In human small intestine, most CD8 T cells in the lamina propria and epithelium express a resident memory (Trm) phenotype and persist for at least one year in transplanted tissue.Intestinal CD8 Trm cells have a clonally expanded immune repertoire that is stable over time and exhibit enhanced protective capabilities. 2 Graphical abstract: Highlights The vast majority of CD8 T cells in the human small intestine are Trm cells CD8 Trm cells persist for >1 year in transplanted duodenum Intraepithelial and lamina propria CD8 Trm cells show highly similar TCR repertoire Intestinal CD8 Trm cells efficiently produce cytokines and cytotoxic mediators 3 Abbreviations: IE, intraepithelial LP, lamina propria RPMI, Roswell Park Memorial Institute medium SI, small intestine TCR, T cell receptor Trm, resident memory T cell Tx, pancreatic-duodenal transplantation (of diabetes mellitus patients) Summary: Resident memory CD8 T cells (Trm) have been shown to provide effective protective responses in the small intestine (SI) in mice. A better understanding of the generation and persistence of SI CD8 Trm cells in humans may have implications for intestinal immunemediated diseases and vaccine development. Analyzing normal and transplanted human SI we demonstrated that the majority of SI CD8 T cells were bona fide CD8 Trm cells that survived for over 1 year in the graft. Intraepithelial and lamina propria CD8 Trm cells showed a high clonal overlap and a repertoire dominated by expanded clones, conserved both spatially in the intestine and over time. Functionally, lamina propria CD8 Trm cells were potent cytokineproducers, exhibiting a polyfunctional (IFN-γ+ IL-2+ TNF-α+) profile, and efficiently expressed cytotoxic mediators after stimulation. These results suggest that SI CD8 Trm cells could be relevant targets for future oral vaccines and therapeutic strategies for gut disorders.