Abstract
CD8+ T cells provide robust antiviral immunity, but how epitope-specific T cells evolve across the human lifespan is unclear. Here we defined CD8+ T cell immunity directed at the prominent influenza epitope HLA-A*02:01-M158–66 (A2/M158) across four age groups at phenotypic, transcriptomic, clonal and functional levels. We identify a linear differentiation trajectory from newborns to children then adults, followed by divergence and a clonal reset in older adults. Gene profiles in older adults closely resemble those of newborns and children, despite being clonally distinct. Only child-derived and adult-derived A2/M158+CD8+ T cells had the potential to differentiate into highly cytotoxic epitope-specific CD8+ T cells, which was linked to highly functional public T cell receptor (TCR)αβ signatures. Suboptimal TCRαβ signatures in older adults led to less proliferation, polyfunctionality, avidity and recognition of peptide mutants, although displayed no signs of exhaustion. These data suggest that priming T cells at different stages of life might greatly affect CD8+ T cell responses toward viral infections.
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Main
CD8+ T cells provide antiviral immunity by eliminating virus-infected cells and establishing long-term immunological memory1,2,3,4. CD8+ T cells recognize epitopes, peptides (p) bound to HLA class I (pHLA-I) on the surfaces of infected cells via TCRαβ. Memory CD8+ T cells recognize conserved viral peptides, providing broad-protection against mutating viruses and ameliorate disease severity1,2. Epitope-specific CD8+ T cells in adults are well studied, but less so in newborns, children and older adults. To rationally design effective CD8+ T cell-targeted immunotherapies and vaccines for all ages, we need to understand how epitope-specific CD8+ T cells evolve across human life.
Diversity and clonal composition of TCR repertoires affect T cell functionality and antiviral protection5,6,7. Limited data exist on how age-related TCR changes affect magnitude, functionality and gene profiles of epitope-specific T cells. Previous age-specific TCR studies were mostly based on bulk, rather than epitope-specific T cells and/or in vitro-expanded T cell lines, and encompassed bulk sequenced TCRα or TCRβ chains, instead of paired TCRαβ. Bulk naive TCR repertoires at birth are highly diverse, lack clonal expansions and nucleotide insertions in complementarity-determining region 3 (CDR3) regions8,9. Similar trends were observed for Epstein–Barr virus (EBV), cytomegalovirus (CMV) and Melan-A/MART-1-specific CD8+ T cells8,10. Newborn influenza A2/M158-specific TCRβ repertoires were biased toward TRBV19, which persisted into adulthood10,11. Childhood infections clonally expand virus-specific T cells, further maintained in adults4,8,10,12,13. With age, bulk and epitope-specific TCR repertoires showed declining TCR diversity, fewer non-N-inserted clonotypes and longer CDR3α sequences8,9,14,15,16. Aging compromised T cell immunity, including increased terminally differentiated T (TEMRA) cells, decreased naive T cells and T cell functionality8,12,17,18,19,20,21, resulting in diminished recall capacity22,23. These changes are defined as immunosenescence24,25.
Ex vivo epitope-specific, single-cell paired TCRαβ analyses across age groups remain rare and were performed by us for influenza-specific16 and SARS-CoV-2-specific CD8+ T cells13; however, not across the human lifespan. Highly functional public (shared) clonotypes dominated adult A2/M158-specific TCRαβ repertoires16,26,27, whereas older adults had prominent private clonotypes (not shared)16. Children had fewer expanded SARS-CoV-2-specific clonotypes compared to adults, despite common TCRαβ motifs13. Underlying mechanisms and functional consequences of age-related changes within epitope-specific TCR repertoire across the human lifespan remain unresolved. Limited epitope-specific T cell single-cell RNA-sequence (scRNA-seq) studies focus on adult versus older bulk T lymphocytes in healthy individuals28,29 or those with COVID-19 (ref. 30), but not across the human lifespan.
We defined epitope-specific CD8+ T cell immunity across the human lifespan ex vivo in newborns, children, adults and older adults. We incorporated single-cell transcriptome and paired TCRαβ analyses to define epitope-specific T cells directed at the prominent and conserved HLA-A*02:01-restricted M158–66 peptide derived from influenza A viruses (A2/M158) (refs. 11,16,31,32,33). Public clonotypes present across different individuals16,26,27,34 allowed us to track numerical, phenotypic, functional and molecular changes within public A2/M158+CD8+ TCRαβ clonotypes across human lifespan. We identified age-related TCR repertoire shifts within older epitope-specific CD8+ T cells, stemming from newborn/child-like molecular signatures detected in older adults. Our findings have implications for rationally designed T cell-targeted vaccines and immunotherapies across age groups.
Results
Lifespan HLA-A*02:01+ cohort
For our ‘lifespan’ cohort, we recruited healthy HLA-A*02:01-expressing individuals across four immunologically distinct age groups: newborns (n = 11, 0 years), children (n = 12; median 9 years, range 3–16), adults (n = 20; median 37 years, range 18–58) and older adults (n = 18; median 72 years, range 63–88) (Fig. 1a,b and Supplementary Table 1). We performed ex vivo phenotypic, transcriptome, functional and TCRαβ repertoire analyses of A2/M158-specific CD8+ T cells.
A2/M158 +CD8+ T cells frequencies peak in adults
Magnitude and phenotype of CD8+ T cells and A2/M158+CD8+ T cells were assessed ex vivo using tetramer-associated-magnetic enrichment (TAME) (Fig. 1c and Extended Data Fig. 1a). Frequency of total CD8+ T cells was lowest in newborns (median 15.7%), increased in children (21.5%), peaked in adults (21.9%) and bimodal frequencies were found in older adults (19.1%) (Fig. 1d,e). A2/M158+CD8+ T cell frequencies were lowest in newborns (median 5.34 × 10−5) and children (7.43 × 10−5), peaked in adults (2.33 × 10−4) and decreased in older adults (7.36 × 10−5) (Fig. 1f,g), aligning with reports of declining total CD8+ T cells17 and A2/M158+CD8+ T cells16 in immunosenescent older adults.
Age-related phenotypic changes in A2/M158 +CD8+ T cells
Ex vivo epitope-specific A2/M158+CD8+ T cells and total CD8+ T cells displayed different phenotype profiles (Fig. 1c,h–m and Extended Data Fig. 1a–d). Naive A2/M158+CD8+ T (Tnaive) cells (CD27+CD45RA+CD95−) decreased with age, newborns (median 98.5%), children (20.4%), adults (6.5%) and older adults (3.2%). Notably, 37.5% of older adults maintained substantial A2/M158+CD8+ Tnaive cells (>10%). A2/M158+CD8+ central memory T (TCM) cells (CD27+CD45RA−) peaked in adults (80.7%). Children and older adults displayed bimodal A2/M158+CD8+ TCM cell profiles, potentially reflecting influenza exposures in children. A2/M158+CD8+ effector memory T (TEM) cell (CD27−CD45RA−) and stem cell memory (TSCM) cell (CD27+CD45RA+CD95+) populations were low across age groups (<10%). Notably, A2/M1+CD8+ TEMRA (CD27−CD45RA+) cells remained low across age groups (<10%), conversely to increasing TEMRA levels within total CD8+ T cells in older adults. Ample TEMRA populations are characteristic for immunosenescence in older adults experiencing chronic CMV infections12,17. Similar trends were observed for absolute numbers of A2/M158+phenotype+cells/106 CD8+ T cells (Extended Data Fig. 1b).
CD57 expression, associated with immunosenescence and terminal differentiation18,35,36, on total CD8+ T cells peaked in older adults (60.8%) (Fig. 1j), but remained low on A2/M158+CD8+ T cells across age groups (6.7%; 7 CD57+A2/M158+CD8+ T cells/106CD8+ T cells), including older adults (8.3%; 14 CD57+A2/M158+CD8+ T cells/106CD8+ T cells) (Fig. 1k and Extended Data Fig. 1d). PD-1 expression, an immune checkpoint marker that can be associated with TCR activation, immunosuppression and/or exhaustion37, was low on total CD8+ T cells across ages (14.5%) (Fig. 1l), whereas PD-1+A2/M158+CD8+ T cell frequencies were high in children (54.4%; 37 PD-1+A2/M158+CD8+ T cells/106CD8+ T cells) and adults (57.5%; 138 PD-1+A2/M158+CD8+ T cells/106CD8+ T cells), and decreased below 50% in 68.8% of older adults (41 PD-1+A2/M158+CD8+ T cells/106CD8+ T cells) (Fig. 1m and Extended Data Fig. 1d). CD57/PD-1 and CD38/HLA-DR coexpression was minimal (Extended Data Fig. 1c–f).
CMV testing would reveal whether CMV status affects total CD8+ and/or A2/M158-specific CD8+ T cell phenotypes (Supplementary Table 1). Although our dataset was underpowered, A2/M158-specific CD8+ T cell responses were not modulated by concurrent CMV infection, conversely to total CD8+ T cells (Extended Data Fig. 2).
Overall, A2/M158-specific CD8+ T cell phenotypes change across the human lifespan, but these changes are distinct from total CD8+ T cells, with absence of terminally differentiated A2/M158+CD8+ T cells in older adults.
Four A2/M158 +CD8+ T cell clusters across human lifespan
We defined molecular gene signatures in healthy HLA-A*02:01-expressing newborns, children, adults and older adults (n = 3 per group), selected to reflect phenotypic heterogeneity, including dispersion of heterogenicity within TCM and Tnaive populations in children and older adults, and lack of TEMRA in older adults (Extended Data Fig. 3a). Ex vivo-isolated A2/M158+CD8+ T cells were index-sorted for single-cell transcriptome analysis. A total of 793 cells across all age groups passed quality control for analyses.
Unsupervised dimensionality reduction analysis using Uniform Manifold Approximation and Projection (UMAP) maps revealed four distinct A2/M158+CD8+ T cell clusters (Fig. 2a). Newborns were predominantly detected in clusters 1 and 2, mainly containing naive cells. Memory A2/M158+CD8+ T cells dominated cluster 0 encompassed children, adults and older adults, whereas adults dominated cluster 3 (Fig. 2a,b).
Gene expression profiles in each cluster were consistent with protein-expressed phenotypic profiles obtained from index-sort analysis (Fig. 2c and Extended Data Fig. 3b). Clusters 1 and 2, containing mostly naive cells from newborns, expressed SELL, CCR7 and transcription factors TCF7 and SOX4, hallmark genes for naive T cells. Cluster 2 expressed higher CD69, FOS and STAT3 levels, indicating increased activation and TCR signaling compared to cluster 1. Cluster 0 consisted of A2/M158+CD8+ T cells expressing effector and memory markers, including GZMK, CCL5, CXCR4, CD28 (Fig. 2c) and transcription factors NR4A2, KLF2, FOS and JUN. A2/M158+CD8+ T cells in cluster 3 expressed cytotoxicity-associated genes, GZMA, PRF1, NKG7 and KLRD1, with high expression of TRAV27/TRBV19 gene segments. Cluster properties were confirmed by gene set enrichment analysis (GSEA; Extended Data Fig. 3c).
