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Departments of
*
Immunology and Parasitology, and
Ophthalmology and Visual Neuroscience, School of Medicine, University of Tokushima, Tokushima, Japan
| Abstract |
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| Introduction |
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As for the lineage of Treg, several recent papers have revealed that Foxp3 expression is crucial for their development (12, 13, 14). According to these results, Foxp3 is expressed in Treg and to a lesser degree in CD25 T cells (14). Furthermore, the ectopic expression of Foxp3 in CD4+CD25 T cells allowed such cells to become regulatory T cells that have the ability to suppress the T cell response (12, 14), suggesting that Foxp3 is at least one transcription factor critical for the development of Treg.
Conventional CD4+CD25 T cells (Tconv) proliferate in response to antigenic stimulation with the selective survival of cells with a high affinity TCR against the Ag (15, 16, 17, 18, 19, 20, 21, 22, 23). This Tconv TCR repertoire contraction plays an important role in augmenting primary and secondary immune responses against Ags, thus establishing Ag-specific T cell memory (17, 19). Although the total T cell immune response is thought to be regulated by the interplay between Tconv-derived effector/memory T cells and Treg, it remains unclear if Treg recognize the same Ag as effector T cells seen in vivo.
Thus, in this study we evaluated changes in TCR diversity in both Tconv and Treg during the emergence of the primary and memory responses to pigeon cytochrome c (PCC) in nontransgenic animals to address if Treg really recognize the same Ags as effector T cells do and contract their own repertoire. We found that Treg do recognize the same Ag as Tconv, and expand while contracting their repertoire. Furthermore, Ag-specific Treg suppress TCR repertoire modification but not cell proliferation of memory CD4+ T cells.
| Materials and Methods |
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The B10.A and B10.BR mice used were from The Jackson Laboratory (Bar Harbor, ME) and were crossed with each other to make F1 mice. A primary immunization of 400 µg of PCC (Sigma-Aldrich, St. Louis, MO) in an emulsion with CFA was s.c. injected into the base of the mouse tail two days after cell transfer. PBS alone was used for the adjuvant only controls. Secondary challenge was a repeat of the primary regimen including adjuvant, also at the base of the tail, 8 wk after the initial priming.
Cell transfer and purification
The protocol of cell transfer is shown (see Fig. 1A). The bone marrow (5 x 106) from 6-wk-old B10.A mice was transferred into 950 rad irradiated (B10.A x B10.BR)F1 mice. Two months after bone marrow transplantation, lymph node cells from chimeric mice were stained with anti-B220, Dk, and CD8 mAbs and positive cells were removed by anti-rat mouse IgG-coated beads (Dynal Biotech, Oslo, Norway). The resultant cells were then stained with anti-CD25 mAb and CD4+CD25 or CD4+CD25+ T cells were separated by negative or positive selection of CD25+ cells by anti-rat IgG-coated beads (Dynal Biotech) or anti-rat IgG-coated beads followed by LS+ magnetic column (Miltenyi Biotec, Cologne, Germany), respectively. The purity of CD4+CD25 and CD4+CD25+ T cells in this preparation is >98% and Dk-positive cells are <1% and the CD4+CD25 T cells contaminating the CD4+CD25+ T cell population is <1% (see Fig. 1B). Then, CD4+CD25 or CD4+CD25+ purified T cells (1 x 106) were transferred into nonirradiated (B10.A x B10.BR)F1 mice. The mice were immunized with PCC (400 µg) emulsified with CFA 2 days after cell transfer and activated donor-derived cells were purified from lymph nodes several days or weeks after immunization.
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11, TCR-V
3, CD44, and CD62 ligand (CD62L) mAbs, and TCRV
11+TCRV
3+CD44highCD62Llow cells were sorted by a cell sorter as described (24). For the analysis of total Ag-specific cell number, after live cell count by trypan blue staining, spleen and lymph node cells were stained with PE-conjugated anti-TCR-V
11, biotin-conjugated anti-TCR-V
3, allophycocyanin-conjugated anti-CD62L, FITC-conjugated anti-Dk, and FITC-conjugated anti-CD8 mAbs followed by streptavidin-CyChrome. Then percentage of TCRV
11+TCRV
3+CD62Llow cells gated in CD8Dk were evaluated by flow cytometer. The Ag-specific T cells were calculated by multiplying total live cell numbers and relative activated T cells. All Abs were purchased from BD Biosciences (San Francisco, CA). In some experiments, CD25+ cells were depleted by injecting anti-CD25 mAb (7D4, 500 µg) 1 day before PCC immunization.
