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Blood, 1 February 2008, Vol. 111, No. 3, pp. 1726-1734. Prepublished online as a Blood First Edition Paper on November 19, 2007; DOI 10.1182/blood-2007-08-106526.
Submitted August 20, 2007
Immunology and Clinical Laboratory Sciences, Biologics R&D, Genzyme Corporation, Framingham, MA, United States * Corresponding author; email: melanie.ruzek{at}genzyme.com.
Anti-thymocyte/lymphocyte globulins are polyclonal anti-human T cell antibodies used clinically to treat acute transplant rejection. These reagents deplete T cells, but a rabbit-anti-human thymocyte globulin has also been shown to induce regulatory T cells in vitro. To examine whether anti-thymocyte globulin-induced regulatory cells might be functional in vivo, we generated a corresponding rabbit anti-murine thymocyte globulin (mATG) and tested its ability to induce regulatory cells in vitro and whether those cells can inhibit acute graft-versus-host disease (GVHD) in vivo upon adoptive transfer. In vitro mATG induces a population of CD4+CD25+ cells that express several cell surface molecules representative of regulatory T cells. These cells do not express Foxp3 at either the protein or mRNA level, but do show suppressive function both in vitro and in vivo when adoptively transferred into a model of GVHD. These results demonstrate that in a murine system, anti-thymocyte globulin induces cells with suppressive activity that also function in vivo to protect against acute GVHD. Thus, in both murine and human systems, anti-thymocyte globulins not only deplete T cells, but also appear to generate regulatory cells. The in vitro generation of regulatory cells by anti-thymocyte globulins could provide additional therapeutic modalities for immune mediated disease.
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