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Blood, 1 November 2001, Vol. 98, No. 9, pp. 2736-2744

IMMUNOBIOLOGY

Human CD4+CD25+ cells: a naturally occurring population of regulatory T cells

Wan Fai Ng, Phillip J. Duggan, Frederique Ponchel, Giuseppe Matarese, Giovanna Lombardi, A. David Edwards, John D. Isaacs, and Robert I. Lechler

From the Departments of Immunology and Paediatrics, Hammersmith Campus, Imperial College School of Medicine, London, United Kingdom; and Department of Rheumatology and Molecular Medicine, University of Leeds, United Kingdom.

Despite thymic deletion of cells with specificity for self-antigens, autoreactive T cells are readily detectable in the normal T-cell repertoire. In recent years, a population of CD4+ T cells that constitutively express the interleukin-2 receptor-alpha chain, CD25, has been shown to play a pivotal role in the maintenance of self-tolerance in rodent models. This study investigated whether such a regulatory population exists in humans. A population of CD4+CD25+ T cells, taken from the peripheral blood of healthy individuals and phenotypically distinct from recently activated CD4+ T cells, was characterized. These cells were hyporesponsive to conventional T-cell stimuli and capable of suppressing the responses of CD4+CD25- T cells in vitro. Addition of exogenous interleukin-2 abrogated the hyporesponsiveness and suppressive effects of CD4+CD25+ cells. Suppression required cell-to-cell contact but did not appear to be via the inhibition of antigen-presenting cells. In addition, there were marked changes in the expression of Notch pathway molecules and their downstream signaling products at the transcriptional level, specifically in CD4+CD25+ cells, suggesting that this family of molecules plays a role in the regulatory function of CD4+CD25+ cells. Cells with similar phenotype and function were detected in umbilical venous blood from healthy newborn infants. These results suggest that CD4+CD25+ cells represent a population of regulatory T cells that arise during fetal life. Comparison with rodent CD4+CD25+ cells suggests that this population may play a key role in the prevention of autoimmune diseases in humans.

© 2001 by The American Society of Hematology.
 

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E. M. Aandahl, J. Michaelsson, W. J. Moretto, F. M. Hecht, and D. F. Nixon
Human CD4+ CD25+ Regulatory T Cells Control T-Cell Responses to Human Immunodeficiency Virus and Cytomegalovirus Antigens
J. Virol., March 1, 2004; 78(5): 2454 - 2459.
[Abstract] [Full Text] [PDF]


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Int ImmunolHome page
L. A. Stephens, A. N. Barclay, and D. Mason
Phenotypic characterization of regulatory CD4+CD25+ T cells in rats
Int. Immunol., February 1, 2004; 16(2): 365 - 375.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Stanzani, S. L. R. Martins, R. M. Saliba, L. S. St. John, S. Bryan, D. Couriel, J. McMannis, R. E. Champlin, J. J. Molldrem, and K. V. Komanduri
CD25 expression on donor CD4+ or CD8+ T cells is associated with an increased risk for graft-versus-host disease after HLA-identical stem cell transplantation in humans
Blood, February 1, 2004; 103(3): 1140 - 1146.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
H. Jonuleit and E. Schmitt
The Regulatory T Cell Family: Distinct Subsets and their Interrelations
J. Immunol., December 15, 2003; 171(12): 6323 - 6327.
[Full Text] [PDF]


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J. Immunol.Home page
H. J. P. M. Koenen, E. Fasse, and I. Joosten
IL-15 and Cognate Antigen Successfully Expand De Novo-Induced Human Antigen-Specific Regulatory CD4+ T Cells That Require Antigen-Specific Activation for Suppression
J. Immunol., December 15, 2003; 171(12): 6431 - 6441.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
G. F. Hoyne
Notch signaling in the immune system
J. Leukoc. Biol., December 1, 2003; 74(6): 971 - 981.
[Abstract] [Full Text]


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J. Immunol.Home page
T. Keler, E. Halk, L. Vitale, T. O'Neill, D. Blanset, S. Lee, M. Srinivasan, R. F. Graziano, T. Davis, N. Lonberg, et al.
Activity and Safety of CTLA-4 Blockade Combined with Vaccines in Cynomolgus Macaques
J. Immunol., December 1, 2003; 171(11): 6251 - 6259.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. Foussat, F. Cottrez, V. Brun, N. Fournier, J.-P. Breittmayer, and H. Groux
A Comparative Study between T Regulatory Type 1 and CD4+CD25+ T Cells in the Control of Inflammation
J. Immunol., November 15, 2003; 171(10): 5018 - 5026.
[Abstract] [Full Text] [PDF]


