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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.733231</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Transcriptomic Analysis Identifies A Tolerogenic Dendritic Cell Signature</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Robertson</surname>
<given-names>Harry</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1205142"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Jennifer</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1420589"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Hani Jieun</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rhodes</surname>
<given-names>Jake W.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/718228"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Harman</surname>
<given-names>Andrew N.</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/573932"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Patrick</surname>
<given-names>Ellis</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/658644"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Rogers</surname>
<given-names>Natasha M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<xref ref-type="author-notes" rid="fn002">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/144803"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Kidney Injury Group, Centre for Transplant and Renal Research, Westmead Institute for Medical Research</institution>, <addr-line>Westmead, NSW</addr-line>, <country>Australia</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Computational Systems Biology Group, Children&#x2019;s Medical Research Institute</institution>, <addr-line>Westmead, NSW</addr-line>, <country>Australia</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>School of Mathematics and Statistics, University of Sydney</institution>, <addr-line>Camperdown, NSW</addr-line>, <country>Australia</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Centre for Virus Research, Westmead Institute for Medical Research</institution>, <addr-line>Westmead, NSW</addr-line>, <country>Australia</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>The University of Sydney, School of Medical Sciences, Faculty of Medicine and Health Sydney</institution>, <addr-line>Sydney, NSW</addr-line>, <country>Australia</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Renal and Transplantation Medicine, Westmead Hospital</institution>, <addr-line>Westmead, NSW</addr-line>, <country>Australia</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>Thomas E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh School of Medicine</institution>, <addr-line>Pittsburgh, PA</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Elodie Segura, Institut Curie, France</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Aurelie Moreau, Institut National de la Sant&#xe9; et de la Recherche M&#xe9;dicale (INSERM), France; Paulina A. Garc&#xed;a-Gonz&#xe1;lez, University of Chile, Chile</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Natasha M. Rogers, <email xlink:href="mailto:natasha.rogers@health.nsw.gov.au">natasha.rogers@health.nsw.gov.au</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>&#x2020;These authors share senior authorship</p>
</fn>
<fn fn-type="other" id="fn003">
<p>This article was submitted to Antigen Presenting Cell Biology, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>733231</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>06</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>09</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Robertson, Li, Kim, Rhodes, Harman, Patrick and Rogers</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Robertson, Li, Kim, Rhodes, Harman, Patrick and Rogers</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>Dendritic cells (DC) are central to regulating innate and adaptive immune responses. Strategies that modify DC function provide new therapeutic opportunities in autoimmune diseases and transplantation. Current pharmacological approaches can alter DC phenotype to induce tolerogenic DC (tolDC), a maturation-resistant DC subset capable of directing a regulatory immune response that are being explored in current clinical trials. The classical phenotypic characterization of tolDC is limited to cell-surface marker expression and anti-inflammatory cytokine production, although these are not specific. TolDC may be better defined using gene signatures, but there is no consensus definition regarding genotypic markers. We address this shortcoming by analyzing available transcriptomic data to yield an independent set of differentially expressed genes that characterize human tolDC. We validate this transcriptomic signature and also explore gene differences according to the method of tolDC generation. As well as establishing a novel characterization of tolDC, we interrogated its translational utility <italic>in vivo</italic>, demonstrating this geneset was enriched in the liver, a known tolerogenic organ. Our gene signature will potentially provide greater understanding regarding transcriptional regulators of tolerance and allow researchers to standardize identification of tolDC used for cellular therapy in clinical trials.</p>
</abstract>
<kwd-group>
<kwd>dendritic cell</kwd>
<kwd>tolerogenic dendritic cell (tolDC)</kwd>
<kwd>gene expression profile analysis</kwd>
<kwd>mature dendritic cells</kwd>
<kwd>mononuclear phagocyte cells</kwd>
<kwd>transcriptomic</kwd>
<kwd>liver</kwd>
<kwd>human dendritic cell</kwd>
</kwd-group>
<contract-num rid="cn001">1138372, 1158977</contract-num>
<contract-sponsor id="cn001">National Health and Medical Research Council<named-content content-type="fundref-id">10.13039/501100000925</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Sylvia and Charles Viertel Charitable Foundation<named-content content-type="fundref-id">10.13039/100008717</named-content>
</contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="6"/>
<equation-count count="0"/>
<ref-count count="77"/>
<page-count count="14"/>
