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CUTTING EDGE |



* University of California San Francisco Diabetes Center, University of California, San Francisco, CA 94143;
Committee on Immunology, University of Chicago, Chicago, IL 60637; and
Division of Immunology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215
| Abstract |
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| Introduction |
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Previously, we showed that Tregs control development of diabetes in the nonobese diabetic (NOD) mouse model of spontaneous autoimmune diabetes. In addition, in the absence of CD28-mediated costimulatory signals, NOD mice developed exacerbated diabetes associated with a profound decrease in the number of peripheral Tregs (8). Prevention of disease could be achieved by the reconstitution of Tregs from wild-type (WT) NOD mice, implicating CD28/B7 interactions in promoting regulatory function and peripheral homeostasis of Tregs. The role of CD28 costimulation in classical T cell activation has been investigated extensively. Because Tregs are naturally anergic and do not produce IL-2 (a major CD28-dependent event), it is unclear how CD28 regulates Treg development and homeostasis.
| Materials and Methods |
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Six- to 10-wk-old C57BL/6 and BALB/c mice (Charles River Breeding Laboratories, Wilmington, MA), NOD mice (Taconic Farms, Germantown, NY), CD28-deficient mice on BALB/c background, and Bcl-xL transgenic mice on a C57BL/6 background were housed under specific pathogen-free conditions at the Animal Barrier Facility (University of California, San Francisco, CA).
Abs and other reagents
mAbs: 145-2C11 (anti-CD3
), AT83a (rat anti-Thy1.2), 16-10A1 (anti-B7-1), and GL-1 (anti-B7-2) were prepared in our laboratory. Murine CTLA4 Ig was a generous gift from Genetics Institute (Cambridge, MA). Recombinant human (rh) IL-2 was a gift from Chiron (Emeryville, CA). Fluorochrome-labeled mAbs against CD25 (7D4), CD62L (Mel-14), and CD4 (GK1.5) were purchased from Southern Biotechnology Associates (Birmingham, AL). Allophycocyanin and PerCP-labeled mAbs against CD4 (RM4-5) were purchased from BD PharMingen (San Diego, CA). Biotin-labeled anti-glucocorticoid-induced TNFR family related (GITR) Abs were purchased from R&D Systems (Minneapolis, MN). CFSE was purchased from Molecular Probes (Eugene, OR).
Cell sorting and flow cytometry
Tregs were sorted from lymph node (LN) and spleen cells on the Mo-Flo cytometer (Cytomation, Fort Collins, CO) based on the expression of CD4, CD25, and CD62 ligand (CD62L) to >95% purity. For some experiments, CD4+ T cells were enriched from pooled LN and spleens by negative selection on autoMACS (Miltenyi Biotec, Auburn, CA), and cultured overnight at 5 x 106 cell/ml in 20 U/ml rhIL-2 in complete medium as previously described (8). Tregs were sorted the next day as described above. Flow cytometric analyses were performed on a FACSCalibur flow cytometer with CellQuest software (BD Biosciences, San Jose, CA).
Adoptive transfer and Ab/cytokine administration
Sorted T cells were labeled with 1.5 µM CFSE, and 13 x 106 cells were transferred via retro-orbital injection. The recipient mice were treated by i.p. injection with a mixture of anti-B7-1 and anti-B7-2 Abs (100 µg each) in PBS, 200 µg of control mAb (rat anti-human Bw6), CTLA4 Ig, or PBS as specified in figure legends. In some experiments, a rat anti-human HLA-Bw6 mAb was administered as control for the anti-B7 mAbs, whereas PBS was used in other experiments. No observable differences were noted among control mAb-, PBS-treated, or untreated mice.
Real-time PCR analysis of steady state IL-2 mRNA in spleens
Total RNA was extracted using TRIzol reagent (Invitrogen, Carlsbad, CA) from spleens of WT and CD28-/- BALB/c mice immediately after sacrifice. cDNA was synthesized from 2 µg of each RNA sample using SuperScript II RNase H- reverse transcriptase and oligo dT as primer (Invitrogen), and 25 ng of the cDNA was used in each real-time PCR for IL-2 or hypoxanthine phosphoribosyltransferase (HPRT). Primers and probes for both genes were purchased as reagent kits from Applied Biosystems (Foster City, CA). The real-time PCR was performed on ABI Prizm 7700 using TaqMan Universal PCR master mix (Applied Biosystems) in duplicates and the average threshold cycles (Ct) of the duplicate were used to calculate the fold change between WT and CD28KO mice. Ct for HPRT were used to normalize the samples, and fold change was calculated using the following formula: fold change = 2-n, n = ((CD28-/- CtIL-2 - CD28-/- CtHPRT) - (WT CtIL-2 - WT CtHPRT)).
