Abstract
αβ T cells are critical components of the adaptive immune system and are capable of inducing sterilizing immunity after pathogen infection and eliminating transformed tumor cells. The development and function of T cells is controlled through the T cell antigen receptor (TCR), which recognizes peptides displayed on major histocompatibility (MHC) molecules. Here, we review how T cells generate the ability to recognize self-peptide–bound MHC molecules and use signals derived from these interactions to instruct cellular development, activation thresholds, and functional specialization in the steady state and during immune responses. We argue that the basic tenants of T cell development and function follow Weber-Fetcher’s law of just noticeable differences and Wilder’s law of initial value. Together, these laws argue that the ability and quality of a response is scalable to the basal state of a system. Manifestation of these laws in T cells generates clone-specific activation thresholds that are based on perceivable differences between homeostasis and pathogen encounter (self versus nonself discrimination), as well as poised states for subsequent differentiation into specific effector cell lineages.
Introduction
As tradesmen, military generals, and economists have noted for millennia, thresholds based on the cost of acquisition control the fate of goods and borders. The quanta of cost, the associated value of an item or outcome, are relative; as Fechner noted in his studies of proportionality (1, 2), “the value of a moneypiece to an individual decreases with the amount of pieces which he already possesses.” Otherwise stated, how much is a franc worth to man with 2 francs as compared to a man with 20,000? With this in mind, during the 19th century, Ernst Weber and his student Gustav Fechner used studies of vision and weight to propose and advance theories on perception. Weber’s law of noticeable differences argues that there exists a minimum amount of change in stimulus intensity that is required to produce a noticeable variation in sensory experience (3). He proposed that the magnitude of a “just noticeable difference” is a constant proportion, based on a linear relationship with the original stimulus value (4):
where (ΔI) represents the change in stimulus, (I) represent the background stimulus, and k signifies the proportion or threshold value that is required for a stimulus to be noticed.
Fechner recognized that despite the inability to measure absolute values of a perceived sensation, one could measure the ability to identify changes in the intensity of a stimulus, that is, the sensitivity of a response (S). He argued that the sensitivity of a response is dependent upon individual thresholds (for example, a person with poor eyesight is less light-sensitive than one with proper eyesight), and proportional to the logarithm of the stimulus:
where k is a constant based on the context of the system and R is the quantity of the sensation. Logarithmic and power laws (5), and their derivatives, describe various human sensory systems, as well as cellular responses to stimulation.
Building upon these hypotheses, classical studies by Joseph Wilder of changes in blood pressure (BP) after injection of adrenaline demonstrated that sensitivity (or excitability to a stimulus) could provide both a positive or a negative response based on the initial value of the stimuli, that is, the basal state, and carried a time dimension. Furthermore, when the baseline BP was artificially increased to a higher level before the injection of adrenalin, the same original stimulus was no longer biologically active, thereby demonstrating signal antagonism. Thus, the initial value of the basal state directly influences whether a stimulus is capable of being biologically noticed (6). Together, Weber, Fechner, Wilder and other’s studies of human perception and biological response to stimuli addressed several fundamental problems in biology: what is the minimum stimulus that can be detected? What is the smallest difference that can distinguish between two stimuli? How does the basal state and antagonism relate to the intervals or scales that generate sensitivity thresholds?
Manifestation of these laws of perception on the αβ T cell repertoire is the presence of ligand recognition thresholds that instruct the development and survival of T cells, the ability to distinguish diseased from healthy tissue, and the generation of effector functions that orchestrate sterilizing immunity. These signals are derived from the T cell antigen receptor (TCR), co-receptors and adhesion molecules, as well as cytokines, metabolites, and growth factor receptors engaging their stimulatory ligands (7, 8). The initial value of T cell awareness, or the basal state of self-reactivity, is established during T cell development through recognition by the TCR of peptide (p) derived from self-protein and, in select cases lipids or metabolites, bound to host major histocompatibility complex (MHC) molecules. Noticeable differences in TCR signaling that arise during thymic selection are used to instruct the progression or arrest of the developmental process, as well as T cell lineage choice. As mature T cells migrate throughout the body, the basal state of self-reactivity in conjunction with cytokines sets naïve T cell frequencies, activation thresholds, and pre-immune biased differentiation programs. During infection, T-cell recognition of pathogen-derived pMHCs generates rapid TCR signal perturbations, a scalable process based on the affinity or half-life of the TCR-pMHC interaction, which drives cellular proliferation, acquisition of effector functions, differentiation, and memory formation (9–11). Fundamental to the ability of T cells to orchestrate pathogen clearance is the ability of lymphocytes to behave in a cell-autonomous manner, and to distinguish between self- and foreign pathogen–derived antigens.
Three cardinal features of immune perception are essential to solving the feat of broad pathogen-specificity and disease contextual T cell response patterns. First, at the earliest stages of T cell development, lineage precursor cells rearrange the hierarchy of their environmental sensing mechanisms and place TCR signaling at the apex (12). Second, recombinase activating gene (RAG)-mediated TCR recombination events combined with thymic selection processes export T cells that express TCRs with unique, clone-specific sequences (13–15). The functional capacity of T cells to discriminate between activating ligands is encompassed by the molecular sequence of the expressed TCR clonotype. An individual T cell expresses thousands of copies of the identical TCR on their cell surface, whereas other T cells within the repertoire express one of several million possible sequences within the antigen-binding site (16–18). These two attributes enable TCR-mediated recognition of pMHC molecules to be the gatekeeper of T cell activation and clonal expansion. The primacy of TCR signaling precludes naïve T cells from generically responding to the inflammatory milieu in the absence of cognate TCR ligand recognition (9).
Critical to the ability of the immune system to develop T cells and to provide disease-contextual T cell response pattern is a third cardinal feature: the establishment of scalable TCR signaling thresholds. Detection of activating ligands, leading to productive TCR signal transduction events, must be strong enough to overcome reversable steps and negative feedback processes embedded in the kinetic proofreading mechanisms that regulate TCR signaling (19–22). These mechanisms determine the minimum stimuli that can be recognized by T cells to propagate changes in gene transcription. Furthermore, pioneering studies in the 1990s reported that the TCR complex has a unique way to control signaling in mature T cells. By contrast to other receptors, the TCR is endowed with the ability to “interpret” very fine differences of the pMHC-TCR interactions and translate them into different outcomes (23, 24). Thus, TCR signaling is not a simple, threshold-based ON/OFF switch, able to either activate all T cell outcomes or none. Rather, the TCR is capable of sensing subtilities in the quantity and potency of the pMHC ligand being recognized and translating these interactions into scalable functional outcomes (23, 25). Indeed, fine differences in the quality of TCR stimuli distinguish T cell development from clonal elimination, and T cell activation and acquisition of effector functions from quiescence. The current consensus model argues that the activation of individual T cell clones is dependent upon the half-life or dwell-time of engagement of the TCR-pMHC interaction (24, 26, 27). More specifically, the half-lives of TCR-pMHC interactions are a composite of a normal distribution of individual binding events, and only the few rare, long–dwell time binding events (~10-fold greater than the average dwell-time) are capable of driving Nuclear Factor of Activated T cells (NFAT) translocation into the nucleus, thus providing a mechanistic basis for the observations that strong T cell activation is dependent upon antigen concentration as well as antigen quality (that is, the half-life of the TCR-pMHC interaction) (28).