<word-count count="4852"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Dendritic cells (DC) represent a population of bone marrow (BM)-derived cells responsible for the collection and presentation of captured antigen (Ag) (<xref ref-type="bibr" rid="B1">1</xref>). DC are found throughout the body, and their capacity for Ag presentation provides a crucial link between innate and adaptive immune responses. Multiple DC subsets have been described, broadly divided into myeloid and plasmacytoid groups (<xref ref-type="bibr" rid="B2">2</xref>). Similar to other immune cells, DC are also able to alter their phenotype and function based on environmental cues (<xref ref-type="bibr" rid="B3">3</xref>), contextual inflammatory signaling, and the presence of self/non-self Ag. Classically, mature DC drive effector T cell responses, and immature DC mediate central or peripheral tolerance primarily through immunoregulatory factors that induce regulatory or anergic T cells (<xref ref-type="bibr" rid="B4">4</xref>). An additional subset that are maturation-resistant &#x2013; so-called tolerogenic DC (tolDC) &#x2013; can be manufactured <italic>ex vivo</italic> but have not yet been found physiologically. TolDC have been extensively interrogated in pre-clinical models, and are exceedingly effective at limiting host immune responses that drive autoimmune disease [summarized in (<xref ref-type="bibr" rid="B5">5</xref>)] or allograft rejection in transplantation [summarized in (<xref ref-type="bibr" rid="B6">6</xref>)]. Capitalizing on their ability to modulate T and/or B cell behavior and release immunomodulatory molecules, tolDC have been used in recent phase I/II clinical trials for type 1 diabetes (<xref ref-type="bibr" rid="B7">7</xref>), rheumatoid arthritis (<xref ref-type="bibr" rid="B8">8</xref>), multiple sclerosis (<xref ref-type="bibr" rid="B9">9</xref>), and liver and kidney transplantation (<xref ref-type="bibr" rid="B10">10</xref>) as therapeutic agents that reduce exposure to non-specific immunosuppressive drugs.</p>
<p>Multiple protocols for the generation of tolDC exist (<xref ref-type="bibr" rid="B11">11</xref>). BM-derived progenitors (animals) and CD14+ peripheral blood mononuclear cells (PBMC, humans) are driven towards prototypic DC using growth factor/cytokine cocktails, and then &#x201c;tolerized&#x201d; pharmacologically. Interleukin-10 (IL-10) and vitamin D-based regimens are most frequently used, a substantial list of pharmacological modifiers of DC function exists (<xref ref-type="bibr" rid="B12">12</xref>) which continues to expand (<xref ref-type="bibr" rid="B6">6</xref>). Avoiding <italic>ex vivo</italic> isolation and manipulation, <italic>in vivo</italic> modulation using DC-specific targeting techniques, such as nanoparticles (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>) or antibodies (<xref ref-type="bibr" rid="B15">15</xref>), can directly deliver a pharmacological payload. Despite treatment heterogeneity, the DC phenotype is characterized by immunoregulatory properties (<xref ref-type="bibr" rid="B16">16</xref>) which then assumes generation of stable tolDC.</p>
<p>Identification of DC subsets is typically based on cell-surface markers. Although expression appears relatively conserved between species, tissues and disease models (<xref ref-type="bibr" rid="B2">2</xref>), the same standardized characteristics are not yet available for tolDC. Indeed, tolDC used in recent clinical studies did not have uniform methods for generation, phenotype or functional measurements (<xref ref-type="bibr" rid="B17">17</xref>). To date, there is no consensus for &#x201c;gold-standard&#x201d; validation of tolerogenic properties, and current methods range from analysis of cell-surface markers to allogeneic T cell stimulation (<xref ref-type="bibr" rid="B10">10</xref>). This has significant implications for clinical trials where differences in tolDC generation may impact clinical outcomes. There is also ongoing concern that tolDC are not stably manipulated and, like regulatory T cells, can be subverted to activated or inflammatory forms by a permissive microenvironment. Understanding gene changes that robustly reflect tolDC would be a useful tool in standardizing their generation, which may ultimately impact patient outcome.</p>
<p>Transcriptomic analysis allows for the identification of conserved and differentially expressed genes in tolDC regardless of the method of generation. A specific transcriptomic signature may also assist with discovery of surrogate markers that may be used clinically. The adaptation of differentially expressed genes to enrichment pathways also provides insight into the biological interpretability of gene(s) of interest. Recent literature (<xref ref-type="bibr" rid="B18">18</xref>) seeking to bridge this gap in the literature are limited to consolidating already reported signatures of previous studies and drawing on published conclusions to extract a transcriptome unique to the tolDC phenotype. We have addressed this shortcoming by analyzing available datasets to yield an independent set of differentially expressed genes within each study. Comparing these results across datasets yielded a common tolDC transcriptome which we then validated. We used the same pipeline to generate a mature DC transcriptome, and both novel gene signatures were applied to immune cell populations <italic>in vivo</italic>.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>TolDC Data Acquisition</title>
<p>A search to identify publicly available gene expression data in the Gene Expression Omnibus (GEO) <uri xlink:href="https://www.ncbi.nlm.nih.gov/geo/">https://www.ncbi.nlm.nih.gov/geo/</uri> was performed using the terms: &#x201c;tolerogenic dendritic cell&#x201d;, &#x201c;regulatory dendritic cell&#x201d; and &#x201c;tolDC&#x201d;. The search for publications up to December 2020 revealed 136 Datasets, of which 98 were human. Datasets were initially excluded from downstream analysis if they did not have an immature DC phenotype (control) within the dataset. Only 24 were whole datasets, and 8 contained cell samples that included adequately phenotyped tolDC (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). These datasets were arbitrarily divided into two groups: 5 datasets were used for initial tolDC gene set discovery, and the 3 remaining were used for validation. One further validation dataset was obtained from ArrayExpress (<xref ref-type="bibr" rid="B19">19</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Dataset identification and workflow for tolDC gene analysis. <bold>(A)</bold> Flowchart demonstrating relevant GEO search with inclusion and exclusion criteria. <bold>(B)</bold> Pipeline for generating tolDC, AADC and mature DC gene signatures.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-733231-g001.tif"/>
</fig>
</sec>
<sec id="s2_2">
<title>Data Analysis</title>
<p>The raw data of each of the five datasets precured [GSE13762 (<xref ref-type="bibr" rid="B20">20</xref>), GSE23371 (<xref ref-type="bibr" rid="B21">21</xref>), GSE56017 (<xref ref-type="bibr" rid="B22">22</xref>), GSE117946 (<xref ref-type="bibr" rid="B23">23</xref>), GSE52894 (<xref ref-type="bibr" rid="B24">24</xref>)] were obtained from the gene expression omnibus (<uri xlink:href="https://www.ncbi.nlm.nih.gov/geo/">https://www.ncbi.nlm.nih.gov/geo/</uri>). All five datasets were normalized using the quantile normalization method, with each dataset filtered to exclude genes with nil expression. Within each dataset, differential gene expression analysis was performed using limma (Smyth G. K. 2004) with Benjamini&#x2013;Hochberg multiple testing correction (<italic>p</italic> &lt; 0.05). In this way, a moderated test statistic was calculated for each gene within each dataset. Moderated test statistics were converted to z-scores, and subsequently p-values, as described in the directPA vignette (<xref ref-type="bibr" rid="B25">25</xref>). Pearson&#x2019;s method of combining p-values was used to derive an overall significance score for each gene across all datasets (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). An overall significance score of p &lt; 0.00001 was used as the threshold to establish genes in the tolDC transcriptome.</p>
