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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.2024.1500908</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>Direct and indirect RANK and CD40 signaling regulate the maintenance of thymic epithelial cell frequency and properties in the adult thymus</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Hayama</surname>
<given-names>Mio</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Ishii</surname>
<given-names>Hiroto</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Miyauchi</surname>
<given-names>Maki</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Yoshida</surname>
<given-names>Masaki</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2869324"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Hagiwara</surname>
<given-names>Naho</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Muramtatu</surname>
<given-names>Wataru</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Namiki</surname>
<given-names>Kano</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Endo</surname>
<given-names>Rin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Miyao</surname>
<given-names>Takahisa</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Akiyama</surname>
<given-names>Nobuko</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Akiyama</surname>
<given-names>Taishin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Laboratory for Immune Homeostasis, RIKEN Center of Integrative Medical Sciences</institution>, <addr-line>Yokohama</addr-line>, <country>Japan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Immunobiology, Graduate School of Medical Life Science, Yokohama City University</institution>, <addr-line>Yokohama</addr-line>, <country>Japan</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Miho Shinzawa, National Institutes of Health (NIH), United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Graham Anderson, University of Birmingham, United Kingdom</p>
<p>Saulius &#x17d;uklys, University of Basel, Switzerland</p>
<p>Izumi Ohigashi, Tokushima University, Japan</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Taishin Akiyama, <email xlink:href="mailto:taishin.akiyama@riken.jp">taishin.akiyama@riken.jp</email>; Nobuko Akiyama, <email xlink:href="mailto:nobuko.akiyama@riken.jp">nobuko.akiyama@riken.jp</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>11</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1500908</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>09</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>11</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Hayama, Ishii, Miyauchi, Yoshida, Hagiwara, Muramtatu, Namiki, Endo, Miyao, Akiyama and Akiyama</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Hayama, Ishii, Miyauchi, Yoshida, Hagiwara, Muramtatu, Namiki, Endo, Miyao, Akiyama and Akiyama</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>Medullary thymic epithelial cells (mTECs) play a crucial role in suppressing the onset of autoimmunity by eliminating autoreactive T cells and promoting the development of regulatory T cells in the thymus. Although mTECs undergo turnover in adults, the molecular mechanisms behind this process remain unclear. This study describes the direct and indirect roles of receptor activator of NF-&#x3ba;B (RANK) and CD40 signaling in TECs in the adult thymus. Flow cytometric and single-cell RNA-seq (scRNA-seq) analyses suggest that the depletion of both RANK and CD40 signaling inhibits mTEC differentiation from CCL21<sup>+</sup> mTEC progenitors to transit-amplifying TECs in the adult thymus. Unexpectedly, this depletion also exerts indirect effects on the gene expression of TEC progenitors and cortical TECs. Additionally, the expression levels of AP-1 genes, which enable the further subdivision of TEC progenitors, are up-regulated following the depletion of RANK and CD40 signaling. Overall, our data propose that RANK and CD40 signaling cooperatively maintain mature mTEC frequency in the adult thymus and sustain the characteristics of TEC progenitors through an indirect mechanism.</p>
</abstract>
<kwd-group>
<kwd>thymic epithelial cell (TEC)</kwd>
<kwd>self-tolerance</kwd>
<kwd>TNF receptor (TNFR) family</kwd>
<kwd>progenitor</kwd>
<kwd>AIRE</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="43"/>
<page-count count="18"/>
<word-count count="9398"/>
</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>Thymic epithelial cells (TECs) are required for the differentiation of self-tolerant T cells and regulatory T cells in the thymus. TECs are separated into cortical TECs (cTECs) and medullary TECs (mTECs) depending on their localization in the thymus (<xref ref-type="bibr" rid="B1">1</xref>). In addition, each TEC subset has distinct properties and functions in T cell selection and differentiation. cTECs are critical for early T cell development and positive selection of thymocytes expressing both surface makers CD4 and CD8. In contrast, mTECs ectopically express tissue-restricted self-antigens (TSAs) to filter out a wide range of self-antigen reactive T cells by apoptosis or to convert them into regulatory T cells. The TSA expression in mTECs is regulated by transcriptional regulator AIRE, which is highly expressed in mTECs expressing high levels of MHC class II and co-stimulatory molecules.</p>
<p>During embryonic development, both mTEC and cTEC differentiate from common bipotent progenitor cells (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). For mTEC development, claudine 3 and 4-positive TECs (<xref ref-type="bibr" rid="B4">4</xref>), <italic>Krt19</italic>-positive mTECs (<xref ref-type="bibr" rid="B5">5</xref>), <italic>Tnfrsf11a</italic>-positive TECs (<xref ref-type="bibr" rid="B6">6</xref>), <italic>Ccl21a</italic>-positive TECs (<xref ref-type="bibr" rid="B7">7</xref>), and <italic>Pdpn</italic>-expressing TECs (<xref ref-type="bibr" rid="B8">8</xref>) were reported as mTEC progenitors giving rise to mTECs expressing AIRE and TSAs. In the adult thymus, Aire<sup>+</sup> mTECs undergo a turnover of approximately 2 weeks (<xref ref-type="bibr" rid="B9">9</xref>), indicating the presence of mTEC progenitor maintaining the cellularity of mature mTECs. Some studies propose the progenitor of TECs in the adult thymus (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). However, the phenotypes of the proposed progenitors seem to be inconsistent, implying that multiple fractions of TECs may have the potential as TEC progenitors.</p>
<p>Single-cell RNA-sequencing (scRNA-seq) analysis is a powerful tool for distinguishing cell types with high resolution. Recent studies utilizing scRNA-seq on TECs have highlighted their significant heterogeneity. Beyond identifying AIRE<sup>+</sup> mTECs and CCL21<sup>+</sup> mTECs, data analysis has revealed the presence of transit-amplifying TECs (TA-TECs) (<xref ref-type="bibr" rid="B12">12</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>), which are proliferative progenitors for AIRE<sup>+</sup> mTECs, as well as post-AIRE mTECs, including tuft-like mTECs and mimetic TECs (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). Additionally, a recent study suggested the existence of TEC progenitors expressing a wide variety of keratin molecules in the human thymus (<xref ref-type="bibr" rid="B18">18</xref>). Moreover, a combination of scRNA-seq analysis and barcode cell labeling has proposed the presence of the early and late types of TEC progenitors in postnatal mice (<xref ref-type="bibr" rid="B19">19</xref>) although these TEC progenitors have not been isolated and fully characterized yet.</p>
<p>Mechanistically, several studies have revealed the roles of TNF family cytokine signaling in mTEC differentiation. Receptor activator of NF-&#x3ba;B (RANK) and CD40 play partially redundant roles in mTEC differentiation during early thymic development by activating signal transducer TRAF6- and NF-&#x3ba;B inducing kinase-dependent activation of transcription factor NF-&#x3ba;B (<xref ref-type="bibr" rid="B20">20</xref>&#x2013;<xref ref-type="bibr" rid="B22">22</xref>). Additionally, lymphotoxin signaling is involved in early mTEC differentiation by inducing the expression of RANK on embryonic mTEC progenitors (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B23">23</xref>), postnatal development of CCL21<sup>+</sup> mTECs (<xref ref-type="bibr" rid="B24">24</xref>), and differentiation of post-Aire mTECs (<xref ref-type="bibr" rid="B25">25</xref>). The administration of a RANK ligand (RANKL) neutralizing antibody (RANKL-Ab) results in a reduction of mature mTECs (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B26">26</xref>), suggesting that RANK signaling is involved in the homeostatic maintenance of AIRE<sup>+</sup> mTEC frequency in the adult thymus.</p>
<p>Activator Protein 1 (AP-1) is a family of dimeric transcription factors including JUN, FOS, ATF, and MAF family members. AP-1 is activated by various stimuli, including cytokines and growth factors, through mitogen-activated protein kinase (MAPK) cascades, and thereby regulates numerous cellular and physiological functions (<xref ref-type="bibr" rid="B27">27</xref>). In a study of TEC development, FOS expression driven by the H2-Kb promoter was shown to cause thymic hyperplasia by expanding TECs (<xref ref-type="bibr" rid="B28">28</xref>). Additionally, RANK and CD40 signaling can activate the MAPK cascade via TRAF6 (<xref ref-type="bibr" rid="B29">29</xref>), a signal transducer critical for mTEC differentiation (<xref ref-type="bibr" rid="B30">30</xref>), implying a possible role for AP-1 in this process.</p>
<p>In this study, we describe how RANK and CD40 signaling cooperatively support the differentiation of CCL21+ mTECs into TA-TECs, thereby maintaining the frequencies of Aire<sup>+</sup> mTECs and Post-Aire mTECs in the postnatal thymus. Unexpectedly, depletion of both RANK and CD40 signaling also has indirect effects on the gene expression profiles of TEC progenitors and cortical TECs. Additionally, after the depletion of RANK and CD40 signaling, the expression levels of AP-1 genes, which facilitate further subdivision of TEC progenitors, are up-regulated. Overall, our data suggest that these TNF family cytokine signals directly and indirectly regulate TEC frequency and properties.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Results</title>
