diff --git a/paper-releases/pbisc-diffusion/updates/20261015T141849Z-rare-cell-7k-8k-panels/diffusion/dataset/server_1/model8/plans/rare_gene_context_expansion_20261015/research/ilc_dc/sources/Transitional2023.html b/paper-releases/pbisc-diffusion/updates/20261015T141849Z-rare-cell-7k-8k-panels/diffusion/dataset/server_1/model8/plans/rare_gene_context_expansion_20261015/research/ilc_dc/sources/Transitional2023.html new file mode 100644 index 0000000000000000000000000000000000000000..50eedbbbc4c41f72ae8f9e760733584c68033601 --- /dev/null +++ b/paper-releases/pbisc-diffusion/updates/20261015T141849Z-rare-cell-7k-8k-panels/diffusion/dataset/server_1/model8/plans/rare_gene_context_expansion_20261015/research/ilc_dc/sources/Transitional2023.html @@ -0,0 +1,4628 @@ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + TRANSITIONAL DENDRITIC CELLS ARE DISTINCT FROM CONVENTIONAL DC2 PRECURSORS AND MEDIATE PRO-INFLAMMATORY ANTIVIRAL RESPONSES - PMC + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + Skip to main content + + + + + + +
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NIHPA Author Manuscripts logoLink to NIHPA Author Manuscripts
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. Author manuscript; available in PMC: 2024 Feb 1.
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+Published in final edited form as: Nat Immunol. 2023 Jul 6;24(8):1265–1280. doi: 10.1038/s41590-023-01545-7 +
+
+

TRANSITIONAL DENDRITIC CELLS ARE DISTINCT FROM CONVENTIONAL DC2 +PRECURSORS AND MEDIATE PRO-INFLAMMATORY ANTIVIRAL RESPONSES

+Fernando Bandeira Sulczewski +1,5, Raul A Maqueda-Alfaro +1,5, Marcela Alcántara-Hernández +1,5, Oriana A Perez +2, Sanjana Saravanan +1, Tae Jin Yun +2, David Seong +1, Rebeca Arroyo Hornero +1, Hayley M Raquer-McKay +1, Eduardo Esteva +2, Zachary R Lanzar +1, Rebecca A Leylek +1, Nicholas M Adams +2, Annesa Das +2, Adeeb H Rahman +3, Andres Gottfried-Blackmore +1,4, Boris Reizis +2,6, Juliana Idoyaga +1,6 +
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PMCID: PMC10683792  NIHMSID: NIHMS1924443  PMID: 37414907 +
+ +

Abstract

+

High-dimensional approaches revealed emerging heterogeneity within +dendritic cells (DC), including a population of transitional DC (tDC) present in +mouse and human. However, tDC origin and relationship to other DC subsets are +not fully understood. Here, we show that tDC are distinct from other +well-characterized DC and conventional DC precursors (pre-cDC). We demonstrate +that tDC originate from bone marrow progenitors shared with plasmacytoid DC +(pDC). In the periphery, tDC contribute to the pool of ESAM+ type 2 +DC (DC2), and these DC2 harbor pDC-related developmental features. Different +from pre-cDC, tDC have lower turnover, capture antigen, respond to stimuli, and +activate antigen-specific naïve T cells, all characteristics of +differentiated DC. Different from pDC, viral sensing by tDC results in +IL-1β secretion and fatal immune pathology in a murine coronavirus model. +Our findings suggest that tDC are a distinct pDC-related subset with a DC2 +differentiation potential and unique pro-inflammatory function during viral +infections.

+

Keywords: Dendritic cells, transitional DC, tDC, ASDC, pre-cDC, ESAM+ DC2, IL-1β, murine coronavirus, murine hepatitis virus, pDC-like cells

INTRODUCTION

+

Dendritic cells (DC) are key immune sentinels comprised of subsets that +initiate a broad range of immune responses1. Traditional nomenclature groups DC into conventional DC +(cDC), which includes DC1 and DC2, and plasmacytoid DC (pDC). DC1 and DC2 are +specialized in T cell activation1, +whereas pDC secrete interferon type I (IFN-I) following exposure to nucleic +acids2. This classification +does not include emerging DC, such as transitional DC (tDC), also reported as +AXL+ DC, ASDC or pre-cDC3-6. This is because the +origin and in vivo function of tDC remains unclear.

+

All DC differentiate from a CX3CR1-expressing hematopoietic progenitor +localized in the bone marrow (BM) through a FLT3L-dependent pathway7-9. Despite this common origin, immediate precursors for each +subset have been reported. cDC arise from CD115-expressing conventional DC +progenitors (pro-cDC)8,9, with DC1 and DC2 originating from +SiglecH−Ly6C− and +SiglecH−Ly6C+ immediate precursors, +respectively10,11. pDC originate from a +CX3CR1+Ly6D+ pro-pDC progenitor7. The molecular mechanisms dictating each DC +subset lineage specification have been described12,13. DC1 require +expression of several transcription factors (TFs) including IRF812,13, +whereas pDC are dependent on TCF42. +DC2 are defined by the co-expression of the non-specific markers +CD11chiCD11b+MHCII+CD172a+; however, +several molecular mechanisms converge into cells expressing these markers12,14. One of these mechanisms depends on the TF IRF4 and Notch2 +signaling, and results in ESAM+ DC215-18. Another +mechanism requires the TF KLF4, and results in CX3CR1+ DC216,17,19. Mouse +ESAM+ and CX3CR1+ DC2 subpopulations seem to parallel +human CD5+ DC2 and CD14+CD163+ DC3, +respectively16,20-22, +although further work is required to align these populations between species.

+

tDC were identified by single-cell high-dimensional approaches in human +blood3,5,6, and +shown to be conserved between species4. Since human tDC express AXL and SIGLEC6, they were initially +called AXL/SIGLEC6 DC (ASDC) or AXL+ DC3,6. +However, these markers are not conserved in mice. Therefore, the term +“transitional DC” was suggested to highlight their spectrum of +transcriptomic, phenotypic and functional features that spans cells similar to pDC +and DC23,4,6. This spectrum of +features allows to sub-divide tDC into CD11clo tDC (hereafter called +tDClo) more similar to pDC, and CD11chi tDC (hereafter +called tDChi) similar to DC2. Until now, most studies have inadvertently +analyzed one of these tDC sub-populations, which acquired different names, e.g., +non-canonical DC (mainly tDChi cells)4,23 and pDC-like cells +(mainly tDClo cells)24,25. Consequently, it is still +uncertain if tDClo and tDChi are related, and if their pDC and +DC2 features can be attributed to different origins. Moreover, tDC identity has been +further challenged as their capacity to convert into cDC is becoming clearer in +mouse and human5,6,26. +However, whether tDC correspond to previously identified cDC precursors (pre-cDC) or +are a different cell population is unknown. Importantly, given the lack of models to +deplete tDC, the function of these cells has not yet been assessed in +vivo.

+

Murine coronavirus (M-CoV), also known as murine hepatitis virus, can be used +as a model to assess DC subset function in vivo. Early M-CoV +containment is dependent on pDC capacity to rapidly produce IFN-I27,28. pDC elimination results in mild pathology characterized by +higher liver viral titers, without increasing mortality27,28. +Although these studies are informative, previous pDC depletion models, i.e., +anti-BST2 antibody (Ab) and Tcf4 conditional knockout mice +(TCF4cKO), also eliminate tDC, confounding interpretations. +Consequently, it is imperative to evaluate pDC and tDC function during M-CoV +infection using depletion models that allow their distinction in +vivo.

+

Here, we address tDC origin, heterogeneity, and function in +vivo. We found that tDC possess a core transcriptome that is unique to +them. We resolve the developmental relationship of tDClo and +tDChi, and demonstrate that both populations are related to pDC. We +show that tDC convert into DC2, as recently reported26. However, tDC differentiate into +ESAM+ DC2 that retain pDC developmental features. Importantly, tDC +are not pre-DC2, indicating they represent a distinct source of DC2, and are not +conventional precursors as suggested. Finally, tDC specifically produce +IL-1β, which promotes fatal immunopathology during M-CoV infection. +Altogether, our data indicate that the pDC lineage should be expanded to include +tDC, a DC population that has a distinct role during viral infection and contributes +to the developmental heterogeneity of DC2 in mice and humans.

RESULTS

+

tDC are a distinct DC population related to pDC

+

We queried if tDC have a unique core transcriptomic signature different +from other DC subsets by performing bulk-RNAseq analysis of purified cells +(Extended Data Fig.1a). Despite +expressing pDC- and DC2- associated genes (Extended Data Fig.1b), tDC segregate from other DC subsets by +Principal Component Analysis (PCA), implying distinct gene expression (Fig.1a and Extended Data Fig.1c). Differentially expressed gene (DEG) analysis +revealed a tDC-specific signature including the expression of Vim, Ngfr, +Rab3il1, Cd209e, Chil5, L1cam, Ccr2 and Cd200r1 (Fig.1b; Supplementary Table1). tDC also +differentially expressed Klf12 and Bcl11b, TFs +shown to be active by ATACseq analysis29.

+

FIGURE 1. tDC are a distinct DC population developmentally related to pDC.

+

FIGURE 1.

+ +

a. Spleen DC subsets were sorted from +hCD2Cre+/− +Rosa26EYFP+/− (hCD2EYFP) mice as +shown in Fig.1f and Extended Data Fig.1a (our rationale for using +hCD2EYFP mice is explained in Fig.4), and prepared for bulk RNAseq analysis. PCA plot of the top +500 most variable DEG in each DC subset (differences between EYFP+ +and EYFP− DC2 are analyzed in Fig.4).

+

b. Heatmap of selected genes from (a). Shown is Z-score of normalized +expression.

+

c. Splenocytes of WT mice were enriched in CD135+ cells and +stained for cell sorting. Populations #1 and #3 were purified, mixed 1:1 and +processed for droplet-based genomics. Excluded lineage contains +CD3+/CD19+/NK1.1+/Ly6G+ +cells.

+

d. KNetL plot of scRNAseq data. After filtering and removing a small +fraction of monocytes, 2,075 cells were analyzed using the KNetL pipeline. Shown +are KNetL clusters (top) and annotations based on subset-specific scores using +CIBERSORTx (bottom)(Extended Data +Fig.1f).

+

e. Heatmap of selected genes differentially expressed in (d) clusters. +Gene expression after normalization and imputation is shown.

+

f. Gating strategy used for the analysis of spleen DC subsets. +CD135-enriched splenocytes were stained and analyzed by flow cytometry. Excluded +lineage contains +CD3+/CD19+/NK1.1+/Ly6G+ +cells.

+

g. Left shows schematic of BMC generated by transplanting 50% WT +(CD45.1) and 50% TCF4cKO (CD45.2) BM into lethally irradiated CD45.1 +WT mice. Right shows bar graphs (mean + SD) of the contribution of donor cells +to splenic DC populations (gated as in Fig.1f) in BMC, normalized to NK cells (n=6 mice in 2 experiments). +Statistics were determined by one-way ANOVA with Dunnett’s multiple +comparison test.

+

h. Bar graph (mean + SD) showing the percentage of EYFP+ +splenic DC (gated as in Fig.1f) in +hCD2EYFP mice (n=5 mice in 4 experiments).

+

i. Bar graph (mean + SD) showing the percentage of TdTomato+ +splenic DC (gated as in Fig.1f) in +CD300cTdT mice. Percentage relative to pDC is shown (n=4 mice in +3 experiments; see also Extended Data +Fig.2c).

We applied scRNAseq to uncover cell-to-cell heterogeneity within tDC. We +increased tDC representation by enriching CD135+ splenocytes and +sorting two populations that were equally mixed for sequencing (Fig.1c). A total of 2,110 single cell transcriptomes +were generated and 9 clusters identified by Seurat. Cell identity was assigned +unbiasedly using CIBERSORTx and the bulk-RNAseq data, which resulted in one tDC +cluster (Extended Data Fig.1d-e). To resolve the expected transcriptional +heterogeneity within tDC, we instead applied K-nearest-neighbor-based Network +graph drawing Layout (KNetL), a dimensionality reduction that improves +resolution. KNetL returned 8 clusters (Fig.1d), whose identity was again assigned unbiasedly (Extended Data Fig.1f; Supplementary Table2). tDC were +represented in clusters 3 and 4, expressing the core genes identified by +bulk-RNAseq, e.g., Vim, Cd200r1, Chil5, Lgals3, Ms4a6c (Fig.1e; Supplementary Table3). Cluster 3 +expressed pDC-associated genes, e.g., Bst2, Cd300c, Ly6c2 and +Tcf4. Cluster 4 expressed DC2-associated genes, e.g., +Irf4 and Zbtb46. The expression of these pDC- and DC2- +associated genes was also observed by pair-wise comparisons of bulk-RNAseq +(Extended Data Fig.1b; Supplementary Table4). We concluded +that cluster 3 and 4 corresponded to tDClo and tDChi, +respectively. In sum, despite transcriptional heterogeneity within the +population, tDC express a core transcriptional program that defines their +identity.

+

tDClo and tDChi share developmental features with +pDC, including expression of pre-T cell receptor alpha and re-arranged IgH +segments, and are decreased in Itgax-Cre+/− +Tcf4fl/fl mice (TCF4cKO)4. To rule out a cell extrinsic +role for TCF4 in tDC development, we generated WT/TCF4cKO competitive +bone marrow chimeras (BMC), and analyzed each DC population (Fig.1f-g)4. Similar to +pDC, tDClo and tDChi were mostly derived from +TCF4-proficient BM, indicating that TCF4 is intrinsically required for both tDC +sub-populations (Fig.1g, Extended Data Fig.2a-b). To further evaluate the developmental relationship of +tDClo, tDChi and pDC, we used pDC-specific lineage +tracing models. Mice expressing Cre under the human CD2 promoter +(hCD2-iCre+/−) were bred to Cre-inducible +EYFP reporter mice (Rosa26LSL-EYFP+/−) to +generate hCD2EYFP mice that label pDC30,31. EYFP labeling was observed in 100% of pDC, and ~85% +of tDClo and tDChi (Fig.1h). We also generated a new fate mapping model based on the +specific expression of CD300c by pDC32. When mice with Cre knocked into the +Cd300c locus +(Cd300cCre+/+) were bred +with Rosa26LSL-TdTomato+/− mice +(CD300cTdT), tDClo and tDChi showed +~75% of TdTomato labeling relative to pDC (Fig.1i, Extended Data Fig.2c). +Notably, in both lineage tracing models there was virtually no labeling +(<10%) of DC1, but detectable (~25%) labeling of DC2, a result +that will be discussed later. Altogether, these experiments cement the +developmental relationship between tDClo, tDChi and pDC, +suggesting a common origin.

tDC originate from BM progenitors at steady state

+

Mouse and human activated pDC can give rise to tDC29,33. We queried if pDC could give rise to tDC at steady state. +Spleen and BM pDC were adoptively transferred to non-irradiated congenic mice +and their outcome was followed over time (Fig.2a and Extended Data +Fig.2d). All recovered donor-derived cells were pDC, indicating a +non-pDC origin for tDC at steady state. Accordingly, tDClo and +tDChi numbers were not affected by the temporal depletion of pDC +in BDCA2-DTR+/− mice (Fig.2b).

+

FIGURE 2. tDC originate from BM progenitors.

+

FIGURE 2.

+ +

a. Percentage (mean + SD) of each DC subset recovered after the +adoptive transfer of 30,000 BM or splenic CX3CR1EGFP CD45.1 pDC into +CD45.2 WT non-irradiated congenic mice. Transferred cells were analyzed in the +spleen of recipient mice after 2-8 days. BM: n=4 at 2- and 4-days, and n=3 at +8-days. Spleen: n=3 at 2- and 4-days, and n=2 at 8-days. N represents mice and +experiments.

+

b. Bar graphs (mean + SD) of the total number of each splenic DC subset +(gated a in Fig.1f) in littermate controls +(C; n=11 BDCA2-DTR−/− mice) or +BDCA2-DTR+/− mice inoculated with DT and +analyzed 1 day later (n=8 mice), or inoculated with DT every second day and +analyzed at day 7 (n=8 mice). Data pooled from 5 exp. Statistical differences +were determined by one-way ANOVA with Tukey’s multiple comparison +test.

+

c. Left shows schematic of BM cells cultured with FLT3L +/− +OP9-DL1 cells. Right shows the gating strategy to detect DC subsets at 6-days of +BM culture, analyzed by flow cytometry (excluded lineage contains +CD3+/CD19+/F4/80+ cells). One +representative of 5 experiments.

+

d. Histograms of hCD2EYFP (left) or CD300cTdT +(right) expression in BM-derived DC as defined in (c), analyzed at 6-days. One +representative of 3 experiment.

+

e. pDC and tDC percentage (mean + SD) in BM cultures from (c), gated on +total live and single cells. N=5 samples/time point, except n=6 samples for +FLT3L+DL1 at 4-days. Data pooled from ≥ 5 experiments. Statistical +differences were determined by Two-way ANOVA with Sidak multiple comparisons +test.

+

f. Histograms of protein expression of DC markers in BM-derived DC as +defined in (c) or splenic DC as defined in Fig.1f. Number indicates gMFI x 102. One representative +of 3 experiments.

We next asked if tDC could originate from BM progenitors by culturing +unfractionated BM cells with FLT3L for DC differentiation34. +B220+BST2+SiglecH+ cells, previously +characterized as pDC, could be further divided into +Ly6D+CX3CR1− pDC and +Ly6D−CX3CR1+ tDC (Fig.2c). Both of these populations labeled the highest when using +hCD2EYFP and CD300cTdT lineage tracing models (Fig.2d). BM-derived tDC peaked at 6-days and +their development was abolished when OP9 stromal cells expressing Delta-like 1 +(DL1) were added to the cultures (Fig.2e), +as described for pDC35. +Similar to their splenic counterparts, BM-derived tDC expressed TCF4 and +intermediate levels of pDC and cDC markers (Fig.2f). BM-derived tDC did not segregate into tDClo and +tDChi, suggesting that in vivo signals are +missing in the culture.

+

We concluded that tDC originate from BM progenitors at steady state. +Interestingly, we detected a small number of tDC in blood but almost none in the +BM, suggesting that tDC quickly exit the BM after development (Extended Data Fig.2e-f).

tDC originate from BM pro-pDC at steady state

+

Our data so far suggest that tDC originate from BM progenitors shared +with pDC. We tested this unbiasedly by inferring the trajectory of tDC +development in CD135-enriched BM cells analyzed by scRNAseq (Fig.3a). Application of the splenic tDC signature +score to the clusters identified by Seurat labeled most pDC- and cDC- primed +cells, which was attributed to tDC transcriptional similarities with pDC and +DC2. Thus, the splenic pDC signature score was applied instead, which colored +clusters expressing Siglech and Ly6d, but not +Csf1r encoding CD115 (Fig.3b-c). Analysis of cells +with a pDC score >0.15 resulted in 6 clusters (Fig.3d). Cluster 0 represented pDC expressing +Iglc3 and Klk1, whereas cluster 5 represented tDC +expressing Lgals3, Ms4a6c and Cx3cr1 (Extended Data Fig.3a). Both cluster 0 and +cluster 5 expressed H2 genes and had gene enrichment for immune +pathways, whereas clusters 2-4 were enriched for cell cycle pathways, a +characteristic of progenitors (Extended Data +Fig.3b). We then applied Slingshot and Velocity analyses to identify +putative developmental relationships between these clusters (Fig.3e-f). Both +algorithms revealed cluster 2 branching to pDC (cluster 0) and tDC (cluster 5). +Gene expression dynamics demonstrated upregulation of Ccr9 and +Klk1 in pDC, and Ms4a6c, Cx3cr1 and Lgals3 in tDC +(Fig.3g). Besides expressing +Siglech and Ly6d (Fig.3c), cluster 2 also expressed +Itgax encoding for CD11c (Extended Data Fig.3a), markers of pDC progenitors +(pro-pDC)7.

+

FIGURE 3. tDC originate from pro-pDC.

+

FIGURE 3.

+ +

a. CD135-enriched BM cells were sorted as +live/singlets/CD45+/Lineage− +(CD3−/CD19−/CD335−/Ly6G−) +cells and prepared for scRNAseq using droplet-based genomics. After filtering +for low quality cells, 2831 cells were clustered using Seurat and represented in +a UMAP.

+

b. Splenic pDC-signature in BM progenitors. A signature matrix was +generated using RNAseq data of splenic DC and CIBERSORTx. Labeled are cells with +a positive gene enrichment score.

+

c. UMAP showing the expression of the indicated genes.

+

d. UMAP of “pDChigh” cells in the BM. Cells +from (b) with a pDC-specific gene enrichment score of >0.15 were selected +and re-clustered using Seurat.

+

e. Inference of differentiation trajectory of the clusters defined in +(d) using Slingshot.

+

f. Inference of differentiation trajectory of the clusters defined in +(d) using RNA velocity. Velocity vector is indicated as streamlines.

+

g. Velocity illustrating the expression of selected pDC- and tDC- +specific genes.

+

h. Unbiased X-shift clustering of BM progenitors analyzed by CyTOF and +represented by UMAP. CD135-enriched BM cells were gated as +Lineage− +(CD3−/CD19−/CD335−/Ly6G−) +B220−/MHCII−/CD117int-lo/CD135+, +and concatenated with 10,000 B220+ pDC (left). UMAP was plotted based +on the expression of all markers excluding lineage, and colored based on the +expression of the indicated proteins (right).

+

i. Heatmap depicting marker enrichment modeling (MEM) scores in +clusters identified in (h). imm pDC: immature pDC; early pro: early +progenitors.

+

j. CD135-enriched BM cells were gated as Lineage− +(CD3−/CD19−/ +CD335−/Ly6G−) +B220−/MHCII−/ +CD117int-lo/CD135+ as in (h). Graphs show bi-axial +gating strategy to identify immature pDC (cluster 4; +CD11c+CX3CR1−Ly6D+SiglecH+), +pro-pDC (cluster 3; +CD11c+CX3CR1+Ly6D+SiglecH+) and +pro-cDC (clusters 2 and 7; +CD11c−CX3XR1+CD115+ +Ly6C+/−).

+

k. Bar graph (mean + SD) showing the percentage of BM pDC, imm pDC, +pro-pDC and pro-cDC labeled with EYFP in hCD2EYFP mice. N=4 mice and +4 independent experiments.

+

l. Clusters gated as in (j) were overlaid on the CyTOF UMAP of (h).

+

m. 15,000-30,000 pro-cDC, imm pDC or pro-pDC sorted from BM of +CX3CR1EGFP CD45.1 mice using the strategy described in (j) were +adoptively transferred into non-irradiated WT CD45.2 congenic mice. The spleen +of recipient mice was analyzed 2-4-days later to evaluate the outcome of +transferred cells. Shown is the percentage (mean + SD) of each DC subset +recovered in the spleen of recipient mice. Pro-cDC: n=3 at 2-days and n=5 at +4-days. Imm pDC: n=3 at 2- and 4-days. Pro-pDC: n=3 at 2-days and n=5 at 4-days. +N represents number of mice and independent experiments.

+

n. As in (m), but splenic tDC recovered following the adoptive transfer +of pro-pDC were further divided into tDClo and tDChi. A +representative gating strategy (left) and percentage (mean + SD) of each tDC +population (right) are shown. N=3 at 2-days and n=5 at 4-days. N represents +number of mice and independent experiments.

+

o. As in (m), but progenitors were sorted from hCD2EYFP mice +and adoptively transferred into congenic non-irradiated recipients. The spleen +of recipient mice was analyzed for the presence of transferred cells at 4-days, +which were gated as described in Fig.1f and +further analyzed for EYFP expression. Shown are tDC recovered after the adoptive +transfer of pro-pDC (left), DC2 recovered after the adoptive transfer of pro-pDC +(middle), and DC2 recovered after the adoptive transfer of pro-cDC (right). One +representative of 3 exp.

+

p. Clusters gated as in Extended Data +Fig.4a were overlaid on the CyTOF UMAP of (h).

We aimed to unbiasedly establish a gating strategy to isolate pro-pDC +and evaluate their capacity to give rise to tDC. We performed CyTOF of +CD135-enriched BM cells, and identified 7 clusters by UMAP. Marker enrichment +analyses (MEM) pinpointed cluster-specific identifiers (Fig.3h-i). +Cluster 6 was recognized as pDC and probably some tDC that were not resolved by +the clustering algorithm. Cluster 4 corresponded to immature pDC expressing low +levels of pDC markers. Cluster 3 had SiglecH, Ly6D, CX3CR1 and CD11c, an +expression pattern consistent with pro-pDC. Cluster 2 and 7 both expressed CD115 +and CX3CR1 but not SiglecH, corresponding to conventional DC progenitors +(pro-cDC). Also, the expression pattern of cluster 2 and 7 correlated with +pro-DC2 (Ly6Chi) and pro-DC1 (Ly6Clo), respectively. Based +on the MEM analysis, a gating strategy to purify pro-pDC (cluster 3), immature +pDC (cluster 4) and pro-cDC (clusters 2 and 7) was designed (Fig.3j), which was corroborated by overlaying onto the +UMAP, and evaluating EYFP expression when using hCD2EYFP mice (Fig.3k-l). Only pDC, immature pDC and pro-pDC, but not pro-cDC, had >80% +EYFP expression. Similar expression patterns were observed in +CD300cTdT mice (Extended Data +Fig.3c).

+

We assessed the potential of these progenitors to give rise to tDC +following their adoptive transfer (Fig.3m +and Extended Data Fig.3d-e). Immature pDC gave rise to pDC, whereas pro-cDC +produced almost exclusively cDC, confirming the identity of the clusters. +Pro-pDC gave rise to tDC and pDC. Analysis of recovered tDC revealed the +presence of mainly tDClo at 2-days but the appearance of +tDChi at 4-days post-transfer, suggesting a trajectory of +conversion from tDClo to tDChi (Fig.3n). Notably, recovered tDClo and +tDChi labeled 100% with EYFP when transferred from +hCD2EYFP mice, corroborating their common origin (Fig.3o). Surprisingly, pro-pDC also gave rise to DC2 +(defined as in Fig.1f), as well as a small +number of DC2 lacking CD11b, a population that is analyzed below (Fig.5). Interestingly, DC2 derived from pro-pDC were +labeled 100% with EYFP when using hCD2EYFP mice (Fig.3o). In contrast, DC2 derived from pro-cDC were +EYFP−, indicating that hCD2EYFP can trace the +heterogenous origins of DC2.

+

Finally, we reconciled our new gating strategy with previously described +approaches. BM CD115+, CD127+, and double negative (DN) +progenitors were purified and adoptively transferred (Extended Data Fig.4). tDC arose from DN +SiglecH+Ly6D+ progenitors. When these DN progenitors +were overlaid onto our UMAP of CyTOF data, we observed they fell within clusters +3 and 4, suggesting this prior gating strategy does not separate pro-pDC from +immature pDC (Fig.3p). Even though the +majority of the CD115+Ly6C+/− progenitors fell +within pro-cDC in the UMAP, a small fraction overlapped with pro-pDC (Fig.3p). +CD127+SiglecH+Ly6D+ cells, suggested to be +the immediate pDC progenitor25, partially overlapped with cluster 4 but not cluster 3, +indicating that this gate captures a few immature pDC but not pro-pDC. +Altogether, our gating strategy provides improved resolution of BM +progenitors.

+

We concluded that tDC originate from a CD115− BM +progenitor that expresses SiglecH, Ly6D, CD11c and CX3CR1, and corresponds to +the recently described pro-pDC progenitor7.

Splenic tDC differentiate into ESAM+ DC2

+

In hCD2EYFP and CD300cTdT lineage tracing models, +~25% of DC2 were labeled (Fig.1h-i). Thus, we queried if +tDC could convert into these labeled DC2 (Fig.4a and Extended Data +Fig.5a). tDC acquired DC2 markers, specifically +CD11chiMHCII+CD172a+ expression, following +adoptive transfer into non-irradiated congenic recipients. At 2-days +post-transfer, some DC2 lacked CD11b expression (CD11b− DC2), +but most were CD11b+ by 4-8-days suggesting a transition from a +CD11b− to a CD11b+ DC2 (evaluated in Fig.5). When tDC were purified from +hCD2EYFP mice, ~85% of recovered DC2 were EYFP+ +independently of their expression of CD11b (Fig.4b). This data suggests that tDC can convert into DC2.

+

FIGURE 4. tDC convert into mouse ESAM+ DC2 and human CD5+ +DC2.

+

FIGURE 4.

+ +

a. Schematic of adoptive transfer (left). 30,000 splenic tDC (All) +sorted from CX3CR1EGFP CD45.1 mice using Fig.1f gating strategy, and adoptively transferred +into WT CD45.2 non-irradiated congenic mice. The percentage (mean + SD) of each +DC subset recovered in the spleen of recipient mice is shown 2-8 days after +transfer. N=5 at 2-days, n=6 at 4-days, and n=4 at 8-days. N represents number +of mice and independent experiments.

+

b. As in (a), but tDC were sorted from hCD2EYFP mice. +Histograms of hCD2EYFP expression in sorted tDC pre-transfer (left), +and CD11b− and CD11b+ DC2 recovered in the spleen +of recipient mice at 8-days. One representative of 2 experiments.

+

c. Bar graphs (mean + SD) of the total number of splenic DC subsets +(gated a Fig.1f) in hCD2EYFP +CX3CR1DTR mice inoculated (n=4 mice) or not (n=3 mice) with DT +every second day and analyzed at day 7. Statistics were determined by unpaired +two-tailed t-test. Data pooled from 2 experiments.

+

d. As in (c), but DC2 gated as in Fig.1f were further divided in EYFP+ and +EYFP− cells, and their frequencies were plotted.

+

e. Splenic EYFP+ and EYFP− DC2 were sorted +from hCD2EYFP mice and prepared for bulk-RNAseq analysis (Extended Data Fig.1a). MA plot comparing +differences between EYFP+ and EYFP− DC2. Genes with +2-fold Log2 change are colored in red (up) or blue (down).

+

f. Splenic DC2 from hCD2EYFP mice were gated as in Fig.1f and further analyzed to delineate +ESAM+ and CX3CR1+ subpopulations (left). EYFP +expression in ESAM+ and CX3CR1+ DC2 (right). One +representative of 8 experiments.

+

g. DC2 from the spleen of hCD2EYFP mice were gated on +CX3CR1+, ESAM+ EYFP+ and +EYFP− as shown in (f)(left). Each DC2 subpopulation was +analyzed for their relative expression of surface markers. Heatmap shows the +Z-scored gMFI (right). Z-score values was determined from n ≥ 2 mice. +Data pooled from 8 independent experiments.

+

h. Dot plot of ESAM+ DC2 gated as in (f) was colored base on +EYFP expression (top). Bar graph (mean + SD) showing the percentage of +EYFP+ in ESAM+ CD24− and +ESAM+ CD24+ (bottom)(n=5 mice in 4 experiments). +Statistics were determined by unpaired two-tailed t-test.

+

i. Freshly isolated tDC were sorted from human blood and stimulated +with CD40L for 2-days. Cells were analyzed by CyTOF and Scaffold at time 0 and +2-days post-stimulation (n=3 samples in 3 independent experiments).

+

j. As in (i), but bar graph shows the frequency (mean + SD) of tDC +mapped to each scaffold landmark node at day 0 and 2 post-stimulation. N=2 at 0 +days and n=3 at 2-days. N represents number of samples and independent +experiments.

+

k. Heatmap of the expression of the indicated markers in freshly +isolated (day 0) and stimulated (day 2) human tDC analyzed by CyTOF and flow +cytometry. The frequency of positive cells for each marker is shown (≥ 2 +donors/per marker in ≥ 2 experiments).

We then aimed at evaluating if tDC conversion into DC2 occurs in +vivo at homeostasis. Given that tDC express CX3CR1 and are labeled +in hCD2EYFP mice, we hypothesized that they would be specifically +depleted in hCD2-iCre+/− x +Cx3cr1LSL-DTR+/− mice. One DT dose +resulted in tDC depletion without affecting other DCs (Extended Data Fig.5b). Continuous DT administration +for 7-days also depleted pDC due to elimination of pro-pDC, as +described7(Extended Data Fig.5b-c); however, total DC2 numbers were unaffected. To +reconcile the adoptive transfer and tDC depletion experiments, we crossed +hCD2EYFP with Cx3cr1LSL-DTR+/− +mice (hCD2EYFP CX3CR1DTR), which allowed us to monitor +EYFP+ DC2 following DT inoculation. tDC and pDC were decreased +7-days post-DT administration, but total DC2 numbers were unaffected (Fig.4c). However, the fraction of +EYFP+ DC2 decreased ~2-fold, with a corresponding increase +in EYFP− DC2 (Fig.4d). +Thus, tDC are a source of a fraction of DC2 in vivo, which can +be traced in hCD2EYFP mice. To confirm that EYFP-labeling +distinguishes tDC-derived DC2, we evaluated the expression of IgH +rearrangements, a feature of tDC and pDC that is passed to progeny +cells4. IgH +rearrangements were detected in EYFP+ but not EYFP− +DC2 (Extended Data Fig.5d). Notably, +CD11b− DC2 were also eliminated post-DT administration, +supporting a relationship with tDC (Fig.4c).

+

To gain a comprehensive understanding of tDC-derived DC2, we sorted +EYFP+ and EYFP− DC2 from hCD2EYFP +mice and performed bulk-RNAseq (Fig.4e). +DEG analysis revealed that EYFP− DC2 uniquely expressed +Fcgr2b (encoding CD32), Cx3cr1, +Clec12a, Clec7a, resembling +CX3CR1+ DC216,17(Supplementary Table5). Despite a +small contamination with EYFP+ lymphoid cells, tDC-derived +EYFP+ DC2 expressed higher levels of Gpr4 and +the Notch target Dtx1, genes expressed by ESAM+ +DC216,17. Flow cytometry confirmed that +EYFP+ were contained within ESAM+ DC2 and not +CX3CR1+ DC2 (Fig.4f). When +comparing relative expression of DC2 markers between the different DC2 +subpopulations, EYFP+ ESAM+ DC2 lacked expression of CD32, +CLEC7A, CLEC12A, all markers of CX3CR1+ DC216,17(Fig.4g). +EYFP+ ESAM+ DC2 expressed CD4 and CD5, and differed +from EYFP− ESAM+ DC2 in their higher and lower +levels of CD24 and CD11b, respectively (Fig.4g-h). These results were +confirmed using CD300cTdT mice (Extended Data Fig.5e). Thus, tDC can convert into a subpopulation of +DC2 expressing ESAM.

+

Human tDC may give rise to DC1 and DC25. However, our mouse data indicates that +tDC only convert into ESAM+ DC2, which is presumably the equivalent +to human CD5+ DC216. We re-evaluated human tDC conversion into cDC using CyTOF and +unbiased Scaffold analysis. Freshly isolated blood tDC localized in the tDC +landmark node (day 0). By 2-days in culture, ~60% tDC mapped to DC2, but +not DC1 (Fig.4i-j). We observed a few tDC localized in the pDC +landmark node (~5%), which was attributed to a loss of AXL. Human tDC +upregulated CD33, CD172a, CD32, CD1c, but not the DC1-specific marker CLEC9A +(Fig.4k). tDC also upregulated CD5, but +failed to upregulate CD14 and CD163, suggesting conversion into DC2, but not +DC322. Altogether, our +data indicate that tDC differentiate into mouse ESAM+ DC2 and human +CD5+ DC2.

tDC are distinct from cDC-committed precursors

+

We sought to clarify tDC relationship with previously described +DC2-committed precursors. We focused on the spleen because of the high tDC +numbers vs BM or blood. Splenic precursors have differential lineage commitment +based on the expression of SiglecH and Ly6C11. SiglecH+Ly6C+ (pop#5; Fig.5a) are recognized as uncommitted +precursors that give rise to DC1 and DC2, whereas +SiglecH−Ly6C− (pop#3; Fig.5a) and SiglecH−Ly6C+ +(pop#4; Fig.5a) are DC1- and DC2-committed +precursors, respectively. We observed that EYFP labeling was similar between +pop#5 and tDC when using hCD2EYFP mice (Fig.5b). Contrarily, only ~25% of pop#4 and ~10% of +pop#3 were EYFP-labeled. We then mapped these 3 splenic precursor populations +onto a UMAP of all splenic DC. Pop#5 mapped within tDC; however, only fell +within tDClo and represented ~25% of all the tDC cluster +(Fig.5c-d). Pop#3 mapped within pre-DC1, although some mapped within DC1 +suggesting that the reported gating strategy includes contaminating mature +XCR1+ DC1. Most of pop#4 (~85%) mapped outside the tDC +gate, with only ~4% contaminating all tDC. Thus, tDC are distinct from +pop#3 and pop#4. Notably, our lineage tracing data implies that pop#5 are tDC +and not uncommitted precursors that give rise to pop#3 and pop#4, as +suggested11.

+

FIGURE 5. tDC are distinct from pre-cDC.

+

FIGURE 5.

+ +

a. CD135-enriched splenic cells were stained for flow cytometry to +identify pre-cDC. Lineage includes +CD3+/CD19+/NK1.1+/Ly6G+ cells. +One representative of 3 experiments.

+

b. Populations gated as in (a) were analyzed for their percentage of +EYFP+ (mean + SD) in hCD2EYFP mice (n=3 mice in 3 +experiments). tDC were gated as in Fig.1f.

+

c. Frequency of pop#4 and pop#5 within the tDC gate is shown as the +mean of n=3 mice in 3 experiments.

+

d. CD135-enriched splenocytes from hCD2EYFP mice were +labeled for flow cytometry, gated as +live/singlets/CD3−/CD19−/NK1.1−/Ly6G− +cells and analyzed by UMAP. DC subset assignment (left) was done by gating cells +as in Fig.1f. UMAP was labeled for EYFP +(right). One representative of 3 experiments.

+

e. CD135-enriched splenocytes gated as in Fig.1f were further analyzed for the identification of +CD11b− DC2, pre-DC2 and pre-DC1. One representative of 5 +experiments.

+

f. Splenocytes from hCD2EYFP mice gated as in Fig.1f and Fig.5e +were analyzed for the frequency (mean + SD) of EYFP+ cells. N=5 mice +in 5 experiments.

+

g. CD135-enriched splenocytes were stained and analyzed by CyTOF. +CD3−/CD19−/NK1.1−/Ly6G− +cells were gated as in Fig.1f and Fig.5e, and overlaid into the UMAP of all +cells (left)(n=3 mice in 1 exp.). Heatmap of the Z-scored expression of each +marker analyzed by CyTOF or flow cytometry (right)(n=3 mice/surface marker).

+

h. Percentage (mean + SD) of each DC subset recovered after the +adoptive transfer of 10,000-30,000 CX3CR1EGFP CD45.1 cell populations +(gated as described in Fig.1f and Fig.5e). Transferred cells were analyzed in +the spleen of recipient mice after 2 or 4 days. tDClo and +tDChi: n=3 at 2-days and n=5 at 4-days. +CD11b−DC2: n=3 at 2-days and n=4 at 4-days. Pre-DC2: n=3 at 2- +and 4-days. Pre-DC1, n=2 at 2-days and n=4 at 4-days. N represents number of +mice and independent experiments.

+

i. As in (h), but cells were sorted from hCD2EYFP mice and +adoptively transferred into congenic non-irradiated recipients. The spleen of +recipient mice was analyzed for the expression of ESAM and CX3CR1 (top panels) +or EYFP (bottom panels) at 4-days post-transfer. One representative of 3 +experiment.

+

j. As in (h), but splenic cells recovered following the adoptive +transfer of tDClo were analyzed as tDClo and +tDChi. One representative of 3 experiments.

+

k. WT mice were pulsed with BrDU for 14 days. 6-8-days post-BrDU +removal, DC subsets gated as in Fig.1f and +Fig.5e were analyzed for their BrDU +content by flow cytometry. The frequency of BrDU+ cells (mean + SD) +is shown. N=4 mice in 2 experiments. Statistical differences were determined by +one-way ANOVA with Tukey’s multiple comparison test.

+

l. Bar graphs (mean + SD) showing the total number of splenic DC (gated +a Fig.1f and Fig.5e) in hCD2EYFP CX3CR1DTR mice inoculated +or not with DT every second day, and analyzed at day 10 (n=3 mice in two +experiments). See also Extended Data +Fig.6d-e. Statistical +differences were determined by unpaired two-tailed t-test.

We designed a gating strategy to analyze pop#3 and pop#4 precursors +without contaminating DC1 or tDC (called pre-DC1 and pre-DC2, hereafter) (Fig.5e). Our new gating strategy yielded +pre-DC2 and pre-DC1 with ~10% EYFP labeling in hCD2EYFP mice +(Fig.5f). It also allowed separation of +CD11b− DC2, that label similar to tDC in +hCD2EYFP mice. As expected, EYFP labeling was only evident in +ESAM+ DC2, but not in CX3CR1+ DC2. We validated our +new gating strategy by mapping all populations onto our UMAP of CyTOF data +(Fig.5g). tDClo, +tDChi, CD11b− DC2 and pre-DC2 mapped in +different locations of the UMAP, indicating distinct phenotype. tDClo +and pre-DC2 shared the expression of CX3CR1, but tDClo expressed +higher levels of Ly6C, IRF8, TCF4 and SiglecH (Fig.5g). tDChi expressed CD11c, CD172a, MHCII and some +CD8, all markers absent in pre-DC2. We observed higher expression of CCR2 in +pre-DC2, a chemokine receptor known to be expressed in cDC precursors36. Notably, +CD11b− DC2 and DC2 shared most markers; however, +CD11b− DC2 expressed CD135 and low levels of CD24. +Interestingly, pDC, tDC and CD11b− DC2 expressed higher levels +of CD45RB and CD45RA, suggesting that these markers may be useful to identify +these cells in models other than hCD2EYFP mice. Thus, our +multi-dimensional analyses unmasked key phenotypic differences between tDC and +pre-DC2.

+

We compared tDC and pre-DC2 capacity to give rise to DC2 after their +adoptive transfer (Fig.5h). Pre-DC1 were +used as controls, and only gave rise to DC1. Transferred pre-DC2 only gave rise +to DC2, whereas tDClo, tDChi, CD11b− DC2 +also gave rise to some tDC and CD11b− DC2 (Fig.5h). Pre-DC2 gave rise to EYFP− +cells, whereas tDClo, tDChi and CD11b− +DC2 gave rise to EYFP+ cells when purified from hCD2EYFP +mice (Fig.5i). Importantly, all tDC-related +populations gave rise to CX3CR1− but not CX3CR1+ +DC2, and most of these cells (~70%) expressed ESAM (Fig.5i). Transferred tDClo cells gave rise +to ~60% tDChi by 4-days indicating a transition from +tDClo to tDChi (Fig.5j). Similarly, few tDC were recovered when tDChi +were transferred, and none when CD11b− DC2 were transferred. +Together, this transfer data implies a transition from tDClo → +tDChi → CD11b− DC2 → +ESAM+ DC2.

