Volume 46, Issue 3 , Pages 215-221, September 2007
Regulatory T Cells: Potential Target in Anticancer Immunotherapy
Article Outline
Summary
The concept of regulatory T cells was first described in the early 1970s, and regulatory T cells were called suppressive T cells at that time. Studies that followed have demonstrated that these suppressive T cells negatively regulated tumor immunity and contributed to tumor growth in mice. Despite the importance of these studies, there was extensive skepticism about the existence of these cells, and the concept of suppressive T cells left the center stage of immunologic research for decades. Interleukin-2 receptor α-chain, CD25, was first demonstrated in 1995 to serve as a phenotypic marker for CD4+ regulatory cells. Henceforth, research of regulatory T cells boomed. Regulatory T cells are involved in the pathogenesis of cancer, autoimmune disease, transplantation immunology, and immune tolerance in pregnancy. Recent evidence has demonstrated that regulatory T cellmediated immunosuppression is one of the crucial tumor immune evasion mechanisms and the main obstacle of successful cancer immunotherapy. The mechanism and the potential clinical application of regulatory T cells in cancer immunotherapy are discussed.
Key Words: CD25 , Foxp3 , immunotherapy , regulatory T cells
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References
- . Cancer antigens: immune recognition of self and altered self . J Exp Med . 1994;180:1–4
- . Tumor antigens recognized by T lymphocytes . Annu Rev Immunol . 1994;12:337–365
- . Implicating a role for immune recognition of self in tumor rejection: passive immunization against the brown locus protein . J Exp Med . 1995;182:1609–1614
- . Vitiligo in patients with melanoma: normal tissue antigens can be targets for cancer immunotherapy . J Immunother Emphasis Tumor Immunol . 1996;19:81–84
- . T-cell-mediated suppression of anti-tumor immunity. An explanation for progressive growth of an immunogenic tumor . J Exp Med . 1980;151:69–80
- . Down-regulation of the antitumor immune response . Adv Cancer Res . 1985;45:1–43
- . Regulation of cellular immune response against autologous human melanoma. I. Evidence for cell-mediated suppression of in vitro cytotoxic immune response . J Immunol . 1986;136:1888–1892
- . Regulation of cellular immune response against autologous human melanoma. II. Mechanism of induction and specificity of suppression . J Immunol . 1986;136:1893–1898
- . Clonal analysis of cytotoxic and regulatory T cell responses against human melanoma . J Exp Med . 1989;169:1961–1976
- . Immunologic self-tolerance maintained by activated T cells expressing IL-2 receptor alpha-chains (CD25). Breakdown of a single mechanism of self-tolerance causes various autoimmune diseases . J Immunol . 1995;155:1151–1164
- . Ionizing radiation and autoimmunity. Induction of autoimmune disease in mice by high dose fractionated total lymphoid irradiation and its prevention by inoculating normal T cells . J Immunol . 1994;152:2586–2595
- . CD4+ regulatory cells as a potential immunotherapy . Philos Trans R Soc Lond B Biol Sci . 2005;360:1647–1661
- . Regulatory T cells and tumor immunity . Cancer Immunol Immunother . 2005;54:1153–1161
- . Regulatory T cells: development, function and role in autoimmunity . Autoimmun Rev . 2005;4:351–363
- . Naturally arising Foxp3-expressing CD25+ CD4+ regulatory T cells in immunological tolerance to self and non-self . Nat Immunol . 2005;6:345–352
- . CD4+ CD25high regulatory T cells in human pregnancy . J Reprod Immunol . 2005;65:111–120
- . Natural versus adaptive regulatory T cells . Nat Rev Immunol . 2003;3:253–257
- . Organ-specific autoimmune diseases induced in mice by elimination of T cell subset. I. Evidence for the active participation of T cells in natural self-tolerance; deficit of a T cell subset as a possible cause of autoimmune disease . J Exp Med . 1985;161:72–87
- Phenotypically distinct subsets of CD4+ T cells induce or protect from chronic intestinal inflammation in C. B-17 scid mice . Int Immunol . 1993;5:1461–1471
- . CD4+ CD25high regulatory cells in human peripheral blood . J Immunol . 2001;167:1245–1253
- . Homeostasis of peripheral CD4+ T cells: IL-2R alpha and IL-2 shape a population of regulatory cells that controls CD4+ T cell numbers . J Immunol . 2002;169:4850–4860
- . Homeostatic maintenance of natural Foxp3(+) CD25(+) CD4(+) regulatory T cells by interleukin (IL)-2 and induction of autoimmune disease by IL-2 neutralization . J Exp Med . 2005;201:723–735
- . Cytotoxic T lymphocyte-associated antigen 4 plays an essential role in the function of CD25(+)CD4(+) regulatory cells that control intestinal inflammation . J Exp Med . 2000;192:295–302
- Immunologic self-tolerance maintained by CD25(+)CD4(+) regulatory T cells constitutively expressing cytotoxic T lymphocyte-associated antigen 4 . J Exp Med . 2000;192:303–310
- Expression of the integrin alpha Ebeta 7 identifies unique subsets of CD25+ as well as CD25-regulatory T cells . Proc Natl Acad Sci U S A . 2002;99:13031–13036
- . CD4(+)CD25(+) immunoregulatory T cells: gene expression analysis reveals a functional role for the glucocorticoid-induced TNF receptor . Immunity . 2002;16:311–323
