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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.2023.1236595</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>Widespread and dynamic expression of granzyme C by skin-resident antiviral T cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lujan</surname>
<given-names>Ramon A.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2337995"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pei</surname>
<given-names>Luxin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1295250"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shannon</surname>
<given-names>John P.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1136699"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>D&#xe1;billa</surname>
<given-names>Nath&#xe2;nia</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dolan</surname>
<given-names>Patrick T.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Hickman</surname>
<given-names>Heather D.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Viral Immunity and Pathogenesis Unit, Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH)</institution>, <addr-line>Bethesda, MD</addr-line>, <country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>School of Nursing, Duke University</institution>, <addr-line>Durham, NC</addr-line>, <country>United States</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Quantitative Virology and Evolution Unit, Laboratory of Viral Diseases, NIAID, NIH</institution>, <addr-line>Bethesda, MD</addr-line>, <country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Shiki Takamura, RIKEN Yokohama, Japan</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Toshiro Hirai, Osaka University, Japan; Henrique Borges da Silva, Mayo Clinic Arizona, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Heather D. Hickman, <email xlink:href="mailto:hhickman@mail.nih.gov">hhickman@mail.nih.gov</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>21</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1236595</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>06</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Lujan, Pei, Shannon, D&#xe1;billa, Dolan and Hickman</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Lujan, Pei, Shannon, D&#xe1;billa, Dolan and Hickman</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>After recognition of cognate antigen (Ag), effector CD8<sup>+</sup> T cells secrete serine proteases called granzymes in conjunction with perforin, allowing granzymes to enter and kill target cells. While the roles for some granzymes during antiviral immune responses are well characterized, the function of others, such as granzyme C and its human ortholog granzyme H, is still unclear. Granzyme C is constitutively expressed by mature, cytolytic innate lymphoid 1 cells (ILC1s). Whether other antiviral effector cells also produce granzyme C and whether it is continually expressed or responsive to the environment is unknown. To explore this, we analyzed granzyme C expression in different murine skin-resident antiviral lymphocytes. At steady-state, dendritic epidermal T cells (DETCs) expressed granzyme C while dermal &#x3b3;&#x3b4; T cells did not. CD8<sup>+</sup> tissue-resident memory T cells (T<sub>RM</sub>) generated in response to cutaneous viral infection with the poxvirus vaccinia virus (VACV) also expressed granzyme C. Both DETCs and virus-specific CD8<sup>+</sup> T<sub>RM</sub> upregulated granzyme C upon local VACV infection. Continual Ag exposure was not required for maintained T<sub>RM</sub> expression of granzyme C, although re-encounter with cognate Ag boosted expression. Additionally, IL-15 treatment increased granzyme C expression in both DETCs and T<sub>RM</sub>. Together, our data demonstrate that granzyme C is widely expressed by antiviral T cells in the skin and that expression is responsive to both environmental stimuli and TCR engagement. These data suggest that granzyme C may have functions other than killing in tissue-resident lymphocytes.</p>
</abstract>
<kwd-group>
<kwd>granzymes</kwd>
<kwd>antiviral immunity</kwd>
<kwd>unconventional T cells</kwd>
<kwd>poxvirus</kwd>
<kwd>microscopy</kwd>
</kwd-group>
<contract-num rid="cn001">AI001225</contract-num>
<contract-sponsor id="cn001">Division of Intramural Research, National Institute of Allergy and Infectious Diseases<named-content content-type="fundref-id">10.13039/100006492</named-content>
</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="63"/>
<page-count count="14"/>
<word-count count="7498"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>T Cell Biology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Granzymes are a family of serine proteases that are expressed by both innate and adaptive cytotoxic lymphocytes (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>). There are 11 granzymes in mice (A-G, K-N) and 5 granzymes in human (A, B, H, K, M). Granzymes A and B have been the most extensively studied of the family, primarily in the context of killing infected or neoplastic cells (<xref ref-type="bibr" rid="B4">4</xref>). However, there are several family members, including granzyme C in mice and granzyme H in humans, with currently unknown function(s) (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Granzymes are expressed by different innate and adaptive immune cells, with unique cellular populations expressing different granzymes. Granzymes A and B are highly expressed by cytotoxic effector cells, including T cells and natural killer (NK) cells (<xref ref-type="bibr" rid="B6">6</xref>). Murine CD8<sup>+</sup> T cells can also express Granzyme K, which has been associated with inflammatory aging (<xref ref-type="bibr" rid="B7">7</xref>). Human CD8<sup>+</sup> T cells produce granzyme K in inflamed tissues (<xref ref-type="bibr" rid="B8">8</xref>). Human NK cells have been demonstrated to translate high levels of granzymes H and M in certain conditions (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Mouse CD4<sup>+</sup> and CD8<sup>+</sup> T cells synthesize granzyme C primarily <italic>in vitro</italic> or in the context of mixed lymphocyte reactions (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). Recently, mouse granzyme C was shown to be constitutively expressed by cytolytic group 1 innate lymphoid cells (ILC1s) in the liver and salivary gland (<xref ref-type="bibr" rid="B13">13</xref>). Thus, the unique tissue environments and cellular functions of lymphocytes support the differential expression of granzyme family members.</p>
<p>Mechanistically, granzymes have been shown to function primarily during cytolysis. Cytotoxic lymphocytes recognizing cognate Ag form an immune synapse and directionally secrete granzymes toward target cells along with the pore-forming protein perforin (<xref ref-type="bibr" rid="B14">14</xref>). Perforin/granzyme secretion is critical for the control of some viral infections, including ectromelia virus (mousepox) and lymphocytic choriomeningitis virus (LCMV) (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>). However, numerous studies have now demonstrated that granzymes possess non-canonical activities as well (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B17">17</xref>). For example, CD8<sup>+</sup> T cells and NK cells use granzyme B independently from perforin to extravasate into the tissues and traffic to sites of infection <italic>in vivo</italic> (<xref ref-type="bibr" rid="B18">18</xref>). Granzyme B can degrade extracellular matrix proteins and may affect various physiological processes such as basement membrane degradation, collagen disorganization, and wound healing (<xref ref-type="bibr" rid="B18">18</xref>&#x2013;<xref ref-type="bibr" rid="B20">20</xref>). Additionally, granzyme A can reach high levels in human serum during infection with human immunodeficiency virus (HIV), Epstein-Barr virus (EBV), and Chikungunya virus (CHIKV) (<xref ref-type="bibr" rid="B6">6</xref>). Exogenously produced granzyme K can induce inflammation in non-lymphoid cells such as fibroblasts and activate endothelial cells (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B21">21</xref>). Thus, granzymes can remodel the tissue environment through their protease activity.</p>
