The 2025 Nobel Prize in Physiology or Medicine recognises a landmark in immunology: the discovery of regulatory T cells (Tregs). Shimon Sakaguchi, a Professor at Osaka University, Japan, first showed in the 1990s that a specific subset of T cells actively suppresses immune responses against self-tissues. This was a paradigm shift, as it proved the immune system has a dedicated 'brake' mechanism.

Mary Brunkow at the Institute for Systems Biology, Seattle, and Fred Ramsdell independently identified the FOXP3 gene as the master regulator of Treg development. Mutations in FOXP3 cause IPEX syndrome (Immune dysregulation, Polyendocrinopathy, Enteropathy, X-linked) in humans, a fatal autoimmune disorder.

This discovery has transformed understanding of immune tolerance and opened therapeutic possibilities including Treg-based cell therapies for organ transplant rejection, type 1 diabetes, inflammatory bowel disease, and cancer immunotherapy. Clinical trials for Treg therapies are now underway globally.