IPEX, FOXP3 and regulatory T-cells:: a model for autoimmunity

被引:132
作者
Ochs, Hans D.
Gambineri, Eleonora
Torgerson, Troy R.
机构
[1] Childrens Hosp, Div Immunol Infect Dis Rheumatol, Seattle, WA 98109 USA
[2] Univ Florence, Amma Meyer Childrens Hosp, Dept Pediat, I-50132 Florence, Italy
[3] Univ Washington, Seattle, WA 98109 USA
关键词
forkhead/winged-helix protein (FOXP3); immune dysregulation; polyendocrinopathy; enteropathy; X-linked (IPEX); stem cell transplantation; immunosuppressive therapy; scurfy mouse regulatory T cells;
D O I
10.1007/s12026-007-0022-2
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
FOXP3 is the key mediator of regulatory T-cell development in the thymus. Naturally occurring mutations of FOXP3 interfere with this process, resulting in the Generation of autoaggressive lymphocyte clones that are directly responsible for the syndrome Immune Dysregulation, Polyendocrinopathy, Enteropathy, X-Linked (IPEX) in humans and scurfy in mice. Stem cell transplantation is the only cure for IPEX patients. The study of this rare disease has provided important insight into the mechanisms of immunosuppression, autoimmunity and tolerance and future studies may lead to novel strategies to treat not only patients with IPEX, but also those suffering from autoimmunity, graft-versus-host disease or cancer.
引用
收藏
页码:112 / 121
页数:10
相关论文
共 59 条
[1]   CD4+ regulatory T cells:: Mechanisms of induction and effector function [J].
Bacchetta, R ;
Gregori, S ;
Roncarolo, MG .
AUTOIMMUNITY REVIEWS, 2005, 4 (08) :491-496
[2]   Treatment of the immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) by allogeneic bone marrow transplantation [J].
Baud, O ;
Goulet, O ;
Canioni, D ;
Le Deist, F ;
Radford, I ;
Rieu, D ;
Dupuis-Girod, S ;
Cerf-Bensussan, N ;
Cavazzana-Calvo, M ;
Brousse, N ;
Fischer, A ;
Casanova, JL .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (23) :1758-1762
[3]   X-linked syndrome of polyendocrinopathy, immune dysfunction, and diarrhea maps to Xp11.23-Xq13.3 [J].
Bennett, CL ;
Yoshioka, R ;
Kiyosawa, H ;
Barker, DF ;
Fain, PR ;
Shigeoka, AO ;
Chance, PF .
AMERICAN JOURNAL OF HUMAN GENETICS, 2000, 66 (02) :461-468
[4]   The immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) is caused by mutations of FOXP3 [J].
Bennett, CL ;
Christie, J ;
Ramsdell, F ;
Brunkow, ME ;
Ferguson, PJ ;
Whitesell, L ;
Kelly, TE ;
Saulsbury, FT ;
Chance, PF ;
Ochs, HD .
NATURE GENETICS, 2001, 27 (01) :20-21
[5]   A rare polyadenylation signal mutation of the FOXP3 gene (AAUAAA→AAUGAA) leads to the IPEX syndrome [J].
Bennett, CL ;
Brunkow, ME ;
Ramsdell, F ;
O'Briant, KC ;
Zhu, Q ;
Fuleihan, RL ;
Shigeoka, AO ;
Ochs, HD ;
Chance, PF .
IMMUNOGENETICS, 2001, 53 (06) :435-439
[6]   Cutaneous T-cell lymphoma: malignant proliferation of T-regulatory cells [J].
Berger, CL ;
Tigelaar, R ;
Cohen, J ;
Mariwalla, K ;
Trinh, J ;
Wang, NC ;
Edelson, RL .
BLOOD, 2005, 105 (04) :1640-1647
[7]   Foxp3 interacts with nuclear factor of activated T cells and NF-κB to repress cytokine gene expression and effector functions of T helper cells [J].
Bettelli, E ;
Dastrange, M ;
Oukka, M .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2005, 102 (14) :5138-5143
[8]   Reduced frequencies and suppressive function of CD4+CD25hi regulatory T cells in patients with chronic lymphocytic leukemia after therapy with fludarabine [J].
Beyer, M ;
Kochanek, M ;
Darabi, K ;
Popov, A ;
Jensen, M ;
Endl, E ;
Knolle, PA ;
Thomas, RK ;
von Bergwelt-Baildon, M ;
Bebey, S ;
Hallek, M ;
Schultze, JL .
BLOOD, 2005, 106 (06) :2018-2025
[9]   Successful use of the new immune-suppressor sirolimus in IPEX (immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome) [J].
Bindl, L ;
Torgerson, T ;
Perroni, L ;
Youssef, N ;
Ochs, HD ;
Goulet, O ;
Ruemmele, FM .
JOURNAL OF PEDIATRICS, 2005, 147 (02) :256-259
[10]   Disruption of a new forkhead/winged-helix protein, scurfin, results in the fatal lymphoproliferative disorder of the scurfy mouse [J].
Brunkow, ME ;
Jeffery, EW ;
Hjerrild, KA ;
Paeper, B ;
Clark, LB ;
Yasayko, SA ;
Wilkinson, JE ;
Galas, D ;
Ziegler, SF ;
Ramsdell, F .
NATURE GENETICS, 2001, 27 (01) :68-73