The suppressive activity of regulatory T cells (Treg) has been implicated as an important factor limiting immune mediated destruction of tumor cells. However, not much is known about the presence and function of Treg within tumors. Here we show in a syngeneic murine glioma model a time-dependent accumulation of CD41FoxP31 Treg in brain tumors. Further analysis revealed a time-dependent upregulation of CD25, CTLA-4, GITR and CXCR4 on intratumoral CD41FoxP31 Treg during tumor growth. Moreover, freshly isolated intratumoral Treg were highly suppressive when tested directly ex vivo. Treatment with anti-CD25 monoclonal antibodies (mAbs) significantly reduced the number of these highly suppressive CD41FoxP31 cells within the growing tumor and provoked a CD4 and CD8 T cell dependent destruction of the glioma cells. Combining Treg depletion with administration of blocking CTLA-4 mAbs further boosted gliomaspecific CD41 and CD81 effector T cells as well as antiglioma IgG2a antibody titers resulting in complete tumor eradication without any signs of autoimmunity. These data illustrate that intratumoral accumulation and activation of CD41FoxP31 Treg act as a dominant immune escape mechanism for gliomas and underline the importance of controlling tumor-infiltrating Treg in glioma immunotherapy. ' 2007 Wiley-Liss, Inc.
Key words: glioma; regulatory T cell; immune escapeThe naturally occurring CD41 regulatory T cells (Treg) are continuously produced by the thymus and gradually settled in secondary lymphoid organs. They constitute 5-15% of the overall CD41 T cell population and exert a strong suppressive activity on multiple components of the immune system. Although their repertoire in antigen recognition is quite diverse, they preferentially recognize tissue specific self-antigens. As many tumors express self-antigens, CD41 Treg do not only dominantly suppress the activation and expansion of different effector cells capable of mediating autoimmunity, but also effective antitumor responses. 1 So far the most specific marker for naturally occurring CD41 Treg, at least in mice, is FoxP3, a member of the forkhead family of DNA-binding transcription factors. FoxP3 is highly expressed in naturally occurring CD41 Treg and clearly linked to their suppressive function. [2][3][4] Other molecules that are constitutively expressed on CD41 Treg are the IL-2 receptor a-chain (CD25), cytotoxic lymphocyte-associated antigen-4 (CTLA-4) and different members of the tumor necrosis factor (TNF) receptor superfamily like the glucocorticoid-induced TNF related protein (GITR). These molecules, however, do not uniquely distinguish the CD41 Treg from conventional CD41 T cells that can temporally upregulate these molecules following activation. [5][6][7][8][9] Recent data also suggest an important role of Toll-like receptors (TLRs) in controlling Treg. 10 TLR2-triggering on murine Treg in combination with T cell receptor ligation resulted, both in vitro and in vivo, in proliferation of the otherwise anergic Treg. Moreover, the suppressive phenotype o...