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The Journal of Immunology, 2004, 172: 5371-5378.
Copyright © 2004 by The American Association of Immunologists

Human T Cell Activation by Costimulatory Signal-Deficient Allogeneic Cells Induces Inducible Costimulator-Expressing Anergic T Cells with Regulatory Cell Activity1

Jan Vermeiren*, Jan L. Ceuppens*, Marijke Van Ghelue*, Peter Witters*, Dominique Bullens*,{dagger}, Hans Werner Mages{ddagger}, Richard A. Kroczek{ddagger} and Stefaan W. Van Gool2,*,{dagger}

* Laboratory of Experimental Immunology and {dagger} Department of Pediatrics, Catholic University of Leuven, Leuven, Belgium; and {ddagger} Robert Koch Institute, Berlin, Germany

Although immunoregulation by several types of regulatory T cells is now clearly established in mice, the demonstration of such regulatory T cells in humans has been proven more difficult. In this study we demonstrate the induction of anergic regulatory T cells during an MLR performed in the presence of blocking mAb to the costimulatory molecules CD40, CD80, and CD86. Despite this costimulation blockade, which totally blocks T cell proliferation and cytokine production, a nonproliferating T cell subpopulation was activated to express inducible costimulator (ICOS). These ICOS+ cells were anergic when restimulated with unmanipulated allogeneic stimulator cells at the level of proliferation and Th1 and Th2 cytokine production, but they did produce IL-10. These ICOS-expressing cells also blocked the capacity of reciprocal ICOS-negative cells to proliferate and to produce cytokines. ICOS+ anergic cells could suppress allogenic responses of either primed or naive T cells through inhibition of IL-2 gene transcription. Suppression was not mediated by IL-10 and did not require ICOS-ICOS ligand interaction, but depended on cell-cell contact. Thus, a subtype of regulatory T cells in human blood can be activated in the absence of costimulatory signals from CD40, CD80, and CD86, and they can be identified by expression of ICOS after activation.




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