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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.2022.777113</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>Na&#xef;ve Primary Mouse CD8<sup>+</sup> T Cells Retain <italic>In Vivo</italic> Immune Responsiveness After Electroporation-Based CRISPR/Cas9 Genetic Engineering</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pfenninger</surname><given-names>Petra</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/1542383"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yerly</surname><given-names>Laura</given-names>
</name>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1489217"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Abe</surname><given-names>Jun</given-names>
</name>
<xref ref-type="author-notes" rid="fn001"><sup>*</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/490216"/>
</contrib>
</contrib-group>
<aff id="aff1"><institution>Department of Oncology, Microbiology and Immunology, University of Fribourg</institution>, <addr-line>Fribourg</addr-line>, <country>Switzerland</country></aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Klaus Okkenhaug, University of Cambridge, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Pamela Lee Schwartzberg, National Institute of Allergy and Infectious Diseases (NIH), United States; Christelle Harly, CRCINA, France</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Jun Abe, <email xlink:href="mailto:jun.abe@unifr.ch">jun.abe@unifr.ch</email>
</p>
</fn>
<fn fn-type="present-address" id="fn003">
<p>&#x2020;Present address: Laura Yerly, Department of Dermatology and Venereology, H&#xf4;pital de Beaumont, Lausanne University Hospital Center, Lausanne, Switzerland</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to T Cell Biology, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>777113</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Pfenninger, Yerly and Abe</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Pfenninger, Yerly and Abe</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>CRISPR/Cas9 technology has revolutionized genetic engineering of primary cells. Although its use is gaining momentum in studies on CD8<sup>+</sup> T cell biology, it remains elusive to what extent CRISPR/Cas9 affects <italic>in vivo</italic> function of CD8<sup>+</sup> T cells. Here, we optimized nucleofection-based CRISPR/Cas9 genetic engineering of na&#xef;ve and <italic>in vitro</italic>-activated primary mouse CD8<sup>+</sup> T cells and tested their <italic>in vivo</italic> immune responses. Nucleofection of na&#xef;ve CD8<sup>+</sup> T cells preserved their <italic>in vivo</italic> antiviral immune responsiveness to an extent that is indistinguishable from non-nucleofected cells, whereas nucleofection of <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells led to slightly impaired expansion/survival at early time point after adoptive transfer and more pronounced contraction. Of note, different target proteins displayed distinct decay rates after gene editing. This is in stark contrast to a comparable period of time required to complete gene inactivation. Thus, for optimal experimental design, it is crucial to determine the kinetics of the loss of target gene product to adapt incubation period after gene editing. In sum, nucleofection-based CRISPR/Cas9 genome editing achieves efficient and rapid generation of mutant CD8<sup>+</sup> T cells without imposing detrimental constraints on their <italic>in vivo</italic> functions.</p>
</abstract>
<kwd-group>
<kwd>primary CD8<sup>+</sup> T cell</kwd>
<kwd>CRISPR/Cas9</kwd>
<kwd>nucleofection</kwd>
<kwd>gene inactivation</kwd>
<kwd>target protein depletion</kwd>
<kwd>antiviral immunity</kwd>
<kwd>CD8<sup>+</sup> T cell genetic engineering</kwd>
</kwd-group>
<contract-sponsor id="cn001">Vontobel-Stiftung<named-content content-type="fundref-id">10.13039/501100008494</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Jubil&#xe4;umsstiftung der Schweizerischen Lebensversicherungs- und Rentenanstalt f&#xfc;r Volksgesundheit und medizinische Forschung<named-content content-type="fundref-id">10.13039/501100008578</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Universit&#xe9; de Fribourg<named-content content-type="fundref-id">10.13039/501100005869</named-content>
</contract-sponsor>
<counts>
<fig-count count="8"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="39"/>
<page-count count="17"/>
<word-count count="9594"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Mutant mouse lines have played essential roles in immunology to identify the function of many genes in the immune system. Although such mutant lines continue to be powerful and highly useful to date, the generation of desirable mouse lines often requires time-consuming interbreeding of multiple mouse lines. To study T cell biology <italic>in vivo</italic> using adoptive transfer, targeted mutation alone is not sufficient to track the antigen-specific response of transferred T cells in the host for a long period of time; mutant T cells also have to carry a congenic marker and a transgenic T cell antigen receptor (TCR) specific for a model antigen. When the gene of interest interferes with T cell development, there is an additional need for its inducible expression or deletion. In such cases, mutant mouse lines have to carry yet another locus for Cre recombinase or other mechanisms that allow for inducible modification of the genome. Thus, it is common to introduce 3&#x2013;4 congenic or mutant loci to study the function of a gene in T cells.</p>
<p>The advent of CRISPR/Cas9-based genetic engineering technology in the last decade has revolutionized this situation (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>). While the faster generation of mutant mouse lines is a great advantage of CRISPR/Cas9 over previous techniques, its use further extends to the direct generation of mutant cells. When combined with congenic TCR-transgenic mice as the source of T cells, CRISPR/Cas9 technology permits to skip the time-consuming interbreeding before performing adoptive transfer experiments. Until recently, however, genetic engineering of primary T cells relied almost completely on gene transduction using viral vectors, because it is notoriously difficult to introduce exogenous genetic elements into non-dividing primary T cells using conventional transfection methods (<xref ref-type="bibr" rid="B4">4</xref>). One of the drawbacks of this approach is that T cell activation is a prerequisite for the integration of transgene(s) into the genome (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>), hampering its use to study functions of the gene of interest in na&#xef;ve T cells or during T cell activation. Furthermore, sustained expression of guide RNA (gRNA) and Cas9 nuclease in transduced cells can aggravate off-target effects (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B8">8</xref>) and potentially lead to rejection of cells after adoptive transfer.</p>
<p>To overcome the challenges associated with viral transduction, several recent studies deployed Nucleofector&#x2122; technology to deliver pre-assembled ribonucleoprotein (RNP) complex, comprising gRNA and recombinant Cas9, into T cells irrespective of their cell cycle stage (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). This has allowed to generate knockout cells within approximately a week without prior activation of T cells. One of these reports aimed to optimize nucleofection conditions for na&#xef;ve and <italic>in vitro</italic>-activated primary CD4<sup>+</sup> and CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B4">4</xref>). Yet, it remains elusive whether nucleofection conditions affect <italic>in vivo</italic> immune responsiveness of CRISPR/Cas9-engineered T cells in a different manner.</p>
<p>In this study, we re-evaluated optimal nucleofection conditions for na&#xef;ve and <italic>in vitro</italic>-activated primary mouse CD8<sup>+</sup> T cells with a revised screening panel based on a previous study (<xref ref-type="bibr" rid="B4">4</xref>) and inputs from the manufacturer. Then, we tested their immune responsiveness after they undergo all the processes of nucleofection-based CRISPR/Cas9 genetic engineering (pre-stimulation, nucleofection and post-nucleofection incubation). Furthermore, we tested whether use of a second target as a reporter allows for enrichment of cells in which the primary target locus is successfully edited, as a way to isolate desirably engineered cells.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<sec id="s2_1">
<title>Animals</title>
<p>B6.SJL-Ptprc<sup>a</sup> (CD45.1; MGI 2164701) (<xref ref-type="bibr" rid="B11">11</xref>), C57BL/6-Tg(TcraTcrb)1100Mjb/J (OT-I; MGI 3054907) (<xref ref-type="bibr" rid="B12">12</xref>), Tg(UBC-GFP)30Scha (Ubc-GFP; MGI 305178) (<xref ref-type="bibr" rid="B13">13</xref>), Tg(Zp3-cre)82Knw (Zp3-Cre; MGI 4888024) (<xref ref-type="bibr" rid="B14">14</xref>), Gt(ROSA)26Sor<sup>tm14(CAG-tdTomato)Hze</sup> (Ai14; MGI 3809524) (<xref ref-type="bibr" rid="B15">15</xref>) and Dock2<sup>tm1Ysfk</sup> (DOCK2-GFP; MGI 3772945) (<xref ref-type="bibr" rid="B16">16</xref>) mice were bred under specific pathogen-free conditions at the University of Fribourg. To obtain mice expressing tandem-dimer Tomato (tdT) driven by CAG promoter (tdT mice), Ai14 mice were crossed with Zp3-Cre mice to excise the floxed stop codon in the Ai14 alleles. Resultant tdT-expressing mice were backcrossed with wild-type C57BL/6J (B6J) mice to remove Zp3-Cre transgene. GFP-, tdT- or CD45.1-expressing OT-I mice were derived by crossing OT-I mice with Ubc-GFP, tdT or CD45.1 mice, respectively. In some experiments, GFP OT-I mice crossed with CD45.1 OT-I mice were used as GFP CD45.1/1 or GFP CD45.1/2 OT-I mice. Female and male B6J mice at the age of 4&#x2013;6 weeks old were purchased from Janvier (Le Genest-Saint-Isle, France) and used for screening and as recipient of sex-matched OT-I cells. All animal experimentations have been approved by the Cantonal Committees for Animal Experimentation and performed in accordance with the federal guidelines.</p>
</sec>
<sec id="s2_2">
<title>T Cell Isolation</title>
<p>Single cell suspension of spleen and peripheral lymph nodes (LNs) was prepared by mincing them using a 70-&#xb5;m cell strainer. Untouched CD8<sup>+</sup> T cells were magnetically isolated using EasySep&#x2122; Mouse CD8<sup>+</sup> T Cell Isolation Kit (STEMCELL Technologies, Grenoble, France) or MojoSort&#x2122; Mouse CD8 T Cell Isolation Kit (BioLegend, San Diego, CA). Purity of the isolate CD8<sup>+</sup> cells constantly exceeded 95%.</p>
</sec>
<sec id="s2_3">
<title>T Cell Stimulation Before Nucleofection</title>
