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Innate Lymphoid Cells in Human Peripheral Blood and Secondary Lymphoid Organs
Bar-Ephraim, J.E.
2017
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Bar-Ephraim, J. E. (2017). Innate Lymphoid Cells in Human Peripheral Blood and Secondary Lymphoid Organs.
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Chapter 1
General Introduction
ēęėĔĉĚĈęĎĔē
ϐ ͳͻͲ1,
ͻͲϐ ʹͳst century that it became
clear that the classical Natural Killer (NK) cells can be seen as members of a larger family of tissue resident cytokine producing innate lymphoid cells (ILCs).
As the name of the family suggests, ILCs are cells of lymphoid origin. Like B and T cells ILCs develop from the common lymphoid precursor (CLP). In contrast to adaptive lymphocytes, ILCs lack a rearranged antigen receptor and their development is independent of expression of recombinase activated gene (RAG) 1 and 22. ILCs depend on the transcription factors GATA33, TOX4,
inhibitor of DNA binding (Id)25 and at least in part on NFIL36,7. ILCs are
ϐ ǡ Ǧ ȋǦȽǡͳʹȌ2,8,9.
In recent years, ILCs have been shown to reside mainly in epithelial tissues where they contribute to tissue integrity and homeostasis9,10. During an
ϐ ǡ Ǧϐ ǡ Ǥ ϐ resolves, ILCs can then contribute to tissue repair following injury and tissue damage11. While ILCs are crucially involved in the formation of secondary
lymphoid organs (SLOs)12,13 and still present within adult SLOs14-17, not much
1
ĘĚćĘĊęĘĎēĒĎĈĊĆēĉčĚĒĆēĘ
Within the ILC family a subdivision in family members is made in analogy to Ǧ ϐ Ǥ ϐ ǡ NK cells can be seen as the innate counterpart of cytotoxic CD8+ T cells, while
ϐ (helper ILC) harboring three subsets based on expression and dependence of transcription factors as well as the cytokines secreted by the cells8.
ILC1
Type I ILCs (ILC1) are dependent on the transcription factor T-bet (Tbx21) ȋ Ȍɀ (IL) 12, IL-15 and IL-18, in both mouse and man18,19. ILC1 can be found within
the intestinal lamina propria in both mouse and man, while their numbers ϐ disease (IBD)20.
ILC2
ʹ ǡȋʹȌϐ transcription factor GATA321,22 and, once activated via cytokine receptors,
secrete type II cytokines in both mouse and man (mainly IL-5 and IL-13, although IL-4, IL-6 and IL-9 production has also been reported)23-27. Apart
from GATA3, ILC2 also depend on the expression of the transcription factor Ǧ ȋȽȌǡ ϐͳǡ TCF-128-30. Cytokines that can induce type II cytokine production are mainly
IL-25 (IL-17E), IL-33 and thymic stromal lymphopoitin (TSLP) in mice26,31,32
and humans23 and prostaglandin D2 in humans33. ILC2 can be found in
homeostasis in skin34, mucosal tissues (i.e. lung32,35-38 and gastrointestinal
tract26,39), in adipose tissue25,40,41 and to some extent in lymphoid organs
(e.g. spleen and mLN)24,42,43. ILC2 have been shown to play an important
role in resistance to parasitic helminths and nematodes. In contrast to this ǡ ʹ ϐ allergic diseases23,26,35,37,42,44-46ǤǦϐ ǡ
can also play a role in tissue regeneration after injury, as has been shown ϐ 47. In
addition, ILC2 have been shown to play a role in beiging of white adipose tissue, thereby limiting obesity48.
ILC3
and the aryl hydrocarbon receptor (AHR)8,9. Depending on the stimulus,
these cells express Th17 associated cytokines (mainly IL-22, IL-17A and granulocyte/macrophage colony stimulating factor (GM-CSF, CSF2)) 14,15,49-59ǡɀ+ ILCs also expresses T-bet and produces
ɀ60. In general, a number of subsets of ILC3 can be distinguished based
on their expression of the chemokine receptor CCR6 and natural cytotoxicity receptors (NCRs)9 and a subset of intestinal CCR6- ILC3 in mice and humans
Ͷ ϐ Ǧ60-62.
