Lymphoid tissue inducer cells: bridges between the ancient innate and the modern adaptive immune systems

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Phylogeny indicates that adaptive immunity evolved first in diffusely distributed lymphoid tissues found in the lamina propria (LP) of the gut. B follicular structures appeared later, probably initially in isolated lymphoid follicles in the LP and then in organized lymphoid tissues such as lymph nodes and Peyer's patches. The development of these new lymphoid structures was enabled by gene duplication and evolution of new tumor necrosis family members. Here, we argue that lymphoid tissue inducer cells (LTis) had a pivotal role, not only in the development of organized lymphoid structures, but also in the subsequent genesis of the CD4-dependent class-switched memory antibody responses. In this review, we concentrate on the latter function: the sustenance by LTis of CD4 T-cell responses for protective immunity.


Adaptive T- and B-cell responses are a vertebrate invention. The main cellular players in immunity: CD4 and CD8 T cells, intraepithelial lymphocytes, B cells, and natural killer cells, appear to be present in all extant vertebrates,1 as are CD8 memory immune responses.2 The earliest vertebrates, the jawless agnathans, possessed pockets of primitive gut-associated lymphoid tissue, diffusely distributed throughout the lamina propria (LP). Along with the discrete lymphoid organs, thymus, and spleen, recombination-activating gene-dependent T and B cells first appeared in jawed vertebrates,3 all of which show allogeneic graft rejection with functional evidence of accelerated recall responses (memory).4, 5 With progression through the more recently evolved vertebrate phyla, a fundamental difference in immunological function emerges. Only mammals have proper encapsulated lymph nodes and other organized lymphoid structures such as Peyer's patches. The advantage conferred by their acquisition is the capacity to make exquisitely specific high-affinity class-switched antibody responses, a function which is strikingly absent in lower vertebrates.6 Crucial to this immunity are CD4 T cells, which exert their effects by interacting with B cells. In their naïve state, and unlike CD8 T cells, CD4 T cells require secondary lymphoid tissues for their survival in mice.7 It is noteworthy that CD4 memory T cells can survive independently of secondary lymphoid tissues, for example, in the LP8 and the bone marrow.9

We have argued that CD4 memory and lymphoid tissue organization co-evolved, the selected outcome being the capacity to make high-affinity memory antibody responses, and that lymphoid tissue inducer cells (LTis) are the fundamental cellular components in this process.10 Recent data have indicated that this cell type secretes large amounts of the cytokine, interleukin 22 (IL22),11 which has been strongly linked with the promotion of integrity at epithelial surfaces.12 We suggest that the original presence of LTis, located in murine cryptopatches, was as a cellular component of the innate immune system occurring in the LP. However, as the immune system evolved, so did the function of LTis. Through the acquisition and expression of newly evolving tumor necrosis factor (TNF) family members, we propose that LTis provided for the development and organization of lymphoid structures, which could foster first high affinity and then memory CD4 responses. In this review, we try and identify the steppingstones that might link the development of ancestral LTis to their pivotal position in the adaptive CD4 immune response.

LTis and the development of organized lymphoid structures

The novel CD4+ cell, now identified as the LTi, was first characterized in developing murine lymph nodes by Mebius and Weissman.13 The development of these cells was subsequently shown to depend on the splice variant of the transcription factor, retinoic acid orphan receptor-γ (RORγt).14, 15, 16 Their role in the induction of both conventional17, 18 and inducible19 lymphoid tissues has been reviewed elsewhere. RORγt+ LTis in mice are characterized by their expression of CD4 and interleukin 7 receptor-á in the absence of lineage markers such as CD3, B220, or CD11c.17 Human LTis appear to lack CD4, but otherwise share a very similar phenotype to their murine equivalents.20

Lymphoid tissue inducer cells are not essential for the development of some lymphoid tissues, such as spleen, nasal-associated lymphoid tissues,21 or primitive aggregates of lymphocytes in the omentum,22 but are required for the development of conventional lymph nodes and also isolated lymphoid follicles (ILFs), which develop from crypopatches in large and small intestinal LP. Conventional RORγt+ LTis are not essential for the formation of white pulp areas of the spleen,14, 23 but they are present in the fetal spleen,24, 25 in which they attach to and signal fixed stromal cells. These stromal cells respond by expressing homeostatic chemokines, which guide the recruitment of T cells, dendritic cells, and B cells to form the white pulp microenvironments that support CD4 T-cell responses.

