C o m m e n t a r y
Tregs and immune toleranceTolerance to self-and foreign antigens is created by a combination of the deletion of antigen-reactive T cells and control of the remaining cells by a specialized population of T cells known as Tregs. The best-characterized lineage of Tregs is defined by expression of the X-linked transcription factor FOXP3, and this population is essential for the maintenance of self-tolerance (1). The importance of these FOXP3 + Tregs in the preservation of self-tolerance is perhaps best exemplified by the development of multiorgan autoimmunity in patients with IPEX syndrome and in scurfy mice, both of which harbor loss-of-function mutations in the FOXP3-encoding gene.Tregs also play a critical role in organ and tissue transplantation, and abundant evidence from patients and animal models implicates these cells in long-term allograft survival and tolerance. As the frequency of T cell precursors that are capable of responding to alloantigens is extremely high (~1%-10%; ref. 2), tolerance is likely established by deletion of large numbers of these alloreactive cells (3). However, deletion of alloreactive T cells is incomplete, and new alloreactive T cells are continuously generated in the thymus; therefore, maintaining tolerance to the allograft requires continual monitoring of alloreactive cells in the periphery by Tregs. Indeed, Tregs have been implicated to be essential for graft acceptance in the vast majority of experimental transplant tolerance models.Like other T cell populations, Tregs mature in the thymus as part of normal lymphoid development. These so-called "natural" or "thymic" Tregs express TCRs (T cell receptors for antigen) that are preferentially attuned to recognize self-antigen. -T cells into FOXP3 + Tregs through reduced expression of T cell costimulatory molecules and secretion of cytokines, such as IL-10 and TGF-β (7-9). Macrophages, which survey the extracellular space by engulfing antigen and activating patrolling T cells, play a role in tolerance induction and maintenance as well. Moreover, suppressive macrophages can induce Treg differentiation (10), though the mechanism has not been completely elucidated.
IL-34: a new player in immune toleranceIn this issue, Bézie et al. demonstrate a new connection between macrophages and Tregs that mediates the immunosuppressive properties of these cells (11). IL-34 shares several characteristics with macrophage CSF (M-CSF or CSF1), which is necessary for the differentiation of monocytes, macrophages, and some DCs. While there is little sequence homology between IL-34 and M-CSF, both cytokines promote monocyte lineage survival through binding their shared receptor CSF1R (also known as CD115) (12). IL-34 is largely considered to promote macrophage, monocyte, and DC survival following its release from various tissues in response to inflammation. Bézie and colleagues now provide evidence that IL-34 is also expressed by rodent and human Tregs and promotes the suppressive properties of macrophages, which in turn promote the up...