<p>In addition to granzyme C function, the regulation of its expression is also unknown. Some ILC1s constitutively produce granzyme C <italic>in vivo</italic> (<xref ref-type="bibr" rid="B13">13</xref>). ILC1s do not express the rearranged Ag receptors of adaptive lymphocytes, suggesting that factors other than Ag recognition might drive granzyme C production. Granzyme C expression may be developmentally hard-wired in some cells, or it may occur in response to changes in the local environment. Here, we sought to understand 1) whether ILC1s are the only tissue-resident lymphocytes that express granzyme C and 2) what factors regulate granzyme C expression. To do this, we analyzed granzyme C expression in different T cell populations present in the mouse skin: activated effector CD8<sup>+</sup> T cells, tissue-resident memory (T<sub>RM</sub>) CD8<sup>+</sup> T cells, and &#x3b3;&#x3b4; T cells. Although the level and frequency of granzyme C expression varied, a percentage of each skin-resident T cell population expressed granzyme C. Interestingly, skin-resident &#x3b3;&#x3b4; T cells and CD8<sup>+</sup> &#x3b1;&#x3b2; T<sub>RM</sub> expressed granzyme C at steady-state and upregulated granzyme C following primary or secondary infection. Exposure to cognate Ag in the absence of virus-driven inflammation also increased granzyme C expression in CD8<sup>+</sup> &#x3b1;&#x3b2; T<sub>RM</sub>. However, a proportion of CD8<sup>+</sup> &#x3b1;&#x3b2; T cells maintained granzyme C expression in the skin in an Ag-independent manner. Furthermore, IL-15 administration led to granzyme C upregulation in skin-resident T cells. Thus, the local tissue environment also modulates granzyme C expression in antiviral T cells. These results provide insight into the regulation of expression of granzyme C during antiviral immune responses and suggest a more ubiquitous function for granzyme C than the killing of virus-infected cells.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Results</title>
<sec id="s2_1">
<title>Gamma-delta T cells express granzyme C in the epidermis at steady-state</title>
<p>Gamma-delta T cells seed tissues perinatally and can protect against murine poxvirus infection (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). In the skin, V&#x3b3;5<sup>+</sup>  dendritic epidermal T cells (DETCs) and V&#x3b3;4<sup>+</sup>/V&#x3b3;6<sup>+</sup>  &#x3b3;&#x3b4; T cells occupy the epidermis and dermis, respectively (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). We first analyzed granzyme C expression in both populations using flow cytometry of single-cell suspensions of dissociated skin from wild-type C57BL/6 mice (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A&#x2013;D</bold>
</xref>). Prior to tissue harvest, we injected a CD45.2-specific antibody (Ab) intravenously (IV) to identify and exclude cells circulating in the vasculature from analysis, as previously described (<xref ref-type="bibr" rid="B26">26</xref>). We first gated on CD45.2 IV<sup>-</sup>, CD45<sup>+</sup>, CD3<sup>+</sup> lymphocytes and used V&#x3b3;5 TCR staining to identify TCR &#x3b3;&#x3b4;<sup>+</sup> DETCs (with dermal &#x3b3;&#x3b4; T cells being V&#x3b3;5 TCR<sup>&#x2212;</sup>) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). At steady-state in na&#xef;ve, specific pathogen-free C57BL/6 mice, from 15 to 35% of DETCs expressed granzyme C (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Conversely, we did not observe significant frequencies or numbers of granzyme C-expressing dermal &#x3b3;&#x3b4; T cells (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1B, C</bold>
</xref>). Likewise, DETCs expressed significantly higher levels of granzyme C per cell than the few positive dermal &#x3b3;&#x3b4; T cells, determined by the mean fluorescent intensity (MFI) of intracellular granzyme C staining (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>). As tissue-resident cells can be perturbed by the enzymatic digestion needed to liberate them for flow cytometry (<xref ref-type="bibr" rid="B27">27</xref>), we also examined &#x3b3;&#x3b4; T cells using confocal microscopy of frozen cross-sections of the ear skin (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). Confocal images corroborated our flow cytometry findings, with a subset of DETCs expressing granzyme C in the epidermis. Interestingly, we often detected granzyme C localized to the dendritic cellular extensions between epidermal keratinocytes (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>). Thus, even na&#xef;ve, specific-pathogen free mice have granzyme C-expressing skin-resident lymphocytes.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Gamma-delta T cells express granzyme C in the epidermis at steady-state. <bold>(A)</bold> Flow cytometry plots of cutaneous T cells isolated from sex- and age-matched na&#xef;ve specific-pathogen free C57BL/6 mice. Cells were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup>. DETCs were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup> TCR&#x3b3;&#x3b4;<sup>+</sup> V&#x3b3;5<sup>+</sup>. Dermal &#x3b3;&#x3b4; T cells were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup> TCR&#x3b3;&#x3b4;+ V&#x3b3;5&#x2212;. <bold>(B&#x2013;D)</bold> Percentages, numbers, and mean florescence intensities (MFI) of granzyme C in &#x3b3;&#x3b4; T cells. Dots represent individual ears. Error bars show the SEM. Results are representative of 3 experiments with 3 mice/group. Statistics = Mann-Whitney tests. <bold>(E)</bold> Confocal images of frozen cross-sections of uninfected ear skin from na&#xef;ve specific-pathogen free C57BL/6 mice. Boxed area is magnified in panels to the right. Scale bars represent 20 &#x3bc;m (left panel), 5 &#x3bc;m (middle panel), and 5 &#x3bc;m (right panel). Images are representative of at least 3 images taken from 3 mice.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g001.tif"/>
</fig>
</sec>
<sec id="s2_2">
<title>Gamma-delta T cells increase granzyme C expression during VACV skin infection</title>
<p>Gamma-delta T cells upregulate IFN-&#x3b3;, granzymes A and B, and perforin during viral infection or in response to PAMPs (<xref ref-type="bibr" rid="B28">28</xref>&#x2013;<xref ref-type="bibr" rid="B30">30</xref>). To understand the kinetics of granzyme C expression by DETCs and dermal &#x3b3;&#x3b4; T cells during VACV infection, we first characterized the &#x3b3;&#x3b4; T cell response in the skin. We infected C57BL/6 mice with VACV-SIINFEKL (expressing a minigene containing residues 257-264 of ovalbumin) in the ear pinna using a bifurcated needle as previously described (<xref ref-type="bibr" rid="B31">31</xref>&#x2013;<xref ref-type="bibr" rid="B33">33</xref>). We used VACV as a viral infection model because this virus infects cells in both the epidermis and dermis where DETCs and dermal &#x3b3;&#x3b4; T cells reside, respectively (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S1</bold>
</xref>). We analyzed the single-cell suspensions generated from VACV-infected ears at 0-, 1-, 3-, and 5- days post-infection (dpi) (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S1C&#x2013;G</bold>
</xref>). Flow cytometry results revealed that the frequency of DETCs and dermal &#x3b3;&#x3b4; T cells amongst total leukocytes in the skin decreased significantly at 5 dpi (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S1D&#x2013;E</bold>
</xref>). Nevertheless, the total number of DETCs and dermal &#x3b3;&#x3b4; T cells was significantly higher at 5 dpi (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S1F&#x2013;G</bold>
