Peripheral tolerance may be maintained by a population of regulatory/s
uppressor T cells that prevent the activation of autoreactive T cells
recognizing tissue-specific antigens. We have previously shown that CD
4(+)CD25(+) T cells represent a unique population of suppressor T cell
s that can prevent both the initiation of organ-specific autoimmune di
sease after day 3 thymectomy and the effector function of cloned autoa
ntigen-specific CD4(+) T cells. To analyze the mechanism of action of
these cells, we established an in vitro model system that mimics the f
unction of these cells in vivo. Purified CD4(+)CD25(+) cells failed to
proliferate after stimulation with interleukin (IL)-2 alone or stimul
ation through the T cell receptor (TCR). When cocultured With CD4(+)CD
25(-) cells, the CD4(+)CD25(+) cells markedly suppressed proliferation
by specifically inhibiting the production of TL-2. The inhibition was
not cytokine mediated, was dependent on cell contact between the regu
latory cells and the responders, and required activation of the suppre
ssors via the TCR. Inhibition could be overcome by the addition to the
cultures of IL-2 or anti-CD28, suggesting that the CD4(+)CD25(+) cell
s may function by blocking the delivery of a costimulatory signal. Ind
uction of CD25 expression on CD25(-) T cells in vitro or in vivo did n
ot result in the generation of suppressor activity. Collectively, thes
e data support the concept that the CD4(+)CD25(+) T cells in normal mi
ce may represent a distinct lineage of ''professional'' suppressor cel
ls.