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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Aging</journal-id>
<journal-title>Frontiers in Aging</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Aging</abbrev-journal-title>
<issn pub-type="epub">2673-6217</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1258836</article-id>
<article-id pub-id-type="doi">10.3389/fragi.2023.1258836</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Aging</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Mechanisms of &#x3b3;&#x3b4; T cell accumulation in visceral adipose tissue with aging</article-title>
<alt-title alt-title-type="left-running-head">Mukherjee et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fragi.2023.1258836">10.3389/fragi.2023.1258836</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Mukherjee</surname>
<given-names>Sujata</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Bruno</surname>
<given-names>Maria E. C.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Oakes</surname>
<given-names>Jason</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Hawk</surname>
<given-names>Gregory S.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Stromberg</surname>
<given-names>Arnold J.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Cohen</surname>
<given-names>Donald A.</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Starr</surname>
<given-names>Marlene E.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Department of Pharmacology and Nutritional Sciences</institution>, <institution>University of Kentucky</institution>, <addr-line>Lexington</addr-line>, <addr-line>KY</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Division of Research</institution>, <institution>Department of Surgery</institution>, <institution>University of Kentucky</institution>, <addr-line>Lexington</addr-line>, <addr-line>KY</addr-line>, <country>United States</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Division of Laboratory Animal Resources</institution>, <institution>University of Kentucky</institution>, <addr-line>Lexington</addr-line>, <addr-line>KY</addr-line>, <country>United States</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Dr. Bing Zhang Department of Statistics</institution>, <institution>University of Kentucky</institution>, <addr-line>Lexington</addr-line>, <addr-line>KY</addr-line>, <country>United States</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Microbiology, Immunology, and Molecular Genetics</institution>, <institution>University of Kentucky</institution>, <addr-line>Lexington</addr-line>, <addr-line>KY</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/154187/overview">Anshu Agrawal</ext-link>, University of California, Irvine, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1147196/overview">Daniel Trott</ext-link>, University of Texas at Arlington, United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/960181/overview">Christina Camell</ext-link>, University of Minnesota, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Marlene E. Starr, <email>marlene.starr@uky.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>01</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>4</volume>
<elocation-id>1258836</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>07</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>12</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Mukherjee, Bruno, Oakes, Hawk, Stromberg, Cohen and Starr.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Mukherjee, Bruno, Oakes, Hawk, Stromberg, Cohen and Starr</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>&#x3b3;&#x3b4; T cells are resident in visceral adipose tissue (VAT) where they show an age-associated increase in numbers and contribute to local and systemic chronic inflammation. However, regulation of this population and mechanisms for the age-dependent accumulation are not known. In this study, we identified a progressive trend of &#x3b3;&#x3b4; T cell accumulation in VAT over the lifespan in mice and explored physiological mechanisms contributing to accumulation. Using isochronic parabiotic pairs of wild-type (WT) and T cell receptor delta knockout (TCR&#x3b4; KO) mice at young and old age, we confirmed that VAT &#x3b3;&#x3b4; T cells are predominately a tissue-resident population which is sustained in aging. Migration of peripheral &#x3b3;&#x3b4; T cells into VAT was observed at less than 10%, with a decreasing trend by aging, suggesting a minor contribution of recruitment to &#x3b3;&#x3b4; T cell accumulation with aging. Since tissue-resident T cell numbers are tightly regulated by a balance between proliferation and programmed cell death, we further explored these processes. Using <italic>in vivo</italic> EdU incorporation and the proliferation marker Ki67, we found that the absolute number of proliferating &#x3b3;&#x3b4; T cells in VAT is significantly higher in the aged compared to young and middle-aged mice, despite a decline in the proportion of proliferating to non-proliferating cells by age. Analysis of apoptosis via caspase 3/7 activation revealed that VAT &#x3b3;&#x3b4; T cells show reduced apoptosis starting at middle age and continuing into old age. Further, induction of apoptosis using pharmacological inhibitors of Bcl2 family proteins revealed that VAT &#x3b3;&#x3b4; T cells at middle age are uniquely protected from apoptosis via a mechanism independent of traditional anti-apoptotic Bcl2-family proteins. Collectively, these data indicate that protection from apoptosis at middle age increases survival of tissue-resident &#x3b3;&#x3b4; T cells resulting in an increased number of proliferative cells from middle age onward, and leading to the age-associated accumulation of &#x3b3;&#x3b4; T cells in VAT. These findings are important to better understand how adipose tissue dysfunction and related changes in the immune profile contribute to inflammaging among the elderly.</p>
</abstract>
<kwd-group>
<kwd>aging</kwd>
<kwd>adipose tissue</kwd>
<kwd>gamma delta T cells</kwd>
<kwd>migration</kwd>
<kwd>proliferation</kwd>
<kwd>apoptosis</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Aging and the Immune System</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>&#x3b3;&#x3b4; T cells are the prototype &#x201c;unconventional&#x201d; T cell, representing a unique subset that possesses characteristics of both innate and adaptive immunity (<xref ref-type="bibr" rid="B43">Vantourout and Hayday, 2013</xref>; <xref ref-type="bibr" rid="B9">Chien et al., 2014</xref>). They have been widely studied in the context of infections and autoimmune diseases (<xref ref-type="bibr" rid="B2">Bank, 2020</xref>; <xref ref-type="bibr" rid="B22">Kabelitz, 2020</xref>; <xref ref-type="bibr" rid="B15">Giri and Lal, 2021</xref>). However, their localization in peripheral tissues indicates physiological roles in maintaining tissue homeostasis beyond host protection (<xref ref-type="bibr" rid="B21">Johnson et al., 2020</xref>; <xref ref-type="bibr" rid="B15">Giri and Lal, 2021</xref>; <xref ref-type="bibr" rid="B35">Ribot et al., 2021</xref>). &#x3b3;&#x3b4; T cells are uniquely enriched in adipose tissues (<xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>) and have been identified as regulators of adipogenesis, thermogenesis, and sympathetic innervation (<xref ref-type="bibr" rid="B48">Zuniga et al., 2010</xref>; <xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>; <xref ref-type="bibr" rid="B19">Hu et al., 2020</xref>). Research using diet-induced obesity models have provided evidence for a deleterious role of &#x3b3;&#x3b4; T cells in driving obesity-induced inflammation and metabolic dysfunction (<xref ref-type="bibr" rid="B30">Mehta et al., 2015</xref>). However, under homeostatic conditions and after short-term ketogenic diet, &#x3b3;&#x3b4; T cells in visceral adipose tissue (VAT) appear to be metabolically protective (<xref ref-type="bibr" rid="B16">Goldberg et al., 2020</xref>).</p>