In some experiments, PCC-activated or naive CD4+CD25+V
11+V
3+ T cells (1 x 106) were transferred into nonirradiated (B10.A x B10.BR)F1 mice that had been immunized by PCC 8 wk earlier. For the purification of activated and naive CD4+CD25+ T cells, lymph node and spleen cells were first purified from PCC-immunized or unimmunized (B10.A x B10.BR)F1 mice reconstituted with CD4+CD25+ T cells from 8-wk-old chimeric mice (B10.A bone marrow into irradiated B10.A x B10.BR mice). Then cells were stained with anti-B220, Dk, and CD8 mAbs and positive cells were removed by anti-rat mouse IgG-coated beads (Dynal Biotech). These resultant cells were then stained with anti-CD25 mAb, and CD25+ T cells were separated by positive selection by anti-rat IgG-coated beads followed by LS+ magnetic column (Miltenyi Biotec). Then, cells were stained with anti-V
11, V
3, CD62L, and CD44 mAbs and V
11+V
3+CD62LlowCD44high T cells (activated CD4+CD25+ T cells) from PCC-immunized mice or V
11+V
3+CD62LhighCD44low cells (naive CD4+CD25+ T cells) from PCC-unimmunized mice were sorted by a cell sorter. Each population was transferred into nonirradiated (B10.A x B10.BR)F1 mice that had been immunized with PCC 8 wk earlier.
PCR products
Several days after primary and secondary immunization, CD8+Dk+-depleted single cells (TCRV
11+V
3+CD62LlowCD44high) from the lymph nodes were sorted into single cells and placed in a 5-µl cDNA reaction mixture (4 U/ml murine leukemia virus reverse transcriptase with recommended buffer, 0.5 nM spermidine, 100 µg/ml BSA, 10 ng/ml oligo(dT), 200 µM each dNTP, and 1% Triton X-100) and then immediately held at 37°C for 90 min. Aliquots (2 µl) of the cDNA reaction mixture were used for two separate 25 µl amplification reactions (2 U/ml Taq polymerase with the recommended reaction buffer, 0.1 mM each dNTP, 2 mM MgCl2, and 1.2 µM primer), one for the TCR-V
11 and one for the TCR-V
3, using primers specific for both the variable and constant regions of each chain. The following combinations of primers were used: V
11, 5'-ATGCAGAGGAACCTGGGAGC-3' and 5'-AATCTGCAGCGGCACATTGATTTGGGA-3'; V
3, 5'-ATGGCTACAAGGCTCCTCTGGTA-3'and 5'-CACGTGGTCAGGGAAGAA-3'. The total of 1 µl of the first PCR product was used for further 25 µl amplification reactions (2 U/ml Taq polymerase with the recommended reaction buffer, 0.1 mM each of dNTP, 2 mM MgCl2, and 0.8 µM primer) for each chain of the TCR, using nested primers for: V
11, 5'-AATCTGCAGTGGGTGCAGATTTGCTGG-3' and 5'-GAGTCAAAGTCGGTGAACAGG-3'; V
3, 5'-AATCTGCAGAATTCAAAAGTCATTCA-3' and 5'-AATCTGCAGCACGAGGGTAGCCTTTTG-3'. Nested PCR product (7 µl) was run on a 1.5% agarose gel to screen for positives (single bands of the right size). The PCR product was then directly sequenced using an ABI 373 sequencing system.
T cell proliferation assay
Total lymph node cells (5 x 104/well) from (B10.A x B10.BR)F1 mice 10 days after immunization with PCC were cultured with PCC (1 µM) and varying numbers of activated CD4+CD25+DkV
11+V
3+CD62LlowCD44high T cells from PCC-immunized (B10.A x B10.BR)F1 mice reconstituted with CD4+CD25+ T cells from bone marrow chimeric mice or naive CD4+CD25+DkV
11+V
3+CD62LhighCD44low T cells from (B10.A x B10.BR)F1 mice reconstituted with CD4+CD25+ T cells from bone marrow chimeric mice (B10.A bone marrow into irradiated B10.A x B10.BR mice). The 1 µCi/well [3H]thymidine was pulsed during the final 8 of 72-h culture. [3H]Thymidine incorporation was evaluated using an automated beta liquid scintillation counter.
