Donor-lymphocyte infusion (DLI) before transplantation can lead to specific tolerance to allografts in mice, nonhuman primates, and humans. We and others have demonstrated a role for regulatory T cells in DLI-induced, donor-specific transplantation tolerance, but it is not known how regulatory T cells are activated and where they execute their function. In this study, we observed, in both transgenic and normal mice, that DLI before transplantation is required for activation of ␣-T-cell-receptor-positive, CD3 ؉ CD4 ؊ CD8 ؊ double-negative (DN) regulatory T cells in the periphery of recipient mice. More interestingly, DLI induced DN regulatory T cells to migrate preferentially to donor-specific allogeneic skin grafts and to form a majority of graft-infiltrating T cells in accepted skin allografts. Furthermore, both recipientderived peripheral and graft-infiltrating DN T cells were able to suppress and kill antidonor CD8 ؉ T cells in an antigenspecific manner. These data indicate that DLI may induce donor-specific transplantation tolerance by activating recipient DN regulatory T cells in the periphery and by promoting migration of regulatory T cells to donor-specific allogeneic skin grafts. Our results also show that DN regulatory T cells can eliminate antidonor T cells both systemically and locally, a finding suggesting that graft-infiltrating T cells can be beneficial to graft survival.
IntroductionInduction of tolerance to an allogeneic graft without the need for nonspecific immunosuppression is a major goal of transplantation therapy. There are many experimental models in which tolerance can be induced by donor-lymphocyte infusion (DLI) before transplantation, 1-7 and the effects of DLI have also been observed clinically in recipients of renal, cardiac, and bone marrow transplants. [8][9][10][11][12][13][14] Several mechanisms have been postulated to explain DLI-induced tolerance, including mixed allogeneic chimerism, [15][16][17][18] deletion of donor-reactive T cells, [19][20][21][22][23] induction of clonal anergy, 24 immune deviation, [24][25][26] and regulatory T cells. 4,[27][28][29][30][31][32] Regulatory T cells have also been found to play an important role in preventing autoimmune diseases [33][34][35][36][37][38][39][40][41][42][43] and allograft rejection. [27][28][29]32,44,45 We previously showed that pretransplantation infusion of lymphocytes from L d or bm1 donors with a single major histocompatibility complex (MHC) class I locus mismatch led to permanent or significantly prolonged survival of donor-specific but not third-party skin allografts in both transgenic and normal mice. 14,32,46,47 We have also identified and cloned a novel ␣-T-cellreceptor (TCR)-positive, CD3 ϩ CD4 Ϫ CD8 Ϫ , double-negative (DN) regulatory T cell from mice that permanently accepted donorspecific skin allografts after one dose of a single class I locusmismatched DLI. 31,32,48 We found that infusion of DN regulatory T-cell clones into syngeneic naive animals led to a significantly prolonged survival of allogeneic skin ...