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Prepublished online as a Blood First Edition Paper on February 27, 2003; DOI 10.1182/blood-2002-09-2798.

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2002-09-2798v1
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Blood, 15 June 2003, Vol. 101, No. 12, pp. 5076-5083

TRANSPLANTATION

IL-10 and TGF-{beta} induce alloreactive CD4+CD25 T cells to acquire regulatory cell function

Zong-ming Chen, Matthew J. O'Shaughnessy, Irene Gramaglia, Angela Panoskaltsis-Mortari, William J. Murphy, Satwant Narula, Maria G. Roncarolo, and Bruce R. Blazar

From the University of Minnesota Cancer Center and Department of Pediatrics, Division of Bone Marrow Transplantation, Minneapolis, MN; Science Applications International Corporation (SAIC)–Frederick and the Laboratory of Leukocyte Biology, National Cancer Institute-Frederick Cancer Research and Development Center (NCI-FCRDC), Frederick, MD; Schering-Plough Research Institute, Kenilworth, NJ; and San Raffaele-Telethon Institute (Hospital San Raffaele-Telethon Institute for Gene Therapy [HSR-TIGET]), Milan, Italy.

We previously reported that interleukin-10 (IL-10) and transforming growth factor (TGF)–{beta} treatment of primary mixed lymphocyte reaction (MLR) cultures resulted in secondary alloantigen-specific hyporesponsiveness and protection from graft-versus-host disease (GVHD) lethality. Here, we report that CD4+ T cells recovered from the IL-10– and TGF-{beta}–treated primary MLR cultures have immunoregulatory function. Tolerized cells significantly inhibited proliferation of naive alloreactive CD4+ T cells in a primary MLR. Inhibition of the naive alloresponse was observed with as few as 1 tolerized cell to 10 naive responder cells. Tolerized cells were able to significantly reduce GVHD lethality when injected with naive alloreactive CD4+ T cells into major histocombatibility class (MHC) II disparate recipients. Rigorous CD25 depletion of the primary MLR had no effect on generation of a regulatory capacity, suggesting that the regulatory cells likely originated from CD4+CD25 T cells. Immune suppression was mediated independently of IL-10 and TGF-{beta} production, as neutralizing antibodies for IL-10, IL-10R, and TGF-{beta} were unable to revert suppression, and IL-10– deficient CD4+ T cells were able to mediate in vitro and in vivo suppression. The generation of immunoregulatory cells from a CD4+CD25 population during tolerization with IL-10 and TGF-{beta} provides an additional mechanism to prevent GVHD lethality by T cells that may escape full tolerance induction.


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