<p>Adipose tissue has gained much interest in the aging field over the past decade as it appears to play a major role in age-related comorbidities (<xref ref-type="bibr" rid="B20">Huffman and Barzilai, 2009</xref>; <xref ref-type="bibr" rid="B41">Tchkonia et al., 2010</xref>; <xref ref-type="bibr" rid="B32">Palmer and Kirkland, 2016</xref>; <xref ref-type="bibr" rid="B39">Stout et al., 2017</xref>; <xref ref-type="bibr" rid="B31">Ou et al., 2022</xref>). Age-associated adipose tissue dysfunction results from a combination of adipose tissue redistribution, immune cell infiltration and functional alteration, decline in adipogenesis, preadipocyte senescence, reduced mi-RNA processing, and a decrease in brown and beige fat function (<xref ref-type="bibr" rid="B32">Palmer and Kirkland, 2016</xref>; <xref ref-type="bibr" rid="B31">Ou et al., 2022</xref>; <xref ref-type="bibr" rid="B47">Zhang et al., 2023</xref>). These changes collectively impart a profound impact on metabolic and cardiovascular health (<xref ref-type="bibr" rid="B32">Palmer and Kirkland, 2016</xref>; <xref ref-type="bibr" rid="B39">Stout et al., 2017</xref>; <xref ref-type="bibr" rid="B34">Reyes-Farias et al., 2021</xref>; <xref ref-type="bibr" rid="B45">Von Bank et al., 2021</xref>; <xref ref-type="bibr" rid="B47">Zhang et al., 2023</xref>). With respect to immune cell alterations, studies have linked age-associated VAT inflammation and dysfunction to disruptions in regulatory T cell, B cell, ILC2, eosinophil, and macrophage populations (<xref ref-type="bibr" rid="B27">Lumeng et al., 2011</xref>; <xref ref-type="bibr" rid="B13">Garg et al., 2014</xref>; <xref ref-type="bibr" rid="B3">Bapat et al., 2015</xref>; <xref ref-type="bibr" rid="B7">Camell et al., 2017</xref>; <xref ref-type="bibr" rid="B42">Trim et al., 2018</xref>; <xref ref-type="bibr" rid="B6">Camell et al., 2019</xref>; <xref ref-type="bibr" rid="B4">Brigger et al., 2020</xref>; <xref ref-type="bibr" rid="B17">Goldberg et al., 2021</xref>; <xref ref-type="bibr" rid="B12">Dahlquist and Camell, 2022</xref>). Nevertheless, the roles of immune cells in age-related adipose tissue dysfunction are complex and incompletely understood.</p>
<p>We recently reported that &#x3b3;&#x3b4; T cells are increased by aging in VAT of mice and humans (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>). This increase occurs independent of adiposity and without regard for sex. In the absence of &#x3b3;&#x3b4; T cells (TCR&#x3b4; KO mice), inflammation, both locally in VAT and systemically, is reduced in aged mice confirming a role for these cells in age-associated inflammation (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>). Deficiency of &#x3b3;&#x3b4; T cells in old age also improved the metabolic phenotype characterized by increased respiratory exchange ratio. However, the underlying mechanisms contributing to an age-associated accumulation of &#x3b3;&#x3b4; T cells in VAT remain unclear.</p>
<p>The objective of this study was to investigate the contributions of different physiological mechanisms to age-associated &#x3b3;&#x3b4; T cell accumulation in VAT. We first evaluated the trend of accumulation of &#x3b3;&#x3b4; T cells over the lifespan in mice and explored whether increased recruitment of peripheral &#x3b3;&#x3b4; T cells to VAT contributes to age-associated accumulation. In the absence of this finding, we shifted our focus to the tissue-resident population. T cell numbers are tightly regulated within tissues by a balance between proliferation and programmed cell death (<xref ref-type="bibr" rid="B14">Ginaldi et al., 2000</xref>); thus, we evaluated these two driving forces as mechanisms to increase the number of &#x3b3;&#x3b4; T cells in VAT with aging.</p>
<p>Overall, our findings shed light on specific age-related immune alterations regarding &#x3b3;&#x3b4; T cells in VAT. Since shifts in the resident immune profile contribute to adipose tissue dysfunction, inflammaging, and downstream metabolic perturbations, which increase the risk of chronic disease, these results aid in our understanding of the roles &#x3b3;&#x3b4; T cells play in these processes.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>2 Methods</title>
<sec id="s2-1">
<title>2.1 Animals and husbandry</title>
<p>Male and female C57BL/6 mice were obtained from The Jackson Laboratory (Stock 664) or the National Institute on Aging. T cell receptor delta chain knockout mice (TCR&#x3b4; KO, B6.129P2-Tcrdtm1Mom/J, Stock 2120) were obtained from The Jackson Laboratory and bred in-house. Different age groups of mice were utilized ranging from 2 to 24&#xa0;months; age is specified for each experiment in figures and/or legends. Mice were housed in pressurized intraventilated cages and maintained in an environment under controlled temperature (21&#xb0;C&#x2013;23&#xb0;C), humidity (30%&#x2013;70%), and lighting (14&#xa0;h/10&#xa0;h, light/dark) with free access to drinking water and chow (Teklad Global No. 2918). All procedures were approved by the Institutional Animal Care and Use Committee at the University of Kentucky and performed in accord with the National Institutes of Health guidelines for ethical animal treatment.</p>
</sec>
<sec id="s2-2">
<title>2.2 Parabiosis</title>
<p>Isochronic parabiotic pairs were constructed using age- and sex-matched WT and TCR&#x3b4; KO male and female mice (male to male or female to female). Young males were cohoused at weaning. Aged males were acclimated for pairing using an in-house developed clear plexiglass barrier for 2&#xa0;weeks (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>). After removal of the barrier, pairs were cohoused for an additional 2&#xa0;weeks before surgery to assure compatibility. Female mice were cohoused for at least 2&#xa0;weeks prior to surgery without the barrier. Surgeries were performed following the protocol described by <xref ref-type="bibr" rid="B23">Kamran et al. (2013)</xref>. Briefly, C57BL/6 and TCR&#x3b4; KO mice were anesthetized with isoflurane, 4%&#x2013;5%, provided by a precision vaporizer followed by application of ophthalmic ointment, meloxicam (5&#xa0;mg/kg s. c), buprenorphine SR-LAB (Zoopharm, 1&#xa0;mg/kg s.c.), and enrofloxacin (10&#xa0;mg/kg, s.c.). The appropriate side of each mouse was clipped of fur and the mice transferred to a heated surgical platform with two separate side-by-side nose cones, with isoflurane maintained at 1.5%&#x2013;2%. With the mice positioned in lateral recumbency, back-to-back, the exposed side of each mouse was aseptically prepped using betadine and isopropyl alcohol, and an incision was made through the skin extending from 5&#xa0;mm above the elbow to 5&#xa0;mm below the knee joint. The skin adjoining the incision was gently separated from underlying tissue to create a 5&#xa0;mm flap surrounding the incision and the exposed joints were joined using 3-0 Prolene suture. The skin along the ventral and dorsal sides of the incision was then approximated and joined with 5&#x2013;0 Vicryl suture in a continuous pattern. Subsequently, the mice were transferred to a recovery cage, administered 1&#xa0;mL warm sterile physiological saline (s.c.), and monitored until recovered from anesthesia and were ambulatory. Additional doses of meloxicam were provided at 24- and 48-h post-op and remaining exposed sutures were removed at 14&#xa0;days. Parabiotic pairs were euthanized at 4 weeks to harvest blood and tissues for flow cytometry analysis.</p>
