BACKGROUND:
Tissue resident memory T (T
RM
) cells are a T-cell subset that resides at the site of prior antigen recognition to protect the body against reoccurring encounters. Besides their protective function, T
RM
cells have also been implicated in inflammatory disorders. T
RM
cells are characterized by the expression of CD69 and transcription factors Hobit (homolog of Blimp-1 [B lymphocyte–induced maturation protein 1] in T cells) and Blimp-1. As the majority of T cells in the arterial intima expresses CD69, T
RM
cells may contribute to the pathogenesis of atherosclerosis as well. Here, we aimed to assess the presence and potential role of T
RM
cells in atherosclerosis.
METHODS:
To identify T
RM
cells in human atherosclerotic lesions, a single-cell RNA-sequencing data set was interrogated, and T-cell phenotypes were compared with that of integrated predefined T
RM
cells. The presence and phenotype of T
RM
in atherosclerotic lesions was corroborated using a mouse model that enabled tracking of Hobit-expressing T
RM
cells. To explore the function of T
RM
cells during atherogenesis, RAG1
−/−
(RAG1 deficient) LDLr
−/−
(low-density lipoprotein receptor knockout) mice received a bone marrow transplant from Hobit
KO/CRE
Blimp-1
flox/flox
mice, which exhibit abrogated T
RM
cell formation, whereafter the mice were fed a Western-type diet for 10 weeks.
RESULTS:
Human atherosclerotic lesions contained T cells that exhibited a T
RM
cell–associated gene signature. Moreover, a fraction of these T cells clustered together with predefined T
RM
cells upon integration. The presence of Hobit-expressing T
RM
cells in the atherosclerotic lesion was confirmed in mice. These lesion-derived T
RM
cells were characterized by the expression of CD69 and CD49α. Moreover, we demonstrated that this small T-cell subset significantly affects lesion composition, by reducing the amount of intralesional macrophages and increasing collagen content.
CONCLUSIONS:
T
RM
cells, characterized by the expression of CD69 and CD49α, constitute a minor population in atherosclerotic lesions and are associated with increased lesion stability in a Hobit and Blimp-1 knockout mouse model.