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. Author manuscript; available in PMC: 2020 Mar 5.
Published in final edited form as: Cell. 2019 Aug 22;178(5):1176–1188.e15. doi: 10.1016/j.cell.2019.07.032

Effector TH17 cells give rise to long-lived TRM cells that are essential for an immediate response against bacterial infection

Maria Carolina Amezcua Vesely 1,2, Paris Pallis 1, Piotr Bielecki 1, Jun Siong Low 1, Jun Zhao 1,3,4, Christian CD Harman 1,2, Lina Kroehling 1, Ruaidhrí Jackson 1, Will Bailis 1, Paula Licona-Limón 5, Hao Xu 1, Norifumi Iijima 1, Padmini S Pillai 1,12, Daniel H Kaplan 6, Casey T Weaver 7, Yuval Kluger 3,4,8, Monika S Kowalczyk 9, Akiko Iwasaki 1,2, Joao P Pereira 1, Enric Esplugues 1,13, Nicola Gagliani 1,10,11,#, Richard A Flavell 1,2,#
PMCID: PMC7057720  NIHMSID: NIHMS1062799  PMID: 31442406

Summary

Adaptive immunity provides life-long protection by generating central and effector memory T cells and the most recently described tissue resident memory (TRM) cells. However, the cellular origin of CD4 TRM cells, and their contribution to host defense remains elusive. Using IL-17A tracking-fate-mouse models we found that a significant fraction of lung CD4 TRM cells derive from IL-17A producing effector (TH17) cells following immunization with heat-killed Klebsiella pneumonia (Kp). These exTH17 TRM cells are maintained in the lung by IL-7, produced by lymphatic endothelial cells.

During a memory response, neither antibodies, γδ T cells, nor circulatory T cells are sufficient for the rapid host defense required to eliminate Kp. Conversely, using parabiosis and depletion studies, we demonstrated that exTH17 TRM cells play an important role in bacterial clearance. Thus, we delineate the origin and function of airway CD4 TRM cells during bacterial infection, offering novel strategies for targeted vaccine design.

Introduction

Adaptive immunity provides life-long protection from infection by establishing an enduring reservoir of memory cells. Upon infection CD4 and CD8 T cells undergo clonal expansion followed by a subsequent contraction, and ultimately memory formation (Kaech, Wherry et al. 2002, Mueller, Gebhardt et al. 2013). While central memory T (TCM) cells have long been known to mainly reside and circulate through secondary lymphoid tissues and effector memory (TEM) cells to circulate through non lymphoid tissues, the identification of TRM cells within peripheral organs has opened new concepts about tissue-specific protective immunity (Schenkel and Masopust 2014).

CD4 TRM cells serve at the frontline at different barrier sites such as vagina (Iijima and Iwasaki 2014, Stary, Olive et al. 2015) lung (Teijaro, Turner et al. 2011, Turner, Bickham et al. 2014, Hondowicz, An et al. 2016) and skin (Glennie, Volk et al. 2017) and their main host-protective mechanism is mediated by the production of effector cytokines such as IFN-γ, IL-4.

While most of the studies have focused on the biology of virus-specific CD8 TRM cells, basic questions regarding CD4 TRM still remain unanswered. For example, where do these cells come from - what is the cellular origin of CD4 TRM cells?; which environmental signals maintain them into the tissue?; and finally, are CD4 TRM cells able to rapidly respond to a second challenge?

To address these questions, we devised an experimental plan combining the use of two complementary fate reporter mouse models, next generation T cell receptor (TCR) and single-cell sequencing approaches.

We consider that understanding CD4 TRM cell development and function is imperative, particularly as they may represent the key target cells to design specific and efficacious vaccination against the growing number of antibiotic resistant bacterial strains emerging in the clinic. This might also help to reduce antibiotic use, avoiding the evolution of antibiotic resistant-bacteria For instance, there is currently no targeted treatment strategy for carbapenem resistant Enterobacteriaceae like Klebsiella pneumoniae (Kp). This is a leading cause of nosocomial and community-acquired gram-negative bacterial pneumonia, which results in a severe pyrogenic infection with high mortality rates (Falagas, Tansarli et al. 2014). Despite the fact that IL-17A cytokine is critical to deal with Kp infection (Moore, Moore et al. 2000, Happel, Dubin et al. 2005, Chen, McAleer et al. 2011), the function of TH17 memory cells have been underestimated because of their short-term survival (Pepper, Linehan et al. 2010).

Considering all this, we hypothesized that CD4 TRM cells derive from the first wave of effector cells generated during the first encounter with a pathogen. Furthermore, since CD4 TRM cells localize at the site of immunization, we also hypothesized that some of them acquire a poised while others a more plastic status (Lee, Turner et al. 2009, Wei, Wei et al. 2009, Harrison, Linehan et al. 2019), which allow them to mount a fast and essential immune response against bacterial infection.

Here, by using an immunization-infection model with different serotypes of Kp, we show that a significant fraction of the lung long-lived CD4 TRM cells (exTH17cells) derive from specific-effector TH17 cells. We observed that exTH17 TRM cells are maintained by IL-7 which is mainly produced by lymphatic endothelial cells in the lung. Finally we reveal that exTH17 TRM cells are important players that can resist an antibiotic resistant strain of Kp.

Results

TRM cells can derive from effector cells and protect against carbapenem resistant Klebsiella pneumoniae infection

We started by characterizing the kinetics of the development of lung- TRM cells. To this end, wild type (wt) mice were immunized twice with heat killed serotype 2 Klebsiella pneumoniae (Figure S1A) and the presence of CD4 TRM cells was evaluated at multiple time points. An in vivo antibody (Ab) labeling technique was used to differentiate between circulatory and lung infiltrating CD4 T cells (Anderson, Mayer-Barber et al. 2014). Lung infiltrating CD4 T cells began accumulating as early as day 5 post-immunization and persisted through day 110 (Figure S1B). CD69 and CD103 have been used as markers for TRM cells. We found that CD4 TRM cells were CD103 but characterized by high levels of CD69 expression compared with circulatory CD4 T cells (Figure S1C and D). Similar to classical CD8 and CD4 memory formation, lung infiltrating CD4 cells underwent robust expansion upon immunization, followed by an acute contraction phase. Then a stable lung TRM CD4 population was observed during the memory phase (Figure S1E).

We next aimed to further characterize the origin of TRM CD4 cells, a point that has still remained elusive. TH17 cells have previously been shown to provide protection against Kp infection (Ye, Rodriguez et al. 2001, Chen, McAleer et al. 2011), however it is unclear whether these cells are short-lived and whether they contribute to the memory pool (Pepper, Linehan et al. 2010, Chen, McAleer et al. 2011, Muranski, Borman et al. 2011). Considering the plasticity of TH17 cells and instability of IL-17A production, their main marker, one possible explanation for the unknown-origin of CD4 TRM cells could be that TH17 cells lose the expression of their signature cytokine, becoming “exTH17” cells, when they mature into long-lived memory cells. We therefore used the Il17a Fate+ mapping mouse model (Gagliani, Amezcua Vesely et al. 2015), which allowed us to track the fate of TH17 cells independently from the actual expression of IL-17A and from the need of in vitro re-stimulation. To generate these mice, Il17aCRE, crossed with a R26STOPflox/flox YFP (R26YFP) (Hirota, Duarte et al. 2011) were further crossed with a triple-reporter mouse strain, consisting of Il17aKatushka Il10eGFP Foxp3RFP alleles (Gagliani, Amezcua Vesely et al. 2015). In addition, the Fate+ mice allowed us to exclude Foxp3 and IL-10 producing cells from our analysis. By using these mice, we observed that Kp immunization resulted in the generation of TH17 and exTH17 cell populations, with the latter persisting in the lung as a population of TRM cells for at least 110 days (Figures 1A and B).

Figure. 1: Origin and function of TRM exTH17 cells.

Figure. 1:

A) Dot plots show percentage of TH17, exTH17 and YFPneg IL17neg cells and B) absolute number of TRM exTH17 cells in lungs at different time points after immunization in Fate+ mice (gated on CD4 in-vitro+ CD4 in-vivo Neg TCR-β+ Foxp3Neg) (n= 4 per time point). One out of 2 independent experiments is shown C) Naïve CD45.1+ and day 35 immunized Fate+ CD45.2+ mice were surgically joined for 3 weeks. Before sacrifice anti-CD4 antibody was injected to distinguish TRM and circulating cells. The graph shows the absolute number of lung TRM CD45.2+ and circulatory exTH17 cells in naïve CD45.1 mice (blue) and in Fate+ immunize mice (red). D) Representative immunofluorescent sections of lungs from naïve (Day 0) and immunized mice (Day 14 and Day 30) showing the presence of CD4 T cells (red) and exTh17/Th17 cells (yellow) surrounding the airways only in the lungs of immunized mice. AW= airway and BV= blood vessel; blue: DAPI, grey: CD31 (n= 3 per time point) E) Parabiotic pairs were infected with live carbapenem resistant Kp after 3 weeks of surgery. The graph shows the CFU count in total lung 24 h after infection of naïve-infected (blue) or immunized-infected (red). Each dot represents one mouse. Data is cumulative of 2 experiments.

Data are represented as mean ± SEM. Mann-Whitney U test, ns (non significant); *p= 0.0286; **p = 0.0022. Data are represented as mean ± SEM.

To specifically track TH17 cells generated in response to Kp immunization, rather than all cells with a history of IL-17A expression (Ivanov, Atarashi et al. 2009), we took advantage of an inducible Il17a fate model (Gagliani, Amezcua Vesely et al. 2015). R26YFP mice were crossed with Il17a eGFP-Cre-ERT2 mice, such that cells expressing Il17a are labeled GFP+YFP+ upon tamoxifen administration and persist as a GFPnegYFP+ population after the expression of Il17a is terminated. As expected, Kp immunization resulted in the induction of a newly generated TH17 cell population (Figure S1F). Notably, 60 days after immunization most of these cells lost Il17aeGFP expression and persisted as YFP+ exTH17 cells in the lung of immunized mice (Figure S1G).

To test whether the accumulation of TRM was associated with long-term protection, the immunized mice were infected with a second serotype of live K. pneumoniae, characterized as being resistant to carbapenems (Figure S2A). Immunized mice showed protection against carbapenem resistant Kp compared with non-immunized mice (Figure S2B).

CD4 T cells, antibodies, and γδ T cells are all important components of the immune response against Kp. However, whether memory T cells alone are sufficient to orchestrate a proper immune response, especially at the early phase of memory activation, remains unknown. Here we found that despite the absence of B cell and γδ-T cells – using genetically deficient mice - immunized animals were still more efficiently protected from acute live carbapenem resistant Kp infection than non-immunized controls (Figures S2C and D).

