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Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219 Background The extrathymic generation and proliferation of regulatory T cells may contribute to self-tolerance as well as the poor immunogenicity of tumors and may be exploited clinically to prevent or reverse unwanted immunity. The contributions of thymically and extrathymically generated suppressor T cells to the peripheral pool of CD4+CD25+ suppressor T cells is not known. The ability to generate de novo in secondary lymphoid tissue represent an important tool in the induction of antigen-specific tolerance in the fully mature immune system. Also, this pathway of generating suppressor cells may be used by tumors to avoid tumor-specific immune responses. CD4+CD25+ regulatory T cells expressing the lineage marker Foxp3 The cellular and molecular mechanisms involved in the peripheral generation of CD4+CD25+ suppressor T cells are not known recombination activating gene 2–deficient (Rag2–/–) Thy-1.2 BALB/c Rag2–/– TCR-HA mice and Thy-1.1 BALB/c congenic Rag2–/– TCR-HA mice express a TCR specific for H-2IEd HA Antigens can be targeted to DCs in vivo by means of the DEC-205 endocytosis receptor Objection As the exact cellular and molecular mechanisms involved in the peripheral generation of CD4+CD25+ suppressor T cells are not known, we investigated whether this process can be initiated through antigen presentation by dendritic cells (DCs). This seemed an important issue to study, as crosspresentation of tumor-specific antigens by major histocompatibility complex class II molecules on DCs could constitute an essential pathway by which tumor cells induce Foxp3-expressing suppressor T cells. Question What conditions are suited for the induction of antigen-specific Foxp3+CD4+CD25+ suppressor T cells in the context of a fully mature immune system using anti-DEC–HA? 1.Conversion of naive CD4+CD25– T cells into CD4+CD25+ T cells. 90% or more of the CD25+ cells were stained with the clonotypic 6.5 TCR antibody single-dose injection of anti-DEC–HA resulted in little TCR internalization Question Does CD4+CD25+ T cells express the Foxp3 which is the marker of T regulatory cells? Does the converted Foxp3+CD25+ T cells have regulatory function? 2. Foxp3 expression and antigen-specific suppression by CD4+CD25+ T cells Question What conditions are favoring for suppressor cell generation? Antigen dose? DC activation? Cell division? Routes of antigen administration? 3. Efficient induction of CD4+CD25+ regulatory T cells requires low doses of anti-DEC–HA and lack of costimulation. Injection of either a substantial amount of anti-DEC–HA or injection together of minute amounts of anti-DEC–HA plus anti-CD40 did not result in efficient and long-lasting conversion of CD4+CD25– naive T cells into Foxp3+CD4+CD25+ suppressor T cells 4. Inverse relationship of cell division and CD25 expression. converted suppressor T cell populations generated in subimmunogenic conditions could subsequently be expanded by delivering antigen in immunogenic conditions Different routes of administration of anti-DEC–HA (intraperitoneal, intravenous and subcutaneous) were similarly efficient in CD25+ suppressor T cell induction (data not shown). Also, prolonged subcutaneous infusion of small amounts of anti-DEC–HA (10 ng/d for 14 d) by means of osmotic minipumps did not increase the absolute numbers of induced Foxp3+CD4+CD25+ suppressor T cells (data not shown). Furthermore, injection of less than 40 ng anti-DEC–HA resulted in a much reduced recovery of initially seeded T cells 14 d after injection (data not shown). Background TGF-beta could help the conversion of in vitro–stimulated peripheral CD4+CD25– T cells into suppressor cells suggests that TGF-b signaling could be involved in the antigen-driven conversion of suppressor cells in vivo. Consistent with that idea, mice deficient in components of the TGF-beta–TGF-beta receptor system have reduced numbers of peripheral CD4+CD25+ T cells Question The role of TGF-beta in antigen induced T regulator cells generation? 5.Impaired TGF-betaR signaling diminishes conversion of naive T cells into CD4+CD25+ regulatory T cells. Conclusion TGF-beta receptor signaling–dependent inhibition of proliferation correlated with more efficient in vivo conversion of naive T cells into CD4+CD25+ regulatory T cells. Q: whether increased TGF-b receptor signaling could reduce proliferation and enhance anti-DEC–HA–mediated conversion in vivo? 6.Costimulation of naive CD4+CD25– T cells in vitro by TCR and TGF-beta receptor. In vitro, TGF-b1 slightly inhibited anti-CD3- and anti-CD28-mediated T cell proliferation at 36 and 60 h of culture Foxp3 mRNA expression was induced in vitro only when cells were stimulated with TGF-b1 plus anti-CD3 and anti-CD28 cells stimulated with TGFb1 plus anti-CD3 and antiCD28 expressed Foxp3 protein 36 h after stimulation, and this increased to 23% at day 3. Foxp3 expression correlated with CD25 surface expression 7. In vivo conversion of naive CD4+CD25– T cells costimulated in vitro with TCR and TGFbeta. Background IL-2 is a cytokine that controls proliferation of antigenically stimulated T cells. Q: whether IL-2 interfered with or enhanced the conversion of naive T cells into CD4+CD25+ suppressor T cells?? 8.Efficient conversion of Il2–/–CD4+CD25– naive T cells into regulatory T cells. lack of autocrine IL-2 reduced proliferation mediated by antiDEC–HA converted Il-2–/–CD4+6.5+ T cells proliferated in antigen-draining lymph nodes after immunization with peptide in IFA Conclusion Conversion was achieved by minute antigen doses with suboptimal dendritic cell activation. The addition of transforming growth factor-b or the absence of interleukin 2 production, which reduces proliferation, enhanced the conversion rate. regulatory T cell populations induced in subimmunogenic conditions could be expanded by delivery of antigen in immunogenic conditions. The extrathymic generation and proliferation of regulatory T cells may contribute to self-tolerance as well as the poor immunogenicity of tumors and may be exploited clinically to prevent or reverse unwanted immunity.