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Blood, 1 January 2007, Vol. 109, No. 1, pp. 194-202.
Prepublished online as a Blood First Edition Paper on September 12, 2006; DOI 10.1182/blood-2006-02-002873.


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Submitted February 17, 2006
Accepted August 12, 2006

IL-15 and dermal fibroblasts induce proliferation of natural regulatory T cells isolated from human skin

Rachael A Clark* and Thomas S Kupper

Department of Dermatology, Brigham & Women's Hospital; Harvard Skin Disease Research Center, Boston

* Corresponding author; email: rclark1{at}partners.org.

Regulatory T cells (Treg) are crucial for the induction and maintenance of self-tolerance and are present in peripheral tissues such as skin and gut under normal, non-inflamed conditions. We report isolation and expansion of the regulatory T cell population resident in normal human skin. Cutaneous Treg expressed high levels of CD25, L-selectin, GITR, FOXP3 and intracellular CTLA-4, low levels of CD69, and high levels of the skin homing addressins CLA, CCR4 and CCR6. Skin Treg suppressed the proliferation of CD25lo T cells from the same skin sample in response to CD3 and CD28 antibodies. Suppression was dependent on cell contact and not affected by neutralizing antibodies to IL-10 and TGF-{beta}. Surprisingly, cutaneous Treg proliferated in an antigen-independent manner when cultured in contact with dermal fibroblasts and IL-15, conditions similar to those found in chronically inflamed skin. We hypothesize that local proliferation of Treg may occur within inflamed skin and could serve as a brake for cutaneous inflammation as well as one mechanism for the homeostatic proliferation of natural Treg that has been observed within in intact organisms.


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