Significance
Tissue-resident memory T cells (TRM) form in the skin where they are retained and can protect against subsequent infection. Using a combination of intravital imaging and mathematical modeling of skin TRM that form after cutaneous herpes simplex virus 1 infection, we reveal that these memory T cells persist at the site of infection for the life of a mouse owing to slow random migration. We also report that TRM compete with dendritic epidermal γδ T cells in skin for local survival signals, suggesting that T cells compete for space within an epidermal niche.
Keywords: intravital imaging HSV-1 infection, Langerhans cells, Brownian motion
Abstract
Barrier tissues such as the skin contain various populations of immune cells that contribute to protection from infections. These include recently identified tissue-resident memory T cells (TRM). In the skin, these memory CD8+ T cells reside in the epidermis after being recruited to this site by infection or inflammation. In this study, we demonstrate prolonged persistence of epidermal TRM preferentially at the site of prior infection despite sustained migration. Computational simulation of TRM migration within the skin over long periods revealed that the slow rate of random migration effectively constrains these memory cells within the region of skin in which they form. Notably, formation of TRM involved a concomitant local reduction in dendritic epidermal γδ T-cell numbers in the epidermis, indicating that these populations persist in mutual exclusion and may compete for local survival signals. Accordingly, we show that expression of the aryl hydrocarbon receptor, a transcription factor important for dendritic epidermal γδ T-cell maintenance in skin, also contributes to the persistence of skin TRM. Together, these data suggest that skin tissue-resident memory T cells persist within a tightly regulated epidermal T-cell niche.
The skin is a complex organ that acts as a primary barrier between the body and the environment. Multiple leukocyte subsets reside within the main compartments of the skin, the dermis and the epidermis, as well as the hair follicles that are contiguous with the epidermis. Populations of macrophages, dendritic cells, mast cells, γδ T cells and αβ T cells are present in the dermis, and Langerhans cells (LCs) and dendritic epidermal γδ T cells (DETCs) lie in a strategic network in the epidermis (1). We recently described a population of memory CD8+ T cells that enter the epidermis and hair follicles during infection or inflammation and become long-lived populations of tissue-resident memory T cells (TRM) (2–5). These memory T cells are sequestered in this site and are distinct from circulating effector memory (TEM) and central memory (TCM) populations (3, 6). Memory CD8+ T cells in the epidermis display a dendritic morphology and move at a slower velocity than T cells within the dermis. These memory T cells are sequestered in the skin epithelial layer and do not recirculate to other tissues. In contrast, memory CD4+ T cells are found within the dermis and at least a proportion of these cells are capable of recirculating around the body (3, 7).
In this study, we sought to further examine the mechanisms of TRM persistence within the skin. We reveal that skin TRM persist at the site of their formation and despite displaying a sustained mode of random migration, the slow rate of this movement locally constrains these memory cells. Examination of other cells in this environment showed that although epidermal TRM regularly interact with LC, these interactions were not required for persistence. In contrast, skin tissue-resident memory T cells replaced DETCs in the epidermis, seeming to compete for space within the epidermal niche. We found that expression of the aryl hydrocarbon receptor (AhR) is required for long-term persistence of TRM, indicating that this may be a common survival pathway for T cells residing in the epidermis.
Results
Migration of Epidermal TRM.
To understand how TRM persist in the skin and contribute to local protective immunity we sought to characterize the behavior of these memory T cells within their natural environment. We used a well-established model of cutaneous HSV infection (8) and MHC class I-restricted T-cell receptor (TCR) transgenic mice specific for an immunodominant glycoprotein B epitope (gB498–505) (9). CD8+ T cells from these gBT-I mice expressing EGFP were transferred into recipient C57BL/6 (B6) mice to track virus-specific T cells following HSV infection using intravital two-photon microscopy of the skin. As we and others have observed previously (3, 10), memory CD8+ T cells were present in the epidermis and displayed a unique dendritic morphology (Fig. 1A). These TRM were highly dynamic, demonstrating active probing of their environment with dendrites that rapidly extended and retracted (Movie S1). In many cases, multibranched dendrites formed, and cells could be observed extending cellular projections in multiple directions simultaneously.