Next, to further test whether exTH17 cells were residing in the lung as bona fide TRM cells, we performed parabiosis experiments with naïve wild type CD45.1+ and immunized Fate+ CD45.2+ mice in combination with an in vivo Ab labeling technique. Naïve CD45.1 and immunized CD45.2 mice were surgically paired and 3 to 4 weeks later we observed shared specific Kp antibodies and CD4 T cells in the circulation (Figures S2E, F and G). We observed that, although the two mice shared memory exTH17 T cells in circulation, the large majority of exTH17 cells were present in the lungs of the immunized Fate+ mice and not in the lungs of the naïve wild type mice (Figure 1C). In addition, immunofluorescent imaging of lungs from immunized mice showed that exTH17 cells (depicted by yellow) resided in close proximity to the airways and blood vessels at 14 and 30–35 days after immunization forming a potential network of tissue resident cells (Figure 1D).

Finally, to fully explore the hypothesis that these observed resident cells act as the crucial mediators of tissue specific adaptive immunity, we conducted parabiosis studies infecting both naïve and immunized mice with antibiotic resistant Kp. Despite displaying Kp specific antibodies and circulatory memory cells, the respective naïve mice of the joined pairs failed to efficiently clear live carbapenem resistant Kp infection. In contrast, we found a very low bacterial burden in the immunized partners (Figure 1E). Moreover, we observed that when the recruitment of memory cells from lymphoid organs is impaired, using FTY720, the immunized mice still appeared to be more protected compare to naïve mice (Figure S2H).

We extended our findings to different pathogens, and found long-lived exTH17 cells after Candida albicans and BCG infections (Figure S3), supporting the hypothesis that the longevity and presence of TH17 effector derived TRM cells does not only occur in the Kp setting, but they are also generated in other infections where IL17A plays an important role (Khader, Bell et al. 2007, Igyarto, Haley et al. 2011).

Taken together, these data show that effector TH17 can give rise to TRM cells and TRM cells play a key protective role in the early phase of Klebsiella pneumoniae infection.

TCR specificity and transcriptome analysis of lung TRM cells

The expansion of few clones in response to a bacterial infection is a prototypical feature of a memory response. To test whether the development of these TRM cells follows this classical path, we sequenced the CDR3 region of the TCRβ genes of TH17 and exTH17 cells present in the lung 35 days after the immunization. Thus, this CDR3 sequencing also allowed us to elucidate the clonal origin of exTH17 TRM cells.

We found that the small population of TH17 cells present at day 35 post-immunization was represented by highly restricted oligo-clonal expanded T cell receptor clones and these clones were shared with exTH17 cells (Figure 2A,F), further indicating a common origin between these two populations. Then, we selected the most expanded clones among lung TH17 cells and tracked them in all the other populations of TRM cells in the lung and also in naive and memory cells in the spleen (Figure 2 B,C,E,G,H,J). When we evaluated the clonality of those lung TRM cells that never expressed IL-17A (YFPneg ), we found that they share some degree of clonality with both TH17 and exTH17 TRM cells but to a lower degree compared to what TH17 and exTH17 TRM cells share between one another (Figure 2 B,D,G,I). This suggests that both type of cells were generated during the effector immune response but unknown differences led them to become YFPpos or YFPneg cells. Finally, some of the expanded clones represented in the TH17 cells, were also present, albeit at a very low frequency in splenic CD4 memory cells but they were not detectable in naïve CD4 T cells, denoting the generation of a specific and systemic immune response after immunization (Figure 2C,H).

Figure. 2: TCR β sequencing of Lung TRM cells.

Figure. 2:

A, F) TCR β sequencing of lung TRM TH17 vs lung TRM exTH17 cells, B, G) lung TRM TH17 vs lung TRM YFPneg C, H) lung TRM TH17 vs splenic memory CD4 cells and vs splenic naive CD4 cells at day 35 after immunization in 2 different mice. D, I) TCRβ sequencing of lung exTH17 vs lung YFPneg at day 35 after immunization in 2 different mice. The dots plots graphs show the common shared CDR3 amino acid sequences of TCRβ chains between all the populations. The most expanded clones among TH17 cells were colored and followed across all the comparisons between different populations. E, J) The bar graphs on the left show percentage of the most expanded clones in each population. The bar graphs on the right show the cumulative productive frequency of the most expanded clones in lung TRM cells. The colors of the clones followed the same colors used for the dot plots graphs.

Tissue and cell-type specific expression of genes, including TRM “core” genes, can be commonly suggestive of corresponding specific functions and cell origin. To evaluate the presence of a tissue-related specific gene profile in memory cells residing at the lung or lymph nodes we performed mRNA-sequencing. We hypothesized that based on their location, different transcriptomes will be expressed by these memory CD4 T cell populations. We profiled the transcriptome of draining lymph node (LN) naïve CD4 T cells, memory CD4 T cells and the 3 populations of TRM cells present in the lung 35 days after immunization (TH17, exTH17 and YFPneg).

We used either an unsupervised list of genes that were significantly differentially expressed (> 4 fold) (Figure 3A) or a core of TRM signature genes (Figure 3B) (Wakim, Woodward-Davis et al. 2012, Mackay, Rahimpour et al. 2013, Pan, Tian et al. 2017) to test similarities and differences among the transcriptomes of these cell populations. We found that lung TRM cells (TH17 cells, ex-TH17 and YFPneg cells) share a similar pattern of gene expression, but different from the expression pattern of the peripheral memory LN cells, independently of the approach used to analyze them (Figures 3A,B).

Figure 3: RNA sequencing of Lung TRM and lymph node memory and naïve CD4 populations illustrates key features of Lung TRM populations.

Figure 3:

A) Heatmap of genes significantly differentially expressed (>4 fold cutoff) between the lymph node and lung populations. B) Heatmap of a selected subset of genes known to be involved in tissue resident memory cell biology. C) Bar graph of gene ontology assignments of genes overexpressed 4 fold in lung TRM cells relative to lymph node memory cells. Dashed line represent p = 0.05, Fishers exact test. The intensity of the color bar on the right indicates the amount of genes in each pathway. D) Heatmap of a selected subset of genes known to be involved in T helper subset and memory biology.

To search for different functional features among all lung TRM cells and peripheral LN memory cells, we performed Gene Ontology (GO) analysis of genes upregulated in Lung TRM cells using DAVID (Huang da, Sherman et al. 2009). Interestingly, GO terms showing statistically significant enrichment were mainly related with immune process such us defense response, cell to cell adhesion, cell activation, regulation of cytokine production and response to bacteria(Figure 3C). All this suggests that lung TRM cells present a profile more focused towards a rapid immune response compared with peripheral memory cells. We then focused on the different populations of lung TRM cells and evaluated the expression of a selected list of genes involved in specific T-helper cell subset and memory T cell biology. Interestingly, based on the expression of the genes from this list, we found that TH17 and exTH17 cells cluster more closely together than to the YFPneg cells (Figure 3D). In particular, the expression patterns of Ilr1, rora, irf4 and rbpj suggested that some of the exTH17 TRM cells have acquired a prime signature-state that could allow them to rapidly respond producing IL-17.

Interestingly we also found that ndfip1, which was recently shown to be essential to balance the potential tissue related pathogenicity of TH17 cells (Layman, Sprout et al. 2017), was highly expressed in exTH17 cells. We also observed that the expression of Il7r was higher in exTH17 cells than in YFPneg cells. Finally, regarding the population that never activates the production of Il17a (YFPneg cells), the expression of a TH1/2-memory signature transcriptome (e.g. eomes, Ifng, ccr7, sell, Il4, Gata3, Ccr3, Ccr5), suggests that these cells might be a heterogeneous population composed of TH1 and TH2 effector derived memory cells (Figure 3D) (Chang, Palanivel et al. 2007, Bannard, Kraman et al. 2009).

Effector derived TRM cells depend on IL-7 which is produced by lung lymphatic endothelial cells

We next interrogated the possible mechanisms that might be involved in the maintenance of exTH17 TRM cells in the lung. The residency and establishment of TRM cells at peripheral tissues correlates with down-regulation of KLF2 and S1P1R, and the concomitant inability to follow a gradient of S1P and leave the tissue. (Carlson, Endrizzi et al. 2006) (Skon, Lee et al. 2013). Consistently, lower levels of KLF2 and S1PR1 expression were found in lung TRM exTH17 cells and in the small population of TH17 cells compared to CD4 splenic memory or naïve CD4 T cells from Fate+ immunized mice (Figure 4A).

Figure 4: Lymphatic endothelial cells maintain effector derived lung TRM cells.

Figure 4:

A) Relative RNA expression of KLF2 and S1PR1 on day 30 in immunized mice is shown. Splenic naïve CD4 cells (black bars), splenic memory CD4 cells (red bars), lung exTH17 cells (light blue bars) and lung TH17 cells (dark blue bars). Technical replicates of one representative experiment out of two are shown and data is represented as mean ± SD. B) The graphs show the absolute number of total TRM CD4 (left) and TRM exTH17 cells (right) in lungs (gated on CD4 in-vitro+ TCR β + Foxp3 CD4 in-vivoNeg) after FTY720 treatment (red circles). Non Tx mice= normal drinking water (black circles). Each dot represents one mouse. One out of 2 independent experiment is shown. C, D) Histograms show the expression of CD127 and CD122 in lung TRM exTH17 cells (red line) 60 days after immunization, and in total spleen CD4 cells (blue line). CD122 expression in total CD8 spleen cells is shown as a positive control (grey line) (n= 4 mice). One out of 2 independent experiments is shown E) Fate+ immunized mice were intra-nasally treated with anti-IL-7 Ab, or with an isotope control on day 35, 37 and 39 after immunization and the mice were sacrificed on day 40. The graph shows the absolute number of lung TRM exTH17 cells in the isotype ctrl treated group (black circles) and in the anti-IL7 treated group (red circles). Each dot represents one mouse. Three combined experiments are shown. F) Single Cell RNA sequencing of total lung tissue cells from immunized mice with total CD4+ cells and circulatory CD45+ removed by FACS sorting. Lung cells were profiled by droplet-based scRNA-seq (Drop-Seq). t-SNE plots show 1500 cells (dots) in a nonlinear representation of the top 50 PCs. Cells are colored by cluster. The clusters were identified by specific genes (Supplementary Figure.7). G) Representation of differentially expressed Il7 gene by cluster (y-axis) in immunized and naive conditions (x-axis). The dot size represents the fraction of cells in the cluster that express Il7; the dot color represents the intensity of Il7 expression. H) Representative immunofluorescent sections of lungs from B6-non immunized (left), IL7GFP/+ non-immunized (middle) or day 35-immunized mice (right). Colocalization of CD4 T cells (red) and IL-7+lymphatic endothelial cells (Grey+ green) in the lungs of immunized mice. Blue: DAPI, grey: Lyve-1, green: IL7, red: CD4. I)The histogram shows the percentage of lung TRM exTH17 BrdU+ cells. Each dot represents one mouse. One out of 2 independent experiments is shown. Data are represented as mean ± SEM. Mann-Whitney U test ** p = 0.0082.