<sec id="s2_1">
<title>RANK and CD40 signaling cooperatively maintain mature mTEC cellularity</title>
<p>Aligned with the reported role of RANK and CD40 signaling in maintaining mature mTECs in adult mice (<xref ref-type="bibr" rid="B26">26</xref>), flow cytometric analysis confirmed that blocking RANKL-RANK signaling with an anti-RANKL antibody (RANKL-Ab) significantly reduces the number of mTECs expressing high MHC class II (MHCII<sup>hi</sup>UEA-1<sup>+</sup>Ly51<sup>&#x2013;</sup>TECs; mTEC<sup>hi</sup>) two weeks after the administration in mice (WT-RANKL Ab mice) compared to control IgG administration (WT-Control) whereas total thymic cells were not significantly altered (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1A&#x2013;C</bold>
</xref>). However, approximately 10% of the mTEC<sup>hi</sup> population persisted in the thymus of WT-RANKL Ab mice (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>). We speculated that CD40 signaling might compensate for the absence of RANK and CD40 signaling in maintaining adult mTECs, similar to its role during mTEC development in embryonic and neonatal stages (<xref ref-type="bibr" rid="B20">20</xref>). To test this hypothesis, we administered RANKL-Ab to <italic>Cd40</italic>-deficient (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL Ab) mice. Indeed, neutralizing RANK and CD40 signaling in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice resulted in a reduction of mTEC<sup>hi</sup> cell numbers to just a few percent of those in WT-RANKL Ab mice and <italic>Cd40</italic>-deficient mice receiving control IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control mice) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>). In contrast to mTEC fractions, cell numbers of Ly51<sup>+</sup>UEA<sup>&#x2013;</sup> TECs (cTECs) and Ly51<sup>&#x2013;</sup>UEA<sup>&#x2013;</sup>TECs were unaffected by the RANKL-Ab administration and the <italic>Cd40</italic>-deficiency. These results suggest that RANK and CD40 signaling contribute to maintaining the frequency of mature mTECs in the adult thymus in a partially redundant manner, but not the frequency of other TECs.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Flow cytometric analysis of TECs from wild-type and <italic>Cd40</italic>-deficient mice treated with neutralizing RANKL antibody. <bold>(A)</bold> Experimental scheme for depleting RANK and CD40 signaling by the administration of RANKL antibody in mice. <bold>(B)</bold> The total thymic cell number from wild-type (WT) treated with control IgG (WT-Control), WT treated with neutralizing RANKL antibody (WT-RANKL-Ab), <italic>Cd40</italic>-deficient (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>) mice treated with control-IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control), and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice treated with RANKL-Ab (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab) at 6-week-old age are summarized in graphs (n = 5 each). Bars indicate the mean value. <bold>(C)</bold> Flow cytometric analysis of UEA-1 ligand and Ly51 expressions in TECs (CD45<sup>&#x2013;</sup>Ter-119<sup>&#x2013;</sup>EpCAM<sup>+</sup>) from WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab at 6-week-old age (n = 5 each). The percentages and numbers of UEA-1<sup>+</sup>Ly51<sup>&#x2013;</sup> (mTEC), UEA-1<sup>&#x2013;</sup>Ly51<sup>+</sup> (cTEC), and UEA-1<sup>&#x2013;</sup>Ly51<sup>&#x2013;</sup> in TECs are summarized in graphs. RANKL-Ab or control IgG was subcutaneously injected in mice at 4-week-old age. Bars indicate the mean value. Data were statistically analyzed using one-way ANOVA followed with multiple comparisons by Tukey&#x2019;s test. Significant differences are indicated by *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001, ****p &lt; 0.0001. <bold>(D)</bold> Flow cytometric analysis of MHC class II (MHCII) and UEA-1 ligand expressions in mTECs (UEA-1<sup>+</sup>Ly51<sup>&#x2013;</sup> TECs) from WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab at 6-week-old age (n = 5). The percentages and numbers of MHCII<sup>hi</sup>UEA-1<sup>+</sup> cells and MHCII<sup>lo</sup>UEA-1<sup>+</sup> mTEC in mTECs are summarized in graphs. Bars indicate the mean value. Data were statistically analyzed using one-way ANOVA followed with multiple comparisons by Tukey&#x2019;s test. Significant differences are indicated by*p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001, ****p &lt; 0.0001. <bold>(E)</bold> Flow cytometric analysis of UEA-1 ligand and Ly51 expressions in TECs from <italic>Cd40<sup>&#x2013;/&#x2013;</sup>
</italic> mice 2, 4, and 6 weeks after the treatment with RANKL-Ab (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab) or control IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control), and no treatment (no injection). N = 3 each. The percentages and numbers of UEA-1<sup>+</sup>Ly51<sup>&#x2013;</sup> (mTEC), UEA-1<sup>&#x2013;</sup>Ly51<sup>+</sup> (cTEC), and UEA-1<sup>&#x2013;</sup>Ly51<sup>&#x2013;</sup> in TECs are summarized in graphs. Bars indicate the mean value. Significant differences are indicated by *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001. <bold>(F)</bold> Flow cytometric analysis of MHC class II (MHCII) and UEA-1 ligand expressions in mTECs from <italic>Cd40<sup>&#x2013;/&#x2013;</sup>
</italic> mice 2, 4, and 6 weeks after the treatment with RANKL-Ab (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab) or control IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control mice), and no treatment (no injection). N = 3 each. MHCII<sup>hi</sup>UEA-1<sup>+</sup> cells and MHCII<sup>lo</sup>UEA-1<sup>+</sup> mTEC in mTECs are summarized in graphs. Bars indicate the mean value. Data are expressed as the mean &#xb1; SD. Data were statistically analyzed using unpaired t-test. Significant differences are indicated by *p &lt; 0.05, **p &lt; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g001.tif"/>
</fig>
<p>Although mTEC<sup>hi</sup> was severely reduced in the thymus of <italic>Cd40<sup>&#x2013;/&#x2013;</sup>
</italic>RANKL-Ab mice, mTECs expressing low levels of MHC class II (mTEC<sup>lo</sup>) were less affected. The number of mTEC<sup>lo</sup> cells was reduced by approximately half, with a substantial number remaining in the thymus of <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice. Given that the mTEC<sup>lo</sup> fraction includes immature mTECs in addition to post-Aire mTECs (<xref ref-type="bibr" rid="B16">16</xref>), it is likely that precursors for mature mTECs persist in the mTEC<sup>lo</sup> fraction in these mice. Indeed, mature mTECs were restored in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice 4 weeks after RANKL administration, likely due to the homeostatic clearance of the injected antibody (<xref ref-type="fig" rid="f1">
<bold>Figures&#xa0;1E, F</bold>
</xref>). Moreover, 6 weeks after administration, the ratio of mTEC<sup>lo</sup> to mTEC<sup>hi</sup> shifted; the proportion of mTEC<sup>lo</sup> decreased while the proportion of mTEC<sup>hi</sup> increased in total mTECs compared to age-matched controls. This observation supports the idea that the mTEC<sup>lo</sup> pool serves as a precursor for mTEC<sup>hi</sup> during the rapid recovery, leading to a reduction in the relative proportion of mTEC<sup>lo</sup>. Overall, these data suggest that immature mTECs remain in the mTEC<sup>lo</sup> fraction in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice 2 weeks after antibody administration and differentiate into mTEC<sup>hi</sup> following the clearance of RANKL-Ab.</p>
</sec>
<sec id="s2_2">
<title>RANK and CD40 signaling up-regulate cell-cycle related genes and down-regulates Ccl21a expression in mTEC<sup>lo</sup> fraction</title>
<p>Given that the mTEC<sup>lo</sup> fraction remaining after the depletion of RANK and CD40 signaling might represent the phenotype of mTEC progenitors prior to receiving these cytokine signals, we aimed to investigate the gene expression profile of a specific subfraction of mTEC<sup>lo</sup> cells in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice. To minimize contamination from post-Aire mTECs, we selectively sorted cells within the mTEC<sup>lo</sup> fraction that were negative for Ly6d (a marker for post-Aire mTECs) and L1CAM (a marker for tuft-like TECs) (<xref ref-type="bibr" rid="B31">31</xref>) (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1A</bold>
</xref>). These sorted cells were then subjected to RNA sequencing (RNA-seq) analysis to elucidate their gene expression profiles. Principal component analysis (PCA) of the RNA-seq data showed that the gene expression profiles of the mTEC<sup>lo</sup> subfraction differed significantly among wild-type (WT), WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;1B</bold>
</xref>). Differentially expressed genes (DEGs) were identified using a threshold of a 2-fold change with an FDR P-value &lt; 0.05 (<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>). The administration of RANKL-Ab to wild-type (WT) mice led to the up-regulation of 111 genes and down-regulation of 274 genes. The deletion of CD40 resulted in the up-regulation of 255 genes and down-regulation of 277 genes. Notably, administering RANKL-Ab to <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice induced the up-regulation of 313 genes and down-regulation of 819 genes compared to WT-RANKL-Ab mice. Venn diagram analysis of the DEG sets revealed a significant reduction of 492 genes specifically in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). These results highlight the redundant and additive effects of RANK and CD40 signaling in regulating gene expression in immature mTECs.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>RNA-seq analysis of mTEC<sup>lo</sup> fraction from wild-type and <italic>Cd40</italic>-deficient mice receiving neutralizing RANKL antibody. <bold>(A)</bold> Volcano plots of differentially expressed genes from bulk RNA-seq data of wild-type (WT) treated with control IgG (WT-Control), WT treated with neutralizing RANKL antibody (WT-RANKL-Ab), <italic>Cd40</italic>-deficient (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>) mice treated with control-IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control), and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice treated with RANKL-Ab (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab) at 6-week-old age. Red dots in volcano plots indicate genes for which expression differed significantly between the two samples (FDR P-value &lt; 0.05, Fold change &gt; 2). Numbers of differentially expressed genes are shown in the panels. The log2 fold change is plotted on the x-axis, and the log10 P-value is plotted on the y-axis. P-values were determined by Baggerley&#x2019;s test (<xref ref-type="bibr" rid="B32">32</xref>) <bold>(B)</bold> The Venn diagram illustrates the overlap of down-regulated genes among three samples compared to WT mice treated with control-IgG. <bold>(C)</bold> Gene ontology enrichment analysis of the down-regulated genes and up-regulated genes in <italic>Cd40<sup>&#x2013;/&#x2013;</sup>
