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Blood, 15 June 2005, Vol. 105, No. 12, pp. 4743-4748.
Prepublished online as a Blood First Edition Paper on March 3, 2005; DOI 10.1182/blood-2004-10-3932.


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Submitted October 13, 2004
Accepted February 14, 2005

Rapamycin selectively expands CD4+CD25+FOXP3+ regulatory T cells

Manuela Battaglia, Angela Stabilini, and Maria-Grazia Roncarolo*

San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy
San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy; Vita Salute San Raffaele University, Milan, Italy

* Corresponding author; email: m.roncarolo{at}hsr.it.

Rapamycin is an immunosuppressive compound that is currently used to prevent acute graft rejection in humans. In addition, rapamycin has been shown to allow operational tolerance in murine models. However, a direct effect of rapamycin on T regulatory (Tr) cells, which play a key role in induction and maintenance of peripheral tolerance, has not been demonstrated so far. Here we provide new evidence that rapamycin selectively expands the murine naturally occurring CD4+CD25+FOXP3+ Tr cells in vitro. These expanded Tr cells suppress proliferation of syngeneic T cells in vitro and prevent allograft rejection in vivo. Interestingly, rapamycin does not block activation induced cell death and proliferation of CD4+ T cells in vitro. Based on this new mode of action, rapamycin can be used to expand CD4+CD25+FOXP3+ Tr cells for ex-vivo cellular therapy in T-cell-mediated diseases.


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