<p>For activated CD8<sup>+</sup> T cells, T-25 or T-75 flasks were coated with 5 &#xb5;g/mL anti-CD3&#x3f5; antibodies (clone 145-2C11; 100340, BioLegend) in phosphate-buffered saline (PBS) for 16&#x2013;24 hr at 4&#xb0;C before seeding CD8<sup>+</sup> T cells. Immediately after magnetic isolation, CD8<sup>+</sup> T cells were resuspended in complete medium (RPMI1640 medium supplemented with 10% fetal calf serum (FCS), 2 mM L-glutamine, 0.1 mM non-essential amino acids, 1 mM sodium pyruvate, 100 U/mL penicillin, 0.1 mg/mL streptomycin, 50 &#xb5;M 2-mercaptoethanol and 10 mM HEPES) and seeded in the antibody-coated flask at 3&#x2013;5&#xd7;10<sup>5</sup> cells/cm<sup>2</sup> together with soluble 1 &#xb5;g/mL anti-CD28 antibodies (clone 37.51; 102116, BioLegend). Cells were cultured for 48 hr at 37&#xb0;C in a humidified 5% CO<sub>2</sub> atmosphere. For na&#xef;ve CD8<sup>+</sup> T cells, magnetically isolated T cells were resuspended in the complete medium and were seeded in a 10-cm petri dish or T-75 flask at 1&#x2013;2&#xd7;10<sup>6</sup> cells/cm<sup>2</sup> and cultured in the presence of 20 ng/mL recombinant mouse interleukin-7 (rmIL-7; 402-ML-020/CF, R&amp;D Systems, Minneapolis, MN) for 24 hr at 37&#xb0;C in a humidified 5% CO<sub>2</sub> atmosphere. In some experiments, up to 1&#xd7;10<sup>7</sup> na&#xef;ve CD8<sup>+</sup> T cells were labelled with 5 &#xb5;M CellTrace&#x2122; Violet (C34571, Thermo Fisher) for 20&#xa0;min at 37&#xb0;C in 1 mL complete medium before culturing them with rmIL-7 prior to nucleofection.</p>
</sec>
<sec id="s2_4">
<title>Nucleofection</title>
<p>CD90 crisprRNAs (crRNA) were designed in the previous study (<xref ref-type="bibr" rid="B4">4</xref>). DOCK2 crRNAs were designed using DESKGEN online tool (<uri xlink:href="http://www.deskgen.com">www.deskgen.com</uri>; discontinued). Alt-R<sup>&#xae;</sup> CRISPR-Cas9 crRNA (custom design) and trans-activator RNA (tracrRNA) (1072534) were purchased from Integrated DNA Technologies (Coralville, IA) and reconstituted at 100 &#xb5;M with nuclease free duplex buffer (Integrated DNA Technologies). Nucleofection was performed as described previously (<xref ref-type="bibr" rid="B4">4</xref>) with some modifications. In brief, one microliter each of crRNA and tracrRNA were annealed to form gRNA at 95&#xb0;C for 5&#xa0;min using a thermal cycler and cooled to room temperature. Annealed gRNA was mixed with TrueCut Cas9 v2 (A36499, Thermo Fisher Scientific, Basel, Switzerland) at a ratio of gRNA: Cas9 = 1.8 &#xb5;L: 1.2 &#xb5;L (equivalent to 90 pmol: 36 pmol) and left at room temperature for &gt; 10&#xa0;min to generate RNP complex. Pre-stimulated T cells were harvested, counted, and spun down at 80&#xd7;<bold><italic>g</italic>
</bold> for 7&#xa0;min. Pellets were resuspended in Primary Cell 4D-Nucleofector&#x2122; X Kit S (Lonza) buffer solution at a cell concentration of 1&#x2013;4&#xd7;10<sup>6</sup> cells in 20 &#xb5;L. The entire cell suspension was mixed with 3 &#xb5;L per complex RNP solution and added to Nucleocuvette&#x2122; strip well. Cells were then nucleofected using a 4D-Nucleofector&#x2122; with X-Unit (V4XP-4032 and V4XP-9096, Lonza, Basel, Switzerland). Up to three RNP complexes in 9 &#xb5;L were used per reaction. Immediately after nucleofection, one hundred microliter of pre-warmed complete medium containing 10 ng/mL recombinant mouse IL-2 (rmIL-2; 402-ML-020/CF, R&amp;D Systems) or 20 ng/mL rmIL-7 was added to each Nucleocuvette&#x2122; strip well for activated or na&#xef;ve CD8<sup>+</sup> T cells, respectively. Then, cells were gently mixed by pipetting and aliquoted into a flat-bottom 96-well plate. Cells were cultured in a total volume of 250 &#xb5;L complete medium containing rmIL-2 or rmIL-7 at 1&#xd7;10<sup>5</sup> and 2&#xd7;10<sup>6</sup> cells per well for activated and na&#xef;ve CD8<sup>+</sup> T cells, respectively, for 2&#x2013;10 days at 37&#xb0;C in a humidified 5% CO<sub>2</sub> atmosphere. crRNAs used in this study are listed in <xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>. Buffer and pulse code are indicated in the corresponding figure legends.,</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Sequence of crRNAs.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">crRNA</th>
<th valign="top" align="center">Sequence</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">CD90_1</td>
<td valign="top" align="left">CCGCCATGAGAATAACACCA</td>
</tr>
<tr>
<td valign="top" align="left">CD90_2</td>
<td valign="top" align="left">CCTTGGTGTTATTCTCATGG</td>
</tr>
<tr>
<td valign="top" align="left">CD90_3</td>
<td valign="top" align="left">GAGCAGGAGAGCGACGCTGA</td>
</tr>
<tr>
<td valign="top" align="left">DOCK2_1</td>
<td valign="top" align="left">CACGCTACAGATTGGCGATG</td>
</tr>
<tr>
<td valign="top" align="left">DOCK2_2</td>
<td valign="top" align="left">TCCTTCTTATCGACACCCCG</td>
</tr>
<tr>
<td valign="top" align="left">DOCK2_3</td>
<td valign="top" align="left">GAACCGGACAGTCATCACGA</td>
</tr>
<tr>
<td valign="top" align="left">CD49d_1</td>
<td valign="top" align="left">CGCCCCAGGATTGACCACTG</td>
</tr>
<tr>
<td valign="top" align="left">CD49d_2</td>
<td valign="top" align="left">AGTCCAGTACGATGATCCCG</td>
</tr>
<tr>
<td valign="top" align="left">CCR7_1</td>
<td valign="top" align="left">CATCGGCGAGAATACCACGG</td>
</tr>
<tr>
<td valign="top" align="left">CCR7_2</td>
<td valign="top" align="left">ACGCAACTTTGAGCGGAACA</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_5">
<title>Viral Infection</title>
<p>For activated CD8<sup>+</sup> T cells, mice subcutaneously infected with 5&#xd7;10<sup>4</sup> plaque-forming unit (pfu) herpes simplex virus-1 expressing tdT and ovalbumin (HSV-OVA) (<xref ref-type="bibr" rid="B17">17</xref>) <italic>via</italic> hock (<xref ref-type="bibr" rid="B18">18</xref>) received a mix of 1.5&#xd7;10<sup>5</sup> each of nucleofected or control <italic>in vitro</italic>-activated OT-I cells on day 4 post-infection. For na&#xef;ve CD8<sup>+</sup> T cells, mice were intravenously injected with a total of 1.5&#xd7;10<sup>4</sup> nucleofected OT-I cells comprising 5&#xd7;10<sup>3</sup> each of nucleofected and control OT-I cell populations. One day later, mice were subcutaneously infected with 5&#xd7;10<sup>4</sup> pfu HSV-OVA in 20 &#xb5;L PBS <italic>via</italic> hock. For secondary infection, mice were kept for 31 days after adoptive transfer of <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells and infected intraperitoneally with 10<sup>5</sup> pfu recombinant lymphocytic choriomeningitis virus expressing ovalbumin (LCMV-OVA) (<xref ref-type="bibr" rid="B19">19</xref>) in 100 &#xb5;L. Each mouse received three OT-I cell populations that were differently nucleofected (or left non-nucleofected) and marked by the expression of GFP, tdT or CD45.1.</p>
</sec>
<sec id="s2_6">
<title>Antibodies</title>
<p>Following antibodies were purchased from BioLegend and used for staining: Brilliant Violet 421&#x2122; (BV421)-conjugated anti-CD45.1 (clone A20; 110732), CD62L (clone MEL-14; 104436) and anti-TNF-&#x3b1; (clone MP6-XT22; 506328), Brilliant Violet 605&#x2122; (BV605)-conjugated anti-CD44 (clone IM7; 103047) and anti-CXCR3 (clone CXCR3-173; 126523), Brilliant Violet 711&#x2122; (BV711)-conjugated anti-CD45.1 (clone A20; 110739), CD62L (clone MEL-14; 104445) and anti-IFN-&#x3b3; (clone XMG1.2; 505836), PE-conjugated streptavidin (405203), PerCP/Cy5.5-conjugated anti-CD43 activation associated glycoform (clone 1B11; 121223) and anti-CD90.2 (clone 53-2.1; 105337), PE/Cy7-conjugated anti-CD45.1 (clone A20; 110729), anti-CD90.2 (clone 53-2.1; 140309) and anti-KLRG1 (clone 2F1/KLRG1; 138415) and anti-CD127 (clone A7R34; 135012), Alexa Fluor&#x2122; 700 (AF700)-conjugated anti-CD90.2 (clone 53-2.1; 140323), APC/Fire&#x2122; 750-conjugated anti-CD8&#x3b1; (clone 53-6.7; 100766), and Ultra-LEAF&#x2122; purified anti-CD16/32 (clone 93; 101330). APC-conjugated anti-IL-2 (clone JES6-5H4; 554429) was purchased from BD Biosciences. PE-conjugated anti-CD49d (clone PS/2; 1520-09) was purchased from SouthernBiotech. Biotinylated anti-CCR7 (clone 4B12; 13-1971-85) was purchased from eBioscience/Thermo Fisher Scientific. Unlabeled anti-CD16/32 (clone 2.4G2; 60161) was purchased from STEMCELL Technologies. Data were acquired using an LSRFortessa (BD Biosciences) and analyzed using FlowJo&#x2122; software (FlowJo, Ashland, OR).</p>
</sec>
<sec id="s2_7">
<title>Flow Cytometry</title>
<p>For samples from virus-infected mice, popliteal LNs (popLN) and spleen were harvested and minced using a 70-&#xb5;m cell strainer. Single cell suspension of peripheral blood leukocytes (PBL) was prepared from whole blood by lysing red blood cells. Cells were counted and plated at &#x2264; 3&#xd7;10<sup>6</sup> cells per well in a round-bottom 96 well plate for antibody staining. First, cells were resuspended in 15 &#xb5;L of 2 &#xb5;g/mL anti-CD16/32 in staining buffer (PBS containing 2% FCS, 2 mM EDTA and 0.05% (w/v) NaN<sub>3</sub>) and incubated for 5&#xa0;min on ice to block Fc receptors. Fifteen microliters of antibody mix prepared at twice higher concentration than the working concentration was added to cells without washing away anti-CD16/32 and incubated for 30&#xa0;min on ice (except for CCR7, which was stained at 37&#xb0;C). After staining, cells were washed twice with staining buffer and resuspended in the staining buffer containing 0.5 &#xb5;g/mL propidium iodide for dead cell exclusion. For cells derived from virus-infected mice, Zombie Red&#x2122; Fixable Viability Dye (423110, BioLegend) was added to anti-CD16/32 solution at a 1: 100 dilution for dead cell exclusion and fixed with 4% paraformaldehyde (15710, Electron Microscopy Sciences, Lucerne, Switzerland) in PBS for 20&#xa0;min on ice after staining.</p>
</sec>
<sec id="s2_8">
<title>Intracellular Cytokine Staining</title>
<p>For intracellular cytokine staining, cells were restimulated with 1 &#xb5;M SIINFEKL (BAP-201, EMC Microcollections, T&#xfc;bingen, Germany) and 5 &#xb5;g/mL brefeldin A (B6542, Sigma-Aldrich, St. Louis, MO) in 250 &#xb5;L complete medium for 5 hr at 37&#xb0;C in a humidified 5% CO<sub>2</sub> atmosphere before staining. After surface staining, dead cell labeling with Zombie Red&#x2122; dye and fixation, cells were permeabilized by resuspending in 200 &#xb5;L PermWash buffer (554723, BD Biosciences, San Jose, CA) and labeled with antibodies against cytokines diluted in PermWash buffer.</p>
</sec>
<sec id="s2_9">
<title>Cell Sorting</title>
<p>DOCK2-GFP CD8<sup>+</sup> T cells were nucleofected with three CD90 crRNAs with or without two DOCK2 crRNAs (<xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>) on day 0. On day 7 or 10 after nucleofection, cells were harvested and stained with APC/Fire&#x2122; 750-conjugated anti-CD8&#x3b1; and PE/Cy7-conjugated anti-CD90.2. After two rounds of wash, cells were resuspended in staining buffer containing 0.5 &#xb5;g/mL propidium iodide and sorted into CD90<sup>lo</sup> and CD90<sup>hi</sup> fractions using a FACSAria&#x2122; Fusion cell sorter (BD Biosciences). Sorted cells were collected in the complete medium and processed for total RNA isolation immediately after sorting.</p>
