Myelin-specific regulatory T cells accumulate in the CNS but fail to control autoimmune inflammation

T Korn, J Reddy, W Gao, E Bettelli, A Awasthi… - Nature medicine, 2007 - nature.com
T Korn, J Reddy, W Gao, E Bettelli, A Awasthi, TR Petersen, BT Bäckström, RA Sobel…
Nature medicine, 2007nature.com
Abstract Treatment with ex vivo–generated regulatory T cells (T-reg) has been regarded as a
potentially attractive therapeutic approach for autoimmune diseases. However, the dynamics
and function of T-reg in autoimmunity are not well understood. Thus, we developed
Foxp3gfp knock-in (Foxp3gfp. KI) mice and myelin oligodendrocyte glycoprotein (MOG) 35–
55/IAb (MHC class II) tetramers to track autoantigen-specific effector T cells (T-eff) and T-reg
in vivo during experimental autoimmune encephalomyelitis (EAE), an animal model for …
Abstract
Treatment with ex vivo–generated regulatory T cells (T-reg) has been regarded as a potentially attractive therapeutic approach for autoimmune diseases. However, the dynamics and function of T-reg in autoimmunity are not well understood. Thus, we developed Foxp3gfp knock-in (Foxp3gfp.KI) mice and myelin oligodendrocyte glycoprotein (MOG)35–55/IAb (MHC class II) tetramers to track autoantigen-specific effector T cells (T-eff) and T-reg in vivo during experimental autoimmune encephalomyelitis (EAE), an animal model for multiple sclerosis. MOG tetramer–reactive, Foxp3+ T-reg expanded in the peripheral lymphoid compartment and readily accumulated in the central nervous system (CNS), but did not prevent the onset of disease. Foxp3+ T cells isolated from the CNS were effective in suppressing naive MOG-specific T cells, but failed to control CNS-derived encephalitogenic T-eff that secreted interleukin (IL)-6 and tumor necrosis factor (TNF). Our data suggest that in order for CD4+Foxp3+ T-reg to effectively control autoimmune reactions in the target organ, it may also be necessary to control tissue inflammation.
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