</italic> mice treated with RANKL-Ab compared to WT mice treated with control-IgG. <bold>(D)</bold> Volcano plots of differential expression of cell cycle-related gene sets. Red dots in volcano plots indicate genes for which expression differed significantly between the two samples (FDR P-value &lt; 0.05, Fold change &gt; 2). For cell cycle-related gene sets, mouse orthologues of the previously reported human cell cycle-related gene sets (<xref ref-type="bibr" rid="B33">33</xref>) were used. Numbers of differentially expressed genes are shown in the panels. The log2 fold change is plotted on the x-axis, and the log10 P-value is plotted on the y-axis. P-values were determined by Baggerley&#x2019;s test (<xref ref-type="bibr" rid="B32">32</xref>). <bold>(E)</bold> Dot plot showing normalized gene expression value of <italic>Ccl21a</italic>. The horizontal lines show the mean. Data were statistically analyzed using one-way ANOVA followed with multiple comparisons by Tukey&#x2019;s test. Significant differences are indicated by *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001. <bold>(F)</bold> Dot plots showing normalized gene expression value of some cTEC-associated genes. Data were statistically analyzed using one-way ANOVA followed with multiple comparisons by Tukey&#x2019;s test. The horizontal lines show the mean. Significant differences are indicated by *p &lt; 0.05, **p &lt; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g002.tif"/>
</fig>
<p>Gene Ontology (GO) analysis of down-regulated gene sets in the mTEC<sup>lo</sup> subfraction from <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice, compared to WT-control mice, revealed significant enrichment in GO terms associated with ion transport, cytoskeletal organization, and microtubule motor activity (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>, <xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table&#xa0;2</bold>
</xref>). This suggests that RANK and CD40 signaling promote the expression of these gene sets in the mTEC<sup>lo</sup> subfraction. Alternatively, there may be a reduction in the frequency of post-Aire mimetic mTECs that express these gene sets but not L1CAM and Ly6d, potentially influenced by RANK and CD40 signaling. Additionally, GO analysis of up-regulated gene sets indicated an increase in certain genes encoding extracellular matrix proteins, such as those in the collagen family, and cell adhesion molecules, including integrins (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>, <xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table&#xa0;2</bold>
</xref>). Interestingly, genes coding for specific growth factor families and frizzled-binding molecules were also up-regulated (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>, <xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table&#xa0;2</bold>
</xref>).</p>
<p>In addition to the GO analysis, we found that cell cycle-related gene sets were down-regulated following the disruption of RANK and CD40 signaling (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). Furthermore, <italic>Ccl21a</italic> expression was up-regulated in the mTEC<sup>lo</sup> subfraction of <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). These findings suggest that RANK and CD40 signaling may initiate the differentiation of CCL21<sup>+</sup> mTECs into transit-amplifying TECs, which serve as precursor cells for Aire<sup>+</sup> mTECs (<xref ref-type="bibr" rid="B15">15</xref>). Alternatively, the increased expression of <italic>Ccl21a</italic> in the mTEC<sup>lo</sup> subfraction might be due to a higher proportion of <italic>Ccl21a</italic>-expressing cells, resulting from a reduction in the frequency of post-Aire mimetic mTECs in this subfraction.</p>
<p>Interestingly, genes typically associated with cTECs, including <italic>Psmb11</italic>, <italic>Prss16</italic>, <italic>Tbata</italic>, and <italic>Ccl25</italic>, were up-regulated in the mTEC<sup>lo</sup> subfraction of <italic>Cd40<sup>&#x2013;/&#x2013;</sup>
</italic>RANKL-Ab mice (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). The expression level of mRNA coding FOXN1, which regulates the expression of these genes, showed a similar trend, although the change was not statistically significant (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2F</bold>
</xref>). This observation suggests that RANK and CD40 signaling may help suppress the aberrant expression of certain cTEC-associated genes in mTECs, potentially through the downregulation of FOXN1.</p>
</sec>
<sec id="s2_3">
<title>Single-cell RNA-seq analysis suggested that RANK and CD40 signaling indirectly regulate gene expressions in cTECs and TEC progenitors in the thymus</title>
<p>Given the high heterogeneity of TECs, the mTEC<sup>lo</sup> subfraction identified by flow cytometric analysis may encompass multiple TEC subsets including various types of post-Aire mTECs as well as immature mTECs. To gain a more comprehensive understanding of the changes in frequency and gene expression profiles of TECs following the depletion of these cytokine signals, we conducted single-cell RNA sequencing (scRNA-seq) analysis. Droplet-based scRNA-seq was performed on the TEC fraction (EpCAM<sup>+</sup>CD45<sup>&#x2013;</sup>TER119<sup>&#x2013;</sup>) isolated from WT-control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>control, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice. After quality control (<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;2</bold>
</xref>) and integration of these scRNA-seq data (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>), TEC clusters were defined based on the expression of marker genes (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>, <xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). In WT-control mice, percentages of CCL21<sup>+</sup> mTECs, Aire<sup>+</sup> mTECs, TA-TECs, post-Aire mimetic cells, tuft-like TECs, and cTECs were 34.2%, 41.9%, 8.1%, 6.5%, 5.6%, and 1.7%, respectively (<xref ref-type="supplementary-material" rid="ST3">
<bold>Supplementary Table&#xa0;3</bold>
</xref>). Given that CCL21<sup>+</sup> mTECs, tuft-like mTECs, and a portion of Post-Aire mimetic cells belong to the mTEC<sup>lo</sup> population, while Aire<sup>+</sup> mTECs and the majority of TA-TECs fall within the mTEC<sup>hi</sup> population, these data are relatively consistent with the flow cytometric data shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>. However, cTECs appear at lower frequencies than in the flow cytometry data, which may be due to cell loss during preparation and quality control or because the cTEC fraction (Ly51<sup>+</sup>UEA-1<sup>&#x2013;</sup>) in flow cytometric analysis includes other cell types. In addition to the relatively well-characterized TEC subsets, we determined a cluster (Cluster 9 in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>) that appears to correspond to the early TEC progenitor population previously described (<xref ref-type="bibr" rid="B19">19</xref>), characterized by expression of <italic>Psmb11</italic>, <italic>Prss16</italic>, <italic>Pdpn</italic> and <italic>Krt5</italic> (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>, <xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Single RNA-seq analysis of TECs from wild-type and <italic>Cd40</italic>-deficient mice receiving neutralizing RANKL antibody. <bold>(A)</bold> Uniform Manifold Approximation and Projection (UMAP) plot of droplet-based scRNA-seq data of TECs (CD45<sup>&#x2013;</sup>Ter-119<sup>&#x2013;</sup>EpCAM<sup>+</sup>). The scRNA-seq data from wild-type (WT) mice treated with control IgG, WT mice treated with a neutralizing RANKL antibody (RANKL-Ab), <italic>Cd40</italic>-deficient (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>) mice treated with control IgG, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice treated with RANKL-Ab were integrated using the Seurat package. These mice were sacrificed at 6-week-old age, 2 weeks after antibody treatment. In the plot, cell clusters are distinguished by colors and numbers and are assigned based on marker gene expression (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>). T cell cluster was removed, and cluster 12 showed expression of Lck (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure&#xa0;3</bold>
</xref>) and were assigned as nurse cTECs. <bold>(B)</bold> Violin plots showing the expression levels of <italic>Prss16</italic>, <italic>Psmb11</italic>, <italic>Pdpn</italic>, and <italic>Ccl21a</italic> in each cluster. The expression levels of these genes in WT treated with control IgG were exhibited. Each dot represents expression levels in individual cells. <bold>(C)</bold> Monocle trajectory and pseudotime analyses of TEC scRNA-seq data from WT treated with control IgG. The green circle indicates the root node when cluster 9 is considered as TEC progenitors. <bold>(D)</bold> Plot of the area under the recovery curve (AUC), which reflects the enrichment of each regulon, versus pseudotime predicted from Monocle. The regulon of ATF3 and JUN were determined by the SCENIC program. The number of regulons for each gene is shown in parentheses. ATF3-&#x201d;extended&#x201d; includes both high-confidence annotations (which are based on direct annotation and those inferred by orthology) as well as lower-confidence annotations that are inferred by motif similarity.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g003.tif"/>
