Abstract

STAT3 is highly expressed in aGVHD CD4+ T cells and plays a critical role in inducing or worsening aGVHD. In our preceding studies, DNA hypomethylation in STAT3 promoter was shown to cause high expression of STAT3 in aGVHD CD4+ T cells, and the process could be modulated by HMGB1, but the underlying mechanism remains unclear. TET2, AID, and TDG are indispensable in DNA demethylation; meanwhile, TET2 and AID also serve extremely important roles in immune response. So, we speculated these enzymes involved in the STAT3 promoter hypomethylation induced by HMGB1 in aGVHD CD4+ T cells. In this study, we found that the binding levels of TET2/AID/TDG to STAT3 promoter were remarkably increased in CD4+T cells from aGVHD patients and were significantly negatively correlated with the STAT3 promoter methylation level. Simultaneously, we revealed that HMGB1 could recruit TET2, AID, and TDG to form a complex in the STAT3 promoter region. Interference with the expression of TET2/AID/TDG inhibited the overexpression of STAT3 caused by HMGB1 downregulation of the STAT3 promoter DNA methylation. These data demonstrated a new molecular mechanism of how HMGB1 promoted the expression of STAT3 in CD4+ T cells from aGVHD patients.

Highlights

  • Allogeneic hematopoietic stem cell transplantation has been recognized as the exclusive treatment to cure hematopoietic malignancies, but acute graft-versushost disease is the primary limitation of the therapy [1,2,3]

  • We explored the specific process by which HMGB1 increases the expression of Signal transducer and activator of transcription 3 (STAT3) in CD4+ T cells from acute graft-versushost disease (aGVHD) patients and confirmed that HMGB1 could extensively recruit TET2, Activation-induced cytidine deaminase (AID), and thymine-DNA glycosylase (TDG) to bind to STAT3 promoter, which in turn contributed to DNA demethylation of STAT3 promoter

  • We first explored whether HMGB1, TET2, AID, and TDG could bind to STAT3 promoter using a ChIP-PCR analysis in HMGB1/TET2/AID/TDG overexpressed Jurkat cells

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Summary

Introduction

Allogeneic hematopoietic stem cell transplantation (alloHSCT) has been recognized as the exclusive treatment to cure hematopoietic malignancies, but acute graft-versushost disease (aGVHD) is the primary limitation of the therapy [1,2,3]. Overexpressed STAT3 in aGVHD was found to be tightly linked to various disease progression [7, 8]. Our previous study showed the significantly increased expression of STAT3 was associated with DNA hypomethylation in STAT3 promoter in aGVHD CD4+ T cells. HMGB1 was found to drive DNA demethylation in CD4+ T cells of systemic lupus erythematosus (SLE) patients [11]. DNA methylation is an epigenetic mechanism involved in regulating the gene expression [12]. Our previous study revealed that HMGB1 was markedly overexpressed in CD4+ T cells from aGVHD patients and was positively correlated with the STAT3 promoter DNA methylation level [7]. The exact mechanism by which HMGB1 decreases the DNA methylation level of STAT3 promoter remains unclear

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