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AbstractPurpose: The purpose of this study was to quantify and characterize peripheral blood regulatory T cells (Tregs), as well as the IL-10 plasma concentration, in Masters athletes at rest and after an acute exhaustive exercise test. Methods: Eighteen Masters athletes (self-reported training: 24.6±1.83 years; 10.27±0.24 months and 5.45±0.42 hours/week per each month trained) and an age-matched control group of 10 subjects (that never took part in regular physical training) volunteered for this study. All subjects performed an incremental test to exhaustion on a cycle ergometer. Blood samples were obtained before (Pre), 10min into recovery (Post) and 1h after the test (1h). Results: Absolute numbers of Tregs were similar in both groups at rest. Acute exercise induced a significant increase in absolute numbers of Tregs at Post (0.0490.021 to 0.0560.024 x10 9 /L, P=0.029 for Masters; 0.0480.017 to 0.0580.020 x10 9 /L, P=0.037 for control) in both groups. Treg mRNA expression for Foxp3, IL-10 and TGF-β in sorted Tregs was similar throughout the trials in both groups. Masters athletes showed a higher percentage of subjects expressing the FoxP3 (100% for Masters vs. 78% for Controls, P=0.038) and TGF- (89% for Masters vs. 56% for Controls, P=0.002) after exercise and a higher plasma IL-10 concentration (15.3907.032 for Masters vs. 2.4111.117 for control P=0.001, ES =2.57) at all time-points. KLRG1 expression in Tregs was unchanged. Conclusion: Our findings showed that Masters athletes have elevated anti-inflammatory markers and maintain the number of Tregs, may be an adaptive response to lifelong training.