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The heterogeneity and sexual-dimorphism of human TCRαβ+CD4CD8double negative T cells

doi: 10.1016/j.jgg.2026.04.008
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This study was supported by the National Natural Science Foundation of China (82270606, 82171823, 62572223, and 62301246), R&

D Program of Beijing Municipal Education Commission (KZ202210025036), Beijing Municipal Administration of Hospitals’ Ascent Plan (DFL20220103), Chinese Institutes for Medical Research, Beijing (CX24PY16), Reform and Development Program of Beijing Institute of Respiratory Medicine (Ggyfz202403), Youth Beijing Scholar (035), Beijing Nova Program (20240484501), Beijing Natural Science Foundation (7232035), and Distinguished Young Scholars from Beijing Friendship Hospital (yyqcjh2022-4). The authors express their sincere gratitude to the donors of peripheral blood: Song Wang, Guangyong Sun, Dan Tian, Xue Dong, Shiyang Huang, Zihan Zhang, Xinye Cui, Dongming Li, Bihan Liu, and Xiaonan Du.

  • Received Date: 2025-08-08
  • Accepted Date: 2026-04-13
  • Rev Recd Date: 2026-04-10
  • Available Online: 2026-04-22
  • TCRαβ+ double negative T (DNT) cells are increasingly being recognized for their critical roles in the progression of various diseases. However, the molecular and functional signatures remain poorly understood and controversial. In this study, we characterize the single-cell transcriptome, TCR repertoire, and chromatin accessibility of peripheral DNT cells from 10 healthy donors. Naïve, regulatory, cytotoxic, antibody-dependent cell-mediated cytotoxicity, and helper-like DNT cell subsets exhibit specific gene expression, transcriptome regulation, development signature, and sexual heterogeneity, respectively. Using publicly available data, we observe changes in the proportion and gene expression of DNT cell subsets, especially the helper subset, in patients with ulcerative colitis and type 1 diabetes. Overall, human DNT cells exhibit phenotypic and functional diversity, providing a valuable framework for understanding the development and progression of immune-related diseases.
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  • Abraham, V.S., Sachs, D.H., Sykes, M., 1992. Mechanism of protection from graft-versus-host disease mortality by IL-2. III. Early reductions in donor T cell subsets and expansion of a CD3+CD4-CD8- cell population. J. Immunol. 148, 3746-3752.
    Aibar, S., Gonzalez-Blas, C.B., Moerman, T., Huynh-Thu, V.A., Imrichova, H., Hulselmans, G., Rambow, F., Marine, J.C., Geurts, P., Aerts, J., et al., 2017. SCENIC: single-cell regulatory network inference and clustering. Nat. Methods 14, 1083-1086.
    Alunno, A., Bistoni, O., Bartoloni, E., Caterbi, S., Bigerna, B., Tabarrini, A., Mannucci, R., Falini, B., Gerli, R., 2013. IL-17-producing CD4-CD8- T cells are expanded in the peripheral blood, infiltrate salivary glands and are resistant to corticosteroids in patients with primary Sjogren's syndrome. Ann. Rheum. Dis. 72, 286-292.
    Anand, A., Dean, G.S., Quereshi, K., Isenberg, D.A., Lydyard, P.M., 2002. Characterization of CD3+ CD4- CD8- (double negative) T cells in patients with systemic lupus erythematosus: activation markers. Lupus. 11, 493-500.
    Augustin, J.E., Soussan, P., Bass, A.J., 2022. Targeting the complexity of ERBB2 biology in gastroesophageal carcinoma. Ann. Oncol. 33, 1134-1148.
    Beura, L.K., Hamilton, S.E., Bi, K., Schenkel, J.M., Odumade, O.A., Casey, K.A., Thompson, E.A., Fraser, K.A., Rosato, P.C., Filali-Mouhim, A., et al., 2016. Normalizing the environment recapitulates adult human immune traits in laboratory mice. Nature 532, 512-516.