</fig>
<p>Monocle trajectory analysis (<xref ref-type="bibr" rid="B34">34</xref>) using WT-Control TEC clusters indicated that cluster 9 is situated between the CCL21<sup>+</sup> mTEC and cTEC clusters (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>), supporting the idea that this cluster likely represents a progenitor TEC population. When the root node was set in cluster 9 (indicated by the green circle in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>), a combined analysis using Monocle and SCENIC tools (<xref ref-type="bibr" rid="B35">35</xref>) demonstrated an increased activity of ATF3- and JUN-associated regulons&#x2014;groups of genes regulated by shared transcription factors&#x2014;during the differentiation of progenitor clusters into CCL21<sup>+</sup> mTECs (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3D</bold>
</xref>, <xref ref-type="supplementary-material" rid="ST2">
<bold>Supplementary Table&#xa0;2</bold>
</xref>). These findings suggest that the activities of these AP-1 transcription factors may play a role in driving the differentiation of progenitor cells into the mTEC lineage.</p>
<p>Comparison of the scRNA-seq data clusters among WT-control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>control, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice revealed a marked reduction in the frequencies of Aire<sup>+</sup> mTECs, TA-TECs, post-Aire mTECs, and tuft-like mTECs in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>). In contrast, RANKL-Ab administration in wild-type mice resulted in a milder reduction of these mTEC subsets (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>). These findings are consistent with those from flow cytometric analysis, further supporting the functional overlapping of RANK and CD40 signaling in mTEC maintenance in the adult thymus. In contrast, the CCL21<sup>+</sup> mTEC, cTEC, and TEC progenitor clusters appeared to remain in the thymus of <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice. Within the Aire<sup>+</sup> mTEC clusters, Cluster 7, which likely represents a non-proliferative transition stage between CCL21<sup>+</sup> mTECs and Aire<sup>+</sup> TA-TECs, was less affected in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice. This observation suggests that depletion of both RANKL and CD40 signaling may lead to a differentiation arrest of mTECs at this stage.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Differentially expressed gene and trajectory analyses of single-cell RNA-seq data from wild-type and <italic>Cd40</italic>-deficient mice receiving neutralizing RANKL antibody. <bold>(A)</bold> UMAP plot of droplet-based scRNA-seq data of TECs (CD45<sup>&#x2013;</sup>Ter-119<sup>&#x2013;</sup>EpCAM<sup>+</sup>) from wild-type (WT) mice treated with control IgG (WT-Control), WT mice treated with a neutralizing RANKL antibody (WT-RANKL-Ab), <italic>Cd40</italic>-deficient (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>) mice treated with control IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> Control), and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice treated with RANKL-Ab (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> RANKL-Ab). The integrated UMAP plot in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3</bold>
</xref> was separated into each data set. The number of sequenced cells after the quality control is indicated in parentheses. <bold>(B)</bold> Percentages of cell subsets in total TECs were compared among the scRNA-seq data from WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> Control, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> RANKL-Ab mice. <bold>(C)</bold> MA plots show differentially expressed genes between WT-control and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> RANKL-Ab mice from scRNA-seq data for each cell cluster subset. The log2 average expression level (CPM) is plotted on the x-axis, and the log2 fold change is plotted on the y-axis. Genes with log2 fold change greater than 0.15 or less than &#x2013;0.15 (FDR P &lt;0.05) are represented by blue dots. Red dots indicate cTEC-associated genes, violet dots indicate AP-1 transcription factor genes, and green dots indicate interferon-stimulated genes. The orange dot represents Ccl21a. <bold>(D)</bold> Total expression of ATF3 and JUN regulon genes in the TEC progenitors, CCL21<sup>+</sup> mTECs, and cTECs subclusters of WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> Control, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> RANKL-Ab mice. * *p &lt; 0.05, **p &lt; 0.01, and ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g004.tif"/>
</fig>
<p>As previously reported (<xref ref-type="bibr" rid="B15">15</xref>), the TA-TEC subcluster was divided into <italic>Aire</italic>
<sup>+</sup> TA-TECs and <italic>Ccl21</italic>
<sup>+</sup> TA-TECs (<xref ref-type="supplementary-material" rid="SF4">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>). To address the influence of the depletion of RANK and CD40 signaling on proliferative activity of CCL21<sup>+</sup> mTECs and AIRE<sup>+</sup> mTECs, we estimated the proportion of <italic>Ccl21</italic>
<sup>+</sup> TA-TECs within the total <italic>Ccl21</italic>
<sup>+</sup> mTECs, and similarly for <italic>Aire</italic>
<sup>+</sup> mTECs. Data suggested that the proliferative activity of CCL21<sup>+</sup> mTECs seemed to be influenced by the depletion of these signals (<xref ref-type="supplementary-material" rid="SF4">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>), which is consistent with bulk RNA-seq analysis (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). Overall, scRNA-seq analysis suggested that RANK and CD40 signaling maintain the frequency of Aire<sup>+</sup> mTECs and post-Aire mimetic mTECs by promoting the differentiation of CCL21<sup>+</sup> mTEC into TA-TECs in the adult thymus.</p>
<p>In line with findings from bulk RNA-seq analysis, differential gene expression analysis of scRNA-seq data revealed that the depletion of RANK and CD40 signaling leads to the up-regulation of cTEC-associated genes and <italic>Ccl21a</italic> in CCL21<sup>+</sup> mTEC clusters (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Additionally, several interferon-stimulated genes (ISGs) were notably down-regulated in these clusters (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Interestingly, these changes in gene expression were observed not only in CCL21<sup>+</sup> mTECs, which are the primary recipients of RANK and CD40 signaling, the primary recipients of RANK and CD40 signaling, but also in TEC progenitors and cTEC clusters (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>), with subcluster composition confirmed as unchanged in cTECs. (<xref ref-type="supplementary-material" rid="SF5">
<bold>Supplementary Figure&#xa0;5</bold>
</xref>). Given that the RANK expression of these cell types is virtually absent (<xref ref-type="supplementary-material" rid="SF5">
<bold>Supplementary Figure&#xa0;5</bold>
</xref>), this unexpected finding suggests an indirect regulatory mechanism of gene expression driven by RANK and CD40 signaling. Furthermore, the loss of RANK and CD40 signaling resulted in the up-regulation of some AP-1 transcription factor genes within the progenitor cell subset (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Consistently, the SCENIC analysis suggested an increase in the activity of ATF3- and JUN-inducing regulons in the progenitor TECs (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). Collectively, these results imply that under normal conditions, RANK and CD40 signaling may act to indirectly suppress gene regulatory networks governed by AP-1 transcription factors in progenitor cells, highlighting a complex interplay of direct and indirect signaling pathways in maintaining TEC homeostasis.</p>
</sec>
<sec id="s2_4">
<title>TEC progenitors are classified into subpopulations with unique gene expression profiles</title>
<p>Given that our data suggest TEC progenitors are indirectly influenced by RANK and CD40 signaling, we focused our analysis on these cells. Subclustering of the progenitor cluster from the scRNA-seq data revealed four distinct subclusters with unique gene expression profiles (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>, <xref ref-type="supplementary-material" rid="ST4">
<bold>Supplementary Table&#xa0;4</bold>
</xref>), all exhibiting similar levels of <italic>Pdpn</italic> expression (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). Cluster S1 showed high expression of cTEC-associated genes, such as <italic>Prss16</italic> and <italic>Psmb11</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>), suggesting a bias toward the cTEC lineage. In contrast, cluster S2 displayed high levels of <italic>Ccl21a</italic> expression in a part of the cells, indicating a bias toward the mTEC lineage. Clusters S0 and S3 exhibited low expression of both cTEC-associated genes and <italic>Ccl21a</italic> (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). Notably, cluster S3 was characterized by the elevated expression of AP-1 transcription factor family genes (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>, <xref ref-type="supplementary-material" rid="SF6">
<bold>Supplementary Figure&#xa0;6</bold>
