Abstract
TGF-β modulates immune response by suppressing non-regulatory T (Treg) function and promoting Treg function. The question of whether TGF-β achieves distinct effects on non-Treg and Treg cells through discrete signaling pathways remains outstanding. In this study, we investigated the requirements of Smad-dependent and -independent TGF-β signaling for T-cell function. Smad2 and Smad3 double deficiency in T cells led to lethal inflammatory disorder in mice. Non-Treg cells were spontaneously activated and produced effector cytokines in vivo on deletion of both Smad2 and Smad3. In addition, TGF-β failed to suppress T helper differentiation efficiently and to promote induced Treg generation of non-Treg cells lacking both Smad2 and Smad3, suggesting that Smad-dependent signaling is obligatory to mediate TGF-β function in non-Treg cells. Unexpectedly, however, the development, homeostasis, and function of Treg cells remained intact in the absence of Smad2 and Smad3, suggesting that the Smad-independent pathway is important for Treg function. Indeed, Treg-specific deletion of TGF-β–activated kinase 1 led to failed Treg homeostasis and lethal immune disorder in mice. Therefore, Smad-dependent and -independent TGF-β signaling discretely controls non-Treg and Treg function to modulate immune tolerance and immune homeostasis.
Keywords: inflammation, immune-suppression
TGF-β is a pleiotropic cytokine critical for immune regulation (1). The most prominent role of TGF-β in immune regulation is to suppress immune response, because deletion of TGF-β leads to lethal autoimmune syndrome in mice (2). TGF-β is central to suppressing T-cell function because the deletion of TGF-β receptor (TGF-βR) specifically in T cells results in lethal autoimmunity reminiscence of TGF-β1 deficiency (1, 3). TGF-β controls T-cell function through multiple mechanisms. It inhibits T-cell proliferation and T-cell differentiation (4). In addition, TGF-β is important for the generation of Foxp3-expressing immune-suppressive regulatory T cells. TGF-β signaling is required for the development of naturally occurring regulatory T (nTreg) cells in the thymus (5, 6), potentially by promoting their survival (7). In addition, TGF-β promotes the generation of induced regulatory T (iTreg) cells through promoting Foxp3 expression in activated non-Treg cells (8, 9). Therefore, TGF-β controls T-cell response by multiple means through Treg-dependent and -independent mechanisms.
Binding of TGF-β to TGF-βR activates structurally similar transcription factors Smad2 and Smad3 in the target cells (10, 11). Activated Smad2 or Smad3 heterodimerizes with Smad4 and translocates into the nucleus to regulate target gene expression. Smad-independent pathways also exist to mediate TGF-βR signaling (12). TGF-β induces rapid activation of TGF-β–activated kinase 1 (TAK1), Ras-Erk, and PI3K-Akt pathways.
Although the importance of TGF-β in controlling T-cell function is undeniable, it remains poorly understood as to what intracellular components are critical to mediate its function in target cells. More importantly, it is unclear as to whether Treg-dependent and -independent functions of TGF-β can be attributed to different signaling pathways downstream of TGF-βR. Efforts have been devoted to study the involvement of Smad proteins in T-cell function. T cells deficient in Smad3 or Smad2 are normal in development and homeostasis (13, 14), displaying distinct phenotypes from the mice whose T cells lack TGF-βR (3, 5, 6). These findings suggested that Smad-dependent pathways may be dispensable for TGF-β–mediated effects in T cells. Yet, a recent report showed that deficiency of both Smad2 and Smad3 in T cells led to development of autoimmunity in mice (15). When both Smad2 and Smad3 were deleted during early T-cell development, T-cell thymic development was impaired and peripheral T cells were aberrantly activated, associating with reduced Treg numbers. These findings suggest that Smad2 and Smad3 are redundantly required to control the functions of both non-Treg cells and Treg cells. Nevertheless, such observation could be confounded by the drastic defect in T-cell development, and thereby central tolerance. Thus, the question of whether Smad2 and Smad3 are essential for the normal functions of mature T cells remains outstanding.
Results
CD4Cre:Smad2fl/fl:Smad3−/− (CD4:DKO) Mice Developed Lethal Inflammation.