</sec>
<sec id="s2-3">
<title>2.3 Euthanasia and sample collection</title>
<p>Mice were deeply anesthetized by isoflurane inhalation (5%), laparotomy performed, and blood collected from the inferior vena cava (IVC) by syringe needle with 10% volume of 0.1&#xa0;M sodium citrate. Subsequently, the IVC was cut, and the entire vasculature was perfused with 30&#xa0;mL physiological saline through the cardiac ventricles to eliminate circulating cells. For parabiotic pairs, perfusion was initiated from the heart of one mouse and the IVC of the other mouse was cut to visualize combined blood flow. For flow cytometry, fresh tissues including visceral adipose tissue (VAT) from the gonadal fat pads, spleen, liver (a portion of left lateral lobe) and lymph nodes (inguinal and brachial) were dissected and kept on ice until processing.</p>
</sec>
<sec id="s2-4">
<title>2.4 Tissue processing for single-cell suspensions</title>
<p>VAT, spleen, and blood were processed as previously described (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>). Liver and lymph nodes were pressed through a 100-&#x3bc;m cell strainer with a 5&#xa0;mL syringe plunger, washed with 20&#xa0;mL digestion buffer (0.5% BSA in HBSS with Ca<sup>2&#x2b;</sup>Mg<sup>2&#x2b;</sup>) and centrifuged at 500 &#xd7; g for 10&#xa0;min. RBC lysis was performed for liver (BioLegend 420302), followed by passing through a 70-&#x3bc;m strainer. After a second round of centrifugation, cells were resuspended in digestion buffer for subsequent counting, and processing for flow cytometry.</p>
</sec>
<sec id="s2-5">
<title>2.5 Flow cytometry</title>
<p>Single-cell suspensions in 250&#xa0;&#xb5;L of Dulbecco&#x2019;s Phosphate Buffered Saline (DPBS, Gibco 14190-144) were stained with Fixable Viability Dye eFluor 450 (eBioscience 65-0843-14) according to the manufacturer&#x2019;s protocol, and Fc receptor blocking was performed using TruStain FcX (Biolegend 156604) for 10&#xa0;min on ice in 250&#xa0;&#xb5;L of DPBS containing 1&#xa0;mM EDTA, 25&#xa0;mM HEPES, 1% FBS. Cells were further incubated for 30&#xa0;min at 4&#xb0;C in the dark with respective antibodies for cell surface staining (<xref ref-type="sec" rid="s11">Supplementary Table S1</xref>). For cell surface analyses only, stained cells were fixed with 4% paraformaldehyde (Biolegend 420801) for 20&#xa0;min. For intracellular staining, SVF cells were permeabilized following surface staining according to standard protocol (Invitrogen 00-5523-00), and intracellular staining was performed using antibodies for Ki-67 and isotype control. Cells were analyzed on a FACSymphony A3 Cell Analyzer (BD, San Jose, CA, United States). Analysis of flow cytometry data was performed using the FlowJo data analysis software (FlowJo, LLC, Ashland, OR, United States).</p>
</sec>
<sec id="s2-6">
<title>2.6 <italic>In vivo</italic> cell proliferation study with EdU</title>
<p>Stock solution of 5-ethynyl-2&#x2032;-deoxyuridine (EdU) at 40&#xa0;mg/mL was prepared by dissolving 10&#xa0;mg in 250&#xa0;&#xb5;L of DMSO which was stored at &#x2212;20&#xb0;C. Each mouse was injected with 1&#xa0;mg (<xref ref-type="bibr" rid="B8">Chen et al., 2019</xref>) dosage using 25&#xa0;&#xb5;L of stock solution and 375&#xa0;&#xb5;L PBS to make 400&#xa0;&#xb5;L of total injection volume. Mice were given intraperitoneal injections once daily, 24&#xa0;h apart, for 3 consecutive days and sacrificed on day four. Body weights were measured before and after 3 injections and did not change significantly. VAT was harvested and processed to obtain single-cell suspensions which were stained with Fixable Viability Dye eFluor 450 and antibodies against cell surface markers (<xref ref-type="sec" rid="s11">Supplementary Table S1</xref>), followed by EdU staining according to manufacturer&#x2019;s guidelines using the Click-iT Plus EdU Alexa Fluor 594 flow cytometry assay kit (Invitrogen C10646).</p>
</sec>
<sec id="s2-7">
<title>2.7 Analysis of apoptosis</title>
<p>VAT and lymph nodes were collected from mice and processed to obtain single-cell suspensions. Cells were resuspended in DPBS containing 1&#xa0;mM EDTA, 25&#xa0;mM HEPES, 1% FBS, and Fc receptor blocking was performed followed by surface staining. Cells were then stained with CellEvent&#x2122; Caspase-3/7 Green Flow Cytometry Assay kit according to manufacturer&#x2019;s protocol (Invitrogen C10740). In order to induce apoptosis, cells (&#x223c;1 &#xd7; 10<sup>6</sup>) were incubated with 2&#xa0;&#xb5;M ABT737 (Selleck chem S1002) and 1.6&#xa0;&#xb5;M Mcl-1 Inhibitor II (Sigma-Aldrich 5.08053) or 0.2% DMSO (vehicle) for 3&#xa0;h at 37&#xb0;C with 5% CO<sub>2</sub> similar to the protocol described by <xref ref-type="bibr" rid="B40">Tan et al. (2019)</xref>. Subsequently, cells were washed with DPBS containing 1&#xa0;mM EDTA, 25&#xa0;mM HEPES, 1% FBS and Fc receptor blocking, cell surface staining, and staining for caspase 3/7 performed as described above.</p>
</sec>
<sec id="s2-8">
<title>2.8 Statistical analysis</title>
<p>Continuous bivariate associations were analyzed using simple linear regression. Categorical explanatory variables with a continuous response were analyzed using one-way ANOVA with or without repeated measures as appropriate. Post-hoc pairwise comparisons were done using Tukey&#x2019;s Honest Significant Difference for independent samples and paired t-tests for repeated measures. Normality with constant variance was assumed in all analyses. No evidence of violations of normality were detected.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 &#x3b3;&#x3b4; T cells progressively accumulate in visceral adipose tissue over the lifespan in mice</title>
<p>We previously reported an age-associated increase in &#x3b3;&#x3b4; T cells in aged (19&#x2013;24&#xa0;months) compared to young (4&#x2013;5&#xa0;months) mice (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>); however, at what age this becomes apparent was not determined. To identify the trend of &#x3b3;&#x3b4; T cell accumulation in VAT over the lifespan, &#x3b3;&#x3b4; T cells were evaluated in seven age groups of mice (2&#xa0;months, 4&#xa0;months, 8&#xa0;months, 12&#xa0;months, 16&#xa0;months, 20&#xa0;months, 24&#xa0;months). CD3<sup>&#x2b;</sup> T cells were quantified among lymphocytes and &#x3b3;&#x3b4; T cells were distinguished by their TCR expression; conventional T cells (T<sub>conv</sub>, i.e., &#x3b1;&#x3b2; T cells) were evaluated in parallel (<xref ref-type="fig" rid="F1">Figure 1A</xref>). The entire flow cytometry gating scheme is shown in <xref ref-type="sec" rid="s11">Supplementary Figures S2A</xref>. Among CD3<sup>&#x2b;</sup> lymphocytes, the percentage of &#x3b3;&#x3b4; T cells progressively increased in VAT with aging (<xref ref-type="fig" rid="F1">Figure 1B</xref>, <italic>R</italic>
