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Blood, 30 April 2009, Vol. 113, No. 18, pp. 4240-4249.
Prepublished online as a Blood First Edition Paper on January 26, 2009; DOI 10.1182/blood-2008-10-183251.
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Submitted October 8, 2008
Accepted January 12, 2009
IL-17 producing human peripheral regulatory T cells retain suppressive function
Gaelle Beriou, Cristina M. Costantino, Charles W. Ashley, Li Yang, Vijay K. Kuchroo, Clare Baecher-Allan*, and David A. Hafler
Division of Molecular Immunology, Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States
* Corresponding author; email: callan{at}rics.bwh.harvard.edu.
Although implicated in antagonistic functions, both regulatory T cells and Th17 effector cells play an important role in controlling autoimmune pathogenesis. Paradoxically, recent studies indicate that Tregs have the capacity to produce IL-17, although the ability of these cells to retain their suppressive function remains unknown. Here we report that human Tregs within the CD4+CD45RAnegCD25highCCR6+HLA-DRnegFoxP3+ population produce IL-17 when activated in the presence of the pro-inflammatory cytokines IL-1 and IL-6, while IL-17 secretion was inhibited by TGF . In order to assess the ability of a single Treg to secrete IL-17 and to suppress in vitro immune function, we isolated clones from this population. We found that IL-17+/FoxP3+ Treg clones retain suppressive function and exhibit the plasticity to secrete IL-17 or suppress depending on the nature of the stimulus provided. IL-17 production by these Treg clones was accompanied by sustained FoxP3 expression and concomitant, but reversible, loss of suppressive activity. Our data demonstrate that at the single cell level a subset of in vitro suppressive FoxP3+ cells can be driven to secrete IL-17 under inflammatory conditions. These findings suggest a new mechanism by which inflammation can drive Tregs to secrete IL-17, thereby dampening suppression and promoting an inflammatory milieu.

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