+

To further contrast tDC and pre-DC2, we compared their turnover rate, +which is high in DC precursors37, by performing a BrdU “pulse-chase” +experiment (Extended Data Fig.6a). Pre-DC2 +had the highest turnover rate, clearing ~90% of BrdU by 8-days (Fig.5k), whereas tDClo and +tDChi only cleared ~50% and ~35% of BrdU. +Accordingly, Ki-67 proliferation marker was highest in pre-DC2 (Extended Data Fig.6b). Thus, tDC have a low turnover +rate in comparison to pre-DC2, which could explain why we did not observe a DC2 +decrease after tDC depletion for 7-days. Consistently, analysis of +hCD2EYFP CX3CR1DTR mice following 10-days of DT +treatment showed ~30% DC2 decrease (Fig.5l). Only ESAM+ EYFP+ DC2, but not +CX3CR1+ DC2 were decreased (Fig.5l, Extended Data Fig.6d). +Importantly, pre-DC2 were not affected, which may explain the maintenance of +~50% ESAM+ DC2 following tDC depletion. Similarly, monocytes, +neutrophils and lymphocytes were not affected (Extended Data Figure 6e)

+

Altogether, our data show that tDC are distinct from pre-DC2 in their +phenotype, turnover and proliferative rate. It also implies that +ESAM+ DC2 have two different origins, i.e., BM +CD115− pro-pDC and CD115+ pro-cDC.

tDC require IRF4 to convert into DC2

+

The TFs IRF4 and KLF4 are distinctly required for ESAM+ and +CX3CR1+ DC2 development, respectively12,17,19. We queried +if IRF4 is necessary for tDC conversion into ESAM+ DC2. We correlated +Irf4 expression with EGFP levels following the +Itgax-Cre-mediated recombination of +Irf4fl/fl +(IRF4cKO mice), and found highest EGFP expression in +tDChi (Fig.6a). +IRF4cKO mice had slightly increased tDC and decreased DC2 +numbers, specifically ESAM+ DC2 (Fig.6b). Interestingly, IRF4cKO mice had almost no +CD11b− DC2, but normal numbers of pre-DC2, suggesting that +only tDChi → CD11b− DC2 → +ESAM+ DC2, but not pre-DC2 ESAM+ DC2 conversion was +affected. We next generated competitive BMC to evaluate the intrinsic role of +IRF4 in each population. tDC did not require IRF4; however, +CD11b− DC2 were IRF4-dependent as these cells derived +almost exclusively from IRF4-proficient BM (Fig.6c). Contrarily, IRF4 was not required for pre-DC2. As expected, +ESAM+ but not CX3CR1+ DC2 required IRF4.

+

FIGURE 6. IRF4 is required for tDC transition to CD11b− DC2.

+

FIGURE 6.

+ +

a. Bar graphs (mean + SD) showing EGFP expression in splenic DC from +IRF4cKO, gated as described in Fig.1f and Fig.5e. N=11 +mice/subset, except n=8 mice for pre-DC2, in ≥ 4 experiments. Statistical +differences were determined by one-way ANOVA followed by Tukey multiple +comparison test.

+

b. Bar graphs (mean + SD) show the frequency of DC in +IRF4control mice and IRF4cKO mice analyzed for the +proportion of each splenic DC population, gated as in Fig.1f and Fig.5e. pDC, DC2 and DC1: n=9 (IRF4control) and n=11 +(IRF4cKO). tDC (All), tDClo and tDChi: n=9 +(IRF4control) and n=11 (IRF4cKO). +CD11b−DC2: n=5 (IRF4control) and n=5 +(IRF4cKO). Pre-DC2: n=5 (IRF4control) and n=5 +(IRF4cKO). ESAM+DC2 and CX3CR1+DC2: n=7 +(IRF4control) and n=8 (IRF4cKO). N represents mice in +≥4 independent experiments. Statistical differences were determined by +two-way ANOVA with Sidak multiple comparison test, and t-test for +CD11b−DC2 and pre-DC2.

+

c. Left shows schematic of BM chimera generated by transplanting 50% WT +(CD45.1) and 50% IRF4cKO (CD45.2) BM. Right shows bar graphs (mean + +SD) of the contribution (ratio) of donor cells to splenic DC populations (top) +or DC2 subpopulations (bottom) in mixed BMC, normalized to NK cells (n=7 mice in +2 experiments). Statistical differences were determined by one-way ANOVA with +Dunnett’s multiple comparison test.

+

d. Schematic of adoptive transfer (left). 30,000 tDC (All) were sorted +from CD45.2 IRF4control and IRF4cKO, and transferred to +CD45.1 WT. Right graphs show the total # of recovered cells (mean + SD) in the +spleen 2-8-days post-transfer (n=3 mice in 3 experiments/time point). +Statistical differences were determined by two-way ANOVA with Sidak multiple +comparison test. Colored p-values represent statistical difference between DC2 +and tDCs (cyan), or DC2 and CD11b− DC2 (gray).

We validated our results by performing adoptive transfer experiments +(Fig.6d). IRF4control tDC +yielded DC2, whereas IRF4cKO tDC yielded no cells by 8-days (Fig.6d). IRF4cKO tDC still yielded +some tDC at 4-days post-transfer, suggesting arrested conversion to DC2. Similar +results were observed when tDC from FLT3L BM cultures were purified and +re-cultured in vitro (Extended +Data Fig.6c). Altogether, our results indicate that tDChi +→ CD11b− DC2 → ESAM+ DC2 conversion +is dependent on IRF4.

tDC respond to TLR agonists and promote T cell proliferation

+

Mouse and human tDC are able to respond to the TLR9 agonist CpG, +upregulate MHCII/costimulatory molecules, and promote the proliferation of +allogenic T cells4, suggesting +that these cells are not just precursors, but harbor functions of differentiated +DC. To look further at the functional capabilities of tDC vs cDC, we first +evaluated TLR expression. tDC expressed TLR7 and TLR9, but low levels of TLR4 +and TLR3 (Extended Data Fig.7a). +tDClo and tDChi have lower basal expression of MHCII +and CD864, but were able to +quickly upregulate these markers post-TLR7 or TLR9 stimulation (Extended Data Fig.7b-c; see4 for TLR9). +Also, as shown for TLR94, tDC +produced IL-12p40 in response to TLR7. Thus, tDC quickly respond to TLR7 and +TLR9 agonists.

+

We assessed unbiasedly the transcriptional changes that tDC undergo +following TLR stimulation. Splenocytes from hCD2EYFP mice were +stimulated with a TLR cocktail to activate all DC simultaneously (TLR3, 4, 7, +and 9) and bulk-RNAseq was performed 3hr later in purified cells. +tDClo-hi were analyzed as one population, and DC2 were divided +into EYFP+ and EYFP− DC2. PCA showed that +stimulated DC clustered separately from unstimulated cells, accounting for +~50% of variance (Fig.7a). +Stimulated tDC clustered independently from other DC subsets, implying that +their gene expression program was shaped by their activation status and core +signature genes, as previously shown for pDC and cDC38. Activated tDC upregulated pathways +related with DC maturation, including hallmark inflammatory, TNF, interferon +responses, and genes of the IL-1-family (Il1b, +Il1r1, and Il1rap)(Fig.7b-c). Thus, +tDC upregulate key programs for the induction of adaptive immune responses, a +feature shared with pDC and cDC.

+

FIGURE 7. tDC respond to TLR stimulation and activate antigen-specific naïve T +cells.

+

FIGURE 7.

+ +

a. CD135-enriched splenic DC were activated or not with a cocktail of +TLR agonists consistent on LPS/PolyIC/Resiquimod/CpGA (stimulated) for 3 hrs +before sorting (as described in Extended Data +Fig.1a), and prepared for bulk RNAseq (n=2 mice in 2 exp.). PCA plot +of the top 500 most variable DEG in each unstimulated or stimulated DC +subset.

+

b. GSEA of selected pathways using the 500 most variable DEG. Each DC +subset was compared to their respective unstimulated control.

+

c. Heatmap of selected genes from the GSEA analysis in (b).

+

d. Sorted CTV-labeled naïve OT-II CD4+ T cells were +co-cultured with sorted splenic DC subsets (purified using the gating strategy +in Fig.1f and Fig.4f) at a ratio of 5:1 (T cell:DC), in the presence of OVA +protein. Four days after co-culture, cells were analyzed by flow cytometry. +Left: representative flow cytometry analysis. Right: bar graphs (mean + SD) of T +cell proliferation. N=5 for CD11b− DC2, n=7 for +tDChi, and n=8 for all the other groups. N represents +biologically independent samples in ≥ 2 experiments. Statistical +differences were determined by one-way ANOVA with Tukey’s multiple +comparison test.

We next evaluated if tDC share other functions with cDC, e.g., antigen +capture, processing and presentation to T cells. FITC-beads or PKH-labeled sheep +red blood cells (SRBC) were administered i.v. for their in vivo +capture by splenic DC subsets. FITC-beads and PKH-labeled SRBC were taken up +comparably between tDC and cDC (Extended Data +Fig.7d-e). Notably, pre-DC2 or +pre-DC1 were unable to capture antigen in vivo. tDC also +captured, processed, and presented ovalbumin (OVA) protein to naïve +antigen-specific CD4+ T cells, which underwent several rounds of +division (Fig.7d). Although +tDChi were more efficient than tDClo at activating T +cell proliferation, both populations were significantly better than pDC. +tDChi and CD11b− DC2 were slightly better than +ESAM+ DC2, which may be consequence of differential survival of +these cells in culture, an observation that remains to be confirmed.

+

In summary, tDC respond to TLR7/9 stimulation, capture, process and +present antigen to T cells, indicating that they are not just DC2 precursors but +a functional DC population.

tDC promote immunopathology during coronavirus infection

+

Finally, we sought to understand tDC function in vivo. +We hypothesized that tDC would play a role during viral infection, given their +developmental relationship with pDC and expression of TLR7/9. We chose M-CoV +since pDC are known to be essential for its early containment27,28. Similar to influenza infection4, tDC accumulated in the primary infected +tissue, which is the liver for M-CoV (Extended +Data Fig.8a-c). We reasoned +that models for the specific depletion of pDC and tDC (hCD2EYFP +CX3CR1DTR + DT mice; pDCΔtDCΔ +mice hereafter) vs pDC only (BDCA2-DTR + DT mice; +pDCΔ mice hereafter) would allow us to dissect tDC +function during infection. pDCΔtDCΔ mice +depleted liver pDC and tDC, whereas pDCΔ mice depleted only +pDC (Fig.8a). None of these models affected +other liver immune cells (Extended Data +Fig.8a-b, d).

+

FIGURE 8. Secretion of IL-1β by tDC results in immunopathology in pDC-depleted +mice.

+

FIGURE 8.

+ +

a. Liver pDC and tDC numbers (mean + SD) at 2- and 5-days following +M-CoV infection of pDCΔ and +pDCΔtDCΔ (n=3/group at 2-days and +n=5/group at 5-days) vs control mice (n=11 at 2-days and n=9 at 5-days). +pDCΔ mice are +BDCA2-DTR+/− mice inoculated with DT one +day before M-CoV infection. pDCΔtDCΔ are +hCD2EYFP CX3CR1DTR mice inoculated with DT every other +day for 5-days before M-CoV infection. Control mice are a combination of +BDCA2-DTR+/− or hCD2EYFP +CX3CR1DTR mice inoculated with PBS, and +DTR−/− mice inoculated with DT (no difference in +control mice was observed). N represents mice. Data pooled from ≥ 3 +experiments.

+

b. Percent weight loss (left, mean + SD) and survival curve (right) of +control (n=12), IFNAR1KO (n=8), pDCΔ (n=7) and +pDCΔtDCΔ (n=8) mice. Health status was +monitored twice daily, and moribund mice were euthanized. N represents mice. +Data pooled from 4 experiments.

+

c. Serum ALT levels (mean + SD) determined 5-days post-M-CoV infection +(n=4 mice for control; n=6 mice for pDCΔ; n=7 mice for +pDCΔtDCΔ). Data pooled from 3 +independent experiments.

+

d. The number of liver monocytes and neutrophils (mean + SD) were +evaluated by flow cytometry 2- and 5-days post-M-CoV infection as in (a). Day 2: +n=14 for control, n=4 for pDCΔ and n=6 mice for +pDCΔtDCΔ. Day 5: n=10 for control, n=5 +mice for pDCΔ and n= 6 mice for +pDCΔtDCΔ. N represents mice. Data pooled +from 3 or more exp.

+

e. Liver viral titers (log10 pfu / gr. tissue) were +determined 5-days post-M-CoV infection (n=10 mice for control, n=7 mice/group +for pDCΔ and pDCΔtDCΔ). +Violin plots show data pooled from 4 experiments.

+

f. Serum levels of IL-1β were determined 2-days post-M-CoV +infection by Luminex (n=7 mice for control, n=8 mice/group for +pDCΔ and pDCΔtDCΔ). +Data pooled from 4 experiments.

+

g. pDCΔ mice were inoculated with anti-IL-1β +Ab 2-days post-M-CoV-infection, and the percent weight loss (mean + SD) was +measured over time. N=5 mice for pDCΔ + control Ab, and n=6 +mice for pDCΔ + α-IL1-β Ab. Data pooled from 3 +experiments.

+

h. As in (g), but serum ALT levels (mean + SD) were evaluated at 5-days +post-infection. N=4 mice for control, n=7 mice for pDCΔ + +control Ab, and n=6 mice for pDCΔ + α-IL1-β Ab. +Data pooled from 3 experiments.

+

i. As in (g), but numbers of liver monocytes and neutrophils (mean + +SD) were quantified by flow cytometry at 5-days post-M-CoV infection. N=4 mice +for control, n=5 mice for pDCΔ + control Ab, and n=6 mice for +pDCΔ + α-IL1-β Ab. Data pooled from 3 +independent experiments.

+

j. As in (g), but liver viral titers (log10 pfu / gr. +tissue) were evaluated 5-days post-M-CoV infection. N=4 mice for control, n=7 +mice for pDCΔ + control Ab, and n=6 mice for +pDCΔ + α-IL1-β Ab. Violin plots show data +pooled from 3 experiments.

+

k. DC subsets gated as in Fig.1f +and Fig.4g were sorted and incubated with +M-CoV or mock (supernatant from non-infected L929 cells) using an MOI of 1. +Culture supernatant was analyzed by CBA 14-16 hrs later (n=5 samples in 3 +experiments). Minimum and maximum values are indicated via whiskers, while the +interquartile range and median are marked with the box.

+

l. Human blood enriched DCs were left unstimulated (control) or +stimulated with CpG-A for 6-9 hrs, and then analyzed for intracellular +IL-1β by flow cytometry (circles) or CyTOF (square). N=5 donors for tDC +and pDC and n=3 donors for DC1 and DC2. Data pooled from 4 experiments. Minimum +and maximum values are indicated via whiskers, while the interquartile range and +median are marked with the box.

+

m. As in (l), but cells were stimulated with CpG-A or influenza virus, +and analyzed by CyTOF in one experiment.

+

n. As in (l), but pDC and tDC were sorted and incubated with MRC5 +fibroblast cell line alone or MRC5 infected with CMV (CMV-MRC5) for 6 hrs, and +analyzed for intracellular IL-1β by flow cytometry in one experiment.

+

Statistical differences were determined by Two-way ANOVA with +Tukey’s multiple comparisons test (a-c,g), by One-way ANOVA with +Tukey’s multiple comparisons test (d-f,h-l) or Mantel-Cox test for +survival curves (b).

Weight change in infected mice was used as a measure of infection +severity. Control mice developed asymptomatic infection with almost no weight +loss, whereas IFN-I receptor knockout mice (IFNR1KO) displayed +critical pathology and died by 2-days post-infection (p.i.), as +described27(Fig.8b). By 3-days p.i., +pDCΔ and pDCΔtDCΔ mice +started to lose weight. By 5-days p.i., pDCΔ mice were +moribund experiencing severe pathology and >20% weight loss. In contrast, +pDCΔtDCΔ mice displayed milder pathology +and complete survival. Severe pathology in pDCΔ mice +correlated with exacerbated liver damage measured by increased serum alanine +transaminase (ALT), pro-inflammatory monocyte and neutrophil infiltration (Fig.8c-d). pDCΔ mice also had a late spike in viral titers +(5-days p.i.), likely consequence of excessive liver damage (Fig.8e and Extended +Data Fig.8f). On the other hand, milder pathology in +pDCΔtDCΔ mice correlated with less liver +damage and pro-inflammatory cells. To confirm that eliminating both pDC and tDC +resulted in milder pathology to M-CoV, we also infected TCF4cKO mice, +which harbor significantly less numbers of liver pDC/tDC without affecting cDC +(Extended Data Fig.9a). Similar to +pDCΔtDCΔ mice, TCF4cKO mice +had mild pathology, limited liver damage and modest increase in viral titers, as +previous observed28(Extended Data Fig.9b-d). These results suggest that severe M-CoV pathology +is not mediated by the sole elimination of pDC, which occurs in both mouse +models, but rather by tDC presence in pDC-depleted mice.

+

To investigate the underlying tDC-mediated mechanism driving severe +pathology, we analyzed cytokines/chemokines in serum 2-days p.i. (Extended Data Fig.9e). Severe pathology in +pDCΔ mice correlated with a significant increase in +pro-inflammatory cytokines and chemokines, including IL-1β, IL-18, TNF, +IL-6, which was not observed in pDCΔtDCΔ +mice. Acutely increased serum levels of IL-12p70 and IFNγ in +pDCΔ mice suggest augmented innate lymphocyte numbers or +function. However, natural killer (NK) and innate lymphocyte 1 (ILC1) numbers +were not affected, and their depletion did not ameliorate M-CoV infection +severity in pDCΔ mice, indicating that these cells do not +mediate pathology (Extended Data Fig.8d +and 9f-g). Among the other pro-inflammatory cytokines upregulated in +pDCΔ mice, IL-1β could mediate higher +chemokine/cytokine levels resulting in increased liver damage39,40. Indeed, IL-1β increased 2-5-fold in the serum +of pDCΔ vs control and +pDCΔtDCΔ mice, as early as 2-days p.i. +(Fig.8f). A single dose of +anti-IL-1β blocking antibody in pDCΔ mice significantly +reduced pathology, i.e., lower weight loss, ALT levels, liver-infiltrating +leukocytes and viral titers (Fig.8g-j and Extended +Data Fig.9h).

+

So far, our data suggest that tDC mediate severe pathology in +pDCΔ mice through a dysregulated IL-1β production, +which is consistent with an increase in Il1b and related genes +following TLR stimulation (Fig.7c). We +tested tDC capacity to secrete IL-1β in response to M-CoV. Purified tDC +secreted IL-1β at higher levels than either pDC, DC1, EYFP+ +and EYFP− DC2 (Fig.8k), +whereas pDC secreted TNF, IL-6 and some IL-12p70 (Extended Data Fig.9i). We extended these observations to human tDC +stimulated with CpG (Fig.8l-n). Again, human tDC rapidly produced IL-1β, +which was more prominent than either pDC or cDC. Moreover, human tDC also +produced IL-1β in response to influenza and cytomegalovirus +(CMV)-infected lung fibroblasts (MRC5), whereas pDC produced IFN-α (Fig.8m-n, and41). Thus, tDC +have a distinct capacity to rapidly produce IL-1β in response to viruses +and their mimics, a feature that is conserved in mouse and human.

+

In summary, our data supports a model in which dysregulated secretion of +IL-1β by tDC is associated with severe coronavirus pathology.

DISCUSSION

+

In this study, we unravel tDC identity, development and function. Our data +show that tDC are not pre-DC2 as suggested, but rather a DC population that develops +from BM pro-pDC. tDC have functions of cDC, and a distinct capacity to rapidly +produce IL-1β in response to viruses, which promotes fulminant liver +pathology during M-CoV infection. Finally, tDC distinctly convert into mouse +ESAM+ DC2 or human CD5+ DC2. Our data indicate that +current definitions of the DC compartment should be expanded to encompass tDC, a +pDC-related DC subset that has a distinct role during viral infections and +contributes to the developmental heterogeneity of DC2 in mice and humans.

+

It has been suggested that tDClo and tDChi may have +different developmental origins, i.e., lymphoid vs myeloid, respectively. Here, we +show ample evidence that this is not the case. Both tDClo and +tDChi share a core transcriptome that differentiate them from other +subsets, as also observed by the group of M. Dalod24. These subpopulations exhibit developmental +features shared with pDC, such as IgH rearrangements and PTCRA expression4, and the need of TCF4 for their +differentiation. Both tDClo and tDChi labeled similarly to pDC +when using two different tracing mouse models (hCD2EYFP and +CD300cTdT), and emerged from pro-pDC at steady state. Further +experiments are needed to evaluate if pro-pDC are bi-potent progenitors giving rise +to tDC and pDC. Finally, tDClo gives rise to tDChi after +adoptive transfer experiments. Thus, tDClo and tDChi are +different states within the same population of cells. As tDClo transition +to tDChi, they upregulate several DC2 TFs including ZBTB464. Thus, ZBTB46 expression is one of +the many transitional features of this population and should not be interpreted as +an origin marker from a pro-cDC progenitor25. In fact, ZBTB46 regulates cDC activation rather than +development42.

+

Adoptive transfer experiments revealed that tDC convert exclusively into +ESAM+ DC2, passing through a CD11b− DC2 stage. Two +fate tracing models suggest that 30-40% of ESAM+ DC2 are tDC-derived. +This was confirmed by the presence of IgH rearrangements. Finally, tDC-derived +ESAM+ DC2, but not CX3CR1+ DC2, are depleted by the +administration of DT into hCD2EYFP CX3CR1DTR. During the +preparation of this manuscript, a report by Rodriguez et +al.26 implied +that pDC-like cells, which encompass a portion of tDClo, convert into +CX3CR1+ DC2 following adoptive transfer into irradiated recipient +mice. The discrepancies between our observations and Rodriguez et +al. may arise from different gating strategies to define DC2, as well +as the cell transfer conditions. Rodriguez et al. used only two +markers to define DC2, MHCII+ and CD172a+. However, this +strategy likely results in contamination of DC2 with +ESAM−CX3CR1+ tDChi. Further, different +from Rodriguez et al., our cell transfer experiments were performed +in non-irradiated congenic recipients to avoid unphysiological proliferation of DC +following radiation. Finally, our data unraveling tDC conversion into mouse +ESAM+ DC2 parallels human tDC conversion into CD5+ DC2, +but not CD14+ DC3. Notably, human DC3 are known to develop via a +GM-CSF-dependent monocyte/dendritic cell progenitor (MDP)20,21. +Although the origin of mouse DC3 requires further investigation, we show here that +tDC arise from the FLT3L-dependent pro-pDC pathway, and not MDP.

+

We show that tDC are distinct from pre-DC2. tDC trace back to pro-pDC and, +consequently, share developmental features with pDC. These features are only +observed in tDC and tDC-derived DC2, but not pre-DC2 derived DC2. Second, tDC have +phenotypic differences with pre-DC2 . Despite that tDC and pre-DC2 give rise to +ESAM+ DC2, tDC do so passing through a CD11b− DC2 +stage. Different from pre-DC2, tDC have lower turnover and proliferation rate. +Unlike pre-DC2, very few tDC reside in the BM suggesting that these cells exit the +organ quickly post-development. Finally, mouse tDC exhibit functions of cDC +including widespread transcriptional changes following TLR stimulation, antigen +capture, and activation of antigen-specific T cells; functions conserved between +species4-6. Importantly, tDC require different TF than +pre-DC2. TCF4 is required for tDC development from pro-pDC, whereas IRF4 is required +for tDChi → CD11b− DC2 → ESAM+ +DC2 conversion; however, IRF4 does not seem to be necessary for pre-DC2 → +ESAM+ DC2 conversion. Notably, IRF4cKO mice have reduced +CD24+ DC2 in several tissues13,15, consistent with +our observation that CD24 expression is slightly higher in splenic tDC-derived +ESAM+ DC2. Further studies are needed to evaluate the contribution of +tDC and pre-DC2 to the DC2 compartment in different tissues. Nevertheless, the +unique characteristics of tDC warrant their distinction from pre-DC2.

+

Interestingly, in situations where tDC development is impaired at the level +of pro-pDC (e.g., TCF4cKO mice), DC2 are present at normal numbers +suggesting that they are maintained by pre-DC2. Similarly, in situations where +pre-DC2 development is impaired (e.g., Clec9aCre +Rosa26DTA mice), DC2 are present at normal numbers but +harbor IgH rearrangements43, +suggesting they may be derived from tDC. Thus, the ESAM+ DC2 compartment +seems to be maintained by two distinct developmental pathways that converge into +cells that are phenotypically similar (Extended Data +Fig.10). The contribution of these two distinct developmental pathways to +the DC2 pool may be signaled by environmental cues (e.g., age and IFN-I +availability)44,45. To dissect the in vivo +functions of these two developmental pathways, it would be helpful if DC2 origin is +reflected in their name, e.g., tDC2 for tDC-derived DC2 and cDC2 for pre-DC2-derived +DC2. Importantly, it is imperative to identify surface markers to distinguish these +two developmental origins of DC2, and CD45RA and CD45RB described here may assist +this goal.

+

Mouse and human tDC distinctively produce high levels of IL-1β in +response to viruses, which likely plays a protective role during immune responses. +However, the dysregulated IL-1β secretion by tDC culminated in excessive +immunopathology during M-CoV infection. This excessive immunopathology recapitulates +several features of SARS-CoV-2 including higher viral titers, neutrophil and +monocyte recruitment, and excessive tissue damage46,47. +Notably, similar to our mouse depletion model, pDC from severe SARS-CoV-2 patients +are dysfunctional and unable to produce IFN-I48,49, suggesting that +the dysregulated tDC-mediated IL-1β pathway described here may be active also +in humans. Accordingly, anti-IL-1β Abs and IL-1β/α inhibitors +have shown benefit in SARS-CoV-2 patients50. Altogether, our work unveils an innate immune balance +between efficient antiviral vs pro-inflammatory response that is controlled by +developmentally related cells, pDC and tDC, suggesting that these two DC populations +form a distinct lineage of cells with key complementary functions during viral +infections.

METHODS

+

Human specimens and PBMCs

+

Donors provided informed consent in accordance with IRB protocols +approved by the Stanford University Administrative Panel on Human Subjects in +Medical Research. De-identified blood and buffy coats were obtained from healthy +adult human donors (20-45 years old) following the guidelines of the Research +and Laboratory Environmental Health and Safety program of Stanford University or +from the New York Blood Center (NYBC). Peripheral blood mononuclear cells +(PBMCs) were isolated by density gradient centrifugation using Ficoll-Paque PLUS +(GE Healthcare).

Mice

+

Mice (reporting summary) were purchased from The Jackson Laboratory or +Charles River. Cx3cr1EGFP+/− were crossed +with CD45.1 mice in-house. +Itgax-Cre+/− mice +were crossed to Irf4fl/fl in-house and screened +routinely for the appearance of Irf4 germline +deletions51. Side by +side comparison showed that Itgax-Cre+/− x +Irf4fl/fl and +Itgax-Cre+/− x +Irf4fl/deletion mice have similar phenotypes, so +mice were pooled for experiments and labeled as IRF4cKO. +IRF4control group includes +Itgax-Cre−/− x +Irf4fl/fl and +Itgax-Cre−/− x +Irf4fl/deletion mice. The +Cd300cCre strain was generated +by knocking Cre recombinase ORF and BGH polyA into the first coding exon of +Cd300c. This strain description will be provided in a +separate manuscript (Perez et al., in preparation) and is available upon request +to B.R. For this study, Cd300cCre+/+ x +Rosa26TdTomato+/− (CD300cTdT) +mice were used. Mixed bone marrow chimeras (BMC) were generated by lethally +irradiating (two doses of 6Gy) 8-week-old females and transplanting with +3x106 BM cell suspensions (50% WT CD45.1 and 50% cKO CD45.2). BM +cells were engrafted for ≥8 weeks. For DT inoculation, 50ng/g body weight +was inoculated i.v. at day 0, followed by 25ng/g every other day. For BrDU +experiments, 1 mg of BrDU (SIGMA) was inoculated i.p. at day 0, followed by +continuous feeding with 0.8 mg/mL of BrDU in drinking water (prepared fresh +daily). After 14 days, BrDU was removed and mice euthanized at different time +points. For in vivo antigen uptake experiments, +1x108 sheep red blood cells (SRBCs) stained with 2μM PKH26 +(Sigma-Aldrich) or 1x109 Yellow-Green Polystyrene Beads +(Polysciences, Inc.) were injected i.v. for 3 hrs. For viral infection, 50 PFU +M-CoV was injected i.p. In some experiments, M-CoV-infected mice were inoculated +with 100 μg of anti-IL-1β or control Ab (BioXCell, clone B122 and +Cat#BE0091, respectively) on day 2, or 200 μg of anti-NK1.1 or control Ab +(BioXCell, clone PK136 and 2A3, respectively) on day −1, 0 and 2 +post-infection. Animals were maintained in ventilated cages under specific +pathogen-free conditions and a 12 hr dark:12 hr light cycle at 20-22°C +and a humidity range of 30-70%. Animals were fed with Teklad Irradiated Rodent +Diet (Inotiv #2918). Animals were used at 6-12 weeks of age in accordance with +Stanford and New York University Administrative Panel on Laboratory Animal Care +and overseen by the Institutional Animal Care and Use Committee.

Cell suspension preparation

+

Blood was obtained from anesthetized mice via retro-orbital puncture +into a vial containing 1mM EDTA (Corning), and mononuclear cells were enriched +using Lympholyte M (Cedarlane). Blood serum was used for measuring alanine +2-oxoglutarate-aminotransferase (ALT)(Sigma-Aldrich), or cytokines by Luminex +(ThermoFisher; HIMC Stanford University). Spleens, peripheral LN (inguinal, +brachial, and axillary) and perfused livers were digested with 400 U/mL +Collagenase D (Millipore-Sigma) and 50 μg/mL DNase I (Millipore-Sigma) +for 30 min at 37°C. 10 mM EDTA was added for the last 5 min of culture. +For liver, leukocytes were enriched by density gradient centrifugation using 42% +Percoll (Cytiva). Perfused lungs were digested with 0.13 U/mL Liberase TM +(Millipore-Sigma) and 50 μg/mL DNase I for 25 minutes at 37°C. For +BM, femurs and tibias were flushed using un-supplemented RPMI (Corning). All +cell suspensions were filtered through a 70 μm strainer. Red blood cells +from spleen and BM were lysed using ACK Lysis buffer (Lonza).

Enrichment of DC and precursors

+

Mouse cell suspensions were incubated with anti-CD135-biotin (Biolegend) +for 30 min at 4°C, washed and incubated with Ultra-Pure anti-Biotin +microbeads (Miltenyi) for 30 min at 4°C. CD135+ cells were +selected using LS columns (Miltenyi). Human myeloid cells were negatively +enriched from PBMCs using anti-CD3 (OKT3), anti-CD14 (HCD14), anti-CD19 (HIB19) +and anti-CD335 (9E2) Abs followed by anti-mouse Dynabeads (Invitrogen) at a +concentration of 4 beads per target cell52. For IL-1β experiments, human DC were negatively +enriched using EasySep Human pan-DC Pre Enrichment Kit (StemCell +Technologies).

Staining for flow cytometry and cell sorting

+

Abs (reporting summary) were purchased from Biolegend, R&D, MBL +International and ThermoFisher. Anti-TCF4 (Abcam) was labeled in-house using the +Alexa 647 Labeling Kit (ThermoFisher). Mouse cell suspensions were incubated +with anti-CD16/CD32 (clone 2.4G2, produced in-house) to block non-specific +binding for 15 min at 4°C. Cells were incubated with Ab cocktails in +mouse FACS buffer (2 mM EDTA, 2% FBS in PBS) for 20 min at 4°C. DAPI +(Sigma) was added to exclude dying cells before sample acquisition. For +transcription factor staining, cells were stained with surface Abs and LIVE/DEAD +Fixable Blue (ThermoFisher) in PBS for 20 min at 4°C, then fixed with +FoxP3 Transcription Factor Fix/Perm Buffer (ThermoFisher) for 2-12 hrs and +stained intracellularly for 30 min in 1X Permeabilization Buffer (ThermoFisher). +For cytokines and EYFP co-staining, cells were surface stained and fixed with 2% +paraformaldehyde (Electron Microscopy Sciences) for 40 min, followed by +Cytofix/Cytoperm (BD Biosciences) for 12 minutes. Intracellular cytokine +staining was performed in 1X Permwash (BD Biosciences) for 30 min. For BrDU +staining, cells were surface stained, washed and fixed with Cytofix/Cytoperm for +30 min at 4°C, followed by incubation with Cytoperm Permeabilization +Buffer Plus (BD Biosciences) for 20 min at 4°C and a second fixation with +Cytofix/Cytoperm for 10 minutes at 4°C. Cells were then incubated with +160 U/mL DNase I for 1 hr at 37°C, followed by incubation with anti-BrDU +PE (Biolegend) for 20 min at RT. For mouse cell sorting, lineage included Abs +against CD3, CD19, NK1.1 and Ly6G for splenocytes plus MHCII for BM (all in +Alexa700 or Efluor450), and streptavidin-Alexa647 to detect CD135 expression +from CD135-enriched cells. Human PBMCs were incubated with human gamma-globulin +(ThermoFisher) to block non-specific binding for 15 min at 4°C, followed +by Abs in human FACS buffer (2 mM EDTA, 2% Donor equine serum in PBS) for 20 min +at RT. For transcription factor staining, cells were stained with surface Abs +and LIVE/DEAD Fixable Blue in PBS for 20 min at RT, fixed with FoxP3 +Transcription Factor Fix/Perm Buffer for 1 hr at 4°C, and stained +intracellularly for 20 min in 1X Permeabilization Buffer. Human tDC were sorted +as lineage negative +(CD3−CD19−CD20−CD335−CD66b−), +monocyte/DC3 negative (CD14−CD16−) and +HLA-DR+CD123+BDCA1−AXL+ +(using CD123 clone 6H6 to allow for IL-3 binding in culture). For IL-1β +human experiments, pDC and tDC were sorted as +HLA-DR+CD123+AXL−SIGLEC6− +and HLA-DR+CD123+AXL+SIGLEC6+, +respectively. In all cases, analysis was performed in a 5-laser LSRFortessa X-20 +(BD Biosciences), and cell sorting in a FACSAria Fusion using BD Diva software +(BD Biosciences), and SY3200 or SH800Z sorter and software (SONY Biotechnology). +Data was analyzed using FlowJo (v.10.8.1; Tree Star, Inc). Unstained cells and +single-fluorochrome-stained cells were used for accurate compensation. Control +samples included fluorescence minus one.

Staining for CyTOF

+

Metal-labeled Abs (reporting summary) were obtained from Fluidigm or +labeled using the MaxPar X8 labeling kit (Fluidigm). CD135-enriched mouse cell +suspensions were stained with 0.25 μM cisplatin (Fluidigm) for 5 min at +RT to exclude dead cells, washed with CyFACS buffer (2 mM EDTA, 1% BSA, 1% in +PBS) and stained with a heavy-metal-labeled Abs for 30 min at 4°C. Cells +were washed twice with CyFACS then fixed with Foxp3 Transcription Factor +Fix/Perm Buffer for 2 hrs followed by intracellular staining in 1X Permwash for +30 min. After staining, samples were washed and incubated with 2% PFA in PBS +containing 125 nM Iridium intercalator (Fluidigm) overnight. Cells were washed +with water, filtered, and acquired. Human PBMC and sorted tDC were cisplatin and +surface stained, followed by fixation as described above for mouse. The +intracellular cocktail included Abs affected by fixation52. Sorted tDC were pooled with mouse +splenocytes to avoid cell loss during washes52. In all cases, cells were acquired in a CyTOF2 or a +Helios mass cytometer (Fluidigm) at the Shared FACS Facility at Stanford or Mt. +Sinai, using CyTOF software.

Adoptive transfer experiments

+

10,000-30,000 cells sorted from 1-2 mice were adoptively transferred +into WT congenic non-irradiated mice through tail vein injection. Analysis was +performed 2-8 days later in the spleen. During analysis, splenocytes of +recipient mice were enriched by density gradient centrifugation using 30% Bovine +Serum Albumin (BSA, Millipore-Sigma)4.

+In vitro DC stimulation

+

8x106 mouse splenocytes were resuspended in 0.5mL of complete +RPMI (complete medium contains: 10% FBS, GIBCO; 2 mM L-glutamine, Corning; 100 +IU Penicillin, Corning; 100 mg/mL Streptomycin, Corning; 55 mM +2-Mercaptoethanol, GIBCO), and cultured for 6h at 37°C. Splenocytes were +left untreated or stimulated with 200ng/mL LPS, 200ng/mL MPLA, 25μg/mL +Poly(I:C), or 2.5μg/mL Resiquimod. For cytokine detection, 5 μg/mL +Brefeldin A (Millipore-Sigma) was added to the culture. Costimulatory marker and +cytokines were detected by surface and intracellular staining, respectively. +2x105/mL purified splenic DC were incubated with M-CoV (MHV A59; +MOI of 1) or mock control (supernatant from non-infected L929 cells) and +cultured for 14-16 hrs at 37°C. IL-1β, TNF, IL-6 and IL-12p70 were +measured by Cytometric Bead Array (CBA) Mouse Enhanced Sensitivity Flex Set and +Mouse Enhanced Sensitivity Master Buffer Kit (BD Biosciences). Concentration of +each cytokine was normalized to the mock control. Sorted human tDC were cultured +in 96 well U-bottom plates at 37°C at a concentration of 5,000 cells in +200 μL complete RPMI. Media was supplemented with 10ng/mL IL-3 (R&D +Systems) and 200ng/mL CD40L (R&D Systems) for 48 hrs. tDC phenotype was +evaluated by CyTOF and flow cytometry. For IL-1β detection, enriched or +sorted human DC were stimulated with 2.5 μM CpG-A (ODN 2216), MRC5, +CMV-MRC5 and H1N1 influenza virus A/PR/8/34 (PR8) at 10 MOI for 6 to 9 +hrs41. 10 μg/ml +of Brefeldin A (BFA) was added for the last 3-6 hours of incubation prior to +flow cytometry and CyTOF experiments41.

Bone marrow-derived DC

+

2x106 BM cells were plated in a 24-well plate with 2mL +complete DMEM supplemented with 1.8mM sodium pyruvate (SIGMA), 1X MEM-NEAA +(GIBCO #11140050), and 10% supernatant from B16-FLT3L cell line. In some cases, +1 mL of cell suspension was transferred at 3-days to a 24-well plate containing +a mono-layer of mitomycin-treated OP9-DL1 cells35. At 4-7 days, cell suspensions were +analyzed by flow cytometry. Lineage (CD3+ and CD19+) and +macrophages (SSC-Ahigh F4/80high cells) were gated +out.

IgH D-J Rearrangement

+

Genomic DNA was isolated from sorted DC using the Nucleospin Tissue XS +kit (Takara Bio). The amount of DNA per reaction was equalized by qPCR using +primers against Actb4. The primers used were as follows: Actb +forward 5’-GGTGTCATGGTAGGTATGGGT-3’, reverse +5’-CGCACAATCTCACGTTCAG-3’; Mu0-JH1 (germline) forward +5’-CCGCATGCCAAGGCTAGCCTGAAAGATTACC-3’, reverse +5’-GGTCCCTGCGCCCCAGACA-3’; DHL-JH3 forward +5’-TGGCAGGGATTTTTGTCAAGGGATCTACTACTGTG-3’, reverse +5’-CTAATTCTCACAAGAGTCCGATAGACCCTGG-3’. Products were run on a 2% +agarose gel and imaged with a ChemiDoc MP (Bio-Rad).

+In vitro T cell activation

+

Spleen, skin draining LN, mesenteric LN, and iliac LN of OT-II mice were +collected and mechanically dissociated. Cells were lysed using ACK Lysis buffer +(Lonza), filtered through a 70 μm strainer, and incubated with Abs +against B220, F4/80, MHCII, NK1.1 and CD8 (produced in-house) for 30 min at +4°C followed by sheep anti-Rat IgG Dynabeads (Invitrogen). Negatively +enriched CD4+ T cells were labeled with 5 μM CellTrace Violet +(CTV, ThermoFisher), and naïve T cells sorted as +CD3+CD4+CD44loCD45RB+. +Naïve T cells were cultured with sorted splenic DC (1:5 ratio) and 20 +μg/mL ovalbumin (OVA) for 4 days. Controls included T cells incubated +with OVA in the absence of DC.

Viral stocks and titers

+

Influenza virus H1N1 (PR8), CMV stocks and infected cell lines were +previously generated41. Thawed +MRC5 and CMV-MRC5 were plated at the density of 6x104 +cells/cm2 for > 8 hrs before the addition of +5x103 - 4x104 human DC. M-CoV (also known as murine +hepatitis virus, MHV A59; BEI Resources) was propagated on L929 cells (ATCC). +M-CoV viral titers were determined after homogenization by standard plaque assay +using L929 cells.

Transcriptomic data generation

+

For bulk-RNAseq, splenic DC from 2 mice were CD135-enriched and split in +two samples: 30% was stained to sorting, and 70% was stimulated with the LPRC +adjuvant cocktail [100ng/mL LPS, 25μg/mL Poly(I:C), 2.5μg/mL +Resiquimod and 6μg/mL CpG-A (ODN 2216)] at a concentration of +107/mL for 3 hrs before staining and sorting. RNA was extracted +using the NucleoSpin RNA XS kit (Takara Bio). For scRNAseq, CD135-enriched cells +were stained and sorted. Splenocytes were mixed 1:1 from 2 sorted gates to +enrich for tDC: +CD3−CD19−NK1.1−Ly6G− +and +CD3−CD19−NK1.1−Ly6G−XCR1−CD11blo +(Fig.1c). BM cells were sorted as +CD3−CD19−NK1.1−Ly6G−. +600 sorted cells per μL were processed for 10X Genomics. For NanoString, +sorted DC were resuspended in 1/3 RNeasy Lysis Buffer RLT (Qiagen) at a +concentration of 1,000-5,000 cells/μL and analyzed on the NanoString +nCounter® Mouse Myeloid Innate Immunity V2 Standard +Platforms, following the manufacturer's instructions. Samples were +processed on the NanoString Digital Analyzer to yield a reporter code count +(RCC) dataset, which was analyzed via +ROSALIND® (https://rosalind.bio).

CyTOF data analysis

+

Files in FCS format were normalized with the R package Premessa. Mouse +splenocytes were gated as +live/singlets/CD3−/CD19−/CD335−/Ly6G−, +exported, and analyzed by UMAP and X-shift in FlowJo. Analyzed files were +imported into MATLAB (v.9) for visualization. MEM was performed following R +scripts53. The +Scaffold R package was downloaded from GitHub (https://github.com/nolanlab/scaffold)54. Human DC were gated from PBMC in FlowJo +and imported into Scaffold to create a reference map. Events from stimulated tDC +were imported into the reference map for clustering29.

