CD28 costimulation is required for the generation of naturally derived regulatory T cells (nTregs) in the thymus through lymphocyte-specific protein tyrosine kinase (Lck) signaling. However, it is not clear how CD28 costimulation regulates the generation of induced Tregs (iTregs) from naive CD4 T-cell precursors in the periphery. To address this question, we induced iTregs (CD25 ؉ Foxp3 ؉ ) from naive CD4 T cells (CD25 ؊ Foxp3 ؊ ) by T-cell receptor stimulation with additional transforming growth factor (TGF) in vitro, and found that the generation of iTregs was inversely related to the level of CD28 costimulation independently of IL-2. Using a series of transgenic mice on a CD28-deficient background that bears wild-type or mutated CD28 in its cytosolic tail that is incapable of binding to Lck, phosphoinositide 3-kinase (PI3K), or IL-2-inducible T-cell kinase (Itk), we found that CD28-mediated Lck signaling plays an essential role in the suppression of iTreg generation under strong CD28 costimulation. Furthermore, we demonstrate that T cells with the CD28 receptor incapable of activating Lck were prone to iTreg induction in vivo, which contributed to their reduced ability to cause graft-versushost disease. These findings reveal a novel mechanistic insight into how CD28 costimulation negatively regulates the generation of iTregs, and provide a rationale for promoting T-cell immunity or tolerance by regulating Tregs through targeting CD28 signaling. (Blood. 2011; 117(11):3096-3103)
IntroductionRegulatory T cells (Tregs) play an essential role in the maintenance of immunologic tolerance to prevent autoimmune disease. The development of Tregs in the thymus requires Foxp3, a member of the group of transcription factors characterized by their winged helix-forkhead DNA-binding domain. 1 Although it is widely accepted that natural Tregs (nTregs) develop in the thymus, compelling evidence indicates that Tregs with an identical phenotype can be induced in the periphery from CD4 ϩ non-Treg precursors under certain conditions. For example, all CD4 ϩ cells from RAG Ϫ/Ϫ T-cell receptor (TCR)-transgenic (Tg) mice are CD25 Ϫ , but a small proportion of these cells convert to a CD25 ϩ Treg phenotype after adoptive transfer into antigen-bearing mice or mice that have been administered a tolerizing dose of peptide antigen. 2,3 Furthermore, de novo generation of CD4 ϩ CD25 ϩ Tregs from CD4 ϩ CD25 Ϫ cells can also occur in thymectomized mice. 4 Such Tregs that are induced in the periphery are called induced Tregs (iTregs). Although our understanding of the microenvironment for iTreg development in vivo is still limited, it is clear that TCR stimulation, transforming growth factor (TGF), and interleukin-2 (IL-2) are required for their development. [5][6][7][8] A crucial regulator of Tregs is the CD28 receptor, a dominant costimulatory molecule for T-cell activation. The first clue to the critical role of the CD28 family in nTreg function was the observation that prevention of CD28 ligation with CTLA4-Ig exacerbated autoimmune dis...