</sec>
<sec id="s2_10">
<title>Quantitative PCR</title>
<p>Total RNA isolation and cDNA preparation from sorted cells were performed using TRI Reagent&#x2122; (12044977, Sigma-Aldrich) and PrimeScript&#x2122; RT Reagent Kit (RR037B, Takara Bio, Saint-Germaine-en-Laye, France), respectively, according to the manufacturer&#x2019;s instruction. cDNA was prepared using 200 ng total RNA and random primers. Quantitative PCR was performed in duplicates with 20 ng template cDNA per reaction using KAPA SYBR<sup>&#xae;</sup> FAST (KK4603, Roche, Basel, Switzerland) and a CFX96&#x2122; Real Time System C1000 Touch&#x2122; Thermal Cycler (BioRad, Hercules, CA). Cycling condition was 95&#xb0;C for 5&#xa0;min, followed by 40 cycles of 95&#xb0;C for 15 sec and 60&#xb0;C for 60 sec. After the completion of PCR reaction, amplification specificity was confirmed by generating dissociation curves. Relative expression values were calculated by &#x394;&#x394;CT method. First, relative expression levels of <italic>Dock2</italic> were calculated as 2<sup>&#x2013;&#x394;Ct</sup>, where &#x394;Ct value represents the difference in Ct values between <italic>Dock2</italic> and <italic>Gapdh</italic> (Ct(<italic>Dock2</italic>) &#x2013; Ct(<italic>Gapdh</italic>)). Then, <italic>Dock2</italic> expression levels were normalized to the level in control, DOCK2 non-targeted samples. Following primers were purchased from Microsynth (St. Gallen, Switzerland): <italic>Dock2</italic>-Fwd, 5&#x2019;-GGCTCATAGGATTCTCCATCCG-3&#x2019;; <italic>Dock2</italic>-Rev, 5&#x2019;-GATTGGGATGGTGGCTTTCCTG-3&#x2019;; <italic>Gapdh-</italic>Fwd, 5&#x2019;- AGAACATCATCCCTGCATCC-3&#x2019;; <italic>Gapdh</italic>-Rev, 5&#x2019;- TCATCATACTTGGCAGGTTTCTC-3&#x2019;.</p>
</sec>
<sec id="s2_11">
<title>Statistics</title>
<p>Graph preparation, statistical tests and calculation of Pearson correlation coefficient were performed using GraphPad Prism software (GraphPad Software; San Diego, CA). Thick lines in scatter plots and error bars represent mean and standard deviation, respectively. Differences among two or more groups were considered statistically significant when <italic>p</italic> &lt; 0.05. Statistical tests used for comparison are indicated in the corresponding figure legends.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>CRISPR/Cas9-Mediated Genetic Engineering of <italic>In Vitro</italic>-Activated Primary Mouse CD8<sup>+</sup> T Cells</title>
<p>First, we examined the optimal nucleofection conditions for <italic>in vitro</italic>-activated mouse CD8<sup>+</sup> T cells. Here, we chose CD90 as the model target because of its uniform expression on the surface of CD8<sup>+</sup> T cells, which allows for its easy detection by flow cytometry. For nucleofection, we selected seven electric pulse codes based on a previous report by Seki and Rutz (<xref ref-type="bibr" rid="B4">4</xref>) and recommendation from the manufacturer, Lonza: CA137, CM137, DN100, DN107, DO100, DS138 and DV100. Seki and Rutz used pulse codes indicated in the manufacturer&#x2019;s instruction for the optimization kit for primary cells. Because this recommendation is not tailored for mouse T cells, we surmised that the previous screening panel might have missed certain pulse codes suitable for mouse CD8<sup>+</sup> T cells. Therefore, we partly revised the screening panel to include DN107, DO100 and DV100, while retaining only those that performed well in the previous study as other four candidates. We applied no electric pulse as control for the last condition to build our screening panel consisting of 40 conditions with five buffers P1&#x2013;P5 and eight electric pulse conditions.</p>
<p>We activated polyclonal CD8<sup>+</sup> T cells isolated from B6J mice <italic>in vitro</italic> using antibodies against CD3&#x3f5; and CD28 for 48 hr before nucleofection. We then nucleofected activated CD8<sup>+</sup> T cells with RNP complex containing three different CD90-targeting crRNAs (<xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>) and kept them in culture for additional two days in the presence of rmIL-2 but without anti-CD3&#x3f5;/CD28 (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1A</bold></xref>). To determine the optimal condition, we evaluated the frequency of CD90<sup>lo</sup> population (knockout efficacy) and cellular yield (calculated by dividing the recovered cell number by the number of cells seeded after nucleofection). Consistent with the notion that activated T cells are amenable to transfection and resultant CRISPR/Cas9-mediated genome editing (<xref ref-type="bibr" rid="B4">4</xref>), more than 90% of the harvested CD8<sup>+</sup> T cells decreased the expression of CD90 protein under many of the nucleofection conditions (<xref ref-type="fig" rid="f1"><bold>Figures&#xa0;1B, C</bold></xref>). In contrast, there was a sizable difference in the cellular yield among the tested nucleofection conditions, ranging from less than 10% to 150% or higher (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1D</bold></xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Assessment of knockout efficacy and cellular yield after CRISPR/Cas9 genetic engineering of <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells using nucleofection. <bold>(A)</bold> Experimental procedure. After activation with anti-CD3&#x3f5;/CD28 antibodies for 2 days, cells were nucleofected with three CD90 crRNAs and then kept in culture in the presence of rmIL-2 for 2 days before analysis. <bold>(B)</bold> Representative plots from one experiment showing the downregulation of CD90 protein 2 days after nucleofection. Plots are gated on viable CD8<sup>+</sup> T cells. (C&#x2013;D) %CD90.2<sup>lo</sup> in viable CD8<sup>+</sup> T cells <bold>(C)</bold> and cellular yield <bold>(D)</bold> on day 2. <bold>(E)</bold> Nucleofection score calculated as [%CD90<sup>lo</sup>] &#xd7; [%Yield]/100. Graphs show pooled data from three independent experiments. <bold>(F)</bold> Viability of nucleofected and unpulsed control CD8<sup>+</sup> T cells at 24 and 48 hours after nucleofection. Graphs show pooled data of n = 5 from four independent experiments. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001 as compared to unpulsed control by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison. Differences at 24 and 48 hours after nucleofection were statistically non-significant.</p>
</caption>
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</fig>
<p>To make an objective decision based on these two readouts, we derived a unified parameter, nucleofection score, from knockout efficacy and cellular yield, defined as ([%CD90<sup>lo</sup>] &#xd7; [%Yield])/100. By definition, a condition that exhibits 100% knockout efficacy and 100% cellular yield gives a nucleofection score of 100, while the one with 0% knockout efficacy gives 0 irrespective of cellular yield. We found that two conditions, P3 buffer with the pulse code CA137 (P3/CA137) and P4/CA137, marked clearly higher mean score than others (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1E</bold></xref>). P3/CM137, P3/DN100, P4/CM137 and P5/CA137 yielded comparable nucleofection scores, which were slightly lower than P3/CA137 and P4/CA137. Differences in nucleofection score among these conditions likely stem from cellular yield which is conceivably influenced also by cell death early after nucleofection (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1F</bold></xref>). Based on these results, we decided to test the <italic>in vivo</italic> immune responsiveness of <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells nucleofected using P3/CA137, P3/CM137 and P4/CM137. We selected P4/CM137 from the above listed four conditions because this was what Seki and Rutz identified as the optimal condition (<xref ref-type="bibr" rid="B4">4</xref>).</p>
</sec>
<sec id="s3_2">
<title>Effector and Memory Cell Differentiation of <italic>In Vitro</italic>-Activated, Nucleofected Primary CD8<sup>+</sup> T Cells in HSV-OVA-Infected Host</title>
<p>To examine <italic>in vivo</italic> antigen-specific responses of nucleofected <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells, we nucleofected OT-I cells as we did for the screening using three CD90 crRNAs (<xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>). After letting the cells rest for 2 days in the presence of rmIL-2 (i.e. 4 days after activation), 150,000 each of the nucleofected cells were adoptively transferred into HSV-OVA-infected hosts (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2A</bold></xref>; <xref ref-type="supplementary-material" rid="ST1"><bold>Supplementary Table&#xa0;1</bold></xref>). Recipients were split into two groups, and each group received two out of four populations of nucleofected OT-I cells (three with CD90 crRNAs and one no RNP control nucleofected using P4/CM137). To gauge the influence of nucleofection itself, all recipients received a third group of 150,000 OT-I cells that were cultured in the same manner as CD90-targeted cells but without nucleofection (denoted as NTC). Thus, each recipient received three populations of OT-I cells expressing GFP, tdT or CD45.1. Recipients were infected on the day when OT-I cells were put in culture for activation (i.e. 4 days before the adoptive transfer).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p><italic>In vivo</italic> survival/expansion of nucleofected <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells. <bold>(A)</bold> Experimental scheme. OT-I cells were nucleofected with three CD90 crRNAs using P3/CA137, P3/CM137 or P4/CM137. After nucleofection and 2-day culture in the presence of rmIL-2, 150,000 OT-I cells per group were injected into hosts (450,000 cells in total) that were subcutaneously infected with HSV-OVA 4 days before adoptive transfer of OT-I cells. Each host received three groups including NTC control. <bold>(B, C)</bold> OT-I cell number in popLN and spleen on days 7 <bold>(B)</bold> and &gt; 40 <bold>(C)</bold> after infection. <bold>(D)</bold> Data shown in B and C plotted in 2D to gauge the severity of contraction. Graphs show pooled data from two independent experiments with n = 8&#x2013;9 or 14&#x2013;15 each nucleofected groups or non-nucleofected control, respectively. Congenic marker assignment was swapped in each experiment. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001 as compared to NTC by Kruskal-Wallis test with Dunn&#x2019;s multiple comparison.</p>
</caption>
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</fig>