| Results |
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The PCC immunization protocol (24) was used to examine Ag-specific CD4+ T cells as this system allowed us to analyze the TCR-V
and TCR-V
CDR3 sequences critical for binding PCC presented by IEk. The major PCC-responding CD4+ T cell population expresses TCR-V
11 and TCR-V
3 (24). We first examined the relative number of TCRV
11+V
3+ cells in Tconv and Treg. Both Tconv and Treg contained
1% TCRV
11+V
3+ cells (data not shown). Because CD25, the IL-2R
-chain, can be up-regulated following Tconv stimulation (6), we established the following experimental system to clearly discriminate between Treg and activated Tconv (Fig. 1A). Although both B10.A and B10.BR mice express the MHC class II k haplotype, B10.A and B10.BR express the MHC class Id and Ik haplotypes, respectively. Irradiated (B10.A x B10.BR)F1 mice were reconstituted with bone marrow from B10.A mice to remove donor-derived CD4+ T cells reactive against B10.BR-derived Ags (Fig. 1A). Donor-derived CD4+CD25+Dk (Treg) or CD4+CD25Dk (Tconv) cells were then purified as described in Materials and Methods (Fig. 1B) and transferred into nonirradiated (B10.A x B10.BR)F1 mice (designated CD25+ chimeric mice or CD25 chimeric mice, respectively) (Fig. 1A). Using this protocol, donor- and host-derived cells could be discriminated according to MHC class I haplotype expression.
After immunization of the chimeric mice with PCC emulsified in CFA, single donor-derived activated cells (CD4+CD8B220CD11bV
11+V
3+DkCD62LlowCD44high) from lymph nodes were sorted by flow cytometry. The CDR3 regions of each cell were then amplified by PCR and sequenced as previously described (24). In parallel, total donor-derived activated cell (CD8DkV
11+V
3+DkCD62Llow) numbers from the spleen and lymph nodes were counted as described in Materials and Methods. Both the primary and memory responses were examined, we determined eight CDR3 sequence parameters from TCR-V
11 and TCR-V
3 of PCC-specific T cells (Figs. 2 and 3) (24), and measured total activated cell numbers (Fig. 4). The eight CDR3 sequence parameters from the PCC-specific T cells were CDR3 length, DNA sequence at positions 93 and 95, and J
usage for TCR-V
11 (Fig. 2), and CDR3 length, DNA sequence at positions 100 and 102 and J
usage for TCR-V
3 (Fig. 3). Figs. 2 and 3 summarize the results of one representative experiment and show CDR3 sequence information for TCR-V
11 and TCR-V
3 chains from T cells obtained after PCC immunization. A summary of the combined data obtained from individual animals is shown in Fig. 5.
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Treg and Tconv had similar frequencies of TCR-V
11 and TCR-V
3 CDR3 sequence parameters before PCC immunization (Figs. 2 and 3), which suggested that both populations had similar TCR repertoires in terms of recognition of PCC presented by IEk. PCC immunization led to cell proliferation of both Tconv and Treg after both primary and memory responses (Fig. 4A). However, the degree of proliferation of activated cells was lower and the amount of time to reach the peak day was longer for Treg than for Tconv after primary immunization (Fig. 4B). For the memory response, peak proliferation occurred earlier for both Treg and Tconv (Fig. 4B). These findings indicated that polyclonal Treg proliferated in response to Ag immunization with adjuvant in vivo, although these findings are in contrast with a previous report of Treg anergy after stimulation via TCR ligation in vitro and in vivo (25, 26).
