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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2022.1026994</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Human gut microbiota-reactive DP8&#x3b1; regulatory T cells, signature and related emerging functions</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jotereau</surname>
<given-names>Francine</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/251342"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alameddine</surname>
<given-names>Joudy</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/651348"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Teusan</surname>
<given-names>Raluca</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>P&#xe9;dron</surname>
<given-names>Annabelle</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jouand</surname>
<given-names>Nicolas</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1203005"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Altare</surname>
<given-names>Fr&#xe9;d&#xe9;ric</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Godefroy</surname>
<given-names>Emmanuelle</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1974068"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Nantes Universit&#xe9;, Univ Angers, INSERM, CNRS, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302/EMR6001</institution>, <addr-line>Nantes</addr-line>, <country>France</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Nantes Universit&#xe9;, CHU Nantes, INSERM, CNRS, SFR Sant&#xe9;, Inserm UMS 016, CNRS UMS 3556</institution>, <addr-line>Nantes</addr-line>, <country>France</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Cytocell, BioCore, Nantes Universit&#xe9; UMS 3556, Inserm US016, CNRS UAR 3556, CHU Nantes, SFR Sant&#xe9; Fran&#xe7;ois BONAMY</institution>, <addr-line>Nantes</addr-line>, <country>France</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Lei Huang, Newcastle University, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Graham J. Britton, Icahn School of Medicine at Mount Sinai, United States; Nagendra Singh, Augusta University, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Emmanuelle Godefroy, <email xlink:href="mailto:emmanuelle.godefroy@inserm.fr">emmanuelle.godefroy@inserm.fr</email>; Francine Jotereau, <email xlink:href="mailto:francine.jotereau@univ-nantes.fr">francine.jotereau@univ-nantes.fr</email>; Fr&#xe9;d&#xe9;ric Altare, <email xlink:href="mailto:frederic.altare@inserm.fr">frederic.altare@inserm.fr</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Immunological Tolerance and Regulation, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>21</day>
<month>11</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>1026994</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>08</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>10</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Jotereau, Alameddine, Teusan, P&#xe9;dron, Jouand, Altare and Godefroy</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Jotereau, Alameddine, Teusan, P&#xe9;dron, Jouand, Altare and Godefroy</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>In mice, microbiota-induced Tregs both maintain intestinal homeostasis and provide resistance to immuno-pathologies in the adult. Identifying their human functional counterpart therefore represents an important goal. We discovered, in the human colonic lamina propria and blood, a FoxP3-negative IL-10-secreting Treg subset, which co-expresses CD4 and CD8&#x3b1; (hence named DP8&#x3b1;) and displays a TCR-reactivity against <italic>Faecalibacterium prausnitzii</italic>, indicating a role for this symbiotic bacterium in their induction. Moreover, supporting their role in intestinal homeostasis, we previously reported both their drastic decrease in IBD patients and their protective role <italic>in vivo</italic> against intestinal inflammation, in mice. Here, we aimed at identifying the genomic, phenotypic and functional signatures of these microbiota-induced Tregs, towards delineating their physiological role(s) and clinical potential. Human <italic>F. prausnitzii</italic>-reactive DP8&#x3b1; Treg clones were derived from both the colonic lamina propria and blood. RNA-sequencing, flow cytometry and functional assays were performed to characterize their response upon activation and compare them to donor- and tissue-matched FoxP3<sup>+</sup> Treg clones. DP8&#x3b1; Tregs exhibited a unique mixed Tr1-like/cytotoxic CD4<sup>+</sup> T cell-profile and shared the ROR&#x3b3;t and MAF master genes with mouse gut microbiota-induced FoxP3<sup>+</sup> Tregs. We revealed their potent cytotoxic, chemotactic and IgA-promoting abilities, which were confirmed using <italic>in vitro</italic> assays. Therefore, besides their induction by a <italic>Clostridium</italic> bacterium, DP8&#x3b1; Tregs also partake master genes with mouse microbiota-induced Tregs. The present identification of their complete signature and novel functional properties, should be key in delineating the <italic>in vivo</italic> roles and therapeutic applications of these unique human microbiota-induced Tregs through their study in pathological contexts, particularly in inflammatory bowel diseases.</p>
</abstract>
<abstract abstract-type="graphical">
<title>Graphical Abstract</title>
<p>
<graphic xlink:href="fimmu-13-1026994-g008.tif" position="anchor"/>
</p>
</abstract>
<kwd-group>
<kwd>human gut microbiota-specific Tregs</kwd>
<kwd>Faecalibacterium prausnitzii</kwd>
<kwd>gut microbiota</kwd>
<kwd>cytotoxic CD4<sup>+</sup> T cells</kwd>
<kwd>IgA</kwd>
<kwd>IBD</kwd>
</kwd-group>
<contract-num rid="cn001">ANR-15-CE17-0010, ANR-11-INBS-0013</contract-num>
<contract-sponsor id="cn001">Agence Nationale de la Recherche<named-content content-type="fundref-id">10.13039/501100001665</named-content>
</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="50"/>
<page-count count="15"/>
<word-count count="7726"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Observational studies unveiled strong associations between gut microbiota dysbiosis, including decreased <italic>F. prausnitzii</italic> levels, and common metabolic and chronic inflammatory disorders, suggesting that intestinal microbiota composition affects human health. Although, mechanistic understanding of these associations remains limited, one mechanism, identified in mice, relies on microbiota-induced immune imprinting at weaning, which protects against inflammatory diseases later in life (<xref ref-type="bibr" rid="B1">1</xref>). Such imprinting was shown to partly depend on the induction, by <italic>Clostridium</italic> IV and XIVa members, of mouse ROR&#x3b3;t-expressing FoxP3<sup>+</sup> Tregs, which prevent colitis and limit Th2-mediated responses such as allergic diseases (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Strikingly, we have identified, in the human colonic mucosa and blood, a FoxP3-negative IL-10-secreting Treg subset, named DP8&#x3b1; based on its co-expression of CD4 and CD8&#x3b1;, sharing major properties with mouse gut ROR&#x3b3;t<sup>+</sup> Tregs. Indeed, DP8&#x3b1; Tregs are abundant in the colonic lamina propria and are induced by a <italic>Clostridium</italic> IV member, <italic>Faecalibacterium prausnitzii</italic>, as indicated by their biased TCR reactivity against this bacterium (<xref ref-type="bibr" rid="B3">3</xref>), together with the ability of this bacterium to induce IL-10- and IL-27-secreting tolerogenic dendritic cells (<xref ref-type="bibr" rid="B4">4</xref>). Moreover, suggesting their role in IBD prevention, we described a specific drastic reduction of DP8&#x3b1; Tregs in both colon and blood of IBD patients (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>) and showed that their transfer protected mice against experimental colitis (<xref ref-type="bibr" rid="B7">7</xref>). Therefore, ascertaining the physiological roles of these unique human microbiota-induced Tregs appears critical.</p>
<p>To this end, we performed here an in-depth characterization of DP8&#x3b1; Tregs to delineate their regulatory potential through genome-wide transcriptomic, phenotypic and <italic>in vitro</italic> functional studies, using clones isolated from both healthy colonic lamina propria and blood, as compared to donor-matched classical FoxP3<sup>+</sup> Treg clones.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Methods</title>
<sec id="s2_1">
<title>Colon sample collection and processing</title>