<sup>2</sup> &#x3d; 0.4684, <italic>p</italic> &#x3c; 0.0001), while the percentage of T<sub>conv</sub> cells reciprocally declined with age (<xref ref-type="fig" rid="F1">Figure 1C</xref>, <italic>R</italic>
<sup>2</sup> &#x3d; 0.4335, <italic>p</italic> &#x3c; 0.0001). The total number of &#x3b3;&#x3b4; T cells showed a significant increase at middle age (12&#x2013;16&#xa0;months) which further increased at old age (20&#x2013;24&#xa0;months) (<xref ref-type="fig" rid="F1">Figure 1D</xref>). The number of T<sub>conv</sub> cells likewise significantly increased at middle age (12&#x2013;16&#xa0;months); however, no further significant increase at old age was observed (<xref ref-type="fig" rid="F1">Figure 1E</xref>). To understand if adiposity plays a role in the age-related accumulation of T cells in VAT, the number of cells was adjusted for fat mass (see <xref ref-type="sec" rid="s11">Supplementary Figures S3A, B</xref> for body weight and fat mass data). In the resulting data, a significant increase in &#x3b3;&#x3b4; T cells at old age remained (<xref ref-type="fig" rid="F1">Figure 1F</xref>), indicating that age-related &#x3b3;&#x3b4; T cell accumulation is adiposity-independent. In contrast, statistical significance for the increase was lost for T<sub>conv</sub> cells (<xref ref-type="fig" rid="F1">Figure 1G</xref>), which points to adiposity as a major determinant for T<sub>conv</sub> accumulation in VAT over the lifespan. Furthermore, the significant increase in &#x3b3;&#x3b4; T cells at middle age was also lost after fat mass adjustment, indicating a contribution of mid-age weight gain to &#x3b3;&#x3b4; T cell abundance. In comparison, aging minimally influenced abundance of &#x3b3;&#x3b4; T cells and T<sub>conv</sub> cells in peripheral lymph nodes (<xref ref-type="sec" rid="s11">Supplementary Figures S4A&#x2013;D</xref>). Collectively, these data indicate that &#x3b3;&#x3b4; T cells progressively accumulate in VAT over the lifespan and that the late age-associated increase is independent of adiposity and unique to this tissue-resident population of cells.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Accumulation of &#x3b3;&#x3b4; T cells and Tconv cells in visceral adipose tissue over the lifespan in mice. Epididymal adipose tissues were harvested from mice and single-cell suspensions of SVF cells prepared for FACS analyses. <bold>(A)</bold> Representative flow cytometry plots of &#x3b3;&#x3b4; T and T<sub>conv</sub> cells among CD3<sup>&#x2b;</sup> lymphocytes in VAT. <bold>(B,C)</bold> Percentage and <bold>(D,E)</bold> Total number of &#x3b3;&#x3b4; T and T<sub>conv</sub> cells were quantified among the total CD3<sup>&#x2b;</sup> lymphocyte population in 2&#xa0;months (<italic>n</italic> &#x3d; 5), 4&#xa0;months (<italic>n</italic> &#x3d; 9), 8&#xa0;months (<italic>n</italic> &#x3d; 4), 12&#xa0;months (<italic>n</italic> &#x3d; 5), 16&#xa0;months (<italic>n</italic> &#x3d; 9), 20&#xa0;months (<italic>n</italic> &#x3d; 7), and 24&#xa0;months (<italic>n</italic> &#x3d; 6) old male C57BL/6 mice. <bold>(F,G)</bold> Number of cells adjusted per gram of VAT. Data are expressed in box plots from minimum to maximum values with bars representing the mean; each symbol represents an individual mouse. Statistical differences were determined by one-way ANOVA with Tukey&#x2019;s Honest Significant Difference for multiple comparisons. Age groups not connected by the same letters (a&#x2013;d) are significantly different. The correlation over the lifespan was determined using Pearson&#x2019;s Correlation Coefficient. g: gram; mo: month; T<sub>conv</sub>: conventional T cell; VAT: visceral adipose tissue.</p>
</caption>
<graphic xlink:href="fragi-04-1258836-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Recruitment of &#x3b3;&#x3b4; T cells to VAT is not enhanced by aging</title>
<p>Previous studies using parabiosis of CD45.1 and CD45.2 congenic mice have reported VAT &#x3b3;&#x3b4; T cells in young mice to be a tissue-resident population (<xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>; <xref ref-type="bibr" rid="B16">Goldberg et al., 2020</xref>). However, since adipose tissue is chronically inflamed in aging, promoting the secretion of inflammatory cytokines and chemokines, we tested the hypothesis that the inflamed microenvironment of aged VAT provides recruitment signals for peripheral &#x3b3;&#x3b4; T cells. Isochronic parabiotic pairs of wild-type (WT) and TCR&#x3b4; KO mice at both young and old age were used to evaluate peripheral &#x3b3;&#x3b4; T cell migration into VAT (<xref ref-type="fig" rid="F2">Figure 2A</xref>). &#x3b3;&#x3b4; T cells in blood showed comparable chimerism between WT and TCR&#x3b4; KO mice at both ages (<xref ref-type="fig" rid="F2">Figure 2B</xref>, young: 55.4% &#xb1; 3.8% in WT vs. 44.6% &#xb1; 3.8% in KO; aged: 64.1% &#xb1; 8.6% in WT vs. 36% &#xb1; 8.6% in KO), confirming distribution of circulating cells and validating our model system. In the young pairs, minimal recirculation of &#x3b3;&#x3b4; T cells was observed into the VAT of the TCR&#x3b4; KO mouse from its WT pair (<xref ref-type="fig" rid="F2">Figure 2C</xref>, 6.6% &#xb1; 6% in young TCR&#x3b4; KO), confirming previous reports that VAT &#x3b3;&#x3b4; T cells are tissue-resident (<xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>; <xref ref-type="bibr" rid="B16">Goldberg et al., 2020</xref>). Similar data were observed in the aged pairs (2.75% &#xb1; 2.3% &#x3b3;&#x3b4; T cells in the aged TCR&#x3b4; KO mouse, <italic>p</italic> &#x3d; 0.1239 vs. young KO), indicating that the aged microenvironment does not enhance &#x3b3;&#x3b4; T cell accumulation. This is likely to be unique to VAT as we observed recirculation in liver (<xref ref-type="fig" rid="F2">Figure 2D</xref>) and spleen (<xref ref-type="fig" rid="F2">Figure 2E</xref>). Therefore, while there is continuous low-level migration of &#x3b3;&#x3b4; T cells into VAT (&#x3c;10%), which could contribute to accumulation over the lifespan, recruitment of these cells is not enhanced by aging.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Recruitment of &#x3b3;&#x3b4; T cells to VAT is not enhanced by aging. &#x3b3;&#x3b4; T cell chimerism was evaluated 4 weeks after parabiosis surgery in young (<italic>n</italic> &#x3d; 5 WT:TCR&#x3b4; KO pairs, 5&#x2013;9&#xa0;months old males) and aged (<italic>n</italic> &#x3d; 4 male pairs and <italic>n</italic> &#x3d; 4 female pairs, 21&#x2013;24&#xa0;months old) parabiotic pairs. Data from males and females were combined as no statistical differences between the sexes were found. <bold>(A)</bold> Representative diagram of WT:TCR&#x3b4; KO isochronic parabiotic pairs. Average &#x3b3;&#x3b4; T cell chimerism in <bold>(B)</bold> Blood <bold>(C)</bold> VAT, <bold>(D)</bold> Liver, and <bold>(E)</bold> Spleen for each genotype (WT and TCR&#x3b4; KO) of the parabiotic pair was assessed by flow cytometry. Pie charts indicate the average proportion of &#x3b3;&#x3b4; T cells in each genotype of the parabiotic pair for both age groups. Proportions were calculated as the percentage of &#x3b3;&#x3b4; T cells in the KO (or WT) mouse over the sum of &#x3b3;&#x3b4; T cells in total among the pair. Box plots show percent of &#x3b3;&#x3b4; T cells present in the TCR&#x3b4; KO mouse of the pair at each age group. Each symbol represents an individual mouse, with bars representing the mean. Statistical differences were determined by two sample t-tests, no significant differences were observed. VAT: visceral adipose tissue; WT: wild type; TCR&#x3b4; KO: T cell receptor delta knock out.</p>
