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      Activin A programs human T FH cell differentiation

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          SUMMARY

          Follicular helper T (T FH) cells are CD4 + T cells specialized in helping B cells and are associated both with protective antibody responses and autoimmune diseases. The promise of targeting T FH cells therapeutically has been limited by fragmentary understanding of extrinsic signals regulating human T FH cell differentiation. A screen of a human protein library identified activin A as new regulator of T FH cell differentiation. Activin A orchestrated expression of multiple T FH-associated genes, independently or in concert with additional signals. T FH programming by activin A was antagonized by the cytokine IL-2. Activin A’s capacity to drive T FH cell differentiation in vitro was conserved for non-human primates but not mice. Finally, activin A-induced T FH programming was dependent on SMAD2 and SMAD3 signaling and blocked by pharmacological inhibitors.

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          Most cited references36

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          Is Open Access

          Clinical development of galunisertib (LY2157299 monohydrate), a small molecule inhibitor of transforming growth factor-beta signaling pathway

          Transforming growth factor-beta (TGF-β) signaling regulates a wide range of biological processes. TGF-β plays an important role in tumorigenesis and contributes to the hallmarks of cancer, including tumor proliferation, invasion and metastasis, inflammation, angiogenesis, and escape of immune surveillance. There are several pharmacological approaches to block TGF-β signaling, such as monoclonal antibodies, vaccines, antisense oligonucleotides, and small molecule inhibitors. Galunisertib (LY2157299 monohydrate) is an oral small molecule inhibitor of the TGF-β receptor I kinase that specifically downregulates the phosphorylation of SMAD2, abrogating activation of the canonical pathway. Furthermore, galunisertib has antitumor activity in tumor-bearing animal models such as breast, colon, lung cancers, and hepatocellular carcinoma. Continuous long-term exposure to galunisertib caused cardiac toxicities in animals requiring adoption of a pharmacokinetic/pharmacodynamic-based dosing strategy to allow further development. The use of such a pharmacokinetic/pharmacodynamic model defined a therapeutic window with an appropriate safety profile that enabled the clinical investigation of galunisertib. These efforts resulted in an intermittent dosing regimen (14 days on/14 days off, on a 28-day cycle) of galunisertib for all ongoing trials. Galunisertib is being investigated either as monotherapy or in combination with standard antitumor regimens (including nivolumab) in patients with cancer with high unmet medical needs such as glioblastoma, pancreatic cancer, and hepatocellular carcinoma. The present review summarizes the past and current experiences with different pharmacological treatments that enabled galunisertib to be investigated in patients.
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            Induction of FOXP3 expression in naive human CD4+FOXP3 T cells by T-cell receptor stimulation is transforming growth factor-beta dependent but does not confer a regulatory phenotype.

            Thymic-derived natural T-regulatory cells (nTregs) are important for the induction of self-tolerance and the control of autoimmunity. Murine CD4+CD25(-)Foxp3(-) cells can be induced to express Foxp3 after T-cell receptor (TCR) activation in the presence of transforming growth factor beta (TGFbeta) and are phenotypically similar to nTregs. Some studies have suggested that TCR stimulation of human CD4+CD25(-) cells results in the induction of transient expression of FOXP3, but that the induced cells lack a regulatory phenotype. We demonstrate here that TCR stimulation alone was insufficient to induce FOXP3 expression in the absence of TGFbeta, whereas high levels of FOXP3 expression could be induced in the presence of TGFbeta. Although FOXP3 expression was stable, the TGFbeta-induced FOXP3+ T cells were neither anergic nor suppressive and produced high levels of effector cytokines. These results suggest that even high levels of FOXP3 expression are insufficient to define a human CD4+ T cell as a T-regulatory cell.
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              TGF-β co-opts STAT3-STAT4 signaling to promote human T follicular helper cell differentiation

              Understanding the developmental mechanisms of T follicular helper (TFH) cells in humans is a highly relevant topic to clinic. However, factors that drive human CD4+ helper T (TH) cell differentiation program towards TFH cells remain largely undefined. Here we show that TGF-β provides critical additional signals for the transcription factors STAT3 and STAT4 to promote the initial TFH differentiation programs in humans. This mechanism does not appear to be shared with mouse TH cells. The developing human Bcl-6+ TFH cells also expressed RORγt, a transcription factor typically expressed by TH17 cells. Our study documents a mechanism by which TFH and TH17 cells co-emerge in inflammatory environments in humans, as often observed in many human autoimmune diseases.
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                Author and article information

                Journal
                100941354
                21750
                Nat Immunol
                Nat. Immunol.
                Nature immunology
                1529-2908
                1529-2916
                7 June 2016
                04 July 2016
                August 2016
                04 January 2017
                : 17
                : 8
                : 976-984
                Affiliations
                [1 ]Division of Vaccine Discovery, La Jolla Institute for Allergy and Immunology (LJI), La Jolla, CA 92037, USA
                [2 ]Microscopy Core Facility, La Jolla Institute for Allergy and Immunology (LJI), La Jolla, CA 92037, USA
                [3 ]Genomics Institute of the Novartis Research Foundation (GNF), La Jolla, CA 92121, USA
                [4 ]Department of Medicine, School of Medicine, University of California, San Diego, La Jolla, CA 92037, USA
                [5 ]Center for HIV/AIDS Vaccine Immunology and Immunogen Discovery (CHAVI-ID), La Jolla, CA 92037, USA
                Author notes
                Correspondence should be addressed to S.C. ( shane@ 123456lji.org )
                Article
                NIHMS790110
                10.1038/ni.3494
                4955732
                27376469
                7c4a06e2-95ed-4a6d-97c8-20fadbec50f5

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                Immunology
                Immunology

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