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T Cell Repertoires During Fetal Development1

*
Department of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104; and
Department of Biology, Yale University, New Haven, CT 06520
| Abstract |
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T cells are normally generated is
not clear. We have used an RT-PCR assay and DNA sequencing to identify
and compare
-encoded TCRs (TCRDs) that are generated de novo in the
fetal gut, liver, and thymus and to determine when, where, and how the
TCRD repertoire is established during normal embryonic development.
Rearranged TCRDV genes are first expressed outside of the
thymus in the liver and primitive gut between 6 and 9 wk gestation.
Although DV1Rs and/or DV2Rs predominated, differences in the pattern of
TCRDV gene rearrangement and transcription in each tissue
during ontogeny were identified. Specific, DV2-encoded TCRs are highly
conserved throughout ontogeny in the tissues from the same and between
genetically distinct donors. Although the thymic and intestinal 
T cell repertoires partially overlap early in development, they diverge
and become nonoverlapping during the second trimester, and the
generation of the intestinal 
T cell repertoire is characterized
by differences in the processing of DV1Rs and DV2Rs. Whereas the
structural diversity of DV1Rs progressively increases during gut
development up to birth, DV2Rs have limited structural diversity
throughout ontogeny. Together, our findings provide evidence for the
ability of different fetal tissues to support the development of 
T cells. | Introduction |
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T cell repertoire is generated is poorly
understood. Unlike
ß T cells, which are almost exclusively
dependent upon the thymus for their development, 
T cells can be
generated in extrathymic sites. Recently, we have shown that the fetal
liver is an extrathymic site for 
T cell development during
normal human development (1). CD3+ lymphocytes that
express 
TCRs5 can be identified before thymic
development at 6 to 8 wk gestation. These cells express TCRs that are
essentially monomorphic and capable of responding to microbial
antigenic stimulation. Other studies that have identified populations
of 
T cells unique to the liver are consistent with our finding
that the liver is a site of 
T cell development (2, 3). One
question raised by these findings is whether other fetal hematopoietic
tissues, such as the fetal intestine, are also sites of human 
T
cell development; if so, are the populations generated distinct from
those produced in the fetal liver and later in the thymus?
A comparative analysis of TCRDV gene usage by 
T cells
(4) in the fetal and adult gut has shown they are distinct.
TCRDV2+ T cells have been shown to predominate in the fetal
gut (5), whereas TCRDV1+ T cells have been shown to be the
major 
T cell population in the adult human intestine, comprising
30% of intestinal intraepithelial lymphocytes
(IELs)6
(6, 7, 8). Interestingly, unlike the adult human thymus, the adult
intestinal TCR-
and TCR-
ß repertoires are oligoclonal (9, 10, 11, 12, 13, 14).
Recent studies suggest that this oligoclonality is established between
neonatal and adult life (15). However, how this oligoclonality occurs
is currently not known.
The intestinal epithelia, similar to the thymic epithelium, may be able to support T cell development, and several lines of evidence suggest a lymphopoietic capacity of the murine small intestine. Within the epithelial spaces, cells can be identified that express markers that are characteristic of immature T cells, such as the CD3-CD4-CD8+ cells which are TCR- but contain abundant recombination activating gene (RAG) transcripts (16). Unique structures in the crypts known as cryptopatches contain cells that are phenotypically immature (17). Ectopically transplanted fetal intestinal grafts in athymic mice have been shown in some studies (18) to support T cells within the grafts and the generation of T cells in the peripheral compartment. Positive and negative selection of murine intestinal IELs (19, 20, 21) has been shown, demonstrating a capacity of the intestinal epithelium to provide a suitable milieu for selection. Finally, the ability of intestinal epithelial cell lines to promote the phenotypic maturation of T cells during in vitro culture suggests that the intestinal epithelia may be able to induce or support the differentiation of T cell progenitors (22, 23, 24).