Although originally only thought to be functional in the embryo, LTis are also present in adult life. In adult mice, LTis have been implicated in the induction of de novo ILFs in the gut19 and in the repair of secondary lymphoid tissues,26 a function analogous to the one they perform in fetal life.

It is to be noted that single cell PCR analysis shows that both murine fetal and adult splenic LTis are heterogeneous and consist of three distinct populations on the basis of expression of the homeostatic chemokine receptors, chemokine (C–X–C motif) receptor 5 (CXCR5) and chemokine (C–C motif) receptor (CCR7).27 This heterogeneity of chemokine receptor expression is consistent with the notion that distinct LTi populations reside within distinct locations in the adult murine spleen, for example, associated with B follicle stromal cells (CXCR5+CCR7 LTi), at the boundary between the B and T cell areas (CXCR5+CCR7+ LTi),28 and in the central T-zone areas adjacent to T-zone stroma (CXCR5CCR7+ LTi).29

Signals to CD4 T cells

In the T-zone, LTis interact with the underlying stroma, dendritic cells, and T cells.29 Associations between primed CD4 T cells and LTis in B follicles and at the B/T interface are also apparent.28 The latter point is consistent with provision of signals from LTi to CD4 T cells.

LTis express recently evolved TNF family member ligands

The TNF family members of receptors and ligands are closely associated with the development and organization of adaptive immune responses. Many members of this TNF family occur in a cluster found in all vertebrates,30 although not all TNF genes are conserved. Examples of receptor–ligand interactions conserved throughout the vertebrate phylum are: CD40-ligand (TNFSF5, expressed on T cells), through its interaction with CD40 (TNFRSF5, expressed on B cells), has the pivotal role in T cell help for B cells31, 32 and B cell activating factor (BAFF) and a proliferation-inducing ligand (APRIL) are TNF ligands implicated in B-33 and plasma cell34, 35 survival, respectively.

Local gene duplication is a key source of variation between individuals.36 Iterated over millions of generations, as species diverge, diversification of duplicated genes provides the genetic fuel for the acquisition of new genes that control new functions. Comparison of fish and mammalian TNF family members identifies six new genes,30 namely, the lymphotoxin genes (LTα and LTβ), OX40-ligand (OX40L, and TNFSF4), GITRL (TNFSF18), CD30L (TNFSF8), and CD27L (TNFSF7).

The receptors for these genes are located in two TNF clusters at the tips of human chromosomes 1 and 12 (Table 1). In addition to TNF receptor family members, the two gene clusters each contain a closely related serine protease, MASP2 (chromosome 1) and C1rs (chromosome 12), which catalyze the activation of complement component 4 through the mannan-binding pathway and the classical pathway, respectively. It seems likely that the two TNF clusters may have arisen from an ancestral chromosomal duplication that predated the evolution of jawed vertebrates, as originally proposed by Ohno.37 In support of this, although teleosts lack some TNF members, both gene clusters are present in fish genomes (

Table 1 Human TNF receptors on chromosomes 1 and 12

Lymphoid tissue inducer cells are characterized by their expression of many different TNF ligands (TNFLs). However, they do not express any of the TNF members linked with B-cell activation and survival (CD40, BAFF, and APRIL).38 The expressed molecules not only include TNFLs shared with primitive vertebrates (TNFα (TNFSF2), LIGHT (TNFSF14), and TRANCE (TNFSF11A)) but also the more recently evolved TNFLs. Adult and embryonic LTis both express high levels of the lymphotoxins, LTα (TNFSF1) and LTβ (TNFSF3), and can be induced to express high levels of OX40L and CD30L.38