Bulk-RNAseq analysis

+

The count matrix was generated using the “Seq-N-Slide” +pipeline (https://github.com/igordot/sns). Data was aligned using STAR +(v2.7.3a) to the mm10 reference genome. featureCounts was used to generate the +gene-count matrix. The count matrix was analyzed using DESeq2 (v3.14)55. Differential gene expression +analysis was performed using DESeq2’s DESeq function. Log fold change +shrinkage was performed by the “ashr” method56 and used for volcano plots and MA plots +(DESeq2)55. Variance +stabilizing transformation was performed using DESeq2 for heatmap and PCA +visualization.

scRNAseq analysis

+

Cell Ranger (10x Genomics) was used for demultiplexing and generation of +barcodes and count matrices. Spleen and BM data were analyzed using Seurat +(v3)57 in R (4.1.2). +Cells were selected for number of genes over 300, number of total counts less +than 50000, and % of mitochondrial genes less than 20%. Data was normalized +using the “LogNormalize” method (scale factor 10000) of +Seurat’s NormalizeData function. PCA was performed in Seurat and the top +25 dimensions were used for UMAP. Differentiating markers for each cluster were +identified using the Wilcoxon rank sum test implemented in Seurat’s +FindAllMarkers function (min.pct=0.25, logfc.threshold =0.25). KNetL graphs were +generated using iCellR (v1.6.5)58. Cells were filtered for <20% mitochondrial genes, +unique genes expressed between 300-8000 genes, and UMIs less than 50,000. +Monocytes were filtered using cell IDs of cells in Cluster 9 from the spleen +UMAP analysis in Seurat. Data was normalized using the default +“ranked.glsf” method in iCellR. PCA was calculated using the top +2000 genes. KNetL analysis was performed using 1:20 dimensions with a zoom of +175 and UMAP as the dimensionality reduction method. Clusters were calculated +using the KNetL results with a sensitivity of 150. Differential gene expression +was calculated for each cluster using the findMarkers function of iCellR with +default parameters except with adjusted p-value <0.05 set as the +threshold of significance.

GSEA analysis

+

For bulk-RNAseq, a gene list was created by ranking all genes post log +fold change shrinkage by the log2FC value. The mouse hallmark gene +set was downloaded (MSigDB website)59,60 and used as +the input for gene sets database. GSEAPreranked analysis was run on GSEA +(v4.2.2) with 1000 permutations. For scRNAseq, a ranked gene list was created by +computing markers for each cluster using Seurat’s FindMarkers with +min.pct and logfc.threshold parameters set to 0 to extract all genes. Genes were +then ranked on the logFC value and analyzed using the same parameters as +above.

Cell type signature generation

+

CPM counts from the sorted populations of the bulk-RNAseq were used to +generate a signature matrix using CIBERSORTx with default parameters61. The signature matrix was then +used to calculate signature scores for each cell of the spleen scRNA sequencing +using the imputing cell fraction function of CIBERSORTx (permutations = 500, +B-mode batch correction). Raw counts for tDC, pDC, DC1, and DC2 from the spleen +scRNAseq were used to generate a signature matrix using CIBERSORTx with default +parameters. The signature matrix was then used to calculate signature scores for +each cell of the BM scRNAseq by imputing cell fraction (CIBERSORTx) +(permutations = 500). pDC-signature “high” cells were defined as +signature score >0.15.

Trajectory analysis

+

BM cells with pDC signature >0.15 were selected and re-clustered +using Seurat. UMAP was generated using the top 25 statistically significant PCA +components. Trajectory analysis was performed on UMAP embeddings from Seurat +clustering using Slingshot (v2.2.0)62. For RNA velocity analysis, Velocyto +(0.17.17)63 was used +to generate the loom file containing spliced and un-spliced transcripts. The +mask file, mm10_rmsk, was downloaded from the UCSC genome browser. The genome +annotation file, mm10_2020_A, was downloaded from 10x Genomics. The data was +then loaded into scVelo (v.0.2.4)63,64 for further +analysis using Python (v3.10). scVelo was run with default settings using the +“filter_and_normalize” and “moments” functions to +filter and compute PCA/nearest neighbors, respectively. Results were overlayed +onto Seurat-clustered UMAP of the BM.

Statistical analysis

+

For Fig.1-7 experiments, no statistical methods were used to +predetermine sample sizes. For Fig. 8, the +number of mice was estimated using power analysis (G*Power 3). Data distribution +was assumed to be normal, but this was not formally tested. Individual +experiments used mice of the same sex and age, without randomization. Data +collection and analysis were not performed blinded. No data points were +excluded. For scRNAseq, pre-established criteria for single-cell exclusion, +i.e., low number of unique genes, abnormally high read count, and high +mitochondrial gene content, was used. Statistical details of experiments, +including statistical tests used, n value, number of experiments, and the type +of statistical tests can be found in figure legends. Statistical analysis was +performed with at least three biological replicates using GraphPad Prism 9 +(GraphPad Software) or R (v.4.1.2) statistical programming language. All graphs +show mean +/− SD. gMFI indicates geometric mean fluorescence intensity. +Graphics created with BioRender.com.

Extended Data

+

Extended Data Fig. 1. tDC are distinct transcriptionally.

+

Extended Data Fig. 1

+ +

a. CD135-enriched splenocytes from hCD2EYFP mice were +stained and sorted. Briefly, lineage containing +CD3+/CD19+/NK1.1+/Ly6G+ +cells were removed, and cells were gated using the strategy described in +Fig.1f. DC2 were further separated +as EYFP+ and EYFP− cells. Shown are cells +before (upper panels) and after sort (bottom panels).

+

b. MA plots of bulk-RNAseq data comparing tDC vs DC2 and tDC vs pDC. +Genes with 2-fold Log2 change are shown in red (up) and blue +(down) (see also Supplementary Table S4).

+

c. MA plot comparing tDC vs all other DC (pDC, DC2 and DC1). Genes +with 2-fold Log2 change are shown in red (up) and blue (down) +(see also Supplementary +Table S1).

+

d. scRNAseq of splenic DC subsets. Splenic DCs were sorted as shown +in Fig.1c and sequenced using +droplet-based genomics. After filtering, 2,110 cells were analyzed. UMAP of +clusters detected using Seurat’s pipeline (right). Heatmap of top DEG +between clusters (left).

+

e. DC signature scores generated using CIBERSORTx in the bulk-RNAseq +data from (a) was overlayed on UMAP from (d).

+

f. As in (e), but DC signature scores were overlayed on the KNetL +Plot from Fig.1d.

Extended Data Fig. 2. tDC originate from BM progenitors.

+

Extended Data Fig. 2

+ +

a. Gating strategy used for the analysis of skin-draining lymph node +(LN) and lung DC subsets excluded. Lineage contains +CD3+/CD19+/NK1.1+/Ly6G+ +cells.

+

b. Bar graphs (mean + SD) showing the contribution of donor cells to +LN and lung DC populations (gated as in (a)) in mixed BMC generated by +transplanting 50% CD45.1 WT and 50% CD45.2 TCF4cKO BM, normalized +to NK cells (n=6 mice in 2 experiments). Statistics determined by two-way +ANOVA with Dunnett’s multiple comparison test.

+

c. Bar graph (mean + SD) showing the percentage of splenic DC (gated +as in Fig.1f) labeled with the lineage +tracing CD300cTdT (n=4 mice in 3 experiments).

+

d. Adoptive cell transfer of 30,000 BM (left) or splenic (right) +CX3CR1EGFP CD45.1 pDC into CD45.2 WT non-irradiated congenic +mice. Recipient mice were euthanized at different time points (2-8-days) and +the number of recovered cells (gated on CD45.1+ and +CX3CR1+) calculated per 1000 cells transferred (mean + SD). +N=3/time point except n=2 for splenic pDC at 8-days. N represents number of +mice and experiments.

+

e. CyTOF analysis of blood and spleen DC, analyzed by UMAP. Cells +were gated as +CD3−CD19−NK1.1−Ly6G−. +Populations were delineated manually (top) and colored by marker expression +(bottom)(n=2 mice in 2 experiments).

+

f. Spleen, blood and BM of hCD2EYFP mice were analyzed +for the presence of EYFP+ cells, that were further separated in +Ly6D+ pDC and CX3CR1+ tDC. Lineage includes +CD3+/CD19+/NK1.1+/Ly6G+ +cells. One representative of 3 experiments.

Extended Data Fig. 3. tDC originate from pro-pDC.

+

Extended Data Fig. 3

+ +

a. CD135+ BM cells were enriched, sorted as +CD45+/CD3−/CD19−/Ly6G−, +and prepared for scRNA-seq. Cells with a pDC-specific gene enrichment score +of >0.15 were selected and re-clustered using Seurat as shown in +Fig.3d. Violin plots show the +expression of the indicated genes in the clusters defined in Fig.3d.

+

b. As in (a) but GSEA of selected pathways from clusters defined in +Fig.3d. Bubble size indicates the +normalized enriched score (NES), and color scale depicts False Discovery +Rate (FDR).

+

c. TdTomato expression in bone marrow progenitor cells from +CD300cTdT mice, gated as in Fig.3j. One representative experiment.

+

d. Imm pDC, pro-pDC and pro-cDC from the BM of CX3CR1EGFP +or hCD2EYFP CD45.1 mice were purified as described in Fig.3j and transferred into CD45.2 WT +mice. 2- and 4-days post-transfer, recipient mice were analyzed for +transferred cells in the spleen. Shown is the number of cells recovered in +the spleen of recipient mice (mean + SD). Imm pDC: n=3 at 2- and 4-days. +Pro-pDC: n=3 at 2-days, and n=5 at 4-days. Pro-cDC: n=3 at 2-days, and n=5 +at 4-days. N represents number of mice and independent experiments.

+

e. BM cells from CX3CR1EGFP or hCD2EYFP CD45.1 +mice were CD135-enriched and purified by cell sorting using the gating +strategy shown in Fig.3j. Purified +progenitors were adoptively transferred into congenic non-irradiated CD45.2 +WT mice and analyzed 4-days later in the spleen of recipient mice. Left +panels show post-sort purity of progenitors. Right panels show transferred +cells recovered in the spleen of recipient mice, analyzed using the gating +strategy described in Fig.1f. In both +cases, lineage includes +CD3+/CD19+/CD335+/Ly6G+ +cells. One representative of ≥ 3 experiments.

Extended Data Fig. 4. tDC originate from DN progenitors.

+

Extended Data Fig. 4

+ +

a. Gating strategy of CD135-enriched BM progenitors from +hCD2EYFP mice. Cells were stained for flow cytometry. Lineage +contain CD3+/CD19+/NK1.1+/Ly6G+ +cells. EYFP labeling is shown in the lower panels. One representative of 3 +experiments.

+

b. As in (a), but CD115 progenitors were further gated based on the +expression Ly6C, whereas CD127 and DN progenitors were gated based on the +expression of Ly6D and SiglecH (top). Bottom histograms show EYFP expression +in each population. One representative of 3 experiments.

+

c. The schematic shows adoptive transfer of 15,000-30,000 from +CX3CR1EGFP CD45.1 BM progenitors into WT CD45.2 +non-irradiated congenic mice. Transferred cells were identified in the +spleen of recipient mice as CD45.1+ and CX3CR1+ cells. +Bar graphs (mean + SD) show the percentage of each population recovered in +the spleen (gated as shown in Fig.1f). +N ≥ 2/mice and experiments.

+

d. As in (c), but bar graphs (mean + SD) number of cells recovered +in the spleen of recipient mice. N represents number of mice and independent +experiments.

Extended Data Fig.5. tDC convert into DC2.

+

Extended Data Fig.5

+ +

a. tDC were purified using the gating strategy described in Fig.1f. Top graph shows cell purity after +sort. Bottom graphs show the outcome of transferred cells in the spleen of +recipient mice analyzed at 4-days. One representative of 6 experiments.

+

b. Bar graphs (mean + SD) of the total number of splenic DC in +hCD2-iCre+/− +Cx3cr1DTR+/− mice inoculated with DT and +analyzed 1 day after (n=5 mice in 4 experiments), or inoculated with DT +every second day and analyzed 7 days later (n=5 mice in 4 experiments). +“C” represents control mice (n=8 mice in 4 experiments), which +are a combination of hCD2-iCre−/− +Cx3cr1DTR+/− mice inoculated with DT or +hCD2-iCre+/− +Cx3cr1DTR+/− mice inoculated with PBS (no +differences were observed between these control mice). Statistics determined +by one-way ANOVA with Tukey’s multiple comparison test.

+

c. As in (b), but BM progenitors from hCD2EYFP +CX3CR1DTR mice were analyzed after 7 days of DT inoculation +(n=4 mice). Control mice are hCD2EYFP CX3CR1DTR mice +inoculated with PBS (n= 3 mice). Bar graphs (mean + SD) of the frequency of +total progenitor populations from Fig.3j. Data pooled from 2 experiments. Statistical differences +were determined by unpaired two-tailed t-test.

+

d. Mouse splenic DC subsets were sorted using the gating strategy +show in Fig.1f and Fig.4g, and analyzed by PCR assay for IgH D-J +rearrangements. Actin and IgH germline (GL) are also shown. One +representative of 3 experiments.

+

e. DC2 from CD300cTdT mice were gated as indicated in +Fig.4f, and further separated in +TdTomato+ and TdTomato−. Heatmap indicating +the relative expression (Z-score of gMFI) of surface markers. Z-score was +calculated base of n=2 mice in 2 experiments.

Extended Data Fig. 6. tDC have lower turnover rate than pre-DC2 and required IRF4.

+

Extended Data Fig. 6

+ +

a. Mice were inoculated i.p. with 1 mg of BrdU on day 0 and then fed +continuously for 14 days with 0.8 mg/mL of BrdU in drinking water. After 14 +days, BrDU was removed. Mice were euthanized at different time points +post-BrdU removal, spleen cell suspension prepared and stained for BrdU and +the identification of DC subsets as described in Fig.1f and Fig.5e. N ≥ 2/mice per time point in 2 independent +experiments.

+

b. Expression of Ki-67 in each splenic DC population gated as +described in Fig.1f and Fig.5e, analyzed by flow cytometry. One +representative of 3 experiments.

+

c. BM cells from IRF4cKO or IRF4control mice +were cultured with FLT3L as described in Fig.2c. At day 6, tDC were sorted and re-cultured in complete +media and 1% FLT3L for 1 and 2 days. Bar graphs (mean + SD) show the +percentage of each DC recovered. N=3 biologically independent samples in 3 +experiment.

+

d. Bar graphs (mean + SD) of the total number of splenic DC (gated a +Fig.1f and Fig.4f) in hCD2EYFP +CX3CR1DTR mice inoculated with DT every second day (n=3 mice) +or left untreated (n=3 mice), and analyzed at day 10. Statistics determined +by unpaired two-tailed t-test.

+

e. As in (d), but shown is the number of other immune cells.

Extended Data Fig. 7. tDC respond to microbial stimulation and uptake antigen in +vivo.

+

Extended Data Fig. 7

+ +

a. Splenic DC subsets purified as described in Fig.1f and Fig.4f were analyzed by Nanostring. Heatmap shows the expression +of TLRs by each DC subset. N=2 mice in 2 experiments.

+

b. Whole spleen cell suspensions were activated with LPS, MPLA, +Resiquimod or PolyIC for 6 hrs. Heatmap showing the upregulation of MHCII +and CD86 in pDC, tDC, ESAM+ EYFP+ and +EYFP− DC2, and DC1. Min and max correspond to the +lowest and highest gMFI per row, respectively. N=6 mice per group. Data +pooled from 4 experiments.

+

c. As in (b), but bar graphs (mean + SD) of cytokine production. +Whole spleen cell suspensions were activated with LPS (n=6), MPLA (n=4), +Resiquimod (n=6) or PolyIC (n=6) for 6 hrs. TNF and IL-12p40 were detected +by intracellular cytokine staining. N represents mice and data was pooled +from 4 experiments. Statistical differences were determined by One-way ANOVA +with Tukey’s multiple comparisons test.

+

d. Mice were inoculated with yellow-green polystyrene (YG-PS) beads +i.v. Three hrs later, spleens were harvested and the phagocytosis of the +particle was assessed by flow cytometry in each DC population, gated as in +Fig.1f (n=3 mice in 3 experiments). +Bars represent mean + SD. Statistical differences were determined by One-way +ANOVA with Tukey’s multiple comparisons test.

+

e. As in (d), but mice were inoculated with PKH26-labeled SRBC (n=6 +mice in 4 experiments).

Extended Data Fig. 8. Number of immune cells, viral titer and ALT in pDC- and pDC/tDC- depleted +animals infected with M-CoV.

+

Extended Data Fig. 8

+ +

a. Liver cell suspensions were enriched in immune cells using a +Percoll gradient, and stained with a cocktail of Ab for the analysis of +neutrophils and lymphocytes. One representative of 3 experiments.

+

b. As in (b), but cell suspensions were stained for the analysis of +DC and other myeloid cells. Lineage contains +CD3+/CD19+/NK1.1+/Ly6G+ +cells. One representative of 3 experiments.

+

c. Liver of WT mice were analyzed for the number of DC subsets by +flow cytometry 2- and 5-days post-M-CoV infection. Fold change of the number +of each subset to day 0 is shown. N=3 at 0 days, n=14 at 2-days, and n=11 at +5-days. Data pooled from ≥ 4 experiments. p-values represent +statistical differences between tDC and DC2 vs DC1.

+

d. Liver immune cell numbers 2-days post-M-CoV infection of +pDCΔ (n=3); +pDCΔtDCΔ (n=6) and control (n=5) +mice. pDCΔ mice are +BDCA2-DTR+/− mice inoculated with DT +one day before M-CoV infection. pDCΔtDCΔ +are hCD2EYFP CX3CR1DTR mice inoculated with DT every +other day for 5-days before M-CoV infection. Control mice are a combination +of BDCA2-DTR+/− or hCD2EYFP +CX3CR1DTR mice inoculated with PBS, and +DTR−/− mice inoculated with DT (no difference +in control mice was observed). Shown is mean + SD. N represents independent +mice in 2 experiments.

+

e. As in (d), but serum ALT values (mean + SD) were determined 2-, +5- and 7-days post-M-CoV infection. N ≥ 4 mice/group/time point in 4 +experiments.

+

f. As in (e), but viral titers (log10 pfu/gr. Tissue) in +liver (top) and spleen (bottom) were determined 2-, 5- and 7-days post-M-CoV +infection. N ≥ 4 mice/group/time point. Violin plots show +distribution of data pooled from 4 exp.

+

Statistical differences determined by Two-way ANOVA with +Tukey’s multiple comparisons test (c,e,f), or One-way ANOVA with +Tukey’s multiple comparisons test per subset (d).

Extended Data Fig. 9. tDC promote immune pathology following M-CoV infection.

+

Extended Data Fig. 9

+ +

a. TCF4cKO vs TCF4control mice were generated +by transplanting Itgax-Cre+/− +Tcf4fl/fl or +Itgax-Cre−/− +Tcf4fl/fl BM into lethally irradiated CD45.1 WT mice, +respectively. 2 months post-reconstitution, mice were infected with M-CoV, +and the frequency of liver DC (mean + SD) analyzed 2-days later (n=6 +mice/group in 2 experiments).

+

b. Percentage weight loss (left, mean + SD) and survival (right) of +TCF4cKO (n=7) vs TCF4control (n=10) mice in 3 +experiments.

+

c. As in (b), but viral titers (log10 pfu/gr. tissue) +were determined 5-days post-M-CoV infection. N=7 mice for +TCF4control and n=6 mice for TCF4cKO. Violin plots +show distribution from 3 experiments.

+

d. As in (b), but shown is serum ALT (mean + SD; n=6 mice/group in +3 experiments).

+

e. Serum cytokines were determined by Luminex in control (n=7 +mice), pDCΔ (n=8) and +pDCΔtDCΔ (n=8) 2-days p.i. in 4 +experiments. Shown are cytokines significantly different between +pDCΔ vs pDCΔtDCΔ +mice.

+

f. Percentage weight loss (left, mean + SD) and survival (right) of +pDCΔ mice inoculated with anti-NK1.1 Ab or isotype +control on day -1, 0 and 2 post-infection with M-CoV. N=3 mice/group except +n=5 mice for pDCΔ + isotype, pooled from 2 +experiments.

+

g. As in (f), but viral titers were evaluated at 5-days p.i. (n=3 +mice/group). Violin plots show distribution from 2 experiments.

+

h. As in Fig.8j, but splenic +viral titers (log10 pfu/gr. tissue) were determined. N=5 +mice/group except n=8 for pDC + control Ab. Violin plots show distribution +from 2 experiments.

+

i. As in Fig.8k but heatmaps +show secretion of TNF, IL-6 and IL-12p70 by DC subsets (N=4 mice/subset in 4 +experiments).

+

Statistical differences were determined by unpaired two-tailed +t-test (a,c-d), One-way ANOVA (e,h) or Two-way ANOVA (b,f) with +Tukey’s multiple comparisons test, and Mantel-Cox test for survival +(b,f).

Extended Data Fig. 10. Summary of DC development at steady state.

+

Extended Data Fig. 10

+

Supplementary Material

+
+Supplementary Tables

Supplementary Table 1. Differentially expressed genes +between tDC and all other DC subsets. Significance threshold set to +padj<0.05.

+

Supplementary Table 2. Differentially expressed genes +between clusters of KNetL graph. Calculated using findMarkers function +(padjval<0.05 and fold.change>2).

+

Supplementary Table 3. List of genes shown in Figure 1e were grouped by KNetL clusters +and annotated if significant in pairwise comparisons of tDC vs pDC and tDC +vs DC2 of bulk-RNAseq data (threshold set to padj < 0.05).

+

Supplementary Table 4. Differentially expressed genes +between tDC vs pDC, and tDC vs DC2. Significance threshold set to padj +< 0.05.

+

Supplementary Table 5. Differentially expressed genes +between EYFP+ DC2 and EYFP− DC2. Significance +threshold set to padj < 0.05.

+
+

ACKNOWLEDGMENTS

+

This work was supported by NIH grants to J.I. (AI158808 and AI163775), B.R. +(AI072571, AI147501 and AI128949), and O.A.P. (CA232666). F.B.S. and R.A.H are +recipient of the Dean’s fellowship (Stanford), R.M-A. is supported by a +fellowship from SECTEI (CDMX, Mexico), H.M.R-M. by NSF GRFP fellowship +(#2019276237), N.M.A. by the Damon Runyon postdoctoral fellowship (DRG 2408-20), and +A.G-B. by a KL2 Mentored Career Development Award (KL2TR003143). CyTOF was performed +on the Stanford FACS Facility instrument funded by S10OD016318-01. We thank the +Idoyaga and Reizis Lab members for technical support and discussions.

Footnotes

+
+

COMPETING INTERESTS

+

J.I. serves on the scientific advisory board of Immunitas Therapeutics. +All the other authors declare no competing interests.

+

DATA AVAILABILITY

+

Mass cytometry data generated in this study are deposited in FlowRepository +(FR-FCM-Z6CW, FR-FCM-Z6CN and FR-FCM-Z6CK). RNAseq data generated in this study are +deposited in NCBI GEO (GSE198553 and GSE198720). NanoString data is deposited in +NCBI GEO (GSE233143). All other data generated in this study are included in the +source data files.

CODE AVAILABILITY

+

This study did not generate unique codes.

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Associated Data

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This section collects any data citations, data availability statements, or supplementary materials included in this article.

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Supplementary Materials

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+Supplementary Tables

Supplementary Table 1. Differentially expressed genes +between tDC and all other DC subsets. Significance threshold set to +padj<0.05.

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Supplementary Table 2. Differentially expressed genes +between clusters of KNetL graph. Calculated using findMarkers function +(padjval<0.05 and fold.change>2).

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Supplementary Table 3. List of genes shown in Figure 1e were grouped by KNetL clusters +and annotated if significant in pairwise comparisons of tDC vs pDC and tDC +vs DC2 of bulk-RNAseq data (threshold set to padj < 0.05).

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Supplementary Table 4. Differentially expressed genes +between tDC vs pDC, and tDC vs DC2. Significance threshold set to padj +< 0.05.

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Supplementary Table 5. Differentially expressed genes +between EYFP+ DC2 and EYFP− DC2. Significance +threshold set to padj < 0.05.

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Data Availability Statement

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Mass cytometry data generated in this study are deposited in FlowRepository +(FR-FCM-Z6CW, FR-FCM-Z6CN and FR-FCM-Z6CK). RNAseq data generated in this study are +deposited in NCBI GEO (GSE198553 and GSE198720). NanoString data is deposited in +NCBI GEO (GSE233143). All other data generated in this study are included in the +source data files.

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This study did not generate unique codes.