Then, to evaluate whether a continuous supply of circulating lymphocytes is required for the maintenance of the pool of CD4 TRM, we treated day 35 immunized mice with FTY720, an S1PR1 antagonist that blocks lymphocyte egress from lymph nodes. Decreased numbers of circulating total white blood cells were found after 2 weeks of FTY720 treatment, while, by contrast, the total number of CD4 TRM and exTH17 TRM cells in the lung remained unchanged (Figure 4B). All these data pointed towards in situ mechanisms that might sustain the survival of CD4 TRM cells. Therefore, we investigated the possible role of the cytokine milieu. Both IL-7 and IL-15 signaling are understood to be key mediators of CD4 T cell homeostatic proliferation, a mechanism which could explain the long-term and circulatory independent maintenance of TRM (Mackay, Rahimpour et al. 2013, Iijima and Iwasaki 2014, Adachi, Kobayashi et al. 2015, Hondowicz, An et al. 2016). In line with the data obtained from the RNA sequencing experiment, we found that a fraction of TRM exTH17 cells expressed IL-7Rα, but they lacked IL-15Rβ expression (Figure 4C, D). To test the role of IL-7 in the maintenance of TRM exTH17 cells, we intranasally administered anti-IL-7 or isotype control antibodies into immunized mice. The local treatment with anti-IL-7 Abs did not diminish CD4 T cell numbers systemically (Figure S4A). However, the number of lung TRM exTH17 cells was reduced after IL-7 blockade (Figure 4E).

Then, considering the key role of IL-7, we also investigated the cellular source of IL-7 in the lungs of immunized mice. By performing single cell RNA-sequencing of total lung cells and unsupervised clustering (Figure S4B), we observed that first Il7 was preferentially expressed by lymphatic endothelial cells (LEC, cluster 10) and second the percentage of Il7+ LEC increased in immunized mice (Figure 4F,G). By using IL7GFP/+ reporter mice, we found that lung CD4 TRM cells are located in close proximity to IL7+ lymphatic endothelial cells in the lung of Klebsiella immunized mice (Figure 4H). Finally, as IL-7 is known to promote the homeostatic proliferation of T cells, Fate+ mice were immunized and 60 days later given bromo-2-deoxyuridine (BrdU) in the drinking water for 2 weeks. Approximately 20% of TRM exTH17 cells were labeled with BrdU, suggesting that homeostatic proliferation plays a role in maintaining CD4 TRM cells (Figure 4I).

Function of effector derived TRM cells

TH17 cells are a distinct subset of effector CD4 T cells with a degree of plasticity (O’Shea and Paul 2010, Schlapbach, Gehad et al. 2014, DuPage and Bluestone 2016). However, whether exTH17 TRM cells can maintain their ability to reproduce their original cytokine profile when re-challenged with antigen remained to be addressed. If so, this could be interpreted as an evolutionary advantage to be able to maintain a population of memory cells at the previously infected barrier to provide a quick response to eventual subsequent infections. We therefore determined the expression of IL-17A and observed that only previously immunized mice show a rapid (i.e. 2 and 24 h) increase in IL-17AKata expression following infection with carbapenem resistant Kp (Figure 5A). One feature of TH17 cells is their ability to recruit neutrophils (Fossiez, Djossou et al. 1996, Schwarzenberger, La Russa et al. 1998). In line with this, immunized mice showed a significantly increased number of neutrophils surrounding the bronchial lung barrier, within 2 hours after infection (Figures 5B, C).

Figure. 5: Function of TRM exTh17 cells.

Figure. 5:

A) Dot plots show the frequencies of TRM TH17 cells (CD4 in-vitro+, CD4 in-vivoneg, TCRβ+ Foxp3neg, IL17kata+, YFP+) in naïve+ infection mouse, immunized mouse (day 35), immunized mouse + infection (2 hours) and immunized mouse + infection (24 hours) (n=3 mice per group). The right graph shows the MFI of IL17kata in TRM TH17 cells. B) Peroxidase immune staining of mouse Ly6B in naïve, naïve+ infected, immunized (day 35) and immunized (day 35) + infection lungs, 2 hours after Kp infection. Representative slides are shown for each group. C) Quantification of neutrophils surrounding bronchioles from B. D) Cake graph shows the percentage of INF-γ+ (dark grey) among the population of YFP+ cells 24 h after infection with live Kp (after PMA-ionomycin stimulation). Double positive cells (IL17A+, INF-γ+ middle grey) and IL17A+ cells (light grey) are shown separately. The graph on the right shows the percentage of INF-γ+ single positive cells in immunized + infection (yellow circles) and in immunized mice not infected (day 35 after immunization). E) Constructs of Fate-DTR mice. F) Scheme depicting the time plan of immunization, diphtheria toxin treatment (DT Tx) and infection of Fate-DTR mice (Top). The graph shows the CFU counts in the indicated groups. For the first 4 groups (from left to right) Fate-DTR mice were used, while for the last group Fate+ immunized mice were used. Each symbol represents one mouse.

Data are represented as mean ± SEM.

Kruskal-Wallis (p < 0.0001) and post-hoc Mann-Whitney U test with Bonferroni correction *p = 0.0238 **p = 0.0043 (A); one-way Anova, and post-hoc Dunnett * p< 0.05; **p < 0.005 (C); and Kruskal-Wallis (p = 0.0009) and post-hoc Mann-Whitney U test with Bonferroni correction, ns (non significant), *** p < 0.0001 (F).

Although IL-17A activity is sufficient to control spread of the bacteria, IFN-γ seems to be necessary to fully promote efficient control of Kp (Happel, Dubin et al. 2005). In parallel, it has also been shown that TH17 cells have the ability to acquire a TH1 like phenotype (Wei, Wei et al. 2009, Hirota, Duarte et al. 2011, Zielinski, Mele et al. 2012). We therefore wondered whether some exTH17 cells were capable of expressing IFN-γ rather than IL-17A upon reencountering bacterial derived antigens. Our data show that a fraction of exTH17 cells do not re-express the original cytokine IL-17A but instead IFN-γ within 24 hours after infection (Figure 5D). These data extend to TRM CD4 T cells, the ability of some CD4 T cells to maintain a degree of flexibility.

Finally, we wanted to test whether TRM exTH17 cells and their several functions, are necessary to orchestrate the tissue resident memory immune response. We therefore developed a mouse model to delete cells with a history of IL17A production such as exTH17 and their inherent ability to rapidly produce IL-17A at a desired time point. We crossed Il17aCRE R26YFP Foxp3RFP with conditional diphtheria toxin receptor (DTR) mice (R26STOPflox/flox DTR; referred to here as Fate-DTR) (Figure 5E). In this mouse model only the YFP+ cells express DTR and can therefore be selectively deleted at the time of diphtheria toxin (DT) treatment. We first tested the efficacy of the DT mediated depletion and observed that exTH17 cells were depleted in the lung after three injections with the toxin (Figure S5A). As expected, γδ-exIL17 T cells were also deleted. However they did not appear to play an obvious role during memory response against Kp (Figure S2D).

We then took advantage of this model to test whether other tissue resident cells in the lung (i.e. CD4+ YFPneg) are sufficient to provide a reservoir for the generation and in turn the maintenance of exTH17 TRM cells. Therefore, day 35 immunized mice were treated or not treated with DT and rested after 21 days (Figure S5B). Then the absolute number of exTH17 cells and total TRM CD4 cells were evaluated. No new generation/differentiation of exTH17 cells was observed 21 days after DT treatment suggesting that a new wave of effector CD4 T cells is required to re-establish long-lived exTH17 TRM cells following depletion (Figure S5C, D and E).

Finally, immunized Fate-DTR mice were infected with live carbapenem resistant Kp and the bacteria burden was tested 24 hours later. Mice depleted of exTH17 cells before infection were impaired in their ability to control bacterial load. As expected, the non-depleted mice, whose lungs still contained TRM exTH17 cells, were able to effectively control the bacterial infection (Figure 5F). These data suggest that effector derived TH17 cells are indeed required to rapidly control this bacterial infection. Naïve depleted and naïve non-depleted mice were used as controls and both groups behaved as the immunized exTH17 cell depleted group. Moreover, immunized Fate+ (non DTR) mice were used as additional controls for non-specific DT effects, showing protection after infection.

Discussion

Several studies have focused on the molecules and or transcription factors needed for the arrival and or retention of TRM cells (Mackay, Rahimpour et al. 2013, Skon, Lee et al. 2013, Mackay, Minnich et al. 2016). However, whether TRM cells derive from effector T cells remained unclear. Here we showed that lung infiltrating CD4 T cells became TRM cells at later time points after Klebsiella pneumoniae immunization and protected immunized mice from carbapenem resistant Klebsiella pneumoniae infection. By using two state-of-the-art IL-17A fate mouse models, we demonstrated that effector TH17 cells were capable of persisting as a long-lived exTH17 population, creating a resident cellular network in the lung airways. We observed a similar phenomenon using others TH17-induced pathogens such us Candida albicans and BCG. Using parabiosis experiments, we showed that TH17 effector-derived TRM cells persisted in the lung of immunized mice, despite reaching an equilibrium in the circulation of both paired parabionts. Infecting both parabionts or blocking the recruitment of circulatory cells from the periphery, CD4 TRM cells proved the fundamental advantage to an organism of having a local memory immune response over a systemic memory response.

We sought to compare and contrast the clonality and the whole transcriptome of lung TRM cells vs periphery memory and naïve cells. Here, we found that lung TRM cells comprise 3 distinct populations: a) exTH17 cells, derived from effector TH17 cells generated during effector immune response b) a low percentage of TH17 cells and c) YFPneg cells, or cells that despite their never having been IL-17A producers, also became TRM cells. Moreover, the TCR-seq analysis revealed a common clonal origin of TH17 and exTH17 TRM cells with highly frequent clones that first expanded, then contracted and finally, generated a bona fide TH17 TRM response. The frequency of YFPneg TRM clones is in line with some previous studies where a TH1 population was also generated during the first immune response against Klebsiella pneumoniae (Happel, Dubin et al. 2005). Additionally, our whole-transcriptomic analysis revealed similarities among all lung TRM cells, distinguishing them from peripheral memory cells. Nevertheless, some effector derived exTH17 cells still maintained a “TH17 prone -memory status” (Muranski, Borman et al. 2011, Youngblood, Hale et al. 2017) which may explain their fast response. A more detailed analysis of YFPneg TRM cells unveiled possible distinct origins for this population. Based on their TH1/ TH2 and TCM related transcriptome and in line with previous human studies (Sathaliyawala, Kubota et al. 2013, Becattini, Latorre et al. 2015), we speculate that some YFPneg TRM cells may have derived from effector/effector memory TH1 and TH2 cells, and some from central memory cells. However, more studies using polyclonal and combined cytokine-fate-mapping systems are needed to clarify the origin of this heterogeneous population of cells. Previous studies, using TCR-sequencing or skin injections of TCR transgenic T cells have suggested that central memory CD8 T cells are the the origin of skin CD8 TRM cells (Gaide, Emerson et al. 2015, Kirsch, Watanabe et al. 2015). Our results show that CD4 TRM cells were also able to derive from the first wave of effector cells generated at the beginning of the immune response.

