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Blood, 1 April 2005, Vol. 105, No. 7, pp. 2828-2835.
Prepublished online as a Blood First Edition Paper on November 30, 2004; DOI 10.1182/blood-2004-07-2583.
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Submitted July 9, 2004
Accepted November 23, 2004
Isolation and characterization of human antigen-specific TCR + CD4-CD8- double negative regulatory T cells
Karin Fischer, Simon Voelkl, Jana Heymann, Grzegorz K Przybylski, Krishna Mondal, Monika Laumer, Leoni Kunz-Schughart, Christian A Schmidt, Reinhard Andreesen, and Andreas Mackensen*
Department of Hematology and Oncology, University of Regensburg, Regensburg, Germany
Department of Hematology and Oncology, Ernst-Moritz-Arndt-University, Greifswald, Germany; Institute of Human Genetics, Polish Academy of Sciences, Poznan, Poland
Department of Pathology, University of Regensburg, Regensburg, Germany
Department of Hematology and Oncology, Ernst-Moritz-Arndt-University, Greifswald, Germany
* Corresponding author; email: andreas.mackensen{at}klinik.uni-regensburg.de.
Down-regulation of immune responses by regulatory T (Treg) cells is an important mechanism involved in the induction of tolerance to allo-antigens (Ag). Recently, a novel subset of Ag-specific T-cell receptor (TCR) + CD4-CD8- (double negative, DN) Treg cells has been found to be able to prevent the rejection of skin and heart allografts by specifically inhibiting the function of anti-graft-specific CD8+ T cells. Here we demonstrate that peripheral DN Treg cells are present in humans, where they constitute about 1% of total CD3+ T cells, and consist of both naive and Ag-experienced cells. Similar to murine DN Treg cells, human DN Treg cells are able to acquire peptide-HLA-A2 complexes from antigen presenting cells by cell contact-dependent mechanisms. Furthermore, such acquired peptide-HLA complexes appear to be functionally active, in that CD8+ T cells specific for the HLA-A2-restricted self peptide, Melan-A, became sensitive to apoptosis by neighboring DN T cells after acquisition of Melan-A-HLA-A2 complexes and revealed a reduced proliferative response. These results demonstrate for the first time that a sizeable population of peripheral DN Treg cells exists in humans that are able to suppress Ag-specific T cells. DN Treg cells may serve to limit clonal expansion of allo-Ag-specific T cells after transplantation.

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