</sec>
<sec id="s2_3">
<title>TolDC Gene Signature Validation</title>
<p>Three (<xref ref-type="bibr" rid="B3">3</xref>) datasets acquired from GEO (GSE104438 (<xref ref-type="bibr" rid="B26">26</xref>), GSE98480 (<xref ref-type="bibr" rid="B27">27</xref>), GSE92852 (<xref ref-type="bibr" rid="B28">28</xref>) containing tolDC and immature DC gene expression data were used for validation. A final validation was also performed using data from ArrayExpress database (E-MTAB-6937 (<xref ref-type="bibr" rid="B19">19</xref>). As with our discovery and initial validation set, we analysed each dataset individually to diminish potential batch effects that would arise from merging datasets. In all datasets, the moderated test statistics for each gene were converted into z-scores (as outlined in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>) and the pattern of gene expression compared with our tolDC gene set.</p>
</sec>
<sec id="s2_4">
<title>Alternatively Activated Dendritic Cell Gene Signature</title>
<p>In a similar manner to the identification of genes critical to tolDC, we determined genes differentially expressed between the tolDC stimulated with and without lipopolysaccharide (LPS). Three datasets were used in the analysis: GSE23371 (<xref ref-type="bibr" rid="B21">21</xref>), GSE117946 (<xref ref-type="bibr" rid="B23">23</xref>), GSE52894 (<xref ref-type="bibr" rid="B24">24</xref>). Differential gene expression was performed using the limma pipeline optimized as above, combining the results of our analyses using Pearson&#x2019;s Method, and yielding a set of genes critical to defining AADC.</p>
</sec>
<sec id="s2_5">
<title>Mature DC Gene Signature</title>
<p>Differentially expressed genes between immature DC stimulated with and without lipopolysaccharide (LPS) were also explored. Four datasets were used in the analysis: GSE23371 (<xref ref-type="bibr" rid="B21">21</xref>), GSE56017 (<xref ref-type="bibr" rid="B22">22</xref>), GSE117946 (<xref ref-type="bibr" rid="B23">23</xref>), GSE52894 (<xref ref-type="bibr" rid="B24">24</xref>).</p>
</sec>
<sec id="s2_6">
<title>Analysis of Enriched Pathways</title>
<p>A Wilcoxon rank sum test was performed on the combined p-value that was determined for each gene within our gene set analysis, returning a significance value for KEGG pathways that were enriched in the DC of interest. A subsequent Gene Set Enrichment Analysis (GSEA) was performed on the ranked list of genes, executed using the clusterProfliler (<xref ref-type="bibr" rid="B29">29</xref>) package in R.</p>
</sec>
<sec id="s2_7">
<title>Signature Validation</title>
<p>We sought to validate the specificity of our mature and tolDC signature using <italic>in vivo</italic> datasets that contained mononuclear phagocytes (MNP), including recognized DC subsets (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>) or peripheral blood immune cell subsets [GSE28492 (<xref ref-type="bibr" rid="B32">32</xref>)]. RNAseq data was normalized using the TMM method without filtering, microarray data was normalized using quantile normalization, and gene expression was compared between each cell phenotype.</p>
</sec>
<sec id="s2_8">
<title>Single Cell RNAseq of Kidney, Liver, and PBMC Datasets</title>
<p>Five individual single cell RNAseq (scRNA-seq) samples were obtained from the Panglao database (<uri xlink:href="https://panglaodb.se/">https://panglaodb.se/</uri>). The search criteria were initially limited to liver tissue only from human donors. The accession code SRA716608 was used to extract scRNAseq into R for analysis. The five samples were normalized and integrated using the harmony algorithm. The combined dataset was then analysed using the Uniform Manifold Approximation and Projection (UMAP) dimensional reduction technique. The tolDC phenotype was then plotted on the UMAP projection. To compare tolDC and mature DC gene signatures in different tissue compartments, liver (SRA716608, n = 22154 cells), peripheral blood mononuclear cells (PBMC, SRA749327, n = 15881 cells) and kidney cortex (SRA598936, n = 3573 cells) scRNA-seq samples were also acquired. Datasets belonging to individual tissue types were integrated using the harmony method, normalized and scaled. The expression of genesets was measured between DC in each tissue type.</p>
</sec>
<sec id="s2_9">
<title>Data Availability and Code Statement</title>
<p>Data utilized for this study is publicly available using the GEO accession codes listed. The code utilized to generate analysis and figures is available at: <uri xlink:href="https://github.com/Harry25R/Transcriptomic-analysis-identifies-a-tolerogenic-dendritic-cell-signature.git">https://github.com/Harry25R/Transcriptomic-analysis-identifies-a-tolerogenic-dendritic-cell-signature.git</uri>.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Dataset Quality Control</title>
<p>Five complete datasets with tolDC gene sequencing were retrieved. Each dataset had a different method of tolDC generation and 3 studies shared the same sequencing platform (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). A principal component analysis (PCA) identified phenotypic specific differences between samples in the GSE52894 dataset (<xref ref-type="bibr" rid="B24">24</xref>) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). This was consistent across all included datasets (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). Across the first principal component we observed large differences when DC were matured with LPS. The largest source of variation was between tolerogenic and mature DC, an expected result given the regulatory nature of tolDC compared to mature (immunogenic) DC. Confirming these results, unsupervised hierarchical clustering between samples exhibited strong correlation between samples of the same phenotype (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>).</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Identified publicly available gene datasets including immature, tolerogenic and mature DC for initial tolDC gene set discovery.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Dataset ID</th>
<th valign="top" align="center">Platform ID</th>
<th valign="top" align="center">References</th>
<th valign="top" align="center">Sample Proportions</th>