TRBV19 and TRAV27 represent key features of optimal A2/M158+CD8+ T cells, especially with arginine (R) and serine (S) in CDR3β (refs. 26,27,38). Full-length paired TRAV27-TRBV19-CDR3-RS clonotypes and (TRBV19-)CDR3-RS clonotypes paired to different/unknown TCRα chains were identified mostly within clusters 0 and 3, confirming segregation of clonally expanded A2/M158+CD8+ T cells with varying functional gene features (Fig. 2a,c). TRBV27, uncommon in memory A2/M158+CD8+ T cells, was enriched in cluster 2 (Fig. 2c). UMAP analysis excluding TCR genes revealed a similar four-cluster composition, indicating that clonally expanded A2/M158+CD8+ T cells did not alter cluster compositions (Extended Data Fig. 3d).
Overall, scRNA-seq combined with protein expression phenotypes revealed differential molecular signatures of A2/M158+CD8+ T cells across four clusters, reflecting different age groups, separating naive A2/M158+CD8+ T cells associated with newborns and effector/memory A2/M158+CD8+ T cells mostly found in other age groups.
Young gene profiles resemble gene profiles for older adults
To identify age group-distinctive gene signatures, we performed differential gene expression analysis between cells stratified by age and investigated heterogenicity within A2/M158+CD8+ T cells in children and older adults, and lack of exhaustion and terminal differentiation in older A2/M158+CD8+ T cells.
Newborn A2/M158+CD8+ T cells expressed naive gene signatures, with high expression of CCR7, SELL and TNFAIP3, which became less prominent in children and adults, but increased in older adults. Adult A2/M158+CD8+ T cells expressed effector-memory phenotype profiles, including LITAF, KLRG1, CXCR4 (contributing to homeostasis self-renewal and homing)39 and NK-like signatures, KLRK1 encoding NKG2D (involved in stress-induced cytotoxic response)40, less prominent in children and older adults (Fig. 2d). Mixed naive/memory phenotypes in children and older adults (Fig. 1i) were verified by shared mixed gene expression profiles (Fig. 2d).
Cytotoxic gene signatures, ITGB1, GNLY, CST7, GZMA, PRF1 and GZMK, detected in children, became more pronounced in adults, reflecting their TCM/TEM phenotype. Conversely, older adults had lower expression of cytotoxicity genes, despite substantial A2/M158+CD8+ TCM populations, suggesting that older A2/M158+CD8+ T cells are less cytotoxic. Newborns uniquely expressed LTB (encoding TNF-C), but no other cytotoxic genes (Fig. 2d). GSEA between age groups confirmed predominant cytotoxic-effector/memory signatures in children and adults, and revealed enriched naive signatures in newborn and older adults, largely driven by reduced effector and differentiated states of A2/M158+CD8+ T cells (Extended Data Fig. 3e).
Newborn A2/M158+CD8+ T cells expressed high levels of ZFP36L1 and PIK3IP, reflective of quiescent naive T cells. High PIK3IP1 expression in older adults corresponded to heterogeneity within older A2/M158+CD8+ T cells (Fig. 2d). Markers associated with maintaining immune control (FYN and LYAR), anti-inflammatory cytokines (IL-10RA) and controlling T cell differentiation (ZFP36 and TXNIP) were highly expressed in adult A2/M158+CD8+ T cells, less pronounced in children and older adults and absent in newborns. CD37, inhibiting TCR signaling41, was uniquely expressed in older A2/M158+CD8+ T cells (Fig. 2d).
Transcription factors associated with naive or resting T memory phenotypes (FOXP1, TCF7, SOX4 and LEF1) were highly expressed in newborns, whereas adults expressed ID2, associated with terminal differentiation42 (Extended Data Fig. 3f). Older adults expressed AP-1 transcription factors FOS, JUNB and KLF2, associated with protection from exhaustion43, (Extended Data Fig. 3f). Exhaustion-associated transcription factors (TOX), exhaustion markers (TIGIT, CTLA4, LAG3 and PDCD1) and senescence marker CD57 (B3GAT1) were minimally expressed across age groups, supporting phenotypic data (Fig. 2d,e and Extended Data Fig. 3f). Pairwise comparison of children and older adult gene profiles revealed that older A2/M158+CD8+ T cells had more heterogenous distribution, with less-differentiated and cytotoxic subsets (Extended Data Fig. 3g). Gene profiles of older adults were more like newborns, whereas children and adult A2/M158+CD8+ T cells had increased effector and cytotoxicity signatures.
As TCR signatures are important in antiviral immune responses, we investigated TCR-associated genes across age groups. TRBV19 and TRAV27 gene expression, key features of highly functional A2/M158+CD8+ T cells26,27,38, increased from children to adults, whereas TRBV27 expression was higher in newborns and older adults (Fig. 2d). Age-specific TCR changes suggest potential shifts in dominance of key TCR clonotypes across the human lifespan.
Overall, differentially expressed gene profiles across the human lifespan revealed clear distinctions between naive A2/M158+CD8+ T cells in newborns, mixed naive/memory profiles in children, cytotoxic-effector-memory profiles in adults and inversion toward naive profiles in older adults, without evidence for exhaustion and terminal differentiation, agreeing with phenotypic data (Fig. 1i–m).
Age-specific molecular changes stem from distinct clonotypes
UMAP analysis demonstrated heterogeneity among A2/M158+CD8+ T cells, with clusters segregating cells based on age group and phenotype, with newborn and older adults sharing common gene and phenotypic signatures (Fig. 2). We thus asked whether distinct lineages can explain molecular and phenotypic differences observed across the human lifespan. We hypothesized two scenarios (1) A2/M158-specific TCR clonotypes are shared between children, adults and older adults, with older TCR clonotypes reverting to a quiescent gene profile similar to newborns and children; and (2) older adults have distinct A2/M158-specific TCR clonotypes compared to adults, with gene expression profiles similar to those detected in newborn and children. To evaluate the relationship between differentiation and fate of the clonal lineage of A2/M158+CD8+ T cells across age groups, we performed pseudotime trajectory analysis using partition-based graph abstraction (PAGA) based on gene expression data, combined with clonotype information to infer the connections and order of differentiation throughout T cell states (Fig. 3).
Similar to UMAP, PAGA analysis confirmed that A2/M158+CD8+ T cells separate into clusters based on age group and phenotype with additional segregation of newborns and older adults into two distinct clusters, clusters 3 and 4 (Fig. 3a,b). TCR mapping identified highly functional TRAV27-TRBV19-CDR3-RS TCR features dominated cluster 0 and 2, whereas TRBV27-expressing clonotypes dominated the older adult cluster 4 (Fig. 3c).
We established the A2/M158+CD8+ T cell pseudotime trajectory across five PAGA clusters. Each cell was assigned a state based on dimensionality reduction or clustering in PAGA. Pseudotime values were inferred for each cell, allowing cells to be ordered along a trajectory across which they can be considered as proxy of cell lineage differentiation (Fig. 3d). Cluster 3, consisting of predominantly naive T cells from newborns, was the logical choice for the differentiation root (Fig. 3b,d). A trajectory was identified by connecting root cluster 3 with clusters 1 and 0, and terminating in cluster 2 (trajectory 1) (Fig. 3a). This trajectory largely correlated with clonal expansion and increased usage of TRAV27-TRBV19-CDR3-RS features (Fig. 3c). Older TRBV27-expressing A2/M158+CD8+ T cells dominating cluster 4 (Fig. 3c), suggested deviation, branching off from cluster 0 and terminating in cluster 4 (trajectory 2), indicating distinct lineage differentiation in older adults.
To quantify variation of gene and phenotypic signatures along the pseudotime (Fig. 3d), we performed Loess smoothing fit. T cell phenotype analysis showed rapid declining growth rates of naive A2/M158+CD8+ T cells along the pseudotime, whereas growth rates of TCM and TEM A2/M158+CD8+ T cells increased, the latter largely consisting of cytotoxic effectors from adults displaying TRBV19-CDR3-RS features (Fig. 3a–c). Indeed, gene expression analysis demonstrated a rapid increase of TRAV27 and TRBV19, along with NKG7, GNLY and GZMA expression, representing increased cytotoxicity profiles along trajectory 1. Conversely, naive-associated genes, including CD27 and transcription factors FOS and JUNB declined over the pseudotime, whereas TCR signaling genes (LCK) remained highly expressed.
Overall, our trajectory analysis demonstrated nonlinear differentiation of A2/M158+CD8+ T cells across the human lifespan. Trajectory 1 consisted of newborns, children and adults along a differentiation branch toward the effector cytotoxic A2/M158+CD8+ T cells associated with optimal TCR features dominating adult A2/M158+CD8+ repertoires. Trajectory 2 was dominated by older less-differentiated T cells, encompassing a distinct clonal lineage.
Diverse TCRαβ repertoires in newborns and older adults
TCRαβ repertoire diversity and clonal composition affect functionality of CD8+ T cells5,6,7. As transcriptomic analyses revealed prominent TRAV27/TRBV19 expression in children and adults, and TRBV27 in newborns and older adults (Fig. 3c), we asked whether TCRαβ signatures underly age-specific gene profiles. We dissected TCRαβ clonal diversity and composition ex vivo within HLA−A*02:01-expressing newborns (n = 6), children (n = 12), adults (n = 8) and older adults (n = 10) (Figs. 4–6 and Extended Data Figs. 4 and 5). We analyzed 1,110 paired A2/M158+CD8+ TCRαβ clonotypes, 66 single TCR α-chains, 447 single TCR β-chains, with unidentifiable matching TCR β-chains or TCR α-chains, respectively (Supplementary Table 2).
Gene segment usage and gene–gene pairing landscapes were generated for pooled TCRαβ repertoires within each group (Fig. 4a–c). Two-dimensional (2D)-kernel principal-component analysis (kPCA) projection of TCR Vα/Vβ/Jα/Jβ gene segments demonstrated diverse TCR repertoires in newborns, clustering in children and adults, before diversifying in older adults (Fig. 4a). TCR diversity scores (TCRdiv) for A2/M158+CD8+ demonstrated that both TCR α-chains and β-chains contributed to initial clustering from newborns to adults, and subsequent diversification in older adults (Fig. 4b). Non-newborn TCR repertoires showed more heterogeneity across individuals than within individuals, but not in newborns despite higher repertoire diversity (Extended Data Fig. 4a). To measure density within age-specific TCR repertoires and quantify relative contributions of clustered and diverged TCRs, neighbor distance distributions were calculated, where lower average values of distance distribution peaks represented similar clonotype clustering (Fig. 4c). Bimodal distribution of single and paired TCRαβ sequences was observed across age groups, except for newborn single-TCRα sequences, characterized by a single high distribution peak (average newborns αβ, 192.3; β, 70.9; α, 91.4; children αβ, 149.0; β, 49.6; α, 77.4; adults αβ, 103.1; β, 28.4; α, 59.0; older adults αβ, 161.3; β, 57.9; α, 80.8) (Fig. 4c).
