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Blood, 15 August 2007, Vol. 110, No. 4, pp. 1225-1232.
Prepublished online as a Blood First Edition Paper on April 20, 2007; DOI 10.1182/blood-2006-12-064527.
Previous Article | Next Article 
Submitted December 21, 2006
Accepted April 16, 2007
Expression of ectonucleotidase CD39 by Foxp3+ Treg cells: hydrolysis of extracellular ATP and immune suppression
Giovanna Borsellino, Markus Kleinewietfeld, Diletta Di Mitri, Alexander Sternjak, Adamo Diamantini, Raffaella Giometto, Sabine Hopner, Diego Centonze, Giorgio Bernardi, Maria Luisa Dell'Acqua, Paolo Maria Rossini, Luca Battistini, Olaf Rotzschke, and Kirsten Falk*
Laboratory of Neuroimmunology, Fondazione Santa Lucia, Rome, Italy
Cellular Immunology of Autoimmune Reactions, Max-Delbruck-Center for Molecular Medicine, Berlin, Germany
Neurology Unit, Universita' di Roma Tor Vergata, Rome, Italy
Neurology Unit, University of Rome Campus Biomedico, Rome, Italy
* Corresponding author; email: falk{at}mdc-berlin.de.
In the immune system extracellular ATP functions as a 'natural adjuvant' that exhibits multiple proinflammatory effects. It is released by damaged cells as an indicator of trauma and cell death but can be inactivated by CD39 (nucleoside triphosphate diphosphohydrolase-1, NTPDase 1), an ectoenzyme that degrades ATP to AMP. Here we show that CD39 is expressed primarily by immune-suppressive Foxp3+ regulatory T cells (Treg). In mice, the enzyme is present on virtually all CD4+CD25+ cells. CD39 expression is driven by the Treg-specific transcription factor Foxp3 and its catalytic activity is strongly enhanced by TCR-ligation. Activated Treg cells are therefore able to abrogate ATP-related effects such as P2 receptor-mediated cell toxicity and ATP-driven maturation of dendritic cells. Also human Treg cells express CD39. In contrast to mice, CD39-expression in man is restricted to a subset of Foxp3+ regulatory effector/memory-like T cells (TREM). Notably, patients suffering of the remitting/relapsing form of multiple sclerosis (MS) have strikingly reduced numbers of CD39+ Treg cells in the blood. Thus, in humans CD39 is a marker of a Treg subset likely involved in the control of the inflammatory autoimmune disease.

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