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Blood, 1 August 2004, Vol. 104, No. 3, pp. 895-903.
Prepublished online as a Blood First Edition Paper on April 15, 2004; DOI 10.1182/blood-2004-01-0086.
Previous Article | Next Article 
Submitted January 8, 2004
Accepted April 4, 2004
Large Scale In Vitro Expansion of Polyclonal Human CD4+CD25high Regulatory T Cells
Petra Hoffmann, Ruediger Eder, Leoni A Kunz-Schughart, Reinhard Andreesen, and Matthias Edinger*
Department of Hematology & Oncology, University Hospital Regensburg, Regensburg, Germany
Insitute of Pathology, University Hospital Regensburg, Regensburg, Germany
* Corresponding author; email: matthias.edinger{at}klinik.uni-regensburg.de.
CD4+CD25+ regulatory T (Treg) cells are pivotal for the maintenance of self-tolerance and their adoptive transfer protects from autoimmune diseases and pathogenic alloresponses after solid organ or bone marrow transplantation in murine model systems. In vitro, human CD4+CD25+ Treg cells display similar phenotypic and functional characteristics as murine CD4+CD25+ Treg cells, namely hyporesponsiveness to TCR stimulation and suppression of CD25- T cells. Thus far, the detailed characterization and potential clinical application of human CD4+CD25+ Treg cells was hampered by their paucity in peripheral blood and the lack of appropriate expansion protocols. Here we describe the up to 40,000-fold expansion of highly purified human CD4+CD25high T cells in vitro through the use of artificial APC for repeated stimulation via CD3 and CD28 in the presence of high dose IL-2. Expanded CD4+CD25high T cells were polyclonal, maintained their phenotype, exceeded the suppressive activity of freshly isolated CD4+CD25high T cells and maintained expression of the lymph node homing receptors CD62L and CCR7. The ability to rapidly expand human CD4+CD25high Treg cells large scale will not only facilitate their further exploration but also accelerate their potential clinical application in T cell-mediated diseases and transplantation medicine.

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