TCR repertoire modification after primary PCC immunization
We next analyzed the changes in TCR-V
11 and TCR-V
3 CDR3 sequence parameters using lymph node T cells obtained after primary and memory responses. All preferred TCR-V
11 or TCR-V
3 CDR3 sequence parameters (TCR-V
11 positions 93 and 95, CDR length, and J
; TCR-V
3 positions 100 and 102, CDR length, and J
) from PCC-specific Tconv changed during the primary immune response (Figs. 2 and 3). The percentage of PCC-specific Tconv with preferred TCR-V
11 or TCR-V
3 CDR3 sequence parameters of TCR-V
11 positions 93 and 95, TCR-V
11 CDR length (Fig. 2), TCR-V
3 positions 100 and 102, TCR-V
3 CDR length and J
(Fig. 3) exceeded 90% during the primary response. However, the percentage of Tconv with preferred J
usage had increased to only 51% (Fig. 2). Using data from Figs. 2 and 3, the percentage of Tconv having six or more characteristic PCC-specific TCR CDR3 sequence parameters was calculated (Fig. 5A). Approximately 70% of PCC-specific Tconv had at least six preferred TCR-V
11 or TCR-V
3 CDR3 sequence parameters 10 days after primary immunization (Fig. 5A).
The pattern of TCR-V
11 positions 93 and 95, TCR-V
11 CDR length, and J
usage (Fig. 2), and TCR-V
3 positions 100 and 102, TCR-V
3 CDR length, and J
(Fig. 3) was also modified in Treg at 18 days after the first immunization, but to a lesser extent compared with Tconv (Figs. 2 and 3), except for TCR-V
3 position 102 (Fig. 3). Further analysis showed that only 30% of PCC-specific Treg had six or more preferred of TCR-V
11 or TCR-V
3 CDR3 sequence parameters at day 18 (Fig. 5B).
TCR repertoire modification after secondary PCC immunization
We next examined whether the TCR repertoire altered during the memory response. PCC was administered 8 wk after the primary immunization and CDR3 sequences from T cells obtained (Figs. 2 and 3). Results showed that the PCC-specific Tconv TCR repertoire was further modified during the memory response in terms of preferred TCR-V
11 or TCR-V
3 CDR3 sequence parameters, including TCR-V
11 positions 93 and 95, TCR-V
11 CDR length, and J
usage (Fig. 2), and TCR-V
3 positions 100 and 102, TCR-V
3 CDR length, and J
usage (Fig. 3). However, the percentage of Tconv showing the preferred J
usage was
60% (Fig. 2) compared with nearly 100% for the other CDR3 sequence parameters (Figs. 2 and 3). This further modification in Tconv reflected the fact that 90% of the cells had acquired six or more of the preferred PCC-specific TCR-V
11 or TCR-V
3 CDR3 sequences during the memory response (Fig. 5A). In contrast, whereas the second immunization increased Treg cell numbers (Fig. 4A), further modification of TCR
(Fig. 2) and TCR
(Fig. 3) repertoire was not observed (Fig. 5B). Because >88% of Treg before secondary immunization had three preferred CDR3 sequence parameters (TCR-V
11 CDR length, TCR-V
3 position 102, and TCR-V
3 CDR length) (Figs. 2 and 3), it was difficult to determine small changes in these parameters after secondary immunization. However, significant differences in the frequencies of preferred TCR-V
11 positions 93 and 95, J
usage (Fig. 2), TCR-V
3 position 100 and J
usage (Fig. 3) were observed after secondary responses for both Tconv and Treg. The relative percentages of these five preferred CDR3 sequence parameters did not change in Treg after secondary immunization (Figs. 2 and 3). Similar results were observed in terms of TCR repertoire modification both of Tconv and Treg when spleen cells were used instead of lymph node cells (data not shown).
Low level contamination of Tconv in the Treg fraction did not greatly affect the repertoire modification of Treg
To negate the possibility that Treg proliferation and repertoire modification reflected the proliferation of low numbers of contaminating Tconv, we used a mixture of 99% Treg and 1% Tconv or 95% Treg and 5% Tconv instead of purified Treg in our proliferation (Fig. 6) and repertoire modification (Fig. 7) assays, and compared the results with those obtained using purified Treg (Figs. 4 and 5). Proliferation and repertoire modification assay results were similar between the 1% and 5% Tconv contamination samples, which were in turn similar to results obtained using purified Treg (Figs. 5, 6, and 7). These results suggested that low levels of Tconv contamination in the Treg fraction would not be expected to have a significant impact on Treg proliferation and repertoire modification.