<p>On days 7 and &gt;40 post-infection, we determined the number of OT-I cells in antigen-draining popLN and spleen. Although there was a weak trend on day 7 that OT-I cells nucleofected using P3 buffer outperformed other groups (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2B</bold></xref>), none of the nucleofected OT-I cell populations displayed a statistically significant difference from NTC OT-I cells, except that no RNP control in the spleen was slightly less abundant. After &gt;40 days, the number of nucleofected OT-I cells were less abundant for all groups in both popLN and spleen as compared to NTC OT-I cells, resulting in a subtly more pronounced contraction of nucleofected OT-I cells (<xref ref-type="fig" rid="f2"><bold>Figures&#xa0;2C, D</bold></xref>). Longitudinal analysis of OT-I cells among PBL revealed that a more pronounced contraction of nucleofected cells manifested after day 21 post-infection (<xref ref-type="supplementary-material" rid="SF1"><bold>Supplementary Figure&#xa0;1A</bold></xref>). Frequency of CD90<sup>lo</sup> cells among OT-I cells remained high in all three test groups, while no RNP control OT-I cells retained CD90 expression at the same frequency as NTC OT-I cells (<xref ref-type="supplementary-material" rid="SF1"><bold>Supplementary Figures&#xa0;1B&#x2013;E</bold></xref>). Thus, the loss of CD90 did not account for the greater degree of contraction of nucleofected OT-I cells.</p>
<p>To further characterize <italic>in vitro</italic>-activated, nucleofected OT-I cells, we analyzed their phenotype after adoptive transfer into HSV-OVA-infected host. On day 7 post-infection, almost all OT-I cells were CD44<sup>hi</sup> and displayed variable frequencies of CD62L<sup>hi</sup> among different anatomical compartments and different conditions (<xref ref-type="supplementary-material" rid="SF2"><bold>Supplementary Figure&#xa0;2</bold></xref>). Whereas the majority of OT-I cells expressed high levels of CD62L in popLN, only 30&#x2013;60% were CD62L<sup>hi</sup> in the spleen and blood (<xref ref-type="supplementary-material" rid="SF2"><bold>Supplementary Figures&#xa0;2B, C</bold></xref>). Although there were statistically significant differences among groups, the trend did not correspond to the one that we observed for OT-I cell number. In contrast, most OT-I cells exhibited CD127<sup>+</sup> KLRG1<sup>&#x2013;</sup> memory precursor effector cell phenotype (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3A</bold></xref>; <xref ref-type="supplementary-material" rid="SF3"><bold>Supplementary Figures&#xa0;3A</bold></xref>, <xref ref-type="supplementary-material" rid="SF4"><bold>4A</bold></xref>), with CD127<sup>&#x2013;</sup> KLRG1<sup>&#x2013;</sup> early effector cells being the second most abundant population. Such composition of effector OT-I cells in popLN and spleen was common to all five conditions (and hence irrespective of the loss of CD90). Yet, nucleofected OT-I cells contained higher frequency of memory precursor effector cells than NTC OT-I cells did.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Phenotype of <italic>in vitro</italic>-activated OT-I cells in spleen after adoptive transfer into HSV-OVA-infected hosts. OT-I cells were nucleofected as in <xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2</bold></xref>. <bold>(A, B)</bold> Expression of CD127 and KLRG1 on OT-I cells in the spleen on days 7 <bold>(A)</bold> and &gt; 40 <bold>(B)</bold>. Pie charts show the mean frequencies of four populations identified by these two markers. <bold>(C)</bold> Expression of activation-associated glycoform of CD43 and CXCR3 on OT-I cells in the spleen &gt; 40 days after infection. Pie charts show the mean frequencies of three populations identified by these two markers. Graphs show pooled data from two independent experiments with n = 9 or 15 for each nucleofected group or non-nucleofected control, respectively. Flow cytometric plots are gated on viable OT-I cells identified by the expression of congenic markers and show concatenated data from one of two experiments with n = 5 per group. Congenic marker assignment was swapped in each experiment. *<italic>p</italic> &lt; 0.005, **<italic>p</italic> &lt; 0.0001 as compared to NTC by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
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</fig>
<p>CD127<sup>+</sup> KLRG1<sup>&#x2013;</sup> cells remained the dominant population until &gt; 40 days post-infection, with small fractions of cells being CD127<sup>&#x2013;</sup> KLRG1<sup>&#x2013;</sup> CD127<sup>+</sup> KLRG1<sup>+</sup> or CD127<sup>&#x2013;</sup> KLRG1<sup>+</sup> (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3B</bold></xref>; <xref ref-type="supplementary-material" rid="SF3"><bold>Supplementary Figures&#xa0;3B</bold></xref>, <xref ref-type="supplementary-material" rid="SF4"><bold>4B</bold></xref>). As a result, all five groups generated memory cells with a largely comparable composition as assessed by the expression of CD127 and KLRG1. In the memory phase, frequencies of CD44<sup>hi</sup> and CD62L<sup>hi</sup> cells were nearly identical among the groups (<xref ref-type="supplementary-material" rid="SF2"><bold>Supplementary Figure&#xa0;2</bold></xref>); the minute differences in the frequency of CD44<sup>hi</sup> cells are unlikely to be biologically significant. To confirm that memory OT-I cell heterogeneity is indeed comparable, we also evaluated the expression of activation-associated glycoform of CD43 (recognized by the antibody clone 1B11) and CXCR3. The majority of OT-I cells in all five groups comprised CXCR3<sup>+</sup> CD43<sup>lo</sup> cells (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3C</bold></xref>; <xref ref-type="supplementary-material" rid="SF3"><bold>Supplementary Figures&#xa0;3C</bold></xref>, <xref ref-type="supplementary-material" rid="SF4"><bold>4C</bold></xref>), which had been reported to self-renew at an intermediate rate but exhibit greater clonal expansion upon recall responses (<xref ref-type="bibr" rid="B20">20</xref>). There was a weak trend that NTC OT-I cells contained slightly higher frequency of CXCR3<sup>+</sup> CD43<sup>hi</sup> cells, but the difference did not reach a statistically significant level. Even though there were small differences in the phenotype between nucleofected and NTC OT-I cells, none of them explains the lower number of memory cells generated by nucleofected OT-I cells (<xref ref-type="fig" rid="f2"><bold>Figures&#xa0;2C, D</bold></xref><bold>)</bold>. Furthermore, nucleofected OT-I cells displayed subtle differences in cytokine producing ability on day 7 as compared to NTC OT-I cells (<xref ref-type="supplementary-material" rid="SF5"><bold>Supplementary Figure&#xa0;5</bold></xref>), whereas there was a slight decrease in the frequency of IFN-&#x3b3;<sup>+</sup> cells (but not IFN-&#x3b3;<sup>+</sup> TNF-&#x3b1;<sup>+</sup> cells) &gt;40 days after infection (<xref ref-type="supplementary-material" rid="SF6"><bold>Supplementary Figure&#xa0;6</bold></xref>).</p>
<p>To test whether the comparable composition and functionality of memory OT-I cells (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3</bold></xref>; <xref ref-type="supplementary-material" rid="SF2"><bold>Supplementary Figures&#xa0;2</bold></xref>-<xref ref-type="supplementary-material" rid="SF6"><bold>6</bold></xref>) leads to a similar recall response capability, we intraperitoneally infected the recipient with recombinant lymphocytic choriomeningitis virus expressing OVA (LCMV-OVA) 35 days after HSV-OVA infection (<xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4A</bold></xref>). We found that, despite slight variability in OT-I cell number in the blood (<xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4B</bold></xref>), all five groups of OT-I cells generated a comparable number of OT-I cells five days after LCMV-OVA infection (<xref ref-type="fig" rid="f4"><bold>Figures&#xa0;4B, C</bold></xref>). The expanded secondary effector cells displayed similar expression pattern of CD127 and KLRG1 (<xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4D</bold></xref>; <xref ref-type="supplementary-material" rid="SF7"><bold>Supplementary Figure&#xa0;7</bold></xref>), suggesting that nucleofected, <italic>in vitro</italic>-activated OT-I cells that remained as memory cells are free from the impact of nucleofection observed at earlier time point (<xref ref-type="fig" rid="f2"><bold>Figures&#xa0;2C, D</bold></xref><bold>)</bold> and possess recall capabilities comparable to non-nucleofected memory cells.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Recall responses of memory OT-I cells generated from <italic>in vitro</italic>-activated, nucleofected OT-I cells. <bold>(A)</bold> Experimental scheme. Mice were treated in the same manner as in <xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2</bold></xref>. On day 30, peripheral blood leukocytes (PBL) were analyzed to determine the number of OT-I cells before secondary infection with 10<sup>5</sup> pfu LCMV-OVA on day 35. Five days after intraperitoneal LCMV-OVA infection, number and phenotype of OT-I cells in PBL, spleen and popLN were determined by flow cytometry. <bold>(B, C)</bold> Number of OT-I cells in PBL <bold>(B)</bold> and popLN and spleen <bold>(C)</bold>. Cell number on day 40 was calculated based on OT-I cell frequencies normalized to those in the blood on day 30. There was no statistically significant difference between NTC and nucleofected groups in all three compartments as analyzed by Kruskal-Wallis test with Dunn&#x2019;s multiple comparison. <bold>(D)</bold> Expression of CD127 and KLRG1 on OT-I cells. There was no statistically significant difference between NTC and nucleofected groups in all four subsets as analyzed by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
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</fig>
<p>In sum, nucleofection appeared to impair the fitness of <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells for a certain period of time but without reshaping the differentiation spectrum of effector and memory CD8<sup>+</sup> T cells. Based on these results, we concluded P3/CA137 as the best condition for CRISPR/Cas9-mediated gene inactivation of <italic>in vitro</italic>-activated primary mouse CD8<sup>+</sup> T cells because it marked the highest nucleofection score among the tested conditions (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1E</bold></xref>). In addition, the observation that inactivation of CD90 led to minimal to no functional alteration as compared to no RNP control confirmed its suitability for use in our screening and functional validation.</p>
</sec>
<sec id="s3_3">
<title>CRISPR/Cas9-Mediated Genetic Engineering of Na&#xef;ve Primary Mouse CD8<sup>+</sup> T Cells</title>
<p>Next, we tested the optimal nucleofection conditions for na&#xef;ve primary mouse CD8<sup>+</sup> T cells. Similar to the screening for <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells, we selected seven electric pulse codes based on the previous publication (<xref ref-type="bibr" rid="B4">4</xref>) and inputs from the manufacturer: CM137, DN100, DP100, DS137, DS150, DZ100 and EA100. Of these, DP100, DZ100 and EA100 were not included in the previous study (<xref ref-type="bibr" rid="B4">4</xref>). With the no pulse control for each buffer, we evaluated again 40 conditions.</p>