Human ILC3 can additionally express the NCRs NKp3017 and/or NKp44, of
which the latter coincides with IL-22 expression17,56.
Tissue resident CCR6+ ILC3 (NCR+ and NCR-) are continuously present in a
number of epithelial tissues, where they maintain epithelial integrity and regulate mucosal immunity via secretion of IL-2263,64. Additionally, ILC3
produce GM-CSF, which sustains intestinal phagocytes50 and marginal
zone (MZ) B cell function in the spleen indirectly, via the effect of GM-CSF on neutrophil activity52. Besides this indirect effect on the function of MZ B
cells, ILC3 can also directly stimulate MZ B cells via secretion of BAFF, and membrane expression of CD40L and Notch ligand Delta-like 1 (DLL1)52.
ȋȌȽ3Ƚ1Ⱦ2 ILC3 can additionally regulate IgA production by intestinal B cells65.
Finally, like ILC2, ILC3 play a role in tissue repair after injury, such as in the case of regeneration of splenic white pulp following infection with murine lymphocytic choriomeningitis virus (MLCV)66, restoration of intestinal
epithelium upon damage (e.g. colitis, chemotherapy or graft versus host disease (GvHD))64,67,68 and thymic regeneration in mice following sublethal
total body irradiation69.
The CCR6+ ϐɀ
described, the subset of lymphoid tissue inducer (LTi) cells16,70. In mice this
subset can be further divided into two populations based on the expression of CD471. As the name already suggests, LTi cells are key players in the formation
of lymph nodes (LN) and Peyer’s Patches (PP), although development of other secondary lymphoid tissue (e.g. white pulp of the spleen) can occur in an LTi independent manner (see below,12,13,72,73). Apart from their lymphoid
1
ėĊĈĚėĘĔėĘęĔ
All ILCs develop from a common lymphoid precursor (CLP) in the bone marrow. For mice it was shown that all helper ILC subsets are derived from the common helper-like ILC precursor (CHILP), characterized as Lin
-Id2+CD127+CD25-ȽͶȾ+ 75 (see Fig. 1). Although thought to belong to the
subset of type I ILCs8, classical NK cells are only partially dependent on
Id276 and T-bet77,78 for their development, yet completely dependent on the
transcription factor eomesodermin (EOMES)78. Accordingly, NK cells seem
to stem from an early Cxcr6+ ILC precursor (ILC/NK precursor), which
can further develop into all types of helper like ILCs, including LTi cells79.
Downstream from this NK/ILC precursor, the differentiation of NK cells seems to split off from the rest of the ILC family75,80. Although ILC1 cluster
closer to classical NK cells than to ILC2 or ILC3 based on transcriptome analysis81ǡ ͳ 75,80. It
Ǥ Downstream of the CHILP precursor, both ILC1 and ILC3 have been shown ͵ ǦȾ for differentiation and survival, while ILC2 are not82. This may lead to
hypothesize that ILC1 and ILC3 derive from the same precursor, downstream ǡʹǡ ͵ ǦȾ mice, may have a distinct precursor downstream of CHILP (Fig. 1).
ǡϐ ʹȋʹǡʹȌǡ not for ILC1 and ILC322. Furthermore, ILC2 depend for their development on
Bcl11b, as in Bcl11b-/- mice ILC2 lost their ILC2 phenotype and upregulated
ILC3 related genes83. Reversely, retinoic acid (RA)-mediated signaling was
shown to block ILC2 differentiation while allowing ILC3 formation84. As ILC2
have been shown to have different migration and transcription patterns than ILC1 and ILC381,85ǡʹ ϐ ͳ
and ILC3 cells. However, under certain circumstances plasticity between the different types of ILCs is feasible, similar as what has been shown for CD4+ T cells86. In line with this, it has been demonstrated that a subset of
ͳɀ+͵ɀǦ
expression is being induced. This upregulation of T-bet coincided with Ͷ ɀ ǡ absence of T-bet ILC3 mainly produce IL-2260-62. Also in humans, ILC3 were
ͳ ϐ Ǧͳʹ ǡ ͳ ͵ ϐ ǦͳȾ Ǧʹ͵ with RA87.
