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Free fatty acid receptor-4 regulates T-cell-mediated allogeneic reaction through activating an aryl hydrocarbon receptor pathway
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Maxwell Duaha, b, Fei Zhenga, b, Jingyi Shena, b, Yan Xua, b, Shuo Caoa, b, Zhiling Yana, b, Qiu Lana, b, Ying Wanga, b, Kailin Xua, b, *, Bin Pana, b, *
Acta Pharmaceutica Sinica B | 2025, 15(1) : 224 - 238
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Acta Pharmaceutica Sinica B | 2025, 15(1): 224-238
ORIGINAL ARTICLE
Free fatty acid receptor-4 regulates T-cell-mediated allogeneic reaction through activating an aryl hydrocarbon receptor pathway
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Maxwell Duaha, b, Fei Zhenga, b, Jingyi Shena, b, Yan Xua, b, Shuo Caoa, b, Zhiling Yana, b, Qiu Lana, b, Ying Wanga, b, Kailin Xua, b, *, Bin Pana, b, *
Affiliations
  • aDepartment of Hematology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou Medical University, Xuzhou 221002, China
  • bBlood Diseases Institute, Xuzhou Medical University, Xuzhou 221002, China
About Author:

E-mail addresses: (Bin Pan)

(Kailin Xu).

These authors made equal contributions to this work.

Author contributions

Maxwell Duah: Writing – original draft, Project administration, Methodology, Investigation. Fei Zheng: Project administration, Methodology, Investigation. Jingyi Shen: Project administration, Methodology, Investigation. Yan Xu: Project administration, Methodology, Investigation. Shuo Cao: Validation, Project administration. Zhiling Yan: Validation, Project administration. Qiu Lan: Validation, Project administration. Ying Wang: Validation, Project administration. Kailin Xu: Writing – review & editing, Supervision, Resources, Funding acquisition. Bin Pan: Writing – review & editing, Funding acquisition, Formal analysis, Data curation, Conceptualization.

doi: 10.1016/j.apsb.2024.12.011
Outline
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Targeting T-cell is a strategy to control allogeneic response disorders, such as acute graft-versus-host disease (GVHD) which is an important cause of therapy-failure after allogeneic hematopoietic cell transplants. Free fatty acid receptor-4 (FFAR4) is a regulator of obesity but its role in T-cell and allogeneic reactions is unknown. Here, we found knockout of Ffar4 in donor T-cells in a mouse allograft model increased acute GVHD whereas the natural FFAR4 ligands and the synthetic FFAR4 agonists decreased it. FFAR4 agonist-mediated anti-acute GVHD effects depended on FFAR4-expression in donor T-cells. The FFAR4 agonist CpdA suppressed donor T-cell-mediated alloreaction by activating an aryl hydrocarbon receptor (AhR) pathway. CpdA recruited β-Arrestin2 to FFAR4 which facilitated nuclear translocation of AhR and upregulation of IL-22. The CpdA-mediated anti-acute GVHD effect was absent in mice receiving Ahr-knockout or Il22-knockout T-cells. Recipient-expressing Ffar4 was also important for the anti-acute GVHD effect of CpdA which inhibited activation of antigen presenting cells. Importantly, CpdA decreased acute GVHD in obese mice, an effect also depended on Ffar4-expression in donor T-cells and recipients. Our study shows the immunoregulatory effect of FFAR4 in T-cell, and targeting FFAR4 might be a relative option for controlling allogeneic reactions in obese patients.

Free fatty acid receptor-4  /  CpdA  /  T-cell  /  Graft-versus-host disease  /  Allogeneic reaction  /  Aryl hydrocarbon receptor  /  Interleukin-22  /  Obesity
Maxwell Duah, Fei Zheng, Jingyi Shen, Yan Xu, Shuo Cao, Zhiling Yan, Qiu Lan, Ying Wang, Kailin Xu, Bin Pan. Free fatty acid receptor-4 regulates T-cell-mediated allogeneic reaction through activating an aryl hydrocarbon receptor pathway[J]. Acta Pharmaceutica Sinica B, 2025 , 15 (1) : 224 -238 . DOI: 10.1016/j.apsb.2024.12.011
T-cells are crucial mediators of allogeneic reactions. Acute graft-versus-host disease (GVHD) is an important cause of failure after allogeneic hematopoietic cell transplants1. Therapies for acute GVHD are often ineffective2. Acute GVHD results from the alloreaction between donor T-cells and recipient antigen presenting cells (APCs)1. Strategies that simultaneously target T-cells and APCs might be ideal options to prevent or control acute GVHD.
Free fatty acid receptor-4 (FFAR4), also termed G protein-coupled receptor 120 (GPR120), exerts an anti-inflammatory effect in macrophages3. FFAR4 is the receptor for long-chain fatty acids such as polyunsaturated fatty acids (PUFAs) including docosahexaenoic acid (DHA), eicosapentaenoic acid, linoleic acid, etc.4. High PUFAs diet characterizes Eastern Mediterranean region and Japanese populations who were reported to have lower incidences of acute GVHD5,6. One un-replicated small study reported administration of eicosapentaenoic acid reduced levels of pro-inflammatory cytokines and increased survival of allotransplant recipients7. These data suggest PUFAs might negatively regulate pathogenesis of acute GVHD. In addition, FFAR4 agonist alleviated macrophage-induced inflammation in obesity8,9. Transplant recipients often have co-morbidities such as obesity which is associated with worse survival10,11. Allotransplanted mice with diet-induced obesity (DIO) have increased pro-inflammatory cytokine production, decreased survival and increased acute GVHD compared with regular recipients12. Humans and mice with obesity-related diabetes also have pro-inflammatory features13,14. These findings indicated targeting FFAR4 might be possible to control acute GVHD, especially in obese recipients.