<p>CD8<sup>+</sup> T cells were nucleofected with three CD90 crRNAs (<xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>) after incubating with rmIL-7 for 24 hr and analyzed for the loss of CD90 protein and cellular yield on day 5 post-nucleofection (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5A</bold></xref>). Unlike <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells, na&#xef;ve CD8<sup>+</sup> T cells lost the expression of CD90 protein to a variable degree, ranging from less than 60% to approximately 90% on average (<xref ref-type="fig" rid="f5"><bold>Figures&#xa0;5B, C</bold></xref>). On top of that, cellular yield was much lower than that of activated CD8<sup>+</sup> T cells (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5D</bold></xref>). To objectively rank all the tested conditions, we used the nucleofection scores again and found that P4/CM137 and P5/CM137 exhibited slightly higher score than other conditions (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5E</bold></xref>), owing largely to higher cellular yield. Slightly greater degree of proliferation in P4/CM137 condition than other nucleofected conditions is consistent with the cellular yield (<xref ref-type="fig" rid="f5"><bold>Figures&#xa0;5F, G</bold></xref>). The previously reported optimal condition, P4/DS137, was one of the conditions with the highest knockout efficacy but ranked only fifth in our screening because of the lower cellular yield as compared to P4/CM137 and P5/CM137. P1/CM137 and P2/CM137, the third and fourth position in our result, yielded marginally higher score than P4/DS137 because of higher cellular yield. Yet these two conditions achieved less than 80% knockout efficacy, which is lower than that of P4/DS137 at 88.9%. Of note, the fact that the extent of cell division (<xref ref-type="fig" rid="f5"><bold>Figures&#xa0;5F, G</bold></xref>) does not correlate with knockout efficacy (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5C</bold></xref>) indicates that assessment of nucleofection conditions based on knockout efficacy and cellular yield was unlikely to be influenced by facilitated loss of CD90 at a protein level by greater proliferation in certain conditions. Considering that higher knockout efficacy is more beneficial than slightly higher cellular yield for most experiments, we chose P4/CM137, P4/DS137 and P5/CM137 to evaluate the immune responsiveness of nucleofected na&#xef;ve CD8<sup>+</sup> T cells.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Assessment of knockout efficacy and cellular yield after CRISPR/Cas9 genetic engineering of na&#xef;ve CD8<sup>+</sup> T cells using nucleofection. <bold>(A)</bold> Experimental procedure. Magnetically isolated CD8<sup>+</sup> T cells were kept in culture in the presence of rmIL-7 for 24 hr before nucleofection. Nucleofected cells were kept in culture for additional 5 days before analysis. <bold>(B)</bold> Representative plots from one experiment showing the downregulation of CD90 protein 5 days after nucleofection. Plots are gated on viable CD8<sup>+</sup> T cells. <bold>(C, D)</bold> %CD90.2<sup>lo</sup> in viable CD8<sup>+</sup> T cells <bold>(C)</bold> and cellular yield <bold>(D)</bold> on day 2. <bold>(E)</bold> Nucleofection score calculated as [%CD90<sup>lo</sup>] &#xd7; [%Yield]/100. Graphs show pooled data from 3&#x2013;4 independent experiments. <bold>(F, G)</bold> Proliferation of CD8<sup>+</sup> T cells after nucleofection. Cells were labelled with CellTrace Violet before placing them in culture on day &#x2013;1. Dilution of CellTrace Violet was measured by flow cytometry on day 5. Graph shows pooled data from five independent experiments. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01 as compared to unpulsed control by Kruskal-Wallis test with Dunn&#x2019;s multiple comparison.</p>
</caption>
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</fig>
</sec>
<sec id="s3_4">
<title>Antiviral Responses of Nucleofected Primary Na&#xef;ve CD8<sup>+</sup> T Cells</title>
<p>To test <italic>in vivo</italic> immune responses of nucleofected na&#xef;ve CD8<sup>+</sup> T cells, we nucleofected OT-I cells with three CD90-targeting crRNAs using the above selected three conditions and cultured for 5 days in the presence of rmIL-7 (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6A</bold></xref>; <xref ref-type="supplementary-material" rid="ST1"><bold>Supplementary Table&#xa0;1</bold></xref>). One day before subcutaneous infection with HSV-OVA, we injected 5,000 each of nucleofected OT-I cells into recipient mice. Similar to the assay for <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells, we split recipients into two groups and injected two groups of nucleofected OT-I cells (two of P4/CM137, P4/DS137, P5/CM137 or no RNP control nucleofected using P5/CM137) per recipient, together with freshly-isolated OT-I cells as a third group as benchmark. Thus, each recipient received a total of 15,000 OT-I cells, which were identifiable by the expression of GFP, tdT or CD45.1.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p><italic>In vivo</italic> antiviral immune response of nucleofected na&#xef;ve CD8<sup>+</sup> T cells. <bold>(A)</bold> Experimental scheme. OT-I cells were nucleofected with three CD90 crRNAs using P4/CM137, P4/DS137 or P5/CM137. One day before subcutaneous HSV-OVA infection, 5,000 OT-I cells per group (a total of 15,000 cells per mouse) were injected into hosts. Each recipient received three groups including freshly isolated OT-I cells. <bold>(B)</bold> OT-I cell number on day 7 post-infection. No statistically significant difference between nucleofected groups and freshly isolated OT-I cells by Kruskal-Wallis test with Dunn&#x2019;s multiple comparison (popLN) or ordinary one-way ANOVA with Dunnett&#x2019;s multiple comparison (spleen). <bold>(C, D)</bold> CD127 and KLRG1 expression on OT-I cells in popLN <bold>(C)</bold> and spleen <bold>(D)</bold> on day 7. *<italic>p</italic> &lt; 0.05 as compared to NTC by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison. <bold>(E&#x2013;H)</bold> Frequency of CD90<sup>lo</sup> cells in OT-I cells in popLN <bold>(E, F)</bold> and spleen <bold>(G, H)</bold> on day 7. Flow cytometric plots are gated on viable OT-I cells identified by the expression of congenic markers and show concatenated data from one of three experiments with n = 5 per group. Congenic marker assignment was swapped in each experiment. Graphs show pooled data from three independent experiments with n = 10&#x2013;11 or 21&#x2013;22 for nucleofected groups and freshly-isolated cells, respectively.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-777113-g006.tif"/>
</fig>
<p>The number of nucleofected OT-I cells day 7 post-infection was indistinguishable from that of freshly-isolated OT-I cells in both popLN and spleen (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6B</bold></xref>). In all five groups, OT-I cells in popLNs exhibited a diverse effector cell differentiation profile identified by the expression of CD127 and KLRG1 (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6C</bold></xref>; <xref ref-type="supplementary-material" rid="SF8"><bold>Supplementary Figure&#xa0;8</bold></xref>). In contrast, the majority of OT-I cells in the spleen displayed CD127<sup>&#x2013;</sup> KLRG1<sup>+</sup> short-lived effector cell phenotype, irrespective of the condition (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6D</bold></xref>; <xref ref-type="supplementary-material" rid="SF8"><bold>Supplementary Figure&#xa0;8</bold></xref>). After undergoing massive clonal expansion, OT-I cells nucleofected with CD90-targeting RNPs maintained the frequency of CD90<sup>lo</sup> cells similar to the level found in the screening, whereas mock-nucleofected and freshly-isolated OT-I cells retained the high expression of CD90 (<xref ref-type="fig" rid="f6"><bold>Figures&#xa0;6E&#x2013;H</bold></xref>, <xref ref-type="fig" rid="f5"><bold> 5C</bold></xref>). These results indicate that loss of CD90 before priming affected neither clonal expansion nor heterogeneity of effector OT-I cells. Taken together, once CD8<sup>+</sup> T cells survive nucleofection, they are as competent as freshly-isolated CD8<sup>+</sup> T cells to elicit effector responses. Although P4/CM137 and P5/CM137 marked slightly higher nucleofection scores (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5E</bold></xref>), we concluded P4/DS137 as the best condition for na&#xef;ve primary mouse CD8<sup>+</sup> T cells based on its higher knockout efficacy (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5C</bold></xref>).</p>
</sec>
<sec id="s3_5">
<title>Co-Targeting of Second Gene for Enrichment of Successfully Gene-Edited Cells</title>
<p>Our optimal nucleofection conditions constantly yielded &gt; 75% knockout efficacy even for na&#xef;ve CD8<sup>+</sup> T cells (<xref ref-type="fig" rid="f5"><bold>Figures&#xa0;5B, C</bold></xref>, <xref ref-type="fig" rid="f6"><bold>6E&#x2013;H</bold></xref>) that were more resistant to gene inactivation than <italic>in vitro</italic>-activated cells. However, use of such &#x201c;partial knockout&#x201d; cells conceivably imposes a hurdle for interpretation of experimental results when the experiment aims to identify functions of the gene of interest. For example, residual wild-type cells can outnumber knockout cells or affect their behavior <italic>in vivo</italic>. Thus, it is highly useful to devise a tool to enrich successfully targeted cells to a purity of 90% or higher even when the knockout efficacy does not reach such a high level after nucleofection. For targets that are expressed uniformly on the surface of na&#xef;ve CD8<sup>+</sup> T cells (e.g. CD90), isolation of successfully targeted cells is readily attainable by simple antibody staining followed by cell sorting. Yet this is not the case for intracellular proteins (e.g. transcription factors) or surface proteins that are completely or partially absent on normal na&#xef;ve CD8<sup>+</sup> T cells (e.g. PD-1). Therefore, we tested whether a simultaneous targeting of a &#x201c;reporter&#x201d; gene in na&#xef;ve CD8<sup>+</sup> T cells enables to identify and enrich successfully targeted cells. To this end, we chose the intracellular protein DOCK2 as the model target because a reporter mouse line that expresses a GFP-fused form of DOCK2 (<xref ref-type="bibr" rid="B16">16</xref>) allows for single-cell analysis of its expression levels by flow cytometry. We used CD90 as the reporter because of its uniform expression on na&#xef;ve CD8<sup>+</sup> T cells and the lack of functional impact on them (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6</bold></xref>; <xref ref-type="supplementary-material" rid="SF8"><bold>Supplementary Figure&#xa0;8</bold></xref>). To assess the effectiveness of enrichment across a wide range of knockout efficacy, we deliberately varied knockout efficacy of DOCK2 by using different combinations of crRNAs. We kept the knockout efficacy for CD90 low by decreasing the amount of RNP complex to deliver into CD8<sup>+</sup> T cells to 0.5 &#x3bc;L (instead of 9 &#x3bc;L used in other experiments), such that the frequency of CD90<sup>lo</sup> cells always remains lower than that of DOCK2-GFP<sup>lo</sup> cells.</p>
