Tolerance against self-and harmless environmental antigens involves several levels of immune regulation. Whereas deletional mechanisms attempt to purge the B and T cell repertoire of self-reactive specifi cities, antigen-specifi c suppression of autoimmunity by CD4 + Foxp3 + regulatory (T reg) T cells also plays a critical role in maintaining self-tolerance. The importance of T reg cells is highlighted by the severe autoimmunity in humans and mice rendered T reg cell -defi cient because of lesions in the FOXP3 gene, which in mice can be prevented by adoptive transfer of purifi ed T reg cells ( 1 -3 ). In addition, neonatal or adult ablation of T reg cells, or adoptive transfer of T reg cell -depleted CD4 + T cells to immunodefi cient mice rapidly triggers severe autoimmune or infl ammatory disease ( 4 -6 ). Collectively, these data demonstrate that T reg cells are required for both the establishment and maintenance of self-tolerance in vivo.T reg cells can be subdivided based on expression of homing receptors thought to direct their migration to lymphoid versus nonlymphoid tissues ( 7 ). However, the relative contributions of the various T reg cell subsets to the maintenance of self-tolerance are not well defi ned. Several reports have demonstrated that T reg cells function within nonlymphoid sites to restrict T cell responses to foreign antigens during experimentally induced acute infl ammation or infection ( 8 -11 ). In addition, we have shown that mice whose T reg cells lack the chemokine receptor CCR4 develop spontaneous infl ammatory disease in skin and lungs ( 12 ). However, although CCR4 helps direct T cell migration to the skin and lung airways, it may also facilitate interactions between T reg cells and antigenpresenting cells within secondary lymphoid tissues. Thus, the infl ammatory disease in these animals is likely the result of impaired T reg cell function in both lymphoid and nonlymphoid organs, and the importance of nonlymphoid T reg cells in maintaining tolerance in the absence of a strong infl ammatory stimulus has not been adequately addressed.Surface expression of functional E-and Pselectin ligands (E-/P-lig) is required for optimal migration of eff ector T cells to infl amed skin ( 13 ). Interestingly, a high percentage of circulating human and mouse T reg cells express Eand/or P-lig, and Foxp3 + T reg cells make up a large fraction of the CD4 + T cells in normal skin from both humans and mice ( 12,14 ). This Cutaneous immune responses must be tightly controlled to prevent unwanted infl ammation in response to innocuous antigens, while maintaining the ability to combat skin-tropic pathogens. Foxp3 + regulatory T (T reg) cells are potent immune regulators and are found at high frequency in both human and mouse skin. Although T reg cells migrate to the skin and can dampen immune responses during experimentally induced infl ammation or infection, the importance of cutaneous T reg cells for maintaining normal immune homeostasis in the skin has not been addressed. To selectively block T reg cell...