Abstract
Neonates often generate incomplete immunity against intracellular pathogens, although the mechanism of this defect is poorly understood. An important question is whether the impaired development of memory CD8+ T cells in neonates is due to an immature priming environment or lymphocyte-intrinsic defects. Here we show that neonatal and adult CD8+ T cells adopted different fates when responding to equal amounts of stimulation in the same host. While adult CD8+ T cells differentiated into a heterogeneous pool of effector and memory cells, neonatal CD8+ T cells preferentially gave rise to short-lived effector cells and exhibited a distinct gene expression profile. Surprisingly, impaired neonatal memory formation was not due to a lack of responsiveness, but instead because neonatal CD8+ T cells expanded more rapidly than adult cells and quickly became terminally differentiated. Collectively, these findings demonstrate that neonatal CD8+ T cells exhibit an imbalance in effector and memory CD8+ T cell differentiation, which impairs the formation of memory CD8+ T cells in early life.
Introduction
Neonates are highly susceptible to infection and often experience more severe disease than adults (1–3). Recurrent infections with the same intracellular pathogen are common (4), indicating an impaired ability to develop long-lasting protective CD8+ T cell immunity. However, the key mechanisms involved in the poor generation of memory CD8+ T cells in early life remain obscure.
In healthy adults, viral and intracellular bacterial infections generally result in the formation of memory CD8+ T cells. This process is initiated with the stimulation of naïve CD8+ T cells by antigen-presenting cells bearing a microbe-derived peptide bound to host major histocompatibility complex I molecules (5, 6). Following antigen recognition, naïve CD8+ T cells expand up to 50,000 fold and differentiate into effector CD8+ T cells equipped with cytokines and cytolytic molecules, which are capable of defending the host (7–9). Once the infection has been cleared, 90–95% of effector CD8+ T cells are eliminated by apoptosis. The remaining 5–10% of effector cells transition into the long-lived memory pool and provide the host with an accelerated response to repeat infections, owing to their increased precursor frequency and more rapid acquisition of effector functions (10–12).
There is a limited capacity to generate cellular immunity in early life, which has often been attributed to a delay in the maturation of the innate immune system in neonates. Numerous studies have demonstrated that neonatal innate immune cells produce less IL-12 and more IL-10 after toll-like receptor (TLR) stimulation compared to their adult counterparts (13–16). Consequently, strategies to augment the development of memory T cells in early life have largely focused on identifying appropriate adjuvants or fine-tuning delivery systems to enhance T cell priming (1, 17, 18). However, cell-intrinsic differences in the neonatal adaptive immune system have also been described and may contribute to an altered program of memory T cell development. For example, CD4+ T cells from neonatal mice and humans produce greater amounts of Th2 cytokines (IL-4, IL-13) than adult CD4+ T cells following stimulation with anti-CD3 and anti-CD28 antibodies in vitro (19, 20). Moreover, a biased Th2 memory response is observed when neonatal CD4+ T cells are primed in adult recipient mice (21), but not when adult CD4+ T cells are primed in newborn mice (22), suggesting that cell-intrinsic differences are an important factor contributing to neonatal T cell immunity. In contrast to CD4+ T cells, much less is known about cell-intrinsic differences between neonatal and adult CD8+ T cells. Thus, it remains unclear whether impaired neonatal memory CD8+ T cell development is due more to extrinsic factors in the host environment or because the starting population of CD8+ T cells are intrinsically different prior to infection.
Understanding the relative contribution of environmental and cell-intrinsic differences to impaired neonatal memory CD8+ T cell formation is essential for development of strategies to enhance immunity in neonates. In this report, we asked whether intrinsic differences between neonatal and adult CD8+ T cells contribute to impaired memory formation in early life. However, identifying cell-intrinsic differences in neonatal memory CD8+ T cell development requires a direct comparison with adult CD8+ T cells, which is complicated by the fact that neonatal mice have 10–100 times fewer CD8+ T cells than adults (23, 24) and express a highly restricted and structurally distinct TCR repertoire (25, 26). Therefore, we used an experimental strategy in which equal numbers of neonatal and adult CD8+ T cells expressing an identical TCR are responding to infection in the same host. These studies revealed dramatic differences in the fate of neonatal and adult CD8+ T cells, which are independent of the host environment. Unexpectedly, neonatal CD8+ T cell responded more rapidly to infection than adult cells, but quickly became terminally differentiated and incapable of converting to the memory cell lineage. Our results provide new insight into the factors underlying age-related differences in the CD8+ T cell response and demonstrate that adult CD8+ T cells have a greater intrinsic capacity than neonatal CD8+ T cells to undergo memory cell differentiation.