- . Human CD4+ CD25+ regulatory T cells . Semin Immunol . 2004;16:89–98
- . Isolation and functional characterization of regulatory CD25bright CD4+ T cells from the target organ of patients with rheumatoid arthritis . Eur J Immunol . 2003;33:215–223
- . Human anergic/suppressive CD4(+)CD25(+) T cells: a highly differentiated and apoptosis-prone population . Eur J Immunol . 2001;31:1122–1131
- . Characterization of peripheral regulatory CD4+ T cells that prevent diabetes onset in nonobese diabetic mice . J Immunol . 2000;164:240–247
- . Hassall's corpuscles instruct dendritic cells to induce CD4+ CD25+ regulatory T cells in human thymus . Nature . 2005;436:1181–1185
- . In vivo instruction of suppressor commitment in naive T cells . J Exp Med . 2004;199:1401–1408
- . CD4+ CD25+ suppressor T cells: more questions than answers . Nat Rev Immunol . 2002;2:389–400
- . Cell contact-dependent immunosuppression by CD4(+)CD25(+) regulatory T cells is mediated by cell surface-bound transforming growth factor beta . J Exp Med . 2001;194:629–644
- . Inhibition of human CD4(+)CD25(+high) regulatory T cell function . J Immunol . 2002;169:6210–6217
- . Human CD25(+)CD4(+) T regulatory cells suppress naive and memory T cell proliferation and can be expanded in vitro without loss of function . J Exp Med . 2001;193:1295–1302
- . Mechanisms of suppression by suppressor T cells . Nat Immunol . 2005;6:338–344
- . Tumor-induced immune dysfunction . Cancer Immunol Immunother . 1999;48:353–362
- . Immune evasion by tumours: involvement of the CD95 (APO-1/Fas) system and its clinical implications . Mol Med Today . 1998;4:63–68
- . Mini-review: overcoming tumor-intrinsic resistance to immune effector function . Eur J Immunol . 2004;34:2635–2641
- Visualization of naturally occurring Foxp3+ regulatory T cells in normal and tumor-bearing mice . Int Immunopharmacol . 2004;4:1785–1793
- . Regulatory T cells: key controllers of immuno-logic self-tolerance . Cell . 2000;101:455–458
- . The role of regulatory T cells in controlling immunologic self-tolerance . Int Rev Cytol . 2003;225:1–32
- Treatment of advanced tumors with agonistic anti-GITR mAb and its effects on tumor-infiltrating Foxp3+ CD25+ CD4+ regulatory T cells . J Exp Med . 2005;202:885–891
- . Tumor rejection by in vivo administration of anti-CD25 (interleukin-2 receptor alpha) monoclonal antibody . Cancer Res . 1999;59:3128–3133
- . Depletion of CD25+ regulatory cells results in suppression of melanoma growth and induction of autoreactivity in mice . Cancer Immun . 2002;2:1
- . Characteristics of CD4+CD25+ regulatory T cells in the peripheral circulation of patients with head and neck cancer . Br J Cancer . 2005;92:913–920
- . Increase of regulatory T cells in the peripheral blood of cancer patients . Clin Cancer Res . 2003;9:606–612
- . Increased populations of regulatory T cells in peripheral blood and tumor-infiltrating lymphocytes in patients with gastric and esophageal cancers . Clin Cancer Res . 2003;9:4404–4408
- Prevalence of regulatory T cells is increased in peripheral blood and tumor microenvironment of patients with pancreas or breast adeno-carcinoma . J Immunol . 2002;169:2756–2761
- . Heavy chain ferritin activates regulatory T cells by induction of changes in dendritic cells . Blood . 2002;99:3326–3334
- . Induction of tumor immunity by removing CD25+ CD4+ T cells: a common basis between tumor immunity and autoimmunity . J Immunol . 1999;163:5211–5218
- Synergism of cytotoxic T lymphocyte-associated antigen 4 blockade and depletion of CD25(+) regulatory T cells in anti-tumor therapy reveals alternative pathways for suppression of autoreactive cytotoxic T lymphocyte responses . J Exp Med . 2001;194:823–832
- Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival . Nat Med . 2004;10:942–949
- . Immune regulation in tumor-bearing hosts . Curr Opin Immunol . 2006;18:214–219
- . Intra-tumoural regulatory T cells: a potential new target in cancer immunotherapy . Biochem Biophys Res Commun . 2006;343:684–691
- . CTLA-4 blockade: unveiling immune regulation . J Clin Oncol . 2005;23:662–664
- . Cyclophosphamide-induced immuno-logically mediated regression of a cyclophosphamide-resistant murine tumor: a consequence of eliminating precursor L3T4+ suppressor T-cells . Cancer Res . 1989;49:1649–1654
- CD4+ CD25+ regulatory T cells inhibit experimental anti-glomerular basement membrane glomerulonephritis in mice . J Am Soc Nephrol . 2005;16:1360–1370
- . DAB(389)IL-2 (denileukin diftitox, ONTAK): review of clinical trials to date . Clin Lymphoma . 2000;1(Suppl 1):S33–S36
- Toll-like receptor 8-mediated reversal of CD4+ regulatory T cell function . Science . 2005;309:1380–1384
- . T helper 2 immunity to hepatitis B surface antigen primed by gene-gun-mediated DNA vaccination can be shifted towards T helper 1 immunity by codelivery of CpG motif-containing oligodeoxynucleo-tides . Scand J Immunol . 2003;58:350–357
- . Characterization of DNAbeta associated with begomoviruses in China and evidence for co-evolution with their cognate viral DNA-A . J Gen Virol . 2003;84:237–247
PII: S1028-4559(08)60023-6
doi:10.1016/S1028-4559(08)60023-6
© 2007 Taiwan Association of Obstetric & Gynecology. Published by Elsevier Inc. All rights reserved.
Volume 46, Issue 3 , Pages 215-221, September 2007
