Abstract

The rise in the prevalence of autoimmune diseases in developed societies has been associated with a change in lifestyle patterns. Among other factors, increased consumption of certain dietary components, such as table salt and fatty acids and excessive caloric intake has been associated with defective immunological tolerance. Dietary nutrients have shown to modulate the immune response by a direct effect on the function of immune cells or, indirectly, by acting on the microbiome of the gastrointestinal tract. FOXP3+ regulatory T cells (Tregs) suppress immune responses and are critical for maintaining peripheral tolerance and immune homeostasis, modulating chronic tissue inflammation and autoimmune disease. It is now well-recognized that Tregs show certain degree of plasticity and can gain effector functions to adapt their regulatory function to different physiological situations during an immune response. However, plasticity of Tregs might also result in conversion into effector T cells that may contribute to autoimmune pathogenesis. Yet, which environmental cues regulate Treg plasticity and function is currently poorly understood, but it is of significant importance for therapeutic purposes. Here we review the current understanding on the effect of certain dietary nutrients that characterize Western diets in Treg metabolism, stability, and function. Moreover, we will discuss the role of Tregs linking diet and autoimmunity and the potential of dietary-based interventions to modulate Treg function in disease.

Highlights

  • The Impact of Dietary Components on Regulatory T Cells and DiseaseRebeca Arroyo Hornero, Ibrahim Hamad, Beatriz Côrte-Real and Markus Kleinewietfeld*. VIB Laboratory of Translational Immunomodulation, VIB Center for Inflammation Research (IRC), University of Hasselt, Hasselt, Belgium

  • An appropriate balance between pro- and anti-inflammatory immune responses is required to protect organisms from invading pathogens and tumor development without incurring in autoimmune and allergic diseases

  • The metabolic sensor LKB1 acts through AMPK promoting oxidative phosphorylation (OXPHOS) over glycolysis, and its deletion on Tregs led to alterations in cellular metabolism and the development of autoimmune diseases associated with dampened FOXP3 expression [124, 135]

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Summary

The Impact of Dietary Components on Regulatory T Cells and Disease

Rebeca Arroyo Hornero, Ibrahim Hamad, Beatriz Côrte-Real and Markus Kleinewietfeld*. VIB Laboratory of Translational Immunomodulation, VIB Center for Inflammation Research (IRC), University of Hasselt, Hasselt, Belgium. Dietary nutrients have shown to modulate the immune response by a direct effect on the function of immune cells or, indirectly, by acting on the microbiome of the gastrointestinal tract. FOXP3+ regulatory T cells (Tregs) suppress immune responses and are critical for maintaining peripheral tolerance and immune homeostasis, modulating chronic tissue inflammation and autoimmune disease. It is well-recognized that Tregs show certain degree of plasticity and can gain effector functions to adapt their regulatory function to different physiological situations during an immune response. We review the current understanding on the effect of certain dietary nutrients that characterize Western diets in Treg metabolism, stability, and function.

INTRODUCTION
Treg REGULATION AND HETEROGENEITY
OBESITY AND VAT Tregs
METABOLIC REGULATION OF Tregs
THE EFFECT OF SALT IN Treg PLASTICITY
DIET AS A THERAPEUTIC AID TO CONTROL AUTOIMMUNITY
Findings
CONCLUDING REMARKS
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