1
PLZF+ ILC precursor, which gives rise to ILC1, -2, and -3 (see Fig. 1)71,80. Inagreement, LTi cells have been found to have their own gene transcription signature, including higher expression of ͷ and CD25, in comparison with other ILC381.
Collectively, helper ILCs are a heterogeneous, possibly plastic subset of cells that participate in maintaining the integrity of barrier tissues during ǡ tissues and lymphoid tissues.
ĘĆėĊĎēĘęėĚĒĊēęĆđęĔęčĊĉĊěĊđĔĕĒĊēęĔċĘĔĒĊǡćĚęēĔę
ĆđđĘ
One of the hallmarks of the mammalian immune system is the presence of specialized locations throughout the body at which immune activation can readily take place. These SLOs are organized in a way in which activation of ϐ 12. In steady state
in mice, LNs have additionally been shown to be an important site where the induction of immune tolerance takes place via the presentation of peripheral tissue antigens (PTA) to both CD4+ and CD8+ T cells in the absence of
co-stimulation88-94. The group of SLOs encompasses the spleen, peripheral and
mesenteric LNs and a variety of mucosal associated lymphoid tissues (MALT, i.e. Peyer’s patches (PP) in the small intestine, colonic patches in the colon, cryptopatches and isolated lymphoid follicles (ILFs) in both the colon and the small intestine, nasal associated lymphoid tissue (NALT) in the nasal passages, tonsils and adenoids in the nasopharynx and tear duct associated lymphoid tissue (TALT)). In addition, fat-associated lymphoid clusters (FALC) in the mesentery and the milky spots in the omentum are examples of fat-associated lymphoid tissue. Although these different tissues are captured under the same name of SLOs and have comparable architecture with separated B
Figure 1. Development of innate lymphoid cells. All ILCs develop from the common
ȋȌ Ǥ ϐ͵ Ȁ Ǥ Dx5 and Eomes expression lead to development of cNK cells, while Id2 and Gata3 lead to ȽͶȾ+ CHILP. Helper like ILCs develop further upon expression of PLZF,
while LTi cells branch off from the rest of the hILC lineages at this point in their development. Further increase in Gata3 expression leads to the development of the ILC2 precursor (ILC2P) ʹǡͳ͵ Ǧɀ Ǥͳ͵ Runx3 it can be hypothesized that there is a separate Runx3+ ILC1/3 precursor, although no
and T cell areas, their development is not necessarily directed by the same cellular signaling pathways. For instance, the splenic white pulp, LNs and PP develop during embryogenesis95, while TALT and NALT develop after birth96,97.
Additionally, cryptopatches also develop after birth98, while their maturation
into ILFs within the small intestines in addition depends on colonization by (commensal) microbes99-101. In the colon, development of colonic patches starts
during embryonic development and is completed after birth, while cryptopatch maturation is entirely post-natal and independent of colonization102.
As there is a variation in the timeframe in which the various lymphoid organs develop, the hematopoietic cells that can be marked as inducer cells are not ɀ+ LTi cells. LTi cells are crucial for the development of LNs (both
mesenteric and peripheral), PP, colonic patches and cryptopatches70,73,103.
Accordingly, mice which lack LTi cells, such as Id2-/-5ɀ-/- mice73, are
devoid of these SLOs. Inversely, mice which have increased LTi numbers (e.g. mice over expressing IL-7) also have more SLOs104,105. However, the
splenic white pulp, NALT, TALT, milky spots and FALC develop normally in ɀ-/- mice, which lack LTi cells73,96,97,106. Although independent of LTi cells
for their formation, NALT and FALC do not develop in Id2-/- mice25,97, which
implies a role for other types of ILCs, possibly ILC2, in the formation of these tissues. Altogether, with the exception of the splenic white pulp, all SLOs which develop before birth are dependent on the presence of LTi cells. SLOs which develop after birth, with the exception of cryptopatches, seem to be independent of the presence of LTi cells, although other ILC subsets may play a role in this process.