Overall, A2/M158+CD8+ TCRαβ repertoires are highly diverse in newborns, greatly cluster in children and adults, before diversifying in older adults. These changes are attributed to both TCR α-chains and β-chains.
Young public TCRs replaced by private TCRs in older adults
Circos analysis of pooled TRAV and TRBV sequences was performed to understand how changes in TCRαβ diversity related to gene segment usage (Fig. 4d and Extended Data Fig. 4b). Newborn A2/M158+CD8+ TCRαβ repertoires were highly diverse, although newborns expressed TRBV19 bias10,11. Clonally expanded TRBV19-expressing TCRs became more prevalent in children and adults. Strong TRAV27–TRBV19 associations were observed in children (10 out of 12 children, 82 out of 714 TCRαβ clonotypes) and became more pronounced in adults (8 out of 8 adults, 96 out of 409 TCRαβ clonotypes). Consistent with kPCA and neighbor distance distribution analyses, higher TRAV and TRBV diversity was observed among older adults. TRBV19 became less prevalent in six out of ten older adults and the TRBV19–TRAV27 association was observed in four out of ten older donors (33 out of 409 TCRαβ clonotypes). Instead, older adults displayed large clonal expansions expressing other TRAV and TRBV gene segments.
We defined distribution of high-prevalent public (shared clonotypes, detected at least twice within each individual), low-prevalent public (shared clonotypes, detected only once within each individual) and high-prevalent private clonotypes (not shared, detected at least twice in a single individual). High-prevalent public TCRαβ clonotypes were observed during childhood, peaked in adults, before decreasing in older adults, particularly the previously identified full public TCRαβ clonotype (TRAV27/TRAJ42, CDR3α-GAGGGSQGNLIF, TRBV19/TRBV2–7 and CDR3β-CASSIRSSYEQYF) associated with optimal immunity in adults16,26,27,34 (Fig. 4e and Extended Data Fig. 4c). Loss of public TCRαβ clonotypes in older adults was associated with increased prevalence of private TCR clonotypes (Fig. 4e and Extended Data Fig. 4d).
Our data suggest that repeated influenza virus exposures expand public TCRαβ clonotypes in children and adults, which are replaced by private TCRαβ clonal expansions in older adults.
Young public CDR3αβ-motifs are less frequent in older adults
As hypervariable CDR3α and CDR3β regions predominantly mediate fine pHLA-I specificity, we dissected CDR3αβ regions by analyzing length and amino acid sequence to identify TCR motifs. Conversely to diverse lengths observed for A2/M158+CD8+ CDR3α regions across age groups, newborn CDR3β sequences were predominantly 8–10 amino acids in length, whereas an eight-amino acid length dominated in children, adults and older adults (Extended Data Fig. 5a,b and Supplementary Table 2).
We identified CDR3 motif similarities to highlight key conserved residues driving A2/M158-specific TCR recognition either within or between age groups. No CDR3α motif was identified in newborns, attributed to high TCR α-chain diversity. A single top-scoring, TRAV27-TRAJ42-associated, glycine-rich, CDR3α-(CA)GGGSQG(NLI) motif was identified in children, adults and older adults (Fig. 5a). A single glycine was enriched above background levels, suggesting limited involvement in specific pHLA interaction44. Clonotypes expressing the full public TRAV27-TRAJ42-associated CDR3α-GAGGGGSQGNLIF or shorter variants, including GGGSQG, GGG or GG were shared between age groups with frequencies increasing in children, peaking in adults and decreasing in older adults (Fig. 5b,c), confirming our finding that TCRα chains contributed to diversifying the older TCR repertoire (Fig. 4b).
Several top-scoring (chi-squared ≥ 100) CDR3β-motifs were identified within age groups (Fig. 5a). TRBV19-associated CDR3β-‘IV’-motifs were uniquely identified in three out of five newborns. Generally, ‘IV’-expressing CDR3β clonotypes were detected at a low frequency in children, adults and older adults, except in child TN022. No ‘IV’-expressing clonotypes were shared between age groups (Fig. 5d,e and Supplementary Table 2).
A2/M158-specific TRBV19-TRBJ2-7-associated CDR3β-‘RS’ motifs were prominent in children, adults and older adults (Fig. 5a). CDR3β-‘RS’-expressing TCRαβs were frequently shared between individuals across age groups (Fig. 5d). Enriched ‘RS’ residues are essential for the peg-notch mode of recognition, interacting extensively with the M158–66 peptide and HLA-A*02:01 molecule26,27,38,44,45,46. High-frequency CDR3-‘RS’-expressing clonal expansions were observed in children, peaked in adults and decreased in 80% of older adults (Fig. 5d,e). Changes in ‘RS’-expressing clonotypes were partially attributed to the public TRAV27/TRAJ42-CDR3α-GAGGGSQGNLIF; TRBV19/TRBV2-7-CDR3β-CASSIRSSYEQYF clonotype (Figs. 4e and 5d).
TRBV19-TRBJ1-2-associated (C)ASSIGxxYGYT(F) CDR3β-motifs harboring ‘IG’ and ‘YGY’ residues was among the top-scoring CDR3β motifs in children and adults (Fig. 5a). Although TCRs expressing CDR3β-‘IG’ and/or ‘YGY’ were detected across age groups, only those coexpressing ‘IG’ and ‘YGY’ were shared between children, adults and older adults, but were absent in newborns (Fig. 5d,e).
Both children and older adults expressed less-prominent CDR3β-‘IY’-motifs with highest frequencies in children (Fig. 5a,e). ‘IY’-expressing CDR3β motifs were associated with TRBV19 and variable TRBJ gene usage, resulting in limited sharing among age groups (Fig. 5a,d). CDR3β-‘(I)F’-motif expressing clonotypes were identified in newborns, children and older adults, and were associated with TRBV19, TRBV27 and variable TRBJ segments (Fig. 5a,e). Despite strong enrichment of the ‘F’ residue, CDR3β-(I)F-expressing clonotypes were detected at low frequencies and were not shared between age groups, with the exception of DMC19 dominated by the highly frequent CDR3β-‘F’-expressing clonotype (71.9%) (Fig. 5d,e and Supplementary Table 2).
Overall, we identified public-associated CDR3α and CDR3β motifs, with CDR3α ‘GGGSQG’ and CDR3β-‘RS’ motifs being most prominent. Public-associated CDR3α and CDR3β motifs became less frequent in older adults and were replaced with high-frequency private CDR3 motifs uniquely identified in a single individual.
Public datasets verify age-related changes public TCR motifs
To validate that A2/M158+CD8+ public-associated TCR CDR3β motifs decline in older adults, we utilized two independent large publicly available bulk TCRβ repertoire datasets from donors aged 0–103 years8,47 (n = 79 and n = 673; donors with known ages were analyzed). RS, IG, YGY and IY CDR3β-motifs were enriched in HLA-A*2+ donors compared to HLA-A*2-negative donors, but not IF and IV CDR3β motifs (Fig. 6a). Similar to our ‘lifespan’ cohort, we observed that A2/M158+CD8+ public-associated CDR3β motifs were differentially expressed across different HLA-A*2+ age groups (Fig. 6b). RS, IG, YGY and IY CDR3β motifs were depleted in older adults, especially in individuals >80 years old. ‘RS’ motifs were less prevalent in young children (0–9 years) compared to adults (20–39 years) (Fig. 6b).
Thus, our observations of age-dependent prevalence of public-associated CDR3β motifs were confirmed in independent large cohorts of aging donors.
Higher probability of generation underpins public TCRs
To understand why A2/M158+CD8+ public clonotypes were prominent in children and adults, and declined in older adults, we estimated the probability of generation (Pgen) of A2/M158+CD8+ TCR α-chains and β-chains using TCRdist44. Larger Pgen values are associated with easier-to-generate clonotypes, whereas smaller Pgen values indicate harder-to-generate (rarer) clonotypes.
TCR α-chain Pgen values were similar for all ages (Fig. 6c). Significantly greater Pgen values were observed within adult TCR β-chains compared to children and older adults (Fig. 6d), supported by fewer inferred TCRβ N insertions in adult A2/M158-specific TCR β-chains (Fig. 6e). The number of inferred exonuclease deletions were similar across age groups (Fig. 6f), suggesting that relatively easy-to-generate TCR β-chain formation in adults may be driven by reduced terminal deoxynucleotidyl transferase (TdT) activity during V(D)J recombination following early childhood. Indeed, TdT expression decreases between birth and adulthood48,49, coinciding with increased public A2/M158+CD8+ cells after childhood.
Overall, adult TRBV19-expressing clonotypes had a larger Pgen compared to children and older adults, likely driven by expanded full public clonotypes. Child and adult public-associated TRBV19-expressing clonotypes had larger Pgen values compared to other TRBV-expressing clonotypes (Fig. 6g). Conversely, highly prevalent non-TRBV19-expressing TCR clonotypes in children and older adults had significantly lower Pgen values compared to newborns (Fig. 6g). Patterns for total TCR clonotypes were complemented by TCR logo analyses depicting V and J gene frequencies, CDR3 amino acid sequences and inferred rearrangement structures of grouped TCRs (Extended Data Fig. 5c,d). TCR clusters expressing public-associated CDR3α-‘(G)GGSQG’ or CDR3β-‘RS’ and -‘IG’ had higher probabilities of generation in children, adults and older adults (Extended Data Fig. 5c,d). TCR clusters expressing private-associated CDR3β-‘(I)F’ had lower probability of TCR recombination (Extended Data Fig. 5d).
Overall, child and adult A2/M158+CD8+ TCRs, often expressing TRBV19 public-associated CDR3α-‘GGGSQG’ and/or CDR3β-‘RS’ motifs, are easier to generate, explaining why they are shared between HLA-A*02:01-expressing individuals. Conversely, large clonal expansions in older adults, often associated with non-TRBV19 non-public CDR3α and/or CDR3β sequences, with increased numbers of insertions and deletions, are harder to generate and less likely to be shared.