<th valign="top" align="center">Agent Used to Induce the tolDC Phenotype</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">GSE13762</td>
<td valign="top" align="center">GPL570</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B20">20</xref>)</td>
<td valign="top" align="left">4 x imDC,<break/>8 x tolDC</td>
<td valign="top" align="left">Vitamin D</td>
</tr>
<tr>
<td valign="top" align="left">GSE23371</td>
<td valign="top" align="center">GPL570</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B21">21</xref>)</td>
<td valign="top" align="left">3 x imDC<break/>3 x imDC + LPS<break/>3 x tolDC<break/>3 x tolDC + LPS</td>
<td valign="top" align="left">Interleukin 10 &amp; Dexamethasone</td>
</tr>
<tr>
<td valign="top" align="left">GSE56017</td>
<td valign="top" align="center">GPL570</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B22">22</xref>)</td>
<td valign="top" align="left">6 x imDC<break/>6 x imDC + LPS<break/>6 x imDC + Dexamethasone<break/>6 x tolDC</td>
<td valign="top" align="left">Dexamethasone</td>
</tr>
<tr>
<td valign="top" align="left">GSE117946</td>
<td valign="top" align="center">GPL6244</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B23">23</xref>)</td>
<td valign="top" align="left">4 x imDC<break/>4 x imDC + LPS<break/>4 x tolDC<break/>4 x tolDC + LPS</td>
<td valign="top" align="left">Interleukin 10</td>
</tr>
<tr>
<td valign="top" align="left">GSE52894</td>
<td valign="top" align="center">GPL10558</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B24">24</xref>)</td>
<td valign="top" align="left">4 x imDC<break/>4 x imDC + LPS<break/>4 x tolDC<break/>4 x tolDC + LPS</td>
<td valign="top" align="left">Dexamethasone &amp; Vitamin D</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Generating a unique tolDC transcriptome. <bold>(A)</bold> Principal component analysis (PCA) plot characterizing change in gene expression profiles between immature DC (red), mature DC (green), tolDC (blue), or alternatively-activated tolerogenic DC (AADC, purple) in GSE52894. Each dot presents a sample, and each color represents a DC phenotype. <bold>(B)</bold> Heatmap representation of the top 20 differentially expressed genes (DEG) by tolDC. DEG were arranged by hierarchical clustering on the vertical axis. Datasets, also clustered by hierarchical clustering, are displayed on the horizontal axis. The p-value yielded from each study were converted to z-scores and plotted. <bold>(C)</bold> KEGG and <bold>(D)</bold> Gene Set Enrichment analyses. Each point on the dot plot represents the number of genes involved in the relevant pathway. The gene ratio is the proportion of DEG <italic>versus</italic> genes not differentially expressed. Each point was colored to represent the adjusted p-value using the Benjamini-Hochberg method.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-733231-g002.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>Establishing a tolDC Gene Signature</title>
<p>The results of individual differential gene expression analysis were ranked by p-value. The top 10 up-regulated and downregulated genes are listed in <xref ref-type="table" rid="T2a">
<bold>Tables&#xa0;2A</bold>
</xref>, <xref ref-type="table" rid="T2b">
<bold>2B</bold>
</xref>, respectively. Our results were consistent with previous reports, suggesting no homogeneity in differentially expressed genes DEG between different methods generating tolDC if only looking at the strongest changes (<xref ref-type="bibr" rid="B18">18</xref>). By considering more than just the top genes, we then assessed homogeneous differential gene expression across the datasets, identifying 53 genes with a combined p-value&lt;10<sup>-5</sup> which we deemed to be characteristic of tolDC (<xref ref-type="table" rid="T3">
<bold>Table&#xa0;3</bold>
</xref>). The top 20 DEG are displayed in heatmap form (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>).</p>
<table-wrap id="T2a" position="float">
<label>Table&#xa0;2A</label>
<caption>
<p>Top 10 differentially upregulated genes in tolDC.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Dataset (GEO ID)</th>
<th valign="top" align="center">Method of Generation</th>
<th valign="top" align="center">Number of DE Genes</th>
<th valign="top" align="center">Top 10 DE Gene (Upregulated)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>GSE13762</bold>
</td>
<td valign="top" align="left">Vitamin D</td>
<td valign="top" align="center">77</td>
<td valign="top" align="left">SHE, CYP24A1, DRAM1, ST6GAL1, CD2AP, NRIP1, AOAH, G0S2, C20orf197, MIR3945HG</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE23371</bold>
</td>
<td valign="top" align="left">Interleukin 10 &amp; Dexamethasone</td>
<td valign="top" align="center">140</td>
<td valign="top" align="left">RNASE1, S100A8, CD163, SELENOP, CD14, SLC18B1, LINC01094, MERTK, C1QB, ADAMDEC1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE56017</bold>
</td>
<td valign="top" align="left">Dexamethasone</td>
<td valign="top" align="center">218</td>
<td valign="top" align="left">TNFAIP6, CCL20, C17orf58, NFKBIA, KYNU, PNRC1, SOD2, TNFAIP3, CYTIP, STK26</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE117946</bold>
</td>
<td valign="top" align="left">Interleukin 10</td>
<td valign="top" align="center">68</td>
<td valign="top" align="left">FAM20A, IGF2BP3, FPR1, HIVEP2, CR1, FCGR3A, C1S, CD163, IL7, TGFA</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE52894</bold>
</td>
<td valign="top" align="left">Dexamethasone &amp; Vitamin D</td>
<td valign="top" align="center">196</td>
<td valign="top" align="left">C20orf197, UBASH3B, SLC37A2, CA2, COQ2, FBP1, SIGLEC6, LRRC8A, ST6GAL1, ATP5PF</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T2b" position="float">
<label>Table&#xa0;2B</label>
<caption>
<p>Top 10 differentially downregulated genes in tolDC.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Dataset (GEO ID)</th>
<th valign="top" align="center">Method of Generation</th>
<th valign="top" align="center">Number of DE Genes</th>
<th valign="top" align="center">Top 10 DE Gene (Downregulated)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>GSE13762</bold>
</td>
<td valign="top" align="left">Vitamin D</td>
<td valign="top" align="center">77</td>
<td valign="top" align="left">IRF4, IER3, TRIM36, SPIN4, HCAR2, MMP12, CH25H, WFDC21P, CD1e, NUCB2</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE23371</bold>
</td>
<td valign="top" align="left">Interleukin 10 &amp; Dexamethasone</td>
<td valign="top" align="center">140</td>
<td valign="top" align="left">MMP12, ALOX15, CDH1, CH25H, APOL4, LAMP3, CCL17, MAFF, ACOT7, SOCS1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE56017</bold>
</td>
<td valign="top" align="left">Dexamethasone</td>
<td valign="top" align="center">218</td>