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BloodHome page
E. S. Yvon, S. Vigouroux, R. F. Rousseau, E. Biagi, P. Amrolia, G. Dotti, H.-J. Wagner, and M. K. Brenner
Overexpression of the Notch ligand, Jagged-1, induces alloantigen-specific human regulatory T cells
Blood, November 15, 2003; 102(10): 3815 - 3821.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
E. Anastasi, A. F. Campese, D. Bellavia, A. Bulotta, A. Balestri, M. Pascucci, S. Checquolo, R. Gradini, U. Lendahl, L. Frati, et al.
Expression of Activated Notch3 in Transgenic Mice Enhances Generation of T Regulatory Cells and Protects against Experimental Autoimmune Diabetes
J. Immunol., November 1, 2003; 171(9): 4504 - 4511.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
S. Vigouroux, E. Yvon, H.-J. Wagner, E. Biagi, G. Dotti, U. Sili, C. Lira, C. M. Rooney, and M. K. Brenner
Induction of Antigen-Specific Regulatory T Cells following Overexpression of a Notch Ligand by Human B Lymphocytes
J. Virol., October 15, 2003; 77(20): 10872 - 10880.
[Abstract] [Full Text] [PDF]


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BloodHome page
S. Jiang, N. Camara, G. Lombardi, and R. I. Lechler
Induction of allopeptide-specific human CD4+CD25+ regulatory T cells ex vivo
Blood, September 15, 2003; 102(6): 2180 - 2186.
[Abstract] [Full Text] [PDF]


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IOVSHome page
N. Ardjomand, J. C. McAlister, N. J. Rogers, P. H. Tan, A. J. T. George, and D. F. P. Larkin
Modulation of Costimulation by CD28 and CD154 Alters the Kinetics and Cellular Characteristics of Corneal Allograft Rejection
Invest. Ophthalmol. Vis. Sci., September 1, 2003; 44(9): 3899 - 3905.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
T. Azuma, T. Takahashi, A. Kunisato, T. Kitamura, and H. Hirai
Human CD4+ CD25+ Regulatory T Cells Suppress NKT Cell Functions
Cancer Res., August 1, 2003; 63(15): 4516 - 4520.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. Hug, M. Korporal, I. Schroder, J. Haas, K. Glatz, B. Storch-Hagenlocher, and B. Wildemann
Thymic Export Function and T Cell Homeostasis in Patients with Relapsing Remitting Multiple Sclerosis
J. Immunol., July 1, 2003; 171(1): 432 - 437.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
C. P. Gray, P. Arosio, and P. Hersey
Association of Increased Levels of Heavy-Chain Ferritin with Increased CD4+ CD25+ Regulatory T-Cell Levels in Patients with Melanoma
Clin. Cancer Res., July 1, 2003; 9(7): 2551 - 2559.
[Abstract] [Full Text] [PDF]


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Rheumatology (Oxford)Home page
C. Pridgeon, G. P. Lennon, L. Pazmany, R. N. Thompson, S. E. Christmas, and R. J. Moots
Natural killer cells in the synovial fluid of rheumatoid arthritis patients exhibit a CD56bright,CD94bright,CD158negative phenotype
Rheumatology, July 1, 2003; 42(7): 870 - 878.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
A. D. Salama, N. Najafian, M. R. Clarkson, W. E. Harmon, and M. H. Sayegh
Regulatory CD25+ T Cells in Human Kidney Transplant Recipients
J. Am. Soc. Nephrol., June 1, 2003; 14(6): 1643 - 1651.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
D. S. Game, M. P. Hernandez-Fuentes, A. N. Chaudhry, and R. I. Lechler
CD4+CD25+ Regulatory T Cells Do Not Significantly Contribute to Direct Pathway Hyporesponsiveness in Stable Renal Transplant Patients
J. Am. Soc. Nephrol., June 1, 2003; 14(6): 1652 - 1661.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
A. Lundgren, E. Suri-Payer, K. Enarsson, A.-M. Svennerholm, and B. S. Lundin
Helicobacterpylori-Specific CD4+ CD25high Regulatory T Cells Suppress Memory T-Cell Responses to H. pylori in Infected Individuals
Infect. Immun., April 1, 2003; 71(4): 1755 - 1762.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
A. M. Wolf, D. Wolf, M. Steurer, G. Gastl, E. Gunsilius, and B. Grubeck-Loebenstein
Increase of Regulatory T Cells in the Peripheral Blood of Cancer Patients
Clin. Cancer Res., February 1, 2003; 9(2): 606 - 612.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
W. F. Ng, M. Hernandez-Fuentes, R. Baker, A. Chaudhry, and R. I. Lechler
Reversibility with Interleukin-2 Suggests that T Cell Anergy Contributes to Donor-Specific Hyporesponsiveness in Renal Transplant Patients
J. Am. Soc. Nephrol., December 1, 2002; 13(12): 2983 - 2989.
[Abstract] [Full Text] [PDF]


