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Blood, 1 July 2006, Vol. 108, No. 1, pp. 390-399.
Prepublished online as a Blood First Edition Paper on March 7, 2006; DOI 10.1182/blood-2006-01-0329.


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Submitted January 25, 2006
Accepted February 24, 2006

Inhibition of CD4+CD25+ regulatory T cell function by calcineurin dependent interleukin-2 production

Robert S Zeiser, Vu H Nguyen, Andreas Beilhack, Martin Buess, Stephan Schulz, Jeanette Baker, Christopher H Contag, and Robert S Negrin*

Division of Bone Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA, USA; Division of Hematology and Oncology, Department of Medicine, Freiburg University, Freiburg, Germany
Division of Bone Marrow Transplantation, Department of Medicine, Stanford University, Stanford, CA, USA
Division of Biochemistry, Department of Medicine, Stanford University, Stanford, CA, USA
Department of Pathology, Technische Universitat Munchen, Munich, Germany
Division of Pediatrics / Microbiology & Immunology, Department of Medicine, Stanford University, Stanford, CA, USA

* Corresponding author; email: negrs{at}stanford.edu.

CD4+CD25+ regulatory T (Treg) cells control immunological tolerance and anti-tumor immune responses. Therefore, in vivo modification of Treg function by immunosuppressant drugs has broad implications for transplantation biology, autoimmunity and vaccination strategies. In vivo bioluminescence imaging demonstrated reduced early proliferation of donor derived luciferase-labeled conventional T-cells in animals treated with Treg after major MHC mismatch bone marrow transplantation. Combining Treg with Cyclosporine A (CSA), but not Rapamycin (RAPA) or Mycophenolate mofetil (MMF) suppressed Treg function assessed by increased T cell proliferation, graft-versus-host-disease (GVHD) severity and reduced survival. Expansion of Treg and FoxP3 expression within this population was lowest in conjunction with CSA suggesting calcineurin dependent interleukin (IL)-2 production to be critically required for Treg in vivo. The functional defect of Treg after CSA exposure could be reversed by exogenous IL-2. Further the Treg/RAPA combination preserved graft-versus-tumor (GVT) effector function against leukemia cells. Our data indicate that RAPA and MMF rather than CSA preserve function of Treg in pathological immune responses such as GVHD without weakening the GVT effect.


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