<td valign="top" align="left">RGS18, TSPAN32, NRGN, NCAPH, KIAA0930, C11orf45, CD1a, ACOX2, LPCAT4, DDIAS</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE117946</bold>
</td>
<td valign="top" align="left">Interleukin 10</td>
<td valign="top" align="center">68</td>
<td valign="top" align="left">SCRN1, B3GNT5, PLPP1, CD1c, HCAR3, TIFAB, ATP1B1, MAP4K1, CDH1, FABP4</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>GSE52894</bold>
</td>
<td valign="top" align="left">Dexamethasone &amp; Vitamin D</td>
<td valign="top" align="center">196</td>
<td valign="top" align="left">SLC47A1, CD1c, ESYT1, RGS18, ABCA6, DHRS2, CLIP2, HLA-DMB, DOCK10, CALCRL</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T3" position="float">
<label>Table&#xa0;3</label>
<caption>
<p>Summary of differentially expressed genes in tolDC.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Upregulated Genes</th>
<th valign="top" align="center">Downregulated Genes</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">DRAM1, NRIP1, CEBPB, SMPDL3A, NOD2, CD14, PAPSS2, ST3GAL1, SEMA6B, CD300LF, ACSL1, TREM1, NINJ1, NCF1C, RGS18, TSPAN14, MS4A4A, CD93, NCOA4, BRD8, C1QA, GK, C5AR1, EPB41L3</td>
<td valign="top" align="left">IRF4, TRIM36, MTCL1, HCAR2, MMP12, KCTD6, ZFP69, PP1R16A, CD1A, CD1E, CD1B, CD1C, IL1RAP, ESYT1, CALCRL, NCAPH, BCAR3, PEA15, FCER1A, SCRN1, GALNT12, NDRG2, ISYNA1, SLC27A3, NRGN, KIAA0100, VCL, CDH1, C1orf115</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_3">
<title>TolDC Pathway Enrichment Analysis</title>
<p>Mapping DEG within the tolDC gene set to the KEGG database returned several enriched pathways (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). The mitogen-activated protein kinase (MAPK) pathway was significantly enriched, as were cyclic AMP, Ras-related Protein 1, Forkhead box O and tumor necrosis factor (TNF) pathways. Gene Set Enrichment Analysis (GSEA) assigned directional change to each pathway and ranked genes were then mapped against the Gene Ontology (GO) database. Encouragingly, pathways involved in antigen presentation and antigen binding were all suppressed (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>), consistent with literature demonstrating that tolDC negatively regulate the immune response.</p>
</sec>
<sec id="s3_4">
<title>TolDC Gene Set Validation</title>
<p>Based on the initial discovery set, we identified 3 appropriate gene sets for validation (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>), annotating each gene by the expected enrichment direction (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Our gene signature fit data from TLR- and interluekin-10-generated tolDC, although GM-CSF-generated tolDC performed poorly in this validation step. We conducted further validation of our tolDC gene set using data from (<xref ref-type="bibr" rid="B19">19</xref>) (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref>) who compared transcriptomic signatures from tolDC derived from 3 different treatments (vitamin D, dexamethasone or rapamycin). Rapamycin-derived tolDC demonstrated a significant genomic deviation from our gene signature (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>).</p>
<table-wrap id="T4" position="float">
<label>Table&#xa0;4</label>
<caption>
<p>Identified publicly available gene datasets including immature, tolerogenic and mature DC for tolDC gene set validation.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Dataset ID</th>
<th valign="top" align="center">Platform ID</th>
<th valign="top" align="center">References</th>
<th valign="top" align="center">Sample Proportions</th>
<th valign="top" align="center">Agent Used to Induce the tolDC Phenotype</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">GSE104438</td>
<td valign="top" align="center">GPL14550</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B26">26</xref>)</td>
<td valign="top" align="left">4 x Macrophage,<break/>4 x imDC<break/>4 x tolDC</td>
<td valign="top" align="left">Low dose GM-CSF</td>
</tr>
<tr>
<td valign="top" align="left">GSE98480</td>
<td valign="top" align="center">GPL10558</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B27">27</xref>)</td>
<td valign="top" align="left">3 x imDC<break/>3 x imDC + LPS<break/>3 x tolDC<break/>3 x imDC + Poly I:C</td>
<td valign="top" align="left">Toll like receptor 7/8 ligand (R848)</td>
</tr>
<tr>
<td valign="top" align="left">GSE92852</td>
<td valign="top" align="center">GPL18460</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B28">28</xref>)</td>
<td valign="top" align="left">3 x imDC<break/>3 x imDC + LPS<break/>3x tolDC<break/>3 x tolDC + LPS</td>
<td valign="top" align="left">Interleukin-10</td>
</tr>
<tr>
<td valign="top" align="left">E-MTAB-6937 (ArrayDatabase)</td>
<td valign="top" align="center">&#x2013;</td>
<td valign="top" align="center"> (<xref ref-type="bibr" rid="B19">19</xref>)</td>
<td valign="top" align="left">5 x imDC<break/>5 x imDC + LPS<break/>5 x rapa-tolDC<break/>5 x dexa-tolDC<break/>5 x vitD3-tolDC</td>
<td valign="top" align="left">Rapamycin<break/>Dexamethasone<break/>Vitamin D</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Validation of tolDC transcriptome. Heatmap representation of upregulated and downregulated genes from the tolDC discovery gene set compared to expression in <bold>(A)</bold> GEO-derived or <bold>(B)</bold> ArrayDatabase validation gene set.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-733231-g003.tif"/>
</fig>
</sec>
<sec id="s3_5">
<title>Alternatively-Activated tolDC</title>
<p>Propagated tolDC that are &#x201c;alternatively activated&#x201d; (AADC) by exposure to an inflammatory stimulus, typically LPS, also demonstrate robust regulatory properties that protect against graft-<italic>versus</italic>-host disease (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). AADC have shown greater efficacy in controlling inflammatory immune responses <italic>in vivo (</italic>
<xref ref-type="bibr" rid="B35">35</xref>) compared to a more modest effect from IL-10-conditioned tolDC (<xref ref-type="bibr" rid="B36">36</xref>). We initially interrogated three datasets that compared gene expression between AADC and tolDC, although these demonstrated different DEG (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>, <xref ref-type="table" rid="T5">
<bold>Table&#xa0;5</bold>
</xref>). Analysis determined 39 DEG that were enriched in AADC compared to tolDC (<xref ref-type="table" rid="T4">
<bold>Table&#xa0;4</bold>
</xref> and <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>), and we mapped these to GEA pathways (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Identifying transcriptomic differences between subtypes of tolDC. <bold>(A)</bold> Heatmap representation of the top 39 DEG by AADC. <bold>(B)</bold> Fold change difference in expression of genes in AADC compared to tolDC. <bold>(C)</bold> KEGG and <bold>(D)</bold> Gene Set Enrichment analyses.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-733231-g004.tif"/>