<p>Normal colonic mucosa was surgically resected from six colorectal cancer patients at approximately 10cm from the tumor. Samples were part of a tissue biocollection registered by the French Ministry for Higher Education and Research (DC-2014-2206), with approval from the ethic committee (CPP Ouest IV-Nantes) and the institutional board of Nantes University Hospital. Tissues were processed in accordance with Helsinki declaration. Each patient signed an informed consent form. The lamina propria was separated from the epithelium after incubation in 1mM EDTA PBS buffer (20min), minced into fragments and washed with RPMI containing 10&#x3bc;g/ml penicillin and 0.1mg/ml gentamycin (Sigma-Aldrich). Lamina propria fragments were digested with collagenase IV (1mg/ml; Sigma-Aldrich), with shaking at 37&#xb0;C. Mucus and debris were removed by filtration through a 40&#x3bc;m-cell strainer (BD). Viable lamina propria-derived lymphocytes (LPLs) were obtained through Ficoll gradient centrifugation.</p>
</sec>
<sec id="s2_2">
<title>Production of human Treg clones</title>
<p>To isolate <italic>F. prausnitzii</italic>-reactive DP8&#x3b1; Treg clones from blood, purified VPD-stained CD4<sup>+</sup> T cells, comprising DP8&#x3b1; Tregs, were co-cultured with purified autologous CD14<sup>+</sup> monocytes loaded overnight with <italic>F. prausnitzii</italic> (1:1 ratio). Five days later, VPD<sup>LOW</sup> CD3<sup>+</sup>/CD4<sup>+</sup>/CD8&#x3b1;<sup>LOW</sup> cells were cloned from four healthy donors using the Aria III cell sorter (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>). Alongside, from the same donors, CD3<sup>+</sup>/CD4<sup>+</sup>/CD8<sup>-</sup>/CD25<sup>HIGH</sup>/CD127<sup>LOW</sup> classical FoxP3<sup>+</sup> Tregs were similarly cloned (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>). DP8&#x3b1; Tregs and FoxP3<sup>+</sup> Tregs were also cloned from freshly-dissociated and sorted colonic LPLs (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>). Clones were then amplified on feeder cells (<xref ref-type="bibr" rid="B6">6</xref>). After 4 weeks, resting clones were screened for their response to autologous monocytes presenting <italic>F. prausnitzii</italic> and their FoxP3 expression.</p>
</sec>
<sec id="s2_3">
<title>Reagents</title>
<p>Cells were cultured in RPMI-1640 supplemented with 5% human serum, 2mM L-glutamine and 10&#x3bc;g/ml penicillin-streptomycin (Gibco). rhIL-2 was used for T cell culture and expansion. Violet Proliferation Dye 450 (VPD) (1&#x3bc;M, BD Bioscience), Brefeldin A (10&#x3bc;g/ml, Sigma-Aldrich) and 4% paraformaldehyde (Sigma-Aldrich) were used. POM-1 and AB-680 (MedChemExpress) drugs, which inhibit CD39 and CD73, respectively, were used as indicated in the figure legends.</p>
</sec>
<sec id="s2_4">
<title>Antibodies</title>
<p>For surface staining, cells were washed and stained for 40min at 4&#xb0;C in PBS/0.1% BSA with the following antibodies: anti-CD3 (clone UCHT1, Becton Dickinson), anti-CD4 (clone 13B8.2, Beckman Coulter), anti-CD8&#x3b1; (clone RPA-T8, Becton Dickinson), anti-CCR6 (clone G034E3, Biolegend), anti-CXCR6 (clone K041E5, Biolegend), anti-CXCR5 (clone 51505, R&amp;D Systems), anti-CD39 (clone A1, Biolegend), anti-CD73 (clone AD2, Biolegend), anti-CD27 (clone O323, Biolegend), anti-CD40L (clone 24-31, Abcam), anti-CD19 (clone SJ25C1, Biolegend), anti-CD38 (clone HB-7, Biolegend), anti-CD25 (clone BC96, eBiosience), anti-CD127 (clone HIL-7R-M21, Becton Dickinson), anti-CRTAM (clone 210213, R&amp;D Systems), and anti-CCR5/CD195 (clone 3A9, Becton Dickinson).</p>
<p>For intracellular staining, cells were fixed in 4% paraformaldehyde for 10min, washed and stained for 40min at RT in PBS/0.1% BSA/0.1% saponin with anti-IFN&#x3b3;-APC (clone B27, Becton Dickinson), anti-CCL4/MIP-1&#x3b2; (clone D21-1351, Becton Dickinson), anti-CCL5/RANTES (clone 2D5, Becton Dickinson), anti-Granzyme A (clone CB9, Biolegend), anti-Granzyme B (clone GB11, Becton Dickinson), anti-Granzyme K (clone GM26E7, Biolegend), anti-IL-2 (clone MQ1-17H12, Becton Dickinson), anti-IL-4 (clone 8D4-8, Biolegend), anti-IL-5 (clone TRFK5, Biolegend), anti-IL-13 (clone JES10-5A2, Biolegend), anti-IL-21 (clone eBio3A3-N2, eBiosience), and anti-Perforin (clone &#x3b4;G9, Becton Dickinson). For transcription factors, cells were fixed and permeabilized using the Foxp3/Transcription Factor Buffer Set (eBioscience) and the following antibodies: anti-FoxP3 (clone 259D/C7, Becton Dickinson), anti-ROR&#x3b3;t (clone AFKJS-9, eBioscience), anti-Eomes (clone WD1928, eBioscience) and anti-ID2 (clone ILCID2, eBioscience).</p>
<p>Fluorescence was measured on a FACS LSR II flow cytometer and analyzed using the FlowJo and Diva softwares (Becton Dickinson). Relative fluorescence intensity (RFI) corresponds to the mean fluorescence intensity (MFI) obtained with the specific antibody divided by the MFI obtained with the isotypic control.</p>
</sec>
<sec id="s2_5">
<title>ELISAs</title>
<p>T cells were stimulated using coated anti-CD3 (clone OKT3, 1&#x3bc;g/ml, eBioscience) for 24-48h at 37&#xb0;C. Supernatants were tested for their IL-10 and IFN&#x3b3; contents using the Ready-Set-Go ELISAs according to the manufacturer&#x2019;s guidelines (eBioscience). XCL1, total hIgA and hIgG were measured using ELISA kits (Invitrogen) according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="s2_6">
<title>RNA extraction</title>
<p>Clones were stimulated or not with 0.5&#x3bc;M OKT3 for 4h, washed extensively and dry pellets were frozen at -80&#xb0;C. mRNA was extracted from all samples at once (to avoid batch effects) using the NucleoSpin RNA kit (Macherey-Nagel) and quantified with a NanoDrop.</p>
</sec>
<sec id="s2_7">
<title>Inhibition of T cell proliferation</title>
<p>Freshly sorted CD4<sup>+</sup> T cells (Miltenyi) were stained with 1&#x3bc;M VPD before being co-cultured with Treg clones with 20UI/ml rhIL-2, with or without CD3/CD28 microbeads (Miltenyi). In some cases, CD39 or CD73 inhibitors were added. VPD dilution was assessed 5 days later to determine proliferation.</p>
</sec>
<sec id="s2_8">
<title>Statistical analyses</title>
<p>Statistical analyses were performed using GraphPad Prism version 9.3.0. Most single comparisons were performed using 2-sided t-tests or Mann-Whitney tests, as indicated in figure legends. For multiple comparisons, one-way ANOVA (either Friedman tests for matched data or Kruskal-Wallis tests when there are no matching or pairing), followed by Dunn&#x2019;s multiple comparison tests to obtained adjusted p values were used, as indicated in figure legends. p&lt;.05 was considered statistically significant.</p>
</sec>
<sec id="s2_9">
<title>3&#x2019;seq RNA Profiling</title>
<p>3&#x2019;seq-RNA Profiling protocol was performed as described (<xref ref-type="bibr" rid="B8">8</xref>). Libraries were prepared from 10ng total RNA in 4&#xb5;l. The mRNA poly(A) tails were tagged with universal adapters, well-specific barcodes and unique molecular identifiers (UMIs) during template-switching reverse transcriptase. Barcoded cDNAs from multiple samples were pooled, amplified and tagmented using a transposon-fragmentation approach, which enriches for cDNA 3&#x2032; ends. 100ng of full-length cDNA were used as input to the Nextera DNA Sample Prep kit (Illumina), which enriches for cDNA 3&#x2032; ends. Library&#x2019;s size was controlled on 2200 Tape Station System (Agilent Technologies). A library of 350&#x2013;800bp length was run on an Illumina HiSeq 2500, using a Hiseq Rapid SBS Kit v2-50 cycles and a Hiseq Rapid PE Cluster Kit v2 according to the manufacturer&#x2019;s protocol (Denaturing and Diluting Libraries for the HiSeq<sup>&#xae;</sup> and GAIIx, Part # 15050107 v03 protocol, Illumina).</p>
</sec>
<sec id="s2_10">
<title>Bioinformatics</title>
<p>Raw fastq pairs match the following criteria: the 16 bases of the first read correspond to six bases for a designed sample-specific barcode and 10 bases for a unique molecular identifier (UMI). The second read (58 bases) corresponds to the captured poly(A) RNA sequence. Bioinformatics steps are performed using a snakemake pipeline (<uri xlink:href="https://bio.tools/3SRP">https://bio.tools/3SRP</uri>). We performed demultiplexing of these fastq pairs to generate one single-end fastq for each sample. These fastq files were then aligned with bwa to the reference mRNA refseq sequences and the mitochondrial genomic sequence, both available from the UCSC download site.</p>
<p>Gene expression profiles were generated by parsing the alignment files (bam) and counting, for each sample, the number of UMIs associated with each gene. Reads aligned on multiple genes, containing more than three mismatches with the reference sequence or having a polyA pattern were discarded. Finally, a matrix containing the counts of all genes on all samples was produced. The expression values, corresponding to the absolute abundance of mRNAs in all samples, were then ready for further gene expression analysis.</p>
<p>The R package DESeq2 (<xref ref-type="bibr" rid="B9">9</xref>) was then used for the differential analyses.</p>
<p>Data are available at GSE197906.</p>
</sec>
<sec id="s2_11">
<title>Cytotoxic assays</title>