The mechanisms elucidated for CD8 TRM cell maintenance indicate that cytokines, transcription factors and even some free-fatty acid binding proteins could be involved in these processes (Adachi, Kobayashi et al. 2015, Mackay, Wynne-Jones et al. 2015, Schenkel, Fraser et al. 2016, Pan, Tian et al. 2017). Nevertheless, little is known about CD4 TRM cell maintenance. We hypothesized that based on the tissue and the environment where TRM cells are located, different mechanisms will operate to maintain their survival. In our models we observed that there was no contribution from peripheral memory cells when it come to maintenance of exTH17 cells in the lung. By antibody-blocking and single-cell-RNA-seq experiments, we demonstrated that IL-7 derived from lymphatic endothelial cells was needed to maintained the survival and location of lung exTH17 TRM cells. Our results highlight the importance of stromal cells in the maintenance of TRM exTH17 cells, resembling similar mechanism by which IL7 support other cells in the bone marrow (Cordeiro Gomes, Hara et al. 2016).

Another aspect that we experimentally addressed is the mechanisms whereby TRM cells induce protection during infection. Our in-vivo results are in line with the “primed status” of TRM cells, usually view as a frontline branch of the adaptive immune system, that “seeds” mucosal tissues. The kinetic experiments suggested that some of the lung TRM exTH17 cells transcribe high levels of Il17a as rapidly as 2 hours after challenge with carbapenem resistant Klebsiella pneumoniae infection. Our data are in line with previous studies where CD4 TRM cells express IFN-γ or IL-4 in their membrane, or quickly release these cytokines after viral, parasite, or house dust mite re-challenge to better control infections or contribute to the pathology associated with asthma (Teijaro, Turner et al. 2011, Iijima and Iwasaki 2014, Hondowicz, An et al. 2016). In addition some of the lung TRM exTH17 cells also maintain the flexibility to produce only IFN-γ, the other key cytokine for an efficient response to Klebsiella pneumoniae. The plasticity of TH17 cells is well characterized (Wei, Wei et al. 2009, Hirota, Duarte et al. 2011, Zielinski, Mele et al. 2012) but for the first time our data show that the capacity to adapt to the environment is maintained also in TRM exTH17 cells.

We also hypothesized that the tissue-environment created by the reactivation of TRM exTH17 cells commits neutrophils to extravasate and rapidly clear the bacteria. One potential caveat of the functional experiments in which we used diphtheria toxin to delete both TRM exTH17 and TH17 cells is that also IL17A-producing γδ T cells were deleted. However, using knock out mice for γδ T cells we showed that γδ T cells do not appear to play a key role during the memory response, therefore supporting a major role for TRM exTH17 and TH17 cells during this memory phase. In contrast, our data suggest that γδ T cells play a key role during the first response to the infection in a naïve mouse (Figure S2D). Our data therefore support the hypothesis that TRM TH17 cells and IL-17A γδ T respond to this pathogen at different times of exposure; however further studies are required to fully dissect the “division of labor” between these two type of IL-17A producer cells during Klebsiella infection. All this is also the case for circulatory Il-17A producer memory cells.

Taken together, our results indicate for the first time that a long-lived exTH17 TRM population originates from polarized TH17 effector cells. This population is maintained by non-stromal lymphatic endothelial cells that produce IL-7. Furthermore, we underline the importance of having an effector derived TRM cell population as frontline cells that together with other TRM cells mediate the rapid clearance of threatening strains of antibiotic resistant bacterial infections. We suggest that this cell population plays a central role in the cellular basis of immunological memory.

Finally, our study may hopefully pave the way for future studies in human tissues to design better strategies aimed to deliver more effective vaccines. Hospitalized patients infected with carbapenem-resistant Klebsiella pneumoniae, do not respond to carbapenem antibiotic treatment and thus represent a serious clinical problem. Our data provide basic knowledge that may provide a possible solution to such a problem: vaccination for prophylaxis of carbapenem-resistant Kp especially in patients at risk.

STAR METHODS

CONTACT FOR REAGENT AND RESOURCE SHARING

Further information and requests for resources and reagents should be directed to Maria Carolina Amezcua Vesely (caroamezcuavesely@gmail.com), Nicola Gagliani (n.gagliani@uke.edu) and Richard Flavell (richard.flavell@yale.edu).

Mice

C57BL/6 mice 8–12 weeks of age were obtained from Charles River (USA).

As previously described (1) the Fate+ model was obtained by crossing the original Foxp3RFP IL-10eGFP IL-17AKata mice with IL-17aCRE+/+ R26YFP+/+ mice (kindly provided by Prof B. Stockinger). The iFate mice were generated in our Lab (Gagliani, Amezcua Vesely et al. 2015). The iFate mice were used in heterozygosis for the IL-17aIRES-eGFP-CRE-ERT2 allele (Gagliani, Amezcua Vesely et al. 2015).

ROSA26iDTR were acquired from the Jackson laboratories (007900) and crossed with IL17CRE +/+ FoxP3 RFP+/+ R26STOPflox/flox YFP+/+ to obtain the Fate-DTR mice.

Heterozygous IL7GFP/+ mice (Miller C. N. et al, Int Immunol 2013) were provided Joao Pereira. Animal procedures were approved by the Institutional Animal Care and Use Committee of Yale University

Heat killed Klebsiella pneumoniae

K. pneumoniae (Kp) ATCC strain 43816, serotype 2 was expanded over night at 37 C in nutrient broth. 200 ul of the bacterial suspension were added to 50 ml of nutrient broth and grown for 3.5/4 hr at 37 C, allowing the culture to reach log phase. The concentration of Kp was determined by measuring the absorbance at 600 nm. Bacteria were pelleted by centrifugation at 4,500 rpm for 8 min, washed twice in sterile PBS, and re-suspended in 5 ml of sterile PBS. To heat killed the bacteria we incubated the suspension for 2 hr at 70 C. Then we calculate the amount of protein by Biorad kit (DC protein assay) and keep our stock of 1mg/ml of heat killed Kp at −20 C. Cultures in solid nutrient broth confirm that the bacteria were death.

Immunization and infection with Klebsiella pneumoniae

For immunizations, 40 ug of heat killed Kp (43816) were intranasally administered into anesthetized mice (Ketamine/Xylazine (100 mg/kg and 10 mg/kg respectively)) on day 0 and 7 (Supplementary figure 1A).

For infections Klebsiella pneumoniae BAA-2146 (NDM1+) (ATCC) was expanded over night at 37 C in nutrient broth. 200 ul of the bacterial suspension were added to 50 ml of nutrient broth and grown for 3.5/4 hr at 37 C, allowing the culture to reach log phase. The concentration of Kp was determined by measuring the absorbance at 600 nm (OD600= 2 resemble 2×109 bacteria/ml). Bacteria were pelleted by centrifugation at 4,500 rpm for 8 min, washed twice in sterile PBS, and re-suspended at the desired concentration with sterile PBS. 5×105 bacteria (40 ul) were intranasally administered on anesthetized mice. 24 hours after infection mice were sacrificed. The lungs were re-suspended in 500 ul of sterile PBS and homogenized using gentleMACS dissociator. Different dilutions of lungs were plated in agar nutrient broth. CFU numbers were counted 24 hours later (Supplementary figure 3A).

In vivo labeling of circulating CD4 T cells

To distinguish between circulating CD4+ T cells and CD4+ T cells infiltrating into the lung parenchyma, we injected fluorochrome labeled antibody specific for CD4 (CD4-A700) into the bloodstream of mice. Briefly, naive or immunized mice were injected intravenously with 5 μg Alexa 700 conjugated anti-CD4 Ab (clone RM4–5) in PBS, and after 7 min, mice were euthanized. For in vitro CD4 staining, Pacific Blue conjugated anti-CD4 Ab (clone RM4–4) was used. In all the experiments blood staining controls were used and around 96–99% of CD4+ T cells were labeled.

Lymphocyte Preparation and Flow Cytometry

Spleen, mediastinal lymph nodes (medLNs), and bone marrow (BM) were removed from immunized (day 35) or naive euthanized mice, placed into RPMI media supplemented with 5% fetal calf serum (FCS), and passed through a cell strainer (70mm). For isolation of lung infiltrates, cells were collected after 1 hr digestion in RPMI media supplemented with 5% FCS, 1 mg/ml Collagenase D (Roche), and 10 mg/ml DNase I (Sigma) at 37 C. Homogenates were passed through a cell strainer, and ammonium-chloride-potassium lysing buffer was used. Immune cells were separated with a Percoll gradient by centrifugation at 450 g for 20 min. Cells were removed from the interface, washed and stained with the indicated FACS antibodies. Cells were acquired on an LRS II Flow Cytometer (BD Biosciences), and data were analyzed with FlowJo software (Tree Star).

For intracellular IL-17A and IFN-γ staining in Figure 4C, cells were re-stimulated for 3 hr with phorbol 12-myristate 13-acetate (20 ng/ml) and ionomycin (1 mg/ml) in the presence of monensin (1 mg/ml). Then cells were fixed with BD fixation protocol and perm for 4 min with NP-40. Cells were washed and stained with intracellular antibodies describe above.

The gating strategy shown in Supplementary Figure 1 was preceded by gating on the typical physical parameters of the lymphocyte (FSC, SSC), exclusion of the doublets and by gating on CD4 in-vitro+ and TCRβ+ cells.

The gating strategy shown in Figure 1,4,5 and Supplementary figure 2, 5 and 8 was preceded by gating on the typical physical parameters of the lymphocyte, exclusion of the doublets and by gating on CD4 in-vitro+, TCRβ+, Foxp3RFP neg.

In all the experiments the gating strategy of every time point was based on negative and single positive controls.

BrdU labeling

For analysis of homeostatic proliferation, Fate+ mice were given BrdU (0.8 mg/ml; Sigma-Aldrich)/1% sucrose in the drinking water ad libitum. The water was carefully protected from light and change every other day. After 15 days, organs were collected, processed and cells were stained with surface Abs and incorporated BrdU was detected with a BrdU flow kit (BD Pharmingen) according to the manufacturer’s specifications.

Tamoxifen, FTY720 and Diphtheria toxin treatments

Tamoxifen (Sigma) was dissolved in corn or sesame oil (Fluka, Sigma). Naïve or immunized Inducible IL17A Fate mice were i.p. injected with 2 mg of tamoxifen on day 3, 7 and 10 after immunization.

Fate+ mice were immunized with heat killed Kp. 35 days later mice were given 4 μg/ml of FTY720 (Cayman Chemical Company) in the drinking water for two weeks.

For the FTY720 and infections studies, the mice were given FTY720 in the drinking water for 14 days before infection. After the infection the mice kept under FTY720 treatment for 1 more day and then sacrificed (Supp Fig 2H)

Diphtheria toxin was administered i.p. at 50 μg/kg body weight on day 35, 37 and 39 after immunization. On day 45, mice were infected i.n. with Kp BAA-2146 and sacrificed 24 hr after infection.

Antibodies and chemicals administered to the mice

All antibodies for flow cytometry analysis were from Biolegend.

Diphteria toxin, BrdU and Tamoxifen were from Sigma.

See KRT table for the details.

