CD8
+
recent thymic emigrants home to and efficiently
repopulate the small intestine epithelium
Tracy L Staton
1
, Aida Habtezion
2
, Monte M Winslow
1
, Tohru Sato
2
, Paul E Love
4
& Eugene C Butcher
1–3
Prevailing knowledge dictates that naive ab T cells require activation in lymphoid tissues before differentiating into effector
or memory T cells capable of trafficking to nonlymphoid tissues. Here we demonstrate that CD8
+
recent thymic emigrants
(RTEs) migrated directly into the small intestine. CCR9, CCL25 and a
4
b
7
integrin were required for gut entry of CD8
+
RTEs.
After T cell receptor stimulation, intestinal CD8
+
RTEs proliferated and acquired a surface phenotype resembling that of
intraepithelial lymphocytes. CD8
+
RTEs efficiently populated the gut of lymphotoxin-a-deficient mice, which lack lymphoid
organs. These studies challenge the present understanding of naive ab T cell trafficking and suggest that RTEs may be
involved in maintaining a diverse immune repertoire at mucosal surfaces.
The immune system is compartmentalized into primary, secon-
dary and tertiary organs
1
. Mature lymphocytes are generated in
primary lymphoid organs. After export, these naive lymphocytes are
thought to recirculate in the secondary lymphoid organs, where they
can be activated by cognate antigen. Once activated, lymphocytes
can enter tertiary nonlymphoid sites, such as the skin and intestine,
where they can function in clearing infection. Present knowledge
suggests that naive ab T cell circulation is restricted to secondary
lymphoid tissues
1,2
.
The small intestine tertiary site is important in host defense. The
gut epithelium forms a border between the outside environment and
the body interior and is a potential entry site for antigens
3
. Of the
immune cells that take up residence in the epithelium (called
‘intraepithelial lymphocytes’ (IELs)), more than 90% are CD8
+
T cells. Because of the large surface area of the small intestine, IELs
comprise a considerable fraction of the body’s T cells, and approxi-
mately 1 10
9
IELs can be found in the human small intestine
4–6
.
IELs have an activated or memory phenotype
7
and, once associated
with the epithelium, do not recirculate throughout the body
8
. CD8
+
IELs have high expression of a
E
integrin, which interacts with
E-cadherin on epithelial cells and allows retention of IELs in the gut
epithelium
9
. The CD8
+
IEL compartment contains CD8aa
+
gd and
ab T cells as well as conventional CD8ab
+
ab T cells
10–12
. Studies
suggest that CD8ab
+
ab T cell receptor (TCR)–positive IELs originate
from the thymus
13,14
, specifically via naive T cells that are activated in
the Peyer’s patch that then migrate to the gut epithelium
15–17
.
Recent thymic emigrants (RTEs), a distinct subpopulation of naive
ab T cells, have ‘preferential’ access to survival factors and niches and
are ‘preferentially’ incorporated into the peripheral naive ab T cell
pool
18
. Splenic RTEs are less responsive than other naive ab T cells to
TCR stimulation
19
and may be especially susceptible to tolerization
20
.
CD8
+
RTEs have unique adhesive and chemotactic properties. Unlike
other naive ab T cells, RTEs express a
E
integrin and CCR9, which is
involved in recruiting memory T cells to the intestines
21,22
. CCR9 is a
chemoattractant receptor expressed on small intestine–specific T cells,
and its ligand, CCL25, is expressed by small intestine epithelial cells
23
.
CD8
+
RTEs also express a
4
b
7
integrin, which is the receptor for the
intestinal vascular addressin MAdCAM-1. Those features support the
hypothesis that CD8
+
RTEs might home to the mucosal surface of
the small intestine without prior activation and ‘reprogramming’ of
homing properties in peripheral lymphoid tissues. Moreover, because
RTEs establish and contribute to the TCR diversity of the peripheral
ab T cell pool, we reasoned that RTEs might also maintain the TCR
diversity of the IEL population
24
.
Here we demonstrate that CD8
+
RTEs homed to the gut and show
that this migration required a
4
b
7
integrin, CCR9 and CCL25. RTE gut
homing occurred independently of prior antigen recognition in
peripheral lymphoid tissues. After entry into the gut wall, CD8
+
RTEs proliferated and differentiated, ultimately acquiring the pheno-
type of resident IELs. CD8
+
RTEs populated the IEL compartment of
lymphopenic mice more efficiently than naive non-RTE CD8
+
T cells.
In the steady state, CD8ab
+
TCRab
+
RTEs were readily recovered
from the resident IEL population and expressed a diverse TCR
repertoire. Our data indicate that trafficking of naive CD8
+
ab
T cells, particularly RTEs, is not limited to secondary lymphoid
tissues. Instead, CD8
+
RTEs can home directly into the intestinal
wall, where they might help to maintain the TCR diversity of the
mucosal CD8ab
+
ab T cell pool.
Received 21 November 2005; accepted 14 February 2006; published online 2 April 2006; corrected after print 2 May 2006 (details online); doi:10.1038/ni1319
1
Program in Immunology and
2
Laboratory of Immunology and Vascular Biology, Department of Pathology, Stanford University School of Medicine, Stanford, California
94305, USA.
3
Center for Molecular Biology and Medicine, Veterans Affairs Palo Alto Health Care System, Palo Alto, California 94304, USA.
4
Laboratory of Mammalian
Genes and Development, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland 20892, USA. Correspondence
should be addressed to E.C.B. (ebutcher@stanford.edu).
NATURE IMMUNOLOGY ADVANCE ONLINE PUBLICATION 1
ARTICLES
© 2006 Nature Publishing Group http://www.nature.com/natureimmunology