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Publication : Ablation of Transcription Factor IRF4 Promotes Transplant Acceptance by Driving Allogenic CD4<sup>+</sup> T Cell Dysfunction.

First Author  Wu J Year  2017
Journal  Immunity Volume  47
Issue  6 Pages  1114-1128.e6
PubMed ID  29221730 Mgi Jnum  J:259428
Mgi Id  MGI:6141950 Doi  10.1016/j.immuni.2017.11.003
Citation  Wu J, et al. (2017) Ablation of Transcription Factor IRF4 Promotes Transplant Acceptance by Driving Allogenic CD4(+) T Cell Dysfunction. Immunity 47(6):1114-1128.e6
abstractText  CD4(+) T cells orchestrate immune responses and destruction of allogeneic organ transplants, but how this process is regulated on a transcriptional level remains unclear. Here, we demonstrated that interferon regulatory factor 4 (IRF4) was a key transcriptional determinant controlling T cell responses during transplantation. IRF4 deletion in mice resulted in progressive establishment of CD4(+) T cell dysfunction and long-term allograft survival. Mechanistically, IRF4 repressed PD-1, Helios, and other molecules associated with T cell dysfunction. In the absence of IRF4, chromatin accessibility and binding of Helios at PD-1 cis-regulatory elements were increased, resulting in enhanced PD-1 expression and CD4(+) T cell dysfunction. The dysfunctional state of Irf4-deficient T cells was initially reversible by PD-1 ligand blockade, but it progressively developed into an irreversible state. Hence, IRF4 controls a core regulatory circuit of CD4(+) T cell dysfunction, and targeting IRF4 represents a potential therapeutic strategy for achieving transplant acceptance.
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