High-affinity class-switched antibodies depend on LTα- and LTβ-induced organization

Lymphotoxin-α and LTβ, by binding to the TNF receptor, TNFRSF1A, and the lymphotoxin-β receptor, provide key signals for the development of organized secondary lymphoid tissues,39 and the expression of LTα and LTβ on B cells is particularly important for the induction of CXCL13 and for B cell follicle formation. Signals through CD30 have additional roles in lymphoid tissue organization,40, 41 and in the absence of lymphotoxin signals, a residual function for CD30 signals in the induction of the T-zone chemokine, CCL21, can be shown.41

The formation of discrete B-cell follicles enables CD4 T cells to orchestrate the CD40-dependent proliferation, somatic mutation, and selection of B cells within germinal centers (GCs), with the consequent production of high-affinity class-switched antibody responses. Lymphotoxin-deficient mice lack GCs and can produce neither high-affinity IgG in the systemic circulation42 nor IgA at mucosal surfaces.43 In contrast, low-affinity nonswitched IgM responses do not depend on organized lymphoid structures.

In mice in which the lymphocyte compartment of the spleen is disorganized (LTα−/−, LTβ−/−, or LTβR−/−), antibody responses are comparable with those in lower vertebrates. Despite having the activation-induced cytidine deaminase (AID) that is required for both class switching and somatic mutation,44 intact T cell help through CD40,45 and somatic mutation of immunoglobulin genes,46 high-affinity antibody responses are not generated. This shows the key importance of establishing segregated B and T-cell areas for the generation of high-affinity antibodies. The implication is that the evolutionary drive for lymphoid organization was the acquisition of a mechanism ensuring the efficient selection of those B cells secreting high-affinity class-switched antibodies from the pool of candidates with mutated B-cell receptors.

The selective advantage conferred by high-affinity antibodies, in combination with the investment involved in their production, must have applied potent selective pressure for mechanisms to maintain them, now evolved as B and T-cell memory. Under normal circumstances, memory B and T cells collaborate with each other in the outer T-zone of secondary lymphoid structures.47 Organization is required for this interaction, as memory B and T cells fail to find each other in the absence of organization.48 This implies that lymphoid tissue organization was a prerequisite for the development of memory antibody responses.

T-independent IgA production in ILFs: a step toward CD4-driven memory antibody responses

Recently, an intriguing insight into the evolution of CD4-dependent memory class-switched antibody responses was revealed by the observation that LTis in ILFs are required for AID-dependent but T-independent IgA class switching in the gut.49 Birds and mammals share IgA but not IgG homologs,50 suggesting that IgA class switching evolved first in their common ancestor. The inability to switch to IgA in AID-deficient mice is associated with changes in gut commensal bacteria,51 and it has been shown that impaired production of IgA promotes inflammatory responses.52 ILFs develop postnatally, driven by bacterial colonization of the gut by commensal bacteria,53 suggesting that the presence of IgA prevents inappropriate inflammatory responses to beneficial bacteria.

In contrast to T-dependent class switching, T-independent IgA switching in ILFs depends on the TNFLs, BAFF and APRIL, provided by CD11c+ cells.49 Although LTis do not provide the BAFF and APRIL signals directly, LTis are required for the formation of ILFs, and are therefore essential for the formation of the cellular environment for IgA class switching and plasma cell formation.

The AID-dependent IgA class switching in ILFs seems to be a mechanism to generate plasma cells that produce a less-inflammatory polymeric immunoglobulin isotype. In contrast, T-cell-dependent CD40-driven GCs in conventional B follicles are specifically directed at production of high-affinity antibodies through AID-driven somatic hypermutation in GC B cells. Although GC B cells do undergo AID-dependent immunoglobulin class switching, terminal differentiation to plasma cells is blocked and CD11c+ cells, an integral component of ILFs, are excluded from conventional B follicles. Instead, the CD11c+ cells are found in the T-zone and at the B/T interface, where they are also associated with LTis. Here, as in ILFs, AID expression is the route to class switching, and CD11c+ cells provide the BAFF and APRIL signals for plasma cell differentiation.

