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Pregnancy dedifferentiates memory CD8+ T cells into hypofunctional cells with exhaustion-enriched programs
Jared M. Pollard, Grace Hynes, Dengping Yin, Malay Mandal, Fotini Gounari, Maria-Luisa Alegre, Anita S. Chong
Jared M. Pollard, Grace Hynes, Dengping Yin, Malay Mandal, Fotini Gounari, Maria-Luisa Alegre, Anita S. Chong
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Research Article Immunology Transplantation

Pregnancy dedifferentiates memory CD8+ T cells into hypofunctional cells with exhaustion-enriched programs

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Abstract

Alloreactive memory, unlike naive, CD8+ T cells resist transplantation tolerance protocols and are a critical barrier to long-term graft acceptance in the clinic. We here show that semiallogeneic pregnancy successfully reprogrammed memory fetus/graft-specific CD8+ T cells (TFGS) toward hypofunction. Female C57BL/6 mice harboring memory CD8+ T cells generated by the rejection of BALB/c skin grafts and then mated with BALB/c males achieved rates of pregnancy comparable with naive controls. Postpartum CD8+ TFGS from skin-sensitized dams upregulated expression of T cell exhaustion (TEX) markers (Tox, Eomes, PD-1, TIGIT, and Lag3). Transcriptional analysis corroborated an enrichment of canonical TEX genes in postpartum memory TFGS and revealed a downregulation of a subset of memory-associated transcripts. Strikingly, pregnancy induced extensive epigenetic modifications of exhaustion- and memory-associated genes in memory TFGS, whereas minimal epigenetic modifications were observed in naive TFGS. Finally, postpartum memory TFGS durably expressed the exhaustion-enriched phenotype, and their susceptibility to transplantation tolerance was significantly restored compared with memory TFGS. These findings advance the concept of pregnancy as an epigenetic modulator inducing hypofunction in memory CD8+ T cells that has relevance not only for pregnancy and transplantation tolerance, but also for tumor immunity and chronic infections.

Authors

Jared M. Pollard, Grace Hynes, Dengping Yin, Malay Mandal, Fotini Gounari, Maria-Luisa Alegre, Anita S. Chong

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Figure 3

Postpartum memory and naive OVA-specific TFGS acquire distinct and shared transcriptional signatures.

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Postpartum memory and naive OVA-specific TFGS acquire distinct and share...
(A) OVA:Kb-specific TFGS from each experimental group; N, R, P (C5), and R+P (C5). (B) UMAP plot comparing transcriptional profiles among TFGS subsets. (C) Row-normalized RNA-Seq expression of the top differentially expressed genes (n = 1,894), organized by K-means clustering into Clusters A–D, indicated by right-side column. The total number and examples of DEGs in each K-means cluster are listed on the right. (D) Box plots visualizing relative expression of DEGs in each K-Means cluster identified in C. Minimum criteria for DEGs shown in this figure was both q < 0.1 and log2 fold-change > 0.9. P values (in D) were determined by Kruskal-Wallis 1-way ANOVA with Dunn’s post hoc test. ****P < 0.0001. (E and F) Venn diagram and row-normalized RNA-Seq expression of DEGs induced by pregnancy in only R+P (n = 635 DEGs), only P (n = 621 DEGs), or both R+P and P TFGS (n = 196 DEGs). Each dot in UMAP or box plots, and each column in the heatmap, indicates an individual mouse.

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