</xref>). Thus, both DETCs and dermal &#x3b3;&#x3b4; T cells in the skin expand in number during VACV infection but constitute a smaller frequency of CD45<sup>+</sup> CD3<sup>+</sup> lymphocytes as new T cells are recruited into the skin.</p>
<p>We next analyzed granzyme C expression in both &#x3b3;&#x3b4; T cell populations after infection (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2A&#x2013;F</bold>
</xref>). We observed the highest average frequency of granzyme C<sup>+</sup> DETCs on 5 dpi (~36% compared to ~27% in na&#xef;ve tissue) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). In contrast, the highest frequency of granzyme C<sup>+</sup> dermal &#x3b3;&#x3b4; T cells was observed on 1 dpi (5.4 &#xb1; 0.81% compared to 3.05 &#xb1; 0.71% in na&#xef;ve tissue) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). DETCs expressed more granzyme C per cell than dermal &#x3b3;&#x3b4; T cells, with the highest granzyme C MFI on 5 dpi (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Dermal &#x3b3;&#x3b4; T cells did not increase granzyme C expression levels by MFI during VACV infection (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). These data show that epidermal DETCs are the only cutaneous &#x3b3;&#x3b4; T cell population to upregulate granzyme C during local VACV infection.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Gamma-delta T cells maintain granzyme C expression during VACV skin infection. <bold>(A)</bold> Diagram of experimental design. Ear pinna of sex- and age-matched C57BL/6 mice were infected epicutaneously with VACV-SIINFEKL. <bold>(B)</bold> Flow cytometry plots of cutaneous &#x3b3;&#x3b4; T cells isolated from ear pinna of C57BL/6 mice at 1-, 3- 5-dpi with VACV-SIINFEKL. DETCs were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup> TCR&#x3b3;&#x3b4;<sup>+</sup> V&#x3b3;5<sup>+</sup>. Dermal &#x3b3;&#x3b4; T cells were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup> TCR&#x3b3;&#x3b4;<sup>+</sup> V&#x3b3;5<sup>-</sup>. <bold>(C&#x2013;F)</bold> Percentages and MFIs of granzyme C in &#x3b3;&#x3b4; T cells at indicated dpi. MFIs were determined from the entire population (not granzyme C<sup>+</sup> cells). Dots represent individual ears. Error bars show SEM. Statistics = Kruskal-Wallis tests. Data are pooled from 3 experiments with 3 mice/timepoint.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g002.tif"/>
</fig>
<p>We also analyzed the frequencies and numbers of endogenous TCR &#x3b1;&#x3b2; CD8<sup>+</sup> T cells that had entered the skin at the same timepoints post-VACV infection (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S2A&#x2013;F</bold>
</xref>). At 5 dpi a significant number of CD8<sup>+</sup> T cells, defined as CD45.2 IV<sup>-</sup>, CD45<sup>+</sup>, CD3<sup>+</sup>, V&#x3b3;5<sup>&#x2212;</sup>, TCR &#x3b3;&#x3b4;&#x2212;, CD8&#x3b2;<sup>+</sup>, TCR&#x3b2;<sup>+</sup>, were recruited to the infected skin (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S2A&#x2013;C</bold>
</xref>). Few CD8<sup>+</sup> T cells expressed granzyme C at this timepoint and the frequency of expression was not increased by infection (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S2D&#x2013;F</bold>
</xref>). Together, these data show that epidermal DETCs specifically respond to cutaneous poxvirus infection with enhanced granzyme C production during the first 5 days post-infection.</p>
</sec>
<sec id="s2_3">
<title>Tissue-resident memory CD8<sup>+</sup> T cells express granzyme C in the skin at steady-state</title>
<p>We next analyzed CD8<sup>+</sup> T<sub>RM</sub> in the skin, another epidermal lymphocyte population with notable antiviral activity (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). We infected mice with VACV-SIINFEKL and allowed for the endogenous polyclonal VACV-specific CD8<sup>+</sup> T cell response to develop and T<sub>RM</sub> to form (<xref ref-type="bibr" rid="B36">36</xref>). On 28 dpi or greater, we harvested skin, generated single-cell suspensions via enzymatic digestion, and analyzed the frequency of granzyme C expressing T cells using flow cytometry (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3A&#x2013;F</bold>
</xref>). We first gated on CD45<sup>+</sup>, CD45.2 IV<sup>-</sup>, CD8&#x3b2;<sup>+</sup> cells. Both CD103 and CD69 are commonly used as tissue residency markers to identify T<sub>RM</sub> in the skin (<xref ref-type="bibr" rid="B37">37</xref>). Therefore, we classified CD8<sup>+</sup> T cells in the skin based on CD103 and CD69 expression and analyzed granzyme C expression in each population (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3B&#x2013;F</bold>
</xref>). CD69<sup>+</sup> CD103<sup>+</sup> T<sub>RM</sub> had the highest frequency of granzyme C expression at approximately 54% of the population. Cells that did not express either CD69 or CD103 had the lowest frequency of granzyme C expression at 11.8 &#xb1; 1.5%. We also analyzed granzyme C expression in CD62L<sup>+</sup> CD44<sup>+</sup> central memory T cells in the cervical lymph node and spleen. These non-tissue-resident memory CD8<sup>+</sup> T cells scantly expressed granzyme C (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S3A&#x2013;C</bold>
</xref>). Furthermore, circulating CD62L<sup>+</sup> CD44<sup>-</sup> na&#xef;ve, CD62L<sup>+</sup> CD44<sup>+</sup> central memory, and CD62L<sup>-</sup> CD44<sup>+</sup> effector memory CD8<sup>+</sup> T cell subsets expressed little granzyme C (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S3D&#x2013;F</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>VACV-specific CD8<sup>+</sup> T cells express granzyme C in the skin. <bold>(A)</bold> Diagram of VACV-SIINFEKL infection model to establish CD8<sup>+</sup> T<sub>RM</sub> in the ear pinna of age- and sex- matched C57BL/6 mice. Mice were infected using a bifurcated needle in the ear pinna with VACV-SIINFEKL. T<sub>RM</sub> were allowed to develop for at least 28 dpi. <bold>(B)</bold> Flow cytometry plots of cutaneous CD8<sup>+</sup> T cells. Cells were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD8&#x3b2;<sup>+</sup>. <bold>(C)</bold> Flow cytometry plots showing cutaneous granzyme C<sup>+</sup> CD8<sup>+</sup> T cells. CD8<sup>+</sup> T cells were gated into four quadrants as shown based on the differential expression of CD103 and CD69. <bold>(D)</bold> Total number of CD8<sup>+</sup> T cells based on differential expression of CD103 and CD69. Dots represent individual ears. Error bars show SEM. Statistics = Kruskal-Wallis tests. Results are representative of 3 independent experiments with 3 mice/group. <bold>(E, F)</bold> As in <bold>(D)</bold> but percentages and numbers of granzyme C<sup>+</sup> CD8<sup>+</sup> T cells based on the differential expression of CD103 and CD69. <bold>(G)</bold> Confocal images of frozen cross-sections of ear skin of <italic>Cd8a<sup>&#x2212;/&#x2212;</sup>
</italic> mice that received 1 x 10<sup>4</sup> dsRed OT-I CD8<sup>+</sup> T cells prior to epicutaneous infection with VACV-NP-S-eGFP (containing SIINFEKL). Images were acquired at 28 dpi. Boxed areas are magnified in panels to the right. Scale bars represent 30 &#x3bc;m (left panel), 10 &#x3bc;m (middle panel), and 10 &#x3bc;m (right panel). Images are representative of at least 5 images taken from 2 mice.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g003.tif"/>
</fig>
<p>As before, we verified granzyme C expression using confocal imaging. For these experiments, we first transferred 1 x 10<sup>4</sup> dsRed-expressing OT-I TCR transgenic CD8<sup>+</sup> T cells (recognizing K<sub>b</sub>-SIINFEKL) into <italic>Cd8a<sup>-/-</sup>
</italic> mice (deficient in CD8<sup>+</sup> &#x3b1;&#x3b2; T cells) to allow easy microscopic visualization of T<sub>RM</sub> cells in the skin. In contrast to DETCs, we detected OT-I CD8<sup>+</sup> T cells that expressed granzyme C in both the dermis and epidermis at 28 dpi (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3G</bold>
