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Updated: May 21, 2026

In Vitro Differentiation of Human CD4+FOXP3+ Induced Regulatory T Cells (iTregs) from Naïve CD4+ T Cells Using a TGF-β-containing Protocol
Published on: December 30, 2016
Histone deacetylases 6 and 9 and sirtuin-1 control Foxp3+ regulatory T cell function through shared and
Ulf H Beier1, Liqing Wang, Rongxiang Han
1Division of Nephrology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Abstract:
Therapeutic inhibition of the histone deacetylases HDAC6, HDAC9, or sirtuin-1 (Sirt1) augments the suppressive functions of regulatory T cells (T(regs)) that contain the transcription factor Foxp3 (Forkhead box P3) and is useful in organ transplant patients or patients with autoimmune diseases. However, it is unclear whether distinct mechanisms are involved for each HDAC or whether combined inhibition of HDACs would be more effective. We compared the suppressive functions of T(regs) from wild-type C57BL/6 mice with those from mice with either complete or cell-specific deletion of various HDACs, as well as with those of T(regs) treated with isoform-selective HDAC inhibitors. The improvement of T(reg) suppressive function mediated by inhibition of HDAC6, but not Sirt1, required an intact heat shock response. Although HDAC6, HDAC9, and Sirt1 all deacetylated Foxp3, each protein had different effects on transcription factors that control expression of the gene encoding Foxp3. For example, loss of HDAC9, but not other HDACs, was associated with stabilization of the acetylated form of signal transducer and activator of transcription 5 (STAT5) and promoted its transcriptional activity. Thus, targeting different HDACs increased T(reg) function through multiple and additive mechanisms, which suggests the therapeutic potential for using combinations of HDAC inhibitors in the management of autoimmunity and organ transplantation.
Insights
Targeting histone deacetylases (HDACs) like HDAC6 and HDAC9 enhances regulatory T cell (Treg) function, offering potential for treating autoimmune diseases and improving organ transplant outcomes.
Area of Science:
- Immunology
- Epigenetics
- Molecular Biology
Background:
- Therapeutic inhibition of histone deacetylases (HDACs) such as HDAC6, HDAC9, and sirtuin-1 (Sirt1) enhances regulatory T cell (Treg) function.
- This Treg augmentation is beneficial for patients with autoimmune diseases and organ transplant recipients.
- Distinct mechanisms for individual HDAC inhibition and the efficacy of combined inhibition remain unclear.
Purpose of the Study:
- To compare the suppressive functions of Tregs with varying HDAC deletions or inhibitor treatments.
- To elucidate the distinct mechanisms by which HDAC6, HDAC9, and Sirt1 inhibition impact Treg function.
- To assess the potential of combined HDAC inhibition for therapeutic applications.
Main Methods:
- Comparison of Treg suppressive functions in wild-type mice versus mice with complete or cell-specific HDAC deletions.
- Treatment of Tregs with isoform-selective HDAC inhibitors.
- Analysis of Foxp3 (Forkhead box P3) deacetylation and its effect on transcription factors, including STAT5 (signal transducer and activator of transcription 5).
Main Results:
- HDAC6 inhibition enhanced Treg function, dependent on an intact heat shock response, unlike Sirt1 inhibition.
- HDAC6, HDAC9, and Sirt1 all deacetylated Foxp3 but differentially affected transcription factors controlling Foxp3 expression.
- Loss of HDAC9 specifically stabilized acetylated STAT5, promoting its transcriptional activity.
Conclusions:
- Targeting distinct HDACs enhances Treg function via multiple, additive mechanisms.
- Combined HDAC inhibition holds therapeutic potential for managing autoimmunity and improving organ transplantation outcomes.
- Understanding specific HDAC pathways provides a basis for developing targeted combination therapies.
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