In contrast, in the same cultures, there was abundant IFN-γPos Te

In contrast, in the same cultures, there was abundant IFN-γPos Teff expansion, resulting on day 3 in very low aTreg:aTeff ratios ranging from 0·02

to 1·2 (Fig. 6d). Together, these data provide evidence to suggest that both in vitro and in vivo exposure to IFN-α can potentially cause an unbalanced generation of activated Teffs at the expense of Treg activation. The maintenance of immune homeostasis relies on the co-existence of different cell types with unique and sometimes divergent functions, which are co-ordinately activated to achieve initial effector functions in response to pathogens and subsequent immune inactivation after pathogen clearance. However, the mechanisms that R788 define the sequential activation/expansion of effector and regulatory cells are still incompletely understood. In this study, we focused on the potential role of IFN-I in controlling the dynamic balance between Treg and Teff activation during polyclonal T-cell activation in human PBMC. The main findings in the study are that (i) anti-CD3 activation of PBMC induces prominent FoxP3 expression on CD4+ cells and the generation of two major subtypes of FoxP3+ cells, CD4+ FoxP3HI IFN-γNeg IL-2Neg aTregs and CD4+ FoxP3Low/Neg IFN-γPos IL-2Pos aTeffs; (ii) IFN-I, Metformin either exogenously added or endogenously generated by double-stranded

RNA stimulation or from plasma of patients with SLE, limits the generation of aTregs, (iii) IFN-α (but not IFN-β) favours Teff expansion, leading to a reduced aTreg:aTeff ratio; (iv) inhibition of IL-2 production during T-cell activation is a potential mechanism involved in IFN-α-induced suppression of aTreg induction; and (v) the in vivo exposure to IFN-α tilts the balance between aTregs and aTeffs towards Teff upon ex vivo expansion of PBMC. Taken together, these findings provide evidence Florfenicol to suggest that, by inhibiting Treg activation and proliferation, the transient IFN-α production in response to a viral infection may co-ordinate the sequential generation of

aTeffs and aTregs, and that the Teff:Treg balance may be altered under conditions of chronic IFN-α stimulation. A potential role of IFN-α in controlling the dynamic generation of regulatory T cells in vivo, both in humans and in mice, is supported by different observations. (i) The transient period of immunosuppression that follows the recovery of primary viral infections coincides with the decline in the production of IFN-I and an increase in the number of Tregs;22,23 (ii) when measles virus is introduced into a mouse deficient in the IFNα/β receptor, this results in significantly higher numbers of Tregs;40 (iii) in vivo treatment of mice with poly(I:C) leads to a decrease in the number of Tregs,41 and (iv) chronic disorders characterized by persistent IFN-α stimulation are frequently associated with low numbers of Tregs and with autoimmunity.

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