ĘĆėĊĘęĎđđĕėĊĘĊēęĎēĆĉĚđęĘ
As ILCs are located not only in mucosal tissues and developing SLOs, but also ȋͳȌǡ ϐ Ǥ developing SLOs is necessary for the development of these organs, ILCs and ϐ unless they play an additional role. Moreover, the presence of ILCs in spleen, which can develop independent of ILCs, further supports a role for ILCs in the immune response in adult SLOs. Importantly, as for adaptive lymphocytes, the conditions within a LN are favorable for ILC residence. As such, there are a number of indications that show that SLO stroma is important for proper ILC function. For instance, podoplanin+ splenic stroma was shown to
1
ͳǣ A bbri viations: pLN- peripher al lymphnode, mLN- m esent eric ly mph node, PP - Pa ye r’s pat ches, IL C- innat e lymphoid cell, IFN- int erf er on, IL- int er leukin, GM-C SF - gr anulocyt e macr ophage colon y stimulat ing fa ct or , B A FF - , APRIL- , L T- lymphot ox in, TNF - t umor necr os is fact or, M Z- marginal zone, CD- clust
er of diff
er
entiation, MR
C- mar
ginal r
eticular cell, SCS- subcapsular sinus, IgA
ILC numbers are increased, suggesting that competition for the favorable LN niche restricts ILC numbers in WT animals due to the presence of adaptive lymphocytes109. Similar as for T cells110, IL-7 was shown to enhance ILC
survival and/or proliferation104,105. Moreover, IL-7 was shown to support LTi
Ƚ1Ⱦ2 expression111,112. The
IL-7- Ƚ1Ⱦ2 might also be relevant in the adult organism when regeneration of lymphoid tissue is needed, such as seen during the recovery period after an LCMV infection66. Upon resolution of the infection,
stromal cells enhance production of IL-7113. This can then lead to induced
expression of LT on tissue resident ILCs, which in turn can further activate stroma. This may then result, in analogy to SLO formation during ontogeny, in restoration of lost lymphoid tissue. Altogether, these observations imply that IL-7 is not only involved in ILC survival and proliferation, but also in ILC ϐ Ǥ ʹɀϐ ǡ to study the role of ILCs (or at least ILC3) in matured SLOs. However, as the development and organization of the white pulp of the spleen is independent of the presence of LTi cells114, data obtained using this organ can lead to more
insights in the function of ILCs in adult SLOs.
đĔĈĆđĎğĆęĎĔēĜĎęčĎēĘ
During murine SLO development, a change in the localization of LTi cells can be observed. In newborn murine pLN, LTi cells are present throughout Ǥϐ Ǧ and LTi cells start to localize to the cortical area of the LN, in the vicinity of the newly forming B cell follicles16,70. Finally, in adult mice, LTi cells are
present in close association with stromal marginal reticular cells (MRCs), in between the B cell follicles108,115. This change in the anatomic positioning
of ILCs in the highly organized environment of the SLO during development ϐ Ǥ ILC1, present within the interfollicular region of LNs, were shown to assist subcapsular macrophages in killing of bacteria that enter via the lymphatics ɀ116. Additionally, localization of ILC3s in the splenic
marginal zone (MZ) in both mice and humans was shown to be important for sustaining IgA production by MZ B cells. As mentioned before, this occurs both directly, via BAFF/APRIL, CD40 and/or DLL signaling to the MZ B cells, or indirectly via GM-CSF dependent maintenance of MZ B cell helper neutrophils which in their turn sustain the MZ B cells52.
