Additionally, CTLA-4-Ig has been shown to induce production of indoleamine 2,3-dioxygenase

(IDO) from APCs, which would inhibit T cell activation by tryptophan depletion [27, 28]. Another potential immunosuppressive mechanism has been suggested by which CTLA-4-Ig can induce and increase the population of regulatory T cells both in this website vitro [29] as well as in collagen-induced arthritis in mice [30]. In this study, we have shown further that activation and proliferation of T cells in the sensitized draining lymph node are inhibited after treatment with CTLA-4-Ig and that infiltration of activated effector CD8+ T cells in the inflamed tissue is reduced after challenge. The effect in the draining lymph node is in accordance with a study performed by Platt et al. [26], who demonstrated that in an ovalbumin (OVA)-specific T cell activation model, CTLA-4-Ig treatment leads to a reduced proliferation of T cells and reduced down-regulation of CD62L on OVA-specific T cells 3 days post-immunization together with a reduced expression of CD69 1 day post-immunization [26]. Less efficient down-regulation of CD62L on T cells in CTLA-4-Ig-treated mice is consistent with a reduced infiltration of effector cells into

the inflamed ear tissue, as down-regulation of Selleck Tamoxifen CD62L is needed for lymphocytes to Axenfeld syndrome exit the draining lymph node and to enter the site of inflammation [31]. Further, our data suggest that CTLA-4-Ig binds primarily to DCs but also mediates a strong inhibition of CD86 expression on B cells. Cytokines IL-4 and IL-1β, together with chemokines MIP-2 and IP-10, were suppressed after CTLA-4-Ig treatment. In the skin, a major source of both MIP-2 and IP-10 is keratinocytes

[32, 33] and it is currently not known how CTLA-4-Ig may suppress production of these two chemokines. It has been suggested that IP-10 production from keratinocytes attracts CD8+ T cells, which subsequently secrete IFN-γ, further stimulating keratinocytes to produce more IP-10 and thereby completing a positive feedback loop [34]. Because CTLA-4-Ig inhibits infiltration of CD8+ T cells into the challenged ear it is possible that the reduced infiltration of CD8+ T cells could lead to decreased release of IP-10, as found in our analysis. The data in the adoptive transfer studies show that both IP-10 and MIP-2 are suppressed when CTLA-4-Ig is present only in the sensitization phase – this is expected, as the presence of CTLA-4-Ig in the sensitization phase only also results in a reduced ear swelling and reduced influx of CD8+ T cells (Figs 4 and S2). However, it was surprising that MIP-2 but not IP-10 was suppressed when CTLA-4-Ig was present in the challenge phase alone, which does not reduce ear swelling (Fig. S2).