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+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + diff --git a/paper-releases/pbisc-diffusion/updates/20261015T141849Z-rare-cell-7k-8k-panels/diffusion/dataset/server_1/model8/plans/rare_gene_context_expansion_20261015/research/ilc_dc/sources/Transitional2023.txt b/paper-releases/pbisc-diffusion/updates/20261015T141849Z-rare-cell-7k-8k-panels/diffusion/dataset/server_1/model8/plans/rare_gene_context_expansion_20261015/research/ilc_dc/sources/Transitional2023.txt new file mode 100644 index 0000000000000000000000000000000000000000..a2e14d1e7be7b5832c020f1848cb6ffaced05b72 --- /dev/null +++ b/paper-releases/pbisc-diffusion/updates/20261015T141849Z-rare-cell-7k-8k-panels/diffusion/dataset/server_1/model8/plans/rare_gene_context_expansion_20261015/research/ilc_dc/sources/Transitional2023.txt @@ -0,0 +1,1638 @@ +TRANSITIONAL DENDRITIC CELLS ARE DISTINCT FROM CONVENTIONAL DC2 PRECURSORS AND MEDIATE PRO-INFLAMMATORY ANTIVIRAL RESPONSES - PMC Skip to main content An official website of the United States government Here's how you know Here's how you know Official websites use .gov A .gov website belongs to an official + government organization in the United States. Secure .gov websites use HTTPS A lock ( Lock Locked padlock icon ) or https:// means you've safely + connected to the .gov website. Share sensitive + information only on official, secure websites. Search Log in Dashboard Publications Account settings Log out Search… Search NCBI Primary site navigation Search Logged in as: Dashboard Publications Account settings Log in Search PMC Full-Text Archive Search in PMC Journal List User Guide PERMALINK Copy As a library, NLM provides access to scientific literature. Inclusion in an NLM database does not imply endorsement of, or agreement with, + the contents by NLM or the National Institutes of Health. Learn more: PMC Disclaimer | PMC Copyright Notice Nat Immunol . Author manuscript; available in PMC: 2024 Feb 1. Published in final edited form as: Nat Immunol. 2023 Jul 6;24(8):1265–1280. doi: 10.1038/s41590-023-01545-7 Search in PMC Search in PubMed View in NLM Catalog Add to search TRANSITIONAL DENDRITIC CELLS ARE DISTINCT FROM CONVENTIONAL DC2 +PRECURSORS AND MEDIATE PRO-INFLAMMATORY ANTIVIRAL RESPONSES Fernando Bandeira Sulczewski Fernando Bandeira Sulczewski 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA 5 These authors contributed equally Find articles by Fernando Bandeira Sulczewski 1, 5 , Raul A Maqueda-Alfaro Raul A Maqueda-Alfaro 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA 5 These authors contributed equally Find articles by Raul A Maqueda-Alfaro 1, 5 , Marcela Alcántara-Hernández Marcela Alcántara-Hernández 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA 5 These authors contributed equally Find articles by Marcela Alcántara-Hernández 1, 5 , Oriana A Perez Oriana A Perez 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA Find articles by Oriana A Perez 2 , Sanjana Saravanan Sanjana Saravanan 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by Sanjana Saravanan 1 , Tae Jin Yun Tae Jin Yun 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA Find articles by Tae Jin Yun 2 , David Seong David Seong 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by David Seong 1 , Rebeca Arroyo Hornero Rebeca Arroyo Hornero 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by Rebeca Arroyo Hornero 1 , Hayley M Raquer-McKay Hayley M Raquer-McKay 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by Hayley M Raquer-McKay 1 , Eduardo Esteva Eduardo Esteva 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA Find articles by Eduardo Esteva 2 , Zachary R Lanzar Zachary R Lanzar 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by Zachary R Lanzar 1 , Rebecca A Leylek Rebecca A Leylek 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by Rebecca A Leylek 1 , Nicholas M Adams Nicholas M Adams 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA Find articles by Nicholas M Adams 2 , Annesa Das Annesa Das 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA Find articles by Annesa Das 2 , Adeeb H Rahman Adeeb H Rahman 3 Precision Immunology Institute, Department of Genetics and +Genomic Science, Tisch Cancer Institute, and Human Monitoring Center, Icahn School +of Medicine at Mount Sinai, New York, NY, 10029, USA. Find articles by Adeeb H Rahman 3 , Andres Gottfried-Blackmore Andres Gottfried-Blackmore 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA 4 Division of Gastroenterology and Hepatology, Department of +Medicine, Stanford University School of Medicine, Redwood City, CA, 94063, +USA. Find articles by Andres Gottfried-Blackmore 1, 4 , Boris Reizis Boris Reizis 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA Find articles by Boris Reizis 2, 6 , Juliana Idoyaga Juliana Idoyaga 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA Find articles by Juliana Idoyaga 1, 6 Author information Article notes Copyright and License information 1 Dept. of Microbiology & Immunology, and Immunology +Program, Stanford University School of Medicine, Stanford, CA, 94305, USA 2 Dept. of Pathology, New York University Grossman School of +Medicine, New York, NY, 10016, USA 3 Precision Immunology Institute, Department of Genetics and +Genomic Science, Tisch Cancer Institute, and Human Monitoring Center, Icahn School +of Medicine at Mount Sinai, New York, NY, 10029, USA. 4 Division of Gastroenterology and Hepatology, Department of +Medicine, Stanford University School of Medicine, Redwood City, CA, 94063, +USA. 5 These authors contributed equally 6 Corresponding authors: jidoyaga@stanford.edu , Boris.Reizis@nyulangone.org # AUTHOR CONTRIBUTIONS F.B.S., R.M-A. and M.A-H. contributed equally to this by designing +experiments, performing research, analyzing and interpreting the data, and +writing the manuscript. The specific contributions of the authors are as +follows: Conceptualization, F.B.S., R.M-A., M.A-H., and J.I., Methodology, +F.B.S., R.M-A., M.A-H., O.A.P., B.R., and J.I.; Formal analysis, F.B.S., +R.M-A., M.A-H., S.S., D.S., R.A.H., H.M.R-M, and E.E.; Investigation, +F.B.S., R.M-A., M.A-H., S.S., T.J.Y., R.A.H., Z.R.L., R.A.L., and A.H.R.; +Resources, O.A.P., N.M.A., A.D.; Visualization, F.B.S., R.M-A., M.A-H, S.S., +D.S., R.A.H., H.M.R-M., and A.G-B.; Writing, F.B.S., R.M-A., M.A-H, A.G-B., +B.R., and J.I, Funding Acquisition, B.R. and J.I.; Supervision, J.I.; +Project administration, J.I. Issue date 2023 Aug. PMC Copyright notice PMCID: PMC10683792  NIHMSID: NIHMS1924443  PMID: 37414907 The publisher's version of this article is available at Nat Immunol Abstract High-dimensional approaches revealed emerging heterogeneity within +dendritic cells (DC), including a population of transitional DC (tDC) present in +mouse and human. However, tDC origin and relationship to other DC subsets are +not fully understood. Here, we show that tDC are distinct from other +well-characterized DC and conventional DC precursors (pre-cDC). We demonstrate +that tDC originate from bone marrow progenitors shared with plasmacytoid DC +(pDC). In the periphery, tDC contribute to the pool of ESAM + type 2 +DC (DC2), and these DC2 harbor pDC-related developmental features. Different +from pre-cDC, tDC have lower turnover, capture antigen, respond to stimuli, and +activate antigen-specific naïve T cells, all characteristics of +differentiated DC. Different from pDC, viral sensing by tDC results in +IL-1β secretion and fatal immune pathology in a murine coronavirus model. +Our findings suggest that tDC are a distinct pDC-related subset with a DC2 +differentiation potential and unique pro-inflammatory function during viral +infections. Keywords: Dendritic cells, transitional DC, tDC, ASDC, pre-cDC, ESAM + DC2, IL-1β, murine coronavirus, murine hepatitis virus, pDC-like cells INTRODUCTION Dendritic cells (DC) are key immune sentinels comprised of subsets that +initiate a broad range of immune responses 1 . Traditional nomenclature groups DC into conventional DC +(cDC), which includes DC1 and DC2, and plasmacytoid DC (pDC). DC1 and DC2 are +specialized in T cell activation 1 , +whereas pDC secrete interferon type I (IFN-I) following exposure to nucleic +acids 2 . This classification +does not include emerging DC, such as transitional DC (tDC), also reported as +AXL + DC, ASDC or pre-cDC 3 - 6 . This is because the +origin and in vivo function of tDC remains unclear. All DC differentiate from a CX3CR1-expressing hematopoietic progenitor +localized in the bone marrow (BM) through a FLT3L-dependent pathway 7 - 9 . Despite this common origin, immediate precursors for each +subset have been reported. cDC arise from CD115-expressing conventional DC +progenitors (pro-cDC) 8 , 9 , with DC1 and DC2 originating from +SiglecH − Ly6C − and +SiglecH − Ly6C + immediate precursors, +respectively 10 , 11 . pDC originate from a +CX3CR1 + Ly6D + pro-pDC progenitor 7 . The molecular mechanisms dictating each DC +subset lineage specification have been described 12 , 13 . DC1 require +expression of several transcription factors (TFs) including IRF8 12 , 13 , +whereas pDC are dependent on TCF4 2 . +DC2 are defined by the co-expression of the non-specific markers +CD11c hi CD11b + MHCII + CD172a + ; however, +several molecular mechanisms converge into cells expressing these markers 12 , 14 . One of these mechanisms depends on the TF IRF4 and Notch2 +signaling, and results in ESAM + DC2 15 - 18 . Another +mechanism requires the TF KLF4, and results in CX3CR1 + DC2 16 , 17 , 19 . Mouse +ESAM + and CX3CR1 + DC2 subpopulations seem to parallel +human CD5 + DC2 and CD14 + CD163 + DC3, +respectively 16 , 20 - 22 , +although further work is required to align these populations between species. tDC were identified by single-cell high-dimensional approaches in human +blood 3 , 5 , 6 , and +shown to be conserved between species 4 . Since human tDC express AXL and SIGLEC6, they were initially +called AXL/SIGLEC6 DC (ASDC) or AXL + DC 3 , 6 . +However, these markers are not conserved in mice. Therefore, the term +“transitional DC” was suggested to highlight their spectrum of +transcriptomic, phenotypic and functional features that spans cells similar to pDC +and DC2 3 , 4 , 6 . This spectrum of +features allows to sub-divide tDC into CD11c lo tDC (hereafter called +tDC lo ) more similar to pDC, and CD11c hi tDC (hereafter +called tDC hi ) similar to DC2. Until now, most studies have inadvertently +analyzed one of these tDC sub-populations, which acquired different names, e.g., +non-canonical DC (mainly tDC hi cells) 4 , 23 and pDC-like cells +(mainly tDC lo cells) 24 , 25 . Consequently, it is still +uncertain if tDC lo and tDC hi are related, and if their pDC and +DC2 features can be attributed to different origins. Moreover, tDC identity has been +further challenged as their capacity to convert into cDC is becoming clearer in +mouse and human 5 , 6 , 26 . +However, whether tDC correspond to previously identified cDC precursors (pre-cDC) or +are a different cell population is unknown. Importantly, given the lack of models to +deplete tDC, the function of these cells has not yet been assessed in +vivo . Murine coronavirus (M-CoV), also known as murine hepatitis virus, can be used +as a model to assess DC subset function in vivo . Early M-CoV +containment is dependent on pDC capacity to rapidly produce IFN-I 27 , 28 . pDC elimination results in mild pathology characterized by +higher liver viral titers, without increasing mortality 27 , 28 . +Although these studies are informative, previous pDC depletion models, i.e., +anti-BST2 antibody (Ab) and Tcf4 conditional knockout mice +(TCF4 cKO ), also eliminate tDC, confounding interpretations. +Consequently, it is imperative to evaluate pDC and tDC function during M-CoV +infection using depletion models that allow their distinction in +vivo . Here, we address tDC origin, heterogeneity, and function in +vivo . We found that tDC possess a core transcriptome that is unique to +them. We resolve the developmental relationship of tDC lo and +tDC hi , and demonstrate that both populations are related to pDC. We +show that tDC convert into DC2, as recently reported 26 . However, tDC differentiate into +ESAM + DC2 that retain pDC developmental features. Importantly, tDC +are not pre-DC2, indicating they represent a distinct source of DC2, and are not +conventional precursors as suggested. Finally, tDC specifically produce +IL-1β, which promotes fatal immunopathology during M-CoV infection. +Altogether, our data indicate that the pDC lineage should be expanded to include +tDC, a DC population that has a distinct role during viral infection and contributes +to the developmental heterogeneity of DC2 in mice and humans. RESULTS tDC are a distinct DC population related to pDC We queried if tDC have a unique core transcriptomic signature different +from other DC subsets by performing bulk-RNAseq analysis of purified cells +( Extended Data Fig.1a ). Despite +expressing pDC- and DC2- associated genes ( Extended Data Fig.1b ), tDC segregate from other DC subsets by +Principal Component Analysis (PCA), implying distinct gene expression ( Fig.1a and Extended Data Fig.1c ). Differentially expressed gene (DEG) analysis +revealed a tDC-specific signature including the expression of Vim, Ngfr, +Rab3il1, Cd209e, Chil5, L1cam, Ccr2 and Cd200r1 ( Fig.1b ; Supplementary Table1 ). tDC also +differentially expressed Klf12 and Bcl11b , TFs +shown to be active by ATACseq analysis 29 . FIGURE 1. tDC are a distinct DC population developmentally related to pDC. Open in a new tab a. Spleen DC subsets were sorted from hCD2 Cre+/− Rosa26 EYFP+/− (hCD2 EYFP ) mice as +shown in Fig.1f and Extended Data Fig.1a (our rationale for using +hCD2 EYFP mice is explained in Fig.4 ), and prepared for bulk RNAseq analysis. PCA plot of the top +500 most variable DEG in each DC subset (differences between EYFP + and EYFP − DC2 are analyzed in Fig.4 ). b. Heatmap of selected genes from (a). Shown is Z-score of normalized +expression. c. Splenocytes of WT mice were enriched in CD135 + cells and +stained for cell sorting. Populations #1 and #3 were purified, mixed 1:1 and +processed for droplet-based genomics. Excluded lineage contains +CD3 + /CD19 + /NK1.1 + /Ly6G + cells. d. KNetL plot of scRNAseq data. After filtering and removing a small +fraction of monocytes, 2,075 cells were analyzed using the KNetL pipeline. Shown +are KNetL clusters (top) and annotations based on subset-specific scores using +CIBERSORTx (bottom)( Extended Data +Fig.1f ). e. Heatmap of selected genes differentially expressed in (d) clusters. +Gene expression after normalization and imputation is shown. f. Gating strategy used for the analysis of spleen DC subsets. +CD135-enriched splenocytes were stained and analyzed by flow cytometry. Excluded +lineage contains +CD3 + /CD19 + /NK1.1 + /Ly6G + cells. g. Left shows schematic of BMC generated by transplanting 50% WT +(CD45.1) and 50% TCF4 cKO (CD45.2) BM into lethally irradiated CD45.1 +WT mice. Right shows bar graphs (mean + SD) of the contribution of donor cells +to splenic DC populations (gated as in Fig.1f ) in BMC, normalized to NK cells (n=6 mice in 2 experiments). +Statistics were determined by one-way ANOVA with Dunnett’s multiple +comparison test. h. Bar graph (mean + SD) showing the percentage of EYFP + splenic DC (gated as in Fig.1f ) in +hCD2 EYFP mice (n=5 mice in 4 experiments). i. Bar graph (mean + SD) showing the percentage of TdTomato + splenic DC (gated as in Fig.1f ) in +CD300c TdT mice. Percentage relative to pDC is shown (n=4 mice in +3 experiments; see also Extended Data +Fig.2c ). We applied scRNAseq to uncover cell-to-cell heterogeneity within tDC. We +increased tDC representation by enriching CD135 + splenocytes and +sorting two populations that were equally mixed for sequencing ( Fig.1c ). A total of 2,110 single cell transcriptomes +were generated and 9 clusters identified by Seurat. Cell identity was assigned +unbiasedly using CIBERSORTx and the bulk-RNAseq data, which resulted in one tDC +cluster ( Extended Data Fig.1d - e ). To resolve the expected transcriptional +heterogeneity within tDC, we instead applied K-nearest-neighbor-based Network +graph drawing Layout (KNetL), a dimensionality reduction that improves +resolution. KNetL returned 8 clusters ( Fig.1d ), whose identity was again assigned unbiasedly ( Extended Data Fig.1f ; Supplementary Table2 ). tDC were +represented in clusters 3 and 4, expressing the core genes identified by +bulk-RNAseq, e.g., Vim, Cd200r1, Chil5, Lgals3, Ms4a6c ( Fig.1e ; Supplementary Table3 ). Cluster 3 +expressed pDC-associated genes, e.g., Bst2, Cd300c, Ly6c2 and Tcf4 . Cluster 4 expressed DC2-associated genes, e.g., Irf4 and Zbtb46 . The expression of these pDC- and DC2- +associated genes was also observed by pair-wise comparisons of bulk-RNAseq +( Extended Data Fig.1b ; Supplementary Table4 ). We concluded +that cluster 3 and 4 corresponded to tDC lo and tDC hi , +respectively. In sum, despite transcriptional heterogeneity within the +population, tDC express a core transcriptional program that defines their +identity. tDC lo and tDC hi share developmental features with +pDC, including expression of pre-T cell receptor alpha and re-arranged IgH +segments, and are decreased in Itgax-Cre +/− Tcf4 fl/fl mice (TCF4 cKO ) 4 . To rule out a cell extrinsic +role for TCF4 in tDC development, we generated WT/TCF4 cKO competitive +bone marrow chimeras (BMC), and analyzed each DC population ( Fig.1f - g ) 4 . Similar to +pDC, tDC lo and tDC hi were mostly derived from +TCF4-proficient BM, indicating that TCF4 is intrinsically required for both tDC +sub-populations ( Fig.1g , Extended Data Fig.2a - b ). To further evaluate the developmental relationship of +tDC lo , tDC hi and pDC, we used pDC-specific lineage +tracing models. Mice expressing Cre under the human CD2 promoter +( hCD2-iCre +/− ) were bred to Cre-inducible +EYFP reporter mice ( Rosa26 LSL-EYFP+/− ) to +generate hCD2 EYFP mice that label pDC 30 , 31 . EYFP labeling was observed in 100% of pDC, and ~85% +of tDC lo and tDC hi ( Fig.1h ). We also generated a new fate mapping model based on the +specific expression of CD300c by pDC 32 . When mice with Cre knocked into the Cd300c locus +( Cd300c Cre+/+ ) were bred +with Rosa26 LSL-TdTomato+/− mice +(CD300c TdT ), tDC lo and tDC hi showed +~75% of TdTomato labeling relative to pDC ( Fig.1i , Extended Data Fig.2c ). +Notably, in both lineage tracing models there was virtually no labeling +(<10%) of DC1, but detectable (~25%) labeling of DC2, a result +that will be discussed later. Altogether, these experiments cement the +developmental relationship between tDC lo , tDC hi and pDC, +suggesting a common origin. tDC originate from BM progenitors at steady state Mouse and human activated pDC can give rise to tDC 29 , 33 . We queried if pDC could give rise to tDC at steady state. +Spleen and BM pDC were adoptively transferred to non-irradiated congenic mice +and their outcome was followed over time ( Fig.2a and Extended Data +Fig.2d ). All recovered donor-derived cells were pDC, indicating a +non-pDC origin for tDC at steady state. Accordingly, tDC lo and +tDC hi numbers were not affected by the temporal depletion of pDC +in BDCA2-DTR +/− mice ( Fig.2b ). FIGURE 2. tDC originate from BM progenitors. Open in a new tab a. Percentage (mean + SD) of each DC subset recovered after the +adoptive transfer of 30,000 BM or splenic CX3CR1 EGFP CD45.1 pDC into +CD45.2 WT non-irradiated congenic mice. Transferred cells were analyzed in the +spleen of recipient mice after 2-8 days. BM: n=4 at 2- and 4-days, and n=3 at +8-days. Spleen: n=3 at 2- and 4-days, and n=2 at 8-days. N represents mice and +experiments. b. Bar graphs (mean + SD) of the total number of each splenic DC subset +(gated a in Fig.1f ) in littermate controls +(C; n=11 BDCA2 -DTR −/− mice) or BDCA2 -DTR +/− mice inoculated with DT and +analyzed 1 day later (n=8 mice), or inoculated with DT every second day and +analyzed at day 7 (n=8 mice). Data pooled from 5 exp. Statistical differences +were determined by one-way ANOVA with Tukey’s multiple comparison +test. c. Left shows schematic of BM cells cultured with FLT3L +/− +OP9-DL1 cells. Right shows the gating strategy to detect DC subsets at 6-days of +BM culture, analyzed by flow cytometry (excluded lineage contains +CD3 + /CD19 + /F4/80 + cells). One +representative of 5 experiments. d. Histograms of hCD2 EYFP (left) or CD300c TdT (right) expression in BM-derived DC as defined in (c), analyzed at 6-days. One +representative of 3 experiment. e. pDC and tDC percentage (mean + SD) in BM cultures from (c), gated on +total live and single cells. N=5 samples/time point, except n=6 samples for +FLT3L+DL1 at 4-days. Data pooled from ≥ 5 experiments. Statistical +differences were determined by Two-way ANOVA with Sidak multiple comparisons +test. f. Histograms of protein expression of DC markers in BM-derived DC as +defined in (c) or splenic DC as defined in Fig.1f . Number indicates gMFI x 10 2 . One representative +of 3 experiments. We next asked if tDC could originate from BM progenitors by culturing +unfractionated BM cells with FLT3L for DC differentiation 34 . +B220 + BST2 + SiglecH + cells, previously +characterized as pDC, could be further divided into +Ly6D + CX3CR1 − pDC and +Ly6D − CX3CR1 + tDC ( Fig.2c ). Both of these populations labeled the highest when using +hCD2 EYFP and CD300c TdT lineage tracing models ( Fig.2d ). BM-derived tDC peaked at 6-days and +their development was abolished when OP9 stromal cells expressing Delta-like 1 +(DL1) were added to the cultures ( Fig.2e ), +as described for pDC 35 . +Similar to their splenic counterparts, BM-derived tDC expressed TCF4 and +intermediate levels of pDC and cDC markers ( Fig.2f ). BM-derived tDC did not segregate into tDC lo and +tDC hi , suggesting that in vivo signals are +missing in the culture. We concluded that tDC originate from BM progenitors at steady state. +Interestingly, we detected a small number of tDC in blood but almost none in the +BM, suggesting that tDC quickly exit the BM after development ( Extended Data Fig.2e - f ). tDC originate from BM pro-pDC at steady state Our data so far suggest that tDC originate from BM progenitors shared +with pDC. We tested this unbiasedly by inferring the trajectory of tDC +development in CD135-enriched BM cells analyzed by scRNAseq ( Fig.3a ). Application of the splenic tDC signature +score to the clusters identified by Seurat labeled most pDC- and cDC- primed +cells, which was attributed to tDC transcriptional similarities with pDC and +DC2. Thus, the splenic pDC signature score was applied instead, which colored +clusters expressing Siglech and Ly6d , but not Csf1r encoding CD115 ( Fig.3b - c ). Analysis of cells +with a pDC score >0.15 resulted in 6 clusters ( Fig.3d ). Cluster 0 represented pDC expressing Iglc3 and Klk1 , whereas cluster 5 represented tDC +expressing Lgals3, Ms4a6c and Cx3cr1 ( Extended Data Fig.3a ). Both cluster 0 and +cluster 5 expressed H2 genes and had gene enrichment for immune +pathways, whereas clusters 2-4 were enriched for cell cycle pathways, a +characteristic of progenitors ( Extended Data +Fig.3b ). We then applied Slingshot and Velocity analyses to identify +putative developmental relationships between these clusters ( Fig.3e - f ). Both +algorithms revealed cluster 2 branching to pDC (cluster 0) and tDC (cluster 5). +Gene expression dynamics demonstrated upregulation of Ccr9 and +Klk1 in pDC, and Ms4a6c, Cx3cr1 and Lgals3 in tDC +( Fig.3g ). Besides expressing Siglech and Ly6d ( Fig.3c ), cluster 2 also expressed Itgax encoding for CD11c ( Extended Data Fig.3a ), markers of pDC progenitors +(pro-pDC) 7 . FIGURE 3. tDC originate from pro-pDC. Open in a new tab a. CD135-enriched BM cells were sorted as +live/singlets/CD45 + /Lineage − (CD3 − /CD19 − /CD335 − /Ly6G − ) +cells and prepared for scRNAseq using droplet-based genomics. After filtering +for low quality cells, 2831 cells were clustered using Seurat and represented in +a UMAP. b. Splenic pDC-signature in BM progenitors. A signature matrix was +generated using RNAseq data of splenic DC and CIBERSORTx. Labeled are cells with +a positive gene enrichment score. c. UMAP showing the expression of the indicated genes. d. UMAP of “pDC high ” cells in the BM. Cells +from (b) with a pDC-specific gene enrichment score of >0.15 were selected +and re-clustered using Seurat. e. Inference of differentiation trajectory of the clusters defined in +(d) using Slingshot. f. Inference of differentiation trajectory of the clusters defined in +(d) using RNA velocity. Velocity vector is indicated as streamlines. g. Velocity illustrating the expression of selected pDC- and tDC- +specific genes. h. Unbiased X-shift clustering of BM progenitors analyzed by CyTOF and +represented by UMAP. CD135-enriched BM cells were gated as +Lineage − (CD3 − /CD19 − /CD335 − /Ly6G − ) +B220 − /MHCII − /CD117 int-lo /CD135 + , +and concatenated with 10,000 B220 + pDC (left). UMAP was plotted based +on the expression of all markers excluding lineage, and colored based on the +expression of the indicated proteins (right). i. Heatmap depicting marker enrichment modeling (MEM) scores in +clusters identified in (h). imm pDC: immature pDC; early pro: early +progenitors. j. CD135-enriched BM cells were gated as Lineage − (CD3 − /CD19 − / +CD335 − /Ly6G − ) +B220 − /MHCII − / +CD117 int-lo /CD135 + as in (h). Graphs show bi-axial +gating strategy to identify immature pDC (cluster 4; +CD11c + CX3CR1 − Ly6D + SiglecH + ), +pro-pDC (cluster 3; +CD11c + CX3CR1 + Ly6D + SiglecH + ) and +pro-cDC (clusters 2 and 7; +CD11c − CX3XR1 + CD115 + Ly6C +/− ). k. Bar graph (mean + SD) showing the percentage of BM pDC, imm pDC, +pro-pDC and pro-cDC labeled with EYFP in hCD2 EYFP mice. N=4 mice and +4 independent experiments. l. Clusters gated as in (j) were overlaid on the CyTOF UMAP of (h). m. 15,000-30,000 pro-cDC, imm pDC or pro-pDC sorted from BM of +CX3CR1 EGFP CD45.1 mice using the strategy described in (j) were +adoptively transferred into non-irradiated WT CD45.2 congenic mice. The spleen +of recipient mice was analyzed 2-4-days later to evaluate the outcome of +transferred cells. Shown is the percentage (mean + SD) of each DC subset +recovered in the spleen of recipient mice. Pro-cDC: n=3 at 2-days and n=5 at +4-days. Imm pDC: n=3 at 2- and 4-days. Pro-pDC: n=3 at 2-days and n=5 at 4-days. +N represents number of mice and independent experiments. n. As in (m), but splenic tDC recovered following the adoptive transfer +of pro-pDC were further divided into tDC lo and tDC hi . A +representative gating strategy (left) and percentage (mean + SD) of each tDC +population (right) are shown. N=3 at 2-days and n=5 at 4-days. N represents +number of mice and independent experiments. o. As in (m), but progenitors were sorted from hCD2 EYFP mice +and adoptively transferred into congenic non-irradiated recipients. The spleen +of recipient mice was analyzed for the presence of transferred cells at 4-days, +which were gated as described in Fig.1f and +further analyzed for EYFP expression. Shown are tDC recovered after the adoptive +transfer of pro-pDC (left), DC2 recovered after the adoptive transfer of pro-pDC +(middle), and DC2 recovered after the adoptive transfer of pro-cDC (right). One +representative of 3 exp. p. Clusters gated as in Extended Data +Fig.4a were overlaid on the CyTOF UMAP of (h). We aimed to unbiasedly establish a gating strategy to isolate pro-pDC +and evaluate their capacity to give rise to tDC. We performed CyTOF of +CD135-enriched BM cells, and identified 7 clusters by UMAP. Marker enrichment +analyses (MEM) pinpointed cluster-specific identifiers ( Fig.3h - i ). +Cluster 6 was recognized as pDC and probably some tDC that were not resolved by +the clustering algorithm. Cluster 4 corresponded to immature pDC expressing low +levels of pDC markers. Cluster 3 had SiglecH, Ly6D, CX3CR1 and CD11c, an +expression pattern consistent with pro-pDC. Cluster 2 and 7 both expressed CD115 +and CX3CR1 but not SiglecH, corresponding to conventional DC progenitors +(pro-cDC). Also, the expression pattern of cluster 2 and 7 correlated with +pro-DC2 (Ly6C hi ) and pro-DC1 (Ly6C lo ), respectively. Based +on the MEM analysis, a gating strategy to purify pro-pDC (cluster 3), immature +pDC (cluster 4) and pro-cDC (clusters 2 and 7) was designed ( Fig.3j ), which was corroborated by overlaying onto the +UMAP, and evaluating EYFP expression when using hCD2 EYFP mice ( Fig.3k - l ). Only pDC, immature pDC and pro-pDC, but not pro-cDC, had >80% +EYFP expression. Similar expression patterns were observed in +CD300c TdT mice ( Extended Data +Fig.3c ). We assessed the potential of these progenitors to give rise to tDC +following their adoptive transfer ( Fig.3m and Extended Data Fig.3d - e ). Immature pDC gave rise to pDC, whereas pro-cDC +produced almost exclusively cDC, confirming the identity of the clusters. +Pro-pDC gave rise to tDC and pDC. Analysis of recovered tDC revealed the +presence of mainly tDC lo at 2-days but the appearance of +tDC hi at 4-days post-transfer, suggesting a trajectory of +conversion from tDC lo to tDC hi ( Fig.3n ). Notably, recovered tDC lo and +tDC hi labeled 100% with EYFP when transferred from +hCD2 EYFP mice, corroborating their common origin ( Fig.3o ). Surprisingly, pro-pDC also gave rise to DC2 +(defined as in Fig.1f ), as well as a small +number of DC2 lacking CD11b, a population that is analyzed below (Fig.5). Interestingly, DC2 derived from pro-pDC were +labeled 100% with EYFP when using hCD2 EYFP mice ( Fig.3o ). In contrast, DC2 derived from pro-cDC were +EYFP − , indicating that hCD2 EYFP can trace the +heterogenous origins of DC2. Finally, we reconciled our new gating strategy with previously described +approaches. BM CD115 + , CD127 + , and double negative (DN) +progenitors were purified and adoptively transferred ( Extended Data Fig.4 ). tDC arose from DN +SiglecH + Ly6D + progenitors. When these DN progenitors +were overlaid onto our UMAP of CyTOF data, we observed they fell within clusters +3 and 4, suggesting this prior gating strategy does not separate pro-pDC from +immature pDC ( Fig.3p ). Even though the +majority of the CD115 + Ly6C +/− progenitors fell +within pro-cDC in the UMAP, a small fraction overlapped with pro-pDC ( Fig.3p ). +CD127 + SiglecH + Ly6D + cells, suggested to be +the immediate pDC progenitor 25 , partially overlapped with cluster 4 but not cluster 3, +indicating that this gate captures a few immature pDC but not pro-pDC. +Altogether, our gating strategy provides improved resolution of BM +progenitors. We concluded that tDC originate from a CD115 − BM +progenitor that expresses SiglecH, Ly6D, CD11c and CX3CR1, and corresponds to +the recently described pro-pDC progenitor 7 . Splenic tDC differentiate into ESAM + DC2 In hCD2 EYFP and CD300c TdT lineage tracing models, +~25% of DC2 were labeled ( Fig.1h - i ). Thus, we queried if +tDC could convert into these labeled DC2 ( Fig.4a and Extended Data +Fig.5a ). tDC acquired DC2 markers, specifically +CD11c hi MHCII + CD172a + expression, following +adoptive transfer into non-irradiated congenic recipients. At 2-days +post-transfer, some DC2 lacked CD11b expression (CD11b − DC2), +but most were CD11b + by 4-8-days suggesting a transition from a +CD11b − to a CD11b + DC2 (evaluated in Fig.5). When tDC were purified from +hCD2 EYFP mice, ~85% of recovered DC2 were EYFP + independently of their expression of CD11b ( Fig.4b ). This data suggests that tDC can convert into DC2. FIGURE 4. tDC convert into mouse ESAM + DC2 and human CD5 + DC2. Open in a new tab a. Schematic of adoptive transfer (left). 30,000 splenic tDC (All) +sorted from CX3CR1 EGFP CD45.1 mice using Fig.1f gating strategy, and adoptively transferred +into WT CD45.2 non-irradiated congenic mice. The percentage (mean + SD) of each +DC subset recovered in the spleen of recipient mice is shown 2-8 days after +transfer. N=5 at 2-days, n=6 at 4-days, and n=4 at 8-days. N represents number +of mice and independent experiments. b. As in (a), but tDC were sorted from hCD2 EYFP mice. +Histograms of hCD2 EYFP expression in sorted tDC pre-transfer (left), +and CD11b − and CD11b + DC2 recovered in the spleen +of recipient mice at 8-days. One representative of 2 experiments. c. Bar graphs (mean + SD) of the total number of splenic DC subsets +(gated a Fig.1f ) in hCD2 EYFP CX3CR1 DTR mice inoculated (n=4 mice) or not (n=3 mice) with DT +every second day and analyzed at day 7. Statistics were determined by unpaired +two-tailed t-test. Data pooled from 2 experiments. d. As in (c), but DC2 gated as in Fig.1f were further divided in EYFP + and +EYFP − cells, and their frequencies were plotted. e. Splenic EYFP + and EYFP − DC2 were sorted +from hCD2 EYFP mice and prepared for bulk-RNAseq analysis ( Extended Data Fig.1a ). MA plot comparing +differences between EYFP + and EYFP − DC2. Genes with +2-fold Log 2 change are colored in red (up) or blue (down). f. Splenic DC2 from hCD2 EYFP mice were gated as in Fig.1f and further analyzed to delineate +ESAM + and CX3CR1 + subpopulations (left). EYFP +expression in ESAM + and CX3CR1 + DC2 (right). One +representative of 8 experiments. g. DC2 from the spleen of hCD2 EYFP mice were gated on +CX3CR1 + , ESAM + EYFP + and +EYFP − as shown in (f)(left). Each DC2 subpopulation was +analyzed for their relative expression of surface markers. Heatmap shows the +Z-scored gMFI (right). Z-score values was determined from n ≥ 2 mice. +Data pooled from 8 independent experiments. h. Dot plot of ESAM + DC2 gated as in (f) was colored base on +EYFP expression (top). Bar graph (mean + SD) showing the percentage of +EYFP + in ESAM + CD24 − and +ESAM + CD24 + (bottom)(n=5 mice in 4 experiments). +Statistics were determined by unpaired two-tailed t-test. i. Freshly isolated tDC were sorted from human blood and stimulated +with CD40L for 2-days. Cells were analyzed by CyTOF and Scaffold at time 0 and +2-days post-stimulation (n=3 samples in 3 independent experiments). j. As in (i), but bar graph shows the frequency (mean + SD) of tDC +mapped to each scaffold landmark node at day 0 and 2 post-stimulation. N=2 at 0 +days and n=3 at 2-days. N represents number of samples and independent +experiments. k. Heatmap of the expression of the indicated markers in freshly +isolated (day 0) and stimulated (day 2) human tDC analyzed by CyTOF and flow +cytometry. The frequency of positive cells for each marker is shown (≥ 2 +donors/per marker in ≥ 2 experiments). We then aimed at evaluating if tDC conversion into DC2 occurs in +vivo at homeostasis. Given that tDC express CX3CR1 and are labeled +in hCD2 EYFP mice, we hypothesized that they would be specifically +depleted in hCD2-iCre +/− x Cx3cr1 LSL-DTR+/− mice. One DT dose +resulted in tDC depletion without affecting other DCs ( Extended Data Fig.5b ). Continuous DT administration +for 7-days also depleted pDC due to elimination of pro-pDC, as +described 7 ( Extended Data Fig.5b - c ); however, total DC2 numbers were unaffected. To +reconcile the adoptive transfer and tDC depletion experiments, we crossed +hCD2 EYFP with Cx3cr1 LSL-DTR+/− mice (hCD2 EYFP CX3CR1 DTR ), which allowed us to monitor +EYFP + DC2 following DT inoculation. tDC and pDC were decreased +7-days post-DT administration, but total DC2 numbers were unaffected ( Fig.4c ). However, the fraction of +EYFP + DC2 decreased ~2-fold, with a corresponding increase +in EYFP − DC2 ( Fig.4d ). +Thus, tDC are a source of a fraction of DC2 in vivo , which can +be traced in hCD2 EYFP mice. To confirm that EYFP-labeling +distinguishes tDC-derived DC2, we evaluated the expression of IgH +rearrangements, a feature of tDC and pDC that is passed to progeny +cells 4 . IgH +rearrangements were detected in EYFP + but not EYFP − DC2 ( Extended Data Fig.5d ). Notably, +CD11b − DC2 were also eliminated post-DT administration, +supporting a relationship with tDC ( Fig.4c ). To gain a comprehensive understanding of tDC-derived DC2, we sorted +EYFP + and EYFP − DC2 from hCD2 EYFP mice and performed bulk-RNAseq ( Fig.4e ). +DEG analysis revealed that EYFP − DC2 uniquely expressed Fcgr2b (encoding CD32), Cx3cr1 , Clec12a , Clec7a , resembling +CX3CR1 + DC2 16 , 17 ( Supplementary Table5 ). Despite a +small contamination with EYFP + lymphoid cells, tDC-derived +EYFP + DC2 expressed higher levels of Gpr4 and +the Notch target Dtx1 , genes expressed by ESAM + DC2 16 , 17 . Flow cytometry confirmed that +EYFP + were contained within ESAM + DC2 and not +CX3CR1 + DC2 ( Fig.4f ). When +comparing relative expression of DC2 markers between the different DC2 +subpopulations, EYFP + ESAM + DC2 lacked expression of CD32, +CLEC7A, CLEC12A, all markers of CX3CR1 + DC2 16 , 17 ( Fig.4g ). +EYFP + ESAM + DC2 expressed CD4 and CD5, and differed +from EYFP − ESAM + DC2 in their higher and lower +levels of CD24 and CD11b, respectively ( Fig.4g - h ). These results were +confirmed using CD300c TdT mice ( Extended Data Fig.5e ). Thus, tDC can convert into a subpopulation of +DC2 expressing ESAM. Human tDC may give rise to DC1 and DC2 5 . However, our mouse data indicates that +tDC only convert into ESAM + DC2, which is presumably the equivalent +to human CD5 + DC2 16 . We re-evaluated human tDC conversion into cDC using CyTOF and +unbiased Scaffold analysis. Freshly isolated blood tDC localized in the tDC +landmark node (day 0). By 2-days in culture, ~60% tDC mapped to DC2, but +not DC1 ( Fig.4i - j ). We observed a few tDC localized in the pDC +landmark node (~5%), which was attributed to a loss of AXL. Human tDC +upregulated CD33, CD172a, CD32, CD1c, but not the DC1-specific marker CLEC9A +( Fig.4k ). tDC also upregulated CD5, but +failed to upregulate CD14 and CD163, suggesting conversion into DC2, but not +DC3 22 . Altogether, our +data indicate that tDC differentiate into mouse ESAM + DC2 and human +CD5 + DC2. tDC are distinct from cDC-committed precursors We sought to clarify tDC relationship with previously described +DC2-committed precursors. We focused on the spleen because of the high tDC +numbers vs BM or blood. Splenic precursors have differential lineage commitment +based on the expression of SiglecH and Ly6C 11 . SiglecH + Ly6C + (pop#5; Fig.5a ) are recognized as uncommitted +precursors that give rise to DC1 and DC2, whereas +SiglecH − Ly6C − (pop#3; Fig.5a ) and SiglecH − Ly6C + (pop#4; Fig.5a ) are DC1- and DC2-committed +precursors, respectively. We observed that EYFP labeling was similar between +pop#5 and tDC when using hCD2 EYFP mice ( Fig.5b ). Contrarily, only ~25% of pop#4 and ~10% of +pop#3 were EYFP-labeled. We then mapped these 3 splenic precursor populations +onto a UMAP of all splenic DC. Pop#5 mapped within tDC; however, only fell +within tDC lo and represented ~25% of all the tDC cluster +( Fig.5c - d ). Pop#3 mapped within pre-DC1, although some mapped within DC1 +suggesting that the reported gating strategy includes contaminating mature +XCR1 + DC1. Most of pop#4 (~85%) mapped outside the tDC +gate, with only ~4% contaminating all tDC. Thus, tDC are distinct from +pop#3 and pop#4. Notably, our lineage tracing data implies that pop#5 are tDC +and not uncommitted precursors that give rise to pop#3 and pop#4, as +suggested 11 . FIGURE 5. tDC are distinct from pre-cDC. Open in a new tab a. CD135-enriched splenic cells were stained for flow cytometry to +identify pre-cDC. Lineage includes +CD3 + /CD19 + /NK1.1 + /Ly6G + cells. +One representative of 3 experiments. b. Populations gated as in (a) were analyzed for their percentage of +EYFP + (mean + SD) in hCD2 EYFP mice (n=3 mice in 3 +experiments). tDC were gated as in Fig.1f . c. Frequency of pop#4 and pop#5 within the tDC gate is shown as the +mean of n=3 mice in 3 experiments. d. CD135-enriched splenocytes from hCD2 EYFP mice were +labeled for flow cytometry, gated as +live/singlets/CD3 − /CD19 − /NK1.1 − /Ly6G − cells and analyzed by UMAP. DC subset assignment (left) was done by gating cells +as in Fig.1f . UMAP was labeled for EYFP +(right). One representative of 3 experiments. e. CD135-enriched splenocytes gated as in Fig.1f were further analyzed for the identification of +CD11b − DC2, pre-DC2 and pre-DC1. One representative of 5 +experiments. f. Splenocytes from hCD2 EYFP mice gated as in Fig.1f and Fig.5e were analyzed for the frequency (mean + SD) of EYFP + cells. N=5 mice +in 5 experiments. g. CD135-enriched splenocytes were stained and analyzed by CyTOF. +CD3 − /CD19 − /NK1.1 − /Ly6G − cells were gated as in Fig.1f and Fig.5e , and overlaid into the UMAP of all +cells (left)(n=3 mice in 1 exp.). Heatmap of the Z-scored expression of each +marker analyzed by CyTOF or flow cytometry (right)(n=3 mice/surface marker). h. Percentage (mean + SD) of each DC subset recovered after the +adoptive transfer of 10,000-30,000 CX3CR1 EGFP CD45.1 cell populations +(gated as described in Fig.1f and Fig.5e ). Transferred cells were analyzed in +the spleen of recipient mice after 2 or 4 days. tDC lo and +tDC hi : n=3 at 2-days and n=5 at 4-days. +CD11b − DC2: n=3 at 2-days and n=4 at 4-days. Pre-DC2: n=3 at 2- +and 4-days. Pre-DC1, n=2 at 2-days and n=4 at 4-days. N represents number of +mice and independent experiments. i. As in (h), but cells were sorted from hCD2 EYFP mice and +adoptively transferred into congenic non-irradiated recipients. The spleen of +recipient mice was analyzed for the expression of ESAM and CX3CR1 (top panels) +or EYFP (bottom panels) at 4-days post-transfer. One representative of 3 +experiment. j. As in (h), but splenic cells recovered following the adoptive +transfer of tDC lo were analyzed as tDC lo and +tDC hi . One representative of 3 experiments. k. WT mice were pulsed with BrDU for 14 days. 6-8-days post-BrDU +removal, DC subsets gated as in Fig.1f and Fig.5e were analyzed for their BrDU +content by flow cytometry. The frequency of BrDU + cells (mean + SD) +is shown. N=4 mice in 2 experiments. Statistical differences were determined by +one-way ANOVA with Tukey’s multiple comparison test. l. Bar graphs (mean + SD) showing the total number of splenic DC (gated +a Fig.1f and Fig.5e ) in hCD2 EYFP CX3CR1 DTR mice inoculated +or not with DT every second day, and analyzed at day 10 (n=3 mice in two +experiments). See also Extended Data +Fig.6d - e . Statistical +differences were determined by unpaired two-tailed t-test. We designed a gating strategy to analyze pop#3 and pop#4 precursors +without contaminating DC1 or tDC (called pre-DC1 and pre-DC2, hereafter) ( Fig.5e ). Our new gating strategy yielded +pre-DC2 and pre-DC1 with ~10% EYFP labeling in hCD2 EYFP mice +( Fig.5f ). It also allowed separation of +CD11b − DC2, that label similar to tDC in +hCD2 EYFP mice. As expected, EYFP labeling was only evident in +ESAM + DC2, but not in CX3CR1 + DC2. We validated our +new gating strategy by mapping all populations onto our UMAP of CyTOF data +( Fig.5g ). tDC lo , +tDC hi , CD11b − DC2 and pre-DC2 mapped in +different locations of the UMAP, indicating distinct phenotype. tDC lo and pre-DC2 shared the expression of CX3CR1, but tDC lo expressed +higher levels of Ly6C, IRF8, TCF4 and SiglecH ( Fig.5g ). tDC hi expressed CD11c, CD172a, MHCII and some +CD8, all markers absent in pre-DC2. We observed higher expression of CCR2 in +pre-DC2, a chemokine receptor known to be expressed in cDC precursors 36 . Notably, +CD11b − DC2 and DC2 shared most markers; however, +CD11b − DC2 expressed CD135 and low levels of CD24. +Interestingly, pDC, tDC and CD11b − DC2 expressed higher levels +of CD45RB and CD45RA, suggesting that these markers may be useful to identify +these cells in models other than hCD2 EYFP mice. Thus, our +multi-dimensional analyses unmasked key phenotypic differences between tDC and +pre-DC2. We compared tDC and pre-DC2 capacity to give rise to DC2 after their +adoptive transfer ( Fig.5h ). Pre-DC1 were +used as controls, and only gave rise to DC1. Transferred pre-DC2 only gave rise +to DC2, whereas tDC lo , tDC hi , CD11b − DC2 +also gave rise to some tDC and CD11b − DC2 ( Fig.5h ). Pre-DC2 gave rise to EYFP − cells, whereas tDC lo , tDC hi and CD11b − DC2 gave rise to EYFP + cells when purified from hCD2 EYFP mice ( Fig.5i ). Importantly, all tDC-related +populations gave rise to CX3CR1 − but not CX3CR1 + DC2, and most of these cells (~70%) expressed ESAM ( Fig.5i ). Transferred tDC lo cells gave rise +to ~60% tDC hi by 4-days indicating a transition from +tDC lo to tDC hi ( Fig.5j ). Similarly, few tDC were recovered when tDC hi were transferred, and none when CD11b − DC2 were transferred. +Together, this transfer data implies a transition from tDC lo → +tDC hi → CD11b − DC2 → +ESAM + DC2. To further contrast tDC and pre-DC2, we compared their turnover rate, +which is high in DC precursors 37 , by performing a BrdU “pulse-chase” +experiment ( Extended Data Fig.6a ). Pre-DC2 +had the highest turnover rate, clearing ~90% of BrdU by 8-days ( Fig.5k ), whereas tDC lo and +tDC hi only cleared ~50% and ~35% of BrdU. +Accordingly, Ki-67 proliferation marker was highest in pre-DC2 ( Extended Data Fig.6b ). Thus, tDC have a low turnover +rate in comparison to pre-DC2, which could explain why we did not observe a DC2 +decrease after tDC depletion for 7-days. Consistently, analysis of +hCD2 EYFP CX3CR1 DTR mice following 10-days of DT +treatment showed ~30% DC2 decrease ( Fig.5l ). Only ESAM + EYFP + DC2, but not +CX3CR1 + DC2 were decreased ( Fig.5l , Extended Data Fig.6d ). +Importantly, pre-DC2 were not affected, which may explain the maintenance of +~50% ESAM + DC2 following tDC depletion. Similarly, monocytes, +neutrophils and lymphocytes were not affected ( Extended Data Figure 6e ) Altogether, our data show that tDC are distinct from pre-DC2 in their +phenotype, turnover and proliferative rate. It also implies that +ESAM + DC2 have two different origins, i.e., BM +CD115 − pro-pDC and CD115 + pro-cDC. tDC require IRF4 to convert into DC2 The TFs IRF4 and KLF4 are distinctly required for ESAM + and +CX3CR1 + DC2 development, respectively 12 , 17 , 19 . We queried +if IRF4 is necessary for tDC conversion into ESAM + DC2. We correlated Irf4 expression with EGFP levels following the Itgax-Cre -mediated recombination of Irf4 fl/fl (IRF4 cKO mice), and found highest EGFP expression in +tDC hi ( Fig.6a ). +IRF4 cKO mice had slightly increased tDC and decreased DC2 +numbers, specifically ESAM + DC2 ( Fig.6b ). Interestingly, IRF4 cKO mice had almost no +CD11b − DC2, but normal numbers of pre-DC2, suggesting that +only tDC hi → CD11b − DC2 → +ESAM + DC2, but not pre-DC2 ESAM + DC2 conversion was +affected. We next generated competitive BMC to evaluate the intrinsic role of +IRF4 in each population. tDC did not require IRF4; however, +CD11b − DC2 were IRF4-dependent as these cells derived +almost exclusively from IRF4-proficient BM ( Fig.6c ). Contrarily, IRF4 was not required for pre-DC2. As expected, +ESAM + but not CX3CR1 + DC2 required IRF4. FIGURE 6. IRF4 is required for tDC transition to CD11b − DC2. Open in a new tab a. Bar graphs (mean + SD) showing EGFP expression in splenic DC from +IRF4 cKO , gated as described in Fig.1f and Fig.5e . N=11 +mice/subset, except n=8 mice for pre-DC2, in ≥ 4 experiments. Statistical +differences were determined by one-way ANOVA followed by Tukey multiple +comparison test. b. Bar graphs (mean + SD) show the frequency of DC in +IRF4 control mice and IRF4 cKO mice analyzed for the +proportion of each splenic DC population, gated as in Fig.1f and Fig.5e . pDC, DC2 and DC1: n=9 (IRF4 control ) and n=11 +(IRF4 cKO ). tDC (All), tDC lo and tDC hi : n=9 +(IRF4 control ) and n=11 (IRF4 cKO ). +CD11b − DC2: n=5 (IRF4 control ) and n=5 +(IRF4 cKO ). Pre-DC2: n=5 (IRF4 control ) and n=5 +(IRF4 cKO ). ESAM + DC2 and CX3CR1 + DC2: n=7 +(IRF4 control ) and n=8 (IRF4 cKO ). N represents mice in +≥4 independent experiments. Statistical differences were determined by +two-way ANOVA with Sidak multiple comparison test, and t-test for +CD11b − DC2 and pre-DC2. c. Left shows schematic of BM chimera generated by transplanting 50% WT +(CD45.1) and 50% IRF4 cKO (CD45.2) BM. Right shows bar graphs (mean + +SD) of the contribution (ratio) of donor cells to splenic DC populations (top) +or DC2 subpopulations (bottom) in mixed BMC, normalized to NK cells (n=7 mice in +2 experiments). Statistical differences were determined by one-way ANOVA with +Dunnett’s multiple comparison test. d. Schematic of adoptive transfer (left). 