26The memory CD8 T cell compartment in human cervicovaginal tissue (CVT) is phenotypically 27 and functionally distinct compared to other non-lymphoid tissues. To determine if these 28 distinctive features are driven by residence in the tissue itself, rather than a consequence of 29 local antigenic insults, we used a mouse model to assess memory CD8 T cell differentiation in 30 the CVT. Following systemic immunization to elicit a CD8 T cell response to a herpes simplex 31 virus (HSV) epitope, HSV-specific memory CD8 T cells were stably maintained in other tissues 32 but gradually declined in the CVT over 5 months post-immunization, correlating with a delay in 33 viral control upon HSV challenge. While memory cells in the periphery and small intestine 34 maintained a fairly stable phenotype after 30 days, memory CD8 T cells in the CVT gradually 35 acquired a CD103 + , TCF-1 -, granzyme B + phenotype over the 5 month time span. Notably, a 36 sizable and phenotypically similar population of CD8 T cells was also found in human CVT. Our 37 data indicate that the CVT environment itself considerably affects memory CD8 T cell 38 maintenance and differentiation, and call for a reassessment of the prevalent model of memory 39 T cell maintenance which does not currently account for tissue-specific divergence.
40Pathogens that infect mucosal barrier surfaces represent a significant global health 43 burden, yet immune cell function within reproductive mucosal tissues remains understudied. In 44 addition, the phenotypic and functional characteristics of memory T cells in cervicovaginal tissue 45 (CVT) compared to other mucosal and lymphoid organs is poorly understood, despite the 46 potentially broad importance of this cellular population in the context of sexually-transmitted 47 infections.
48We recently reported that memory CD8 T cells in the human CVT displayed unique 49 phenotypical and functional features including the presence of a subset of CD69 -CD103 -50 inflammatory CD8 T cells (1). Importantly, the majority of memory CD8 T cells in the CVT of 51 healthy women typically expressed CD103 and CD69, which are biomarkers associated with 52 tissue-residence (2-4), suggesting that most memory CD8 T cells in the human CVT stably 53 reside there. Tissue-residence itself can affect functional and phenotypical properties of T cells 54 (5)(6)(7)(8)(9)(10)(11)(12)(13), which is thought to be a consequence of exposure to metabolites, cytokines, and other 55 factors present in the tissue environment in steady state conditions(14, 15) (16). However, it is 56 unclear if the distinctive features of memory CD8 T cells in the CVT are a consequence of 57 recurring local infections and antigenic insults or driven by residence in the tissue itself. To 58 address this question, we used a mouse model system to assess memory CD8 T cell 59 differentiation and maintenance in the CVT. Specifically, we used a systemic immunization 60 strategy to induce HSV-specific memory CD8 T cells. We then tracked these antigen-specific T 61 cells across tissu...