The ability to track multiple T cell clonotypes during T cell development and immune responses has demonstrated that in vivo T cell behavior does not always match the expected outcome of in vitro–defined TCR-pMHC biophysical parameters. This understanding has led to the concept that homeostatic (basal-state) TCR signals derived from the engagement of self-pMHC ligands (self-reactivity), together with other environmental cues, are critical to establishing T cell triggering thresholds and effector lineage biases as well as pro-survival functions (29–33). During development, the strength (or quantity) of basal TCR signals regulates whether T cell maturation proceeds, and the lineage phenotype of the clone exported. During mature T cell homeostasis, the sensitivity of T cells to pathogens is modulated by the basal level of self-reactivity through altered amounts of enzymatically active, TCR signaling intermediaries and cytokine receptor abundance. Whereas, after infection, the magnitude of TCR and cytokine signals synergize with the initial cellular state of the clone to control the extent of proliferation, the induction of specific effector functions, and the differentiation into long-term memory T cells (11, 34–37). Thus, the concept that T cell responses are scalable, based on the potency and quantity of antigen, has to be viewed through the lens of the initial self-reactivity value of each clone and the environment for which it operates to explain how TCR-ligand recognition events can regulate the myriad of T cell development, activation, and differentiation processes.
Thymic acquisition of TCR signaling control of lymphocyte function
The design principle of early T cell development includes equipping thymocytes with an ability to use the quality of TCR-pMHC interactions to determine lineage development and function. This transition from stem cell to thymocyte includes altering the transcriptional and epigenetic landscape of the cell and is guided by classical cell-extrinsic factors (cytokine and growth factor signaling and cell surface receptor-ligand interactions) initiated and sustained within the unique thymic environment (38, 39). Many of the intermediary subsets do not express the cluster of differentiation (CD)4 or CD8 co-receptors and are thus named double-negative (DN) thymocytes (40–42). Thymic stroma–induced sensory inputs are initially translated by DN1 cells using the genetic architecture of stem cells to induce multiple rounds of proliferation and differentiation. As differentiation proceeds, the stem cell “legacy” transcription factor networks are rewired with the T cell lineage–committed genetic program, which focuses critical cellular activation and survival outcomes to the quality of TCR-generated signals (38).
The earliest thymic T cell precursors (ETPs), common lymphoid precursors and lymphoid-primed multipotent precursors, seed the thymus, and have the potential to differentiate into multiple cell lineages, including lymphocytes, natural killer (NK) cells, dendritic cells, and myeloid cells (Fig. 1) (43–47). In response to the thymic microenvironment, non-T cell lineages are largely blocked, and most thymic precursors are directed into the T cell lineage (38, 48). The expression of the receptor tyrosine kinase KIT, and the interleukin-7 receptor (IL-7R), on DN1 cells enables local expression of stem cell factor (SCF, the ligand for KIT) and IL-7 to provide survival and proliferation cues. Coincident with growth factor stimulation, crosslinking the receptor Notch1 on DN1 cells by Delta-like ligand 4 (DLL4) expressed on thymic stromal cells induces cleavage of the intracellular domain of Notch (Notch-IC), releasing Notch-IC to translocate to the nucleus. Notch-IC facilitates progression into the DN2 stages and commitment to the T cell lineage, in part, by inducing expression of genes encoding the transcriptional regulators Tcf7 (TCF1) and Gata3 (48–53). Regulation of gene expression by these molecules limits alternative cellular fate choices: modulation of PU.1 target genes limits myeloid and dendritic cell potential, the reduced abundance of FMS-like tyrosine kinase 3 (Flt3) stops B cell potential, and the induction of Bcl11b represses NK cell and type 2 innate lymphoid cells (ILC2) development (12, 54–59).
TCF1 in DN2 thymocytes induces expression of genes encoding many of the core TCR signaling complex proteins, including CD3δ, the protein tyrosine kinase, Lck, and the adaptor protein linker of activation of T cells (Lat), as well as CD25 and Gata3 (Fig. 2) (52, 53). In addition, Notch-, E protein–, and Bc11b-dependent processes maximize the production of recombinase-activating gene 1 (Rag 1), Rag 2, CD3ε, as well as Pre-Tα (encoded by Ptrca) and terminal deoxynucleotide transferase (encoded by Dntt) (60–65). The generation of these, and additional TCR recombination and signaling molecules enable the TRBV locus to be targeted for somatic recombination, as well as the progression of thymocytes through the β-selection checkpoint. Thymic DN3 cells that generate an in-frame TCRβ chain form a surrogate TCR complex composed of the pre-Tα chain paired with the TCRβ chain, ζ-chains, and CD3 components (66–68).
Formation of the pre-TCR complex on the cell surface of thymocytes induces an autonomous signal, which requires proximal TCR signaling molecules, including CD3ε, Lat, Slp-76 and the kinases Lck, Syk and Zap70 (69–76). This process can be amplified through engagement of the pre-TCR with MHC ligands (77). In conjunction with Notch and IL-7 signaling, the pre-TCR signal activates phosphatidylinositol 3-kinases (PI3Ks), which promote cellular metabolism, proliferation, survival and differentiation (78–83). PI3K phosphorylates the membrane lipid phosphatidylinositol(4,5)bisphosphate (PIP2) to generate phosphatidylinositol(3,4,5)trisphosphate (PIP3), which recruits and activates Pdk1- and Akt-family kinases. Pdk1 is required for thymocyte proliferation and it activates Akt, which promotes glucose uptake, glycolysis, viability, and differentiation of DN3 and DN4 cells (84, 85). These processes trigger allelic exclusion of the second TRBV allele, initiation of TRAV gene-rearrangements at the early CD4+CD8+ ‘double-positive’ (DP) stage, expression of Rorgt and other factors, thereby promoting DP cell survival and differentiation into quiescent cells (Fig. 1) (86–89). Recombination of the TRAV locus facilitates the generation of millions of distinct αβTCRs, with each individual DP thymocyte expressing a unique αβ TCR clonotype (TCR sequence), which is then used for TCR signaling–dependent thymic selection (90).