Public clonotypes underpin A2/M158 +CD8+ T cell proliferation
To understand whether age-related changes in TCRαβs have functional consequences, we assessed proliferation linked to clonal composition of A2/M158+CD8+ T cells across age groups (n = 3–4 per group), following in vitro stimulation with the M158–88 peptide (Fig. 7, Extended Data Figs. 6 and 7, Supplementary Movie and Supplementary Table 3). Proliferation was observed by day 3–4, particularly in children and adults and associated with stronger proliferation capacity, resulting in higher A2/M158+CD8+ T cell numbers compared to older adults and newborns (Fig. 7a–c). Except older adult BP114, who had the largest fold change on day 10 despite low cell numbers, reflecting their TCM cell phenotype at day 0 (Fig. 7a,b and Extended Data Fig. 7a). Newborn A2/M158+CD8+ T cells had low proliferation capacity, reflecting their naive phenotype (Fig. 7b and Extended Data Fig. 7a). Fluctuation in fold change originated from high diversity in newborn TCRαβ repertoires, resulting in diverse TRBV and TRAV signatures in proliferating A2/M158+CD8+ TCR clonotypes (Extended Data Fig. 6a and Supplementary Table 3). Proliferating TCRs of other groups were dominated by TRBV19-expressing clonotypes paired with variable TRBJ, TRAV and TRAJ gene segments, resulting in TCRαβ repertoire diversity, except for DMC3 (Supplementary Table 3).
Proliferating A2/M158+CD8+CDR3 motifs reflected age-related changes (Extended Data Fig. 7b). In newborns, no CDR3α motif was identified and CDR3β motifs were scarce (d0-ASSYG; d7-FxGxD). Children and adults displayed high similarity CDR3α-‘GGGSQG’ and CDR3β-‘RS’ motifs. Only the CDR3β-‘RS’ motif was detected in older adults. Ex vivo-identified CDR3α motifs (full public GAGGGSQGNLIF/GGGSQG/GGG/GG) were observed in proliferating A2/M158+CD8+ clonotypes in children and adults, at lower frequencies in children and near-absent in most older adults (Fig. 7d and Supplementary Table 3), with the exception of older adult BP114 (Supplementary Table 3). Ex vivo-identified public-associated CDR3β motifs (full public CASSIRSSYEQYF/RS/IG/YGY/IF/IY) were detected in dividing A2/M158+CD8+ T cells throughout the assay, with lower prevalence of CDR3β-CASSIRSSYEQYF and -‘RS’ motifs in children and more inter-donor variation in older adults (Fig. 7e, Supplementary Video and Supplementary Table 3). Irrespective of age, the highly prevalent ex vivo public clonotype (TRAV27/TRAJ42, CDR3α-CAGGGSQGNLIF, TRBV19/TRBJ2-7 and CDR3β-CASSIRSSYEQYF) was not dominant during proliferation (Extended Data Fig. 6; clone ID:p-A in Supplementary Table 3). Less prevalent ex vivo CDR3β-expressing clonotypes (Fig. 5) were among proliferating A2/M158+CD8+ T cells (Supplementary Table 3). High similarity CDR3β-‘IG’ motifs were identified in child and adult proliferating A2/M158+CD8+ T cells and CDR3β-‘IF’-expressing proliferating clonotypes were observed across age groups.
Overall, highly prevalent clonotypes expressing public features in children and adults were associated with robust A2/M158+CD8+ T cell proliferation. These data demonstrated the importance of TCRαβ diversity, as ex vivo low-prevalent TCRs also proliferated upon in vitro stimulation. Further studies are needed to demonstrate whether broad-spectrum TCR proliferation is also observed following influenza infection.
A2/M158 +CD8+ T cell polyfunctionality peaks in children
We investigated polyfunctionality of proliferating A2/M158+CD8+ T cells following re-stimulation with M158–66 peptide on day 9 (Fig. 7f,g). Proliferating polyfunctional A2/M158+CD8+ T cells, expressing interferon (IFN)-γ, tumor necrosis factor (TNF), granzyme B (GrzB) and perforin, decreased with age (children 37.7%; adults 24.8%; older adults 11.3%). IFN-γ/TNF production decreased with age, from children (IFN-γ 59.4%; TNF 46.7%) to adults (IFN-γ 50.9%; TNF 30.6%) and older adults (IFN-γ 29.7%; TNF 22%). Expression of GrzB and perforin remained stable from children (GrzB 82.23%; perforin 81.18%) to adults (GrzB 87.75%; perforin 85.31%) but decreased in older adults (GrzB 68.4%; perforin 69.61%). Newborn proliferating A2/M158+CD8+ T cells were least functional, with 74.2% expressing no functional markers, followed by older adults (12.06%), adults (3.44%) and children (2.26%). Non-dividing cells were minimally polyfunctional (Fig. 7g).
Overall, children’s proliferating A2/M158+ CD8+ T cells had the highest polyfunctionality whereas newborns had the lowest polyfunctionality followed by older adults, in line with their lower cytotoxic gene expression profiles ex vivo.
CD8 co-receptor enhances avidity of young TCRs
To demonstrate that age-related functional changes of A2/M158+CD8+ T cells resulted from differential TCRαβ repertoires across age groups, we generated HEK293T-transient and SKW-3-stable cell lines encompassing full public or prominent age-specific TCRs identified ex vivo (C1, A1, OA1, OA2a, OA2b and OA3) or proliferating in vitro (pN1, pA2 and pOA4) (Fig. 8a and Supplementary Tables 2 and 3). pN1 clonally expanded on day 7 of proliferation (newborn CB151 28 of 39 TCRs) and expressed child/adult-associated CDR3β-‘IG’ motif. Age-specific private child C1, adult A1 and older adult OA1 TCRs were more prevalent (TN010, 4 of 75; KK2, 5 of 70; DMC18, 6 of 105) compared to the full public TCRαβ within the donor’s ex vivo TCR repertoire, without prominent public CDR3α/β features. Low ex vivo frequency adult TCR pA2 (BP128; 1 of 32 TCRs), expressing the public-associated CDR3α-‘GG’ motif but no public TCRβ features, proliferated early in vitro. Older adult TCRs OA2a and OA2b originated from a prominent ex vivo clonotype (DMC19; 23 of 32 TCRs), encompassing a single ‘F’-expressing CDR3 β-chain and double TCR α-chains. Two older adult CDR3β-‘IF’-expressing TCRs included the ex vivo low-prevalent OA3 (BP127; 1 of 32 TCRs) and highly proliferating pOA4 (DMC18; 12 of 52 TCRs day 10) (Fig. 8a).
Transiently expressed TCRs together with CD3 complex units in HEK293T cells revealed that all TCRs, except OA2b, expressed CD3 on cell surface, indicative of productive TCRs. A1, pA2 and pOA4 had similar A2/M158 tetramer-binding avidities compared to public TCR, whereas pN1, C1 and OA2a displayed lower A2/M158-binding avidities. Older adult TCRs OA1 and OA3 displayed no A2/M158-specific binding, despite CD3 expression, suggesting potential CD8αβ co-receptor requirement to overcome the binding threshold (Extended Data Fig. 8a,b).
To understand whether CD8 co-receptors enhance A2/M158 avidity, we compared A2/M158 tetramer staining between stable SKW-3 cell lines expressing productive TCRs (except OA2b) and CD3 (SKW-3-CD3+) or CD3 and CD8 (SKW-3-CD3+CD8+) (Fig. 8b–d and Extended Data Fig. 8c). CD8 co-receptors improved A2/M158-binding avidity of the public, pN1, C1, A1, OA2a and pOA4, but not pA2, OA1 and OA3. Overall, older adult OA1, OA2a and OA3 TCRs showed minimal A2/M158 binding avidity irrespectively of CD8 (Fig. 8b–d). To verify, cell lines were stained with wild-type (WT) A2/M158 tetramer (A2/M158-WT), A2/M158 tetramer with a knockout (KO) CD8-binding site (A2/M158-KO) and A2/M158 tetramer with an enhanced CD8-binding site (A2/M158-Enh) (Fig. 8e,f and Extended Data Fig. 8c,d). CD8-binding site KO reduced A2/M158-binding avidity of A1 and pOA4. Binding was lost for pN1 and C1. Conversely, CD8-binding site enhancement improved binding avidity of pN1, C1 and OA2a. No changes were observed for other TCRs (Fig. 8f) or in SKW-3-CD3+ TCR-expressing cell lines (Extended Data Fig. 8c,d).
Overall, CD8 co-receptors enhanced binding avidity of age-specific private TCRs representing newborn, child, one adult and one older TCR, but had less impact on weak-binding older TCRs.
Older A2/M158 +CD8+ TCRs display reduced activation capacity
To determine whether differential A2/M158 avidity of age-specific TCRs affected their activation, we performed peptide M158–66 titrations across nine TCRs in SKW-3-CD3+ and SKW-3-CD3+CD8+ cell lines. TCR activation was measured by CD69 expression and saturation curves provided half maximal effective concentrations (EC50), reflecting antigen sensitivity (Fig. 8g,h and Extended Data Fig. 8e,f). Activation thresholds of A1, pA2 and pOA4 TCRs were like public TCRs in SKW-CD3+ cells and SKW-3-CD3+CD8+ cells (<0.6 logM difference in EC50). Higher activation thresholds for pN1 and C1 compared to the public TCR in SKW-CD3+ cells were partly overcome in SKW-3-CD3+CD8+ cells for pN1 but not C1. Older TCRs OA1, OA2a and OA3 had the highest activation threshold, with 2.943–3.14 logM higher EC50 values compared to the public TCR in SKW-CD3+ cells and was not rescued by CD8 (Fig. 8h and Extended Data Fig. 8f). Activation at high peptide concentrations reassured that older TCRs were A2/M158-specific; however, their binding affinity was too low for detection through tetramer staining (Fig. 8d).
Overall, ex vivo A2/M158-specific TCRs from older adults had reduced activation capacity compared to public and other age-specific TCRs. The CD8 co-receptor decreased the public, newborn (pN1) and adult (A1) TCR activation threshold, potentially resulting from improved binding avidity (Fig. 8b–f).
Reduced recognition of M158 variants by age-specific TCRs
We stimulated age-specific or public TCR-expressing SKW-3-CD3+ (Fig. 8i,j) and SKW-3-CD3+CD8+ cell lines (Extended Data Fig. 9a,b) with WT and mutated M158–66 peptides containing single alanine substitutions at sequential positions, excluding the anchor residue (position (p) 2).
In accordance with reports26,38,50, M158–66 p5 was critical for public TCR recognition in SKW-3-CD3+ and SKW-3-CD3+CD8+ cells. Additional loss in TCR recognition was observed for p6 (V6A) and p7 (F7A), and partial loss for L3A, G4A and T8A in SKW-3-CD3+ cells, which were overcome by CD8 coexpression (Fig. 8j and Extended Data Fig. 9b).
