Th3 CD4(+) regulatory cells were identified during the course of investigat
ing mechanisms associated with oral tolerance. Different mechanisms of tole
rance are induced following oral antigen administration, including active s
uppression, clonal anergy and deletion. Low doses favor active suppression
whereas high doses favor anergy/deletion. Th3 regulatory cells form a uniqu
e T-cell subset which primarily secretes transforming growth factor (TGF)-b
eta, provides help for IgA and has suppressive properties for both Th1 and
Th2 cells. Th3 type cells are distinct from the Th2 cells, as CD4(+) TGF-be
ta -secreting cells with suppressive properties have been generated from in
terleukin (IL)-4-deficient animals. In vitro differentiation of Th3 cells f
rom Th precursors from T-cell antigen receptor (TCR) transgenic mice is enh
anced by culture with TGF-beta, IL-4, IL-10, and anti-IL-12. Th3 CD4(+) mye
lin basic protein regulatory clones are structurally identical to Th1 encep
halitogenic clones in TCR usage, NMC restriction and epitope recognition, b
ut produce TGF-beta with various amounts of IL-4 and IL-10. Because Th3 reg
ulatory cells are triggered in an antigen-specific fashion but suppress in
an antigen-non-specific fashion, they mediate "bystander suppression" when
they encounter the fed autoantigen at the target organ. In vivo induction o
f Th3 cells and low dose oral tolerance is enhanced by oral administration
of IL-4. Anti-CD86 but not anti-CD80 blocks the induction of Th3 cells asso
ciated with low dose oral tolerance. Th3 regulatory cells have been describ
ed in other systems (e.g. recovery from experimental allergic encephalomyel
itis) but may be preferentially generated following oral antigen administra
tion due to the gut immunologic milieu that is rich in TGF-beta and has a u
nique class of dendritic cells. CD4(+)CD25(+) regulatory T-cell function al
so appears related to TGF-beta.