To address whether Smad2 and Smad3 are essential for the normal function of mature T cells, we crossed CD4Cre transgenic mice (16) with Smad2fl/fl and Smad3−/− mice to obtain CD4Cre:Smad2fl/fl:Smad3−/− [CD4:DKO (double KO)] mice. Although CD4Cre:Smad2fl/fl and Smad3−/− mice were viable and phenotypically grossly normal (13, 15, 17) (Fig. S1), CD4:DKO mice succumbed to an inflammatory disorder by 4 wk of age (Fig. 1A). Compared with WT littermates, CD4:DKO mice were substantially smaller in size (Fig. 1B). Nonetheless, comparable numbers of lymphocytes from CD4:DKO mice and the WT littermates were recovered from the peripheral lymph nodes (PLNs) and spleens (Fig. 1C). Immune pathological findings were detected in the nonlymphoid organs, such as the intestines, from CD4:DKO mice (Fig. 1D).
Phenotypic Characterization of T Cells from CD4:DKO Mice.
To understand the cellular mechanisms underlying the observed immune disorder in CD4:DKO mice, we characterized the phenotypes of thymic and peripheral T cells from these mice. We first confirmed that Smad2 and Smad3 were efficiently deleted in the mature T cells as well as in the majority of the thymocytes from CD4:DKO mice (Fig. 2A). In the thymus, the distribution of different thymocyte populations in CD4:DKO mice was comparable to that observed in the WT littermates (Fig. 2B). In addition, thymocyte development in CD4:DKO mice was largely normal, because the expression of thymocyte maturation and activation markers, such as CD5, CD24, and CD69, was similar between CD4:DKO mice and WT mice (Fig. S2). In addition, the distribution of mature CD4 and CD8 T-cell populations in the PLNs and spleens was comparable between CD4:DKO and WT mice (Fig. 2B). Nevertheless, CD4 non-Treg cells and CD8 T cells from CD4:DKO mice displayed activated phenotypes with down-regulation of CD62L expression and up-regulation of CD44 expression (Fig. 2C). CD4:DKO T cells predominantly acquired T helper (TH) 1 function because a great number of T cells from CD4:DKO mice produced TH1 signature cytokine IFN-γ (18, 19) but less TH2 signature cytokine IL-4 (18, 19) or TH17 signature cytokine IL-17A (20, 21) (Fig. 2D and Fig. S3). These findings are similar to the previous reports showing that disruption of TGF-βR in T cells led to a dominant TH1 response in mice (3, 5). We further investigated whether the Treg population was perturbed when Smad2 and Smad3 were deficient. Unexpectedly, the percentages of Foxp3+ Treg cells were not decreased in the thymus, PLNs, or spleens (Fig. 2E). These findings suggest that both Smad2 and Smad3 are required to suppress the activation and effector function of non-Treg cells yet are not essential for Treg homeostasis.
Cell-Intrinsic Defects of Non-Treg Cells Lacking Smad2 and Smad3.
CD4:DKO mice developed lethal inflammation. Treg number may be aberrantly up-regulated under inflammatory conditions (6, 22–24). Thus, the inflammatory condition existing in CD4:DKO mice may mask potential Treg defects and confound the T-cell phenotypes observed. We therefore evaluated the cell-intrinsic effects of Smad2 and Smad3 deletion on T-cell function by generating mixed bone marrow chimeric mice, where WT and CD4:DKO T cells were compared directly in the same host. Equal numbers of bone marrow cells from CD45.2+ CD4:DKO mice and CD45.1+ WT mice were mixed and then transferred into irradiated Rag1−/− recipients. In the thymus of reconstituted recipients, the percentages of different thymocyte subsets were comparable between CD4:DKO and WT cells (Fig. 3A). The developmental markers were similarly expressed on CD4:DKO thymocytes and their WT counterparts (Fig. S4). In addition, mature CD4 and CD8 T cells of CD4:DKO origin were efficiently generated in the periphery (Fig. 3A). Moreover, similar percentages of Foxp3+ Treg cells of CD4:DKO and WT origins were found in the thymus, PLNs, and spleens of the recipients (Fig. 3B). Therefore, the development and peripheral maintenance of CD4:DKO T cells were largely normal. Nonetheless, although coexisting WT CD4 non-Treg and CD8 T cells displayed a naive phenotype, CD4:DKO CD4 non-Treg and CD8 T cells showed an activated phenotype (CD62LlowCD44high) (Fig. 3C and Fig. S5A). In addition, compared with coexisting WT CD4 non-Treg and CD8 T cells, wherein minimal effector cytokines were produced, CD4:DKO CD4 and CD8 T cells produced increased amounts of effector cytokines (Fig. 3D and Fig. S5B). These findings suggest that Smad2- and Smad3-deficient non-Treg cells are intrinsically prone to spontaneous activation and differentiation in vivo in the presence of functional WT Treg cells.