</caption>
<graphic xlink:href="fragi-04-1258836-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Proliferation of VAT-resident &#x3b3;&#x3b4; T cells decreases with aging although the total number of proliferating cells is expanded in the aged</title>
<p>Since <italic>de novo</italic> generation of &#x3b3;&#x3b4; T cells exists only in the thymus and peripheral recruitment to the VAT is minimal and not affected by aging, we evaluated whether proliferation of tissue-resident &#x3b3;&#x3b4; T cells is enhanced in the aged. Two different approaches were utilized: <italic>in vivo</italic> EdU incorporation (<xref ref-type="fig" rid="F3">Figure 3A</xref>) and intracellular staining for the proliferation marker Ki67 (flow cytometry gating schemes are shown in <xref ref-type="sec" rid="s11">Supplementary Figure S2</xref>). The percentage of EdU<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells significantly declined from young to aged (<xref ref-type="fig" rid="F3">Figure 3B</xref>, 23% &#xb1; 12% in young vs. 11% &#xb1; 2% in aged, <italic>p</italic> &#x3d; 0.0367), indicating that the proportion of proliferating to non-proliferating &#x3b3;&#x3b4; T cells decreases by aging. The total number of EdU<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells per gram of VAT, however, showed a significant 6.3-fold increase in the aged (<xref ref-type="fig" rid="F3">Figure 3C</xref>, <italic>p</italic> &#x3d; 0.0008). Note that mass of VAT was not significantly different between young and aged mice in this study (data not shown). T<sub>conv</sub> cells in VAT showed similar results (<xref ref-type="sec" rid="s11">Supplementary Figures S5A, B</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Proliferation of VAT-resident &#x3b3;&#x3b4; T cells decreases with aging. Proliferation was assessed <italic>in vivo</italic> and <italic>ex vivo</italic> by EdU incorporation and Ki67 positivity, respectively. <bold>(A)</bold> Experimental design for EdU incorporation in young (<italic>n</italic> &#x3d; 6, 4&#xa0;months), and aged (<italic>n</italic> &#x3d; 6, 23&#xa0;months) male mice. Epididymal adipose tissues were harvested and single-cell suspensions prepared after three consecutive days of EdU injections. <bold>(B)</bold> Percentage and <bold>(C)</bold> Number of EdU<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells per Gram of VAT were quantified using Click-iT Plus EdU Flow Cytometry Assay kit. In separate mice, epididymal adipose tissues were harvested for intracellular Ki67 staining by flow cytometry. <bold>(D)</bold> Percentage and <bold>(E)</bold> Number of Ki67<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells per Gram of VAT in young (<italic>n</italic> &#x3d; 13, 4&#x2013;6&#xa0;months), middle aged (MA, <italic>n</italic> &#x3d; 12, 12&#x2013;16&#xa0;months) and aged (<italic>n</italic> &#x3d; 13, 21&#x2013;25&#xa0;months) male mice. Data are expressed in box plots from minimum to maximum values with bars representing the mean; each symbol represents an individual mouse. Statistical differences were determined by one-way ANOVA with Tukey&#x2019;s Honest Significant Difference for multiple comparisons. &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001. IP: Intraperitoneal injection; EdU: 5-ethynyl-2&#x2032;-deoxyuridine; VAT: visceral adipose tissue.</p>
</caption>
<graphic xlink:href="fragi-04-1258836-g003.tif"/>
</fig>
<p>We next sought to validate these results utilizing the proliferation marker Ki67, in doing so we added a middle-aged group. The percentage of Ki67<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells progressively declined from young to old age (<xref ref-type="fig" rid="F3">Figure 3D</xref>, 25% on average in young, 18% in middle age, and 12% in old age, <italic>p</italic> &#x3c; 0.001 for young vs. aged comparison). The total number of Ki67<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells per gram of VAT, however, showed a significant 4.4-fold increase in the aged group only (<xref ref-type="fig" rid="F3">Figure 3E</xref>, <italic>p</italic> &#x3c; 0.0001: young vs. aged, <italic>p</italic> &#x3d; 0.0025: middle-aged vs. aged). In T<sub>conv</sub> cells, the percentage of Ki67<sup>&#x2b;</sup> cells declined from young to middle age without further change at old age; however, the total number of Ki67<sup>&#x2b;</sup> T<sub>conv</sub> cells per gram of VAT showed a significant 5.6-fold increase in only the aged group without any significant difference between young and middle-aged (<xref ref-type="sec" rid="s11">Supplementary Figures S5C, D</xref>). In peripheral lymph nodes, the percentage of Ki67<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells remained unchanged over the lifespan, while there was a slight increase in total number in the aged (<xref ref-type="sec" rid="s11">Supplementary Figures S6A, C</xref>). T<sub>conv</sub> cells in peripheral lymph nodes, on the other hand, showed a slightly higher proportion of Ki67<sup>&#x2b;</sup> cells in the aged but no change in total number (<xref ref-type="sec" rid="s11">Supplementary Figures S6B, D</xref>).</p>
<p>Collectively, these results indicate that although the proportion of proliferating to non-proliferating &#x3b3;&#x3b4; T cells decreases with aging, the total number of proliferating cells within the population increases in old age likely on account of the population itself being expanded over the lifespan. Further, both &#x3b3;&#x3b4; T cells and T<sub>conv</sub> cells in VAT show similar results with respect to the effect of age on proliferation, while cells in the peripheral lymph nodes were minimally affected.</p>
</sec>
<sec id="s3-4">
<title>3.4 &#x3b3;&#x3b4; T cells are protected from apoptosis beginning at the middle age</title>
<p>To understand whether aging influences VAT-resident &#x3b3;&#x3b4; T cell turnover, we analyzed apoptosis via caspase 3/7 activity (FACS gating scheme shown in <xref ref-type="sec" rid="s11">Supplementary Figures S7</xref>). The proportion of apoptotic &#x3b3;&#x3b4; T cells significantly declined at middle age compared to young without any further change in the aged (<xref ref-type="fig" rid="F4">Figure 4A</xref>, 25% &#xb1; 8% in young, 13 %&#xb1; 10% in middle-aged, 19% &#xb1; 7% in aged, <italic>p</italic> &#x3d; 0.0363 young vs. middle-aged, <italic>p</italic> &#x3d; 0.3685 middle-aged vs. aged). A concomitant increase in the proportion of live cells was observed starting at middle age (<xref ref-type="fig" rid="F4">Figure 4B</xref>, <italic>p</italic> &#x3d; 0.0117 young vs. middle-aged, <italic>p</italic> &#x3d; 0.2993 middle-aged vs. aged), suggesting that &#x3b3;&#x3b4; T cells are protected from apoptosis from middle age onwards. However, the absolute number of apoptotic and live &#x3b3;&#x3b4; T cells per gram of VAT was significantly higher in the aged (<xref ref-type="fig" rid="F4">Figures 4C, D</xref>, <italic>p</italic> &#x3c; 0.001 young vs. aged and <italic>p</italic> &#x3c; 0.001 middle-aged vs. aged).