<p>T cell clones were co-cultured with 100,000 indicated target cells at indicated ratios at 37&#xb0;C, with or without CD3/CD28 activation (T-Cell TransAct polymeric nanomatrix inducing low to no death of activated T cells). Supernatants were harvested 18h later and cell death was measured using a bioluminescent, non-destructive cytolysis assay kit designed to measure the release of the adenylate kinase from damaged cells (ToxiLight&#x2122; BioAssay Kit, Lonza). The ToxiLight Lysis Control Set (Lonza) was used to determine 100% lysis. Lysis percentages were calculated as follows:</p>
<p>
<italic>((Luminescence read - Luminescence of target cells alone lysed spontaneously x 100)/(Luminescence of totally lysed target cells &#x2013; (Luminescence of target cells alone lysed spontaneously + Luminescence of corresponding T cells alone lysed spontaneously)</italic>
</p>
</sec>
<sec id="s2_12">
<title>T/B co-culture assays</title>
<p>Freshly sorted CD3<sup>-</sup>/CD19<sup>+</sup>/CD27<sup>-</sup> na&#xef;ve B cells (20x10<sup>3</sup> cells/well) were incubated at a 1:1 ratio with autologous sorted DP8&#x3b1; Tregs (CD3<sup>+</sup>/CD4<sup>+</sup>/CD8&#x3b1;<sup>LOW</sup>/CCR6<sup>+</sup>/CXCR6<sup>+</sup>), Tfh cells (CD3<sup>+</sup>/CD4<sup>+</sup>/CD8<sup>-</sup>/CXCR5<sup>+</sup>) or FoxP3<sup>+</sup> Treg clones in RPMI-1640 supplemented with 10% fetal bovine serum (to avoid any contamination with human Ig) in the presence of an agonistic anti-BCR (anti-IgA/IgG/IgM) antibody (Jackson ImmunoResearch), with or without CD3/CD28-stimulation. At day 7, frequency of CD3<sup>-</sup>/CD19<sup>INT</sup>/CD38<sup>+</sup> plasmablasts among total CD19<sup>+</sup> B cells was measured, and total IgG and IgA were measured in the supernatants.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Treg clone selection and characterization</title>
<p>We selected 6 DP8&#x3b1; and 4 FoxP3<sup>+</sup> Treg clones derived from colonic lamina propria lymphocytes (LPLs) from five different donors, and matched-pairs of DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones from the blood from four healthy donors, as described in the Methods section.</p>
<p>All DP8&#x3b1; clones responded to <italic>F. prausnitzii</italic> (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A-D</bold>
</xref>), and lacked FoxP3 expression (mean RFI=4.46 &#xb1; 1.27 and 6.31 &#xb1; 0.95 for blood- and LPL-derived clones, respectively), as compared to FoxP3<sup>+</sup> Treg clones (mean RFI=21.19 &#xb1; 2.08 and 46.29 &#xb1; 9.80 for blood- and LPL-derived clones, respectively) (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E, F</bold>
</xref>). Furthermore, DP8&#x3b1; clones secreted IFN&#x3b3; (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A, B</bold>
</xref>) and IL-10 (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1C, D</bold>
</xref>) upon stimulation. A fraction of FoxP3<sup>+</sup> Treg clones also secreted IL-10, however, none of these clones secreted significant levels of IFN&#x3b3;, which when co-produced with IL-10 represents a feature of Tr1-like Tregs (<xref ref-type="bibr" rid="B10">10</xref>). All DP8&#x3b1; clones expressed the purinergic receptors CD39 and CD73 (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1G, H</bold>
</xref>), and blocking these enzymes neutralized their ability to inhibit effector T cell proliferation (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1I, J</bold>
</xref>). In contrast, whereas some FoxP3<sup>+</sup> Treg clones also expressed CD39, they expressed low to no CD73 (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1G, H</bold>
</xref>), and their inhibition of effector T cell proliferation was unaltered following CD39 and CD73 inhibition (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1I, J</bold>
</xref>). Therefore, DP8&#x3b1; regulatory function, unlike FoxP3<sup>+</sup> Treg function, depends on the purinergic pathway. Similar to clone data, <italic>ex vivo</italic> analyzed circulating DP8&#x3b1; Tregs systematically expressed CD39 and CD73 in all donors, whereas CD39 was expressed by blood FoxP3<sup>+</sup> Tregs in only two donors, and CD73 in none of them (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1K</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Treg clone selection and characterization. The gating strategy to sort <italic>F. prausnitzii</italic>-reactive DP8&#x3b1; and classical FoxP3<sup>+</sup> Tregs used for clone production is described in the Methods&#x2019; section and shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>. <bold>(A-D)</bold> Clones were screened by ELISA for their IFN&#x3b3; <bold>(A, B)</bold> and IL-10 <bold>(C</bold>, <bold>D)</bold> responses to <italic>F. prausnitzii</italic> or anti-CD3 stimulation (clone OKT3). <bold>(E</bold>, <bold>F)</bold> FoxP3 expression was assessed by intracellular staining. Representative histogram plots examples (left) and all data (right) are shown <bold>(G, H)</bold>. CD39 <bold>(G)</bold> and CD73 <bold>(H)</bold> expression by clones measured using surface immunostaining. <bold>(I</bold>, <bold>J)</bold>. CD3/CD28-stimulated VPD-stained CD4<sup>+</sup> T cells were co-cultured with Treg clones (ratio 1:1) in the presence or not of CD39 and CD73 inhibitors, namely POM-1 (30&#x3bc;M) and AB-680 (100nM), respectively, as indicated. Proliferation was evaluated by VPD dilution. Representative histogram plots examples <bold>(I)</bold> and all tested conditions (i.e., 5 DP8&#x3b1; clones and 2 FoxP3<sup>+</sup> clones each co-cultured with CD4<sup>+</sup> cells from 3 distinct donors) <bold>(J)</bold> are shown. <bold>(K)</bold> CD39 and CD73 expression by gated CD3<sup>+</sup>/CD4<sup>+</sup>/CD8&#x3b1;<sup>LOW</sup>/CCR6<sup>+</sup>/CXCR6<sup>+</sup> DP8&#x3b1; and CD3<sup>+</sup>/CD4<sup>+</sup>/CD25<sup>HIGH</sup>/CD127<sup>LOW</sup> classical Tregs among <italic>ex vivo</italic> PBMCs is shown. RFI corresponds to the ratio: MFI obtained with the relevant antibody over MFI for the corresponding isotype control. Mann-Whitney tests were used for single comparisons, while one-way ANOVA followed by Dunn&#x2019;s multiple comparison tests were performed for 1J, p&lt;.05 was considered statistically significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Transcriptomic comparison of human DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones isolated from the colon lamina propria and blood</title>
<p>As shown by Principal Component Analysis (PCA), DP8&#x3b1; clones, whether they were derived from PBLs or LPLs, clustered apart from FoxP3<sup>+</sup> clones (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). At variance, DP8&#x3b1; clones of blood and colonic origin, despite their dispersion, clustered in the same area at the resting state and, to some extent, also upon activation, Moreover, no differentially expressed gene (DEG) distinguished resting colon- and blood-derived DP8&#x3b1; clones and only 63 were identified upon activation, underlying the robust relationship between colon- and blood-derived DP8&#x3b1; Tregs (not shown).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Principal component and DEG analyses. Transcriptomic comparison of human DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones isolated from the colonic lamina propria and blood from 4-6 subjects, activated or not. <bold>(A)</bold> Principal component analysis. <bold>(B</bold>, <bold>C)</bold> Log2 fold-change of average expression values for genes expressed by resting <italic>versus</italic> activated DP8&#x3b1; clones: colon-derived <bold>(B)</bold> blood derived <bold>(C)</bold>. <bold>(D-I)</bold> Heat-maps showing normalized expression of selected DEGs between resting and activated colon-derived DP8&#x3b1; clones. Genes involved in cytotoxicity <bold>(D)</bold>, encoding chemokines <bold>(E)</bold>, involved in B cell help <bold>(F)</bold>, encoding cytokines <bold>(G)</bold>, encoding TF <bold>(H)</bold>, genes of the Tr1 signature <bold>(I)</bold> and genes corresponding to a CD4-CTL signature <bold>(J)</bold> are represented.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g002.tif"/>
</fig>
<p>In contrast, LPL-derived and PBL-derived FoxP3<sup>+</sup> clones clustered apart by PCA (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>), indicating significant differences between these cells according to their location. Nonetheless, the number of DEGs between these clones was low both at the resting state (n=98, up: 47, down: 51) and after activation (n=230, up: 99, down: 131). This may result from a significant heterogeneity of colonic FoxP3<sup>+</sup> Tregs likely due, in part, to the co-existence in this compartment, of tissue-resident Tregs and central memory Tregs circulating through colonic lymphoid structures. Analysis of individual FoxP3<sup>+</sup> Treg clone transcriptomes and cytokine profiles indeed revealed a duality within colon-derived FoxP3<sup>+</sup> clone profiles (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S2</bold>
