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Protein phosphatase 6 (Pp6) is crucial for regulatory T cell function and stability in autoimmunity

Regulatory T (Treg) cells constitute a dynamic population that is critical in autoimmunity. Treg cell therapies for autoimmune diseases are mainly focused on enhancing their suppressive activities. However, recent studies demonstrated that certain inflammatory conditions induce Treg cell instability with diminished FoxP3 expression and convert them into pathogenic effector cells. Therefore, the identification of novel targets crucial to both Treg cell function and plasticity is of vital importance to the development of therapeutic approaches in autoimmunity. In this study, we found that conditional Pp6 knockout (cKO) in Treg cells led to spontaneous autoinflammation, immune cell activation, and diminished levels of FoxP3 in CD4+ T cells in mice. Loss of Pp6 in Treg cells exacerbated two classical mouse models of Treg-related autoinflammation. Mechanistically, Pp6 deficiency increased CpG motif methylation of the FoxP3 locus by dephosphorylating Dnmt1 and enhancing Akt phosphorylation at Ser473/Thr308, leading to impaired FoxP3 expression in Treg cells. In summary, our study proposes Pp6 as a critical positive regulator of FoxP3 that acts by decreasing DNA methylation of the FoxP3 gene enhancer and inhibiting Akt signaling, thus maintaining Treg cell stability and preventing autoimmune diseases.


Introduction
Recent studies have reported that FoxP3 þ regulatory T (T reg ) cells are not a terminally differentiated cell population with a fixed phenotype; they display some degree of plasticity and/or instability under certain inflammatory conditions. 1 Although the functional stability of T reg cells is a controversial issue, some groups have observed that under specific inflammatory conditions, natural and induced regulatory T (iT reg ) cells lose FoxP3 expression and acquire a pathogenic phenotype with the expression of proinflammatory cytokines, becoming so-called "exFoxP3" T reg cells. 2,3 FoxP3 is a key marker for T reg cells, and its stable expression is required for T reg cell maintenance and immunosuppression. 4 Loss of FoxP3 in T reg cells partially causes autoimmune diseases in mice and humans. 5,6 Genetic mutation of FoxP3 leads to the scurfy phenotype in mice, which includes fatal autoimmunity. 7 The mutation of human FoxP3 causes immune dysregulation, polyendocrinopathy, enteropathy, and X-linked syndrome (IPEX). 8 Protein phosphatase 6 (Pp6) belongs to the serine/ threonine protein phosphatase family. 9 Pp6-specific deletion in T reg cells led to marked impairment of T reg cell induction and increased Ang II-induced blood pressure elevation in mice. 10 However, the exact function of Pp6 in T reg cells remains elusive. In this study, we found that conditional Pp6 knockout (cKO) in T reg cells led to diminished levels of FoxP3, which inspired us to explore the underlying mechanism.
Recent studies revealed that FoxP3 stability depends on the demethylation of the CpG motif in the FoxP3 locus, especially in the T reg cell-specific demethylated region (TSDR). 11,12 Three kinds of DNA methyltransferase (Dnmt) enzymes are responsible for DNA methylation: Dnmt1, Dnmt3a, and Dnmt3b. 13 In mice, Dnmt1 deficiency in T reg cells weakens their suppressive function, while Dnmt3a deficiency does not, suggesting that Dnmt1 is critical to T reg cells. 14 Upon TCR signaling, Dnmt1 is upregulated to mediate FoxP3 expression by enhancing CpG methylation. 15 T reg cells in patients with abdominal arterial aneurysm, a disease that shares many features with autoimmune diseases, have a significantly higher DNA methylation rate of Dnmt1 levels than the control group. 16 Elevated methylation levels of T reg cell-conserved noncoding sequences in the FoxP3 locus abrogate FoxP3 expression, leading to severe autoimmune disease. 17 However, the dynamic modulation of CpG motif methylation and activity control of Dnmt in T reg cells remain elusive. Here, we report that Pp6 could bind and dephosphorylate Dnmt1, hence decreasing CpG motif methylation at the FoxP3 locus.
FoxP3 is negatively controlled by the PI3K/Akt pathway, which is a critical inhibitory signal restraining FoxP3 expression in T reg cells. 37 Akt hyperactivation contributes to T reg cell reduction and plasticity. 18 Interestingly, several phosphatases restrict the PI3K/Akt cascade by dephosphorylating key proteins. Protein phosphatase 2A (PP2A) mainly reduces mTOC1 activity by dephosphorylating S6 protein, with a negligible effect on phosphorylation of Akt at Ser473 and Thr308 in mouse CD4 þ T cells. 19,20 Conditional knockdown of Pp6 in T cells activates TCR terminal signals, such as MAPKs, AKT, and NF-kB, leading to enhanced T cell activation and a decreased proportion of T reg cells in Pp6 fl/fl -Lck cre mice. 24 However, whether Pp6 modulates the phosphorylation of Akt at Ser473/Thr308 and FoxP3 expression in T reg cells remain unexplored.
In view of the known Pp6 regulation of T reg cells and FoxP3 expression, in this study, we used Pp6 conditional deletion in T reg cells of (Pp6 fl/fl -FoxP3 GFP-cre, cKO) mice and determined the possible role of Pp6 in T reg cell function and stability and depict the mechanisms. We showed that Pp6 conditional knockout (cKO) in T reg cells led to spontaneous autoinflammation in mice and diminished FoxP3 expression in T reg cells. Loss of Pp6 in T reg cells impaired their immunosuppressive function and exacerbated experimental colitis and EAE. Mechanistically, Pp6 deficiency increased CpG motif methylation of the FoxP3 locus by impairing the dephosphorylation of Dnmt1 and enhancing Akt signaling, leading to reduced FoxP3 in T reg cells. We identified Pp6 as a critical positive regulator of FoxP3 that maintains T reg cell stability and prevents autoimmune diseases.