| Results and Discussion |
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A comparison of the thymic CD4 single-positive (SP) CD25+ T cells in WT and CD28-deficient mice demonstrated that disruption of the CD28/B7 pathway resulted in a dramatic (80%) reduction in both the percentage and the number of CD4 SP CD25+ T cells in the thymus (Fig. 1A). Similarly, mice treated with a combination of anti-B7-1 and anti-B7-2 Abs every other day for 10 days resulted in a 66% reduction in the number of CD4+SP CD25+ T cells in the thymus compared with PBS-treated littermate controls (Fig. 1B). Thus, our data suggest that Tregs develop in a CD28/B7-dependent manner in adult mice.
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The treatment of NOD mice with CTLA4 Ig fusion protein results in a rapid reduction in the number of Tregs in the LN and spleen (8). Similar results have been obtained using anti-B7 Abs in all mouse strains tested (BALB/c, B6, and NOD, data not shown). However, it was possible that the depletion of Tregs in the periphery following CD28/B7 blockade was a consequence of the decreased generation of these cells in the thymus as opposed to a direct effect on the peripheral Treg population. The Treg population in adult thymectomized mice was significantly reduced following anti-B7 treatment (Fig. 1C), comparable to that observed in sham-thymectomized animals. Moreover, unlike CD28-/- mice, young (1014 days) CTLA-4-/- mice have normal levels of CD62Lhigh Tregs in the periphery (data not shown). These results suggest that CD28 is important both for the development of Tregs in the thymus and for their maintenance in the periphery.
Treg proliferation and survival depends on CD28 costimulation
Purified labeled CD4+CD62LhighCD25+ (Tregs) or CD4+CD62LhighCD25- cells were transferred into secondary hosts and the recipients were treated with a combination of anti-B7-1 and anti-B7-2 mAbs or control Abs with irrelevant specificity. The numbers of labeled Tregs in the LN and spleens of recipient mice were determined by flow cytometry based on the coexpression of CD4 and CFSE on days 15 and 30 after cell transfer. The total number of cells recovered at various time points after transfer was estimated to be
10% of the initial input. This relatively low rate of recovery is most likely due to nonspecific trapping of transferred cell in tissues immediately after injection. It has been documented that despite the low recovery, the remaining transferred cells exhibited homing and activation patterns predicted for their endogenous counterparts (9). Therefore, we believe that the cells recovered from the LN and spleens in our experiments are representative of the transferred cells and are likely to reflect the behavior of the corresponding endogenous cell population. In contrast to the purported "anergic" phenotype of Tregs observed in vitro (10, 11), the Tregs underwent brisk proliferation in vivo, with 1015% diluting the CFSE label within 2 wk after transfer (data not shown) and up to 40% 30 days after transfer (18% in the experiment shown in Fig. 2A). Moreover, because we could not detect transferred cells once their CFSE label is at background level, the actual proportion of transferred Tregs that have undergone proliferation is likely to be higher than our estimation. In contrast, only 6.5% of the CD25- cells transferred in the same manner showed CFSE dilution by day 30 (Fig. 2A). The recipient mice were not lymphopenic, therefore the proliferation observed represented the true steady state homeostatic activity of these cells. Moreover, the proliferation was CD28-dependent, as it was almost completely blocked by anti-B7 mAb treatment (Fig. 2, B and C). Because this block in proliferation was observed at all time points examined (days 1, 7, 15, and 30), we think it is very unlikely that a subpopulation of cells have lost all CFSE and escaped detection. In addition, this is not due to killing of the Tregs by direct binding of the anti-B7 mAb because a similar reduction in Treg proliferation was observed when WT Tregs were transferred to mice that were deficient in both B7-1 and B7-2 (data not shown), demonstrating that B7 expression on the host cells was essential for Treg proliferation. These results support the notion that Tregs express TCRs that react with self Ags (4, 5, 6), and continuously respond to autoantigens in a costimulation-dependent manner to maintain their homeostasis in vivo.