</xref>). These findings underscore the heterogeneous composition of TEC progenitors, categorized by their expression levels of cTEC-associated genes and AP-1 family genes.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Subclustering analysis of the TEC progenitor subset in scRNA-seq data from wild-type and <italic>Cd40</italic>-deficient mice receiving neutralizing RANKL antibody. <bold>(A)</bold> UMAP plot showing TEC progenitor clusters in the droplet-based scRNA-seq data. <bold>(B)</bold> Violin plots depicting expression levels of <italic>Pdpn</italic>, <italic>Prss16</italic>, <italic>Psmb11</italic>, <italic>Ccl21a</italic>, <italic>Atf3</italic>, and <italic>Jun</italic> across each subcluster of TEC progenitors. Each dot represents the expression level in individual cells. <bold>(C)</bold> The left panel shows a trajectory analysis of subclusters predicted by Monocle 3, visualized by UMAP. Cells are color-coded by pseudotime, transitioning from purple to yellow as pseudotime progresses. The right panel displays the dynamics of gene expression along pseudotime for <italic>Prss16</italic>, <italic>Psmb11</italic>, <italic>Ccl21a</italic>, and <italic>Pdpn</italic>. <bold>(D)</bold> The integrated UMAP plot from panel <bold>(A)</bold> is separated by dataset. The percentages of each cell cluster across the four scRNA-seq datasets are shown in the graph. <bold>(E)</bold> Box plots illustrating the expression levels of <italic>Atf3</italic>, <italic>Fos</italic>, <italic>Junb</italic>, <italic>Egr1</italic>, and <italic>Jun</italic> in each subcluster for WT-control and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab. Each dot represents the expression level in an individual cell.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g005.tif"/>
</fig>
<p>To understand the lineage connections among these clusters, we applied Monocle trajectory analysis to the progenitor cluster. Interestingly, the trajectory analysis suggested an ordering of the clusters in the sequence S3, S1, S0, and S2 (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). Assuming that the S3 cluster represents the root node, the pseudotime analysis indicated that the cTEC-biased cluster S1 may differentiate into the mTEC-biased cluster S2 through the non-biased cluster S0.</p>
<p>Comparing the frequencies of subcluster subsets across WT-control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>control, and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice suggested that the frequency of the S3 cluster increase additively with the elimination of RANK and CD40 signaling (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>). In addition, expression of <italic>Atf3</italic>, <italic>Fos</italic>, <italic>Junb</italic>, <italic>Egr1</italic> in other subclusters including cTEC-biased cluster S1 was increased in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>). Thus, the depletion of RANK and CD40 signaling increases the expression level of AP-1 family genes and the frequency of subsets expressing AP-1 family genes in TEC progenitors.</p>
</sec>
<sec id="s2_5">
<title>Integrative analysis of droplet-based scRNA-seq, well-based scRNA-seq and flow cytometric analyses suggested that the TEC progenitors are present in Ly51<sup>-</sup>UEA-1<sup>-</sup>TEC and cTEC fractions</title>
<p>Our data indicated that TEC progenitor cells, as identified in scRNA-seq analysis, are divided into four clusters depending on gene expression profile. To further validate these subpopulations, we aimed to correlate the scRNA-seq clusters with mTEC and cTEC surface markers in flow cytometric analysis. To this end, we first performed single-cell sorting of UEA-1<sup>+</sup>Ly51<sup>&#x2013;</sup> TECs (mTEC-enriched), UEA-1<sup>&#x2013;</sup>Ly51<sup>+</sup> TECs (cTEC-enriched), and UEA-1<sup>&#x2013;</sup>Ly51<sup>&#x2013;</sup> TECs (other TECs) from wild-type mouse thymus, followed by RNA-seq of the individual sorted cells (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). We then integrated these well-based scRNA-seq data with the droplet-based scRNA-seq data. After assigning each cluster to typical TEC subsets (<xref ref-type="supplementary-material" rid="SF7">
<bold>Supplementary Figure&#xa0;7</bold>
</xref>), we determined the cell types of the individual cells sorted by flow cytometric analysis (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Integration of droplet-based and well-based scRNA-seq data of TECs. <bold>(A)</bold> Schematic diagram illustrating the integration analysis of well-based scRNA-seq data with droplet-based scRNA-seq data. Single cells were sorted from UEA-1<sup>+</sup>Ly51<sup>-</sup> TECs (mTECs), UEA-1<sup>-</sup>Ly51<sup>+</sup> TECs (cTECs), and UEA-1<sup>-</sup>Ly51<sup>-</sup> TECs (DN) fractions of wild-type 6-week-old mice, and subjected to well-based scRNA-seq analysis. The well-based scRNA-seq data was integrated with the droplet-based scRNA-seq data shown in <xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref>. <bold>(B)</bold> UMAP plot and clustering after the integration of droplet-based and well-based scRNA-seq data. Cell clusters were reassigned based on marker gene expression following the integration (<xref ref-type="supplementary-material" rid="SF4">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>). UMAP plots of individual cells sorted from UEA-1<sup>+</sup>Ly51<sup>-</sup> TECs (mTECs), UEA-1<sup>-</sup>Ly51<sup>+</sup> TECs (cTECs), and UEA-1<sup>-</sup>Ly51<sup>-</sup> TECs (DN) were overlaid on the droplet-based scRNA-seq data (in gray). <bold>(C)</bold> Percentages of TEC subsets among total single cells in UEA-1<sup>+</sup>Ly51<sup>-</sup> TECs (mTECs), UEA-1<sup>-</sup>Ly51<sup>+</sup> TECs (cTECs), and UEA-1<sup>-</sup>Ly51<sup>-</sup> TECs (DN).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g006.tif"/>
</fig>
<p>As expected, our analysis revealed that the UEA-1<sup>+</sup>Ly51<sup>&#x2013;</sup> mTEC fraction includes both CCL21<sup>+</sup> mTECs and AIRE<sup>+</sup> mTECs (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). Notably, the UEA-1<sup>&#x2013;</sup>Ly51<sup>&#x2013;</sup> TEC fraction contains approximately 30% of cells classified as TEC progenitors (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>), along with some contamination from various mTEC subsets, likely due to the loss of UEA-1 binding ligands during TEC sample preparation using collagenase digestion. Additionally, the UEA-1<sup>&#x2013;</sup>Ly51<sup>+</sup> cTEC fraction also contains TEC progenitors alongside mature cTECs. Overall, our data suggest that the TEC progenitors identified in scRNA-seq analysis are negative for UEA-1 binding ligands and are further distinguished based on Ly51 expression levels in flow cytometric analysis.</p>
<p>We next assigned sorted individual progenitor cells to the subpopulations of TEC progenitors identified through droplet-based scRNA-seq analysis. Data analysis revealed that the UEA-1<sup>&#x2013;</sup>Ly51<sup>&#x2013;</sup> TEC fraction contains all types of the TEC progenitor subpopulation (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). In contrast, with one exception, progenitor cells sorted from the UEA-1<sup>&#x2013;</sup>Ly51<sup>+</sup> TECs predominantly belong to the cluster S1 (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>), which showed high expressions of cTEC genes (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Subclustering analysis of TEC progenitors in integrated scRNA-seq data. <bold>(A)</bold> UMAP and subclustering of TEC progenitors in the integrated data of the droplet-based scRNA-seq and the well-based scRNA-seq. <bold>(B)</bold> Dot plots of the normalized expression values of <italic>Prss16</italic>, <italic>Psmb11</italic>, <italic>Pdpn</italic>, <italic>Atf3</italic>, and <italic>Jun</italic> for each cell cluster. Horizontal lines show the median. <bold>(C)</bold> Scatter plot showing the fluorescence intensity of UEA-1 ligand and Ly51 for individual sorted cells assigned as TEC progenitor cells. One dot represents one cell, color-coded for each cluster. Total TECs are indicated as gray dots. Gates used for cell sorting are indicated.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g007.tif"/>
</fig>
<p>We further investigated the expression level of the cTEC-associated genes and others in the sorted individual cells. In consistent with the droplet-based scRNA-seq data, expression levels of <italic>Prss16</italic> and <italic>Psmb11</italic> were highest in individually sorted cells assigned as the S1 subpopulation (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). However, their expression levels were remarkably lower as compared to those in mature cTECs. Expression of <italic>Pdpn</italic> was detected in all subpopulations with almost the same level and may be slightly higher than that in CCL21<sup>+</sup> mTECs (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Sorted single cells assigned as the cluster S3 exhibited high levels of <italic>Atf3</italic> and <italic>Jun</italic> expressions. In contrast, <italic>Atf3</italic> and <italic>Jun</italic> expression levels were lower in other subpopulations in addition to CCL21<sup>+</sup> mTECs (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). These data further confirmed that TEC progenitors are subdivided by expression levels of some AP-1 genes and cTEC-associated genes.</p>
<p>We confirmed the distribution of these progenitor subpopulations in the flow cytometric profile. As expected, subpopulations S0, S2, S3, and part of S1 were derived from the UEA-1<sup>&#x2013;</sup>Ly51<sup>&#x2013;</sup> fraction and could not be distinguished based on the expression level of these markers (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>). Interestingly, cells in the S1 cluster within the UEA-1<sup>&#x2013;</sup>Ly51<sup>+</sup> TEC fraction exhibited lower surface Ly51 expression compared to cells classified as mature cTECs. This finding suggests that part of the cTEC-biased subpopulation of TEC progenitors is present within the Ly51<sup>lo</sup>UEA-1<sup>&#x2013;</sup> fraction in flow cytometric analysis.</p>
</sec>
<sec id="s2_6">
<title>Depletion of RANK and CD40 signaling in adult thymus leads to the reduction in frequencies of regulator T cells, natural killer T cells and eosinophils</title>
<p>Flow cytometric analysis on thymocyte fractions showed the depletion of both CD40 and RANK signaling increased in the ratio of CD4SP cells, whereas their cell number was not significantly increased (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>). Interestingly, a significant change in double negative fractions was observed, which may be due to the decrement in early thymocyte progenitors or minor cell subsets (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>). Consistently, the frequencies of eosinophil, which is critical for thymus regeneration (<xref ref-type="bibr" rid="B36">36</xref>), and natural killer T cells were reduced in the thymus of <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice receiving RANKL-Ab (<xref ref-type="fig" rid="f8">