<p>We followed changes in the frequency of DOCK2-GFP<sup>lo</sup> cells among total, CD90<sup>hi</sup> and CD90<sup>lo</sup> CD8<sup>+</sup> T cells up to 10 days post-nucleofection. In most cases, the frequency of DOCK2-GFP<sup>lo</sup> and CD90<sup>lo</sup> among total CD8<sup>+</sup> T cells rapidly increased by day 5 and remained relatively stable thereafter. CD90<sup>lo</sup> cells were indeed enriched for DOCK2-GFP<sup>lo</sup> cells as compared to total CD8<sup>+</sup> T cells at all timepoints in all experiments (<xref ref-type="fig" rid="f7"><bold>Figures&#xa0;7A&#x2013;F</bold></xref>). We confirmed lower expression levels of <italic>Dock2</italic> mRNA among CD90<sup>lo</sup> cells as compared to CD90<sup>hi</sup> cells (<xref ref-type="fig" rid="f7"><bold>Figure&#xa0;7G</bold></xref>). To evaluate the effectiveness of simultaneous CD90 targeting as the reporter, we calculated %enrichment as ([%DOCK2-GFP<sup>lo</sup> in CD90<sup>lo</sup> cells] &#x2013; [%DOCK2-GFP<sup>lo</sup> in total CD8<sup>+</sup> T cells])/(100 &#x2013; [%DOCK2-GFP<sup>lo</sup> in total CD8<sup>+</sup> T cells]). This value shows to what extent the use of reporter filled the gap for the observed %DOCK2-GFP<sup>lo</sup> among total CD8<sup>+</sup> T cells to reach 100% knockout efficacy, without being affected by deliberately varied %DOCK2-GFP<sup>lo</sup>. The mean %enrichment values on days 5, 7 and 10 were almost identical at approximately 50 (<xref ref-type="fig" rid="f7"><bold>Figure&#xa0;7H</bold></xref>), indicating that enrichment efficacy does not depend on the time after nucleofection. Furthermore, these data demonstrate that the enrichment using CD90 as reporter does not always yield &gt; 90% purity of DOCK2<sup>lo</sup> cells. Of note, within the tested ranges of knockout efficacy for DOCK2 and CD90, %enrichment positively correlated with %CD90<sup>lo</sup> and %DOCK2-GFP<sup>lo</sup> cells among total CD8<sup>+</sup> T cells (<xref ref-type="fig" rid="f7"><bold>Figures&#xa0;7I, J</bold></xref>), where %DOCK-GFP<sup>lo</sup> showed better correlation than %CD90<sup>lo</sup> did. Taken together, simultaneous targeting of a reporter gene can provide a means to enrich the cells that underwent successful editing of the primary target gene, albeit to a limited degree.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Enrichment of DOCK2-knockout cells using simultaneously targeted CD90 as a reporter in na&#xef;ve CD8<sup>+</sup> T cells. DOCK2-GFP CD8<sup>+</sup> T cells were nucleofected with CD90 and/or DOCK2 crRNAs using P4/DS137. <bold>(A&#x2013;D)</bold> Representative flow cytometric plots of DOCK2-GFP versus CD90 <bold>(A)</bold>, DOCK2-GFP <bold>(B)</bold> and CD90 <bold>(C)</bold> among total CD8<sup>+</sup> T cells and DOCK2-GFP among CD90<sup>lo</sup> cells <bold>(D)</bold>. Plots are taken from experiment 3. <bold>(E)</bold> %CD90<sup>lo</sup> cells among total CD8<sup>+</sup> T cells and %DOCK2-GFP<sup>lo</sup> cells among total and CD90<sup>lo</sup> CD8<sup>+</sup> T cells. <bold>(F)</bold> Paired comparison of %DOCK2-GFP<sup>lo</sup> cells between total and CD90<sup>lo</sup> CD8<sup>+</sup> T cells in six independent experiments. **<italic>p</italic> &lt; 0.005 by paired <italic>t</italic>-test. <bold>(G)</bold> <italic>Dock2</italic> mRNA level in sorted CD90<sup>lo</sup> and CD90<sup>hi</sup> CD8<sup>+</sup> T cells. Data are normalized to the expression level of <italic>Dock2</italic> in the control cells that are nucleofected only with three CD90 crRNAs. Cells were sorted on day 7 or 10 for experiments 1&#x2013;3 or 4&#x2013;6, respectively. *<italic>p</italic> &lt; 0.05 by paired <italic>t</italic>-test. <bold>(H)</bold> Enrichment efficacy of DOCK2-GFP<sup>lo</sup> cells by gating on CD90<sup>lo</sup> cells on each time point measured with %enrichment values. No statistically significant difference by Kruskal-Wallis test with Dunn&#x2019;s <italic>post-hoc</italic>. <bold>(I, J)</bold> Correlation between %enrichment and the frequency of CD90<sup>lo</sup> <bold>(I)</bold> or DOCK2-GFP<sup>lo</sup> cells <bold>(J)</bold> among total viable CD8<sup>+</sup> T cells. Pearson correlation coefficient was computed using the pooled data of six independent experiments.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-777113-g007.tif"/>
</fig>
</sec>
<sec id="s3_6">
<title>Disparate Decay Rate of DOCK2 and CD90 After Genome Editing</title>
<p>The relatively stable frequency of CD90<sup>lo</sup> and DOCK2<sup>lo</sup> cells (<xref ref-type="fig" rid="f7"><bold>Figure&#xa0;7E</bold></xref>) prompted us to ask whether the loss of DOCK2 and CD90 protein after gene inactivation in na&#xef;ve CD8<sup>+</sup> T cells would also progress at a comparable rate. To answer this question, we traced changes in the mean fluorescence intensity (MFI) of DOCK2-GFP and CD90 among successfully targeted cells by flow cytometry. To take into account inter-experimental variabilities in the staining, we obtained normalizers for each experiment by dividing the measured MFI value of non-targeted control by the mean values of non-targeted control from six experiments. Then, all the measured MFI values were normalized using the normalizer of corresponding experiment. Interestingly, despite the deliberate variability in the frequency of knockout cells, normalized MFI values turned out to decay at a comparable rate in all the experiments, as shown by the extremely small variability (<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8A</bold></xref>). We found that the MFI values of both DOCK2-GFP among DOCK2-GFP<sup>lo</sup> cells and CD90 among CD90<sup>lo</sup> cells kept decreasing until day 10 (<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8A</bold></xref>). However, levels of two other proteins, CD49d (integrin &#x3b1;4) and CCR7, decayed faster among successfully-targeted cells, reaching the lowest MFI values by day 5 post-nucleofection (<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8A</bold></xref>).</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Disparate kinetics of gene inactivation and protein loss for DOCK2, CD90, CD49d/integrin &#x3b1;4 and CCR7 in na&#xef;ve CD8<sup>+</sup> T cells. <bold>(A)</bold> Decay of normalized MFI values of target proteins among target<sup>lo</sup> cells. <bold>(B)</bold> Relative MFI values of target proteins calculated by normalizing the values presented in <bold>(A)</bold> to the MFI value on day 0. Curves defined as y = [100 &#x2013; (Plateau)] &#xd7; exp(&#x2013;K &#xd7; x) were fitted to the data, with <italic>R<sup>2</sup>
</italic> = 0.979, 0.997, 0.999 and 0.999 for DOCK2, CD90, CCR7 and CD49d, respectively. Plateau values and half-life were computed during curve fitting. <bold>(C)</bold> Kinetics of relative knockout efficacy calculated by normalizing %DOCK2-GFP<sup>lo</sup> and %CD90<sup>lo</sup> in each experiment to the corresponding values on day 10. Data were fitted with the equation y = [Plateau] &#xd7; (1 &#x2013; exp(&#x2013;K&#xd7;x)], with <italic>R<sup>2</sup>
</italic> = 0.984, 0.970, 0.999 and 0.926 for DOCK2, CD90, CCR7 and CD49d, respectively. Plateau value and half-time to reach the plateau was estimated from the data during curve fitting. Results of ordinary one-way ANOVA with Dunnett&#x2019;s multiple comparison of differences in half-life shown in <bold>(B, C)</bold> are summarized in <xref ref-type="table" rid="T2"><bold>Table&#xa0;2</bold></xref>. Graphs show pooled data from 3&#x2013;6 independent experiments. Values of %CD90<sup>lo</sup> from experiments 5 and 6 (as indicated in <xref ref-type="fig" rid="f7"><bold>Figure&#xa0;7</bold></xref>) were excluded in C because of their continuous increase until day 10.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-777113-g008.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Result of statistical test for <xref ref-type="fig" rid="f8"><bold>Figures&#xa0;8B</bold></xref>, <xref ref-type="fig" rid="f8"><bold>C</bold></xref>.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Tukey&#x2019;s multiple comparisons test</th>
<th valign="top" align="center">Summary</th>
<th valign="top" align="center"><italic>p</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" colspan="3" align="left"><bold>%MFI (</bold>
<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8B</bold></xref><bold>)</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; DOCK2 vs. CD90</td>
<td valign="top" align="left">&#x2003;*</td>
<td valign="top" align="center">0.0144</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; DOCK2 vs. CCR7</td>
<td valign="top" align="left">&#x2003;***</td>
<td valign="top" align="center">0.0001</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; DOCK2 vs. CD49d</td>
<td valign="top" align="left">&#x2003;****</td>
<td valign="top" align="center">&lt;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; CD90 vs. CCR7</td>
<td valign="top" align="left">&#x2003;****</td>
<td valign="top" align="center">&lt;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; CD90 vs. CD49d</td>
<td valign="top" align="left">&#x2003;****</td>
<td valign="top" align="center">&lt;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; CCR7 vs. CD49d</td>
<td valign="top" align="left">&#x2003;ns</td>
<td valign="top" align="center">0.9991</td>
</tr>
<tr>
<td valign="top" colspan="3" align="left"><bold>%KO (</bold>
<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8C</bold></xref><bold>)</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; DOCK2 vs. CD90</td>
<td valign="top" align="left">&#x2003;ns</td>
<td valign="top" align="center">0.5796</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; DOCK2 vs. CCR7</td>
<td valign="top" align="left">&#x2003;****</td>
<td valign="top" align="center">&lt;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; DOCK2 vs. CD49d</td>
<td valign="top" align="left">&#x2003;ns</td>
<td valign="top" align="center">0.9565</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; CD90 vs. CCR7</td>
<td valign="top" align="left">&#x2003;****</td>
<td valign="top" align="center">&lt;0.0001</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; CD90 vs. CD49d</td>
<td valign="top" align="left">&#x2003;ns</td>
<td valign="top" align="center">0.2656</td>
</tr>
<tr>
<td valign="top" align="left">&#x2003; CCR7 vs. CD49d</td>
<td valign="top" align="left">&#x2003;****</td>