Ligand recognition properties of TCRs expressed on pre-selection DP thymocytes
The central challenge of thymic development is to equip mature T cells with TCRs that have specificity for antigens presented by host MHC ligands; a prospect that is confounded by the immense diversity of classical MHC proteins, which are encoded by the most polymorphic genes in humans, and the enormous diversity of peptides capable of being presented by these molecules (91, 92). Correspondingly, TCR rearrangement generates exponentially greater diversity within the ligand-binding site: a mosaic of germline-encoded DNA sequences (CDR1 and CDR2), as well as the highly diverse CDR3s derived from the V and J gene segments, complimented with the random use of D gene segments and nontemplate nucleotide insertions and deletions. The result is the antigen-binding site of the TCR that localizes the V(D)J junctional amino acids within its center, which is surrounded by the CDR1 and CDR2 residues. When bound to ligands, there is a bias for the TCR CDR1 and CDR2 residues to engage the MHC, whereas the CDR3 residues often interact with the bound peptide (Fig. 3A) (14, 93, 94). Despite the enormous diversity of TCRs and of self-peptides and MHC-encoding alleles, approximately 10 to 20% of DP thymocytes have discernable reactivity with a given haplotype of MHC ligands (95–99). The underlying mechanisms that enable TCR rearrangement to generate antigen receptors with variegated values of self-reactivity and the ability of thymocytes to interpret different amounts of TCR signaling inputs to generate MHC-restricted T cell repertoires remain fundamental questions.
The relatively high frequency at which DP thymocytes recognize host self-pMHC complexes that induces at least a basal level of signaling, argues that the specificities of TCR ligand-binding sites are not a random happenstance (95–101). Several characteristics of the TCR likely underlie their predilection for self-pMHC ligands. Macroscopically, the evolved specificity of TCRs for MHC ligands may involve the overall shape complementarity. The framework regions and protein fold of all TCRs are highly conserved. Across all TCR V genes, each CDR1 and CDR2 loop adopts one of a few possible canonical secondary structures, which limits major structural alterations derived from the combination of different TCR Vα and Vβ genes (102–104). However, the overall shape complementarity of TCRs with pMHC ligands is relatively poor (102), which enables minor sequence variations within the ligand-binding site of the TCR to have substantial influence on the affinity of pMHC binding. Furthermore, specific germline-encoded sequences within the CDRs modulate the frequency at which randomly generated TCRs bind to MHC ligands. Repetitive observation of particular CDR1 and CDR2 amino acid residues engaging MHC α-helices have supported the hypothesis that individual V gene residues have been evolutionarily selected for MHC binding. An example of this is a tyrosine residue at CDR2 position 48 of Vβ8.2 (Tyr48), and several other Vβs. Tyr48 is consistently observed contacting the main chain and side chains of MHC class I, MHC class II, and non-classical MHC molecules, albeit at different sites along the corresponding α-helix, and is often required for TCR recognition of pMHC ligands (105–111).
The biochemical characteristics of amino acid residues within the V(D)J junctional portion of the CDR3 synergize with germline-encoded features of the TCR to promote MHC ligand specificity. Analyses of TCR-pMHC crystal structures have found that a conserved β-strand within the TCR V domain F-G loop consistently places CDR3 residues 6 and 7 at surface-exposed positions within the ligand-binding site (Fig. 3, B and C) (98). For TCRα chains, these CDR3 residues are predominately derived from J gene segments, whereas for TCRβ chains, they are derived from N-region additions and D gene segments (Fig. 3, D and E). The positioning of these CDR3 residues at the focal point of the ligand-binding site enables their intrinsic biochemical properties to influence the binding properties of TCRs. Indeed, unbiased approaches have demonstrated that hydrophobic residues found at CDR3 positions 6 and position 7 increase the frequency and strength at which otherwise random TCRs engage pMHC complexes (Fig. 3F) (98, 112, 113). The ability of hydrophobic amino acids to promoting receptor-ligand binding likely occurs through a hydrophobic effect, which generates binding affinity through the exclusion of water molecules (114).
Boundary values of self-reactivity that control thymocyte development
Despite biases for MHC ligands, the self-reactivity value of most TCRs expressed on DP thymocyte is below perception (Fig. 1), which may portend an inability of the expressed TCR to recognize any pMHC ligand of the host, including ones that contain pathogen-derived peptides. At the opposite extreme, TCRs with very high self-reactivity values may subsequently have an inability to distinguish self-ligands from foreign ones, because recognition of both types of ligands could induce strong TCR signals. As an extension of this, inflammatory T cells that are unable to distinguish foreign- from self-ligands may cause a strong predisposition to autoimmune disease.
T cell development solves this Goldilocks-like conundrum by subjecting de novo thymocytes to positive and negative selection (115, 116). Positive selection requires a minimum level of TCR signaling derived from self-pMHC to induce thymocyte maturation, whereas thymocytes that receive TCR signals below this minimal threshold ”die by neglect” through cellular apoptosis (Fig. 4A). Similarly, thymocytes that receive strong TCR signals from self-pMHC, above that required for positive selection, often die by negative selection. However, the boundary values of self-reactivity that distinguish death by neglect, positive selection, and negative selection are not absolute, and mixed precursor-product relationships can ensue. For example, DP thymocytes that generate strong TCR signals, substantially above the threshold for positive selection, can be eliminated by negative selection or develop into nonconventional, ”innate-like” lymphocytes (117–121). Innate-like lymphocytes are often observed at mucosal sites, and, perhaps due to a deficiency in their ability to distinguish self- from foreign ligands, de-emphasize the use of TCR signals and use alternative environmental-sensing mechanisms to regulate lymphocyte function (122, 123).
Precise quantification of the TCR–self-pMHC recognition properties that instruct thymocytes to develop into T cells have been enormously challenging; very few naturally occurring, positively selecting self-peptide ligands have been identified, and the affinities of such interactions are extremely weak (116, 124–126). To circumvent this bottleneck, stimulatory ligands that range from weak to strong potency for a particular T cell clonotype have been identified and tested for their ability to induce thymocyte selection of the corresponding thymocyte in vitro. These studies have revealed that pMHC ligands that promote positive selection have equilibrium affinities (KD) of ~ 500 μM to 1 mM (127, 128). These very weak affinity interactions largely preclude the ability to measure the half-life (t1/2) of the TCR-pMHC interaction with high confidence. Negative selection of DP thymocytes occurs when the self-pMHC interactions reach KD values of ~200 to 300 μM and t1/2 values of ~ 0.3 to 1 s, with MHC-I–restricted thymocytes requiring stronger stimuli to induce negative selection relative to MHC-II thymocytes. This discrepancy may be a consequence of CD4 binding more strongly to Lck than does CD8 (128, 129). There exists a sharp threshold between ligands that induce positive selection and those that drive negative selection, regardless of the concentration of the stimulatory ligand (127, 128, 130–132). Very few ligands are capable of initiating both positive and negative selection, depending on antigen concentration, with these interactions often promoting the development of innate like T cells (117–121, 133). Further enhancing the differences between positive and negative selectors are the development of “catch bonds” between the TCR and pMHC, which extend the dwell time during which the TCRs of the thymocytes engage stronger affinity ligand (134). It is suggested that negatively selecting ligands, but not positively selecting ligands, form these types of interactions. Whether the ability to form catch bonds is intrinsic to monomeric TCR and co-receptor/pMHC interactions or includes cellular components, for example, cell adhesion molecules that stabilize the TCR complex nanocluster interactions with the antigen-presenting cells (APC), remain debated.
