Antigen-driven PD-1+ TOX+ BHLHE40+ and PD-1+ TOX+ EOMES+ T lymphocytes regulate juvenile idiopathic arthritis in situ

  • Patrick Maschmeyer
  • , Gitta Anne Heinz
  • , Christopher Mark Skopnik
  • , Lisanne Lutter
  • , Alessio Mazzoni
  • , Frederik Heinrich
  • , Sae Lim von Stuckrad
  • , Lorenz Elias Wirth
  • , Cam Loan Tran
  • , René Riedel
  • , Katrin Lehmann
  • , Imme Sakwa
  • , Rolando Cimaz
  • , Francesco Giudici
  • , Marcus Alexander Mall
  • , Philipp Enghard
  • , Bas Vastert
  • , Hyun-Dong Chang
  • , Pawel Durek
  • , Francesco Annunziato
  • Femke van Wijk, Andreas Radbruch, Tilmann Kallinich, Mir-Farzin Mashreghi

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Abstract

T lymphocytes accumulate in inflamed tissues of patients with chronic inflammatory diseases (CIDs) and express pro-inflammatory cytokines upon re-stimulation in vitro. Further, a significant genetic linkage to MHC genes suggests that T lymphocytes play an important role in the pathogenesis of CIDs including juvenile idiopathic arthritis (JIA). However, the functions of T lymphocytes in established disease remain elusive. Here we dissect the transcriptional and the clonal heterogeneity of synovial T lymphocytes in JIA patients by single-cell RNA sequencing combined with T cell receptor profiling on the same cells. We identify clonally expanded subpopulations of T lymphocytes expressing genes reflecting recent activation by antigen in situ. A PD-1+ TOX+ EOMES+ population of CD4+ T lymphocytes expressed immune regulatory genes and chemoattractant genes for myeloid cells. A PD-1+ TOX+ BHLHE40+ population of CD4+ , and a mirror population of CD8+ T lymphocytes expressed genes driving inflammation, and genes supporting B lymphocyte activation in situ. This analysis points out that multiple types of T lymphocytes have to be targeted for therapeutic regeneration of tolerance in arthritis.

Original languageEnglish
Pages (from-to)915-929
Number of pages15
JournalEuropean Journal of Immunology
Volume51
Issue number4
Early online date9 Dec 2020
DOIs
Publication statusPublished - Apr 2021

Keywords

  • BHLHE40
  • chronic inflammation
  • EOMES
  • juvenile idiopathic arthritis
  • PD-1
  • T cells
  • TOX

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