Evaluation of the Function of CD4:DKO Non-Treg and Treg Cells in Vitro.
The spontaneous T-cell activation and effector cytokine production of CD4:DKO CD4 T cells are likely attributable to the enhanced ability of these cells to differentiate into effector T cells. We thus compared the ability of WT and CD4:DKO CD4 T cells to differentiate into TH1 and TH2 cells under polarizing conditions. Because naive CD4 T cells could hardly be obtained from CD4:DKO mice, we sorted CD25−CD62LhighCD44low naive CD4:DKO and WT CD4 T cells from bone marrow chimeric mice as described in Fig. 3. Purified cells were activated under nonpolarizing (TH0) as well as TH1 and TH2 polarizing conditions. TH1 and TH2 differentiation of CD4 T cells was assessed 4 d after activation. Higher percentages of IFN-γ–expressing cells were detected in CD4:DKO cells than in WT cells under TH0 and TH1 conditions. Higher percentages of IL-4–expressing cells were detected in CD4:DKO cells than in WT cells under TH0 and TH2 conditions (Fig. 4A). Therefore, in the absence of Smad2 and Smad3, T cells displayed enhanced ability to differentiate into effector TH cells.
Because Smad2 and Smad3 are involved in the TGF-β signaling that is important to suppress TH differentiation and to promote Foxp3 expression in activated T cells (4, 8, 9), we hypothesized that CD4:DKO T cells were refractory to TGF-β–mediated inhibition of TH differentiation and TGF-β–promoted iTreg generation. Indeed, although addition of exogenous TGF-β potently inhibited TH1 and TH2 differentiation of WT T cells, such effects of TGF-β were greatly reduced in CD4:DKO T cells (Fig. 4A). In addition, TGF-β–promoted iTreg generation was impaired in CD4:DKO T cells (Fig. 4B). These findings suggest that Smad2 and Smad3 are required for TGF-β–mediated suppression of non-Treg cells as well as TGF-β–promoted conversion of non-Treg cells to Treg cells.
Although we have found that Smad2 and Smad3 were not required for the generation and maintenance of Treg cells (Figs. 2 and 3), whether the suppressive function of CD4:DKO is intact remains to be addressed. To answer this question, we performed in vitro T-cell suppression assays as previously described (25). CD4+CD25+ Treg cells were sorted from CD4:DKO mice and WT littermates as “suppressor T cells.” Carboxylfluorescein succinimidylester-labeled WT CD25−CD45RBhi CD4 non-Treg cells were used as “responder T cells.” CD4:DKO Treg cells suppressed proliferation of responder T cells as efficiently as, if not more efficiently than, WT Treg cells, suggesting that CD4:DKO Treg cells possess intact immune suppressive function (Fig. 4C).
Treg Homeostasis and Function in Mice with Treg-Specific Double Deletion of Both Smad2 and Smad3.
TGF-β is required for the peripheral maintenance of Treg cells (5, 26). Whether the Smad-dependent or -independent pathway mediates TGF-β–promoted Treg maintenance remains unclear. Our aforementioned findings suggest that Smads may not be essential for Treg generation and function. To investigate further the specific requirements of Smad2 and Smad3 for Treg homeostasis and function under physiological conditions, we generated mice with Treg-specific Smad2 and Smad3 double deficiency. Smad2fl/fl and Smad3−/− mice were crossed with Foxp3-EGFP-Cre (FGC) transgenic mice, where a BAC transgenic construct encoding both EGFP and Cre under the control of Foxp3 promoter was inserted into mouse genome (27). Thus, in FGC:Smad2fl/fl:Smad3−/− mice (hereafter referred to as FGC:DKO mice), only Foxp3-expressing Treg cells are deficient in both Smad2 and Smad3. FGC:DKO mice were grossly normal. The development and homeostasis of T cells of FGC-DKO mice were comparable to those of WT littermates (Fig. 5A). In addition, minimal activation (Fig. 5B) and cytokine production (Fig. 5C) were detected in non-Treg cells from FGC:DKO mice. These findings suggest that Smad2 and Smad3 deletion in Treg cells did not compromise immune homeostasis. Further analysis revealed that Treg cells were efficiently generated in the thymus and maintained in the periphery of FGC:DKO mice (Fig. 5D). A modestly higher percentage of Treg cells was detected in FGC:DKO mice compared with WT littermates. In addition, compared with WT Treg cells, Treg cells in FGC:DKO mice expressed normal levels of Treg signature genes, including cytotoxic T-lymphocyte antigen 4 (CTLA-4) and glucocorticoid-induced TNFR-related protein (GITR) (Fig. 5E). Moreover, compared with WT Treg cells, FGC:DKO Treg cells suppressed naive T-cell proliferation in vitro (Fig. 5F) and inhibited naive T cell-elicited inflammatory bowel disease (IBD) in vivo (Fig. 5G) to a similar extent. These findings suggest that Smad2 and Smad3 are dispensable for Treg function.
