Blood cytotoxic natural killer-like CD8 + CD94+ T cells migrate to the brain and predict multiple sclerosis severity

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ID: 319371
2026
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Abstract
Memory CD8+ T cells are central to multiple sclerosis (MS) and undergo clonal expansion, but disease-associated states remain incompletely defined. By single-cell profiling of circulating memory CD8+ T cells from patients with relapsing-remitting MS, healthy volunteers, and neuroinflammatory controls, we identified an MS-associated cytotoxic subset with NK-like features. These cells increase around relapse activity and belong to an oligoclonal reservoir. In an independent cohort sampled at the first clinical event, an elevated frequency of NK-like CD8+ T cells predicted an aggressive MS course two years later and was associated with a migratory/inflammatory program. Bulk and single-cell RNA-seq confirmed the NK-like transcriptional signature, and functional assays demonstrated TCR-independent cytotoxicity. Immunostaining and spatial transcriptomics revealed enrichment of these cells in MS lesions and a spatial association with macrophages/microglia. Together, our results identify a cytotoxic NK-like CD8+ T-cell subset that links peripheral inflammation to CNS lesions and may serve as an early biomarker of MS severity.
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Authors Emilie Dugast, Sita Shah, Isabel Vogel, Amandine Loret, Céline Monvoisin, Alexandra Garcia, Cynthia Fourgeux, Victor Gourain, Léo Boussamet, Roberta Amoriello, Jean-Benoît Le Luduec, Serge Nataf, Marylène Jacq-Foucher, Mélinda Moyon, Fabienne Le Frère, Sandrine Wiertlewski, Clara Ballerini, Karin Tarte, Eric Thouvenot, Hanane Agherbi, Romain Casey, Sandra Vukusic, Aurélie Ruet, E Le Page, Pierre Labauge, Guillaume Mathey, Catarina Raposo, Jérémie Poschmann, Amédée Renand, Arnaud Nicot, Laure Michel, Pierre‐Antoine Gourraud, Laureline Berthelot, D. Laplaud
Journal Brain research
Year 2026
DOI
10.1093/brain/awag227
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