Mice
Pp6 fl/fl mice bearing loxP-flanked exons 5e6 of the Pp6 gene were hybridized with FoxP3 GFP-cre mice to gain the specific cre-mediated deletion of Pp6 in FoxP3 þ cells (Pp6 fl/ fl -FoxP3 GFP-cre , cKO) mice. Genotype identification of the cKO mice by RT-PCR was shown in our previous paper. 10 The background of FoxP3 GFP-cre mice was described as previous study 21,22 and the FoxP3 GFP-cre mice were kindly provided by Dr. Zhou Xuyu (Institute of Microbiology, Chinese Academy of Sciences, Shanghai, China). The background of Pp6 fl/fl mice was described in previous study 23 and the Pp6 fl/ fl mice were kindly provided by Dr. Tao Wufan (National Center for International Research of Development and Disease, School of Life Sciences, Fudan University, Shanghai, China). Rag1 À/À mice were obtained from the Model Animal Research Center of Nanjing University.
All in vivo and in vitro experiments were performed on 6-to 13-week-old mice. All mice were kept under specific pathogen-free (SPF) conditions in compliance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals with the approval (SYXK-2018-0027) of the Scientific Investigation Board of Shanghai Jiaotong University School of Medicine. Mice used in disease models were euthanized by CO 2 inhalation when recommended to ameliorate any further suffering.

Flow cytometric analysis
Single-cell suspensions from mouse tissues were prepared in PBS containing 2% FBS. Cells were fixed and permeabilized with a Cytofix/Cytoperm kit (BD Biosciences) or FoxP3/Transcription Factor Staining Buffer Set (eBioscience). For surface marker analysis, cells were stained with the indicated antibodies (Abs) in PBS containing 2% FBS. Intracellular staining was performed according to the manufacturer's instructions. The following antibodies were used: anti-mouse CD4 APC-cy7, anti-mouse CD25 BV421/PE, anti-mouse FoxP3 APC, anti-mouse CD62L APC, anti-mouse CD44 PE, anti-mouse IFN-g PE, anti-mouse IL-17A APC, anti-CD4 APC, and anti-Foxp3 PE from BioLegend. The antimouse/rat Ki67 was purchased from ebioscience. The anti-Akt-pSer473 rabbit antibody and anti-Akt-pThr308 rabbit antibody were purchased from Cell Signaling Technology as primary antibodies, and the donkey anti-rabbit AF594 secondary antibody was purchased from Invitrogen. Finally, the cells were washed, resuspended, and analyzed with a BD LSRFortessa X-20 flow cytometer.

