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Blood, 1 June 2004, Vol. 103, No. 11, pp. 4216-4221.
Prepublished online as a Blood First Edition Paper on February 19, 2004; DOI 10.1182/blood-2004-01-0005.

Submitted January 5, 2004
Accepted February 2, 2004
Induction of antigen specific tolerance to bone marrow allografts with CD4+CD25+ T lymphocytes
Olivier Joffre, Nathalie Gorsse, Paola Romagnoli, Denis Hudrisier, and Joost P van Meerwijk*
Tolerance and Autoimmunity section, INSERM U563, Toulouse, France
Tolerance and Autoimmunity section, INSERM U563, Toulouse, France; UFR-SVT, University Toulouse III, Toulouse, France
Tolerance and Autoimmunity section, INSERM U563, Toulouse, France; UFR-SVT, University Toulouse III, Toulouse, France; Institut Universitaire de France, France
* Corresponding author; email: joost.van-meerwijk{at}toulouse.inserm.fr.
Thymus-derived regulatory T lymphocytes of CD4+CD25+ phenotype regulate a large variety of beneficial and deleterious immune-responses and can inhibit lethal graft-versus-host disease in rodents. In vitro, CD4+CD25+ T cells require specific MHC/peptide ligands for their activation, but once activated they act in an antigen-non-specific manner. In vivo, regulatory T cells are also activated in an antigen-specific fashion, but nothing is known about antigen-specificity of their suppressor effector function. Here we show that CD4+CD25+ regulatory T lymphocytes isolated from naive mice and activated in vitro with allogeneic APC, induced specific long-term tolerance to bone-marrow grafts disparate for major and minor histocompatibility antigens : Whereas "target" bone-marrow was protected, third-party bone-marrow was rejected. Importantly, in mice injected with a mix of target and third-party bone-marrows, protection and rejection processes took place simultaneously. These results indicate that CD4+CD25+ regulatory T cells can act in an antigen-specific manner in vivo. Our results suggest that CD4+CD25+ regulatory T cells could in the future be used in clinical settings to induce specific immunosuppression.

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