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Updated: Feb 4, 2026

In Vitro Differentiation of Human CD4+FOXP3+ Induced Regulatory T Cells (iTregs) from Naïve CD4+ T Cells Using a TGF-β-containing Protocol
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Stabilization of Human CD8+ Treg in Inflammatory Environments Through FOXP3 Expression.

Séverine Bézie1, Jenny Greig1, Sonia Salle1

  • 1Nantes Université, CHU Nantes, INSERM, Center for Research in Transplantation and Translational Immunology, UMR 1064, ITUN, Nantes, France.

European Journal of Immunology
|February 3, 2026
PubMed
Summary

Regulatory T cells (Tregs) are promising for immune-mediated diseases, but stability is key. This study reveals how inflammation affects CD8+ Tregs and identifies FOXP3 and other molecules to enhance their stability for cell therapy.

Keywords:
CD8+ TregsFOXP3gene regulationinflammationstability

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Area of Science:

  • Immunology
  • Cell Biology
  • Therapeutics

Background:

  • Regulatory T cells (Tregs) show therapeutic potential for immune-mediated diseases.
  • Stability and persistence of transferred Tregs in inflammatory environments are critical challenges.
  • CD8+ Tregs possess plasticity due to cytokine receptor expression, raising questions about their stability.

Purpose of the Study:

  • Investigate the susceptibility of CD8+ Tregs to pro-inflammatory signals.
  • Determine the role of FOXP3 in maintaining CD8+ Treg stability.
  • Identify molecular targets to enhance Treg stability for cell therapy.

Main Methods:

  • Short-term and long-term cell cultures with various cytokines (IL-6, TNFα, IFNγ, TGFβ, IL-1β, IL-21, IL-23).
  • Transcriptomic analysis to assess changes in gene expression, including FOXP3.
  • Lentiviral transduction to enforce FOXP3 expression or introduce mTOR regulators (SESN2, FLCN) and SAGA complex component (TAF5L).
  • Assessment of Treg suppressive activity in vitro and phenotypic stability under inflammatory conditions.

Main Results:

  • Exposure to TGFβ combined with IL-6/IL-1β or IL-21/IL-23 induced significant transcriptomic changes and FOXP3 downregulation in CD8+ Tregs.
  • Enforced FOXP3 expression stabilized Treg phenotype and enhanced suppressive activity in vitro.
  • FOXP3 knockout CD8+ Tregs maintained suppressive function for up to 2 weeks.
  • Transduction of SESN2, FLCN, or TAF5L boosted FOXP3 expression, with SESN2 and TAF5L alone enhancing suppressive function.

Conclusions:

  • Pro-inflammatory cytokines, particularly TGFβ in combination with others, can destabilize CD8+ Tregs by downregulating FOXP3.
  • FOXP3 plays a crucial role in maintaining CD8+ Treg stability and function under inflammatory conditions.
  • Targeting FOXP3, SESN2, FLCN, or TAF5L presents a promising strategy for developing more stable and effective Treg-based cell therapies.