1
change in expression pattern of a number of markers, e.g. NKp44, NKp46,͵ͲǡͶͲȽ1Ⱦ217,114,117. Interestingly, LTi cells derived from spleens
of adult Rag-/- mice were shown to induce Vcam+ clusters in cxcr5-/- mice,
which may represent ILF anlagen105. This implies that adult SLO-derived
ILC3 can still act as Ǧϔ LTi cells. In a different setting, LTi cells derived from mLN of neonatal but not adult mice were found to induce ectopic SLOs in newborn and adult mice118. This seeming discrepancy can be explained by
the fact that in the latter experiments whole mLN cell suspensions, containing relatively high numbers of LTi cells, were injected in the recipients, while LTi form a minor population in adult LN. It is thus possible that the difference ϐ of LTi cells injected when adult mLNs were used, although a difference in activation state of LTi cells could have additionally contributed to these results. Strikingly, only SLOs induced in neonatal, but not in adult mice were properly organized, although organization was restored upon immune activation in the adult mice118. These data imply that not only the LTi cells,
but also the environment in which they act differ between adult and neonatal mice resulting in differences in cellular behavior.
ĘċĆĈĎđĎęĆęĊĆĉĆĕęĎěĊĎĒĒĚēĊėĊĘĕĔēĘĊĘ
Across the literature, various roles for ILCs in adult SLOs have been suggested, mainly restoring lymphoid tissue integrity after damage and regulating the adaptive immune response in a number of ways. Importantly, ILC1, 2 and 3 are all present in most adult LN and in the spleen, albeit in different proportions14.
ILCs, mostly ILC3, have been implicated in initiation and support of both T cell dependent and T cell independent antibody production by B cells in the intestine, spleen and LNs via LT, CD40, BAFF/APRIL and/or DLL signaling65,119. In agreement, adult (splenic) ILC3 have been shown to sustain
CD4+ T cell memory, which also affects germinal center reactions and
ǡ ͶͲ ͵Ͳ117,120,121. It can be
ͶͲ ͵Ͳ only mechanism by which LTi cells mediate this, since CD8+ T cell memory
is not supported in vivo121, while OX40 and CD30 are both expressed by
activated CD8+ T cells. It thus seems that additional factors are involved in
ILC-mediated support of CD4+ T lymphocytes in SLOs.
The distinct effect that ILCs have on CD8+ and CD4+ T cells might point to
a role for class II MHC (MHC-II). A number of groups have already shown that ILCs in neonatal LNs and adult spleens, LNs and intestines express this molecule and present antigen to CD4+ T cells, although to a lesser extent
ILC2 was reported to be crucial for a proper Th2 response against a worm challenge and in case of allergies43,124, mLN-derived MHC-II expressing ILC3s
were shown to be important in inducing tolerance to commensal bacteria in steady state123ǤǦʹǡ
depriving activated T cells of essential growth factors in combination with lack of co-stimulation via CD28123,125Ǥ ǡ ϐ
conditions (i.e.ǦͳȾȌǡ ǡȋȌ ILC3 were shown to up-regulate MHC-II and co-stimulatory molecules and support T cell activation and proliferation122. This implies that ILCs from
different tissues may react differently under similar conditions. This is in agreement with recent microarray data, in which it was shown that ILC1 ϐ 81.
Importantly, at least for ILC2 – T cell interaction, a mutual relationship has been shown to exist between the two cell types, as T cell-derived IL-2 ϐ43. This again accentuates the
complex relationship between the different cells of the immune system.
