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Blood, 6 August 2009, Vol. 114, No. 6, pp. 1263-1269.
Prepublished online as a Blood First Edition Paper on May 13, 2009; DOI 10.1182/blood-2009-02-206730.


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TRANSPLANTATION

Protection from graft-versus-host disease by HIV-1 envelope protein gp120-mediated activation of human CD4+CD25+ regulatory T cells

Christian Becker1, Christian Taube2, Tobias Bopp3, Christoph Becker4, Kai Michel1, Jan Kubach1, Sebastian Reuter2, Nina Dehzad2, Markus F. Neurath4, Kurt Reifenberg5, Franz-Joseph Schneider6, Edgar Schmitt3, and Helmut Jonuleit1

1 Department of Dermatology, 2 III Medical Department, 3 Institute of Immunology, 4 Institute of Molecular Medicine, and 5 Central Animal Facility, Johannes Gutenberg-University, Mainz; and 6 Boehringer Ingelheim Pharma GmbH & Co KG, Biberach, Germany

Naturally occurring CD4+CD25+ regulatory T cells (Tregs) represent a unique T-cell lineage that is endowed with the ability to actively suppress immune responses. Therefore, approaches to modulate Treg function in vivo could provide ways to enhance or reduce immune responses and lead to novel therapies. Here we show that the CD4 binding human immunodeficiency virus-1 envelope glycoprotein gp120 is a useful and potent tool for functional activation of human Tregs in vitro and in vivo. Gp120 activates human Tregs by binding and signaling through CD4. Upon stimulation with gp120, human Tregs accumulate cyclic adenosine monophosphate (cAMP) in their cytosol. Inhibition of endogeneous cAMP synthesis prevents gp120-mediated Treg activation. Employing a xenogeneic graft versus host disease model that has been shown to be applicable for the functional analysis of human Tregs in vivo, we further show that a single dose of gp120 is sufficient to prevent lethal graft versus host disease and that the tolerizing effect of gp120 is strictly dependent on the presence of human Tregs and their up-regulation of cAMP upon gp120-mediated activation. Our findings demonstrate that stimulation via the CD4 receptor represents a T-cell receptor–independent Treg activating pathway with potential to induce immunologic tolerance in vivo.


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