Materials and Methods
Mice
B6-Ly5.2/Cr mice were purchased from the National Cancer Institute colony (Fredrick, MD). gBT-I TCR transgenic mice (mice transgenic for TCRαβ specific for the HSV-1 glycoprotein B498-505 peptide SSIEFARL (gBT-I in the text)) were provided by Dr. Janko Nikolich-Zugich (University of Arizona, AZ) and crossed with B6-Thy1.1/CyJ mice, which were obtained from the Jackson Laboratory. All neonatal gBT-I pups were used at 6–7 days after birth and adults were used at 2–4 months of age. Only male mice were used for experiments and all mice were maintained under pathogen-free conditions at Cornell University College of Veterinary Medicine, accredited by the American Association of Accreditation of Laboratory Animal Care. The experiments in this study were performed in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. The protocols were approved by the Institutional Animal Care and Use Committee at Cornell University.
Antibodies and flow cytofluorometric (FCM) analysis
Monoclonal antibodies anti-CD8α (53–6.7), anti-CD4 (GK1.5), anti-CD45.1 (A20), anti-CD45.2 (104), anti-CD90.1/Thy1.1 (OX-7), anti-KLRG1 (2F1), anti-CD127 (A7R34), anti-CD27 (LG7F9), anti-CD62L (MEL-14), anti-IL-2 (JES6-5H4), anti-Bcl6 (mGI191E), anti-T-bet (eBio4B10), anti-Eomes (Dan11mag), anti-TNFα (MP6-XT22), anti-IFNγ (XMG1.2) and anti-granB (GB11) were purchased from commercial sources (Biolegend, eBioscience or Invitrogen). FCM data was acquired on the custom FACS LSRII instrument equipped with four lasers, using the DiVa software (BD Biosciences, Mountain View, CA). Analysis was performed using the FlowJo software (Treestar, Ashland, OR).
In vitro proliferation assay
Following magnetic cell purification (see below), CD8+ T cells were resuspended in PBS and labeled with CFSE as described by Quah et al. (27). CFSE labeled cells were resuspended in RPMI 1640 (Lonza) supplemented with 10% heat-inactivated serum (PAA laboratories), L-glutamine and Pen-strep. For all stimulation, exogenous IL-2 (100 U/ml) was added at the time of stimulation. In experiments conducted with polyclonal cells from B6 mice, cells were stimulated with plate bound anti-CD3 (5ug/ml) and anti-CD28 (20ug/ml) (Biolegend). gB transgenic cells were stimulated with cognate peptide (SSIEFARL; gB-8p (21st Century Biochemicals, Marlboro, MA).
Infections
Wild-type Listeria monocytogenes stably expressing the MHC class I-restricted epitope HSV gB498-505 (gB-8p), designated LM-gB (28), was generously provided by Dr. Sing Sing Way (Cincinnati Children's Hospital, OH). Prior to infection, Lm-gB was freshly plated on BHI plates containing streptomycin selection antibiotic. Colonies were selected from the plate for growth in liquid culture. Bacteria were grown to log phase and mice were injected intravenously (i.v.) with either 5 × 103 colony forming units (CFU) in 100 ul of PBS for naïve mice (~0.1 LD50) and 5 × 104 CFU for immune mice to demonstrate protective immunity. Recombinant vaccinia virus expressing the MHC class I- restricted epitope HSV gB498-505 (gB-8p), designated VACV-gB (25), was generously provided by Dr. S.S. Tevethia (Pennsylvania Sate University, College of Medicine). VACV-gB viral stocks were propagated and quantified in 143B cells (ATCC). Mice were infected with 2 × 105 plaque forming units (PFU).