Histological analysis
The mouse tissue and organ samples were fixed in formalin and embedded in paraffin. Sections (6 mm) were stained with hematoxylin and eosin (H&E). Image analysis was performed using a Leica SP8 X confocal microscope.

Western blot analysis
Cells were directly lysed by RIPA lysis buffer (Beyotime) on ice, and proteins were separated by SDS-PAGE gels. Separated proteins were transferred to a PVDF membrane (Millipore), and the membrane was incubated for 1 h in TBS buffer (20 mM TriseHCl pH 7.5, 500 mM NaCl) containing 5% BSA and 0.1% Tween 20 at room temperature. The membranes were incubated with primary antibody overnight at 4 C and subsequently washed three times with TBS buffer containing 0.1% Tween 20. Then, the membranes were incubated with HRP secondary antibody for 1 h at room temperature. After washing and incubation with HRP substrate, signals were detected by an Amersham Imager 600 (GE). The following antibodies were used: anti-Pp6 (Millipore/Santa Cruz), anti-Akt (Cell Signaling Technology), anti-Akt-pSer473 (Cell Signaling Technology), anti-Akt-pThr308 (Cell Signaling Technology), anti-Actin (Beyotime), anti-pStat5 (Cell Signaling Technology), anti-FoxP3 (Abcam), anti-pJak3 (Cell Signaling Technology), anti-pSmand2/3 (Cell Signaling Technology), and anti-Smand2/ 3 (Abcam).

Induction of experimental allergic encephalomyelitis (EAE)
EAE was induced by complete Freund's adjuvant (CFA)-MOG 35e55 peptide immunization (China Peptides Biotechnology) and scored daily. Briefly, cKO/control mice were injected subcutaneously into the base of the tail with a volume of 200 ml containing 300 mg MOG 35e55 peptide emulsified in CFA (SigmaeAldrich). Mice were also injected intravenously with 200 ng of pertussis toxin (Merck-Calbiochem) on days 0 and 2 postimmunization. All the reagents used for in vivo experiments were free of endotoxin. Mice were monitored daily for the development of disease, which was scored according to the following scale: 0, no symptoms; 0.5, partial limp tail; 1, complete limp tail; 2, the mouse was paralyzed in one hind limb; 3, both hind limbs were paralyzed, mouse drags hind limbs when crawling forward; 4, the mouse lost the use of both forelimbs, leaving the mouse immobile; 5, moribund and the body curled up; and 6, death.

Adaptor transfer
For adoptive transfer, freshly isolated CD4 þ CD25 -CD45RB hi T cells from WT C57 mice and CD4 þ CD25 þ GFP þ T reg cells from FoxP3 GFP-cre or cKO mice were obtained by FACS Sorting.

Immunoprecipitation
To determine the interaction between Pp6 and Dnmt1 or Akt, EL-4 cells were lysed by RIPA buffer or WB-IP buffer (Beyotime). Equal amounts of lysates were incubated with protein A/G magnetic beads (Bimake) and antibodies, including Pp6 antibody (Millipore), Dnmt1 antibody (Abcam), or Akt antibody (Cell Signaling Technology). The prepared mixture was incubated overnight at 4 C with agitation. The mixture was washed three times with PBS or lysis buffer and boiled in sample buffer. Then, the prepared immunoprecipitation complex was eluted for Western blot analysis to determine the interacting protein levels. Total cell protein was used as an input. The specificity of antibodies used for immunoprecipitation was routinely validated by using a negative control IgG.

