title: Regulating the immune system: the induction of regulatory T cells in the periphery.
abstract: The immune system has evolved a variety of mechanisms to achieve and maintain tolerance both centrally and in the periphery. Central tolerance is achieved through negative selection of autoreactive T cells, while peripheral tolerance is achieved primarily via three mechanisms: activation-induced cell death, anergy, and the induction of regulatory T cells. Three forms of these regulatory T cells have been described: those that function via the production of the cytokine IL-10 (T regulatory 1 cells), transforming growth factor beta (Th3 cells), and a population of T cells that suppresses proliferation via a cell-contact-dependent mechanism (CD4+CD25+ TR cells). The present review focuses on the third form of peripheral tolerance - the induction of regulatory T cells. The review will address the induction of the three types of regulatory T cells, the mechanisms by which they suppress T-cell responses in the periphery, the role they play in immune homeostasis, and the potential these cells have as therapeutic agents in immune-mediated disease.
authors.affiliation: Diabetes Program, Benaroya Research Institute at Virginia Mason, Seattle, Washington, USA.
authors.forename: Jane H
authors.initials: JH
authors.lastname: Buckner
authors.forename: Steven F
authors.initials: SF
authors.lastname: Ziegler
mesh_terms: D000818:Animals; D006801:Humans; D007107:Immune System / Q000502:physiology*; D007108:Immune Tolerance / Q000502:physiology; D013601:T-Lymphocytes / Q000502:physiology*