Prevention of toxic epidermal necrolysis by regulatory T cells

Eur J Immunol. 2005 Jun;35(6):1722-30. doi: 10.1002/eji.200425773.


To analyze immunoregulation of autoreactive T cells specific for epidermal skin antigens, we crossed transgenic mice expressing ovalbumin selectively in keratinocytes under the keratin 5 promoter (K5-mOVA) with mice expressing a K(b)-restricted OVA-specific T cell receptor transgene (OT-I). In athymic double-transgenic mice, OT-I cells developed extrathymically and, at 8-12 weeks of age, initiated severe epidermal damage mimicking toxic epidermal necrolysis (TEN). In contrast, euthymic double-transgenic mice showed thymic deletion of OT-I cells, had few of these cells in the periphery, and never developed skin changes mimicking TEN. Adoptive transfer of OT-I cells isolated from euthymic double-transgenic mice induced TEN in athymic K5-mOVA single-transgenic mice. This spontaneous disease in athymic double-transgenic mice was prevented by transferring lymph node cells from euthymic mice, but was not prevented when CD4(+) or CD25(+) cells were depleted from this population. Although purified CD4(+)CD25(+) cells scarcely prevented the skin disease induced by adoptive transfer of OT-I cells, they efficiently prevented the disease when co-transferred with CD11c(+) dendritic cells. These results suggested that thymus-derived regulatory T cells cooperate with CD11c(+) dendritic cells to prevent life-threatening skin damage such as TEN.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Animals
  • CD11c Antigen / analysis
  • Immunophenotyping
  • Keratin-15
  • Keratin-5
  • Keratins / physiology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Nude
  • Mice, Transgenic
  • Ovalbumin / immunology
  • Receptors, Interleukin-2 / analysis*
  • Stevens-Johnson Syndrome / prevention & control*
  • T-Lymphocytes, Regulatory / physiology*


  • CD11c Antigen
  • Keratin-15
  • Keratin-5
  • Krt15 protein, mouse
  • Receptors, Interleukin-2
  • Keratins
  • Ovalbumin