Calcium controlled NFATc1 activation enhances suppressive capacity of regulatory T cells isolated from generalized
Prashant S Giri1, Ankit H Bharti2, Rasheedunnisa Begum3
1C. G. Bhakta Institute of Biotechnology, Faculty of Science, Uka Tarsadia University, Surat, Gujarat, India.
Abstract:
NFATs and FOXP3 are linked with impaired regulatory T-cells (Tregs) in generalized vitiligo (GV). To elucidate calcium mediated NFATc1 signalling pathway and its effect on Treg suppressive capacity in GV. Calcium levels, calcineurin, NFATc1 and GSK-3β activity and cell proliferation were assessed in 52 GV patients and 50 controls by calcium assay kit, calcineurin phosphatase assay kit, TransAM NFATc1 kit, GSK-3β ELISA and BrdU cell proliferation assay. Transcripts (CNB, CAM, GSK3B, DYRK1A and calcium channel genes) and protein (IFN-γ, IL-10 and TGF-β) expressions were assessed by qPCR and ELISA, respectively. Reduced plasma and intracellular Tregs calcium levels and ORAI1 transcripts suggested altered calcium homeostasis in GV Tregs (p = 0.00387, p = 0.0048, p < 0.0001), which led to decreased calcineurin and NFATc1 activity in GV Tregs (p = 0.0299, p < 0.0001). CNB and CAM transcripts were reduced in GV Tregs (p < 0.0001, p = 0.0004). GSK-3β activity, GSK3B and DYRK1A transcripts significantly increased in GV Tregs (p = 0.0134, p < 0.0001 and p < 0.0001). Plasma (p = 0.0225, p = 0.032) and intracellular Treg (p = 0.0035, p = 0.005) calcium levels, calcineurin (p = 0.001) and NFATc1 (p = 0.001, p < 0.0001) activity and ORAI1 (p = 0.0093, p < 0.0001), CAM and CNB (p = 0.0214) transcripts significantly decreased in active vitiligo (AV) and severe GV (sGV) Tregs. Calcium treatment significantly increased intracellular calcium and ORAI1 transcripts in GV Tregs (p = 0.0042, p = 0.0035). Moreover, calcium treatment enhanced calcineurin and NFATc1 activity in GV Tregs (p = 0.0128, p < 0.0001). Remarkably, calcium treatment increased Treg mediated suppression of CD4+ and CD8+ T-cells (p = 0.015, p = 0.006) in GV and increased Tregs associated cytokines: IL-10 (p = 0.0323, p = 0.009), TGF-β (p = 0.0321, p = 0.01) and decreased IFN-γ production (p = 0.001, p = 0.016) by CD4+ and CD8+ T-cells. Intracellular calcium levels positively correlated with calcineurin (r = 0.83; p < 0.0001) and NFATc1 (r = 0.61; p < 0.0001) activity, suggesting the enhanced Treg immunosuppressive capacity after calcium treatment. Our study for the first time suggests that reduced plasma calcium and ORAI1 transcripts are linked to calcium uptake defects in Tregs, which leads to reduced calcineurin and NFATc1 activation, thereby contributing to decreased Tregs immunosuppressive capacity in GV. Elevated GSK-3β activity and GSKB and DYRK1A transcripts are involved in reduced NFATc1 activity in GV Tregs. Overall, the study suggests that calcium-NFATc1-signalling pathway is likely to be involved in defective Tregs function and can be implicated for development of effective Treg mediated therapeutics for GV.
Insights
Generalized vitiligo (GV) involves impaired regulatory T-cells (Tregs) due to reduced calcium levels and NFATc1 signaling. Restoring calcium levels in Tregs can enhance their suppressive capacity, offering potential therapeutic strategies for GV.
Area of Science:
- Immunology
- Dermatology
- Cellular Signaling
Background:
- Regulatory T-cells (Tregs) play a crucial role in immune homeostasis.
- Impaired Treg function is implicated in autoimmune and inflammatory conditions like generalized vitiligo (GV).
- NFAT (nuclear factor of activated T-cells) signaling is critical for T-cell activation and function.
Purpose of the Study:
- To investigate the role of calcium-mediated NFATc1 signaling in Treg dysfunction in GV.
- To assess the impact of altered calcium homeostasis on Treg suppressive capacity in GV patients.
- To explore the potential of calcium restoration as a therapeutic approach for GV.
Main Methods:
- Quantification of intracellular and plasma calcium levels, calcineurin, NFATc1, and GSK-3β activity in Tregs from GV patients and controls.
- Assessment of gene and protein expression of key molecules involved in calcium signaling and T-cell function (e.g., ORAI1, IFN-γ, IL-10, TGF-β).
- Evaluation of Treg suppressive capacity and T-cell proliferation following calcium treatment in vitro.
Main Results:
- GV patients exhibited reduced plasma and intracellular Treg calcium levels, decreased calcineurin and NFATc1 activity, and altered expression of calcium channel transcripts (ORAI1, CNB, CAM).
- Elevated GSK-3β activity and GSK3B and DYRK1A transcripts were observed in GV Tregs, correlating with reduced NFATc1 activity.
- Calcium treatment restored intracellular calcium levels and ORAI1 transcripts in GV Tregs, enhancing calcineurin and NFATc1 activity and improving Treg-mediated suppression of T-cells, while modulating cytokine profiles (increased IL-10, TGF-β; decreased IFN-γ).
Conclusions:
- Reduced calcium levels and impaired ORAI1-mediated calcium uptake contribute to defective calcineurin-NFATc1 activation and reduced Treg suppressive capacity in GV.
- Elevated GSK-3β activity is associated with diminished NFATc1 signaling in GV Tregs.
- The calcium-NFATc1 signaling pathway is a potential therapeutic target for restoring Treg function in GV.
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