    Boland, B.S., He, Z., Tsai, M.S., Olvera, J.G., Omilusik, K.D., Duong, H.G., Kim, E.S., Limary, A.E., Jin, W., Milner, J.J., et al., 2020. Heterogeneity and clonal relationships of adaptive immune cells in ulcerative colitis revealed by single-cell analyses. Sci. Immunol. 5, eabb4432.
    Bongen, E., Lucian, H., Khatri, A., Fragiadakis, G.K., Bjornson, Z.B., Nolan, G.P., Utz, P.J., Khatri, P., 2019. Sex differences in the blood transcriptome identify robust changes in immune cell proportions with aging and influenza infection. Cell. Rep. 29, 1961-1973.
    Cao, J., Spielmann, M., Qiu, X., Huang, X., Ibrahim, D.M., Hill, A.J., Zhang, F., Mundlos, S., Christiansen, L., Steemers, F.J., et al., 2019. The single-cell transcriptional landscape of mammalian organogenesis. Nature 566, 496-502.
    Carrasco, A., Fernandez-Banares, F., Pedrosa, E., Salas, A., Loras, C., Rosinach, M., Aceituno, M., Andujar, X., Forne, M., Zabana, Y., et al., 2016. Regional specialization of T cell subsets and apoptosis in the human gut mucosa: differences between ileum and colon in healthy intestine and inflammatory bowel diseases. J. Crohns. Colitis. 10, 1042-1054.
    Chen, W., Zhou, D., Torrealba, J.R., Waddell, T.K., Grant, D., Zhang, L., 2005. Donor lymphocyte infusion induces long-term donor-specific cardiac xenograft survival through activation of recipient double-negative regulatory T cells. J. Immunol. 175, 3409-3416.
    Crispin, J.C., Tsokos, G.C., 2009. Human TCR-alpha beta+ CD4- CD8- T cells can derive from CD8+ T cells and display an inflammatory effector phenotype. J. Immunol. 183, 4675-4681.
    Cumming, C., Mansoor, E., Perez, J.A., Pietropaoli, D., Del Pinto, R., Pizarro, T.T., 2025. Sex-based differences in prescribed medications, surgical procedures and disease-related complications in IBD. Gut 74, 508-511.
    Dias, S.P., Brouwer, M.C., van de Beek, D., 2022. Sex and gender differences in bacterial infections. Infect. Immun. 90, e0028322.
    Ehrmann, D., Kulzer, B., Roos, T., Haak, T., Al-Khatib, M., Hermanns, N., 2020. Risk factors and prevention strategies for diabetic ketoacidosis in people with established type 1 diabetes. Lancet Diabetes Endocrinol. 8, 436-446.
    Fairweather, D., Frisancho-Kiss, S., Rose, N.R., 2008. Sex differences in autoimmune disease from a pathological perspective. Am. J. Pathol. 173, 600-609.
    Fang, K.K.-L., Lee, J., Khatri, I., Na, Y., Zhang, L., 2023. Targeting T-cell malignancies using allogeneic double-negative CD4-CAR-T cells. J. Immunother. Cancer 11, e007277.
    Ford, M.S., Zhang, Z.X., Chen, W., Zhang, L., 2006. Double-negative T regulatory cells can develop outside the thymus and do not mature from CD8+ T cell precursors. J. Immunol. 177, 2803-2809.
    Gal-Oz, S.T., Maier, B., Yoshida, H., Seddu, K., Elbaz, N., Czysz, C., Zuk, O., Stranger, B.E., Ner-Gaon, H., Shay, T., 2019. ImmGen report: sexual dimorphism in the immune system transcriptome. Nat. Commun. 10, 4295.
    Gogoleva, V.S., Drutskaya, M.S., Vorontsov, A.I., Atretkhany, K.N., Belogurov, A.A., Jr., Kruglov, A.A., Nedospasov, S.A., 2024. Lymphotoxins from distinct types of lymphoid cells differentially contribute to neuroinflammation. Eur. J. Immunol. 54, e2350977.
    Grishkan, I.V., Ntranos, A., Calabresi, P.A., Gocke, A.R., 2013. Helper T cells down-regulate CD4 expression upon chronic stimulation giving rise to double-negative T cells. Cell. Immunol. 284, 68-74.
