Plasticity of intragraft alloreactive T cell clones in human gut correlates with transplant outcomesFu, Jianing;Wang, Zicheng;Martinez, Mercedes;Obradovic, Aleksandar;Jiao, Wenyu;Frangaj, Kristjana;Jones, Rebecca;Guo, Xinzheng V.;Zhang, Ya;Kuo, Wan-I;Ko, Huaibin M.;Iuga, Alina;Bay Muntnich, Constanza;Prada Rey, Adriana;Rogers, Kortney;Zuber, Julien;Ma, Wenji;Miron, Michelle;Farber, Donna L.;Weiner, Joshua;Kato, Tomoaki;Shen, Yufeng;Sykes, Megan
doi: 10.1084/jem.20230930pmid: 38091025
The site of transition between tissue-resident memory (TRM) and circulating phenotypes of T cells is unknown. We integrated clonotype, alloreactivity, and gene expression profiles of graft-repopulating recipient T cells in the intestinal mucosa at the single-cell level after human intestinal transplantation. Host-versus-graft (HvG)–reactive T cells were mainly distributed to TRM, effector T (Teff)/TRM, and T follicular helper compartments. RNA velocity analysis demonstrated a trajectory from TRM to Teff/TRM clusters in association with rejection. By integrating pre- and post-transplantation (Tx) mixed lymphocyte reaction–determined alloreactive repertoires, we observed that pre-existing HvG-reactive T cells that demonstrated tolerance in the circulation were dominated by TRM profiles in quiescent allografts. Putative de novo HvG-reactive clones showed a transcriptional profile skewed to cytotoxic effectors in rejecting grafts. Inferred protein regulon network analysis revealed upstream regulators that accounted for the effector and tolerant T cell states. We demonstrate Teff/TRM interchangeability for individual T cell clones with known (allo)recognition in the human gut, providing novel insight into TRM biology.