Figure 1 illustrates the potential evolution of ILFs from structures in which the LTis orchestrated class switching, depending on BAFF and APRIL from CD11c+ cells but not on T cells, to structures in which T cells were involved in B-cell selection. Putatively, the next stage is the segregation of CD11c+- and CD4 T-cell-dependent class switching into B follicles, primarily for the iterative CD4 T-cell selection of high-affinity B cells, and into the outer T-zone for the formation of immunoglobulin class-switched plasma cells.

Figure 1

A putative model for role of LTis in innate and adaptive immunity. FDC, follicular dendritic cell, DC, dendritic cell, B, B cell, T, T cell, LTi, lymphoid tissue inducer cell. (a) Putative LTi-like cells, present within the primitive immune system of the gut, promote epithelial integrity at mucosal surfaces through secretion of IL22. (b) LTi, adapted through expression of the lymphotoxin genes, orchestrate the organization of B cells and CD11c+ DCs into isolated lymphoid follicles (ILFs). These foster T-independent (TI) IgA class-switched plasma cells, mediated by BAFF and APRIL (expressed by DC), again to promote mucosal integrity. (c) Evolution of CD40-dependent T-cell selection within ILFs. LTis acquire the new TNF ligands (CD30L and OX40L), which evolve to promote CD4 memory.69 (d) Classical T-dependent (TD) responses in lymph node and spleen. In B follicles, CD40L-expressing CD4 T cells, LTis, and FDCs foster activation-induced cytidine deaminase (AID)-dependent affinity maturation in germinal center (GC). In the outer T-zone, T (CD40L) and CD11c+ cells (BAFF and APRIL) foster AID-dependent class switching in B cells that become plasma cells.

PowerPoint slide

Lack of CD4 memory in mice deficient in OX40 and CD30

The receptors for OX40 and CD30 are primarily expressed on activated T cells.54, 55 Owing to our evidence that primed CD4 T cells could interact directly with LTis 28 and that LTis readily express high levels of the ligands for CD30 and OX40, we grew mice deficient in OX40, CD30, or both molecules. Individual contributions of OX40 and CD30 signals to CD4 T-cell memory were identified,28, 56 but the striking result was that when both signaling pathways were removed, CD4 memory generation was abrogated.

The first CD4 T-cell function we studied was help for B cells. There was no effect on primary immune responses, and in both in vitro and in vivo studies, CD4 T cells deficient in OX40 and CD30 initially proliferated quite normally.56 Therefore, there does not seem to be a requirement for OX40 and CD30 for the primary generation of antigen-specific CD4 T cells or their initial expansion, just as primitive vertebrates lacking these genes exhibit normal primary immune responses. The impaired memory responses were not due to lack of appropriate positive selection in the thymus, as T-cell-receptor transgenic CD4 T cells deficient in OX40 and CD30 were positively selected, as they are normally. The key defect caused by the double deficit is in the capacity of primed CD4 T cells to survive, and OX40 and CD30 were found to have synergistic effects. The premature death of primed CD4 T cells was reflected in the CD4 T-cell driven GC response. GCs were initiated normally but terminated prematurely with the consequence that affinity maturation of the antibody response was grossly impaired. However, the most dramatic effect was on recall memory immune responses, which were vestigial in mice deficient in OX40 and CD30.


Our studies on double-deficient mice led us to conclude that OX40 and CD30 signals from LTis were critical for CD4 T-cell survival and memory. The importance of these molecules for CD4 survival extended beyond antibody responses, as mice deficient in signals through them were unable to sustain the CD4 Th1 response required to clear intracellular bacteria,57 suggesting that the mechanism for the induction of CD4 memory for antibody responses was shared with other CD4 T-cell effector/memory cells.