Closer examination of the location of these skin TRM revealed a highly constricted localization to the basal epidermis (Fig. 1B), immediately adjacent to and in contact with the basement membrane that separates the dermis from the epidermis (Fig. 1C). Identification of cells in each compartment was achieved using second harmonic generation (SHG) fluorescence to differentiate the collagen-rich dermis from the epidermis. This location defined the movement of the memory T cells, which extended dendritic projections laterally yet were not observed to probe upward toward the apical epidermis and stratum corneum, nor downward toward the dermis (Movie S2). This is in contrast to skin DETCs, whose dendrites probe the apical epidermis in the steady state (11). TRM could also be observed within hair follicle epithelial layers, as well as entering and exiting hair follicles via the contiguous epidermis (Movie S3).
To further examine the behavior of the skin TRM, we determined the migration velocity within the epidermis over time. T cells in the epidermis migrate considerably more slowly than T cells within the dermis and have a dendritic as opposed to amoeboid morphology (3), which is likely influenced by the dense cellularity of the epidermal layer as well as the signals T cells encounter in this environment. Notably, we found that epidermal CD8+ T cells migrated faster and covered greater distances during the effector phase when the skin was inflamed (Fig. 1 D and E). The shape and behavior of skin TRM suggested that the dendritic morphology was defined by their localization within the epidermis. We took advantage of the ability to distinguish dermal and epidermal T cells using SHG signals and used Imaris software to render the 3D surface of the TRM and examined the shape of the cells by determining their relative sphericity. Notably, the sphericity of both effector (day 10) and memory (day 32) T cells present within the epidermis was identical (Fig. 1F). In contrast, CD8+ T cells migrating within the dermis displayed more amoeboid cell morphology. These data show that epidermal T-cell morphology was dictated largely by the microanatomical location of the cells rather than a unique property of memory T cells.
The migration by virus-specific CD8+ T cells in the epidermis reduced to a steady rate within 1 mo of infection and remained unchanged for at least 300 d. Although they only displayed a slow rate of migration, time-lapse imaging revealed that epidermal TRM navigated a substantial proportion of the epidermal tissue in a matter of hours (Fig. 1G and Movie S4). We calculated the 2D surface area covered by TRM, given that they move within a roughly 2D environment. By examining cells over time, we estimated that the memory T cells scan an area approximately five times the size of an average cell per hour (in this experiment, 60 frames) (Fig. 1H). This suggests a substantial ability of TRM to survey their immediate environment over time (10), particularly given the restricted dimensions of this compartment and the observation that skin TRM remain resident in the epidermis and do not recirculate through other tissues (3).
Persistence of Epidermal TRM at the Site of Infection.
We noted that the density of TRM within the skin was greatest at the site of prior infection (lesion). Given that TRM are motile, we wanted to determine whether these memory cells gradually diffused across the flank as they randomly patrol the epidermis. Numbers of TRM at the lesion site were quantitated soon after infection and up to 1 y later by microscopy (Fig. 2A) or by flow cytometry by enumerating CD103+ gBT-I T cells (Fig. 2B). Consistent with the preferential presence of TRM within flank skin originally infected by HSV-1 (4), TRM remained concentrated at the lesion site with no discernible change in their distribution over time. This suggested that these memory cells were largely constrained to the site of infection where they initially developed.