Statistics
The data were analyzed with GraphPad Prism 8 and are presented as the mean AE s.e.m. Student's t-test was used when two conditions were compared, and analysis of variance (ANOVA) with Bonferroni or NewmaneKeuls correction was used for multiple comparisons. Error bars indicate the mean AE s.e.m. P < 0.05 was considered statistically significant (ns Z not significant, *P < 0.05, **P < 0.01, and ***P < 0.001).

Mice with Pp6 conditional deletion in T reg cells spontaneously develop autoimmunity
We previously reported that Pp6 is a critical regulator in the differentiation of T reg cells that regulates Ang II-induced blood pressure elevation. 10 To investigate the role of Pp6 in T reg -related autoimmune diseases, we generated mice with conditional Pp6 knockout in T reg cells (Pp6 fl/fl -FoxP3 GFP-cre , cKO) (Fig. S1A). Depletion of Pp6 was confirmed with high efficiency in T reg cells by Western blot (Fig. S1B). We compared cKO mice with FoxP3 GFP-cre control mice, and found that cKO mice at 3 months of age developed inflammatory symptoms similar to scurfy mice (FoxP3 mutant mice) 7 : hair loss in head and neck, thickening and roughening of skin, skin scurf, and acanthoid (Fig. 1A); considerably enlarged spleens and lymph nodes (Fig. 1B), increased inflammatory cell infiltration, and distinct inflammatory patterns in skin (top), colon (middle) and liver (bottom) by histological analysis (Fig. 1C). Together, these data suggest that specific deletion of Pp6 in CD4 þ FoxP3 þ T reg cells leads to spontaneous autoinflammation.
Prompted by these autoinflammatory phenotypes, we further compared the activation state of immune cells derived from cKO mice and FoxP3 GFP-cre control mice by flow cytometry. We found that the percentages of activated CD4 þ and CD8 þ T cells (CD4 þ CD44 hi CD62L low T cells and CD8 þ CD44 hi CD62L low T cells) were markedly increased in the spleens and lymph nodes of cKO mice (Fig. 1D, E), and the percentages of Th17 and Th1 cells were also elevated in the spleens of cKO group (Fig. 1F). We also examined the plasma level of pro-inflammatory cytokines IL-17A and IFN-g by ELISA, and found cKO mice developing autoinflammation spontaneously have higher level of IL-17A, but no change of IFN-g in plasma in comparison to control mice (Fig. 1G). Collectively, our data demonstrates that conditional ablation of Pp6 in T reg cells leads to the spontaneous development of autoimmunity and inflammation in mice.  Pp6 deficiency leads to diminished FoxP3 expression in T reg cells Next, we sought to better define the role of Pp6 as a modulator of T reg cell development. First, we found that the lack of Pp6 markedly inhibited T reg cell differentiation from naïve CD4 þ T cells of cKO mice compared with Foxp3 GFPÀCre controls in vitro ( Fig. 2A), which is consistent with our previous study. 10 Our in vivo results further demonstrated that cKO mice present a much lower proportion of natural T reg (nT reg ) cells in the spleen and lymph nodes (Fig. 2B). Second, we investigated the expression of FoxP3 in iT reg cells derived from control and cKO mice and found that FoxP3 protein levels in cKO iT reg cells were lower than those in control iT reg cells, and that this reduction was TGF-b concentration dependent (Fig. 2C). Moreover, both FoxP3 mRNA and protein levels were markedly decreased in cKO iT reg cells (Fig. 2D, E). Third, we examined the proliferative function of iTreg cells derived from control and cKO mice by flow cytometry and found that Ki67 expression in cKO iT reg cells (CD4 þ Foxp3 þ populations) were lower than those in control iT reg cells (Fig. 2F). These results suggest that Pp6-deficient T reg cells appear to have unstable expression of FoxP3 and strongly indicate that Pp6 is a critical regulator that maintains the stability of FoxP3 and the functional stability of T reg cells.

