Cell sorting and suppressive activity of inducible co‐stimulatory (ICOS)+ and ICOS− regulatory T cells (Tregs). CD4+CD127low+/−CD25+ Tregs were isolated by magnetic activated cell sorting (MACS), stained with anti‐CD4 and anti‐ICOS‐specific monoclonal antibodies and sorted into ICOS+ (P1) and ICOS− Tregs (P2) (a). The suppressive activity of the different ICOS+ and ICOS− Treg subsets was estimated by suppression assays. Blood samples were obtained from non‐pregnant women (), healthy third‐trimester women (groups 4 and 5) (◆), pre‐eclampsia patients () and women with haemolysis elevated liver enzymes low platelet (HELLP) syndrome (). The figure shows the individual and median values of the maximum suppressive activity (Treg/responder T cell (Tresp) = 1/2) (b,c) and of the ratio of Treg/Tresp up to which the purified Treg cells could be diluted to achieve a minimum suppressive activity of at least 15% (d,e). Compared to non‐pregnant and healthy third‐trimester women, the suppressive activity of both ICOS+ and ICOS− Tregs was decreased significantly in pre‐eclampsia patients, but not in HELLP syndrome patients.