Interpreting basal from excessive self-pMHC reactivity during thymocyte selection
Positive selection of thymocytes defines the minimum exogenous stimuli that can be detected through the TCR. Basing T cell maturation on a minimal signaling threshold, however, creates an essential problem. The diversity of the antigen-binding site of the TCR could, in an analogous fashion to antibodies, enable thymocytes to generate TCR signals after weak affinity engagement of any cell surface expressed protein. However, the function competency of αβ T cells is organized around their ability to uniquely recognize pMHC complexes. To ensure that thymic selection matures only MHC-restricted T cells, a critical protein tyrosine kinase, Lck, is sequestered from the TCR complex through direct binding to the cytoplasmic tails of the CD4 and CD8 co-receptors (128, 135–137). Lck is required for the initial phosphorylation of CD3 and ζ-chain components of the TCR complex that leads to downstream signaling (Fig. 2). Because the expression of Lck is limited, the amount of “co-receptor–free” Lck within the cytoplasm able to freely diffuse to the TCR complex without co-receptor is constrained (9). After antigen engagement, CD4 or CD8 co-receptors, together with associated Lck, are recruited to the TCR complex through the direct binding of CD8 and CD4 to the ectodomains of the MHC-I and MHC-II molecules, respectively (135). This molecular architecture ensures that the initial steps of TCR signaling, including the phosphorylation of CD3, Zap-70, Lat, Slp-76 and the activation of PI3K, calcium (Ca2+) flux, and other signaling pathways, require TCR engagement of ligand and cannot occur or are highly inefficient when derived from non-MHC ligands or when TCRs are bound in noncanonical orientations (137, 138).
The initial TCR signals that drive DP thymocyte selection manifest large changes in gene expression that are largely independent of the class or allele of the MHC being recognized. Layered into these initial changes in the transcriptional landscape are TCR signal quality–dependent alterations in gene expression and protein function, which set the interval between sufficient signaling for positive selection and excessive signaling that culminates in thymocyte apoptosis. The “common stem” of TCR-controlled gene networks include the canonical TCR transcriptional regulators EGR, Fos, and members of the NFAT, NF-κB, and Nur77 families (139, 140). Engagement of self-pMHC also induces expression of the genes encoding Id2 and Id3, transcriptional regulators that relieve a blockade on DP thymocyte differentiation mediated by E proteins and HEB (Tcf12). HEB and E2A (Tcf3) function as gatekeepers for further DP thymocyte differentiation by requiring that a functional αβTCR is expressed and that TCR-induced signals are generated (141–144). TCR signals promoting positive selection induce the production of anti-apoptotic Bcl2 family members, as well as IL-7R, both of which provide pro-survival cues (133, 140, 145, 146). Stronger TCR signals can induce development down the “agonist-selection” pathway (Fig. 1, Sig-2), which leads to the development of intraepithelial T cell precursors, iNK T cells, or clonal deletion through the increased production of the pro-apoptotic molecule Bim (Bcl2l11) and activation of Caspase 3, mediators of DP thymocyte cell death (146–149).
After the initial stages of positive selection, thymocytes destined to become conventional αβ T cells use asymmetrical TCR signaling to determine whether to differentiate into the CD4 or CD8 lineage. During lineage commitment, DP Sig-1 thymocytes reduce the abundance of CD8, which causes a cessation of TCR signaling in MHC-I–restricted, but not MHC-II–restricted, thymocytes (140, 150, 151). Two prototypic transcription factors that regulate CD4 and CD8 T cell differentiation are Thpok and Runx3d, respectively. TCR signal cessation induces the production of Runx3d, which in conjunction with TCF-1, silences CD4 gene expression in MHC-I–restricted thymocytes and induces CD8 re-expression (Fig. 1) (151–155). The molecular details of this process remain to be resolved and include a requirement for IL-7 and other intra-thymic cytokines to maintain survival of the intermediaries (156, 157). Runx3d further functions as a transcriptional silencer of Zbtb7b (which encodes Thpok) expression (158, 159). The re-establishment of TCR signals and the increased expression of Eomes and genes associated with granule- and interferon-γ-mediated cytotoxic functions induces differentiation into mature CD8 SP and cytotoxic lineage T cells (140, 151). In contrast, DP thymocytes that recognize MHC-II–presented self-peptides, thereby using CD4 as the co-receptor to recruit Lck to the TCR complex, maintain TCR signaling at the initial post-positive selection stage. Sustained TCR signaling enables Tcf-1 and Lef-1 to positively regulate ThPOK expression, which results in suppression of Runx3 expression and induces the expression of c-Myb, Gata3, and genes encoding other transcriptional regulators that promote the development of immature and then mature CD4+ T cells (140, 151, 157, 160).
Changing the basal state of self-reactivity: post selection thymocyte desensitize TCR signaling
Left unabated, manifestations of DP thymic selection pose a substantial predisposition to autoimmune diseases. Very weak TCR–self pMHC binding events would induce mature T cell lymphoproliferation, and overt T cell tolerance would extend only to those self-antigens that are presented within the thymic cortex during DP thymocyte selection. Counterbalancing these eventualities, post-selection CD4 and CD8 lineage–committed thymocytes alter their relative extent of self-reactivity by reducing the sensitivity of TCR signaling pathways. This process may also work bi-directionally for some clones with very weak, intrinsic self-reactivity (161). Thymocytes that maintain high self-reactivity despite this desensitization process or that recognize unique self-peptides presented within the medulla but not the cortex (162), are subject to late-stage negative selection or diversion into regulatory T cells after recognition of self-pMHC presented by thymic dendritic cells (tDCs) and medullary thymic epithelial cells (mTECs) (Fig. 4A). Thus, the maturation of T cells includes an intrinsic diminution of self-reactivity, which contributes to the establishment of graded TCR signaling thresholds; basal TCR signals derived from weak affinity self-pMHC interactions promote mature T cell survival, whereas lymphocyte activation and acquisition of effector functions require stimuli that are noticeably stronger, often derived from recognition of foreign-pMHC.