</xref>), particularly for CD62L transcripts (<italic>SELL</italic>) expression, a lymphoid tissue related gene.</p>
</sec>
<sec id="s3_3">
<title>Activation-induced transcriptomic signature of DP8&#x3b1; Tregs</title>
<p>We then investigated the activation-induced responses of DP8&#x3b1; Treg clones through DESeq2 analysis of 3&#x2019;SRP transcriptomic data obtained in activated <italic>versus</italic> resting colon- and blood-derived DP8&#x3b1; clones. Applying the criteria for significance (FDR &lt; 0.05 and absolute value of log2 fold-change &gt; 0.5), 323 and 379 genes were significantly up-regulated and 93 and 208 genes down-regulated upon activation, in colon- and blood-derived DP8&#x3b1; clones, respectively (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2B, C</bold>
</xref>). We first focused on the 102 genes up-regulated in activated colon-derived DP8&#x3b1; clones, for which roles in T cells had already been documented.</p>
<p>Strikingly, ten genes clearly conveyed cytotoxic functions. The class-I-restricted cytotoxic associated molecule, <italic>CRTAM</italic>, known as an inducer of cytotoxic activity and IFN&#x3b3; production in CD4<sup>+</sup> T cells (<xref ref-type="bibr" rid="B11">11</xref>), transcription factors (TFs) involved in cytotoxic cell differentiation, <italic>EOMES</italic>, <italic>PRDM1</italic> and <italic>RUNX3</italic>, genes encoding cytotoxic cytokines or receptors: <italic>FASLG</italic>, <italic>TNFSF10</italic> (or <italic>TRAIL</italic>), <italic>GZMB</italic> and <italic>LTA</italic>, as well as <italic>STX11</italic> which facilitates cytolytic granule exocytosis (<xref ref-type="bibr" rid="B12">12</xref>) and <italic>SERPINB9</italic> (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S3</bold>
</xref>), known to protect GZMB-producing Tregs from lysis (<xref ref-type="bibr" rid="B13">13</xref>).</p>
<p>Six genes encoded chemokines: CCL1, which attracts Th2 lymphocytes <italic>via</italic> CCR8; CCL3 and CCL4, which recruit cells expressing CCR1 and/or CCR5, essentially T cells (<xref ref-type="bibr" rid="B14">14</xref>); XCL1, which acts specifically on antigen cross-presenting dendritic cells (<xref ref-type="bibr" rid="B15">15</xref>); CXCL8 (IL-8) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>), a chemokine which can recruit neutrophils (<xref ref-type="bibr" rid="B16">16</xref>) and CKLF (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4</bold>
</xref>), which attracts CCR4-expressing targets such as Th2 cells (<xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>CD3-mediated activation also up-regulated numerous genes encoding molecules known to provide help to B cells and/or drive antibody class-switch recombination or secretion, such as <italic>CD40LG</italic>, <italic>IL10</italic>, <italic>IL4</italic>, <italic>IL21</italic> (<xref ref-type="bibr" rid="B18">18</xref>), <italic>CD70</italic>, <italic>IL2</italic>, <italic>IL13</italic>, <italic>IL5</italic>, <italic>LTA</italic>, <italic>MAF</italic>, <italic>TNFSF14</italic> (or <italic>LIGHT</italic>) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S5</bold>
</xref>), as well as genes encoding additional cytokines or growth factors (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2G</bold>
</xref>).</p>
<p>Particular TF combinations were reported to characterize homogeneous cell subsets more accurately than surface markers. Interestingly, 23 TFs, including those mentioned above, were induced or up-regulated by DP8&#x3b1; Tregs upon activation (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2H</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S6</bold>
</xref>). Strikingly, all these TFs have been reported to play roles in the differentiation, homeostasis or suppressive functions of Tregs. This is the case for <italic>EOMES</italic>, which together with <italic>PRDM1</italic> (or <italic>BLIMP1</italic>), induces IL-10 expression and Tr1-like cell differentiation (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>), <italic>PRDM1</italic> also being a crucial regulator for microbiota-induced murine FoxP3<sup>+</sup>/ROR&#x3b3;t<sup>+</sup> Tregs (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>); <italic>AHR</italic>, that marks and promotes gut-derived Tregs and positively regulates IL-10 and Tr1 differentiation (<xref ref-type="bibr" rid="B23">23</xref>); <italic>CBFB</italic>, a master regulator of genes involved in the induction of FoxP3<sup>+</sup> Tregs and their suppressive functions (<xref ref-type="bibr" rid="B24">24</xref>); <italic>EGR2</italic>, a Tr1-associated TF (<xref ref-type="bibr" rid="B25">25</xref>); <italic>ID2</italic>, <italic>IRF4</italic>, <italic>BATF</italic> and <italic>PPARG</italic>, which orchestrate the development and maintenance of adipose tissue Tregs (<xref ref-type="bibr" rid="B26">26</xref>); <italic>IRF1</italic>, which together with <italic>BATF</italic> is required for the development of IL-27-induced Tr1 cells (<xref ref-type="bibr" rid="B27">27</xref>); and <italic>MAF</italic>, a key regulator of intestinal immune homeostasis through sustaining ROR&#x3b3;t expression in mouse microbiota-induced gut Tregs and positively regulating IL-10 production (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>Interestingly, consistent with the Tr1-like properties of DP8&#x3b1; Treg clones detailed above, <italic>i.e.</italic>, mainly the lack of FoxP3 expression together with the secretion of both IL-10 and IFN&#x3b3;, DP8&#x3b1; Tregs significantly shared features with either human or mouse Tr1 and Tr1-like signatures, namely <italic>GZMB</italic>, <italic>CSF1</italic>, <italic>HAVCR2</italic> (or <italic>TIM3</italic>), <italic>EGR2</italic>, <italic>PRDM1</italic>, <italic>IRF4</italic>, <italic>MAF</italic>, <italic>EOMES</italic>, <italic>AHR</italic>, <italic>IRF1</italic>, <italic>BATF</italic>, <italic>ID2</italic>, <italic>BHLHE40</italic>, <italic>TNFRSF9</italic> (or <italic>41BB</italic>), <italic>TNFRSF4</italic> (or <italic>OX40</italic>), <italic>IL-5</italic>, <italic>IL-2</italic>
<sup>LOW</sup> (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B28">28</xref>&#x2013;<xref ref-type="bibr" rid="B32">32</xref>) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref>), as well as <italic>GZMK</italic> (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>), identified in DP8&#x3b1; Treg clones as down-regulated upon activation (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S7</bold>
</xref>). Moreover, all activated DP8&#x3b1; Treg clones but one also expressed <italic>CRTAM</italic> (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2J</bold>
</xref>), which together with <italic>EOMES</italic>, <italic>FASLG</italic>, <italic>GZMB</italic> and <italic>PRDM1</italic> represent a cytotoxic CD4<sup>+</sup> effector cell signature (<xref ref-type="bibr" rid="B11">11</xref>).</p>
<p>Further supporting the chemotactic and lytic potentials of DP8&#x3b1; Tregs, <italic>CCL5</italic>, <italic>CCR5</italic>, <italic>GZMA</italic> and <italic>GZMK</italic> were expressed by resting DP8&#x3b1; clones and down-regulated but still highly expressed upon activation (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S7</bold>
</xref>).</p>
<p>Regarding blood-derived <italic>F. prausnitzii</italic>-reactive DP8&#x3b1; Treg clones, most genes up-regulated by activation overlapped those up-regulated in colon-derived DP8&#x3b1; Treg clones (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>), although some of these alterations remained statistically unsignificant, likely due to the low number of studied clones. This result, together with the lack of DEG between blood- and colon-derived clones (not shown), strengthens the notion that DP8&#x3b1; cells found in both compartments are identical and originate from the gut.</p>
</sec>
<sec id="s3_4">
<title>Identification of a core gene signature differentiating DP8&#x3b1; from FoxP3<sup>+</sup> human Tregs</title>
<p>We then compared DP8&#x3b1; to canonical FoxP3<sup>+</sup> Treg clones derived from the same compartments, <italic>i.e.</italic>, blood or colonic lamina propria, though DESeq2 analysis. Importantly, despite the limits mentioned above regarding the low number and heterogeneity of FoxP3<sup>+</sup> clones, colon-derived DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones clearly diverged by PCA (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>) as well as by 286 (up: 108, down: 178) and 506 (up: 199, down: 307) DEGs at the resting and activated states, respectively (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A, B</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Gene expression profiles generated from DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones derived from the colonic lamina propria from patients and healthy donors. <bold>(A</bold>, <bold>B)</bold> The Log 2-fold changes of average expression values between resting <bold>(A)</bold> or activated <bold>(B)</bold> DP8&#x3b1; and FoxP3<sup>+</sup> clones. <bold>(C</bold>, <bold>D)</bold> Heat-maps showing normalized expression of top DEGs between resting <bold>(C)</bold> or activated <bold>(D)</bold> colon-derived DP8&#x3b1; and FoxP3<bold>