Despite these studies, the possibility that the human fetal intestine
can support T cell development has not been addressed. To understand
more clearly how the 
T cell repertoire is generated at the
molecular level and the nature of the mechanisms that might contribute
to their selection and survival, we have conducted a detailed
ontogenetic analysis of 
TCR gene expression in the intestine,
comparing it with that seen in the liver and thymus during human fetal
development. We have used a large number of samples from various ages
during fetal development to analyze the expression of TCRDV
genes in the fetal liver and gut before thymic colonization; this
expression was also analyzed in the thymus, liver, and gut after thymic
colonization from the same donors when possible. We provide evidence
for the ability of different fetal tissues to influence the development
of human 
T cells and identify features of the TCRDV intestinal
repertoire that distinguish it from those expressed in other fetal
tissues.
| Materials and Methods |
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Fetal tissue samples were procured by the Anatomic Gift
Foundation (Laurel, MD) with the approval of the University of
Pennsylvania Committee for Studies Involving Human Subjects
(Philadelphia, PA). The gestational age of individual samples was
determined according to the Carnegie embryonic staging system (25, 26).
Where possible, microscopic examination was also used to establish the
absence or presence of a thymic rudiment. The liver, thymi, and
intestine samples obtained from same donors and used for this study
were: 6 wk: No. 6-01 (liver, gut); 6.5 wk: No. 6.5-48 (thorax, liver,
gut); 8.7 wk: No. 8.7-691 (thymus, liver, gut); 9 wk: No. 9-14330
(thymus, liver, gut), No. 9-14449 (thymus, liver, gut), and No. 9-32043
(thymus, liver, gut). The origin and age of other samples used in this
study is shown in Table I
.
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repertoire
Total cellular RNA was prepared from fetal tissue as previously
described (27). RNA pellets were extracted sequentially with
acidic-phenol (once), phenol-chloroform (1:1, once), and chloroform
(twice) before ethanol precipitation. We used
10 µg of total
cellular RNA to synthesize cDNA with random hexanucleotides. The amount
of cDNA synthesized from each RNA sample was normalized according to
the amount of human ß-tubulin PCR product generated from 1 µl of
cDNA that had been amplified using ß-tubulin-specific primers (28).
The primers and the RT-PCR assay used for the TCRDV gene
segment analysis have been described previously (27). Briefly,
oligonucleotide primers specific for DV1, DV2, or
DV3 in combination with a DC gene segment primer
were used to amplify cDNA in a 10 µl reaction volume using an
air-driven thermal cycler (Idaho Technology, Idaho Falls, ID). A nested
PCR assay was used to analyze the DV-DJ usage (1). The
products of DV-DJ amplification were electrophoresed, and TCRD PCR
products were gel purified and quantitated by DNA fluorometry.
Equivalent amounts of each cDNA were used as a template for a second
amplification using the same forward DV primer and a reverse primer
that was specific for each of the four human DJ genes. The
reverse primers corresponding to the DJ gene segments used
for the analysis of DJ gene usage among amplified DV1-DCRs,
DV2-DCRs, and DV3-DCRs have been described previously (1). For
DV/DJ gene analysis, DV1, DV2, and DV3 oligos that lie at
the 3' end of each DV gene and internal to the priming
oligos were used as probes. Individual DV1-DJ14, DV2-DJ14, and
DV3-DJ14R cDNA clones were used to determine the optimum conditions
for the proportional amplification of DV/DJ genes without
cross-priming.
mAbs and flow cytometry
The murine mAbs reactive with human TCR-
and CD8
proteins were purchased from T Cell Diagnostics (Boston, MA). The
anti-human CD3 Ab was obtained from Becton Dickinson (Sunnyvale,
CA). The anti-human
ß Ab, BMA031, was obtained from
Behringwerke AG (Marburg, Germany). Before staining, fetal liver and
gut mononuclear cell (MNC) preparations were depleted of erythroid
cells by immunomagnetic depletion (28) using an anti-human
glycophorin A-specific Ab (Immunotech, Westbrook, ME); the remaining 10
to 15% of cells were incubated with Abs to human FcR
II (clone 4.3,
American Type Culture Collection (ATCC), Manassas, VA) and FcR
III
(clone 3G8, ATCC) to block the nonspecific binding of
fluorochrome-conjugated Abs. For the two-color flow cytometric analysis
of fetal 
T cells, between 2 x 105 and
1 x 106 cells were initially stained with
biotinylated primary Abs and then stained with phycoerythrin-conjugated
Abs and streptavidin-Red613 (Life Technologies, Gaithersburg, MD) as
described previously (29). Stained cells were run on a FACScan (Becton
Dickinson) and analyzed using Lysis II software.
