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Blood, 18 June 2009, Vol. 113, No. 25, pp. 6277-6287.
Prepublished online as a Blood First Edition Paper on February 10, 2009; DOI 10.1182/blood-2008-06-161026.
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Submitted June 2, 2008
Accepted February 7, 2009
Expansion of peripheral NTreg by FLT3L treatment
Lee Kim Swee, Nabil Bosco, Bernard Malissen, Rhodri Ceredig, and Antonius Rolink*
Departement Biomedizin Basel, Division of Molecular Immunology, University of Basel, Basel, Switzerland
Centre d'immunologie de Marseille-Luminy, Universite de la Mediterrannee, INSERM U631, CNRS UMR6102, Marseille, France
Regenerative Medicine Institute, National Centre for Biomedical Engineering Science, Department of Physiology, National University of Ireland Galway, Galway, Ireland, Eire
* Corresponding author; email: antonius.rolink{at}unibas.ch.
Fms-like tyrosine kinase 3 ligand (FLT3L) plays a major role in dendritic cell (DC) biology. Deficiency of FLT3L causes a dramatic decrease in DC numbers whereas increasing its availability (by repetitive injections for 7-10 days) leads to a 10-fold increase in DC numbers. Here, we show that FLT3L treatment indirectly leads to an expansion of peripheral naturally occurring T regulatory (NTreg) cells. The FLT3L-induced increase in NTreg was still observed in thymectomized mice, ruling out the role of the thymus in this mechanism. Instead, the increased number of NTreg was due to proliferation of pre-existing NTreg, likely due to favoured interactions with increased number of DC. In vitro, we show that DC induce Treg proliferation by direct cell contact and in an IL-2 dependent, TCR independent manner. FLT3L could prevent death induced by acute Graft vs Host Disease (GvHD). This study demonstrates unique aspects in the regulation of Treg homeostasis by DC, which were unappreciated until now. It also re-enforces the relevance of FLT3L treatment in GvHD by its ability to increase both the number of tolerizing DC and NTreg.

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