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Blood, 1 January 2007, Vol. 109, No. 1, pp. 244-252. Prepublished online as a Blood First Edition Paper on August 10, 2006; DOI 10.1182/blood-2006-05-021931.
IMMUNOBIOLOGY The immunosuppressive drug FK778 induces regulatory activity in stimulated human CD4+CD25 T cells1 Department of Blood Transfusion and Transplantation Immunology, Radboud University Nijmegen Medical Centre, The Netherlands; 2 Department of Nephrology, Radboud University Nijmegen Medical Centre, The Netherlands; and 3 Department of Internal Medicine, University Hospital Maastricht, The Netherlands
The induction of transplantation tolerance involves a T-cellmediated process of immune regulation. In clinical transplantation, the use of immunosuppressive drugs that promote or facilitate this process would be highly desirable. Here, we investigated the tolerance-promoting potential of the immunosuppressive drug FK778, currently under development for clinical therapy. Using a human allogeneic in vitro model we showed that, upon T-cell receptor (TCR) triggering, FK778 induced a regulatory phenotype in CD4+CD25 T cells. Purified CD4+CD25 T cells primed in the presence of FK778 showed hyporesponsiveness upon restimulation with alloantigen in the absence of the drug. This anergic state was reversible by exogenous interleukin-2 (IL-2) and was induced independent of naturally occurring CD4+CD25+ regulatory T cells. Pyrimidine restriction was a crucial requirement for the de novo induction of regulatory activity by FK778. The FK778-induced anergic cells showed suppressor activity in a cell-cell contactdependent manner; were CD25high, CD45RO+, CD27, and CD62L; and expressed cytotoxic T-lymphocyteassociated antigen-4 (CTLA-4), glucocorticoid-induced tumor necrosis factor receptor (GITR), and FoxP3. The cells revealed delayed p27kip1 degradation and enhanced phosphorylation of STAT3. In conclusion, the new drug FK778 shows tolerizing potential through the induction of a regulatory T-cell subset in CD4+CD25 T cells.
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