DNA sequencing
PCR-amplified DV1-DCR and DV2-DCR cDNAs were agarose-gel purified (Glas Pac/GS, National Supply Company, San Rafael, CA) and cloned into the pGEM-T vector (Promega, Madison, WI) or the TA vector (InVitrogen, San Diego, CA). Plasmid minipreps from randomly picked colonies were used to obtain DNA for the sequencing of both strands by the dideoxynucleotide chain termination method using modified T7 polymerase (Sequenase Version 2.0, U.S. Biochemical, Cleveland, OH).
| Results |
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The primitive gut forms during wk 4 of gestation as the head, tail, and lateral folds incorporate the dorsal part of the yolk sac into the embryo. The primitive gut is divided into the foregut, the midgut, and the hindgut, which can be distinguished on the basis of arterial blood supply; the celiac, superior mesenteric, and inferior mesenteric arteries vascularize the foregut, the midgut, and the hindgut, respectively. Branches of the celiac artery vascularize outgrowths of the foregut, in particular the liver, early during wk 4, establishing a common blood supply and a link between the developing gut and liver (30). This finding has important implications in understanding the origin of the first lymphoid cells. Intestinal IELs have been identified at 11 wk (31), and lymphocytes in the lamina propria have been identified at 14 wk (32). Peyers patch aggregates are first evident at 11 wk; these aggregates are diffusely colonized with T and B lymphocytes at 16 wk and with defined zones of the germinal follicle of Peyers patches at 19 wk (33), suggesting that the anatomic organization of the fetal intestine is apparent during the first trimester.
Study outline and samples
Our study was designed to address how the human 
T cell
repertoire is normally generated in vivo during fetal development.
Specifically, we addressed when and in which tissues
TCRDV-DC genes are first activated, whether the fetal gut is
a site of 
T cell development, and, if so, whether the
populations generated are distinct from those found in other sites of T
cell development, such as the fetal liver and thymus.
We focused on the analysis of 
T cell development in the fetal
intestine, liver, and thymus before and after thymic development and
colonization by T cell precursors. TCR gene expression was restricted
to the analysis of the TCRDV repertoire since, in contrast to TCRGV
mRNA expression (34), TCRDV mRNA expression correlates well with
protein expression. Although six DV genes have been
described (35), subsequent analyses have shown that TCRDV4,
TCRDV5, and TCRDV6 are TCRA genes
(TCRAV6.2, TCRAV21, and TCRAV17,
respectively) (35, 36, 37, 38). Since rearranged TCRDV1-,
TCRDV2-, and TCRDV3-DC genes preferentially
rearrange to DJ gene segments to form TCRDRs rather than to
AJ gene segments to form TCRARs, our study was restricted to
these three predominant TCRDV-DJ-DC genes.
Since the quantities of fetal tissues obtained were small, and cell
numbers were low, it was not possible to routinely perform analyses on
isolated TCR+ cells. Instead, an RT-PCR assay was used to
characterize TCRDVR transcription. The specificity of the primers used
was verified using individual TCRDV-DC cDNAs cloned from 
T cell
lines or clones. No PCR product was amplified in the absence of cDNA or
when an irrelevant cDNA (fetal kidney) was used as a substrate. Over a
concentration range of 104-fold, the amount of PCR product
obtained was proportional to the amount of substrate cDNA as detected
by Southern blot hybridization. This finding was determined by the
amplification of a range of concentrations of T cell cDNA diluted into
fibroblast cDNA as described previously (28). This assay cannot,
however, provide any quantitative data concerning TCRDV gene
expression, and the conclusions reached in this study rely on detecting
changes or differences in the relative levels of TCRDV gene
expression.