    Honardoost, M.A., Adinatha, A., Schmidt, F., Ranjan, B., Ghaeidamini, M., Arul Rayan, N., Gek Liang Lim, M., Joanito, I., Xiao Xuan Lin, Q., Rajagopalan, D., et al, 2024. Systematic immune cell dysregulation and molecular subtypes revealed by single-cell RNA-seq of subjects with type 1 diabetes. Genome Med. 16, 45.
    Hundeyin, M., Kurz, E., Mishra, A., Rossi, J.A.K., Liudahl, S.M., Leis, K.R., Mehrotra, H., Kim, M., Torres, L.E., Ogunsakin, A., et al., 2019. Innate alphabeta T cells mediate antitumor immunity by orchestrating immunogenic macrophage programming. Cancer Discov. 9, 1288-1305.
    Ivanov, I.I., McKenzie, B.S., Zhou, L., Tadokoro, C.E., Lepelley, A., Lafaille, J.J., Cua, D.J., Littman, D.R., 2006. The orphan nuclear receptor RORgammat directs the differentiation program of proinflammatory IL-17+ T helper cells. Cell 126, 1121-1133.
    Jin, H., Li, M., Wang, X., Yang, L., Zhong, X., Zhang, Z., Han, X., Zhu, J., Li, M., Wang, S., et al., 2025. Purinergic signaling by TCRαβ(+) double-negative T regulatory cells ameliorates liver ischemia-reperfusion injury. Sci. Bull (Beijing). 70, 241-254.
    Jin, S., Guerrero-Juarez, C.F., Zhang, L., Chang, I., Ramos, R., Kuan, C.H., Myung, P., Plikus, M.V., Nie, Q., 2021. Inference and analysis of cell-cell communication using CellChat. Nat. Commun. 12, 1088.
    Jiwrajka, N., Toothacre, N.E., Beethem, Z.T., Sting, S., Forsyth, K.S., Dubin, A.H., Driscoll, A., Stohl, W., Anguera, M.C., 2023. Impaired dynamic X-chromosome inactivation maintenance in T cells is a feature of spontaneous murine SLE that is exacerbated in female-biased models. J. Autoimmun. 139, 103084.
    Klein, S.L., Flanagan, K.L., 2016. Sex differences in immune responses. Nat. Rev. Immunol. 16, 626-638.
    Lai, Z.W., Borsuk, R., Shadakshari, A., Yu, J., Dawood, M., Garcia, R., Francis, L., Tily, H., Bartos, A., Faraone, S.V., et al., 2013. Mechanistic target of rapamycin activation triggers IL-4 production and necrotic death of double-negative T cells in patients with systemic lupus erythematosus. J. Immunol. 191, 2236-2246.
    Li, C., Du, X., Shen, Z., Wei, Y., Wang, Y., Han, X., Jin, H., Zhang, C., Li, M., Zhang, Z., et al., 2022. The critical and diverse roles of CD4(-)CD8(-) double negative T cells in nonalcoholic fatty liver disease. Cell Mol. Gastroenterol. Hepatol. 13, 1805-1827.
    Li, F., Xing, X., Jin, Q., Wang, X.M., Dai, P., Han, M., Shi, H., Zhang, Z., Shao, X., Peng, Y., et al., 2024. Sex differences orchestrated by androgens at single-cell resolution. Nature 629, 193-200.
    Li, H., Adamopoulos, I.E., Moulton, V.R., Stillman, I.E., Herbert, Z., Moon, J.J., Sharabi, A., Krishfield, S., Tsokos, M.G., Tsokos, G.C., 2020. Systemic lupus erythematosus favors the generation of IL-17 producing double negative T cells. Nat. Commun. 11, 2859.
    Li, W., Tang, X., Zheng, Y., Xu, X., Zhao, N., Tsao, B.P., Feng, X., Sun, L., 2024. Phosphatidic acid promoting the generation of interleukin-17A producing double-negative T cells by enhancing mTORC1 signaling in lupus. Arthritis. Rheumatol. 76, 1096-1108.
