PMID- 25558978 OWN - NLM STAT- MEDLINE DCOM- 20150509 LR - 20150312 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 128 IP - 10 DP - 2015 May 1 TI - Activated regulatory T-cells attenuate myocardial ischaemia/reperfusion injury through a CD39-dependent mechanism. PG - 679-93 LID - 10.1042/CS20140672 [doi] AB - Regulatory T-cells (Tregs) are generally regarded as key immunomodulators that maintain immune tolerance and counteract tissue damage in a variety of immune-mediated disorders. However, its role in myocardial ischaemia/reperfusion injury (MIRI) remains unknown. The purpose of the present study was to determine whether Tregs exert a beneficial effect on mouse MIRI. We examined the role of Tregs in murine MIRI by depletion using 'depletion of regulatory T-cell' (DEREG) mice and adoptive transfer using Forkhead box P3 (Foxp3)-GFP knockin mice and the mechanisms of cardio protection were further studied in vivo and in vitro. Tregs rapidly accumulated in murine hearts following MIRI. Selective depletion of Tregs in the DEREG mouse model resulted in aggravated MIRI. In contrast, the adoptive transfer of in vitro-activated Tregs suppressed MIRI, whereas freshly isolated Tregs had no effect. Mechanistically, activated Treg-mediated protection against MIRI was not abrogated by interleukin (IL)-10 or transforming growth factor (TGF)-beta1 inhibition but was impaired by the genetic deletion of cluster of differentiation 39 (CD39). Moreover, adoptive transfer of in vitro-activated Tregs attenuated cardiomyocyte apoptosis, activated a pro-survival pathway involving Akt and extracellular-signal-regulated kinase (ERK) and inhibited neutrophil infiltration, which was compromised by CD39 deficiency. Finally, the peripheral blood mononuclear cells of acute myocardial infarction (AMI) patients after primary percutaneous coronary intervention (PCI) revealed a decrease in CD4+CD25+CD127low Tregs and a relative increase in CD39+ cells within the Treg population. In conclusion, our data validated a protective role for Tregs in MIRI. Moreover, in vitro-activated Tregs ameliorated MIRI via a CD39-dependent mechanism, representing a putative therapeutic strategy. FAU - Xia, Ni AU - Xia N AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Jiao, Jiao AU - Jiao J AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Tang, Ting-Ting AU - Tang TT AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Lv, Bing-Jie AU - Lv BJ AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Lu, Yu-Zhi AU - Lu YZ AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Wang, Ke-Jing AU - Wang KJ AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Zhu, Zheng-Feng AU - Zhu ZF AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Mao, Xiao-Bo AU - Mao XB AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Nie, Shao-Fang AU - Nie SF AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Wang, Qing AU - Wang Q AD - daggerCenter for Cardiovascular Genetics, Department of Molecular Cardiology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, U.S.A. FAU - Tu, Xin AU - Tu X AD - double daggerKey Laboratory of Molecular Biophysics of the Ministry of Education, Cardio-X Institute, College of Life Science and Technology and Center of Human Genome Research, Huazhong University of Science and Technology, Wuhan 430074, China. FAU - Xiao, Hong AU - Xiao H AD - section signDepartment of Scientific Research, The 4th Hospital of Wuhan, Wuhan 430000, China. FAU - Liao, Yu-Hua AU - Liao YH AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. FAU - Shi, Guo-Ping AU - Shi GP AD - paragraph signDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, U.S.A. FAU - Cheng, Xiang AU - Cheng X AD - *Laboratory of Cardiovascular Immunology, Institute of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology; Laboratory of Biological Targeted Therapy of the Ministry of Education, Wuhan 430022, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (Antigens, CD) RN - 0 (Forkhead Transcription Factors) RN - 0 (Foxp3 protein, mouse) RN - 147336-22-9 (Green Fluorescent Proteins) RN - EC 3.6.1.5 (Apyrase) RN - EC 3.6.1.5 (CD39 antigen) SB - IM MH - Adoptive Transfer/methods MH - Analysis of Variance MH - Animals MH - Antigens, CD/*metabolism MH - Apyrase/*metabolism MH - Forkhead Transcription Factors/genetics MH - Gene Knock-In Techniques MH - Green Fluorescent Proteins/genetics MH - Immunotherapy/*methods MH - Lymphocyte Activation/*immunology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Myocardial Reperfusion Injury/*immunology MH - T-Lymphocytes, Regulatory/*immunology/metabolism EDAT- 2015/01/07 06:00 MHDA- 2015/05/10 06:00 CRDT- 2015/01/07 06:00 PHST- 2015/01/07 06:00 [entrez] PHST- 2015/01/07 06:00 [pubmed] PHST- 2015/05/10 06:00 [medline] AID - CS20140672 [pii] AID - 10.1042/CS20140672 [doi] PST - ppublish SO - Clin Sci (Lond). 2015 May 1;128(10):679-93. doi: 10.1042/CS20140672.