Introduction: CD4+CD25highFoxP3+ regulatory T-cells (Tregs) are of central importance in the immunological adaptation process following transplantation. Transfusing Tregs in order to induce tolerance represents a new therapeutical attempt to reduce or completely replace immunosuppressive treatment after transplantation. Thus, transplantation experiments in animal models (e.g. rat) currently are conducted to optimize this approach. However, the existing human protocols for in vitro expansion of Tregs cannot be applied directly transferred due to species specific differences. The aim of this study hence was the establishment of a method to expand rat regulatory T-cells from very small samples which would enable subsequent in vivo transplantation experiments - even using autologous cells. Methods: CD4+CD25high Tregs were isolated from lymph nodes of Lewis rats via cell sorting. Tregs were then cultured in RPMI-based medium in the presence of mAb to CD3 and CD28. Under the influence of different additional stimuli such as supplementation of interleukin-2 (IL-2), proliferation rates and viability of the cells were investigated. The influence of the applied culture conditions on the suppressive activity and phenotype of expanded Tregs was examined. Results: Following 7/14 days of expansion, the addition of IL-2 (n=15) led to approximately 3.3±3.1/3.4±2.2-fold expansion of Tregs, retaining a viability of 74.1±13.9%/32.2±8.9%, respectively. When replacing IL-2 with supernatant of a ConA-stimulated splenocyte culture (n=13), Tregs showed increased expansion rates of 11.4±8.8/8.3±4.2-fold (day 7/14) but at the same time a decrease in viability was evident (65.2±14.8% /24.7±10.4). Therefore the combination of both stimuli was tested as a third group (n=9), thus enhancing proliferation (9.4±3.5-fold) and cell viability (77.5±11.0%) which, in addition, remained stable until culture day 14 (9.8±7.4-fold expansion, 30.1±12.0% viability). The use of ConA-supernatant led to decreased FoxP3-expression as measured on day 7 (IL-2: 73.5±9.4%, ConA-supernatant: 27.6±2.2%, alternating stimuli: 43.4±22.5%) but interestingly, Tregs of all groups were functional and efficiently suppressed expansion of responder T-cells (IL-2: 94.1%, ConA-supernatant: 84.0%, alternating stimuli: 93.2%). Conclusion: The expansion of regulatory T-cells in the rat is significantly more difficult than in humans. However, the newly established protocol (IL-2 + supernatant of ConA-stimulated splenocytes) allows the efficient expansion of Tregs which maintain their strong suppressive functionality despite the partial loss of FoxP3-expression.
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