    Morselli, E., Santos, R.S., Criollo, A., Nelson, M.D., Palmer, B.F., Clegg, D.J., 2017. The effects of oestrogens and their receptors on cardiometabolic health. Nat. Rev. Endocrinol. 13, 352-364.
    Okamura, K., Wang, L., Nagayama, S., Yamashita, M., Tate, T., Matsumoto, S., Takamatsu, M., Kitano, S., Kiyotani, K., Nakamura, Y., 2024. Characterization of double-negative T cells in colorectal cancers and their corresponding lymph nodes. Oncoimmunology 13, 2373530.
    Parthasarathy, S., Shen, Z., Carrillo-Salinas, F.J., Iyer, V., Vogell, A., Illanes, D., Wira, C.R., Rodriguez-Garcia, M., 2023. Aging modifies endometrial dendritic cell function and unconventional double negative T cells in the human genital mucosa. Immun. Ageing 20, 34.
    Patin, E., Hasan, M., Bergstedt, J., Rouilly, V., Libri, V., Urrutia, A., Alanio, C., Scepanovic, P., Hammer, C., Jonsson, F., et al., 2018. Natural variation in the parameters of innate immune cells is preferentially driven by genetic factors. Nat. Immunol. 19, 302-314.
    Pobezinsky, L.A., Angelov, G.S., Tai, X., Jeurling, S., Van Laethem, F., Feigenbaum, L., Park, J.H., Singer, A., 2012. Clonal deletion and the fate of autoreactive thymocytes that survive negative selection. Nat. Immunol. 13, 569-578.
    Ponzetta, A., Carriero, R., Carnevale, S., Barbagallo, M., Molgora, M., Perucchini, C., Magrini, E., Gianni, F., Kunderfranco, P., Polentarutti, N., et al., 2019. Neutrophils driving unconventional T cells mediate resistance against murine sarcomas and selected human tumors. Cell 178, 346-360.
    Qin, Y., Wang, Y., Wu, Y., Feng, M., Zhao, X., Gao, C., Guo, H., Luo, J., 2021. Double-negative T cells are absolutely elevated in patients with antineutrophil cytoplasmic autoantibody-associated vasculitis. Mol. Immunol. 132, 250-259.
    Rodriguez-Rodriguez, N., Apostolidis, S.A., Fitzgerald, L., Meehan, B.S., Corbett, A.J., Martin-Villa, J.M., McCluskey, J., Tsokos, G.C., Crispin, J.C., 2016. Pro-inflammatory self-reactive T cells are found within murine TCR-alphabeta(+) CD4(-) CD8(-) PD-1(+) cells. Eur. J. Immunol. 46, 1383-1391.
    Rodriguez-Rodriguez, N., Flores-Mendoza, G., Apostolidis, S.A., Rosetti, F., Tsokos, G.C., Crispin, J.C., 2020. TCR-α/β CD4 CD8 double negative T cells arise from CD8 T cells. J. Leukoc. Biol. 108, 851-857.
    Sun, G., Zhao, X., Li, M., Zhang, C., Jin, H., Li, C., Liu, L., Wang, Y., Shi, W., Tian, D., et al., 2021. CD4 derived double negative T cells prevent the development and progression of nonalcoholic steatohepatitis. Nat. Commun. 12, 650.
    Tian, D., Pan, Y., Zhao, Y., Wang, H., Tian, Y., Yang, L., Shi, W., Zhang, C., Zhu, Y., Zhang, Y., et al., 2023. TCRalphabeta(+)NK1.1(-)CD4(-)CD8(-) double-negative T cells inhibit central and peripheral inflammation and ameliorate ischemic stroke in mice. Theranostics 13, 896-909.
    Tian, D., Yang, L., Wang, S., Zhu, Y., Shi, W., Zhang, C., Jin, H., Tian, Y., Xu, H., Sun, G., et al., 2019. Double negative T cells mediate Lag3-dependent antigen-specific protection in allergic asthma. Nat. Commun. 10, 4246.
