Deep sequencing of T-cells specific for a mycobacterial glycolipid reveals canonical T-cell receptor motifs that can be used as biomarkers in population-based studies (#47)
The complementarity determining region 3 (CDR3) of the T-cell receptor (TCR) heavy chains determine antigen-specificity of T cells, so CDR3 sequences are potential biomarkers of antigen-specific T-cell responses. However, the highly polymorphic nature of major histocompatibility complex genes makes it unlikely that most humans will generate antigen-specific T cells with the same CDR3 sequence. We hypothesized that a non-polymorphic antigen-presenting molecule might provide the structural constraint required for a common CDR3 motif to be shared within a population. To test this hypothesis, we used CD1b tetramers loaded with glucose monomycolate to isolate lipid antigen-specific T-cells from four South African adults infected with Mycobacterium tuberculosis. We used a multiplex PCR to fully characterize the CDR3 sequences from approximately 70,000 in-vitro expanded and re-sorted tetramer-positive T-cells. We defined a motif as a set of TCR sequences with common CDR3 length, common V and J family usage, and composed of representatives from all donors. Within the TCR-α chain, we identified a highly stereotyped 13 amino acid motif (CAVRNTGGFKTIF) consistent with the recently published TRAV1-2_TRAJ9 germline rearrangement present in mycolyl lipid-reactive (GEM) T-cells. We also identified a stereotyped 14 amino acid motif (CASSPRLGGDEQYF) within the TCR-β chain that is the result of TRBV06_TRBJ02 rearrangement. In the absence of in-vitro expansion, both motifs were significantly enriched (52-fold for TCR-α and 132-fold for TCR-β) in approximately 4,000 tetramer-positive T-cells sorted directly from peripheral blood mononuclear cells compared to 1.2 million tetramer-negative T-cells from these same four donors. Among 587 healthy bone marrow donors at low risk for M. tuberculosis infection, the TCR-β motif was present at a frequency similar to that of tetramer-negative samples. The relative absence of a lipid-antigen specific TCR-β motif in T-cells from healthy donors suggest that it could be used as a specific marker of mycobacterial infection in population-based studies.