Human Tregs convert latent TGF-β1, which is linked to the transmembrane protein GARP, into active, immunosuppressive TGF-β1. Stockis et al. show that this activation is mediated by integrin αVβ8, which is upregulated in activated Treg cells and forms a complex with GARP/latent TGF-β1. In vitro, antibodies used to block αV or β8 prevented TGF-β1 activation, and in a murine graft-versus-host disease model, a β8-blocking antibody abrogated the immunosuppressive effects of transferred Tregs as effectively as GARP-blocking antibodies.
Human regulatory T cells (Tregs) suppress other T cells by converting the latent, inactive form of TGF-beta1 into active TGF-beta1. In Tregs, TGF-beta1 activation requires GARP, a transmembrane protein that binds and presents latent TGF-beta1 on the surface of Tregs stimulated through their T cell receptor. However, GARP is not sufficient because transduction of GARP in non-Treg T cells does not induce active TGF-beta1 production. RGD-binding integrins were shown to activate TGF-beta1 in several non-T cell types. Here we show that alphaVbeta8 dimers are present on stimulated human Tregs but not in other T cells, and that antibodies against alphaV or beta8 subunits block TGF-beta1 activation in vitro. We also show that alphaV and beta8 interact with GARP/latent TGF-beta1 complexes in human Tregs. Finally, a blocking antibody against beta8 inhibited immunosuppression by human Tregs in a model of xenogeneic graft-vs.-host disease induced by the transfer of human T cells in immunodeficient mice. These results show that TGF-beta1 activation on the surface of human Tregs implies an interaction between the integrin alphaVbeta8 and GARP/latent TGF-beta1 complexes. Immunosuppression by human Tregs can be inhibited by antibodies against GARP or against the integrin beta8 subunit. Such antibodies may prove beneficial against cancer or chronic infections.