<bold>Figures&#xa0;8B, C</bold>
</xref>). In addition, the frequency of CCR6<sup>&#x2013;</sup>Foxp3<sup>+</sup> regulatory T cells was reduced (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8D</bold>
</xref>), implying the mTEC-mediated function of Treg selection might be impaired. These data suggested that the depletion of both RANK and CD40 signaling in adult thymus may impact thymic self-tolerance and recovery from the thymic injury.</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Flow cytometric analysis of Thymocytes from wild-type and Cd40-deficient mice treated with neutralizing RANKL antibody. <bold>(A)</bold> Flow cytometric analysis of CD8a and CD4 expressions in thymocytes from wild-type (WT) treated with control IgG (WT-Control), <italic>Cd40</italic>-deficient (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>) mice treated with control-IgG (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control), and <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice treated with RANKL-Ab (<italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab) at 6-week-old age (n = 5 each). The percentages and numbers of CD4<sup>&#x2013;</sup>CD8<sup>&#x2013;</sup>, CD4<sup>+</sup>CD8<sup>+</sup>, CD4<sup>+</sup>CD8<sup>&#x2013;</sup>, and CD4<sup>&#x2013;</sup>CD8<sup>+</sup> in thymocytes are summarized in graphs. RANKL-Ab or control IgG was subcutaneously injected in mice at 4-week-old age. <bold>(B)</bold> Flow cytometric analysis of Foxp3 and CD25 expressions in CCR6<sup>&#x2013;</sup>CD4SP thymocytes (CD4<sup>&#x2013;</sup>CD8<sup>&#x2013;</sup>CCR6<sup>&#x2013;</sup>) from WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab at 6-week-old age (n = 5 each). The percentages and numbers of CCR6<sup>&#x2013;</sup>Foxp3<sup>+</sup> regulatory T cells in CCR6<sup>&#x2013;</sup>CD4SP thymocytes are summarized in graphs. RANKL-Ab or control IgG was subcutaneously injected in mice at 4-week-old age. <bold>(C)</bold> Flow cytometric analysis of Siglec-F and SSC-A expressions in thymocytes from WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab at 6-week-old age (n = 5 each). The percentages and numbers of eosinophil in thymocytes are summarized in graphs. RANKL-Ab or control IgG was subcutaneously injected in mice at 4-week-old age. <bold>(D)</bold> Flow cytometric analysis of TCR&#x3b2; and CD1d expressions in thymocytes from WT-Control, WT-RANKL-Ab, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>Control, <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab at 6-week-old age (n = 5 each). The percentages and numbers of natural killer T cells in thymocytes are summarized in graphs. RANKL-Ab or control IgG was subcutaneously injected in mice at 4-week-old age. <bold>(A-D)</bold> Bars indicate the mean value. Data were statistically analyzed using one-way ANOVA followed with multiple comparisons by Tukey&#x2019;s test. Significant differences are indicated by *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001, ****p &lt; 0.0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1500908-g008.tif"/>
</fig>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>Previous studies showed that the administration of RANKL-Ab causes a reduction in AIRE<sup>+</sup> and MHCII<sup>hi</sup> mTECs (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B26">26</xref>). Consistently, our data also indicate the reduction in these mTEC subsets by the RANKL-Ab administration. The extent of reduction in AIRE<sup>+</sup> and MHCII<sup>hi</sup> mTECs appears milder in our study than in previous studies. Moreover, the recovery kinetics was faster in our study compared to that in the previous study (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B26">26</xref>). These differences may be attributed to the repeated injections of RANKL-Ab in the prior research (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B26">26</xref>) compared to the single injection in our study. Our data also show that the reduction in AIRE<sup>+</sup> mTECs caused by RANKL-Ab injection was considerably more pronounced on the CD40-deficient background, suggesting a partial compensation for the loss of RANK and CD40 signaling by CD40 signaling, which plays a role in early mTEC development (<xref ref-type="bibr" rid="B20">20</xref>). Thus, cytokine signaling that promotes mTEC differentiation may be similar during the developmental processes in the embryonic and neonatal periods and the turnover process in the adult thymus.</p>
<p>Whereas the depletion of both RANK and CD40 signaling led to a marked reduction in AIRE<sup>+</sup> mTECs, Post-Aire<sup>+</sup> mTECs, and TA-TECs, CCL21<sup>+</sup> mTECs persisted, though their gene expression profile was altered. These findings suggest that RANK and CD40 signaling may facilitate the differentiation of CCL21<sup>+</sup> mTECs into TA-TECs. Additionally, our scRNA-seq analysis indicates that these signals may also promote the proliferation of CCL21<sup>+</sup> mTECs, consistent with previous research showing CD40 signaling&#x2019;s role in supporting CD80<sup>&#x2013;</sup>MHCII<sup>&#x2013;</sup> mTEC proliferation (<xref ref-type="bibr" rid="B37">37</xref>)). Notably, RANK and CD40 expression levels were relatively higher in AIRE<sup>+</sup> mTECs compared to CCL21<sup>+</sup> mTECs, suggesting that these signals may further enhance both proliferation and gene expression in AIRE+ mTECs. This idea aligns with previous findings that NF-&#x3ba;B signaling, activated by these pathways, might enhance AIRE expression in mTECs (<xref ref-type="bibr" rid="B38">38</xref>). Future studies are needed to clarify the specific roles of RANK and CD40 signaling in AIRE+ mTECs.</p>
<p>One limitation of our study is the use of <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice, in which CD40 signaling is eliminated in mTECs postnatally because CD40L is virtually undetectable in the fetal thymus (<xref ref-type="bibr" rid="B20">20</xref>). Consequently, mTECs in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice are differentiated and maintained solely by RANKL signaling from embryonic stages through adulthood. This exclusive reliance on RANKL may lead mTECs to develop an unusual dependency on RANKL signaling compared to normal conditions. To address this concern, using CD40L-neutralizing antibodies instead of <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup> mice might provide a more refined approach. Although there are currently no studies demonstrating that CD40L-neutralizing antibodies can transiently reduce mTEC populations, future research should investigate the effects of a simultaneous and temporary reduction in both RANK and CD40 signaling, given the evidence supporting the effectiveness of this approach.</p>
<p>A previous study suggested that <italic>Pdpn</italic>-expressing TECs are localized at the cortico-medullary junction of the thymus, where they are referred to as junctional TECs (jTECs) (<xref ref-type="bibr" rid="B8">8</xref>). Additionally, RNA-seq analysis in that study revealed that jTECs express <italic>Ccl21a</italic> (<xref ref-type="bibr" rid="B8">8</xref>). Consistent with these findings, our scRNA-seq analysis showed that CCL21<sup>+</sup> mTEC clusters express <italic>Pdpn</italic>. Notably, both our scRNA-seq analysis and previous studies have demonstrated that <italic>Pdpn</italic> is expressed in TEC progenitors (<xref ref-type="bibr" rid="B19">19</xref>). Sub-clustering analysis further revealed that <italic>Pdpn</italic> is present in all subpopulations of TEC progenitors. Together, these results suggest that <italic>Pdpn</italic> marks not only the CCL21<sup>+</sup> mTEC precursor pool but also TEC progenitors.</p>
<p>DEG analysis of scRNA-seq data suggested that the depleting RANK and CD40 signaling affedts gene expression profiles not only in RANK-expressing CCL21<sup>+</sup> mTECs, but also in cTECs and TEC progenitors. First, several interferon-stimulated genes were down-regulated in these cell types in <italic>Cd40</italic>
<sup>&#x2013;/&#x2013;</sup>RANKL-Ab mice. Type I and III interferons were reportedly expressed in a part of AIRE<sup>+</sup> mTECs, thereby influencing phenotypes of thymic antigen-presenting cells such as conventional dendritic cells (<xref ref-type="bibr" rid="B39">39</xref>). Consequently, interferon signaling could also impact gene expression profiles in cTECs and TEC progenitor cells, suggesting intercellular communications between mTEC and both cTEC and TEC progenitors. which may affect TEC development (<xref ref-type="bibr" rid="B40">40</xref>). Second, AP-1 family gene expression was upregulated in progenitors. This observation suggests that, beyond interferon signaling, another intercellular communication between mTECs and progenitors may indirectly regulate AP-1 expression levels in progenitor cells (<xref ref-type="supplementary-material" rid="SF8">
<bold>Supplementary Figure&#xa0;8</bold>
</xref>). Finally, an indirect signaling mechanism appears to suppress the upregulation of cTEC genes in TEC progenitors and cTECs. The upregulation of cTEC-associated genes following RANK and CD40 signaling depletion was minimal, suggesting that this mechanism likely has a limited impact on TEC functions. Overall, further research is required to clarify the mechanisms underlying these indirect regulatory pathways and their influence on TEC phenotypes.</p>
<p>A previous study reported that enhancing RANK and CD40 signaling after thymic injury induces lymphotoxin &#x3b1; expression in lymphoid tissue inducer (Lti) cells, thereby promoting TEC regeneration, including cTECs. It is possible that a severe reduction in RANK receptors due to the loss of mature mTECs leads to an increase in free RANKL concentration, potentially activating Lti cells to upregulate lymphotoxin &#x3b1;, which in turn supports cTEC gene expression. This hypothesis warrants further investigation in future studies.</p>
