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Updated: May 13, 2026

In Vitro Differentiation of Human CD4+FOXP3+ Induced Regulatory T Cells (iTregs) from Naïve CD4+ T Cells Using a TGF-β-containing Protocol
Published on: December 30, 2016
Foxp3+ T-regulatory cells require DNA methyltransferase 1 expression to prevent development of lethal autoimmunity
Liqing Wang1, Yujie Liu, Ulf H Beier
1Division of Transplant Immunology, Department of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Abstract:
Protocols to use Foxp3+ T-regulatory (Treg) cells for cellular therapy, especially postallogeneic stem cell transplantation, are currently being developed and tested by various groups. Inhibitors of DNA methyltransferase (Dnmt) enzymes have been advocated as a means to promote and stabilize Foxp3 expression in Tregs undergoing expansion in vitro before their injection in vivo. We investigated the effects of conditionally deleting two Dnmt enzymes that co-immunoprecipitated with Foxp3 in Treg isolates. Deletion of Dnmt1, but not Dnmt3a, decreased the numbers and function of peripheral Tregs and impaired conversion of conventional T cells into Foxp3+ Tregs under polarizing conditions. Importantly, mice with conditional deletion of Dnmt1 in their Tregs died of autoimmunity by 3 to 4 weeks of age unless they were rescued by perinatal transfer of wild-type Tregs. Conditional Dnmt1 deletion did not affect methylation of CpG sites within Foxp3 but decreased global DNA methylation and altered Treg expression of several hundred pro-inflammatory and other genes. Hence, Dnmt1 is necessary for maintenance of the core gene program underlying Treg development and function, and its deletion within the Treg lineage leads to lethal autoimmunity. These data suggest that caution may be warranted when considering the use of DNMT inhibitors in development of Treg-based cellular therapies.
Insights
DNA methyltransferase 1 (Dnmt1) is crucial for maintaining T-regulatory (Treg) cell function and development. Its deletion in Tregs leads to lethal autoimmunity, cautioning against DNMT inhibitors in Treg cellular therapies.
Area of Science:
- Immunology
- Epigenetics
- Cellular Therapy
Background:
- Foxp3+ T-regulatory (Treg) cells are vital for immune homeostasis and are being explored for cellular therapies, particularly after allogeneic stem cell transplantation.
- DNA methyltransferase (Dnmt) inhibitors are proposed to enhance Foxp3 expression in Tregs during in vitro expansion for therapeutic use.
Purpose of the Study:
- To investigate the role of Dnmt1 and Dnmt3a in Treg development and function by examining the effects of their conditional deletion within Treg isolates.
- To assess the impact of Dnmt1 deletion on Treg stability, gene expression, and the potential for autoimmunity.
Main Methods:
- Conditional deletion of Dnmt1 and Dnmt3a enzymes in Treg isolates.
- Analysis of peripheral Treg numbers and function.
- Assessment of conventional T cell conversion into Foxp3+ Tregs.
- Evaluation of methylation status at Foxp3 CpG sites and global DNA methylation.
- Gene expression profiling of Tregs with conditional Dnmt1 deletion.
- In vivo studies using mice with conditional Dnmt1 deletion in Tregs, including rescue experiments with wild-type Tregs.
Main Results:
- Conditional deletion of Dnmt1, but not Dnmt3a, in Tregs reduced peripheral Treg numbers and function.
- Dnmt1 deletion impaired the conversion of conventional T cells into Foxp3+ Tregs.
- Mice with Dnmt1-deficient Tregs developed lethal autoimmunity unless rescued by wild-type Treg transplantation.
- Dnmt1 deletion decreased global DNA methylation and altered the expression of numerous genes in Tregs, without affecting methylation within the Foxp3 gene locus.
Conclusions:
- Dnmt1 is essential for maintaining the core gene program underlying Treg development and function.
- Loss of Dnmt1 in the Treg lineage results in impaired Treg stability and function, leading to lethal autoimmunity.
- Caution is advised when considering DNMT inhibitors for Treg-based cellular therapies due to potential adverse effects on Treg stability and function.
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