Loss of Pp6 in Treg cells impairs their immunosuppressive function in vivo and exacerbates experimental colitis
Decreased FoxP3 levels indicate an impaired function of Treg cells. To evaluate whether the immunosuppression of Pp6 À/À T reg cells is disrupted in cKO mice, we established a mouse adoptive transfer colitis model. Rag1 À/À mice that received WT naïve T cells and Pp6 À/À T reg cells had significant weight loss and colon tissue damage, while the adoptive transfer of control T reg cells protected mice from colitis (Fig. 3A, B). Consistently, the numbers of FoxP3 þ T reg cells in the spleens of mice adoptively transferred with Pp6 À/À T reg cells were dramatically decreased at the end of this model (on day 70), suggesting that Pp6 is very important to maintaining the T reg cell population (Fig. 3C). These data indicated that Pp6 deficiency in T reg cells aggravated the colitis development induced by effector T cells and suffered from disabled T reg cell immunosuppressive function.

Loss of Pp6 in T reg cells exacerbates autoimmune disease
To further define the role of Pp6 in T reg -related autoimmune disease, we took advantage of experimental allergic encephalomyelitis (EAE), a classical model of autoimmunity immunosuppressed by T reg cells that is widely used to examine T reg cell functions. EAE was established, and clinical manifestations started to appear on day 10 upon immunization in FoxP3 GFP-cre and cKO mice. We found that the disease score of the cKO group was significantly higher than that of the control group (Fig. 4A). Furthermore, flow cytometry results showed that the CD25 þ FoxP3 þ T reg cells decreased in the spleen, lymph nodes, and CNS of the cKO EAE model mice (Fig. 4B, C). Correspondingly, the proportion of Th17 cells in the above three organs of cKO mice was higher than that in the control group, while the proportion of Th1 cells remained unchanged (Fig. 4D, E). These results suggest that the development of T reg cells in cKO mice is impaired and fails to inhibit the overactivated immune response mediated by effector T cells, eventually leading to a more severe EAE outcome.

