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Blood, 1 April 2008, Vol. 111, No. 7, pp. 3675-3683.
Prepublished online as a Blood First Edition Paper on February 4, 2008; DOI 10.1182/blood-2008-01-130146.
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Submitted January 3, 2008
Accepted February 1, 2008
Rabbit ATG but not horse ATG promotes expansion of functional CD4+CD25highFOXP3+ regulatory T cells in vitro
Xingmin Feng*, Sachiko Kajigaya, Elena E. Solomou, Keyvan Keyvanfar, Xiuli Xu, Nalini Raghavachari, Peter J. Munson, Thomas M. Herndon, Jichun Chen, and Neal S. Young
Hematology Branch, National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health, Bethesda, MD, United States
Genomics Core Facility, Pulmonary and Vascular Medicine Branch, NHLBI, National Institutes of Health, Bethesda, MD, United States
Mathematical and Statistical Computing Lab, Division of Computational Bioscience, Center for Information Technology, National Institutes of Health, Bethesda, MD, United States
* Corresponding author; email: fengx2{at}nhlbi.nih.gov.
Regulatory T cells (Treg) play important roles in suppressing immune responses and maintaining tolerance. Rabbit anti-thymocyte globulin (rATG) and horse ATG (hATG) are widely used in the treatment of immune-mediated syndromes, but their effects on Treg are unknown. We show here that in vitro culture of normal human peripheral blood mononuclear cells (PBMC) with a low dose rATG resulted in marked expansion of functional Treg by converting CD4+CD25- T cells to CD4+CD25+ T cells. hATG did not expand but rather decreased Treg. Immunoblot showed increased expression of FOXP3 and NFAT1 in CD4+CD25- and CD4+CD25+ T cells exposed to rATG. PBMC treated with rATG displayed increased IL-10 in culture supernatants than that treated with hATG. Furthermore, rATG and hATG showed differences in their potential to stimulate CD4+ T cells as examined using different activation markers. Microarray revealed that rATG induced markedly different gene expression patterns in PBMC, as compared with hATG-treated or untreated PBMC. Our findings indicate that rATG expanded Treg, probably through transcriptional regulation by enhanced NFAT1 expression, in turn conferring CD4+CD25- T cells FOXP3 expression and regulatory activity. The therapeutic effects of rATG may occur not only due to lymphocyte depletion but to enhanced Treg cell number and function.

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