Modulation of tissue resident memory T cells by glucocorticoids after acute cellular rejection in lung transplantation.

Modulation of tissue resident memory T cells by glucocorticoids after acute cellular rejection in lung transplantation.
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DOI:
10.1084/jem.20212059
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发表时间:
2022-04-04
期刊:
The Journal of experimental medicine
影响因子:
--
通讯作者:
McDyer JF
McDyer JF
中科院分区:
其他
文献类型:
--
作者:
Snyder ME;Moghbeli K;Bondonese A;Craig A;Popescu I;Fan L;Tabib T;Lafyatis R;Chen K;Trejo Bittar HE;Lendermon E;Pilewski J;Johnson B;Kilaru S;Zhang Y;Sanchez PG;Alder JK;Sims PA;McDyer JF

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During acute cellular rejection after lung transplantation, there is an intra-allograft oligoclonal expansion of cytotoxic CD8+ T cells. Despite treatment with systemic glucocorticoids, expanded T cell clones persist as transcriptionally reprogrammed, airway-centric tissue resident memory T cells. Acute cellular rejection is common after lung transplantation and is associated with an increased risk of early chronic rejection. We present combined single-cell RNA and TCR sequencing on recipient-derived T cells obtained from the bronchoalveolar lavage of three lung transplant recipients with rejection and compare them with T cells obtained from the same patients after treatment of rejection with high-dose systemic glucocorticoids. At the time of rejection, we found an oligoclonal expansion of cytotoxic CD8+ T cells that all persisted as tissue resident memory T cells after successful treatment. Persisting CD8+ allograft-resident T cells have reduced gene expression for cytotoxic mediators after therapy with glucocorticoids but accumulate around airways. This clonal expansion is discordant with circulating T cell clonal expansion at the time of rejection, suggesting in situ expansion. We thus highlight the accumulation of cytotoxic, recipient-derived tissue resident memory T cells within the lung allograft that persist despite the administration of high-dose systemic glucocorticoids. The long-term clinical consequences of this persistence have yet to be characterized.
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