Peer review process
Revised: This Reviewed Preprint has been revised by the authors in response to the previous round of peer review; the eLife assessment and the public reviews have been updated where necessary by the editors and peer reviewers.
Read more about eLife’s peer review process.Editors
- Reviewing EditorSarah RussellPeter MacCallum Cancer Centre, East Melbourne, Australia
- Senior EditorSatyajit RathNational Institute of Immunology, New Delhi, India
Reviewer #1 (Public review):
Summary
In their manuscript, Ho and colleagues investigate the importance of thymically-imprinted self-reactivity in determining CD8 T cell pathogenicity in non-obese diabetic (NOD) mice. The authors describe pre-existing functional biases associated with naive CD8 T cell self-reactivity based on CD5 levels, a well characterized proxy for T cell affinity to self-peptide. They find that naive CD5hi CD8 T cells are poised to respond to antigen challenge; these findings are largely consistent with previously published data on the C57Bl/6 background. The authors go on to suggest that naive CD5hi CD8 T cells are more diabetogenic as 1) the CD5hi naive CD8 T cell receptor repertoire has features associated with autoreactivity and contains a larger population of islet-specific T cells, and 2) the autoreactivity of "CD5hi" monoclonal islet-specific TCR transgenic T cells cannot be controlled by phosphatase over-expression. Thus, they implicate CD8 T cells with relatively higher levels of basal self-reactivity in autoimmunity. The data presented offers valuable insights and sets the foundation for future studies, but some conclusions are not yet fully supported.
Specific comments
There is value in presenting phenotypic differences between naive CD5lo and CD5hi CD8 T cells in the NOD background as most previous studies have used T cells harvested from C57Bl/6 mice or peripheral blood from healthy human donors.
The comparison of a marker of self-reactivity, CD5 in this case, on broad thymocyte populations (DN/DP/CD8SP) is cautioned. CD5 is upregulated with signals associated with b-selection and positive selection; CD5 levels will thus vary even among subsets within these broad developmental intermediates. This is a particularly important consideration when comparing CD5 across thymic intermediates in polyclonal versus TCR transgenic thymocytes due to the striking differences in thymic selection efficiency, resulting in different developmental population profiles. The higher levels of CD5 noted in the DN population of NOD8.3 mice, for example, is likely due to the shift towards more mature DN4 post-b-selection cells. Similarly, in the DP population, the larger population of post-positive selection cells in the NOD8.3 transgenic thymus may also skew CD5 levels significantly. Overall, the reported differences between NOD and NOD8.3 thymocyte subsets could be due largely to differences in differentiation/maturation stage rather than affinity for self-antigen during T cell development. The authors have added some additional text to the revised manuscript that acknowledges some of these limitations.
The lack of differences in CD5 levels of post-positive selection DP thymocytes, CD8 SP thymocytes, and CD8 T cells in the pancreas draining lymph nodes from NOD vs NOD8.3 mice also raises questions about the relevance of this model to address the question of basal self-reactivity and diabetogenicity and the authors' conclusion that "that intrinsic high CD5-associated self-reactivity in NOD8.3 T cells overrides the transgenic Pep-mediated protection observed in dLPC/NOD mice"; the phenotype of the polyclonal and NOD8.3 TCR transgenic CD8 T cells that were analyzed in the (spleen and) pancreas draining lymph nodes is not clear (i.e., are these gated on naive T cells?). Furthermore, the rationale for the comparison with NOD-BDC2.5 mice that carry an MHC II-restricted TCR is unclear.
In reference to the conclusion that transgenic Pep phosphatase does not inhibit the diabetogenic potential of "CD5hi" CD8 T cells, there is some concern that comparing diabetes development in mice receiving polyclonal versus TCR transgenic T cells specific for an islet antigen is not appropriate. The increased frequency and number of antigen specific T cells in the NOD8.3 mice may be responsible for some of the observed differences. Further justification for the comparison is suggested.
The manuscript presents an interesting observation that TCR sequences from CD5hi CD8 T cells may share certain characteristics with diabetogenic T cells found in patients (e.g., CDR3 length), and that autoantigen-specific T cells may be enriched within the CD5hi naive CD8 T cell population. However, the percentage of tetramer-positive cells among naive CD8 T cells appears unusually high in the data presented, and caution is warranted when comparing additional T cell receptor features of self-reactivity/auto-reactivity between CD4 and CD8 T cells.
The counts for the KEGG enrichment pathways presented are relatively low, and the robustness of the analysis should be carefully considered, particularly given that several significance values appear borderline. That said, the differentially expressed genes among CD5lo and CD5hi CD8 T cells are generally consistent with previously published datasets.
The manuscript includes some imprecise wording that may be misleading. For example (not exhaustive): The strength of TCR reactivity to foreign antigen is not "contributed by basal TCR signal" per se but rather correlates with sub-threshold TCR signals necessary for T cell development and survival, CD5 is not broadly expressed on all B cells as the text might suggest but is restricted to a specific subset of B cells, some of the proximal signaling molecules downstream of the preTCR are different than for the mature TCR, upregulation of CD127 at early timepoints post T cell activation is not directly suggestive of their "heightened capabilities in memory T cell homeostasis", etc. The statement "Our study exclusively examined female mice because the disease modeled is relevant in females" should be reconsidered. While the use of female NOD mice can be justified by their higher incidence of diabetes than their male counterparts, the current wording could be misleading.
