Autoimmune regulator (Aire) has a unique expression pattern in thymic medullary epithelial cells (mTECs), in which it plays a critical role in the activation of tissue-specific antigens. The expression of Aire in mTECs is activated by receptor activator of nuclear factor κB (RANK) signaling; however, the molecular mechanism behind this activation is unknown. Here, we characterize a conserved noncoding sequence 1 (CNS1) containing two NF-κB binding sites upstream of the Aire coding region. We show that CNS1-deficient mice lack thymic expression of Aire and share several features of Aire-knockout mice, including downregulation of Aire-dependent genes, impaired terminal differentiation of the mTEC population, and reduced production of thymic Treg cells. In addition, we show that CNS1 is indispensable for RANK-induced Aire expression and that CNS1 is activated by NF-κB pathway complexes containing RelA. Together, our results indicate that CNS1 is a critical link between RANK signaling, NF-κB activation, and thymic expression of Aire.Keywords: Autoimmune regulator · Enhancer · NF-κB · Receptor activator of nuclear factor κB · Thymic medulla
See accompanying Commentary by Mitsuru MatsumotoAdditional supporting information may be found in the online version of this article at the publisher's web-site
IntroductionCentral tolerance is achieved in the thymus by selection of a T-cell repertoire that is nonreactive to self. In the thymus, developing T cells, termed thymocytes, interact with cortical thymic epithelial cells and thymic medullary epithelial cells (cTECs and mTECs) and dendritic cells that present antigens during the positive and negative selection processes [1,2]. Due to their unique ability to express a wide range of peripheral tissue-specific antigens (TSAs), mTECs are believed to play a central role in the negative selection of self-reactive thymocytes and thereby securing tolerance to self-proteins [3,4]. The promiscuous expression of peripheral antigens in mTECs is largely controlled by autoimmune regulator Correspondence: Dr. Pärt Peterson e-mail: part.peterson@ut.ee (Aire) that constitutively promotes the transcription of hundreds of tissue-specific genes [5][6][7][8]. The importance of Aire in negative selection is exemplified by the mutations in the human Aire gene, which cause a monogenic disorder called autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy [9][10][11]. Similar to human autoimmune polyendocrinopathy-candidiasisectodermal dystrophy patients, Aire-deficient mice exhibit a multiorgan autoimmune phenotype [5], although some clear differences exist including a lack of endocrine organ involvement, relatively mild disease, and the lack of high-titer neutralizing auto-Abs to type 1 interferons and interleukin 22 [12,13].The Aire protein has a unique and highly specific expression profile. Aire is rapidly upregulated for a few days [14,15] [17,24,[26][27][28]. RANK ligation activates both the classical and alternative pathways of NF-κB signaling [29]. The classical pathway involves t...