30,000 tDC (All) were sorted +from CD45.2 IRF4 control and IRF4 cKO , and transferred to +CD45.1 WT. Right graphs show the total # of recovered cells (mean + SD) in the +spleen 2-8-days post-transfer (n=3 mice in 3 experiments/time point). +Statistical differences were determined by two-way ANOVA with Sidak multiple +comparison test. Colored p-values represent statistical difference between DC2 +and tDCs (cyan), or DC2 and CD11b − DC2 (gray). We validated our results by performing adoptive transfer experiments +( Fig.6d ). IRF4 control tDC +yielded DC2, whereas IRF4 cKO tDC yielded no cells by 8-days ( Fig.6d ). IRF4 cKO tDC still yielded +some tDC at 4-days post-transfer, suggesting arrested conversion to DC2. Similar +results were observed when tDC from FLT3L BM cultures were purified and +re-cultured in vitro ( Extended +Data Fig.6c ). Altogether, our results indicate that tDC hi → CD11b − DC2 → ESAM + DC2 conversion +is dependent on IRF4. tDC respond to TLR agonists and promote T cell proliferation Mouse and human tDC are able to respond to the TLR9 agonist CpG, +upregulate MHCII/costimulatory molecules, and promote the proliferation of +allogenic T cells 4 , suggesting +that these cells are not just precursors, but harbor functions of differentiated +DC. To look further at the functional capabilities of tDC vs cDC, we first +evaluated TLR expression. tDC expressed TLR7 and TLR9, but low levels of TLR4 +and TLR3 ( Extended Data Fig.7a ). +tDC lo and tDC hi have lower basal expression of MHCII +and CD86 4 , but were able to +quickly upregulate these markers post-TLR7 or TLR9 stimulation ( Extended Data Fig.7b - c ; see 4 for TLR9). +Also, as shown for TLR9 4 , tDC +produced IL-12p40 in response to TLR7. Thus, tDC quickly respond to TLR7 and +TLR9 agonists. We assessed unbiasedly the transcriptional changes that tDC undergo +following TLR stimulation. Splenocytes from hCD2 EYFP mice were +stimulated with a TLR cocktail to activate all DC simultaneously (TLR3, 4, 7, +and 9) and bulk-RNAseq was performed 3hr later in purified cells. +tDC lo-hi were analyzed as one population, and DC2 were divided +into EYFP + and EYFP − DC2. PCA showed that +stimulated DC clustered separately from unstimulated cells, accounting for +~50% of variance ( Fig.7a ). +Stimulated tDC clustered independently from other DC subsets, implying that +their gene expression program was shaped by their activation status and core +signature genes, as previously shown for pDC and cDC 38 . Activated tDC upregulated pathways +related with DC maturation, including hallmark inflammatory, TNF, interferon +responses, and genes of the IL-1-family ( Il1b , Il1r1 , and Il1rap )( Fig.7b - c ). Thus, +tDC upregulate key programs for the induction of adaptive immune responses, a +feature shared with pDC and cDC. FIGURE 7. tDC respond to TLR stimulation and activate antigen-specific naïve T +cells. Open in a new tab a. CD135-enriched splenic DC were activated or not with a cocktail of +TLR agonists consistent on LPS/PolyIC/Resiquimod/CpGA (stimulated) for 3 hrs +before sorting (as described in Extended Data +Fig.1a ), and prepared for bulk RNAseq (n=2 mice in 2 exp.). PCA plot +of the top 500 most variable DEG in each unstimulated or stimulated DC +subset. b. GSEA of selected pathways using the 500 most variable DEG. Each DC +subset was compared to their respective unstimulated control. c. Heatmap of selected genes from the GSEA analysis in (b). d. Sorted CTV-labeled naïve OT-II CD4 + T cells were +co-cultured with sorted splenic DC subsets (purified using the gating strategy +in Fig.1f and Fig.4f ) at a ratio of 5:1 (T cell:DC), in the presence of OVA +protein. Four days after co-culture, cells were analyzed by flow cytometry. +Left: representative flow cytometry analysis. Right: bar graphs (mean + SD) of T +cell proliferation. N=5 for CD11b − DC2, n=7 for +tDC hi , and n=8 for all the other groups. N represents +biologically independent samples in ≥ 2 experiments. Statistical +differences were determined by one-way ANOVA with Tukey’s multiple +comparison test. We next evaluated if tDC share other functions with cDC, e.g., antigen +capture, processing and presentation to T cells. FITC-beads or PKH-labeled sheep +red blood cells (SRBC) were administered i.v. for their in vivo capture by splenic DC subsets. FITC-beads and PKH-labeled SRBC were taken up +comparably between tDC and cDC ( Extended Data +Fig.7d - e ). Notably, pre-DC2 or +pre-DC1 were unable to capture antigen in vivo . tDC also +captured, processed, and presented ovalbumin (OVA) protein to naïve +antigen-specific CD4 + T cells, which underwent several rounds of +division ( Fig.7d ). Although +tDC hi were more efficient than tDC lo at activating T +cell proliferation, both populations were significantly better than pDC. +tDC hi and CD11b − DC2 were slightly better than +ESAM + DC2, which may be consequence of differential survival of +these cells in culture, an observation that remains to be confirmed. In summary, tDC respond to TLR7/9 stimulation, capture, process and +present antigen to T cells, indicating that they are not just DC2 precursors but +a functional DC population. tDC promote immunopathology during coronavirus infection Finally, we sought to understand tDC function in vivo . +We hypothesized that tDC would play a role during viral infection, given their +developmental relationship with pDC and expression of TLR7/9. We chose M-CoV +since pDC are known to be essential for its early containment 27 , 28 . Similar to influenza infection 4 , tDC accumulated in the primary infected +tissue, which is the liver for M-CoV ( Extended +Data Fig.8a - c ). We reasoned +that models for the specific depletion of pDC and tDC (hCD2 EYFP CX3CR1 DTR + DT mice; pDC Δ tDC Δ mice hereafter) vs pDC only ( BDCA2-DTR + DT mice; +pDC Δ mice hereafter) would allow us to dissect tDC +function during infection. pDC Δ tDC Δ mice +depleted liver pDC and tDC, whereas pDC Δ mice depleted only +pDC ( Fig.8a ). None of these models affected +other liver immune cells ( Extended Data +Fig.8a - b , d ). FIGURE 8. Secretion of IL-1β by tDC results in immunopathology in pDC-depleted +mice. Open in a new tab a. Liver pDC and tDC numbers (mean + SD) at 2- and 5-days following +M-CoV infection of pDC Δ and +pDC Δ tDC Δ (n=3/group at 2-days and +n=5/group at 5-days) vs control mice (n=11 at 2-days and n=9 at 5-days). +pDC Δ mice are BDCA2 -DTR +/− mice inoculated with DT one +day before M-CoV infection. pDC Δ tDC Δ are +hCD2 EYFP CX3CR1 DTR mice inoculated with DT every other +day for 5-days before M-CoV infection. Control mice are a combination of BDCA2 -DTR +/− or hCD2 EYFP CX3CR1 DTR mice inoculated with PBS, and +DTR −/− mice inoculated with DT (no difference in +control mice was observed). N represents mice. Data pooled from ≥ 3 +experiments. b. Percent weight loss (left, mean + SD) and survival curve (right) of +control (n=12), IFNAR1 KO (n=8), pDC Δ (n=7) and +pDC Δ tDC Δ (n=8) mice. Health status was +monitored twice daily, and moribund mice were euthanized. N represents mice. +Data pooled from 4 experiments. c. Serum ALT levels (mean + SD) determined 5-days post-M-CoV infection +(n=4 mice for control; n=6 mice for pDC Δ ; n=7 mice for +pDC Δ tDC Δ ). Data pooled from 3 +independent experiments. d. The number of liver monocytes and neutrophils (mean + SD) were +evaluated by flow cytometry 2- and 5-days post-M-CoV infection as in (a). Day 2: +n=14 for control, n=4 for pDC Δ and n=6 mice for +pDC Δ tDC Δ . Day 5: n=10 for control, n=5 +mice for pDC Δ and n= 6 mice for +pDC Δ tDC Δ . N represents mice. Data pooled +from 3 or more exp. e. Liver viral titers (log 10 pfu / gr. tissue) were +determined 5-days post-M-CoV infection (n=10 mice for control, n=7 mice/group +for pDC Δ and pDC Δ tDC Δ ). +Violin plots show data pooled from 4 experiments. f. Serum levels of IL-1β were determined 2-days post-M-CoV +infection by Luminex (n=7 mice for control, n=8 mice/group for +pDC Δ and pDC Δ tDC Δ ). +Data pooled from 4 experiments. g. pDC Δ mice were inoculated with anti-IL-1β +Ab 2-days post-M-CoV-infection, and the percent weight loss (mean + SD) was +measured over time. N=5 mice for pDC Δ + control Ab, and n=6 +mice for pDC Δ + α-IL1-β Ab. Data pooled from 3 +experiments. h. As in (g), but serum ALT levels (mean + SD) were evaluated at 5-days +post-infection. N=4 mice for control, n=7 mice for pDC Δ + +control Ab, and n=6 mice for pDC Δ + α-IL1-β Ab. +Data pooled from 3 experiments. i. As in (g), but numbers of liver monocytes and neutrophils (mean + +SD) were quantified by flow cytometry at 5-days post-M-CoV infection. N=4 mice +for control, n=5 mice for pDC Δ + control Ab, and n=6 mice for +pDC Δ + α-IL1-β Ab. Data pooled from 3 +independent experiments. j. As in (g), but liver viral titers (log 10 pfu / gr. +tissue) were evaluated 5-days post-M-CoV infection. N=4 mice for control, n=7 +mice for pDC Δ + control Ab, and n=6 mice for +pDC Δ + α-IL1-β Ab. Violin plots show data +pooled from 3 experiments. k. DC subsets gated as in Fig.1f and Fig.4g were sorted and incubated with +M-CoV or mock (supernatant from non-infected L929 cells) using an MOI of 1. +Culture supernatant was analyzed by CBA 14-16 hrs later (n=5 samples in 3 +experiments). Minimum and maximum values are indicated via whiskers, while the +interquartile range and median are marked with the box. l. Human blood enriched DCs were left unstimulated (control) or +stimulated with CpG-A for 6-9 hrs, and then analyzed for intracellular +IL-1β by flow cytometry (circles) or CyTOF (square). N=5 donors for tDC +and pDC and n=3 donors for DC1 and DC2. Data pooled from 4 experiments. Minimum +and maximum values are indicated via whiskers, while the interquartile range and +median are marked with the box. m. As in (l), but cells were stimulated with CpG-A or influenza virus, +and analyzed by CyTOF in one experiment. n. As in (l), but pDC and tDC were sorted and incubated with MRC5 +fibroblast cell line alone or MRC5 infected with CMV (CMV-MRC5) for 6 hrs, and +analyzed for intracellular IL-1β by flow cytometry in one experiment. Statistical differences were determined by Two-way ANOVA with +Tukey’s multiple comparisons test (a-c,g), by One-way ANOVA with +Tukey’s multiple comparisons test (d-f,h-l) or Mantel-Cox test for +survival curves (b). Weight change in infected mice was used as a measure of infection +severity. Control mice developed asymptomatic infection with almost no weight +loss, whereas IFN-I receptor knockout mice (IFNR1 KO ) displayed +critical pathology and died by 2-days post-infection (p.i.), as +described 27 ( Fig.8b ). By 3-days p.i., +pDC Δ and pDC Δ tDC Δ mice +started to lose weight. By 5-days p.i., pDC Δ mice were +moribund experiencing severe pathology and >20% weight loss. In contrast, +pDC Δ tDC Δ mice displayed milder pathology +and complete survival. Severe pathology in pDC Δ mice +correlated with exacerbated liver damage measured by increased serum alanine +transaminase (ALT), pro-inflammatory monocyte and neutrophil infiltration ( Fig.8c - d ). pDC Δ mice also had a late spike in viral titers +(5-days p.i.), likely consequence of excessive liver damage ( Fig.8e and Extended +Data Fig.8f ). On the other hand, milder pathology in +pDC Δ tDC Δ mice correlated with less liver +damage and pro-inflammatory cells. To confirm that eliminating both pDC and tDC +resulted in milder pathology to M-CoV, we also infected TCF4 cKO mice, +which harbor significantly less numbers of liver pDC/tDC without affecting cDC +( Extended Data Fig.9a ). Similar to +pDC Δ tDC Δ mice, TCF4 cKO mice +had mild pathology, limited liver damage and modest increase in viral titers, as +previous observed 28 ( Extended Data Fig.9b - d ). These results suggest that severe M-CoV pathology +is not mediated by the sole elimination of pDC, which occurs in both mouse +models, but rather by tDC presence in pDC-depleted mice. To investigate the underlying tDC-mediated mechanism driving severe +pathology, we analyzed cytokines/chemokines in serum 2-days p.i. ( Extended Data Fig.9e ). Severe pathology in +pDC Δ mice correlated with a significant increase in +pro-inflammatory cytokines and chemokines, including IL-1β, IL-18, TNF, +IL-6, which was not observed in pDC Δ tDC Δ mice. Acutely increased serum levels of IL-12p70 and IFNγ in +pDC Δ mice suggest augmented innate lymphocyte numbers or +function. However, natural killer (NK) and innate lymphocyte 1 (ILC1) numbers +were not affected, and their depletion did not ameliorate M-CoV infection +severity in pDC Δ mice, indicating that these cells do not +mediate pathology ( Extended Data Fig.8d and 9f - g ). Among the other pro-inflammatory cytokines upregulated in +pDC Δ mice, IL-1β could mediate higher +chemokine/cytokine levels resulting in increased liver damage 39 , 40 . Indeed, IL-1β increased 2-5-fold in the serum +of pDC Δ vs control and +pDC Δ tDC Δ mice, as early as 2-days p.i. +( Fig.8f ). A single dose of +anti-IL-1β blocking antibody in pDC Δ mice significantly +reduced pathology, i.e., lower weight loss, ALT levels, liver-infiltrating +leukocytes and viral titers ( Fig.8g - j and Extended +Data Fig.9h ). So far, our data suggest that tDC mediate severe pathology in +pDC Δ mice through a dysregulated IL-1β production, +which is consistent with an increase in Il1b and related genes +following TLR stimulation ( Fig.7c ). We +tested tDC capacity to secrete IL-1β in response to M-CoV. Purified tDC +secreted IL-1β at higher levels than either pDC, DC1, EYFP + and EYFP − DC2 ( Fig.8k ), +whereas pDC secreted TNF, IL-6 and some IL-12p70 ( Extended Data Fig.9i ). We extended these observations to human tDC +stimulated with CpG ( Fig.8l - n ). Again, human tDC rapidly produced IL-1β, +which was more prominent than either pDC or cDC. Moreover, human tDC also +produced IL-1β in response to influenza and cytomegalovirus +(CMV)-infected lung fibroblasts (MRC5), whereas pDC produced IFN-α ( Fig.8m - n , and 41 ). Thus, tDC +have a distinct capacity to rapidly produce IL-1β in response to viruses +and their mimics, a feature that is conserved in mouse and human. In summary, our data supports a model in which dysregulated secretion of +IL-1β by tDC is associated with severe coronavirus pathology. DISCUSSION In this study, we unravel tDC identity, development and function. Our data +show that tDC are not pre-DC2 as suggested, but rather a DC population that develops +from BM pro-pDC. tDC have functions of cDC, and a distinct capacity to rapidly +produce IL-1β in response to viruses, which promotes fulminant liver +pathology during M-CoV infection. Finally, tDC distinctly convert into mouse +ESAM + DC2 or human CD5 + DC2. Our data indicate that +current definitions of the DC compartment should be expanded to encompass tDC, a +pDC-related DC subset that has a distinct role during viral infections and +contributes to the developmental heterogeneity of DC2 in mice and humans. It has been suggested that tDC lo and tDC hi may have +different developmental origins, i.e., lymphoid vs myeloid, respectively. Here, we +show ample evidence that this is not the case. Both tDC lo and +tDC hi share a core transcriptome that differentiate them from other +subsets, as also observed by the group of M. Dalod 24 . These subpopulations exhibit developmental +features shared with pDC, such as IgH rearrangements and PTCRA expression 4 , and the need of TCF4 for their +differentiation. Both tDC lo and tDC hi labeled similarly to pDC +when using two different tracing mouse models (hCD2 EYFP and +CD300c TdT ), and emerged from pro-pDC at steady state. Further +experiments are needed to evaluate if pro-pDC are bi-potent progenitors giving rise +to tDC and pDC. Finally, tDC lo gives rise to tDC hi after +adoptive transfer experiments. Thus, tDC lo and tDC hi are +different states within the same population of cells. As tDC lo transition +to tDC hi , they upregulate several DC2 TFs including ZBTB46 4 . Thus, ZBTB46 expression is one of +the many transitional features of this population and should not be interpreted as +an origin marker from a pro-cDC progenitor 25 . In fact, ZBTB46 regulates cDC activation rather than +development 42 . Adoptive transfer experiments revealed that tDC convert exclusively into +ESAM + DC2, passing through a CD11b − DC2 stage. Two +fate tracing models suggest that 30-40% of ESAM + DC2 are tDC-derived. +This was confirmed by the presence of IgH rearrangements. Finally, tDC-derived +ESAM + DC2, but not CX3CR1 + DC2, are depleted by the +administration of DT into hCD2 EYFP CX3CR1 DTR . During the +preparation of this manuscript, a report by Rodriguez et +al. 26 implied +that pDC-like cells, which encompass a portion of tDC lo , convert into +CX3CR1 + DC2 following adoptive transfer into irradiated recipient +mice. The discrepancies between our observations and Rodriguez et +al. may arise from different gating strategies to define DC2, as well +as the cell transfer conditions. Rodriguez et al. used only two +markers to define DC2, MHCII + and CD172a + . However, this +strategy likely results in contamination of DC2 with +ESAM − CX3CR1 + tDC hi . Further, different +from Rodriguez et al ., our cell transfer experiments were performed +in non-irradiated congenic recipients to avoid unphysiological proliferation of DC +following radiation. Finally, our data unraveling tDC conversion into mouse +ESAM + DC2 parallels human tDC conversion into CD5 + DC2, +but not CD14 + DC3. Notably, human DC3 are known to develop via a +GM-CSF-dependent monocyte/dendritic cell progenitor (MDP) 20 , 21 . +Although the origin of mouse DC3 requires further investigation, we show here that +tDC arise from the FLT3L-dependent pro-pDC pathway, and not MDP. We show that tDC are distinct from pre-DC2. tDC trace back to pro-pDC and, +consequently, share developmental features with pDC. These features are only +observed in tDC and tDC-derived DC2, but not pre-DC2 derived DC2. Second, tDC have +phenotypic differences with pre-DC2 . Despite that tDC and pre-DC2 give rise to +ESAM + DC2, tDC do so passing through a CD11b − DC2 +stage. Different from pre-DC2, tDC have lower turnover and proliferation rate. +Unlike pre-DC2, very few tDC reside in the BM suggesting that these cells exit the +organ quickly post-development. Finally, mouse tDC exhibit functions of cDC +including widespread transcriptional changes following TLR stimulation, antigen +capture, and activation of antigen-specific T cells; functions conserved between +species 4 - 6 . Importantly, tDC require different TF than +pre-DC2. TCF4 is required for tDC development from pro-pDC, whereas IRF4 is required +for tDC hi → CD11b − DC2 → ESAM + DC2 conversion; however, IRF4 does not seem to be necessary for pre-DC2 → +ESAM + DC2 conversion. Notably, IRF4 cKO mice have reduced +CD24 + DC2 in several tissues 13 , 15 , consistent with +our observation that CD24 expression is slightly higher in splenic tDC-derived +ESAM + DC2. Further studies are needed to evaluate the contribution of +tDC and pre-DC2 to the DC2 compartment in different tissues. Nevertheless, the +unique characteristics of tDC warrant their distinction from pre-DC2. Interestingly, in situations where tDC development is impaired at the level +of pro-pDC (e.g., TCF4 cKO mice), DC2 are present at normal numbers +suggesting that they are maintained by pre-DC2. Similarly, in situations where +pre-DC2 development is impaired (e.g., Clec9a Cre Rosa26 DTA mice), DC2 are present at normal numbers but +harbor IgH rearrangements 43 , +suggesting they may be derived from tDC. Thus, the ESAM + DC2 compartment +seems to be maintained by two distinct developmental pathways that converge into +cells that are phenotypically similar ( Extended Data +Fig.10 ). The contribution of these two distinct developmental pathways to +the DC2 pool may be signaled by environmental cues (e.g., age and IFN-I +availability) 44 , 45 . To dissect the in vivo functions of these two developmental pathways, it would be helpful if DC2 origin is +reflected in their name, e.g., tDC2 for tDC-derived DC2 and cDC2 for pre-DC2-derived +DC2. Importantly, it is imperative to identify surface markers to distinguish these +two developmental origins of DC2, and CD45RA and CD45RB described here may assist +this goal. Mouse and human tDC distinctively produce high levels of IL-1β in +response to viruses, which likely plays a protective role during immune responses. +However, the dysregulated IL-1β secretion by tDC culminated in excessive +immunopathology during M-CoV infection. This excessive immunopathology recapitulates +several features of SARS-CoV-2 including higher viral titers, neutrophil and +monocyte recruitment, and excessive tissue damage 46 , 47 . +Notably, similar to our mouse depletion model, pDC from severe SARS-CoV-2 patients +are dysfunctional and unable to produce IFN-I 48 , 49 , suggesting that +the dysregulated tDC-mediated IL-1β pathway described here may be active also +in humans. Accordingly, anti-IL-1β Abs and IL-1β/α inhibitors +have shown benefit in SARS-CoV-2 patients 50 . Altogether, our work unveils an innate immune balance +between efficient antiviral vs pro-inflammatory response that is controlled by +developmentally related cells, pDC and tDC, suggesting that these two DC populations +form a distinct lineage of cells with key complementary functions during viral +infections. METHODS Human specimens and PBMCs Donors provided informed consent in accordance with IRB protocols +approved by the Stanford University Administrative Panel on Human Subjects in +Medical Research. De-identified blood and buffy coats were obtained from healthy +adult human donors (20-45 years old) following the guidelines of the Research +and Laboratory Environmental Health and Safety program of Stanford University or +from the New York Blood Center (NYBC). Peripheral blood mononuclear cells +(PBMCs) were isolated by density gradient centrifugation using Ficoll-Paque PLUS +(GE Healthcare). Mice Mice (reporting summary) were purchased from The Jackson Laboratory or +Charles River. Cx3cr1 EGFP+/− were crossed +with CD45.1 mice in-house. Itgax-Cre +/− mice +were crossed to Irf4 fl/fl in-house and screened +routinely for the appearance of Irf4 germline +deletions 51 . Side by +side comparison showed that Itgax-Cre +/− x Irf4 fl/fl and Itgax-Cre +/− x Irf4 fl/deletion mice have similar phenotypes, so +mice were pooled for experiments and labeled as IRF4 cKO . +IRF4 control group includes Itgax-Cre −/− x Irf4 fl/fl and Itgax-Cre −/− x Irf4 fl/deletion mice. The Cd300c Cre strain was generated +by knocking Cre recombinase ORF and BGH polyA into the first coding exon of Cd300c . This strain description will be provided in a +separate manuscript (Perez et al., in preparation) and is available upon request +to B.R. For this study, Cd300c Cre+/+ x Rosa26 TdTomato+/− (CD300c TdT ) +mice were used. Mixed bone marrow chimeras (BMC) were generated by lethally +irradiating (two doses of 6Gy) 8-week-old females and transplanting with +3x10 6 BM cell suspensions (50% WT CD45.1 and 50% cKO CD45.2). BM +cells were engrafted for ≥8 weeks. For DT inoculation, 50ng/g body weight +was inoculated i.v. at day 0, followed by 25ng/g every other day. For BrDU +experiments, 1 mg of BrDU (SIGMA) was inoculated i.p. at day 0, followed by +continuous feeding with 0.8 mg/mL of BrDU in drinking water (prepared fresh +daily). After 14 days, BrDU was removed and mice euthanized at different time +points. For in vivo antigen uptake experiments, +1x10 8 sheep red blood cells (SRBCs) stained with 2μM PKH26 +(Sigma-Aldrich) or 1x10 9 Yellow-Green Polystyrene Beads +(Polysciences, Inc.) were injected i.v. for 3 hrs. For viral infection, 50 PFU +M-CoV was injected i.p. In some experiments, M-CoV-infected mice were inoculated +with 100 μg of anti-IL-1β or control Ab (BioXCell, clone B122 and +Cat#BE0091, respectively) on day 2, or 200 μg of anti-NK1.1 or control Ab +(BioXCell, clone PK136 and 2A3, respectively) on day −1, 0 and 2 +post-infection. Animals were maintained in ventilated cages under specific +pathogen-free conditions and a 12 hr dark:12 hr light cycle at 20-22°C +and a humidity range of 30-70%. Animals were fed with Teklad Irradiated Rodent +Diet (Inotiv #2918). Animals were used at 6-12 weeks of age in accordance with +Stanford and New York University Administrative Panel on Laboratory Animal Care +and overseen by the Institutional Animal Care and Use Committee. Cell suspension preparation Blood was obtained from anesthetized mice via retro-orbital puncture +into a vial containing 1mM EDTA (Corning), and mononuclear cells were enriched +using Lympholyte M (Cedarlane). Blood serum was used for measuring alanine +2-oxoglutarate-aminotransferase (ALT)(Sigma-Aldrich), or cytokines by Luminex +(ThermoFisher; HIMC Stanford University). Spleens, peripheral LN (inguinal, +brachial, and axillary) and perfused livers were digested with 400 U/mL +Collagenase D (Millipore-Sigma) and 50 μg/mL DNase I (Millipore-Sigma) +for 30 min at 37°C. 10 mM EDTA was added for the last 5 min of culture. +For liver, leukocytes were enriched by density gradient centrifugation using 42% +Percoll (Cytiva). Perfused lungs were digested with 0.13 U/mL Liberase TM +(Millipore-Sigma) and 50 μg/mL DNase I for 25 minutes at 37°C. For +BM, femurs and tibias were flushed using un-supplemented RPMI (Corning). All +cell suspensions were filtered through a 70 μm strainer. Red blood cells +from spleen and BM were lysed using ACK Lysis buffer (Lonza). Enrichment of DC and precursors Mouse cell suspensions were incubated with anti-CD135-biotin (Biolegend) +for 30 min at 4°C, washed and incubated with Ultra-Pure anti-Biotin +microbeads (Miltenyi) for 30 min at 4°C. CD135 + cells were +selected using LS columns (Miltenyi). Human myeloid cells were negatively +enriched from PBMCs using anti-CD3 (OKT3), anti-CD14 (HCD14), anti-CD19 (HIB19) +and anti-CD335 (9E2) Abs followed by anti-mouse Dynabeads (Invitrogen) at a +concentration of 4 beads per target cell 52 . For IL-1β experiments, human DC were negatively +enriched using EasySep Human pan-DC Pre Enrichment Kit (StemCell +Technologies). Staining for flow cytometry and cell sorting Abs (reporting summary) were purchased from Biolegend, R&D, MBL +International and ThermoFisher. Anti-TCF4 (Abcam) was labeled in-house using the +Alexa 647 Labeling Kit (ThermoFisher). Mouse cell suspensions were incubated +with anti-CD16/CD32 (clone 2.4G2, produced in-house) to block non-specific +binding for 15 min at 4°C. Cells were incubated with Ab cocktails in +mouse FACS buffer (2 mM EDTA, 2% FBS in PBS) for 20 min at 4°C. DAPI +(Sigma) was added to exclude dying cells before sample acquisition. For +transcription factor staining, cells were stained with surface Abs and LIVE/DEAD +Fixable Blue (ThermoFisher) in PBS for 20 min at 4°C, then fixed with +FoxP3 Transcription Factor Fix/Perm Buffer (ThermoFisher) for 2-12 hrs and +stained intracellularly for 30 min in 1X Permeabilization Buffer (ThermoFisher). +For cytokines and EYFP co-staining, cells were surface stained and fixed with 2% +paraformaldehyde (Electron Microscopy Sciences) for 40 min, followed by +Cytofix/Cytoperm (BD Biosciences) for 12 minutes. Intracellular cytokine +staining was performed in 1X Permwash (BD Biosciences) for 30 min. For BrDU +staining, cells were surface stained, washed and fixed with Cytofix/Cytoperm for +30 min at 4°C, followed by incubation with Cytoperm Permeabilization +Buffer Plus (BD Biosciences) for 20 min at 4°C and a second fixation with +Cytofix/Cytoperm for 10 minutes at 4°C. Cells were then incubated with +160 U/mL DNase I for 1 hr at 37°C, followed by incubation with anti-BrDU +PE (Biolegend) for 20 min at RT. For mouse cell sorting, lineage included Abs +against CD3, CD19, NK1.1 and Ly6G for splenocytes plus MHCII for BM (all in +Alexa700 or Efluor450), and streptavidin-Alexa647 to detect CD135 expression +from CD135-enriched cells. Human PBMCs were incubated with human gamma-globulin +(ThermoFisher) to block non-specific binding for 15 min at 4°C, followed +by Abs in human FACS buffer (2 mM EDTA, 2% Donor equine serum in PBS) for 20 min +at RT. For transcription factor staining, cells were stained with surface Abs +and LIVE/DEAD Fixable Blue in PBS for 20 min at RT, fixed with FoxP3 +Transcription Factor Fix/Perm Buffer for 1 hr at 4°C, and stained +intracellularly for 20 min in 1X Permeabilization Buffer. Human tDC were sorted +as lineage negative +(CD3 − CD19 − CD20 − CD335 − CD66b − ), +monocyte/DC3 negative (CD14 − CD16 − ) and +HLA-DR + CD123 + BDCA1 − AXL + (using CD123 clone 6H6 to allow for IL-3 binding in culture). For IL-1β +human experiments, pDC and tDC were sorted as +HLA-DR + CD123 + AXL − SIGLEC6 − and HLA-DR + CD123 + AXL + SIGLEC6 + , +respectively. In all cases, analysis was performed in a 5-laser LSRFortessa X-20 +(BD Biosciences), and cell sorting in a FACSAria Fusion using BD Diva software +(BD Biosciences), and SY3200 or SH800Z sorter and software (SONY Biotechnology). +Data was analyzed using FlowJo (v.10.8.1; Tree Star, Inc). Unstained cells and +single-fluorochrome-stained cells were used for accurate compensation. Control +samples included fluorescence minus one. Staining for CyTOF Metal-labeled Abs (reporting summary) were obtained from Fluidigm or +labeled using the MaxPar X8 labeling kit (Fluidigm). CD135-enriched mouse cell +suspensions were stained with 0.25 μM cisplatin (Fluidigm) for 5 min at +RT to exclude dead cells, washed with CyFACS buffer (2 mM EDTA, 1% BSA, 1% in +PBS) and stained with a heavy-metal-labeled Abs for 30 min at 4°C. Cells +were washed twice with CyFACS then fixed with Foxp3 Transcription Factor +Fix/Perm Buffer for 2 hrs followed by intracellular staining in 1X Permwash for +30 min. After staining, samples were washed and incubated with 2% PFA in PBS +containing 125 nM Iridium intercalator (Fluidigm) overnight. Cells were washed +with water, filtered, and acquired. Human PBMC and sorted tDC were cisplatin and +surface stained, followed by fixation as described above for mouse. The +intracellular cocktail included Abs affected by fixation 52 . Sorted tDC were pooled with mouse +splenocytes to avoid cell loss during washes 52 . In all cases, cells were acquired in a CyTOF2 or a +Helios mass cytometer (Fluidigm) at the Shared FACS Facility at Stanford or Mt. +Sinai, using CyTOF software. Adoptive transfer experiments 10,000-30,000 cells sorted from 1-2 mice were adoptively transferred +into WT congenic non-irradiated mice through tail vein injection. Analysis was +performed 2-8 days later in the spleen. During analysis, splenocytes of +recipient mice were enriched by density gradient centrifugation using 30% Bovine +Serum Albumin (BSA, Millipore-Sigma) 4 . In vitro DC stimulation 8x10 6 mouse splenocytes were resuspended in 0.5mL of complete +RPMI (complete medium contains: 10% FBS, GIBCO; 2 mM L-glutamine, Corning; 100 +IU Penicillin, Corning; 100 mg/mL Streptomycin, Corning; 55 mM +2-Mercaptoethanol, GIBCO), and cultured for 6h at 37°C. Splenocytes were +left untreated or stimulated with 200ng/mL LPS, 200ng/mL MPLA, 25μg/mL +Poly(I:C), or 2.5μg/mL Resiquimod. For cytokine detection, 5 μg/mL +Brefeldin A (Millipore-Sigma) was added to the culture. Costimulatory marker and +cytokines were detected by surface and intracellular staining, respectively. +2x10 5 /mL purified splenic DC were incubated with M-CoV (MHV A59; +MOI of 1) or mock control (supernatant from non-infected L929 cells) and +cultured for 14-16 hrs at 37°C. IL-1β, TNF, IL-6 and IL-12p70 were +measured by Cytometric Bead Array (CBA) Mouse Enhanced Sensitivity Flex Set and +Mouse Enhanced Sensitivity Master Buffer Kit (BD Biosciences). Concentration of +each cytokine was normalized to the mock control. Sorted human tDC were cultured +in 96 well U-bottom plates at 37°C at a concentration of 5,000 cells in +200 μL complete RPMI. Media was supplemented with 10ng/mL IL-3 (R&D +Systems) and 200ng/mL CD40L (R&D Systems) for 48 hrs. tDC phenotype was +evaluated by CyTOF and flow cytometry. For IL-1β detection, enriched or +sorted human DC were stimulated with 2.5 μM CpG-A (ODN 2216), MRC5, +CMV-MRC5 and H1N1 influenza virus A/PR/8/34 (PR8) at 10 MOI for 6 to 9 +hrs 41 . 10 μg/ml +of Brefeldin A (BFA) was added for the last 3-6 hours of incubation prior to +flow cytometry and CyTOF experiments 41 . Bone marrow-derived DC 2x10 6 BM cells were plated in a 24-well plate with 2mL +complete DMEM supplemented with 1.8mM sodium pyruvate (SIGMA), 1X MEM-NEAA +(GIBCO #11140050), and 10% supernatant from B16-FLT3L cell line. In some cases, +1 mL of cell suspension was transferred at 3-days to a 24-well plate containing +a mono-layer of mitomycin-treated OP9-DL1 cells 35 . At 4-7 days, cell suspensions were +analyzed by flow cytometry. Lineage (CD3 + and CD19 + ) and +macrophages (SSC-A high F4/80 high cells) were gated +out. IgH D-J Rearrangement Genomic DNA was isolated from sorted DC using the Nucleospin Tissue XS +kit (Takara Bio). The amount of DNA per reaction was equalized by qPCR using +primers against Actb 4 . The primers used were as follows: Actb forward 5’-GGTGTCATGGTAGGTATGGGT-3’, reverse +5’-CGCACAATCTCACGTTCAG-3’; Mu0-J H 1 (germline) forward +5’-CCGCATGCCAAGGCTAGCCTGAAAGATTACC-3’, reverse +5’-GGTCCCTGCGCCCCAGACA-3’; D H L-J H 3 forward +5’-TGGCAGGGATTTTTGTCAAGGGATCTACTACTGTG-3’, reverse +5’-CTAATTCTCACAAGAGTCCGATAGACCCTGG-3’. Products were run on a 2% +agarose gel and imaged with a ChemiDoc MP (Bio-Rad). In vitro T cell activation Spleen, skin draining LN, mesenteric LN, and iliac LN of OT-II mice were +collected and mechanically dissociated. Cells were lysed using ACK Lysis buffer +(Lonza), filtered through a 70 μm strainer, and incubated with Abs +against B220, F4/80, MHCII, NK1.1 and CD8 (produced in-house) for 30 min at +4°C followed by sheep anti-Rat IgG Dynabeads (Invitrogen). Negatively +enriched CD4 + T cells were labeled with 5 μM CellTrace Violet +(CTV, ThermoFisher), and naïve T cells sorted as +CD3 + CD4 + CD44 lo CD45RB + . +Naïve T cells were cultured with sorted splenic DC (1:5 ratio) and 20 +μg/mL ovalbumin (OVA) for 4 days. Controls included T cells incubated +with OVA in the absence of DC. Viral stocks and titers Influenza virus H1N1 (PR8), CMV stocks and infected cell lines were +previously generated 41 . Thawed +MRC5 and CMV-MRC5 were plated at the density of 6x10 4 cells/cm 2 for > 8 hrs before the addition of +5x10 3 - 4x10 4 human DC. M-CoV (also known as murine +hepatitis virus, MHV A59; BEI Resources) was propagated on L929 cells (ATCC). +M-CoV viral titers were determined after homogenization by standard plaque assay +using L929 cells. Transcriptomic data generation For bulk-RNAseq, splenic DC from 2 mice were CD135-enriched and split in +two samples: 30% was stained to sorting, and 70% was stimulated with the LPRC +adjuvant cocktail [100ng/mL LPS, 25μg/mL Poly(I:C), 2.5μg/mL +Resiquimod and 6μg/mL CpG-A (ODN 2216)] at a concentration of +10 7 /mL for 3 hrs before staining and sorting. RNA was extracted +using the NucleoSpin RNA XS kit (Takara Bio). For scRNAseq, CD135-enriched cells +were stained and sorted. Splenocytes were mixed 1:1 from 2 sorted gates to +enrich for tDC: +CD3 − CD19 − NK1.1 − Ly6G − and +CD3 − CD19 − NK1.1 − Ly6G − XCR1 − CD11b lo ( Fig.1c ). BM cells were sorted as +CD3 − CD19 − NK1.1 − Ly6G − . +600 sorted cells per μL were processed for 10X Genomics. For NanoString, +sorted DC were resuspended in 1/3 RNeasy Lysis Buffer RLT (Qiagen) at a +concentration of 1,000-5,000 cells/μL and analyzed on the NanoString +nCounter ® Mouse Myeloid Innate Immunity V2 Standard +Platforms, following the manufacturer's instructions. Samples were +processed on the NanoString Digital Analyzer to yield a reporter code count +(RCC) dataset, which was analyzed via ROSALIND ® ( https://rosalind.bio ). CyTOF data analysis Files in FCS format were normalized with the R package Premessa. Mouse +splenocytes were gated as +live/singlets/CD3 − /CD19 − /CD335 − /Ly6G − , +exported, and analyzed by UMAP and X-shift in FlowJo. Analyzed files were +imported into MATLAB (v.9) for visualization. MEM was performed following R +scripts 53 . The +Scaffold R package was downloaded from GitHub ( https://github.com/nolanlab/scaffold ) 54 . Human DC were gated from PBMC in FlowJo +and imported into Scaffold to create a reference map. Events from stimulated tDC +were imported into the reference map for clustering 29 . Bulk-RNAseq analysis The count matrix was generated using the “Seq-N-Slide” +pipeline ( https://github.com/igordot/sns ). Data was aligned using STAR +(v2.7.3a) to the mm10 reference genome. featureCounts was used to generate the +gene-count matrix. The count matrix was analyzed using DESeq2 (v3.14) 55 . Differential gene expression +analysis was performed using DESeq2’s DESeq function. Log fold change +shrinkage was performed by the “ashr” method 56 and used for volcano plots and MA plots +(DESeq2) 55 . Variance +stabilizing transformation was performed using DESeq2 for heatmap and PCA +visualization. scRNAseq analysis Cell Ranger (10x Genomics) was used for demultiplexing and generation of +barcodes and count matrices. Spleen and BM data were analyzed using Seurat +(v3) 57 in R (4.1.2). +Cells were selected for number of genes over 300, number of total counts less +than 50000, and % of mitochondrial genes less than 20%. Data was normalized +using the “LogNormalize” method (scale factor 10000) of +Seurat’s NormalizeData function. PCA was performed in Seurat and the top +25 dimensions were used for UMAP. Differentiating markers for each cluster were +identified using the Wilcoxon rank sum test implemented in Seurat’s +FindAllMarkers function (min.pct=0.25, logfc.threshold =0.25). KNetL graphs were +generated using iCellR (v1.6.5) 58 . Cells were filtered for <20% mitochondrial genes, +unique genes expressed between 300-8000 genes, and UMIs less than 50,000. +Monocytes were filtered using cell IDs of cells in Cluster 9 from the spleen +UMAP analysis in Seurat. Data was normalized using the default +“ranked.glsf” method in iCellR. PCA was calculated using the top +2000 genes. KNetL analysis was performed using 1:20 dimensions with a zoom of +175 and UMAP as the dimensionality reduction method. Clusters were calculated +using the KNetL results with a sensitivity of 150. Differential gene expression +was calculated for each cluster using the findMarkers function of iCellR with +default parameters except with adjusted p-value <0.05 set as the +threshold of significance. GSEA analysis For bulk-RNAseq, a gene list was created by ranking all genes post log +fold change shrinkage by the log 2 FC value. The mouse hallmark gene +set was downloaded (MSigDB website) 59 , 60 and used as +the input for gene sets database. GSEAPreranked analysis was run on GSEA +(v4.2.2) with 1000 permutations. For scRNAseq, a ranked gene list was created by +computing markers for each cluster using Seurat’s FindMarkers with +min.pct and logfc.threshold parameters set to 0 to extract all genes. Genes were +then ranked on the logFC value and analyzed using the same parameters as +above. Cell type signature generation CPM counts from the sorted populations of the bulk-RNAseq were used to +generate a signature matrix using CIBERSORTx with default parameters 61 . The signature matrix was then +used to calculate signature scores for each cell of the spleen scRNA sequencing +using the imputing cell fraction function of CIBERSORTx (permutations = 500, +B-mode batch correction). Raw counts for tDC, pDC, DC1, and DC2 from the spleen +scRNAseq were used to generate a signature matrix using CIBERSORTx with default +parameters. The signature matrix was then used to calculate signature scores for +each cell of the BM scRNAseq by imputing cell fraction (CIBERSORTx) +(permutations = 500). pDC-signature “high” cells were defined as +signature score >0.15. Trajectory analysis BM cells with pDC signature >0.15 were selected and re-clustered +using Seurat. UMAP was generated using the top 25 statistically significant PCA +components. Trajectory analysis was performed on UMAP embeddings from Seurat +clustering using Slingshot (v2.2.0) 62 . For RNA velocity analysis, Velocyto +(0.17.17) 63 was used +to generate the loom file containing spliced and un-spliced transcripts. The +mask file, mm10_rmsk, was downloaded from the UCSC genome browser. The genome +annotation file, mm10_2020_A, was downloaded from 10x Genomics. The data was +then loaded into scVelo (v.0.2.4) 63 , 64 for further +analysis using Python (v3.10). scVelo was run with default settings using the +“filter_and_normalize” and “moments” functions to +filter and compute PCA/nearest neighbors, respectively. Results were overlayed +onto Seurat-clustered UMAP of the BM. Statistical analysis For Fig.1 - 7 experiments, no statistical methods were used to +predetermine sample sizes. For Fig. 8 , the +number of mice was estimated using power analysis (G*Power 3). Data distribution +was assumed to be normal, but this was not formally tested. Individual +experiments used mice of the same sex and age, without randomization. Data +collection and analysis were not performed blinded. No data points were +excluded. For scRNAseq, pre-established criteria for single-cell exclusion, +i.e., low number of unique genes, abnormally high read count, and high +mitochondrial gene content, was used. Statistical details of experiments, +including statistical tests used, n value, number of experiments, and the type +of statistical tests can be found in figure legends. Statistical analysis was +performed with at least three biological replicates using GraphPad Prism 9 +(GraphPad Software) or R (v.4.1.2) statistical programming language. All graphs +show mean +/− SD. gMFI indicates geometric mean fluorescence intensity. +Graphics created with BioRender.com . Extended Data Extended Data Fig. 1. tDC are distinct transcriptionally. Open in a new tab a. CD135-enriched splenocytes from hCD2 EYFP mice were +stained and sorted. Briefly, lineage containing +CD3 + /CD19 + /NK1.1 + /Ly6G + cells were removed, and cells were gated using the strategy described in Fig.1f . DC2 were further separated +as EYFP + and EYFP − cells. Shown are cells +before (upper panels) and after sort (bottom panels). b. MA plots of bulk-RNAseq data comparing tDC vs DC2 and tDC vs pDC. +Genes with 2-fold Log 2 change are shown in red (up) and blue +(down) (see also Supplementary Table S4 ). c. MA plot comparing tDC vs all other DC (pDC, DC2 and DC1). Genes +with 2-fold Log 2 change are shown in red (up) and blue (down) +(see also Supplementary +Table S1 ). d. scRNAseq of splenic DC subsets. Splenic DCs were sorted as shown +in Fig.1c and sequenced using +droplet-based genomics. After filtering, 2,110 cells were analyzed. UMAP of +clusters detected using Seurat’s pipeline (right). Heatmap of top DEG +between clusters (left). e. DC signature scores generated using CIBERSORTx in the bulk-RNAseq +data from (a) was overlayed on UMAP from (d). f. As in (e), but DC signature scores were overlayed on the KNetL +Plot from Fig.1d . Extended Data Fig. 2. tDC originate from BM progenitors. Open in a new tab a. Gating strategy used for the analysis of skin-draining lymph node +(LN) and lung DC subsets excluded. Lineage contains +CD3 + /CD19 + /NK1.1 + /Ly6G + cells. b. Bar graphs (mean + SD) showing the contribution of donor cells to +LN and lung DC populations (gated as in (a)) in mixed BMC generated by +transplanting 50% CD45.1 WT and 50% CD45.2 TCF4 cKO BM, normalized +to NK cells (n=6 mice in 2 experiments). Statistics determined by two-way +ANOVA with Dunnett’s multiple comparison test. c. Bar graph (mean + SD) showing the percentage of splenic DC (gated +as in Fig.1f ) labeled with the lineage +tracing CD300c TdT (n=4 mice in 3 experiments). d. Adoptive cell transfer of 30,000 BM (left) or splenic (right) +CX3CR1 EGFP CD45.1 pDC into CD45.2 WT non-irradiated congenic +mice. Recipient mice were euthanized at different time points (2-8-days) and +the number of recovered cells (gated on CD45.1 + and +CX3CR1 + ) calculated per 1000 cells transferred (mean + SD). +N=3/time point except n=2 for splenic pDC at 8-days. N represents number of +mice and experiments. e. CyTOF analysis of blood and spleen DC, analyzed by UMAP. Cells +were gated as +CD3 − CD19 − NK1.1 − Ly6G − . +Populations were delineated manually (top) and colored by marker expression +(bottom)(n=2 mice in 2 experiments). f. Spleen, blood and BM of hCD2 EYFP mice were analyzed +for the presence of EYFP + cells, that were further separated in +Ly6D + pDC and CX3CR1 + tDC. Lineage includes +CD3 + /CD19 + /NK1.1 + /Ly6G + cells. One representative of 3 experiments. Extended Data Fig. 3. tDC originate from pro-pDC. Open in a new tab a. CD135 + BM cells were enriched, sorted as +CD45 + /CD3 − /CD19 − /Ly6G − , +and prepared for scRNA-seq. Cells with a pDC-specific gene enrichment score +of >0.15 were selected and re-clustered using Seurat as shown in Fig.3d . Violin plots show the +expression of the indicated genes in the clusters defined in Fig.3d . b. As in (a) but GSEA of selected pathways from clusters defined in Fig.3d . Bubble size indicates the +normalized enriched score (NES), and color scale depicts False Discovery +Rate (FDR). c. TdTomato expression in bone marrow progenitor cells from +CD300c TdT mice, gated as in Fig.3j . One representative experiment. d. Imm pDC, pro-pDC and pro-cDC from the BM of CX3CR1 EGFP or hCD2 EYFP CD45.1 mice were purified as described in Fig.3j and transferred into CD45.2 WT +mice. 2- and 4-days post-transfer, recipient mice were analyzed for +transferred cells in the spleen. Shown is the number of cells recovered in +the spleen of recipient mice (mean + SD). Imm pDC: n=3 at 2- and 4-days. +Pro-pDC: n=3 at 2-days, and n=5 at 4-days. Pro-cDC: n=3 at 2-days, and n=5 +at 4-days. N represents number of mice and independent experiments. e. BM cells from CX3CR1 EGFP or hCD2 EYFP CD45.1 +mice were CD135-enriched and purified by cell sorting using the gating +strategy shown in Fig.3j . Purified +progenitors were adoptively transferred into congenic non-irradiated CD45.2 +WT mice and analyzed 4-days later in the spleen of recipient mice. Left +panels show post-sort purity of progenitors. Right panels show transferred +cells recovered in the spleen of recipient mice, analyzed using the gating +strategy described in Fig.1f . In both +cases, lineage includes +CD3 + /CD19 + /CD335 + /Ly6G + cells. One representative of ≥ 3 experiments. Extended Data Fig. 4. tDC originate from DN progenitors. Open in a new tab a. Gating strategy of CD135-enriched BM progenitors from +hCD2 EYFP mice. Cells were stained for flow cytometry. Lineage +contain CD3 + /CD19 + /NK1.1 + /Ly6G + cells. EYFP labeling is shown in the lower panels. One representative of 3 +experiments. b. As in (a), but CD115 progenitors were further gated based on the +expression Ly6C, whereas CD127 and DN progenitors were gated based on the +expression of Ly6D and SiglecH (top). Bottom histograms show EYFP expression +in each population. One representative of 3 experiments. c. The schematic shows adoptive transfer of 15,000-30,000 from +CX3CR1 EGFP CD45.1 BM progenitors into WT CD45.2 +non-irradiated congenic mice. Transferred cells were identified in the +spleen of recipient mice as CD45.1 + and CX3CR1 + cells. +Bar graphs (mean + SD) show the percentage of each population recovered in +the spleen (gated as shown in Fig.1f ). +N ≥ 2/mice and experiments. d. As in (c), but bar graphs (mean + SD) number of cells recovered +in the spleen of recipient mice. N represents number of mice and independent +experiments. Extended Data Fig.5. tDC convert into DC2. Open in a new tab a. tDC were purified using the gating strategy described in Fig.1f . Top graph shows cell purity after +sort. Bottom graphs show the outcome of transferred cells in the spleen of +recipient mice analyzed at 4-days. One representative of 6 experiments. b. Bar graphs (mean + SD) of the total number of splenic DC in +h CD2-i Cre +/− Cx3cr1 DTR+/− mice inoculated with DT and +analyzed 1 day after (n=5 mice in 4 experiments), or inoculated with DT +every second day and analyzed 7 days later (n=5 mice in 4 experiments). +“C” represents control mice (n=8 mice in 4 experiments), which +are a combination of h CD2-i Cre −/− Cx3cr1 DTR+/− mice inoculated with DT or +h CD2-i Cre +/− Cx3cr1 DTR+/− mice inoculated with PBS (no +differences were observed between these control mice). Statistics determined +by one-way ANOVA with Tukey’s multiple comparison test. c. As in (b), but BM progenitors from hCD2 EYFP CX3CR1 DTR mice were analyzed after 7 days of DT inoculation +(n=4 mice). Control mice are hCD2 EYFP CX3CR1 DTR mice +inoculated with PBS (n= 3 mice). Bar graphs (mean + SD) of the frequency of +total progenitor populations from Fig.3j . Data pooled from 2 experiments. Statistical differences +were determined by unpaired two-tailed t-test. d. Mouse splenic DC subsets were sorted using the gating strategy +show in Fig.1f and Fig.4g , and analyzed by PCR assay for IgH D-J +rearrangements. Actin and IgH germline (GL) are also shown. One +representative of 3 experiments. e. DC2 from CD300c TdT mice were gated as indicated in Fig.4f , and further separated in +TdTomato + and TdTomato − . Heatmap indicating +the relative expression (Z-score of gMFI) of surface markers. Z-score was +calculated base of n=2 mice in 2 experiments. Extended Data Fig. 6. tDC have lower turnover rate than pre-DC2 and required IRF4. Open in a new tab a. Mice were inoculated i.p. with 1 mg of BrdU on day 0 and then fed +continuously for 14 days with 0.8 mg/mL of BrdU in drinking water. After 14 +days, BrDU was removed. Mice were euthanized at different time points +post-BrdU removal, spleen cell suspension prepared and stained for BrdU and +the identification of DC subsets as described in Fig.1f and Fig.5e . N ≥ 2/mice per time point in 2 independent +experiments. b. Expression of Ki-67 in each splenic DC population gated as +described in Fig.1f and Fig.5e , analyzed by flow cytometry. One +representative of 3 experiments. c. BM cells from IRF4 cKO or IRF4 control mice +were cultured with FLT3L as described in Fig.2c . At day 6, tDC were sorted and re-cultured in complete +media and 1% FLT3L for 1 and 2 days. Bar graphs (mean + SD) show the +percentage of each DC recovered. N=3 biologically independent samples in 3 +experiment. d. Bar graphs (mean + SD) of the total number of splenic DC (gated a Fig.1f and Fig.4f ) in hCD2 EYFP CX3CR1 DTR mice inoculated with DT every second day (n=3 mice) +or left untreated (n=3 mice), and analyzed at day 10. Statistics determined +by unpaired two-tailed t-test. e. As in (d), but shown is the number of other immune cells. Extended Data Fig. 7. tDC respond to microbial stimulation and uptake antigen in +vivo . Open in a new tab a. Splenic DC subsets purified as described in Fig.1f and Fig.4f were analyzed by Nanostring. Heatmap shows the expression +of TLRs by each DC subset. N=2 mice in 2 experiments. b. Whole spleen cell suspensions were activated with LPS, MPLA, +Resiquimod or PolyIC for 6 hrs. Heatmap showing the upregulation of MHCII +and CD86 in pDC, tDC, ESAM + EYFP + and +EYFP − DC2, and DC1. Min and max correspond to the +lowest and highest gMFI per row, respectively. N=6 mice per group. Data +pooled from 4 experiments. c. As in (b), but bar graphs (mean + SD) of cytokine production. +Whole spleen cell suspensions were activated with LPS (n=6), MPLA (n=4), +Resiquimod (n=6) or PolyIC (n=6) for 6 hrs. TNF and IL-12p40 were detected +by intracellular cytokine staining. N represents mice and data was pooled +from 4 experiments. Statistical differences were determined by One-way ANOVA +with Tukey’s multiple comparisons test. d. Mice were inoculated with yellow-green polystyrene (YG-PS) beads +i.v. Three hrs later, spleens were harvested and the phagocytosis of the +particle was assessed by flow cytometry in each DC population, gated as in Fig.1f (n=3 mice in 3 experiments). +Bars represent mean + SD. Statistical differences were determined by One-way +ANOVA with Tukey’s multiple comparisons test. e. As in (d), but mice were inoculated with PKH26-labeled SRBC (n=6 +mice in 4 experiments). Extended Data Fig. 8. Number of immune cells, viral titer and ALT in pDC- and pDC/tDC- depleted +animals infected with M-CoV. Open in a new tab a. Liver cell suspensions were enriched in immune cells using a +Percoll gradient, and stained with a cocktail of Ab for the analysis of +neutrophils and lymphocytes. One representative of 3 experiments. b. As in (b), but cell suspensions were stained for the analysis of +DC and other myeloid cells. Lineage contains +CD3 + /CD19 + /NK1.1 + /Ly6G + cells. One representative of 3 experiments. c. Liver of WT mice were analyzed for the number of DC subsets by +flow cytometry 2- and 5-days post-M-CoV infection. Fold change of the number +of each subset to day 0 is shown. N=3 at 0 days, n=14 at 2-days, and n=11 at +5-days. Data pooled from ≥ 4 experiments. p-values represent +statistical differences between tDC and DC2 vs DC1. d. Liver immune cell numbers 2-days post-M-CoV infection of +pDC Δ (n=3); +pDC Δ tDC Δ (n=6) and control (n=5) +mice. pDC Δ mice are BDCA2 -DTR +/− mice inoculated with DT +one day before M-CoV infection. pDC Δ tDC Δ are hCD2 EYFP CX3CR1 DTR mice inoculated with DT every +other day for 5-days before M-CoV infection. Control mice are a combination +of BDCA2 -DTR +/− or hCD2 EYFP CX3CR1 DTR mice inoculated with PBS, and +DTR −/− mice inoculated with DT (no difference +in control mice was observed). Shown is mean + SD. N represents independent +mice in 2 experiments. e. As in (d), but serum ALT values (mean + SD) were determined 2-, +5- and 7-days post-M-CoV infection. N ≥ 4 mice/group/time point in 4 +experiments. f. As in (e), but viral titers (log 10 pfu/gr. Tissue) in +liver (top) and spleen (bottom) were determined 2-, 5- and 7-days post-M-CoV +infection. N ≥ 4 mice/group/time point. Violin plots show +distribution of data pooled from 4 exp. Statistical differences determined by Two-way ANOVA with +Tukey’s multiple comparisons test (c,e,f), or One-way ANOVA with +Tukey’s multiple comparisons test per subset (d). Extended Data Fig. 9. tDC promote immune pathology following M-CoV infection. Open in a new tab a. TCF4 cKO vs TCF4 control mice were generated +by transplanting Itgax -Cre +/− Tcf4 fl/fl or Itgax -Cre −/− Tcf4 fl/fl BM into lethally irradiated CD45.1 WT mice, +respectively. 2 months post-reconstitution, mice were infected with M-CoV, +and the frequency of liver DC (mean + SD) analyzed 2-days later (n=6 +mice/group in 2 experiments). b. Percentage weight loss (left, mean + SD) and survival (right) of +TCF4 cKO (n=7) vs TCF4 control (n=10) mice in 3 +experiments. c. As in (b), but viral titers (log 10 pfu/gr. tissue) +were determined 5-days post-M-CoV infection. N=7 mice for +TCF4 control and n=6 mice for TCF4 cKO . Violin plots +show distribution from 3 experiments. d. As in (b), but shown is serum ALT (mean + SD; n=6 mice/group in +3 experiments). e. Serum cytokines were determined by Luminex in control (n=7 +mice), pDC Δ (n=8) and +pDC Δ tDC Δ (n=8) 2-days p.i. in 4 +experiments. Shown are cytokines significantly different between +pDC Δ vs pDC Δ tDC Δ mice. f. Percentage weight loss (left, mean + SD) and survival (right) of +pDC Δ mice inoculated with anti-NK1.1 Ab or isotype +control on day -1, 0 and 2 post-infection with M-CoV. N=3 mice/group except +n=5 mice for pDC Δ + isotype, pooled from 2 +experiments. g. As in (f), but viral titers were evaluated at 5-days p.i. (n=3 +mice/group). Violin plots show distribution from 2 experiments. h. As in Fig.8j , but splenic +viral titers (log 10 pfu/gr. tissue) were determined. N=5 +mice/group except n=8 for pDC + control Ab. Violin plots show distribution +from 2 experiments. i. As in Fig.8k but heatmaps +show secretion of TNF, IL-6 and IL-12p70 by DC subsets (N=4 mice/subset in 4 +experiments). Statistical differences were determined by unpaired two-tailed +t-test (a,c-d), One-way ANOVA (e,h) or Two-way ANOVA (b,f) with +Tukey’s multiple comparisons test, and Mantel-Cox test for survival +(b,f). Extended Data Fig. 10. Summary of DC development at steady state. Open in a new tab Supplementary Material Supplementary Tables Supplementary Table 1. Differentially expressed genes +between tDC and all other DC subsets. Significance threshold set to +padj<0.05. Supplementary Table 2. Differentially expressed genes +between clusters of KNetL graph. Calculated using findMarkers function +(padjval<0.05 and fold.change>2). Supplementary Table 3. List of genes shown in Figure 1e were grouped by KNetL clusters +and annotated if significant in pairwise comparisons of tDC vs pDC and tDC +vs DC2 of bulk-RNAseq data (threshold set to padj < 0.05). Supplementary Table 4. Differentially expressed genes +between tDC vs pDC, and tDC vs DC2. Significance threshold set to padj +< 0.05. Supplementary Table 5. Differentially expressed genes +between EYFP + DC2 and EYFP − DC2. Significance +threshold set to padj < 0.05. NIHMS1924443-supplement-Supplementary_Tables.xlsx (852.1KB, xlsx) ACKNOWLEDGMENTS This work was supported by NIH grants to J.I. (AI158808 and AI163775), B.R. +(AI072571, AI147501 and AI128949), and O.A.P. (CA232666). F.B.S. and R.A.H are +recipient of the Dean’s fellowship (Stanford), R.M-A. is supported by a +fellowship from SECTEI (CDMX, Mexico), H.M.R-M. by NSF GRFP fellowship +(#2019276237), N.M.A. by the Damon Runyon postdoctoral fellowship (DRG 2408-20), and +A.G-B. by a KL2 Mentored Career Development Award (KL2TR003143). CyTOF was performed +on the Stanford FACS Facility instrument funded by S10OD016318-01. We thank the +Idoyaga and Reizis Lab members for technical support and discussions. Footnotes COMPETING INTERESTS J.I. serves on the scientific advisory board of Immunitas Therapeutics. +All the other authors declare no competing interests. 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[ DOI ] [ PubMed ] [ Google Scholar ] Associated Data This section collects any data citations, data availability statements, or supplementary materials included in this article. Supplementary Materials Supplementary Tables Supplementary Table 1. Differentially expressed genes +between tDC and all other DC subsets. Significance threshold set to +padj<0.05. Supplementary Table 2. Differentially expressed genes +between clusters of KNetL graph. Calculated using findMarkers function +(padjval<0.05 and fold.change>2). Supplementary Table 3. List of genes shown in Figure 1e were grouped by KNetL clusters +and annotated if significant in pairwise comparisons of tDC vs pDC and tDC +vs DC2 of bulk-RNAseq data (threshold set to padj < 0.05). Supplementary Table 4. Differentially expressed genes +between tDC vs pDC, and tDC vs DC2. Significance threshold set to padj +< 0.05. Supplementary Table 5. Differentially expressed genes +between EYFP + DC2 and EYFP − DC2. Significance +threshold set to padj < 0.05. NIHMS1924443-supplement-Supplementary_Tables.xlsx (852.1KB, xlsx) Data Availability Statement Mass cytometry data generated in this study are deposited in FlowRepository +(FR-FCM-Z6CW, FR-FCM-Z6CN and FR-FCM-Z6CK). RNAseq data generated in this study are +deposited in NCBI GEO ( GSE198553 and GSE198720 ). NanoString data is deposited in +NCBI GEO ( GSE233143 ). All other data generated in this study are included in the +source data files. This study did not generate unique codes. 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+Published in final edited form as: Science. 2017 Apr 21;356(6335):eaah4573. doi: 10.1126/science.aah4573 +
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Single-cell RNA-seq reveals new types of human blood dendritic cells, monocytes and progenitors

