RT Journal Article SR Electronic T1 Human KIR+CD8+ T cells target pathogenic T cells in Celiac disease and are active in autoimmune diseases and COVID-19 JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.12.23.473930 DO 10.1101/2021.12.23.473930 A1 Jing Li A1 Maxim Zaslavsky A1 Yapeng Su A1 Michael J. Sikora A1 Vincent van Unen A1 Asbjørn Christophersen A1 Shin-Heng Chiou A1 Liang Chen A1 Jiefu Li A1 Xuhuai Ji A1 Julie Wilhelmy A1 Alana M. McSween A1 Brad A. Palanski A1 Venkata Vamsee Aditya Mallajosyula A1 Gopal Krishna R. Dhondalay A1 Kartik Bhamidipati A1 Joy Pai A1 Lucas B. Kipp A1 Jeffrey E. Dunn A1 Stephen L. Hauser A1 Jorge R. Oksenberg A1 Ansuman T. Satpathy A1 William H. Robinson A1 Lars M. Steinmetz A1 Chaitan Khosla A1 Paul J. Utz A1 Ludvig M. Sollid A1 James R. Heath A1 Nielsen Q. Fernandez-Becker A1 Kari C. Nadeau A1 Naresha Saligrama A1 Mark M. Davis YR 2021 UL http://biorxiv.org/content/early/2021/12/25/2021.12.23.473930.abstract AB Previous reports show that Ly49+CD8+ T cells can suppress autoimmunity in mouse models of autoimmune diseases. Here we find a markedly increased frequency of CD8+ T cells expressing inhibitory Killer cell Immunoglobulin like Receptors (KIR), the human equivalent of the Ly49 family, in the blood and inflamed tissues of various autoimmune diseases. Moreover, KIR+CD8+ T cells can efficiently eliminate pathogenic gliadin-specific CD4+ T cells from Celiac disease (CeD) patients’ leukocytes in vitro. Furthermore, we observe elevated levels of KIR+CD8+ T cells, but not CD4+ regulatory T cells, in COVID-19 and influenza-infected patients, and this correlates with disease severity and vasculitis in COVID-19. Expanded KIR+CD8+ T cells from these different diseases display shared phenotypes and similar T cell receptor sequences. These results characterize a regulatory CD8+ T cell subset in humans, broadly active in both autoimmune and infectious diseases, which we hypothesize functions to control self-reactive or otherwise pathogenic T cells.One-Sentence Summary Here we identified KIR+CD8+ T cells as a regulatory CD8+ T cell subset in humans that suppresses self-reactive or otherwise pathogenic CD4+ T cells.Competing Interest StatementN.S., M.M.D. and J.L. are co-inventors on patent application 62/882,810, which includes discoveries described in this manuscript. M.M.D. is involved in a start-up company for the clinical applications of these discoveries. Other co-authors declare that they have no competing interests.