Post-selection thymocytes re-calibrate TCR signaling sensitivity through regulated gene transcriptional, translational, and posttranslational mechanisms. A set of thymocyte-intrinsic changes are digital in nature, whereby expression is present in DP thymocytes and absent in post-selection SP cells, or vice versa. Transcriptionally, the gene encoding the voltage-gated Na+ channel, VSGC, is exclusively expressed in DP thymocytes, which enables intracellular Ca2+ flux to occur after very weak self-pMHC interactions (161, 163). Similarly, thymocyte expressed, positive selection associated 1 (Tespa1) increases TCR sensitivity in DP thymocytes, whereas Themis inhibits the phosphatase activity of Shp-1 (164–166). DP thymocyte–specific sialylation patterns also increase the binding affinity of CD8 for MHC molecules (167). Reciprocally, post-selection thymocytes increase the abundance of multiple negative regulators of TCR signaling, including the phosphatases CD5 and CD45, which dephosphorylate TCR complex signaling proteins, and Cbl-b, which targets signaling molecules for degradation through its E3 ubiquitin ligase activity (168–171). The en bloc transcriptional changes leading to TCR desensitization occur in part to a reduction in the abundance of the microRNA Mir181a in post-selection thymocytes (126, 172). For several of the negative regulators, their abundance in post-selection thymocytes and T cells is dependent on and proportional to the magnitude of the TCR signals received during positive selection. This feature is thought to enable individual mature T cells to tune their TCR sensitivity in response to cues from the environment. Together, these processes contribute to a 10- to 30-fold reduction in TCR signaling sensitivity in post-selection thymocytes and limit autoimmunity (126, 173–175).
Late-stage thymocyte development: self-reactivity thresholds that distinguish Tconv cell development from late-stage negative selection and Foxp3+ Treg cell diversion
CD4 lineage– and CD8 lineage–committed thymocytes use chemokine gradients to migrate from the thymic cortex to the thymic medulla (176, 177). As thymocytes traverse the cortico-medullary junction, they interact with a network of tDCs and mTECs. Despite having already passed the first positive selection and lineage commitment checkpoints, immature CD4SP and CD8SP thymocytes that engage self-pMHC presented by mTECs or tDCs can continue along the Tconv cell differentiation process or undergo a second wave of deletion (Fig. 1). In addition, CD4SP thymocytes, and to a lesser extent CD8SP thymocytes, can be diverted into the thymic-derived regulatory (Treg) lineage (145, 162, 178–182). This “second wave of selection” occurs in part due to a set of novel self-peptides being presented to thymocytes, which are presented by migratory DCs that bring peripheral antigens to the thymus (183–185) and medullary-expressed antigens that are expressed due to the expression of Aire, Fezf2, or generated due to the presence of different proteosomes and proteases in TEC subsets (162, 186–188).
Detailed characteristics of thymocyte interactions with mTECs and tDCs that discriminate late-stage negative selection and thymic Foxp3+ Treg diversion remain outstanding, in part due to a knowledge gap about the self-antigens that drive these processes. Only a handful of self-antigens that instruct tTreg development have been identified (189–191). Nevertheless, TCR signaling reporters (117), TCRβ chain usage (98), the abundance of phosphatases such as CD5 (192), and certain TCR–self-antigen transgenic models (193–197) argue that tTreg cell differentiation occurs after the recognition of agonist self-pMHC ligands, which results in the tTreg repertoire having an increased self-reactivity relative to the CD4 Tconv cell repertoire (Fig. 4A). Agonist selection of tTreg cells, however, has not been uniformly observed, and the TCR repertoires of CD4+ Tconv cells and Foxp3+ Treg cells display some clonotype overlap (198–201). To explain these observations, it has been argued that the Foxp3 program results from altered or attenuated agonist TCR signals in conjunction with cytokine and co-stimulatory signals, which are insufficient to induce clonal deletion (162, 202–205).
TCR signals that distinguish continued Tconv cell development from Foxp3+ Treg diversion or negative selection could be ratcheted based on TCR-pMHC affinity and/or the concentration at which the self-pMHC complex is presented. Consistent with this hypothesis, a study has argued for a kinetic signaling model of Foxp3+ Treg cell development, with TCR-pMHC interactions that have a half-life (t1/2) between ~0.3 and 1 s being capable of inducing Foxp3+ Treg cell development, whereas longer interactions induce negative selection. TCR–self-pMHC interactions with shorter t1/2 values did not redirect thymocytes from becoming mature CD4 Tconv cells (191). This hypothesis dovetails with reports that TCR signal quality and downstream gene expression can be dependent upon TCR:pMHC binding kinetics (206–208). Noncanonical TCR docking on self-pMHC has also been proposed as a mechanism whereby T cells can be shuttled into the Foxp3+ Treg cell lineage. Alterations in the geometry of TCR-pMHC interactions can modify the activation of some TCR signaling cascades (209, 210), which may arise from an inability to form proper TCR-pMHC interactions or recruit co-stimulatory molecules (211). However, the relative contribution of noncanonical TCR:self-pMHC docking remains an open question because only two sets of Treg cell TCR structures have been solved bound to their self-pMHC ligands, with one report demonstrating that Treg cell TCRs can bind abnormally (212), whereas others found a highly conventional binding site orientation (191). After attenuated TCR signaling, the major developmental pathway for Foxp3+ Treg cells is thought to follow a two-step differentiation process, whereby immature CD4SP thymocytes increase the cell surface abundance of the high-affinity IL-2R, CD25, and TNFSF members (213–215). TCR signaling is thought to be important for increasing the abundance of the transcription factors NR4A1/3 and, with IL-2 signaling, initiating the Foxp3+ Treg cell epigenetic signature through the chromatin organizer SATB1 (216–219). Coincident CD28 co-stimulation is critical for NF-κB activation, enabling cRel to target the Foxp3 locus and to form an enhanceosome of transcription factors important for Foxp3 expression, which includes RelA, NFAT, Smad, and Creb (220–225). Furthermore, transient versus persistent TCR signals control Foxp3-dependent Treg cell differentiation through the Akt-mTOR axis (226).
T cell homeostasis and setting the activation threshold
After their export from the thymus, naïve αβ T cells recirculate between secondary lymphoid organs, blood, and lymph and sample antigenic peptides presented by MHC molecules on the surface of antigen-presenting cells (APCs). Most of the encounters between the TCR and self-pMHC are not prolonged enough to stimulate full activation of the naïve T cell. However, naïve T cells live for many weeks or even years in humans, relying on survival signals derived from weak TCR–self-pMHC interactions and the homeostatic cytokines IL-7 and IL-15 (133, 227–229). Once a naïve T cell engages its cognate ligand, full activation and differentiation requires TCR signaling molecules to undergo a series of reversable protein conformational changes and phosphorylation events. These events are part of the kinetic proofreading steps of TCR signal transduction, which act as a resistor of spurious TCR activation signals by including a time-delay on signaling (19–22). Thus, the commencement of TCR signaling is not instantaneous and requires TCRs to be bound by pMHC for a period of time, thereby generating a threshold that separates survival signals from those that induce immune responses.