+Alexandra-Chloé Villani +1,2,*,‡, Rahul Satija +1,3,4,*, Gary Reynolds +5, Siranush Sarkizova +1, Karthik Shekhar +1, James Fletcher +5, Morgane Griesbeck +6, Andrew Butler +3,4, Shiwei Zheng +3,4, Suzan Lazo +7, Laura Jardine +5, David Dixon +5, Emily Stephenson +5, Emil Nilsson +8, Ida Grundberg +8, David McDonald +5, Andrew Filby +5, Weibo Li +1,2, Philip L De Jager +1,9, Orit Rozenblatt-Rosen +1, Andrew A Lane +1,7, Muzlifah Haniffa +5,10,‡, Aviv Regev +1,11,12,‡, Nir Hacohen +1,2,‡ +
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PMCID: PMC5775029  NIHMSID: NIHMS910854  PMID: 28428369 +
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Abstract

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Dendritic cells (DCs) and monocytes play a central role in pathogen sensing, phagocytosis and antigen presentation and consist of multiple specialized subtypes. However, their identities and interrelationships are not fully understood. Using unbiased single-cell RNA sequencing (RNA-seq) of ~2400 cells, we identified six human DCs and four monocyte subtypes in human blood. Our study reveals: a new DC subset that shares properties with plasmacytoid DCs (pDCs) but potently activates T cells, thus redefining pDCs; a new subdivision within the CD1C+ subset of DCs; the relationship between blastic plasmacytoid DC neoplasia cells and healthy DCs; and circulating progenitor of conventional DCs (cDCs). Our revised taxonomy will enable more accurate functional and developmental analyses as well as immune monitoring in health and disease.


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Dendritic cells (DCs) are mononuclear phagocytes found in blood, lymphoid organs, and all tissues. One of their central functions is to ingest materials such as pathogens, present processed epitopes to T cells, and regulate innate and adaptive immune responses (1–3). DCs are heterogeneous and consist of multiple subtypes with unique functions that have been defined over the past decade in mice and humans. However, it is unclear how many DC subtypes exist, how they are related to each other, and how they differ from other mononuclear phagocytes.

+

Numerous studies have shown that human dendritic cells express high levels of major histocompatibility complex (MHC) class II (e.g., HLA-DR), a molecule essential for antigen presentation, and lack key markers of T cells, B cells, natural killer (NK) cells, granulocyte and monocytes. In the blood, DC subtypes include CD11C+ conventional DCs (cDCs), consisting of either CD141+ or CD1C+ cells, and plasmacytoid DCs (pDCs), consisting of CD123+ cells. cDCs are effective at antigen-specific stimulation of CD4+ and CD8+ T cells, whereas pDCs specialize in producing type I interferons in response to viruses. pDCs and cDC subtypes differ in their expression of numerous sensors, pathways and effectors, and play distinct roles in the immune response (1–3).

+

The different DC subtypes have historically been defined by a combination of morphology, physical properties, localization, molecular markers, functions and developmental origins, converging to the current model described above (1–3). However, the definition of DCs is still likely to be biased by the limited markers available to identify, isolate and manipulate the cells. Such biases, in turn, would alter the assignment of function and ontogeny to each DC subtype.

+

To overcome some of these limitations, we used single-cell RNA sequencing (scRNA-seq) (4,5) to better assess the diversity of blood DCs and monocytes, leading us to identify new subtypes of DCs and monocytes, refine their existing classification, and pinpoint a precursor of cDCs in the blood. Using discriminative markers associated with the newly defined DC subtypes, we also assessed the functions of some of the DC subtypes. Overall, our analysis provides a relatively unbiased and comprehensive map of human blood DCs and monocytes.

+

Strategy for discovery and validation of DC and monocyte subtypes

+

To determine the subtypes of DCs and monocytes in human blood, we developed an experimental and computational strategy to (i) perform single-cell RNA-sequencing on DCs and monocytes derived from a single healthy individual; (ii) identify clusters of cells that are similar to each other; (iii) find discriminative markers per cluster; (iv) prospectively isolate cells corresponding to key clusters using newly identified surface markers; (v) validate the identity of the sorted cells using scRNA-seq; (vi) confirm the existence of these cell types in up to 10 independent healthy individuals; and (vii) perform functional analyses for selected cell types.

Single-cell profiling of blood DCs and monocytes

+

We analyzed blood DC and monocyte populations from Ficoll-enriched cells that were isolated by fluorescence-activated cell sorting (FACS) (Fig. 1A) excluding cells expressing markers of B, T and NK cells (6). For DCs, we sampled LIN−HLA-DR+CD14− cells across the CD11C+ fraction (to enrich for CD141+ and CD1C+ cDCs) and the CD11C− fraction (to enrich for CD123+ pDCs) (Fig. 1B). For monocytes, we sampled LIN−CD14lo/++ cells (including classical CD14++CD16−, intermediate CD14++CD16+, and non-classical CD14+CD16++). We used additional markers (DCs: CD123, CD141, CD1C; monocytes: CD14, CD16) to create overlapping gates that comprehensively and evenly sample DCs and monocytes (6).

+

Figure 1. Human blood DC heterogeneity delineated by single-cell RNA-sequencing.

+

Figure 1

+ +

(A) Workflow of experimental strategy: (i) isolation of human PBMC from blood; (ii) sorting single DC (8×96-well plates) and monocytes (4×96-well plates) into single wells using an antibody cocktail to enrich for cell fractions; (iii) single cell transcriptome profiling. (B) Gating strategy for single-cell sorting: DCs were defined as live, LIN(CD3, CD19, CD56)−CD14−HLA-DR+ cells. Three loose overlapping gates were drawn as an enrichment strategy to ensure a comprehensive and even sampling of all populations: CD11C+CD141+ (CD141; turquoise), CD11C+CD1C+ (CD1C; orange), CD11C+CD141−CD1C− (“double negative”; blue), and CD11C−CD123+ plasmacytoid DCs (pDCs; purple). 24 single cells from these four gates were sorted per 96-well plate. A fifth gate (CD11C−CD123−; red dashed) was subsequently investigated (see Fig. 6). (C) t-SNE analysis of DCs (n = 742). Numbers of successfully profiled single cells per cluster: DC1 (n =166); DC2 (n=105); DC3 (n=95); DC4 (n =175); DC5 (n=30); DC6 (n =171). The number of discriminative genes with AUC cutoff ≥ 0.85 is reported in bracket next to each cluster ID. Up to five top discriminators are listed next to each cluster; number in bracket refers to AUC value. Colors indicate unbiased DC classification via graph-based clustering. Each dot represents an individual cell. (D) Heatmap reports scaled expression [log TPM (transcripts per million) values] of discriminative gene sets for each cluster defined in Fig. 1C with AUC cutoff ≥0.85. Color scheme is based on z-score distribution from −2.5 (purple) to 2.5 (yellow). Right margin color bars highlight gene sets specific to the respective DC subset.

To define subpopulations and identify useful markers for further isolation, we performed deep scRNA-seq using a modified version of Smart-Seq2 protocol (6), followed by sequencing of ~1–2 million paired-end reads per cell (7,8). Of 768 DCs and 372 monocytes initially profiled in the selected individual for discovering subsets, we focused on 742 DCs and 339 monocytes that passed quality control (QC) filters (6) with an average of 5326 unique genes detected per cell. In subsequent validation and characterization phases, we additionally profiled ~1200 cells.

Unbiased classification of LIN−HLA-DR+CD14− subsets

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We defined six cell clusters within the LIN−HLA-DR+CD14− population using unsupervised analysis that did not rely on known markers of DCs. Briefly, we identified 595 genes exhibiting high variability across single cells, reduced the dimensionality of these data with principal components analysis (PCA), and identified five significant PCs using a previously described permutation test (6, 9). We used these PC loadings as input to t-distributed stochastic neighbor embedding (t-SNE) (10) for visualization, and clustered cells using a graph-based approach similar to one recently developed for mass cytometry data (6, 11). We observed six clusters numbered DC1 to DC6 as follows: two clusters mapping closely to the well-established DC subsets, with cluster DC1 mapping to CD141+ DCs and cluster DC6 to pDCs (based on the post hoc overlap of transcript and surface marker expression); two clusters containing the CD1C+ cDCs, cluster DC2 (CD1C_A) and cluster DC3 (CD1C_B); a cluster corresponding to the poorly characterized CD141−CD1C− population, cluster DC4; and one cluster that does not correspond to any of the known blood DC subtypes, cluster DC5 (Fig. 1C; fig. S1).

+

We identified 242 genes [area under curve (AUC) ≥ 0.85] that best classified cells into these six putative cell populations (Fig. 1D and fig. S2A; see tables S1 and S2 for a list of markers, including surface markers). Although cluster DC1 mapped most closely to CD141+ DCs, this commonly used CD141 (THBD/BDCA-3+) marker was a poor discriminator for this cluster, being also expressed by cells captured in clusters DC5 and DC6 (pDCs) (fig. S2B). Because CLEC9A appeared to be a perfect discriminative surface marker for the DC1 cluster, we refer to this subset henceforth as CLEC9A+ DCs. Clusters DC2 and DC3 mapped to CD1C+ DCs. CD1C was the best and sole marker uniquely shared by both clusters. The DC4 cluster mapped to the CD141−CD1C− population and was accurately delineated by FCGR3A/CD16. The DC5 cluster was best defined by the surface markers AXL and SIGLEC6. Finally, the DC6 cluster mapped to pDCs. However, several markers commonly used to identify pDCs (e.g. IL3RA/CD123, CLEC4C/CD303) were also expressed in the population defined by the DC5 cluster, leading us to define a new combination of markers that distinguish pDCs from the DC5 population. Altogether, we identified sets of discriminative markers that can be used in combination to isolate cell populations corresponding to known DC subsets (but with higher purity) as well as to previously uncharacterized subsets.

Two subpopulations within CD1C+ DCs

+

The CD1C+ DCs were distributed across two clusters with similar numbers of cells, which we termed CD1C_A (cluster DC2) and CD1C_B (cluster DC3). Comparing the two clusters, the CD1C_B cells were distinguished by their expression of a strong unique signature that includes acute and chronic inflammatory genes (12–14) such as CD14, S100A9 and S100A8, whereas CD1C_A cells were marked only by slightly higher levels of MHC class II genes (Fig. 2A and table S3).

+

Figure 2. Definition and validation of CD1C+ DC subsets.

+

Figure 2

+ +

(A) Heatmap showing scaled expression (log TPM values) of discriminative gene sets defining each CD1C+ DC subset with AUC cutoff ≥ 0.75. Color scheme is based on z-score distribution, from −2.5 (purple) to 2.5 (yellow). Violin plots illustrate expression distribution of candidate genes across subsets on the x-axis (orange for CD1C_A/DC2; green for CD1C_B/DC3). In red are three markers used for subsequent enrichment strategy: CD163, CD36 and FCGR2B/CD32B (AUC =0.63). (B) Enrichment gating strategy of CD1C+ DC subsets [LIN(CD3, CD19, CD56)−HLA-DR+CD14−CD1C+CD11C+]. The CD1C_A/DC2 subset was further enriched by sorting on the 10% brightest CD32B+ cells (orange gate); the CD1C_B/DC3 subset was enriched by sorting on CD32B−CD163+CD36+ cells (green gate) or on CD32B−CD163+. Right: Overlay of the two sorted CD1C+ DC populations; 47 single cells were sorted from the green and orange gates in a 96-well plate for profiling. (C) Heatmap reporting scaled expression (log TPM values) of scRNAseq data from three cell subsets defined by CD1C+CD32B+, CD1C+CD36+CD163+, and CD1C+CD163+. Either CD1C+CD36+CD163+ or CD1C+CD163+ population recapitulated the CD1C_B/DC3 signature. (D) Proliferation of allogeneic CD4+ and CD8+ T cells 5 days after co-culture with CD14+ monocytes, pDCs, CD1C_A/DC2 DCs (CD1C+CD32B+), and CD1C_B DC3 (CD1C+CD163+). Left: Representative pseudocolor dot plot. Right: Bar graphs of composite data (n=3, mean ± SEM, *P<0.05, paired t-test).

We validated the presence of the two populations by prospective isolation based on newly identified markers, followed by scRNA-seq. To isolate these cells by flow sorting, we developed a panel incorporating surface markers derived from the set of uniquely expressed genes: FCGR2B/CD32B for CD1C_A, and CD163 and CD36 for CD1C_B subsets (Fig. 2B). scRNA-seq of prospectively isolated cells from each subset recapitulated the original split observed in CD1C+ DCs (Fig. 2C). Unlike monocytes and pDCs, both CD1C_A and CD1C_B subsets (isolated with the newly identified markers) were potent stimulators of naïve T cell proliferation (P < 0.05, paired t test), consistent with the known functional characteristics of cDCs (Fig. 2D). Activation of both CD1C subsets with lipopolysaccharide (LPS), R848 (a TLR7/TLR8 agonist), and polyinosine-polycytidine [poly(I:C)] highlighted functional differences between these subsets (fig. S3 and table S4), with CD1C_A secreting higher levels of the immune mediators CCL19, interleukin-10 (IL-10), IL-12B, and IL-18. Thus, scRNA-seq revealed unappreciated heterogeneity in this particular subset, leading to new hypotheses about the functions of CD1C+ DCs.

Discovering monocyte subsets and their relationships to DC subsets

+

Some key genes known to be associated with monocytes were also expressed by CD1C_B (cluster DC3) and CD141−CD1C− (cluster DC4) cells (e.g., CD14 and FCGR3A/CD16, respectively). To analyze the relationships between monocytes and DCs cells, we profiled 372 single blood monocytes (Fig. 1A and Fig. 3A). On the basis of 339 monocytes that passed QC, we identified four clusters (Fig. 3B and fig. S4A) distinguished by 102 classifier genes (AUC ≥0.85; Fig. 3C, fig. S4B, and table S5) upon analyzing them with the DC single cell data. The two largest clusters, Mono1 and Mono2, contained the CD14++CD16− (“classical”) and CD14+CD16++ (“non-classical”) monocytes, respectively. However, Mono1 and Mono2 also included 88 of the 124 cells derived from the “intermediate” monocyte gate (CD14++CD16+) (fig. S4A), demonstrating that the intermediate monocytes do not form a homogeneous population. The two smaller clusters, Mono3 and Mono4, contained 40 of the 124 intermediate cells and expressed many of the Mono1 (classical monocyte) signature genes. Mono3 expresses a unique combination of genes that have the potential to affect cell cycle, differentiation, and trafficking (e.g. MXD1, CXCR1, CXCR2, VNN2), whereas Mono4 distinctively expressed a cytotoxic gene signature (e.g. PRF1, GNLY, CTSW) resembling previously reported “natural killer dendritic cells,” in addition to co-expressing Mono1 gene set (15–17) (Fig. 3C and fig. S4B). We conclude that the previously defined classical and non-classical subtypes are contained in two distinct clusters (Mono1 and Mono2, respectively), but that the intermediate monocytes are far more heterogeneous than previously appreciated, being distributed across two known and two new clusters (fig. S4A).

+

Figure 3. Human blood monocyte heterogeneity.

+

Figure 3

+ +

(A) Gating strategy for monocyte single cell sorting. Monocytes were enriched by first gating on LIN(CD3, CD19, CD56)−CD14+/lo, followed by three loose overlapping gates defined by relative expression of CD14 and CD16 for comprehensive sampling of CD14++CD16− (yellow), CD14++CD16+ (purple), and CD14+CD16++ (blue); 32 cells from each gate were sorted per 96-well plate profiled. Bottom right: Dot plot shows overlay of the sorted populations. (B) t-SNE analysis incorporating monocytes (n=337 successfully profiled) and DCs (n=742). Number of successfully profiled single monocytes per transcriptionally defined clusters includes Mono1 (n=148), Mono2 (n=137), Mono3 (n=31), and Mono4 (n=21). The number of discriminative genes with AUC cutoff ≥ 0.85 (combined analysis of DC and monocyte datasets) is reported in bracket next to cluster ID. Up to 5 top discriminators are listed next to each cluster; the number in bracket next to each gene refers to AUC value. Colors indicate unbiased DC and monocyte clustering from graph-based clustering. Each dot represents an individual cell. (C) Heatmap reporting scaled expression (log TPM values) of discriminative gene sets for each monocyte subsets with AUC cutoff ≥ 0.85 (see fig. S4B for detailed heatmap). Color scheme is based on z-score distribution, from −2.5 (purple) to 2.5 (yellow). Color bars in right margin highlight gene sets of interest.

All monocyte subtypes shared a signature that distinguishes them collectively from CD1C+ DC (cluster DC2 and DC3), CLEC9A+ DC (cluster DC1), and pDC (cluster DC6) populations (e.g., ITGAM/CD11B, ITGB2/CD18, TLR2, and CLEC7A) (Fig. 3, B and C, and fig. S4B). Thus, despite co-expressing genes such as CD14 and S100A8, Mono1 and CD1C_B/DC3 cells were part of distinct clusters (Fig. 3B and C). CD1C+ DCs (DC2 and DC3) expressed unique markers (e.g. CD1C, CLEC10A, FCER1A, FCGR2B, and CD1D) enriched for antigen processing (P < 2.66 × 10−10), MHC II (P < 1.79 × 10−8), and leukocyte activation (P < 1.14 × 10−6) gene ontology (GO) terms (Fig. 3C and table S6) (6). In contrast, Mono1 cells were enriched for defense response (P < 2.15 × 10−14), inflammatory response (P < 9.59 × 10−14), and chemotaxis (P < 6.77 × 10−10) genes.

+

Finally, we interrogated the relationship between CD16-expressing CD141−CD1C− cells (cluster DC4) and CD16+ monocytes (cluster Mono2). Although the two populations shared many genes (e.g., FCGR3A), they formed distinct clusters (Fig. 3B) defined by a unique discriminative gene set (Fig. 3C and tables S7 and S8). DC4 cells were enriched for type I interferon signaling pathway (P < 1.53 × 10−13) and response to virus (P < 4.77 × 10−9) GO terms, whereas Mono2 cells were enriched for immune system process (P < 1.09 × 10−14) and leukocyte migration (P < 3.57 × 10−8) GO terms. Although we conclude that monocytes and DCs are distinct from each other in the steady state, our data do not address potential interconversion between cell fates or distinct ontogeny.

AXL+SIGLEC6+ population and its relation to cDCs and pDCs

+

As described above, a population emerged from the unbiased cluster analysis (cluster DC5; Fig. 1), defined by co-expression of unique markers (e.g., AXL, SIGLEC1, SIGLEC6, and CD22/SIGLEC2) (Fig. 4A, fig. S5A and tables S1–S2). Flow cytometry analysis of peripheral blood mononuclear cells (PBMCs) from 10 independent donors confirmed the existence of AXL+SIGLEC6+ cells (“AS DCs”) within the original DC gate (Fig. 4B) at a frequency of 2 to 3%, consistent with what was originally observed in the initial scRNA-seq analysis (30 of 768 DCs; Fig. 1C). scRNA-seq profiling of prospectively sorted AS DCs (isolated with the gating strategy in Fig. 4B) showed that the newly sorted cells clustered together with the original cluster (Fig.4C and fig. S5B), validating our enrichment strategy.

+

Figure 4. Identification of AXL+SIGLEC6+ DCs (AS DCs).

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Figure 4

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(A) Violin plots showing expression distribution of surface markers AXL and SIGLEC6. Other populations are depicted on the x axis; each dot represents an individual cell. (B) Flow cytometry gating strategy to identify AXL+SIGLEC6+ cells within human blood LIN(CD3, CD19, CD20, CD161)− and HLA-DR+ mononuclear fraction. AXL+SIGLEC6+ cells were further distinguished by the relative expression of IL3RA/CD123 and ITGAX/CD11C [1 = CD123+CD11c−/lo (pink); 2 = CD123loCD11c+ (blue)]. Data shown are a representative analysis of 10 healthy individuals. (C) t-SNE analysis of all DCs (n=742), along with prospectively profiled AXL+SIGLEC6+ single cells (n=105), using gating strategy in (B) (sorted from purple gate). Newly isolated AS DCs overlap with the originally identified DC5 cluster (n=30), indicated by purple dashed circle. (D) Heatmap reporting scaled expression (log TPM values) of discriminative gene sets (AUC cutoff ≥ 0.75), highlighting the expression continuum of AS DCs. Top bar graph defines the AS DCs population purity score based on the top 10 most discriminative genes (i.e., AXL, PPP1R14A, SIGLEC6, CD22, DAB2, S100A10, FAM105A, MED12L, ALDH2, and LTK). (E) Heatmap reporting scaled expression (log TPM values) of prospectively enriched AS DCs populations (n=90) isolated by relative ITGAX/CD11C and IL3RA/CD123 expression levels [red in (D)]; 43 single AXL+SIGLEC6+CD11C− [pink gate in (B)] and 47 single AXL+SIGLEC6+CD11C+ [blue gate in (B)] were sequenced. The average expression values of the original CD1C+ (combined DC2 and DC3), CD141+/CLEC9A+ (DC1) and pDC (DC6) single cells were used as reference to highlight enrichment of cDC-like and pDC-like gene sets. Top bar graph represents AS DC purity score. (F) Frequency (% mean ±SEM) of AXL+SIGLEC6+CD123+CD11C−/lo [population 1 (pink): 0.1 ± 0.014] and AXL+SIGLEC6+CD123loCD11C+ [population 2 (blue): 0.04 ± 0.01] as a percentage of LIN(CD3, CD19, CD20, CD161)−HLA-DR+ PBMCs. Scatter plot includes data from nine healthy individuals. (G) +t-SNE analysis of flow cytometry data for LIN(CD3,CD19,CD20,CD161)−HLA-DR+CD14−CD16− PBMCs based on the protein expression levels of AXL, SIGLEC6, CD1C, CD11C, CD22, CD33, CD34, CD45RA, CD100, CD123, CD303 and HLA-DR (see Fig. 6 for CD100hiCD34int population). Overlay of populations defined by conventional flow cytometry gating on clusters derived by t-SNE analysis shown in the legend.

AS DCs exhibited a spectrum of states based on gene expression (Fig. 4D) defined by cells enriched for a pDC-like signature (e.g., IL3RA, IGJ, NRP1, MZB1) and cells enriched for a cDC-like signature (IFI30, ITGAX, LY86, GLIPR2, FGR, LYZ, ENTPD1). We validated this observation by flow cytometry, using the surface markers IL3RA/CD123 and ITGAX/CD11C that respectively correlated with pDC and cDC gene signatures (Fig. 4, B and D). We exploited the combinatorial expression of AXL, SIGLEC6, CD123 and CD11C (at both mRNA and protein levels) to prospectively isolate the ends of this spectrum representing two putative AS DC subtypes (see gating strategy in Fig. 4B), and further validated their identities by scRNA-seq (Fig. 4E and fig. S5, C to F). Across all 10 individuals tested, the two AS DC subpopulations represented a very small fraction of the Lin−HLA-DR+ populations (Fig. 4F). Notably, lower levels of AXL and SIGLEC6 protein were associated with increased HLA-DR, CD11C and CD1C, whereas higher levels of AXL and SIGLEC6 were associated with increased CD123, CD303, and CD141 and decreased HLA-DR (fig. S5, C to J). This latter relationship was also observed by t-SNE analysis of flow cytometry data, where a peninsula with graded expression of AS DCs was located at the base of the CD1C+ DC cluster and adjacent to the pDC cluster (Fig. 4G). Trajectory mapping of these cells across different levels of the surface markers CD123 and CD11C further indicated that AS DCs form a continuum from a pDC transcriptional state to a CD1C+ DC transcriptional state (fig. S5, C to F). Taken together, our data suggest that AXL+SIGLEC6+ DCs are related but not identical to cDCs or pDCs.

pDCs are phenotypically and functionally distinct from CD123+CD11C− AS DCs

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Because pDCs and AXL+SIGLEC6+CD123+CD11C−/lo DCs shared expression of many genes (Fig. 4, D and E, and fig. S6A), we assessed whether these cell types also shared functional properties. We found that the genes specifically expressed by pDCs, but not by AS DCs, were associated with the known biological properties of pDCs. This includes, for example, genes associated with pathogen sensing and induction of type I interferons (IRF7, TLR7, SLC15A4, and PACSIN1), secretion (e.g. DERL3, LAMP5, and SCAMP5), and the pDC master regulator transcription factor TCF4, along with its binding targets (e.g. SLA2, PTCRA, PTPRCAP) (Fig. 5A and fig. S6A) (18–19). In contrast, CD123+CD11C−/lo AS DCs expressed cDC markers, including CD2, CX3CR1, CD33/SIGLEC3, CD5, and SIGLEC1/CD169, both at protein and mRNA levels (Fig. 5A and fig. S6, A to C). pDCs were also morphologically distinct from AS DCs. Both AS DC subsets possessed the same cerebriform nucleus and cytoplasmic features of cDCs (Fig. 5B). We hypothesized that although CD123+CD11C−/lo AS DCs expressed pDC markers, including IL3RA/CD123 and CLEC4C/CD303 (fig. S5, G to J), they are functionally distinct from pDCs.

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Figure 5. Phenotypic and functional characterization of AS DCs and “pure” pDCs.

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Figure 5

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(A) Heatmap reporting scaled expression (log TPM values) of gene sets common between AS DCs (DC5) and cDCs (clusters DC1 to DC4), and genes uniquely expressed in pDCs (DC6). Gene sets were generated through K-means clustering using the doKmeans function in the Seurat package. (B) Morphology of pDCs, CD1C+ DCs, CLEC9A+ DCs, AXL+SIGLEC6+CD123+CD11C−/lo and AXL+SIGLEC6+CD123loCD11C+ by Giemsa-Wright stain. Scale bar, 10μm. (C) IFNα (left panel) and IL-12p70 (right panel) concentration in culture supernatant 24 hours after CpG and LPS stimulation (n=8) or after LPS, R848 and poly(I:C) stimulation (n=4) of CD14++CD16− monocytes, pDCs, CLEC9A+ DCs, CD1C+ DCs, AXL+SIGLEC6+CD123+CD11C−/lo (1, pink), AXL+SIGLEC6+CD123loCD11C+ (2, blue), and CD100hiCD34int cells (3, beige). Composite data from four to eight donors is shown (mean ±SEM; **P<0.01, *** P<0.001, Mann-Whitney U test). (D) Proliferation of allogeneic CD4+ and CD8+ T cells 5 days after co-culture with pDCs contaminated with AXL+SIGLEC6+ cells compared with pDCs devoid of AXL+SIGLEC6+cells, in the context of LPS or LPS+R848 stimulation. Top: Representative pseudocolor dot plot. Bottom: Bar graphs of composite data (n=4, mean ± SEM, *P<0.05, paired t-test). (E) Proliferation of allogeneic CD4+ and CD8+ T cells 5 days after co-culture with CD14++CD16− monocytes, pDCs, CLEC9A+ DCs, CD1C+ DCs, AXL+SIGLEC6+CD123+CD11C−/lo (1, pink), AXL+SIGLEC6+CD123loCD11C+ (2, blue) cells, and CD100hiCD34int (3, beige) cells. Top: Representative pseudocolor dot plot. Bottom: Bar graphs of composite data (n=7, mean ±SEM, **P<0.01, paired t-test). (F) Top: Immunohistochemical staining of human tonsil with AXL (brown), CD123 (purple) and CD3 (green). Brown arrows depict AXL+CD123+ cells adjacent to CD3+ T cells. Data shown are representative of four donors. Scale bar, 50μm. Middle: Frequency of AXL+SIGLEC6+CD123+ and CD123lo/− cells in human tonsil determined by flow cytometry analysis, as a percentage of CD45+LIN(CD3,CD19,CD20,CD56,CD161)−HLA-DR+ cells (mean ± SEM of three donors shown; AXL+SIGLEC6+CD123+, 0.7 ± 0.2%; AXL+SIGLEC6+CD123lo/−, 1.7 ± 0.2%). Bottom: Representative pseudocolor dot plot of AXL+SIGLEC6+CD123+ (pop. 1, pink) and AXL+SIGLEC6+CD123lo/− (pop. 2, blue) cells in human tonsil by flow cytometry analysis (n=3).

To compare the functional properties of “pure” pDCs to AS DCs and cDCs, we used the markers identified in our study to isolate pure pDCs by excluding AS DCs, CLEC9A+ DCs, CD1C+ DCs and monocytes by FACS. As expected, pure pDCs produced their hallmark cytokine, interferon-α (IFN-α), while AS DCs produced negligible amounts of IFN-α upon Toll-like receptor 9 (TLR9) stimulation (P < 0.001; Fig. 5C). In contrast, the CD123loCD11C+ AS DC subset secreted IL-12p70 at similar levels to other cDCs, while pure pDCs and CD123hiCD11C−/lo AS DCs did not produce IL-12p70 (P < 0.01; Fig. 5C). Other factors, such as IL-8, were produced at high levels by the CD123+CD11C−/lo AS DC subset but not by pDC (P < 0.001; fig. S6D). Finally, pure pDCs induced undetectable or low levels of T cell proliferation in response to LPS or LPS+R848 stimulation, respectively (P < 0.05; Fig. 5D). We conclude that “pure” IFN-α-producing pDCs (depleted of AS DCs) do not upregulate CD86 (fig. S6, C and E), are diminished in their ability to induce T cell proliferation, and that contamination of AS DCs within the traditionally defined pDC gate is likely responsible for T cell stimulation activities measured in prior reports (18–20).

AS DCs stimulate T cell proliferation and are present in tonsils

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Because AS DCs expressed the costimulatory CD86 and components of antigen presentation, we hypothesized that they could stimulate T cell proliferation (fig. S6, A, C, and E). Strikingly, both AS DC subtypes were potent stimulators of allogeneic CD4+ and CD8+ T cell proliferation, unlike pDCs (P < 0.01), and were marginally superior to CD1C+ and CLEC9A+ DCs (Fig. 5E).

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Similar to other DCs, AS DCs expressed CLA and CD62L but not CCR7 protein (fig. S6F), suggesting potential homing to peripheral tissue such as skin and lymph node from the circulation. Because CD123+ pDCs were observed in the T cell area of the human tonsil (21), we evaluated whether CD123+ AS DCs were also present by staining human tonsils with antibodies to CD123 and AXL. We found AS DCs adjacent to CD3+ T cells, admixed with CD123+AXL− pDCs (Fig. 5F). Flow cytometry confirmed this finding, showing that the CD123+CD11C−/lo AS DCs represented 0.7% and CD123−CD11C+ AS DCs represented 1.7% of the CD45+LIN−HLA-DR+ fraction (Fig. 5F). Thus, AS DCs are able to stimulate T cells and are present in the T cell zones of tonsils.

Identification of circulating CD100hiCD34int cDC progenitors

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Finally, we interrogated CD11C−CD123− cells within the HLA-DR+CD14− gate used for isolating DCs that were not considered in the initial analysis because they were not previously thought to include DCs (red dashed gate in Fig. 1B and updated gate in Fig. 6A used for these experiments). Analysis of CD11C−CD123− scRNA-seq data revealed six clusters in this gate (fig. S7, A and B). Cells in cluster 6 expressed genes associated with hematopoiesis, DC progenitors, and genes essential for DC development (e.g. SATB1, RUNX2, KIT, HLX, ID2) (22–25) and were marked by high expression of the cell surface protein SEMA4D (CD100). We therefore hypothesized that cluster 6 could represent a progenitor population.

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Figure 6. Identification and characterization of circulating CD100hiCD34int cDC progenitor.

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Figure 6

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(A) Flow cytometry gating strategy to isolate DC subsets: CLEC9A+ DCs (red), CD1C+ DCs (blue), pDCs (green), AXL+SIGLEC6+ cells (purple), and CD123−CD11C− cells (red) for differentiation assays. Data shown are a representative analysis of at least 10 healthy individuals. (B) Differentiation assay readout (flow cytometry for CLEC9A+ DCs, CD1C+ DCs and pDC; scRNA-seq profiling of CD45+ cells) after 7 days of co-culturing LIN(CD3,CD19,CD20,CD161)−HLA-DR+CD14−CD16−AXL−SIGLEC6−CD123−CD11C− cells on MS5 stromal cell line supplemented with GM-CSF, SCF and FLT3LG. Top: Representative overlay dot plots. Overlay of pDC (green) and output cells (gray) for CD123 and CD303 expression is shown at far right (in green). Population 3 (in beige) represents CD100hiCD34int at day 0. Top right: Composite bar graphs for CLEC9A+ and CD1C+ DCs differentiated from culture by flow cytometry analysis (n=4, mean ± SEM). Heatmap in bottom panel reports scaled expression (log TPM values) signature from culture output by scRNA-seq (n=132), confirming differentiated CLEC9A+ (red) and CD1C+ (blue) DC transcriptional identities. Original transcriptional signatures from DC1 (CD141+/CLEC9A+ DC), DC2 (CD1C_A subset), and DC3 (CD1C_B subset) clusters are used as reference set. (C) Top: Flow cytometry gating strategy used to identify the CD100hiCD34int subset. All cell fractions in dashed gate were tested for differentiation potential (see fig. S7, A to F). Bottom: Output from CD100hiCD34int fraction (population 3, beige gate). (D) Frequency of CD100hiCD34int subset as of LIN(CD3,CD19,CD20,CD161)−HLA-DR+ PBMCs (n=9 healthy donors). Morphology of CD100hiCD34int cell by Giemsa-Wright stain. Scale bar, 10μm. (E) Proliferative capacity of peripheral blood Cell Trace Violet (CTV)-labeled CD34+ HSCs (purple), CD100hiCD34int (3, beige), AXL+SIGLEC6+CD123+CD11C−/lo (1, pink), and AXL+SIGLEC6+CD123loCD11C+ (2, blue), as measured by CTV dilution after 5 days in culture on MS5 stromal cell line supplemented with GM-CSF, SCF and FLT3LG. Left: Representative overlay histogram. Right: Composite bar graphs illustrating percentage of proliferated cells and number of proliferations undergone from three donors shown (*P<0.05, paired t-test). (F) Output from differentiation assays seeded with CLEC9A+ DCs, CD1C+ DCs, pDCs, and AXL+SIGLEC6+cells isolated using gating strategy in (A). AXL+SIGLEC6+x2 = double FLT3L concentration. Also shown in (C) and (F) are representative culture outputs on day 7 and composite bar graphs (mean ± SEM; n=6 donors). (G) PCA analysis incorporating monocytes (n=339), DCs (n=742), and four BPDCN patient samples (n=174) using the R software package Seurat. PC1 versus PC2 demonstrates the close transcriptional proximity between all four BPDCN samples and pDCs (dashed black circle); black bracket indicates overlapping cells. PC1 and PC2 variance is 3.8%. Each dot represents an individual cell; colored legend for each subset is shown at the right.