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To examine the impact of incomplete Treg repertoire modification on effector T cell generation, we first evaluated the repertoire modification of lymph node CD4+CD25 cells from PCC-immunized and CD25+-depleted (B10.A x B10.BR)F1 mice using anti-CD25 mAb. The kinetics of TCR repertoire modification in activated CD4+CD25V
11+V
3+CD62LlowCD44high cells in response to PCC immunization was similar to that of CD4+CD25 donor cells (CD4+CD25+/V
11+V
3+DkCD62LlowCD44high) from CD25 chimeric mice (data not shown). For this reason we used (B10.A x B10.BR)F1 mice instead of CD25+ or CD25 chimeric mice to evaluate the impact of low Treg repertoire modification on effector T cell activation or differentiation.
Following primary PCC immunization, (B10.A x B10.BR)F1 mice that had been Treg depleted using anti-CD25 mAb generated higher Ag-specific T cell numbers in the lymph nodes and spleen compared with non-Treg depleted (B10.A x B10.BR)F1 mice (Fig. 8A). The kinetics of lymph node PCC-activated T cell TCR repertoire modification was also faster in the absence of Treg after the primary immune response (Fig. 8C). To evaluate the effect of Treg on memory T cell responses, CD25-positive cells were depleted by anti-CD25 mAb treatment in PCC immunized (B10.A x B10.BR)F1 mice 8 wk after primary immunization. Mice were then reimmunized with PCC and the TCR repertoire and total cell numbers of CD4+TCRV
11+V
3+CD44highCD62Llow T cells evaluated. Depletion of Treg before secondary immunization induced a faster TCR repertoire modification (Fig. 8D), but did not affect PCC-specific T cell numbers (Fig. 8B).
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11+V
3+ Treg cells from CD25+ chimeric mice failed to affect proliferation (Fig. 8B) and TCR repertoire modification (Fig. 8D). These findings suggested that limited expansion or repertoire modification of PCC-activated Treg after secondary immunization was one of the factors that prevented the inhibition of effector T cell proliferation. This PCC-specific inhibitory ability of Treg was confirmed by in vitro experiments. Activated CD4+CD25+DkV
11+V
3+CD62LlowCD44high T cells were purified from PCC-immunized CD25+ chimeric mice as described in Materials and Methods. Naive CD4+CD25+DkV
11+V
3+CD62LhighCD44low T cells from CD25+ chimeric mice were used as a control. The activated or naive T cells were cocultured with total lymph node cells from PCC-immunized (B10.A x B10.BR)F1 mice in the presence of PCC. The proliferative responses of PCC-specific T cells were inhibited by increasing numbers of activated non-naive regulatory T cells but not control cells (Fig. 8E). | Discussion |
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-chain V region usage and fine epitope specificity (18, 19). However, in some cases clonal dominance prevails and T cells with preferred TCR motifs are selectively expanded during primary responses and then appear to be selectively preserved for memory responses (16, 24). Although these studies have tended to focus on the repertoire of effector T cells, the total T cell immune response appears to be regulated by the interplay between effector and suppressor T cells. Therefore, to gain a better understanding of the total adaptive immune response, we attempted to clarify the mode of repertoire modification and proliferation of suppressor/regulatory T cells against a given Ag. Our study revealed an evolving Treg clonal dominance during the primary immune response. Although Tconv were less affected, Treg clonal modification was not observed during the memory response. Experiments using CD25+ cell depletion showed that removing Treg against a given Ag-suppressed TCR repertoire modification of the Tconv-derived primary and memory T cells in vivo. In contrast, Treg inhibited the proliferation of Ag-specific Tconv during the primary, but not the memory response. Nonetheless, addition of PCC-activated Treg still inhibited memory T cell proliferation.
Treg are thought to express high affinity TCRs against self-peptides (27) and suppress effector T cell responses independent of Ag specificity, at least in vitro (28). These findings suggest a role for self-Ag recognition in the acquisition of Treg suppressive function. Although Treg have very broad TCR V
repertoires, similar to Tconv (data not shown), it remains unclear whether Treg actually recognize non-self Ags to acquire suppressive functions in vivo. Recently, several papers have shown that Treg suppress murine CD4+ and CD8+ T cell responses against parasitic or bacterial infections in vivo (29, 30). This suggests two possibilities regarding the Ag specificity of Treg in vivo. First, Treg may recognize parasite- or bacteria-derived broad Ags, acquire a suppressive function, and then regulate/suppress effector T cell responses. Second, infections may change the sensitivity of Treg TCR signaling via local cytokine bursts or interaction with other activated cells, which then modifies the TCR signaling threshold of Treg to allow sufficient response to self-Ags with resultant acquisition of suppressive functions. In this regard, our results indicated that the frequency of preferred TCR-V
11 or TCR-V
3 CDR3 sequence parameters of PCC-specific T cells were increased in Treg after PCC immunization, which strongly suggested the direct recognition of PCC by Treg. In addition, the repertoire modification of Treg increased the total suppressive function of Treg toward effector/memory T cell responses against PCC, which demonstrated that Treg can suppress effector T cells via recognition of a specific common Ag in vivo. These findings suggested that the regulation of Ag-specific Treg, rather than total Treg, may be required for the clinical application of Treg, in agreement with a number of groups that have tried to regulate effector T cells in an Ag-dependent manner (31).