Adult TCR A1 displayed a public-like TCR recognition profile, with p5 critical for TCR recognition and reduced recognition at p3, p4, p6, p7, p8 and p9 (Fig. 8i,j); however, CD8 only improved TCR recognition of M158–66 T8A (Extended Data Fig. 9). Newborn pN1 had two critical positions, p4 and p5, whereas CD8 coexpression partly overcame lower TCR recognition at p1, p3, p6, p7 and p8 (Fig. 8i,j and Extended Data Fig. 9). Child TCR C1 had 4 critical positions, p4, p5, p6 and p7, substantial reduction for p3 and p9, and partial loss for p8 (Fig. 8i,j). The CD8 co-receptor only improved recognition of M158–66 T8A (Extended Data Fig. 9). The adult pA2 clonotype strongly proliferated early despite the presence of the full public TCR. No critical TCR recognition positions were identified but decreases were observed for p3, p4, p6 and p7 and partial loss for p5 (Fig. 8j), which was improved by CD8 coexpression (Extended Data Fig. 9). Older TCRs had notably unique recognition patterns, with multiple critical binding sites (OA1: p3, p7, p8 and p9; OA2a: p6 and p8; OA3: p3, p5, p6 and p8) and substantially reduced binding sites (OA1: p5; OA2a: p1, p4, p5, p7 and p9; OA3: p7 and p9) (Fig. 8j). pOA4 had a single critical binding site (p1) and substantial reduction for p4, p5, p6, p7 and p8 (Fig. 8j). Generally, the CD8 co-receptor did not improve TCR recognition (Extended Data Fig. 9). Of note, the alanine substitution at p3 (L3A) in older TCR OA2a increased TCR recognition, suggesting that this TCR might have binding properties for another peptide.
Overall, age-specific TCRs display reduced ability to recognize M158–66 peptide variants. Ex vivo older private TCRs displayed unique A2/M158 binding profiles, underpinning their reduced binding capacity, avidity, functionality and proliferating capacity compared to other prominent age-specific TCRs, especially TCRs with public-associated features found at high frequency in children and adults.
Discussion
We linked age-specific single-cell molecular gene profiles with phenotypes, functionality and paired single-cell TCRαβ repertoires of influenza-specific HLA-A*02:01/M158–66-specific CD8+ T cells. Unexpectedly, older A2/M158+CD8+ T cells did not reach terminally differentiated or exhausted end points. Instead, reduced functionality was associated with loss of highly functional public TCRαβ clonotypes dominating younger TCRαβ repertoires. Conversely, large clonal expansions of less-functional private TCRαβs dominated older TCRαβ repertoires. Age-specific transcriptomes supported a linear differentiation trajectory from newborns to children, then adults, whereas suboptimal clonal resets in older adults were associated with newborn/child-like molecular signatures.
Older A2/M158+CD8+ T cells lacked immunosenescent hallmarks, including terminally differentiated TEMRA cells and CD57 expression, matching gene expression profiles. High CD8+ TEMRA frequencies are linked to chronic EBV or CMV infections18,51,52. Instead, older adults maintained robust A2/M158+CD8+ Tnaive and TCM phenotypes, suggesting that acute viral infections, such as influenza, do not trigger terminal differentiation.
Age-specific A2/M158+CD8+ T cells transcriptomes corroborated age-specific phenotypic profiles, including mixed naive/memory phenotypes in children and older adults. Newborn naive T cells uniquely expressed TLB. The role of TLB, encoding TNF-C, remains ill defined. Cytotoxic and TRAV27/TRBV19 genes dominated child and adult A2/M158-specific transcriptomes and their public TCR features resulted in higher proliferative capacity and polyfunctionality, compared to newborns and older adults. Older A2/M158-specific transcriptomes, dominated by CXCR4 (ref. 39), KLF2, SELL, TXNIP, PIK3IP1, CD37 and TRBV27, displayed less-differentiated cell states, lacked exhaustion genes, expressed AP-1 transcription factors FOS and JUN (progenitor of exhaustion in acute infection53), C-JUN (resistance to exhaustion43) and distinct clonal lineages. Trajectory analysis supported lack of a terminally differentiated end stage and suboptimal clonal reset in older adults. Suboptimal clonotypes expressing older private features were detected at a low frequency in younger age groups.
Older suboptimal A2/M158-specific clonotypes underpinned differences in gene expression and functionality. The public TCRαβ clonotype was first identified in children, peaked in adults and decreased in older adults, coinciding with large private TCRαβ expansions. The relatively featureless A2/M158 structure requires a specific peg-notch mode of interaction by CDR3β-‘RS’ in the public TRAV27/TRBV19 clonotype without peptide-specific CDR3α binding26,27,38,44. Glycine repeats allow the required conformational changes50. Fewer CDR3α-glycines reduces flexibility in older ‘RS’-expressing TCRs, potentially hampering A2/M158 binding. Alternatively, CDR3α amino acids with bulkier side chains might hamper the peg-notch recognition26,27,38. Low-frequency public-associated A2/M158-specific CDR3β motifs, including ‘xGxY’ and ‘F’, were described27; however, gradual decline of public-associated CDR3β-RS/-IG/-YGY/-IY/-IF/-IV motifs across the human lifespan was not reported. Our study supports that alternative TCR structures recognize the featureless A2/M158-complex27,46.
During infections, ‘best-fit’ high-avidity clonotypes are selected from naive TCR repertoires and expand following subsequent encounters54,55. We demonstrate that ‘best-fit’ high-avidity public clonotypes peak in adults and are gradually replaced by low-avidity clonotypes in older adults. TRBV19/CDR3β-RS-expressing clonotypes dominate over TRBV19-expressing clonotypes with other public CDR3β-associated features, possibly because CDR3β-RS only requires two amino acids to bind the A2/M158 complex regardless of the TCR α-chain27,38; however, TCR repertoire diversity remains important to protect against escape variants5,27. How this delicate balance between expanded best-fit clonotypes and TCR diversity is maintained following repeated infections remains unexplored. Children and adults maintain diverse TCR repertoires during in vitro expansion. Reduced public TCRαβ clonotypes and TCRαβ diversity within older TCR repertoires explains why older adults, in the absence of pre-existing antibodies, are at higher risk of severe disease during influenza epidemics and pandemics. Conversely, highly functional and diverse public TCRαβ repertoires in children clarifies their relative superiority in fighting influenza infections. Understanding how we can preserve this delicate balance between expansion of ‘best-fit’ TCRs while maintaining TCR diversity may be the Holy Grail in defining how we can maintain optimal immunity across the human lifespan through vaccination and/or immunotherapies.
Methods
Study participants and ethics
Donors were selected from a large HLA-typed randomly recruited lifespan cohort n ≥ 500, consisting of 154 newborns, 30 children, 360 adults/older adults, based on their expression of HLA-A*02:01. Overall, 11 HLA-A*02:01+ newborns (0 years), 12 HLA-A*02:01+ children (median 9 years, range 3–16), 20 HLA-A*02:01+ adults (median 37 years, range 18–58) and 18 HLA-A*02:01+ older adults (median 72 years, range 63–88) were included in the study (Supplementary Table 1). Adults and older adults were recruited via the University of Melbourne (UoM), Deepdene Medical Clinic and the Australian Red Cross Lifeblood. Children were recruited via the Launceston General Hospital and St Jude Children’s Research Hospital. Umbilical cord blood, reflecting newborn’s blood, was obtained via Mercy Hospital for Women. Peripheral blood was collected before the COVID-19 pandemic. All participants or their guardians provided informed written consent. Participants of the study did not receive any compensation. PBMCs were isolated using Ficoll-Paque (GE HealthCare) gradient centrifugation, and then cryopreserved in liquid nitrogen until required. HLA class I and II molecular genotyping was performed from genomic DNA by the Australian Red Cross Lifeblood. CMV status was determined as described previously56. Experiments conformed to the Declaration of Helsinki Principles and the Australian National Health and Medical Research Council Code of Practice. The study was approved by the Human Research Ethics Committee of the UoM (ethics IDs 24567, 13344 and 23852), Australian Red Cross Lifeblood (ID 2015 8), St Jude Children’s Research Hospital (XPD12-089 IIBANK), Mercy Hospital for Women (R14-25) and Tasmanian Health and Medical Human Research Ethics Committee (ID H0017479).
Peptides and tetramers
WT M158–66 peptide (GILGFVFTL) and its single amino acid alanine substitution variants (AIGFVFTL, GIAGFVFTL, GILAFVFTL, GILGAVFTL, GILGFAFTL, GILGFVATL, GILGFVFAL and GILGFVFTA) were purchased from GeneScript. HLA-A*02:01-M158 (GILGFVFTL) monomers: WT, KO CD8-binding site (D227K; CD8 KO) and enhanced CD8-binding site (Q115E; CD8 Enh) were generated by refolding each peptide with its restricted HLA α-heavy chain-BirA and β2-microglobulin57,58,59 before 8:1 conjugation with PE-streptavidin (BD Biosciences) to generate A2/M158 tetramers.
Ex vivo A2/M158 tetramer enrichment
PBMCs (1–5 × 107) were thawed in complete RPMI (cRPMI) medium (RPMI1640 medium (Invitrogen) supplemented with 2 mM l-glutamine (Gibco), 1 mM MEM sodium pyruvate (Gibco), 100 µM MEM non-essential amino acids (Gibco), 5 mM HEPES buffer solution (Gibco), 55 µM 2-mercaptoethanol (Gibco), 100 U ml−1 penicillin (Gibco), 100 µg ml−1 streptomycin (Gibco) and 10% fetal bovine serum (Gibco)) supplemented with 50 U ml−1 Benzonase (Novagen Merck) before undergoing TAME as previously described6,13. Briefly, cells were resuspended in MACS buffer (PBS plus 0.5% BSA and 2 mM EDTA) and magnetically enriched with PE-streptavidin conjugated A2/M158 (GILGFVFTL) tetramer using anti-PE Microbeads (Miltenyi Biotec) and passed through an LS column (Miltenyi Biotec) to enrich A2/M158 tetramer-positive cells. Cells were then surfaced stained in MACS buffer using anti-CD71-BV421 (1:50 dilution, BD Biosciences 562995), anti-CD3-BV510 (1:200 dilution, BioLegend 317332), anti-HLA-DR-BV605 (1:100 dilution, BioLegend 307640), anti-CD4-BV650 (1:100 dilution, BD Biosciences 563875), anti-CD27-BV711 (1:200 dilution, BD Horizon 563167), anti-CD38-BV785 (1:100 dilution, BD Biosciences 563964), anti-CD57-APC (1:400 dilution, BD Biosciences 560845), anti-CCR7-AF700 (1:50 dilution, BD Biosciences 561143), anti-CD14-APC-Cy7 (1:100 dilution, BD Biosciences 560180), anti-CD19 (1:100 dilution, BD Biosciences 560177), anti-CD45RA-FITC (1:200 dilution, BD Biosciences 555488), anti-CD8-PerCP-Cy5.5 (1:200 dilution, BD Biosciences 565310), anti-CD95-PECF594 (1:100 dilution, BD Horizon 562395), anti-PD-1-1-PE-Cy7 (1:50 dilution, BD Biosciences 561272) and Live/Dead fixable aqua dead-cell stain (1:800 dilution, Invitrogen L10119), fixed with 1% paraformaldehyde (PFA) (ProSciTec) for acquiring on an LSR Fortessa II (BD Biosciences) or resuspended in MACS buffer for single cell-(index)-sorting using a BD FACSAria III (BD Biosciences), followed by the analysis using FlowJo software (v.10.8.1) (BD Biosciences). A2/M158+CD8+ T cell frequencies were calculated relative to the total CD8+T cell numbers in an unenriched fraction as described previously6,13,60. Samples with <10 A2/M158+CD8+ T cells counted were excluded for phenotypic analyses.
