The impact of regulatory T cells on T-cell immunity following hematopoietic cell transplantation

Blood. 2008 Jan 15;111(2):945-53. doi: 10.1182/blood-2007-07-103895. Epub 2007 Oct 4.

Abstract

Regulatory T cells (Tregs) prevent graft-versus-host disease (GvHD) by inhibiting the proliferation and function of conventional T cells (Tcons). However, the impact of Tregs on T-cell development and immunity following hematopoietic cell transplantation (HCT) is unknown. Using a murine GvHD model induced by Tcons, we demonstrate that adoptive transfer of Tregs leads to (1) abrogration of GvHD, (2) preservation of thymic and peripheral lymph node architecture, and (3) an accelerated donor lymphoid reconstitution of a diverse TCR-Vbeta repertoire. The resultant enhanced lymphoid reconstitution in Treg recipients protects them from lethal cytomegalovirus (MCMV) infection. By contrast, mice that receive Tcons alone have disrupted lymphoid organs from GvHD and remain lymphopenic with a restricted TCR-Vbeta repertoire and rapid death on MCMV challenge. Lymphocytes from previously infected Treg recipients generate secondary response specific to MCMV, indicating long-term protective immunity with transferred Tregs. Thymectomy significantly reduces survival after MCMV challenge in Treg recipients compared with euthymic controls. Our results indicate that Tregs enhance immune reconstitution by preventing GvHD-induced damage of the thymic and secondary lymphoid microenvironment. These findings provide new insights into the role of Tregs in affording protection to lymphoid stromal elements important for T-cell immunity.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adoptive Transfer*
  • Animals
  • Disease Models, Animal
  • Graft vs Host Disease / immunology
  • Graft vs Host Disease / therapy*
  • Graft vs Host Disease / virology
  • Hematopoietic Stem Cell Transplantation*
  • Herpesviridae Infections / immunology
  • Herpesviridae Infections / prevention & control*
  • Immunity, Cellular
  • Lymph Nodes / immunology
  • Lymph Nodes / virology
  • Lymphocyte Transfusion
  • Mice
  • Mice, Inbred BALB C
  • Muromegalovirus / immunology*
  • Receptors, Antigen, T-Cell, alpha-beta / immunology
  • Recovery of Function / immunology
  • T-Lymphocytes, Regulatory / immunology
  • T-Lymphocytes, Regulatory / transplantation*
  • Thymectomy
  • Thymus Gland / immunology
  • Thymus Gland / virology
  • Transplantation Immunology*

Substances

  • Receptors, Antigen, T-Cell, alpha-beta