The basal state of self-reactivity is T cell clone–specific, and T cells use these homeostatic TCR signal inputs to control their sensitivity to subsequent antigenic stimulation and to generate pre-immune T cell effector and memory lineage biases (Fig. 4B). Reflective of the law of initial value, basal TCR signaling influences the cellular state by regulating the abundance and phosphorylation status of key signaling molecules (230). Because the efficiency of TCR signaling is sensitive to the concentration of pre-formed signaling intermediates, this read-and-response mechanism enables T cells with low or high basal states of self-reactivity to be relatively quiescent during homeostasis (Fig. 5). However, the fine tuning of signaling molecule abundance and activity results in substantial functional heterogeneity; naïve T cells with high values of self-reactivity undergo stronger homeostatic proliferation and, after activation, antigen-specific expansion (31–33, 230–245) through improved sensitivity to the cytokine environment (32). As perhaps a direct test of the law of initial value, artificially lowering basal TCR input signals by transferring T cells into MHC-deficient mice is sufficient to lower T cell activation thresholds to an extent in which returning the T cells to an MHC-sufficient host leads to self-pMHC becoming autoimmune targets of what had been an immune tolerant T cell repertoire (246). Thus, in a reversable manner, basal state self-reactivity directly controls the cellular state of T cells and the ability of T cells to distinguish between self and foreign ligands.
Several TCR-centric mechanisms have been proposed to account for rheostat control of naïve T cell functionality based on basal self-reactivity values. During homeostasis, TCR signals induce a low level of continual TCR ζ-chain phosphorylation in the absence of cognate foreign antigen (29, 30). This is thought to increase the efficiency with which proximal TCR signaling events can be propagated. Basal TCR signals are also thought to promote TCR-Zap70 co-polarization in CD4 T cells after cognate antigen recognition and stimulate cell motility, enabling the T cell to scan the APC and form T cell–APC conjugates (29, 247). In addition, T cells with higher self-reactivity values increase the cell surface abundance of CD5 and the related molecule CD6. Signaling by CD5 (and CD6) induces Ca2+ flux, activates the PI3K, PKC, and CK2 signaling pathways, and induces the recruitment of Gads and SLP76 to the phosphorylated cytoplasmic domain of CD5 and CD6 (248–250). Paradoxically, CD5 and CD6 can also function as negative regulators of TCR signaling. CD5 can inhibit the TCR signaling kinase, Fyn (251), and associate with the phosphatase Shp-1, Ras-GAP, and the ubiquitin ligase Cbl (which targets CD3ζ and Zap-70 for degradation), as well as Csk (an inhibitor of Fyn and Lck) to impair T cell signaling (252). The context in which CD5 and CD6 function as either positive or negative regulators of TCR signaling may arise from the assembly of distinct signalosomes around LAT–SLP-76, depending on the strength of the self-pMHC interaction and the abundances of their ligands on APCs (253–255). Further clouding a simple TCR-centric model, the strength of basal TCR signals is inversely correlated with the abundance of CD8, which carries the kinase Lck, and the efficiency of generating proximal TCR signaling events (242, 244, 256), and influence T cell metabolism through Myc and Akt functions (257). Consistent with this, a report suggests that CD5hi naïve T cell have reduced amounts of LAT and increased amounts of the phosphatases Shp1, SHP2, Cbl-b, and CD45 compared to those of CD5lo T cells (Fig. 5) (256).
These studies raise the question as to how increases in the basal state of self-reactivity can enhance T cell responses while simultaneously increasing the threshold of TCR signaling. Alterations in cytokine responsiveness may solve this conundrum. The extent of self-reactivity directly influences the ability of IL-7, IL-15, and type I IFN, to transmit stimulatory and pro-survival signals through altering the abundance of cytokine receptors and their downstream signaling molecules (32, 256, 258). Although it is clear that naïve T cells integrate signals emanating from the TCR, cytokine receptors, and adhesion/co-stimulatory receptors during activation, the molecular details of this synergy are largely unknown, with a study suggesting that Themis may act as a crucial integrator in this process (259).
Layered into the overall reactionary aspects of the naïve T cell repertoire are ‘virtual memory’ and ‘innate memory’ clones that are foreign antigen–inexperienced T cells that yet carry a memory phenotype (260, 261). Consistent with the law of initial value, a commonality of theses anticipatory clones that have pre-formed effector functions is a high basal state of self-reactivity (262–264). Whereas innate memory T cells arise in the thymus and virtual memory T cells differentiate in the periphery, both subsets depend on IL-15 signals to induce production of the transcription factor Eomes, thereby providing these T cells an ability to secrete IFN-γ after antigen recognition (Fig. 4B) (260). Thus, the basal state self-reactivity influences the functionality and clonal complexity within the antigen-inexperienced repertoire, which is propagated through naïve, effector, and memory T cell subsets (Fig. 4B).
Primary T cell activation: outcomes based on the strength of TCR signals
The architecture of the TCR complex aids in the ability of T cells to distinguish homoeostatic from foreign- and diseased-self ligands and transmit signals of different quality. During homeostasis, the CD3ε and CD3ζ cytoplasmic domains of the TCR complex can bind to the inner leaflet of the plasma membrane, an arrangement that inserts the aromatic tyrosine of the immunoreceptor tyrosine-based activation motif (ITAM) within the plasma membrane (265–268). This process is a dynamic equilibrium that enables some Zap70 to be bound to phosphorylated CD3 components (269), although Zap70 remains in an inactivated state in the absence of Lck recruitment to the TCR complex and subsequent phosphorylation (270). This membrane-associated, biased equilibrium of TCR signaling components may limit spurious overt T cell activation, while enabling homeostatic signaling to be generated. Two ligand recognition properties contribute to overcoming this resistance to T cell activation: the half-life of the TCR-pMHC interaction (potency) and the local concentration at which the activating ligand is present (density). For many aspects of T cell biology, these two variables are not equivalent; growing evidence suggests that aspects of T cell activation and differentiation are a product of the summation of total signal (potency × density), whereas others require particular long-lived, potent TCR-pMHC engagements (206–208, 271, 272). Long-lived TCR-pMHC interactions, in particular, are thought to contribute to the initiation of productive TCR signals by enabling the ITAMs of the TCR complex to become maximally phosphorylated and subsequently induce NFAT translocation to the nucleus (28, 265–268).