Pp6 deficiency increased CpG motif methylation at the FoxP3 locus by impairing dephosphorylation of Dnmt1 in T reg cells
Our data strongly suggest the instability of FoxP3 expression and fragility of T reg cells in Pp6 knockout mice. The transcriptional initiation of FoxP3 is mediated by several signaling pathways, while CpG motif methylation of the FoxP3 locus controls the stability of FoxP3 expression. 25 To elucidate the mechanism, we investigated the level of CpG motif methylation of the FoxP3 locus in cKO T reg cells. We analyzed the methylation levels of canonical and noncanonical CpG motifs by bisulfite sequencing PCR (BSP). Specifically, the FoxP3 upstream enhancer is located À5.7 kb from the TSS, containing 23 CpGs as the noncanonical CpG motif, and the T reg -specific demethylated region (TSDR) is located À2.5 kb from the CDS, containing 8 CpGs as the canonical CpG motif (Fig. 5A). In WT mice, both CpG motifs are methylated in naïve T cells and effector T cells but demethylated in nT reg cells. 26,27 In contrast, we found that the DNA methylation of CpG in the upstream enhancer and TSDR were both increased in cKO nT reg cells (Fig. 5BeE).
To determine how Pp6 modulates CpG motif methylation of FoxP3 locus events, we first looked for Pp6 binding proteins by immunoprecipitating overexpressed Pp6 in the mass spectrum and found a Pp6 binding candidate, Dnmt1 (Fig. S3A), which is an enzyme for DNA methylation and has been considered an critical factor for T reg cell development. 14,27 To verify Dnmt1 as a substrate of Pp6 and confirm their interactions in vivo, we first immunostained endogenous Dnmt1 and Pp6 in CD4 þ T cells and detected the signals by confocal microscopy. As expected, Dnmt1 (green) and Pp6 (red ) were frequently colocalized in both the cytoplasm and nuclei, as shown in merged images (yellow) (Fig. 5F). Second, for the proteineprotein interaction, we immunoprecipitated Pp6 or Dnmt1 from EL-4 cell lysates and then detected both endogenous Pp6/Pp6 and Dnmt1/Dnmt1 by Western blot (Fig. 5G). Together, these results demonstrate that Pp6 colocalized and directly interacted with Dnmt1. Third, we detected Dnmt1 phosphorylation in Ctrl/cKO nT reg cell lysates using the Phos-tag SDS-PAGE system, which could shift the phosphorylated protein above the nonphosphorylated protein in the gel. The results clearly showed that Dnmt1 was phosphorylated in cKO cells compared to control cells (Fig. 5H). To further identify the specific phosphorylation site of Dnmt1, we identified by mass spectrometry that Ser958 was the phosphorylation site of Dnmt1 in EL-4 T cells (Fig. 5I). Interestingly, pSer958 is in a p-serine-proline sequence, a motif reported as a proline-directed (phospho-Ser-Pro) dephosphorylation site of Pp6. 28 In homology analysis, the nearby protein sequence of Ser958 shows high homology among humans, mice, rats, bovines, chickens, and zebrafish, especially Ser958 and Pro959, which are in the Pp6 dephosphorylation site motif (Fig. 3B). These results indicate that pSer958 is an important phosphorylation site of Dnmt1 in T cells and is highly likely to be the dephosphorylation site of Pp6.
Together, our data shows that Pp6 probably dephosphorylates Dnmt1 in T reg cells and impairs CpG motif  Loss of Pp6 enhances Akt signaling, leading to diminished levels of FoxP3 in T reg cells FoxP3 is inhibited by the Akt pathway, which is a key event for T reg cell stability. 18,37 Therefore, we assessed phosphorylated Akt at S473 and T308 by flow cytometry in FoxP3 þ CD4 þ T reg cells from control/cKO mouse spleens. Under stimulation with PMA/ionomycin or anti-CD3/CD28, both pS473 and pT308 were significantly increased (Fig. 6A). Consistently, FoxP3 þ CD4 þ cKO iT reg cells displayed hyperactivated Akt at pS473 and pT308 compared with the control group (Fig. 6B, D). Furthermore, we detected an endogenous interaction between Akt and Pp6 by Western blot in the EL-4 mouse T cell line (Fig. 6C). To confirm whether the effect of Pp6 in T reg cells depends on Akt activation, we used two kinds of inhibitors of Akt (afuresertib [AFU] and MK-2206 [MK]) 29,30 to treat iT reg cells in vitro and found that inhibition of Akt rescued the iT reg cell proportion in the cKO group to the same level as that in the control group (approximately 20%e40%). Conversely, iT reg cells in the control group showed no difference from Akt inhibitor treatment (Fig. 6E), indicating an inactivated Akt signal in normal T reg cells. Here, we demonstrate that Pp6 is able to restrict Akt phosphorylation and that Pp6 deficiency impairs FoxP3 expression through excessive Akt signaling.
Collectively, our data shows that Pp6 diminishes pAkt at S473 and T308 in T reg cells, which maintains FoxP3 expression and functional T reg cell development. Pp6 is a critical factor that balances the immune system and prevents the development of autoimmunity.

