Persisting fetal clonotypes influence the structure and overlap of adult human T cell receptor repertoires

The diversity of T-cell receptors recognizing foreign pathogens is generated through a highly stochastic recombination process, making the independent production of the same sequence rare. Yet unrelated individuals do share receptors, which together constitute a “public” repertoire of abundant clonotypes. The TCR repertoire is initially formed prenatally, when the enzyme inserting random nucleotides is downregulated, producing a limited diversity subset. By statistically analyzing deep sequencing T-cell repertoire data from twins, unrelated individuals of various ages, and cord blood, we show that T-cell clones generated before birth persist and maintain high abundances in adult organisms for decades, slowly decaying with age. Our results suggest that large, low-diversity public clones are created during pre-natal life, and survive over long periods, providing the basis of the public repertoire.
Author summary The enormous diversity of T-cell receptor (TCR) molecules allows our adaptive immune system to recognize and fight infections. TCRs are formed through the stochastic rearrangement of DNA. By analysing human repertoire sequences of identical twins using a statistical model for TCR formation, we identified T-cells that were exchanged between twin embryos during pregnancy. We exploited the slightly different recombination statistics between fetal clonotypes and mature ones to track their relative fractions in adult T-cell repertoires of different ages. We showed that the decay of fetal clonotypes with age is extremely slow, spanning several decades. Our findings suggest that an important part of our adaptive immune system is formed before birth.