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Publication : A regulatory T cell Notch4-GDF15 axis licenses tissue inflammation in asthma.

First Author  Harb H Year  2020
Journal  Nat Immunol Volume  21
Issue  11 Pages  1359-1370
PubMed ID  32929274 Mgi Jnum  J:305853
Mgi Id  MGI:6706600 Doi  10.1038/s41590-020-0777-3
Citation  Harb H, et al. (2020) A regulatory T cell Notch4-GDF15 axis licenses tissue inflammation in asthma. Nat Immunol 21(11):1359-1370
abstractText  Elucidating the mechanisms that sustain asthmatic inflammation is critical for precision therapies. We found that interleukin-6- and STAT3 transcription factor-dependent upregulation of Notch4 receptor on lung tissue regulatory T (Treg) cells is necessary for allergens and particulate matter pollutants to promote airway inflammation. Notch4 subverted Treg cells into the type 2 and type 17 helper (TH2 and TH17) effector T cells by Wnt and Hippo pathway-dependent mechanisms. Wnt activation induced growth and differentiation factor 15 expression in Treg cells, which activated group 2 innate lymphoid cells to provide a feed-forward mechanism for aggravated inflammation. Notch4, Wnt and Hippo were upregulated in circulating Treg cells of individuals with asthma as a function of disease severity, in association with reduced Treg cell-mediated suppression. Our studies thus identify Notch4-mediated immune tolerance subversion as a fundamental mechanism that licenses tissue inflammation in asthma.
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