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Blood, 21 May 2009, Vol. 113, No. 21, pp. 5125-5133. Prepublished online as a Blood First Edition Paper on March 18, 2009; DOI 10.1182/blood-2009-01-199950.
Submitted January 16, 2009
Laboratory of Immunology, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, United States * Corresponding author; email: eshevach{at}niaid.nih.gov.
While adoptive transfer of regulatory T cells (Foxp3+ Tregs) has proven to be efficacious in the prevention and treatment of autoimmune diseases and graft versus host disease in rodents, a major obstacle for the use of Treg immunotherapy in humans is the difficulty of obtaining a highly purified preparation following ex vivo expansion. We have identified latency-associated peptide (LAP) and IL-1 receptor type I and II (CD121a/CD121b) as unique cell surface markers that distinguish activated Tregs from activated FOXP3- and FOXP3+ non-Tregs. We demonstrate that it is feasible to sort expanded FOXP3+ Tregs from non-Tregs using magnetic bead cell separation techniques based on expression of these three markers. Post separation, the final product contains > 90% fully functional FOXP3+ Tregs. This novel protocol should facilitate the purification of Tregs for both cell-based therapies as well as for detailed studies of human Treg function in health and disease.
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