Human CD1c-autoreactive T-cells recognise Mycobacterium tuberculosis-infected antigen-presenting cells and display cytotoxic effector programmes
Year: 2026
Type: article
Abstract: Tuberculosis (TB), caused by Mycobacterium tuberculosis (Mtb), remains the leading cause of death from infection globally, yet the contribution of non-classical T-cell pathways to human immunity remains poorly defined. CD1c-autoreactive T-cells, which recognise self-lipids presented by the antigen-presenting molecule CD1c, are frequent in human blood, but their role during infection is unclear. Here, we investigate how CD1c-expressing antigen-presenting cells (APCs) and Mtb infection shape CD1c-autoreactive T-cell responses using engineered human APC systems, complemented by single-cell transcriptomic profiling to define the ex vivo phenotypic landscape of these T-cells. CD1c is present within human TB granulomas, whereas Mtb down-modulates CD1c expression on infected APCs, consistent with an immune evasion strategy. CD1c-autoreactive T-cells respond more strongly to Mtb-infected CD1c+ APCs than to uninfected cells, exhibiting enhanced activation, cytotoxicity, and diverse cytokine secretion via CD1c-dependent recognition. Under in vitro conditions, these T-cells reduce relative Mtb burden in infected phagocytes. Single-cell RNA-sequencing reveals cytotoxic effector-memory programmes and expression of antimicrobial molecules, providing a mechanistic basis for these responses. Together, these findings define a human CD1c-restricted T-cell response to Mtb-infected APCs and identify autoreactive CD1c-restricted T-cells as a candidate cellular axis for lipid-directed immunity in TB.
Source: eLife
Authors: Matthew Milton, Sahar H Farag, Diana Garay-Baquero, Jennie Gullick, Kinga Niedobecka, Daniel Burns, Rita Szoke-Kovacs, Patrick Trimby-Smith, Alex Look, Richard Stopforth, Marco Lepore, David K Cole, Laura Denney, Andrew White, Sally Sharpe, Alasdair Leslie, Andres Vallejo, Liku Tezera, Paul Elkington, Salah Mansour
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,500
Funders: Bill and Melinda Gates Foundation, Wellcome Trust, UK Research and Innovation, NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research, Cancer Research UK, National Institute for Health and Care Research, University of Southampton, European Commission, Public Health England, Medical Research Council
Awards: DTP Bid Led by University of Southampton, G1908921602, G3497358632, Bioengineering to combat the tuberculosis pandemic, Investigating the role of lung Tissue resident memory T-cell in the immunopathology of human TB, Investigating the role of lung Tissue resident memory T-cell in the immunopathology of human TB, MICA Investigating CD1c lipid-antigen presentation and its role in tuberculosis, G9000347873
OpenAlex ID: W7125227862
