Abstract

Abstract The aim of this study was to determine the means by which Tregs control disease in the NOD mouse model of autoimmune diabetes. Treatment of pre-diabetic mice with ongoing islet destruction with islet antigen-specific Tregs expanded from BDC2.5 TCR transgenic mice led to a rapid restoration of insulin production and a concomitant selective downregulation of a cytotoxic T lymphocyte signature, which included CD8α, IFNγ, granzymes A and B, and Cxcl9. This downregulation could be partially attributed to a decrease in intra-islet CD8 T cell numbers due to impaired recruitment of CD8 T cells to the islets. In addition, Treg treatment also reduced effector function of persisting CD8 T cells. Two-photon imaging showed that Tregs did not significantly disrupt interactions between islet CD8 T cells and dendritic cells, but abrogated IFNγ production by CD8 T cells. This suppression appeared to take place at multiple stages of CD8 T cell differentiation. Tregs inhibited differentiation of newly recruited CD8 T cells to IFNγ producers completely, but prevented IFNγ protein expression without affecting IFNγ message in pre-activated CD8 T cells. Altogether, these results indicate that CD8 T cells are the primary early targets of Treg control of tissue inflammation and rapid disease resolution by Tregs can be attributed to efficient control of CD8 T cell infiltration, reactivation in the tissue, and their expression of effector functions.

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