The threshold for a T cell to enter into cell cycle and proliferate correlates with the quantity of Zap-70 activity that is reached (273). After TCR engagement by agonist pMHC ligands, the ITAMs of the TCR complex can be released from the membrane, potentially due to the shear force applied to the TCR and changes in the local environment, to become available for phosphorylation by co-receptor-bound Lck (265–268). Phosphorylation and reorganization of the TCR complex, including potential conformational changes within the CD3 and TCR components, enable the translation of extracellular TCR binding events into intracellular signaling (274–282). This process is scalable to an extent, because the number of phosphorylated ITAMs within the TCR complex is based on the potency and density of TCR-pMHC interactions (283, 284). The Zap-70 kinase binds to phosphorylated ITAMs within the TCR complex, even at a resting state (269). However, only long-lived and appropriately oriented TCR-pMHC interactions enable co-receptor-bound Lck to phosphorylate ITAM-associated Zap-70 (138), thereby stimulating its enzymatic activity (269). Built into this pathway is the inefficient ability of Zap-70 to phosphorylate its immediate downstream target, LAT, which controls the activation of multiple downstream signaling pathways. This enzymatic inefficiency of Zap-70 generates a TCR-proximal kinetic proofreading step that defines the minimal difference in stimuli that can distinguish homeostatic from T cell–activating signals (285).
For TCR signals that overcome the activation energy barrier, antigen potency and density, in coordination with cytokines, provide unique inputs that control a Myc-dependent cell division timer and an independent cell death timer, which regulates T cell proliferation and clonal expansion (286, 287). The magnitude of cell division (the accumulation of cells that enter into the cell cycle and the number of cell divisions) is programmed early by TCR and costimulatory signals, whereas the cytokine IL-2 governs the duration of cell division after T cell activation (288). Co-stimulation in the form of CD28-B7 interactions is crucial for naïve T cells to proliferate, because CD28 signaling reinforces several TCR signaling pathways, including PLCγ-Ca2+ mobilization, PI3K, NF-κB, and JNK (289). Synergistically, antigen potency and density influence the probability and rate at which T cells are activated and expand (273, 290), whereas ligand potency appears to be the dominant regulator of apoptosis after cell division (290). Initial T cell survival, the frequency at which daughter T cells survive versus undergo apoptosis after the first cell division, depends on the capacity to switch from a survival pathway that depends on a signaling pathway including IL-7, IL-7R, pSTAT5, and Bcl2, which regulates naïve T cell homeostasis, to a signaling pathway mediated by the TCR, Ca2+, ERK, and Bclxl/A1, which is determined by TCR signal strength (291). Together, these findings argue that the magnitude of TCR signals regulates T cell division, whereas antigen potency and cytokine signaling modulate T cell survival.
If TCR signal strength regulates T cell proliferation and survival, why do some weak-potency T cell responses occur in vivo? It is possible that synergies between high-density ligands and the amount of the cytokine IL-2 (or IL-12) enable naïve T cells to reach the threshold that triggers Myc production and cell survival (286). Consistent with this idea, IL-2 and co-stimulatory signals increase the ability of naïve T cells to proliferate in response to weak-potency ligands (292–294). The TCR-proximal signaling molecule Themis may also be critical in this process, because Themis-deficient mature CD8+ T cells show a defect in the expression of c-Myc and in proliferation in response to low-potency antigens and cytokines (259). Thus, for T cell clonal expansion, Myc appears to be the final arbiter that distinguishes pathogen recognition from homeostatic TCR signal inputs.
It is important to note that T cell clones do not function in isolation, and signals from neighboring T cells can help to achieve a coordinated, and hence, more effective response. Two mechanisms that help orchestrate T cell responses are regulatory T (Treg) cells (295, 296) and the influence of T cell quorum sensing. Quorum sensing is a process of cell-cell communication first described for bacteria in which the production and detection of extracellular chemicals are used to monitor cell population density and synchronize gene expression of the group, thereby enabling individuals to act in unison (297). Although still at an early stage of discovery, quorum sensing of T cell cytokine secretion and APC activation have been proposed as mechanisms to limit the ability of rare, potentially autoimmune clones from inducing pathology (298–300), as well as a control mechanism to coordinate CD8+ T cell responses (301).
T cell differentiation and memory formation
Once recruited into an immune response, naïve T cells have the potential to differentiate into a multitude of stable and metastable subsets described by the acquisition of specific effector functions. Activated CD4+ T cell subsets provide diverse aid to the clearance of pathogens. These include direct effector functions, providing help to CD8+ T cells and for B cell affinity maturation in the germinal center, as well as regulating the function of macrophages, DCs, and even other T cell subsets. CD8+ T cells, the sentries of the adaptive immune system, predominately acquire cytotoxic and type-1 effector functions (Tc1), including the ability to produce IFN-γ and directly lyse infected targets through the production of granzyme and perforin (302). The acquisition of cytotoxicity appears to be a default program, with ligand potency controlling how rapidly and uniformly T cells become activated at the population level (303, 304). However, for many CD4+ and CD8+ T cell effector functions, distinct calibrated levels of TCR signaling based on antigen density and potency are required.
How TCR signals synergize with the inflammatory and local tissue cytokine milieu to regulate CD4+ T cell effector differentiation continues to be a long-standing question in the field (305). CD4+ T cell differentiation is responsive to signal inputs from the TCR and cytokine receptors; independently, strong TCR stimulation in the absence of inflammatory cues can result in peripheral T cell anergy, deletion, or differentiation into regulatory lineages, an attractive therapeutic approach to limiting autoimmune disease (306–308). Reflective of need, naive CD4+ T cells can differentiate into CD4+ T helper 1 (TH1) cells, which are able to activate macrophages and dendritic cells; TH2 cells, which regulate eosinophils and mast cell degranulation; TH17 cells, which influence stromal cell activation and neutrophil recruitment; and T follicular helper (TFH) and germinal center (GC-TFH) cells, which provide B cell help. Within noninflammatory environments, self-, food-, and microbiota-specific CD4+ T cells can be induced to acquire anti-inflammatory regulatory properties (pTregs). Some T cell effector functions and differentiation fates closely align with TCR signal intensity (for TH1 and TFH cells), but the link for other cell types is less clear (TH2, TH17, and iTreg cells) (35–37, 207, 304, 309–313). TH1 and TFH cells require high levels of acute TCR signals (derived from high-affinity TCR-ligands and long dwell-time interactions or from high antigen density), which are required to fully phosphorylate all of the ζ-chain ITAMs and activate the signaling intermediates (Zap-70, Slp76, Shp1, and Cbl) necessary to support the downstream effector pathways mediated by ERK and Akt (36, 313, 314). Full activation of these signaling pathways is critical for the expression of the TFH and GC-TFH lineage transcription factor Bcl6 and the TH1 lineage transcription factors T-bet and Blimp-1 (36, 207, 253, 313, 315).
