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Inducing and expanding Inducing and expanding regulatory T cell regulatory T cell populations by foreign populations by foreign antigen antigen Karsten Kretschmer Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219 NATURE IMMUNOLOGY 2005; 6:1219

Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

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CD4+CD25+ regulatory T cells expressing the lineage marker Foxp3 CD4+CD25+ regulatory T cells expressing the lineage marker Foxp3 The cellular and molecular mechanisms involved in the peripheral generation of CD4+CD25+ suppressor T cells are not known The cellular and molecular mechanisms involved in the peripheral generation of CD4+CD25+ suppressor T cells are not known recombination activating gene 2–deficient (Rag2–/–) recombination activating gene 2–deficient (Rag2–/–) Thy-1.2 BALB/c Rag2–/– TCR-HA mice and Thy-1.1 BALB/c congenic Rag2–/– TCR-HA mice express a TCR specific for H-2IEd HA Thy-1.2 BALB/c Rag2–/– TCR-HA mice and Thy-1.1 BALB/c congenic Rag2–/– TCR-HA mice express a TCR specific for H-2IEd HA Antigens can be targeted to DCs in vivo by means of the DEC-205 endocytosis receptor Antigens can be targeted to DCs in vivo by means of the DEC-205 endocytosis receptor

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Page 1: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

Inducing and expanding regulatory T cell Inducing and expanding regulatory T cell

populations by foreign antigenpopulations by foreign antigen

Karsten Kretschmer Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219NATURE IMMUNOLOGY 2005; 6:1219

Page 2: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

BackgroundBackground The extrathymic generation and proliferation of regulator

y T cells may contribute to self-tolerance as well as the poor immunogenicity of tumors and may be exploited clinically to prevent or reverse unwanted immunity.

The contributions of thymically and extrathymically generated suppressor T cells to the peripheral pool of CD4+CD25+ suppressor T cells is not known.

The ability to generate de novo in secondary lymphoid tissue represent an important tool in the induction of antigen-specific tolerance in the fully mature immune system. Also, this pathway of generating suppressor cells may be used by tumors to avoid tumor-specific immune responses.

Page 3: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

CD4+CD25+ regulatory T cells expressing the lineage marCD4+CD25+ regulatory T cells expressing the lineage marker Foxp3ker Foxp3

The cellular and molecular mechanisms involved in the perThe cellular and molecular mechanisms involved in the peripheral generation of CD4+CD25+ suppressor T cells are nipheral generation of CD4+CD25+ suppressor T cells are not knownot known

recombination activating gene 2–deficient (Rag2–/–)recombination activating gene 2–deficient (Rag2–/–) Thy-1.2 BALB/c Rag2–/– TCR-HA mice and Thy-1.1 BALThy-1.2 BALB/c Rag2–/– TCR-HA mice and Thy-1.1 BAL

B/c congenic Rag2–/– TCR-HA mice express a TCR specifiB/c congenic Rag2–/– TCR-HA mice express a TCR specific for H-2IEd HAc for H-2IEd HA

Antigens can be targeted to DCs in vivo by means of the DAntigens can be targeted to DCs in vivo by means of the DEC-205 endocytosis receptorEC-205 endocytosis receptor

Page 4: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

ObjectionObjection As the exact cellular and molecular mechanisms i

nvolved in the peripheral generation of CD4+CD25+ suppressor T cells are not known, we investigated whether this process can be initiated through antigen presentation by dendritic cells (DCs).

This seemed an important issue to study, as cross-presentation of tumor-specific antigens by major histocompatibility complex class II molecules on DCs could constitute an essential pathway by which tumor cells induce Foxp3-expressing suppressor T cells.

Page 5: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

QuestionQuestion

What conditions are suited for the induction of antigen-specific Foxp3+CD4+CD25+ suppressor T cells in the context of a fully mature immune system using anti-DEC–HA?

Page 6: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

90% or more of the CD25+ cells were stained with the clonotypic 6.5 TCR antibody

1.Conversion of naive CD4+CD25– T cells into CD4+CD25+ T cells.

single-dose injection ofanti-DEC–HA resulted in little TCR internalization

Page 7: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

QuestionQuestion Does CD4+CD25+ T cells express the Foxp3

which is the marker of T regulatory cells? Does the converted Foxp3+CD25+ T cells

have regulatory function?

Page 8: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

2. Foxp3 expression and antigen-specificsuppression by CD4+CD25+ T cells

Lenovo User
Foxp3 protein expression in Thy-1.2+CD4+CD25– T cells from Rag2–/– TCR-transgenic donor mice was belowthe limit of detection
Lenovo User
In vitro, converted CD25+ cells suppressed naive 6.5+ cells as efficiently as CD25+cells from TCR-HA � pgk-HA mice that coexpressed the transgenic TCR forHA(107–119) and hemagglutinin
USER
At 14 d after transfer into Thy-1-mismatched hosts and administration of anti-DEC–HA, about 85%of Thy-1.2+CD4+ CD25+ T cells were Foxp3+ (Fig. 2a, bottom). Lessthan 5% of Thy-1.2+CD4+CD25– T cells stained positively for Foxp3(Fig. 2a, bottom)
USER
We adoptivelytransferred purified naive CD4+CD25– T cells (2 � 106) fromThy-1-matched donor Rag2–/–6.5+ mice (Thy-1.2+) into BALB/cThy-1.2+ mice and injected recipient mice with 40 ng anti-DEC–HAon the next day. Then, 3 weeks later, we gave the recipient mice smallnumbers of Rag2–/–6.5+Thy-1.1+ effector T cells (2 � 105), followed by
Page 9: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

QuestionQuestionWhat conditions are favoring for suppressor

cell generation?Antigen dose?DC activation?Cell division?