To identify and analyze TCRDVR transcription that may occur
independently of any thymic influence, liver and gut samples were
obtained before thymic colonization at 6 wk gestation. In addition,
thorax/thymus, liver, and gut samples were obtained before or
coincident with thymic colonization at 8 wk gestation. In some cases,
it was possible to obtain multiple tissues from the same donor. To
overcome the potential variability of human tissue and to analyze
TCRDV gene rearrangement at later times during fetal
development, >100 additional tissue samples were used (Table I
).
TCRD gene rearrangement and transcription in the fetal liver and gut before thymic colonization
Our first indication that TCRDVR transcripts might be activated in the fetal liver and gut independently of the thymus was detecting expression of RAG-1 and RAG-2, which are normally required for the rearrangement of TCR genes (39, 40), in the 6 wk liver and gut (Ref. 1 and data not shown). Consequently, fetal liver MNCs and gut tissue mRNA samples between 6 and 9 wk gestation were analyzed for evidence of TCRDV-DJ using a sensitive RT-PCR technique that had been previously optimized for the analysis of TCRGV and TCRDV genes in the human fetal thymus (27) and liver (1), as described in Materials and Methods.
Although the profile of TCRDVR transcripts in the liver and gut
were very similar at 6 wk, there were differences in the extent of
DJ usage in TCRDV1-, TCRDV2-, and TCRDV3-encoded receptors
(Fig. 1
). Whereas TCRDV1R (Fig. 1
A) and TCRDV2R transcripts (Fig. 1
B) almost exclusively used DJ1 and/or
DJ3 genes, all of the DJ gene segments were used
in DV3R transcripts (Fig. 1
C). In the 8 wk samples,
it was possible to identify profiles of TCRDV-DJR transcripts that were
unique to each tissue. In the gut, the restricted use of DJ1and DJ3 in TCRDV1-encoded receptors (Fig. 1
A) and the use of all DJ gene segments in
TCRDV3R transcripts (Fig. 1
C) distinguished it from
the profiles seen in the thymus and liver. In addition, the
predominance of DV3-DJ3R transcripts in the 8 wk liver distinguished it
from the thymus, in which TCRDV3R-transcripts were barely detectable
(Fig. 1
C).
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To extend this analysis and determine whether and how the TCRDV
repertoire changes later in fetal development, an additional 117 fetal
tissue mRNA samples obtained from donors between 9 and 33 wk gestation
(Table I
) were analyzed. The Southern blot analysis of PCR-amplified
TCRDV-DC genes from most of these fetal tissues is
summarized in Table II
.
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The pattern of TCRDVR transcripts changes in conjunction with
thymic colonization (Table II
). TCRDV1 predominated between 15 and 16
wk, while the expression of the other TCRDV genes was only
detected after a long (4-day) exposure. TCRDV1 and TCRDV2 were more
strongly expressed than TCRDV3 transcripts between 17 and 22 wk and at
33 wk gestation, with TCRDV2 being predominant. Within the postnatal
thymus, DV1 expression was predominant, and DV2 expression could not be
detected, as we (1) and others (41, 42, 43, 44) have previously observed.
The pattern of TCRDVR transcripts also changed during fetal liver
ontogeny and was distinct from that seen in the thymus (Table II
).
Whereas most DV transcripts were detected between 9 and 14 wk in the
thymus, the profile of transcripts in the liver was more restricted,
with DV2 predominating in the majority of samples analyzed. Indeed, DV2
was the only transcript detected in five of six 16 wk samples. At 17 to
22 wk, all DV transcripts were detected, with DV2 remaining
predominant.
In the fetal intestine, most TCRDVR transcripts were expressed
throughout ontogeny. However, in contrast to the liver and thymus, a
single receptor, DV2, was predominant throughout ontogeny (Table II
).
DV1 expression was more variable; this expression was predominantly
seen at 9 to 11 wk, 15 to 15.5 wk, and 33 wk. The apparent increase in
the amount of DV2 transcripts detected as ontogeny proceeds (Table II
and data not shown) may reflect an increase in the number of
TCR-
+ cells or in the number of transcripts per cell.
This increase is coincident with the time in gut development during
which it is possible to isolate sufficient numbers of 
T cells
for analysis (see below).
