Noncanonical T cell responses are associated with protection from tuberculosis in mice and humans

While control of Mycobacterium tuberculosis (Mtb) infection is generally understood to require Th1 cells and IFNγ, infection produces a spectrum of immunological and pathological phenotypes in diverse human populations. By characterizing Mtb infection in mouse strains that model the genetic heterogeneity of an outbred population, we identified strains that control Mtb comparably to a standard IFNγ-dependent mouse model but with substantially lower lung IFNγ levels. We report that these mice have a significantly altered CD4 T cell profile that specifically lacks the terminal effector Th1 subset and that this phenotype is detectable before infection. These mice still require T cells to control bacterial burden but are less dependent on IFNγ signaling. Instead, noncanonical immune features such as Th17-like CD4 and γδT cells correlate with low bacterial burden. We find the same Th17 transcriptional programs are associated with resistance to Mtb infection in humans, implicating specific non-Th1 T cell responses as a common feature of Mtb control across species.

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Publication Details

Journal
The Journal of Experimental Medicine
Published
2025-04-07
DOI
https://doi.org/10.1084/jem.20241760
Citations
11
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
Field-Weighted Citation Impact
15.36

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article

Noncanonical T cell responses are associated with protection from tuberculosis in mice and humans

Michael C Kiritsy, Patricia S. Grace, Christine D. Wiggins, Charlotte J. Reames et al.
11 citations
The Journal of Experimental Medicine
Tuberculosis Research and Epidemiology
15.36
article

Noncanonical T cell responses are associated with protection from tuberculosis in mice and humans

Michael C Kiritsy, Patricia S. Grace, Christine D. Wiggins, Charlotte J. Reames, Brooke A. Fenderson, Megan K. Proulx, Judith Gallant, Galit Alter, Douglas A. Lauffenburger, Christopher M. Sassetti, Cecilia S. Lindestam Arlehamn, Clare M. Smith, Chin‐Jen Wu, Ping Xu
article en
11 citations

Abstract

While control of Mycobacterium tuberculosis (Mtb) infection is generally understood to require Th1 cells and IFNγ, infection produces a spectrum of immunological and pathological phenotypes in diverse human populations. By characterizing Mtb infection in mouse strains that model the genetic heterogeneity of an outbred population, we identified strains that control Mtb comparably to a standard IFNγ-dependent mouse model but with substantially lower lung IFNγ levels. We report that these mice have a significantly altered CD4 T cell profile that specifically lacks the terminal effector Th1 subset and that this phenotype is detectable before infection. These mice still require T cells to control bacterial burden but are less dependent on IFNγ signaling. Instead, noncanonical immune features such as Th17-like CD4 and γδT cells correlate with low bacterial burden. We find the same Th17 transcriptional programs are associated with resistance to Mtb infection in humans, implicating specific non-Th1 T cell responses as a common feature of Mtb control across species.

The Journal of Experimental MedicineVol. 222(7)
Statens Serum Institut (DK), La Jolla Institute for Immunology (US), University of Massachusetts Chan Medical School (US), University of Pittsburgh (US), Duke University (US), Ragon Institute of MGH, MIT and Harvard (US), Massachusetts Institute of Technology (US)
U.S. Department of Health and Human Services, Pfizer, Sanofi, Moderna, National Institutes of Health, National Institute of Allergy and Infectious Diseases
Good health and well-being
Openalex Percentile: Top 1%
Tuberculosis Research and Epidemiology
15.36
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