<p>Deletion of RANK and CD40 signaling causes up-regulation of AP-1 transcription factor genes selectively in TEC progenitors. Sub-clustering analysis suggested that the increment of TEC progenitor subpopulation expressing high levels of AP-1 transcription factor genes and up-regulation of these genes in some TEC progenitor subpopulations. This finding suggests that, besides the interferon signaling, another indirect signaling between TEC progenitors and mTECs may suppress expression of these genes. In a previous study, H2-Kb promoter-driven Fos expression leads to thymic hyperplasia via the expansion of TECs (<xref ref-type="bibr" rid="B28">28</xref>). Thus, the increment of TEC progenitors expressing AP-1 genes may result in enhancing the development of TECs. Thus, RANKL and CD40 signaling homeostatically can suppress AP-1 transcription factor genes in TEC progenitor by a negative feedback loop. Abolishing this negative feedback system may cause the increment of the Fos-expressing TEC progenitors that give rise to mTECs, which could contribute to the recovery of mTECs.</p>
<p>TEC progenitors were separated into four subpopulations. TEC progenitors expressing a high level of some AP-1 genes may differentiate into a cTEC-biased subpopulation and subsequently into an mTEC-biased subpopulation. A previous study suggested that adult mTECs differentiate from mTEC lineage progenitors derived from Psmb11-positive cells (<xref ref-type="bibr" rid="B41">41</xref>). Furthermore, a recent study defined this TEC progenitor as an early TEC progenitor based on this observation (<xref ref-type="bibr" rid="B19">19</xref>). Our single-cell study revealed that the expression level of Psmb11 in TEC progenitors was approximately ten times lower than that in cTECs. Consequently, this suggests that Psmb11<sup>lo</sup>Pdpn<sup>+</sup> TEC progenitor subpopulation could contribute to maintaining the frequency of adult mTECs. A fate-mapping study using specific marker genes in this subpopulation would be crucial for addressing this issue. Ultimately, our findings illuminate the crucial roles of RANK and CD40 signaling in maintaining mTEC frequency and TEC progenitor properties in the postnatal thymus, offering promising avenues for developing strategies to address thymic hypofunction associated with aging and various stressors.</p>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s4_1">
<title>Mice and antibody treatment</title>
<p>Female wild-type C57BL/6 mice, aged 3-4-weeks-old, were purchased from CLEA Japan. <italic>Cd40</italic>-deficient mice were established on a C57BL/6 background. All mice were maintained in standard controlled conditions with a 12-h lighting cycle and access to chow and water ad libitum, housed under specific pathogen-free conditions and handled in accordance with Guidelines of the Institutional Animal Care and Use Committee of RIKEN, Yokohama Branch (2018-075). Rat IgG-Isotype Control antibody (abcam, R&amp;D Systems) or Anti-mouse RANK ligand neutralizing antibody (Anti-RANKL antibody: Mab clone OYC1, Oriental enzyme) (<xref ref-type="bibr" rid="B42">42</xref>) was injected subcutaneously at 5 mg/kg into C57BL/6J background wild-type mice or <italic>Cd40</italic>-deficient mice.</p>
</sec>
<sec id="s4_2">
<title>Isolation and flow cytometric analysis of TECs from mice</title>
<p>Mice were sacrificed using CO2, and thymi were dissected and placed into cold 1&#xd7; PBS. Adhering non-thymus tissue was carefully cleared off using sharp tweezers under a fluorescence stereomicroscope. Thymi were minced with a razor blade and pipetted up and down in 1 mL of RPMI 1640 (Wako) to remove lymphocytes. Then, thymic fragments were digested in RPMI 1640 containing Liberase (Roche, 0.05U/mL) and DNase I (Sigma-Aldrich, 0.01% w/v) by incubating three times at 37&#xb0;C for 12 min each. The supernatant was collected, added to 2 mL of FACS buffer (D-PBS (-) with 2% FBS) containing 1 mM EDTA, and centrifuged at 1500 rpm for 5 min. The supernatant was removed and suspended in FACS buffer. After filtering through a 67-&#xb5;m nylon monofilament mesh, the resulting cell suspension was incubated with anti-mouse CD16/32 (BioLegend, Cat#101302) in FACS buffer to block nonspecific binding. For flow cytometric analysis and bulk RNA-seq, cells were stained with primary antibodies (APCCy7-labeled anti-CD45; BioLegend Cat#103116, APCCy7-labeled anti-TER119; BioLegend Cat#116223, BV510-labeled anti-EpCAM; BioLegend Cat#118231, PerCPCy5.5-labeled anti-Ly51; BioLegend Cat#108316, Alexa647-labeled anti-L1CAM; R&amp;D Cat#FAB5674R, PECy7-labeled anti-I-A/I-E; BioLegend Cat#107630, BV711-labeled anti-CD104; BD Cat#123609, FITC-labeled anti-Ly-6D; BioLegend Cat#138606, biotinylated UEA-1; Vector Laboratories Cat#B-1065) in FACS buffer and sequentially incubated with secondary reagent (Alexa700-labeled Streptavidin; Invitrogen Cat#S2183) in FACS buffer. Dead cells were excluded by staining with SYTOX&#x2122; Blue. For droplet-based scRNA-seq, cells were stained with antibodies (APCCy7-labeled anti-CD45, APCCy7-labeled anti-TER119, FITC-labeled anti-EpCAM; BioLegend Cat #118208) in FACS buffer. For well-based scRNA-seq, cells were stained with primary antibodies (APCCy7-labeled anti-CD45, APCCy7-labeled anti-TER119, FITC-labeled anti-EpCAM, Alexa647-labeled anti-Ly51; BioLegend Cat#108312, biotinylated UEA-1) in FACS buffer and depleted of hematopoietic cells and erythrocytes by Magnetic-Activated Cell Sorting (MACS) using APC-MicroBeads (Miltenyi Biotec). Then, cells were stained with secondary reagent (PECy7-labeled Streptavidin; Invitrogen Cat# 25-4317-82) in FACS buffer. Dead cells were excluded by staining with 7-Aminoactinomycin D. Cells were sorted using a FACS Aria instrument (BD). Data were analyzed using Flowjo 10.</p>
</sec>
<sec id="s4_3">
<title>Bulk RNA-seq analysis</title>
<p>Cells were sorted using a cell sorter (Aria; BD) into 1.5 ml tube with 20 &#x3bc;L of cell lysis solution (2xTCL, 2-Mercaptoethanol). Cell lysis solution or RNase-free water was added to the sorted sample to achieve the final 1x TCL, mixed using a vortex, and the mixture was kept on ice for 5 min. The mixture was centrifuged at 13,000 rpm for 1 min and then stored at -80&#xb0;C. Cell lysate was dissolved on ice and then purified using total x2.2 volumes of RNAClean XP Beads using Magna Stand. The mixtures were eluted with 40U of RNasin<sup>&#xae;</sup> Plus Ribonuclease Inhibitor in RNase-free water. The supernatant was collected using Magna Stand and denatured at 65&#xb0;C for 5 min. The mixture was rapidly cooled on ice for 2 min, and then added 10 &#x3bc;L of DNase I solution (PrimeScript Buffer and 2U of DNase I, Amplification Grade in RNase-free water). The mixtures were incubated in a thermal cycler at 30&#xb0;C for 15 min. Ten &#x3bc;L of first strand cDNA synthesis solution (PrimeScript Buffer, PrimeScript RT Enzyme Mix I, 1 &#x3bc;g of T4 Gene 32 Protein, 6 pmol Oligo(dT)18 Primer and 100 pmol 1st-NSR primer) was added to the DNase I-treated mixture. The mixtures were incubated in a thermal cycler at 25&#xb0;C for 10 min, 30&#xb0;C for 10 min, 37&#xb0;C for 30 min, 50&#xb0;C for 5 min and 94&#xb0;C for 5 min. Twenty &#x3bc;L of second strand cDNA synthesis solution (NEBuffer&#x2122; 2, 0.625mM dNTP Solution Mix, 500 pmol 2nd-NSR primer and 6.5 U of Klenow Fragment (3&#x2019;&#x2192;5&#x2019; exo-) in RNase-free water) was added to the first strand cDNA lysate. The mixtures were incubated in a thermal cycler at 16&#xb0;C for 60 min, 70&#xb0;C for 10 min. The mixtures were purified with 100 &#x3bc;L of AMPure XP SPRI beads (Beckman Coulter) using Magna Stand, and the concentration were then quantified using Qubit&#x2122; dsDNA Quantification Assay Kits. Of the purified dsDNA, 1 ng was used for library preparation, and the rest was stored at -80&#xb0;C. Thirty &#x3bc;L of tagmentation solution (10 mM Tris-HClpH 8.5, 5 mM MgCl2, 10% N, N-Dimethylformamide and Tn5-linker complex in RNase-free water) and incubated at 55&#xb0;C for 10 min. Zero-point two percent SDS were added to the mixture and incubated at room temperature for 5 min. Then, the mixtures were purified using Monarch<sup>&#xae;</sup> PCR &amp; DNA Cleanup Kit and eluted into 15 &#x3bc;L of buffer EB. After ligation of adapters using PCR on 25 &#xb5;l of the purified mixture, sequencing library DNA was purified with x1.2 volumes of AMPure XP SPRI beads and eluted into 15 &#xb5;L of buffer EB. The sequencing library was sequenced in multiplex on the HiSeqX_Ten platform. FASTQ files were processed using Fastp (<xref ref-type="bibr" rid="B43">43</xref>) and then quantified for annotated genes using CLC Genomics Workbench (Version 21.0.6, QIAGEN). Differential expression analysis was performed using Proportion-based Statical Analysis on CLC (Version 23.0.4).</p>
</sec>
<sec id="s4_4">
<title>Droplet-based scRNA-seq analysis</title>
<p>For scRNA-seq analysis, cell suspensions of thymi from three mice were prepared and pooled for each individual scRNA-seq experiment. Cellular suspensions were loaded onto a Chromium instrument (10&#xd7; Genomics) to generate a single cell emulsion. scRNA-seq libraries were prepared using Chromium Next GEM Single Cell 3' GEM, Library &amp; Gel Bead Kit v3.1 and sequenced in multiplex on the HiSeqX Ten platform. FASTQ files were processed using Fastp. Reads were demultiplexed and mapped to the mm10 reference genome using Cell Ranger (v 5.0.1). Processing of data with the Cell Ranger pipeline was performed using the HOKUSAI supercomputer at RIKEN and the NIG supercomputer at ROIS National Institute of Genetics. Expression count matrices were prepared by counting unique molecule identifiers. Downstream single-cell analyses (integration of datasets, correction of dataset-specific batch effects, UMAP dimensional reduction, cell cluster identification, conserved marker identification, and regressing out cell cycle genes) were performed using Seurat v4. Genes that were expressed in more than five cells and cells expressing at least 200 genes were selected for analysis. Cells that contained a percentage of mitochondrial transcripts greater than 13% to 25% were filtered out. Four scRNA-seq datasets were integrated with a combination of Find Integration Anchors and Integrate Data functions. Resolution was set as 0.43 for the FindClusters function. Murine cell cycle genes equivalent to human cell cycle genes listed in Seurat were used for assigning cell cycle scores. Trajectory analysis was performed using Monocle 3.</p>
