{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T05:11:10Z","timestamp":1777957870791,"version":"3.51.4"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Immunol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Regulatory T cells (Tregs) play an essential role in transplantation immune tolerance. Although CD4\n                      <jats:sup>+<\/jats:sup>\n                      Tregs have been extensively studied, the contribution of CD8\n                      <jats:sup>+<\/jats:sup>\n                      regulatory T-cell subsets to transplant tolerance remains less well defined. This study aimed to characterize Treg subsets associated with immune tolerance in a rat liver transplantation model and in liver transplant recipients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Mesenchymal stem cell-derived tolerogenic dendritic cells (tolDCs) were adoptively infused in a rat liver transplantation model. The frequencies of CD4\n                      <jats:sup>+<\/jats:sup>\n                      Foxp3\n                      <jats:sup>+<\/jats:sup>\n                      Tregs and CD8\n                      <jats:sup>+<\/jats:sup>\n                      CD45RC\n                      <jats:sup>low\/-<\/jats:sup>\n                      Tregs in peripheral blood, spleen, and graft tissue were analyzed by flow cytometry and multiplex immunofluorescence. Peripheral blood samples from liver transplant recipients with long-term stable graft function or acute rejection were also analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Adoptive infusion of tolDCs significantly prolonged graft survival in the rat liver transplantation model. Increased frequencies of CD4\n                      <jats:sup>+<\/jats:sup>\n                      Foxp3\n                      <jats:sup>+<\/jats:sup>\n                      Tregs and CD8\n                      <jats:sup>+<\/jats:sup>\n                      CD45RC\n                      <jats:sup>low\/-<\/jats:sup>\n                      Tregs were observed in peripheral blood, spleen, and graft tissue in tolDC-induced and spontaneous tolerant animals. MHC-II\n                      <jats:sup>+<\/jats:sup>\n                      CD8\n                      <jats:sup>+<\/jats:sup>\n                      CD45RC\n                      <jats:sup>low\/-<\/jats:sup>\n                      Tregs were enriched within tolerant grafts, suggesting an association with local immune regulation. In liver transplant recipients, the frequency of peripheral CD8\n                      <jats:sup>+<\/jats:sup>\n                      CD45RC\n                      <jats:sup>low\/-<\/jats:sup>\n                      Tregs was higher in patients with long-term stable graft function than in patients with acute rejection\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      CD8\n                      <jats:sup>+<\/jats:sup>\n                      CD45RC\n                      <jats:sup>low\/-<\/jats:sup>\n                      Tregs are associated with transplantation immune tolerance and may cooperate with CD4\n                      <jats:sup>+<\/jats:sup>\n                      Foxp3\n                      <jats:sup>+<\/jats:sup>\n                      Tregs in maintaining a tolerant immune microenvironment.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fimmu.2026.1829051","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T04:17:15Z","timestamp":1777954635000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["CD8 regulatory T cells are a novel type regulatory T cells in the induction of transplantation immune tolerance"],"prefix":"10.3389","volume":"17","author":[{"given":"Jin-can","family":"Huang","sequence":"first","affiliation":[{"name":"Devision of Hepatobiliary and Pancreaticosplenic Surgery, Department of General Surgery, Beijing Chao-Yang Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Devision of Hepatobiliary and Pancreaticosplenic Surgery, Department of General Surgery, Beijing Chao-Yang Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-di","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The First Medical Center, Chinese PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zheng","family":"Xia","sequence":"additional","affiliation":[{"name":"Zhantansi Department, Central Medical Branch of PLA General Hospital","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guo-sheng","family":"Du","sequence":"additional","affiliation":[{"name":"Organ Transplantation Center, General Hospital of Northern Theater Command","place":["Shenyang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren","family":"Lang","sequence":"additional","affiliation":[{"name":"Devision of Hepatobiliary and Pancreaticosplenic Surgery, Department of General Surgery, Beijing Chao-Yang Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Devision of Hepatobiliary and Pancreaticosplenic Surgery, Department of General Surgery, Beijing Chao-Yang Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s13287-022-03219-x","article-title":"Transfer of mesenchymal stem cell mitochondria to CD4(+) T cells contributes to repress Th1 differentiation by downregulating T-bet expression","volume":"14","author":"Akhter","year":"2023","journal-title":"Stem Cell Res Ther"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.6002\/ect.BDCDSymp.L20","article-title":"Challenges and possible solutions to donation after circulatory death in Turkey and the Middle East: Panel discussion summary report","volume":"22","author":"Herrera-Gayol","year":"2024","journal-title":"Exp Clin Transplant"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1038\/srep39924","article-title":"Impaired function of peripherally induced regulatory T cells in hosts at high risk of graft rejection","volume":"6","author":"Inomata","year":"2016","journal-title":"Sci Rep"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1172\/jci.insight.149301","article-title":"Nox2-deficient Tregs improve heart transplant outcomes via their increased graft recruitment and enhanced potency","volume":"6","author":"Trevelin","year":"2021","journal-title":"JCI Insight"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1042\/BSR20231331","article-title":"Regulatory T cells in lung disease and transplantation","volume":"43","author":"Lao","year":"2023","journal-title":"Biosci Rep"},{"key":"B6","doi-asserted-by":"publisher","first-page":"5911","DOI":"10.1038\/s41467-021-26134-w","article-title":"CD73-mediated adenosine production by CD8 T cell-derived extracellular vesicles constitutes an intrinsic mechanism of immune suppression","volume":"12","author":"Schneider","year":"2021","journal-title":"Nat Commun"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v28.i40.5818","article-title":"Management of liver diseases: Current