For clarity and transparency, please consider while additional information is provided in the revised manuscript, gating strategies are not always clear (i.e., naive versus total CD8 T cells), and the age/status of the mice from which cells are harvested (i.e., prediabetic?) is not consistently provided as far as this reviewer noted.
Reviewer #2 (Public review):
Summary:
In this study Chia-Lo Ho et al. study the impact of CD5high CD8 T cells in the pathophysiology of type 1 diabetes (T1D) in NOD mice. The authors used high expression of CD5 as a surrogate of high TCR signaling and self-reactivity and compared the phenotype, transcriptome, TCR usage, function and pathogenic properties of CD5high vs. CD5low CD8 T cells extracted from the so-called naive T cell pool. The study shows that CD5high CD8 T cells resemble memory T cells poised for stronger response to TCR stimulation and that they exacerbate disease upon transfer in RAG-deficient NOD mice. The authors attempt to link these features to the thymic selection events of these CD5high CD8 T cells. Importantly, forced overexpression of the phosphatase PTPN22 in T cells attenuated TCR signaling and reduced pathogenicity of polyclonal CD8 T cells but not highly autoreactive 8.3-TCR CD8 T cells.
Strengths:
The study is nicely performed and the manuscript is clearly and well written. Interpretation of the data is careful and fair. The data are novel and likely important. However, some issues would need to be clarified through either text changes or addition of new data.
Weaknesses:
The definition of naïve T cells based solely on CD44low and CD62Lhigh staining may be oversimplistic. Indeed, even within this definition naïve CD5high CD8 T cells express much higher levels of CD44 than CD5low CD8 T cells.
Comments on revisions:
The authors addressed my previous comments thoughtfully and extensively.
Reviewer #3 (Public review):
Summary:
In this study, Ho et al. hypothesised that autoreactive T cells receiving enhanced TCR signals during positive selection in the thymus are primed for generating effector and memory T cells. They used CD5 as a marker for TCR signal strength during their selection at the double positive stage. Supporting their hypothesis, naïve T cells with high CD5 proliferated better and expressed markers of T cell activation compared to naïve T cells with lower levels of CD5. Furthermore, results showed that autoimmune diabetes can be efficiently induced after the transfer of naïve CD5 hi T cells compared to CD5 lo T cells. This provided solid evidence in support of their hypothesis that T cells receiving higher basal TCR signaling are primmed to develop into effector T cells. However, all functional characterisation was done on the cells in the periphery and CD5 hi cells in the peripheral lymphoid compartment can receive tonic TCR signaling. Hence, the function of CD5 hi T cells might not be related to development and programming in the thymus. This is a major hurdle in the interpretation of the results and justifying the title of the study. The evidence that transgenic PTPN22 expression could not regulate T cell activation in CD5 hi TCR transgenic autoreactive T cells was weak. Studying T cell development in TCR transgenic mice and looking at TCR downstream signaling could be misleading due to transgenic expression of TCR at all developmental stages.
Strengths:
(1) Demonstrating that CD5 hi cells in naïve CD8 T cell compartment express markers of T cell activation, proliferation and cytotoxicity at a higher level
(2) Using gene expression analysis, study showed CD5 hi cells among naïve CD8 T cells are transcriptionally poised to develop into effector or memory T cells.
(3) Study showed that CD5 hi cells have higher basal TCR signaling compared to CD5 lo T cells.
(4) Key evidence of pathogenicity of autoreactive CD5 hi T cells was provided by doing the adoptive transfer of CD5 hi and CD5 lo CD8 T cells into NOD Rag1-/- mice and comparing them.
Weaknesses:
(1) Although CD5 can be used as a marker for self-reactivity and T cell signal strength during thymic development, it can also be regulated in the periphery by tonic TCR signaling or when T cells are activated by its cognate antigen. Hence, TCR signals in the periphery could also prime the T cells towards effector/memory differentiation. That's why from the evidence presented here it cannot be concluded that this predisposition of T cells towards effector/memory differentiation is programmed due to higher reactivity towards self-MHC molecules in the thymus, as stated in the title.
(2) Flow cytometry data needs to be revisited for the gating strategy, biological controls and interpretation.
(3) Evidence linking CD5 hi cells to more effector phenotype using gene enrichment scores is very weak.
(4) Experiments done in this study did not address why CD5 hi T cells could be negatively regulated in NOD mice when PTPN22 is overexpressed resulting in protection from diabetes but the same cannot be achieved in NOD8.3 mice.
(5) Experimental evidence provided to show that PTPN22 overexpression does not regulate TCR signaling in NOD8.3 T cells is weak.
(6) TCR sequencing analysis does not conclusively show that CD5 hi population is linked with autoreactive T cells. Doing single-cell RNAseq and TCR seq analysis would have helped address this question.
(7) When analysing data from CD5 hi T cells from the pancreatic lymph node, it is difficult to discriminate if the phenotype is just because of T cells that would have just encountered the cognate antigen in the draining lymph node or if it is truly due to basal TCR signaling.