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JEMHome page
M. K. Levings, R. Sangregorio, C. Sartirana, A. L. Moschin, M. Battaglia, P. C. Orban, and M.-G. Roncarolo
Human CD25+CD4+ T Suppressor Cell Clones Produce Transforming Growth Factor {beta}, but not Interleukin 10, and Are Distinct from Type 1 T Regulatory Cells
J. Exp. Med., November 18, 2002; 196(10): 1335 - 1346.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
K. Namba, N. Kitaichi, T. Nishida, and A. W. Taylor
Induction of regulatory T cells by the immunomodulating cytokines {alpha}-melanocyte-stimulating hormone and transforming growth factor-{beta}2
J. Leukoc. Biol., November 1, 2002; 72(5): 946 - 952.
[Abstract] [Full Text] [PDF]


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JEMHome page
F. Annunziato, L. Cosmi, F. Liotta, E. Lazzeri, R. Manetti, V. Vanini, P. Romagnani, E. Maggi, and S. Romagnani
Phenotype, Localization, and Mechanism of Suppression of CD4+CD25+ Human Thymocytes
J. Exp. Med., August 5, 2002; 196(3): 379 - 387.
[Abstract] [Full Text] [PDF]


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JEMHome page
P. Hoffmann, J. Ermann, M. Edinger, C. G. Fathman, and S. Strober
Donor-type CD4+CD25+ Regulatory T Cells Suppress Lethal Acute Graft-Versus-Host Disease after Allogeneic Bone Marrow Transplantation
J. Exp. Med., August 5, 2002; 196(3): 389 - 399.
[Abstract] [Full Text] [PDF]


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JEMHome page
C. A. Piccirillo, J. J. Letterio, A. M. Thornton, R. S. McHugh, M. Mamura, H. Mizuhara, and E. M. Shevach
CD4+CD25+ Regulatory T Cells Can Mediate Suppressor Function in the Absence of Transforming Growth Factor {beta}1 Production and Responsiveness
J. Exp. Med., July 15, 2002; 196(2): 237 - 246.
[Abstract] [Full Text] [PDF]


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JEMHome page
D. Dieckmann, C. H. Bruett, H. Ploettner, M. B. Lutz, and G. Schuler
Human CD4+CD25+ Regulatory, Contact-dependent T Cells Induce Interleukin 10-producing, Contact-independent Type 1-like Regulatory T Cells
J. Exp. Med., July 15, 2002; 196(2): 247 - 253.
[Abstract] [Full Text] [PDF]


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JEMHome page
H. Jonuleit, E. Schmitt, H. Kakirman, M. Stassen, J. Knop, and A. H. Enk
Infectious Tolerance: Human CD25+ Regulatory T Cells Convey Suppressor Activity to Conventional CD4+ T Helper Cells
J. Exp. Med., July 15, 2002; 196(2): 255 - 260.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Guimond, A. Balassy, M. Barrette, S. Brochu, C. Perreault, and D. C. Roy
P-glycoprotein targeting: a unique strategy to selectively eliminate immunoreactive T cells
Blood, June 28, 2002; 100(2): 375 - 382.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
R. M. Steinman and M. C. Nussenzweig
Inaugural Article: Avoiding horror autotoxicus: The importance of dendritic cells in peripheral T cell tolerance
PNAS, January 8, 2002; 99(1): 351 - 358.
[Abstract] [Full Text] [PDF]



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