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Blood, 22 January 2009, Vol. 113, No. 4, pp. 827-836.
Prepublished online as a Blood First Edition Paper on October 21, 2008; DOI 10.1182/blood-2008-04-150524.
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Submitted April 11, 2008
Accepted September 16, 2008
CD49d provides access to 'untouched' human Foxp3+ Treg free of contaminating effector cells
Markus Kleinewietfeld, Mireille Starke, Diletta Di Mitri, Giovanna Borsellino, Luca Battistini, Olaf Rotzschke*, and Kirsten Falk
Max-Delbrueck-Center for Molecular Medicine (MDC), Berlin, Germany
Laboratory of Neuroimmunology, Fondazione Santa Lucia, Rome, Italy
Singapore Immunology Network (SIgN), Singapore, Singapore
* Corresponding author; email: olaf_rotzschke{at}immunol.a-star.edu.sg.
The adoptive transfer of regulatory Foxp3+ T cells (Treg) has been shown in various animal models to prevent inflammatory (auto-) immune diseases. Translation into therapeutic applications, however, is hindered by the lack of suitable techniques and markers. CD25, commonly used to isolate Treg cells from mice, has only limited value in humans as it is present also on pro-inflammatory CD4+ effector cells. Here we show that clean populations of human Foxp3+ Treg cells can be obtained with antibodies directed against CD49d. The marker is present on pro-inflammatory PBMC but is absent on immune-suppressive Treg cells. Depletion with -CD49d removes contaminating IFN- - and IL-17-secreting cells from Treg preparations of CD4+CD25high cells. More importantly, in combination with -CD127 it allows the isolation of 'untouched' Foxp3+ Treg, i.e. cells that have not been targeted by an antibody during purification. The removal of CD49d+/CD127+ cells leaves a population of Foxp3+ Treg virtually free of contaminating CD25+ effector cells. The cells can be expanded in vitro and are effective suppressors both in vitro and in vivo. Thus, CD49d provides access to highly pure populations of untouched Foxp3+ Treg cells conferring maximal safety for future clinical applications.

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