Memory T Cells Officially Join the Stem Cell Club

Memory T Cells Officially Join the Stem Cell Club

Immunity Previews developmental branch point between CDP versus cMoP remain under debate, a branch may occur at the lymphoidprimed multipotent progen...

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Immunity

Previews developmental branch point between CDP versus cMoP remain under debate, a branch may occur at the lymphoidprimed multipotent progenitor (LMPP) stage (Naik et al., 2013; Onai et al., 2013).

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Onai, N., Kurabayashi, K., Hosoi-Amaike, M., Toyama-Sorimachi, N., Matsushima, K., Inaba, K., and Ohteki, T. (2013). Immunity 38, 943–957.

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Naik, S.H., Sathe, P., Park, H.Y., Metcalf, D., Proietto, A.I., Dakic, A., Carotta, S., O’Keeffe, M., Bahlo, M., Papenfuss, A., et al. (2007). Nat. Immunol. 8, 1217–1226.

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Memory T Cells Officially Join the Stem Cell Club Luca Gattinoni1,* 1Experimental Transplantation and Immunology Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD 20892, USA *Correspondence: [email protected] http://dx.doi.org/10.1016/j.immuni.2014.07.003

In this issue of Immunity, Graef et al. (2014) demonstrate self-renewal and multipotency of a single CD62L+ memory T cell across serial adoptive transfers and infection-driven re-expansions, providing evidence of true stemness within the T cell memory compartment. Long-term maintenance of tissue homeostasis relies on somatic stem cells, which ensure efficient replacement of shortlived, specialized cells while maintaining themselves through a process of selfrenewal (Simons and Clevers, 2011). Analogous to other organ systems, life-long immunological memory is thought to depend on stem-cell-like memory cells, because the ability of hematopoietic stem cells (HSCs) to provide for antigenspecific immunity is constrained by stochastic recombination of the T cell receptor and thymic involution in early adulthood (Fearon et al., 2001). Over the past decade, it has become increasingly recognized that memory T cells display core molecular signatures and functional attributes characteristic of stem cells (Gattinoni et al., 2012). For instance, memory T cells share a partially conserved transcriptional profile with HSCs and, similar to stem cells, they can undergo asymmetric division and activate telomerase to maintain telomere length and replicative potential (Gattinoni et al., 2012). Furthermore, several signaling pathways regulating stem cell

self-renewal have been found to be active in T cells to promote memory and limit effector T cell differentiation (Gattinoni et al., 2012). However, self-renewal and multipotency, the defining qualities of stem cells, have only been inferred by reconstitution studies analyzing the developmental potential of T cell populations rather than studying individual cells, which is essential to determining the true stemness of a given cell type. These population-based studies have revealed a hierarchical organization of the T cell memory compartment. T memory stem cells (Tscm), a subset of cells displaying a naive-like phenotype (CD44–CD62L+ in mice; CD45RA+CD62L+ in human and nonhuman primates) together with the expression of the memory markers interleukin-2 receptor (IL-2R) b and the chemokine C-X-C motif receptor 3 (CXCR3), have been shown to be the most undifferentiated memory subset (Gattinoni et al., 2012). In this hierarchical structure, CD62L+ central memory (Tcm) cells are located at an intermediate position between Tscm cells and CD62L– effector

memory (Tem) cells, which are committed progenitor cells prone to effector T (Teff) cell differentiation (Gattinoni et al., 2012). Although these studies focusing on population analyses helped shape our current understanding of T cell differentiation, they cannot unequivocally establish the developmental potential of individual cells. In this issue of Immunity, Graef et al. (2014) evaluate the stemness of the CD8+ memory T cell compartment by measuring self-renewal and multipotency of a single Tcm cell throughout a series of in vivo clonogenic assays. It was an extraordinary undertaking, performing a serial trigenerational single-cell transfer, an experiment that was never attempted before for any type of mammalian stem cells. The authors found that after pathogen stimulation, a single Tcm cell could propagate itself while giving rise to a diverse progeny comprising Tem and Teff cells. Remarkably, progeny size, diversity, and longterm maintenance were highly reproducible across serial transfers, demonstrating stem cell behavior of individual Tcm cells (Figure 1). In keeping with the stem cell

