Article,

Selective activation of tumor necrosis factor receptor 2 induces anti-inflammatory responses and alleviates experimental arthritis

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Arthritis & Rheumatology, (January 2018)
DOI: 10.1002/art.40413

Abstract

OBJECTIVES Regulatory T cells (Tregs) modulate immune responses and can suppress the development of autoimmune diseases. Tumor necrosis factor receptor 2 (TNFR2) has been recognized as a key receptor on these cells that facilitates expansion and stabilization of CD4+ Tregs. Here, we investigated the therapeutic activity of a novel TNFR2 agonist in experimental arthritis and the role of different Treg subsets. METHODS A novel mouse TNFR2-selective fusion protein (EHD2-sc-mTNFR2 ) was generated by genetic engineering. Mouse T cells were incubated together with IL-2 and/or EHD2-sc-mTNFR2 and effects on Tregs were analyzed by flow cytometry. Then mice with collagen induced arthritis were treated with EHD2-sc-mTNFR2 or saline and therapeutic effect was monitored and characterized. RESULTS Selective activation of TNFR2 does expand both, CD4+ as well as CD8+ Tregs. Moreover, TNFR2 activation elevated the number of CD4+ CD25+ Tregs, but not CD8+ CD25+ Tregs, and increased the number of FoxP3-expressing cells in CD8+ Tregs, but not CD4+ Tregs, implying different mechanisms of TNFR2-induced expansion of diverse T cell subsets with suppressive activity. Using the collagen induced arthritis model, we demonstrate that administration of the TNFR2 agonist EHD2-sc-mTNFR2 leads to the expansion of both CD4+ and CD8+ Tregs in vivo and induces anti-inflammatory responses that alleviate arthritis. CONCLUSIONS Summarizing, our data argue for the use of TNFR2-selective therapeutics as an effective approach in treating arthritic disease and possibly other inflammatory and autoimmune diseases. This article is protected by copyright. All rights reserved.

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