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>&#x3b3;&#x3b4; T cells in VAT are protected from apoptosis beginning at middle age. Epididymal adipose tissues were harvested from mice and single-cell suspensions of SVF cells prepared for FACS analyses using CellEvent Caspase 3/7 Flow Cytometry Assay with cell surface staining to identify &#x3b3;&#x3b4; T cells. <bold>(A,B)</bold> Percentage and <bold>(C,D)</bold> Number per gram of VAT of apoptotic and live &#x3b3;&#x3b4; T cells in young (<italic>n</italic> &#x3d; 9, 4&#xa0;months), middle age (MA, <italic>n</italic> &#x3d; 6, 12&#xa0;months) and aged (<italic>n</italic> &#x3d; 11, 22&#xa0;months) male mice. Data are expressed in box plots from minimum to maximum values with bars representing the mean; each symbol represents an individual mouse. Statistical differences were determined by one-way ANOVA with Tukey&#x2019;s Honest Significant Difference for multiple comparisons. In cells from separate mice, apoptosis was induced by incubation with Bcl2-family inhibitors ABT737 and Mcl-1 inhibitor II for 3&#xa0;h. <bold>(E)</bold> Representative flow cytometry plots of &#x3b3;&#x3b4; T cells treated with DMSO (control) and Bcl2 inhibitors. <bold>(F)</bold> Apoptotic &#x3b3;&#x3b4; T cells in young (<italic>n</italic> &#x3d; 6, 4&#xa0;months), middle age (MA, <italic>n</italic> &#x3d; 6, 12&#xa0;months) and aged (<italic>n</italic> &#x3d; 7, 22&#xa0;months) male mice. Data are expressed in box plots from minimum to maximum values with bars representing the mean; each symbol represents an individual sample. Pairwise statistical differences were detected by paired <italic>t</italic>-test within each age group, &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001. g: gram; MA: middle-aged; VAT: visceral adipose tissue.</p>
</caption>
<graphic xlink:href="fragi-04-1258836-g004.tif"/>
</fig>
<p>To address the role of anti-apoptotic proteins in VAT-resident &#x3b3;&#x3b4; T cell survival, apoptosis was induced by treating SVF cells isolated from adipose tissues with a combination of Bcl-2 family inhibitors: ABT737 (inhibitor of Bcl-2, Bcl-xl, and Bcl-w) and Mcl-1 inhibitor II (specific to Mcl-1). Apoptosis via caspase 3/7 activity in &#x3b3;&#x3b4; T cells was compared between control (treated with DMSO) and inhibitor-treated cells (<xref ref-type="fig" rid="F4">Figure 4E</xref>) by FACS with cell surface staining for &#x3b3;&#x3b4; T cells. In the presence of inhibitors, apoptosis was significantly induced in young &#x3b3;&#x3b4; T cells (<xref ref-type="fig" rid="F4">Figure 4F</xref>, 18% &#xb1; 4% to 45% &#xb1; 8%, <italic>p</italic> &#x3d; 0.0008). In contrast, apoptosis was not significantly induced in cells from middle-aged mice (8% &#xb1; 8% to 16% &#xb1; 12%, <italic>p</italic> &#x3d; 0.1062). &#x3b3;&#x3b4; T cells from aged mice were responsive to inhibitor treatment with apoptosis induced from 20% &#xb1; 5% to 36% &#xb1; 10% (<italic>p</italic> &#x3d; 0.0011), although induction of apoptosis appeared mildly blunted compared to young. These data suggest that &#x3b3;&#x3b4; T cells at middle age may be protected from apoptosis via a mechanism unrelated to the targeted Bcl2 family of anti-apoptotic proteins.</p>
<p>VAT-resident T<sub>conv</sub> cells likewise showed a significant decline in the proportion of apoptotic cells from young to middle age, suggesting protection from apoptosis similar to &#x3b3;&#x3b4; T cells (<xref ref-type="sec" rid="s11">Supplementary Figures S8A, B</xref>). The absolute number of apoptotic and live T<sub>conv</sub> cells after adjusting for fat mass also showed similar results to &#x3b3;&#x3b4; T cells with numbers increasing only in the old age group (<xref ref-type="sec" rid="s11">Supplementary Figures S8C, D</xref>). However, in the presence of Bcl2 family inhibitors, induction of apoptosis was significant in all groups (<xref ref-type="sec" rid="s11">Supplementary Figures S6E</xref>), indicating a unique pro-survival mechanism for &#x3b3;&#x3b4; T cells.</p>
<p>Contrarily, apoptosis was not reduced in &#x3b3;&#x3b4; T cells or T<sub>conv</sub> cells from the peripheral lymph nodes at middle age or old age. Instead a significant increase in the percent of apoptotic &#x3b3;&#x3b4; T cells was observed from middle age to old age (<xref ref-type="sec" rid="s11">Supplementary Figures S9A, B</xref> and <xref ref-type="sec" rid="s11">Supplementary Figures 10A, B</xref>). The total number of apoptotic or live &#x3b3;&#x3b4; T cells in lymph nodes did not significantly change over the lifespan (<xref ref-type="sec" rid="s11">Supplementary Figures S9C, D</xref>); however, T<sub>conv</sub> cells showed significant changes by aging (<xref ref-type="sec" rid="s11">Supplementary Figures S10C, D</xref>). Apoptosis of lymph node &#x3b3;&#x3b4; T cells and T<sub>conv</sub> cells was enhanced in all age groups in the presence of Bcl2-family inhibitors although the level of apoptotic cells was already high at baseline in these cells (<xref ref-type="sec" rid="s11">Supplementary Figures S9E, 10E</xref>).</p>
<p>Collectively, our data indicate that T cells (both &#x3b3;&#x3b4; T and Tconv) are uniquely protected from apoptosis in VAT, beginning at middle age. Further, the presence of a distinctive mechanism for VAT-resident &#x3b3;&#x3b4; T cells exists which is independent of the traditional Bcl2-family of anti-apoptotic proteins.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>Our prior work demonstrated that accumulation of &#x3b3;&#x3b4; T cells in VAT contributes to age-associated chronic inflammation by increasing IL-6 production from resident non-immune stromal cells (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>). In the current study, we aimed to understand the underlying cause of &#x3b3;&#x3b4; T cell accumulation in VAT with aging. Our data suggest that multiple processes are likely at play which cumulatively lead to &#x3b3;&#x3b4; T cell expansion over the lifespan (<xref ref-type="fig" rid="F5">Figure 5</xref>). Using a parabiosis model, we demonstrated that recruitment of &#x3b3;&#x3b4; T cells to VAT is not increased by aging. Rather, protection from apoptosis beginning at middle age, in combination with a low level of migration into VAT over the life span, leads to the expanded population which continues to proliferate via clonal expansion into old age. Adiposity also potentially plays a role during the period of middle age weight gain, but is no longer a factor at old age. These findings highlight the complexity of age-related immune changes which impact homeostasis during the aging process and contribute to the development of chronic disease and dysfunction in old age.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>A putative model demonstrating the contribution of various mechanisms to &#x3b3;&#x3b4; T cells accumulation in VAT with aging. &#x3b3;&#x3b4; T cells are generated in the fetal thymus followed by waves of egression to peripheral sites. Migration of &#x3b3;&#x3b4; T cells into VAT occurs at minimal levels (&#x3c;10%) over the lifespan, but is not increased by aging. Rather, protection from apoptosis beginning at middle age leads to increased survival of these long-lived cells. This, in combination with a low level of recruitment over the lifespan leads to the expanded population which continues to proliferate via clonal expansion into old age. The increase in proliferative cell numbers occurs despite an overall reduction in proliferation across the lifespan. Adiposity also appears to play a role during the period of middle age weight gain, but is no longer a factor at old age.</p>
</caption>
<graphic xlink:href="fragi-04-1258836-g005.tif"/>
</fig>
