IntroductionRegulatory T (Treg) cells play a central role in controlling immune tolerance and homeostasis of the immune system, preventing autoimmune diseases, and limiting chronic inflammatory diseases. 1,2 However, Treg cells can also inhibit effective immune responses against cancer and various pathogen infections. [3][4][5] Therefore, it is critical to better define the suppressive mechanisms used by Treg cells in order to develop effective approaches for their clinical manipulation for therapeutic intervention. Significant progress has been made in delineating the molecules and mechanisms that Treg cells use to mediate suppression. [6][7][8] These mechanisms include suppression by inhibitory cytokines and secreted molecules, 9 by cytolysis or apoptosis of target cells, [10][11][12] by consumption of limiting growth factors and metabolic disruption, [12][13][14] and/or by affecting dendritic cell functions. 15 The majority of previous studies were performed in animal models, so whether these mechanisms are also used by human Treg cells is still under investigation. In addition, the fate and function of responder T cells suppressed by Treg cells is unclear.Cellular senescence was described initially more than 40 years ago in human fibroblasts with limited passages in cell culture. 16 It is now well known that senescent cells have permanent cell-cycle arrest but remain viable and metabolically active and possess unique transcriptional profiles and gene-regulation signatures. 17 There are 2 major categories of cellular senescence: replicative senescence (also known as telomere-dependent senescence) [18][19][20] and premature senescence (also known as extrinsic senescence or telomere-independent senescence). 17,[21][22][23] Recent studies suggest that replicative senescence also occurs in the human immune system. Accumulation of senescent CD8 ϩ T cells has been found in persons during normal aging, in younger persons with chronic viral infections, and in patients with certain types of cancers. [24][25][26][27] Senescent CD8 ϩ T cells show functional changes and have defective killing abilities due to the loss of perforin and granzyme or have defects in signaling of granule exocytosis. 28,29 Furthermore, senescent CD8 ϩ T cells have negative regulatory functions that reduce the effects of immunization and vaccinations and prolong the survival of allografts. 26,30 Improved understanding of the molecular mechanisms used in the generation of senescent T cells and their functional alterations will open new avenues to restoring T-cell function and will help in the design of novel vaccines for infectious diseases and cancers.In the present study, we explored the suppressive mechanisms used by human Treg cells and investigated the fate of Treg-treated responder T cells and found that treatment with CD4 ϩ CD25 hi naturally occurring Treg cells can induce naive/effector T-cell senescence. We further identified the molecular signaling that controls the process of T-cell senescence and characterized these senescent T cells....