To determine whether such local persistence of TRM could be explained by the slow migration of these cells, or alternately whether these cells were actively constrained to this site by local signals, we performed computational modeling to simulate the movement of TRM populations for time periods considerably longer than we could image (months to years). Simulation of random cell migration was performed using measurements of TRM velocity and displacement acquired in vivo over a period of 2–3 h. Modeling cell migration based on these parameters revealed that the random location of the cells over extended periods (days) was equivalent to the random location of cells moving by Brownian motion, a consequence of the central limit theorem. The distribution of TRM around the lesion could be approximated by a Gaussian distribution, which allowed us to model a population of TRM where 50% of the cells were initially distributed across a 5-mm-wide strip of skin, similar to that observed in vivo and enumerated in Fig. 2B. Simulation of cell movement over periods of 100 and 365 d demonstrated only minimal change (from 50% to 49.8% and 49.4%, respectively) in the proportion of cells remaining within this region (Fig. 2C). Even if we tripled the average velocity of our model population to 3.3 μm/min, well above the observed velocity, the majority of TRM still remained associated with the lesion after 1 y (from 50% to 45%). Thus, this model predicts relatively little diffusion of the cells across the skin by random movement within the lifespan of a mouse. These data indicate that the combination of slow and random migration by TRM in the epidermis functions to constrain these memory cells largely to the region of skin in which they were formed, without the need for any physical or chemical barrier.
Skin TRM Interact with LCs.
The above observations suggested that active constraint of TRM by extrinsic signals was not required for the cells to remain within the region of their formation. However, it does not rule out a role for signals that influence the speed of TRM migration or competition for local survival signals. A dense meshwork of LCs is present within the epidermis between keratinocytes, where they capture environmental antigens and migrate to draining lymph nodes. LCs can stimulate T-cell responses, although their role in immunity and tolerance is poorly resolved (12). We wanted to determine whether TRM interact regularly with LCs as they migrate through the epidermis. We used Langerin-GFP (Lg-GFP) mice that were transferred with gBT-I.DsRed CD8+ T cells before HSV infection. During the memory phase, TRM were observed to interact regularly with LCs, crawling over the numerous LC dendrites and interacting directly with LC cell bodies (Fig. 3 A and B and Movie S5). Quantification of TRM–LC interactions revealed that half of the epidermal memory T cells were in contact with LC at all times during a 1-h imaging period (Fig. 3C) and only a very minor fraction of TRM were not in contact with LCs at all in the same period. In contrast, LCs were sessile (mean velocity, 0.3 μm/min) and were positioned in a regularly spaced network, the density of which was not influenced by the presence or absence of TRM (Fig. 3D). Thus, TRM interact frequently with LCs as they migrate throughout the epidermis.
To reveal whether such TRM–LC interactions were important for the migration or survival of memory T cells in the epidermis, we used mice expressing the diphtheria toxin (DT) receptor under control of the Langerin promoter (Lg-DTR) to selectively deplete LCs upon DT treatment. We transferred gBT-I.DsRed CD8+ T cells into Lg-DTR or Lg-GFP mice before HSV infection. Upon establishment of memory, mice were treated with DT for 2 wk to deplete LCs. Ablation of the LC population for this period did not affect gBT-I numbers in the skin or spleen (Fig. 3E), and expression of surface molecules required for TRM persistence, CD103 and CD69, was unchanged on cells in the skin (Fig. S1). The TRM retained their dendritic morphology (Fig. 3F) yet displayed reduced migrational velocity (Fig. 3G). These data indicate that interactions with LCs are not required for TRM persistence within this time period yet influence TRM migration within the epidermis.
TRM Persist Within an Epidermal Niche.
Tightly interspersed with the epidermal LC network in mice is a similarly dense network of DETCs (13). These T cells are important for efficient wound repair and respond to signals from stimulated keratinocytes (14, 15). Similarly, populations of epidermal T cells are also present in humans and may also contribute to wound repair (16). To identify skin DETCs we used CXCR6GFP/+ knock-in mice (17). We transferred naïve gBT-I T cells into these mice followed by epicutaneous infection with HSV. Analysis of the skin by two-photon microscopy revealed that DETC are largely sessile and display a more pronounced dendritic morphology than TRM, consisting of long stable dendrites (Fig. 4A and Movie S6). In comparison with LCs, fewer contacts between TRM and DETCs were observed (Fig. 4B), although TRM were capable of navigating through space occupied by DETCs by squeezing underneath the body of these cells (Fig. 4C). Of note, we also visualized endogenous TRM in the skin of the CXCR6GFP/+ mice that displayed the same morphology and mode of slow locomotion as gBT-I T cells (Movie S6). These endogenous TRM were observed migrating within gaps in the DETC network. Moreover, extensive observation of DETCs and TRM within the same and distinct areas of skin gave the impression of a consistent combined density.
