FOXP3
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Foxp3 is a member of the forkhead/winged-helix family of transcriptional regulators and functions as the master regulator in the development and function of regulatory T cells.
Gene Structure
Human FOXP3 genes contain 11 coding exons. Exon-intron boundaries are identical across the coding regions of the mouse and human genes. By genomic sequence analysis, the FOXP3 gene maps to chromosome Xp11.23.
Physiology and pathophysiology
Foxp3 gene is mutated in the X-linked syndrome of immunodysregulation, polyendocrinopathy, and enteropathy (IPEX) [1]
These mutations were in the forkhead domain of FOXP3, indicating that the mutations may disrupt critical DNA interactions. In mice, a Foxp3 mutation (a frameshift mutation that result in protein lacking the forkhead domain) is responsible for 'Scurfy', an X-linked recessive mouse mutant that results in lethality in hemizygous males 16 to 25 days after birth.[1]
These mice have overproliferation of CD4+ T lymphocytes, extensive multiorgan infiltration, and elevation of numerous cytokines. This phenotype is similar to those that lack expression of CTLA-4, TGF-β, human disease IPEX, or deletion of the Foxp3 gene in mice ("scurfy mice"). The pathology observed in scurfy mice seems to result from an inability to properly regulate CD4+ T-cell activity.
In mice overexpressing the Foxp3 gene, fewer T cells are observed. The remaining T cells have poor proliferative and cytolytic responses and poor IL2 production, although thymic development appears normal. Histologic analysis indicates that peripheral lymphoid organs, particularly lymph nodes lack cells.
The discovery of Foxp3 as a specific marker of regulatory T cells has recently led to an explosion of research in the biological properties of regulatory T cells. [1][1][1]
In human disease, alterations in numbers of regulatory T cells, and in particular those that express Foxp3, are found in a number of conditions. For example, patients with tumours have a local relative excess of Foxp3 positive T cells which inhibits the body's ability to suppress the formation of cancerous cells.[1]
On the other hand, patients with autoimmune disease such as systemic lupus erythematosus have a relative dysfunction of Foxp3 positive cells.[1]
In animal studies, regulatory T cells that express Foxp3 are critical in the transfer of immune tolerance, so that hopefully in the future this knowledge can be used to prevent transplant graft rejection. The induction or administration of Foxp3 positive T cells has, in animal studies, led to marked reductions in disease severity in models of diabetes, multiple sclerosis, asthma, inflammatory bowel disease, thyroiditis and renal disease.[1]
These discoveries give hope that cellular therapies using foxp3 positive cells may, one day, help overcome these diseases.
See also
- AIRE
- Anergy
- Autoimmune regulator
- Autoimmunity
- Cell therapy
- Central tolerance
- Cluster of differentiation
- FOX proteins
- Immune system
- Immune tolerance
- Immunity
- Immunology
- Lymphocytes
- T cells
- Thymocyte
References
Further reading
- Schmidt-Weber CB, Blaser K (2006). "The role of the FOXP3 transcription factor in the immune regulation of allergic asthma.". Current allergy and asthma reports 5 (5): 356-61. PMID 16091206.
- Li B, Samanta A, Song X, et al. (2006). "FOXP3 ensembles in T-cell regulation.". Immunol. Rev. 212: 99-113. doi:10.1111/j.0105-2896.2006.00405.x. PMID 16903909.
- Ziegler SF (2007). "FOXP3: not just for regulatory T cells anymore.". Eur. J. Immunol. 37 (1): 21-3. doi:10.1002/eji.200636929. PMID 17183612.
- Zhang L, Zhao Y (2007). "The regulation of Foxp3 expression in regulatory CD4(+)CD25(+)T cells: multiple pathways on the road.". J. Cell. Physiol. 211 (3): 590-7. doi:10.1002/jcp.21001. PMID 17311282.
- Bacchetta R, Gambineri E, Roncarolo MG (2007). "Role of regulatory T cells and FOXP3 in human diseases.". J. Allergy Clin. Immunol. 120 (2): 227-35; quiz 236-7. doi:10.1016/j.jaci.2007.06.023. PMID 17666212.
- Ochs HD, Torgerson TR (2007). "Immune dysregulation, polyendocrinopathy, enteropathy, X-linked inheritance: model for autoaggression.". Adv. Exp. Med. Biol. 601: 27-36. PMID 17712989.
