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The Journal of Immunology, 2006, 176: 1266-1273.
Copyright © 2006 by The American Association of Immunologists

Ex Vivo-Expanded CD4+CD25+ Immunoregulatory T Cells Prevent Graft-versus-Host-Disease by Inhibiting Activation/Differentiation of Pathogenic T Cells1

Aurélie Trenado2,*, Muriel Sudres2,*, Qizhi Tang{dagger}, Sébastien Maury{ddagger}, Frédéric Charlotte*, Sylvie Grégoire*, Mark Bonyhadi§, David Klatzmann*, Benoît L. Salomon* and José L. Cohen3,*

* Biologie et Thérapeutique des Pathologies Immunitaires, Hôpital Pitié-Salpêtrière, Paris, France; {dagger} Diabetes Center, University of California, San Francisco, CA 94143; {ddagger} Service d’Hématologie Clinique, Hôpital Henri Mondor, Créteil, France; and § Xcyte Therapies, Seattle, WA 98104

CD4+CD25+ immunoregulatory T cells (Tregs) can be administered to inhibit graft-vs-host disease (GVHD) while preserving graft-vs-leukemia activity after allogeneic bone marrow transplantation in mice. Preclinical studies suggest that it is necessary to infuse as many Tregs as conventional donor T cells to achieve a clinical effect on GVHD. Thus, it would be necessary to expand Tregs ex vivo before transplantation. Two strategies have been proposed: expansion of Tregs stimulated by anti-CD3/CD28-coated microbeads for polyclonal activation or by host-type allogeneic APCs for selecting Tregs specific for host Ags. In this study, we describe the mechanisms by which ex vivo-expanded Tregs act on donor T cells to prevent GVHD in mice. We demonstrate that expanded Tregs strongly inhibited the division, expansion, and differentiation of donor T cells, with a more pronounced effect with Tregs specific for host Ags. These latter cells permit the efficient and durable control of GVHD and favor immune reconstitution.




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