Abstract

T regulatory cell therapy presents a novel therapeutic strategy for patients with autoimmune diseases or who are undergoing transplantation. At present, the CD4+ Treg population has been extensively characterized, as a result of defined phenotypic and functional readouts. In this review article, we discuss the development and biology of CD8+ Tregs and their role in murine and human disease indications. A subset of CD8+ Tregs that lack the surface expression of CD28 (CD8+CD28− Treg) has proved efficacious in preclinical models. CD8+CD28− Tregs are present in healthy individuals, but their impaired functionality in disease renders them less effective in mediating immunosuppression. We primarily focus on harnessing CD8+ Treg cell therapy in the clinic to support current treatment for patients with autoimmune or inflammatory conditions.

Highlights

  • The immune system is a comprehensive network of multifaceted cells that exert an array of systemic and tissue-dependent functionalities

  • We have previously shown that, in rheumatoid arthritis (RA) patients, CD8+ CD28− T regulatory cells (Tregs) are dysfunctional due to defective suppressor function and/or the reduced responsiveness of target cells to suppression, which can be corrected by anti-TNF therapy [33]

  • We have shown that CD8+ CD28− Tregs are significantly increased numerically in the peripheral blood (PB) of RA patients treated with methotrexate (RA(MTX))

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Summary

Introduction

The immune system is a comprehensive network of multifaceted cells that exert an array of systemic and tissue-dependent functionalities. CD4+ Tregs has evolved to include a relatively small set of phenotypic and functional markers such as the expression of Foxp, CD127− /low and helios and inhibitory cytokine production: IL-10, IL-35 and transforming growth factor beta (TGF-β1). A vast array of markers and functions have been reported for CD8+ suppressor cells ( referred to as CD8+ Tregs) in mouse and human studies. Human placental trophoblasts can activate CD8+ Tregs [12] and, in the eye, ocular pigment epithelial cells can covert CD8+ T cells to CD8+ CD25+ Foxp3+ Tregs [13] This demonstrates that CD8+ Tregs can mediate suppression in immune privilege sites. We have previously shown that, in RA patients, CD8+ CD28− Tregs are dysfunctional due to defective suppressor function and/or the reduced responsiveness of target cells to suppression, which can be corrected by anti-TNF therapy [33].

Mechanisms
Multiple Sclerosis
Diabetes
Viral Infections
Transplantation
10. Cancer
11. Adoptive Cell Therapy
12. Concluding Remarks

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