Dual adoptive transfer experiments
Splenocytes were collected from congenic gBT-I mice of different ages and `untouched' transgenic CD8+ T cells were isolated using negative immunomagnetic selection. In brief, washed splenocytes were incubated with a cocktail of biotinylated antibodies (anti-CD4, anti-CD19, anti-CD16/32, anti-Ter119, anti-MHC class II and anti-CD44 (Biolegend)) and subsequently incubated with streptavidin-coated microbeads (Miltenyi Biotec, Auburn, CA). Cells were then passed over a LS magnetic column (Miltenyi Biotec, Auburn, CA) according to the manufacturer's instructions. The CD8-enriched splenocytes from neonatal (30–60% purity) and adult (85–90% purity) donors were combined such that the number of gBT-I CD8+ T cells was equal. The combined cells were then transferred intravenously into adult B6-Ly5.2 recipient mice. For studies that examined primary, memory and secondary phases of the response we transferred 1×104 gBT-I cells from each age group. For studies assessing early timepoints of infection, we transferred 5×104 gBT-I cells from each age group. The next day, recipients were infected with either WT LM-gB (5×103 CFU, i.v.) or VACV-gB (2×105 PFU, i.p.). Recipient mice were either bled on indicated days post infection or euthanized and indicated tissues were harvested. For assessment of effector function, donor gBT-I cells were restimulated for 5 hours in the presence of brefeldin A with or without 10−7M gB peptide prior to intracellular staining using IC fixation and permeabilization buffers (eBioscience) according to manufacturer's instructions. Positive populations were determined by comparing the same samples with and without peptide. Transcription factors were assayed using the foxp3 staining buffer set (eBioscience) according to manufacturer's instructions.
Cell Sorting and RNA isolation
For RNA sequencing, we took splenocytes at the peak of infection (day 7 for WT Lm-gB), sorted via negative magnetic selection, as described above; cells were then labeled with anti-CD4-Alexa 700, anti-CD8-e450, anti-CD45.2-APC e780, anti-CD45.1-PE-Cy7 and anti-Thy1.1-APC for 60 minutes. Labeled cells were washed twice and placed in sorting buffer (PBS + 0.1% BSA + 2mM EDTA). For individual mice we either sorted for CD8+CD4−CD45.2−CD45.1+Thy1.1− (neonatal donor) or CD8+CD4−CD45.2−CD45.1+Thy1.1+ cells (adult donor) and achieved >95% purity. Sorting was performed on a FACS Aria III (BD Biosciences). Following sorting, RNA was isolated by Trizol (Invitrogen) extraction.
RNA sequencing
After RNA isolation, 200 ng of total RNA was prepared for RNA Sequencing using the TruSeq RNA Sample Preparation Kit (Illumina). The resulting cDNA libraries were sequenced on the Illumina Hi-Seq platform, generating 100 bp reads. Reads were aligned to the mouse genome (mm9) using the TopHat analysis package (29). The TopHat tool CuffDiff (30) was used to determine which genes had significantly different expression between adults and neonates. It accounted for variation between the two biological replicates in the input data and performed multiple test correction using a false discovery rate of 5%. In these analyses, a pseudocount of 0.1 was added to each FPKM value. For genes with multiple splice isoforms, only the isoform with the highest expression level was considered. The data discussed in this publication have been deposited in NCBI's Gene Expression Omnibus (31) and are accessible through GEO Series accession number GSE56575. (http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE56575).
Statistical Analysis
Statistical analysis (except for RNA sequencing, see below) was performed using Prism software (Graphpad). Error bars represent SEM unless otherwise noted. Significance was determined by paired t-test or one-way ANOVA followed by Dunnett's multiple comparisons test, as indicated in text. Significance is denoted as follows: ***p<0.001 and ****p<0.0001.
Results
Neonatal CD8+ T cells undergo more cell division than adults following in vitro stimulation
The goal of this study was to determine how cell-intrinsic factors alter the CD8+ T cell response in early life. We first asked whether neonatal CD8+ T cells respond differently than adult CD8+ T cells to in vitro stimulation. Naïve (CD44lo) CD8+ T cells from neonatal (6–7 days old) and adult (2–4 months old) C57BL/6 mice were magnetically isolated, labeled with proliferation dye (CFSE) and activated via the T cell receptor (TCR) with anti-CD3 and anti-CD28 antibodies to ensure that all cells were stimulated equally. After 3 days, we examined cellular proliferation, as determined by the amount of CFSE dilution and found that neonatal CD8+ T cells had divided significantly more than adults (Fig. 1A). However, one key variable not controlled for in these experiments was developmental differences in the T cell receptor (TCR) repertoire. This is important since our group and others have shown that the neonatal CD8+ T cell pool is comprised of shorter and less diverse TCRs (25, 26). To control for TCR repertoire differences, we next compared neonatal and adult CD8+ T cells that express the same TCR. For these experiments, CD8+ T cells were isolated from neonatal and adult TCR transgenic mice that express a H-2Kb-restricted TCR specific for the HSV-1 gB glycoprotein, denoted gBT-I mice (33) and stimulated with gB-8p peptide (SSIEFARL). We again observed more extensive proliferation by neonatal CD8+ T cells (Fig. 1B). We also assessed proliferation in cultures not containing exogenous IL-2 and still found that neonatal cells undergo more extensive proliferation (data not shown). Collectively, these results suggest that CD8+ T cells are intrinsically more reactive in early life.
