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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1214-1222.
Prepublished online as a Blood First Edition Paper on June 11, 2008; DOI 10.1182/blood-2007-08-109843.


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Submitted August 30, 2007
Accepted April 20, 2008

Activation of the aryl hydrocarbon receptor promotes allograft specific tolerance through direct- and DC-mediated effects on regulatory T cells

Ehud Hauben, Silvia Gregori, Elena Draghici, Barbara Migliavacca, Stefano Olivieri, Maximilian Woisetschlager, and Maria Grazia Roncarolo*

San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), San Raffaele Scientific Institute, Milan, Italy
Department of Pathology, San Raffaele Scientific Institute, Milan, Italy
Department of Autoimmunity and Transplantation, Novartis Institute for Biomedical Research, Vienna, Austria
Vita-Salute San Raffaele University, Milan, Italy

* Corresponding author; email: m.roncarolo{at}hsr.it.

VAF347 is a low molecular weight compound, which activates the aryl hydrocarbon receptor (AhR). Herein, we report that oral administration of a water-soluble derivative of VAF347 (VAG539) promotes long-term graft acceptance and active tolerance in Balb/c mice transplanted with MHC-mismatched pancreatic islet allografts. In vivo VAG539 treatment results in increased frequency of splenic CD4+ T cells expressing CD25 and Foxp3, markers associated with regulatory T (Tr) cells, and in vitro VAF347 treatment of splenic CD4+ T cells improved CD4+CD25+Foxp3+ T cell survival. Interestingly, transfer of CD11c+ DC, but not of CD4+ T or CD19+ B cells, from VAG539-treated long-term tolerant hosts into newly transplanted mice resulted in donor (C57Bl/6) specific graft acceptance and in a significantly higher frequency of splenic CD4+CD25+Foxp3+ Tr cells. Furthermore, the transfer of CD4+CD25+ T cells from these mice into newly transplanted mice promoted graft acceptance. Similarly, cell therapy with in vitro VAF347-treated bone marrow-derived mature DC prevented islet graft rejection, and reduced OVA-specific T cell responses in OVA-immunized mice. Collectively, our data indicate that AhR activation induces islet allograft specific tolerance through direct as well as DC-mediated effects on Tr cell survival and function.


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