Novel Regulatory T Cells Prevent Type 1 Diabetes (#145)
T
cells use a variety of mechanisms to regulate each other and maintain immune
homeostasis. We identified a sub-population of antigen-activated human CD4+
T cells with suppressor function, characterized by high expression of the
GPI-anchored glycoprotein CD52. These CD52hi
CD4+ T cells were distinct from prototypic CD4+CD25+FOXP3+
regulatory T cells. Their suppressor function was fully accounted for by soluble CD52, cleaved
by phospholipase C and acting through its amino
terminal carbohydrate.
Soluble CD52 interacted with sialic
acid binding Ig-like lectin-10, an immunoreceptor tyrosine-based inhibition
motif (ITIM) receptor, to suppress T-cell activation
proximally at the level of T-cell receptor signalling. The generation of
regulatory CD52hi CD4+
T cells and
their function in response to islet antigen but not tetanus toxoid was impaired
in individuals with, and at risk for, type 1 diabetes. Furthermore, depletion of these T cells in a mouse model of type 1 diabetes precipitated
the onset of diabetes. Our findings identify
a novel antigen-activated
regulatory T cell and mediator of suppression critical for the control of
immune homeostasis and prevention of autoimmune diabetes.