The contribution of CD4+ CD25+ T-regulatory-cells to immune suppression in sepsis

Shock. 2007 Mar;27(3):251-7. doi: 10.1097/01.shk.0000239780.33398.e4.

Abstract

Studies have indicated that there is a development of generalized immune dysfunction after septic insult. However, the mechanisms responsible for these changes remain unclear. Recently, accumulating evidence shows that several lymphocyte subpopulations such as NKT-, CD4(+)-Th2-T-, CD8(+)-T-, gammadelta-T-, and CD4+ CD25+ T regulatory cells are capable of actively contributing to the induction of septic immune suppression. Thus, our aim was to investigate the contribution of CD4+ CD25+ cells to the immune dysfunction seen in sepsis. To study this, C57BL/6J, C57BL/6-Il6(tm1Kopf) (interleukin [IL] 6 -/-), and C57BL/6-Il10(tm1Cgn) (IL-10 -/-) mice were subjected to cecal ligation and puncture (CLP) or sham operations. Twenty-four hours later, blood was collected, and splenocytes were isolated. Phenotypic expression of CD4/CD25 (by fluorescence-activated cell sorter), cell proliferation (presented as proliferation index = [with anti-CD3]/[without anti-CD3]), and immune suppressive capacity (by in vitro add-back experiments) were assessed. The results indicate a marked elevation in CD4+ CD25+ cell levels and their proliferation index after sepsis in background mice. CD4+ CD25- cells from sham and CLP mice proliferated equally. However, coculture of CD4+ CD25- with CD4+ CD25+ cells suppressed their proliferation in both sham and CLP mice. Depletion of CD25+ cells in vivo before CLP markedly restored CD4+ CD25- proliferative capacity and Th1 cytokine release while not altering plasma proinflammatory cytokine levels. Subsequently, IL-6 -/- and IL-10 -/- mice were used to elucidate the possible mediator(s) regulating the changes seen after sepsis. Although CD4+ CD25+ cells increased after septic insult in both C57BL/6J and IL-6 -/- mice, this was not observed in IL-10 -/- mice. Similarly, in vitro proliferation studies showed that proliferation index increased in CD4+ CD25+ cells from septic C57BL/6J and IL6 -/- mice, but it remained the same in IL-10 -/- mice. Surprisingly, depletion of CD25+ cells before inducing sepsis did not alter septic mortality. Together, these findings suggest that although CD4+ CD25+ T regulatory cells induced by IL-10 seem to contribute to aspects of sepsis-induced lymphoid immune suppression, the oblation of CD25+ cells does not provide a survival advantage or disadvantage.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • CD3 Complex / metabolism
  • CD4 Antigens / biosynthesis*
  • CD4-Positive T-Lymphocytes / metabolism*
  • Cell Separation
  • Interleukin-10 / metabolism*
  • Interleukin-2 Receptor alpha Subunit / biosynthesis*
  • Mice
  • Mice, Inbred C3H
  • Mice, Inbred C57BL
  • Sepsis / blood
  • Sepsis / immunology*
  • T-Lymphocytes, Regulatory / immunology*
  • Th1 Cells / cytology
  • Th2 Cells / cytology
  • Tissue Distribution

Substances

  • CD3 Complex
  • CD4 Antigens
  • Interleukin-2 Receptor alpha Subunit
  • Interleukin-10