We had previously found that CD4 T cell development is severely impaired in the absence of TOX (
25), a nuclear protein predicted to be a structure-dependent but sequence-independent DNA binding factor (
46). The minor CD4 T cell population that escapes the thymus in the absence of TOX had lower than normal expression of
Thpok, supporting a role for TOX in regulation of ThPOK expression. In addition, a population of splenic CD4
+8
int T cells was present in
Tox−/− mice, and the normal lineage bias of CD103 expression was eliminated. CD4
+8
int cells have also been reported in mice that express a hypomorphic allele of
Thpok (
6,
21), consistent with presence of these cells in
Tox−/− mice due to misregulation of ThPOK during thymic development. Indeed, CD8 repression in peripheral CD4
+ T cells has been demonstrated to require continued expression of ThPOK (
6,
47).
Whether regulation of ThPOK by TOX is a direct or indirect effect remains to be determined. In terms of the latter, it is possible that TOX influences TCR signaling, likely needed for ThPOK induction (
14). Although we have not observed any gross perturbations in TCR-mediated signaling in
Tox−/− thymocytes (
25), reduced expression of CD4 and the TCR could be a factor. Alternatively, TOX could act independently on the ThPOK locus or renders the locus more accessible to GATA3 (
17) and/or other factors. Indeed, the fact that TOX is also expressed in cells developing to the CD8 lineage indicates that cell context and additional inputs likely modify the effects of TOX expression. Enforced expression of ThPOK eliminates expression of CD8, CD103 and
Prf1 by
Tox−/− CD4
+ T cells. ThPOK also repressed expression of Runx3 even in the absence of TOX, likely preventing CD103 expression (
30). ThPOK can inhibit its own silencing, possibly by inhibition of Runx3, thus initiating a positive feedback loop (
21). Nevertheless, ThPOK and the lack of Runx3 expression were not sufficient to fully activate the
Thpok locus in the absence of TOX. We conclude from these data that TOX plays a role in alternative fate repression solely as a modulator of ThPOK induction.
CD4
+ T cells can develop even in the absence of ThPOK as long as the activity of Runx factors is also eliminated (
6). This observation suggests that additional factors likely play a positive role in development of a CD4 lineage program. Our data suggest that TOX is one such factor. CD4
+ T cells replaced CD8
+ T cells in
Tox−/− mice when ThPOK was expressed. Despite this, CD4 lineage development in the thymus was compromised in these animals, including failure to fully re-express CD4 and poor induction of CD154 on SP thymocytes and CD4 T cells. The former observation is consistent with the TOX-dependence (
25) but ThPOK independence (
6,
12) of the DD to CD4
+CD8
lo transition. Thus, one aspect of the requirement for TOX in mediating the development of CD4
+CD8
lo cells may be regulation of the
Cd4 locus itself.
Despite expression of CD4 on both DP thymocytes and CD4SP thymocytes, there are significant differences between these immature and mature cells in terms of accessibility, occupancy and histone modification of the promoter, enhancer and silencer elements (
48-
50). While the DD subpopulation in particular has not been studied in this context, there is a report of silencer activity in these cells as assessed using marker transgenic mice (
48). Runx3 protein can be detected at low levels in DD thymocytes (
25). CD8 lineage T cells, in contrast, express high levels of Runx3 coincident with a switch to the distal promoter (
5). It is possible that TOX plays a role in relief of this silencing leading to full reexpression of CD4 and acquisition of the CD4
+CD8
lo phenotype. If so, this effect would have to be cell context dependent, since expression of TOX in DP thymocytes can lead to
Cd4 silencing (
32). Alternatively, TOX may influence other regulatory elements, including that of a yet to be identified
Cd4 enhancer of mature T cells (
50). In addition, modulation of E protein activity (see below), implicated in
Cd4 gene regulation (
51) might also play a role in misregulation of CD4 in the absence of TOX.