KEY RESOURCES TABLE.
REAGENT or RESOURCE SOURCE IDENTIFIER
Antibodies
Mouse IgG2a anti-mouse CD45.1 PECy7 clone A20 Biolegend 110730
Rat IgG2a anti- mouse CD19 APC clone 6D5 Biolegend 115512
Armenian Hamster IgG anti-mouse TCR gd APC, clone GL3 Biolegend 118116
Armenian Hamster IgG anti-CD69 PECy7 clone H1.2F3 Biolegend 104511
Armenian Hamster IgG anti-CD69 APC clone H1.2F3 Biolegend 104513
Armenian Hamster IgG anti-mouse CD69 APCCy7 clone H1.2F3 Biolegend 104525
Armenian Hamster IgG anti-mouse TCRb PECy7 clone H57-597 Biolegend 109222
Armenian Hamster IgG anti-mouse TCRb APC clone H57-597 Biolegend 109212
Rat IgG2a anti-mouse CD4 Pacific Blue clone RM4/4 Biolegend 116008
Rat IgG2a anti-mouse CD4 Alexa 700 clone RM4/5 Biolegend 100536
Rat IgG2a anti-mouse CD127PeCy7 clone A7R34 Biolegend 135014
Armenian Hamster IgG anti-mouse CD103 APC clone 2E7 Biolegend 121414
Mouse IgG2a anti-mouse CD45.2 Alexa 700 clone 104 Biolegend 109822
Rat IgG1 anti-mouse IL17a Pacific blue TC11-18H10.1 Biolegend 506925
Rat IgG1 anti mouse IFNg APC clone XMG1.2 BD PHARMIGEN 554413
Rat IgG2a anti-mouse CD122 clone 5H4 Biolegend 105905
Purified anti-mouse CD16/CD32 clone 93 eBioscience 14-0161-85
Rat IgG1 anti-mouse Lyve-1 eFlour 660 clone ALY7 Invitrogen, Thermo Fisher 50-0443-82
Rat IgG2a anti-mouse CD31 Alexa 488 clone 390 Biolegend 102413
Rat IgG2a anti-mouse CD31 Alexa 488 clone MEC13.3 Biolegend 102514
Anti GFP (polyclonal antibody) invitrogen A11122
Donkey anti Rabbit IgG Alexa 488 Invitrogen, Thermo Fisher A21206
Mouse IgG2b Anti mouse/human IL7 clone M25 Bio X cell BE0048
Mouse IgG2b isotype control, unknown specificity clone MCP-11 Bio X cell BE0086
Rat IgG2b anti-mouse/human CD44 PeCy7 clone IM7 Biolegend 103030
Rat IgG2a anti-mouse CD62L APC clone MEL-14 Biolegend 104412
Bacterial and Virus Strains
Klebsiella pneumoniae 43816 ATCC ATCC 43816
Klebsiella pneumoniae BAA-2146 (NDM1+) ATCC ATCC BAA-2146
Candida albicans SC5314 strain Daniel Kaplan {Igyarto, 2011 #39}
BCG Lauren Cohn Yale PCCSM
Chemicals, Peptides, and Recombinant Proteins
Tamoxifen Sigma-Aldrich Cat#T5648
FTY720 Cayman Chemichal Company 162359-56-0
Diphtheria toxin Sigma-Aldrich D0564
BrdU Sigma-Aldrich B5002
Collagenase D Roche/ Sigma-Aldrich 11088882001
DNase I Sigma 9003989
Percoll GE Healthcare 17089101
UltraPure™ BSA (50 mg/mL) ThermoFisher AM2616
Ficol 20% Sigma-Aldrich F5415-50ML
Sarkosyl Sigma-Aldrich L7414-10ML
UltraPure™ 0.5M EDTA Life Tech 15575-020
Trizma® hydrochloride solution, 2M Tris ph 7,5 Sigma-Aldrich T2944-100ML
RNAse Inhibitor NxGwn Lucigen Lucigen
Maxima H Minus Reverse Transcriptase ThermoFisher EP0753
1M DTT (Dithiothreitol) Teknova D0060
1H,1H,2H,2H-Perfluorooctan-1-ol Synquest Synquest
Critical Commercial Assays
BrdU flow kit BD Pharmingen 552598
ELISA plates for KP titers Corning 3590
Nextera XT 96 Illumina FC-131-1002
NextSeq® 500 High Output v2 Kit (75 cycles) Illumina FC 404 2005
HotStart ReadyMix, 500 × 25 μL reactions KAPA KM2602
RNeasy Plus Micro Kit Qiagen 74034
Deposited Data
RNA Sequencing This paper GEO: GSE130446
Single cell RNA Sequencing This Paper GEO: GSE131450
TCR Sequencing This Paper https://clients.adaptivebiotech.com
Experimental Models: Organisms/Strains
Mouse: C57Bl/6 Yale University N/A
Mouse: Fate+ Gagliani N. et al 2015 N/A
Mouse: iFate Gagliani N. et al 2015 N/A
Mouse: ROSA26iDTR The Jackson Laboratories 007900
Mouse: IL7GFP/+ Yale University N/A
Oligonucleotides
Primer for quantitative RT-PCR: Hprt Sigma--Aldrich NM 013556
Primer for quantitative RT-PCR: Klf2) (F, cattgcaactgggaaggatg; R, aaagggtctgtgacctgtgtg) Sigma--Aldrich
Primer for quantitative RT-PCR: S1pr1 (F, accttccgcaagaacatctc; R, ttgcagcccacatctaacag) Sigma--Aldrich
DropSeq Barcoded Bead SeqB 5’ –Bead–Linker-TTTTTTTAAGCAGTGGTATCAACGCAGAGTACJJJJJJJJJJJJNNNNNNNNTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT-3’ ChemeGenes, Macosko et al., 2015 Cat# Macosko-2011-10
Template_Switch_Oligo AAGCAGTGGTATCAACGCAGAGTGAATrGrGrG Macosko et al., 2015 IDT
SMART PCR primer AAGCAGTGGTATCAACGCAGAGT Macosko et al., 2015 Sigma
New-P5-SMART PCR hybrid oligo AATGATACGGCGACCACCGAGATCTACACGCCTGTCCGCGGAAGCAGTGGTATCAACGCAGAGT* A*C Macosko et al., 2015 IDT
Custom Read 1 primer GCCTGTCCGCGGAAGCAGTGGTATCAACGCAGAGTAC Macosko et al., 2015 Sigma
Software and Algorithms
Prism 6.0 GraphPad https://www.graphpad.com
FlowJo Tree Star https://www.flowjo.com/solutions/flowjo/downloads
Leica LAS X software to be completed this
Ask Jun or who did the analysis to complete this
FastQC Babraham Institute https://www.bioinformatics.babraham.ac.uk/projects/fastqc/
Tophat2 Johns Hopkins/University of Washington Trapnell et. Al. Genome Biology, 2013
Cufflinks Trapnell Lab Trapnell et. al. 2012 Nature Protocols
Drop-seq tools Macosko et al. 2015 http://mccarrolllab.com/dropseq/
R R foundation for statistical computing https://www.R-project.org
CummeRbund R Package MIT/Harvard University http://compbio.mit.edu/cummeRbund/
Pheatmap R package Raivo Kolde (CRAN) https://cran.r-project.org/web/packages/pheatmap/pheatmap.pdf
Rtsne R package Jesse H. Krijthe https://github.com/jkrijthe/Rtsne
DBSCAN R package Michael Hahsler https://github.com/mhahsler/dbscan
Excel Microsoft www.microsoft.com/Microsoft/Excel
Other
PDMS co-flow microfluidic droplet generation device Nanoshift Cat# Drop-Seq
100-micron cell strainer VWR Cat# 21008-950
40-micron cell strainer VWR Cat#21008-949
Fuchs-Rosenthal hemocytometer Incyto #DHC-F01
Droplet generation oil Bio-Rad Cat# 186-4006

Immunofluorescence staining

Lungs were inflated with a perfusion buffer (1% PFA; 50% OCT; 1x PBS). Incubations at 4°C with sucrose gradients were done sequentially (10% sucrose 1 hour, 20% sucrose 1 hour, 30 % sucrose 1 hour) and then the lungs were flash frozen in Tissue Freezing Medium (Jung). Cryosections (8μm) were mounted on glass slides, fixed with 4% PFA and blocked with αCD32/CD16 (BioLegend) at a dilution of 1/200. Staining was performed for 2h at room temperature for primary antibodies and 1h at room temperature for secondary antibodies. The following antibodies were used: rabbit anti-GFP (Life technologies) was used at 1/100, followed by polyclonal goat anti-rabbit-Alexa Fluor 488 (Life Technologies) at 1/2000 for detecting YFP. Anti-CD4-Pe (BioLegend) and anti-CD31-APC (BioLegend) were used at 1/70.

The images were captured by a confocal microscope at room temperature, using 40x and 10x lenses and were processed using Volocity 6.3 software (Perkin Elmer). For IL7 detection in IL7GFP/+ mice cryosections (40 μm) were mounted on glass slides, fixed with 4% PFA and blocked with αCD32/CD16 (BioLegend) at a dilution of 1/200. Staining was performed for 2h at room temperature for primary anti-GFP antibody and 1h at room temperature for secondary antibodies. The following antibodies have been used rabbit anti-GFP (Thermo/A11122), and donkey anti rabbit IgG-A488 (Thermo/A21206). The images were captured by a confocal microscope (Leica TCS SP5), using 40x and were processed using Leica LAS X software.

Real time PCR

RNA from cells was isolated using TRIzol LS reagent (Life Technology) according to the manual. RNA was subjected to reverse transcription with SuperScript II (Invitrogen) with oligo(dT) primer. cDNA was semi quantified using commercially available primer/probe sets from Applied Biosystems. Samples were analyzed with the change in cycle threshold method. Results were normalized to hypoxanthine phosphoribosyltransferase (Hprt).

K.pneumonia antibody titers

Flat bottom high binding 96-well plates (Costar) were coated with 10 ug/ml of heat killed Kp in PBS at 4°C overnight, and then washed with PBS-Tween 20 0.05%. Each plate was blocked with PBS plus 1 % BSA (blocking buffer) overnight at 4°C. Serum samples were diluted in blocking buffer and incubated for 2 h at room temperature. Detection of IgM or IgG was done using goat anti-mouse IgM-Biotin or anti-mouse IgG-Biotin (Southern Biotech) for 1 h at room temperature followed by incubation with streptavidin coupled to Horseradish peroxidase (Vector laboratories) for 30 minutes at room temperature. The reaction was developed with 3, 3´, 5, 5´-tetramethylbenzidine substrate-chromogen (BD Bioscience) and stopped with 1N H2SO4. Anti-Kp titers were determined by serial dilutions of plasma and the titer was defined as the highest dilution that yielded an OD at 450 nm that was 2-fold greater than the background level.

Cutaneous Candida albicans infection

C. albicans (kindly provided by J. Craft and D. Kaplan, (Yale University and University of Pittsburg respectively) was grown in YPAD medium at 30° C until the OD600 reached 1.5–1.8. After washing with sterile PBS, C. albicans were counted using a hemocytometer.

Mice were anesthetized with ketamine and xylazine (100/10 mg/kg body weight), shaved on the back with electric clipper, then chemically depilated with Nair hair remover lotion (Church & Dwight) for 3 minutes and cleaned. The stratum corneum was removed with 20 strokes with 220 grit sandpaper (3M). 2×108 C. albicans in 50 ul of sterile PBS was applied to the skin. 30 days after infection mice were sacrificed and 1 cm2 of infected skin was excised, minced and then digested for 1 h at 37 °C in RPMI medium containing liberase (400 μg/ml; Roche) collagenase D (1 mg/ml; Roche) and DNAse I (10 mg/ml Sigma) with continuous stirring. Cells were separated via a Percoll gradient by centrifugation at 450 g for 20 min. Cells were then removed from the interface, washed, stained with specifics abs and analyzed by FACS.