Single-cell RNA sequencing
Three HLA-A*02:01-expressing donors from each age group (Supplementary Fig. 2a) were selected for scRNA-seq analysis. A2/M158+CD8+ T cells were TAME-enriched and then individually (index-) sorted into chilled 96-well twin.tec PCR plates (Eppendorf) containing lysis buffer (1 μl RNase inhibitor and 19 μl Triton X-100) after TAME and on a BD Aria III sorter. Libraries were generated as described previously61,62. A Nextera XT DNA Library Prep kit was used for the generation of sequencing libraries and sequencing performed on a NextSeq500 platform with 150-bp high-output paired-end chemistry for 901 A2/M158-tetramer+CD8+ T cells/donor and 101 controls.
Raw sequencing reads were trimmed using Trimmomatic (v.0.39) (ref. 63) and aligned to the human reference genome (GRCh38.89) using TopHat (v.2.1.1). Gene expression FPKM (fragments per kilobase of transcript per million mapped reads) values were quantified using Cufflinks (v.2.2.1) (ref. 64). TCR sequences were reconstructed using VDJPuzzle65,66.
scRNA-seq quality control, normalization and batch correction
Downstream analysis was performed in R using packages downloaded from Bioconductor v.3.10. Cells were removed from each batch if they did not meet these criteria: less than 40% reads aligned to mitochondrial genes, number of detected genes more than 400. The bulk samples and genes expressed in zero cells were removed. Normalization was performed using the NormalizeData function from Seurat (v.4.1.0). To minimize potential batch effects, the experiment was designed to distribute donors from each age group to be included across separate experiments. In addition, donors were distributed over across plates within each experiment. Batch effect was tested using the FindIntegrationAnchors and IntegrateData functions from Seurat67. For scRNA-seq bioinformatics analysis no correction for batch effect was performed because of poor evidence of bias and also for sufficient mix of cells among clusters based on experimental design (plates and experiment number). The observed segregation based on age group and phenotype was an expected biological bias given the experimental design.
Analysis of scRNA-seq data
Dimensionality reduction and clustering were also performed in Seurat using the normalized matrix. PCA was performed on the normalized data using the 3,000 most variable genes. Clustering was performed using the shared nearest neighbor modularity optimization-based clustering algorithm (FindClusters(resolution = 0.8, algorithm = ‘louvain’)) as implemented in Seurat.
Differential gene expression was performed using MAST (v.1.16.0) implemented in the function FindMarkers in Seurat v.4 and using two-sided P values to report the results REF_SEURAT67. Notably, the test used was MAST and batch was used as a latent variable with a log(FC) threshold of 0.3. Other parameters were kept as default. Signature scores were computed from the normalized single cell transcriptomic matrix as the average log(FPKM + 1) of all genes in the signature. Differential expression output across all the analyses is reported in Supplementary Table 4 (UMAP clusters) and Supplementary Table 5 (age groups).
Gene set enrichment analysis
GSEA was performed using the R package fsgea (v.1.16.0). Normalized enrichment scores were assessed using the fgsea(…, maxSize = 500, nperm = 10,000) function across the curated Molecular Signatures Database (MSigDB) Hallmark, C2 curated gene sets consisting of canonical gene sets PID). Customized gene signatures for T cell phenotypes are reported in Supplementary Table 6, which were prepared by manually curating published data.
Trajectory inference
PAGA analysis was performed through Scanpy (v.1.7.1) (ref. 68) with parameters as recommended22. The FPKM matrix following normalization (with Seurat), along with the top 20 PCAs (previously generated with Seurat) were used and visualization was performed using sc.pp.neighbors(n_neighbors = 8, n_pcs = 20) and a coarse-grained and simplified graph using sc.tl.paga. Clusters were calculated using sc.tl.louvain(resolution = 0.8) and visualization was performed using sc.pl.paga and sc.pl.draw_graph. Pseudotime analysis was performed using the diffusion map algorithm (sc.tl.dpt) by manually assigning an initial iroot value. Scaled pseudotime were used with Loess smoothing and were calculated as uniformly distributed mapping of the diffusion pseudotime values to preserve the cell order and account for heterogeneous distribution of gaps between pseudotime values. The growth rate with which T cell phenotypic/age group subsets change along the inferred pseudotime trajectories were calculated as the ratio between the difference in cell numbers and the scaled pseudotime values over a window of size 0.05. These values were then plotted using the geom_smooth R function with default parameters.
Single-cell RT–PCR and paired TCRαβ sequencing
A2/M158+CD8+ T cells were TAME-enriched and subsequently individually (index-) sorted into chilled 96-well twin.tec PCR plates (Eppendorf) and immediately stored at −80 °C until required. Single-cell paired CDR3α and CDR3β regions were analyzed by multiplex-nested PCR with reverse transcription and followed by sequencing of the CDRα and CDRβ products, essentially as described previously6,26,69, except for using double amounts of reaction mix in the complementary DNA step for older adult samples. Sequences were analyzed with FinchTV. V-J regions were identified by IMGT query (www.imgt.org/IMGT_vquest). TCR sequences were parsed using the TCRdist analytical pipeline44. Clonotypes were defined as single-cell TCRαβ pairs that exhibit the same V, J and CDR3 regions.
A2/M158-specific TCR motifs in publicly available datasets
A2/M158-specific TCRβ sequences identified in our study were further verified in two publicly available bulk TCRβ datasets from independent cohorts of healthy individuals8,47. TCR was considered matched when it had the same CDR3β and genomic V segment. For all the donors in the cohorts, we calculated the total frequency of matched TCRs within each CDR3β-motif. As conventional HLA typing was not available for all donors in the independent cohorts, we divided them into HLA-A*2+ (n = 329; age group 0–9, n = 6; 10–19, n = 14; 20–39, n = 157; 40–59, n = 111; 60–79, n = 24; and 80–103, n = 17) and HLA-A*2- (n = 423; age group 0–9, n = 22; 10–19, n = 24; 20–39, n = 189; 40–59, n = 150; 60–79, n = 29; and 80–103, n = 9) using TCR repertoire based HLA typing procedure as previously described70.
A2/M158 +CD8+ T cell proliferation assay
PBMCs from HLA-A*02:01+ donors (~21 × 106) were pre-incubated with cell trace violet (Violet Proliferation Dye 450, BD Horizon) according to the manufacturer’s instructions before generating A2/M158-specific CD8+ T cell lines6. Briefly, one-third of the labeled PBMCs were pulsed with 10 μM M158–66 peptide (GILGFVFTL), or DMSO as unstimulated control, for 60 min at 37 °C, washed twice with RPMI and incubated with the remaining two-thirds of the non-peptide-pulsed autologous PBMCs in cRPMI at a final concentration of non-pulsed cells at 1 × 106 per well for each day of the proliferation assay. Cells were cultured in a 48-wells plate for 10 d at 37 °C and 5% CO2. Cultures were supplemented on day 4 with 20 U ml−1 rIL-2 (Roche) and were maintained with fresh medium containing 10 U ml−1 IL-2 when needed. On day 3, 4, 5, 6, 7, 9 (ICS) and 10, respective wells were collected, counted and washed once in MACS buffer and incubated with anti-human FcR block (20 µl per 1 × 107 cells) (Miltenyi Biotec) for 15 min on ice before staining with PE-streptavidin-conjugated tetramers (1:100 dilution in MACS buffer) for 1 h at room temperature. After one wash, cells were incubated for 30 min on ice with the same surface stain as described for the TAME, except without anti-CD71-BV421. Cells were subsequently washed once and resuspended in MACS buffer for single cell-(index)-sorting using a BD FACSAria III for subsequent TCRαβ sequencing (days 3, 5, 6, 7 and 10) or fixed with 1% PFA for acquiring on an LSR Fortessa II (day 4), followed by analysis using FlowJo software (v.10.8.1). Proliferation due in combination with A2/M158 tetramer staining of CD8+ T cells was used to track proliferating A2/M158-specific CD8+ T cells over time. Ex vivo numbers of A2/M158+CD8+ T cells on day 0 were based on the frequencies obtained from TAME analysis, as frequencies were relatively low.
On day 9, expanded A2/M158+CD8+ T cells were simulated with 1 μM M158–66 peptide and cultured for 5 h in the presence of 10 U ml−1 rIL-2 and Golgi Stop (BD Biosciences). Following activation, cells were surface stained for 30 min with human anti-CD3-BV510 (1:200 dilution, BioLegend 317332), anti-CD8-BV605 (1:200 dilution, BD Horizon 564116), anti-CD4-BV650 (1:200 dilution, BD Horizon 563875), anti-CD27-BV711 (1:200 dilution, BD 563167), anti-CD14-APC-H7 (1:100 dilution, BD Pharmingen 560180), anti-CD19-APC-H7 (1:100 dilution, BD Pharmingen 560177), Live/Dead near-infrared (1:800 dilution, Invitrogen L10119), anti-CD45RA-FITC (1:200 dilution, BD Biosciences 555488), PE-streptavidin-conjugated A2/M158 (GILGFVFTL) tetramer and anti-CD95-PECF594 (1:100 dilution, BD Horizon 562395). Cells were fixed with BD Fix-Perm buffer (BD Biosciences) for 20 min, before intracellular staining for 30 min on ice with anti-TNF-α-APC (1:100 dilution, BD 340534), anti-granzyme B-AF700 (1:50 dilution, BD 560213), anti-IFN-γ-FITC (1:100 dilution, eBioscience 45-7-319-42) and perforin (1:10 dilution, BioLegend 353316) in perm wash buffer (BD Biosciences). Cells were washed in perm wash buffer and resuspended in MACS buffer for acquiring on an LSRFortesa II followed by analysis using FlowJo software (v.10.8.1).
