The Journal of Experimental Medicine
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Published online July 9, 2007
doi:10.1084/jem.20070719
The Journal of Experimental Medicine, Vol. 204, No. 8, 1765-1774
The Rockefeller University Press, 0022-1007 $30.00
© 2007 Benson et al.
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BRIEF DEFINITIVE REPORT

All-trans retinoic acid mediates enhanced T reg cell growth, differentiation, and gut homing in the face of high levels of co-stimulation

Micah J. Benson1, Karina Pino-Lagos1, Mario Rosemblatt2, and Randolph J. Noelle1

1 Department of Microbiology and Immunology, Dartmouth Medical School and Norris Cotton Cancer Center, Lebanon, NH 03756
2 Laboratorio de Immunologia, Facultad de Ciencias, Universidad de Chile, Fundacion Ciencia para la Vida, and Millennium Institute for Fundamental and Applied Biology, Santiago 6842301, Chile

CORRESPONDENCE Randolph J. Noelle: Randolph.J.Noelle{at}Dartmouth.edu

We demonstrate that all-trans retinoic acid (RA) induces FoxP3+ adaptive T regulatory cells (A-Tregs) to acquire a gut-homing phenotype ({alpha}4ß7+ CC chemokine receptor 9+) and the capacity to home to the lamina propria of the small intestine. Under conditions that favor the differentiation of A-Tregs (transforming growth factor–ß1 and interleukin 2) in vitro, the inclusion of RA induces nearly all activated CD4+ T cells to express FoxP3 and greatly increases the accumulation of these cells. In the absence of RA, A-Treg differentiation is abruptly impaired by proficient antigen presenting cells or through direct co-stimulation. In the presence of RA, A-Treg generation occurs even in the presence of high levels of co-stimulation, with RA attenuating co-stimulation from interfering from FoxP3 induction. The recognition that RA induces gut imprinting, together with our finding that it enhances A-Treg conversion, differentiation, and expansion, indicates that RA production in vivo may drive both the imprinting and A-Treg development in the face of overt inflammation.



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