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Blood, 15 January 2008, Vol. 111, No. 2, pp. 945-953.
Prepublished online as a Blood First Edition Paper on October 4, 2007; DOI 10.1182/blood-2007-07-103895.
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Submitted July 27, 2007
Accepted September 28, 2007
The impact of regulatory T cells on T cell immunity following hematopoeitic cell transplantation
Vu H Nguyen, Sumama Shashidhar, Daisy S Chang, Lena Ho, Neeraja Kambham, Michael Bachmann, Janice M Brown, and Robert S. Negrin*
Dept of Medicine, Division of Bone Marrow Transplantation, Stanford University, Stanford, CA, United States
Program in Immunology, Stanford University, Stanford, CA, United States
Department of Pathology, Stanford University, Stanford, CA, United States
Department of Pediatrics, Stanford University, Stanford, CA, United States
* Corresponding author; email: negrs{at}stanford.edu.
Regulatory T cells (Treg) prevent graft-versus-host disease (GvHD) by inhibiting the proliferation and function of conventional T cells (Tcon). However, the impact of Treg on T cell development and immunity following hematopoietic cell transplantation (HCT) is unknown. Using a murine GvHD model induced by Tcon, we demonstrate that adoptive transfer of Treg leads to (1) abrogration of GvHD; (2) preservation of thymic and peripheral lymph node architecture; and (3) an accelerated donor lymphoid reconstitution of a diverse TCR-V repertoire. The resultant enhanced lymphoid reconstitution in Treg recipients protects them from lethal cytomegalovirus (MCMV) infection. By contrast, mice that receive Tcon alone have disrupted lymphoid organs from GvHD and remain lymphopenic with a restricted TCR-V repertoire and rapid death upon MCMV challenge. Lymphocytes from previously infected Treg recipients generate secondary response specific to MCMV, indicating long-term protective immunity with transferred Treg. Thymectomy significantly reduces survival after MCMV challenge in Treg recipients compared to euthymic controls. Our results indicate that Treg enhance immune reconstitution by preventing GvHD-induced damage of the thymic and secondary lymphoid microenvironment. These findings provide new insights into the role of Treg in affording protection to lymphoid stromal elements important for T cell immunity.

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