Effects of FFAR4 on allogeneic T-cell functions are unknown. We found the natural ligands and synthetic agonists of FFAR4 decreased acute GVHD in mice receiving an allotransplant, whereas knockout of Ffar4 in donor T-cells increased acute GVHD. FFAR4 agonist-mediated anti-acute GVHD effects depended on Ffar4-expression in donor T-cells. The FFAR4 agonist suppressed donor T-cell-mediated alloreaction by activating an aryl hydrocarbon receptor (AhR) pathway. Importantly, FFAR4 agonism decreased the severity of acute GVHD in obese mice, an effect also depended on FFAR4.
Wild type BALB/c and C57BL/6 (B6) mice (6–8 weeks) were purchased from Charles River Laboratories (Vital River, Beijing, China). B6/JGpt-Ffar4em1Cd/Gpt (Ffar4KO) mice and B6/JGpt-Lepem1Cd25/Gpt (Lepob) obese mice (with obesity-related diabetes) were obtained from Model Animal Research Center of Nanjing University (Nanjing, China). Il22-knockout (Il22KO) mice (generated by Transcription Activator-Like Effector Nuclease Technology), B6-Lck-cre;Ahrfl/fl mice and B6-Cd11c-cre;Ahrfl/fl mice (Ahr-knockout, AhrKO) were obtained from Cyagen (Suzhou, China). DIO mice were obtained by feeding mice with high-fat diet (40% fat) from 4- to 12-week old. Mice were bred in a specific-pathogen-free room. Procedures regarding animal care and experiments were approved by Medical Ethics Committee of Xuzhou Medical University (Xuzhou, China).
T-cells were purified from B6 mice spleen cells using the EasySep Mouse T Cell Isolation Kit (19851, STEMCELL Technologies, Shanghai, China) and cultured in RPMI-1640 medium (Sigma–Aldrich, Shanghai, China) with Dynabeads Mouse T-Activator CD3/CD28 (11452D, ThermoFisher Scientific, Waltham, MA, USA) for 48 h. Bone marrow-derived dendritic cells (BMDCs) were obtained from BALB/c mice as described and cultured for 7 days in RPMI-1640 medium supplied with 10% FBS and 20 ng/mL recombinant murine GM-CSF15. On Day 6, lipopolysaccharide (LPS) was added (working concentration: 100 ng/mL). On Day 7, LPS-primed BMDCs were co-cultured with T-cells at a ratio of BMDC: T-cell = 1:5 in RPMI-1640 medium supplied with 10% FBS. Peritoneal macrophages were obtained from BALB/c mice by flushing the abdominal cavity with PBS buffer. Macrophages were cultured in Dulbecco’s modified Eagle’s medium (DMEM) medium (ThermoFisher Scientific). Mixed lymphocyte reaction (MLR) was performed by co-culturing lymphocytes of BALB/c and B6 mice. B6 lymphocytes were used as reactive cells, and irradiated (3.0 Gy) BALB/c lymphocytes were stimulating cells. Lymphocytes were isolated from spleens using a lymphocyte separation buffer (7211012, DAKEWE, Shenzhen, China). Jurkat cells (ATCC TIB-152), a human T-cell line, were cultured in RPMI-1640 medium (Sigma–Aldrich). The cells were negative in mycoplasma detection.
CpdA (C5824), GW9508 (A1709) and TUG891 (B5651) were from ApexBio (Houston, TX, USA). Recombinant murine GM-CSF (AF-315-03) and IL-22 (AF-210-22) were from PeproTech (Rocky Hill, NJ, USA). LPS (Sigma–Aldrich, 055:B5, L2880) was from Merck (Shanghai, China). DHA (HY-B2167), myristic acid (HY-N2041), oleic acid (HY-N1446), linoleic acid (HY-N0729), FFAR4 antagonist AH-7614 (HY-19996), PKA inhibitor H-89 dihydrochloride (HY-15979A), PKC inhibitor chelerythrine chloride (HY-12048), AhR agonist FICZ (HY-12451), phorbol 12-myristate 13-acetate (PMA, HY-18739), ionomycin (HY-13434) and brefeldin A (HY-16592) were from MedChemExpress (Monmouth Junction, NJ, USA). The chemical structures of compounds are in Supporting Information Fig. S1.
In the B6 → BALB/c model, BALB/c recipients received 7.5 Gy total body radiation from a 137Cs source followed by an infusion of 5 × 10E+6 T-cell-depleted bone marrow (TCD-BM) cells and 2.5 × 10E+6 spleen T-cells from wild type or genetically modified B6 mice. In the BALB/c → B6 model, wild type or genetically modified B6 recipient mice received 9.0 Gy total body radiation followed by an infusion of 5 × 10E+6 TCD-BM cells and 5 × 10E+6 spleen T-cells from BALB/c donors. Recipient mice were intra-peritoneally injected with vehicle or different doses FFAR4 agonists/ligands thrice weekly for 3 w posttransplant8,16,17. Recipient mice transplanted with donor TCD-BM cells alone were used as GVHD-negative controls. The irradiated recipient mice were randomly allocated into each group. Survival of recipients were continuously observed.