Summary of the TCRDVR transcription pattern in the thymus, liver, and gut
While it is not surprising that there is some variability between
age-matched samples, consensus patterns of expression were apparent
(Table II
). For example, one striking feature was the singular
predominance of DV1R transcripts in the 15 to 16 wk fetal thymus and
DV2R transcripts in the 16 wk fetal liver. Also, the overall pattern of
DV3 transcripts was less variable than DV1 or DV2 transcripts in all of
the samples examined. DV1 was predominant in both the 3-yr postnatal
thymus and the adult intestine, as previously described (9, 10, 27, 41, 42, 43) and is included here to demonstrate the comparison of TCRDVR
transcripts in fetal and adult tissues.
Structure of TCRDV1R transcripts expressed before and after thymic colonization
Although the normal adult intestine is characterized by the
oligoclonality of the TCR-
repertoire (9, 10, 11, 12, 13, 14) that becomes apparent
after birth at between 14 and 17 years of age (15), the analysis of
oligoclonality in fetal development had only been studied at a single
timepoint (20 wk) (15). Thus, we were interested in determining whether
any oligoclonality was apparent during early fetal life, mid-gestation,
or late gestation. Therefore, the structure of PCR-amplified TCRDVRs
expressed in samples of different gestational ages was analyzed. Since
DV1 was the predominant DV gene expressed in the fetal
thymus after colonization as well as in the postnatal thymus and the
adult intestine (9, 10, 27, 41, 42, 43), this receptor was initially chosen
for DNA sequence analysis. In addition, since we have shown here that
DV2R transcripts can be detected as early as 6 wk in the primitive gut
(Fig. 1
B), this receptor was also chosen for DNA
sequence analysis.
Table III
is a compilation of DV1-DJ and
DV2-DJ DNA sequences from the paired 6 wk liver/gut (No. 6-01L, No.
6-01G) and 8 wk thymus/liver/gut (No. 8-691T, 8-691L, 8-691G) samples.
Since it was difficult to isolate DV1Rs for sequence analysis in these
very early samples (Table III
A) with a single DV-DC PCR amplification,
the PCR products were gel-purified, quantitated, and reamplified in a
nested PCR using DV and DC oligos that were lying internal to those
used for the initial amplification reaction. Despite this additional
amplification step, it was only possible to isolate a small number of
cDNA clones from the 6 wk samples; this lack of isolation reflects the
small size (
1% of liver MNC) (1) of TCR-
mRNA-expressing
cells in these early fetal tissues. In addition, we were unable to
obtain any DV cDNA clones from the 6 wk fetal liver sample. In the 6 wk
gut, two distinct receptors were identified; they comprised one or more
DD gene segments and primarily used a DJ1 gene
segment. These features are uncharacteristic of "fetal" receptors
that usually have a single TCRDD gene segment and limited
junctional diversity. Neither of these receptors were found in the
fetal intestine, thymus, or liver at later stages of gestation.
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A comparison of the predicted amino acid sequence for TCRDV1- and
TCRDV2-encoded receptors clearly shows that the
complementarity-determining region (CDR)3 of the DV1Rs is longer than
the DV2Rs (Table IV
), further
illustrating the difference between DV1R and DV2R transcripts in 6 to 9
wk fetal tissues.
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We chose to analyze DNA sequences in 15 wk intestinal samples,
since our analysis of TCRDV mRNA expression (Table II
) identified a
striking change in TCRDV gene expression, particularly in
the intestine at this time point, and sufficient numbers of cells for
phenotypic analysis could be isolated. At this point in development,
the structural diversity of DV1Rs expressed in the intestine was
comparable with those expressed earlier during ontogeny (Table IV
A). Of
the 15 DNA sequences obtained, 10 were productive and were represented
only once or twice (Table IV
A). This diversity in receptor sequences
was attributable to N/P nucleotide insertion and exonucleolytic
nibbling, particularly at the 5' and 3' ends of the DD3 gene
segment (data not shown). The CDR3 lengths of these receptors were
comparable with those expressed in the 6 and 8 wk intestine (Table IV
A). Thus, there is no evidence of TCRDV1 oligoclonality in the fetal
intestine at this time point.
