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Blood, 1 July 2007, Vol. 110, No. 1, pp. 211-219. Prepublished online as a Blood First Edition Paper on March 13, 2007; DOI 10.1182/blood-2006-10-052506.
IMMUNOBIOLOGY Induction of antigen-specific regulatory T lymphocytes by human dendritic cells expressing the glucocorticoid-induced leucine zipper1 Institut National de la Santé et de la Recherche Médicale, U764, Clamart, France; 2 Université Paris-Sud, Faculté de médecine Paris Sud, Institut Fédératif de Recherche 13, Clamart, France; 3 Assistance PubliqueHôpitaux de Paris, Hôpital Antoine Béclère, Service de MicrobiologieImmunologie Biologique, Clamart, France; 4 Centre National de la Recherche Scientifique, Unité Mixte de Recherche 7087, Paris, France; 5 Université Pierre et Marie Curie, Institut Fédératif de Recherche 113, Paris, France; 6 Assistance PubliqueHôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière, Service de Biothérapie, Paris, France; 7 Department of Surgery, University of Michigan School of Medicine, Ann Arbor Dendritic cells (DCs) determine whether antigen presentation leads to immune activation or to tolerance. Tolerance-inducing DCs (also called regulatory DCs) act partly by generating regulatory T lymphocytes (Tregs). The mechanism used by DCs to switch toward regulatory DCs during their differentiation is unclear. We show here that human DCs treated in vitro with glucocorticoids produce the glucocorticoid-induced leucine zipper (GILZ). Antigen presentation by GILZ-expressing DCs generates CD25highFOXP3+CTLA-4/CD152+ and interleukin-10producing Tregs inhibiting the response of CD4+ and CD8+ T lymphocytes. This inhibition is specific to the antigen presented, and only proliferating CD4+ T lymphocytes express the Treg markers. Interleukin-10 is required for Treg induction by GILZ-expressing DCs. It is also needed for the suppressive function of Tregs. Antigen-presenting cells from patients treated with glucocorticoids generate interleukin-10secreting Tregs ex vivo. These antigen-presenting cells produce GILZ, which is needed for Treg induction. Therefore, GILZ is critical for commitment of DCs to differentiate into regulatory DCs and to the generation of antigen-specific Tregs. This mechanism may contribute to the therapeutic effects of glucocorticoids.
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