title: Developmental regulation of Th17-cell capacity in human neonates.
abstract: Human neonates are at significantly greater risk of serious infection than immunocompetent adults. In particular, very low birth weight infants in the neonatal intensive care nursery are at high risk of developing life-threatening bacterial and fungal infections. Recent studies have identified Th17 cells as critical mediators of immunity to bacterial and fungal infections at epithelial barriers. Little is known, however, about the ontogeny of Th17-cell responses in humans. The frequency of serious bacterial infections in preterm infants and the importance of Th17 cells in providing protection against such infections in animal studies prompted us to study Th17-cell development in human neonates. Naïve CD4(+)  T cells from extremely preterm infants, term infants, and adults were assayed for their capacity to develop into Th17 effector cells. Surprisingly, Th17-cell capacity was inversely related to developmental age. Neonates expressed higher levels of IL-23R, RORγt, and STAT3 prior to activation and showed a significant Th17-cell bias after activation. In contrast, adult cells expressed more TBX21 with a corresponding Th1-cell bias. CD161 expression on Th17-cell precursors was also developmentally regulated. Our results suggest there is significant developmental regulation of CD4(+)  effector lineages with a strong bias toward Th17-cell development early in life.
authors.affiliation: Division of Neonatology, Department of Pediatrics, University of Alabama School of Medicine, Birmingham, AL 35249, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Black
authors.forename: Suniti
authors.initials: S
authors.lastname: Bhaumik
authors.forename: Richard L
authors.initials: RL
authors.lastname: Kirkman
authors.forename: Casey T
authors.initials: CT
authors.lastname: Weaver
authors.forename: David A
authors.initials: DA
authors.lastname: Randolph
mesh_terms: D000328:Adult; D015703:Antigens, CD / Q000235:genetics / Q000378:metabolism; D002469:Cell Separation; D002478:Cells, Cultured; D016207:Cytokines / Q000378:metabolism*; D005434:Flow Cytometry; D018507:Gene Expression Regulation, Developmental / Q000276:immunology; D006801:Humans; D007231:Infant, Newborn; D057132:Nuclear Receptor Subfamily 1, Group F, Member 3 / Q000235:genetics / Q000378:metabolism; D047928:Premature Birth / Q000276:immunology*; D018123:Receptors, Interleukin / Q000235:genetics / Q000378:metabolism; D050796:STAT3 Transcription Factor / Q000235:genetics / Q000378:metabolism; D015398:Signal Transduction / Q000276:immunology; D020825:T-Box Domain Proteins / Q000235:genetics / Q000378:metabolism; D018417:Th1 Cells / Q000276:immunology / Q000378:metabolism* / Q000473:pathology; D058408:Th1-Th2 Balance; D058504:Th17 Cells / Q000276:immunology / Q000378:metabolism* / Q000473:pathology; D000098815:T-bet Transcription Factor
chemical_list: D015703:Antigens, CD; D016207:Cytokines; C515500:IL23R protein, human; D057132:Nuclear Receptor Subfamily 1, Group F, Member 3; D018123:Receptors, Interleukin; D050796:STAT3 Transcription Factor; D020825:T-Box Domain Proteins; D000098815:T-bet Transcription Factor
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