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Blood, 1 May 2007, Vol. 109, No. 9, pp. 4071-4079.
Prepublished online as a Blood First Edition Paper on December 29, 2006; DOI 10.1182/blood-2006-10-050625.
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Submitted October 8, 2006
Accepted December 22, 2006
New differentiation pathway for double-negative regulatory T-cells that regulates the magnitude of immune responses
Dong Zhang, Wei Yang, Nicolas Degauque, Yan Tian, Allison Mikita, and Xin Xiao Zheng*
Harvard Medical School, Transplantation Research Center, Beth Israel Deaconess Medical Center, Boston, MA, United States
Capital University of Medical Sciences, Beijing Friendship Hospital, Beijing, China
* Corresponding author; email: xzheng{at}bidmc.harvard.edu.
Recent studies have demonstrated that in peripheral lymphoid tissues of normal mice and humans, 1-5% of  TCR+ T-cells are CD4-CD8- (double-negative, DN) T-cells, capable of down-regulating immune responses. However, the origin and developmental pathway of DN T-cells is still not clear.
In this study, by monitoring CD4 expression during T-cell proliferation and differentiation, we identified a new differentiation pathway for the conversion of CD4+ T-cells to DN regulatory T-cells. We showed that the converted DN T-cells retained a stable phenotype after re-stimulation and furthermore, the disappearance of cell surface CD4 molecules on converted DN T-cells was a result of CD4 gene silencing. The converted DN T-cells were resistant to AICD and expressed a unique set of cell-surface markers and gene profiles. These cells were highly potent in suppressing alloimmune responses both in vitro and in vivo in an antigen specific manner. Perforin was highly expressed by the converted DN regulatory T-cells and played a role in DN T-cell mediated suppression. Our findings thus identify a new differentiation pathway for DN regulatory T-cells and uncover a new intrinsic homeostatic mechanism that regulates the magnitude of immune responses. This pathway provides a novel, cell-based, therapeutic approach for preventing allograft rejection.

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