Signs of acute GVHD were assessed using acute GVHD scores as described18. The left liver lobe and descending colon were collected and acute GVHD features of these tissues were assessed by hematoxylin and eosin (H&E) staining and histological analyses. Liver GVHD was assessed for infiltration of inflammatory cells into portal tracts. Colon GVHD was assessed for apoptotic bodies in crypts and inflammatory cells in lamina propria. Histological scores were determined by two blinded pathologists19.
T-cells were stained with PerCP-Cy5.5-anti-CD3 (100326, BioLegend, San Diego, CA, USA), BV421-anti-CD4 (100544, BioLegend), PE-Cy7-anti-CD8 (100714, BioLegend) and AF647-anti-FFAR4 (NBP1-00858AF647, Novus Biologicals, Littleton, CO, USA) to detect FFAR4. Dendritic cells and macrophages were stained with AF647-anti-FFAR4 and FITC-anti-CD11c (117306, BioLegend) or PE-anti-MHC-II (107608, BioLegend) to detect FFAR4. AF647-Rabbit IgG (NBP2-24891AF647, Novus Biologicals) was used as isotype control. Spleen cells were incubated with PMA, ionomycin and Brefeldin A for 4 h at 37 ℃ followed by processing with Fixation/Permeabilization Solution (554715, BD Biosciences, San Jose, CA, USA) to detect effector T-cells. Cells were stained with PerCP-Cy5.5-anti-CD3, FITC-anti-IFNγ (554411, BD Biosciences) and PE-anti-IL-22 (516404, BioLegend). Cells were acquired on a LSRFortessa flow cytometer (BD Biosciences), and analyzed by FlowJo 7.6 software.
Whole cell proteins were extracted using Cell Lysis Buffer (9803, Cell Signaling Technology, Danvers, MA, USA). The NE-PER kit (78833, ThermoFisher Scientific) was used to separate cytoplastic and nuclear proteins. The following antibodies were used: FFAR4 (NBP1-00858) was from Novus Biologicals. STAT1 (9172), p-STAT1 (9167), STAT3 (4904), p-STAT3 (9145), STAT5 (94205), p-STAT5 (9359), p65 (8242), p-p65 (3033), ERK (9102), p-ERK (9101), p38 (9212), p-p38 (9211), GRK2 (74761) and GRK6 (5878) were from Cell Signaling Technology. JNK (24164-1-AP), p-JNK (80024-1-RR), AhR (67785-1-Ig), ARNT (14105-1-AP), β-Arrestin2 (10171-1-AP), β-Arrestin1 (67580-1-Ig), GRK5 (17032-1-AP), TAK1 (12330-2-AP), p-TAK1 (28958-1-AP), HSP90AB1 (80301-1-RR), Histone-H3 (17168-1-AP) and β-actin (20536-1-AP) were from Proteintech (Carlsbad, CA, USA).
Cell proteins were pulled down with anti-β-Arrestin2 (10171-1-AP, Proteintech) and Protein A Magnetic Bead (LSKMAGA02, Merck) to detect β-Arrestin2 binding proteins. The precipitate was analyzed by Western blotting with antibodies including AhR (67785-1-Ig, Proteintech), ARNT (14105-1-AP, Proteintech), FFAR4 (BF8192, Affinity Biosciences), HSP90AB1 (80301-1-RR, Proteintech) and β-Arrestin1/2 (sc-53781, Santa Cruz Biotechnology, Dallas, TX, USA). A pull-down assay was done with anti-AhR (28727-1-AP, Proteintech) and anti-ARNT (14105-1-AP, Proteintech) to detect binding of AhR and ARNT. Protein A Magnetic Bead-precipitated proteins were detected with anti-ARNT (14105-1-AP, Proteintech), anti-AhR (67785-1-Ig, Proteintech), β-Arrestin2 (10171-1-AP, Proteintech) and HSP90AB1 (80301-1-RR, Proteintech). Rabbit IgG (30000-0-AP, Proteintech) was a negative control for pull-down assay.
Immunofluorescence was performed with T-cells and BMDCs. Briefly, cells were incubated with anti-AhR (28727-1-AP, Proteintech) for 4 h at room temperature. CoraLite594-conjugated goat anti-rabbit IgG (SA00013-4, Proteintech) was used as the second antibody for visualization. T-cells and BMDCs were simultaneously stained with CoraLite Plus 488 anti-mouse CD3ε (CL488-65061, Proteintech) and CoraLite Plus 488 anti-mouse CD11c (CL488-65130, Proteintech), respectively. DAPI was used to stain nuclei. Photos were acquired on a Zeiss 880 confocal microscope (Oberkochen, Germany).
Total RNA isolation and cDNA synthesis were performed as described15. Quantitative PCR (qPCR) was done using LightCycler 480 SYBR Green I Master kit (4887352001, Roche, Mannheim, Germany). Primers are indicated in Supporting Information Table S1. GAPDH was used as a normalization gene. Relative mRNA levels were –ΔΔCT values.
