Regulatory T cells in skin mediate immune privilege of the hair follicle stem cell niche

Sci Immunol. 2024 Jan 5;9(91):eadh0152. doi: 10.1126/sciimmunol.adh0152. Epub 2024 Jan 5.

Abstract

Immune tolerance is maintained in lymphoid organs (LOs). Despite the presence of complex immune cell networks in non-LOs, it is unknown whether self-tolerance is maintained in these tissues. We developed a technique to restrict genetic recombination to regulatory T cells (Tregs) only in skin. Selective depletion of skin Tregs resulted in T cell-mediated inflammation of hair follicles (HFs). Suppression did not rely on CTLA-4, but instead on high-affinity interleukin-2 (IL-2) receptor expression by skin Tregs, functioning exclusively in a cell-extrinsic manner. In a novel model of HF stem cell (HFSC)-driven autoimmunity, we reveal that skin Tregs immunologically protect the HFSC niche. Finally, we used spatial transcriptomics to identify aberrant IL-2 signaling at stromal-HF interfaces in a rare form of human alopecia characterized by HFSC destruction and alopecia areata. Collectively, these results reveal the fundamental biology of Tregs in skin uncoupled from the systemic pool and elucidate a mechanism of self-tolerance.

MeSH terms

  • Hair Follicle
  • Humans
  • Immune Privilege*
  • Interleukin-2
  • Stem Cell Niche
  • T-Lymphocytes, Regulatory*

Substances

  • Interleukin-2