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Treg survival depends on both IL-2 and B7
IL-2 has been shown to be essential for Treg homeostasis, and mice deficient in IL-2 or IL-2R have very low numbers of Tregs in the periphery (7, 12, 13, 14) and develop rampant systemic autoimmune diseases (15, 16, 17). Moreover, CD28 plays a critical role in IL-2 production by activated T cells (18), and the steady state IL-2 mRNA was 2- to 5-fold less in normal unperturbed CD28-/- mice compared with that in normal WT mice (Fig 3A). To determine whether the diminished steady state IL-2 production in CD28-/- mice affected normal Treg homeostasis, the survival of purified WT Tregs transferred into WT and CD28-/- hosts was compared. One month after transfer into CD28-/- recipients, WT Tregs were barely detectable in the LNs and spleens (Fig. 3, B and C). These results demonstrated that CD28 expression on Tregs was insufficient to support Treg homeostasis. Thus, CD28 functioned on conventional T cells to regulate Treg survival through the induction of Treg-extrinsic survival factor(s), such as IL-2. To determine whether exogenous IL-2 could overcome the Treg survival defect in CD28-/- mice, we precultured Tregs in 20 U/ml IL-2 overnight and examined their survival in WT or CD28-/- hosts. The short-term culture in IL-2 did not significantly up-regulate CD25 expression on the Tregs (data not shown). In contrast, the IL-2 treatment restored Treg homeostasis in IL-2-/- mice (data not shown) and completely protected the Tregs in the CD28-/- hosts for the observation period (Fig. 3, D and E). Thus, the IL-2 level is likely to be one of the limiting factors in sustaining Treg homeostasis in CD28-/- mice.
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CD28 maintains a high level of CD25 expression on Tregs
Costimulation through CD28 has been shown to be necessary for inducing several cell intrinsic survival factors, such as Bcl-xL (19). Therefore, we tested whether these molecules were involved in CD28 regulation of Treg survival. Transgenic mice expressing Bcl-xL under the control of the Lck proximal promoter were treated with CTLA4 Ig. Although CD4+CD25+ in these transgenic mice overexpress Bcl-xL, Tregs were not protected from depletion after CD28/B7 blockade (Fig. 4A). CD28-dependent OX40 induction on CD4+ T cells has been implicated in promoting T cell survival and the generation of memory T cells (20, 21). In addition, OX40 was expressed on resting WT, but not on CD28-/- Tregs (data not shown). However, unlike CD28-/- mice, OX40-/- mice have normal level of Tregs in the periphery (Fig. 4B) and thymus (data not shown). Taken together, these results suggest that CD28 regulation of Treg survival was independent of Bcl-xL and OX40.
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In conclusion, we have demonstrated that CD28 provides a unique costimulatory signal to promote thymic development and peripheral homeostasis of Tregs. In addition, CD28 maintains a stable pool of peripheral Tregs by supporting both their self-renewal and their survival. These functions of CD28 were independent of Bcl-xL or OX40 and were mediated through IL-2 and CD25. We propose that CD28 directly regulates Treg proliferation possibly by increasing TCR signaling strength, and indirectly regulates Treg survival by promoting IL-2 production by conventional T cells and by up-regulation of CD25 on Tregs.
Understanding the mechanisms of CD28/B7 costimulation in the maintenance of Tregs has important implications for the treatment of autoimmunity and transplant rejection via CD28 blockade. Although treatments such as CTLA4 Ig block T cell activation, they also deplete tolerance-promoting Tregs. Therefore, it will be important to determine the signals provided by CD28/B7 interactions that maintain the development and survival of regulatory T cells. Ultimately, we may be able to harness these signals to generate Tregs that promote tolerance in the setting of autoimmunity and transplantation.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Jeffrey A. Bluestone, University of California San Francisco Diabetes Center, University of California, San Francisco, Box 0540, 513 Parnassus Avenue, San Francisco, CA 94143-0540. E-mail address: jbluest{at}diabetes.ucsf.edu ![]()
3 Abbreviations used in this paper: Treg, regulatory T cells; NOD, nonobese diabetic; WT, wild type; GITR, glucocorticoid-induced TNFR family related; LN, lymph node; CD62L, CD62 ligand; rh, recombinant human; HPRT, hypoxanthine phosphoribosyltransferase; Ct, threshold cycle; SP, single positive. ![]()
Received for publication June 27, 2003. Accepted for publication August 12, 2003.
