The E3 ligase DCAF1 is a key regulator of Treg senescence and protects Tregs from ROS stress. Guo, Z, Wang, G, Wu, B, et al. DCAF1 regulates Treg senescence via the ROS axis during immunological aging. J Clin Invest. 2020; 130: 5893- 5908. Aging affects all organs and systems, including the immune system, and a prominent feature of the aging immune system is a progressive decline in protective responses, a phenomenon called immunosenescence. At a cellular level, aging is associated with a marked expansion of effector memory T cells in the periphery, which is believed to contribute to the age-related chronic inflammatory state in the elderly (inflammaging). However, whether and how aging impacts Foxp3+ regulatory T cells (Tregs), a key cell type dedicated to tolerance and immune homeostasis, remains poorly defined. As the elderly nowadays represent the fastest growing transplant population, studies in this area will undoubtedly have significant clinical ramifications. A recent study in the Journal of Clinical Investigation by Guo et al. reported a surprising finding that the Foxp3+ Tregs are more likely to become senescent than T effector cells in aged mice: Tregs tended to more readily lose proliferative and suppressive capacities. The authors identified the E3 ligase DDB1- and CUL4-associated factor 1 (DCAF1) as a key regulator of Treg senescence and, by partnering with glutathione-S-transferase P (GSTP), plays a critical role in protecting Tregs from oxidative stress induced by reactive oxygen species (ROS). They further showed that Treg-specific deletion of DCAF1 led to accelerated aging of Tregs in young mice and that therapeutic blockade of the DCAF1/GSTP/ROS pathway rejuvenated aged Tregs and restored their suppressive activities. The authors initially took multiple approaches to compare Tregs and T effector cells in aged versus young naïve mice and found that aged Tregs proliferated poorly to T cell receptor stimulation and showed reduced suppressive activities compared with their young , counterparts. Unbiased genome-wide RNA-seq analysis revealed selective enrichment of aging-related programs as well as preferential upregulation of a senescence gene signature in aged Tregs (i.e., p16, p19, and p21). Interestingly, this senescence signature is more pronounced in Tregs than in T effector cells, regardless of age. They provide further evidence that aged, compared with young, Tregs showed normal expression of Treg signature genes (Foxp3, Il2ra, and Tnfrsf18) but a clear tendency of enhanced expression of proinflammatory cytokines. In an irradiation-induced aging model, young, but not aged, Tregs effectively prevented the phenotype of inflammaging. Clearly, these data support the notion that Tregs can readily become senescent and contribute to the inflammaging phenotype in aged mice. Guided by their RNA-seq data, the authors honed their efforts on DCAF1 and, by creating a set of genetically modified animal models, they demonstrated that deletion of Dcaf1 in Tregs produced an autoimmune phenotype in young mice, in which the Tregs resembled the phenotype of aged Tregs, i.e., they proliferate poorly, show deteriorated suppressive functions, and die prematurely. They found that in Dcaf1-deleted Tregs, there was marked ROS accumulation and Erk activation. Mechanistically, they showed that DCAF1 binds GSTP to form a complex that is required for intracellular detoxification of ROS by conjugating glutathione to hydrophobic and electrophilic substances (e.g., ROS). Thus, reduced expression of DCAF1 or its genetic deletion results in the accumulation of ROS in Tregs, which is known to activate the Erk pathway. Erk activation then leads to the expression of the senescence gene signature in Tregs and consequently Treg senescence and Treg dysfunction. This notion is further strengthened by the finding that interfering with the DCAF1/GSTP/ROS axis by genetic and pharmacological means rejuvenated aged Tregs and restored their suppressive functions both in vitro and in vivo. Finally, the authors extended their findings to human Tregs in the elderly, showing that similar mechanisms are also operative in the control of human Treg senescence. This new discovery, combined with the demonstration that the senescent Treg phenotype is reversible and can be therapeutically targeted, should both motivate and direct future inquiries and translational efforts. Xian C. Li, MD, PhD, is professor and director at the Immunobiology and Transplant Science Center and Department of Surgery at Houston Methodist Hospital in Texas.
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