Abstract: |
A comprehensive understanding of the complex, autologous cellular interactions and regulatory mechanisms that occur during normal dendritic cell (DC)-stimulated immune responses is critical to optimizing DC-based immunotherapy. We have found that mature, immunogenic human monocyte-derived DCs (moDCs) up-regulate the immune-inhibitory enzyme, indoleamine 2,3-dioxygenase (IDO). Under stringent autologous culture conditions without exogenous cytokines, mature moDCs expand regulatory T cells (Tregs) by an IDO-dependent mechanism. The priming of resting T cells with autologous, IDO-expressing, mature moDCs results in up to 10-fold expansion of CD4<sup>+</sup>CD25 <sup>bright</sup>Foxp3<sup>+</sup>CD127<sup>neg</sup> Tregs. Treg expansion requires moDC contact, CD80/CD86 ligation, and endogenous interleukin-2. Cytofluorographically sorted CD4<sup>+</sup> CD25<sup>bright</sup>Foxp3 <sup>+</sup> Tregs inhibit as much as 80% to 90% of DC-stimulated autologous and allogeneic T-cell proliferation, in a dose-dependent manner at Treg: T-cell ratios of 1:1, 1:5, and as low as 1:25. CD4<sup>+</sup>CD25 <sup>bright</sup>Foxp3<sup>+</sup> Tregs also suppress the generation of cytotoxic T lymphocytes specific for the Wilms tumor antigen 1, resulting in more than an 80% decrease in specific target cell lysis. Suppression by Tregs is both contact-dependent and transforming growth factor-β-mediated. Although mature moDCs can generate Tregs by this IDO-dependent mechanism to limit otherwise unrestrained immune responses, inhibition of this counter-regulatory pathway should also prove useful in sustaining responses stimulated by DC-based immunotherapy. © 2009 by The American Society of Hematology. |
Keywords: |
controlled study; protein expression; human cell; genetics; transcription factor foxp3; cell proliferation; t lymphocyte; t-lymphocytes; cytology; cells, cultured; dendritic cell; enzymology; cd4+ cd25+ t lymphocyte; regulatory t lymphocyte; antigen presentation; immunology; dendritic cells; immunotherapy; cell culture; t-lymphocytes, regulatory; cytotoxic t lymphocyte; t-lymphocytes, cytotoxic; cytolysis; upregulation; indoleamine 2,3 dioxygenase; protein folding; monocyte; indoleamine-pyrrole 2,3,-dioxygenase; monocytes; up-regulation
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