To assess the progenitor potential of this compartment, we cultured FACS-purified CD11C−CD123− cells with MS5 stromal cells and cytokines that induce DC differentiation (6), based on a published human DC progenitor differentiation assay (26). After several days in culture, the cells were evaluated by flow cytometry, using a panel of antibodies that identify pDCs and CD1C+ and CLEC9A+ DCs (6), and by scRNA-Seq profiling of CD45+ immune cells for a more comprehensive assessment. For comparison, under the same conditions, we monitored the differentiation potential of isolated pDCs, CD1C+ and CLEC9A+ DCs, and AS DC subtypes (see fig. S7, C and D).

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After 7 days of culture, cells isolated from the CD11C−CD123− gate gave rise to CLEC9A+ and CD1C+ DCs but not pDCs, according to flow cytometry and scRNA-seq analyses (Fig. 6B). We narrowed down the search for the progenitor cells to the CD45RA+CD39−CD100+ pool of cells based on the unique cluster-6 marker CD100/SEMA4D (fig. S7B), along with candidate markers that we tested [based on DC progenitors in the bone marrow (CD45RA) and tissue DC (CD39) markers] (Fig. 6C, fig. S5J, fig. S6, B and F, and fig. S7, B to H). After iteratively testing each sorted population for differentiation potential, we discovered that only the CD100hiCD34int cells generated CLEC9A+ and CD1C+ DCs (Fig. 6C and fig. S7F). scRNA-seq of CD100hiCD34int cells mapped these cells to the original cluster 6, including the expression of the same DC differentiation and progenitor function genes (fig. S7B).

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We validated the existence of CD100hiCD34int progenitors in 10 individuals, with a frequency of ~0.02% of the LIN−HLA-DR+ fraction of PBMCs (Fig. 6D). These cells were morphologically primitive, possessing high nuclear-to-cytoplasmic ratio and circular or indented nuclei (Fig. 6D), in contrast to AS DCs, pDCs, and CD1C+ and CLEC9A+ DCs (Fig. 5B). Although CD100hiCD34int cells expressed HLA-DR and low levels of the costimulatory molecule CD86 (fig. S6E) and lymph node homing gene CCR7 (Fig. S7, B and H), they had low T cell stimulatory potential (Fig. 5, C and E), which suggests that these cells are not functional cDCs. Furthermore, CD100hiCD34int cells retained significant proliferative capacity (P < 0.05; Fig. 6E), in accordance with their primitive morphology, phenotype and expression profile. Although CD100hiCD34int cells were KIT/CD117+CD45RA+ and CSF1R/CD115−, CD1C−, CD141−, CD123− – a profile similar to that of a previously reported circulating human DC progenitor (24, 27, 28) – they differ from the published progenitor in having a more primitive morphology and lacking CSF2R/CD116 and FLT3/CD135 expression (fig. S7, G and H).

Differentiation potential of AS DCs

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When we seeded cultures with pDCs and CD1C+ and CLEC9A+ DCs, we found that they generally retained the same phenotype throughout the differentiation assay (Fig. 6F and fig. S7, I and J). Upon observing a gene expression spectrum of AS DC states that includes pDC-like and CD1C+-like DC signatures (fig. S5, C to F), we also seeded AS DCs to assess their potential to transition towards other DC subsets [ensuring no contamination with CD1C+ and CLEC9A+ DCs (fig. S7I and J)]. After 7 days in culture, we observed cells with high levels of CD1C (n=6 donors) and rare cells with surface CLEC9A and CADM1expression (Fig. 6F), irrespective of the FLT3L concentration used (Fig. 6F) or whether the culture was seeded with either of the two AS DC subpopulations representing both ends of the spectrum (fig. S7K). Notably, both AS DCs at day 0 and the cells differentiated from AS DC did not express BATF3 (a transcription factor required for terminal differentiation of CLEC9A+ DCs), CADM1 or XCR1, which are key CLEC9A+ DC discriminative markers (table S2) (23, 29–33) (fig. S5, D and E).

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We found that AS DCs did not divide during the transition into CD1C+ DCs, in contrast to CD100hiCD34int cells that divided and differentiated into CD1C+ as well as CLEC9A+ DCs. Furthermore, CD100hiCD34int differentiation into CD1C+ DCs is not likely to transition through AS DCs, because CD100hiCD34int did not express AXL or SIGLEC6 genes at day 0 or during differentiation. AS DCs are thus functional cDCs that exist in a continuum of states in vivo (fig. S5, C to F), with the potential to transition toward CD1C+ DCs.

Mapping malignant cells from patients to the healthy DC atlas

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We leveraged our human DC atlas to compare pathogenic cells driving blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare and aggressive hematological malignancy previously known as NK cell leukemia/lymphoma (34, 35), to healthy DC populations. Because the ontogeny of these cells remains unclear (34–38), we performed scRNA-seq on CD45+HLA-DR+CD123+ blasts from four BPDCN patients (n = 174 cells) (6). The first principal component highlighted gene sets clustering all four patients together with healthy blood pDCs (Fig. 6G). Analysis of BPDCN samples together with healthy DCs showed highest overlap with pDC and AS DC gene expression signatures (fig. S8A). Because pure pDC and AS DC subsets co-express many genes yet have distinct biological functions (Figs. 4 and 5), we further analyzed the genes overlapping among BPDCN, pure pDCs, and cDCs (fig. S8B). Despite sharing some pDC genes (e.g., NRP1, IL3RA, DERL3, LAMP5, PTCRA and PTPRCAP), several key genes essential for pDC function were missing or were expressed only slightly in patient cells (e.g. GZMB, IRF7, CLEC4C/CD303, IRF4, and SLC15A4; fig. S8B). Only a small number of cDC genes were expressed in patient cells, including SIGLEC6, LTK, FCER1A, CD59, CADM1, and TMEM14A. Note that all four patient samples shared a set of discriminative genes (fig. S8B and table S9) that included several genes expressed in B cells (e.g. FCRLA, IGLL1, TCL1A, and IGLL5; fig. S8C) or with hematopoietic progenitors (e.g. SOX4 and CLEC11A). Collectively, our analysis suggests that although BPDCN malignant cells express some key B cell markers, they are most closely related to pDCs.

Discussion

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DCs and monocytes are defined according to a combination of molecular markers, functional properties and ontogeny (39). However, it remains unclear whether the expression of existing markers tracks with the more complex internal states of cells. To address this question, we determined the states of blood DC/monocytes through comprehensive profiling of gene expression at single cell resolution, empirically inferred cell subtypes, identified optimal surface markers for purifying the hypothesized cell subtypes, and showed that prospectively purified cell types corresponded to inferred subtypes based on scRNA-seq. Our study has generated a more accurate taxonomy that includes six DC subtypes and four monocyte subtypes, as well as a circulating, dividing progenitor of cDCs.

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Previous studies classified human blood DCs into one pDC and two cDC populations. Our study identifies six DC populations: DC1 corresponds to the cross-presenting CD141/BDCA-3+ cDC1, which is best marked by CLEC9A; DC2 and DC3 correspond to new subdivisions of the CD1C/BDCA-1+ cDC2; DC4 corresponds to CD1C−CD141−CD11C+ DC, which is best marked by CD16 and shares signatures with monocytes; DC5 is a unique DC subtype, AS DCs; and DC6 corresponds to the interferon-producing pDC, purer than previously identified pDC population defined by standard markers (e.g., CD123, CD303/BDCA-2+) and contaminated with AS DCs. In the process of addressing how DCs resemble monocytes, we also identified four monocyte subtypes: the two known ones, as well as two new ones that have not been functionally characterized. Although DC2/3 and DC4 shared an expression signature with monocytes, our data do not suggest how they acquired these shared modules (e.g., common precursor, interconversion or independent convergence). Finally, we derived specific expression signatures for each DC and monocyte subtype, including transcription factors, cytokines, and cytokine receptors (fig. S9, A to F; table S10), providing a resource for further understanding of subtype functions and ontogeny.

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The CD1C/BDCA-1+ DC subdivision (DC2 and DC3) is further supported by parallel observations in their murine CD11b+ DC homologs (40–43), which comprise an Esamlo subset with higher expression of myeloid genes such as CD14 and potent cytokine production, and an Esamhi subset with better MHC class II-dependent priming of CD4+ T cells (40–41).

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AS DCs, which were found within the pDC gate, formed a continuum between pDC and CD1C+ DCs (fig. S5, C to F). Consistent with this observation, AS DCs were able to transition towards the CD1C+ DC state in vitro (with <1% of differentiated AS DCs phenotypically resembling CLEC9A+ DCs, which could be contaminants). However, because AS DCs (at both ends of the continuum) morphologically resemble cDCs and are able to stimulate T cell proliferation, yet do not proliferate themselves, they seem less likely to serve as a progenitor that generates cDCs and are more likely to be a functional DC variant that can be modulated to resemble CD1C+ DCs. Although AS DCs most closely resemble CD1C+ cDCs in basic functional properties and expression signatures, they are likely to have distinct functions because they localize to the T cell zone of tonsils and express several lectins, which recognize diverse glycans, and AXL, which interacts with apoptotic cells and Zika virus (44–46).

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An unresolved question concerns the importance of AS DCs sharing an expression signature with pDCs. Consistent with our findings that AS DCs are found in the traditional pDC flow cytometry gate, a recently described human CD2hi pDC subset (20) appears to correspond to AS DCs based on expression of CD2, AXL, CX3CR1, LYZ and CD86 (fig. S6C), localization to tonsils, and a similar ability to trigger naïve T cell proliferation. Furthermore, a murine study identified non-canonical CX3CR1+CD8α+ cDCs (nc-cDCs), which express pDC and cDC signatures (e.g., CX3CR1, CD11c and MHCII), do not produce IFN-α, and activate T cell proliferation (47–48). Interestingly, pDC and nc-cDCs require E2-2/TCF4 to develop, and reduced levels of E2-2 lead to higher ID2 and expression of cDC genes (18, 47, 48). Consistent with this finding, we observed E2-2/TCF4 expression in human pDCs (Fig. 5A), with decreasing levels of E2-2/TCF4 and increasing levels of ID2 as AS DCs transition to CD1C+ DCs (fig. S5, C to F). These findings suggest that AS DCs are similar to human CD2hi pDCs and murine nccDCs.

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The discovery of AS DCs led us to update the strategy for isolating pDCs. When we removed AS DCs from pDCs isolated with standard markers (e.g. CD123 and CD303), the resulting pDCs were highly attenuated in their ability to induce T cell proliferation and produce T cell stimulatory ligands (e.g. IL-12), consistent with reports that found several markers splitting pDCs into those that stimulate or do not stimulate T cells (18, 20, 49–52). We thus propose that our purer pDC population corresponds more closely to the “natural interferon-producing cells (IPCs)” (21, 53). These cells also appear to share more properties with plasma B cells than DCs, as indicated by morphology, higher expression of endoplasmic reticulum secretory machinery, known rearrangement at the Ig (immunoglobulin) locus, and expression of B-cell related transcripts. We also found that BPDCN cells share the pDC signature as well as additional B cell genes (e.g. IGLL1, IGLL5 and TCL1A). We conclude that even though pure pDCs fall into the MHC II-expressing gate, they have markers, gene signatures, and functions distinct from those of cDCs.

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In contrast to AS DCs, the CD100hiCD34int cells appear to be cDC progenitors, judging by their primitive morphology, absence of cDC functions and signatures, and potent ability to proliferate and generate a large and equal number of CD1C+ DCs and CLEC9A+ DCs within 7 days of culture. The recently identified human pre-cDC (24–28), which has proliferative capacity and differentiates into CD1C+ and CD141+ DCs, appears to have some functional and phenotypical similarities to our CD100hiCD34int progenitors, even though our cells appear to be morphologically more primitive and lack the expression of CD116 and CD135, which were previously reported as markers (24). Single cell profiling studies are needed to determine whether and how these precursors are related.

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CD100hiCD34int cells also appear to be different from peripheral blood CD34hi HSCs. Culturing of CD100hiCD34int cells gives rise only to CLEC9A+ DCs and CD1C+ DCs (and no other cell types) in 7 days. In contrast, peripheral blood CD34hi HSCs under the same culture conditions for up to 14 days did not give rise to CLEC9A+ cDCs. Furthermore, CD100hiCD34int cells have a transcriptional signature distinct from that of blood CD34hi HSCs. Mapping CD100hiCD34int to other bone marrow progenitors may help to resolve the origin of these cells.

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Our results have several implications. The discovery of several DC subsets will enable a more complete understanding of DCs in tissues, inflammation, and disease. Furthermore, the identification of circulating CD100hiCD34int progenitors provides a well-defined cell type for generating DCs in vitro and for therapeutic targeting. Our new strategy for isolating pure pDCs, combined with the knowledge that the functions of contaminating AS DCs were incorrectly attributed to pDCs, should lead to more definitive annotation of pDC functions with implications for their therapeutic application (54–56). More generally, our use of the DC atlas to understand BPDCN cells illustrates how single cell analysis can pinpoint relationships of diseased cells to healthy cells. Finally, some susceptibility genes identified in human genetics association studies are expressed in the DCs and monocytes subsets defined in this study, suggesting new potential roles in disease (fig. S10, A and B and table S11, A to C).

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Using single-cell transcriptome profiling, we deconvoluted admixtures of cell types (e.g., pDCs, “intermediate” monocytes, cDC progenitors), revealed rare cell types (e.g., AS DCs) and elucidated complex relationships between cell types (e.g., spectrum of states for AS DCs) – thus addressing limitations in the existing classification that relies on a small number of markers (39). Nonetheless, some DC/monocyte subtypes were likely missed because they do not express MHC class II at rest, can only be defined by non-RNA molecules, are distinguished by low-abundance transcripts, or are only present during inflammation, disease or within tissues. To build a comprehensive immune cell atlas, future studies will need to address these challenges as well as localize these cell types within lymphoid and non-lymphoid tissues.

Materials and Methods

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Study subjects

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The study was performed in accordance with protocols approved by the institutional review board at Partners (Brigham and Women’s Hospital, Massachusetts General Hospital, Dana-Farber Cancer Institute; Boston, USA) and Broad Institute (USA), as well as the Newcastle upon Tyne Hospitals (UK) Research Ethics Committee. All patients provided written informed consent for the genetic research studies and molecular testing. Healthy donors were recruited from the Boston-based PhenoGenetic project, a resource of healthy subjects that are re-contactable by genotype (57), and the Newcastle community. Individuals were excluded if they had a history of cancer, allergies, inflammatory disease, autoimmune disease, chronic metabolic disorders or infectious disorders. All healthy donors were nonsmokers, had a normal BMI and normal blood pressure, and were between 25 and 40 years of age.

Cell isolation, flow cytometry staining, cell sorting, and analysis

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For profiling of healthy cells, PBMCs were isolated from fresh blood within 2 hours of collection, using Ficoll-Paque density gradient centrifugation as previously described (58). Single-cell suspensions were stained per manufacturer recommendations with different panels of antibodies (table S12) designed to enrich for certain population for single-cell sorting and single-cell RNA-sequencing (scRNA-seq) (6). Flow cytometry and FACS-sorting of PBMC was performed on a BD Fortessa or BD FACS Fusion instrument, and data analyzed using FlowJo v10.1. Single-cells were sorted into 96-well full-skirted Eppendorf plates chilled to 4°C, pre-prepared with lysis buffer consisting of 10μl of TCL buffer (Qiagen) supplemented with 1% β-mercaptoethanol. Single-cell lysates were sealed, vortexed, spun down at 300 g at 4°C for 1 min, immediately placed on dry ice and transferred for storage at −80°C. Tonsil was mechanically disrupted to obtain single-cell suspension.

Single-cell RNA-sequencing

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Smart-Seq2 protocol was performed on single sorted cells as described (7, 8), with some modifications (6). For DCs, a total of 8 × 96-well plates (768 single DCs) were initially profiled from the same blood draw and sort from the index volunteer and subsequent validation performed on an additional 10 healthy individuals. For monocytes, a total of four plates were profiled (372 single monocytes and 12 population samples). An additional 975 single cells were profiled to further characterize the CD1C+ DC subsets (n=125), AXL+SIGLEC6+ cells (n=372), CD11C−CD123− compartment at day 0 (n=164), differentiation assay outputs (n=218), CD100hiCD34int cells (n=96), and BPDCN patient samples (n=269). Note that some of these single cells were excluded from the analysis after applying QC filters and analytically confirming cell type (6).

Single-cell RNA sequencing analyses

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Raw sequencing data were processed as previously described (59) (see tables S13 to S16 for cell identities that accompany raw data and gene expression matrices). Briefly, short sequencing reads were aligned to the UCSC hg19 transcriptome. These alignments were used to estimate transcriptomic alignment rates, and were also used as input in RSEM v 1.2.1 to quantify gene expression levels (transcripts per million; TPM) for all UCSC hg19 genes in all samples. We filtered out low-quality cells from our data set based on a threshold for the number of genes detected (a minimum of 3000 unique genes per cell for cells sequenced at HiSeq depth, and 2000 unique genes per cell for cells sequenced at MiSeq depth). All genes that were not detected in at least 0.5% of all our single cells were discarded, leaving 21,581 genes for all further analyses. Data were log-transformed [log(TPM+1)] for all downstream analyses, most of which were performed using the R software package Seurat (https://github.com/satijalab/seurat; http://satijalab.org/seurat/). See (6) for further details, including R script used to generate clusters.

DC differentiation assay on MS5 stromal cells

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DC differentiation assay was performed as described (23–25) with minor adaptation. Briefly, 1×104 purified progenitors, DC, and monocyte subsets were cultured in 96-well flat bottom plates layered with 4×104 murine MS5 stromal cells (DSMZ, Germany) in the presence of human FLT3 ligand (FL; 100 ng/ml; Miltenyi Biotec), recombinant human SCF (20 ng/ml; R&D Systems), and recombinant human granulocyte-macrophage colony-stimulating factor (GM-CSF) (10 ng/ml; Peprotech). MS5 stromal cells were seeded 24 hours prior to co-culture. Growth factors were replenished on day 3 of culture. Cells were in culture for up to 7 days prior to harvesting by physical dissociation on ice. Cells were then stained on ice either for flow cytometry analysis (see output panel in table S12) or single-cell index sorting of CD45+ cells for scRNA-seq of culture output analysis.

Cytokine production measurements

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Purified subsets were cultured at 5×103 cells per well in 96-well round-bottom plates in the presence of LPS (100ng/ml; Invivogen) and ODN2395 (1μM; Invivogen) or ODN5328 (ODN2395 control, 1μM; Invivogen), or in the presence of LPS, poly (I:C) (25μg/ml; Invivogen) and R848 (2.5μg/ml; Enzo Life Sciences). Culture supernatants were harvested after 24 hours and analyzed using a multiplexed cytokine assay (ProcartaPlex, eBioscience), or by leveraging the 92 inflammatory-related protein biomarker panel and four controls provided by Olink Proteomics (Uppsala, Sweden) (6).

Assessing T cell stimulatory potential

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DC, monocyte, and progenitor subsets were purified from peripheral blood of healthy donors by FACS sorting (BD FACS Fusion; see table S12 for sorting panels and antibodies). For T cell stimulatory potential, purified DCs, monocytes, AXL+SIGLEC6+ subsets, and progenitor subset were cultured at cell density 5×104 per well. All purified cell subsets were matured with LPS (100ng/ml, Sigma) and R848 (2.5μg/ml, Invivogen), or with just LPS (100ng/ml), for 24 hours prior to co-culture with 5×105 CFSE-labeled allogeneic unfractionated CD3+ T cells at a 1:10 DC:T cell ratio. T cell proliferation was assessed by measuring CFSE dilution on day 5 of culture.

Cytospin and immunostaining

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Cytospin of FACS-purified cells was prepared as described (60) using Shandon Cytospin 4 (Thermo Scientific). Giemsa-Wright staining was performed using Advia S60 (Siemens) and imaged using Axioimager.Z2 microscope with Axiovision software v4.8 (Carl Zeiss, Germany). Human tonsil paraffin sections were immunostained with the antibodies: anti-AXL (MM0098-2N33, Abcam), CD123 (BR4MS, Leica Biosystems) and CD3 (LN10, Leica Biosystems) using a Ventana Benchmark XT instrument.

Monitoring cell proliferation

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PBMCs were labeled with Cell Trace Violet (CTV, Life Technologies) according to manufacturer’s protocol. CTV-labeled FACS-purified progenitors and DC subsets were cultured on murine MS5 stromal cells as described above and analyzed on day 5 to assess proliferation measured by CTV dilution.

Supplementary Material

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Supplementary Materials & Methods
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Supplementary Tables 1–16
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One Sentence Summary.

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Single cell RNA-sequencing and functional studies were used to revise the definitions of human blood dendritic cells and monocytes.

Acknowledgments

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We thank the subjects in the PhenoGenetic Project for donating the blood used in our study; E. Segura, S. Amigorena, C. Benoist and D. Puyraimond-Zemmour for advice on the sorting strategy; M. Waring and the Ragon Institute Imaging Core-Flow Cytometry Facility [which is supported in part by the Harvard University Center for AIDS Research (CFAR), an NIH funded program (5 P30 AI060354-10)]; T. Booth and Newcastle University Bioimaging Unit for assistance with microscopy; L. Gaffney for illustrations; A. Long from MRC/EPSRC Molecular Pathology Node, J. Scott, K. Best, C. Jones, D. Lieb, C. Ford, D. Gennert, J. Trombetta, and A. Schnell for help and advice. Supported by National Human Genome Research Institute Centers of Excellence in Genomics Science grant P50 HG006193 (N.H. and A.R.), Manton Foundation (A.R. and N.H.), Howard Hughes Medical Institute (A.R.), NIH BRAIN grant (A.R.), Klarman Family Foundation (A.R. and N.H.), Banting Postdoctoral Fellowship (A.-C.V.), NIH Director’s New Innovator Award Program DP2-HG-009623 (R.S.), National Human Genome Research grant T32 HG002295 (S.S.; PI: Park, Peter J), American Society of Hematology Scholar grant (A.A.L), ISAC SRL-EL program (A.J.F), and Wellcome Trust grants WT088555 and WT107931/Z/15/Z (M.H.). A.-C.V., R.S., A.R., N.H., The Broad Institute, and Massachusetts General Hospital have filed a U.S. provisional patent application (62/376,007) that relates to products and methods useful for modulating and evaluating immune responses. A.R. is a scientific advisory board member for ThermoFisher Scientific and Syros Pharmaceuticals and a consultant for Driver Group. Processed scRNA-seq data are available through the Gene Expression Omnibus accession number GSE94820 and through the Broad Institute Single Cell Portal at https://portals.broadinstitute.org/single_cell/study/atlas-of-human-blood-dendritic-cells-and-monocytes. Raw RNA sequencing data are available through Database of Genotypes and Phenotypes (dbGaP) accession number phs001294.v1.p1.

Footnotes

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+

Supplementary Materials

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www.sciencemag.org/content/356/6335/eaah4573/suppl/DC1

+

Materials and Methods

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Figs. S1 to S11

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Tables S1 to S16

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References (61–77)

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Associated Data

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This section collects any data citations, data availability statements, or supplementary materials included in this article.