</xref>). We next quantified granzyme C expression in dermal and epidermal OT-I T<sub>RM</sub> using confocal microscopy (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S4A</bold>
</xref>). Both dermal and epidermal cells expressed similar levels of granzyme C based on the quantified intensity of granzyme C fluorescence per cell (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figures S4B&#x2013;C</bold>
</xref>).</p>
<p>To complement our confocal and flow cytometric analyses of granzyme C protein expression, we performed single-cell RNAseq on OT-I CD8<sup>+</sup> T<sub>RM</sub> isolated from the skin (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S5</bold>
</xref>). At the mRNA level, approximately 12% of <italic>Cd3e</italic>
<sup>+</sup> cells also expressed detectable message for granzyme C. OT-I CD8<sup>+</sup> T cells expressing <italic>Gzmc</italic> also co-expressed <italic>Cd69</italic> and <italic>Itgae</italic> (CD103), consistent with our flow cytometry data. Other additional transcripts that were highly co-expressed with <italic>Gzmc</italic> included <italic>Gzmb, Il2rb, Ifng</italic>, and <italic>Prf1</italic> (perforin).</p>
<p>Together these data show that granzyme C is expressed by resting CD8<sup>+</sup> T<sub>RM</sub> in mouse skin.</p>
</sec>
<sec id="s2_4">
<title>OT-I CD8<sup>+</sup> T<sub>RM</sub> upregulate granzyme C during secondary VACV infection</title>
<p>We next examined whether VACV-specific T<sub>RM</sub> would, like DETCs, upregulate granzyme C during VACV infection, or whether this was a specific feature of &#x3b3;&#x3b4; T cells. For these experiments, we continued analyses of CD103<sup>+</sup> CD69<sup>+</sup> VACV-specific CD8<sup>+</sup> T<sub>RM</sub> in the skin (<xref ref-type="bibr" rid="B37">37</xref>). On 28 dpi or greater, we reinfected the ear pinna of mice with the same VACV that was used for initial infection and analyzed T cells on day 2 post-reinfection (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A&#x2013;C</bold>
</xref>). Secondary infection increased both the frequency and expression level (MFI) of granzyme C in T<sub>RM</sub> compared to T<sub>RM</sub> from mice only infected once (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4D&#x2013;F</bold>
</xref>). Secondary infection also increased the frequency and expression level of granzyme B- and IFN-&#x3b3; -producing T<sub>RM</sub> (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4G&#x2013;J</bold>
</xref>). Together, these data demonstrate that CD8<sup>+</sup> T<sub>RM</sub> upregulate granzyme C (along with known effector molecules) during re-exposure to VACV.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>T<sub>RM</sub> upregulate granzyme C during secondary VACV infection. <bold>(A)</bold> Diagram depicting primary and secondary infection with VACV. C57BL/6 mice were epicutaneously infected in both ears with VACV-SIINFEKL. At least 28 days later, mice were reinfected epicutaneously with the same virus. Ears were removed for analyses on day 2 after secondary infection. <bold>(B)</bold> Flow cytometry plots of cutaneous CD8<sup>+</sup> T cells after primary or secondary infection with VACV-SIINFEKL. Initial gating was on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> cells. <bold>(C)</bold> Total number of CD8<sup>+</sup> T<sub>RM</sub> cells gated as CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD8&#x3b2;<sup>+</sup> CD103<sup>+</sup> CD69<sup>+</sup>. Dots show individual ears. Error bars show SEM. Statistics = Mann-Whitney test. Results are representative of 1 experiment of 3 with 3 mice/group. <bold>(D)</bold> Flow cytometry plots showing staining for granzyme C (top panels), granzyme B (middle panels), and IFN-&#x3b3; (bottom panels) in cutaneous CD8<sup>+</sup> T<sub>RM</sub> during initial (left panels) or secondary (right panels) VACV infection and corresponding FMOs. <bold>(E&#x2013;J)</bold> As in <bold>(C)</bold> but percentages and MFIs of CD8<sup>+</sup> T<sub>RM</sub> expressing granzymes C, B, and IFN-&#x3b3;.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g004.tif"/>
</fig>
</sec>
<sec id="s2_5">
<title>OT-I CD8<sup>+</sup> T<sub>RM</sub> maintain granzyme C expression in an Ag-independent manner</title>
<p>Although our data thus far suggested that granzyme C can be upregulated in some antiviral T cells during viral infection, it was unclear whether this was a response to recognition of cognate Ag or inflammation induced by infection. To test whether Ag sensing in the tissue was needed for increased granzyme C expression, we again transferred 1 x 10<sup>4</sup> na&#xef;ve OT-I CD8<sup>+</sup> T cells into <italic>Cd8a</italic>
<sup>-/-</sup> mice. We then infected one ear with VACV-NP-S-eGFP (expressing a fusion protein consisting of the nucleoprotein from influenza virus, the SIINFEKL OT-I CD8<sup>+</sup> T cell determinant, and eGFP) and the other ear with VACV-NP-eGFP (an identical virus that lacks SIINFEKL) as previously described (<xref ref-type="bibr" rid="B32">32</xref>) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). On 7-, 14-, 21-, and 28- dpi, we removed each ear (keeping them separate), created single-cell suspensions, and analyzed cells via flow cytometry (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5B&#x2013;F</bold>
</xref>). The number of OT-I CD8<sup>+</sup> T cells per ear were similar between ears infected with virus expressing or lacking cognate Ag on days 7 and 14 dpi (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). On 21 and 28 dpi, we noted a significant increase in the number of OT-I CD8<sup>+</sup> T cells in the ears infected with VACV-NP-S-eGFP compared to the ears infected with VACV lacking cognate Ag, consistent with previous reports (<xref ref-type="bibr" rid="B38">38</xref>) (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). Granzyme C expression was detectable in OT-I CD8<sup>+</sup> T cells in the skin by 7 dpi and occurred in T cells present in ears lacking cognate Ag expression (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5D&#x2013;F</bold>
</xref>). Over time, granzyme C expression was maintained in ears lacking cognate Ag expression, although frequencies of granzyme C<sup>+</sup> OT-I CD8<sup>+</sup> T cells were slightly higher in ears containing cognate Ag. Accordingly, there were higher numbers of OT-I CD8<sup>+</sup> T cells expressing granzyme C in the ears containing cognate Ag at 21 and 28 dpi (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>). These data show that CD8<sup>+</sup> T cells do not require cognate Ag expression in the skin to produce granzyme C; however, cognate Ag may bolster expression.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>CD8<sup>+</sup> OT-I T cells recruited to the skin express granzyme C in an antigen-independent manner. <bold>(A)</bold> Experimental design. <italic>Cd8a<sup>&#x2212;/&#x2212;</sup>
</italic> mice received 1 x 10<sup>4</sup> dsRed OT-I CD8<sup>+</sup> T cells prior to epicutaneous infection in one ear with VACV-NP-S-eGFP (expressing the cognate Ag SIINFEKL) and the other ear with VACV-NP-eGFP (no cognate Ag). Ears were harvested at various times post-infection to examine granzyme C expression in ears with or without cognate Ag expression. <bold>(B)</bold> Flow cytometry plots of cutaneous dsRed OT-I CD8<sup>+</sup> T cells at 7 dpi and 28 dpi isolated from separate ears infected with VACV-NP-S-eGFP (with cognate Ag) or VACV-NP-eGFP (no cognate Ag). Cells initially gated as CD45<sup>+</sup> CD45.2 IV<sup>-</sup>. <bold>(C)</bold> Numbers of OT-I CD8<sup>+</sup> T cells present in ears infected with VACV-NP-S-eGFP (with cognate Ag, green bars) or VACV-NP-eGFP (no cognate Ag, red bars) at 7-, 14-, 21-, and 28-dpi. OT-I CD8<sup>+</sup> T cells were gated as CD45<sup>+</sup> CD45.2 IV<sup>-</sup> dsRed<sup>+</sup> CD8&#x3b1;<sup>+</sup>. Dots represent individual ears. Error bars show SEM. Pooled data are shown from 2 independent timecourse experiments with 3 mice/group. Statistics = Kruskal-Wallis tests. <bold>(D)</bold> Flow cytometry plots of dsRed OT-I CD8<sup>+</sup> T cells at 28 dpi gated on granzyme C. <bold>(E, F)</bold> As in <bold>(C)</bold> but frequencies and numbers of granzyme C<sup>+</sup> dsRed OT-I CD8<sup>+</sup> T cells on the indicated dpi.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g005.tif"/>