<p>While our previous work showed that VAT-resident &#x3b3;&#x3b4; T cells are increased by aging in mice, those data were limited to two age groups: 4&#x2013;5&#xa0;months-old and 19&#x2013;24&#xa0;months-old (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>). In the present study, we used seven different age groups of mice to understand whether the expansion was linear over the lifespan or a late-age event. Our data revealed a progressive increase of &#x3b3;&#x3b4; T cells in VAT over the lifespan. The total number of &#x3b3;&#x3b4; T cells showed an initial increase in VAT at middle age (12&#x2013;16&#xa0;months) with continued increase into old age (20&#x2013;24&#xa0;months). However, after adjusting for fat mass, the significance of the increase was lost in the middle-aged mice, but maintained in the older mice. This suggests that adiposity plays a role in &#x3b3;&#x3b4; T cell expansion into middle age, but the continued expansion from mid- to old age is adiposity-independent. This is substantiated by a plateau in the weight of the fat pads (epididymal) and body weight from 12 months onwards. Short-term high-fat diet has been shown to increase the number of &#x3b3;&#x3b4; T cells in proportion to the increase in fat mass (<xref ref-type="bibr" rid="B30">Mehta et al., 2015</xref>; <xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>); thus, middle age weight gain could account for this finding. The increase in number of T<sub>conv</sub> cells, on the other hand, lost significance for all groups after fat mass adjustment, except 20 months, suggesting more reliance on adiposity for expansion. Consequently, &#x3b3;&#x3b4; T cells show a unique pattern of expansion in old age. As our previous work identified a deleterious role for &#x3b3;&#x3b4; T cells with regard to chronic age-associated inflammation and metabolic dysfunction (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>), understanding the mechanism of expansion provides important information.</p>
<p>Although recent studies have found VAT &#x3b3;&#x3b4; T cells to be a tissue-resident population in young mice (<xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>; <xref ref-type="bibr" rid="B16">Goldberg et al., 2020</xref>), we initially hypothesized that &#x3b3;&#x3b4; T cells would be recruited to VAT during aging due to the chronically inflamed microenvironment. This seemed logical as pro-inflammatory cytokines and chemokines have been shown to recruit &#x3b3;&#x3b4; T cells into several other tissues (<xref ref-type="bibr" rid="B46">Xu et al., 2021</xref>). Moreover, the number of circulating &#x3b3;&#x3b4; T cells declines in aged mice (<xref ref-type="bibr" rid="B5">Bruno et al., 2022</xref>) and humans (<xref ref-type="bibr" rid="B36">Romano et al., 2000</xref>; <xref ref-type="bibr" rid="B1">Argentati et al., 2002</xref>; <xref ref-type="bibr" rid="B11">Colonna-Romano et al., 2002</xref>; <xref ref-type="bibr" rid="B10">Clark and Thomas, 2020</xref>; <xref ref-type="bibr" rid="B38">Singh et al., 2022</xref>), suggesting the potential for redistribution to VAT. However, this hypothesis proved to be incorrect. We assessed migration of &#x3b3;&#x3b4; T cells in isochronic parabiotic pairs of WT and TCR&#x3b4; KO mice at both young and old age by identifying the number of &#x3b3;&#x3b4; T cells which were able to recirculate and take up residence in the tissues of the KO animal. While blood, liver, and spleen showed balanced levels of chimerism between the WT and TCR&#x3b4; KO of the young pairs, minimal chimerism was observed of &#x3b3;&#x3b4; T cells migrating into the VAT of the TCR&#x3b4; KO from its WT pair. This did not change as a function of age, suggesting that the majority of &#x3b3;&#x3b4; T cells remain a self-sufficient tissue-resident population over the lifespan. However, it is possible that this low level of migration contributes to &#x3b3;&#x3b4; T cell accumulation in VAT over the lifespan. Our data in young mice are similar to that observed by others using young CD45.1:CD45.2 parabiotic pairs to assess &#x3b3;&#x3b4; T cell migration to VAT (<xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>; <xref ref-type="bibr" rid="B16">Goldberg et al., 2020</xref>). We recognize important limitations in this study such as our use of TCR&#x3b4; KO mice which could lack the necessary recruitment signals for &#x3b3;&#x3b4; T cells. However, this is unlikely since the cells were able to take up residence in other tissues. Further, it would be of interest to identify whether migration is enhanced during middle age when &#x3b3;&#x3b4; T cell expansion shows some dependency on adiposity; however, we were unable to perform those studies due to our inability to maintain and age the KO strain at this time. It is possible that a migrating population contributes to accumulation during middle age weight gain.</p>
<p>Lack of age-dependent &#x3b3;&#x3b4; T cell recruitment to VAT indicates that a tissue-specific mechanism must lead to &#x3b3;&#x3b4; T cell expansion in old age. As <italic>de novo</italic> generation of &#x3b3;&#x3b4; T cells exists only in the thymus (<xref ref-type="bibr" rid="B37">Sandrock et al., 2018</xref>; <xref ref-type="bibr" rid="B33">Parker and Ciofani, 2020</xref>; <xref ref-type="bibr" rid="B35">Ribot et al., 2021</xref>), we investigated two possible forces which maintain cellular homeostasis &#x2212; proliferation and programmed cell death. The proportion of proliferating to non-proliferating &#x3b3;&#x3b4; T cells progressively declined from young to old age, suggesting a decrease in the proliferative capacity by aging. This is not unexpected since proliferation is well-known to decrease in the aged (<xref ref-type="bibr" rid="B28">Makinodan and Adler, 1975</xref>; <xref ref-type="bibr" rid="B26">Lewis et al., 2022</xref>). However, the absolute number of proliferating &#x3b3;&#x3b4; T cells within VAT showed a significant increase at old age compared to both young and middle-aged. This incongruity is simply due to the increased number of &#x3b3;&#x3b4; T cells at old age - while among the total population, fewer &#x3b3;&#x3b4; T cells are able to proliferate at old age compared to younger ages, there are more &#x3b3;&#x3b4; T cells in total leading to higher numbers of both proliferating and non-proliferating cells. The increased number of &#x3b3;&#x3b4; T cells at middle age likely serves as a reservoir for continued accumulation into old age via clonal expansion. However, proliferation was not increased at middle age prompting us to explore alterations in cell survival.</p>