<sup>+</sup>
</bold> Treg clones.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g003.tif"/>
</fig>
<p>In contrast, blood-derived DP8&#x3b1; and FoxP3<sup>+</sup> clones differed by a limited number of DEGs (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S8</bold>
</xref>). However, examination of unfiltered results revealed that most up-regulated DEGs identified in colon-derived DP8&#x3b1; <italic>versus</italic> FoxP3<sup>+</sup> clones were also expressed at higher levels in DP8&#x3b1;, as compared to FoxP3<sup>+</sup> blood-derived clones, as shown by log2 fold-changes &gt; 1. Nonetheless, most of these differences remained statistically non-significant (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S8</bold>
</xref>), likely due to the low number and heterogeneity of both PBL-derived Treg clone subsets.</p>
<p>We next focused on DEGs identified between colon-derived DP8&#x3b1; and FoxP3<sup>+</sup> Tregs. Top up-regulated DEGs identified in resting and activated DP8&#x3b1; <italic>versus</italic> FoxP3<sup>+</sup> Treg clones (log2 fold-change ranging from 3 to 6.6) are represented (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3C, D</bold>
</xref>), respectively. As mentioned above, the expression of <italic>EOMES</italic> together with <italic>GZMK</italic>, <italic>GZMA</italic>, <italic>GZMB</italic> and <italic>CRTAM</italic> are hallmarks of cytotoxic CD4<sup>+</sup> T cells (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B33">33</xref>), while the co-expression of <italic>EOMES</italic>, <italic>GZMK</italic> and <italic>ITGA2</italic> targets Tr1-like cells (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Other salient features of top DP8&#x3b1; Treg DEGs were a substantial prevalence of genes that 1/define a cytotoxic profile, such as <italic>FASLG</italic>, <italic>GZMA</italic>, <italic>GZMB</italic>, <italic>GZMK</italic>, <italic>GNLY</italic>, <italic>NKG7</italic>, <italic>SLAMF7</italic>, and <italic>SYTL2, 2</italic>/encode chemokines, including <italic>CCL1</italic>, <italic>CCL4</italic>, <italic>CCL4L1</italic>, <italic>CCL5</italic> and <italic>XCL1</italic>, and 3/encode TFs reported to inhibit FoxP3<sup>+</sup> expression or FoxP3<sup>+</sup> Treg differentiation: <italic>EOMES</italic> (<xref ref-type="bibr" rid="B34">34</xref>), <italic>EPAS1</italic> (<xref ref-type="bibr" rid="B35">35</xref>) and <italic>NFIL3</italic> (<xref ref-type="bibr" rid="B36">36</xref>).</p>
<p>Altogether, these data showed that DP8&#x3b1; Tregs have a highly differentiated transcriptomic signature evocative of major regulatory functions <italic>via</italic> cytotoxicity as well as chemotaxis through both chemokine secretion facilitating their suppressive interaction with effector T cells and DCs, and robust expression of chemokine receptors, such as <italic>CCR1</italic>, and <italic>CCR5</italic> (at steady state), favoring migration towards inflamed tissues.</p>
</sec>
<sec id="s3_5">
<title>DP8&#x3b1; Tregs, but not FoxP3<sup>+</sup> Tregs, efficiently kill cells of myeloid origin</title>
<p>Since clones were used to characterize the transcriptome of DP8&#x3b1; Tregs, the expression of molecules of interest as well as their <italic>in vitro</italic> function could be assessed using the exact same cells. First, based on the unique prevalence of cytotoxicity-associated genes in the transcriptome of DP8&#x3b1; Tregs and the significant overlap of the DP8&#x3b1; Treg signature with the Tr1 one, we measured the expression of such proteins by Treg clones, and their ability to kill cells of myeloid origin, which are typical targets of Tr1 cells (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B37">37</xref>). In accordance with DEG data, DP8&#x3b1; Treg clones expressed EOMES protein, in contrast with FoxP3<sup>+</sup> Treg clones (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>), as well as GZMA (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>), GZMB (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), GZMK (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>) and Perforin (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>) at higher levels than FoxP3<sup>+</sup> Treg clones did. Moreover, colon-derived DP8&#x3b1; Treg clones significantly expressed CRTAM shortly after activation (6h), which further increased at 16h post-activation, whereas colon-derived FoxP3<sup>+</sup> Treg clones did not, regardless of the duration. At variance, CRTAM induction appeared delayed and was detected only at the 16h time-point in blood-derived DP8&#x3b1; clones. Moreover, CRTAM was also expressed by two blood-derived FoxP3<sup>+</sup> Treg clones (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4F</bold>
</xref>), which, to our knowledge, has not been described so far. Similarly, in PBMCs, these molecules were all over-expressed by CCR6<sup>+</sup>/CXCR6<sup>+</sup> DP8&#x3b1; Tregs, as compared to total CD4<sup>+</sup> T cells or CD4<sup>+</sup>/CD25<sup>HIGH</sup>/CD127<sup>LOW</sup> classical FoxP3<sup>+</sup> Tregs (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4G, H</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>DP8&#x3b1; Tregs can kill myeloid cells. <bold>(A</bold>, <bold>F)</bold> Clone expression of EOMES <bold>(A)</bold> Granzyme A <bold>(B)</bold> Granzyme B <bold>(C)</bold> Granzyme K <bold>(D)</bold> Perforin <bold>(E)</bold> measured by intracellular labelling following or not activation for 6h and cell surface expression of CRTAM <bold>(F)</bold> following or not activation for the indicated time. Clones were activated with coated 0.5&#x3bc;g/ml OKT3. <bold>(G, H)</bold> PBMCs from 3 HD were OKT3-stimulated for either 6h and stained intracellularly for EOMES, Granzymes A, B, K and Perforin <bold>(G)</bold> or 6h and 16h and stained for CRTAM <bold>(H)</bold>. Expression of these proteins is shown for indicated T cell subsets. <bold>(I-L)</bold> Indicated target cells were co-cultured with blood- and colon-derived DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones (stimulated or not with CD3/CD28 beads) at indicated ratios. Cell death was measured as described in the Methods&#x2019; section. Paired 2-sided t-tests were used for single comparisons, while one-way ANOVA followed by Dunn&#x2019;s multiple comparison tests were performed for 4F-H, p&lt;.05 was considered statistically significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g004.tif"/>
</fig>
<p>To assess the ability of DP8&#x3b1; Tregs to kill myeloid cells, two cell lines, namely K562, of the erythroleukemia type, and U937, of the myeloid lineage, as well as two types of primary <italic>ex vivo</italic> sorted cells, CD19<sup>+</sup> B cells and CD14<sup>+</sup> monocytes, were co-cultured with Treg clones. No cell lysis was observed at 4h, timing usually required by conventional CD8<sup>+</sup> T cells to exert cytotoxicity (not shown). In contrast, at 16h, potent lysis activity against cells of myeloid origin (U937 and monocytes) was induced by activated DP8&#x3b1; Tregs and, to a lesser extent, even non-stimulated DP8&#x3b1; Tregs, whether they were derived from blood or colon (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4I, J</bold>
</xref>). DP8&#x3b1; Treg clones neither significantly killed K562 nor sorted B cells (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4K, L</bold>
</xref>). No FoxP3<sup>+</sup> Treg clone exerted any significant cytotoxicity (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4I-L</bold>
</xref>).</p>
<p>Therefore, in accordance with their expression of numerous molecules associated with a cytotoxic activity, DP8&#x3b1; Tregs unambiguously exert actual potent cytotoxic functions against myeloid cells, as reported for Tr1 cells (<xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B37">37</xref>).</p>
</sec>
<sec id="s3_6">
<title>DP8&#x3b1; Tregs promote B cell differentiation towards IgA-secreting B cells</title>
<p>In mice, colonic IL-10-secreting Foxp3<sup>+</sup> Tregs are thought to play a role in the maintenance of a healthy gut microbiota by regulating the production of microbiota-reactive secretory IgA (<xref ref-type="bibr" rid="B21">21</xref>).</p>
