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Virus-specific TRM cells of both donor and recipient origin reside in human kidney transplants
Daphne M. Hullegie-Peelen, … , Martin J. Hoogduijn, Carla C. Baan
Daphne M. Hullegie-Peelen, … , Martin J. Hoogduijn, Carla C. Baan
Published September 26, 2023
Citation Information: JCI Insight. 2023;8(21):e172681. https://doi.org/10.1172/jci.insight.172681.
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Research Article Immunology Transplantation

Virus-specific TRM cells of both donor and recipient origin reside in human kidney transplants

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Abstract

Tissue-resident lymphocytes (TRLs) are critical for local protection against viral pathogens in peripheral tissue. However, it is unclear if TRLs perform a similar role in transplanted organs under chronic immunosuppressed conditions. In this study, we aimed to characterize the TRL compartment in human kidney transplant nephrectomies and examine its potential role in antiviral immunity. The TRL compartment of kidney transplants contained diverse innate, innate-like, and adaptive TRL populations expressing the canonical residency markers CD69, CD103, and CD49a. Chimerism of donor and recipient cells was present in 43% of kidney transplants and occurred in all TRL subpopulations. Paired single-cell transcriptome and T cell receptor (TCR) sequencing showed that donor and recipient tissue–resident memory T (TRM) cells exhibit striking similarities in their transcriptomic profiles and share numerous TCR clonotypes predicted to target viral pathogens. Virus dextramer staining further confirmed that CD8 TRM cells of both donor and recipient origin express TCRs with specificities against common viruses, including CMV, EBV, BK polyomavirus, and influenza A. Overall, the study results demonstrate that a diverse population of TRLs resides in kidney transplants and offer compelling evidence that TRM cells of both donor and recipient origin reside within this TRL population and may contribute to local protection against viral pathogens.

Authors

Daphne M. Hullegie-Peelen, Hector Tejeda Mora, Dennis A. Hesselink, Eric M.J. Bindels, Thierry P.P. van den Bosch, Marian C. Clahsen-van Groningen, Marjolein Dieterich, Sebastiaan Heidt, Robert C. Minnee, Georges M.G.M. Verjans, Martin J. Hoogduijn, Carla C. Baan

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Figure 2

Donor and recipient chimerism of innate(-like) and adaptive TRLs in kidney transplants.

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Donor and recipient chimerism of innate(-like) and adaptive TRLs in kidn...
(A) Flow cytometric analysis to identify donor and recipient TRL populations. (B) Frequency of TRLs among CD45+ lymphocytes in kidney transplant nephrectomies (n = 24) and in PBMCs (n = 3). (C and D) Frequency of TRL subpopulations among total TRLs (C) and the differential expression of tissue-resident markers CD69, CD103, and CD49a (D) in kidney transplant nephrectomies (n = 24). (E–H) Chimerism analysis of TRLs in kidney transplant nephrectomies (n = 21). Comparison of time between transplantation and explantation between chimeric (n = 9) and nonchimeric (n = 12) samples (E). Spearman’s correlation (ρ) between the proportion of donor cells among TRLs in chimeric kidneys (n = 9) and the time between transplantation and explantation (ρ = −0.75; P = 0.025) (F). Frequency of donor cells among TRL subpopulations (G). Frequency of donor cells in TRL subpopulations defined by the expression of canonical tissue-resident markers (H). Bars represent the median (B–E). Bar plots represent the median and IQRs (G and H). CD103 and CD49a expression was not examined in CD69– populations (n/a; H). The Mann–Whitney U test was used to compare 2 groups (B and E). The Kruskal–Wallis test with Dunn’s multiple comparison was used to compare more than 2 groups (C, D, G, and H). *P < 0.05, **P <0.01, and ***P < 0.001.

Copyright © 2023 American Society for Clinical Investigation
ISSN 2379-3708

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