Previous studies using TCR-transgenic mice have shown that Treg are anergic in vitro, but have the potential to respond to lymphopenic conditions (25, 26). Recently, it was shown that Treg proliferated in vivo (32). Under more physiologic conditions, as in our experimental protocol, polyclonal Treg responded to PCC immunization and proliferated in vivo, although the response was less than the Tconv response. One might argue that the Treg proliferation we observed might have at least partly reflected the proliferation of contaminating Tconv as CD25 is not an exclusive Treg marker. However, this is unlikely because the TCR repertoire of all CD25+-derived cells was examined 18 days after the first immunization, which would reflect the presence of cell proliferation. We also performed experiments using a mixture of 99% Treg and 1% Tconv or 95% Treg and 5% Tconv instead of the purified Treg population and obtained similar findings in terms of cell proliferation and repertoire modification. If the reduced TCR repertoire seen in Treg is due to vigorous expansion of contaminated Tconv, we should have observed increased repertoire modification with increasing numbers of contaminating Tconv. However, the possibility that contaminating Tconv do contribute to Treg result cannot be ruled out as we do not have cell surface markers able to discriminate between Treg and activated T cells.
The CD25+ cell depletion experiments showed that during the memory response, Treg inhibited effector T cell TCR repertoire modification, but not T cell-mediated proliferation. However, the addition of PCC-activated Treg during the memory response inhibited T cell proliferation. This suggested the inability to inhibit effector T cell proliferation was due to limited Treg expansion or TCR repertoire modification after primary immunization rather than the intrinsic failure of effector T cells to respond to the inhibitory activity of Treg. Although Treg generally inhibit T cell proliferation, the precise regulatory mechanisms of Treg remain unknown, despite reports suggesting possible roles for TGF-
or CTLA-4 (33, 34). Treg inhibition of T cell repertoire modification, but not proliferation, suggests another regulatory role of Treg in the Tconv response. Furthermore, our findings provide evidence for a distinct regulatory mechanism linking T cell proliferation and TCR repertoire modification, although these have generally been thought to be coordinated processes.
We observed no differences in the frequencies of CDR3 features involved in PCC recognition between Treg and Tconv before immunization. Nonetheless, it is still possible that Treg and Tconv exhibited different TCR repertoires in terms of PCC recognition that might underlie the different proliferation and TCR repertoire modification kinetics. However, this seems unlikely as a similar frequency of PCC/IEk-specific TCRV
11+V
3+ T cells (0.060.07%) was present in total TCRV
11+V
3+ Treg and Tconv (data not shown).
The reduced ability of Treg to suppress the proliferation of memory/effector T cells due to reduced Ag-specific Treg proliferation or incomplete TCR repertoire modification during primary responses would be advantageous to the overall immune response as the coordinated parallel evolution of Treg and Tconv would not be useful for augmenting the memory T cell response. This divergence may have occurred to maximize the ability of the organism to mount a protective memory immune response against bacteria, protozoans, fungi, and viruses.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Koji Yasutomo, Department of Immunology and Parasitology, School of Medicine, University of Tokushima, 3-18-15 Kuramoto, Tokushima 770-8503, Japan. E-mail address: yasutomo{at}basic.med.tokushima-u.ac.jp ![]()
3 Abbreviations used in this paper: Treg, regulatory CD4+CD25+ T cells; Tconv, conventional CD4+CD25 T cells; PCC, pigeon cytochrome c; CDR3, complementarity-determining region 3. ![]()
Received for publication June 27, 2003. Accepted for publication February 20, 2004.
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. J. Exp. Med. 194:629.This article has been cited by other articles:
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