<p>Since the present study identified an array of genes involved in B cell help expressed by DP8&#x3b1; Tregs upon activation (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>), we asked whether blood-derived DP8&#x3b1; Tregs (<italic>ex vivo</italic> sorted and clones) could indeed provide B cell help and induce IgA production <italic>in vitro</italic>, as compared to both FoxP3<sup>+</sup> Treg clones and sorted follicular helper T (Tfh) cells.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Blood-derived DP8&#x3b1; Tregs promote IgA-secreting B cell differentiation. <bold>(A)</bold> Expression by DP8&#x3b1; Treg clones of transcripts involved in B cell help. <bold>(B)</bold> CD40L: representative histogram plots examples (left) and RFI for all tested cell types (right). <bold>(C)</bold> Cytokine production by DP8&#x3b1; clones: representative histogram plots examples (left) and all clone data (right) are shown. <bold>(D)</bold> PBMCs from 3 HD were OKT3-stimulated and stained for indicated cytokines. <bold>(E)</bold> Gating strategy used for the sortings of T and B cell subsets. <bold>(F-H)</bold> Sorted na&#xef;ve B cells were co-cultured with autologous indicated CD4<sup>+</sup> T cell subsets or Treg clones (ratio 1:1). Plasmablast frequency was assessed 10 days later <bold>(F)</bold>. Supernatants were tested for total IgA <bold>(G)</bold> and IgG <bold>(H)</bold> contents. Paired 2-sided t-tests were used for single comparisons, while one-way ANOVA followed by Dunn&#x2019;s multiple comparison tests were performed for 5D, p&lt;.05 was considered statistically significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g005.tif"/>
</fig>
<p>First, the expression of key proteins known to affect B cell activation and differentiation was analyzed. CD40L was strongly expressed by DP8&#x3b1; Treg clones, even at the steady state, and, to a lower extent, by <italic>ex vivo</italic> sorted DP8&#x3b1; Tregs, similar to Tfh cells used as a positive control, while Foxp3<sup>+</sup> Treg clones barely did (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). Production of several cytokines known to also influence B cell development and functions by both blood-derived clones and PBMCs was tested. Significant fractions of DP8&#x3b1; and FoxP3<sup>+</sup> Treg clones did produce IL-2, IL-4, IL-5, IL-13 and IL-21 (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>) in addition to IL-10 (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1C, D</bold>
</xref>) and IFN&#x3b3; (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A, B</bold>
</xref>). Moreover, OKT3-stimulated PBMCs showed that DP8&#x3b1; Tregs produced higher levels of these cytokines than classical Tregs did (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>), demonstrating that DP8&#x3b1; Tregs are well-equipped to provide B cell help.</p>
<p>To directly determine whether DP8&#x3b1; Tregs can promote B cell activation and differentiation, clonal or <italic>ex vivo</italic> sorted DP8&#x3b1; cells were co-cultured with <italic>ex vivo</italic> sorted na&#xef;ve B cells in the presence of an agonistic anti-BCR antibody with or without CD3/CD28 beads. As controls, <italic>ex vivo</italic> sorted Tfh cells and Foxp3<sup>+</sup> Treg clones were identically run alongside. The gating strategy to sort these various T and B cell subsets is represented (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). Ten days later, plasmablasts (CD3<sup>-</sup>/CD4<sup>-</sup>/CD19<sup>LOW</sup>/CD38<sup>+</sup>) were detected when na&#xef;ve B cells had been co-cultured with DP8&#x3b1; Tregs (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>). Plasmablasts represented a mean of 19.1% &#xb1; 0.21 and 14.1% &#xb1; 4.21 (ranging from 0.8 to 56.9%) of total CD3<sup>-</sup>/CD4<sup>-</sup>/CD19<sup>+</sup> B cells after co-culture with activated sorted autologous DP8&#x3b1; Tregs and DP8&#x3b1; Treg clones, respectively (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>). It is noteworthy that DP8&#x3b1; Treg clones are heterogenous, <italic>i.e.</italic>, while some induced high percentages of plasmablasts, other induced only low to no B cell differentiation. This plasmablast induction was comparable to that obtained in the presence of activated Tfh cells, while it was much lower (5.2% &#xb1; 1.39 of total B cells) when Foxp3<sup>+</sup> Treg clones were used (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>).</p>
<p>In parallel, supernatants were tested for total IgA and IgG contents. Blood-derived DP8&#x3b1; Tregs, both clonal and sorted polyclonal cells, induced high levels of IgA production (1177ng/ml &#xb1; 219.3 and 990ng/ml &#xb1; 433.4, respectively), seemingly above levels induced by autologous Tfh cells (211ng/ml &#xb1; 210) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5G</bold>
</xref>). DP8&#x3b1; Tregs also induced IgG production (90ng/ml &#xb1; 28.5 and 220ng/ml &#xb1; 71.8 for sorted and clonal cells, respectively) at similar levels than Tfh cells (164ng/ml &#xb1; 114.3) did (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5H</bold>
</xref>). Of note, Foxp3<sup>+</sup> Tregs did not induce IgA nor IgG production (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5G, H</bold>
</xref>).</p>
<p>Therefore, DP8&#x3b1; Tregs do provide B cell help and seem prone to promote IgA class switch recombination.</p>
</sec>
<sec id="s3_7">
<title>Uniquely high chemotactic potential of DP8&#x3b1; Tregs</title>
<p>Next, to formally establish the chemotactic potential of DP8&#x3b1; Tregs, we measured the protein expression of genes involved in this function, namely CCL4, CCL5, XCL1 and CCR5. In accordance with their differential transcription, all three chemokines were expressed at significantly higher levels by DP8&#x3b1; Treg clones, both colon- and blood-derived, as compared to FoxP3<sup>+</sup> Treg clones derived from same compartments (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A-C</bold>
</xref>), suggesting a significant ability of both circulating and colon-resident DP8&#x3b1; Tregs to recruit target cells. Strikingly, intracellular expression of CCL4 and CCL5 proteins by circulating DP8&#x3b1; Tregs was also detected <italic>ex vivo</italic>, clearly discriminating these cells from circulating FoxP3<sup>+</sup> Tregs, at both resting and activated states (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Chemotactic potential of DP8&#x3b1; Tregs. <bold>(A-C)</bold> Expression of indicated chemokines by representative Treg clones (left) and all studied Treg clones (right). <bold>(D)</bold> Expression of CCL4 and CCL5 by PBMCs from 3 HD shown for indicated gated T cell subsets. <bold>(E-G)</bold> Expression of CCR5 by representative Treg clones <bold>(E)</bold>, all Treg clones <bold>(F)</bold> and gated subsets from PBMCs <bold>(G)</bold>. Paired 2-sided t-tests were used for single comparisons, while one-way ANOVA followed by Dunn&#x2019;s multiple comparison tests were performed for 6A-D,G, p&lt;.05 was considered statistically significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g006.tif"/>
</fig>
<p>Also relevant in term of DP8&#x3b1; Treg regulatory potential, through recruitment to inflammatory sites (<xref ref-type="bibr" rid="B38">38</xref>), CCR5 expression levels were higher in resting colon- and blood-derived DP8&#x3b1; clones, as compared to matched FoxP3<sup>+</sup> clones (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6E, F</bold>
</xref>), a difference confirmed <italic>ex vivo</italic> (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6G</bold>
</xref>).</p>
<p>Therefore, DP8&#x3b1; Tregs appear well-equipped to both recruit target cells and be recruited towards appropriate sites, especially when compared to classical FoxP3<sup>+</sup> Tregs.</p>
</sec>
<sec id="s3_8">
<title>DP8&#x3b1; Tregs express ROR&#x3b3;t</title>
<p>Finally, we assessed the protein expression by DP8&#x3b1; and FoxP3<sup>+</sup> Treg cells of the ROR&#x3b3;t TF, known to characterize microbiota-induced mouse Tregs (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>). In a previous study (<xref ref-type="bibr" rid="B6">6</xref>), we had reported the expression of ROR&#x3b3;t by a few blood-derived DP8&#x3b1; Treg clones not studied here. Here, since this gene was not detected through the 3&#x2019;seq RNA profiling method used, we assessed its expression by all studied Treg clones and their circulating counterparts. ROR&#x3b3;t was expressed at the resting and activated states, by both blood- and colon-derived DP8&#x3b1; Treg clones, while it was not by FoxP3<sup>+</sup> Treg clones (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). Moreover, strikingly, this TF was also expressed by circulating DP8&#x3b1; Tregs among PBMCs, but not by other T cell subsets, such as total CD4<sup>+</sup>, classical CD25<sup>HIGH</sup>/CD127<sup>LOW</sup> Tregs, CD8<sup>+</sup>, as well as double positive CD4<sup>+</sup>/CD8<sup>+</sup> T cells lacking CCR6 and CXCR6 co-expression, which do not respond to <italic>F. prausnitzii</italic> (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref> and not shown).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>DP8&#x3b1; Tregs express ROR&#x3b3;t. Expression of ROR&#x3b3;t by representative Treg clones (left) and all Treg clones (right) <bold>(A)</bold>, as well as indicated gated subsets from PBMCs <bold>(B)</bold>. Paired 2-sided t-tests were used for single comparisons, while one-way ANOVA followed by Dunn&#x2019;s multiple comparison tests were performed for 7B, p&lt;.05 was considered statistically significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-1026994-g007.tif"/>