Spleen T-cells were stimulated with CD3/CD28 Dynabeads for 48 h followed by incubation with vehicle or 10 μmol/L CpdA for 24 h, and total RNA was extracted. NEBNext Ultra RNA Library Prep Kit for Illumina (E7530, NEB, Ipswich, MA, USA) was used to generate sequencing libraries. RNA-seq was performed on a NovaSeq 6000 platform. Bioinformatics analyses were performed by Genechem (Shanghai, China). RNA-seq data are available at NCBI Sequence Read Archive (PRJNA918719).
Plasma samples were analyzed at Sci-Tech Innovation (Qingdao, China) for long-chain free fatty acids. Fatty acid standards were purchased from Merck. Detection was done on a Trace1310 ISQ Gas chromatography–mass spectrometry (Thermo Fisher Scientific).
Fecal samples were collected from mice. A 50 mg aliquot of each sample was homogenized in 0.5 mL extraction buffer (methanol:acetonitrile:H2O = 2:2:1, v/v/v). The supernatant was dried by nitrogen stream evaporation, re-dissolved in 0.1% (v/v) formic acid water solution and the supernatant was analyzed by UHPLC–MS/MS using the EXIONLC System and SCIEX 6500 QTRAP + triple quadrupole mass spectrometer (SCIEX, Framingham, MA, USA). A list of tryptophan metabolites is displayed in Supporting Information Table S2. Standards were from BIOTREE (Shanghai, China). The concentrations of tryptophan metabolites were calculated from the standard curves.
Transfection of mouse T-cells with siRNAs was by electroporation with the P3 Primary Cell 4D-Nucleofector X Kit L (V4XP-3024, Lonza, Cologne, Germany) on a Lonza 4D Nucleofector. siRNAs included:
Arrb1 siRNA-1: CCAACAAGACUGUGAAGAA,
Arrb1 siRNA-2: CUGAGAACCUGGAGGAGAA,
Arrb1 siRNA-3: CCUACAAAGUCAAGGUGAA,
Arrb2 siRNA-1: CCUACAGGGUCAAGGUGAA,
Arrb2 siRNA-2: AGGGAAGGCUUGUGGAGUA,
Arrb2 siRNA-3: ACAAAGAGCUGUACUACCA.
A scrambled siRNA was used as negative control. siRNAs were synthesized by General Biol (Hefei, China). In our preliminary experiment a mixture of three pairs of siRNAs had the highest knockdown efficacy.
CCK-8 reagent (CK04, DOJINDO, Tokyo, Japan) was used to assess cell viability by measuring optical density at 450 nm.
Colon tissue slides were processed using a TUNEL kit (KGA1401, Keygen Biotech, Nanjing, China). Following visualization of apoptotic cells (brown), the slides were counterstained with hematoxylin. Apoptotic cells were counted.
Cytometric beads array (552364, BD Biosciences) was performed on a flow cytometer for measuring concentrations of IL-6, TNFα and IFNγ. Enzyme-linked immune absorbent assay was used to measure concentration of IL-22 (900-K257, ThermoFisher Scientific).
GraphPad Prism 6.0 was used for statistical analyses. Data were displayed as individual values or mean ± standard deviation (SD). Survival data were displayed by Kaplan–Meier curves and compared using the log-rank test. Comparisons of means were done using 2-tailed unpaired Student’s t test or one-way ANOVA test. P-values <0.05 were considered significant.
In the B6 → BALB/c allotransplant model, plasma concentrations of long-chain fatty acids showed dynamic changes between Days 10 and 30 posttransplant when recipient mice developed acute GVHD. DHA (C22.6N3) and arachidonic acid (C20.4N6) showed a 1.9-fold and a 1.4-fold increase between Days 10 and 30, while oleic acid (C18.1N9C) and α-linolenic acid (C18.3N3) showed a 0.8-fold and a 0.5-fold decrease, whereas some others did not show any changes such as myristic acid (C14.0) and linoleic acid (C18.2N6C) (Supporting Information Fig. S2). In flow cytometry analyses, FFAR4 intensity on spleen T-cells showed an increase (4.8-fold for CD4+ T-cell; 5.0-fold for CD8+ T-cell) on Day 10 posttransplant compared with pretransplant, while FFAR4 intensity on CD11c-positive cells showed a 4.1-fold increase. FFAR4 protein level also increased on Day 10 (Supporting Information Fig. S3). Increased FFAR4 expression was also found in T-cells from in vitro MLR (Fig. S3).
