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Prepublished online as a Blood First Edition Paper on July 12, 2002; DOI 10.1182/blood-2002-01-0235.

Submitted January 25, 2002
Accepted June 10, 2002
Donor-lymphocyte infusion induces tolerance by activating systemic and graft-infiltrating double negative regulatory T cells
Kevin J Young, Liming Yang, M. James Philips, and Li Zhang*
Multi Organ Transplantation Program, Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada; Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
Multi Organ Transplantation Program, Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada; Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada; Immunology, University of Toronto, Toronto, Ontario, Canada
* Corresponding author; email: lzhang{at}transplantunit.org.
Pretransplantation donor lymphocyte infusion (DLI) can lead to specific tolerance to allografts in mice, primates and humans. We and others have demonstrated a role for regulatory T cells in DLI-induced donor specific transplantation tolerance. It is nonetheless unclear how regulatory T cells are activated, and where they execute their function. Here we demonstrate, in both transgenic and normal mice, that pretransplant DLI is required for the activation of ß-T cell receptor (TCR)+CD3+CD4-CD8- double negative (DN) regulatory T cells in the periphery of recipient animals. More interestingly, DLI promotes the DN regulatory T cells to preferentially migrate to donor-specific allogeneic skin grafts, and form a majority of graft infiltrating T cells in accepted skin allografts. Furthermore, both recipient-derived peripheral as well as graft infiltrating DN T cells are able to suppress and kill anti-donor CD8+ T cells in an antigen-specific manner. These data indicate that DLI may induce donor-specific transplantation tolerance by activating recipient DN regulatory T cells in the periphery, and by promoting the migration of regulatory T cells to the donor-specific allogeneic skin grafts. Our results also demonstrate that DN regulatory T cells can eliminate anti-donor T cells both systemically and locally, suggesting that graft-infiltrating T cells can be beneficial to graft survival.

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