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Blood, 1 September 2007, Vol. 110, No. 5, pp. 1603-1606.
Prepublished online as a Blood First Edition Paper on April 26, 2007; DOI 10.1182/blood-2007-01-066258.


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Submitted January 4, 2007
Accepted April 17, 2007

Deficient CD4+ CD25+ FOXP3+ T regulatory cells in acquired aplastic anemia

Elena E Solomou*, Katayoun Rezvani, Stephan Mielke, Daniela Malide, Keyvan Keyvanfar, Valeria Visconte, Sachiko Kajigaya, A. John Barrett, and Neal S Young

Hematology Branch, NHLBI, NIH, Bethesda, MD
Light microscopy Core Facility, NHLBI, NIH, Bethesda, MD

* Corresponding author; email: solomoue{at}nhlbi.nih.gov.

Regulatory T-cells are believed to control the development and progression of autoimmunity by suppressing autoreactive T-cells. Decreased numbers of CD4+ CD25+ FOXP3-positive T-cells (Treg) are associated with impaired immune homeostasis and development of autoimmune diseases. The transcription factors FOXP3 and NFAT1 have key roles in regulatory T-cell development and function. Here, we show that Treg are decreased at presentation in almost all patients with aplastic anemia; FOXP3 protein and mRNA levels also are significantly lower in aplastic anemia patients and NFAT1 protein levels are decreased or absent. Transfection of FOXP3-deficient CD4+CD25+ T-cells from patients with a plasmid encoding wild type NFAT1 resulted in increased FOXP3 expression in these cells. By NFAT1 knock-down in CD4+CD25+ T-cells, FOXP3 expression was decreased, when NFAT1 expression is decreased. Our findings indicate that decreased NFAT1 could explain low FOXP3 expression and diminished Treg frequency in aplastic anemia. Treg defects are now implicated in autoimmune marrow failure.


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