CD45 and IL2; nine of these 11 genes, by year 3, became demethylated at the majority of CpG sites. The Foxp3 gene was studied in depth. At baseline Foxp3 was over-methylated compared to non-diabetic controls; 3 years after introduction of BCG, 17 of the Foxp3 gene’s 22 CpG sites became significantly demethylated including the critical TSDR region. Corresponding mRNA, Treg expansion and clinical improvement supported the significance of the epigenetic DNA changes. Taken together, the findings suggest that BCG has systemic impact on the T cells of the adaptive immune system, and restores immune balance through Treg induction.
format article
author Ryan C. Keefe
Hiroyuki Takahashi
Lisa Tran
Kacie Nelson
Nathan Ng
Willem M. Kühtreiber
Denise L. Faustman
author_facet Ryan C. Keefe
Hiroyuki Takahashi
Lisa Tran
Kacie Nelson
Nathan Ng
Willem M. Kühtreiber
Denise L. Faustman
author_sort Ryan C. Keefe
title BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation
title_short BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation
title_full BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation
title_fullStr BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation
title_full_unstemmed BCG therapy is associated with long-term, durable induction of Treg signature genes by epigenetic modulation
title_sort bcg therapy is associated with long-term, durable induction of treg signature genes by epigenetic modulation
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/09f73d65921c45aab18448f13edbdcdf
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