</fig>
<p>Therefore, ROR&#x3b3;t represents yet another marker, which expression is preferably restricted to <italic>F. prausnitzii</italic>-induced DP8&#x3b1; Tregs.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Here, we identified the signature for human <italic>F. prausnitzii</italic>-specific DP8&#x3b1; Tregs as partly overlapping with those described for both Tr1-like Tregs (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref>) and, more surprisingly, cytotoxic CD4 T cells (CD4-CTL) (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S3</bold>
</xref>), clearly establishing the uniqueness of these Tregs. Moreover, we comforted that blood- and colon-derived DP8&#x3b1; Tregs were quasi-undistinguishable, supporting their common origin (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>), as previously suggested by the simultaneous decrease of these cells in both compartments in IBD patients (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B6">6</xref>). Importantly, their presence in blood further advocates for systemic roles of <italic>F. prausnitzii</italic>-specific DP8&#x3b1; Tregs.</p>
<p>In mice, ROR&#x3b3;t<sup>+</sup> FoxP3<sup>+</sup> intestinal Tregs were shown to develop against microbial antigens and have been proposed to be specialized in maintaining tolerance to the gut microbiota, in a cMAF dependent manner, through the control of Th17 responses (<xref ref-type="bibr" rid="B22">22</xref>). Moreover, they also play roles in immune homeostasis and health beyond the intestine, such as preventing allergy and as a defect in their induction at weaning leads to increased susceptibility to metabolic and chronic inflammatory diseases later in life (<xref ref-type="bibr" rid="B1">1</xref>). We revealed here that, besides their induction by related <italic>Clostridium</italic> bacteria and preferential location within the colonic LP, human DP8&#x3b1; Tregs also share with mouse microbiota-induced intestinal FoxP3<sup>+</sup> Tregs, the expression of the lineage-defining TFs, ROR&#x3b3;t (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>) and MAF (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2F, H, I</bold>
</xref>). This developmental resemblance between both subsets suggests that DP8&#x3b1; Tregs could represent human functional counterparts of mouse intestinal ROR&#x3b3;t<sup>+</sup>/FoxP3<sup>+</sup> Tregs, which prevent colitis. Strengthening this hypothesis, we recently demonstrated that infusion of a DP8&#x3b1; Treg clone, together with <italic>F. prausnitzii</italic> gavage, protected NSG mice humanized for the Treg HLA class-II restricting allele, against intestinal inflammation (<xref ref-type="bibr" rid="B7">7</xref>), which, together with the drastic and specific decrease of these cells in IBD patients, strongly support their role in colon homeostasis. Surprisingly, while ROR&#x3b3;t expression characterizes microbiota-induced mouse FoxP3<sup>+</sup> Tregs, we failed to detect ROR&#x3b3;t-expressing cells by flow cytometry among both the FoxP3<sup>+</sup> clones (colon- and blood-derived) and PBMC-derived CD3<sup>+</sup>/CD4<sup>+</sup>/CD25<sup>HIGH</sup>/CD127<sup>LOW</sup> T cells (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7A, B</bold>
</xref>).</p>
<p>Remarkably, even though various human gut microbes, especially commensals, promoting colonic FoxP3<sup>+</sup> Treg differentiation in mice have been identified (<xref ref-type="bibr" rid="B39">39</xref>&#x2013;<xref ref-type="bibr" rid="B43">43</xref>), to our knowledge, direct evidences regarding the presence of Tregs specific for these bacteria in the human colonic mucosa, either FoxP3<sup>+</sup> or Tr1-like, are still lacking. Nonetheless, the presence of commensal-specific T cells has been shown, among both circulating CD4<sup>+</sup> effectors T cells (<xref ref-type="bibr" rid="B44">44</xref>) and CD4<sup>+</sup>/CD8&#x3b1;&#x3b1;<sup>+</sup> regulatory intra-epithelial lymphocytes in the small intestine (<xref ref-type="bibr" rid="B45">45</xref>), both populations being key in human gut barrier integrity maintenance.</p>
<p>Our transcriptomic and protein data also revealed that activated DP8&#x3b1; Tregs expressed a large panel of molecules involved in cytotoxicity (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>, <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S3</bold>
</xref> and <xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A-H</bold>
</xref>), at various levels: direct cytotoxicity, degranulation and self-killing prevention. In accordance, we showed the potent ability of DP8&#x3b1; clones to specifically kill myeloid cells <italic>in vitro</italic> (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4I-L</bold>
</xref>), a property proposed to be an immunosuppressive mechanism for Tr1 cells through antigen-presenting cells killing, hence limiting subsequent T cell priming/activation (<xref ref-type="bibr" rid="B19">19</xref>). Strikingly, we also showed that DP8&#x3b1; Tregs secreted XCL1 (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>), which targets XCR1a-expressing DCs, hence could promote DP8&#x3b1; Treg-DC contacts and DC killing.</p>
<p>Supporting their high trafficking potential, resting DP8&#x3b1; clones and <italic>ex vivo</italic> circulating DP8&#x3b1; cells expressed high levels of CCR5 (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5E-G</bold>
</xref>), which supports migration to inflammatory sites (<xref ref-type="bibr" rid="B38">38</xref>). These cells also produced a large array of chemokines, <italic>e.g.</italic>, CCL1, CCL3, CCL4, CCL5 and XCL1 (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4</bold>
</xref> and <xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A-D</bold>
</xref>). This unveils their strong potential to recruit various target cells, such a CCR8-, CCR1- and CCR5-expressing effector T cells, as well as bystander CCR5<sup>+</sup> DP8&#x3b1; Tregs (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6E-G</bold>
</xref>). CCL3 and CCL4 are known to be expressed by classical FoxP3<sup>+</sup> Tregs (<xref ref-type="bibr" rid="B14">14</xref>) and CCL5 by a unique blood-derived Treg subset (<xref ref-type="bibr" rid="B46">46</xref>). Moreover, through XCL1 secretion, DP8&#x3b1; Tregs should efficiently interact with XCR1a-expressing cells, reported to be the human cross-presenting BDCA3+ DC subset (<xref ref-type="bibr" rid="B15">15</xref>). Therefore, these interactions should be key in the ability of DP8&#x3b1; Tregs to dampen the proliferation (<xref ref-type="bibr" rid="B6">6</xref>) and cytokine secretion (unpublished personal data) of effector cells, as shown <italic>in vitro.</italic> In addition, the XCL1-XCR1-mediated interactions, shown in mice to be stable (<xref ref-type="bibr" rid="B15">15</xref>), could extend DP8&#x3b1; Treg-DC interactions, thus promoting either DC-killing or inhibition of DC maturation in a CTLA-4-dependent manner, as reported previously (<xref ref-type="bibr" rid="B3">3</xref>), or merely restraining DCs from Tconv. All these effects could be implicated in establishing and/or restoring local tolerance against gut microbiota.</p>
<p>Based on their IL-10 and IFN&#x3b3; production (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A-D</bold>
</xref>) as well as their lack of stable FoxP3 expression (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E, F</bold>
</xref>), DP8&#x3b1; cells partly resemble Tr1-like Tregs. Our data identified additional similarities between DP8&#x3b1; Tregs and this highly heterogeneous Treg subset (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2I</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S7</bold>
</xref>), such as the expression of the ITGA2 Tr1 marker and cytotoxicity towards myeloid cells (<xref ref-type="bibr" rid="B19">19</xref>). Nonetheless, we also provided evidences that DP8&#x3b1; Tregs clearly differed from Tr1 cells. For instance, DP8&#x3b1; cells produced IL-4 (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5A, C, D</bold>
</xref>), not expressed by Tr1 cells, and conversely lacked TGF&#x3b2; transcription and PD-1 expression (not shown), both considered critical for Tr1-mediated suppression (<xref ref-type="bibr" rid="B19">19</xref>). Moreover, effector-inhibition by DP8&#x3b1; Tregs strongly relied on CD39- and CD73-mediated metabolic disruption <italic>in vitro</italic> (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1I, J</bold>
