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Blood, 15 November 2004, Vol. 104, No. 10, pp. 3249-3256.
Prepublished online as a Blood First Edition Paper on July 22, 2004; DOI 10.1182/blood-2004-01-0365.
Previous Article | Table of Contents | Next Article 
IMMUNOBIOLOGY
Human immunodeficiency virusdriven expansion of CD4+CD25+ regulatory T cells, which suppress HIV-specific CD4 T-cell responses in HIV-infected patients
Laurence Weiss,
Vladimira Donkova-Petrini,
Laure Caccavelli,
Michèle Balbo,
Cédric Carbonneil, and
Yves Levy
From the Institut National de la Santé et de la Recherche Médicale (INSERM) U430 and University Paris V, Paris, France; Department of Immunology, Hôpital Européen Georges Pompidou, Paris, France; INSERM U421, Paris and University Paris XII, Créteil, France; and Service of Clinical Immunology, Hôpital Henri Mondor, Créteil, France.
The present study demonstrates that CD4+CD25+ T cells, expanded in peripheral blood of HIV-infected patients receiving highly active antiretroviral therapy (HAART), exhibit phenotypic, molecular, and functional characteristics of regulatory T cells. The majority of peripheral CD4+CD25+ T cells from HIV-infected patients expressed a memory phenotype. They were found to constitutively express transcription factor forkhead box P3 (Foxp3) messengers. CD4+CD25+ T cells weakly proliferated to immobilized anti-CD3 monoclonal antibody (mAb) and addition of soluble anti-CD28 mAb significantly increased proliferation. In contrast to CD4+CD25 T cells, CD4+CD25+ T cells from HIV-infected patients did not proliferate in response to recall antigens and to p24 protein. The proliferative capacity of CD4 T cells to tuberculin, cytomegalovirus (CMV), and p24 significantly increased following depletion of CD4+CD25+ T cells. Furthermore, addition of increasing numbers of CD4+CD25+ T cells resulted in a dose-dependent inhibition of CD4+CD25 T-cell proliferation to tuberculin and p24. CD4+CD25+ T cells responded specifically to p24 antigen stimulation by expressing transforming growth factor (TGF- ) and interleukin 10 (IL-10), thus indicating the presence of p24-specific CD4+ T cells among the CD4+CD25+ T-cell subset. Suppressive activity was not dependent on the secretion of TGF- or IL-10. Taken together, our results suggest that persistence of HIV antigens might trigger the expansion of CD4+CD25+ regulatory T cells, which might induce a tolerance to HIV in vivo.

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