<p>Our data show that &#x3b3;&#x3b4; T cells in VAT are uniquely resistant to apoptosis at middle age. This trend continued into old age although statistical significance was lost, possibly due to larger variation which occurs naturally in older animals. A recent study showed that V&#x3b3;6<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells in the skin are protected from apoptosis via the B-cell lymphoma 2-related protein A1 (Bcl2a1) family of proteins (<xref ref-type="bibr" rid="B40">Tan et al., 2019</xref>). Bcl2a1 proteins are a family including Bcl2a1a&#x2013;Bcl2a1d which are not inhibited by treatment with ABT-737 or Mcl-1 inhibitors (<xref ref-type="bibr" rid="B44">Vogler, 2012</xref>). Using a similar experimental design as Tan <italic>et al.</italic>, we explored this possible mechanism for &#x3b3;&#x3b4; T cell protection from apoptosis in VAT. Apoptosis was induced upon inhibition of Bcl-2, Bcl-xl, Bcl-w and/or Mcl-1 in young and aged VAT &#x3b3;&#x3b4; T cells, suggesting a role for these Bcl2-family anti-apoptotic proteins in the maintenance of this cell population. It is important to note that the degree of apoptosis induction was more robust in the cells from young mice. In cells from aged mice, there was overlap between vehicle and inhibitor-treated cells suggesting variation in the degree of responsiveness among aged animals with some responding to inhibition and others not. However, apoptosis was not notable in VAT &#x3b3;&#x3b4; T cells from middle-aged mice by traditional Bcl2-family inhibition indicating a unique mechanism potentially involving Bcl2a1 proteins in this group. The Bcl2a1a and Bcl2a1d genes were recently reported to be enriched in IL17A<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells from CD18 (&#x3b2;<sub>2</sub> integrin) KO mice, which display a striking increase in &#x3b3;&#x3b4; T cell numbers in lung, uterus, spleen, and circulation (<xref ref-type="bibr" rid="B29">McIntyre et al., 2020</xref>). Although not measured in this study, an increase in anti-apoptotic Bcl2a1 proteins in &#x3b3;&#x3b4; T cells, as occurs in &#x3b3;&#x3b4; T cells from other tissues and model systems, could promote survival of VAT-resident &#x3b3;&#x3b4; T cells at middle age and into old age. This finding was unique to VAT &#x3b3;&#x3b4; T cells since T<sub>conv</sub> cells in VAT, despite a similar decreasing trend in the proportion of apoptotic cells with age, responded to inhibitor treatment uniformly regardless of age. These similarities and differences among VAT-resident lymphocytes suggest the likelihood that cell-intrinsic properties in combination with age-related environmental changes contribute to differences in the regulation of apoptosis over the lifespan. In contrast, apoptosis of &#x3b3;&#x3b4; T cells residing in peripheral lymph nodes was increased in old age indicating tissue-specific mechanisms which are likely environmental in nature.</p>
<p>A limitation of this work is the lack of specificity of our data for &#x3b3;&#x3b4; T cell subtypes. Multiple subpopulations of &#x3b3;&#x3b4; T cells exist due to V(D)J recombination of the 7 gamma and 6 delta chains (<xref ref-type="bibr" rid="B25">Legut et al., 2015</xref>). Mehta et al. detected the expression of V&#x3b3;1, V&#x3b3;2, V&#x3b3;4, V&#x3b3;6 and V&#x3b4;1, V&#x3b4;3, V&#x3b4;4 genes (Heilig &#x26; Tonegawa nomenclature (<xref ref-type="bibr" rid="B18">Heilig and Tonegawa, 1986</xref>)) in VAT of young mice by PCR (<xref ref-type="bibr" rid="B30">Mehta et al., 2015</xref>). Targeted flow cytometric analyses confirmed that VAT of young mice is primarily composed of V&#x3b3;6<sup>&#x2b;</sup> cells, which correspond to the more abundant CD3&#x3b5;<sup>hi</sup>CD27<sup>neg</sup>PLZF<sup>&#x2b;</sup> IL-17A-producing population, while the CD3&#x3b5;<sup>lo</sup>CD27<sup>&#x2b;</sup> PLZF<sup>neg</sup> IFN&#x3b3;-producing population appears to contain both V&#x3b3;1<sup>&#x2b;</sup> and V&#x3b3;4<sup>&#x2b;</sup> cells (<xref ref-type="bibr" rid="B24">Kohlgruber et al., 2018</xref>). It is possible that &#x3b3;&#x3b4; T cell accumulation in VAT with aging is subpopulation specific. Indeed, V&#x3b3;6<sup>&#x2b;</sup> &#x3b3;&#x3b4; T cells increased by aging in the peripheral lymph nodes of mice, while V&#x3b3;1 and V&#x3b3;4 populations showed an age-associated decrease (<xref ref-type="bibr" rid="B8">Chen et al., 2019</xref>). We were not able to identify different &#x3b3;&#x3b4; T cell subpopulations by FACS as the commercially available antibodies, which we attempted to validate in our lab, lacked sufficient marker specificity (data not shown). LN and thymic V&#x3b3;6<sup>&#x2b;</sup> cells are believed to have higher motility and traffic between tissues under homeostatic conditions and in response to inflammation (<xref ref-type="bibr" rid="B40">Tan et al., 2019</xref>), which raises the possibility that certain subpopulations of &#x3b3;&#x3b4; T cells migrate into VAT over the lifespan contributing in part to the expanded population. Protection from apoptosis as well as differences in proliferative capacity may also be subpopulation specific. Our future studies will delve into these details which will refine the generated knowledge.</p>
<p>In conclusion, &#x3b3;&#x3b4; T cells showed a progressive trend of accumulation in VAT over the lifespan in mice which was adiposity-dependent at middle age but independent of adiposity at old age. In the absence of evidence that &#x3b3;&#x3b4; T cells increasingly traffic to VAT with aging, we focused on mechanisms supporting tissue-resident cell homeostasis. Our findings indicate that &#x3b3;&#x3b4; T cells in VAT are protected from apoptosis from middle age onwards contributing to enhanced cell survival. This, in combination with an increased number of proliferating cells in the aged due to clonal expansion, not only maintains the population, but leads to the observed age-associated accumulation of &#x3b3;&#x3b4; T cells. We therefore propose that the processes leading to &#x3b3;&#x3b4; T cell accumulation are set into motion at middle age and not rescued into old age due to the multiple mechanisms at play. These findings are important to better understand how immune cells mediate adipose tissue dysfunction with aging and may aid in the identification of future novel therapeutic interventions to reduce the burden of inflammaging-associated diseases among the elderly.</p>
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</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6">
<title>Ethics statement</title>
<p>The animal study was approved by University of Kentucky Institutional Animal Care and Use Committee IACUC. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>SM: Conceptualization, Investigation, Methodology, Writing&#x2013;original draft. MB: Investigation, Supervision, Writing&#x2013;review and editing. JO: Investigation, Methodology, Writing&#x2013;review and editing. GH: Formal Analysis, Writing&#x2013;review and editing. AS: Formal Analysis, Writing&#x2013;review and editing. DC: Formal Analysis, Resources, Supervision, Validation, Writing&#x2013;review and editing. MES: Conceptualization, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Writing&#x2013;original draft, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Research reported in this publication was supported in part by NIH grants R01GM129532 and R56AG061508 awarded to MES. This research was conducted, in part, while MES was a Hevolution/AFAR New Investigator Awardee in Aging Biology and Geroscience Research. Additional support was provided by the Shared Resource Facilities of the University of Kentucky Markey Cancer Center under grant P30CA177558.</p>
</sec>
<ack>
<p>The authors gratefully acknowledge the Markey Cancer Center Research Communications Office for illustrative expertise.</p>
</ack>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fragi.2023.1258836/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fragi.2023.1258836/full&#x23;supplementary-material</ext-link>
</p>
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<supplementary-material xlink:href="DataSheet1.PDF" id="SM2" mimetype="application/PDF" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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