[HTML][HTML] Evidence for a stepwise program of extrathymic T cell development within the human tonsil

S McClory, T Hughes, AG Freud… - The Journal of …, 2012 - Am Soc Clin Investig
S McClory, T Hughes, AG Freud, EL Briercheck, C Martin, AJ Trimboli, J Yu, X Zhang
The Journal of clinical investigation, 2012Am Soc Clin Investig
The development of a broad repertoire of T cells, which is essential for effective immune
function, occurs in the thymus. Although some data suggest that T cell development can
occur extrathymically, many researchers remain skeptical that extrathymic T cell
development has an important role in generating the T cell repertoire in healthy individuals.
However, it may be important in the setting of poor thymic function or congenital deficit and
in the context of autoimmunity, cancer, or regenerative medicine. Here, we report evidence …
The development of a broad repertoire of T cells, which is essential for effective immune function, occurs in the thymus. Although some data suggest that T cell development can occur extrathymically, many researchers remain skeptical that extrathymic T cell development has an important role in generating the T cell repertoire in healthy individuals. However, it may be important in the setting of poor thymic function or congenital deficit and in the context of autoimmunity, cancer, or regenerative medicine. Here, we report evidence that a stepwise program of T cell development occurs within the human tonsil. We identified 5 tonsillar T cell developmental intermediates: (a) CD34+CD38dimLin cells, which resemble multipotent progenitors in the bone marrow and thymus; (b) more mature CD34+CD38brightLin cells; (c) CD34+CD1a+CD11c cells, which resemble committed T cell lineage precursors in the thymus; (d) CD34CD1a+CD3CD11c cells, which resemble CD4+CD8+ double-positive T cells in the thymus; and (e) CD34CD1a+CD3+CD11c cells. The phenotype of each subset closely resembled that of its thymic counterpart. The last 4 populations expressed RAG1 and PTCRA, genes required for TCR rearrangement, and all 5 subsets were capable of ex vivo T cell differentiation. TdT+ cells found within the tonsillar fibrous scaffold expressed CD34 and/or CD1a, indicating that this distinct anatomic region contributes to pre–T cell development, as does the subcapsular region of the thymus. Thus, we provide evidence of a role for the human tonsil in a comprehensive program of extrathymic T cell development.
The Journal of Clinical Investigation