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E. L. Masteller, M. R. Warner, Q. Tang, K. V. Tarbell, H. McDevitt, and J. A. Bluestone Expansion of Functional Endogenous Antigen-Specific CD4+CD25+ Regulatory T Cells from Nonobese Diabetic Mice J. Immunol., September 1, 2005; 175(5): 3053 - 3059. [Abstract] [Full Text] [PDF] |
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N. Beyersdorf, S. Gaupp, K. Balbach, J. Schmidt, K. V. Toyka, C.-H. Lin, T. Hanke, T. Hunig, T. Kerkau, and R. Gold Selective targeting of regulatory T cells with CD28 superagonists allows effective therapy of experimental autoimmune encephalomyelitis J. Exp. Med., August 1, 2005; 202(3): 445 - 455. [Abstract] [Full Text] [PDF] |
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L.-F. Lu, D. C. Gondek, Z. A. Scott, and R. J. Noelle NF{kappa}B-Inducing Kinase Deficiency Results in the Development of a Subset of Regulatory T Cells, which Shows a Hyperproliferative Activity upon Glucocorticoid-Induced TNF Receptor Family-Related Gene Stimulation J. Immunol., August 1, 2005; 175(3): 1651 - 1657. [Abstract] [Full Text] [PDF] |
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H. Shao, Y. Peng, T. Liao, M. Wang, M. Song, H. J. Kaplan, and D. Sun A Shared Epitope of the Interphotoreceptor Retinoid-Binding Protein Recognized by the CD4+ and CD8+ Autoreactive T Cells J. Immunol., August 1, 2005; 175(3): 1851 - 1857. [Abstract] [Full Text] [PDF] |
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G. Darrasse-Jeze, G. Marodon, B. L. Salomon, M. Catala, and D. Klatzmann Ontogeny of CD4+CD25+ regulatory/suppressor T cells in human fetuses Blood, June 15, 2005; 105(12): 4715 - 4721. [Abstract] [Full Text] [PDF] |
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K. Loser, A. Scherer, M. B. W. Krummen, G. Varga, T. Higuchi, T. Schwarz, A. H. Sharpe, S. Grabbe, J. A. Bluestone, and S. Beissert An Important Role of CD80/CD86-CTLA-4 Signaling during Photocarcinogenesis in Mice J. Immunol., May 1, 2005; 174(9): 5298 - 5305. [Abstract] [Full Text] [PDF] |
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K. M. Thorstenson, L. Herzovi, and A. Khoruts A model of suppression of the antigen-specific CD4 T cell response by regulatory CD25+CD4 T cells in vivo Int. Immunol., April 1, 2005; 17(4): 335 - 342. [Abstract] [Full Text] [PDF] |
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H. Kataoka, S. Takahashi, K. Takase, S. Yamasaki, T. Yokosuka, T. Koike, and T. Saito CD25+CD4+ regulatory T cells exert in vitro suppressive activity independent of CTLA-4 Int. Immunol., April 1, 2005; 17(4): 421 - 427. [Abstract] [Full Text] [PDF] |
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B. Valzasina, C. Guiducci, H. Dislich, N. Killeen, A. D. Weinberg, and M. P. Colombo Triggering of OX40 (CD134) on CD4+CD25+ T cells blocks their inhibitory activity: a novel regulatory role for OX40 and its comparison with GITR Blood, April 1, 2005; 105(7): 2845 - 2851. [Abstract] [Full Text] [PDF] |
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S. Liang, P. Alard, Y. Zhao, S. Parnell, S. L. Clark, and M. M. Kosiewicz Conversion of CD4+ CD25- cells into CD4+ CD25+ regulatory T cells in vivo requires B7 costimulation, but not the thymus J. Exp. Med., January 3, 2005; 201(1): 127 - 137. [Abstract] [Full Text] [PDF] |
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J. L. Riley and C. H. June The CD28 family: a T-cell rheostat for therapeutic control of T-cell activation Blood, January 1, 2005; 105(1): 13 - 21. [Abstract] [Full Text] [PDF] |
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G. L. Stephens, R. S. McHugh, M. J. Whitters, D. A. Young, D. Luxenberg, B. M. Carreno, M. Collins, and E. M. Shevach Engagement of Glucocorticoid-Induced TNFR Family-Related Receptor on Effector T Cells by its Ligand Mediates Resistance to Suppression by CD4+CD25+ T Cells J. Immunol., October 15, 2004; 173(8): 5008 - 5020. [Abstract] [Full Text] [PDF] |
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J. Lohr, B. Knoechel, E. C. Kahn, and A. K. Abbas Role of B7 in T Cell Tolerance J. Immunol., October 15, 2004; 173(8): 5028 - 5035. [Abstract] [Full Text] [PDF] |