ĎĈėĔǦĊēěĎėĔēĒĊēęĆđĈĔēęėĔđĔċǦĈĊđđĎēęĊėĆĈęĎĔē
The discrepancy in outcome of T cell stimulation between ILC3s derived from the intestines123 or from the spleen122 points to a potential
microenvironmental control of ILC function. While intestinal and mLN-͵Ǧϐ123,125, splenic ILC3
Ǧϐ ͳE from APC122. As the
immune system should not be triggered by the commensal microbiota in the intestine while bacterial products in the spleen should induce a strong immune response, these functional differences at the various anatomical locations are understandable for proper immune defense. However, the presence of helminth or worm products should in turn trigger a strong type II immune response. In line with this, at steady state mLN and LP resident ILC3 are immunosuppressive123, while ILC2 are immuno-stimulatory once
triggered by either IL-25 or IL-33, which are secreted by the epithelium once an infection with parasites is detected43. It is however not clear what factors
1
ĘĆĘėĊČĚđĆęĔėĘĔċċĚēĈęĎĔē
Indeed, DCs have been shown to be important in regulating cytokine production ǤǦʹ͵ǦͳȾ of IL-22 by ILCs in the intestine in case of an intestinal barrier breach, which occurs during infection with 129,130. Furthermore,
epithelium-derived IL-33 and IL-25 suppress the production of IL-22 and lead to the production of type II cytokines by ILC2s67. Likewise, DC-derived IL-23
blocks IL-33 signaling in Tregs in the murine intestine131 and this might very
well be the case for ILCs. Also in humans, it was shown that IL-12 can drive ͵ͳǦʹ͵ǦͳȾ 87
(Fig. 2A). Thus, microenvironmental factors will mediate the differentiation of different ILC populations, either towards suppressive (i.e. presenting antigen without co-stimulation123ȌǦϐ43, thereby driving
ILC plasticity (Fig. 2B). In line with this hypothesis, it was recently shown that the ratios between the ILC subtypes (ILC1, 2 and 3) differ between mLN and pLN in mice, again pointing to the microenvironmental factors (mucosal draining versus non-mucosal draining) as instrumental in ILC differentiation and plasticity. It will be interesting to see whether ILCs derived from different LN (mLN, cLN or pLN) interact differently with T cells upon stimulation, as splenic ILCs do seem to differ from mLN or LP ILCs122,123,125.
An interesting factor that can play a role here, especially in the MALT, is RA. RA is produced by a subset of intestinal DCs, stromal cells, and by the intestinal Ǥ important in the initiation of lymphoid organ formation132,133, RA signaling has
been shown to play a role in shaping the balance between differentiation of ILCs towards either a type I, II or III phenotype84,87,133,134. By directly binding to the
ɀ133,135 RA induces differentiation towards a type III phenotype
in both mice and humans87,134, while its absence is hallmarked by the presence
of more ILC2 in mice84. In agreement, ILC3 are enriched for transcripts of RA
target genes in comparison to ILC1 and ILC281. The increase in ILC2 in absence
ǡϐ been shown to lead to an increase in Th2 skewing of naïve T cells by mLN resident DCs136. Considering the similarities between T cell and ILC skewing
ϐ ϐ draining mLNs.
It seems thus that DCs in the intestine induce ILCs to differentiate to an ILC3 phenotype in steady state, by the production of RA and IL-23. The ILCs then migrate back to the mLNs14 present antigen to the resident T cells in
ILC3 RorȖt ILC1 T-bet IL-12 IL-18 IL-1ȕ IL-23 RA A B T RA IL-1β IL-23 GM-CSF mLN T IL-2 Helminth/parasite infection RA deficiency IL-25 IL-33 RA Commensal bacteria Food derived RA ILC3 ILC3 ILC3 ILC2 ILC2 ILC2 ILC2 ILC3
Figure 2. Environmental control of ILC function. (A) Dendritic cells producing skewing
1
triggers the production of IL-25 and IL-33 by the epithelium and tissueresident macrophages while RA production by DCs is reduced, ILCs will then differentiate towards the ILC2 phenotype. In addition, they will express MHC-II in the presence of co-stimulation, thereby supporting a Th2 response31,43
(Fig. 2B). As DCs will also migrate from the intestinal lamina propria to the draining mLNs it can be assumed that also the microenvironment of the mLNs will change, further stimulating differentiation towards the ILC2 subset. Interestingly, apart from its effect on ILCs, DC-derived RA has long been shown to induce immunological tolerance via the induction of Tregs137,138. Induction
of tolerogenic MHC-II expressing ILC3 is in line with the reputation RA has won for itself as an immunosuppressive rather than an immunostimulatory molecule within the intestine.
