Anna L. Furmanski, Ryan F. L

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T-Cell Reconstitution after Thymus Xenotransplantation Induces Hair Depigmentation and Loss  Anna L. Furmanski, Ryan F.L. O'Shaughnessy, Jose Ignacio Saldana, Michael P. Blundell, Adrian J. Thrasher, Neil J. Sebire, E. Graham Davies, Tessa Crompton  Journal of Investigative Dermatology  Volume 133, Issue 5, Pages 1221-1230 (May 2013) DOI: 10.1038/jid.2012.492 Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 De novo T-cell development in nude mice with human thymus xenografts. T-cell output following transplantation was assessed by flow cytometric analysis of peripheral blood lymphocytes (PBL). Control nudes received no graft; Wt/Nu are immunocompetent. (a) CD4+/CD8+ T cells identified by gating on PBL (B, NK, γδT, and dendritic cells were excluded). Example staining at 18 weeks post transplant is shown. (b) CD3 expression on CD4+ and CD8+ PBL. Example staining of (c) mouse PBL with anti-human antibodies, and of (d) human PBL with anti-human and anti-mouse antibodies. (e) Time-course analysis of % CD3+ T cells in blood. (f) % CD4+ and CD8+ cells as shown in a for four Nu-Tp mice. (g) Anti-mouse staining of normal mouse thymus and tissue retrieved from Nu-Tp transplantation site. Journal of Investigative Dermatology 2013 133, 1221-1230DOI: (10.1038/jid.2012.492) Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Nude mice with functional thymus grafts develop profound hair loss. (a) Gross anatomy of control (left, pigmented) or Nu-Tp (right, depigmented) mice. (b) Loss of hair and thinning of Nu-Tp skin. Equivalent regions in Nu-Tp (c–f) and nude control (g–j) skin by hematoxylin and eosin histology. Pigmented hairs are seen in control nude skin but not in Nu-Tp skin. Arrows show immune infiltrates around (c) Nu-Tp and (g) control follicles. (k) Intact black/white hair follicles per field of view (FOV, n=15/sample at intervals through specimen, *P<0.0001) were quantified under low-power microscopy (see Supplementary Figure S2 online). Nude mean: 7.0±1.0, median: 7; Nu3 mean: 0.2±0.4, median: 0; Nu5 mean: 1.9±1.0, median: 2; Nu7 mean: 0.07±0.3, median: 0. (l) Digested dorsal skin samples analyzed by flow cytometry for skin-resident T cells. WT, wild type. Journal of Investigative Dermatology 2013 133, 1221-1230DOI: (10.1038/jid.2012.492) Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Adoptive transfer of lymphocytes from Nu-Tp into hairy immunocompromized mice causes striking coat depigmentation. (a) Lymph node (LN) cells were injected intravenously into RAG−/- recipients (AT1). (b–e) Progressive coat depigmentation in AT1 mice. (f) Independent repeat of a. (g) Flow cytometric analysis of skin from wild type (WT) (immunocompetent) and black, white, and balding areas of AT1 RAG−/- mouse. Non-transferred and sham-transferred RAG−/- mice showed no skin phenotype (first/second mice from left in e) or T cells in blood (not shown). (h) Quantification of intact hair follicles per field of view (FOV) (*P<0.001, see Supplementary Figure S2 online). Control mean: 9.0±2.2, median: 8.5; AT1a left flank mean: 0.1±0.3, median: 0; AT1a right flank mean: 0.3±0.6, median: 0; AT1b left flank mean: 3.1±2.8, median: 3; AT1b right flank mean: 0, median: 0. Journal of Investigative Dermatology 2013 133, 1221-1230DOI: (10.1038/jid.2012.492) Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 T cells were observed in skin of RAG−/- AT1 mice with depigmentation. (a–d) Hematoxylin and eosin stain and histology of skin from AT1 RAG−/- mice and (e–h) controls; bars=100μm. Analysis of equivalent regions in AT1 and control skin during (a, b, e, f) anagen, (c, g) catagen, (d, h) and telogen. Arrows show cellular infiltrates around the follicular bulge region in (a) anagen and bulb in (d) telogen and equivalent locations in (e, h) control skin. (c, g: es) Catagen epithelial strands appear normal. (i, j) Immunofluorescent identification of CD4+ and CD8+ cells in skin of (i) Nu-Tp and nude control, and (j) AT1 Rag−/- and wild-type (WT) control mice. Control sections (no primary antibody) did not show staining (not shown). “h” on images denotes hair follicles. Journal of Investigative Dermatology 2013 133, 1221-1230DOI: (10.1038/jid.2012.492) Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 5 CD4+ cells alone from depigmented mice caused depigmentation and hair loss in further immunocompromised animals. (a) CD4+, CD8+, and γδTCR+ LN (lymph node) lymphocytes were sorted from AT1 RAG−/- depigmented mice by FACS and adoptively transferred into further RAG−/- recipients (AT2). (b) Purity of sorted populations confirmed by flow cytometry. (c) Receipt of CD4+ cells only caused areas of fur thinning, where the remaining hair was downy and depigmented. (d) The proportion of CD4+CD3hi cells was assessed in white and black areas of AT2-CD4 skin in comparison with wild-type (WT) control skin by flow cytometry. Journal of Investigative Dermatology 2013 133, 1221-1230DOI: (10.1038/jid.2012.492) Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 6 Melanocyte-lineage cells are decreased in Nu-Tp skin, and Nu-Tp T cells activate in response to syngeneic melanocytes. (a) Trp2 staining in hair bulbs of control and Nu-Tp (Nu5), coincident with regions containing melanocytes/melanosomes, as shown in the companion bright-field view. Note the reduction of Trp2 staining in the remaining black hairs in the Nu5-transplanted mouse. Dotted lines denote the dermal papilla–matrix boundary. Bar=50μm. (b) The expression of CD25 (T-cell activation marker) on CD4+ cells from Nu-Tp spleen or CD4+ B6 splenocytes after 48hours of exposure to syngeneic B6 melanocytes (irradiated melan-a). (c) The proportion of effector memory CD4+ cells (CD4+CD44hiCD62Llo) and naive (CD4+CD62L+CD44lo) cells in Nu-Tp spleen+B6 melanocyte cocultures compared with B6 spleen+B6 melanocyte cocultures. WT, wild type. Journal of Investigative Dermatology 2013 133, 1221-1230DOI: (10.1038/jid.2012.492) Copyright © 2013 The Society for Investigative Dermatology, Inc Terms and Conditions