PMID- 24683191 OWN - NLM STAT- MEDLINE DCOM- 20140606 LR - 20211203 IS - 1550-6606 (Electronic) IS - 0022-1767 (Print) IS - 0022-1767 (Linking) VI - 192 IP - 9 DP - 2014 May 1 TI - Mechanistic target of rapamycin complex 1 expands Th17 and IL-4+ CD4-CD8- double-negative T cells and contracts regulatory T cells in systemic lupus erythematosus. PG - 4134-44 LID - 10.4049/jimmunol.1301859 [doi] AB - The mechanistic target of rapamycin (mTOR) is activated in CD4(-)CD8(-) double-negative (DN) T cells and its blockade is therapeutic in systemic lupus erythematosus (SLE) patients. Murine studies showed the involvement of mTOR complex 1 (mTORC1) and 2 (mTORC2) in the differentiation of Th1/Th17 cells and Th2 cells, respectively. In this study, we investigated the roles of mTORC1 and mTORC2 in T cell lineage development in SLE and matched healthy control (HC) subjects. mTORC1 activity was increased, whereas mTORC2 was reduced, as assessed by phosphorylation of their substrates phosphorylated S6 kinase 1 or phosphorylated S6 ribosomal protein and phosphorylated Akt, respectively. Rapamycin inhibited mTORC1 and enhanced mTORC2. IL-4 expression was increased in freshly isolated CD8(+) lupus T cells (SLE: 8.09 +/- 1.93%, HC: 3.61 +/- 0.49%; p = 0.01). DN T cells had greater IL-4 expression than CD4(+) or CD8(+) T cells of SLE patients after 3-d in vitro stimulation, which was suppressed by rapamycin (control: 9.26 +/- 1.48%, rapamycin: 5.03 +/- 0.66%; p < 0.001). GATA-3 expression was increased in CD8(+) lupus T cells (p < 0.01) and was insensitive to rapamycin treatment. IFN-gamma expression was reduced in all lupus T cell subsets (p = 1.0 x 10(-5)) and also resisted rapamycin. IL-17 expression was increased in CD4(+) lupus T cells (SLE: 3.62 +/- 0.66%, HC: 2.29 +/- 0.27%; p = 0.019), which was suppressed by rapamycin (control: 3.91 +/- 0.79%, rapamycin: 2.22 +/- 0.60%; p < 0.001). Frequency of regulatory T cells (Tregs) was reduced in SLE (SLE: 1.83 +/- 0.25%, HC: 2.97 +/- 0.27%; p = 0.0012). Rapamycin inhibited mTORC1 in Tregs and promoted their expansion. Neutralization of IL-17, but not IL-4, also expanded Tregs in SLE and HC subjects. These results indicate that mTORC1 expands IL-4(+) DN T and Th17 cells, and contracts Tregs in SLE. FAU - Kato, Hiroshi AU - Kato H AD - Division of Rheumatology, Department of Medicine, State University of New York, Upstate Medical University, College of Medicine, Syracuse, NY 13210; FAU - Perl, Andras AU - Perl A LA - eng GR - R01 AI072648/AI/NIAID NIH HHS/United States GR - AI072648/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20140328 PL - United States TA - J Immunol JT - Journal of immunology (Baltimore, Md. : 1950) JID - 2985117R RN - 0 (Multiprotein Complexes) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Cell Lineage/immunology MH - Cell Separation MH - Female MH - Flow Cytometry MH - Humans MH - Immunoblotting MH - Lupus Vasculitis, Central Nervous System/*immunology/metabolism MH - Male MH - Mechanistic Target of Rapamycin Complex 1 MH - Middle Aged MH - Multiprotein Complexes/*immunology/metabolism MH - T-Lymphocyte Subsets/*immunology/metabolism MH - T-Lymphocytes, Regulatory/*immunology/metabolism MH - TOR Serine-Threonine Kinases/*immunology/metabolism MH - Th17 Cells/*immunology/metabolism PMC - PMC3995867 MID - NIHMS572033 COIS- Disclosure The authors have no financial conflicts of interest. EDAT- 2014/04/01 06:00 MHDA- 2014/06/07 06:00 PMCR- 2015/05/01 CRDT- 2014/04/01 06:00 PHST- 2014/04/01 06:00 [entrez] PHST- 2014/04/01 06:00 [pubmed] PHST- 2014/06/07 06:00 [medline] PHST- 2015/05/01 00:00 [pmc-release] AID - jimmunol.1301859 [pii] AID - 10.4049/jimmunol.1301859 [doi] PST - ppublish SO - J Immunol. 2014 May 1;192(9):4134-44. doi: 10.4049/jimmunol.1301859. Epub 2014 Mar 28.