Transient transfections of A2/M158-specific TCR α/β-chains
Genes encoding the full-length A2/M158 TCR α- and β-chains joined by a P2A linker for the public, newborn (pN1), child (C1), adult (A1 and pA2) and older adults (OA1, OA2a, OA2b, OA3 and pOA4) TCRs (Fig. 7a) were synthesized as double-stranded DNA fragments (Thermo Fisher Scientific) and cloned into the pMSCV-IRES-GFP II (pMIG II) expression vector71; a gift from D. Vignali (Addgene plasmid #52107; RRID Addgene_52107). The pMIG.TCR plasmid was transiently co-transfected with the pMIG.huCD3 plasmid in HEK293T cells using FuGENE6 transfection reagent (Promega)72,73. Cells were cultured for 72 h, collected by mechanical disruption and stained with anti-CD3-BV421 (1:100 dilution, BD Biosciences 562426), Live/Dead near-infrared (1:500 dilution) and PE-streptavidin-conjugated A2/M158 (GILGFVFTL) tetramer. Cells were fixed with 1% paraformaldehyde for acquiring on an LSRFortesa II (day 4) followed by analysis using FlowJo software (v.10.8.1).
Generation of A2/M158-specific TCR-expressing cell lines
pMIG.TCR plasmids were used to retrovirally transduce SKW-3 cells expressing CD3 only or CD3 and CD8 (refs. 73,74,75) as previously described71 to generate SKW-3.CD3.public, SKW-3.CD3.pN1, SKW-3.CD3.C1, SKW-3.CD3.A1, SKW-3.CD3.pA2, SKW-3.CD3.OA1, SKW-3.CD3.OA2a, SKW-3.CD3.OA3, SKW-3.CD3.pOA4 and SKW-3.CD3 + CD8.public, SKW-3.CD3 + CD8.pN1, SKW-3.CD3 + CD8.C1, SKW-3.CD3 + CD8.A1, SKW-3.CD3 + CD8.pA2, SKW-3.CD3 + CD8.OA1, SKW-3.CD3 + CD8.OA2a, SKW-3.CD3 + CD8.OA3, SKW-3.CD3 + CD8.pOA4. Transduced cells were stained with anti-CD3-BV421 (1:100 dilution) and Live/Dead near-infrared (1:500 dilution) and FACS sorted for GFPhiCD3hi cells.
A2/M158 tetramer staining of TCR-expressing cell lines
SKW-3.CD3.TCR and SKW-3.CD3+CD8.TCR cell lines were stained with PE-streptavidin-conjugated A2/M158 (GILGFVFTL) tetramers (WT, CD8 KO or CD8 Enh) (1:100 dilution in MACS buffer), anti-CD3-BV421 (1:100 dilution) and Live/Dead near-infrared (1:500 dilution) in MACS buffer for 30 min at room temperature, washed twice and fixed with 1% paraformaldehyde for acquiring on an LSR Fortessa II followed by the analysis using FlowJo software (v.10.8.1). Median A2/M158 tetramer-PE MFI value across all SKW-3.TCR cell lines was established for cells expressing the same MFI for CD3-BV421 and GFP to ensure similar expression of the TCR on the cell surface.
Peptide titration and alanine scan
C1R cells expressing HLA-A*02:01 (C1R.A2; a gift from W. Chen, La Trobe University) were maintained in cRPMI supplemented with Hygromycin B (50 mg ml−1). C1R.A2 cells were pulsed with WT M158–66 (GILGFVFTL) peptide at different dilutions ranging from 10−4 to 10−12 M (half logM steps) for WT M158–66 peptide titration or at a dilution of 10−5 M for the alanine scan with WT M158–66 (GILGFVFTL), P1A (AILGFVFTL), P3A (GIAGFVFTL), P4A (GILAFVFTL), P5A (GILGAVFTL), P6A (GILGFAFTL), P7A (GILGFVATL), P8A (GILGFVFAL) or P9A (GILGFVFTA) peptides for 1 h at 37 °C. Due to a lower activation threshold found in the older adult OA1, OA2a and OA3 TCRs, a higher peptide concentration of 10−4 M was used. Peptide pulsed C1R.A2 cells were washed twice, resuspended in cRPMI and incubated at 1:1 with SKW-3.CD3.TCR or SKW-3.CD3+CD8.TCR cell lines for 16–18 h at 37 °C. Dynabeads human T activator CD3/CD28 (Gibco) were used as a positive control. Cells were subsequently collected and stained with CD69-PE-Cy7 (1:100 dilution, BD 557745), Live/Dead near-infrared (1:500 dilution) in MACS buffer for 30 min at room temperature in the dark, washed twice and fixed with 1% PFA for acquiring on an LSRFortesa II, followed by analysis using FlowJo software (v.10.8.1).
Statistical analysis
No statistical methods were used to predetermine sample sizes but our sample sizes are larger than those reported in previous publications16. Normality tests were not performed and nonparametric statistical analyses were performed in the study. Unless otherwise indicated, data were analyzed by GraphPad Prism (v.9.3.0, GraphPad) using a two-sided Kruskal–Wallis test combined with Dunn’s correction for multiple tests. A Mann–Whitney U-test with Holm multiple testing correction was used to compare TCR frequencies in HLA-A*2+ and HLA-A*2− donors as well as CDR3β motif frequencies across different age groups within the independent datasets. Differences were considered significant at P < 0.05. For statistical comparisons of TCR Pgen, N insertions and deletions, analyses were conducted in the R statistical environment (v.4.2.2). Each unique clonotype was included in the analyses only once and mixed-effects models were fitted via Penalized Quasi-Likelihood (glmmPQL function from the MASS package, v.7.3.58) (ref. 76). To correct for the non-independence of the data owing to shared donors across clonotypes, subject was included as a random effect. As Pgen best fitted a log-normal distribution, we utilized the Gaussian family with a log link. For N insertions and deletions, which best fitted a negative binomial distribution, we used the negative.binomial family, with theta first estimated by the glm.nb function. To control type II error, P values were corrected for multiple testing using FDR adjustment. Data collection and analysis were not performed blind to the conditions of the experiments.
Reporting summary
Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article.
Data availability
TCR sequence data (ex vivo Supplementary Table 2; in vitro Supplementary Table 3, Source Data) have been deposited in Mendeley (https://doi.org/10.17632/8jrbh6rgmx.1) and VDJdb (https://vdjdb.cdr3.net). scRNA-seq data have been deposited in NCBI Gene Expression Omnibus under accession code GSE237817. All other data are present in the article and Supplementary files or from the corresponding author upon reasonable request. Source data are provided with this paper.
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Acknowledgements
We thank the participating donors involved in the study as well as B. McCudden and J. Mitchell for their medical support. We thank staff at the Melbourne Cytometry Platform for the technical support and assistance. This work was supported by the ARC-Discovery grant to K.K., F.L. and S.G. (DP190102704), the Clifford Craig Foundation Project Grant to K.F. and K.K. (186), the Research Grants Council of the Hong Kong Special Administrative Region, China (T11-712/19-N) to K.K. and the NHMRC Leadership Investigator Grant to K.K. (1173871). C.E.S. received funding from the European Union’s Horizon 2020 research program under the Marie Skłodowska-Curie Grant agreement (792532) and is supported by the ARC-DECRA Fellowship (DE200100185) and the UoM Establishment Grant. F.L. was supported by the National Health and Medical Research Council, Australia (project grant 1121643) and Career Development Fellow (1128416). T.H.O.N. is supported by the NHMRC Emerging Leadership Level 1 Investigator Grant (1194036), N.A.G. is supported by the ARC-DECRA Fellowship (DE210100705), E.B.C. is supported by a NHMRC Peter Doherty Fellowship (1091516), J.R. and N.L.L.G. are supported by NHMRC Leadership Investigator grants, S.G. is supported by NHMRC Senior Research Fellowship (1159272), D.I.G. was supported by an NHMRC Senior Principal Research Fellowship (1117766) and subsequently by an NHMRC investigator grant (2008913). J.C.C., A.A.M., M.V.P. and P.G.T. are supported by NIH NIAID R01 AI136514, U01AI150747 and ALSAC at St. Jude. We also thank L. Wooldridge (University of Bristol) for the provision of vectors encoding CD8 mutants of soluble HLA-A*02:01 molecules.
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Authors and Affiliations
Contributions
K.K. led the study. K.K. and F.L. supervised the study. C.E.S. and K.K. designed the experiments. C.E.S., T.H.O.N., N.A.G., S.R., K.P., T.K., N.C., S.N., E.B.C. and A.E. performed and analyzed the experiments. C.E.S., J.C.C., J.S., A.A.M., M.V.P., S.R., H.A.M., T.M. and S. Sant analyzed data. N.A.G., C.S., Z.C., J.R., S.G. and D.I.G. provided crucial reagents. C.E.S., T.H.O.N., J.K., N.R., S Sonda, A.H., X.J., R.L., J.C., M.L. and K.F. recruited donor cohorts. C.E.S., J.C.C., A.A.M., M.V.P., H.A.M. and P.G.T. analyzed TCR sequences. C.E.S., J.S., S.R. and F.L. analyzed scRNA-seq data. C.E.S., T.H.O.N., N.A.G., J.C.C., A.A.M., M.V.P., N.L.L.G., P.G.T., D.I.G., S.G., F.L. and K.K. provided intellectual input into the study design and data interpretation. C.E.S., F.L. and K.K. wrote the manuscript. All authors reviewed and approved the manuscript.
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Competing interests
P.T. is on the SAB of Immunoscape and Cytoagents and has consulted for JNJ. P.T. has also received travel support and/or honoraria from Illumina and 10x Genomics and has patents related to TCR discovery and expression. All other authors declare no competing interests.
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Extended data
Extended Data Fig. 1 Age-related changes in A2/M158+CD8+ T cell frequencies and phenotypes.
a, Representative FACS panels indicate the gating strategy used to characterize the total CD8+ T cell and the A2/M158+CD8+ T cell populations. The second line indicates unenriched, enriched and flowthrough fractions of the TAME assay. The unenriched fraction was used to define the frequency and phenotype of the total CD8+ T cell population (gray gate and cell populations), whereas the A2/M158 tetramer-positive CD8+ T cells of the enriched fraction were used to define the frequency and phenotype of the total A2/M158+CD8+ T cell population (red gate and cell populations). Naïve/memory T cell subsets were identified as Tcm (CD27+CD45RA−) cells, Tem (CD27−CD45RA−), Temra (CD27−CD45RA+), Tnaïve (CD27+CD45RA+CD95−) and Tscm (CD27+CD45RA+CD95+) cells. Boolean gating was used to identify frequencies of individual and combined expression of CD57 and PD-1 and combined expression of CD38, HLA-DR and CD71. b, number of A2/M158+phenotype+CD8+ T cells per 106 CD8+ T cells across all age groups. Co-expression of CD57 and PD-1 in total CD8+ T cells (c) and A2/M158+CD8+ T cells (d-top panel) and number of A2/M158+CD57+CD8+ T cells (d-middle panel) or A2/M158+PD-1+CD8+ T cells (d-bottom panel) per 106 CD8+ T cells across all age groups. Co-expression of CD38 and HLA-DR in total CD8+ T cells (e) and A2/M158+CD8+ T cells (f). Numbers of A2/M158+phenotype+CD8+ T cells per 106 CD8+ T cell data were right shifted by 0.001 (that is absence of A2/M158 events in a specific phenotypic population are displayed as 0.001) (b,d-middle and bottom panel). Only samples with 10 or more total A2/M158+ events were included for phenotype analysis (b-f). Horizontal bars indicate the median, dots represent individual donors, with n = 10 newborns, n = 12 children, n = 20 adults and n = 16 older adults in b, d and f and n = 11 newborns, n = 12 children, n = 20 adults and n = 18 older adults in c and e. Technical replicates were not performed due to limited samples. Statistical analysis was performed using a two-sided Kruskal-Wallis with Dunn’s correction for multiple tests (b, d-middle and bottom panel) or a two-sided Tukey’s multiple comparisons test (c, d-top panel, e, f). Exact significant p-values are indicated above the graphs. N, newborns; C, children; A, adults; OA, older Adults.