TAK1 Is Essential for Treg Homeostasis.
Smad-independent pathways are also involved in TGF-β signaling (12, 28). TAK1 can be activated by TGF-β independent of Smads (29) and is important for T-cell development, function, and survival (30). Whether and how TAK1 is involved in Treg function have not been addressed. We hypothesized that TAK1-mediated signaling is critical for the maintenance of Treg cells. To test this hypothesis, we crossed TAK1fl/fl mice (31) with FGC mice to delete TAK1 specifically in Treg cells. FGC:TAK1fl/fl mice succumbed to an inflammation disorder by 6 wk of age. FGC:TAK1fl/fl mice developed lymphadenopathy and splenomegaly. In agreement with this observation, the total numbers of lymphocytes recovered from the PLNs and spleens of FGC:TAK1fl/fl mice were higher compared with those from WT littermates (Fig. 6A). In addition, non-Treg CD4 T cells and CD8 T cells in FGC:TAK1fl/fl mice displayed an activated phenotype (Fig. 6B) with increased production of effector cytokines (Fig. 6C). These findings suggested a defect in Treg population. Indeed, the numbers of Foxp3-expressing Treg cells were significantly reduced in FGC:TAK1fl/fl mice (Fig. 6D). A closer examination revealed that the remaining Treg cells in FGC:TAK1fl/fl mice are “escaping” Treg cells failing to express functional Cre, because when FGC:TAK1fl/fl mice were crossed with Cre-reporter mice, where YFP is expressed only when functional Cre is present in the cells, few YFP cells could be detected in these mice (Fig. S6). This observation suggests that TAK1 is essential for Treg homeostasis. To validate this finding further and to study the cell-intrinsic defects of TAK-deficient Treg cells, we generated mixed bone marrow chimeric mice to compare TAK1-deficient and -sufficient Treg cells in the same hosts. Equal numbers of bone marrow cells from FGC:TAK1fl/fl mice (45.1.2) and WT mice (45.2.2) were mixed and transferred into irradiated Rag1−/− recipients. The contribution of the Treg population from different donor origins was determined 8 wk after transfer. Although 10–20% of WT CD4 T cells expressed Foxp3, ∼2% of FGC:TAK1fl/fl CD4 T cells expressed Foxp3 in the chimeric mice. Therefore, TAK1 is essential for homeostasis of Treg cells.
Discussion
TGF-βR signaling cascades are complex, involving Smad-dependent and -independent pathways. The question remains as to whether the diverse function of TGF-β is differentially mediated through discrete signaling pathways. Using genetic approaches, we investigated this issue. Our results suggest that Smad-dependent pathways are obligatory to suppress the activation and TH differentiation of non-Treg cells and to maintain immune homeostasis. In addition, Smads are required for TGF-β–mediated immune suppression in T cells and for TGF-β–promoted iTreg generation. Therefore, Smads are likely the dominant factors mediating the TGF-β effect on non-Treg cells. In contrast, Smad2 and Smad3 deficiency did not noticeably affect the generation, homeostasis, or function of thymic-derived Treg cells, whereas deletion of TAK1, a critical component of the Smad-independent pathway, abrogated Treg homeostasis, suggesting that TGF-β controls Treg homeostasis through Smad-independent pathways. These findings support the notion that Smad-dependent and -independent pathways mediate discrete T-cell functions (Fig. S7). By carrying out distinct functions, Smad-dependent and -independent pathways cooperate to mediate TGF-β–controlled self-tolerance and immune homeostasis through Treg-dependent and -independent mechanisms.