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J. A. Bluestone and Q. Tang Therapeutic vaccination using CD4+CD25+ antigen-specific regulatory T cells PNAS, October 5, 2004; 101(suppl_2): 14622 - 14626. [Abstract] [Full Text] [PDF] |
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J. Machen, J. Harnaha, R. Lakomy, A. Styche, M. Trucco, and N. Giannoukakis Antisense Oligonucleotides Down-Regulating Costimulation Confer Diabetes-Preventive Properties to Nonobese Diabetic Mouse Dendritic Cells J. Immunol., October 1, 2004; 173(7): 4331 - 4341. [Abstract] [Full Text] [PDF] |
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K. A. Hagen, C. T. Moses, E. F. Drasler, K. M. Podetz-Pedersen, S. C. Jameson, and A. Khoruts A Role for CD28 in Lymphopenia-Induced Proliferation of CD4 T Cells J. Immunol., September 15, 2004; 173(6): 3909 - 3915. [Abstract] [Full Text] [PDF] |
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G. Zheng, B. Wang, and A. Chen The 4-1BB Costimulation Augments the Proliferation of CD4+CD25+ Regulatory T Cells J. Immunol., August 15, 2004; 173(4): 2428 - 2434. [Abstract] [Full Text] [PDF] |
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H. Shao, S. L. Sun, H. J. Kaplan, and D. Sun Characterization of Rat CD8+ Uveitogenic T Cells Specific for Interphotoreceptor Retinal-Binding Protein 1177-1191 J. Immunol., August 15, 2004; 173(4): 2849 - 2854. [Abstract] [Full Text] [PDF] |
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C. Vasu, B. S. Prabhakar, and M. J. Holterman Targeted CTLA-4 Engagement Induces CD4+CD25+CTLA-4high T Regulatory Cells with Target (Allo)antigen Specificity J. Immunol., August 15, 2004; 173(4): 2866 - 2876. [Abstract] [Full Text] [PDF] |
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P. Hoffmann, R. Eder, L. A. Kunz-Schughart, R. Andreesen, and M. Edinger Large-scale in vitro expansion of polyclonal human CD4+CD25high regulatory T cells Blood, August 1, 2004; 104(3): 895 - 903. [Abstract] [Full Text] [PDF] |
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E. A. Wohlfert, M. K. Callahan, and R. B. Clark Resistance to CD4+CD25+ Regulatory T Cells and TGF-{beta} in Cbl-b-/- Mice J. Immunol., July 15, 2004; 173(2): 1059 - 1065. [Abstract] [Full Text] [PDF] |
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M. Mamura, W. Lee, T. J. Sullivan, A. Felici, A. L. Sowers, J. P. Allison, and J. J. Letterio CD28 disruption exacerbates inflammation in Tgf-{beta}1-/- mice: in vivo suppression by CD4+CD25+ regulatory T cells independent of autocrine TGF-{beta}1 Blood, June 15, 2004; 103(12): 4594 - 4601. [Abstract] [Full Text] [PDF] |
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Q. Tang, K. J. Henriksen, M. Bi, E. B. Finger, G. Szot, J. Ye, E. L. Masteller, H. McDevitt, M. Bonyhadi, and J. A. Bluestone In Vitro-expanded Antigen-specific Regulatory T Cells Suppress Autoimmune Diabetes J. Exp. Med., June 7, 2004; 199(11): 1455 - 1465. [Abstract] [Full Text] [PDF] |
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A. M. Thornton, E. E. Donovan, C. A. Piccirillo, and E. M. Shevach Cutting Edge: IL-2 Is Critically Required for the In Vitro Activation of CD4+CD25+ T Cell Suppressor Function J. Immunol., June 1, 2004; 172(11): 6519 - 6523. [Abstract] [Full Text] [PDF] |
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H.-b. Ji, G. Liao, W. A. Faubion, A. C. Abadia-Molina, C. Cozzo, F. S. Laroux, A. Caton, and C. Terhorst Cutting Edge: The Natural Ligand for Glucocorticoid-Induced TNF Receptor-Related Protein Abrogates Regulatory T Cell Suppression J. Immunol., May 15, 2004; 172(10): 5823 - 5827. [Abstract] [Full Text] [PDF] |
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J. Vermeiren, J. L. Ceuppens, M. Van Ghelue, P. Witters, D. Bullens, H. W. Mages, R. A. Kroczek, and S. W. Van Gool Human T Cell Activation by Costimulatory Signal-Deficient Allogeneic Cells Induces Inducible Costimulator-Expressing Anergic T Cells with Regulatory Cell Activity J. Immunol., May 1, 2004; 172(9): 5371 - 5378. [Abstract] [Full Text] [PDF] |
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