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From the Howard Hughes Medical Institute, the Center for Cancer Research, and the Department of Biology, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139

Autoimmune diseases result from a failure of tolerance. Although many self-reactive T cells are present in animals and humans, their activation appears to be prevented normally by regulatory T cells. In this study, we show that regulatory CD4⁺ T cells do protect mice against the spontaneous occurrence of experimental autoimmune encephalomyelitis (EAE), a mouse model for multiple sclerosis. Anti–myelin basic protein (MBP) TCR transgenic mice (T/R⁺) do not spontaneously develop EAE although many self-reactive T cells are present in their thymi and peripheral lymphoid organs. However, the disease develops in all crosses of T/R⁺ mice with recombination-activating gene (RAG)-1 knockout mice in which transgenic TCR-expressing cells are the only lymphocytes present (T/R^– mice). In this study, crosses of T/R⁺ mice with mice deficient for B cells, CD8⁺ T cells, NK1.1 CD4⁺ T (NKT) cells, / T cells, or /β T cells indicated that /β CD4⁺ T cells were the only cell population capable of controlling the self-reactive T cells. To confirm the protective role of CD4⁺ T cells, we performed adoptive transfer experiments. CD4⁺ T cells purified from thymi or lymph nodes of normal mice prevented the occurrence of spontaneous EAE in T/R^– mice. To achieve full protection, the cells had to be transferred before the recipient mice manifested any symptoms of the disease. Transfer of CD4⁺ T cells after the appearance of symptoms of EAE had no protective effect. These results indicate that at least some CD4⁺ T cells have a regulatory function that prevent the activation of self-reactive T cells.

Key Words: autoimmune disease • experimental autoimmune encephalomyelitis • CD4⁺ T cells • regulatory cells • adoptive transfer

Abbreviations used: CNS, central nervous system; EAE, experimental autoimmune encephalomyelitis; KO, knockout; MBP, myelin basic protein; NOD, nonobese diabetic; RAG, recombination-activating gene.

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