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Human Fetal TNF-α-Cytokine-Producing CD4+ Effector Memory T Cells Promote Intestinal Development and Mediate Inflammation Early in Life

Open access
Schreurs, Renée R.C.E., Baumdick, Martin E., Sagebiel, Adrian F., Kaufmann, Max, Mokry, Michal, Klarenbeek, Paul L., Schaltenberg, Nicola, Steinert, Fenja L., van Rijn, Jorik M., Drewniak, Agata, The, Sarah-May M.L., Bakx, Roel, Derikx, Joep P.M., de Vries, Niek, Corpeleijn, Willemijn E., Pals, Steven T., Gagliani, Nicola, Friese, Manuel A., Middendorp, Sabine, Nieuwenhuis, Edward E.S., Reinshagen, Konrad, Geijtenbeek, Teunis B.H., van Goudoever, Johannes B., Bunders, Madeleine J.·2019·Immunity

Abstract

&NA; Although the fetal immune system is considered tolerogenic, preterm infants can suffer from severe intestinal inflammation, including necrotizing enterocolitis (NEC). Here, we demonstrate that human fetal intestines predominantly contain tumor necrosis factor‐&agr; (TNF‐&agr;)+CD4+CD69+ T effector memory (Tem) cells. Single‐cell RNA sequencing of fetal intestinal CD4+ T cells showed a T helper 1 phenotype and expression of genes mediating epithelial growth and cell cycling. Organoid co‐cultures revealed a dose‐dependent, TNF‐&agr;‐mediated effect of fetal intestinal CD4+ T cells on intestinal stem cell (ISC) development, in which low T cell numbers supported epithelial development, whereas high numbers abrogated ISC proliferation. CD4+ Tem cell frequencies were higher in inflamed intestines from preterm infants with NEC than in healthy infant intestines and showed enhanced TNF signaling. These findings reveal a distinct population of TNF‐&agr;‐producing CD4+ T cells that promote mucosal development in fetal intestines but can also mediate inflammation upon preterm birth. Graphical Abstract Figure. No caption available. HighlightsHuman fetal intestinal CD4+ Tem cells preferentially produce TNF‐&agr;Fetal intestinal TNF‐&agr;+CD4+ Tem cells are present from the end of the first trimesterFetal TNF‐&agr;+CD4+ Tem cells promote intestinal epithelial tissue growthPremature birth can result in TNF‐&agr;‐mediated intestinal tissue damage &NA; The fetal immune system is considered anti‐inflammatory; nonetheless, preterm infants are at risk for necrotizing enterocolitis (NEC), a severe intestinal inflammatory disease. Schreurs et al. demonstrate that fetal TNF‐&agr;+CD4+ T cells promote gut development early in life. However, in preterm babies these TNF&agr;+CD4+ T cells can mediate intestinal inflammation, providing a potential mechanism for NEC.

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Authors
Schreurs, R. R. C. E., Baumdick, M. E., Sagebiel, A. F., Kaufmann, M., Mokry, M., Klarenbeek, P. L., Schaltenberg, N., Steinert, F. L., van Rijn, J. M., Drewniak, A., The, S.-M. M. L., Bakx, R., Derikx, J. P. M., de Vries, N., Corpeleijn, W. E., Pals, S. T., Gagliani, N., Friese, M. A., Middendorp, S., Nieuwenhuis, E. E. S., Reinshagen, K., Geijtenbeek, T. B. H., van Goudoever, J. B., & Bunders, M. J.
Venue
Immunity
Publisher
Elsevier BV
Published
2019-02
Volume
50
Issue
2
Pages
462-476.e8
ISSN
1074-7613 (ISSN-L)
OpenAlex
W2913661510
Cited by
205
References
12
FWCI
8.49
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Human Fetal TNF-α-Cytokine-Producing CD4+ Effector Memory T Cells Promote Intestinal Development and Mediate Inflammation Early in Life. https://app.cochat.ai/papers/10.1016/j.immuni.2018.12.010
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Schreurs, R. R. C. E., Baumdick, M. E., Sagebiel, A. F., Kaufmann, M., Mokry, M., Klarenbeek, P. L., Schaltenberg, N., Steinert, F. L., van Rijn, J. M., Drewniak, A., The, S.-M. M. L., Bakx, R., Derikx, J. P. M., de Vries, N., Corpeleijn, W. E., Pals, S. T., Gagliani, N., Friese, M. A., Middendorp, S., . . . Bunders, M. J. (2019). Human Fetal TNF-α-Cytokine-Producing CD4+ Effector Memory T Cells Promote Intestinal Development and Mediate Inflammation Early in Life. Immunity. https://doi.org/10.1016/j.immuni.2018.12.010

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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