A DNA sequence analysis of 24 DV1Rs from the 33 wk gut sample
demonstrated that the diversity of this receptor repertoire was
increased further. Of the 24 sequences obtained, none was represented
more than once, and they resembled the structure of neonatal/adult
receptors, with multiple DD gene segment usage and N/P
nucleotide insertions present (data not shown). A total of 13 of 24
DV1Rs were in frame (Table IV
A) and further illustrate the increase in
the CDR3 length of these receptors at this time.
The structure TCRDV2Rs in the fetal gut between the first and third trimester of gestation
To determine whether the structural complexity of DV2R genes was similar to DV1R genes and whether the oligoclonality of the DV2 repertoire was apparent at all during fetal life, we analyzed the DV2R genes from the 6 (No. 6-01), 8.7 (No. 8.7-691), 15 (No. 15-185G), and 33 wk (No. 33-01G) gut samples that had been used for the analysis of DV1Rs.
Of the DV2 cDNAs sequenced from the 6 and 8.7 wk gut, the same sequence
and receptor was predominant in each sample (Table IV
B). Of the DV2
cDNAs sequenced from the 15 wk gut, 12 of 16 were productive, of which
two represented approximately half (6 of 12) of those sequenced.
Compared with DV1Rs, the DV2Rs were structurally simpler, with limited
N/P nucleotide insertion and exonucleolytic processing and use of a
single DD gene segment. The CDR3 lengths of 33 wk DV2Rs
(Table IV
B) were strikingly similar to those identified in the 15 wk
sample. In addition, while there is a predominance of DV2Rs using the
DJ1 gene segment in the first trimester, this changes to a predominance
of DJ3 use in the third trimester. Thus, while DV1Rs between 6 and 33
wk were extensively modified and structurally diverse, DV2Rs in the
same donors were fetal in structure.
Thymic and intestinal 
T cells are phenotypically distinct
and use structurally distinct, nonoverlapping TCRDV2Rs
Since the expression of 
TCR and associated differentiation
Ags (CD2, CD3, CD4, and CD8) may distinguish between populations of
fetal 
T cells, a phenotypic analysis of intestinal and thymic

T cells that had been isolated from a single 15 wk donor was
performed. This analysis could not be performed on earlier samples,
because it was not possible to isolate sufficient numbers of cells.
Thymocytes and gut lymphocytes isolated from the same 15 wk donor were
stained using Abs directed against 
TCR, CD3, and CD8
cell
surface glycoproteins (Fig. 2
). 
T
cells comprised 2% of CD3+ thymocytes and were
CD8- (and CD4-, data not shown). The fetal
gut MNCs were uniformly positive for CD45 (>95%), variably expressed
CD2 (4050% positive) and CD7 (6075%), and were essentially
negative (<5%) for the myelomonocytic and B cell lineage markers
CD11b and CD19, respectively (data not shown). Of these cells, 8 to 9%
were CD3+, of which virtually all cells were

+ (Fig. 2
). In contrast to TCR-
+
thymocytes, intestinal 
T cells were uniformly
CD8
+. Thus, 
cells comprise the vast majority of
those T cells in the 15 wk gut that can be distinguished from the
thymic population on the basis of CD8
expression. Our data does not,
however, enable us to establish when CD8
expression is acquired by
intestinal T cells and whether it is restricted to cells residing in
the intestinal epithelium or is acquired by CD8 thymic migrants that
populate the intestine.
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T cells
expressed distinct receptors, a comparative analysis of TCRDV2Rs was
undertaken using fetal thymus and gut samples from the same donor (No.
15-185T/15-185G). While all (8 of 8) of the receptors in the fetal
thymus were distinct, >50% (6 of 11) of the sequences in the fetal
gut sample were represented by two sequences (Table V
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| Discussion |
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T cell
repertoire is characterized by differences in the processing of DV1R
and DV2R genes. Whereas the structural diversity of DV1Rs is apparent
in ontogeny and progressively increases during gut development, DV2Rs
have limited structural diversity throughout ontogeny. Finally, our
results are consistent with the recent findings that the oligoclonality
of the intestinal DV1R repertoire is established after birth
(15).
