Published online February 12, 2007
doi:10.1084/jem.20061334
The Journal of Experimental Medicine, Vol. 204, No. 2, 369-380
The Rockefeller University Press, 0022-1007 $30.00
© 2007 Marangoni et al.
WASP regulates suppressor activity of human and murine CD4+CD25+FOXP3+ natural regulatory T cells
Francesco Marangoni1,2,
Sara Trifari1,
Samantha Scaramuzza1,
Cristina Panaroni1,
Silvana Martino3,
Luigi D. Notarangelo4,
Zeina Baz5,
Ayse Metin6,
Federica Cattaneo1,
Anna Villa1,7,
Alessandro Aiuti1,
Manuela Battaglia1,
Maria-Grazia Roncarolo1,2, and
Loïc Dupré1
1 San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), 20132 Milan, Italy
2 Vita-Salute San Raffaele University, 20132 Milan, Italy
3 Department of Pediatrics, University of Turin, 10126 Turin, Italy
4 Department of Pediatrics, University of Brescia, Spedali Civili, 25125 Brescia, Italy
5 Department of Pediatrics, St. George Hospital University Medical Center, 1100 2807 Beirut, Lebanon
6 SB Ankara Diskapi Children's Hospital, 06500 Ankara, Turkey
7 Human Genome Department, Istituto di Tecnologie Biomediche, CNR ITB, 20090 Segrate, Milan, Italy
CORRESPONDENCE Maria-Grazia Roncarolo: m.roncarolo{at}hsr.it
A large proportion of Wiskott-Aldrich syndrome (WAS) patients develop autoimmunity and allergy. CD4+CD25+FOXP3+ natural regulatory T (nTreg) cells play a key role in peripheral tolerance to prevent immune responses to self-antigens and allergens. Therefore, we investigated the effect of WAS protein (WASP) deficiency on the distribution and suppressor function of nTreg cells. In WAS/ mice, the steady-state distribution and phenotype of nTreg cells in the thymus and spleen were normal. However, WAS/ nTreg cells engrafted poorly in immunized mice, indicating perturbed homeostasis. Moreover, WAS/ nTreg cells failed to proliferate and to produce transforming growth factor ß upon T cell receptor (TCR)/CD28 triggering. WASP-dependent F-actin polarization to the site of TCR triggering might not be involved in WAS/ nTreg cell defects because this process was also inefficient in wild-type (WT) nTreg cells. Compared with WT nTreg cells, WAS/ nTreg cells showed reduced in vitro suppressor activity on both WT and WAS/ effector T cells. Similarly, peripheral nTreg cells were present at normal levels in WAS patients but failed to suppress proliferation of autologous and allogeneic CD4+ effector T cells in vitro. Thus, WASP appears to play an important role in the activation and suppressor function of nTreg cells, and a dysfunction or incorrect localization of nTreg cells may contribute to the development of autoimmunity in WAS patients.
Abbreviations used: HD, healthy donor; MFI, mean fluorescence intensity; nTreg, CD4+CD25+FOXP3+ natural regulatory T; WAS, Wiskott-Aldrich syndrome; WASP, WAS protein.
L. Dupré's present address is INSERM U563, Purpan University Hospital, 31024 Toulouse Cedex 3, France.

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