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IL-6 receptor blockade corrects defects of XIAP-deficient regulatory T cells

Author

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  • Wan-Chen Hsieh

    (Institute of Molecular Biology, Academia Sinica, Academia Sinica)

  • Tzu-Sheng Hsu

    (Institute of Molecular Biology, Academia Sinica, Academia Sinica)

  • Ya-Jen Chang

    (Institute of Biomedical Sciences, Academia Sinica)

  • Ming-Zong Lai

    (Institute of Molecular Biology, Academia Sinica, Academia Sinica)

Abstract

X-linked lymphoproliferative syndrome type-2 (XLP-2) is a primary immunodeficiency disease attributed to XIAP mutation and is triggered by infection. Here, we show that mouse Xiap−/− regulatory T (Treg) cells and human XIAP-deficient Treg cells are defective in suppressive function. The Xiap−/− Treg cell defect is linked partly to decreased SOCS1 expression. XIAP binds SOCS1 and promotes SOCS1 stabilization. Foxp3 stability is reduced in Xiap−/− Treg cells. In addition, Xiap−/− Treg cells are prone to IFN-γ secretion. Transfer of wild-type Treg cells partly rescues infection-induced inflammation in Xiap−/− mice. Notably, inflammation-induced reprogramming of Xiap−/− Treg cells can be prevented by blockade of the IL-6 receptor (IL-6R), and a combination of anti-IL-6R and Xiap−/− Treg cells confers survival to inflammatory infection in Xiap−/− mice. Our results suggest that XLP-2 can be corrected by combination treatment with autologous iTreg (induced Treg) cells and anti-IL-6R antibody, bypassing the necessity to transduce Treg cells with XIAP.

Suggested Citation

  • Wan-Chen Hsieh & Tzu-Sheng Hsu & Ya-Jen Chang & Ming-Zong Lai, 2018. "IL-6 receptor blockade corrects defects of XIAP-deficient regulatory T cells," Nature Communications, Nature, vol. 9(1), pages 1-15, December.
  • Handle: RePEc:nat:natcom:v:9:y:2018:i:1:d:10.1038_s41467-018-02862-4
    DOI: 10.1038/s41467-018-02862-4
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