Recipient mice were intra-peritoneally injected with different long-chain fatty acids including DHA, myristic acid, oleic acid and linoleic acid. DHA and linoleic acid increased survival and decreased signs of acute GVHD of recipient mice. Linoleic acid showed a more significantly protective effect comparing with DHA (Supporting Information Fig. S4). The protective effect of linoleic acid was abolished by concurrent treatment with the FFAR4 antagonist AH-7614 (Fig. S4). There are several synthetic FFAR4 agonists with high affinity in activating FFAR420. Recipient mice were treated by three FFAR4 agonists including CpdA, GW9508 and TUG891. The agonists increased recipient survival and decreased signs of acute GVHD (Fig. S4). Because CpdA showed a more significant anti-acute GVHD effect comparing with the other two agonists, we further explored the actions of CpdA. In the B6 → BALB/c model, CpdA increased recipient survival and decreased acute GVHD scores at the doses of 30 and 90 mg/kg (Fig. 1A). The anti-acute GVHD effect of CpdA was abolished by knockout of Ffar4 in donor T-cells (Fig. 1B). Vehicle-treated mice showed acute GVHD histological features in colon and liver which were ameliorated by CpdA. TUNEL assay showed CpdA decreased crypt apoptotic bodies in colon tissues (Fig. 1C), and these effects also depended on Ffar4-expression in donor T-cells (Fig. 1D). Flow cytometry analysis showed CpdA reduced IFNγ-positive spleen T-cells in recipients receiving wild type T-cells but not in those receiving Ffar4KO T-cells (Fig. 1E). Without CpdA treatment, mice receiving Ffar4KO T-cells showed increased acute GVHD compared with those receiving wild type T-cells, which was evidenced by survival, acute GVHD score, colon histological feature and percent of IFNγ-positive spleen T-cells (Fig. 1B, D and E). In another allotransplant model, injection of the FFAR4 agonists also increased recipient survival and decreased signs of acute GVHD (Fig. 1F and Fig. S4).
CpdA decreased cell viability of the in vitro MLR induced by wild type cells during the 5-day culture (Fig. 2A), and the effect was absent in MLR induced by Ffar4KO cells (Fig. 2B). CpdA did not inhibit cell viability of non-mixed lymphocytes (Fig. 2A–C). Flow cytometry showed CpdA decreased percent of IFNγ-positive T-cells in MLR induced by wild type cells but not in MLR induced by Ffar4KO cells (Fig. 2D).
Inflammatory cytokines were detected in T-cells stimulated with allogeneic BMDCs or CD3/CD28 Dynabeads. CpdA reduced mRNA levels of Il6, Tnf and Ifng in wild type T-cells stimulated with allogeneic BMDCs, and reduced Ifng mRNA level in wild type T-cells stimulated with CD3/CD28 Dynabeads. These effects were absent in Ffar4KO T-cells except Ifng (Fig. 2E). Without CpdA treatment, Ffar4KO T-cells showed higher mRNA levels of Il6 and Ifng comparing with wild type T-cells (Fig. 2E). We also detected the protein concentrations of these cytokines in the supernatants of cell culture, which showed similar changes as mRNA levels (Fig. 2E). The other two FFAR4 agonists also decreased mRNA and protein levels of IL-6, TNFα and IFNγ in T-cells (Supporting Information Fig. S5).
Next, we detected proteins correlated with T-cell-activation. CpdA decreased the protein levels of phosphorylated STAT1 and STAT3 in activated T-cells (Fig. 2F). CpdA did not change the levels of other proteins including phosphorylated p38, ERK, JNK, STAT5 and p65 (Supporting Information Fig. S6). In RNA-seq analyses, CpdA decreased Ifng-expression but increased expressions of Il17a and Il2 in T-cells. Compared with wild type T-cells, Ffar4KO T-cells showed significantly increased expression of several pro-inflammatory cytokines such as Il1b, Il12, Il6, Tnf and Ifng (Fig. 2G and Supporting Information Fig. S7).
In contrast to IFNγ-positive T-cells, CpdA increased percentage of IL-22-positive spleen T-cells in acute GVHD mice (Fig. 3A). CpdA also increased Il22 mRNA and protein levels in cultured T-cells (Fig. 3B and Fig. S5). These effects depended on FFAR4-expression in T-cells (Fig. 3B and Supporting Information Fig. S8). In RNA-seq analyses, CpdA increased expression of Il22, Il23a and Il23r in T-cells (Fig. 3C). To determine if IL-22 was important for CpdA-mediated anti-acute GVHD effect, we transplanted mice with Il22KO T-cells. CpdA failed to increase survival or decrease acute GVHD scores in mice receiving Il22KO T-cells (Fig. 3D). Without CpdA treatment, Il22KO increased acute GVHD (Fig. 3D), which indicated a protective role of IL-22 in murine acute GVHD, and this was consistent to our previous study21 and other study22. In mice transplanted with Ffar4KO T-cells, injection of recombinant murine IL-22 increased survival and decreased acute GVHD scores (Fig. 3E).
AhR is a key transcription factor that regulates IL-2223. CpdA increased expressions of Cyp1a1 and Cyp1b1 (Fig. 3C), which are typical downstream genes of AhR pathway24. Next, we explored if CpdA activated AhR. Immunofluorescence showed CpdA induced nuclear translocation of AhR in activated T-cells. Because BMDCs have abundant cytoplasm, we used CpdA to treat BMDCs and showed a clearer nuclear translocation of AhR (Fig. 3F). Western blot analysis showed CpdA-treated T-cells had more nuclear AhR protein and less cytoplasmic AhR protein compared with controls (Fig. 3G). CpdA increased Cyp1a1 mRNA concentrations in T-cells indicating activation of AhR (Fig. 3H). We used T-cell conditional AhrKO mice as donors in the B6 → BALB/c allotransplant model. Conditional knockout of Ahr in T-cells abolished the anti-acute GVHD effect of CpdA (Fig. 3I). These data suggest FFAR4 agonism activated the AhR pathway and the anti-acute GVHD effect depended on expressions of AhR and IL-22 in T-cells.