perspectives","volume":"28","author":"Ray","year":"2022","journal-title":"World J Gastroenterol"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/j.trim.2021.101508","article-title":"Plasmacytoid dendritic cells mediate the tolerogenic effect of CD8(+) regulatory T cells in a rat tolerant liver transplantation model","volume":"70","author":"Li","year":"2022","journal-title":"Transpl Immunol"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/6930263","article-title":"The immunomodulatory properties of mesenchymal stem cells play a critical role in inducing immune tolerance after liver transplantation","volume":"2021","author":"Li","year":"2021","journal-title":"Stem Cells Int"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2022.1055805","article-title":"Identification and classification of distinct surface markers of T regulatory cells","volume":"13","author":"Wegrzyn","year":"2022","journal-title":"Front Immunol"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1002\/iid3.70165","article-title":"Fluvastatin promotes Treg cell production in allogeneic immune reaction and suppresses inflammatory response","volume":"13","author":"Chen","year":"2025","journal-title":"Immun Inflammation Dis"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1002\/ctm2.988","article-title":"IL-34 deficiency impairs FOXP3(+) Treg function in a model of autoimmune colitis and decreases immune tolerance homeostasis","volume":"12","author":"Freuchet","year":"2022","journal-title":"Clin Transl Med"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1038\/s41577-019-0232-6","article-title":"T(reg) cell-based therapies: challenges and perspectives","volume":"20","author":"Raffin","year":"2020","journal-title":"Nat Rev Immunol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"472","DOI":"10.21037\/atm.2020.03.129","article-title":"Reduction of FoxP3(+) Tregs by an immunosuppressive protocol of rapamycin plus Thymalfasin and Huaier extract predicts positive survival benefits in a rat model of hepatocellular carcinoma","volume":"8","author":"Zhou","year":"2020","journal-title":"Ann Transl Med"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0000000000001127","article-title":"Regulatory dendritic cell therapy in organ transplantation","volume":"29","author":"Hadjiyannis","year":"2024","journal-title":"Curr Opin Organ Transplant"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2017.02014","article-title":"Ex vivo expanded human non-cytotoxic CD8(+)CD45RC(low\/-) Tregs efficiently delay skin graft rejection and GVHD in humanized mice","volume":"8","author":"Bezie","year":"2017","journal-title":"Front Immunol"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1111\/imr.12812","article-title":"Future prospects for CD8(+) regulatory T cells in immune tolerance","volume":"292","author":"Flippe","year":"2019","journal-title":"Immunol Rev"},{"key":"B18","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1007\/s00005-021-00631-8","article-title":"The positive impact of donor bone marrow cells transplantation into immunoprivileged compartments on the survival of vascularized skin allografts","volume":"69","author":"Jundzill","year":"2021","journal-title":"Arch Immunol Ther Exp (Warsz)"},{"key":"B19","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.molimm.2025.06.001","article-title":"Trogocytosis-mediated acquisition of MHC class II molecules from plasmacytoid dendritic cells confers donor-specific immune tolerance to CD8(+)CD45RC(low\/-) regulatory T cells","volume":"184","author":"Zhao","year":"2025","journal-title":"Mol Immunol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1002\/eji.201948131","article-title":"Treg cell therapy: How cell heterogeneity can make the difference","volume":"51","author":"Giganti","year":"2021","journal-title":"Eur J Immunol"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1126\/science.aad0616","article-title":"Stable inhibitory activity of regulatory T cells requires the transcription factor Helios","volume":"350","author":"Kim","year":"2015","journal-title":"Science"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2018.02788","article-title":"Human CD8(+)HLA-DR(+) regulatory T cells, similarly to classical CD4(+)Foxp3(+) cells, suppress immune responses via PD-1\/PD-L1 axis","volume":"9","author":"Machicote","year":"2018","journal-title":"Front Immunol"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1016\/j.trim.2021.101512","article-title":"The role of regulatory T cells in liver transplantation","volume":"70","author":"Beyzaei","year":"2022","journal-title":"Transpl Immunol"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.4285\/ctr.25.0040","article-title":"Regulatory T cell therapy in solid organ transplantation: Clinical applications and laboratory monitoring strategies","volume":"39","author":"Nam","year":"2025","journal-title":"Clin Transplant Res"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1080\/15476278.2022.2164159","article-title":"Clinical manufacturing of regulatory T cell products for adoptive cell therapy and strategies to improve therapeutic efficacy","volume":"19","author":"Baron","year":"2023","journal-title":"Organogenesis"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1002\/eji.202048875","article-title":"Advances in liver transplantation: Where are we in the pursuit of transplantation tolerance","volume":"51","author":"Safinia","year":"2021","journal-title":"Eur J Immunol"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.01750218","article-title":"Regulatory T cells and kidney transplantation","volume":"13","author":"Martin-Moreno","year":"2018","journal-title":"Clin J Am Soc Nephrol"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1016\/j.celrep.2019.11.106","article-title":"Cross-reactive donor-specific CD8(+) Tregs efficiently prevent transplant rejection","volume":"29","author":"Picarda","year":"2019","journal-title":"Cell Rep"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1007\/s40472-025-00489-1","article-title":"Cellular therapies in transplantation - regulatory T cell therapies and virus specific therapies","volume":"12","author":"Hannouneh","year":"2025","journal-title":"Curr Transplant Rep"}],"container-title":["Frontiers in Immunology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2026.1829051\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T04:17:16Z","timestamp":1777954636000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2026.1829051\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,5]]},"references-count":29,"alternative-id":["10.3389\/fimmu.2026.1829051"],"URL":"https:\/\/doi.org\/10.3389\/fimmu.2026.1829051","relation":{},"ISSN":["1664-3224"],"issn-type":[{"value":"1664-3224","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,5]]},"article-number":"1829051"}}