PMID- 21602513 OWN - NLM STAT- MEDLINE DCOM- 20110829 LR - 20220330 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 60 IP - 7 DP - 2011 Jul TI - The soluble CTLA-4 splice variant protects from type 1 diabetes and potentiates regulatory T-cell function. PG - 1955-63 LID - 10.2337/db11-0130 [doi] AB - OBJECTIVE: CTLA4 gene variation associates with multiple autoimmune disorders, including type 1 diabetes. The CTLA4 susceptibility allele was found to generate decreased levels of mRNA encoding soluble CTLA-4 (sCTLA-4) relative to the full-length isoform, the functional consequence of which is as yet unknown. In this study, we investigated the contribution of sCTLA-4 to immune regulation with the aim to elucidate the functional basis of the disease association of CTLA4. RESEARCH DESIGN AND METHODS: To model the disease-associated splicing variation of CTLA4, we generated NOD mice in which sCTLA-4 mRNA is silenced by RNA interference. RESULTS: We found that loss of sCTLA-4 impairs the function of regulatory T (Treg) cells. This functional defect could be attributed, at least in part, to the failure of sCTLA-4 knockdown (KD) Treg cells to downregulate dendritic cell costimulation. sCTLA-4 KD Treg cells, in contrast with wild-type Treg cells, failed to inhibit colitis induced by transfer of CD4(+)CD45RB(hi) cells into NOD.SCID animals. Furthermore, diminished sCTLA-4 expression accelerated the onset of autoimmune diabetes in transgenic mice. CONCLUSIONS: Our results demonstrate that sCTLA-4 participates in immune regulation by potentiating the function of Treg cells. The functional outcome of silencing this splice variant in the NOD model provides an explanation for the association of CTLA4 variation with autoimmunity. Lower sCTLA-4 expression from the susceptibility allele may directly affect the suppressive capacity of Treg cells and thereby modulate disease risk. Our unprecedented approach establishes the feasibility of modeling splicing variations relevant to autoimmunity. CI - (c) 2011 by the American Diabetes Association. FAU - Gerold, Kay D AU - Gerold KD AD - Rudolf Virchow Center, DFG Research Center for Experimental Biomedicine, University of Wurzburg, Wurzburg, Germany. FAU - Zheng, Peilin AU - Zheng P FAU - Rainbow, Daniel B AU - Rainbow DB FAU - Zernecke, Alma AU - Zernecke A FAU - Wicker, Linda S AU - Wicker LS FAU - Kissler, Stephan AU - Kissler S LA - eng GR - 079895/WT_/Wellcome Trust/United Kingdom GR - P01 AI039671/AI/NIAID NIH HHS/United States GR - U19 AI050864/AI/NIAID NIH HHS/United States GR - P01-AI-39671/AI/NIAID NIH HHS/United States GR - 091157/WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110520 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Antigens, CD) RN - 0 (CTLA-4 Antigen) RN - 0 (Ctla4 protein, mouse) RN - 0 (Protein Isoforms) SB - IM MH - Alternative Splicing MH - Animals MH - Antigens, CD/*genetics/*physiology MH - CTLA-4 Antigen MH - Diabetes Mellitus, Type 1/immunology/*prevention & control MH - Gene Knockdown Techniques MH - Mice MH - Mice, Inbred NOD MH - Mice, Transgenic MH - Protein Isoforms/genetics/physiology MH - T-Lymphocytes, Regulatory/immunology PMC - PMC3121435 EDAT- 2011/05/24 06:00 MHDA- 2011/08/30 06:00 PMCR- 2012/07/01 CRDT- 2011/05/24 06:00 PHST- 2011/05/24 06:00 [entrez] PHST- 2011/05/24 06:00 [pubmed] PHST- 2011/08/30 06:00 [medline] PHST- 2012/07/01 00:00 [pmc-release] AID - db11-0130 [pii] AID - 0130 [pii] AID - 10.2337/db11-0130 [doi] PST - ppublish SO - Diabetes. 2011 Jul;60(7):1955-63. doi: 10.2337/db11-0130. Epub 2011 May 20.