Next, we studied how CpdA regulated AhR/IL-22 activation in T-cells. CpdA treatment did not change mRNA levels of transcription factors which regulate expression of IL-22 (Supporting Information Fig. S9)23. Tryptophan metabolites are endogenous ligands of AhR24. Allotransplanted mice showed higher concentrations of tryptophan metabolites in the fecal samples including 5-hydroxytryptophan, kynurenine and tryptophan, comparing with mice not receiving an allotransplant. However, the FFAR4 agonists did not alter the concentrations of tryptophan metabolites in allotransplanted mice (Fig. 4A and Supporting Information Fig. S10).
FFAR4 belongs to G protein-coupled receptor family which functions through the downstream G protein-coupled receptor kinase (GRK)/β-Arrestin pathway and G-protein pathways3. In RNA-seq and Western blot analyses, CpdA-treatment or Ffar4KO decreased expression of GRK proteins (Fig. 4B and Supporting Information Fig. S11). Ffar4KO also decreased expression of G-protein pathways-related genes such as Prkc (encoding PKC) and Prka (PKA) (Fig. S7). CpdA might have an impact on GRK/β-Arrestin pathway and G-protein pathway. Knockdown of Arrb2 (encoding β-Arrestin2) but not Arrb1 (β-Arrestin1) blocked CpdA’s effect in inducing expressions of Il22 and Cyp1a1 (Fig. 4C and Supporting Information Fig. S12). Inhibitors of PKC and PKA, at concentrations not decreasing viability of T-cells (Supporting Information Fig. S13), did not block CpdA’s effect in inducing expressions of Il22 and Cyp1a1 (Fig. 4D). These results indicate β-Arrestin2 was involved in regulating AhR activation.
In an immunoprecipitation assay, we found CpdA induced binding of FFAR4 and β-Arrestin2 in Jurkat cells (Fig. 5A). AhR binds heat shock protein HSP90 in the cytoplasm at inactive status. When activated, AhR enters the nucleus and binds AhR nuclear translocator (ARNT)24. We found CpdA increased binding of AhR and ARNT (Fig. 5B). Interestingly, CpdA decreased the binding of β-Arrestin2 and AhR and the binding of β-Arrestin2 and HSP90 in the cytoplasm. ARNT did not bind β-Arrestin2 or AhR in the cytoplasm and CpdA did not induce binding of these proteins. The binding of HSP90 and AhR was detectable in the cytoplasm (Fig. 5C). The binding of AhR and ARNT was confirmed in the nucleus. We did not observe a binding of β-Arrestin2 and ARNT or a binding of β-Arrestin2 and AhR in the nucleus. HSP90 did not bind ARNT in the nucleus, but the binding of HSP90 and AhR was still detectable (Fig. 5D). The nuclear translocation of AhR induced by FICZ, an AhR agonist, was further enhanced by CpdA (Fig. 5E). The possible reason was CpdA recruited β-Arrestin2 to the cell membrane which facilitated nuclear translocation of AhR and increased binding of AhR and ARNT (Fig. 5F). Interestingly, knockdown of Arrb2 increased nuclear translocation of AhR and expressions of Il22 and Cyp1a1 in T-cells (Figs. 5G, H and 4C).
Recipient APCs are also necessary to trigger acute GVHD1. In flow cytometry analyses, FFAR4 fluorescence intensity on CD11c-positive cells increased on Days 10 and 30 posttransplant compared with untreated controls (Day 0; Fig. S3). In in vitro cultured BMDCs and macrophages, activation of these cells with LPS increased FFAR4 expression (Fig. S3). In the BALB/c → B6 model, wild type and Ffar4KO B6 mice were used as recipients. CpdA increased survival and decreased acute GVHD scores of wild type recipient mice, an effect not observed in Ffar4KO recipients (Fig. 6A). CpdA decreased acute GVHD histological features in colon and liver from wild type recipients but not in Ffar4KO recipients (Fig. 6B).
Next, we used Il22KO mice and CD11c conditional AhrKO mice as recipients. CpdA increased survival and decreased acute GVHD scores in these mice (Fig. 6C and D). In the in vitro cultured BMDCs, CpdA induced expression of Cyp1a1 but not of Il22 (Fig. 6E). These results indicated the anti-acute GVHD effect depended on recipient-expressing Ffar4 but not recipient-derived AhR or IL-22. Others reported FFAR4 agonists regulated macrophage activation through inhibition of JNK and TAK1 pathways9. Using LPS-treated BMDCs, we found CpdA decreased protein levels of phosphorylated JNK, TAK1 and p65 (Fig. 6F). CpdA decreased mRNA and protein levels of IL-6 and TNFα in LPS-treated BMDCs (Fig. S5). Thus, FFAR4 agonist-mediated inhibition of APCs activation also contributed to the anti-acute GVHD effect.
We used Lepob obesity B6 mice as recipients in the BALB/c → B6 allotransplant model. Injection of CpdA significantly increased survival of recipient mice and decreased signs of acute GVHD (Fig. 7A). Normally bred obese mice showed extensive steatosis in liver tissues, compared with wild type mice. CpdA treatment reduced the acute GVHD features in liver and colon of recipient mice (Fig. 7B). CpdA-treated mice had decreased protein concentrations of IL-6 and TNFα but increased IL-22 concentrations in plasma samples, comparing with vehicle-treated controls (Fig. 7C). DIO BALB/c and DIO B6 mice were also used as recipients in allotransplant models. CpdA increased survival and decreased acute GVHD scores of these DIO recipient mice, and the anti-acute GVHD effects depended on donor-T-cell-expressing FFAR4 and recipient-expressing FFAR4 (Fig. 7D and E). We pooled the survival data of regular BALB/c recipients and DIO BALB/c recipients, and compared the effects of CpdA in these mice (Supporting Information Fig. S14). DIO recipients showed significantly shortened survival comparing with regular recipients. In mice transplanted with wild type donor T-cells, CpdA more effectively increased survival of DIO recipients comparing with regular recipients (P = 0.0001 vs. P = 0.017). In mice transplanted with Ffar4KO donor T-cells, CpdA failed to increase survival of regular recipients (P = 0.29) but still protected DIO recipients (P = 0.013).
