Regulatory T cells constrain T cells of shared specificity to enforce tolerance during infection

During infections, CD4 + Foxp3 + regulatory T (Treg) cells must control autoreactive CD4 + conventional T (Tconv) cell responses against self-peptide antigens while permitting those against pathogen-derived “nonself” peptides. We defined the basis of this selectivity using mice in which Treg cells reactive to a single prostate-specific self-peptide were selectively depleted. We found that self-peptide-specific Treg cells were dispensable for the control of Tconv cells of matched specificity at homeostasis. However, they were required to control such Tconv cells and prevent autoimmunity toward the prostate following exposure to elevated self-peptide during infection. Importantly, the Treg cell response to self-peptide did not impact protective Tconv cell responses to a pathogen-derived peptide. Thus, self-peptide-specific Treg cells promoted self-nonself discrimination during infection by selectively controlling Tconv cells of shared self-specificity.