Sakaguchi Shimon
Department of Experimental Pathology, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan.
Methods Mol Biol. 2011;707:3-17. doi: 10.1007/978-1-61737-979-6_1.
Despite the skepticism that once prevailed among immunologists, it is now widely accepted that the normal immune system harbors a T-cell population, called regulatory T cells (Treg cells), specialized for immune suppression. It was first shown that depletion of a T-cell subpopulation from normal rodents produced autoimmune disease. Search for a molecular marker specific for such autoimmune-preventive Treg cells has revealed that the majority, if not all, of them constitutively express the CD25 molecule as depletion of CD25(+)CD4(+) T cells spontaneously evokes autoimmune disease in otherwise normal rodents. The expression of CD25 by Treg cells has made it possible to delineate their developmental pathways, in particular their thymic development, and establish simple in vitro assay for assessing their suppressive activity. The marker and the in vitro assay have helped to identify human Treg cells with similar functional and phenotypic characteristics. Recent efforts have shown that natural Treg cells specifically express the transcription factor Foxp3 and that mutations of the Foxp3 gene produce a variety of immunological diseases in humans and rodents. Specific expression of Foxp3 in natural Treg cells has enabled their functional and developmental characterization by genetic approach. These studies altogether have provided firm evidence for Foxp3(+)CD25(+)CD4(+) Treg cells as an indispensable cellular constituent of the normal immune system for establishing and maintaining immunologic self-tolerance and immune homeostasis. Treg cells are now within the scope of clinical use to treat immunological diseases and control physiological and pathological immune responses.
尽管免疫学家曾一度普遍持怀疑态度,但现在人们广泛接受的是,正常免疫系统中存在一种称为调节性T细胞(Treg细胞)的T细胞群体,专门负责免疫抑制。最初的研究表明,从正常啮齿动物体内去除一个T细胞亚群会引发自身免疫性疾病。对这种预防自身免疫的Treg细胞特异性分子标志物的研究发现,其中大多数(如果不是全部的话)组成性表达CD25分子,因为去除CD25(+)CD4(+) T细胞会在原本正常的啮齿动物中自发引发自身免疫性疾病。Treg细胞对CD25的表达使得描绘它们的发育途径成为可能,特别是它们在胸腺中的发育,并建立简单的体外试验来评估它们的抑制活性。这种标志物和体外试验有助于识别具有相似功能和表型特征的人类Treg细胞。最近的研究表明,天然Treg细胞特异性表达转录因子Foxp3,并且Foxp3基因的突变会在人类和啮齿动物中引发多种免疫疾病。Foxp3在天然Treg细胞中的特异性表达使得通过基因方法对它们进行功能和发育特征分析成为可能。这些研究共同为Foxp3(+)CD25(+)CD4(+) Treg细胞作为正常免疫系统中建立和维持免疫自身耐受及免疫稳态不可或缺的细胞成分提供了确凿证据。Treg细胞现在已在临床应用范围内,用于治疗免疫疾病以及控制生理和病理免疫反应。