The concept of distinct lineages or subsets of CD4+ T helper (Th) cells has been around since the latter part of the 20th century1. Recognition of cognate antigen in the presence of costimulatory signals results in several rounds of cellular proliferation and the eventual differentiation into effector Th cells. The type of Th cell generated during this process is dependent on the cytokine environment present during activation2. Initially, naïve Th cells were thought to polarize into 2 distinct lineages following T cell receptor (TCR) activation, costimulatory CD28 ligation, and cytokine signaling. Type 1 helper cells (Th1) are characterized by their effector production of the IFNγ cytokine as well as their requirement for IL-12 signaling during the differentiation process3,4. Eventually it was discovered that differentiated Th1 cells have a genetic profile that is most distinctively characterized by the expression of the T box family transcription factor, Tbx21 (T-bet), which is considered the master regulator of the Th1 genetic program5. Furthermore, IL-12 as well as IFNγ can promote T-bet expression6,7. In the immune response, Th1 cells are important for the host defense against intracellular pathogens as well as strong promoters of autoimmune inflammation. In contrast, type 2 helper cells (Th2) require IL-4 for their development and their effector cytokines, including IL-4, IL-5, and IL-13, are important for driving B cell responses and are pathogenic in allergy8,9. Similar to Th1 cells, Th2 cells were found to express their own master transcriptional regulator, termed GATA-310,11. Interestingly, the presence of polarizing cytokines and the generation of a specific Th lineage are antagonistic to the development of others2,12, suggesting that only a particular Th subset may become dominant during an immune response.
Since the identification of the Th1 and Th2 lineages, further work has demonstrated even more unique subsets of T helper cells, including follicular helper (TFH), IL-9-producing (Th9), and IL-22-producing (Th22)(recently reviewed in13). For the purposes of in vitro differentiation experiments, this protocol will focus only on two additional Th subsets, termed regulatory T cells (Treg) and IL-17-producing CD4+ T cells (Th17). CD25+ regulatory T cells can occur naturally (nTreg) in the thymus; naïve Th cells may also be induced (iTreg) to become regulatory in the periphery (reviewed in14,15). Both types of Tregs express a characteristic transcription factor, termed forkhead box P3 (Foxp3), which is critical for their effector suppression mechanisms that include soluble anti-inflammatory mediator production, IL-2 consumption, and cell contact-dependent mechanisms14,15. The lack of Foxp3 expression results in a severe, multi-organ autoimmune disorder termed immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX), demonstrating the critical role of this Th subset in resolving inflammation and regulating peripheral tolerance to self antigens16. In vitro, naïve CD4+ T helper cells up-regulate Foxp3 and become committed to the Treg program upon stimulation with IL-2 and TGF-β14,15. There may be moderate to considerable plasticity in CD4+ T cell lineages, especially when considering only cytokine production (reviewed in 17,18). However, for the purposes of in vitro differentiation protocols, we will be discussing each subset as a unique lineage.
Recently, a subset of Th17 cells that produces the IL-17 cytokine was identified as a unique lineage with pro-inflammatory functions that are particularly pathogenic during autoimmune inflammation19-21. Th17 cells express a unique transcription factor, termed retinoid-related orphan receptor gamma t (RORγt) that coordinates the Th17 genetic program22. TGFβ is important for the generation of Th17 lineage through the induction of RORγt. However, the effect of TGFβ signaling is believed to only induce Th17 commitment upon synergizing with IL-6 (reviewed in12). Further studies have shown that a variety of other signals that can positively regulate Th17 commitment, including IL-1β, increased sodium, and TLR signaling23-26. Other reports have suggested that the pathogenic Th17 cells in vivo are the ones that actually bypass TGFβ signaling and instead rely on a combination of IL-1, IL-6, and IL-23 for their differentiation27. Thus, Th17 cells may be derived from a variety of signaling pathways; for the purposes of this protocol, the commonly-used (TGFβ and IL-6) pathway for Th17 lineage commitment will be presented.
The differentiation protocols described below for all effector lineages relies on fixed antibody as stimuli for the TCR and CD28 throughout the entire course of the experiment. However, others have demonstrated that TCR activation with antigen-presenting cells28 or cross-linking anti-CD3 and anti-CD28 antibodies with hamster antibody for 2 days29 are also highly effective means of inducing the generation of various Th subsets. The protocol presented here builds on previously reported methods for isolating murine CD4+ T cells from secondary lymphoid organs30 and generating Th17 cells31. One major difference is that this protocol relies on the use of a cell sorter to isolate naïve CD4+ T cells from lymphoid tissues. However, many companies now offer rapid separation kits that can enrich for naïve CD4+ T cells, which may be able to bypass the requirement for sorting depending on the experiment. The methods and reagents presented in this protocol are what we routinely use and find to be the most effective. However, keep in mind that alternative reagents and methodologies exist for many of the steps presented below and it is up to the individual lab to determine what will work best for their purposes.