Bacillus Calmette-Guérin (BCG) infection

Mycobacterium bovis BCG (kindly provided by Dr Lauren Cohn, Yale School of Medicine, Pulmonary, Critical Care and Sleep Medicine) was grown in Middlebrook 7H9 broth base (Difco) supplemented with 10% Bacto Middlebrook OADC enrichment (Remel) for 2 weeks at 37°C. Mice were infected intranasaly with 1×106 viable bacteria in 20ul of PBS or with PBS alone as a control. The final concentration of viable bacteria was enumerated by plate counts of CFU with Middlebrook 7H10 agar (Difco) supplemented with 0.5% glycerol (Difco) and 10% Bacto Middlebrook OADC enrichment.

After 30 days of infection mice were sacrificed, the lungs were harvested and processed as described above for the experiments with K. pneumoniae.

Parabiosis

In short the mice were anesthetized with a mixture of Ketamine/Xylazine (100 mg/kg and 10 mg/kg respectively). After shaving the corresponding lateral aspects of each mouse, matching skin incisions were made from behind the ear to the hip and sutured together with nylon and collagen (5–0,ETHICON, VICRYL*) absorbable suture. Then these areas were clipped with 7-mm stainless-steel wound clips (Reflex7).

RNA sequencing

All cells used for bulk RNA-sequencing were obtained from mice immunized with heat-killed Kp (described above) 35 days post-immunization. Purified lymphocyte populations were obtained from lymph nodes as described above, lymphocytes populations from lung tissue were obtained via collagenase digestion and percoll separation as described above. Purified RNA was obtained using Qiagen Kits.

Libraries for RNA sequencing were generated using Illumina TruSeq mRNA-Seq Sample Prep Kits. Library concentration and quality was assessed using a Bioanalyzer, and sequencing performed on an Illumina HiSeq 2500 at the Yale Center for Genomic Analysis.

Analysis performed using the Tuxedo suite, with splice junction mapping performed using TopHat and transcript quantification using Cufflinks (Trapnell C. et al, Nat. Protoc 2012). Downstream analysis was performed in R using CummeRbund (http://compbio.mit.edu/cummeRbund/) analysis software, heatmaps were produced using the package (https://cran.r-project.org/web/packages/pheatmap/pheatmap.pdf) “pheatmap” in R. Gene ontology analysis was performed using DAVID (Huang da W et al, Nat. Protoc 2009).

Single cell RNA sequencing

Naive or immunized (day 35) C57BL/6 mice were injected intravenously with 2.5 ug Alexa 700 conjugated anti-CD45.2 Ab in PBS, and after 7 min, mice were euthanized. For in vitro CD45.2 staining, PECy7 conjugated anti-CD45.2 Ab was used. For isolation of total lung cells, cells were collected after 1 hr digestion in RPMI media supplemented with 5% FCS, 1 mg/ml Collagenase D (Roche), 10 mg/ml DNase I (Sigma) and 0.1 mg/ml Dispase II (Sigma) at 37 C 250 rpm. Homogenates were passed through a cell strainer, and ammonium-chloride-potassium lysing buffer was used. After in vitro staining with PECy7 anti-CD45.2 and Pacific blue anti-CD4 Abs, CD45.2 in vivo neg, CD4 neg cells were sorted into PBS plus 0.01% BSA. The cells were diluted to concentration of 100 cells/μl and 1 ml aliquots were used as input to the Drop-seq protocol. Cells were processed for Drop-seq within ∼30 min of collection.

Drop-seq was performed as described previously (Macosko E. Z. et al Cell 2015, Shekhar K. et al, Cell 2016) with minor modifications. The beads were purchased from ChemGenes Corporation, Wilmington MA (catalog number Macosko201110) and the PDMS co-flow microfluidic droplet generation device was generated by Nanoshift, Emeryville CA. The cDNA was generated using Template Switch Oligo and the populations of 5,000 beads (∼150 cells) were separately amplified for 16 cycles of PCR (conditions identical to those previously described) with SMART PCR primer and PCR products were purified by the addition of 0.6x AMPure XP beads (Beckman Coulter). For each conditions the cells from multiple mice were pooled together. Immunized group consisted of cells from 3 mice and naïve condition consisted of 5 mice. Each sample was collected by Drop-seq. For immunized conditions two 1 ml collections were performed and for naïve mouse one collection was performed. For immunized group the cDNA from an estimated 4000 cells was prepared and tagmented by Nextera XT using 1000 pg of cDNA input, and the custom primers New-P5-SMART-hybrid [3] and Nextera XT primers - N701 and N702 (Illumina). For naïve group, cDNA from an estimated 2000 cells was used as input into the Nextera XT tagmentation with New-P5-SMART-hybrid oligoand N704. The concentration and the quality of libraries was measured with Qubit HS DNA assay and Agilent TapeStation Three libraries were sequenced on the Illumina NextSeq 500 using 2.0 pM in a volume of 1.3 ml HT1, and 2 ml of 0.3 μM Custom Read 1 primer (3) for priming of read 1. Read 1 was 20 bp; read 2 (paired end) was 60 bp. Single cell RNA-seq data was processed as described previously (Macosko E. Z. et al Cell 2015) with Drop-seq tools. After the generation of the digital expression matrix, data was normalized in terms of log (CPM / 10 + 1), where CPM stands for counts per million (meaning that the sum of all gene-levels is equal 1,000,000). Subsequently, to visualize the cell subpopulations in two dimensions, PCA (principal component analysis) followed by t-SNE (t-Distributed Stochastic Neighbor Embedding), a non-linear dimension reduction method, were applied on the normalized data. DBSCAN (Density-based spatial clustering of applications with noise) was then used on the t-SNE coordinates to investigate cell subpopulations. Marker genes for each cluster of cells were identified based on binary classifiers trained with Logistic Regression with the R package “glm” (https://www.R-project.org/.). In order to analyze behaviors of specific genes in different clusters and conditions (Fig.4F), fraction of cells expressing the gene of interest and average expression values among expressing cells were calculated.

CDR3 TCRβ sequencing

Spleen and lung were removed from immunized mouse. Tissue resident cells from the lung were isolated by cell sorting CD4in-vitro+ in-vivo neg (YFPneg, exTh17 and Th17). Memory and naïve CD4 T cells were isolated from spleen of the same mouse by cell sorting.

DNA extraction, amplification and TCRβ-chain sequencing was conducted by Adaptive Biotechnologies based on the ImmunoSEQ platform (Carlson C. S. et al. Nat Commun 2013)

Statistical Analysis

Statistical analyses were calculated in Prism 6.0 (Graphpad Software). Accordingly to the experimental set-up and the distribution of the means (normal versus non parametric) we used ANOVA or Kruskal-Wallis followed by Dunnett and Mann - Whitney U test, respectively, for the multiple comparisons; p <0.05 was considered significant. Bonferroni correction was used to counteract the problem in case of multiple comparisons.

Supplementary Material

Supplemental Figure 1

Figure S1. Related to Figure 1: A) Scheme of immunization with heat killed Klebsiella pneumoniae (serotype K2) on day 0 and 7. At different time points C57BL/6 mice were sacrificed and the presence of CD4 TRM was evaluated using an in-vivo antibody labeling technique. B) Zebra plots show accumulation of infiltrating/tissue resident CD4 in-vitro+ TCR-β+, CD4 in-vivoneg, Foxp3 neg T cells in lung after immunization with heat killed K. pneumoniae in C57BL/6 mice at different time points. In-vivo labeling delineates infiltrating/resident (CD4 in-vivoneg, CD4 in-vitro+) and circulating (CD4 in-vivo+, CD4 in-vitro+) polyclonal lung CD4 T cell subsets. C) CD69 and D) CD103 expression in infiltrating/ TRM (blue line) and circulatory (red line) CD4+ TCR β+ T cells. E) Absolute number of lung CD4 infiltrating/resident (CD4 in-vitro+, CD4 in-vivoneg, TCRb+) T cells at different time points after immunization (n= 3 per time point). One out of 2 independent experiments is shown. F) The dot plots show the frequency of lung exTH17 cells in non-immunized (left) and day 14 immunized inducible IL17A Fate mice (right). Both groups of mice were treated with tamoxifen. G) The dot plots show the frequency of lung exTH17 cells in non-immunized (left) and day 60 immunized inducible IL17A Fate mice (right). Both groups of mice were treated with tamoxifen. The bottom histogram shows the expression of CD69 in exTH17 cells of immunized + tamoxifen mouse. The bar graphs on the right shows the frequency of exTH17 cells in the lung of non-immunized and immunized mice (Day 60). Each dot represents one mouse. Representative dot plots are shown (n: 3 mice per group). One out of 3 experiments is shown. Data are represented as mean ± SEM. Mann-Whitney U test, *p=0.0357

Supplemental Figure 2

Figure S2. Related to Figure 1: A) Scheme of immunization with heat killed Klebsiella pneumoniae (K2 serotype) on day 0 and 7 and infection with Cre (carbapenem-resistant enterobacteriaceae) Kp (NDMI+) on day 35. 24 hours later the mice where sacrificed. B) The graphs show the amount of Cre Kp (NDMI+) CFU after 24 hs of infection of C57BL/6 WT naïve mice (blue circles) or immunized mice (red squares). C and D) The graphs show the amount of Cre Kp (NDMI+) CFU after 24 hs of infection. WT, uMT and TCRγδ KO mice were immunized at day 0 and 7 with heat killed Kp serotype 2 (ATCC 43816) and on day 35 infected with live 5×105 CFU of Cre Kp (NDMI+ ATCC BAA 2146). Each dot represents one mouse. Data is cumulative of 4 experiments for C, and 2 experiments in D. E) The graphs show the titer of specific antibodies against Kp, IgM and IgG before parabiosis in naïve and day 30 immunized mice. 30 days after parabiosis the titer of specific antibodies against Kp, IgM and IgG were measure in naïve and immunized mice. F) Naïve CD45.1+ and day 35 immunized CD45.2+ mice were surgically joined for 3 weeks. Before sacrifice anti CD4 antibody was injected to distinguish tissue infiltrating/resident and circulating cells. Dot plots showing blood full chimerism 3 weeks after surgery. G) Dot plots showing the percentage of CD4+ CD45.2+ cells in the lung of naïve CD45.1 mouse (left) and in the lung of immunized CD45.2+ mouse (right). H) The graphs show the amount of Cre Kp (NDMI+) CFU after 24 hs of infection. Immunized mice were given FTY720 in the drinking water from day 35 until the day of sacrificed (14 days) (Immunized + FTY720). Naïve and Immunized mice drinking normal water were also infected and used as controls.

Data are represented as mean ± SEM and ± SD.