<td valign="top" align="center">&lt;0.0001</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>*p &lt; 0.05, ***p &lt; 0.0005, ****p &lt; 0.0001. ns, not significant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>To estimate the half-life of these proteins after nucleofection, we calculated relative MFI by normalizing the measured values in each experiment to that of the corresponding non-targeted cells. By fitting the data to a one phase decay model, we obtained the half-life of 2.57, 1.53, 1.27 and 1.28 days for DOCK2, CD90, CD49d and CCR7, respectively (<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8B</bold></xref>), showing that the decay rate of DOCK2 is slower than that of other three targets. In contrast, changes in %DOCK2-GFP<sup>lo</sup> and %CD90 from day 5 onwards appeared comparable and smaller than those between day 0 and 5 (<xref ref-type="fig" rid="f7"><bold>Figure&#xa0;7E</bold></xref>). Thus, we hypothesized that gene inactivation in successfully nucleofected cells was largely completed within 5 days after nucleofection for both targets. To test this, we assumed the frequency of knockout cells on day 10 as plateau of each experiment and normalized the frequency of knockout cells on days 5 and 7 to that on day 10 (<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8C</bold></xref>). After curve fitting, we obtained the half-time to reach the putative plateau of 1.48, 1.80, 1.98 and 0.805 days for DOCK2, CD90, CD49d and CCR7, respectively. These results indicate that the loss of protein proceeds at a disparate rate for different proteins. Considering that there was no evident link between the decay of target protein and appearance of successfully targeted cells, turnover rate and abundance of target proteins are likely to be the determinant of their decay rate after gene inactivation. Moreover, extremely small variability in the normalized MFI values (<xref ref-type="fig" rid="f8"><bold>Figure&#xa0;8A</bold></xref>) also implies that degradation of protein (and mRNA) encoded by the target gene occurs at a rate that is dependent on its biochemical properties of the target but independent of the knockout efficacy.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>In this study, we determined optimal conditions for CRISPR/Cas9-mediated genetic engineering of primary mouse CD8<sup>+</sup> T cells using nucleofection. We found that na&#xef;ve CD8<sup>+</sup> T cells retained their ability to elicit <italic>in vivo</italic> antiviral responses after nucleofection and 5-day long culture in the presence of rmIL-7. Although <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells displayed slightly impaired <italic>in vivo</italic> expansion and/or survival in virus-infected hosts, they displayed a largely comparable status of effector and memory CD8<sup>+</sup> T cells; however, there may be a mild influence on the abundance of KLRG1<sup>+</sup> effector-like cells among memory CD8<sup>+</sup> T cells under different experimental conditions. Thus, nucleofection-based CRISPR/Cas9 genome editing is a fast and efficient approach to generate mutant cells from na&#xef;ve primary CD8<sup>+</sup> T cells without degenerating their functions. A similar approach is usable for <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells, but to a slightly limited extent because of their partially impaired <italic>in vivo</italic> expansion/survival after adoptive transfer.</p>
<p>Congenic CD90 has been widely used for adoptive transfer experiments (<xref ref-type="bibr" rid="B21">21</xref>&#x2013;<xref ref-type="bibr" rid="B23">23</xref>) and as a non-fluorescent reporter of genes that encode intracellular proteins or those that are difficult to label using antibodies (<xref ref-type="bibr" rid="B24">24</xref>&#x2013;<xref ref-type="bibr" rid="B28">28</xref>). Yet the function of CD90 in CD8<sup>+</sup> T cells remains elusive, with contradictory findings. Antibody blockade of CD90 during <italic>in vitro</italic> T cell activation appears to promote proliferation and acquisition of the expression of effector molecules (<xref ref-type="bibr" rid="B29">29</xref>). Similarly, CD90-deficient T cells display impaired phosphorylation of the tyrosine kinase Lck and attenuated calcium mobilization following anti-CD3&#x3f5; stimulation, resulting in attenuated proliferation and delayed hypersensitivity reaction (<xref ref-type="bibr" rid="B30">30</xref>). On the contrary, another study reported that CD90 deficiency augments TCR signaling in thymocytes, which in turn leads to lower single-positive thymocyte output from double-positive thymocytes (<xref ref-type="bibr" rid="B31">31</xref>). Our results provided yet another view that loss of CD90 in mature T cells induced by CRISPR/Cas9 genetic engineering does not alter the <italic>in vivo</italic> immune responsiveness of na&#xef;ve CD8<sup>+</sup> T cells. This is consistent with the previous finding that the proliferative response of CD90<sup>lo</sup> and CD90<sup>hi</sup> hemagglutinin-specific TCR-transgenic CD8<sup>+</sup> T cells isolated from 18&#x2013;20 months-old mice is indistinguishable after <italic>in vitro</italic> stimulation with their cognate peptide (<xref ref-type="bibr" rid="B32">32</xref>). A potential explanation for such a discrepancy is that the absence of CD90 during T cell development may imprint a minor functional defect, while it has less significant roles in mature T cells. Furthermore, the fact that nucleofected CD90-proficient and deficient CD8<sup>+</sup> T cells responded similarly to antigenic stimulation demonstrates that neither the nucleofection process nor transient presence of gRNA-Cas9 RNP affects CD8<sup>+</sup> T cell functions. In contrast to nucleofection-based delivery of CRISPR/Cas9 machinery, viral transduction forces long-lasting expression of gRNA, Cas9 and other virus-derived gene products, which can increase the risk of rejection after adoptive transfer of engineered T cells. Since RNP complex disappears over time after nucleofection, there is conceivably much less chance of the rejection with nucleofection as compared to viral transduction.</p>
<p>We observed that the simultaneous targeting of a second gene as reporter allows for partial enrichment of cells that are successfully engineered at primary target loci. One of the reasons that motivated us to test this was the fact that several clinical studies suffered from poor knockout efficacy. For example, attempts to generate <italic>CCR5</italic>-deficient bone marrow cells (<xref ref-type="bibr" rid="B33">33</xref>) and <italic>PDCD1</italic>-deficient T cells (<xref ref-type="bibr" rid="B34">34</xref>) proved the safety of cell-based therapies using CRISPR/Cas9-engineered cells. However, the knockout efficacy in these studies remained 50% at the highest (<xref ref-type="bibr" rid="B33">33</xref>&#x2013;<xref ref-type="bibr" rid="B35">35</xref>). Albeit less frequent, such a scenario where the knockout efficacy does not reach the desirable level can also occur in basic research. Our enrichment strategy may help improve the knockout efficacy when the knockout efficacy already lies above 70&#x2013;80%. Yet, we postulate that knock-in-knockout approaches by introducing a reporter gene into the target locus through homology-directed repair (<xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>) will serve a more stringent method to isolate successfully targeted cells, especially when it is combined with optimal crRNA design and Cas nuclease.</p>
<p>Proteomic analysis by other groups showed that CD90 is one of the most abundant proteins in mouse CD8<sup>+</sup> T cells, with its copy number being about 9-fold higher than that of DOCK2 (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B38">38</xref>). Yet we found that depletion of DOCK2 protein after gene inactivation takes longer time than that of CD90. The initial abundance of target proteins is undoubtedly an important factor that determines the duration required for its depletion after gene inactivation. Our results suggest nevertheless that the decay of target protein greatly depends on its physiological turnover rate as well. In fact, a recent study on the turnover rate of proteins in human CD8<sup>+</sup> T cells revealed a large variability of protein half-life, ranging from less than a day to more than ten days (<xref ref-type="bibr" rid="B39">39</xref>). For example, only less than 10% of human DOCK2 protein is replaced within 24 hr, making DOCK2 one of the most slowly renewing proteins. Although precise turnover rate of DOCK2 and CD90 in normal mouse CD8<sup>+</sup> T cells remains unknown, our observation that DOCK2 has longer half-life than CD90 after nucleofection seems consistent with the previous observation in human. Thus, it is important to adapt the post-nucleofection incubation period for each target protein to obtain a desirable level of its depletion. Optimal experimental design has to take both initial abundance and turnover rate of the target protein into consideration because these parameters are different for each protein and change depending on the activation and differentiation status of CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B37">37</xref>, <xref ref-type="bibr" rid="B39">39</xref>). This is particularly relevant to study functions of the gene of interest in na&#xef;ve CD8<sup>+</sup> T cells or early after their activation, where cell division does not facilitate the depletion of targeted protein. It is worth noting that post-nucleofection incubation for five days did not affect the <italic>in vivo</italic> immune response of genetically engineered na&#xef;ve CD8<sup>+</sup> T cells, justifying to allow for such an interval to achieve desirable gene inactivation and depletion of its product.</p>
<p>A recent study showed that nucleofection rapidly activates p53 pathway in mouse memory CD8<sup>+</sup> T cells, impairing their recall response <italic>in vivo</italic> after adoptive transfer (<xref ref-type="bibr" rid="B9">9</xref>). Albeit not as severe as the reported impairment of memory CD8<sup>+</sup> T cells, our observation on the contraction of nucleofected <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells may be in line with the previous report. This is in stark contrast to what we observed for na&#xef;ve CD8<sup>+</sup> T cells, even though both are essentially resting cells. Consistent with our results on na&#xef;ve CD8<sup>+</sup> T cells, another recent study showed that nucleofected na&#xef;ve CD8<sup>+</sup> T cells retain <italic>in vivo</italic> responsiveness against viral infection (<xref ref-type="bibr" rid="B10">10</xref>). One of the possible explanations for such a striking difference may be that na&#xef;ve and memory CD8<sup>+</sup> T cells have distinct sensitivity of p53 pathway activation upon DNA damages. Importantly, authors of these two studies injected nucleofected cells without culture, followed by viral infection immediately (<xref ref-type="bibr" rid="B10">10</xref>) or three days later (<xref ref-type="bibr" rid="B9">9</xref>). Thus, the interval between nucleofection and immune stimulation is unlikely to be a decisive factor causing the abortive response of nucleofected memory CD8<sup>+</sup> T cells. Albeit much less likely, another potential cause of the different behavior of na&#xef;ve and memory CD8<sup>+</sup> T cells may lie in the use of different equipment in the studies on na&#xef;ve and memory CD8<sup>+</sup> T cells (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Understanding of the exact mechanism that impairs the response of nucleofected memory CD8<sup>+</sup> T cells is relevant for the use of electroporation-based CRISPR/Cas9-mediated genetic engineering both in basic research and clinical applications. In addition, adapting conditions of activation and post-nucleofection cell culture may be a potential way to alleviate the impaired expansion/survival of <italic>in vitro</italic>-activated CD8<sup>+</sup> T cells. In this regard, choice of cell culture medium, type and amount of supplement (e.g. IL-2, IL-7 or IL-15) duration of activation or post-nucleofection culture and strength of activation stimuli (e.g. density of surface-coated anti-CD3 antibodies and concentration of IL-2) are among those that is worth for testing in future studies.</p>
