Interleukin-7 (IL-7), a cytokine produced by stromal cells, is required for thymic development and peripheral homeostasis of most major subsets of T cells. We
IntroductionRegulatory T (Treg) cells have a critical suppressive function for maintenance of self-tolerance and prevention of autoimmunity, 1,2 and their deficiency can predispose to gastritis, thyroiditis, diabetes and graft-versus-host disease. Initially, Treg cells were identified as a small percentage, approximately 10% to 15%, of mouse CD4 ϩ T cells that expressed CD25, the ␣ chain of IL-2R. 3,4 Treg cells also are reported to express CD45RB, 5 CD62L, 6 cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), 7-9 glucocorticoidinduced tumor necrosis factor (TNF)-like receptor (GITR), [10][11][12] CD103 (␣E7 integrin) 13 and forkhead box transcription factor 3 (Foxp3), an intracellular transcriptional regulator. [14][15][16] In vitro, Treg cells can block proliferative responses of both CD4 ϩ and CD8 ϩ CD25 Ϫ cells by a mechanism that remains to be clearly defined but appears to be based on cell contact and to be independent of cytokine production. [17][18][19][20][21] A very recent paper suggests Tregs suppress target cells by interleukin-2 (IL-2) deprivation and subsequent apoptosis. 22 In vivo, Treg cells suppress activation and expansion of self-reactive T cells that have escaped thymic clonal deletion. 1,3,[23][24][25] In addition to cell contact, the suppressive cytokines IL-10 and transforming growth factor (TGF) have been implicated in vivo as mediators of inhibition. [26][27][28][29][30][31][32] Several studies suggest that CD4 ϩ CD25 ϩ T cells mature in the thymus as a distinct T-cell population. 5,7,10,15,29,33 High-affinity IL-2 receptors are constitutively expressed on Treg cells, and IL-2 has been implicated in the development, maintenance, and function of these cells. 34 It has been reported that IL-2 may be required for peripheral expansion and homeostasis, [35][36][37][38] and IL-2 appears to be required for Treg cell function in the periphery. 17,[39][40][41][42] Mice deficient in IL-2, IL-2R␣, or IL-2R lack regulatory T cells 43,44 and develop severe autoimmune disease. 42,[45][46][47][48][49] IL-7 is a cytokine that is produced by stromal cells in lymphoid tissues and is required for development and homeostasis of most subsets of T cells. [50][51][52] The IL-7 receptor is composed of IL-7R␣ and the common cytokine receptor ␥ chain, ␥ c 53,54 . A related stromal factor, thymic stromal lymphopoietin (TSLP), also shares IL-7R␣ but additionally has a distinctive receptor subunit, TSLPR. 55,56 Naive and memory CD4 ϩ T cells require IL-7 for homeostatic survival. 57,58 In vitro it has been shown that IL-7 can, albeit less well than IL-2 or IL-4, promote the proliferation and suppressor function of CD4 ϩ CD25 ϩ cells stimulated with anti-CD3. 40 The Tr1 cell, another type of suppressor cell that acts by secreting suppressive cytokines, has been shown to respond to IL-7 in vitro. 59 It has recently been reported that Treg cells develop, s...