If both TH1 and TFH CD4+ T cells are induced by strong TCR signals, what are the distinguishing factors that direct the different effector lineage outcomes? Within the spectrum of TCR signals, the decision between TFH and TH1 cell differentiation first comes down to the abundance of the transcriptional regulator IRF4 that the TCR signal can support. IRF4 amounts are translated into preferential access to high- or low-affinity binding sites in the DNA regulatory elements that regulate the TFH cell versus TH1 cell transcriptional programs, respectively (206, 207). On a second step that further delineates the commitment towards TFH or TH1 cells, the extent of TCR signal regulates the input of IL-2 signals through the expression of IL-2R on the surface of effector T cells. Because IL-2 represses TFH cell differentiation (316, 317), strong TCR signals result in a higher frequency of cells that express the IL-2Rβ subunit and the high-affinity IL-2Rα chain, CD25, which further stimulates TH1 cell differentiation (315, 318, 319). However, layered into this process are the observations that increasing self-pMHC basal signaling inhibits early decisions towards TFH cell differentiation, while favoring a highly activated TH1 cell fate (Fig. 4B) (320). Mechanistically, how the initial self-reactivity value of a naïve T cell clone impinges on CD4+ T cell differentiation remains outstanding and may include metabolic as well as transcriptional regulation (311, 321–323).
CD8+ effector T cell differentiation is coupled with a metabolic shift into aerobic glycolysis and the preferential expression of the transcriptional regulators T-bet and Blimp-1 rather than Eomes and Bcl6 (324). Strong TCR signals control the relative abundances of IRF4, Blimp-1, and T-bet, thereby activating IFNγ and Gmzb promoters and sustaining effector function (325–328). Thus, a high TCR signaling threshold for cytotoxic CD8+ T cells, as well as for CD4+ TH1 and TFH cells, may be intentionally established to avoid spontaneous or overt responses that can lead to autoimmunity or cytokine storms in response to self-antigens. After clearance of an infection, most of the effector CD4+ and CD8+ T cells generated in an immune response die. Those that survive as memory T cells retain the antigen-specificity of the effector cells that participated in the response but, unlike them, are endowed with molecular properties that enable them to be long-lived and fast functional responders to re-infection (329). T cell memory is phenotypically and functional heterogenous, comprised of central memory (TCM), effector memory (TEM), peripheral memory (TPM), resident memory (TRM), and stem cell memory (TSCM) subsets (330). Each memory cell subset is endowed with certain overlapping and unique functional capacities (331). The TCR signaling threshold for both CD4+ and CD8+ T cell memory development is thought to be moderately low with weak signals capable of inducing the memory-associated transcriptional and metabolic memory programs (37, 315, 328, 332–335). Interestingly, virtual memory T cells preferentially develop into TCM cells after antigen recognition (336). These response features of the T cell repertoire may be used to maximize clonal diversity within the memory compartment.
Transcriptional control of T cell effector and memory development operates under a reciprocal balance between those transcriptional regulators associated with effector differentiation (for example, Blimp-1 and T-bet) and those associated with memory formation (for example, Eomes, TCF-1, and Bcl6) (37, 315, 325, 332, 337, 338). Weak-potency TCR ligands appear to have an inherent ability to induce the expression of genes encoding the memory-associated transcription factors Eomes and TCF-1, whereas they limit the expression of genes encoding transcription factors associated with effector cell differentiation and expansion (332, 339). However, it is not completely clear how these relationships are shaped at the TCR-proximal level. It has been postulated that weak-potency TCR signals regulate T cell memory through the assembly of signalosomes that are different from those assembled in response to strong TCR ligands (333, 340, 341). Consistent with this, experimental reduction of signals that are associated with strong TCR stimulation (including, Ca2+, ERK and mTOR) do not impair T cell memory (333, 340–342). Rather, signaling pathways mediated by NF-κB and Wnt, which are not distinctively associated with strong T cell activation, appear to have a more prominent role in directing T cell memory (343–346).
The hypothesis that weak T cell activation promotes memory cell formation is primarily drawn from studies of T cell central and effector memory cell differentiation (333, 341, 347, 348), with weak TCR signals favoring the development of TCM through the production of increased amounts of Eomes and Tcf-1 (315, 332). A similar conclusion has been reached for TRM cells in the lung, although whether this holds true for all tissues remains controversial (349, 350). In addition to antigenic signals, memory T cell differentiation requires pro-inflammatory signals from different cytokines. TCR signal strength regulates the abundance of pro-inflammatory cytokine receptors on T cells, and thus the mosaic of environmental inputs that the T cell receives (332, 351). It is believed that total overall stimulatory potential determines the extent of T effector cell and memory cell differentiation, with TSCM and TCM cells being less differentiated, whereas TEFF are fully differentiated (330) and have a lower survival potential. Yet, even though weak-potency TCR signals favor the development of memory T cells, memory T cells are also generated in response to strong TCR stimulation. Indeed, T cells that bear high-affinity TCRs are abundant in the memory repertoire because of their strong proliferative advantage (37, 352). Ensuring that immune responses to weak- and strong-potency antigens supports the generation of memory T cells and is consistent with the idea of guaranteeing T cell clonal diversity as the host loses thymic output and gains antigen experience in the memory pool with age (353). Undoubtedly, enabling the generation of memory T cells specific for a wider range of TCR ligands will increase the breadth of ligand reactivity, which may provide the host with an increased advantage to respond to rapidly evolving and new pathogens.
Concluding remarks
T cells, like many biological systems, are responsive to environmental stimuli to guide their development, calibrate their sensitivity to activation signals, and govern the magnitude and functional specialization during responses. Defining the first principles of T cell function has enabled the development of therapeutics to override tolerance mechanisms to unleash T cells to attack cancers and rebalance homeostasis in patients prone to autoimmunity. As the field develops, the principles behind the law of noticeable differences and the law of initial value should help guide our understanding of T cell behavior and answer a number of outstanding questions. How can vaccines be developed to generate T cells with a broad or narrow breadth of effector functions? Why are many highly self-reactive T cells eliminated, whereas others persist? Why do some T cell clones have autoimmune potential, whereas others are merely self-reactive? What is the nature of T cell clones that can be re-invigorated during chronic viral infections to eliminate the pathogen? How can designer chimeric antigen receptor (CAR) T cell therapies be tailored toward high-efficiency tumor eradication while minimizing off-target effects? Answers to these questions will likely involve characteristics of the interactions between the TCR and antigens, as well as the temporal and spatial constraints of when and where antigen is recognized. Indeed, reminiscent of the positive or negative regulation of blood pressure by adrenaline, proinflammatory T cells need defined periods of secession from TCR signaling to maintain peak function (354–356) and to limit their becoming non-functional or their differentiation into immunoregulatory cells (304, 311, 357).
Acknowledgments:
The authors thank M. Daniels, D. G. Pages, W.-L. Lo, R. Obst, and B. Stadinski for their critical review of the manuscript.
Funding:
E.S.H. is supported by the US National Institutes of Health (AI143976 and AR071269). E.T. is supported by the US National Institutes of Health (AI110420-06A1 and 1U01CA244314) and University of Missouri internal funds.
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