Extended Data Fig. 2 CMV-related changes in A2/M158+CD8+ T cell phenotypes.
Frequency of naïve, memory, CD57 or PD-1 expressing subsets within the total CD8+ T cell (a) or A2/M158+CD8+ T cell populations (b) across all age groups split based on their CMV status. Horizontal bars indicate the median, dots represent individual donors. Horizontal bars indicate the median, dots represent individual donors, with n = 3 CMV−, n = 4 CMV+ and n = 4 CMV unknown newborns, n = 6 CMV−, n = 5 CMV+ and n = 1 CMV unknown children, n = 7 CMV−, n = 4 CMV+ and n = 9 CMV unknown adults and n = 2 CMV−, n = 13 CMV+ and n = 3 CMV unknown older adults in a and n = 3 CMV−, n = 4 CMV+ and n = 3 CMV unknown newborns, n = 6 CMV−, n = 5 CMV+ and n = 1 CMV unknown children, n = 7 CMV−, n = 4 CMV+ and n = 9 CMV unknown adults and n = 1 CMV-, n = 12 CMV+ and n = 3 CMV unknown older adults in b. Statistical analysis was performed between donors with a known positive or negative CMV status within each age group using a two-sided Mann-Whitney U-test. Exact significant p-values are indicated above the graphs.
Extended Data Fig. 3 Molecular and phenotypic differentiation within A2/M158+CD8+ T cells across human lifespan.
a, Specification selected donors for single-cell multi-omic analysis. Phenotype frequencies were obtained via flow cytometry protein expression data. b, Dot plot of selected transcription factors grouped by UMAP clusters. Dot size represents the proportion with non-zero expression from each age group. The color represents average mean expression. c, Heatmap of enriched pathways identified from GSEA using differentially expressed genes between each UMAP cluster. All pathways shown have Benjamini–Hochberg adjusted p-values < 0.05 in at least one cluster. NES: Normalized enrichment score. d, Dimensionality reduction (UMAP) and clustering of scRNAseq data excluding TCR genes colored by clusters (top), age groups (bottom). e, Heatmap of enriched pathways identified from GSEA using differentially expressed genes between each age group. All pathways shown have Benjamini–Hochberg adjusted p-values < 0.05 in at least one age group. NES: Normalized enrichment score. f, Dot plot of selected transcription factors grouped by age group. Dot size represents the proportion with non-zero expression from each age group (N, newborns; C, children; A, adults; OA, older Adults). The color represents average mean expression. g, Volcano plot of a pairwise comparison without correction for multiple testing of differentially expressed genes between children (blue) and older adults (pink) with a fold change |log2(FC)| >0.3 and p-value < 0.05.
Extended Data Fig. 4 Age-related changes in A2/M158+CD8+ TCRαβ repertoire.
a, Z-score for intra- versus inter-donor distance, larger Z means intra-donor distances are smaller than inter-donor distances, that is greater heterogenticity across donors. b, TRAV and TRBV clonotype pairing for individual donors within each age group illustrated by circos plots. Left arch segment colors indicate TRAV usage, right outer arch colors depict TRBV usage. Connecting lines indicated TRAV-TRBV gene pairing and are colored based on their TRAV usage and segmented based on their CRD3α and CDR3β sequence, the thickness is proportional to the number of TCR clones with the respective pair. The number of sequences considered for each circos plot is shown at the right bottom. c, Frequency of high (TCRs detected ≥2 within a single individual) and low (TCRs detected once with a single individual) prevalent public (shared) clonotypes across individuals of age groups. Dark red represents high prevalent public TCR (TRAV27, TRAJ42, CDR3α GAGGGSQGNLIF, TRBV19, TRBV2-7, CDR3β CASSIRSSYEQYF), whereas the light red are clonotypes expressing the full public TCRβ chain (TRBV19, TRBV2-7, CDR3β CASSIRSSYEQYF) but TCRα chain could not be identified. Numbers in the squares represent the number of donors in which the specific high versus low prevalent clonotype was identified. d, Frequency of high prevalent (TCRs detected ≥2 within a single individual) private (not shared) clonotypes across individuals of age groups. Statistical analysis was performed using a two-sided Kruskal-Wallis with Dunn’s correction for multiple tests. Exact significant p-values are indicated above the graphs.
Extended Data Fig. 5 Age-related changes in A2/M158+CD8+ CDR3αβ repertoire and probability of generation.
Distribution of CDR3α (a) and CDRβ (b) amino acid lengths, calculated using the Chothia nomenclature, across all age groups. Average-linkage dendrograms of TCR clustering for the TCRα (c) and TCRβ (d) A2/M158+CD8+ repertoires generated by TCRdist. Each clustering was generated using a fixed-distance threshold algorithm and colored by generation probability (red, highest; blue, lowest probability of ease of TCR recombination). The probability is relative between TCRs across different age groups. TCRlogos for selected subsets (corresponding to the branches of the dendrogram enclosed in dashed boxes) are shown, labeled by cluster size both to the left of each logo and to the right of the corresponding branches. Each TCR logo depicts the V- and J-gene frequencies, the CDR3 amino acid sequence, and the inferred rearrangement structure of the grouped receptors (colored by source region, light gray for the V-region, dark gray for J, black for D, and red for N-insertions).
Extended Data Fig. 6 Divided and undivided A2/M158+CD8+ TCRαβ repertoires across age groups.
TRAV and TRBV clonotype pairing for pooled donors within each age group, newborns (a), children (b), adults (c) and older adults (d), illustrated by circos plots for fast, slow, undivided and total A2/M158+CD8+ T cells. Left arch segment color indicates TRAV usage, right outer arch color depicts TRBV usage. Connecting lines indicate TRAV-TRBV gene pairing and are colored based on their TRAV usage and segmented based on their CRD3α and CDR3β sequence. The thickness is proportional to the number of TCR clones with the respective pair. The number of sequences considered for each circos plot is shown at the right bottom.
Extended Data Fig. 7 Age-related changes to A2/M158+CD8+ CDR3αβ-motifs.
a, Phenotypic distribution of individual donors at the start of the proliferation assay (day 0). b, The top-scoring A2/M158+CD8+ CDR3α (top TCR logo) and CDR3β (bottom TCR logo) sequence motifs for each age group on day 0, 3, 5, 6, 7 and 10 following M158−66 peptide stimulation. Each logo depicts the V- (left side) and J- (right side) gene frequencies with the CDR3 amino acid sequence in the middle with the full height (top) and scaled (bottom) by per-residue reparative entropy to background frequencies derived from TCRs with matching gene-segment composition to highlight motif positions under selection. The middle section indicates the inferred rearrangement structure by source region (light gray for V-region, dark gray for J, black for D and red for N-insertions) of the grouped receptors.
Extended Data Fig. 8 Transient and stable expression of age-specific TCR.
a, Gating strategy transient transfection age-specific TCRs in HEK293T cells. b, Median MFI A2/M158 tetramer-PE staining of transiently expressed TCRs in HEK293T cells, dotted line indicates MFI threshold set by the parental cell line expressing no TCR (n = 3 independent experiments, median and IQR). c, Gating strategy and A2/M158 tetramer-PE staining with a normal (A2/M158-WT, lightly shaded), knockout CD8-binding site (A2/M158-KO open) and enhanced CD8-binding site (A2/M158-Enh, closed) tetramer of SKW-3-CD3+ and SKW-3-CD3+CD8+ TCR-expressing cell lines. d, Median MFI of A2/M158 tetramer-PE staining with a normal (A2/M158-WT, lightly shaded), knockout CD8-binding site (A2/M158-KO open) and enhanced CD8-binding site (A2/M158-Enh, closed) tetramer of SKW-3-CD3+ TCR-expressing cell lines (n = 2 independent experiments), dotted line indicates MFI threshold set by the parental cell line expressing no TCR. e, Gating strategy and CD69-PECy7 expression following peptide titration for public and age group specific TCRs (SKW-3-CD3+ cells). f, Percentage of maximum CD69-PECy7 MFI for age-specific TCRs expressed on SKW-3-CD3+ (open circles) and SKW-3-CD3+CD8+ (closed circles) cell lines following peptide titration, EC50 indicated by the dotted line (n = 3 independent experiments, median and range). Statistical analysis was performed using a two-sided Kruskal-Wallis with Dunn’s correction for multiple tests between the public and the age-specific TCRs (b) and a one-tailed Mann-Whitney U-test was performed for the EC50 between SKW-3-CD3+CD8- SKW-3-CD3+CD8+ TCR-expressing cell lines (f). Exact significant p-values are indicated above the graphs.
Extended Data Fig. 9 TCR recognition patterns of age-specific TCRs.
a, Gating strategy and CD69-PECy7 expression profiles of SKW-3-CD3+CD8+ TCR-expressing cell lines following stimulation with the single alanine mutant M158-66 peptides. (b) Frequency of maximum CD69-PECy7 MFI following stimulation with M158-66 alanine scan peptides for age-specific TCRs expressed on SKW-3-CD3+CD8+ cells (n = 3 independent experiments, median and range). Statistical analysis was performed using a two-sided Kruskal-Wallis with Dunn’s correction for multiple tests between the public and the age-specific TCRs (b). Exact significant p-values are indicated above the graphs.
Supplementary information
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TCR proliferation across age groups.
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van de Sandt, C.E., Nguyen, T.H.O., Gherardin, N.A. et al. Newborn and child-like molecular signatures in older adults stem from TCR shifts across human lifespan. Nat Immunol 24, 1890–1907 (2023). https://doi.org/10.1038/s41590-023-01633-8
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DOI: https://doi.org/10.1038/s41590-023-01633-8
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