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Supplementary Materials

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Supplementary Materials & Methods
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Supplementary Tables 1–16
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Published in final edited form as: Science. 2017 Apr 21;356(6335):eaah4573. doi: 10.1126/science.aah4573 Search in PMC Search in PubMed View in NLM Catalog Add to search Single-cell RNA-seq reveals new types of human blood dendritic cells, monocytes and progenitors Alexandra-Chloé Villani Alexandra-Chloé Villani 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 2 Center for Cancer Research, Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts, USA Find articles by Alexandra-Chloé Villani 1, 2, *, ‡ , Rahul Satija Rahul Satija 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 3 New York Genome Center, New York, New York, USA 4 New York University, Center for Genomics and Systems Biology, New York, New York USA Find articles by Rahul Satija 1, 3, 4, * , Gary Reynolds Gary Reynolds 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by Gary Reynolds 5 , Siranush Sarkizova Siranush Sarkizova 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA Find articles by Siranush Sarkizova 1 , Karthik Shekhar Karthik Shekhar 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA Find articles by Karthik Shekhar 1 , James Fletcher James Fletcher 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by James Fletcher 5 , Morgane Griesbeck Morgane Griesbeck 6 Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, Massachusetts, USA Find articles by Morgane Griesbeck 6 , Andrew Butler Andrew Butler 3 New York Genome Center, New York, New York, USA 4 New York University, Center for Genomics and Systems Biology, New York, New York USA Find articles by Andrew Butler 3, 4 , Shiwei Zheng Shiwei Zheng 3 New York Genome Center, New York, New York, USA 4 New York University, Center for Genomics and Systems Biology, New York, New York USA Find articles by Shiwei Zheng 3, 4 , Suzan Lazo Suzan Lazo 7 Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA Find articles by Suzan Lazo 7 , Laura Jardine Laura Jardine 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by Laura Jardine 5 , David Dixon David Dixon 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by David Dixon 5 , Emily Stephenson Emily Stephenson 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by Emily Stephenson 5 , Emil Nilsson Emil Nilsson 8 Olink Proteomics, Watertown, Massachusetts, USA Find articles by Emil Nilsson 8 , Ida Grundberg Ida Grundberg 8 Olink Proteomics, Watertown, Massachusetts, USA Find articles by Ida Grundberg 8 , David McDonald David McDonald 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by David McDonald 5 , Andrew Filby Andrew Filby 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK Find articles by Andrew Filby 5 , Weibo Li Weibo Li 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 2 Center for Cancer Research, Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts, USA Find articles by Weibo Li 1, 2 , Philip L De Jager Philip L De Jager 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 9 Program in Translational NeuroPsychiatric Genomics, Department of Neurology, Brigham and Women’s Hospital and Harvard Medical School Find articles by Philip L De Jager 1, 9 , Orit Rozenblatt-Rosen Orit Rozenblatt-Rosen 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA Find articles by Orit Rozenblatt-Rosen 1 , Andrew A Lane Andrew A Lane 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 7 Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA Find articles by Andrew A Lane 1, 7 , Muzlifah Haniffa Muzlifah Haniffa 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK 10 Department of Dermatology, Royal Victoria Infirmary, Newcastle Hospitals NHS Foundation Trust, UK Find articles by Muzlifah Haniffa 5, 10, ‡ , Aviv Regev Aviv Regev 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 11 Department of Biology and Koch Institute, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA 12 Howard Hughes Medical Institute, Chevy Chase, Maryland, USA Find articles by Aviv Regev 1, 11, 12, ‡ , Nir Hacohen Nir Hacohen 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 2 Center for Cancer Research, Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts, USA Find articles by Nir Hacohen 1, 2, ‡ Author information Copyright and License information 1 Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA 2 Center for Cancer Research, Massachusetts General Hospital, Department of Medicine, Boston, Massachusetts, USA 3 New York Genome Center, New York, New York, USA 4 New York University, Center for Genomics and Systems Biology, New York, New York USA 5 Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK 6 Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, Massachusetts, USA 7 Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA 8 Olink Proteomics, Watertown, Massachusetts, USA 9 Program in Translational NeuroPsychiatric Genomics, Department of Neurology, Brigham and Women’s Hospital and Harvard Medical School 10 Department of Dermatology, Royal Victoria Infirmary, Newcastle Hospitals NHS Foundation Trust, UK 11 Department of Biology and Koch Institute, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA 12 Howard Hughes Medical Institute, Chevy Chase, Maryland, USA ‡ Correspondence to: cvillani@broadinstitute.org (A.-C.V.), m.a.haniffa@newcastle.ac.uk (M.H.), aregev@broadinstitute.org (A.R.), and NHACOHEN@mgh.harvard.edu (N.H.) * These authors contributed equally to this work PMC Copyright notice PMCID: PMC5775029  NIHMSID: NIHMS910854  PMID: 28428369 The publisher's version of this article is available at Science Abstract Dendritic cells (DCs) and monocytes play a central role in pathogen sensing, phagocytosis and antigen presentation and consist of multiple specialized subtypes. However, their identities and interrelationships are not fully understood. Using unbiased single-cell RNA sequencing (RNA-seq) of ~2400 cells, we identified six human DCs and four monocyte subtypes in human blood. Our study reveals: a new DC subset that shares properties with plasmacytoid DCs (pDCs) but potently activates T cells, thus redefining pDCs; a new subdivision within the CD1C + subset of DCs; the relationship between blastic plasmacytoid DC neoplasia cells and healthy DCs; and circulating progenitor of conventional DCs (cDCs). Our revised taxonomy will enable more accurate functional and developmental analyses as well as immune monitoring in health and disease. Dendritic cells (DCs) are mononuclear phagocytes found in blood, lymphoid organs, and all tissues. One of their central functions is to ingest materials such as pathogens, present processed epitopes to T cells, and regulate innate and adaptive immune responses ( 1 – 3 ). DCs are heterogeneous and consist of multiple subtypes with unique functions that have been defined over the past decade in mice and humans. However, it is unclear how many DC subtypes exist, how they are related to each other, and how they differ from other mononuclear phagocytes. Numerous studies have shown that human dendritic cells express high levels of major histocompatibility complex (MHC) class II (e.g., HLA-DR), a molecule essential for antigen presentation, and lack key markers of T cells, B cells, natural killer (NK) cells, granulocyte and monocytes. In the blood, DC subtypes include CD11C + conventional DCs (cDCs), consisting of either CD141 + or CD1C + cells, and plasmacytoid DCs (pDCs), consisting of CD123 + cells. cDCs are effective at antigen-specific stimulation of CD4 + and CD8 + T cells, whereas pDCs specialize in producing type I interferons in response to viruses. pDCs and cDC subtypes differ in their expression of numerous sensors, pathways and effectors, and play distinct roles in the immune response ( 1 – 3 ). The different DC subtypes have historically been defined by a combination of morphology, physical properties, localization, molecular markers, functions and developmental origins, converging to the current model described above ( 1 – 3 ). However, the definition of DCs is still likely to be biased by the limited markers available to identify, isolate and manipulate the cells. Such biases, in turn, would alter the assignment of function and ontogeny to each DC subtype. To overcome some of these limitations, we used single-cell RNA sequencing (scRNA-seq) ( 4 , 5 ) to better assess the diversity of blood DCs and monocytes, leading us to identify new subtypes of DCs and monocytes, refine their existing classification, and pinpoint a precursor of cDCs in the blood. Using discriminative markers associated with the newly defined DC subtypes, we also assessed the functions of some of the DC subtypes. Overall, our analysis provides a relatively unbiased and comprehensive map of human blood DCs and monocytes. Strategy for discovery and validation of DC and monocyte subtypes To determine the subtypes of DCs and monocytes in human blood, we developed an experimental and computational strategy to (i) perform single-cell RNA-sequencing on DCs and monocytes derived from a single healthy individual; (ii) identify clusters of cells that are similar to each other; (iii) find discriminative markers per cluster; (iv) prospectively isolate cells corresponding to key clusters using newly identified surface markers; (v) validate the identity of the sorted cells using scRNA-seq; (vi) confirm the existence of these cell types in up to 10 independent healthy individuals; and (vii) perform functional analyses for selected cell types. Single-cell profiling of blood DCs and monocytes We analyzed blood DC and monocyte populations from Ficoll-enriched cells that were isolated by fluorescence-activated cell sorting (FACS) ( Fig. 1A ) excluding cells expressing markers of B, T and NK cells ( 6 ). For DCs, we sampled LIN − HLA-DR + CD14 − cells across the CD11C + fraction (to enrich for CD141 + and CD1C + cDCs) and the CD11C − fraction (to enrich for CD123 + pDCs) ( Fig. 1B ). For monocytes, we sampled LIN − CD14 lo/++ cells (including classical CD14 ++ CD16 − , intermediate CD14 ++ CD16 + , and non-classical CD14 + CD16 ++ ). We used additional markers (DCs: CD123, CD141, CD1C; monocytes: CD14, CD16) to create overlapping gates that comprehensively and evenly sample DCs and monocytes ( 6 ). Figure 1. Human blood DC heterogeneity delineated by single-cell RNA-sequencing. Open in a new tab ( A ) Workflow of experimental strategy: (i) isolation of human PBMC from blood; (ii) sorting single DC (8×96-well plates) and monocytes (4×96-well plates) into single wells using an antibody cocktail to enrich for cell fractions; (iii) single cell transcriptome profiling. ( B ) Gating strategy for single-cell sorting: DCs were defined as live, LIN(CD3, CD19, CD56) − CD14 − HLA-DR + cells. Three loose overlapping gates were drawn as an enrichment strategy to ensure a comprehensive and even sampling of all populations: CD11C + CD141 + (CD141; turquoise), CD11C + CD1C + (CD1C; orange), CD11C + CD141 − CD1C − (“double negative”; blue), and CD11C − CD123 + plasmacytoid DCs (pDCs; purple). 24 single cells from these four gates were sorted per 96-well plate. A fifth gate (CD11C − CD123 − ; red dashed) was subsequently investigated (see Fig. 6 ). ( C ) t -SNE analysis of DCs ( n = 742). Numbers of successfully profiled single cells per cluster: DC1 ( n =166); DC2 ( n =105); DC3 ( n =95); DC4 ( n =175); DC5 ( n =30); DC6 ( n =171). The number of discriminative genes with AUC cutoff ≥ 0.85 is reported in bracket next to each cluster ID. Up to five top discriminators are listed next to each cluster; number in bracket refers to AUC value. Colors indicate unbiased DC classification via graph-based clustering. Each dot represents an individual cell. ( D ) Heatmap reports scaled expression [log TPM (transcripts per million) values] of discriminative gene sets for each cluster defined in Fig. 1C with AUC cutoff ≥0.85. Color scheme is based on z-score distribution from −2.5 (purple) to 2.5 (yellow). Right margin color bars highlight gene sets specific to the respective DC subset. To define subpopulations and identify useful markers for further isolation, we performed deep scRNA-seq using a modified version of Smart-Seq2 protocol ( 6 ), followed by sequencing of ~1–2 million paired-end reads per cell ( 7 , 8 ). Of 768 DCs and 372 monocytes initially profiled in the selected individual for discovering subsets, we focused on 742 DCs and 339 monocytes that passed quality control (QC) filters ( 6 ) with an average of 5326 unique genes detected per cell. In subsequent validation and characterization phases, we additionally profiled ~1200 cells. Unbiased classification of LIN − HLA-DR + CD14 − subsets We defined six cell clusters within the LIN − HLA-DR + CD14 − population using unsupervised analysis that did not rely on known markers of DCs. Briefly, we identified 595 genes exhibiting high variability across single cells, reduced the dimensionality of these data with principal components analysis (PCA), and identified five significant PCs using a previously described permutation test ( 6 , 9 ). We used these PC loadings as input to t -distributed stochastic neighbor embedding ( t -SNE) ( 10 ) for visualization, and clustered cells using a graph-based approach similar to one recently developed for mass cytometry data ( 6 , 11 ). We observed six clusters numbered DC1 to DC6 as follows: two clusters mapping closely to the well-established DC subsets, with cluster DC1 mapping to CD141 + DCs and cluster DC6 to pDCs (based on the post hoc overlap of transcript and surface marker expression); two clusters containing the CD1C + cDCs, cluster DC2 (CD1C_A) and cluster DC3 (CD1C_B); a cluster corresponding to the poorly characterized CD141 − CD1C − population, cluster DC4; and one cluster that does not correspond to any of the known blood DC subtypes, cluster DC5 ( Fig. 1C ; fig. S1 ). We identified 242 genes [area under curve (AUC) ≥ 0.85] that best classified cells into these six putative cell populations ( Fig. 1D and fig. S2A ; see tables S1 and S2 for a list of markers, including surface markers). Although cluster DC1 mapped most closely to CD141 + DCs, this commonly used CD141 ( THBD /BDCA-3 + ) marker was a poor discriminator for this cluster, being also expressed by cells captured in clusters DC5 and DC6 (pDCs) ( fig. S2B ). Because CLEC9A appeared to be a perfect discriminative surface marker for the DC1 cluster, we refer to this subset henceforth as CLEC9A + DCs. Clusters DC2 and DC3 mapped to CD1C + DCs. CD1C was the best and sole marker uniquely shared by both clusters. The DC4 cluster mapped to the CD141 − CD1C − population and was accurately delineated by FCGR3A /CD16. The DC5 cluster was best defined by the surface markers AXL and SIGLEC6 . Finally, the DC6 cluster mapped to pDCs. However, several markers commonly used to identify pDCs (e.g. IL3RA /CD123, CLEC4C /CD303) were also expressed in the population defined by the DC5 cluster, leading us to define a new combination of markers that distinguish pDCs from the DC5 population. Altogether, we identified sets of discriminative markers that can be used in combination to isolate cell populations corresponding to known DC subsets (but with higher purity) as well as to previously uncharacterized subsets. Two subpopulations within CD1C + DCs The CD1C + DCs were distributed across two clusters with similar numbers of cells, which we termed CD1C_A (cluster DC2) and CD1C_B (cluster DC3). Comparing the two clusters, the CD1C_B cells were distinguished by their expression of a strong unique signature that includes acute and chronic inflammatory genes ( 12 – 14 ) such as CD14 , S100A9 and S100A8 , whereas CD1C_A cells were marked only by slightly higher levels of MHC class II genes ( Fig. 2A and table S3 ). Figure 2. Definition and validation of CD1C + DC subsets. Open in a new tab (A) Heatmap showing scaled expression (log TPM values) of discriminative gene sets defining each CD1C + DC subset with AUC cutoff ≥ 0.75. Color scheme is based on z-score distribution, from −2.5 (purple) to 2.5 (yellow). Violin plots illustrate expression distribution of candidate genes across subsets on the x-axis (orange for CD1C_A/DC2; green for CD1C_B/DC3). In red are three markers used for subsequent enrichment strategy: CD163 , CD36 and FCGR2B /CD32B (AUC =0.63). (B) Enrichment gating strategy of CD1C + DC subsets [LIN(CD3, CD19, CD56) − HLA-DR + CD14 − CD1C + CD11C + ]. The CD1C_A/DC2 subset was further enriched by sorting on the 10% brightest CD32B + cells (orange gate); the CD1C_B/DC3 subset was enriched by sorting on CD32B − CD163 + CD36 + cells (green gate) or on CD32B − CD163 + . Right: Overlay of the two sorted CD1C + DC populations; 47 single cells were sorted from the green and orange gates in a 96-well plate for profiling. ( C ) Heatmap reporting scaled expression (log TPM values) of scRNAseq data from three cell subsets defined by CD1C + CD32B + , CD1C + CD36 + CD163 + , and CD1C + CD163 + . Either CD1C + CD36 + CD163 + or CD1C + CD163 + population recapitulated the CD1C_B/DC3 signature. (D) Proliferation of allogeneic CD4 + and CD8 + T cells 5 days after co-culture with CD14 + monocytes, pDCs, CD1C_A/DC2 DCs (CD1C + CD32B + ), and CD1C_B DC3 (CD1C + CD163 + ). Left: Representative pseudocolor dot plot. Right: Bar graphs of composite data (n=3, mean ± SEM, * P <0.05, paired t-test). We validated the presence of the two populations by prospective isolation based on newly identified markers, followed by scRNA-seq. To isolate these cells by flow sorting, we developed a panel incorporating surface markers derived from the set of uniquely expressed genes: FCGR2B /CD32B for CD1C_A, and CD163 and CD36 for CD1C_B subsets ( Fig. 2B ). scRNA-seq of prospectively isolated cells from each subset recapitulated the original split observed in CD1C + DCs ( Fig. 2C ). Unlike monocytes and pDCs, both CD1C_A and CD1C_B subsets (isolated with the newly identified markers) were potent stimulators of naïve T cell proliferation ( P < 0.05, paired t test), consistent with the known functional characteristics of cDCs ( Fig. 2D ). Activation of both CD1C subsets with lipopolysaccharide (LPS), R848 (a TLR7/TLR8 agonist), and polyinosine-polycytidine [poly(I:C)] highlighted functional differences between these subsets ( fig. S3 and table S4 ), with CD1C_A secreting higher levels of the immune mediators CCL19, interleukin-10 (IL-10), IL-12B, and IL-18. Thus, scRNA-seq revealed unappreciated heterogeneity in this particular subset, leading to new hypotheses about the functions of CD1C + DCs. Discovering monocyte subsets and their relationships to DC subsets Some key genes known to be associated with monocytes were also expressed by CD1C_B (cluster DC3) and CD141 − CD1C − (cluster DC4) cells ( e.g. , CD14 and FCGR3A /CD16, respectively). To analyze the relationships between monocytes and DCs cells, we profiled 372 single blood monocytes ( Fig. 1A and Fig. 3A ). On the basis of 339 monocytes that passed QC, we identified four clusters ( Fig. 3B and fig. S4A ) distinguished by 102 classifier genes (AUC ≥0.85; Fig. 3C , fig. S4B , and table S5 ) upon analyzing them with the DC single cell data. The two largest clusters, Mono1 and Mono2, contained the CD14 ++ CD16 − (“classical”) and CD14 + CD16 ++ (“non-classical”) monocytes, respectively. However, Mono1 and Mono2 also included 88 of the 124 cells derived from the “intermediate” monocyte gate (CD14 ++ CD16 + ) ( fig. S4A ), demonstrating that the intermediate monocytes do not form a homogeneous population. The two smaller clusters, Mono3 and Mono4, contained 40 of the 124 intermediate cells and expressed many of the Mono1 (classical monocyte) signature genes. Mono3 expresses a unique combination of genes that have the potential to affect cell cycle, differentiation, and trafficking (e.g. MXD1, CXCR1, CXCR2, VNN2 ), whereas Mono4 distinctively expressed a cytotoxic gene signature ( e.g. PRF1 , GNLY , CTSW ) resembling previously reported “natural killer dendritic cells,” in addition to co-expressing Mono1 gene set ( 15 – 17 ) ( Fig. 3C and fig. S4B ). We conclude that the previously defined classical and non-classical subtypes are contained in two distinct clusters (Mono1 and Mono2, respectively), but that the intermediate monocytes are far more heterogeneous than previously appreciated, being distributed across two known and two new clusters ( fig. S4A ). Figure 3. Human blood monocyte heterogeneity. Open in a new tab (A) Gating strategy for monocyte single cell sorting. Monocytes were enriched by first gating on LIN(CD3, CD19, CD56) − CD14 +/lo , followed by three loose overlapping gates defined by relative expression of CD14 and CD16 for comprehensive sampling of CD14 ++ CD16 − (yellow), CD14 ++ CD16 + (purple), and CD14 + CD16 ++ (blue); 32 cells from each gate were sorted per 96-well plate profiled. Bottom right: Dot plot shows overlay of the sorted populations. ( B ) t -SNE analysis incorporating monocytes ( n =337 successfully profiled) and DCs ( n =742). Number of successfully profiled single monocytes per transcriptionally defined clusters includes Mono1 ( n =148), Mono2 ( n =137), Mono3 ( n =31), and Mono4 ( n =21). The number of discriminative genes with AUC cutoff ≥ 0.85 (combined analysis of DC and monocyte datasets) is reported in bracket next to cluster ID. Up to 5 top discriminators are listed next to each cluster; the number in bracket next to each gene refers to AUC value. Colors indicate unbiased DC and monocyte clustering from graph-based clustering. Each dot represents an individual cell. ( C ) Heatmap reporting scaled expression (log TPM values) of discriminative gene sets for each monocyte subsets with AUC cutoff ≥ 0.85 (see fig. S4B for detailed heatmap). Color scheme is based on z -score distribution, from −2.5 (purple) to 2.5 (yellow). Color bars in right margin highlight gene sets of interest. All monocyte subtypes shared a signature that distinguishes them collectively from CD1C + DC (cluster DC2 and DC3), CLEC9A + DC (cluster DC1), and pDC (cluster DC6) populations ( e.g. , ITGAM /CD11B, ITGB2 /CD18, TLR2 , and CLEC7A ) ( Fig. 3, B and C , and fig. S4B ). Thus, despite co-expressing genes such as CD14 and S100A8 , Mono1 and CD1C_B/DC3 cells were part of distinct clusters ( Fig. 3B and C ). CD1C + DCs (DC2 and DC3) expressed unique markers ( e.g. CD1C , CLEC10A , FCER1A , FCGR2B , and CD1D ) enriched for antigen processing ( P < 2.66 × 10 −10 ), MHC II ( P < 1.79 × 10 −8 ), and leukocyte activation ( P < 1.14 × 10 −6 ) gene ontology (GO) terms ( Fig. 3C and table S6 ) ( 6 ). In contrast, Mono1 cells were enriched for defense response ( P < 2.15 × 10 −14 ), inflammatory response ( P < 9.59 × 10 −14 ), and chemotaxis ( P < 6.77 × 10 −10 ) genes. Finally, we interrogated the relationship between CD16-expressing CD141 − CD1C − cells (cluster DC4) and CD16 + monocytes (cluster Mono2). Although the two populations shared many genes (e.g., FCGR3A ), they formed distinct clusters ( Fig. 3B ) defined by a unique discriminative gene set ( Fig. 3C and tables S7 and S8 ). DC4 cells were enriched for type I interferon signaling pathway ( P < 1.53 × 10 −13 ) and response to virus ( P < 4.77 × 10 −9 ) GO terms, whereas Mono2 cells were enriched for immune system process ( P < 1.09 × 10 −14 ) and leukocyte migration ( P < 3.57 × 10 −8 ) GO terms. Although we conclude that monocytes and DCs are distinct from each other in the steady state, our data do not address potential interconversion between cell fates or distinct ontogeny. AXL + SIGLEC6 + population and its relation to cDCs and pDCs As described above, a population emerged from the unbiased cluster analysis (cluster DC5; Fig. 1 ), defined by co-expression of unique markers (e.g., AXL , SIGLEC1 , SIGLEC6 , and CD22 /SIGLEC2 ) ( Fig. 4A , fig. S5A and tables S1–S2 ). Flow cytometry analysis of peripheral blood mononuclear cells (PBMCs) from 10 independent donors confirmed the existence of AXL + SIGLEC6 + cells (“AS DCs”) within the original DC gate ( Fig. 4B ) at a frequency of 2 to 3%, consistent with what was originally observed in the initial scRNA-seq analysis (30 of 768 DCs; Fig. 1C ). scRNA-seq profiling of prospectively sorted AS DCs (isolated with the gating strategy in Fig. 4B ) showed that the newly sorted cells clustered together with the original cluster ( Fig.4C and fig. S5B ), validating our enrichment strategy. Figure 4. Identification of AXL + SIGLEC6 + DCs (AS DCs). Open in a new tab ( A ) Violin plots showing expression distribution of surface markers AXL and SIGLEC6 . Other populations are depicted on the x axis; each dot represents an individual cell. ( B ) Flow cytometry gating strategy to identify AXL + SIGLEC6 + cells within human blood LIN(CD3, CD19, CD20, CD161) − and HLA-DR + mononuclear fraction. AXL + SIGLEC6 + cells were further distinguished by the relative expression of IL3RA /CD123 and ITGAX /CD11C [1 = CD123 + CD11c −/lo (pink); 2 = CD123 lo CD11c + (blue)]. Data shown are a representative analysis of 10 healthy individuals. ( C ) t -SNE analysis of all DCs ( n =742), along with prospectively profiled AXL + SIGLEC6 + single cells ( n =105), using gating strategy in ( B) (sorted from purple gate). Newly isolated AS DCs overlap with the originally identified DC5 cluster ( n =30), indicated by purple dashed circle. ( D ) Heatmap reporting scaled expression (log TPM values) of discriminative gene sets (AUC cutoff ≥ 0.75), highlighting the expression continuum of AS DCs. Top bar graph defines the AS DCs population purity score based on the top 10 most discriminative genes (i.e., AXL , PPP1R14A , SIGLEC6 , CD22 , DAB2 , S100A10 , FAM105A , MED12L , ALDH2 , and LTK ). ( E ) Heatmap reporting scaled expression (log TPM values) of prospectively enriched AS DCs populations ( n =90) isolated by relative ITGAX /CD11C and IL3RA /CD123 expression levels [red in ( D) ]; 43 single AXL + SIGLEC6 + CD11C − [pink gate in ( B )] and 47 single AXL + SIGLEC6 + CD11C + [blue gate in ( B )] were sequenced. The average expression values of the original CD1C + (combined DC2 and DC3), CD141 + /CLEC9A + (DC1) and pDC (DC6) single cells were used as reference to highlight enrichment of cDC-like and pDC-like gene sets. Top bar graph represents AS DC purity score. ( F ) Frequency (% mean ±SEM) of AXL + SIGLEC6 + CD123 + CD11C −/lo [population 1 (pink): 0.1 ± 0.014] and AXL + SIGLEC6 + CD123 lo CD11C + [population 2 (blue): 0.04 ± 0.01] as a percentage of LIN(CD3, CD19, CD20, CD161) − HLA-DR + PBMCs. Scatter plot includes data from nine healthy individuals. (G) t -SNE analysis of flow cytometry data for LIN(CD3,CD19,CD20,CD161) − HLA-DR + CD14 − CD16 − PBMCs based on the protein expression levels of AXL, SIGLEC6, CD1C, CD11C, CD22, CD33, CD34, CD45RA, CD100, CD123, CD303 and HLA-DR (see Fig. 6 for CD100 hi CD34 int population). Overlay of populations defined by conventional flow cytometry gating on clusters derived by t -SNE analysis shown in the legend. AS DCs exhibited a spectrum of states based on gene expression ( Fig. 4D ) defined by cells enriched for a pDC-like signature ( e.g. , IL3RA , IGJ , NRP1 , MZB1 ) and cells enriched for a cDC-like signature ( IFI30 , ITGAX , LY86 , GLIPR2 , FGR , LYZ , ENTPD1 ). We validated this observation by flow cytometry, using the surface markers IL3RA /CD123 and ITGAX /CD11C that respectively correlated with pDC and cDC gene signatures ( Fig. 4, B and D ). We exploited the combinatorial expression of AXL, SIGLEC6, CD123 and CD11C (at both mRNA and protein levels) to prospectively isolate the ends of this spectrum representing two putative AS DC subtypes (see gating strategy in Fig. 4B ), and further validated their identities by scRNA-seq ( Fig. 4E and fig. S5, C to F ). Across all 10 individuals tested, the two AS DC subpopulations represented a very small fraction of the Lin − HLA-DR + populations ( Fig. 4F ). Notably, lower levels of AXL and SIGLEC6 protein were associated with increased HLA-DR, CD11C and CD1C, whereas higher levels of AXL and SIGLEC6 were associated with increased CD123, CD303, and CD141 and decreased HLA-DR ( fig. S5, C to J ). This latter relationship was also observed by t -SNE analysis of flow cytometry data, where a peninsula with graded expression of AS DCs was located at the base of the CD1C + DC cluster and adjacent to the pDC cluster ( Fig. 4G ). Trajectory mapping of these cells across different levels of the surface markers CD123 and CD11C further indicated that AS DCs form a continuum from a pDC transcriptional state to a CD1C + DC transcriptional state ( fig. S5, C to F ). Taken together, our data suggest that AXL + SIGLEC6 + DCs are related but not identical to cDCs or pDCs. pDCs are phenotypically and functionally distinct from CD123 + CD11C − AS DCs Because pDCs and AXL + SIGLEC6 + CD123 + CD11C −/lo DCs shared expression of many genes ( Fig. 4, D and E , and fig. S6A ), we assessed whether these cell types also shared functional properties. We found that the genes specifically expressed by pDCs, but not by AS DCs, were associated with the known biological properties of pDCs. This includes, for example, genes associated with pathogen sensing and induction of type I interferons ( IRF7 , TLR7 , SLC15A4 , and PACSIN1 ), secretion (e.g. DERL3 , LAMP5 , and SCAMP5 ), and the pDC master regulator transcription factor TCF4 , along with its binding targets (e.g. SLA2 , PTCRA , PTPRCAP ) ( Fig. 5A and fig. S6A ) ( 18 – 19 ). In contrast, CD123 + CD11C −/lo AS DCs expressed cDC markers, including CD2 , CX3CR1 , CD33 /SIGLEC3, CD5 , and SIGLEC1 /CD169, both at protein and mRNA levels ( Fig. 5A and fig. S6, A to C ). pDCs were also morphologically distinct from AS DCs. Both AS DC subsets possessed the same cerebriform nucleus and cytoplasmic features of cDCs ( Fig. 5B ). We hypothesized that although CD123 + CD11C −/lo AS DCs expressed pDC markers, including IL3RA /CD123 and CLEC4C /CD303 ( fig. S5, G to J ), they are functionally distinct from pDCs. Figure 5. Phenotypic and functional characterization of AS DCs and “pure” pDCs. Open in a new tab (A) Heatmap reporting scaled expression (log TPM values) of gene sets common between AS DCs (DC5) and cDCs (clusters DC1 to DC4), and genes uniquely expressed in pDCs (DC6). Gene sets were generated through K-means clustering using the doKmeans function in the Seurat package. (B) Morphology of pDCs, CD1C + DCs, CLEC9A + DCs, AXL + SIGLEC6 + CD123 + CD11C −/lo and AXL + SIGLEC6 + CD123 lo CD11C + by Giemsa-Wright stain. Scale bar, 10μm. (C) IFNα (left panel) and IL-12p70 (right panel) concentration in culture supernatant 24 hours after CpG and LPS stimulation ( n =8) or after LPS, R848 and poly(I:C) stimulation ( n =4) of CD14 ++ CD16 − monocytes, pDCs, CLEC9A + DCs, CD1C + DCs, AXL + SIGLEC6 + CD123 + CD11C −/lo (1, pink), AXL + SIGLEC6 + CD123 lo CD11C + (2, blue), and CD100 hi CD34 int cells (3, beige). Composite data from four to eight donors is shown (mean ±SEM; ** P <0.01, *** P <0.001, Mann-Whitney U test). ( D ) Proliferation of allogeneic CD4 + and CD8 + T cells 5 days after co-culture with pDCs contaminated with AXL + SIGLEC6 + cells compared with pDCs devoid of AXL + SIGLEC6 + cells, in the context of LPS or LPS+R848 stimulation. Top: Representative pseudocolor dot plot. Bottom: Bar graphs of composite data ( n =4, mean ± SEM, * P <0.05, paired t-test). (E) Proliferation of allogeneic CD4 + and CD8 + T cells 5 days after co-culture with CD14 ++ CD16 − monocytes, pDCs, CLEC9A + DCs, CD1C + DCs, AXL + SIGLEC6 + CD123 + CD11C −/lo (1, pink), AXL + SIGLEC6 + CD123 lo CD11C + (2, blue) cells, and CD100 hi CD34 int (3, beige) cells. Top: Representative pseudocolor dot plot. Bottom: Bar graphs of composite data ( n =7, mean ±SEM, ** P <0.01, paired t-test). (F) Top: Immunohistochemical staining of human tonsil with AXL (brown), CD123 (purple) and CD3 (green). Brown arrows depict AXL + CD123 + cells adjacent to CD3 + T cells. Data shown are representative of four donors. Scale bar, 50μm. Middle: Frequency of AXL + SIGLEC6 + CD123 + and CD123 lo/− cells in human tonsil determined by flow cytometry analysis, as a percentage of CD45 + LIN(CD3,CD19,CD20,CD56,CD161) − HLA-DR + cells (mean ± SEM of three donors shown; AXL + SIGLEC6 + CD123 + , 0.7 ± 0.2%; AXL + SIGLEC6 + CD123 lo/− , 1.7 ± 0.2%). Bottom: Representative pseudocolor dot plot of AXL + SIGLEC6 + CD123 + (pop. 1, pink) and AXL + SIGLEC6 + CD123 lo/− (pop. 2, blue) cells in human tonsil by flow cytometry analysis ( n =3). To compare the functional properties of “pure” pDCs to AS DCs and cDCs, we used the markers identified in our study to isolate pure pDCs by excluding AS DCs, CLEC9A + DCs, CD1C + DCs and monocytes by FACS. As expected, pure pDCs produced their hallmark cytokine, interferon-α (IFN-α), while AS DCs produced negligible amounts of IFN-α upon Toll-like receptor 9 (TLR9) stimulation ( P < 0.001; Fig. 5C ). In contrast, the CD123 lo CD11C + AS DC subset secreted IL-12p70 at similar levels to other cDCs, while pure pDCs and CD123 hi CD11C −/lo AS DCs did not produce IL-12p70 ( P < 0.01; Fig. 5C ). Other factors, such as IL-8, were produced at high levels by the CD123 + CD11C −/lo AS DC subset but not by pDC ( P < 0.001; fig. S6D ). Finally, pure pDCs induced undetectable or low levels of T cell proliferation in response to LPS or LPS+R848 stimulation, respectively ( P < 0.05; Fig. 5D ). We conclude that “pure” IFN-α-producing pDCs (depleted of AS DCs) do not upregulate CD86 ( fig. S6, C and E ), are diminished in their ability to induce T cell proliferation, and that contamination of AS DCs within the traditionally defined pDC gate is likely responsible for T cell stimulation activities measured in prior reports ( 18 – 20 ). AS DCs stimulate T cell proliferation and are present in tonsils Because AS DCs expressed the costimulatory CD86 and components of antigen presentation, we hypothesized that they could stimulate T cell proliferation ( fig. S6, A, C, and E ). Strikingly, both AS DC subtypes were potent stimulators of allogeneic CD4 + and CD8 + T cell proliferation, unlike pDCs ( P < 0.01), and were marginally superior to CD1C + and CLEC9A + DCs ( Fig. 5E ). Similar to other DCs, AS DCs expressed CLA and CD62L but not CCR7 protein ( fig. S6F ), suggesting potential homing to peripheral tissue such as skin and lymph node from the circulation. Because CD123 + pDCs were observed in the T cell area of the human tonsil ( 21 ), we evaluated whether CD123 + AS DCs were also present by staining human tonsils with antibodies to CD123 and AXL. We found AS DCs adjacent to CD3 + T cells, admixed with CD123 + AXL − pDCs ( Fig. 5F ). Flow cytometry confirmed this finding, showing that the CD123 + CD11C −/lo AS DCs represented 0.7% and CD123 − CD11C + AS DCs represented 1.7% of the CD45 + LIN − HLA-DR + fraction ( Fig. 5F ). Thus, AS DCs are able to stimulate T cells and are present in the T cell zones of tonsils. Identification of circulating CD100 hi CD34 int cDC progenitors Finally, we interrogated CD11C − CD123 − cells within the HLA-DR + CD14 − gate used for isolating DCs that were not considered in the initial analysis because they were not previously thought to include DCs (red dashed gate in Fig. 1B and updated gate in Fig. 6A used for these experiments). Analysis of CD11C − CD123 − scRNA-seq data revealed six clusters in this gate ( fig. S7, A and B ). Cells in cluster 6 expressed genes associated with hematopoiesis, DC progenitors, and genes essential for DC development (e.g. SATB1 , RUNX2 , KIT , HLX , ID2 ) ( 22 – 25 ) and were marked by high expression of the cell surface protein SEMA4D (CD100). We therefore hypothesized that cluster 6 could represent a progenitor population. Figure 6. Identification and characterization of circulating CD100 hi CD34 int cDC progenitor. Open in a new tab (A) Flow cytometry gating strategy to isolate DC subsets: CLEC9A + DCs (red), CD1C + DCs (blue), pDCs (green), AXL + SIGLEC6 + cells (purple), and CD123 − CD11C − cells (red) for differentiation assays. Data shown are a representative analysis of at least 10 healthy individuals. (B) Differentiation assay readout (flow cytometry for CLEC9A + DCs, CD1C + DCs and pDC; scRNA-seq profiling of CD45 + cells) after 7 days of co-culturing LIN(CD3,CD19,CD20,CD161) − HLA-DR + CD14 − CD16 − AXL − SIGLEC6 − CD123 − CD11C − cells on MS5 stromal cell line supplemented with GM-CSF, SCF and FLT3LG. Top: Representative overlay dot plots. Overlay of pDC (green) and output cells (gray) for CD123 and CD303 expression is shown at far right (in green). Population 3 (in beige) represents CD100 hi CD34 int at day 0. Top right: Composite bar graphs for CLEC9A + and CD1C + DCs differentiated from culture by flow cytometry analysis ( n =4, mean ± SEM). Heatmap in bottom panel reports scaled expression (log TPM values) signature from culture output by scRNA-seq ( n =132), confirming differentiated CLEC9A + (red) and CD1C + (blue) DC transcriptional identities. Original transcriptional signatures from DC1 (CD141 + /CLEC9A + DC), DC2 (CD1C_A subset), and DC3 (CD1C_B subset) clusters are used as reference set. (C) Top: Flow cytometry gating strategy used to identify the CD100 hi CD34 int subset. All cell fractions in dashed gate were tested for differentiation potential (see fig. S7, A to F ). Bottom: Output from CD100 hi CD34 int fraction (population 3, beige gate). (D) Frequency of CD100 hi CD34 int subset as of LIN(CD3,CD19,CD20,CD161) − HLA-DR + PBMCs ( n =9 healthy donors). Morphology of CD100 hi CD34 int cell by Giemsa-Wright stain. Scale bar, 10μm. (E) Proliferative capacity of peripheral blood Cell Trace Violet (CTV)-labeled CD34 + HSCs (purple), CD100 hi CD34 int (3, beige), AXL + SIGLEC6 + CD123 + CD11C −/lo (1, pink), and AXL + SIGLEC6 + CD123 lo CD11C + (2, blue), as measured by CTV dilution after 5 days in culture on MS5 stromal cell line supplemented with GM-CSF, SCF and FLT3LG. Left: Representative overlay histogram. Right: Composite bar graphs illustrating percentage of proliferated cells and number of proliferations undergone from three donors shown (* P <0.05, paired t-test). ( F ) Output from differentiation assays seeded with CLEC9A + DCs, CD1C + DCs, pDCs, and AXL + SIGLEC6 + cells isolated using gating strategy in ( A ). AXL + SIGLEC6 + x2 = double FLT3L concentration. Also shown in ( C ) and ( F ) are representative culture outputs on day 7 and composite bar graphs (mean ± SEM; n =6 donors). ( G ) PCA analysis incorporating monocytes ( n =339), DCs ( n =742), and four BPDCN patient samples ( n =174) using the R software package Seurat. PC1 versus PC2 demonstrates the close transcriptional proximity between all four BPDCN samples and pDCs (dashed black circle); black bracket indicates overlapping cells. PC1 and PC2 variance is 3.8%. Each dot represents an individual cell; colored legend for each subset is shown at the right. To assess the progenitor potential of this compartment, we cultured FACS-purified CD11C − CD123 − cells with MS5 stromal cells and cytokines that induce DC differentiation ( 6 ), based on a published human DC progenitor differentiation assay ( 26 ). After several days in culture, the cells were evaluated by flow cytometry, using a panel of antibodies that identify pDCs and CD1C + and CLEC9A + DCs ( 6 ), and by scRNA-Seq profiling of CD45 + immune cells for a more comprehensive assessment. For comparison, under the same conditions, we monitored the differentiation potential of isolated pDCs, CD1C + and CLEC9A + DCs, and AS DC subtypes (see fig. S7, C and D ). After 7 days of culture, cells isolated from the CD11C − CD123 − gate gave rise to CLEC9A + and CD1C + DCs but not pDCs, according to flow cytometry and scRNA-seq analyses ( Fig. 6B ). We narrowed down the search for the progenitor cells to the CD45RA + CD39 − CD100 + pool of cells based on the unique cluster-6 marker CD100/SEMA4D ( fig. S7B ), along with candidate markers that we tested [based on DC progenitors in the bone marrow (CD45RA) and tissue DC (CD39) markers] ( Fig. 6C , fig. S5J, fig. S6, B and F, and fig. S7, B to H ). After iteratively testing each sorted population for differentiation potential, we discovered that only the CD100 hi CD34 int cells generated CLEC9A + and CD1C + DCs ( Fig. 6C and fig. S7F ). scRNA-seq of CD100 hi CD34 int cells mapped these cells to the original cluster 6, including the expression of the same DC differentiation and progenitor function genes ( fig. S7B ). We validated the existence of CD100 hi CD34 int progenitors in 10 individuals, with a frequency of ~0.02% of the LIN − HLA-DR + fraction of PBMCs ( Fig. 6D ). These cells were morphologically primitive, possessing high nuclear-to-cytoplasmic ratio and circular or indented nuclei ( Fig. 6D ), in contrast to AS DCs, pDCs, and CD1C + and CLEC9A + DCs ( Fig. 5B ). Although CD100 hi CD34 int cells expressed HLA-DR and low levels of the costimulatory molecule CD86 ( fig. S6E ) and lymph node homing gene CCR7 ( Fig. S7, B and H ), they had low T cell stimulatory potential ( Fig. 5, C and E ), which suggests that these cells are not functional cDCs. Furthermore, CD100 hi CD34 int cells retained significant proliferative capacity ( P < 0.05; Fig. 6E ), in accordance with their primitive morphology, phenotype and expression profile. Although CD100 hi CD34 int cells were KIT /CD117 + CD45RA + and CSF1R /CD115 − , CD1C − , CD141 − , CD123 − – a profile similar to that of a previously reported circulating human DC progenitor ( 24 , 27 , 28 ) – they differ from the published progenitor in having a more primitive morphology and lacking CSF2R /CD116 and FLT3 /CD135 expression ( fig. S7, G and H ). Differentiation potential of AS DCs When we seeded cultures with pDCs and CD1C + and CLEC9A + DCs, we found that they generally retained the same phenotype throughout the differentiation assay ( Fig. 6F and fig. S7, I and J ). Upon observing a gene expression spectrum of AS DC states that includes pDC-like and CD1C + -like DC signatures ( fig. S5, C to F ), we also seeded AS DCs to assess their potential to transition towards other DC subsets [ensuring no contamination with CD1C + and CLEC9A + DCs ( fig. S7I and J )]. After 7 days in culture, we observed cells with high levels of CD1C ( n =6 donors) and rare cells with surface CLEC9A and CADM1expression ( Fig. 6F ), irrespective of the FLT3L concentration used ( Fig. 6F ) or whether the culture was seeded with either of the two AS DC subpopulations representing both ends of the spectrum ( fig. S7K ). Notably, both AS DCs at day 0 and the cells differentiated from AS DC did not express BATF3 (a transcription factor required for terminal differentiation of CLEC9A + DCs), CADM1 or XCR1 , which are key CLEC9A + DC discriminative markers ( table S2 ) ( 23 , 29 – 33 ) ( fig. S5, D and E ). We found that AS DCs did not divide during the transition into CD1C + DCs, in contrast to CD100 hi CD34 int cells that divided and differentiated into CD1C + as well as CLEC9A + DCs. Furthermore, CD100 hi CD34 int differentiation into CD1C + DCs is not likely to transition through AS DCs, because CD100 hi CD34 int did not express AXL or SIGLEC6 genes at day 0 or during differentiation. AS DCs are thus functional cDCs that exist in a continuum of states in vivo ( fig. S5, C to F ), with the potential to transition toward CD1C + DCs. Mapping malignant cells from patients to the healthy DC atlas We leveraged our human DC atlas to compare pathogenic cells driving blastic plasmacytoid dendritic cell neoplasm (BPDCN), a rare and aggressive hematological malignancy previously known as NK cell leukemia/lymphoma ( 34 , 35 ), to healthy DC populations. Because the ontogeny of these cells remains unclear ( 34 – 38 ), we performed scRNA-seq on CD45 + HLA-DR + CD123 + blasts from four BPDCN patients ( n = 174 cells) ( 6 ). The first principal component highlighted gene sets clustering all four patients together with healthy blood pDCs ( Fig. 6G ). Analysis of BPDCN samples together with healthy DCs showed highest overlap with pDC and AS DC gene expression signatures ( fig. S8A ). Because pure pDC and AS DC subsets co-express many genes yet have distinct biological functions ( Figs. 4 and 5 ), we further analyzed the genes overlapping among BPDCN, pure pDCs, and cDCs ( fig. S8B ). Despite sharing some pDC genes (e.g., NRP1 , IL3RA , DERL3 , LAMP5 , PTCRA and PTPRCAP ), several key genes essential for pDC function were missing or were expressed only slightly in patient cells (e.g. GZMB , IRF7 , CLEC4C /CD303, IRF4 , and SLC15A4 ; fig. S8B ). Only a small number of cDC genes were expressed in patient cells, including SIGLEC6 , LTK , FCER1A , CD59 , CADM1 , and TMEM14A . Note that all four patient samples shared a set of discriminative genes ( fig. S8B and table S9 ) that included several genes expressed in B cells (e.g. FCRLA , IGLL1 , TCL1A , and IGLL5 ; fig. S8C ) or with hematopoietic progenitors (e.g. SOX4 and CLEC11A ). Collectively, our analysis suggests that although BPDCN malignant cells express some key B cell markers, they are most closely related to pDCs. Discussion DCs and monocytes are defined according to a combination of molecular markers, functional properties and ontogeny ( 39 ). However, it remains unclear whether the expression of existing markers tracks with the more complex internal states of cells. To address this question, we determined the states of blood DC/monocytes through comprehensive profiling of gene expression at single cell resolution, empirically inferred cell subtypes, identified optimal surface markers for purifying the hypothesized cell subtypes, and showed that prospectively purified cell types corresponded to inferred subtypes based on scRNA-seq. Our study has generated a more accurate taxonomy that includes six DC subtypes and four monocyte subtypes, as well as a circulating, dividing progenitor of cDCs. Previous studies classified human blood DCs into one pDC and two cDC populations. Our study identifies six DC populations: DC1 corresponds to the cross-presenting CD141/BDCA-3 + cDC1, which is best marked by CLEC9A; DC2 and DC3 correspond to new subdivisions of the CD1C/BDCA-1 + cDC2; DC4 corresponds to CD1C − CD141 − CD11C + DC, which is best marked by CD16 and shares signatures with monocytes; DC5 is a unique DC subtype, AS DCs; and DC6 corresponds to the interferon-producing pDC, purer than previously identified pDC population defined by standard markers (e.g., CD123, CD303/BDCA-2 + ) and contaminated with AS DCs. In the process of addressing how DCs resemble monocytes, we also identified four monocyte subtypes: the two known ones, as well as two new ones that have not been functionally characterized. Although DC2/3 and DC4 shared an expression signature with monocytes, our data do not suggest how they acquired these shared modules (e.g., common precursor, interconversion or independent convergence). Finally, we derived specific expression signatures for each DC and monocyte subtype, including transcription factors, cytokines, and cytokine receptors ( fig. S9, A to F ; table S10 ), providing a resource for further understanding of subtype functions and ontogeny. The CD1C/BDCA-1 + DC subdivision (DC2 and DC3) is further supported by parallel observations in their murine CD11b + DC homologs ( 40 – 43 ), which comprise an Esam lo subset with higher expression of myeloid genes such as CD14 and potent cytokine production, and an Esam hi subset with better MHC class II-dependent priming of CD4 + T cells ( 40 – 41 ). AS DCs, which were found within the pDC gate, formed a continuum between pDC and CD1C + DCs ( fig. S5, C to F ). Consistent with this observation, AS DCs were able to transition towards the CD1C + DC state in vitro (with <1% of differentiated AS DCs phenotypically resembling CLEC9A + DCs, which could be contaminants). However, because AS DCs (at both ends of the continuum) morphologically resemble cDCs and are able to stimulate T cell proliferation, yet do not proliferate themselves, they seem less likely to serve as a progenitor that generates cDCs and are more likely to be a functional DC variant that can be modulated to resemble CD1C + DCs. Although AS DCs most closely resemble CD1C + cDCs in basic functional properties and expression signatures, they are likely to have distinct functions because they localize to the T cell zone of tonsils and express several lectins, which recognize diverse glycans, and AXL, which interacts with apoptotic cells and Zika virus ( 44 – 46 ). An unresolved question concerns the importance of AS DCs sharing an expression signature with pDCs. Consistent with our findings that AS DCs are found in the traditional pDC flow cytometry gate, a recently described human CD2 hi pDC subset ( 20 ) appears to correspond to AS DCs based on expression of CD2 , AXL , CX3CR1 , LYZ and CD86 ( fig. S6C ), localization to tonsils, and a similar ability to trigger naïve T cell proliferation. Furthermore, a murine study identified non-canonical CX3CR1 + CD8α + cDCs (nc-cDCs), which express pDC and cDC signatures (e.g., CX3CR1, CD11c and MHCII), do not produce IFN-α, and activate T cell proliferation ( 47 – 48 ). Interestingly, pDC and nc-cDCs require E2-2/TCF4 to develop, and reduced levels of E2-2 lead to higher ID2 and expression of cDC genes ( 18 , 47 , 48 ). Consistent with this finding, we observed E2-2/TCF4 expression in human pDCs ( Fig. 5A ), with decreasing levels of E2-2/TCF4 and increasing levels of ID2 as AS DCs transition to CD1C + DCs ( fig. S5, C to F ). These findings suggest that AS DCs are similar to human CD2 hi pDCs and murine nccDCs. The discovery of AS DCs led us to update the strategy for isolating pDCs. When we removed AS DCs from pDCs isolated with standard markers (e.g. CD123 and CD303), the resulting pDCs were highly attenuated in their ability to induce T cell proliferation and produce T cell stimulatory ligands (e.g. IL-12), consistent with reports that found several markers splitting pDCs into those that stimulate or do not stimulate T cells ( 18 , 20 , 49 – 52 ). We thus propose that our purer pDC population corresponds more closely to the “natural interferon-producing cells (IPCs)” ( 21 , 53 ). These cells also appear to share more properties with plasma B cells than DCs, as indicated by morphology, higher expression of endoplasmic reticulum secretory machinery, known rearrangement at the Ig (immunoglobulin) locus, and expression of B-cell related transcripts. We also found that BPDCN cells share the pDC signature as well as additional B cell genes (e.g. IGLL1 , IGLL5 and TCL1A) . We conclude that even though pure pDCs fall into the MHC II-expressing gate, they have markers, gene signatures, and functions distinct from those of cDCs. In contrast to AS DCs, the CD100 hi CD34 int cells appear to be cDC progenitors, judging by their primitive morphology, absence of cDC functions and signatures, and potent ability to proliferate and generate a large and equal number of CD1C + DCs and CLEC9A + DCs within 7 days of culture. The recently identified human pre-cDC ( 24 – 28 ), which has proliferative capacity and differentiates into CD1C + and CD141 + DCs, appears to have some functional and phenotypical similarities to our CD100 hi CD34 int progenitors, even though our cells appear to be morphologically more primitive and lack the expression of CD116 and CD135, which were previously reported as markers ( 24 ). Single cell profiling studies are needed to determine whether and how these precursors are related. CD100 hi CD34 int cells also appear to be different from peripheral blood CD34 hi HSCs. Culturing of CD100 hi CD34 int cells gives rise only to CLEC9A + DCs and CD1C + DCs (and no other cell types) in 7 days. In contrast, peripheral blood CD34 hi HSCs under the same culture conditions for up to 14 days did not give rise to CLEC9A + cDCs. Furthermore, CD100 hi CD34 int cells have a transcriptional signature distinct from that of blood CD34 hi HSCs. Mapping CD100 hi CD34 int to other bone marrow progenitors may help to resolve the origin of these cells. Our results have several implications. The discovery of several DC subsets will enable a more complete understanding of DCs in tissues, inflammation, and disease. Furthermore, the identification of circulating CD100 hi CD34 int progenitors provides a well-defined cell type for generating DCs in vitro and for therapeutic targeting. Our new strategy for isolating pure pDCs, combined with the knowledge that the functions of contaminating AS DCs were incorrectly attributed to pDCs, should lead to more definitive annotation of pDC functions with implications for their therapeutic application ( 54 – 56 ). More generally, our use of the DC atlas to understand BPDCN cells illustrates how single cell analysis can pinpoint relationships of diseased cells to healthy cells. Finally, some susceptibility genes identified in human genetics association studies are expressed in the DCs and monocytes subsets defined in this study, suggesting new potential roles in disease ( fig. S10, A and B and table S11, A to C ). Using single-cell transcriptome profiling, we deconvoluted admixtures of cell types (e.g., pDCs, “intermediate” monocytes, cDC progenitors), revealed rare cell types (e.g., AS DCs) and elucidated complex relationships between cell types (e.g., spectrum of states for AS DCs) – thus addressing limitations in the existing classification that relies on a small number of markers ( 39 ). Nonetheless, some DC/monocyte subtypes were likely missed because they do not express MHC class II at rest, can only be defined by non-RNA molecules, are distinguished by low-abundance transcripts, or are only present during inflammation, disease or within tissues. To build a comprehensive immune cell atlas, future studies will need to address these challenges as well as localize these cell types within lymphoid and non-lymphoid tissues. Materials and Methods Study subjects The study was performed in accordance with protocols approved by the institutional review board at Partners (Brigham and Women’s Hospital, Massachusetts General Hospital, Dana-Farber Cancer Institute; Boston, USA) and Broad Institute (USA), as well as the Newcastle upon Tyne Hospitals (UK) Research Ethics Committee. All patients provided written informed consent for the genetic research studies and molecular testing. Healthy donors were recruited from the Boston-based PhenoGenetic project, a resource of healthy subjects that are re-contactable by genotype ( 57 ), and the Newcastle community. Individuals were excluded if they had a history of cancer, allergies, inflammatory disease, autoimmune disease, chronic metabolic disorders or infectious disorders. All healthy donors were nonsmokers, had a normal BMI and normal blood pressure, and were between 25 and 40 years of age. Cell isolation, flow cytometry staining, cell sorting, and analysis For profiling of healthy cells, PBMCs were isolated from fresh blood within 2 hours of collection, using Ficoll-Paque density gradient centrifugation as previously described ( 58 ). Single-cell suspensions were stained per manufacturer recommendations with different panels of antibodies ( table S12 ) designed to enrich for certain population for single-cell sorting and single-cell RNA-sequencing (scRNA-seq) ( 6 ). Flow cytometry and FACS-sorting of PBMC was performed on a BD Fortessa or BD FACS Fusion instrument, and data analyzed using FlowJo v10.1. Single-cells were sorted into 96-well full-skirted Eppendorf plates chilled to 4°C, pre-prepared with lysis buffer consisting of 10μl of TCL buffer (Qiagen) supplemented with 1% β-mercaptoethanol. Single-cell lysates were sealed, vortexed, spun down at 300 g at 4°C for 1 min, immediately placed on dry ice and transferred for storage at −80°C. Tonsil was mechanically disrupted to obtain single-cell suspension. Single-cell RNA-sequencing Smart-Seq2 protocol was performed on single sorted cells as described ( 7 , 8 ), with some modifications ( 6 ). For DCs, a total of 8 × 96-well plates (768 single DCs) were initially profiled from the same blood draw and sort from the index volunteer and subsequent validation performed on an additional 10 healthy individuals. For monocytes, a total of four plates were profiled (372 single monocytes and 12 population samples). An additional 975 single cells were profiled to further characterize the CD1C + DC subsets ( n =125), AXL + SIGLEC6 + cells ( n =372), CD11C − CD123 − compartment at day 0 ( n =164), differentiation assay outputs ( n =218), CD100 hi CD34 int cells ( n =96), and BPDCN patient samples ( n =269). Note that some of these single cells were excluded from the analysis after applying QC filters and analytically confirming cell type ( 6 ). Single-cell RNA sequencing analyses Raw sequencing data were processed as previously described ( 59 ) (see tables S13 to S16 for cell identities that accompany raw data and gene expression matrices). Briefly, short sequencing reads were aligned to the UCSC hg19 transcriptome. These alignments were used to estimate transcriptomic alignment rates, and were also used as input in RSEM v 1.2.1 to quantify gene expression levels (transcripts per million; TPM) for all UCSC hg19 genes in all samples. We filtered out low-quality cells from our data set based on a threshold for the number of genes detected (a minimum of 3000 unique genes per cell for cells sequenced at HiSeq depth, and 2000 unique genes per cell for cells sequenced at MiSeq depth). All genes that were not detected in at least 0.5% of all our single cells were discarded, leaving 21,581 genes for all further analyses. Data were log-transformed [log(TPM+1)] for all downstream analyses, most of which were performed using the R software package Seurat ( https://github.com/satijalab/seurat ; http://satijalab.org/seurat/ ) . See ( 6 ) for further details, including R script used to generate clusters. DC differentiation assay on MS5 stromal cells DC differentiation assay was performed as described ( 23 – 25 ) with minor adaptation. Briefly, 1×10 4 purified progenitors, DC, and monocyte subsets were cultured in 96-well flat bottom plates layered with 4×10 4 murine MS5 stromal cells (DSMZ, Germany) in the presence of human FLT3 ligand (FL; 100 ng/ml; Miltenyi Biotec), recombinant human SCF (20 ng/ml; R&D Systems), and recombinant human granulocyte-macrophage colony-stimulating factor (GM-CSF) (10 ng/ml; Peprotech). MS5 stromal cells were seeded 24 hours prior to co-culture. Growth factors were replenished on day 3 of culture. Cells were in culture for up to 7 days prior to harvesting by physical dissociation on ice. Cells were then stained on ice either for flow cytometry analysis (see output panel in table S12 ) or single-cell index sorting of CD45 + cells for scRNA-seq of culture output analysis. Cytokine production measurements Purified subsets were cultured at 5×10 3 cells per well in 96-well round-bottom plates in the presence of LPS (100ng/ml; Invivogen) and ODN2395 (1μM; Invivogen) or ODN5328 (ODN2395 control, 1μM; Invivogen), or in the presence of LPS, poly (I:C) (25μg/ml; Invivogen) and R848 (2.5μg/ml; Enzo Life Sciences). Culture supernatants were harvested after 24 hours and analyzed using a multiplexed cytokine assay (ProcartaPlex, eBioscience), or by leveraging the 92 inflammatory-related protein biomarker panel and four controls provided by Olink Proteomics (Uppsala, Sweden) ( 6 ). Assessing T cell stimulatory potential DC, monocyte, and progenitor subsets were purified from peripheral blood of healthy donors by FACS sorting (BD FACS Fusion; see table S12 for sorting panels and antibodies). For T cell stimulatory potential, purified DCs, monocytes, AXL + SIGLEC6 + subsets, and progenitor subset were cultured at cell density 5×10 4 per well. All purified cell subsets were matured with LPS (100ng/ml, Sigma) and R848 (2.5μg/ml, Invivogen), or with just LPS (100ng/ml), for 24 hours prior to co-culture with 5×10 5 CFSE-labeled allogeneic unfractionated CD3 + T cells at a 1:10 DC:T cell ratio. T cell proliferation was assessed by measuring CFSE dilution on day 5 of culture. Cytospin and immunostaining Cytospin of FACS-purified cells was prepared as described ( 60 ) using Shandon Cytospin 4 (Thermo Scientific). Giemsa-Wright staining was performed using Advia S60 (Siemens) and imaged using Axioimager.Z2 microscope with Axiovision software v4.8 (Carl Zeiss, Germany). Human tonsil paraffin sections were immunostained with the antibodies: anti-AXL (MM0098-2N33, Abcam), CD123 (BR4MS, Leica Biosystems) and CD3 (LN10, Leica Biosystems) using a Ventana Benchmark XT instrument. Monitoring cell proliferation PBMCs were labeled with Cell Trace Violet (CTV, Life Technologies) according to manufacturer’s protocol. CTV-labeled FACS-purified progenitors and DC subsets were cultured on murine MS5 stromal cells as described above and analyzed on day 5 to assess proliferation measured by CTV dilution. Supplementary Material Supplementary Materials & Methods NIHMS910854-supplement-Supplementary_Materials___Methods.pdf (39.6MB, pdf) Supplementary Tables 1–16 NIHMS910854-supplement-Supplementary_Tables_1-16.xlsx (846.9KB, xlsx) One Sentence Summary. Single cell RNA-sequencing and functional studies were used to revise the definitions of human blood dendritic cells and monocytes. Acknowledgments We thank the subjects in the PhenoGenetic Project for donating the blood used in our study; E. Segura, S. Amigorena, C. Benoist and D. Puyraimond-Zemmour for advice on the sorting strategy; M. Waring and the Ragon Institute Imaging Core-Flow Cytometry Facility [which is supported in part by the Harvard University Center for AIDS Research (CFAR), an NIH funded program (5 P30 AI060354-10)]; T. Booth and Newcastle University Bioimaging Unit for assistance with microscopy; L. Gaffney for illustrations; A. Long from MRC/EPSRC Molecular Pathology Node, J. Scott, K. Best, C. Jones, D. Lieb, C. Ford, D. Gennert, J. Trombetta, and A. Schnell for help and advice. Supported by National Human Genome Research Institute Centers of Excellence in Genomics Science grant P50 HG006193 (N.H. and A.R.), Manton Foundation (A.R. and N.H.), Howard Hughes Medical Institute (A.R.), NIH BRAIN grant (A.R.), Klarman Family Foundation (A.R. and N.H.), Banting Postdoctoral Fellowship (A.-C.V.), NIH Director’s New Innovator Award Program DP2-HG-009623 (R.S.), National Human Genome Research grant T32 HG002295 (S.S.; PI: Park, Peter J), American Society of Hematology Scholar grant (A.A.L), ISAC SRL-EL program (A.J.F), and Wellcome Trust grants WT088555 and WT107931/Z/15/Z (M.H.). A.-C.V., R.S., A.R., N.H., The Broad Institute, and Massachusetts General Hospital have filed a U.S. provisional patent application (62/376,007) that relates to products and methods useful for modulating and evaluating immune responses. A.R. is a scientific advisory board member for ThermoFisher Scientific and Syros Pharmaceuticals and a consultant for Driver Group. Processed scRNA-seq data are available through the Gene Expression Omnibus accession number GSE94820 and through the Broad Institute Single Cell Portal at https://portals.broadinstitute.org/single_cell/study/atlas-of-human-blood-dendritic-cells-and-monocytes . Raw RNA sequencing data are available through Database of Genotypes and Phenotypes (dbGaP) accession number phs001294.v1.p1. Footnotes Supplementary Materials www.sciencemag.org/content/356/6335/eaah4573/suppl/DC1 Materials and Methods Figs. S1 to S11 Tables S1 to S16 References (61–77) References 1. Haniffa M, Bigley V, Collin M. Human mononuclear phagocyte system reunited. Semin Cell Dev Biol. 2015;41:59–69. doi: 10.1016/j.semcdb.2015.05.004. [ DOI ] [ PubMed ] [ Google Scholar ] 2. Mildner A, Jung S. Development and function of dendritic cell subsets. Immunity. 2014;40:642–656. doi: 10.1016/j.immuni.2014.04.016. [ DOI ] [ PubMed ] [ Google Scholar ] 3. Schraml BU, e Sousa C Reis. Defining dendritic cells. 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