The basic helix-loop-helix E protein transcriptional regulators E2a/E47 and HEB play multiple roles in the thymus (reviewed in (
52)). In terms of the DP to SP transition, inhibition of E protein activity mediated by TCR induction of Id3 plays a non-redundant role, particularly for CD4SP development (
34). The normal expression of Id3, which is rapidly induced as a consequence of TCR activation of the MAPK pathway during positive selection (
53), in
Tox−/− mice is consistent with unperturbed initiation of positive selection in the absence of TOX (
25). In contrast, Id2 expression peaks at the later TOX-dependent CD4
+8
lo transitional stage (data not shown), and expression of Id2 was diminished in ThPOKTg
Tox−/− CD4SP thymocytes.
A functional role for Id2 in the thymus has not been defined, but one might predict that upregulation would further diminish E protein activity. That the DP to SP transition is inhibited in Id3-deficient but not Id2-deficient mice, may reflect the differences in kinetics of expression of these proteins. Since Id2 is upregulated after induction of Id3 during positive selection (data not shown), it would not be expected to compensate for loss of Id3, while Id3 may have compensatory activity when Id2 is absent. The finding of reduced Id2 in ThPOKTg
Tox−/− CD4SP thymocytes led us to ask whether there would be consequences for expression of genes that might normally be repressed by E protein activity. This was indeed the case as expression of both
Tesc and
Foxo1, genes previously shown to be upregulated in E2a/HEB doubly deficient thymocytes (
35) and in the case of
Foxo1, downregulated upon expression of E47 in a thymic lymphoma cell line (
54), were poorly induced in the absence of TOX. The role of tescalcin in the thymus remains to be determined, although there is the potential to modulate cell signaling and/or cell differentiation (
39,
40,
55). Better defined is the function of FOXO1 in CD4
+ T cells (
42). Expression of FOXO1 primary and downstream gene targets, including Klf2,
S1pr1, Il7r, Ccr7 and
Sell, was compromised in the absence of TOX. ThPOKTg
Tox−/− CD4SP thymocytes were still able to localize to medullary regions of the thymus, albeit inefficiently, and exit to the periphery, indicating that downregulation of these factors did not result in a complete block in chemotaxis or migration. Moreover, decreased FOXO1 expression in the absence of TOX was also associated with increased frequency of CD44
hi (and CD69
hi on a subset of these) CD4
+ T cells in ThPOKTg
Tox−/− mice, as also observed in FOXO1-deficient mice (
42).
It is intriguing that
Tox−/− mice, like Id2-deficient mice, have blocks in development of NK cells and LTi cells (
56,
57).
Tox−/− bone marrow NK cells also have lower expression of
Id2, similar to that reported in the thymus here (
58). Nevertheless, ectopically expressed Id2 does not rescue development of
Tox−/− NK cells
in vitro, pointing to additional roles for TOX in this process (
58). Together, our data are consistent with TOX as an upstream modulator of Id2 expression, both in developing T cells and in other cell lineages. Expression of the E protein E47 in an E2a-deficient thymic lymphoma cell line leads to modest reduction in
Tox expression (
54), suggesting that E proteins could be an upstream repressor of TOX expression in some contexts. However, TOX and Id3 are induced by different signaling pathways (
32,
53) and TOX expression precedes that of Id2 (data not shown). These data argue against the idea that a reduction in E protein expression at the initiation of positive selection is key to TOX induction. An alternate possibility is that there is a feed-forward regulatory loop where TOX-dependent upregulation of Id2 and ensuing downregulation of E protein activity enhances TOX expression. Indeed, TOX and Id2 expression both peak at the CD4
+8
lo stage.
We propose a model where TOX is required for Cd4 reexpression at the DD to CD4+8lo transition as well as to create a permissive state for ThPOK induction, resulting in CD8 fate repression independently of the activity of TOX. In addition, suppression of E protein activity may occur in discrete stages during positive selection. TOX would play a role in Id2 upregulation and full E protein inhibition at the CD4+8lo stage, necessary for induction of multiple aspects of the CD4 T cell lineage gene program as well as to enhance TOX expression. The fact that TOX is not CD4 lineage specific points to the influence of other factors, potentially GATA3, that likely influence the biological function of TOX. Nevertheless, our data demonstrate that the ‘pulse’ of TOX expression during positive selection is a key regulatory event in CD4 lineage differentiation.