Regulatory T cells in the induction and maintenance of peripheral transplantation tolerance

SP Cobbold, L Graca, CY Lin, E Adams… - Transplant …, 2003 - Wiley Online Library
Transplant international, 2003Wiley Online Library
It is now possible to induce donor‐specific transplantation tolerance in adult rodents using
non‐depleting monoclonal antibodies against T cell co‐receptor and co‐stimulation
molecules or by immunisation with tolerogenic antigen‐presenting cells. It is a common
finding of all these models of peripheral tolerance, as well as of various mouse models of
autoimmune disease, that regulatory CD4+ T cells are the principal mediators. There are
currently no specific markers for regulatory T cells, but in some autoimmune models their …
Abstract
It is now possible to induce donor‐specific transplantation tolerance in adult rodents using non‐depleting monoclonal antibodies against T cell co‐receptor and co‐stimulation molecules or by immunisation with tolerogenic antigen‐presenting cells. It is a common finding of all these models of peripheral tolerance, as well as of various mouse models of autoimmune disease, that regulatory CD4+ T cells are the principal mediators. There are currently no specific markers for regulatory T cells, but in some autoimmune models their activity has been associated with the expression of activation markers such as CD25 and CTLA4, or anti‐inflammatory cytokines such as IL‐10 and TGF‐β. CD4+CD25+ T cells from both naïve and tolerised donors are able to transfer tolerance to grafts in lymphopenic recipients, and this may be directly applicable to bone‐marrow transplantation. The challenge is now to understand the biological principles that allow such immune re‐programming so that they can be safely applied to clinical organ grafting.
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