Vγ9Vδ2 T cells are the main circulating γδ T cells in human adult blood. They are known for their T cell receptor (TCR)-dependent recognition of microbe and endogenous-derived non-peptide pyrophosphate antigens (phosphoantigens, PAg). With the intrinsically biased type 1 immune responses, Vγ9Vδ2 T cells are an important force in the defense of infections and tumors. However, the immune responses of Vγ9Vδ2 T cells in early life infections and in immunotherapies are not clear yet. In this thesis, we explored Vγ9Vδ2 T cell immune responses in both aspects. Vγ9Vδ2 T cells are abundant in human fetal peripheral blood, but compared to their adult counterparts they have a distinct developmental origin, are hyporesponsive towards in vitro phosphoantigen exposure and they do not possess a cytotoxic effector phenotype. In order to obtain insight into the role of Vγ9Vδ2 T cells in the human fetus, we investigated in the first part of this thesis their responses upon in utero infection with the phosphoantigen-producing parasite Toxoplasma gondii (T. gondii). Most congenital infections are caused by viruses, T. gondii is one of the exceptions. The organelle apicoplast present in T. gondii can generate the most potent Vγ9Vδ2 T cell activator. Thus infection in utero with T. gondii makes it a good model to observe Vγ9Vδ2 T cell immune responses in early life. By comparing to age-matched controls, we found that fetal Vγ9Vδ2 T cells were highly expanded in congenital T. gondii infected newborns, and these expanded cells were highly differentiated towards potent cytotoxic effector cells. While the impact of congenital infection on Vγ9Vδ2 T cell expansion and function waned after birth, the Vγ9Vδ2 TCR repertoire of infected infants possessed a clear fetal footprint with public clonotypes, reflecting the Vγ9Vδ2 T cell response in utero. Indeed, verification of the antigen recognition related complementarity-determining region 3 (CDR3) of the TCR for γ and δ chain by high-throughput sequencing revealed the enrichment of three Vδ2 sequences in congenitally-infected infants that are already generated at 8 weeks of gestation. Vγ9Vδ2 T cells possess several characteristics, including MHC-independent recognition of tumor cells and potent killing potential, that make them attractive candidates for cancer immunotherapeutic approaches. In the second part of this thesis we investigated Vγ9Vδ2 T cell responses towards two kinds of hemiparasite plant Viscum album L. (European mistletoe) extract drugs in vitro. Mistletoe therapy is the most used complementary cancer therapy in European countries. Mistletoe extract drugs are considered to benefit for increasing the quality of life of cancer patients and modulate immune cells, but the mechanism of action is not clear. Here, we investigated in-depth the in vitro response of human T cells towards mistletoe extract drugs by analyzing their functional and TCR responses using flow cytometry and high-throughput sequencing respectively. Non-fermented mistletoe-extract drugs (AbnobaViscum), but not their fermented counterparts (Iscador), induced specific expansion of Vγ9Vδ2 T cells among T cells. Furthermore, AbnobaViscum rapidly induced the release of cytotoxic granules and the production of the cytokines IFNγ and TNFα in Vγ9Vδ2 T cells. This stimulation of anti-cancer Vγ9Vδ2 T cells was mediated by the butyrophilin BTN3A, did not depend on the accumulation of endogenous phosphoantigens and involved the same Vγ9Vδ2 TCR repertoire as those of phosphoantigen-reactive Vγ9Vδ2 T cells.In summary, in the first part of this thesis we showed that the human fetus intrinsically possesses a group of Vγ9Vδ2 T cells that are responding to congenital parasite infections that provide potential protective effects to the fetus. In the second part, we provided insight into the in vitro responses of Vγ9Vδ2 T cells towards mistletoe extract drugs, indicating that Vγ9Vδ2 T cells can be an important target in mistletoe therapy. / Doctorat en Sciences biomédicales et pharmaceutiques (Pharmacie) / info:eu-repo/semantics/nonPublished

