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Updated: Feb 18, 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
Ectopic FOXP3 Expression Preserves Primitive Features Of Human Hematopoietic Stem Cells While Impairing Functional T
F R Santoni de Sio1, L Passerini2, M M Valente2
1San Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy. santonidesio.francesca@hsr.it.
Ectopic FOXP3 expression in hematopoietic stem cells (HSCs) enhances engraftment but reduces T cell function. This highlights the critical need for preserving natural FOXP3 regulation in HSC gene therapy for IPEX syndrome.
Area of Science:
- Immunology
- Hematology
- Gene Therapy
Background:
- FOXP3 is crucial for regulatory T cell function and immune tolerance.
- Mutations in FOXP3 cause IPEX autoimmune syndrome.
- FOXP3 acts as a cell-cycle inhibitor and onco-suppressor.
Purpose of the Study:
- Investigate ectopic FOXP3 expression's effect on HSC differentiation.
- Assess FOXP3-expressing HSCs as a potential gene therapy for IPEX.
- Explore FOXP3's role in HSC biology and clinical applications.
Main Methods:
- Cultured FOXP3-expressing HSCs in vitro (liquid and OP9-ΔL1 co-cultures).
- Transplanted FOXP3-expressing HSCs into immunodeficient mice.
- Assessed HSC engraftment, repopulating ability (extreme limiting dilution assay), and gene expression.
- Analyzed peripheral T cell development and function in humanized mice.
Main Results:
- FOXP3-expressing HSCs exhibited reduced proliferation and increased primitive marker maintenance in vitro.
- Transplanted FOXP3-expressing HSCs showed significantly enhanced engraftment and repopulating ability.
- FOXP3-expressing HSCs displayed increased expression of stemness-related genes.
- Peripheral T cells in FOXP3-humanized mice were reduced in number and hyporesponsive.
Conclusions:
- Ectopic FOXP3 expression profoundly impacts HSC biology, enhancing stemness and engraftment.
- Reduced T cell function in FOXP3-humanized mice indicates potential therapeutic limitations.
- Endogenous FOXP3 regulation is essential for successful HSC-based gene therapy for IPEX syndrome.
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