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Published ahead of print on May 15, 2009, doi:10.1164/rccm.200809-1505OC

Am. J. Respir. Crit. Care Med., Volume 180, Number 3, August 2009, 211-225

A more recent version of this article appeared on August 1, 2009
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Submitted on September 26, 2008
Accepted on May 13, 2009

Naturally Occurring and Inducible T-Regulatory Cells Modulating Immune Response in Allergic Asthma

Halvor S McGee1 and Devendra K. Agrawal2*

1 Center for Clinical and Translational Science, Department of Biomedical Sciences, Creighton University School of Medicine, Omaha, Nebraska, United States, 2 Center for Clinical and Translational Science, Department of Biomedical Sciences, Creighton University School of Medicine, Omaha, Nebraska, United States; Center for Clinical and Translational Science, Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska, United States; Center for Clinical and Translational Science, Department of Medical Microbiology and Immunology, Creighton University School of Medicine, Omaha, Nebraska, United States

* To whom correspondence should be addressed. E-mail: dkagr{at}creighton.edu.

Rationale: T-regulatory cells (Tregs) are potent immunomodulators in allergic asthma. Objectives: We evaluated the functional effects of Tregs, by adoptively transferring naturally occurring CD4+CD25+ T- regulatory cells (NTregs) and CD4+CD25- inducible T-regulatory cells (iTregs) from lung and spleens of GFP-transgenic Balb/c mice into cockroach-sensitized and challenged mice. Methods: GFP-labeled NTregs and iTregs were adoptively transferred into cockroach-sensitized and challenged mice. AHR to methacholine was examined using a singlechamber, whole-body plethysmograph and invasive tracheostomy. Measurements and main results: Adoptive transfer of either Ntregs or iTregs from lung or spleen reversed airway inflammation and AHR to methacholine, and the effect lasted for at least four weeks. GFP-labeled iTregs up-regulated CD25 and Foxp3, and migrated to lymph node and lung. Lung CD4+CD25+ T-cells isolated from each group of recipients mice were ICOShigh and PD-1-positive; however, higher expression of PD-1 was found in the spleen iTregs (S25-) and lung iTregs (L25-) groups. Higher levels of TGF-{beta} and IL-10 mRNA transcripts, and BALF IL-10 and INF-{gamma} levels were observed in lung CD4+CD25+ cells from the L25- and S25- cell-recipient mice than from lung NTregs (L25+) and spleen NTregs (S25+) cell recipient mice. Adoptive transfer of either cell type significantly reduced BALF IL-4, IL-5 and IL-13 levels. Conclusion: Tregs reverse AHR and airway inflammation; however iTregs that differentiated into TR1 cells in the lung exert their suppressive activity likely by higher levels of TGF-{beta}, IL-10, IFN-{gamma} and elevated levels of PD-1 compared to NTregs. Hence, PD-1 may be a conduit for reversing AHR by Tregs and a plausible target for treating asthma.


Key words: airway hyper-responsiveness (AHR) • forkhead winged helix transcription factor box P3 (Foxp3) • inducible CD4+ CD25- T- regulatory cells (iTregs) • Naturally occurring CD4+CD25+ T- regulatory cells (NTregs) • Programmed death one (PD-1)







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