Systemic sclerosis & Raynaud's

Dysfunctional KLRB1+CD8+ T-cell responses are generated in chronically inflamed systemic sclerosis skin

Ann Rheum DisPublished Mechanistic study

Authors' conclusion

This study provides new insight into core regulatory programmes modulating skin-resident CD8+ T-cell plasticity and identifies distinct CD8+ T-cell subpopulations that contribute to initiation and chronicity of inflammatory responses in systemic sclerosis skin lesions.

Study context

Population
Patients with diffuse cutaneous systemic sclerosis (dcSSc); well-characterised patient skin samples
Comparison
SSc skin lesions vs healthy control skin
Outcome
Skin-resident CD8+ T-cell subsets
Methodological detailssingle-cell transcriptomics and epigenomics, multicolor immunofluorescence microscopy, ex vivo skin explant assays
  • Single-cell transcriptomics and epigenomics
  • Multicolor immunofluorescence microscopy
  • Ex vivo skin explant assays

Main finding

As reported in the abstract

  • 2 major developmentally connected CD8+ T-cell subpopulations expanded in SSc skin lesions vs healthy control skin
  • Effector-memory CD8+KLRB1+IL7R+ subset with increased cytolytic and Tc2/Tc17 effector functions, appearing to induce tissue damage and fibrosis in early-stage dcSSc skin lesions
  • Exhausted CD8+KLRG1+IL7R- subset, primarily in late-stage disease, with transcriptional features of long-lived effector cells, likely contributing to chronic inflammation
  • Both subsets also expanded in other benign dermatoses

Original publication

Dysfunctional KLRB1+CD8+ T-cell responses are generated in chronically inflamed systemic sclerosis skin. Ann Rheum Dis. Published 1 February 2025. doi:10.1016/j.ard.2025.01.022

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