Credit: S.Bradbrook/NPG

FOXP3+ regulatory T cells (TReg cells) prevent autoimmunity by controlling self-reactive T cells in the periphery that have escaped negative selection. But little is known about where TReg cells are positioned in lymph nodes and how exactly they maintain immune homeostasis. This Nature paper, from the Germain laboratory, provides a new view on how TReg cells suppress self-reactive T cells to mediate immune homeostasis in peripheral tissues.

Using a recently described method of multiplex, quantitative imaging, termed histocytometry, Liu et al. observed that, in contrast to other FOXP3+ TReg cells that were distributed through the lymph node, FOXP3+ TReg cells expressing phosphorylated signal transducer and activator of transcription 5 (pSTAT5) primarily localized in a few discrete aggregates in the outer paracortical T cell region of lymph nodes of healthy mice. pSTAT5 is induced by interleukin-2 (IL-2), which is essential for maintaining TReg cell function, suggesting that these cells were actively responding to an IL-2 signal. Indeed, most of the pSTAT5+ TReg cells in these clusters, particularly those towards the centre of the cluster, expressed high levels of the suppressive molecules CD73 and cytotoxic T lymphocyte antigen 4 (CTLA4).

These TReg cell clusters preferentially contained CD11b+MHC class IIhi migratory dendritic cells (DCs), and some of them contained individual IL-2-producing CD4+ T cells, although the frequency of IL-2-producing cells in the lymph nodes was extremely low. So, what is driving IL-2 production by these T cells? Based on the observation that cluster formation was unaffected in germ-free mice, the authors concluded that these CD4+ T cells were activated by self-antigens, possibly presented by the migratory DCs. These data suggest that even in the presence of TReg cells, a small fraction of T cells can be sufficiently activated by self-antigen in the steady state to become IL-2-producing 'proto-effector' T cells.

In addition to IL-2, TCR signals are necessary for TReg cell function in the periphery. Conditional deletion of TCRα in TReg cells resulted in a disrupted spatial distribution of TReg cells, with fewer TReg cells forming discrete clusters. Furthermore, CD73 and CTLA4 expression levels were reduced, particularly at the centre of the clusters.

Finally, blocking IL-2 function in the steady state resulted in an increase in the frequency and total number of IL-2-producing CD4+ T cells in the spleen and lymph nodes. Further studies confirmed that TReg cell-sensing of IL-2 produced by proto-effector T cells is essential for TReg cell-mediated suppression of self-antigen-induced T cell activation and maintenance of self-tolerance.

So, this study suggests that TCR signals help TReg cells to localize in clusters with self-reactive T cells in the steady state where they sense IL-2 to prevent autoimmune responses.