Mann-Whitney U test (B), Kruskal-Wallis (p = 0.0004) and post-hoc Mann-Whitney U test with Bonferroni correction (C), Kruskal-Wallis (p < 0.0001) and post-hoc Mann- Whitney U test with Bonferroni correction (D). Kruskal-Wallis (p = 0.0134) and post-hoc Mann Whitney U test with Bonferroni correction (H).

Supplemental Figure 3

Figure S3. Related to Figure 1: Fate+ mice where infected in the skin with C. albicans. A, B) Dot plots show the percentage and B) absolute numbers of Th17 and exTh17 after infection at day 7 and day 30. Non infected Fate+ mice where used as controls (day 0). C) Histograms show the percentage of skin exTh17 cells that express CD103 (left graph, and CD69 (right graph) at day 7 (blue histogram) and day 30 (red histogram) after infection. Grey histograms represents negative control. D) Dot plots show the frequency of TRM exTH17 cells in the lung of naïve (top) or BCG infected Fate+ mice after 30 days of infection (bottom). The histogram shows the expression of CD69 in lung exTH17 cells (blue line) and YFP negative cells (grey line). Representative dot plots are shown (n:3 mice per group).

Supplemental Figure 4

Figure S4. Related to Figure 4: A) Fate+ immunized mice were intra-nasally treated with anti-IL-7 Ab, or with an isotope control on day 35, 37 and 39 after immunization and the mice were sacrificed on day 40. The graph shows the absolute number of spleen (left) and dLN (right) exTH17 cells in the isotype ctrl treated group (black circles) and in the anti-IL-7 treated group (red circles). Each dot represents one mouse. Two combined experiments are shown. Data are represented as mean ± SEM. Mann-Whitney U Test ns (non significant). B) The Box plots show the specific genes for each cluster, with cluster labels on the x-axis; normalized expression values on the y-axis. The same color codes as in Figure 4F were used. Three markers are shown for each cluster.

Supplemental Figure 5

Figure S5. Related to Figure 5: Immunized Fate-DTR mice were either treated (Tx) with diphtheria toxin (DT) (Figure 5E) or with PBS and were sacrificed 7 days after the last DT treatment. A) Absolute number of Lung TRM cells (CD4 in vitro+, CD4 in vivoneg TCRβ+, FoxP3neg) and γδT cells. The circles and triangles represent YFP positive (exTH17, exγδIL17) and YFP negative cells respectively. Blue symbols and green symbols represent immunized PBS Tx or immunized DT Tx mice respectively. Each symbol represents one mouse (Immu n=4; Imm+DT n=6). Showing one out of 2 representative experiments. Data are represented as mean ± SEM. Mann-Whitney U test, ns (non-significant). B) Immunized Fate-DTR mice were either treated (Tx) with diphtheria toxin (DT) on Day 45, 47 and 49 or with PBS and were sacrificed 21 days after the last DT treatment. C) Representative dot plots showing the percentage of YFP negative and YFP positive cells (Gate CD4 in vitro+, CD4 in vivoneg TCRβ+, FoxP3neg) (Imm=4; Imm+DT n=5). Each dot plot represents one mouse. D) Absolute number of YFP+ (exTH17) Lung TRM cells. Data are represented as mean ± SEM. Mann- Whitney U test. E) Absolute number of YFPneg Lung TRM cells. Data are represented as mean ± SEM. Mann- Whitney U test, ns(non-significant).

Table 1:

This table contains the list of the TRM core genes (Figure 3B) and of T helper core genes related genes (Figure 3D). These lists were used to generate the cluster analysis shown in Figure 3B and 3D respectively.

3B Genes: exTh17 Th17 YFPNeg LN_Memory LN_Naive
Adam4 0 0 0.320789 0.575025 0
Adam8 52.8695 79.9729 27.94 0.673972 0.0200892
Aff3 0.580873 3.71542 5.53656 15.2608 12.2403
Ahr 0.511897 0.153789 0.91247 0.14691 0.109491
Bach2 7.6402 3.55421 9.10501 15.1167 15.8146
Bad 17.214 56.5555 14.1857 35.4653 13.7499
Bag3 11.7366 18.8748 11.8528 6.20421 0.251834
Bax 134.856 186.44 124.816 94.9991 105.179
Pydc4 9.30679 12.8171 31.455 97.7354 167.008
Bcl2 21.678 4.01872 23.4818 13.0457 33.4956
Bcl2l1 63.6311 43.4141 49.2159 11.7069 7.9072
Bcl2l11 22.2084 25.458 43.2721 3.31532 5.27807
Bgn 0.153109 0 0.750593 0.0358505 0.0651365
Btla 5.06223 1.99226 8.02059 30.191 17.5035
Ccl2 8.51415 8.28079 14.359 0 0
Ccl3 7.84485 42.8973 22.7538 6.72655 0
Ccl4 14.1719 52.2169 43.754 23.2497 0.482154
Ccl9 63.8326 164.825 98.0097 0.123146 0.198933
Ccr6 129.722 219.057 73.7499 48.9827 3.1776
Ccr7 87.2397 146.459 180.812 169.882 475.339
Ccr8 261.797 84.2079 257.666 17.7674 10.1766
Ccr9 0.958746 9.66609 12.415 4.53051 2.09285
Cd244 1.8863 5.25569 3.37893 0 0
Cd27 5.82642 0.380267 69.1739 138.294 195.475
Cd36 7.3075 8.63759 10.9358 1.23546 0.00996698
Cd38 10.7758 8.08544 14.6698 24.1699 0.0334365
Cd44 201.492 190.488 153.509 49.3359 4.08609
Cd55 17.2911 29.0783 17.7628 21.3558 17.7869
Cd86 25.0885 77.6358 43.0791 21.0034 3.11128
Cdh1 1.31217 4.00539 3.04901 0.427185 0
Chn2 2.67461 0.312715 5.34619 11.643 2.7623
Cmah 3.73635 1.03427 6.62836 15.0482 17.4606
Col1a2 0.0219386 0 0.0710211 0.032134 0.0069603
Ctla4 368.756 607.455 164.797 14.004 3.93766
Cx3cr1 3.78348 1.17633 10.6619 0.361805 0
Cxcl10 29.6531 61.5554 33.4849 11.5606 0
Cxcl9 0.90074 20.6316 0.36246 0.00499948 0
Cxcr5 8.7829 8.84221 18.2728 76.7941 4.2784
Dapl1 0.932281 5.33548 7.99692 173.396 633.422
Dcn 0 0 0.914805 0.0336434 0
Dock8 21.1722 14.3952 19.1589 26.1727 25.5088
Dtx1 0.695137 0.893031 1.32471 17.8169 29.5047
Egr1 14.9579 10.3611 23.5496 10.9145 16.0509
Elovl7 0.517024 0 0.281797 0.174125 0.954252
Emp1 49.2645 27.1846 26.5431 4.09328 0
Emp2 0.11062 1.05647 0.687951 0.36806 0.0398707
Eomes 0.0681423 0 1.14329 5.34343 0.92676
Fabp4 17.3874 25.1788 15.7998 1.01768 0
Fabp5 84.2297 189.829 73.4023 24.3898 9.41517
Fam65b 18.7707 14.7219 25.0517 46.3984 53.1738
Fcgr2b 20.23 79.6408 48.9514 11.4566 0.0334294
Fgf13 0.455421 0.312654 3.65175 5.58606 8.98842
Fn1 9.05567 8.40408 19.9454 0.0214201 0
Fos 235.1 198.882 230.727 3.95908 2.52353
Fosl2 100.714 81.0534 77.6971 0.352715 1.47108
Fut11 15.3131 3.50319 14.8282 23.3813 25.3917
Gadd45b 122.324 201.893 110.498 11.4633 8.4944
Jun 22.0643 17.863 12.1299 4.80137 6.43026
Gramd4 1.72103 0.67884 4.98049 4.93037 9.64409
Gzmb 18.7029 99.3538 94.3884 1.19967 0.023602
Gzmc 0.282313 3.6255 2.38057 0.748125 0.444278
Gzmf 0 0 0.0301648 0 0
Gzmm 2.87235 0.0843436 1.47468 0.344779 0.238187
Havcr2 7.53343 12.14 14.0544 0.110619 0
Hpgds 2.85422 0.0147194 2.32165 5.22678 2.13475
Hspa1a 2.64218 0.194103 5.92863 0.0135915 0.0727638
Icam2 56.9577 27.1573 76.6911 93.8391 159.506
Icos 1075.2 1560.24 671.817 116.596 27.4734
Ifitm2 350.219 648.966 495.109 55.0214 2.57103
Ifitm3 623.629 1101.36 686.01 35.3957 5.86796
Ifng 32.2278 77.2645 56.581 11.8064 0.0700584
Il21r 163.905 164.941 124.276 30.473 80.1092
Il2ra 27.8064 24.54 12.574 2.35074 0.519221
Il2rb 367.872 287.678 254.038 68.891 7.21834
Il4ra 91.4554 70.6956 70.9335 21.4862 36.4428
Il6ra 1.37339 1.79369 4.38283 8.29798 7.57756
Il7r 335.133 252.975 273.643 199.617 236.145
Inpp4b 45.4048 22.6503 47.6784 66.223 93.3096
Irf4 12.2116 12.439 7.17245 9.9391 0.622295
Itga1 2.73594 2.57965 3.75423 3.95989 3.80478
Itga4 18.595 22.8322 23.6606 24.1741 5.17317
Itga5 2.60504 1.50476 6.23736 0.113039 0.183608
Itgae 8.73839 5.66242 7.85881 2.06011 0.120663
Itgax 8.70462 7.33254 19.2738 0.530394 0.0060763
Junb 519.941 316.791 264.682 8.64708 7.50741
Klf2 56.9603 46.9767 62.6953 50.6301 97.2444
Klf3 10.0573 6.92346 17.4549 20.5219 17.6243
Klre1 0.684562 0.209167 11.1576 0.0199333 0
Klrg1 2.74481 7.64255 14.9285 2.47855 0
Lef1 21.9672 11.2608 57.3993 132.123 569.071
Rorc 19.8199 18.5966 5.64957 3.03501 0.00894821
Litaf 351.864 375.107 301.062 20.0902 14.1632
Lpl 25.9159 36.5378 66.9348 0.148803 0.0903724
Ly6c1 27.1465 39.665 23.3922 60.9024 215.388
Ly6c2 158.341 270.914 237.915 65.2445 11.929
Ly86 87.9592 207.231 119.331 133.772 4.16583
Mmp2 0.746712 0.678074 1.91878 0.00957691 0
Mtor 5.84036 2.30455 4.38287 5.31338 2.17745
Nr4a1 1.62349 0.721332 0.47182 0 0
Nr4a2 37.8142 22.288 39.5706 1.67953 0.261677
Nr4a3 46.3848 57.0615 35.3366 1.70282 2.97483
Otud5 9.44183 9.82215 8.19139 11.4316 14.9012
Pdcd1 300.375 581.258 330.001 95.7609 11.6902
Qpct 76.9008 32.715 45.8005 13.8748 9.32429
Rasgrp2 39.5044 34.499 63.085 39.1931 141.16
Rgs1 665.603 1212.67 515.116 42.5125 3.26151
Rgs2 629.887 980.827 540.658 31.0992 41.3607
Rgs5 0 0 0 0.0561055 0
Rhob 11.313 13.6287 8.61273 0.779562 0.178227
Rorc 1.68187 6.05918 1.6502 0.0995869 0
S1pr1 87.8161 11.8297 110.401 67.4614 158.542
S1pr5 0.637731 3.18697 1.06187 0 0
Samd3 0.0965664 0 1.92481 4.35896 0
Sell 23.8693 37.8471 55.3416 132.099 359.333
Sidt1 2.46918 0.248779 7.23938 12.0723 20.1752
Sik1 31.1668 26.2517 21.7094 0.660721 1.15682
Skil 98.5397 49.9617 75.9529 11.3679 22.9549
Slamf6 8.51641 5.2898 29.9464 109.845 40.485
Sox13 0.108177 0 0.102517 0.193807 0.151553
Tcf7 80.1438 9.87503 125.223 342.105 470.009
Tigit 249.141 295.606 363.296 90.7212 1.56796
Timp3 0.167794 0.0116843 0.704462 0 0
Tlr1 0.715386 2.3093 1.51154 8.08907 6.75228
Tmem123 109.709 137.621 95.2131 54.0762 45.6117
Tnf 16.8345 19.3047 13.2811 5.62487 1.46383
Tnfsf10 3.9295 1.64918 3.09357 5.26483 4.59722
Tnfsf8 3.40005 6.29636 3.5233 2.65015 0.3118
Tnfsf9 7.0645 26.5352 14.5197 9.14896 0.524815
Traf4 12.3083 2.54328 7.55939 1.90512 3.18627
Usp33 2.92806 0.138583 3.50379 7.30786 4.49258
Vps37b 401.929 327.77 339.738 12.2259 22.9063
Xcl1 5.17385 23.1569 55.1631 67.1408 1.80594
Zfp683 1.61235 0.268927 1.46049 0.227627 2.15995
3D Genes: exTh17 Th17 YFPNeg
Ifng 32.2278 77.2645 56.581
Ccl4 14.1719 52.2169 43.754
Gzmb 18.7029 99.3538 94.3884
Ccr7 87.2397 146.459 180.812
Pglyrp1 34.8062 69.1724 92.365
Sell 23.8693 37.8471 55.3416
Gzma 25.0986 54.0095 137.584
Il4 0.186542 2.89691 8.88272
Gata3 38.1817 16.3644 56.3495
Ccl5 340.647 311.403 3383.38
Il12rb2 2.6791 0.619294 18.42
Slamf6 8.51641 5.2898 29.9464
Eomes 0.0681423 0 1.14329
Axl 9.38972 7.5961 27.1029
Cd27 5.82642 0.380267 69.1739
Il23r 14.8404 7.62962 5.81795
Il7r 335.133 252.975 273.643
Ndfip1 288.928 86.7409 142.731
Rorc 1.68187 6.05918 1.6502
Il17a 111.35 552.221 23.8903
Il17f 318.783 2087.35 73.346
Il1r1 12.759 16.0709 4.58026
Rora 193.351 221.482 106.429
Irf4 12.2116 12.439 7.17245
Rbpj 45.8433 43.616 24.5309

