Recent work has established the critical importance of tissue-resident memory T cells (TRM) in protection from a variety of infections, malignancies, and other diseases. In this special review collection, we present five review articles that focus on mucosal tissue T cells, both TRM and tissue regulatory T cells.
The study of immunity within mucosal tissues has long been appreciated to be critical for leading to new clinical interventions for prevention and treatment of many diseases and infections of global health significance that impact these tissue sites. These include but are not limited to tumors in mucosal tissues, autoimmune conditions of the gastrointestinal (GI) or respiratory tracts, asthma, sexually transmitted infections, GI infections, and respiratory infections such as influenza and coronaviruses. However, the technical difficulty in working with mucosal tissues from animal model systems, including relatively low immune cell yields from these non-lymphoid tissues, compounded by the complexity of obtaining human mucosal tissues in settings of both health and disease, has historically led to a relative paucity of studies of immune cells in mucosal barrier tissues as compared to immune cells from the circulation or lymphoid tissues. Despite these challenges, countless groups have focused on mucosal immunity, aided by recent advances in single-cell technologies such as high parameter flow cytometry and ssRNAseq approaches to secure unprecedented quantities of data from each rare cell recovered from these mucosal tissue locations. In particular, the past decade has seen an incredible advancement in the study of tissue-resident memory T cells (TRM), or T cells that reside in non-lymphoid tissues, including the mucosa, without recirculation1,2,3,4,5,6,7. In this review collection, we focus on these mucosal tissue T cells to review the plethora of studies that have demonstrated the prominence of TRM in aiding in protection from infection and disease.
TRM in the respiratory tract niche
The current COVID-19 pandemic has re-invigorated appreciation for the study of immunity in mucosal tissue compartments, with a particular spotlight on the respiratory tract. While vaccines have dramatically reduced severe disease and mortality associated with SARS-CoV-2 infection, the continual emergence of new variants of concern with differing transmissibility and ability to escape vaccine-induced and natural immunity underscores the possible advantages of mucosal vaccination that might better arm tissue lymphocytes, including TRM, to combat infection at the portal of pathogen entry. In this issue’s review by Zheng and Wakim, TRM within both the upper and lower respiratory tract are profiled8. The authors describe seminal studies that have elucidated the cues required for respiratory tract TRM development and maintenance, and they also highlight how respiratory tract TRM participate in immune surveillance against pathogen invasion and how these cells might be leveraged via vaccination. While respiratory tract TRM share many features with TRM in other barrier tissue sites, the focus on this unique microenvironmental niche may be critical when considering how to best prevent respiratory infections and associated disease.
Differences in mouse and human tissue T cells
Study of immunity in small animal model systems has been critical to make rapid advances in our understanding, yet ultimately the motivation behind these discoveries is to improve human health outcomes, and so studies of human immunity are equally critical, albeit challenging. Thus, our collection includes a review by Lange and colleagues of human mucosal TRM in health and disease9. The authors discuss the current state of knowledge regarding human TRM function within the GI tract, lung, head and neck, and female reproductive tract (FRT), as compared to what has been discovered using mouse model systems. TRM have been shown in each of these mucosal tissues to function in protection from pathogens as well as malignancies, and this focus on human TRM again highlights and explores how these cells can be best exploited therapeutically to limit human disease and suffering.
Microbiota-mediated shaping of tissue T cells
One of many unique features of the mucosa that impacts mucosal immune cell development and homeostasis is the abundant microbiota present in these compartments compared to the circulation or lymphoid tissues. The presence of complex microbial populations of bacteria, fungi, viruses, and protists at mucosal sites leads to an abundance of microbiome-derived antigens and metabolites that in turn affect cells and processes of the immune system, including TRM. The importance of exposure of the host to a diverse array of microbes has been recently highlighted through studies of so-called “pet store mice”10,11. Compared to mice continually housed in specific pathogen-free (SPF) facilities, feral or pet store mice have robust populations of effector and mucosal memory T cells10. This seminal study from Beura and colleagues not only provided new insight into how to improve mouse models to better mimic the human immune landscape, but also provided evidence for the hypothesis that the microbiota plays critical roles in shaping the TRM compartment. The review by Overacre-Delgoff and Hand includes discussion of studies in this emerging field that have demonstrated that the microbiota, including microbial-derived metabolites and antigens, shapes CD8+ and CD4+ T development, survival, and function.
A role for Tregs in tissue T cell biology
It is well-established that TRM play critical roles in protection from infection and disease in mucosal barrier sites. This is at least in part due to their location at the portal of pathogen entry, where they are present and thus immediately poised to act, as well as their superior memory potential by which they can rapidly mediate their effector function. Thus, given that TRM are located at barrier sites of initial pathogen invasion and are armed and dangerous, it stands to reason that these powerful cells would be subject to regulation to minimize immune-mediated damage that could compromise critical mucosal tissue functions. In two reviews within our collection, we examine the role of regulatory T cells (Treg) in balancing the TRM response in mucosal tissues. Tregs are critically important in mediating peripheral tolerance, and can suppress various immune cells, including T cells, through a variety of mechanisms. While Tregs were initially studied predominantly in lymphoid tissues, more recent work within the past 10 years has focused on the unique phenotypes and functions that non-lymphoid tissue Treg possess, including in mucosal tissues. Thus, Barros and colleagues discuss TRM and Treg populations within tissues, and explore the interplay between TRM and Treg12. In a separate review, Traxinger and colleagues summarize studies that have identified unique features and functions of mucosal tissue Tregs, including in the respiratory tract, GI tract, and genitourinary tract in health and disease13. We hope and expect that future work will continue to advance our understanding of mucosal tissue T cells and lead to new clinical strategies to prevent and treat infections and diseases by harnessing TRM and tissue Treg.
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The author declares no competing interests.
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Lund, J.M. A spotlight on heightened T cell complexity and relevance in mucosal tissues. Mucosal Immunol 15, 377–378 (2022). https://doi.org/10.1038/s41385-022-00485-z