</fig>
</sec>
<sec id="s2_6">
<title>OT-I CD8<sup>+</sup> T<sub>RM</sub> upregulate granzyme C in response to both viral infection and TCR engagement</title>
<p>Although cognate Ag was not needed for continued granzyme C expression, we next queried whether TCR engagement during secondary infection could upregulate granzyme C. As before, we transferred 1 x 10<sup>4</sup> na&#xef;ve OT-I CD8<sup>+</sup> T cells into <italic>Cd8a</italic>
<sup>-/-</sup> mice and infected both ears with VACV-NP-S-eGFP (containing cognate Ag) to establish OT-I CD8<sup>+</sup> T<sub>RM</sub> in both ears under the same conditions. Beyond 28 dpi, we reinfected one ear with VACV-NP-S-eGFP and the other ear with VACV-NP-eGFP (lacking cognate Ag) (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). Flow cytometric analysis revealed no statistical difference in the frequency of granzyme B and C expressing CD8<sup>+</sup> T<sub>RM</sub> in the skin during secondary infection in the presence or absence of cognate Ag (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B&#x2013;E</bold>
</xref>). Granzyme A expression, however, trended toward increased expression in the absence of cognate Ag (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B, C</bold>
</xref>). Thus, viral infection alone can drive the upregulation of granzyme C in CD8<sup>+</sup> T<sub>RM</sub>.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>OT-I CD8<sup>+</sup> T<sub>RM</sub> can upregulate granzyme C in response to either viral infection or cognate Ag. <bold>(A)</bold> Experimental design. <italic>Cd8a<sup>&#x2212;/&#x2212;</sup>
</italic> mice received 1 x 10<sup>4</sup> dsRed OT-I CD8<sup>+</sup> T cells prior to epicutaneous infection in both ears with VACV-NP-S-eGFP (expressing the cognate Ag SIINFEKL) to establish OT-I CD8<sup>+</sup> T<sub>RM.</sub> At least 28 days later, mice were infected in one ear with VACV-NP-S-eGFP (expressing the cognate Ag SIINFEKL) and the other ear with VACV-NP-eGFP (no cognate Ag). Ears were removed for analyses on day 2 after secondary infection. <bold>(B)</bold> Overlaid histograms showing expression of granzymes A, B, and C along with corresponding FMOs in OT-I CD8<sup>+</sup> T<sub>RM</sub> from ears expressing or lacking cognate antigen. OT-I CD8<sup>+</sup> T<sub>RMs</sub> were gated as CD45.2 IV<sup>-</sup> CD45<sup>+</sup> CD8&#x3b2;<sup>+</sup> dsRed<sup>+</sup> CD69<sup>+</sup> CD103<sup>+</sup>. <bold>(C&#x2013;E)</bold> Frequencies of granzyme A<sup>+</sup> B<sup>+</sup> or C<sup>+</sup> OT-I CD8<sup>+</sup> T<sub>RM</sub> from ears infected with either VACV-NP-S-eGFP or VACV-NP-eGFP. Dots represent individual ears. Error bars = SEM. Statistics = Mann-Whitney tests. Data are pooled from 2 experiments with 4 or 5 mice/group. <bold>(F)</bold> Experimental design. <italic>Cd8a<sup>&#x2212;/&#x2212;</sup>
</italic> mice received 1 x 10<sup>4</sup> dsRed OT-I CD8<sup>+</sup> T cells prior to epicutaneous infection in both ears with VACV-SIINFEKL. At least 28 days later, mice were IV injected with either SIINFEKL peptide or vehicle control and harvested 6 hours after injection. OT-I CD8<sup>+</sup> T<sub>RMs</sub> were gated as CD45.2 IV<sup>-</sup> CD45<sup>+</sup> CD8&#x3b2;<sup>+</sup> dsRed<sup>+</sup> CD69<sup>+</sup> CD103<sup>+</sup>. <bold>(G)</bold> As in <bold>(B)</bold> but histograms of granzymes A, B, and C between mice treated with SIINFEKL peptide or vehicle control. <bold>(H&#x2013;J)</bold> As in <bold>(C&#x2013;E)</bold> but frequencies of granzyme A<sup>+</sup>, B<sup>+</sup>, or C<sup>+</sup> OT-I CD8<sup>+</sup> T<sub>RM</sub> between mice having received SIINFEKL peptide or vehicle control. Dots represent individual ears. Error bars = SEM. Statistics = Mann-Whitney tests. ns, not statistically significant. Data are pooled from 2 experiments with 4 mice/group.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g006.tif"/>
</fig>
<p>In the converse experiment, we assessed whether cognate Ag alone could drive upregulation of granzyme C (without virus-induced inflammation). After the establishment of OT-I CD8<sup>+</sup> T<sub>RM,</sub> we injected SIINFEKL peptide intravenously and harvested the ear pinna 6 hours post-injection (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6F</bold>
</xref>). Flow cytometric analyses revealed significant upregulation of granzyme C<sup>+</sup> OT-I CD8<sup>+</sup> T<sub>RM</sub> after peptide injection (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6G&#x2013;J</bold>
</xref>). The frequency of granzyme B<sup>+</sup> T<sub>RM</sub> also increased even more dramatically, while granzyme A remained relatively unchanged. Together, these data suggest granzyme C can be upregulated by both virally induced inflammation or TCR stimulation in the absence of other inflammatory stimuli. Furthermore, they reveal differential regulation of specific granzyme expression in response to different stimulation.</p>
</sec>
<sec id="s2_7">
<title>Skin-resident T cells upregulate granzyme C in response to IL-15 administration</title>
<p>We next explored whether local cytokine changes could promote granzyme C expression in the absence of cognate Ag recognition. The cytokine IL-15 is induced during many acute viral infections and is important for tissue-resident lymphocyte maintenance (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B40">40</xref>). <italic>In vitro</italic>, IL-15 upregulates granzyme C expression in isolated liver ILC1s (<xref ref-type="bibr" rid="B13">13</xref>). We therefore explored whether <italic>in vivo</italic> treatment with IL-15 alone could induce granzyme C expression. We first assessed the effect of IL-15 administration on DETCs. We intraperitoneally (IP) injected na&#xef;ve wild-type C57BL/6 mice with exogenous IL-15 every 48 hr (three treatments) and harvested the ear pinna on day 7 (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). Mice from the IL-15 treatment group had a higher number but not frequency of DETCs compared to the vehicle control (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7B&#x2013;D</bold>
</xref>). DETCs in mice treated with IL-15 had an increased frequency of granzyme C expression and MFI compared to DETCs in mice receiving vehicle control (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7E, F</bold>
</xref>). IL-15 treatment also increased the expression level (MFI) and frequency of dermal &#x3b3;&#x3b4; T cells expressing granzyme C, though this remained low compared to DETCs (<xref ref-type="supplementary-material" rid="SM1">
<bold>Figure S6</bold>
