The molecular mechanisms driving autoimmunity (AI) are poorly understood but are thought to involve both genetic and environmental factors. Few AI associated genetic-risk loci are linked to alterations in gene coding, but are found frequently in T cell restricted enhancers. This links AI-associated variation to disruption of normal transcriptional control of the enhancers’ target genes.
SATB1 is a genome organizer that is important in T cell lineage commitment and function. We used Chromatin conformation capture to identify a super-enhancer (SE) -308kb upstream of the SATB1 promoter in human primary CD4+ T cells. The SE resides in a hotspot for AI-associated genetic variation in Crohns/IBD, psoriasis and MS. Together, this indicates that altered enhancer activity and hence inappropriate regulation of SATB1 in T cells may be the mechanism by which these risk regions contribute to AI.
To model the function of this super-enhancer in the physiological context, CRISPR was used to delete the SE region in mice. Analysis of CD4+ T cells revealed reduced SATB1 protein levels and a significant decrease in the ability of naïve CD4+ T cells to polarize toward Th1 and Th17 subsets, but a significant increase in IL-5 production from Th2 polarized cells. RNA-seq and ATAC-seq analysis of SE-/-CD4+ T cells identified changes in the transcriptome and chromatin accessibility at multiple loci, including the SATB1 locus. Using an in vivo CD45RBhiCD4+ T cell transfer model of colitis, we have shown that SE-/- mice do not develop colitis, but instead present with a skin phenotype characterized by increased immune infiltration into the skin.
These data indicate that loss of the super-enhancer, likely through decreasing SATB1 expression, causes widespread changes in the CD4+ cell transcriptome and altered cellular responses, and this may for the first time identify the immunological pathways impacted by the associated AI genetic-risk.