Neonatal CD8+ T cells fail to differentiate into memory cells or undergo recall responses
We next sought to determine the extent to which cell-intrinsic differences alter the CD8+ T cell response to infection. Our approach was to co-transfer the same number of neonatal and adult gBT-I donor cells into an adult recipient mouse and to compare their ability to respond to microbial challenge. By comparing equal numbers of monoclonal neonatal and adult CD8+ T cells in the same environment, we were able to focus specifically on cell-intrinsic differences. To this end, low numbers (1 × 104) of neonatal (Thy1.2) and adult (Thy1.1) gBT-I cells were magnetically isolated and co-transferred into adult recipient (Ly5.2) mice (Fig 2A). The next day, recipient mice were systemically infected with a recombinant Listeria monocytogenes expressing the gB peptide (LM-gB), and the ratio of adult and neonatal donor cells was tracked in the blood throughout the course of infection. Consistent with the in vitro studies, the data showed that neonatal gBT-I CD8+ T cells dominated the response early after infection (4 dpi). However, most neonatal cells were not able to survive contraction and transition into the long-lived memory pool (Fig. 2B,C). Upon secondary challenge, the few remaining neonatal gBT-I cells failed to undergo robust expansion, and the recall response was almost entirely comprised of adult gBT-I memory cells (Fig. 2B, C). Similar results were obtained in experiments in which the congenic markers on neonatal and adult gBT-I donor cells were switched (Fig. S1A), demonstrating that minor genetic differences associated with crossing gBT-I mice to different congenic strains do not significantly contribute to the CD8+ T cell response.
One possible explanation for the reduced numbers of neonatal memory CD8+ T cells detected in the blood could be that neonatal memory CD8+ T cells preferentially localize to other compartments in the host. To address this possibility, we also examined the ratio of neonatal and adult gBT-I cells in secondary lymphoid tissue and various peripheral organs at resting memory. In most tissues, we observed the same 4–5 fold increase in adult gBT-I cells, though nearly 10 times more adult gBT-I cells were detected in the lymph nodes (Fig. 2D). Overall, these data are consistent with observations made in the blood and demonstrates that there are fewer neonatal memory gBT-I cells throughout the host. Another important control was to verify that neonatal and adult gBT-I cells seed adult recipient mice to a similar extent prior to infection. To test this, we co-transferred equal amounts of neonatal (Thy1.2) and adult (Thy1.1) gBT-I CD8+ T cells into uninfected adult recipient mice (Ly5.2) and examined the ratio of donor cells in the spleen the next day. These ratios were found to be nearly identical to the original innocula (Fig. S1B,C), demonstrating that the colonization of adult recipient mice by neonatal and adult donor CD8+ T cells is equivalent and that the reduced number of neonatal memory CD8+ T cells is not due to less efficient engraftment by neonatal donor gBT-I cells.
