High and low vitamin A therapies induce distinct FoxP3+ T-cell subsets and effectively control intestinal inflammation.

High and low vitamin A therapies induce distinct FoxP3+ T-cell subsets and effectively control intestinal inflammation.
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DOI:
10.1053/j.gastro.2009.06.063
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发表时间:
2009-10
期刊:
影响因子:
29.4
通讯作者:
Kim CH
Kim CH
中科院分区:
医学1区
文献类型:
--
作者:
Kang SG;Wang C;Matsumoto S;Kim CH

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Retinoic acid plays a positive role in induction of FoxP3+ regulatory T cells. Because retinoic acid is produced as a metabolite of vitamin A in the intestine and FoxP3+ T cells regulate intestinal inflammation, we investigated the impact of vitamin A status on the regulatory T cells and inflammation in the intestine. The SAMP1/YP model is a mouse model of Crohn’s disease. We made vitamin A deficient, excessive and normal SAMP1/YP mice and assessed the intestinal inflammation. We investigated also the phenotype and function of FoxP3+ T cells induced in different vitamin A availability in regulation of intestinal inflammation in a T cell-induced inflammation model in SCID mice. The limited and excessive vitamin A conditions induced distinct FoxP3+ T cell subsets in vivo and both ameliorated the intestinal inflammation in SAMP1/YP mice. The limited vitamin A condition greatly induced unusual CD103+CCR7+ FoxP3+ cells, while the high vitamin A condition induced CCR9+α4β7+ FoxP3+ T cells in the intestine. Both FoxP3+ T cell populations, when transferred into mice with ongoing intestinal inflammation, were highly effective in reversing the inflammation. Blockade or lack of occupancy of RARα is a mechanism to induce the highly suppressive CD103+CCR7+ FoxP3+ cells in both thymus and periphery in the limited vitamin A availability. Our results identify novel pathways of inducing highly suppressive FoxP3+ regulatory T cells that can effectively control intestinal inflammation. The results have significant ramifications in treating inflammatory bowel diseases.
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