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Figure 1. Tcm Cells Function as Adult Stem Cells Self-renewal and multipotency of a single central memory T cell (Tcm) across serial adoptive transfers and infection-driven re-expansions ensure full immunocompetence. Abbreviations are as follows: Tn, naive T cell; Tem, effector memory T cell; Teff, effector T cell.

parallel, it was striking to observe that a progeny from single Tcm cells could be detected in about 20% of mice, a recovery rate comparable to the reconstitution efficiency originally reported for a single HSC (Osawa et al., 1996). A hallmark of adult stem cells is the ability to confer functional tissue reconstitution. Graef et al. (2014) showed that minuscule numbers of tertiary Tcm cells, whose ancestors had passed through three generations of single T cells—a naive T cell, a primary Tcm cell, and a secondary Tcm cell—were capable of reconstituting full immunocompetence and protecting severely immunodeficient hosts from a lethal bacterial challenge (Figure 1). Collectively, these findings further buttress the conclusion that CD62L+ memory T cells functionally behave as adult stem cells. It is currently unclear whether Tcm cells have a persistent broad developmental potential or whether they accumulate inherited restrictions as a result of their replicative history. The authors concluded in favor of the first hypothesis, because they observed no correlation between the degree of expansion that had originated from a single ancestor and the proliferation of its Tcm daughter cells. However, it should be noted that the degree of expansion of a single-cell progeny does not necessarily reflect the replicative history of Tcm daughter cells, because the size of large colonies is primarily driven by Tem and Teff cells. Conversely, paralleling other types of adult stem cells, whose stemness is often preserved by enforcing cellular quiescence (Simons and Clevers,

2011), the reconstitution potential of individual Tcm cells might also be conditioned by their past proliferation. Indeed, the authors observed that about 20% of single Tcm-cell-derived progenies that were detectable at the peak of expansion failed to persist for the long-term, indicating a stochastic loss of stemness, possibly reflecting heterogeneity of replicative history in the Tcm cell compartment. These results underscore that, akin to other types of tissue stem cells (Simons and Clevers, 2011), T cell memory stemness is maintained not only at single-cell level but also through the ‘‘robustness’’ of the CD62L+ memory pool. It is unfortunate that Tscm cell stemness could not be evaluated in this study, because the experimental conditions employed by Graef et al. (2014) did not support the formation of this memory subset. Pathogen-specific Tscm cells have yet to be reported in mice but have been described in human and nonhuman primates (Gattinoni et al., 2011; Lugli et al., 2013). More importantly, it is becoming clear that these cells are fundamental for the maintenance of immune homeostasis because perturbation of the Tscm cell compartment has been linked to the pathogenesis of simian immunodeficiency virus infection in rhesus macaques (Cartwright et al., 2014). The authors contended that because naive T cells and Tcm cells were virtually indistinguishable in their capacity for immune reconstitution, intermediates are unlikely to do better. It should be stressed that naive and Tcm cells are not functionally identical. Like two paths leading to the same desti-

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nation, naive and Tcm cells might exhibit comparable efficiencies for immune reconstitution as a result of different functional properties. For example, a single naive T cell might be outcompeted for antigen access by increased numbers of endogenous naive T cells specific for the same epitope, impairing its reconstitution efficiency. Tcm cells, instead, might have a defective reconstitution potential compared to naive T cells that could be compensated by CXCR3-mediated migratory advantages facilitating their encounter with pathogens (Sung et al., 2012). Thus, it is possible to envision that an intermediate subset possessing the ‘‘best of both worlds’’ could outperform naive and Tcm cell ability for reconstitution. In fact, although there were not significant differences in the engraftment and expansion of human naive and Tcm cells adoptively transferred into highly immunodeficient NOD.Cg-PrkdcscidIl2rgtm1Wjl/ SzJ mice, Tscm cells outpaced both subsets, generating 10- to 100-fold more progenies in both lymphoid and peripheral tissues (Gattinoni et al., 2011). Nevertheless, the data presented here by Graef et al. (2014) clearly indicated that Tcm cells are sufficient to propagate T cell memory and reconstitute epitope-specific immunocompetence of the host. Graef et al. (2014) also provide new experimental evidence that helps resolve the ongoing debate regarding the ontogeny of memory cells. The findings that even 100 Tem cells could not be propagated across serial adoptive transfer strongly argue against a linear model of differentiation where Tcm cells develop from Teff cells through maturational transition into Tem cells (Wherry et al., 2003). Instead, these results are consistent with a developmental model of differentiation where cells progressively lose their proliferative and developmental potential as they differentiate from CD62L+ T cells to Tem and Teff cells (Gattinoni et al., 2012). The findings reported here by Graef et al. (2014) have important therapeutic implications and add to the mounting evidence that less-differentiated CD62L+ T cells are the ideal cell population to use in cellular therapies targeting intracellular pathogens and cancer (Gattinoni et al., 2012). Long-term persistence of adoptively transferred T cells have been shown to correlate with objective tumor responses across multiple clinical trials