</fig>
<table-wrap id="T5" position="float">
<label>Table&#xa0;5</label>
<caption>
<p>Summary of differentially expressed genes in AADC.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Upregulated Genes</th>
<th valign="top" align="center">Downregulated Genes</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">BTG3, NF-KB1, NF-KB2, RFTN1, SLC41A2, SLAMF7, GRAMD1A, LHFPL6, NDP, MCOLN2, PSME2, IFI27, IFI44L, RNF19B, GCH1, GBP1P1, APOO, CCL5, CD274, CYB27B1, G0S2, CD38, CD80, CFB, TNFAIP6, ZC3H12A, TNFAIP3, APOL3, NUB1, LAMP3, IL-1B, TRAF1, EBI3, PTGER4, BIRC3, RIPK2, IL2RA, IL15RA, TDRD7</td>
<td valign="top" align="left">RGS18, S100A4</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_6">
<title>DC Signatures in Tissue</title>
<p>The liver is unique amongst solid organs in its capacity to modulate local and systemic tolerance. This is contributed to by the presence of unconventional antigen presenting cells (liver sinusoidal endothelial cells, Kupffer cells) (<xref ref-type="bibr" rid="B37">37</xref>), altered T cell proportions (particular &#x3b3;&#x3b4; subsets) (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>), and an increased ratio of DC to parenchymal cells (2-5 times higher in liver compared to other organs) (<xref ref-type="bibr" rid="B40">40</xref>). Importantly, liver-resident DC demonstrate features most consistent with a tolerogenic phenotype and function, with low endocytic capacity, decreased MHC expression, limited T cell allostimulation and high IL-10 production (<xref ref-type="bibr" rid="B41">41</xref>&#x2013;<xref ref-type="bibr" rid="B43">43</xref>). Using scRNAseq samples from healthy human liver which has been clustered by cell type (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>, <xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;2A</bold>
</xref>), we then demonstrated that upregulated genes within the tolDC signature was enriched in areas which mapped to DC/monocyte/macrophage lineage within the liver (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5B&#x2013;D</bold>
</xref>). Downregulated genes were not overexpressed in any cell type (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;2B</bold>
</xref>). We also interrogated whether our tolDC signature was overexpressed in the kidney (which has significantly lower tolerogenic capacity) and/or PBMC. We were able to demonstrate that our gene signature was not enriched in either compared to liver (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>), although an analysis of housekeeping genes (<xref ref-type="bibr" rid="B44">44</xref>) was not significantly different (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;2C</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>TolDC gene set is overexpressed in liver-resident DC. <bold>(A)</bold> UMAP plot displaying the clustering of harmony integrated scRNAseq samples. <bold>(B)</bold> UMAP plot of liver datasets annotated by cell type. <bold>(C)</bold> Dot plot displaying up- and down-regulated tolDC gene expression markers enriched within cell clusters. <bold>(D)</bold> UMAP plot demonstrating a joint density analysis of upregulated genes from the tolDC gene set. <bold>(E)</bold> Boxplot displaying the expression of the tolDC gene set across tissue-resident and circulating DC. ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-733231-g005.tif"/>
</fig>
</sec>
<sec id="s3_7">
<title>The Relevance of DC Gene Signatures <italic>In Vivo</italic>
</title>
<p>DC are rare populations within the peripheral blood (<xref ref-type="bibr" rid="B45">45</xref>), but reside at greater frequency within tissue interstitial compartments in an immature state, and sample the environment in organs exposed to potential (neo-)antigens in lung (<xref ref-type="bibr" rid="B46">46</xref>, <xref ref-type="bibr" rid="B47">47</xref>), kidney (<xref ref-type="bibr" rid="B48">48</xref>), and skin (<xref ref-type="bibr" rid="B49">49</xref>, <xref ref-type="bibr" rid="B50">50</xref>). The potential for exogenous stimuli to initiate DC activation suggests that the mature DC gene signature might be enriched in tissue-specific DC subsets <italic>in vivo</italic>. A total of 64 genes were significantly differentially expressed between the mature and immature DC, and the top 52 genes were heat-mapped (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). The enrichment analysis yielded pathways relevant to cell inflammation and infection (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B, C</bold>
</xref>). Mature DC are well-defined in the literature, and the correlation with an inflammatory gene signature demonstrates the reliability of our pipeline to resolve genes according to DC phenotype, as well as supporting the current hypothesis that DC are influenced by the surrounding environment (<xref ref-type="bibr" rid="B3">3</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Generating a mature DC transcriptome. <bold>(A)</bold> Heatmap representation of the top 52 DEG within the mature DC phenotype. <bold>(B)</bold> KEGG and <bold>(C)</bold> Gene Set Enrichment Analyses. <bold>(D)</bold> Mature DC gene-set expression in myeloid cell subsets isolated from epithelial tissues. <bold>(E)</bold> Comparison of tolDC and mature DC gene signatures in peripheral blood immune cell subsets. <bold>(F)</bold> Boxplot displaying the expression of genes critical to mature DC across DC in liver, kidney and PBMC. <bold>(G)</bold> Comparison of tolDC and mature DC gene set expression in liver, kidney and PBMC. <bold>(H)</bold> Mononuclear phagocytes from epithelial and subepithelial tissues were isolated and classified as DC or macrophage. The average expression of the mature DC gene signature was plotted between cells. A two-sample t-test was performed to determine statistically significant differences in base mean expression of the mature DC gene set across MNP. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001, ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-733231-g006.tif"/>
</fig>
<p>To further demonstrate the physiological relevance of our DC gene signatures, we used a dataset identifying 6 myeloid cell subsets (<xref ref-type="bibr" rid="B31">31</xref>), demonstrating that our mature DC gene set correlated with the appropriate (mature) DC subset identified <italic>in vivo</italic> (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). This also shows our approach to identifying a cell-specific gene signature on microarray platforms could be successfully applied to RNAseq data. Interestingly, the tolerogenic and mature DC gene sets could also be applied to distinct immune cell subsets within peripheral blood (<xref ref-type="bibr" rid="B32">32</xref>), with the latter enriched in myeloid DC (mDC) and monocytes (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6E</bold>