The expression of RAG mRNA and TCRDVR transcripts in the fetal gut
before thymic organ formation and colonization and by lymphocyte
progenitors is consistent with the observation that the gut, like the
fetal liver (1), is an extrathymic site of de novo gene rearrangement.
However, the exact sequence of TCRD gene rearrangment and expression,
the site(s) in which it is initiated, and the mechanism by which the
gut might be seeded with progenitors are not known. Although we can
exclude the thymus as the site of origin of cells expressing the TCRDVR
transcripts that are present in the 6 wk primitive gut, our studies
cannot discriminate between the following possibilities: 1) that these
cells originated in the liver and traveled to the gut, 2) that they
were generated in the gut and seeded to the liver, or 3) that they were
generated independently in each tissue. The identification of 
and IEL progenitor populations in the human intestine would help
resolve this issue. Although putative IEL progenitor cell populations
have been identified within distinct clusters of cells or cryptopatches
(17) in the murine intestinal mucosa, analogous populations of cells
have not been found in the human intestine to date.
The striking diversity of TCRDV1Rs expressed in the 6 wk primitive gut
distinguishes the 
R expression in this site from that seen in
either the thymus or liver at any time during fetal development. The
structure of these receptors resembles that seen in adults, suggesting
that they may be of maternal origin. The inability to detect terminal
deoxynucleotidyltransferase activity in fetal tissues until 12 wk
gestation (45) and the presence of V
1+ 
T cells
within the placental decidua at this time during fetal development (46)
is consistent with this possibility. However, if DV1-expressing 
T cells can cross the placental barrier and gain access to the fetal
circulation, this action would be a property that is unique to this
subset of 
T cells, since we have been unable to obtain any
evidence for the presence of maternally derived DV2-expressing 
T
cells in fetal tissues (1).
Distinctive patterns of TCRDVR transcripts and receptor structure in
different tissues of the same donor may reflect the trafficking of
different DV+ populations to and from distinct anatomical
sites at different times during development. The establishment of a
common blood supply between the liver and intestine after wk 4 of
gestation and the vascularization of the thymus after 8 wk gestation
(30) provides a means by which cells generated in the liver or gut can
transit between each tissue and to the thymus. The expression of
adhesion molecules by 
populations or their progenitors promoting
their adherence to, and retention by, various stromal cell populations
provides a possible mechanism for the distribution and retention of
specific 
cells in different tissues. Indeed, the preferential
localization of V
1+ 
cells to intestinal epithelia
is associated with the expression of a particular integrin, E-cadherin,
(47). In addition, we and others have also shown that among human

T cells, V
1+ cells can preferentially adhere to
fibroblasts normally found in the skin (48) and colon (49). An
alternative but not mutually exclusive explanation for these
differences in tissue TCRDV profiles is that they may be a consequence
of the selective survival, expansion, or death of particular
V
-expressing cells by various factors (e.g., Ags and cytokines) that
are present in the microenvironments of each tissue.
The conservation of identical, particularly DV2, receptors is another
striking feature of human 
T cell development. In addition to the
DV2Rs first detected in the 6 wk fetal liver and gut, receptors with
the same sequences can be found among a panel of 
T cell clones
derived from the 14 wk fetal liver (1) and among cDNA clones from the
thymus and peripheral blood of adults (50). Although the nature of the
mechanisms responsible for this bias in receptor usage are not known,
it seems likely that both intrinsic (genetic) or extrinsic
(environmental) factors are involved. An analysis of rearranged
DV/DC genes on both chromosomes of human peripheral blood,
thymus, and intestinal 
T cell clones has suggested that
preferential gene rearrangement accounts for the bias in TCRV region
usage in human 
T cells (51). However, we are unable to exclude
the possibility that once the cells expressing these receptors are
generated, their survival and growth ("selection") may be dependent
upon Ag; the identity of these Ags has not been established. Specific
fetal receptors could also be maintained throughout life as a
consequence of their continuous generation and/or longevity. The
continuous de novo generation of fetal receptors seems less likely,
since the mechanisms that diversify AgRs also become more active and
are extensively used to generate diverse repertoires as ontogeny
proceeds. Their longevity may be due to continuous or periodic exposure
to Ag. For example, the expansion of DV2R-bearing 
T cells that
is seen in the peripheral blood of neonates (52, 53) suggests that the
initial exposure to environmental Ags is one such timepoint during
which fetal or neonatally derived 
T cells can be expanded. The
possibility that the retention of 
T cell subsets in specific
tissue microenvironments may also contribute to their longevity is
suggested by the finding that the survival of Ag-stimulated T cells is
increased as a result of their ability to bind and interact with tissue
fibroblasts (54).
