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Deep phenotyping of T regulatory cells in psoriatic arthritis highlights targetable mechanisms of disease

Lookup NU author(s): Tegan McTaggart, Jing Lim, Dr Katie SmithORCiD, Bronagh Heaney, Dr David McDonald, Dr Gill HulmeORCiD, Raf Hussain, Dr Jonathan Coxhead, Abbie Degnan, Professor John IsaacsORCiD, Dr Arthur PrattORCiD, Dr Shoba AmarnathORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2024 The Authors. Regulatory T cells (Tregs) are immune regulatory T cells that are vital for controlling inflammation. The role of Tregs in inflammatory diseases namely psoriatic arthritis (PsA) is still poorly understood. The underlying reason being a lack of robust unbiased analysis to test the immune regulatory phenotype of human Tregs. Here, we propose that checkpoint receptors can identify functional Tregs in PsA. Using unbiased BD Rhapsody single-cell analysis, we have analyzed the expression pattern of checkpoint receptors in Tregs and found that PsA Tregs are enriched in the expression of CTLA4, TIGIT, PD-1, and GITR while TIM3 was downregulated. Furthermore, PD-1+ Tregs in PsA had an increased type 1 phenotype and expressed the protease asparaginyl endopeptidase. By harnessing the PD-1 signaling pathway and inhibiting asparaginyl endopeptidase, PsA Treg function was significantly enhanced in in vitro suppressor assays. Next, we interrogated the cell interaction pathways of Tregs in PsA and found a diminished crosstalk with circulating osteoclast precursors through the CD244–CD48 coreceptor pathways. Therapeutically, PsA Treg function could be enhanced by modulating PD-1 and osteoclast interactions. Our study suggests that unconventional immune cell crosstalk with Tregs is severely diminished in PsA.


Publication metadata

Author(s): McTaggart T, Lim JX, Smith KJ, Heaney B, McDonald D, Hulme G, Hussain R, Coxhead J, Degnan AE, Isaacs J, Pratt A, Amarnath S

Publication type: Article

Publication status: Published

Journal: Journal of Biological Chemistry

Year: 2025

Volume: 301

Issue: 1

Print publication date: 01/01/2025

Online publication date: 30/12/2024

Acceptance date: 09/12/2024

Date deposited: 07/01/2025

ISSN (print): 0021-9258

ISSN (electronic): 1083-351X

Publisher: American Society for Biochemistry and Molecular Biology Inc.

URL: https://doi.org/10.1016/j.jbc.2024.108059

DOI: 10.1016/j.jbc.2024.108059

Data Access Statement: All the data are contained within this article. Single-cell data have been deposited at Gene Expression Omnibus under accession number GSE280319, and the code is deposited in GitHub at https://github.com/teganmct/humanscRNAseq_PSA

PubMed id: 39662827


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Funding

Funder referenceFunder name
Academy of Medical Sciences Springboard Award supported by the Wellcome Trust (grant no.: SBF003_1129_6)
Barbour Foundation PhD studentship
Leo Foundation Future Leader Prize (grant no.: LF-AW_EMEA-19-4000)
Leo Foundation Serendipity Award (grant no.: LF-SE-23-800015)
Lister Prize
MRC: MR/T015586/1
NC3R PhD studentship (grant no.: NC/W002043/1)
NIHR Newcastle Biomedical Research Centre awarded to the Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle University and Cumbria, Northumberland, Tyne and Wear Foundation Trust
Rheumatoid and inflammatory Arthritis Centre Versus Arthritis (RACE; grant reference: 22072)

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