Abstract

Type 1 regulatory T (Tr1) cells play a fundamental role in maintaining and inducing immune tolerance. Our preliminary study demonstrated that an interleukin- (IL-) 10-mediated pathway is a possible regulatory mechanism underlying the xenoantigen-specific human Treg enhanced suppressive capacity. Here, we developed a feasible protocol for expanding IL-10-induced xenoantigen-specific human Tr1 cells in vitro which would be more efficient in transplantation immunotherapy efficiency. In this study, xenoantigen-specific Tr1 cells are generated from human naive CD4+ T cells expanded for two subsequent xenoantigen-stimulation cycles with recombinant human IL-10. The phenotype and suppressive capacity of xenoantigen-stimulated Tr1 cells are assessed, and the mechanism of their suppression is studied. Tr1 cells can be induced by porcine xenoantigen stimulation combined with IL-10, IL-2, and IL-15, displaying an increased expression of CD49b, CTLA-4, and LAG-3 without expressing Foxp3 which also showed an effector memory Treg phenotype and expressed high levels of CD39. After xenoantigen stimulation, the IL-10 and IL-5 gene expression in Tr1 cells increased, secreting more IL-10, and xenoantigen-stimulated Tr1 cells changed their T cell receptor (TCR) Vβ repertoire, increasing the expression of TCR Vβ2, TCR Vβ9, and TCR Vβ13. In a pig to human mixed lymphocyte reaction (MLR), xenoantigen-stimulated Tr1 cells displayed enhanced suppressive capacity via CD39 in a dose-dependent manner. Moreover, IL-5 could affect the proliferation of xenoantigen-specific Tr1 cells, but not their phenotypes' expression. This study provides a theory and feasible method for immune tolerance induction in clinical xenotransplantation.

Highlights

  • Regulatory T cells (Tregs) are known to restrain immune responses to self-antigens, nonself-antigens, and associated inflammation [1]

  • Accumulated evidence indicated that adoptive transfer with antigen-specific Tregs prevents xenograft rejection by downregulating the immune responses of effector T cells [3, 4] and tissue injuries by exerting ontargeted suppression function [5]

  • Extensive studies demonstrated that Tr1 cells, which represent the major subset of the regulatory T cell population, can reverse tissue damage and transplant survival in graft-versushost disease (GVHD) [11,12,13] and slow the progression of type 1 diabetes [14, 15]

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Summary

Introduction

Regulatory T cells (Tregs) are known to restrain immune responses to self-antigens, nonself-antigens, and associated inflammation [1]. Previous studies indicated that Tregs’ adoptive transfer is an immunomodulatory therapy to prevent type 1 diabetes, autoimmune diseases, graft-versushost disease (GVHD), and rejection during organ transplantation [2, 3]. Accumulated evidence indicated that adoptive transfer with antigen-specific Tregs prevents xenograft rejection by downregulating the immune responses of effector T cells [3, 4] and tissue injuries by exerting ontargeted suppression function [5]. Extensive studies demonstrated that Tr1 cells, which represent the major subset of the regulatory T cell population, can reverse tissue damage and transplant survival in GVHD [11,12,13] and slow the progression of type 1 diabetes [14, 15].

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