To address the issue of TRM and DETC density more specifically, we assessed the distribution of TRM and DETCs by two-photon microscopy 1 mo after infection in CXCR6GFP/+ mice. At the lesion site TRM were present at a high density, which decreased with increasing distance from the lesion (Fig. 4D). Notably, we observed an inverse relationship between TRM and DETCs, with DETCs largely absent from the lesion site (Fig. 4E). This suggested that DETCs were displaced at the site of infection and replaced by TRM. The relationship between TRM and DETC density in the epidermis was established with a Pearson’s correlation coefficient (r = −0.76; Fig. 4F), demonstrating that as TRM density increased there was a concomitant decrease in DETC numbers.
These data suggested that there is a mutual exclusion between TRM and DETCs, possibly resulting from competition for a niche within the epidermis. We next examined the relationship between these two epidermal T-cell subsets in the absence of infection by intradermally injecting effector gBT-I T cells into B6 mice. The injected CD8+ T cells can enter the epidermis and form long-lived TRM in the absence of antigen (18). These TRM seemed morphologically identical to cells that form after infection and migrated at a similar velocity (Movie S7). We observed regions with low numbers of TRM and corresponding high numbers of DETCs and regions with high numbers of TRM and low numbers of DETCs (Fig. 5A). Total numbers of T cells in each region were similar (Fig. 5B) and not higher than total numbers of T cells found in the epidermis of control mice (Fig. 5C), indicating that the TRM did not add substantially to the epidermal T-cell pool, but rather replaced the DETCs resident in this site. This was supported by a significant negative correlation between TRM and DETC numbers after intradermal injection (Fig. 5D). Control mice given PBS injections did not show a reduction in DETC numbers (Fig. S2), further suggesting that the transferred T cells displaced DETCs in this site.
We recently described several factors involved in regulating the formation and long-term survival of TRM in the skin, including IL-15 and TGF-β (18). DETCs also require IL-15 for their development or survival (19), although they persist in the skin independently of TGF-β signals (20). Because TEM and TCM also require IL-15 for long-term maintenance (21), we considered whether other factors may specifically coregulate DETC and TRM populations. DETCs express the AhR, a transcription factor required for their survival but not development (22, 23). We found that skin TRM also express high levels of AhR in comparison with both naïve and memory T cells from the spleen (Fig. 5E). To examine a role for AhR in regulating TRM populations in the skin, effector CD8+ T cells from WT B6 and AhR−/− mice were injected in equal proportions into B6 mice treated on the flank 3 d earlier with the irritant 1-Fluoro-2,4-dinitrobenzene (DNFB). This model results in the formation of long-lived TRM in the skin at the site of DNFB application (2). Both WT and AhR−/− CD8+ T cells entered the skin in similar numbers, but over time AhR−/− TRM disappeared from the skin, but not the spleen (Fig. 5F). Similar results were obtained with AhR−/− TRM generated after intradermal injection (Fig. S3). Thus, we show that AhR facilitates TRM persistence in the epidermis. Together, these data suggest that AhR ligands contribute to an epidermal T-cell niche, with antigen-experienced CD8+ T cells effectively competing with DETCs for the same niche.