We show knockout of Ffar4 in donor T-cells in a mouse allograft model increases acute GVHD whereas the natural FFAR4 ligands and the synthetic FFAR4 agonists decrease it. Donor-T-cell-expressing Ffar4 and recipient-expressing Ffar4 are needed for FFAR4 agonism-mediated anti-acute GVHD effects. CpdA suppresses donor-T-cell mediated allo-reactivity by activating the β-Arrestin2/AhR/IL-22 pathway. CpdA recruits β-Arrestin2 to FFAR4 which facilitates nuclear translocation of AhR and upregulation of IL-22.
AhR belongs to the Pern-Arnt-Sim superfamily24. The role of AhR in GVHD was reported by two studies. Rohlman and co-authors found activation of AhR with its ligand prevented murine acute GVHD25. However, others showed Ahr knockout T-cells induced less severe acute GVHD in mice26. This discrepancy might attribute to the selectivity of strategies. In our study, T-cell conditioned knockout of Ahr blocked the CpdA-mediated anti-acute GVHD effect. AhR is a dominant regulator of IL-22 expression. We showed IL-22 expression was upregulated by FFAR4 agonism and was important for CpdA-mediated anti-acute GVHD effect. CpdA increased nuclear translocation of AhR. The expression of downstream gene Cyp1a1 validated the activation of AhR. The clinical trial using recombinant IL-22 to treat GVHD recently reported that IL-22 treatment improved GVHD-associated dysbiosis and decreased gastrointestinal GVHD27.
Tryptophan metabolites, the endogenous AhR ligands, contributed to homeostasis of intestinal epithelial barrier28. Others showed gut tryptophan metabolites activated AhR and protected intestinal epithelia through the IL-10 signaling29. We found allotransplanted mice showed higher concentrations of tryptophan metabolites including 5-hydroxytryptophan, kynurenine and tryptophan comparing with untreated normal mice, however, CpdA did not alter levels of these tryptophan metabolites of allotransplanted mice (Fig. 4A). FFAR4 functions through the downstream GRK/β-Arrestin pathway and G-protein pathways3. We showed knockout of Ffar4 decreased expression levels of genes such as GRK, PKC and PKA. Inhibitors of PKC and PKA did not block CpdA-induced expression of IL-22. In contrast, knockdown of β-Arrestin2 abolished this effect. Our pull-down assays indicated CpdA increased binding of AhR and ARNT. CpdA-treatment recruited β-Arrestin2 to FFAR4 on the cell membrane which was associated with increased nuclear translocation of AhR and increased binding of AhR and ARNT. HSP90 is a molecular chaperone of AhR. We confirmed the binding of HSP90 and AhR and the binding of β-Arrestin2 and HSP90 in the cytoplasm, and both were decreased by CpdA, which indicated β-Arrestin2 was released from the AhR complex after CpdA treatment. β-Arrestin2 in AhR complex might negatively regulate nuclear translocation of AhR. Given the increased levels of tryptophan metabolites in allotransplanted mice, the recruitment of β-Arrestin2 by CpdA could facilitate nuclear translocation of AhR induced by these endogenous ligands. This is supported by the results that the nuclear translocation of AhR induced by FICZ was further enhanced by CpdA (Fig. 5E), and that knockdown of β-Arrestin2 increased nuclear translocation of AhR and expressions of Il22 and Cyp1a1 in T-cells (Figs. 5G, H and 4C). We found the AhR-HSP90 interaction was detectable in the nucleus (Fig. 5D), suggesting HSP90 shuttled to the nucleus together with AhR. This result is consistent with others’ reports30,31. It remains unclear on the interactions of HSP90 and the AhR/ARNT complex in the nucleus, and the hypothesis is that a conformational change of AhR/ARNT complex causes dissociation of HSP9024. One study showed HSP90 was progressively released from AhR/ARNT complex32, which is consistent with our result that HSP90 was absent in the immunoprecipitated proteins of ARNT antibody (Fig. 5D). Except for the major binding partner ARNT, AhR can bind with other proteins such as STAT members and RORγt24. On the other hand, the binding of AhR and ARNT could be inhibited by AHR repressor which might leave some AhR proteins at unbound status33. These points help to explain why we could detect the intra-nuclear binding of HSP90 and AhR but not of HSP90 and ARNT. The AhR complex showed dynamic changes in the nucleus30, and more studies are needed to interpret this complicated process. Nonetheless, our results documented that CpdA increased nuclear translocation of AhR.