</sec>
<sec id="s4_5">
<title>Well-based scRNA-seq analysis</title>
<p>Single cells were sorted using a cell sorter (Aria; BD) into 96-well PCR plates with 1 &#x3bc;L of cell lysis solution (1:10 Cell Lysis buffer [Roche], 10 U/&#x3bc;L Rnasin plus Ribonuclease inhibitor [Promega]) in each well, shaken at 1400 rpm for 1 min using a thermo mixer and then stored at -80&#xb0;C. Cell lysate was dissolved on ice and then denatured at 70&#xb0;C for 90 sec. To eliminate genomic DNA contamination, 1 &#x3bc;L of genomic DNA digestion solution (PrimeScript Buffer and 0.2 U of DNase I Amplification Grade in RNase-free water) was added to each denatured sample. The mixtures were shaken at 1400 rpm for 1 min using a thermo mixer, and then incubated in a thermal cycler at 30&#xb0;C for 5 min and held on ice until the next step. One &#x3bc;L of first strand cDNA synthesis solution (PrimeScript Buffer, 8 pmol 1st-NSR primer, 0.6 pmol Oligo(dT)18 Primer, 100 ng of T4 gene 32 protein and PrimeScript RT Enzyme Mix I in RNase-free water) was added to each digested lysate. The mixtures were shaken at 1400 rpm for 1 min using a thermo mixer, and then incubated in a thermal cycler at 25&#xb0;C for 10 min, 30&#xb0;C for 10 min, 37&#xb0;C for 30 min, 50&#xb0;C for 5 min and 94&#xb0;C for 5 min. Two &#x3bc;L of second strand synthesis solution (NEBuffer&#x2122; 2, 0.625 mM dNTP Solution Mix, 40 pmol 2nd-NSR primer and 0.75U Klenow Fragment (3&#x2019;&#x2192;5&#x2019; exo-) in RNase-free water) was added to each first strand cDNA lysate. The mixtures were shaken at 1400 rpm for 1 min using a thermo mixer, and then incubated in a thermal cycler at 16&#xb0;C for 60 min, 70&#xb0;C for 10 min. The mixtures were purified 15 &#x3bc;L of AMPure XP SPRI beads (Beckman Coulter) diluted two-fold with Pooling buffer (20% PEG8000, 2.5 M NaCl, 10 mM Tris-HClpH 8.0, 1 mM EDTA, 0.01% NP40) using Magna Stand. The mixtures were eluted with 3.75 &#x3bc;L of tagmentation solution (10 mM Tris-HClpH 8.5, 5 mM MgCl2 and 10% N, N-Dimethylformamide in RNase-free water). 1.25 &#x3bc;L of diluted Tn5-linker complex was added to the eluate and the mixtures were incubated at 55&#xb0;C for 10 min, and then One point two five &#x3bc;L of 0.2% SDS was added and incubated at room temperature for 5 min. After PCR for adaptor ligation, sequencing library DNA was purified using AMPure XP SPRI beads and eluted into 25 &#x3bc;L of buffer EB. Reads were demultiplexed and mapped to the mm10 reference genome with STAR. Cells with less than or more than half the average count of reads detected were excluded from the analysis. Integration of well-based scRNA-seq data with droplet-based scRNA-seq data and UMAP dimension were performed using Seurat. Genes that were expressed in more than five cells and cells expressing at least 200 genes were selected for analysis.</p>
</sec>
<sec id="s4_6">
<title>Isolation and flow cytometric analysis of thymocytes from mice</title>
<p>Mice were sacrificed using CO2, and thymi were dissected and placed into cold 1&#xd7; PBS. Adhering non-thymus tissue was carefully cleared off using sharp tweezers under a fluorescence stereomicroscope. The thymus was grinded using glass slides (MATSUNAMI) in 3 mL of RPMI 1640 (Wako). The suspension was collected and centrifuged at 1500 rpm for 5 min. The supernatant was removed and suspended in FACS buffer. After filtering through a 67-&#xb5;m nylon monofilament mesh, the resulting cell suspension was incubated with anti-mouse CD16/32 in FACS buffer to block nonspecific binding. For flow cytometric analysis of eosinophil and natural killer T cells, cells were stained with antibodies (APCCy7-labeled anti-CD4; BioLegend Cat#100526, PECy7-labeled anti-CD8a; BioLegend Cat#100722, FITC-labeled anti-CD69; BioLegend Cat#104506, BV510-labeled anti-TCRb; BioLegend Cat#109233, Alexa647-labeled anti-Siglec-F; BD Cat#562680, PE-labeled CD1d-PBS-57 tetramer or CD1d-unloaded tetramer) in FACS buffer. Dead cells were excluded by staining with SYTOX&#x2122; Blue. For flow cytometric analysis of CCR6&#x2013;Foxp3+ regulatory T cells, cells were stained with primary antibody (PECy7-labeled anti-CCR6; BioLegend Cat #129816) in FACS buffer, then sequentially incubated with secondary antibodies (APCCy7-labeled anti-CD4, APC-labeled anti-CD8a; BioLegend Cat #100712, FITC-labeled anti-CD25; BioLegend Cat #102006) in FACS buffer and tertiary antibody (PE-labeled anti-Foxp3; eBioscience Cat #12-5773-82) in Permeabilization buffer. Dead cells were excluded by staining with Zombie Aqua. Cells were analyzed using a FACS Aria instrument and a FACS CantoII instrument (BD). Data were analyzed using Flowjo 10.</p>
</sec>
<sec id="s4_7">
<title>Statistical analysis</title>
<p>Statistically significant differences between mean values were determined using unpaired t-test or one-way ANOVA followed with multiple comparisons by Tukey&#x2019;s test in GraphPad Prism (* p&#x2266;0.05, ** p&#x2266;0.01, *** p&#x2266;0.001, **** p&#x2266;0.0001). Principle component analysis was performed using edgeR package. P-value correction for differential gene expression analysis in bulk RNA-seq was performed using Baggerley&#x2019;s test on CLC Genomics Workbench.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The bulk RNA-Seq data have been deposited at NCBI Sequence Read Archive under series accession number SUB14671957. The droplet-based scRNA-seq data were deposited at NCBI GEO under accession number GSE276809. The well-based scRNA-seq data have been deposited at NCBI Sequence Read Archive under series accession number SUB14826438, SUB14826492, SUB14826498, and SUB14826963.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by Institutional Animal Care and Use Committee of RIKEN, Yokohama Branch (2018-075). 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>MH: Writing &#x2013; original draft, Investigation, Validation, Data curation, Formal analysis. HI: Data curation, Formal analysis, Investigation, Validation, Writing &#x2013; review &amp; editing. MM: Investigation, Validation, Writing &#x2013; review &amp; editing. MY:&#xa0;Investigation, Writing &#x2013; review &amp; editing. NH: Writing &#x2013; review &amp; editing, Data curation. WM: Writing &#x2013; review &amp; editing, Investigation, Validation. KN: Investigation, Validation, Writing &#x2013; review &amp; editing. RE: Investigation, Validation, Writing &#x2013; review &amp; editing. TM: Funding acquisition, Investigation, Supervision, Validation, Writing &#x2013; review &amp; editing. NA: Funding acquisition, Investigation, Supervision, Writing &#x2013; review &amp; editing. TA: Conceptualization, Funding acquisition, Investigation, Project administration, Supervision, Validation, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by Grants-in-Aid for Scientific Research from JSPS (21K19391 and 23K27399 to TA, 23K06385 to NA, and 24K18386 to TM) and by CREST from the Japan Science and Technology Agency (JPMJCR2011 to TA). This work was supported by RIKEN Junior Research Associate Program to MH.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>Computations were performed on supercomputers at the National Institute of Genetics and at ISD, RIKEN (HOKUSAI).</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>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</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.2024.1500908/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2024.1500908/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;1</label>
<caption>
<p>Gating strategy and PCA analysis for bulk RNA-seq analysis 1 sis of 2 mTEClo fraction 3 <bold>(A)</bold> Gating strategy for sorting the mTEC<sup>lo</sup> fraction expressing low levels of L1CAM and Ly6d. 4 <bold>(B)</bold> PCA analysis of bulk RNA-seq data for the mTEC<sup>lo</sup> fraction.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image2.tif" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;2</label>
<caption>
<p>Quality control data of single cell RNA-seq data.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image3.tif" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;3</label>
<caption>
<p>Volcano plot of marker gene expression in cell clusters from scRNA9 seq analysis of wild-type mice injected with control IgG.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image4.tif" id="SF4" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;4</label>
<caption>
<p>Subclustering analysis of TA-TECs. 12 <bold>(A)</bold> UMAP projection for subclustering of total TA-TECs. 13 <bold>(B)</bold> Expression of Aire and Ccl21a in each subcluster of TA-TECs. 14 <bold>(C)</bold> Separation of UMAP projection into individual data sets. 15 <bold>(D)</bold> Percentages of proliferating cells (TA-TEC subset) in total Ccl21+ mTECs and total Aire+ 16 mTECs.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image5.tif" id="SF5" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;5</label>
<caption>
<p>Frequency of subclusters in cTEC clusters <bold>(A)</bold> and expression of 19 RANK and CD40 in TEC clusters from scRNA-seq analysis of wild-type mice injected with 20 control IgG <bold>(B)</bold>.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image6.tif" id="SF6" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;6</label>
<caption>
<p>Expression of Fos, JunB, and Egr1 in subclusters of TEC progenitors 23 in droplet-based scRNA-seq analysis.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image7.tif" id="SF7" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;7</label>
<caption>
<p>UMAP and clustering of integrated scRNA-seq data combining 26 droplet-based scRNA-seq and well-based scRNA-seq data.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image8.tif" id="SF8" mimetype="image/tiff">
<label>Supplementary Figure&#xa0;8</label>
<caption>
<p>A hypothesis for direct and indirect RANK and CD40 signaling in 29 TECs.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Table1.xlsx" id="ST1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table2.xlsx" id="ST2" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table3.xlsx" id="ST3" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table4.xlsx" id="ST4" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
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