Neonatal CD8+ T cells predominantly give rise to short-lived effector cells
The impaired development of neonatal memory CD8+ T cells prompted us to compare the phenotype of neonatal and adult donor CD8+ T cells throughout the course of infection. At various times, spleens were harvested and the expression levels of cell surface receptors associated with short-lived effectors (KLRG1) and long-lived memory precursor cells (CD127, CD27, CD62L) were measured (Fig.3A,B). While the numbers of neonatal and adult donor cells were similar at the peak of the primary response, a higher proportion of neonatal donor CD8+ T cells expressed a short-lived effector phenotype (KLRG1hi, CD127lo, CD27lo, CD62Llo), whereas adult donor CD8+ T cells exhibited more of a memory precursor phenotype (KLRG1lo, CD127hi, CD27hi, CD62Lhi). The small number of neonatal donor CD8+ T cells that survived contraction predominantly expressed KLRG1 and were still capable of secreting IFNγ in response to peptide stimulation (Fig B, C). However, neonatal donor cells more slowly upregulated the lymph node homing molecule CD62L, which is consistent with the lower numbers of neonatal memory CD8+ T cells found in the lymph nodes during later stages of infection. Importantly, neonatal and adult CD8+ T cell express similar percentages of KLRG1, CD127, CD27 and CD62L prior to adoptive transfer, indicating that phenotypic differences between different aged donor cells arose in response to infection (Fig. S2). Collectively, these data suggest that the inability of neonatal CD8+ T cells to differentiate into memory cells and elicit robust recall responses may be linked to their acquisition of a more terminally differentiated phenotype
Neonatal CD8+ T cells respond more rapidly to infection and quickly become terminally differentiated
To better understand when neonatal and adult CD8+ T cells adopt a different fate, we performed a detailed analysis of donor cells at early time points after infection. While previous studies have indicated that TCR transgenic CD8+ T cells behave most like endogenous T cells when low numbers of cells are used (32), it is technically challenging to detect donor cells at early time points when only 2×104 cells are transferred (previously shown to be the required number of cells that gives an equal ratio of transgenic to endogenous cells after infection (33)). Therefore, we adoptively transferred graded numbers of gBT-I cells and found 1×105 cells (5×104 of each donor) to be the lowest input number of donor cells required to visualize neonatal and adult donor cells on day 4, while not significantly changing the phenotype of neonatal and adult gB-I cells at later times post-infection (Fig. S3). Using this higher precursor frequency of donor cells, we compared the ratio of neonatal and adult gBT-I cells in the spleen from days 3 to 5 after infection with LM-gB. The data showed that neonatal donor CD8+ T cells expand more rapidly than adults at 3 days post-infection (Fig. 4A,B), which is consistent with our in vitro data showing more extensive cell division by neonatal CD8+ T following stimulation. However, the numbers of neonatal and adult CD8+ T cells were similar at 5 days post-infection (Fig. 4A,B), indicating that the more rapid expansion of neonatal CD8+ T cells was not sustained.
We also examined changes in the expression of phenotypic markers at early times after infection (Fig. 4C,D). Effector CD8+ T cells that are fated to become memory cells are believed to express CD127 (IL-7Rα). Our analysis of neonatal and adult gBT-I cells revealed a more dramatic down-regulation of CD127 by neonatal donor cells from days 3 to 5 after infection. We also measured the expression of KLRG1, which has previously been shown to be a marker of terminal differentiation. Strikingly, nearly all (81%) neonatal gBT-I cells expressed KLRG1 at 3 days post-infection, compared to only ~21% adult donor CD8+ T cells. To look at effector functions in these populations at these very early timepoints we assessed cytokine production in the lymph node (Fig. 4E). Secretion of IL-2 is associated with increased memory potential (34) and we found that adult CD8+ T cells were producing IL-2. In contrast, more neonatal CD8+ T cells were making granzyme B, an effector function acquired after extensive differentiation (35). Altogether, these findings demonstrates that neonatal CD8+ T cells are more rapidly driven down the effector differentiation pathway, making them less capable than adult CD8+ T cells to transition to the memory lineage at the peak of the response.
Neonatal effector CD8+ T cells exhibit a different gene expression profile
To better understand how neonatal CD8+ effector T cells differ from their adult counterparts, we sorted both donor populations at the peak of the primary response (7 dpi) and used RNAseq to compare their gene expression profiles. We mapped the sequencing reads to the mouse transcriptome, and found differentially expressed genes using TopHat and CuffDiff (29, 30). Expression values for genes correlated extremely well between two biological replicates, for both adults and neonates (Pearson r values >0.99, Fig. 5A), indicating that the data was robust. Of the 11,446 genes that met our gene expression cutoff, 321 were significantly more highly expressed in adults, while 261 were significantly more highly expressed in neonates (Fig. 5B). These data show that adult and neonatal effector cells exhibit significantly different gene expression patterns.
When we examined the gene expression profiles more closely, it was reassuring to observe 2.5-fold higher expression levels of CD127 and 2.3-fold less KLRG1 in adult effector cells (q<0.01 for each), which is consistent with our results obtained by flow cytometry. To further characterize differences in gene expression, we focused on the 40 most differentially expressed genes (Fig. 5C, Table S1A), and found that many transcripts associated with memory cell differentiation (CCR7, CD62L, Serpina3g) were preferentially expressed in adult effector cells. Interestingly, the most highly enriched gene in adult CD8+ T cells was wls a key component of the Wnt pathway. In contrast, neonatal effector CD8+ T cells preferentially expressed a negative regulator of Wnt signaling (rnf43). These differences are notable since Wnt signaling was recently shown to play a role in the generation and persistence of memory CD8+ T cells (36, 37).