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Previews employing either naturally occurring or gene-engineered tumor-reactive T cells (Gattinoni et al., 2012). However, cell products currently employed in adoptive immunotherapy studies predominantly comprise Teff and Tem cells, which have a limited life span. Adoptive transfer of long-lived, multipotent CD62L+ memory T cells might significantly improve persistence and potentiate the therapeutic efficacy of adoptive immunotherapies. New clinical trials employing Tcm or CD62L+derived T cells have been initiated and hopefully will translate into increased tumor response rates. Finally, the experimental demonstration that tiny numbers of CD62L+ memory cells can fully reconstitute immunocompetence emphasizes the idea that large numbers of cells are not necessary for therapeutic success

when memory stem cell populations are employed. The use of small numbers of CD62L+ memory cells might reduce the cost and complexity of the treatment and, ultimately, allow the widespread application of adoptive immunotherapies.

Graef, P., Buchholz, V.R., Stemberger, C., Flossdorf, M., Henkel, L., Schiemann, M., Drexler, I., Ho¨fer, T., Riddell, S.R., and Busch, D.H. (2014). Immunity 41, this issue, 116–126.

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Tfr Cells and IgA Join Forces to Diversify the Microbiota Maria Rescigno1,* 1Department of Experimental Oncology, European Institute of Oncology, 20139 Milan, Italy *Correspondence: [email protected] http://dx.doi.org/10.1016/j.immuni.2014.06.012

How diversity of the microbiota is generated and maintained is an open question. In this issue of Immunity, Kawamoto et al. show that T follicular regulatory cells foster microbiota diversity via the regulation of IgA selection. The microbiota participates in several physiological functions, including the function and maturation of the immune system (Hooper et al., 2012). It is so important for our well being that the immune system has found ways to nourish it in a symbiotic relationship that only recently has started to be unraveled. How the immune system shapes the composition of the microbiota is not completely understood. In this issue of Immunity, Kawamoto et al. (2014) show a role for T regulatory cells in promoting microbiota diversity via the regulation of immunoglobulin A (IgA) selection. IgA is the most abundant immunoglobulin and is released in body secretions (Macpherson et al., 2012). IgAs are pro-

duced by plasma cells in the lamina propria of the gut and are transported across epithelial cells by the polymeric immunoglobulin receptor (pIgR) into the intestinal secretion (Kaetzel, 2014). Mice lacking activation-induced cytidine deaminase (AID) that cannot carry out class switch recombination or somatic hypermutation of IgA, or lacking pIgR that cannot release IgAs in the intestinal lumen, display a modified microbiota composition (Kaetzel, 2014). However, this is not simply due to the absence of IgAs; mice with a mutation in AID (AIDG23S) that allows class switch recombination but not somatic hypermutation also display an imbalance in gut bacterial communities (Wei et al., 2011). Thus, affinity maturation of IgAs

plays a crucial role in selecting the microbiota. How are IgAs selected? Germlineencoded IgAs have low affinity and are polyreactive, i.e., they can bind to common microbial antigens. After specific challenge, B cells enter the germinal centers (GC) of Peyer’s patches where T-celldependent affinity maturation of IgAs can occur (Kato et al., 2014). Two types of CD4+ T cells are found in the GCs: T follicular helper (Tfh) cells and T follicular regulatory (Tfr) cells (Kato et al., 2014). Tfh cells provide help to B cell proliferation, selection, and affinity maturation, but Tfh cells hardly proliferate. This is because their growth is controlled by Tfr cells (Linterman et al., 2011). Tfr cells are

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