Routes of antigen administration?

Page 10: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

3. Efficient induction of CD4+CD25+ regulatory T cells requires low doses of anti-DEC–HA and lack of co

stimulation.

USER
strong activation of DCs and high doses ofantigen induced increased T cell proliferation but no stable conversioninto Foxp3+ suppressor cells.
Page 11: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

Injection of either a substantial amount of anti-DEC–HA or injectiontogether of minute amounts of anti-DEC–HA plus anti-CD40 did notresult in efficient and long-lasting conversion of CD4+CD25– naive

T cells into Foxp3+CD4+CD25+ suppressor T cells

Page 12: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

4. Inverse relationship of cell division and CD25 expression.

converted suppressor T cell populations generated in subimmunogenic conditions could subsequently be expanded by delivering antigen in immunogenicconditions

USER
anti-DEC–HA–inducedCD4+CD25+ suppressor T cells proliferated extensively in antigendraininglymph nodes of mice immunized with HA(107–119) in IFA3 weeks after administration of anti-DEC–HA
Page 13: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

Different routes of administration of anti-DEC–HA (intraperitoneal, intravenous and subcutaneous) were similarly efficient in CD25+ suppressor T cell induction (data not shown).

Also, prolonged subcutaneous infusion of small amounts of anti-DEC–HA (10 ng/d for 14 d) by means of osmotic mini-pumps did not increase the absolute numbers of induced Foxp3+CD4+CD25+ suppressor T cells (data not shown).

Furthermore, injection of less than 40 ng anti-DEC–HA resulted in a much reduced recovery of initially seeded T cells 14 d after injection (data not shown).

Page 14: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

BackgroundBackground

TGF-beta could help the conversion of in vitro–stimulated peripheral CD4+CD25– T cells into suppressor cells suggests that TGF-b signaling could be involved in the antigen-driven conversion of suppressor cells in vivo.

Consistent with that idea, mice deficient in components of the TGF-beta–TGF-beta receptor system have reduced numbers of peripheral CD4+CD25+ T cells

Page 15: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

QuestionQuestion

The role of TGF-beta in antigen The role of TGF-beta in antigen induced T regulator cells induced T regulator cells generation?generation?

Page 16: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

5.Impaired TGF-betaR signaling diminishes conversion of naive T cells into CD4+CD25+ regulatory T cells.

Lenovo User
Analysis 14 d after antibodyinjection showed that the percentage of dnTGF-bRII+CD4+Thy-1.2+T cells with CD25 surface and Foxp3 expression was diminishedconsiderably
Lenovo User
Foxp3 expression was diminishedconsiderably (Fig. 5a, top and bottom) and was accompanied bymuch more extensive proliferation than that of wild-type CD4+6.5+T cells
Page 17: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

ConclusionConclusion TGF-beta receptor signaling–dependent inhibit

ion of proliferation correlated with more efficient in vivo conversion of naive T cells into CD4+CD25+ regulatory T cells.

Q: whether increased TGF-b receptor signaling could reduce proliferation and enhance anti-DEC–HA–mediated conversion

in vivo?

Page 18: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

6.Costimulation of naive CD4+CD25– T cells in vitro by TCR and TGF-beta receptor.

Page 19: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

In vitro, TGF-b1 slightly inhibited anti-CD3- and anti-CD28-mediated T cell proliferation at 36 and 60 h of culture

Foxp3 mRNA expression was induced in vitro only when cells were stimulated with TGF-b1 plus anti-CD3 and anti-CD28

cells stimulated with TGF-b1 plus anti-CD3 and anti-CD28 expressed Foxp3 protein 36 h after stimulation, and this increased to 23% at day 3. Foxp3 expression correlated with CD25 surface expression

Page 20: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

7. In vivo conversion of naive CD4+CD25– T cells costimulated in vitro with TCR and TGF-beta.

Page 21: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

BackgroundBackground IL-2 is a cytokine that controls proliferation of ant

igenically stimulated T cells.

Q: whether IL-2 interfered with or enhanced the conversion of naive T cells into CD4+CD25+ suppressor T cells??

Page 22: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

8.Efficient conversion of Il2–/–CD4+CD25– naive T cells into regulatory T cells.

Page 23: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

lack of autocrine IL-2 reduced proliferation mediated by anti-DEC–HA

converted Il-2–/–CD4+6.5+ T cells proliferated in

antigen-draining lymph nodes after immunization

with peptide in IFA

USER
The reduced proliferation in response to antigen deliveredby anti-DEC did not seem to be due to an intrinsic defect inproliferation of converted cells,
Page 24: Inducing and expanding regulatory T cell populations by foreign antigen Karsten Kretschmer NATURE IMMUNOLOGY 2005; 6:1219

ConclusionConclusion Conversion was achieved by minute antigen doses witConversion was achieved by minute antigen doses wit

h suboptimal dendritic cell activation. h suboptimal dendritic cell activation. The addition of transforming growth factor-b or the aThe addition of transforming growth factor-b or the a

bsence of interleukin 2 production, which reduces probsence of interleukin 2 production, which reduces proliferation, enhanced the conversion rate. liferation, enhanced the conversion rate.

regulatory T cell populations induced in subimmunogregulatory T cell populations induced in subimmunogenic conditions could be expanded by delivery of antienic conditions could be expanded by delivery of antigen in immunogenic conditions.gen in immunogenic conditions.

The extrathymic generation and proliferation of regulThe extrathymic generation and proliferation of regulatory T cells may contribute to self-tolerance as well atory T cells may contribute to self-tolerance as well as the poor immunogenicity of tumors and may be exas the poor immunogenicity of tumors and may be exploited clinically to prevent or reverse unwanted immploited clinically to prevent or reverse unwanted immunity.unity.