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Published online July 31, 2009
The Journal of Immunology, 2009, 183, 3454 -3462
Copyright © 2009 by The American Association of Immunologists, Inc.
doi:10.4049/jimmunol.0802887

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Targeting Gut T Cell Ca2+ Release-Activated Ca2+ Channels Inhibits T Cell Cytokine Production and T-Box Transcription Factor T-Bet in Inflammatory Bowel Disease

Antonio Di Sabatino*,||, Laura Rovedatti*,||, Rejbinder Kaur{ddagger}, Jonathan P. Spencer§, Jon T. Brown§, Valerie D. Morisset§, Paolo Biancheri*,||, Nicholas A. B. Leakey*, Jonathan I. Wilde, Laurie Scott, Gino R. Corazza||, Kevin Lee{ddagger}, Neel Sengupta{dagger}, Charles H. Knowles{dagger}, Martin J. Gunthorpe§, Peter G. McLean{ddagger}, Thomas T. MacDonald1,2,* and Laurens Kruidenier1,{ddagger}

* Centre for Infectious Disease, {dagger} Centre for Academic Surgery, Institute of Cell and Molecular Science, Barts and the London School of Medicine and Dentistry, London, {ddagger} Immuno-Inflammation Centre of Excellence for Drug Discovery, GlaxoSmithKline, Stevenage, § Neurology Centre of Excellence for Drug Discovery, GlaxoSmithKline, Harlow, Discovery Technology Group, Molecular Discovery Research, GlaxoSmithKline, Harlow, United Kingdom; and || First Department of Medicine, Fondazione Istituto Di Ricovero e Cura a Carattere Scientifico Policlinico S. Matteo, University of Pavia, Pavia, Italy

Prolonged Ca2+ entry through Ca2+ release-activated Ca2+ (CRAC) channels is crucial in activating the Ca2+-sensitive transcription factor NFAT, which is responsible for directing T cell proliferation and cytokine gene expression. To establish whether targeting CRAC might counteract intestinal inflammation, we evaluated the in vitro effect of a selective CRAC inhibitor on T cell cytokine production and T-bet expression by lamina propria mononuclear cells (LPMC) and biopsy specimens from inflammatory bowel disease (IBD) patients. The inhibitory activity of the CRAC blocker was investigated through patch-clamp experiments on rat basophilic leukemia cells and fluorometric imaging plate reader intracellular Ca2+ assays using thapsigargin-stimulated Jurkat T cells and its detailed selectivity profile defined using a range of in vitro radioligand binding and functional assays. Anti-CD3/CD28-stimulated LPMC and biopsy specimens from 51 patients with IBD were cultured with a range of CRAC inhibitor concentrations (0.01–10 µM). IFN-{gamma}, IL-2, IL-8, and IL-17 were analyzed by ELISA. T-bet was determined by immunoblotting. We found that the CRAC blocker concentration-dependently inhibited CRAC current in rat basophilic leukemia cells and thapsigargin-induced Ca2+ influx in Jurkat T cells. A concentration-dependent reduction in T-bet expression and production of IFN-{gamma}, IL-2, IL-17, but not IL-8, was observed in IBD LPMC and biopsy specimens treated with the CRAC inhibitor. In conclusion, we provide evidence that the suppression of CRAC channel function may dampen the increased T cell response in the inflamed gut, thus suggesting a promising role for CRAC inhibitor drugs in the therapeutic management of patients with IBD.

The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 T.T.M. and L.K. contributed equally to this work.

2 Address correspondence and reprint requests to Prof. Thomas T. MacDonald, Institute of Cell and Molecular Science, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, Whitechapel, London E1 2AT, U.K. E-mail address: t.t.macdonald{at}qmul.ac.uk

3 Abbreviations used in this paper: IBD, inflammatory bowel disease; CD, Crohn’s disease; UC, ulcerative colitis; CRAC, Ca2+ release-activated Ca2+; ICRAC, CRAC current; FLIPR, fluorometric imaging plate reader; LPMC, lamina propria mononuclear cell; RBL, rat basophilic leukemia; SOC, store-operated calcium.

4 The online version of this article contains supplemental material.







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