<p>Direct engineering of primary CD8<sup>+</sup> T cells enables to generate mutant cells lacking one or more genes within two weeks. This requires far shorter time than establishing a mutant mouse line, which can easily take months. In addition, generation of mutant T cells without interbreeding multiple mutant and congenic mice reduces the number of animals used to obtain compound mutant mouse lines, cohering well with the 3R principle. Although genetically modified animals and viral transduction remain as a vital tool in immunology, CRISPR/Cas9-based genetic engineering of primary mouse CD8<sup>+</sup> T cell will serve as a versatile and less time-consuming alternative or add-on. To take full advantage of CRISPR/Cas9-technology, the biochemical properties of target gene product are critical factors to consider, besides the choice of crRNAs and Cas9. While our study focused on CD8<sup>+</sup> T cells, we envision that nucleofection-based CRISPR/Cas9 genetic engineering of other immune cells will require similar considerations to achieve maximal efficacy.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<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" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Cantonal Committees for Animal Experimentation.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>PP and JA performed and analyzed experiments with help from LY. JA supervised research and wrote the manuscript with input from all co-authors. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported in parts by research grants of the Vontobel-Stiftung, Werner and Hedy Berger Janser - Foundation for cancer research, Research Pool of the University of Fribourg and SwissLife Jubil&#xe4;umsstiftung der Schweizerischen Lebensversicherungs- und Rentenanstalt f&#xfc;r Volksgesundheit und medizinische Forschung.</p>
</sec>
<sec id="s9" 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="s10" 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>
<ack>
<title>Acknowledgments</title>
<p>We thank Prof. David Hoogewijs and Prof. Barbara Rothen for allowing us to use their equipment, Cell Analytics Facility of the University of Fribourg for operational supports, Prof. Jens V Stein for continued support, and Dani&#xe8;la Grand and Antoinette Hayoz for excellent technical assistance.</p>
</ack>
<sec id="s11" 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.2022.777113/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2022.777113/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table_1.xlsx" id="ST1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet">
<label>Supplementary Table&#xa0;1</label>
<caption>
<p>Composition of adoptively transferred OT-I cells.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Kinetics of the number and CD90 expression of <italic>in vitro</italic>-activated OT-I cells after adoptive transfer into HSV-OVA-infected hosts. Nucleofection of OT-I cells and viral infection were performed as in. <bold>(A)</bold> Kinetics of OT-I cell number per 1 mL blood. Statistical significance of differences between each of nucleofected group and NTC was analyzed by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison. *<italic>p</italic> &lt; 0.0001. <bold>(B&#x2013;E)</bold> Frequency of CD90<sup>lo</sup> cells among OT-I cells in popLN and spleen on days 7 <bold>(B, D)</bold> and &gt; 40 <bold>(C, E)</bold>. Congenic marker assignment was swapped in each experiment. Data are pooled from two independent experiments with n = 6&#x2013;9 or n = 12&#x2013;15 for nucleofected cells or non-nucleofected control, respectively.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tif" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>Expression of CD44 and CD62L on <italic>in vitro</italic>-activated OT-I cells after adoptive transfer into HSV-OVA-infected hosts. <bold>(A)</bold> Representative plots showing the expression of CD44 and CD62L on OT-I cells in popLN, spleen and PBL. Plots show concatenated data of one of two experiments shown in. <bold>(B, C)</bold> Graph summary of the frequency of CD44<sup>hi</sup> <bold>(B)</bold> and CD62L<sup>hi</sup> <bold>(C)</bold> OT-I cells. Graphs show pooled data from two independent experiments with n = 5&#x2013;10. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001 as compared to NTC by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.tif" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;3</label>
<caption>
<p>Phenotype of <italic>in vitro</italic>-activated OT-I cells in popLN after adoptive transfer into HSV-OVA-infected hosts. Nucleofection of OT-I cells and viral infection were performed as in . <bold>(A, B)</bold> Expression of CD127 and KLRG1 on OT-I cells in popLN on days 7 <bold>(A)</bold> and &gt; 40 <bold>(B)</bold>. Pie charts show the mean frequencies of four populations identified by these two markers. <bold>(C)</bold> Expression of activation-associated glycoform of CD43 and CXCR3 on OT-I cells in popLN &gt; 40 days after infection. Pie charts show the mean frequencies of three populations identified by these two markers. Graphs show pooled data from two independent experiments with n = 9 or 15 for nucleofected cells or non-nucleofected control, respectively. Flow cytometric plots are gated on viable OT-I cells identified by the expression of congenic markers and show concatenated data from one of two experiments with n = 5 per group. Congenic marker assignment was swapped in each experiment. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001 as compared to NTC by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_4.tif" id="SF4" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;4</label>
<caption>
<p>Scatter plots of the data shown as pie charts in . <bold>(A, B)</bold> Frequency of four subsets defined by the expression of CD127 and KLRG1 on day 7 <bold>(A)</bold> and &gt;40 <bold>(B)</bold>. <bold>(C)</bold> Frequency of three subsets defined by the expression of activation-associated glycoform of CD43 and CXCR3. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001 as compared to NTC by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_5.tif" id="SF5" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;5</label>
<caption>
<p>Cytokine-producing capability of <italic>in vitro</italic>-activated OT-I cells 3 days after adoptive transfer into HSV-OVA-infected hosts. Nucleofection of OT-I cells and viral infection were performed as in . <bold>(A, B)</bold> Representative flow cytometric plots of IFN-&#x3b3; expression in viable OT-I cells <bold>(A)</bold> and TNF-&#x3b1; and IL-2 expression among IFN-&#x3b3;<sup>+</sup> OT-I cells <bold>(B)</bold> after 5 hr restimulation with 1 &#xb5;M OVA<sub>257-264</sub> (SIINFEKL) peptide in the presence of brefeldin A. Flow cytometric plots show concatenated data from one of two experiments with n = 5. <bold>(C, D)</bold> Summary of the frequency of IFN-&#x3b3;<sup>+</sup> <bold>(C)</bold> and IFN-&#x3b3;<sup>+</sup> TNF-&#x3b1;<sup>+</sup> <bold>(C, F)</bold> cells among viable OT-I cells. Graphs show pooled data from two independent experiments with n = 9 or 15 for nucleofected cells or non-nucleofected control, respectively. Congenic marker assignment was swapped in each experiment. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001 as compared to NTC by ordinary one-way ANOVA test with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_6.tif" id="SF6" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;6</label>
<caption>
<p>Cytokine-producing capability of <italic>in vitro</italic>-activated OT-I cells &gt;40 days after adoptive transfer into HSV-OVA-infected hosts. Nucleofection of OT-I cells and viral infection were performed as in <xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2</bold></xref>. <bold>(A, B)</bold> Representative flow cytometric plots of IFN-&#x3b3; expression in viable OT-I cells <bold>(A)</bold> and TNF-&#x3b1; and IL-2 expression among IFN-&#x3b3;<sup>+</sup> OT-I cells <bold>(B)</bold> after 5 hr restimulation with 1 &#xb5;M OVA<sub>257-264</sub> (SIINFEKL) peptide in the presence of brefeldin A. Flow cytometric plots show concatenated data from one of two experiments with n = 5. <bold>(C, D)</bold> Summary of the frequency of IFN-&#x3b3;<sup>+</sup> <bold>(C)</bold> and IFN-&#x3b3;<sup>+</sup> TNF-&#x3b1;<sup>+</sup> <bold>(C, F)</bold> cells among viable OT-I cells. Graphs show pooled data from two independent experiments with n = 9 or 15 for nucleofected cells or non-nucleofected control, respectively. Congenic marker assignment was swapped in each experiment. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001 as compared to NTC by ordinary one-way ANOVA test with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_7.tif" id="SF7" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;7</label>
<caption>
<p>CD127 and KLRG1 expression on OT-I cells in popLN and PBL after LCMV-OVA challenge. <bold>(A)</bold> Pie charts showing mean frequencies of four subsets identified by the expression pattern of CD127 and KLRG1 (as shown in ) in popLN and PBL. <bold>(B)</bold> Scatter plots of the data shown in <bold>(A)</bold> and . **<italic>p</italic> &lt; 0.01, ***<italic>p</italic> &lt; 0.001, ****<italic>p</italic> &lt; 0.0001 by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_8.tif" id="SF8" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;8</label>
<caption>
<p>Scatter plots of the data shown as pie charts in . Frequency of four subsets defined by the expression of CD127 and KLRG1 on day 7. *<italic>p</italic> &lt; 0.05, **<italic>p</italic> &lt; 0.01 as compared to NTC by ordinary two-way ANOVA with Dunnett&#x2019;s multiple comparison.</p>
</caption>
</supplementary-material>
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