Discussion
In this study, using mice with conditional Pp6 deletion in T reg cells, we showed that Pp6 is an essential positive regulator of FoxP3, maintains T reg cell stability and prevents autoimmune diseases by decreasing DNA methylation of the FoxP3 gene enhancer and inhibiting Akt signaling (Fig. 7).
Both FoxP3 expression and establishment of a T reg cellspecific hypomethylation pattern are indispensable for T reg cell stability and function. 31 DNA methylation is generally catalyzed by one or more DNA methyltransferase (Dnmt) enzymes: Dnmt1, Dnmt3a, and Dnmt3b. Among them, Dnmt1 binds preferentially to hemimethylated DNA and re-establishes DNA methylation after its replication. 32 Ablation of Dnmt1, but not Dnmt3a, decreased the numbers and function of peripheral T reg cells in vivo and impaired the conversion of naïve T cells to FoxP3 þ T reg cells in vitro. 14 More importantly, mice with conditional knockout of Dnmt1 in FoxP3 þ T reg cells died of autoimmunity by 3e4 weeks of age unless they were rescued by perinatal transfer of WT T reg cells. 14 These published data highlight that Dnmt1 is a critical regulator of FoxP3 þ T reg cell development, stability, and function.
Kinase and phosphatase are the Yin and Yang proteins modified via phosphorylation and dephosphorylation. The human genome encodes 518 protein kinases but only approximately 200 phosphatases (approximately 30 protein serine/threonine phosphatases). 33,34 Researchers generally Figure 7 Scheme for Pp6 as a critical positive regulator of FoxP3 that dephosphorylates Dnmt1 and inhibits Akt signaling to maintain Treg cell stability and prevent autoimmunity. Pp6 decreased DNA methylation of the FoxP3 gene enhancer and Tregspecific demethylated region (TSDR) by dephosphorylating Dnmt1, resulting in increased FoxP3, and Pp6 abated phosphorylation of Akt, leading to enhanced FoxP3 in Treg cells.
pay more attention to protein kinases than protein phosphatases and consider the dephosphorylation of protein phosphatases to be a nonspecific physiological function. However, phosphatases also have a wide range of important functions, such as in the cell cycle, inflammation, immune response, DNA repair, cancer, and almost all physiological processes. 9 In this study, we identified Pp6 as a critical protein phosphatase that dephosphorylates Dnmt1 in T reg cells and impairs CpG motif methylation of the FoxP3 locus, leading to stable expression of FoxP3 and functional T reg cell development. We previously reported that activation of the NF-kB signaling pathway is responsible for decreased expression levels of Pp6 in chronic inflammation 35 ; targeted therapy to maintain Pp6 expression therefore harbors therapeutic potential for autoimmune diseases.
TCR signaling and constitutive Akt activation antagonize FoxP3 induction. 36 Compared with kinases, research on phosphatases involved in Akt dephosphorylation is limited. PHLPP1/2 were reported to dephosphorylate Akt at Ser473 but not at Thr308, 18,38 and PP2A is mainly responsible for mTOC1 dephosphorylation. 19,20 Very interestingly, we demonstrated here that Pp6 directly interacts with Akt, and Pp6 knockout dramatically elevates the phosphorylation of Akt at Ser473 and Thr308, which strongly suggests that Pp6 is able to dephosphorylate pAkt at Ser473 and Thr308. Our findings prove the importance of Pp6 in Akt signaling mediation and reveal the network of the PI3K-Akt-mTOR pathway in T reg cells. Given that the PI3K-Akt-mTOR signaling network regulates FoxP3 expression and Pp6 is able to stabilize FoxP3, we suggest that Pp6 agonists could be considered for the treatment of autoimmune diseases or transplant rejection therapy. Conversely, Pp6 antagonists would also have potential benefits in antitumor immunotherapy.
In contrast to the TGF-b signaling pathway, which acts as an on/off switch, the methylation of the TSDR is generally reported to stabilize FoxP3 expression, 25 but its regulation is not clear. In our study, compared with control T reg cells, Pp6-deficient T reg cells had enhanced DNA methylation of the upstream enhancer and TSDR, which is an unstable epigenetic state for T reg cells associated with T reg cell plasticity. However, Akt signaling was reported to have a negative role in DNA methylation mediation. 39 Thus, our data indicate that the Akt signal is not responsible for the increased DNA methylation of the FoxP3 locus in Pp6-deficient T reg cells. Nevertheless, we found that Pp6 dephosphorylates Dnmt1 and impairs CpG motif methylation at the FoxP3 locus, stabilizing FoxP3 expression in T reg cells. The detailed regulatory network of Pp6, Akt, and Dnmt1 requires further investigation.
In conclusion, our results suggest that Pp6 decreased DNA methylation of the FoxP3 gene enhancer and abated phosphorylation of Akt, leading to stable expression of FoxP3 in T reg cells. Therefore, Pp6 may be a potential therapeutic target for the treatment of autoimmune diseases.