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Blood, 1 September 2008, Vol. 112, No. 5, pp. 2129-2138.
Prepublished online as a Blood First Edition Paper on June 12, 2008; DOI 10.1182/blood-2008-02-140277.
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Submitted February 27, 2008
Accepted May 13, 2008
In vivo activated CD103+CD4+ regulatory T cells ameliorate ongoing chronic GVHD
Dongchang Zhao, Chunyan Zhang, Tangsheng Yi, Chia-Lei Lin, Ivan Todorov, Fouad Kandeel, Stephen Forman, and Defu Zeng*
Department of Diabetes/Endocrinology, The Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, United States
Division of Hematology/Hematopoietic Cell Transplantation, The Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, United States
City of Hope Graduate School of Biological Sciences, The Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, United States
* Corresponding author; email: dzeng{at}coh.org.
CD103 has been shown to be an excellent marker for identifying in vivo activated FoxP3+CD4+ Treg cells. It is unknown whether re-infusion of in vivo activated donor-type CD103+ Treg cells from recipient can ameliorate ongoing chronic GVHD. Here, we showed that, in a chronic GVHD model of DBA/2 (H-2d) donor to BALB/c (H-2d) recipient, donor-type CD103+ Treg cells from recipients were much more potent than CD25hi natural Treg cells from donor in reversing clinical signs of GVHD and tissue damage. Furthermore, in contrast to CD25hi natural Treg cells, the CD103+ Treg cells expressed high levels of CCR5 but low levels of CD62L and directly migrated to GVHD target tissues. In addition, the CD103+ Treg cells strongly suppressed donor CD4+ T cell proliferation; they also induced apoptosis of in vivo activated CD4+ T and B cells and significantly reduced pathogenic T and B cells in GVHD target tissues. These results indicate that CD103+ Treg cells from chronic GVHD recipients are functional, and re-infusion of the CD103+ Treg cells can shift the balance between Treg cells and pathogenic T cells in chronic GVHD recipients and ameliorate ongoing disease.

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