La sous-famille BTN3A comprend 3 isoformes : BTN3A1, A2 et A3. Le domaine intracellulaire B30.2 de BTN3A1 est impliqué dans la reconnaissance du Phosphoantigène (Pag) et l’activation des lymphocytes T Vγ9Vδ2(LTVγ9Vδ2). BTN3A2, dépourvue de B30.2, pourrait être un récepteur-leurre. L’anticorps monoclonal (Acm) 20.1 reconnaît les trois isoformes de BTN3A et sensibilise les tumeurs à la lyse par les LTVγ9Vδ2, mimant l’action des Biphosphonates (N-BP). Nous avons étudié l’expression, la régulation et le ciblage de BTN3A en contexte d’hémopathie maligne et de tumeur solide. Nous avons montré que BTN3A2 est l’isoforme majoritairement exprimée par les blastes de Leucémie Aiguë Myéloïde (LAM) primaire. Cependant, l’Acm 20.1 sensibilise les blastes de LAM primaire à la lyse par les LT Vγ9Vδ2, même ceux résistants aux N-BP. Cet effet est confirmé dans des souris NOD-SCID-γcKO xénogreffées avec la lignée U937 ou des blastes primaires. Nous avons ensuite montré l’expression de BTN3A sur des lignées et des tumeurs pancréatiques primaires et observé qu’elle est associée au pronostic chez les patients atteints de cancer du pancréas. L’expression de BTN3A2, isoforme majoritairement exprimée augmente en contexte de stress cellulaire hypoxique et métabolique. La faible expression de BTN3A1 comparativement à BTN3A2 et le clivage des BTN3A pourraient favoriser l’échappement tumoral à la reconnaissance par les LT Vγ9Vδ2. Cependant, les LT Vγ9Vδ2 ont des fonctions cytolytiques préservées en hypoxie. Le ciblage de BTN3A par l’Acm 20.1 sur les tumeurs étudiées, en restaurant la lyse par les LT Vγ9Vδ2, offrirait des perspectives thérapeutiques notamment pour les tumeurs chimiorésistantes. / BTN3A subfamily comprises three isoforms: BTN3A1, A2 and A3. The B30.2 intracellular domain of BTN3A1is involved in Phosphoantigen recognition and Vγ9Vδ2 T cells activation. BTN3A2, devoid of B30.2 domain, could be « a decoy receptor ». The agonist anti-BTN3A monoclonal Antibody (mAb) 20.1 recognizes the three BTN3A isoforms and sensitizes tumors to Vγ9Vδ2 T cell lysis. This mAb mimics the effect of Aminobisphosphonates (N-BP). We studied BTN3A expression, regulation and targeting in tumors of hematological and solid origin. We showed that primary Acute Myeloïd Leukemia (AML) blasts express BTN3A with a main expression of BTN3A2. However, the 20.1 mAb sensitizes primary AML blasts to Vγ9Vδ2 T cell lysis even N-BP-poorly sensitive blasts. This was confirmed in NOD-SCID-γc KO mice xenografted with U937 human cell line or primary blasts. Next, we have demonstrated BTN3A expression in pancreatic cell lines and primary tumors. We observed that BTN3A is associated to prognosis in patients with pancreatic cancer. BTN3A2 is the most highly expressed isoform and its level of expression increases upon hypoxic and metabolic cellular stress. The weak expression of BTN3A1 compared to BTN3A2 isoform together with BTN3A molecules shedding could constitute an immune escape mechanism of tumor cells from Vγ9Vδ2 T cells recognition. Though, Vγ9Vδ2 T cells have preserved cytotoxic functions under hypoxic condition. BTN3A targeting with anti-BTN3A 20.1 mAb on the tumors we studied would open new therapeutic perspectives notably in chemoresistant tumors, thanks to the restoration of Vγ9Vδ2 T cell lysis.