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Attrill, M. H.

Publications and source records attributed to Attrill, M. H..

3 recordsLinked to original sources

CD96-mediated internalisation of ligand CD155 as a novel mechanism for immune regulation

CD96 is a member of the immunoglobulin superfamily including TIGIT and CD226 that bind to a shared ligand, CD155. This family of co-receptors and its ligands are dysregulated in various autoimmune conditions and cancers, highlighting therapeutic potential. While TIGIT and CD226 are recognised co-inhibitory and co-stimulatory receptors respectively, the function of CD96 remains incompletely defined. Here, we assessed CD96-CD155 interaction and downstream trafficking to define a novel CD96 mechanism of action. Using primary human T cells and engineered cell models, we demonstrate that CD96 mediates uptake and internalisation of both soluble and cell-associated CD155. CRISPR-Cas9-mediated receptor knockout in primary human T cells revealed that CD155 uptake was uniquely dependent on CD96, but not TIGIT or CD226, identifying CD96 as the dominant mediator of CD155 internalisation in human T cells. This uptake process was dependent on active receptor cycling, which was partially facilitated by the CD96 cytoplasmic domain. Furthermore, CD96 variant 2 exhibited enhanced ligand binding and uptake efficiency compared with variant 1. Mechanistically, internalised CD155 trafficked to lysosomal compartments and associated with autophagy-related proteins, consistent with degradative processing. These findings reveal a previously unrecognised mechanism by which CD96 may regulate ligand availability through ligand internalisation and trafficking, with potential implications for T cell function and immune regulation. This process may promote changes in the immunoregulatory balance and could inform new targeted therapeutic development.

immunology↗

Treg fitness as a biomarker for disease activity in Juvenile Idiopathic Arthritis

Juvenile Idiopathic Arthritis (JIA) is an autoimmune condition characterised by persistent flares of joint inflammation. However, no reliable biomarker exists to predict the erratic disease course. Normally, regulatory T cells (Tregs) maintain immune tolerance, with altered Tregs associated with autoimmunity. Treg signatures have shown promise in monitoring other autoimmune conditions, therefore a Treg gene and/or protein signature could offer novel biomarker potential for predicting disease activity in JIA. Machine learning on our nanoString Treg gene signature on peripheral blood (PB) Tregs generated a model to distinguish active JIA (active joint count, AJC[≥]1) Tregs from healthy controls (HC, AUC=0.9875). Biomarker scores from this model successfully differentiated inactive (AJC=0) from active JIA PB Tregs. Moreover, scores correlated with clinical activity scores (cJADAS), and discriminated subclinical disease (AJC=0, cJADAS[≥]0.5) from remission (AUC=0.8980, Sens=0.8571, Spec= 0.8571). To investigate altered Treg fitness in JIA by protein expression, we utilised spectral flow cytometry and unbiased analysis. Three Treg clusters were increased in active JIA PB, including CD226highCD25low effector-like Tregs and CD39-TNFR2-Helioshigh, while a 4-1BBlowTIGITlowID2intermediate Treg cluster predominated in inactive JIA PB (AJC=0). The ratio of these Treg clusters correlated to cJADAS, and higher ratios could predict inactive individuals that flared by 6-month follow-up. Thus, we demonstrate altered Treg signatures and subsets as an important factor, and useful biomarker, for disease progression versus remission in JIA, revealing genes and proteins important in Treg fitness. Ultimately, PB Treg fitness measures could serve as routine biomarkers to guide disease and treatment management to sustain remission in JIA.

immunology↗

The immune landscape of the inflamed joint defined by spectral flow cytometry

Cellular phenotype and function are altered in different microenvironments. For targeted therapies it is important to understand site-specific cellular adaptations. Juvenile Idiopathic Arthritis (JIA) is characterised by joint inflammation, with frequent inadequate treatment responses. To comprehensively assess the inflammatory immune landscape, we designed a 37-parameter spectral flow cytometry panel delineating mononuclear cells from JIA synovial fluid (SF), compared to JIA and healthy control blood. Synovial monocytes and NK cells lack the Fc-receptor CD16, suggesting antibody-mediated targeting may be ineffective. B cells and DCs, both in small frequencies in SF, undergo maturation with high 4-1BB, CD71, CD39 expression, supporting T cell activation. SF effector and regulatory T cells were highly active with newly described co-receptor combinations that may alter function, and suggestion of metabolic reprogramming via CD71, TNFR2 and PD-1. Most SF effector phenotypes, as well as an identified CD4-Foxp3+ T cell population, were restricted to the inflamed joint, yet specific SF-predominant Treg (CD4+Foxp3+) subpopulations were increased in blood of active but not inactive JIA, suggesting possible recirculation and loss of immunoregulation at distal sites. This first comprehensive dataset of the site-specific inflammatory landscape at protein level will inform functional studies and the development of targeted therapeutics to restore immunoregulatory balance and achieve remission in JIA. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=146 SRC="FIGDIR/small/569010v1_ufig1.gif" ALT="Figure 1"> View larger version (44K): org.highwire.dtl.DTLVardef@66c213org.highwire.dtl.DTLVardef@4f99b5org.highwire.dtl.DTLVardef@1f475bborg.highwire.dtl.DTLVardef@5d533f_HPS_FORMAT_FIGEXP M_FIG C_FIG

immunology↗