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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1162-1169.
Prepublished online as a Blood First Edition Paper on October 12, 2004; DOI 10.1182/blood-2004-03-1211.
Previous Article | Next Article 
Submitted April 1, 2004
Accepted September 21, 2004
Differentiation of Tr1 cells by immature dendritic cells requires IL-10 but not CD25+CD4+ Treg cells
Megan K Levings, Silvia Gregori, Eleonora Tresoldi, Sabrina Cazzaniga, Chiara Bonini, and Maria G Roncarolo*
San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy
Cancer Immunotherapy and Gene Therapy program, San Raffaele Scientific Institute, Milan, Italy
San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy; Universita Vita-Salute San Raffaele, Milan, Italy
* Corresponding author; email: m.roncarolo{at}hsr.it.
Dendritic cells (DCs) are specialized antigen presenting cells which monitor the antigenic environment and activate naive T cells. The role of DCs is not only to sense danger, but also to tolerize the immune system to antigens encountered in the absence of maturation/inflammatory stimuli. Indeed, if a naive T cell encounters its antigen on immature DCs (iDCs) it may differentiate into a T regulatory (Tr) rather than a T effector cell. However, little is known about the mechanisms by which iDCs differentiate Tr cells. We developed a standardized and highly reproducible protocol to differentiate Tr cells by repetitive exposure of naive peripheral blood CD4+ T cells to allogeneic iDCs. The resulting Tr cells are phenotypically and functionally identical to type 1 Tr (Tr1) cells since their generation requires autocrine production of IL-10 by iDCs, and they suppress T-cell responses via an IL-10- and TGF- -dependent mechanism. In addition, Tr1 cells induced by iDCs do not require the presence of CD4+CD25+ Tr cells for their generation, and do not express high constitutive levels of CD25 or the transcription factor FoxP3. Thus, iDCs can drive the differentiation of Tr1 cells, and can be used to generate large numbers of alloantigen-specific Tr1 cells for clinical use as a cellular therapy to restore peripheral tolerance.

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