</xref>), and likely on their high chemotactic potential <italic>in vivo</italic>, two properties not documented for conventional Tr1 cells. Finally, while the exact origin and stability of Tr1 and Tr1-like Tregs remains questionable (<xref ref-type="bibr" rid="B32">32</xref>), DP8&#x3b1; Tregs do represent stable components of healthy donor blood and colonic lymphocytes, therefore embodying a unique physiologically-induced colon-derived Treg subset.</p>
<p>Early reports in mice demonstrated a supportive role of Treg cells for intestinal IgA production, possibly due to their plasticity to differentiate into Tfh or Tfr cells or to secrete IL-10 (<xref ref-type="bibr" rid="B21">21</xref>). Here, we showed that <italic>ex vivo</italic>-sorted DP8&#x3b1; cells and DP8&#x3b1; clones induced na&#xef;ve B cells to differentiate into plasmablasts as efficiently as circulating Tfh did (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>) and induced seemingly higher levels of IgA production (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5G</bold>
</xref>), adding yet another shared function with intestinal mouse FoxP3<sup>+</sup> Tregs. Of note, FoxP3<sup>+</sup> Treg clones did not induce Ig-producing plasmablasts (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5F-H</bold>
</xref>). Therefore, DP8&#x3b1; Tregs do provide B cell help and seem particularly prone to promote IgA class-switch recombination. This function could be key in the gut, where these cells are fairly represented (&gt;10% of total LP CD4<sup>+</sup> T cells (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>)), to maintain homeostasis in an IgA-dependent manner. Mechanisms involved in IgA-induction by DP8&#x3b1; Tregs, as well as their compatibility with the double-negative feedback loop between ROR&#x3b3;t<sup>+</sup> intestinal Tregs and IgA production reported in mice (<xref ref-type="bibr" rid="B47">47</xref>), remain to be elucidated.</p>
<p>The class I-restricted associated molecule (CRTAM) was originally described as transiently induced upon activation on cytotoxic CD8<sup>+</sup> and NK cells. Recently, it has been reported to drive the CD4-CTL lineage, together with MAF, GZMK and EOMES (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B33">33</xref>). Here, we showed that DP8&#x3b1; Tregs expressed these molecules (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref> and <xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S3</bold>
</xref>).</p>
<p>Effector targets of DP8&#x3b1; Tregs remain to be identified. Since many studies established that specialized Treg subsets acquire part of the transcriptional profile of their effector cell counterparts (<xref ref-type="bibr" rid="B48">48</xref>), the present demonstration that DP8&#x3b1; Tregs express ROR&#x3b3;t and CRTAM, the canonical transcription factor of Th17 and cytotoxic CD4, respectively, suggests that these effectors could be their specific targets. Indeed, mouse colonic ROR&#x3b3;t-expressing microbiota-induced Tregs were shown to inhibit Th17-mediated inflammation (<xref ref-type="bibr" rid="B21">21</xref>). Moreover, CD4-CTL were reported to be enriched in the mouse intestinal mucosa, as compared to secondary lymphoid organs, and to promote experimental colitis (<xref ref-type="bibr" rid="B11">11</xref>). Although not yet reported, the presence of CD4-CTL in the human intestinal mucosa appears conceivable as their differentiation is restrained by histone deacetylases (<xref ref-type="bibr" rid="B49">49</xref>), which inhibitors, such as butyrate, are particularly abundant in this compartment.</p>
<p>While the use of well characterized clones for the present genomic study allowed to both analyze a relatively homogeneous population of DP8&#x3b1; Tregs and, importantly, perform phenotypic and functional studies with the very same cells, the limit of this approach is that it could not address the full potential heterogeneity of <italic>F. prausnitzii</italic>-reactive DP8&#x3b1; cells <italic>in vivo</italic> in health and diseases. This question should be addressed through single-cell RNA-seq analyses using the method of simultaneous epitope and transcriptome measurement in single cells (<xref ref-type="bibr" rid="B50">50</xref>). Nonetheless, it has to be stressed that tested markers and functions identified using clones were corroborated using <italic>ex vivo</italic> PBMC-derived DP8&#x3b1; Tregs, indicating both their relevancy and that they were not related to clone sorting and/or long-term culture.</p>
<p>While the developmental origin of the many described Tr1-like cells remains elusive, DP8&#x3b1; cells likely differentiate into Treg cells due to their specificity. Indeed, we demonstrated that <italic>F. prausnitzii</italic> harnessed dendritic cell functions and rendered them tolerogenic in a TLR2/TLR6-dependent manner<sup>4</sup>. As a consequence, <italic>F. prausnitzii</italic>-derived epitopes presented by dendritic cells end-up priming na&#xef;ve CD4 T cells into IL-10-producing CD4<sup>+</sup> T cells<sup>4</sup>, very likely including DP8&#x3b1; Tregs.</p>
<p>To conclude, this study brought forward key new data regarding the transcriptomic signature, phenotype and functional properties of DP8&#x3b1; Tregs, namely their potent lytic activity, chemotactic potential and their unique ability to promote IgA production. These features clearly single out this subset from FoxP3<sup>+</sup> Tregs as demonstrated here, but also from Tr1-like cells, as described above, for instance in terms of specific functions and physiological relevance. Instead, they rather seem closest to mouse ROR&#x3b3;t<sup>+</sup>/FoxP3<sup>+</sup> gut Tregs, demonstrated to protect against colitis (<xref ref-type="bibr" rid="B2">2</xref>). Altogether, these findings strongly suggest that these unique microbiota-induced Tregs represent previously underappreciated crucial actors of tissue homeostasis, emphasizing the importance to further explore their roles in health and diseases, particularly in the context of IBD.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The datasets presented in this study can be found in online repositories. The name of the repository and accession number can be found below: NCBI Gene Expression Omnibus; GSE197906.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The studies involving human participants were reviewed and approved by CPP Ouest IV-Nantes institutional board of Nantes University Hospital. The patients/participants provided their written informed consent to participate in this study.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>FJ analyzed RNA sequencing data, co-designed and interpreted experiments as well as wrote the manuscript; JA produced and screened LPL-derived clones; RT performed bioinformatic analyses and transcriptomics data illustrations; AP performed part of the T/B co-culture experiments; NJ helped design and perform flow cytometry-based sortings and clonings; FA supervised the project; EG designed and performed most experiments as well as supervised the project; EG, FA, and FJ edited the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by ANR (MICITREG, ANR-15-CE17-0010).</p>
</sec>
<sec id="s9" sec-type="acknowledgement">
<title>Acknowledgments</title>
<p>We thank the members of INCIT INSERM unit 1302 (Immunology and New Concepts in ImmunoTherapy), with a special emphasis for members of Fr&#xe9;d&#xe9;ric Altare&#x2019;s laboratory for technical help and discussions. We also thank Dr Nathalie Labarri&#xe8;re for her kind gift of the K562 and U937 cell lines. We thank Julie Tabiasco for providing us with the CD39 inhibitor POM-1. We are most grateful to the Genomics Core facility <italic>GenoA</italic>, member of Biogenouest and France Genomique and to the Bioinformatics Core facility <italic>BIRD</italic>, member of Biogenouest and Institut Fran&#xe7;ais de Bioinformatique (IFB) (ANR-11-INBS-0013) for the use of their resources and technical support. We thank Harry Sokol and Chantal Bridonneau for providing us the A2-165 <italic>Faecalibacterium prausnitzii</italic> bacterium. We acknowledge the contribution of the staff of Cytocell (Flow cytometry and FACS core facility, BioCore, CNRS 3556 - Inserm US016 - Nantes Universit&#xe9; UMS 3556, Nantes) for their expert technical assistance with flow cytometry material and methods.</p>
</sec>
<sec id="s10" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2022.1026994/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2022.1026994/full#supplementary-material</ext-link>
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<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
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