STING Agonist Mitigates Experimental Autoimmune Encephalomyelitis by Stimulating Type I IFN-Dependent and -Independent Immune-Regulatory Pathways.

STING Agonist Mitigates Experimental Autoimmune Encephalomyelitis by Stimulating Type I IFN-Dependent and -Independent Immune-Regulatory Pathways.
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DOI:
10.4049/jimmunol.2001317
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发表时间:
2021-05-01
期刊:
Journal of immunology (Baltimore, Md. : 1950)
影响因子:
--
通讯作者:
Ting JP
Ting JP
中科院分区:
其他
文献类型:
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作者:
Johnson BM;Uchimura T;Gallovic MD;Thamilarasan M;Chou WC;Gibson SA;Deng M;Tam JW;Batty CJ;Williams J;Matsushima GK;Bachelder EM;Ainslie KM;Markovic-Plese S;Ting JP

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cGAS-环GMP-AMP(cGAMP)-IFN基因刺激物(STING)途径诱导强大的I型IFN(IFN-I)应答,并且是用于增强癌症免疫疗法和疫苗中的免疫的主要候选物。IFN-I还具有在几种自身免疫性疾病中表现出的免疫调节功能,并且是复发缓解型多发性硬化症的一线治疗。然而,它仅是中等有效的,并且可以在受体中诱导不良反应和中和抗体。在自身免疫中靶向cGAMP是未探索的,并且由于其受体STING的细胞内位置而代表了挑战。我们使用微粒(MP)包封的cGAMP来增加细胞递送,实现剂量节省并降低潜在毒性。在C57 BL/6实验性过敏性脑脊髓炎(EAE)模型中,给予封装在MP中的cGAMP(cGAMP MP)以STING依赖性方式治疗性地保护小鼠免受EAE,而可溶性cGAMP无效。在复发-缓解模型中也观察到保护作用。重要的是,cGAMP MP在疾病高峰时保护EAE,并且比rIFN-β更有效。在机制上,cGAMP MP表现出IFN-I依赖性和非依赖性免疫抑制作用。此外,它诱导免疫抑制细胞因子IL-27,而不需要IFN-I。这通过激活ERK和CREB增加了IL-10的表达。IL-27和随后的IL-10是减轻自身反应性的最重要的细胞因子。重要的是,cGAMP MP促进了复发缓解型多发性硬化患者PBMC中的IFN-I以及免疫调节细胞因子IL-27和IL-10。总的来说,这项研究揭示了cGAMP以前未被重视的免疫调节作用,可以用来抑制T细胞自身反应性。
The cGAS–cyclic GMP–AMP (cGAMP)–stimulator of IFN genes (STING) pathway induces a powerful type I IFN (IFN-I) response and is a prime candidate for augmenting immunity in cancer immunotherapy and vaccines. IFN-I also has immune-regulatory functions manifested in several autoimmune diseases and is a first-line therapy for relapsing–remitting multiple sclerosis. However, it is only moderately effective and can induce adverse effects and neutralizing Abs in recipients. Targeting cGAMP in autoimmunity is unexplored and represents a challenge because of the intracellular location of its receptor, STING. We used microparticle (MP)–encapsulated cGAMP to increase cellular delivery, achieve dose sparing, and reduce potential toxicity. In the C57BL/6 experimental allergic encephalomyelitis (EAE) model, cGAMP encapsulated in MPs (cGAMP MPs) administered therapeutically protected mice from EAE in a STING-dependent fashion, whereas soluble cGAMP was ineffective. Protection was also observed in a relapsing–remitting model. Importantly, cGAMP MPs protected against EAE at the peak of disease and were more effective than rIFN-β. Mechanistically, cGAMP MPs showed both IFN-I–dependent and –independent immunosuppressive effects. Furthermore, it induced the immunosuppressive cytokine IL-27 without requiring IFN-I. This augmented IL-10 expression through activated ERK and CREB. IL-27 and subsequent IL-10 were the most important cytokines to mitigate autoreactivity. Critically, cGAMP MPs promoted IFN-I as well as the immunoregulatory cytokines IL-27 and IL-10 in PBMCs from relapsing–remitting multiple sclerosis patients. Collectively, this study reveals a previously unappreciated immune-regulatory effect of cGAMP that can be harnessed to restrain T cell autoreactivity.
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