Discussion
Recent studies have revealed that populations of tissue-resident memory CD8+ T cells can form in a number of different tissues around the body, where they may provide the first lines of defense against reinfection (5, 24). For TRM in tissues such as the skin, we are just beginning to understand their formation, which requires signals such as IL-15 and TGF-β and involves the progressive development of KLRG-1lo effector cells into permanently resident cells that express high levels of the integrin CD103 and CD69 (18). Despite this, we still know relatively little about the behavior and functions of TRM and the mechanisms of their long-term persistence.
Epidermal TRM display a pronounced dendritic morphology (3, 10). We show here that these memory T cells are located at the dermal–epidermal border in contact with the basement membrane. TRM were observed migrating underneath DETCs, suggesting a particular preference for contact with the basement membrane, which may provide traction for migration. As a part of this migration program, TRM regularly contact the other immune cells in their environment: LCs, DETCs, and keratinocytes. Our data reveal regular contacts between TRM and LCs as the T cells navigate through the uniform network of epidermal LCs. Depletion of LCs for 2 wk did not influence the morphology or survival of skin TRM, yet migration was reduced, suggesting that LCs may provide locomotory signals to TRM.
Persistence within the epidermis is a key characteristic of the skin TRM, and we show that these cells are largely constrained to the region in which they form. Thus, despite their ability to migrate through the epidermis, skin TRM remained concentrated at the site of prior infection rather than distributed over the skin of the flank. By modeling the migration of TRM over longer periods we find that the slow mode of random migration effectively constrains these memory T cells to the local region in which they were formed. Moreover, we show an inverse relationship between skin TRM and DETCs that is indicative of competition for persistence within an epidermal niche. It seems that DETCs either leave or die following HSV infection, the latter potentially the result of direct infection by this cytopathic virus (25). TRM populate this DETC-replete skin, as well as the epidermis that borders the site of infection where many DETCs remain. Given that these populations of T cells likely need to compete for limited resources or space within the epidermis to survive, this may favor the persistence of TRM in regions of skin where local DETC numbers are lower, and there is less competition. It is also possible that TRM compete more effectively for space in the epidermis, providing an advantage that prevents repopulation of the skin by DETCs.
Our modeling data indicate that the slow and random movement of TRM would maintain a large proportion of these cells within the region in which they formed, suggesting that additional competition for niche is likely to only further limit cells from straying beyond the lesion boundaries. We do not rule out the possibility that TRM migration is influenced by other T cells in their environment; however, we found that TRM motility was the same when cells were imaged where DETCs were absent (lesion) versus regions containing substantial numbers of DETCs (at the borders of lesions; Fig. S2). Interestingly, we reveal that following the intradermal injection of effector T cells, the formation of TRM results in the displacement of a proportional number of DETCs. This raises the intriguing question of how TRM that are induced by a subsequent infection in the same region of skin compete for space and whether newer TRM can displace existing cells. Such information will be important if vaccines are designed that enhance the lodgment of TRM within tissues. Additionally, it will be important to examine TRM migration within human skin, where the epidermal layer is considerably thicker than in mice (26). If human skin TRM migrate at a similar slow rate, with random direction in the steady state, and additionally have a larger area of tissue to navigate, we would predict that these memory cells would similarly persist in close proximity to the site of their formation.
Finally, we examined the role of AhR, a potential signal that may regulate the numbers of both αβ and γδ T cells within the epidermis and show that AhR contributes to the long-term persistence of TRM. Recent studies have shown that expression of AhR is required for the homeostasis of several T-cell populations including γδ T cells resident in both the skin epidermis and gut epithelia and CD8αα+ αβT cells in the gut (22, 23). Although natural ligands for AhR in the skin are less clear, dietary sources are critical for maintaining intestinal intraepithelial T cells. Our finding that epidermal TRM also use AhR for maintenance, combined with data showing that TRM can displace DETCs in the skin, suggest that epidermal T cells compete for space within a niche that is influenced at least in part by the availability of AhR ligands. Further work will be needed to determine the signals involved in the maintenance of TRM in other tissues such as the gut and lung, which also persist in defined microenvironments (27, 28). In conclusion, our data demonstrate the dynamic nature of TRM migration and persistence in skin and suggest a basis for the regulation of T-cell populations within an epidermal niche.