LTis and the induction and maintenance of tolerance

In addition to their importance in the generation of functional secondary lymphoid tissues, we have shown that LTis are present in murine thymus, in which they are located adjacent to thymic medullary epithelium.58 Interestingly, there are similarities between the thymic medulla and the splenic T-zone, including common cellular components (mature T-cells, dendritic cells, and now LTis) and sites of CCR7-mediated lymphocyte migration.59 We have linked LTis expression of the TNFL, TRANCE (TNFSF11), with the generation of the first cohort of autoimmune regulator (AIRE)-expressing medullary thymic epithelial cells (mTEC) in the embryonic thymus, which enables intrathymic expression of tissue-restricted antigens for self-tolerance. Although positively selected thymocytes have also been shown to induce AIRE-expressing medullary thymic epithelial cells,60 early expression of AIRE is necessary and sufficient to prevent autoimmunity.61 Therefore, the contribution made by LTis in the development of AIRE+ medullary thymic epithelial cells is an important component of self-tolerance.

As LTis are linked with the induction of tolerance to self and the generation of adaptive memory immune responses, we suggest that this is relevant to the mechanisms underlying autoimmunity. Self-tolerance is a cornerstone of adaptive immunity,62 and is particularly relevant in the context of CD4 memory, in which autoimmunity becomes a significant risk. The presence of both TRANCE and AIRE in early vertebrate genomes ( is consistent with AIRE-dependent mechanisms evolving early.

Putative origin of LTis and summary

The key role of LTis in vertebrates in the development of lymphotoxin-dependent organization of lymph nodes and OX40 and CD30-dependent memory would place these cells late in the evolution of the vertebrate immune system. However, LTis express many genes that are expressed in all vertebrates, including IL22,11 which is strongly implicated in mucosal epithelial immunity.63, 64 Recently, a population of LTi-like cells expressing high levels of IL22 has been described in the LP and gut-associated lymphoid tissue.65, 66, 67 In mice and men, these cells express RORγt and also some natural killer markers, notably NKp46,65, 67 although these cells lack natural killer function (cytotoxicity and interferon-γ expression). These cells were located not only in the LP65, 66 but also within murine cryptopatches.67 This has raised the possibility that LTis evolved first as innate cells maintaining epithelial integrity in the LP through expression of IL22 (Figure 1a). Recent data shows extensive synteny between the mammalian and the fish IL22 genetic loci, suggesting that this cytokine cluster was established in a common ancestor of mammals and fish.68 Murine cryptopatches, as their name suggests, are located between crypts at the base of the villi, and RORγt-dependent LTis are required for their formation,16 hence they are well placed to provide IL22 signals to the local intestinal epithelium (Figure 1a). Although cryptopatches have not been identified in other mammals, all mammals have ILFs; hence it is likely that LTis are also located adjacent to intestinal crypts in which the ILFs are formed.

Both IL22 and IgA promote mucosal defences, but the former is innate whereas the latter is part of the adaptive immune system. The evidence that cryptopatches became a focus for T-cell-independent B-cell selection and class switching to IgA through recruitment of CD11c+ cells expressing BAFF and APRIL49 defines a transition in LTi function, linking them with both innate and adaptive immunity (Figure 1b). These new functions were dependent on the acquisition by LTis of the new TNF genes encoding the lymphotoxins. LTis expression of lymphotoxins initially enabled cryptopatches to recruit B cells and form ILFs, structures for primitive T-independent AID-dependent class switching. These structures subsequently evolved into T-dependent ILFs, supporting CD4 and CD40-dependent B-cell selection (Figure 1c). In conventional lymphoid tissues, the process of T-dependent AID-dependent selection within GCs is segregated from AID-dependent class switching to plasma cells associated with CD11c+ dendritic cells (Figure 1d). Given the advantage against pathogens conferred by high-affinity memory antibody responses, it is likely that LTis, already keeping other cell types alive through TNFL expression, were the right niche for the expression of the late-evolving TNFLs, CD30L and OX40L, which supported survival of primed CD4 T cells.69


The authors declare no conflict of interest.


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This work was supported by a Wellcome Trust Programme grant to PL and GA.

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Correspondence to P J L Lane.

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