β-Arrestin can serve as an adaptor for other proteins34,35. GRK proteins are important in recruiting β-Arrestins to GPCR36. We found CpdA treatment or Ffar4KO decreased expression of GRK2, GRK4, GRK5 and GRK6, but not the other GRK proteins such as GRK1, GRK3 and GRK7. Expression level might not directly reflect the function of GRK, because recruitment and translocation are required for action of these GRK proteins36, and intracellular trafficking of GPCR after agonism might have an impact on levels of these GRK proteins37. Moreover, expression of GRKs could be inhibited by pro-inflammatory factors38, which were enhanced by Ffar4KO in our study. The specific GRK subtype involved in CpdA’s effect is still to be defined.
CpdA decreased the pro-inflammatory profiles of T-cells in alloreactions such as MLR and IFNγ production, and these effects depended on Ffar4-exppression in T-cells. CpdA inhibited IFNγ production in co-cultured Ffar4KO T-cells and allogeneic BMDCs, but not in Ffar4KO T-cells cultured alone (Fig. 2E). The possible reason was CpdA decreased activation of BMDCs through FFAR4 because FFAR4 is also expressed on BMDCs (Fig. S3), and the inhibition on BMDCs might contribute to the decreased IFNγ production in co-cultures. Furthermore, CpdA decreased phosphorylation of STAT1 and STAT3. STAT1 transduces signals from interferons, whereas STAT3 is responsible for IL-6 and other gp130 cytokines39. This is consistent with the results that CpdA decreased production of IL-6 and IFNγ, and knockout of Ffar4 increased production of these two cytokines. Some other studies reported the correlation between FFAR4 and STAT3. The FFAR4 agonist TUG891 decreased STAT3 phosphorylation in podocytes and ameliorated renal inflammation17. Omega-3 PUFAs downregulated STAT3 phosphorylation in dendritic cells and alleviated experimental autoimmune encephalomyelitis40.
Recipient APCs are needed to activate donor T-cells in acute GVHD1. We found the FFAR4 agonist inhibited activation of APCs. Recipient derived Ffar4 was important for CpdA-mediated anti-acute GVHD effect. However, the anti-acute GVHD effect of recipient FFAR4 did not depend on recipient-derived AhR or IL-22, because CpdA could alleviate acute GVHD in AhrKO recipients and Il22KO recipients. This is supported by the result that CpdA did not increase Il22 expression in recipient dendritic cells (Fig. 6E and Fig. S5). T-cells and innate lymphoid cells are dominant producers of IL-2223. We found CpdA increased activation of AhR in BMDCs (Figs. 3F and 6E), however, the AhR agonist FICZ did not increase Il22 expression in BMDCs (data not shown) indicating IL-22 was not a target of CpdA in APCs and AhR-activation in APCs might not upregulate Il22 expression. Others reported that FFAR4 agonism suppressed activation of macrophages through inhibition of JNK and TAK1 activation8,9. We also found CpdA decreased phosphorylation of JNK, TAK1 and p65 in BMDCs, and decreased production of IL-6 and TNFα in BMDCs. IL-6 and TNFα are well proved mediators of acute GVHD41.
CpdA also decreases acute GVHD in obese mice. The comparisons between survivals of regular recipients and DIO recipients indicated CpdA might provide a more significant protective function in DIO recipients. In regular recipients, CpdA-mediated anti-acute GVHD effect was abolished by Ffar4KO in donor T-cells. In contrast, CpdA could still protect DIO recipients receiving Ffar4KO T-cells, suggesting CpdA might exert other protective functions in addition to inhibition of T-cells. CpdA was reported to ameliorate metabolic disorders in obese mice8,9. The Lepob mice used in our study have obesity-related diabetes. CpdA is also a SHIP2 inhibitor which could protect these mice through inhibition of SHIP2, because SHIP2 was shown to increase insulin resistance in diabetic mice42. Although SHIP2 is primarily expressed in nonhematopoietic tissues including heart, skeletal muscle and fat, others also found the expression of SHIP2 in human T-cells43,44. It remains unclear whether CpdA functions through SHIP2 or whether FFAR4 cross-talks with SHIP2 in acute GVHD. Thus, targeting FFAR4 might be an option for controlling acute GVHD in obese recipients.
Our study has limitations. We focused on the β-Arrestin2 pathway in T-cells. The other G-protein pathways might also mediate the effect of FFAR4 agonism. We found Ffar4KO decreased expression of G-protein pathways-related genes in T-cells such as G-protein subunits and PI3K subunits (Fig. S7). Others had reported agonism of FFAR4 activated the G-protein pathways such as Gq protein and PI3K45,46. These pathways also regulate T-cell functions47. Although the synthetic FFAR4 agonists we used have high selectivity and efficacy8,9,48, there might be possible off-target effects of these agonists. CpdA induced changes in gene expression independent of FFAR4, such as IL-4 and IL-7 in T-cells (Fig. S7).
In summary, our study shows the immune regulatory effect of FFAR4 in allogeneic reactions with possible implications for using FFAR4 ligands or agonists to control acute GVHD in humans especially those who with obesity.
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Year 2025 volume 15 Issue 1
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doi: 10.1016/j.apsb.2024.12.011
  • Receive Date:2024-05-12
  • Online Date:2026-09-17
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  • Received:2024-05-12
  • Revised:2024-07-26
  • Accepted:2024-09-27
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    aDepartment of Hematology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou Medical University, Xuzhou 221002, China
    bBlood Diseases Institute, Xuzhou Medical University, Xuzhou 221002, China

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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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