Our comparative analyses of TCRDVR expression in fetal hematopoietic
tissues clearly distinguish the intestinal repertoire from that of the
liver and thymus. In addition, our results also show that the
oligoclonality of TCRDVRs, which is a hallmark feature of the
intestinal 
T cell repertoire in humans (9, 10, 11, 12, 13, 14, 15), is not
established until very late (after 33 wk) in gestation or, as suggested
by others (15), after birth. Although experiments conducted in
conventionalized germfree mice suggest that exposing mucosal T cells to
commensal gut bacteria can influence the repertoire of Ag and TCR
specificities present (55), and that DV1-expressing human cord blood T
cells can proliferate in vitro in the presence of certain bacterial Ags
(56), there is no compelling evidence that this mechanism "shapes"
the intestinal TCRD repertoire in humans.
A comparison of TCRDV1R and TCRDV2R sequences in 15 wk fetal
thymus and gut samples from the same donor indicated that there were no
overlapping sequences shared between these sites; the phenotype of
intestinal and thymic 
T cells is distinct and is consistent with
functionally distinct receptor-bearing cells residing in different
compartments. In addition, a comparison of DV1R and DV2R sequences
present in the gut of the same donor at mid-gestation (15 wk) and late
gestation (33 wk), showed that each receptor was processed differently,
resulting in receptors that have extensive (DV1) or minimal (DV2)
receptor sequence diversity. These differences in the processing of gut
DV1Rs and DV2Rs may be attributable to differences in the availability
or accessibility of each TCRDR to the machinery responsible for
diversifying AgRs, such as exonucleases and terminal
deoxynucleotidyltransferase. This may be a general feature in normal
fetal development, since the differential processing of rearranged TCRD
receptors found in the fetal gut has previously been identified in the
human fetal thymus (27, 57). The mechanisms that generate AgR diversity
appear, therefore, to operate differently for distinct TCRDV-DCRs.
In summary, our studies have shown that TCRDV-DCRs are expressed in the
fetal liver and gut before thymus development and suggest that these
tissues may be able to support the development of specific 
T
cell populations. Further insights into the nature of the mechanisms
that influence 
development in these sites will in large part be
dependent upon the identification of the ligand(s) that are reactive
with the receptors expressed by these cells.
| Footnotes |
|---|
2 Current address: Department of Biochemistry, University of California at San Francisco, San Francisco, CA 94080. ![]()
3 Current address: Department of Pediatrics, Yale University, New Haven, CT 06510. ![]()
4 Address correspondence and reprint requests to Dr. Simon R. Carding, University of Pennsylvania School of Medicine, Department of Microbiology, Johnson Pavilion, Room 303A, Philadelphia, PA 19104-6076. E-mail address: ![]()
5 The nomenclature for human TCR-
(TCRD) genes is as recommended in Reference 4. Rearranged TCRD genes are comprised of one of three variable (DV) gene segments (TCRDV101S1, TCRDV102S1A1T, and TCRDV103S1A1T), one, two or three diversity (DD) gene segments; one of four junctional (DJ) gene segments; and a single constant (DC) gene segment. The rearranged and expressed TCRDV-DD-DJ-DC receptor genes are designated in this paper as TCRDV1 or DV1R, TCRDV2 or DV2R, and TCRDV3 or DV3R, respectively. ![]()
6 Abbreviations used in this paper: IEL, intraepithelial lymphocyte; RAG; recombination activating gene; MNC, mononuclear cell; CDR, complementarity-determining region; N/P, new, template-independent or palindromic nucleotides. ![]()
Received for publication November 7, 1997. Accepted for publication February 18, 1998.
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