The research focused on tolerogenic dendritic cells during the last 20 years has culminated on their therapeutic application in several clinical trials. Among these trials, our team is currently conducting the first trial in the context of kidney transplantation using tolerogenic dendritic cells generated with low dose of GM-CSF (ATDC). We previously reported that Tol-BMDC generated with this protocol prolong thesurvival of different allografts in rodent models and do not induce adverse effects in nonhuman primates. In this work I demonstrated that ATDC derived from human monocytes, similarly to their bone marrow equivalent, display a low expression of costimulatory molecules, do not maturate and impair T-cell proliferation. Interestingly, ATDC display a particular phenotype, transcriptomic profile and metabolism comparing to other myeloid cells. In order to determine the suppressive mechanisms of these cells, I performed different assays demonstrating that ATDC impaired CD4+T-cells proliferation and IFN and IL-17A production, and induced de novo CD4+CD25+FoxP3hiTreg by contactindependent mechanisms. The analysis of ATDC supernatant (ATDC-SN) revealed a high concentration of lactate. I demonstrated that this lactate production is in part responsible of ATDC immunosuppressive effects. This study allowed to demonstrate that lactic acid secretion is a novel mechanisms displayed by ATDC and opens a new perspective of cell therapy based on the production of small molecules.