</xref>). We applied our mature DC signature to liver, kidney and PBMC scRNAseq samples, demonstrating significantly lower expression in liver (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6F</bold>
</xref>). Kidney-resident DC and PBMC showed an enhanced mature DC signal compared to tolDC (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6G</bold>
</xref>). We also interrogated a recent dataset comparing the expression profiles of mononuclear phagocytes (MNP) isolated from epidermal and dermal tissue (<xref ref-type="bibr" rid="B30">30</xref>). The expression of our mature, but not tolerogenic, DC signature was significantly higher in recognized DC subsets (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6H</bold>
</xref> and <xref ref-type="supplementary-material" rid="SF4">
<bold>Supplementary Figures&#xa0;3A, B</bold>
</xref>).</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>Here we derive novel, distinct genetic signatures for both tolDC and mature DC. Both gene sets align with known biological differences in phenotype and function, and can be used to identify physiological DC subsets <italic>in vivo</italic>. Most interesting was the mapping of the tolDC signature to liver DC. Our analysis also demonstrated that tolDC and immature DC are distinct subsets, despite current paradigms suggesting overlap of several features (<xref ref-type="bibr" rid="B51">51</xref>), and these data support the notion that tolDC indeed derive from specific transcriptional programming.</p>
<p>We identified several genes critical to tolDC function. Several compartments of the CD1 glycoprotein complex were downregulated in the tolDC gene set. CD1 is a cell surface protein that is involved in presentation of lipid-based antigens to T-cells and natural killer cells that subsequently mediate adaptive immunity (<xref ref-type="bibr" rid="B52">52</xref>, <xref ref-type="bibr" rid="B53">53</xref>). CD1 autoreactive T-cells, particularly CD1a and CD1c, are abundant among circulating T-cells from healthy human adults and neonates (<xref ref-type="bibr" rid="B54">54</xref>) and are associated with a variety of diseases. The plasticity of CD1 antigen presentation highlights evolved mechanisms that regulate the self/non-self cellular lipid environment presented to T&#x2010;cells. With CD1a-c expression decreased in the tolDC we can speculate defective T cell stimulation ability due to altered antigen processing and presentation (<xref ref-type="bibr" rid="B55">55</xref>). This finding has also been replicated in tissue-resident CD103+ conventional DC which were less effective in antigen cross-presentation with accumulated lipid bodies (<xref ref-type="bibr" rid="B56">56</xref>).</p>
<p>CD14, a known monocyte cell-surface marker in blood, is expressed by tissue-based macrophages, and was significantly upregulated in tolDC. CD14 has several functions on the surface of monocytes, ranging from metabolism to pathogen-associated-molecular pattern (PAMP) identification in the innate immune response (<xref ref-type="bibr" rid="B57">57</xref>). CD14 binds to extracellular LPS and acts as a secondary receptor to TLR4 in facilitating a subsequent immune response (<xref ref-type="bibr" rid="B58">58</xref>). However, recent data has demonstrated that DC subsets expressing CD14 impeded T-cell proliferation (<xref ref-type="bibr" rid="B59">59</xref>). Interestingly, CD14 and CD1a kinetics are replicated in human monocyte-derived DC whose maturation capacity are limited by co-culture with immune complexes (<xref ref-type="bibr" rid="B60">60</xref>).</p>
<p>The global gene expression profile of tolDC identified prominent enrichment of the mitogen-associated protein kinase (MAPK) pathway. This finding is in keeping with reports that MAPK (specifically p38) inhibition promotes an immunogenic DC phenotype (<xref ref-type="bibr" rid="B61">61</xref>) and augments effector T cell responses (<xref ref-type="bibr" rid="B62">62</xref>). Cytoskeletal pathway changes (specifically related to actin filaments) were suppressed, a process that is fundamental to plasma membrane internalization for endocytosis and vesicle transportation required for antigen processing and cell surface presentation (<xref ref-type="bibr" rid="B63">63</xref>, <xref ref-type="bibr" rid="B64">64</xref>).</p>
<p>Our tolDC gene set was validated in datasets from publications generating tolerogenic human DC using a variety of pharmacological agents (TLR ligands, IL-10, vitamin D and dexamethasone). TolDC propagated using GM-CSF (<xref ref-type="bibr" rid="B26">26</xref>) or rapamycin (<xref ref-type="bibr" rid="B19">19</xref>) demonstrated noticeably different transcriptomes, in keeping with known phenotypic and functional differences (although direct <italic>in vitro</italic> comparisons were not consistently reported). GM-CSF alone is not commonly used <italic>in vitro</italic> for this purpose, and has been shown to produce tolDC that are distinct from the established literature, including greater plasticity (<xref ref-type="bibr" rid="B65">65</xref>) and metabolic changes that drive T cell inhibition (<xref ref-type="bibr" rid="B26">26</xref>). Rapamycin-induced tolDC also diverge from other tolDC, producing higher bioactive IL-12 and lower IL-10 levels (<xref ref-type="bibr" rid="B66">66</xref>), in addition to strikingly discrepant findings of mTOR inhibition on DC function that demonstrate activation (<xref ref-type="bibr" rid="B67">67</xref>, <xref ref-type="bibr" rid="B68">68</xref>) or inhibition (<xref ref-type="bibr" rid="B69">69</xref>, <xref ref-type="bibr" rid="B70">70</xref>).</p>
<p>Alternatively-activated DC (AADC), tolerogenic DC activated by inflammatory stimuli, are effective in inducing anergic and regulatory T cell responses (<xref ref-type="bibr" rid="B34">34</xref>) that protects against lethal graft-<italic>versus</italic>-host-disease in pre-clinical models (<xref ref-type="bibr" rid="B33">33</xref>). Only 3 comparative datasets were available for analysis and did not demonstrate homogeneity between DEG from AADC and tolDC. Gene enrichment analysis demonstrated increased virus and stress responsiveness, as well as cytokine-signaling/inflammatory pathways, with concurrent downregulation of mitochondrial function. Metabolic plasticity, including enhanced catabolism, has been correlated with DC function, and our findings correlated with previous work demonstrating decreased oxidative phosphorylation capacity with LPS-stimulated tolDC (<xref ref-type="bibr" rid="B24">24</xref>).</p>