- Long E, Wood KJ (2007). "Understanding FOXP3: progress towards achieving transplantation tolerance.". Transplantation 84 (4): 459-61. doi:10.1097/01.tp.0000275424.52998.ad. PMID 17713426.
- Bennett CL, Yoshioka R, Kiyosawa H, et al. (2000). "X-Linked syndrome of polyendocrinopathy, immune dysfunction, and diarrhea maps to Xp11.23-Xq13.3.". Am. J. Hum. Genet. 66 (2): 461-8. PMID 10677306.
- Hartley JL, Temple GF, Brasch MA (2001). "DNA cloning using in vitro site-specific recombination.". Genome Res. 10 (11): 1788-95. PMID 11076863.
- Chatila TA, Blaeser F, Ho N, et al. (2001). "JM2, encoding a fork head-related protein, is mutated in X-linked autoimmunity-allergic disregulation syndrome.". J. Clin. Invest. 106 (12): R75-81. PMID 11120765.
- Wildin RS, Ramsdell F, Peake J, et al. (2001). "X-linked neonatal diabetes mellitus, enteropathy and endocrinopathy syndrome is the human equivalent of mouse scurfy.". Nat. Genet. 27 (1): 18-20. doi:10.1038/83707. PMID 11137992.
- Bennett CL, Christie J, Ramsdell F, et al. (2001). "The immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) is caused by mutations of FOXP3.". Nat. Genet. 27 (1): 20-1. doi:10.1038/83713. PMID 11137993.
- Brunkow ME, Jeffery EW, Hjerrild KA, et al. (2001). "Disruption of a new forkhead/winged-helix protein, scurfin, results in the fatal lymphoproliferative disorder of the scurfy mouse.". Nat. Genet. 27 (1): 68-73. doi:10.1038/83784. PMID 11138001.
- Schubert LA, Jeffery E, Zhang Y, et al. (2001). "Scurfin (FOXP3) acts as a repressor of transcription and regulates T cell activation.". J. Biol. Chem. 276 (40): 37672-9. doi:10.1074/jbc.M104521200. PMID 11483607.
- Kobayashi I, Shiari R, Yamada M, et al. (2002). "Novel mutations of FOXP3 in two Japanese patients with immune dysregulation, polyendocrinopathy, enteropathy, X linked syndrome (IPEX).". J. Med. Genet. 38 (12): 874-6. PMID 11768393.
- Tommasini A, Ferrari S, Moratto D, et al. (2002). "X-chromosome inactivation analysis in a female carrier of FOXP3 mutation.". Clin. Exp. Immunol. 130 (1): 127-30. PMID 12296863.
- Strausberg RL, Feingold EA, Grouse LH, et al. (2003). "Generation and initial analysis of more than 15,000 full-length human and mouse cDNA sequences.". Proc. Natl. Acad. Sci. U.S.A. 99 (26): 16899-903. doi:10.1073/pnas.242603899. PMID 12477932.
- Bassuny WM, Ihara K, Sasaki Y, et al. (2003). "A functional polymorphism in the promoter/enhancer region of the FOXP3/Scurfin gene associated with type 1 diabetes.". Immunogenetics 55 (3): 149-56. doi:10.1007/s00251-003-0559-8. PMID 12750858.
- Walker MR, Kasprowicz DJ, Gersuk VH, et al. (2003). "Induction of FoxP3 and acquisition of T regulatory activity by stimulated human CD4+CD25- T cells.". J. Clin. Invest. 112 (9): 1437-43. doi:10.1172/JCI200319441. PMID 14597769.
- Owen CJ, Jennings CE, Imrie H, et al. (2004). "Mutational analysis of the FOXP3 gene and evidence for genetic heterogeneity in the immunodysregulation, polyendocrinopathy, enteropathy syndrome.". J. Clin. Endocrinol. Metab. 88 (12): 6034-9. PMID 14671208.
External links
Transcription factors and intracellular receptors | |||||||||||||
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| (1) Basic domains |
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| (2) Zinc finger DNA-binding domains |
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| (3) Helix-turn-helix domains |
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| (4) β-Scaffold factors with minor groove contacts |
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| (0) Other transcription factors |
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

