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Blood, 1 November 2005, Vol. 106, No. 9, pp. 3300-3307.
Prepublished online as a Blood First Edition Paper on July 7, 2005; DOI 10.1182/blood-2005-04-1632.
Previous Article | Next Article 
Submitted April 21, 2005
Accepted June 16, 2005
Critical role for CCR5 in the function of donor CD4+CD25+ regulatory T cells during acute graft-versus-host disease
Christian A Wysocki, Qi Jiang, Angela Panoskaltsis-Mortari, Patricia A Taylor, Karen P McKinnon, Lishan Su, Bruce R Blazar, and Jonathan S Serody*
Department of Microbiology and Immunology, and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Department of Pediatrics, Division of Pediatric Bone Marrow Transplantation and the University of Minnesota Cancer Center, University of Minnesota, Minneapolis, MN, USA
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Microbiology and Immunology, and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
* Corresponding author; email: jonathan_serody{at}med.unc.edu.
CD4+CD25+ regulatory T cells (Treg) have been shown to inhibit graft-versus-host disease (GVHD) in murine models, and this suppression was mediated by Treg expressing the lymphoid homing molecule L-selectin. Here, we demonstrate that Treg lacking expression of the chemokine receptor CCR5 were far less effective in preventing lethality from GVHD. Survival of irradiated recipient animals given transplants supplemented with CCR50-/- Treg was significantly decreased, and GVHD scores were enhanced compared to animals receiving WT Treg. CCR5-/- T reg were functional in suppressing T cell proliferation in vitro and ex vivo. However, although the accumulation of Treg within lymphoid tissues during the first week after transplantation was not dependent on CCR5, the lack of function of CCR5-/- Treg correlated with impaired accumulation of these cells in the liver, lung, spleen and mesenteric lymph node, more than one week after transplant. These data are the first to definitively demonstrate a requirement for CCR5 in Treg function, and indicate that in addition to their previously defined role in inhibiting effector T cell expansion in lymphoid tissues during GVHD, later recruitment of Treg to both lymphoid tissues and GVHD target organs is important in their ability to prolong survival after allogeneic bone marrow transplantation.

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