The bone marrow maintains memory CD4 T cells, which provide memory to systemic antigens. Here we demonstrate that memory CD4 T cells are reactivated by antigen in the bone marrow. In a secondary immune response, antigen-specific T cells of the bone marrow mobilize and aggregate in immune clusters together with MHC class II-expressing cells, mostly B lymphocytes. They proliferate vigorously and express effector cytokines, but they do not develop into follicular T-helper cells. Neither do the B lymphocytes develop into germinal center B cells in the bone marrow. Within 10 days, the immune clusters disappear again. Within 30 days, the expanded antigen-specific memory CD4 T cells return to memory niches and are maintained again individually as resting cells. Thus, in secondary immune responses in the bone marrow T-cell memory is amplified, while in germinal center reactions of secondary lymphoid organs humoral memory is adapted by affinity maturation.bone marrow | tissue-resident CD4 memory T cells | reactivation | immune clusters | secondary immune reaction I t is increasingly recognized that immunological memory is compartmentalized to different areas of the body, with prominent populations of resident memory T cells being located in the bone marrow (1-5) and epithelial tissues such as the skin (6-8), the lung (9-11), and gastrointestinal (12, 13) and reproductive tracts (14, 15). In the bone marrow (BM), CD4 memory T cells specific for systemic antigens are maintained, even when they are absent from spleen and lymph nodes in mice (1), or the blood in humans (4), arguing that these cells are bona fide residents of the BM. BM resident CD4 memory T cells have been shown to provide efficient cognate help for antibody class switching and affinity maturation of antibodies to B lymphocytes in secondary lymphoid organs upon adoptive transfer (1). In the memory phase of an immune response, such memory T cells rest in the BM in terms of proliferation and activation (1, 4) and are maintained individually in "memory niches" organized by mesenchymal stromal cells (5). Here we analyze the reaction of BM resident CD4 memory T cells to antigen. We show that upon rechallenge antigen-specific CD4 memory T cells proliferate within the BM, independently of immigrating cells, and express effector cytokines. The activated T cells migrate to and gather in immune clusters, clustering with MHC class II-expressing cells, mostly mature B lymphocytes. The activated T cells, however, do not show a follicular helper cell phenotype, nor do the B cells express a germinal center phenotype. Within 30 d after reactivation the immune clusters disappear and the amplified antigen-specific CD4 memory T cells rest again in terms of proliferation, individually dispersed throughout the BM. We show here that immunological CD4 memory is amplified within the BM in a nonfollicular fashion in secondary immune reactions.
Results
CD4 Memory T Cells Expand in the BM Following Antigen Reactivation.C57BL/6 mice were immunized with 100 μg lymphocytic choriomeningit...