Regulatory T (T reg) cells found in the synovial fluid of inflamed joints can be identified by the coexpression of CD4, CD25, and CD27, according to Ruprecht and colleagues on page 1793.

CD4+ regulatory T cells in the synovial tissues of a juvenile arthritis patient coexpress CD25 (red) and CD27 (green).

Suppression of damaging T cell responses by CD4+ T reg cells is critical for the prevention of autoimmune disease. But studying these cells in the context of disease has been problematic, largely because CD4+ T reg cells and activated CD4+ T cells express many of the same surface molecules and are thus difficult to distinguish. Although coexpression of CD4 and the high affinity interleukin (IL)-2 receptor (CD25) identifies T reg cells in the circulation, CD25 cannot distinguish between T reg cells and local effector T cells, which up-regulate this...

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