Critical link between glycogen synthase kinase 3β and forkhead box P3 in patients with chronic rhinosinusitis with nasal polyps  Xingmei Wu, MD, Sihua.

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Critical link between glycogen synthase kinase 3β and forkhead box P3 in patients with chronic rhinosinusitis with nasal polyps  Xingmei Wu, MD, Sihua Wang, PhD, Miaomiao Han, PhD, Bin Song, PhD, Ping Ye, MD, Shanshan Ma, MD, Jun Li, MD, Fenghong Chen, MD, Geng Xu, PhD, Qingqing Ding, PhD, Jiahong Xia, PhD, Huabin Li, PhD  Journal of Allergy and Clinical Immunology  Volume 136, Issue 6, Pages 1698-1700.e12 (December 2015) DOI: 10.1016/j.jaci.2015.08.014 Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Expression of GSK-3β and Foxp3 in sinonasal tissues. A, Immunoreactivity of GSK-3β in sinonasal tissues (magnification ×200). B, Mean number of GSK-3β+ cells in sinonasal tissues. C and D, mRNA level of GSK-3β and Foxp3 in sinonasal tissues. E, Representative Western blot results of GSK-3β and Foxp3 protein expression in sinonasal tissues. F, Relative protein levels of GSK-3β and Foxp3 in NP tissues. G, Representative western blot results of p-Foxp3 (Ser 270) in NP tissues and UTs. H, Relative protein level of p-Foxp3 in NP tissues compared with UTs. NS, No significance. *P < .05 and **P < .01. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 mRNA expression of TH cell subsets in sinonasal tissues of patients with CRSwNP. mRNA levels of T-box transcription factor (T-bet; A), GATA-3 (B), and retinoic acid–related orphan receptor C (RORc; C) in NP tissues were significantly increased compared with those in UTs of patients with CRSwNP (n = 22). **P < .01. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E2 mRNA expression of inflammatory cytokines in sinonasal tissues of patients with CRSwNP. mRNA levels of TNF-α (A), IL-1β (B), IFN-γ (C), IL-4 (D), IL-5 (E), IL-13 (F), IL-6 (G), IL-17A (H), and IL-22 (I) in NP tissues were significantly increased compared with those in UTs in patients with CRSwNP (n = 22) are shown. *P < .05 and **P < .01. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E3 Expression of Foxp3 in sinonasal tissues of patients with CRSwNP. A, Immunoreactivity of Foxp3 in NP tissues and UTs of patients with CRSwNP and tonsils of healthy control subjects (as a positive control, magnification ×200). B, Mean number of Foxp3+ cells was significantly decreased in NP tissues compared with UTs. **P < .01. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E4 Relative protein levels of GSK-3β and Foxp3 in sinonasal tissues of patients with CRSwNP. A, Relative protein levels of GSK-3β were significantly increased in NP tissues compared with those in 3 other healthy UT groups. B, Relative protein levels of Foxp3 were significantly decreased in NP tissues compared with those in the other 3 healthy UT groups (n = 14). **P < .01. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E5 Ratio of Foxp3+CD4+ cells in sinonasal tissues. A, Representative flow cytometric results of Foxp3+CD4+ cells in NP tissues and UTs of patients with CRSwNP. B, Frequencies of Foxp3+CD4+ cells were significantly decreased in NP tissues compared with those in UTs. **P < .01. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E6 Colocalization of GSK-3β and Foxp3 protein in Treg cells. Representative flow cytometric results of GSK-3β+ Treg cells (Foxp3+CD4+) in NP tissues of patients with CRSwNP, as well as in PBMCs and tonsils of healthy control subjects, were shown. MFI, Mean fluorescence index. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E7 Interaction of GSK-3β and Foxp3 protein in vitro. A, GSK-3β physically interacts with Foxp3. B, GSK-3β promotes the instability of the Foxp3 protein level. Inhibition of GSK-3β with specific siRNA significantly prolonged the half-life of Foxp3 protein in HEK 293T cells. C, GSK-3β modulates Foxp3 protein levels. IP, Immunoprecipitation. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E8 GSK-3β phosphorylates Foxp3 by targeting a motif of Ser 270/274. A, GSK-3β phosphorylates Foxp3. B, Mass spectrometric analysis revealed that a motif in Foxp3 between residues 270 and 275 can be phosphorylated by GSK-3β. C, GSK-3β phosphorylated Ser 270/274 in Foxp3 protein in vitro. D, Mutated Ser 270/274 cannot be phosphorylated in vivo. FLAG-Foxp3 wild-type or mutant A (270/274) or B (271/275) was transfected in HEK 293T cells. E, GSK-3β phosphorylated Ser 270/274 in Foxp3 protein in vivo. Journal of Allergy and Clinical Immunology 2015 136, 1698-1700.e12DOI: (10.1016/j.jaci.2015.08.014) Copyright © 2015 American Academy of Allergy, Asthma & Immunology Terms and Conditions