[PDF][PDF] T cell recruitment to the intestinal stem cell compartment drives immune-mediated intestinal damage after allogeneic transplantation

YY Fu, A Egorova, C Sobieski, J Kuttiyara, M Calafiore… - Immunity, 2019 - cell.com
YY Fu, A Egorova, C Sobieski, J Kuttiyara, M Calafiore, S Takashima, H Clevers, AM Hanash
Immunity, 2019cell.com
The key sites within the gastrointestinal (GI) tract where T cells mediate effector responses
and the impact of these responses on intestinal stem cells (ISCs) remain unclear. Using
experimental bone marrow transplantation to model immune-mediated GI damage and 3D
imaging to analyze T cell localization, we found that the ISC compartment is the primary
intestinal site targeted by T cells after transplantation. Recruitment to the crypt base region
resulted in direct T cell engagement with the stem cell compartment and loss of crypt base …
Summary
The key sites within the gastrointestinal (GI) tract where T cells mediate effector responses and the impact of these responses on intestinal stem cells (ISCs) remain unclear. Using experimental bone marrow transplantation to model immune-mediated GI damage and 3D imaging to analyze T cell localization, we found that the ISC compartment is the primary intestinal site targeted by T cells after transplantation. Recruitment to the crypt base region resulted in direct T cell engagement with the stem cell compartment and loss of crypt base columnar ISCs, which expressed both MHC classes I and II. Vasculature expressing the adhesion molecule MAdCAM-1 clustered near the crypt base, preferentially regulating crypt compartment invasion and ISC reduction without affecting T cell migration to villi. These findings indicate that allogeneic T cells rapidly access the stem cell niche after transplantation, and this targeted recruitment to the stem cell compartment results in ISC loss during immune-mediated GI damage.
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