</xref>). Confocal imaging also revealed numerous granzyme C<sup>+</sup> DETCs in IL-15-treated mice (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7G</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Skin-resident T cells upregulate granzyme C after IL-15 administration. <bold>(A)</bold> Experimental design. Na&#xef;ve C57BL/6 mice were injected IP with 5 &#xb5;g of recombinant IL-15 every 48 hr (three treatments). Ear pinna were harvested on day 7 post-treatment. <bold>(B)</bold> Flow cytometry plots of cutaneous T cells from C57BL/6 mice either treated with IL-15 or vehicle control. Cells were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup>. DETCs were gated on CD45<sup>+</sup> CD45.2 IV<sup>-</sup> CD3<sup>+</sup> TCR&#x3b3;&#x3b4;<sup>+</sup> V&#x3b3;5<sup>+</sup>. <bold>(C, D)</bold> Numbers and frequencies of DETCs isolated C57BL/6 mice either treated with IL-15 or vehicle control. Dots represent individual ears. Error bars = SEM. Statistics = Mann-Whitney tests. ns, not statistically significant. Data representative of 2 independent experiments with 4 mice/group. <bold>(E, F)</bold> As in <bold>(C, D)</bold> but frequencies of granzyme C<sup>+</sup> DETCs and MFIs of granzyme C in all DETCs in IL-15- or vehicle-treated mice. <bold>(G)</bold> Confocal images of frozen cross-sections of ears of naive C57BL/6 mice either treated with IL-15 or vehicle control. Top images show all colors green (TCR &#x3b3;&#x3b4; AlexFluor 488), white (granzyme C), blue (DAPI-nuclear stain). Bottom images remove green (TCR &#x3b3;&#x3b4; AlexFluor 488) channel to better reveal granzyme C signal (white). Scale bars represent 30 &#x3bc;m. Images are representative of at least 3 images taken from 3 mice/group. <bold>(H)</bold> Experimental design. Age- and sex- matched C57BL/6 mice were infected with VACV-SIINFEKL for at least 28 days for T<sub>RM</sub> formation. At least 28 days post-infection, mice were injected IP with IL-15 every 48 hr. Ear pinna were harvested on day 7 post-treatment. <bold>(I)</bold> Overlaid histograms of granzyme C expression in CD8<sup>+</sup> T<sub>RM</sub> in IL-15- or vehicle-treated mice. CD8<sup>+</sup> T<sub>RM</sub> gated on CD45.2 IV<sup>-</sup>, CD45<sup>+</sup>, CD3<sup>+</sup>, V&#x3b3;5<sup>&#x2212;</sup>, TCR &#x3b3;&#x3b4;<sup>&#x2212;</sup>, CD8&#x3b2;<sup>+</sup>, CD103<sup>+</sup>, CD69<sup>+</sup> cells. <bold>(J, K)</bold> Frequencies of granzyme C<sup>+</sup> CD8<sup>+</sup> T<sub>RM</sub> and granzyme C MFIs in all T<sub>RM</sub> between treatment groups. Dots represent individual ears. Error bars = SEM. Statistics = Mann-Whitney tests. Data representative of 2 independent experiments with 4 mice/group.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-14-1236595-g007.tif"/>
</fig>
<p>Having demonstrated exogenous IL-15 administration could upregulate granzyme C expression in skin-resident &#x3b3;&#x3b4; T cells, we examined whether IL-15 would have the same effect in CD103<sup>+</sup> CD69<sup>+</sup> CD8<sup>+</sup> T<sub>RM</sub>. As before, we infected C57BL/6 mice with VACV-SIINFEKL and allowed for the endogenous polyclonal VACV-specific CD8<sup>+</sup> T cell response to develop (<xref ref-type="bibr" rid="B36">36</xref>). On 28 dpi or greater, we administered IL-15 via IP injection as before, generated single-cell suspensions via enzymatic digestion from the ear pinna and analyzed the frequency of granzyme C-expressing T cells using flow cytometry (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7H&#x2013;K</bold>
</xref>). Like the DETCs, IL-15 increased T<sub>RM</sub> expression of granzyme C (in both frequency and MFI) compared to vehicle controls (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7I&#x2013;K</bold>
</xref>). Thus, granzyme C expression is also cytokine responsive <italic>in vivo</italic>.</p>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>Mice can express many different granzymes, some of which do not have established function or known immunological roles. One of these, granzyme C was recently identified as a definitive marker for mature antiviral ILC1s as these cells continually produce granzyme C in the liver (<xref ref-type="bibr" rid="B13">13</xref>). However, it was unknown if other antiviral lymphocytes express granzyme C and whether its expression is regulated <italic>in vivo</italic> by viral infection. Here, using flow cytometry, confocal microscopy, and single-cell RNA-seq, we demonstrate that different innate and adaptive antiviral T cell subsets express granzyme C in the skin. During homeostasis, some DETCs and most T<sub>RM</sub> present in the epidermis expressed granzyme C. Poxvirus infection of the skin upregulated granzyme C production by both DETCs and T<sub>RM</sub>. Interestingly, cognate Ag recognition in the tissue was not required for maintained granzyme C expression by TCR-transgenic OT-I CD8<sup>+</sup> T cells. Nonetheless, cognate Ag recognition enhanced granzyme C expression. Additionally, IL-15 treatment also enhanced granzyme C expression by DETCs and virus-specific T<sub>RM</sub>. Together, our data reveal that granzyme C expression is more widespread than previously appreciated and is responsive to both environmental cues and TCR engagement.</p>
<p>An important question remains: what is the function of homeostatic granzyme C expression? Other studies have shown that granzyme C can be expressed without contact with tumor or virally infected cells, hinting at other roles for granzyme C besides the direct cytolysis of target cells. Most experiments examining granzyme C-mediated cytolysis have been performed <italic>in vitro</italic> (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>). The most compelling <italic>in vivo</italic> data for granzyme C-mediated killing demonstrated that the constitutive activation of granzyme C<sup>+</sup> cells led to perforin-dependent lethality in uninfected neonatal mice (<xref ref-type="bibr" rid="B13">13</xref>). However, perforin knockout mice also succumbed to death in this model, albeit with a delay of several weeks. Furthermore, the crystal structure of granzyme C has revealed that this protease may be auto-inhibited under normal circumstances (<xref ref-type="bibr" rid="B43">43</xref>). Thus, the function of granzyme C may be multifactorial but remains unestablished.</p>
<p>There are demonstrated non-canonical roles for other granzymes. Some have been shown to play a pro-inflammatory role during infection. Granzymes A and B in humans and mice are produced at high levels during various viral infections including HIV, CHIKV, and EBV (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>). In a mouse model of CHIKV infection, granzyme A promoted arthritic foot swelling but not viral clearance (<xref ref-type="bibr" rid="B45">45</xref>). Granzyme K is a marker of a unique age-associated CD8<sup>+</sup> T cell population in both humans and mice, which may induce fibroblast secretion the pro-inflammatory cytokines IL-6, CCL2, and CXCL1 (<xref ref-type="bibr" rid="B7">7</xref>). Granzyme C can be upregulated in mast cells activated with IL-33 (<xref ref-type="bibr" rid="B46">46</xref>).</p>
<p>Granzymes can also directly inhibit viruses via the cleavage of viral proteins (<xref ref-type="bibr" rid="B6">6</xref>). Murine granzyme B degrades the herpes simplex virus type 1 (HSV-1) immediate early protein ICP4 (needed for transcription of early and late viral genes) (<xref ref-type="bibr" rid="B47">47</xref>, <xref ref-type="bibr" rid="B48">48</xref>). Granzyme M inhibits human cytomegalovirus (HCMV) replication through the cleavage of the viral protein pp71 (<xref ref-type="bibr" rid="B49">49</xref>). Additionally, granzyme H, the human ortholog of granzyme C, can cleave DNA-binding protein and the granzyme B-inhibiting 100k assembly protein of adenovirus (<xref ref-type="bibr" rid="B50">50</xref>). Future studies will be needed to determine whether granzyme C also has direct antiviral effects through the degradation of specific viral proteins.</p>
