PMID- 20805478 OWN - NLM STAT- MEDLINE DCOM- 20101028 LR - 20240322 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 107 IP - 37 DP - 2010 Sep 14 TI - Enhancement of antigen-specific Treg vaccination in vivo. PG - 16246-51 LID - 10.1073/pnas.1007422107 [doi] AB - The conversion of naive T cells into Treg can be achieved in vivo by delivery of antigen under subimmunogenic conditions. Here we have examined several drugs for their ability to enhance the conversion process in vivo and have found that the rapamycin analog everolimus potently enhances Treg conversion by interfering with T-cell costimulation, reducing cell division and thereby activation of DNA methyltransferase 1 as well as by reducing T-cell activation through the ATP-gated P2x7 receptor controlling Ca2(+) influx. The resulting Tregs exhibit increased stability of Foxp3 expression even when generated in TGFbeta-containing media in vitro. Thus the mammalian target of rapamycin (mTOR) inhibitor everolimus in addition to inhibiting immune responses enhances Treg conversion by several distinct pathways. The converted Tregs can be further expanded by injection of IL-2/IL-2ab complexes. These complexes also increase the number of CD25(+)Foxp3(-) cells that, however, do not represent cytokine secreting effector cells but anergic cells, some of which can secrete IL-10 and can themselves be considered regulatory T cells as well. The combined use of everolimus and IL-2/IL-2ab complexes in vivo makes it feasible to achieve highly effective antigen-driven conversion of naive T cells into Treg and their expansion in vivo and thereby the described protocols constitute important tools to achieve immunological tolerance by Treg vaccination. FAU - Daniel, Carolin AU - Daniel C AD - Department of Cancer Immunology and AIDS, Dana-Farber Cancer Institute, Boston, MA 02115, USA. FAU - Wennhold, Kerstin AU - Wennhold K FAU - Kim, Hye-Jung AU - Kim HJ FAU - von Boehmer, Harald AU - von Boehmer H LA - eng GR - R37 AI053102/AI/NIAID NIH HHS/United States GR - NIH-AI-53102/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100830 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (Antigens) RN - 0 (Forkhead Transcription Factors) RN - 0 (Foxp3 protein, mouse) RN - 0 (Immunosuppressive Agents) RN - 0 (Interleukin-2) RN - 0 (Interleukin-2 Receptor alpha Subunit) RN - 0 (P2rx7 protein, mouse) RN - 0 (Receptors, Purinergic P2) RN - 0 (Receptors, Purinergic P2X7) RN - 130068-27-8 (Interleukin-10) RN - 9HW64Q8G6G (Everolimus) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Animals MH - Antigens/*immunology MH - Cell Proliferation/drug effects MH - Everolimus MH - Female MH - Forkhead Transcription Factors/immunology MH - Immunosuppressive Agents/pharmacology MH - Interleukin-10/immunology MH - Interleukin-2/immunology MH - Interleukin-2 Receptor alpha Subunit/immunology MH - Lymphocyte Activation MH - Mice MH - Mice, Inbred C57BL MH - Receptors, Purinergic P2/immunology MH - Receptors, Purinergic P2X7 MH - Sirolimus/analogs & derivatives/pharmacology MH - T-Lymphocytes, Regulatory/cytology/drug effects/*immunology MH - Vaccination PMC - PMC2941325 COIS- The authors declare no conflict of interest. EDAT- 2010/09/02 06:00 MHDA- 2010/10/29 06:00 PMCR- 2011/03/14 CRDT- 2010/09/01 06:00 PHST- 2010/09/01 06:00 [entrez] PHST- 2010/09/02 06:00 [pubmed] PHST- 2010/10/29 06:00 [medline] PHST- 2011/03/14 00:00 [pmc-release] AID - 1007422107 [pii] AID - 201007422 [pii] AID - 10.1073/pnas.1007422107 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2010 Sep 14;107(37):16246-51. doi: 10.1073/pnas.1007422107. Epub 2010 Aug 30.