    Tin, E., Khatri, I., Fang, K., Na, Y., Nawata, M., Arteaga, J., Minden, M.D., Rutella, S., Lee, J., Zhang, L., 2025. Single-cell RNA sequencing of human double-negative T cells reveals a favorable cellular signature for cancer therapy. J. Immunother. Cancer 13, e010684.
    Upadhyay, V., Fu, Y.X., 2013. Lymphotoxin signalling in immune homeostasis and the control of microorganisms. Nat. Rev. Immunol. 13, 270-279.
    Vasic, D., Lee, J.B., Leung, Y., Khatri, I., Na, Y., Abate-Daga, D., Zhang, L., 2022. Allogeneic double-negative CAR-T cells inhibit tumor growth without off-tumor toxicities. Sci. Immunol. 7, eabl3642.
    Verheul, H.A., Verveld, M., Hoefakker, S., Schuurs, A.H., 1995. Effects of ethinylestradiol on the course of spontaneous autoimmune disease in NZB/W and NOD mice. Immunopharmacol. Immunotoxicol. 17, 163-180.
    Wang, Y., Sanchez, L., Siegel, D.S., Wang, M.L., 2016. Elotuzumab for the treatment of multiple myeloma. J. Hematol. Oncol. 9, 55.
    Yachie, A., Ueno, Y., Takano, N., Miyawaki, T., Taniguchi, N., 1989. Developmental changes of double-negative (CD3+ 4-8-) T cells in human peripheral blood. Clin. Exp. Immunol. 76, 258-261.
    Yang, L., Zhu, Y., Tian, D., Wang, S., Guo, J., Sun, G., Jin, H., Zhang, C., Shi, W., Gershwin, M.E., et al., 2021. Transcriptome landscape of double negative T cells by single-cell RNA sequencing. J. Autoimmun. 121, 102653.
    Yao, J., Ly, D., Dervovic, D., Fang, L., Lee, J.B., Kang, H., Wang, Y.H., Pham, N.A., Pan, H., Tsao, M.S., et al., 2019. Human double negative T cells target lung cancer via ligand-dependent mechanisms that can be enhanced by IL-15. J. Immunother. Cancer 7, 17.
    Yasumizu, Y., Takeuchi, D., Morimoto, R., Takeshima, Y., Okuno, T., Kinoshita, M., Morita, T., Kato, Y., Wang, M., Motooka, D., et al., 2024. Single-cell transcriptome landscape of circulating CD4+ T cell populations in autoimmune diseases. Cell. Genom. 4, 100473.
    Zhang, D., Yang, W., Degauque, N., Tian, Y., Mikita, A., Zheng, X.X., 2007. New differentiation pathway for double-negative regulatory T cells that regulates the magnitude of immune responses. Blood 109, 4071-4079.
    Zhang, D., Zhang, W., Ng, T.W., Wang, Y., Liu, Q., Gorantla, V., Lakkis, F., Zheng, X.X., 2011. Adoptive cell therapy using antigen-specific CD4(-)CD8(-)T regulatory cells to prevent autoimmune diabetes and promote islet allograft survival in NOD mice. Diabetologia 54, 2082-2092.
    Zhang, Z.X., Yang, L., Young, K.J., DuTemple, B., Zhang, L., 2000. Identification of a previously unknown antigen-specific regulatory T cell and its mechanism of suppression. Nat. Med. 6, 782-789.
    Zhao, J., Han, X., Li, H., Luo, Y., Fang, Y., Wang, Y., Gao, J., Zhao, Y., Han, J., Qian, F., 2024. Analysis of the immune response by standardized whole-blood stimulation with metabolism modulation. Phenomics 4, 81-89.
    Zhao, X., Sun, G., Sun, X., Tian, D., Liu, K., Liu, T., Cong, M., Xu, H., Li, X., Shi, W., et al., 2016. A novel differentiation pathway from CD4(+) T cells to CD4(-) T cells for maintaining immune system homeostasis. Cell. Death. Dis. 7, e2193.
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