<p>IL-15 is an important cytokine for tissue-resident antiviral protection. DETCs, T<sub>RM</sub>, and ILC1s all reside in barrier epithelia, and all require IL-15 for their development and/or maintenance (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B51">51</xref>&#x2013;<xref ref-type="bibr" rid="B53">53</xref>). Originally identified as a T cell proliferation factor, IL-15 can be expressed throughout the body by antigen-presenting cells (APCs), bone-marrow stromal cells, and epithelial lineages such as human and mouse epidermal keratinocytes (<xref ref-type="bibr" rid="B54">54</xref>&#x2013;<xref ref-type="bibr" rid="B57">57</xref>). IL-15 is expressed as both soluble and trans-presented forms, the latter of which is thought to represent the most physiologically relevant form of the cytokine (<xref ref-type="bibr" rid="B58">58</xref>). During IL-15 trans-presentation, IL-15 is bound to the IL-15 receptor &#x3b1; (IL-15R&#x3b1;) and traffics to the cell surface as an IL-15/IL-15R&#x3b1; complex (<xref ref-type="bibr" rid="B58">58</xref>). Stimulation by IL-15 therefore requires contact between the recipient cells and IL-15/IL-15R&#x3b1; trans-presenting cell (<xref ref-type="bibr" rid="B59">59</xref>). We show here that IL-15 upregulates granzyme C expression in tissue-resident lymphocytes <italic>in vivo</italic>. IL-15 may enhance granzyme C expression independent from its canonical function, for example as a consequence of cytokine-driven cellular expansion. Alternatively, granzyme C, a serine protease, may help to liberate this or other cytokines for use by tissue-resident lymphocytes. The unique positioning of DETCs within the epidermis and the expression of granzyme C along their dendritic extensions of DETCs might also suggest a strategy to distribute granzyme C as widely as possible in the epidermis.</p>
<p>Granzyme C upregulation after IL-15 stimulation suggests that granzyme C expression might serve as a surrogate to identify cells receiving IL-15 during homeostasis, infection, and inflammation. Interestingly, human granzyme K expression was identified as a feature of both &#x3b3;&#x3b4; T cell and innate CD8<sup>+</sup> T cell subsets and is upregulated in response to cytokine stimulation rather than TCR stimulation (<xref ref-type="bibr" rid="B60">60</xref>). Our data reveal that a smaller percentage of DETCs express granzyme C than CD8<sup>+</sup> T<sub>RM</sub>, at least at the timepoints we examined. This may reflect the recent development of T<sub>RM</sub> in the epidermis and more recent IL-15 acquisition by T<sub>RM.</sub> Interestingly, T<sub>RM</sub> and DETCs exhibit different motility in the epidermis (<xref ref-type="bibr" rid="B35">35</xref>), which might cause differences in IL-15 acquisition as these cells perambulate through the keratinocytes.</p>
<p>Our data provide a framework for understanding granzyme C expression by antiviral lymphocytes in the skin. Rather than being developmentally programmed, granzyme C expression was dynamic and reflected the current tissue status. Given the functional versatility of granzymes, the deletion of granzyme C in select lymphocyte populations may disrupt viral clearance either through reduced lysis of virally infected cells or the inhibition/degradation of viral proteins. Alternatively, knocking out granzyme C may impair pro-inflammatory pathways or reduce the ability of lymphocytes to migrate through the dense tissue microenvironment. Although CRISPR editing is an attractive approach to knockout granzyme C expression in OT-I CD8<sup>+</sup> T<sub>RM</sub>, granzyme gene homology will necessitate careful validation to ensure proper targeting of only granzyme C. Furthermore, this approach could not be employed for other tissue-resident cells that are seeded embryonically or neonatally. Therefore, the creation of animal models deleting granzyme C expression will be required to fully unravel the role(s) of this enigmatic protease during antiviral immune responses. Nonetheless, the widespread increase in granzyme C expression in skin-resident lymphocytes in response to viral infection or cytokine stimulation suggests that this protease, like other granzymes, could be an important contributor to antiviral immunity in the tissue.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s4_1">
<title>Mice</title>
<p>Specific pathogen-free C57BL/6N mice were obtained from Taconic Farms. dsRed (Stock Tg(CAG-DsRed*MST)1Nagy/J, #5441); <italic>Cd8a<sup>-/-</sup> (B6.129S2-Cd8a<sup>tm1Mak</sup>/J</italic>, #2665<italic>)</italic>; and albino C57BL/6 (B6(Cg)-<italic>Tyr<sup>c-2J</sup>
</italic>/J, #58) mice were obtained from Jackson Laboratories. <italic>Rag1<sup>-/-</sup>
</italic> (Line 146); <italic>Rag2<sup>-/-</sup>Il2rg<sup>-/-</sup>
</italic> (Line 111); <italic>T-betZsGreen</italic> (Line 8419); and OT-I TCR transgenic (C57BL/6NAi-[Tg]TCR OT-1-[KO]RAG1, Line 175) mice were obtained from the NIAID Intramural Research Repository at Taconic Farms. dsRed mice were crossed with OT-I TCR transgenic mice to create dsRed OT-I mice. <italic>Rag1<sup>-/-</sup>
</italic> mice were crossed with <italic>T-betZsGreen</italic> mice and bred to homozygosity to create <italic>Rag1<sup>-/-</sup> T-betZsGreen</italic> mice. <italic>Cd8a<sup>-/-</sup>
</italic> mice were crossed with B6 albino mice and bred to homozygosity to create albino <italic>Cd8a<sup>-/-</sup>
</italic> mice. 6- to 20-week-old male and female mice were used in experiments. All mice were maintained on standard rodent chow and water supplied as necessary. All animal studies were approved by and performed in accordance with the Animal Care and Use Committee of NIAID.</p>
</sec>
<sec id="s4_2">
<title>Microbe strains</title>
<p>Viruses used for this study included VACV-NP-S-eGFP (expressing a fusion protein consisting of influenza nucleoprotein, the SIINFEKL T cell determinant, and eGFP); VACV-NP-eGFP (an identical virus to VACV-NP-S-eGFP that lacks SIINFEKL); VACV-SIINFEKL (expressing residues 257-264 of ovalbumin). Recombinant VACV viruses were generated as TK<sup>-</sup> viruses using the Western Reserve strain of VACV and have been previously described (<xref ref-type="bibr" rid="B32">32</xref>, <xref ref-type="bibr" rid="B61">61</xref>).</p>
</sec>
<sec id="s4_3">
<title>Method details</title>
<sec id="s4_3_1">
<title>Viral infections and enzymatic tissue dissociation</title>
<p>Mice were infected in the dorsal ear pinna as previously described (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B62">62</xref>) with 5 pokes of a bifurcated needle dipped in VACV. VACV infection was performed with VACV-SIINFEKL (1 x 10<sup>8</sup> pfu), VACV-NP-S-eGFP (2.1 x 10<sup>8</sup> pfu), or VACV-NP-eGFP (2.4 x 10<sup>8</sup> pfu). At the indicated time, ears were harvested, separated into dorsal and ventral sides, diced, and digested in RPMI containing 7.5% fetal bovine serum (FBS), collagenase I (Worthington), DNAse (Worthington), and brefeldin A solution 1000x (Biolegend) at a 1:1000 dilution for 1 hr at 37&#xb0;C. Spleens and cervical lymph nodes were harvested and homogenized using a pestle in RPMI containing 7.5% FBS and brefeldin A solution 1000x (Biolegend) at a 1:1000 dilution.</p>
</sec>
</sec>
<sec id="s4_4">
<title>Blood collection and lymphocyte isolation</title>
<p>Prior to blood collection mice were IV injected with 200 &#xb5;ls of saline containing brefeldin A solution (Biolegend) at a 1:100 dilution. Mice were immediately placed under isoflurane anesthesia and blood was collected through terminal retro-orbital eye bleeds. BioWhittaker Lymphocyte Separation Medium (LSM) (Lonza) was then used to isolate lymphocytes.</p>
</sec>
<sec id="s4_5">
<title>Flow cytometry analyses</title>
<p>To distinguish IV<sup>+</sup> cells, mice were injected with 3 &#xb5;gs of pacific blue-conjugated CD45.2 (clone 104.2) intravenously as previously described 3 minutes prior to tissue isolation (<xref ref-type="bibr" rid="B63">63</xref>). Suspensions were filtered through 70 &#xb5;m nylon cell strainers. Cells were stained with a combination of the following antibodies: CD45 (clone 30-F11), CD45.2 (clone 104), CD3 (clone 17A2), CD8&#x3b2; (clone H35-17.2 or YTS156.7.7), CD8&#x3b1; (clone 53-6.7), CD69 (clone H1.2F3), CD103 (clone 2E7), V&#x3b1;2 (clone B20.1), TCR&#x3b2; (clone H57-597), TCR &#x3b3;&#x3b4; (clone GL3), V&#x3b3;5 (Tonegawa&#x2019;s nomenclature (clone 536)), granzyme A (GzA-3G8.5), granzyme B (clone 16G6 or NGZB), granzyme C (clone SFC1D8), IFN-&#x3b3; (clone XMG1.2), Armenian Hamster IgG Isotype Control (clone HTK888), CD62L (clone MEL-14), CD44 (clone IM7) and fixable viability dyes (Zombie Aqua) from Biolegend, eBiosciences, Invitrogen, or BD Biosciences diluted in PBS and brefeldin A solution (Biolegend) at a 1:1000 dilution. Cells were fixed with 3.2% paraformaldehyde for 15 minutes and intracellular staining was done using 0.5% saponin in Hanks Balanced Salt Solution (HBSS) + 0.1% Bovine Serum Albumin (BSA) for 1 hr at room temperature. dsRed<sup>+</sup> cells were identified based upon fluorescent protein expression. Cells were analyzed on a Fortessa flow cytometer (BD Biosciences) or 5L 16UV-16V-14B-10YG-8R Aurora (Cytek) and resultant data analyzed using FlowJo software (Treestar).</p>
