Key result
TNFR1 loss boosts heart failure-activated CD4+ T-cell survival ~10-fold without altering cardiac dysfunction.
Why the study?
CD4+ T cells turn pathological during heart failure, but the role of the TNF-alpha/TNFR1 axis in T-cell activation and proliferation is unknown.
Does TNFR1 neutralization or genetic deletion alter the survival, proliferation, activation, and pathological cardiac remodeling activity of heart failure-activated CD4+ T cells in a murine model of ischemic heart failure?
Does TNFR1 neutralization or genetic deletion alter the survival, proliferation, activation, and pathological cardiac remodeling activity of heart failure-activated CD4+ T cells in a murine model of ischemic heart failure?
This preclinical study demonstrates that TNFR1 acts as a negative regulator of survival and proliferation in pathological CD4+ T cells during ischemic heart failure without altering their pathogenicity, suggesting that immunomodulation in heart failure may require simultaneous TNFR1 activation and TNFR2 inhibition.
TNFR1 loss boosts T-cell survival without worsening remodeling in mice; leaves open dual TNFR targeting for future HF immunomodulation trials.
CD4+ T cells turn pathological during heart failure (HF). We show that the expression of tumor necrosis factor (TNF)-α and tumor necrosis factor receptor (TNFR1) increases in HF-activated CD4+ T cells. However, the role of the TNF-α/TNFR1 axis in T-cell activation/proliferation is unknown. We show that TNFR1 neutralization during T-cell activation (ex vivo) or the loss of TNFR1 in adoptively transferred HF-activated CD4+ T cells (in vivo) augments their prosurvival and proliferative signaling. Importantly, TNFR1 neutralization does not affect CD69 expression or the pathological activity of HF-activated TNFR1−/− CD4+ T cells. These results show that during HF TNFR1 plays an important role in quelling prosurvival and proliferative signals in CD4+ T cells without altering their pathological activity.
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Kumar et al. (2022) studied Ischemic heart failure (post-myocardial infarction) (n=165). TNFR1 neutralization (anti-TNFR1 antibody ex vivo) or TNFR1 genetic deletion (TNFR1-/- in vivo) vs. Stimulated wild-type CD4+ T cells without anti-TNFR1 antibody (ex vivo) or adoptive transfer of wild-type or sham CD4+ T cells (in vivo) was evaluated on Survival, proliferation, and pathogenicity (cardiac dysfunction) of adoptively transferred HF-activated CD4+ T cells at 14 weeks (10- to 11-fold higher donor CD4+ T-cell levels in spleen with TNFR1 loss; no difference in cardiac dysfunction, p=<0.05). TNFR1 loss in heart failure-activated CD4+ T cells increased splenic T-cell survival 10- to 11-fold and Bcl-xL expression ~4-fold without altering T-cell activation or induced cardiac dysfunction.
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