Although nTreg and iTreg cells are both immune-suppressive, they are distinct in certain aspects. For instance, Foxp3 expression is more stable in nTreg cells than in iTreg cells (32–34), and the genetic program and epigenetic modification of gene loci of nTreg and iTreg cells are different (35–37), suggesting that the generation and maintenance of nTreg and iTreg cells may be mediated through distinct mechanisms. We have found that Smads are required for the generation of iTreg cells but not for the generation of nTreg cells, indicating that Smad signaling may be critically involved in the genetic and/or epigenetic distinction between nTreg and iTreg cells.
Being able to integrate signals from multiple stimuli is a common and useful feature of intracellular signaling transducers. Such ability allows signal transducers to sense different environment cues and to integrate and translate such cues into appropriate responses. As intracellular signal transducers, Smad2 and Smad3 predominantly mediate TGF-β signaling in T cells. It is nevertheless recognized that Smad2 and Smad3 can relay signaling of other TGF-β superfamily members, such as activins (38). Similarly, TAK1 can mediate signals not only from TGF-β but from T-cell receptor and other cytokines in T cells (30). Thus, the defects observed in T cells lacking Smad2, Smad3, and TAK1 could be the combined effects of abrogation of TGF-β and other signaling pathways. Although it remains to be revealed how much the effects of Smad deletion and/or TAK1 deletion on T cells can be attributed to the defects in TGF-β–dependent or –independent signals, this study provides genetic evidence to suggest that Smad-dependent and -independent pathways control distinct functions in different T-cell types, and thus offer unique insights into how pleiotropic effects of TGF-β on T cells could be mediated.
Deletion of Smad2 and Smad3 during the early [double-negative (DN)] stage of thymic development using LckCre resulted in drastic alternation of T-cell development (15). However, we found that thymocyte development was largely unperturbed when Smad2 and Smad3 were deleted at the later [double-positive (DP)] stage of T-cell development using CD4Cre. The reason for defective thymocyte development in Lck:DKO mice is unlikely to be attributable to inflammation because lethal inflammation developed in both models. Therefore, these findings suggest a critical role for Smads during the DN-to-DP transition in T-cell development. In addition, in Lck:DKO mice but not CD4:DKO mice, the generation of thymic Treg cells was defective, suggesting that the expression of Smad2 and Smad3 during the DN stage but not the DP stage of thymocyte development is essential for the induction of Treg cells. Therefore, Smad-dependent pathways may be required for the development of T cells at specific stage(s) in the thymus. Considering the fact that T-cell thymic selection establishes central tolerance, whether and how Smad-dependent pathways may regulate self-tolerance by modulating thymic selection of non-Treg and Treg cells are remaining questions to be addressed.
Materials and Methods
Mice.
SMAD3−/−, SMAD2fl/fl, TAK1fl/fl, CD4Cre, FGC, Rag1−/−, YFP Cre reporter, and CD45.1 mice were kept under specific pathogen-free conditions in the animal care facility at the University of North Carolina. All mouse experiments were approved by the Institutional Animal Care and Use Committee of the University of North Carolina.
Cell Function Analysis in Vitro and in Vivo.
T-cell isolation, activation, differentiation, flow cytometric analysis, cell sorting, in vitro and in vivo suppression assays, and bone marrow chimera generation were performed as described previously (39). Details are provided in SI Materials and Methods.
Supplementary Material
Acknowledgments
We thank E. Robertson and E. Bikoff (University of Oxford, Oxford, United Kingdom) for Smad2fl/fl mice, M. Schneider (Imperial College London, London, United Kingdom) for TAK1fl/fl mice, N. Fisher and J. Kalnitsky (University of North Carolina flow cytometry facility) for cell sorting, and J. Ting and M. Su (University of North Carolina) for helpful discussions. This study was supported by National Natural Science Foundation of China Grant 30801334 (to A.-D.G.), National Institutes of Health Grant R00AI072956, the Lupus Research Institute, and the University Cancer Research Fund (Y.Y.W.).
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1108352109/-/DCSupplemental.
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