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Volume 45, Issue 5, Pages (November 2016)

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1 Volume 45, Issue 5, Pages 999-1012 (November 2016)
Aire Inhibits the Generation of a Perinatal Population of Interleukin-17A-Producing γδ T Cells to Promote Immunologic Tolerance  Noriyuki Fujikado, Alexander O. Mann, Kushagra Bansal, Kimberly R. Romito, Elise M.N. Ferre, Sergio D. Rosenzweig, Michail S. Lionakis, Christophe Benoist, Diane Mathis  Immunity  Volume 45, Issue 5, Pages (November 2016) DOI: /j.immuni Copyright © 2016 Elsevier Inc. Terms and Conditions

2 Immunity 2016 45, 999-1012DOI: (10.1016/j.immuni.2016.10.023)
Copyright © 2016 Elsevier Inc. Terms and Conditions

3 Figure 1 Mice Lacking Aire Have an Increased Frequency and Number of IL-17A-Producing γδ Thymocytes Flow-cytometric analysis of γδ thymocyte compartments from Aire+/+ and Aire−/− littermates. Except for in (D), mice were 3–9 weeks of age. (A) Comparisons of total γδ and αβ thymocytes. Left: typical cytofluorometric profiles (top: Aire+/+; bottom: Aire−/−); numbers refer to the fraction of CD45+ cells in that gate. Center and right: summary data plots for γδ and αβ T cells (n = 4 mice), respectively (top: fractional representation; bottom: numbers per thymus). (B) Comparisons of cytokine expression by γδ and αβ thymocytes: IFN-γ and IL-17A expression on gated γδ and αβ T cells. In each case, the left shows a typical cytofluorometric profile; numbers refer to the fraction of γδ or αβ cells in the indicated gate. In each case, the right shows a summary data plot (n = 20 or 4 mice) (top: fractional representation; bottom: numbers per thymus). (C) Additional markers of IL-17A+ γδ thymocytes. Cells gated as IL-17A+ or IL-17A− as in (B) were additionally examined for expression of the indicated markers. Top: typical cytoflurometric histograms. Bottom: summary data (n = 3 mice). Grey shading indicates isotype-control staining. (D) IL-17A+ γδ thymocytes through ontogeny. Shown are summary data for fractional representation (n = 3–13 mice). ∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < according to a Student’s t test. Only significant differences are indicated. Dot-plot scales are all the same. For all relevant panels, error bars represent the mean ± SEM. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions

4 Figure 2 Increased Frequency and Number of Tγδ17 Cells in Peripheral Tissues of Aire-Deficient Mice Spleen (A), lymph nodes (B), skin epidermis (C), skin dermis (D), and small-intestinal lamina propria (SI-LP, E) of Aire+/+ and Aire−/− littermates were excised at 3–9 weeks of age and examined by flow cytometry, focusing on Tγδ17 cells. Left: typical cytofluorometric profiles; numbers refer to the fraction of total γδ T cells in that gate. Center: summary data for fractional representation (n = 3–16 mice). Right: corresponding summary data for the number per organ. Statistics are presented as in Figure 1. Dot-plot scales are all the same. For all relevant panels, error bars represent the mean ± SEM. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions

5 Figure 3 The Expanded Tγδ17 Population in Aire−/− Mice Display Primarily Vγ6+Vδ1+ TCRs (A–C) Flow-cytometric analysis of Vγ usage. Perinatal thymocytes from Aire+/+ and Aire−/− mice were stained for IL-17A and for the indicated Vγ chains. (A) Typical cytofluorometric profiles. Numbers refer to fraction of total γδ cells within the designated gate. (B) Summary data on fractional representation (n = 4–5 mice). (C) Corresponding summary data on the numbers per thymus. (D) Summary of the single-cell sequencing data detailed in Table S1. Single perinatal Vγ6+ thymocytes from Aire+/+ and Aire−/− littermates were sorted, and the CDR3 (in bold) sequences of their Vγ6+ and Vδ1+ chains were determined. (E) Summary of the lung single-cell sequencing data detailed in Table S2. Data are presented as in (D), except Vγ6+ cells were sorted from the lung of 5-week-old littermates. (F) Summary of the eye single-cell sequencing data for 7-week-old and 13- to 15-week-old mice detailed in Table S2. Data are presented as in (D), except Il-17+Vγ6+-enriched cells were identified as Vγ1,2,4,5−CD27− for sorting from the eyes of age-matched sets of Aire+/+ and Aire−/− mice (n = 5–15). Statistics are presented as in Figure 1. Dot-plot scales are all the same. For all relevant panels, error bars represent the mean ± SEM. See also Tables S1 and S2. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions

6 Figure 4 IL-7 Drives Tγδ17 Population Expansion in Aire−/− Mice
(A) Quantification of cytokine gene transcripts from mTECs of perinatal and adult Aire+/+ and Aire−/− mice, focusing on the family of cytokines that bind to receptors employing the γc chain. Microarray data on independent triplicates of mature mTECs expressing a high level of MHC-II are shown (Yang et al., 2015). Left: heatmap. Right: expression values for genes deemed of particular interest. (B) Flow-cytometric comparison of IL-7R expression by IL-17A+ and IL-17A− γδ thymocytes from Aire−/− perinates. Left: histogram of expression. Right: mean fluorescence intensity (MFI). (C) Boosting IL-7 levels in Aire+/+ mice. Recombinant IL-7 (250 ng/g body weight) was injected intraperitoneally into day 0 perinates, and thymocytes were analyzed 3 days later. Left: typical cytofluormetric profiles; numbers represent the fraction of total γδ T cells within the indicated gate. Center and right: summary data on fractional representation and cell numbers, respectively (n = 3–8 mice). Top: quantification of IL-17A+ γδ thymocytes. Bottom, quantification of IL-17A+Vγ6+ cells. (D) Blocking the effect of IL-7 in Aire−/− mice. On the day of birth, 25 μg of the anti-IL-7R mAb, A7R34, was injected; 3 days later, γδ thymocytes were analyzed. Data are presented as in (C) (n = 3–5 mice). Statistics are presented as in Figure 1. Dot-plot scales are all the same. For all relevant panels, error bars represent the mean ± SEM. See also Figure S1. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions

7 Figure 5 γδ T Cells Play a Role in the Autoimmune Disease Characteristic of Aire-Deficient Mice Littermates carrying a homozygous-null mutation in Aire, Tcrd, both, or neither on the B6 genetic background were followed until 15 weeks of age, when the indicated organs were taken for histology (n = 10 mice per group). (A) Weight curves. (B) Histologic scores according to the scoring system described in the Experimental Procedures. (C) Eye histology. Hematoxylin and eosin staining of retinal tissue. The arrow indicates the disrupted retinal layer. (D) Data are presented as in (B), except mice harboring a homozygous-null mutation in Aire with or without a Vγ6+Vδ1+ TCR transgene were followed until 12 weeks of age (n = 2–4 mice for prostate and 6–8 for all other tissues). Statistics are presented as in Figure 1. For all relevant panels, error bars represent the mean ± SEM. See also Figure S2. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions

8 Figure 6 Tγδ17 Cells Accumulate in the Retina Prior to Autoimmune Attack in Aire-Deficient Mice (A) IL-23 reporter validation. Flow-cytometric analysis of thymic Tγδ17 cells from day-of-birth IL-23R-GFP mice. Left and center: typical cytofluorometric plots. Right: summary data (n = 3 mice). (B) Histologic scores, as per the Experimental Procedures, of eye tissue from 7- or 15-week-old Aire−/− mice (n = 6–20). (C) Cytoflurometric comparison of GFP+ Tγδ17 cells from uveoretinal tissue of 7-week-old Aire+/+ and Aire−/− mice carrying the IL-23R-GFP reporter. Left: typical profiles. Right: summary data on fractional representation and number (n = 6–8 mice). (D) Summary data for 4-week-old mice (n = 2–3). (E) Data are presented as in (C), except cells were isolated from the lung, lacrimal gland, or dermis (n = 2–3 mice for salivary gland and 4–6 for all other tissues). (F) RNA-seq analysis of gene expression in Vγ1,2,4,5−CD27− (i.e., IL-17+Vγ6+-enriched) γδ T cells isolated from the lungs of 10-week-old Aire+/+ or Aire−/− mice (n = 2). Red- or blue-highlighted genes represent loci 2-fold up- or downregulated, respectively, during Vγ6+ cell thymic maturation (Narayan et al., 2012). p values reflect the significance of signature enrichment as calculated by the χ2 test (∗p < 0.05, ∗∗p < 0.01, ∗∗∗p < 0.001). Other statistics as presented as in Figure 1. Dot-plot scales are all the same. For all relevant panels, error bars represent the mean ± SEM. See also Figure S3. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions

9 Figure 7 IL-17A+Vγ9+Vδ2+ T Cells Are Enriched in APECED Patients
(A) Gating strategy. After initial forward-scatter and side-scatter gating of peripheral-blood mononuclear cells, lymphocytes were gated (left), CD3+ T cells were selected (left center), Vγ9+Vδ2+ cells were delineated (right center), and IL-17A-producing cells were quantified (right). (B) Summary data for the absolute number of TCRγδ+CD3+ cells per μL of blood (n = 6 APECED patients and 40 healthy donors). (C) Summary data on IL-17A production by PMA+ ionomycin-stimulated Vγ9+Vδ2+ T cells (n = 6 patients). p < 0.05 via the unpaired t test with Welch’s correction. (D) Summary data on IL-17A production by PMA+ ionomycin-stimulated CD4+ T cells (n = 6 patients). p < 0.01 via the unpaired t test. For all relevant panels, error bars represent the mean ± SEM. Immunity  , DOI: ( /j.immuni ) Copyright © 2016 Elsevier Inc. Terms and Conditions


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