Caput Local adaptation of T(reg)cells

13 important questions on Caput Local adaptation of T(reg)cells

Which markers are specific for tissue resident T cells (Trm)?
How do the Trms react normally?

Trm upregulate markers associated with tissue residence, indluding CD103 for tissue retention and CD69 for identification of tissue.

Those cells are normally in steady state but seem to indicate a fast respons in several places in the body when infection occurs at specific tissue.


"Human TRMs in diverse sites exhibit increased expression of adhesion and inhibitory molecules, produce both pro-inflammatory and regulatory cytokines, and have reduced turnover compared with circulating TEM, suggesting unique adaptations for in situ immunity"

What is the role of tissue resident T cells in disease?

Right, diseases of lung, gut and skin clearly or potentially mediated by pathologically activated TRM cells. Left, diseases of normally sterile non-barrier tissues mediated by infiltrating T cells that have acquired the properties of TRM cells. Disease states in normal font indicate that there is experimental evidence supporting TRM cell causation, whereas disease states in italic font are speculation on the part of the authors. GVHD, graft-versus-host disease.

What is the role of Tcells in inflammatory bowel disease IBD?

This disease is characterized by chronic inflammation with a relapsing remitting character. There is constant infiltration and activation of CD4 Tcells.

Pathogenesis is multifactorial: the environment, microbioom and genetics also have influence.
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What is the difference in tcell content in the different layers of the small intestine (lamina properia and epithelial layer).

Intestinal epithelial tcells: mainly cd8+ Tcells, magage the first respons.
Lamina propina tcells: Tcells (more tregs than in IET) and innate cells. The tcell content resembles tcell content in the perifery.

How is homing of tcells to respectively the lymphoid tissue, vessels, lamina propina and epithelium achieved?

(Intraepithelial) T cell differentiation leads to expression of different homing markers. For the colon, (LP and epithelium), expression of alfaEbeta7 is very important. alfa4beta7 is needed for binding to HEV.

Which important T cell subset is recently found that has a large impact on IBD?

Double positive (CD4CD8)alfalafa T cells; regulatory t cell subset induced by colonic bacteria (and deficient in IBD).
These cells are present in both the Intestinal Epithelia and the Lamina Propina.

Explain the compartimentalization of the CD4CD8alfaalfa T cells in the colon.

  • Three types of CD4CD8 cells in LPT have a more activated transcriptional profile (more TCR signalling, more NK-kb signalling, more oxidative phospohorylation) compared to IET (1)
  • IET show an immune regulatory profile  (more PD-1 and LAG3 expression, negative regulators of late and early respons) compared to LPT (2)
  • LPT have a more cytotoxic/Trm profile compared to IET at steady state (3)


So
CD4CD8alfaalfa cells in LPT: Cytotoxic and active.
"" in IET: Immune regulatory
Both: Trm (tissue resident memory) upregulated.

What happens when steady state is "broken" (after stimulation with pathogen)?

Toxicity (measured with GranzymeB) in epithelial layer increases (even more than the CD4CD8alfaalfa cells in the lamina).

Which mechanisms do tregs have to supress the immune system?

  • Secretion of inhibitory cytokines
  • Metabolic disruption
  • Cytolysis
  • Targeting dendritic cells

How do Tregs adapt when inflammation occurs?

Tregs maintain Treg signature (Core Treg module by Foxp3), but also upregulate homing receptors and effector genes (Thx-like module), allowing Tregs to take on some of the properties of Th cells (to travel to the same site and survive at site of inflammation). 

So, the micro-environment shapes the type of effector program.

What are the feautures of Tregs and Teffs in the synovial fluid of patients with Juvenile Idiopathic Arthritis (JIA; common autoimmune disease with chronic inflammation in the cells).

Study cells from site of inflammation: SFMC (mononuclear cells) are isolated from the synovial fluid (SF).
SF Tregs show specific upregulation of effector markers (ICOS, GITR); "effector Tregs".

In SF-JIA tregs, several pathways are upregulated compared to other Tregs, such as IFNgamma signalling, IL12 signalling etc. This indicates a Th1 signature of these Trefs.

Which specific proteins are upregulated in Tregs in JIA-SF.

FOXP3, TIGIT, CTLA4, IL12, TBET: all Th1 (homing) proteins. This confirms the Treg/Th1 phenotype on protein level.

In which settings is the effector profile of Tregs also upregulated?

In RA and Tumor cells the effector profile is upregulated. This is associated with enhancers and super-enhancers in Tregs.
This program is environment independent (?)

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