Acknowledgments

We thank Jason Weinstein, Lidia Bosurgi, Jacek Puchałka, Liang Shan, Angel Solis, Nancy Ruddle and Aviv Regev for helpful discussion and to Roni Nowarski for discussion and microscopy assistance. We thank Katie Bolland for assistance during TCR-seq analysis, Brigitta Stockinger for providing the Fate mice and Ewa Menet and Geoffrey Lyon for sorting assistance. We would also like to thank Judy Stein for the design of iFate plasmids and Jon Alderman, Caroline Lieber and the Amezcua Vesely family for general assistance. We acknowledge support from HHMI for M.C.A.V. and R.A.F.; Karolinska Institute Professor fellowship for N.G., NIH RO1AI113040 for J.P, NIH R01AR060744 for D.H.K.; NIH R01HG008383 and R01GM131642 for Y.K.; and NIH R01DK103744 for C.T.W.

Footnotes

Declaration of Interests

The authors declare no competing interests

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Supplemental Figure 1

Figure S1. Related to Figure 1: A) Scheme of immunization with heat killed Klebsiella pneumoniae (serotype K2) on day 0 and 7. At different time points C57BL/6 mice were sacrificed and the presence of CD4 TRM was evaluated using an in-vivo antibody labeling technique. B) Zebra plots show accumulation of infiltrating/tissue resident CD4 in-vitro+ TCR-β+, CD4 in-vivoneg, Foxp3 neg T cells in lung after immunization with heat killed K. pneumoniae in C57BL/6 mice at different time points. In-vivo labeling delineates infiltrating/resident (CD4 in-vivoneg, CD4 in-vitro+) and circulating (CD4 in-vivo+, CD4 in-vitro+) polyclonal lung CD4 T cell subsets. C) CD69 and D) CD103 expression in infiltrating/ TRM (blue line) and circulatory (red line) CD4+ TCR β+ T cells. E) Absolute number of lung CD4 infiltrating/resident (CD4 in-vitro+, CD4 in-vivoneg, TCRb+) T cells at different time points after immunization (n= 3 per time point). One out of 2 independent experiments is shown. F) The dot plots show the frequency of lung exTH17 cells in non-immunized (left) and day 14 immunized inducible IL17A Fate mice (right). Both groups of mice were treated with tamoxifen. G) The dot plots show the frequency of lung exTH17 cells in non-immunized (left) and day 60 immunized inducible IL17A Fate mice (right). Both groups of mice were treated with tamoxifen. The bottom histogram shows the expression of CD69 in exTH17 cells of immunized + tamoxifen mouse. The bar graphs on the right shows the frequency of exTH17 cells in the lung of non-immunized and immunized mice (Day 60). Each dot represents one mouse. Representative dot plots are shown (n: 3 mice per group). One out of 3 experiments is shown. Data are represented as mean ± SEM. Mann-Whitney U test, *p=0.0357

Supplemental Figure 2

Figure S2. Related to Figure 1: A) Scheme of immunization with heat killed Klebsiella pneumoniae (K2 serotype) on day 0 and 7 and infection with Cre (carbapenem-resistant enterobacteriaceae) Kp (NDMI+) on day 35. 24 hours later the mice where sacrificed. B) The graphs show the amount of Cre Kp (NDMI+) CFU after 24 hs of infection of C57BL/6 WT naïve mice (blue circles) or immunized mice (red squares). C and D) The graphs show the amount of Cre Kp (NDMI+) CFU after 24 hs of infection. WT, uMT and TCRγδ KO mice were immunized at day 0 and 7 with heat killed Kp serotype 2 (ATCC 43816) and on day 35 infected with live 5×105 CFU of Cre Kp (NDMI+ ATCC BAA 2146). Each dot represents one mouse. Data is cumulative of 4 experiments for C, and 2 experiments in D. E) The graphs show the titer of specific antibodies against Kp, IgM and IgG before parabiosis in naïve and day 30 immunized mice. 30 days after parabiosis the titer of specific antibodies against Kp, IgM and IgG were measure in naïve and immunized mice. F) Naïve CD45.1+ and day 35 immunized CD45.2+ mice were surgically joined for 3 weeks. Before sacrifice anti CD4 antibody was injected to distinguish tissue infiltrating/resident and circulating cells. Dot plots showing blood full chimerism 3 weeks after surgery. G) Dot plots showing the percentage of CD4+ CD45.2+ cells in the lung of naïve CD45.1 mouse (left) and in the lung of immunized CD45.2+ mouse (right). H) The graphs show the amount of Cre Kp (NDMI+) CFU after 24 hs of infection. Immunized mice were given FTY720 in the drinking water from day 35 until the day of sacrificed (14 days) (Immunized + FTY720). Naïve and Immunized mice drinking normal water were also infected and used as controls.

Data are represented as mean ± SEM and ± SD.

Mann-Whitney U test (B), Kruskal-Wallis (p = 0.0004) and post-hoc Mann-Whitney U test with Bonferroni correction (C), Kruskal-Wallis (p < 0.0001) and post-hoc Mann- Whitney U test with Bonferroni correction (D). Kruskal-Wallis (p = 0.0134) and post-hoc Mann Whitney U test with Bonferroni correction (H).

Supplemental Figure 3

Figure S3. Related to Figure 1: Fate+ mice where infected in the skin with C. albicans. A, B) Dot plots show the percentage and B) absolute numbers of Th17 and exTh17 after infection at day 7 and day 30. Non infected Fate+ mice where used as controls (day 0). C) Histograms show the percentage of skin exTh17 cells that express CD103 (left graph, and CD69 (right graph) at day 7 (blue histogram) and day 30 (red histogram) after infection. Grey histograms represents negative control. D) Dot plots show the frequency of TRM exTH17 cells in the lung of naïve (top) or BCG infected Fate+ mice after 30 days of infection (bottom). The histogram shows the expression of CD69 in lung exTH17 cells (blue line) and YFP negative cells (grey line). Representative dot plots are shown (n:3 mice per group).

Supplemental Figure 4

Figure S4. Related to Figure 4: A) Fate+ immunized mice were intra-nasally treated with anti-IL-7 Ab, or with an isotope control on day 35, 37 and 39 after immunization and the mice were sacrificed on day 40. The graph shows the absolute number of spleen (left) and dLN (right) exTH17 cells in the isotype ctrl treated group (black circles) and in the anti-IL-7 treated group (red circles). Each dot represents one mouse. Two combined experiments are shown. Data are represented as mean ± SEM. Mann-Whitney U Test ns (non significant). B) The Box plots show the specific genes for each cluster, with cluster labels on the x-axis; normalized expression values on the y-axis. The same color codes as in Figure 4F were used. Three markers are shown for each cluster.

Supplemental Figure 5

Figure S5. Related to Figure 5: Immunized Fate-DTR mice were either treated (Tx) with diphtheria toxin (DT) (Figure 5E) or with PBS and were sacrificed 7 days after the last DT treatment. A) Absolute number of Lung TRM cells (CD4 in vitro+, CD4 in vivoneg TCRβ+, FoxP3neg) and γδT cells. The circles and triangles represent YFP positive (exTH17, exγδIL17) and YFP negative cells respectively. Blue symbols and green symbols represent immunized PBS Tx or immunized DT Tx mice respectively. Each symbol represents one mouse (Immu n=4; Imm+DT n=6). Showing one out of 2 representative experiments. Data are represented as mean ± SEM. Mann-Whitney U test, ns (non-significant). B) Immunized Fate-DTR mice were either treated (Tx) with diphtheria toxin (DT) on Day 45, 47 and 49 or with PBS and were sacrificed 21 days after the last DT treatment. C) Representative dot plots showing the percentage of YFP negative and YFP positive cells (Gate CD4 in vitro+, CD4 in vivoneg TCRβ+, FoxP3neg) (Imm=4; Imm+DT n=5). Each dot plot represents one mouse. D) Absolute number of YFP+ (exTH17) Lung TRM cells. Data are represented as mean ± SEM. Mann- Whitney U test. E) Absolute number of YFPneg Lung TRM cells. Data are represented as mean ± SEM. Mann- Whitney U test, ns(non-significant).

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