</sec>
<sec id="s4_6">
<title>Drug and Peptide treatment</title>
<p>Recombinant murine IL-15 (PeproTech) was reconstituted in water and diluted in sterile saline solution prior to intraperitoneal (IP) injection of 5 &#xb5;g/mouse every 48 hr for a total of 3 treatments. Ears were harvested 7 days after the start of the first treatment. SIINFEKL peptide (GenScript) was reconstituted in dimethyl sulfoxide (DMSO) and diluted in sterile saline solution prior to one time IV injection of 200 &#xb5;g of peptide/mouse. Ears were harvested 6 hours after peptide injection.</p>
</sec>
<sec id="s4_7">
<title>Adoptive transfer of OT-I CD8<sup>+</sup> T cells</title>
<p>CD8<sup>+</sup> T cells were purified from spleens and lymph nodes using an EasySep Mouse CD8<sup>+</sup> T cell Isolation Kit (Negative Selection) according to the manufacturer&#x2019;s instructions (Stem Cell Technologies). Cells were na&#xef;ve (CD69<sup>-</sup>) (antibody information clone: H1.2F3) and &gt; 90% pure by flow cytometry prior to IV transfer. Unless otherwise noted, mice received a standard dose of 1 x 10<sup>4</sup> OT-I CD8<sup>+</sup> T cells prior to infection.</p>
</sec>
<sec id="s4_8">
<title>Confocal microscopy of frozen tissue sections</title>
<p>Ears were removed on the indicated dpi, fixed in periodate-lysine-paraformaldehyde (PLP) for 24 hr, and moved to 30% sucrose/PBS solution for 24 hr. Ears were embedded in optimal-cutting-temperature (OCT) medium (Electron Microscopy Sciences) in cross-section orientation and frozen in dry-ice-cooled 2-methylbutane. 16-&#xb5;m sections were cut on a Leica cryostat (Leica Microsystems), blocked with HBSS, 0.1% BSA, 10% bovine and donkey serum, 0.05% Triton X. Tissues were stained with a combination of the following antibodies: purified granzyme C (clone SFC1D8), Alexa Fluor 647 AffiniPure Goat Anti-Armenian Hamster IgG (H+L) or Alexa Fluor<sup>&#xae;</sup> 594 AffiniPure Goat Anti-Armenian Hamster IgG (H+L), purified Cytokeratin 6 (clone SP87), Alexa Fluor 647 AffiniPure Donkey Anti-Rabit IgG (H+L), conjugated Alexa Fluor 488 anti-mouse TCR &#x3b3;/&#x3b4; (clone GL3) antibody, and nuclei stained using DAPI from Biolegend, ThermoFisher, or Jackson ImmunoResearch. Antibodies were diluted in HBSS, 0.1% BSA, 10% bovine and donkey serum, 0.05% Triton X. Images were acquired on a Leica SP8 confocal microscope equipped with hybrid detectors or a Leica Stellaris 8.</p>
</sec>
<sec id="s4_9">
<title>Cell sorting and single-cell RNA-seq</title>
<p>
<italic>Rag1<sup>-/-</sup> T-betZsGreen</italic> mice received 1 x 10<sup>4</sup> dsRed OT-I CD8<sup>+</sup> T cells prior to infection with VACV-SIINFEKL. At the indicated time post infection, mice were injected with 3 &#xb5;gs of pacific blue-conjugated CD45.2 (clone 104.2) IV as previously described 3 minutes prior to tissue isolation to distinguish IV<sup>+</sup> cells (<xref ref-type="bibr" rid="B63">63</xref>). Ears were harvested, separated into dorsal and ventral sides, diced, and digested in RPMI containing 7.5% fetal bovine serum (FBS), collagenase I (Worthington), and DNAse (Worthington) for 1 hr at 37&#xb0;C. Suspensions were filtered through 70 &#xb5;m nylon cell strainers. Cells were stained with a combination of the following antibodies: CD45 (clone 30-F11), CD8&#x3b1; (clone 53-6.7) along with Zombie Aqua viability dye. Using a BD FACS Aria III Cell Sorter, OT-I CD8<sup>+</sup> T cells and Tbet-ZsGreen group I ILCs were sorted as Viability Dye<sup>-</sup> CD45.2 IV<sup>-</sup> CD45<sup>+</sup> dsRed<sup>+</sup> CD8&#x3b1;<sup>+</sup> or ZsGreen<sup>+</sup> cells, respectively, into RPMI containing 10% FBS and HEPES (25 mM). Cells were centrifuged and resuspended in RPMI containing 10% FBS and HEPES (25 mM) at a 1000 cells/&#x3bc;l concentration.</p>
</sec>
<sec id="s4_10">
<title>Single-cell RNA-seq library generation</title>
<p>Two technical replicates of the <italic>Rag1<sup>-/-</sup> T-betZsGreen</italic> ear samples were collected for single-cell RNA sequencing using Chromium Next GEM Single Cell 3&#x2019; v3.1 standard kit (10X Genomics, Pleasanton, CA). Approximately 3000 cells were targeted in each single-cell preparation. For the preparation of the cDNA and sequencing library generation, libraries were prepared as described in the Chromium Next GEM Single Cell 3&#x2019; Reagent Kit v3.1 (Dual Index) user guide to produce barcoded cDNA and perform Illumina sequencing library preparation.</p>
</sec>
<sec id="s4_11">
<title>Single-cell RNA-seq library sequencing, and analysis</title>
<p>The Illumina library quality was assessed by TapeStation D1000 high sensitivity reagent kit (Agilent, Santa Clara, CA), and DNA concentration was measured by Qubit High Sensitivity reagent kit (Thermo Fisher, Waltham, MA). Samples were diluted for sequencing and pooled equimolarly according to Illumina sequencing protocol to a final concentration of approximately 650 pM. Sequencing was performed NextSeq2000 instrument using two P3 200 cycle kits (Illumina, San Diego, CA) to target approximately 50,000 reads per cell.</p>
<p>After sequencing, the FastQ files were submitted to Cell Ranger &#x2018;count&#x2019; and &#x2018;aggregate&#x2019; functions. Sample <italic>Rag1<sup>-/-</sup> T-betZsGreen</italic> Ear_1 had 2,744 passing cells with 1,986 median genes per cell and <italic>Rag1<sup>-/-</sup> T-betZsGreen</italic> Ear _2 had 1,910 passing cells with 2,180 median genes per cell. Sequencing saturation for both libraries were 64.8% and 76.8%, respectively. After all quality control of the replicates, the expression of granzyme C and other genes were analyzed in the <italic>Loupe</italic> browser (10X Genomics, Pleasanton, CA).</p>
</sec>
<sec id="s4_12">
<title>Statistical analyses</title>
<p>Significances were assessed using Prism software (GraphPad) using a Kruskal-Wallis Test (3 or more groups) or unpaired two-tail Mann-Whitney test (2 groups) as indicated in the figure legends. Exact P values are shown throughout, statistical significance was set at P &#x2264; 0.05.</p>
</sec>
</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 approved by the Animal Care and Use Committee of NIAID, NIH. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>RL and HH conceived and designed the study. RL, PD, and HH analyzed the data. RL and HH drafted the manuscript. RL, LP, JS, and ND performed experiments. HH provided reagents, experimental expertise, and reviewed the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>RL is supported by a Dean&#x2019;s Graduate Fellowship, The Graduate School, Duke University and by an NIH Intramural Training Fellowship. HH and PD are funded by the Division of Intramural Research, NIAID, NIH. This work was supported by the Intramural Research Program of NIAID, NIH.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>We thank the members of the Viral Immunity and Pathogenesis Unit for their helpful feedback and support.</p>
</ack>
<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>
<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.2023.1236595/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2023.1236595/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
</sec>
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