Materials and Methods
Mice.
C57BL/6, gBT-I.EGFP, gBT-I.DsRed, gBT-I×B6.SJL-PtprcaPep3b/BoyJ (gBT-I.CD45.1), Lg-GFP, Lg.DTR-GFP (29), and CXCR6GFP/+ mice were bred in the Department of Microbiology and Immunology, The University of Melbourne. AhR−/− were bred at The Babraham Institute. All mice were on a B6 background and were maintained under specific pathogen-free conditions. gBT-I (9) are T-cell receptor-transgenic mice recognizing the HSV-1 glycoprotein B-derived epitope gB498–505. Animal experiments were approved by The University of Melbourne Animal Ethics Committee. Infection of mice was performed as described previously (3) and detailed in SI Materials and Methods.
Adoptive Transfers and Flow Cytometry.
Adoptive transfers of 5 × 104 naïve gBT-I cells were performed intravenously. In vitro-generated gBT-I effector T cells were activated by peptide-pulsed splenocytes as described (4); 0.5–1 × 106 activated cells were transferred into recipients by intradermal injection (five 20-μL injections over a 1.5-cm2 area of skin) using a 30-gauge needle. For DNFB treatment, 25 µL of 0.3% (vol/vol) DNFB in acetone/oil (4:1) were applied onto a 2-cm2 area of skin. Three days after treatment, 5 × 106 in vitro effector gBT-I T cells were transferred into the mice. Cell isolation and antibodies used for flow cytometry are detailed in SI Materials and Methods.
Confocal and Two-Photon Microscopy.
For immunofluorescence staining of fixed tissues, confocal microscopy and intravital two-photon microscopy, mice and tissues were prepared as described previously (3), as detailed in SI Materials and Methods. Images were acquired with Zeiss LSM700 or LSM710 NLO microscopes and processed using Imaris 7 software (Bitplane).
Quantitative RT-PCR.
Mice containing 5 × 104 gBT-I CD8+ T cells were infected with HSV and at various time points after infection gBTI T cells were FACS-sorted from skin and spleen using FACSAria III (BD). RNA extraction, cDNA synthesis, and preamplification was performed using the Taqman Gene Expression Cells-To-Ct Kit, Taqman PreAmp Master Mix, and assorted commercially available Taqman assays (all Life Technologies). Quantitative RT-PCR was performed with Taqman Fast Advanced Master Mix on a StepOnePlus Real-Time PCR cycler (both Life Technologies). The threshold cycle (Ct) of AhR for each cell population was normalized to the Ct of the Hprt housekeeping gene (ΔCt). Normalized AhR expression of each cell type was then compared with the normalized AhR expression of the naïve gBT-I population according to the 2(−ΔΔCT) method.
Simulating Cell Migration and Diffusion in the Skin.
To determine the diffusion of motile TRM within a rectangular strip of skin, the movement of cells was modeled by sampling with replacement from a dataset of observed displacements per minute of individually tracked in vivo cells. By the central limit theorem, and confirmed by numerical experiments, the distribution of the displacement of a cell over a period of t minutes was found to converge quickly to a Gaussian distribution for t much larger than 1. The movement of TRM was modeled by a Wiener process appropriately fitted to the displacement data. A detailed description of the methods and calculations used can be found in SI Materials and Methods.
Supplementary Material
Acknowledgments
We thank C. Jones, G. Davey, and M. Damtsis for technical assistance. This work was supported by the National Health and Medical Research Council of Australia and the Australian Research Council. M.V. is supported by a UK Biotechnology and Biological Sciences Research Council Institute Strategic Programme grant and European Research Council Grant 280307:Epithelial_Immunol.
Footnotes
The authors declare no conflict of interest.
This article is a PNAS Direct Submission.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1322292111/-/DCSupplemental.
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