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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1214-1222.
Prepublished online as a Blood First Edition Paper on June 11, 2008; DOI 10.1182/blood-2007-08-109843.


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IMMUNOBIOLOGY

Activation of the aryl hydrocarbon receptor promotes allograft-specific tolerance through direct and dendritic cell–mediated effects on regulatory T cells

Ehud Hauben1, Silvia Gregori1, Elena Draghici1, Barbara Migliavacca1, Stefano Olivieri2, Maximilian Woisetschläger3, and Maria Grazia Roncarolo1,4

1 San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy; 2 Department of Pathology, San Raffaele Scientific Institute, Milan, Italy; 3 Department of Autoimmunity and Transplantation, Novartis Institute for Biomedical Research, Vienna, Austria; and 4 Vita-Salute San Raffaele University, Milan, Italy

VAF347 is a low-molecular-weight compound, which activates the aryl hydrocarbon receptor (AhR). Herein, we report that oral administration of a water-soluble derivative of VAF347 (VAG539) promotes long-term graft acceptance and active tolerance in Balb/c mice that receive a transplant of MHC-mismatched pancreatic islet allografts. In vivo VAG539 treatment results in increased frequency of splenic CD4+ T cells expressing CD25 and Foxp3, markers associated with regulatory T (Tr) cells, and in vitro VAF347 treatment of splenic CD4+ T cells improved CD4+CD25+Foxp3+ T-cell survival. Interestingly, transfer of CD11c+ dendritic cells (DCs), but not of CD4+ T or CD19+ B cells, from VAG539-treated long-term tolerant hosts into mice that recently underwent transplantation resulted in donor (C57Bl/6)–specific graft acceptance and in a significantly higher frequency of splenic CD4+CD25+Foxp3+ Tr cells. Furthermore, the transfer of CD4+CD25+ T cells from these mice into mice that recently underwent transplantation promoted graft acceptance. Similarly, cell therapy with in vitro VAF347-treated bone marrow–derived mature DCs prevented islet graft rejection, and reduced OVA-specific T-cell responses in OVA-immunized mice. Collectively, our data indicate that AhR activation induces islet allograft–specific tolerance through direct as well as DC-mediated effects on Tr-cell survival and function.


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