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Prepublished online as a Blood First Edition Paper on February 27, 2003; DOI 10.1182/blood-2002-09-2798.

Submitted September 13, 2002
Accepted February 12, 2003
IL-10 and TGF- induce alloreactive CD4+CD25- T cells to acquire regulatory cell function
Zong-ming Chen, Matthew J O'Shaughnessy, Irene Gramaglia, Angela Panoskaltsis-Mortari, William J Murphy, Satwant Narula, Maria G Roncarolo, and Bruce R Blazar*
Department of Pediatrics, Division of Bone Marrow Transplantation, University of Minnesota Cancer Center, Minneapolis, MN, USA
Science Applications International Corp. Frederick and the Laboratory of Leukocyte Biology, National Cancer Institute-Frederick Cancer Research and Development Center, Frederick, MD, USA
Schering-Plough Research Institute, Kenilworth, NJ, USA
TIGET-H.S. Raffaele, Milan, Italy
Department of Microbiology, University of Nevada-Reno, School of Medicine, Reno, NV, USA
* Corresponding author; email: blaza001{at}tc.umn.edu.
We previously reported that IL-10 and TGF- treatment of primary mixed lymphocyte reaction (MLR) cultures resulted in secondary alloantigen-specific hyporesponsiveness and protection from graft-versus-host disease (GVHD) lethality. Here, we report that CD4+ T cells recovered from the IL-10 and TGF- treated primary MLR cultures have immunoregulatory function. Tolerized cells significantly inhibited proliferation of naive alloreactive CD4+ T cells in a primary MLR. Inhibition of the naive alloresponse was observed with as few as 1 tolerized cell to 10 naive responder cells. Tolerized cells were able to significantly reduce GVHD lethality when injected with naive alloreactive CD4+ T cells into MHC class II disparate recipients. Rigorous CD25-depletion of the primary MLR had no effect on generation of a regulatory capacity, suggesting that the regulatory cells likely originated from CD4+CD25- T cells. Immune suppression was mediated independently of IL-10 and TGF- production, as neutralizing antibodies for IL-10, IL-10R, and TGF- were unable to revert suppression and IL-10 deficient CD4+ T cells were able to mediate in vitro and in vivo suppression. The generation of immunoregulatory cells from a CD4+CD25- population during tolerization with IL-10 and TGF- provides an additional mechanism to prevent GVHD lethality by T cells that may escape full tolerance induction.

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