Because adult cells more highly express genes associated with memory precursor cells, we investigated transcription factors associated with effector and memory cells (Fig. 4D, Table S1B). We found that BLIMP1, a transcription factor known to drive effector cell differentiation, was significantly upregulated in neonatal donor cells. Other effector cell differentiation drivers (T-bet, Id2) also showed a trend towards higher expression in the neonatal donor cells, whereas transcription factors known to promote memory CD8+ T cell differentiation (Eomes, Bcl6, Id3) were enriched in adult donor cells. To confirm these differences, we assessed protein expression of a subset of these transcription factors and found that T-bet expression is significantly higher in neonatal CD8+ T cells while Eomes and Bcl6 expression is significantly lower (Fig. 5E). In addition, we also compared the expression of genes involved in the intrinsic and extrinsic apoptosis pathway (Table S1C). These data showed that neonatal effector cells express significantly higher levels of pro-apoptotic genes (FasL and Casp7) as well as lower levels of anti-apoptotic genes (Bcl-2 and Bcl-w). Collectively, these genetic profiles are in line with our surface phenotype data showing neonatal CD8+ T cells preferentially develop into short-lived effector cells.
Impaired development of neonatal memory CD8+ T cells is not pathogen specific
All of our data thus far were obtained following infection with Listeria monocytogenes. However, previous studies have demonstrated that memory CD8+ T cell differentiation is influenced by the nature of infection (38–41). Therefore, we asked whether our initial findings, seen after bacterial infection, could be extended to viral infections. For these experiments, we co-transferred neonatal and adult gBT-I cells into adult recipient mice prior to infection with a recombinant vaccinia virus expressing the gB peptide (VACV-gB) and allowed them to transition into the resting memory phase. At 50 days post-infection, all recipient mice were challenged with a heterologous pathogen to avoid antibody interference and the memory recall response by different aged donor cells were compared. Similar to results obtained with LM-gB infections, we again found that the majority of neonatal gBT-I donor cells expressed a terminal effector phenotype at the peak of the primary response and failed to survive contraction (Fig. 6). As a consequence, the resulting secondary effector response was almost entirely dominated by adult gBT-I donor cells (Fig. 6B). These data demonstrate that defects in neonatal memory formation are not limited to certain types of infections and suggest that the propensity to differentiate into a short-lived terminal effector is likely an intrinsic feature of the neonatal CD8+ T cell response.
Discussion
The ability to develop memory CD8+ T cells following infection is essential in protecting the host against recurrent viral and intracellular bacterial infections. However, the mechanisms that prevent neonates from generating robust memory CD8+ T cell responses are poorly understood. Previous reports have suggested that neonatal T cells fail to elicit robust memory cells because they are less responsive than adult T cells. However, our data points toward a different model, whereby naïve neonatal CD8+ T cells are more reactive than adult T cells. This conclusion is supported by our data showing that neonatal CD8+ T cells respond more rapidly and undergo more extensive differentiation than adults following infection with either a gram positive bacteria (L. monocytogenes) or a large DNA virus (vaccinia virus). Thus, the problem with generating large numbers of memory CD8+ T cells in early life does not appear to be due to a lack of responsiveness or proliferation, but rather that neonatal CD8+ T cells more quickly become terminally differentiated and lose their potential to transition into the long-lived memory pool.
Although the underlying causes for increased terminal differentiation and reduced memory formation by neonatal CD8+ T cells are unknown, several possibilities are worth mentioning. First, the neonatal CD8+ T cell pool is predominantly comprised of cells that have recently left the thymus (42), denoted recent thymic emigrants (RTEs). As previous work has demonstrated that RTEs in adult mice also have a propensity to adopt a short-lived effector phenotype (43), similar to neonatal CD8+ T cells, it is possible that many of our results can be attributed to a lack of post-thymic maturation in early life. However, adult RTEs are not defective in mounting secondary recall responses. Moreover, a recent report showed that neonatal RTEs are phenotypically and functionally different than adult RTEs (42), indicating other cell-intrinsic factors may be involved.