<p>TolDC are artificially generated <italic>in vitro</italic>, and therefore not wholly representative of DC found physiologically. However, natural and induced DC with tolerogenic capacity (<xref ref-type="bibr" rid="B71">71</xref>) are crucial for homeostatic function, particularly in tissues exposed to environmental stimuli. The liver is considered the most tolerogenic organ, and our tolDC gene signature was overrepresented in four integrated scRNAseq datasets of healthy human liver, clustering with liver-resident DC (with overlap seen in the macrophage/monocyte population). DC and macrophages are interrelated, derive from common lineages, and are often phenotypically and functionally indistinguishable (<xref ref-type="bibr" rid="B51">51</xref>). Hepatic DC are distinct from other tissue-based DC (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B72">72</xref>), abundantly secreting immunosuppressive cytokines (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B73">73</xref>) that dictate immunoregulatory properties. We mapped the tolDC gene set to scRNAseq samples of healthy (and more immunogenic) kidney as a comparator, but the signature was not overexpressed, in keeping with clinical and experimental data that support organ-specific differences in allograft acceptance (<xref ref-type="bibr" rid="B74">74</xref>).</p>
<p>Our pipeline generating a tolDC transcriptomic signature was applied to developing a gene set relevant to mature DC. Genes deemed significant to mature DC were strongly implicated in the inflammatory response and, using the KEGG database, mapped to TNF-&#x3b1; and NF-kB signaling pathways. NF-&#x3ba;B is a central mediator of pro-inflammatory gene induction and functions in both innate and adaptive immune cells, and central for DC maturation (<xref ref-type="bibr" rid="B75">75</xref>). We were able to demonstrate that our mature DC gene signature was enriched in CD1c+ mature DC rather than CLEC9A+ immature DC. These findings, while not novel, speak to the validity of our methods in characterizing DC phenotype using gene expression datasets, and demonstrate that our signature could be applied to physiological DC <italic>in vivo</italic>.</p>
<p>This paper further highlights the need for further -omic studies to identify a consensus gene expression profile, including distinct signaling pathways, that can confirm tolDC function and stability <italic>in vivo</italic>. Despite the reported safety of tolDC in early-phase human trials (<xref ref-type="bibr" rid="B17">17</xref>), and known efficacy in large animal models (<xref ref-type="bibr" rid="B76">76</xref>), potential variability in clinical grade tolDC preparations remains a concern for translational purposes. The advent of standardized tolDC manufacturing through Focus and Accelerate Cell-based Tolerance-inducing Therapies (<xref ref-type="bibr" rid="B77">77</xref>) aims to minimize variations in approach and is a key step towards a standardized tolDC production for pre-clinical studies and clinical trials. Understanding the genomic processes behind the functional properties of DC and identification of molecular targets of immunomodulation provide potential opportunities for intervention to silence unwanted immune responses.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>Publicly available datasets were analysed in this study. This data can be found here: GSE13762, GSE23371, GSE56017, GSE117946, GSE52894, GSE104438, GSE98480, GSE92852, ArrayExpress database E-MTAB-6937.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author Contributions</title>
<p>NR and EP led the study, designed experiments, and wrote the manuscript. HR, JL, and EP analysed the data. All authors contributed to experimental design and drafting the manuscript.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>JL is supported by a NHMRC postgraduate scholarship (GNT1168776). AH is supported by National Health Medical Research Council (NHMRC) Ideas Grant (GNT1181482). EP is supported by a Discovery Early Career Researcher Award from the Australian Research Council. NR is supported by NHMRC Project and Career Development Grants (GNT1138372, GNT1158977 respectively).</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<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 id="s9" sec-type="disclaimer">
<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>
</sec>
</body>
<back>
<sec id="s10" sec-type="supplementary-material">
<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/fimmu.2021.733231/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.733231/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Image_1.jpeg" id="SF1" mimetype="image/jpeg">
<label>Supplementary Figure 1A</label>
<caption>
<p>Principal component analysis (PCA) from tolDC discovery and validation datasets. PCA plots characterizing the change in gene expression profiles between immature DC (red), mature DC (green), tolDC (blue), or alternatively-activated tolerogenic DC (AADC, purple).</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_1.jpeg" id="SF2" mimetype="image/jpeg">
<label>Supplementary Figure&#xa0;1B</label>
<caption>
<p>Heatmap demonstrating the correlation between samples. Gene signatures from immature DC (blue), mature DC (red), tolDC (purple), and AADC (green) from relevant datasets. Both the horizontal and vertical axis were clustered using the same hierarchical clustering algorithm. Each square on the heatmap is the value of Pearson&#x2019;s correlation coefficient between the two sample, and values are assigned a color.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.jpeg" id="SF3" mimetype="image/jpeg">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>TolDC gene signature expression in human kidney tissue. <bold>(A)</bold> UMAP plot of human liver datasets integrated using the harmony method. Each dataset was annotated using the accessible code on the Panglao database. <bold>(B)</bold> UMAP plot demonstrating a joint density analysis of downregulated genes from the tolDC gene set. <bold>(C)</bold> Boxplot displaying the expression of housekeeping genes glyceraldehyde 3-phosphate dehydrogenase (GAPDH), succinate dehydrogenase complex subunit A (SDHA) and peptidylprolyl isomerase A (PPIA) across liver and kidney DC, and PBMC.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.jpeg" id="SF4" mimetype="image/jpeg">
<label>Supplementaary Figure&#xa0;3</label>
<caption>
<p>TolDC gene set expression in human mononuclear phagocytes. Mononuclear phagocytes were isolated from epithelial and sub-epithelial tissues. The average expression of the tolDC gene signature was plotted between cells. The average expression of the tolDC gene signature was plotted between cells. A two-sample t-test was performed to determine differences in base mean expression of the tolDC gene set across MNP. <bold>(B)</bold> Boxplot displaying differences between tolDC and mature DC transcriptomic signatures within each MNP subset. **p &lt; 0.01, ***p &lt; 0.001.</p>
</caption>
</supplementary-material>
</sec>
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