Indoleamine 2,3-dioxygenase specific, cytotoxic T cells as immune regulators

Rikke Baek Sørensen, Sine Reker Hadrup, Inge Marie Svane, Mads Christian Hjortsø, Per Thor Straten, Mads Hald Andersen, Mads Christian Hjortsø, Mads Hald Andersen

    84 Citations (Scopus)

    Abstract

    Indoleamine 2,3-dioxygenase (IDO) is an immunoregulatory enzyme that is implicated in suppressing T-cell immunity in normal and pathologic settings. Here, we describe that spontaneous cytotoxic T-cell reactivity against IDO exists not only in patients with cancer but also in healthy persons. We show that the presence of such IDO-specific CD8+ T cells boosted T-cell immunity against viral or tumor-associated antigens by eliminating IDO + suppressive cells. This had profound effects on the balance between interleukin-17 (IL-17)-producing CD4+ T cells and regulatory T cells. Furthermore, this caused an increase in the production of the proinflammatory cytokines IL-6 and tumor necrosis factor-α while decreasing the IL-10 production. Finally, the addition of IDO-inducing agents (ie, the TLR9 ligand cytosinephosphate-guanosine, soluble cytotoxic T lymphocyte-associated antigen 4, or interferon γ) induced IDO-specific T cells among peripheral blood mononuclear cells from patients with cancer as well as healthy donors. In the clinical setting, IDO may serve as an important and widely applicable target for immunotherapeutic strategies in which IDO plays a significant regulatory role. We describe for the first time effector T cells with a general regulatory function that may play a vital role for the mounting or maintaining of an effective adaptive immune response. We suggest terming such effector T cells "supporter T cells."

    Original languageEnglish
    JournalBlood
    Volume117
    Issue number7
    Pages (from-to)2200-10
    Number of pages11
    ISSN0006-4971
    DOIs
    Publication statusPublished - 17 Feb 2011

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