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Blood, 1 September 2007, Vol. 110, No. 5, pp. 1519-1529.
Prepublished online as a Blood First Edition Paper on March 28, 2007; DOI 10.1182/blood-2006-10-053793.
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Submitted October 23, 2006
Accepted March 22, 2007
Naive B-cells generate regulatory T-cells in the presence of a mature immunological synapse
Peter Reichardt, Bastian Dornbach, Song Rong, Stefan Beissert, Faikah Gueler, Karin Loser, and Matthias Gunzer*
Junior Research Group Immunodynamics, Helmholtz Centre for Infection Research, Braunschweig, Germany
Department of Nephrology, Hannover Medical School, Hannover, Germany
Department of Dermatology, and Interdisciplinary Center of Clinical Research, University of Munster, Munster, Germany
* Corresponding author; email: mgunzer{at}helmholtz-hzi.de.
Naive B-cells are ineffective antigen-presenting cells and considered unable to activate naive T-cells. However, antigen-specific contact of these cells leads to stable cell pairs that remain associated over hours in vivo. The physiological role of such pairs is not evaluated. We show here that antigen-specific conjugates between naive B-cells and naive T-cells display a mature immunological synapse in the contact zone which is absent in T-cell-dendritic cell (DC) pairs. B-cells induce substantial proliferation but contrary to DC no loss of L-Selectin in T-cells. Surprisingly, while DC-triggered T-cells develop into normal effector cells, B-cell stimulation over 72 hours induces regulatory T-cells inhibiting priming of fresh T-cells in a contactdependent manner in vitro. In vivo, the regulatory T-cells home to lymph nodes where they potently suppress immune responses such as in cutaneous hypersensitivity and ectopic allogeneic heart transplant rejection. Our finding might help to explain old observations on tolerance induction by B-cells, identifies the mature immunological synapse as a central functional module of this process, and suggests the use of naive B-cell-primed regulatory Tcells, "bTregs", as useful approach for therapeutic intervention in adverse adaptive immune responses.

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