ĚęĚĆđėĊđĆęĎĔēĘčĎĕćĊęĜĊĊēĘĆēĉĘĎēĘ
It is clear that DCs play an important role in skewing and sustaining cytokine production by ILCs in the periphery50,130,136
whether this relationship is mutual. In the intestine, ILC-derived GM-CSF maintains the CD103+ intestinal DC population50 and further stimulates
its capacity to produce RA139. The gut microbiota supports this cross-talk
ɀ+ ILCs, through the induction of
IL-ͳȾ of GM-CSF by the ILCs50, thus driving a positive feedback loop.
Although true for the intestines, it is not clear whether this mutual relationship holds true for SLOs. DC populations in the spleen are not altered in csf2-/- mice, while the DC subsets in LNs are affected by the lack of
GM-CSF140,141. As in the intestines, ILCs and DCs reside in close proximity of each
other, within the inter-follicular- and T cell areas of the LNs115. ILCs have
been shown to support DC populations in the intestine50 and it would be
interesting to see whether the same holds true for LNs. This may then in turn contribute to LN homeostasis as CD11c+ LN resident DCs were shown
ϐ142. In fact, in the
ϐ ǡ ϐ cells143. There may thus be an interaction of DCs and ILCs within lymphoid
ĎĒĆēĉĔĚęđĎēĊĔċęčĎĘęčĊĘĎĘ
As discussed above, ILCs have been found to affect adaptive immunity and lymphoid tissue repair in a number of ways, but also to be of importance for homeostasis within SLOs while on the other hand SLO stroma creates a favorable niche for ILC survival. In this thesis, the complex relationship between ILCs and adult SLOs was further studied. As SLO stroma plays ϐ ǡ to set up a method for isolation and in vitro culture of human SLO stromal cells from tonsils, which is described in chapter 2. In this chapter we also show that human SLO stromal cells are functional and support ILC survival in culture. Following the observation that ILC3 from human adult PB do not respond ǦͳȾ Ǧʹ͵ Ǧʹʹ SLO ILC3, we investigated the differences between human PB and human SLO (i.e. spleen, LN and tonsil) ILCs on a transcriptional level in chapter 3. The analysis provided evidence that PB ILCs are an immature population, ϐÃǦʹ+ ILC3 as
described in human tonsils144. Further comparison of PB ILC3 with NKp44
-ILC3 from human LN, tonsils and spleens revealed that the transcriptional ϐ differentiation of leukocytes.
ǡchapter 4, that like naïve T cells, ILCs in human adult PB expressing CD62L, a homing receptor for SLOs, lack activation Ǥ ǡ ʹ ϐ ϐ markers. Like naïve T cells, CD62L+ ILCs were found to migrate into pLNs in
a CD62L dependent fashion, and leave the pLN via S1PR. Finally, we show that in Crohn’s disease patients, this population is diminished in PB, further showing that CD62L marks immature, re-circulating ILCs.
Although ILCs are known to be present in adult SLOs, their function in human SLOs is not fully understood. In chapter 5, we looked into one of the potential roles of human ILCs in adult SLOs, being regulation of the T cell responses. We show that ILCs can present antigen to CD4+ T cells in the
context of MHC-II yet lack expression of co-stimulatory molecules. As was shown for mouse ILCs123,125, T cell suppression by human ILCs was at least
partially dependent on scavenging of IL-2.
ϐ of RA84,87,133-135. For this reason, in chapter 6, we investigated the changes in
1
in the course of treatment. Also, less ILC2s and more ILC3s are found in thePB of patients, which can be caused both by altered differentiation or by altered homing of the cells.
Finally, in chapter 7ϐ by a fully developed commensal microbiota, as has been shown in Ǥǡ ILC populations in adult PB and umbilical cord blood (UCB) for differences in expression of membrane markers and transcription factors. Here, we found that the ILC population in UCB was larger than in adult blood, with a relative enrichment for CRTH2+ ILC2 at the expense of ILC1.and that the markers
ĊċĊėĊēĈĊĘ
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