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The Journal of Immunology, 2004, 173: 2227-2230.
Copyright © 2004 by The American Association of Immunologists


CUTTING EDGE

Cutting Edge: Estrogen Drives Expansion of the CD4+CD25+ Regulatory T Cell Compartment1

Magdalena J. Polanczyk2,*,{ddagger},§, Bryan D. Carson2,||, Sandhya Subramanian{ddagger}, Michael Afentoulis{ddagger}, Arthur A. Vandenbark*,{dagger},{ddagger}, Steven F. Ziegler,|| and Halina Offner3,*,{ddagger}

Departments of * Neurology and {dagger} Molecular Microbiology and Immunology, Oregon Health and Science University, and {ddagger} Neuroimmunology Research, Veterans Affairs Medical Center, Portland, OR 97239; § Department of Food Hygiene, Faculty of Veterinary Medicine, Warsaw Agricultural University, Warsaw, Poland; Department of Immunology, University of Washington, Seattle, WA 98195; and || Immunology Program, Benaroya Research Institute at Virginia Mason, Seattle, WA 98101

CD4+CD25+ regulatory T cells are crucial to the maintenance of tolerance in normal individuals. However, the factors regulating this cell population and its function are largely unknown. Estrogen has been shown to protect against the development of autoimmune disease, yet the mechanism is not known. We demonstrate that estrogen (17-{beta}-estradiol, E2) is capable of augmenting FoxP3 expression in vitro and in vivo. Treatment of naive mice with E2 increased both CD25+ cell number and FoxP3 expression level. Further, the ability of E2 to protect against autoimmune disease (experimental autoimmune encephalomyelitis) correlated with its ability to up-regulate FoxP3, as both were reduced in estrogen receptor {alpha}-deficient animals. Finally, E2 treatment and pregnancy induced FoxP3 protein expression to a similar degree, suggesting that high estrogen levels during pregnancy may help to maintain fetal tolerance. In summary, our data suggest E2 promotes tolerance by expanding the regulatory T cell compartment.




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