A second possibility relates to the fact that neonatal mice have very few peripheral CD8+ T cells. As a result, neonatal CD8+ T cells attempt to `fill' the available space by undergoing extensive homeostatic proliferation (24, 44–47). Therefore, it is possible that neonatal CD8+ T cells are more functionally reactive than adult CD8+ T cells because they have already divided numerous times before encountering foreign antigen. Finally, neonatal CD8+ T cells may rapidly become terminally differentiated because they are derived from a more metabolically active hematopoietic stem cell. During ontogeny, the thymus is seeded by a wave of highly proliferative fetal HSCs from the liver that give rise to neonatal CD8+ T cells (48–50). The fetal HSCs are later replaced by a more quiescent wave of adults HSCs that originate in the bone marrow (48, 51). While fetal and adults HSCs express different genes (52), undergo different amounts of asymmetric cell division (53) and utilize unique programs of self-renewal (54), it is unclear whether the fetal origin of neonatal CD8+ T cells contributes to an altered program of memory CD8+ T cell development. Experiments to understand the relative contribution of all of these possibilities are currently under investigation.
What is the evolutionary advantage of having CD8+ T cells that more rapidly become terminally differentiated and fail to transition into the long-lived memory pool? It is possible that neonatal CD8+ T cell respond more vigorously to infection to compensate for the lower numbers of CD8+ T cells and a less diverse T cell receptor (TCR) repertoire that is present in early life. While a stronger primary response comes at the expense of not being able to develop robust immunological memory, it is likely more advantageous to protect the host during vulnerable stages of development than it is to generate memory cells, since it is unimportant what happens later if the host fails to survive the infection. However, as the naïve T cell repertoire diversifies with progressing development and more optimal TCRs are produced, it may become more beneficial to respond with a more balanced CD8+ T cell response, so that many of these T cells expressing optimal TCRs will be retained in the memory pool and can rapidly respond to a secondary infection.
Our findings also shed light on the competing models of memory cell differentiation. Previous work has argued for a model of memory cell differentiation whereby all naïve CD8+ T cells have an equal potential to become memory cells, but those that receive greater amounts of stimulation become terminally differentiated effectors and die, while those receiving less (but sufficient) stimulation survive and persist in the memory pool. However, the different fates adopted by neonatal and adult CD8+ T cells responding to the same amount of stimulation raises the possibility that not all CD8+ T cells exhibit the same potential to mature into a memory cell. Given that the naïve CD8+ T cell pool is comprised of cells that were generated during different stages of development, it is interesting to speculate whether the spectrum of CD8+ T cell differentiation observed after infection relates, at least in part, to the developmental origin of the CD8+ T cells that are recruited into the response.
Several recent reports have highlighted many important differences in the neonatal T cell response (17, 55–61). However, it is often unclear whether altered behavior of neonatal T cells is due to a less diverse TCR repertoire, lower amounts of TCR avidity, smaller precursor numbers or environmental factors. Thus, we have taken a reductionist approach and examined how monoclonal CD8+ T cells from neonatal and adult mice respond to infection in the same host environment. Although this experimental approach allows us to specifically focus on cell-intrinsic differences, one potential limitation of our study is that the behavior of neonatal cells was analyzed in adult mice, and not in the `normal' environment for neonatal cells. However, our previous work demonstrated the failure of neonatal polyclonal memory cells to develop strong recall responses in vivo (26), and the goal of this study was to identify whether this was due to cell-intrinsic differences or factors related to the neonatal immune environment. Given that we observe the same phenotype when neonatal cells are in an adult environment, we believe impaired neonatal memory CD8+ T cell development is due, at least in part, to cell intrinsic differences. In summary, the data presented in this study provide new insight into impaired development of memory CD8+ T cells in early life. Our findings that neonatal CD8+ T cells skew towards a short-lived effector phenotype in a cell-intrinsic manner will need to be taken into account in the development of future strategies to enhance cellular immunity during early stages of development.
Supplementary Material
Footnotes
This work was supported by National Institute of Health awards R00HD067290 (to B.D.R., from National Institute of Child Health and Human Development), R01AI105265 (to B.D.R, from the National Institute of Allergy and Infectious Disease), and R01GM105668 (to A.G., from National Institute of General Medical Sciences), the Cornell Center for Vertebrate Genomics (to B.D.R. and A.G.), and a National Science Foundation Graduate Research Fellowship (to E.W., award 2011078441).
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