Dual targeting of lymphocyte homing and retention through α4β7 and αEβ7 inhibition in inflammatory bowel disease

Autor: Tangsheng Yi, Allen Nguyen, Azra Hassanali, Bingbing Dai, Kai-Hui Sun, Swati Tole, Jason A. Hackney, Mary E. Keir, Jacqueline McBride, Luz D. Orozco, Young S Oh, Akiko Chai, Aida Habtezion, Alexis Scherl, John Gubatan, Monika Deswal, Justin Elstrott, Zaineb Sharafali, Alvin Gogineni, Ma Somsouk, Ryan Ichikawa, William A. Faubion, Zora Modrusan
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Integrins
Cytotoxic
Lymphocyte
T-Lymphocytes
Biopsy
Crohn's Disease
T cell entry and retention
Cell Communication
CD8-Positive T-Lymphocytes
Inbred C57BL
Inflammatory bowel disease
Transgenic
Oral and gastrointestinal
etrolizumab
Mice
Epitopes
Cell Movement
Monoclonal
Medicine
Cytotoxic T cell
2.1 Biological and endogenous factors
Lymphocytes
Aetiology
Intestinal Mucosa
Humanized
Cadherins
α4β7
medicine.anatomical_structure
5.1 Pharmaceuticals
Female
Development of treatments and therapeutic interventions
αEβ7
Colon
T cell
Mice
Transgenic

Antibodies
Monoclonal
Humanized

Autoimmune Disease
General Biochemistry
Genetics and Molecular Biology

Antibodies
Article
inflammatory bowel disease
Animals
Lymphocyte homing receptor
Inflammation
business.industry
Inflammatory and immune system
medicine.disease
Inflammatory Bowel Diseases
Blockade
Mice
Inbred C57BL

Gene Expression Regulation
Cancer research
Intraepithelial lymphocyte
Lymph Nodes
business
Digestive Diseases
CD8
T-Lymphocytes
Cytotoxic
Zdroj: Cell Reports Medicine
Cell reports. Medicine, vol 2, iss 8
ISSN: 2666-3791
Popis: Summary Anti-integrins are therapeutically effective for inflammatory bowel disease, yet the relative contribution of α4β7 and αEβ7 to gut lymphocyte trafficking is not fully elucidated. Here, we evaluate the effect of α4β7 and αEβ7 blockade using a combination of murine models of gut trafficking and longitudinal gene expression analysis in etrolizumab-treated patients with Crohn's disease (CD). Dual blockade of α4β7 and αEβ7 reduces CD8+ T cell accumulation in the gut to a greater extent than blockade of either integrin alone. Anti-αEβ7 reduces epithelial:T cell interactions and promotes egress of activated T cells from the mucosa into lymphatics. Inflammatory gene expression is greater in human intestinal αEβ7+ T cells. Etrolizumab-treated patients with CD display a treatment-specific reduction in inflammatory and cytotoxic intraepithelial lymphocytes (IEL) genes. Concurrent blockade of α4β7 and αEβ7 promotes reduction of cytotoxic IELs and inflammatory T cells in the gut mucosa through a stepwise inhibition of intestinal tissue entry and retention.
Graphical abstract
Highlights Blockade of α4β7 and αEβ7 reduces CD8+ T cells in the gut mucosa more than α4β7 alone Anti-αEβ7 or -E-cadherin reduces retention and increases egress of T cells in the gut αEβ7+ intestinal T cells are proinflammatory and have little to no regulatory markers Etrolizumab reduces mucosal inflammatory T cell genes in patients with Crohn disease
Dai et al. demonstrate the cooperative roles α4β7 and αEβ7 integrins have in CD8+ T cell accumulation in the gut mucosa in a mouse model of trafficking. Intestinal biopsies from patients with Crohn disease that has been treated with etrolizumab (anti-β7) show treatment-specific reductions in gene expression associated with CD8+ cytotoxic T cells.
Databáze: OpenAIRE