Single-cell immunophenotyping identifies CD8+GZMK+IFNG+ T cells as a key immune population in cutaneous Lyme disease

Edel Aron1, Hailong Meng2, Alexia A Belperron3

  • 1Program in Computational Biology and Biomedical Informatics, Yale University, New Haven, Connecticut, USA.

JCI Insight
|February 23, 2026
PubMed

Insights

Researchers identified specific T cells in Lyme disease skin lesions that may help fight Borrelia burgdorferi (Bb) infection. These inflammatory T cells, alongside other skin cells, are key to the body's early defense against this tick-borne illness.

Area of Science:

  • Immunology
  • Microbiology
  • Dermatology

Background:

  • Erythema migrans (EM) is the primary skin manifestation of Lyme disease, caused by Borrelia burgdorferi (Bb).
  • Previous research utilized scRNA-Seq to analyze B cell responses within EM lesions.

Purpose of the Study:

  • To comprehensively profile T cell responses in EM lesions compared to healthy skin using an expanded sample size.
  • To identify specific T cell subsets and their functions in the cutaneous immune response to Bb infection.

Main Methods:

  • Single-cell RNA sequencing (scRNA-Seq) combined with adaptive immune receptor sequencing (AIRR-seq).
  • Comparative analysis of immune cell populations in erythema migrans lesions versus uninvolved skin.

Main Results:

  • Identification of clonally expanded CD8+GZMK+IFNG+ T cells with high or intermediate IFNG expression in EM lesions.
  • These CD8+ T cells showed differential expression of IFN-regulated genes and potential inflammatory functions.
  • Endothelial cells, fibroblasts, and pericytes were identified as major producers of T cell-recruiting chemokines.

Conclusions:

  • The study provides a detailed understanding of the cutaneous T cell response to Bb infection.
  • Specific T cell subsets, particularly CD8+GZMK+IFNG+ T cells, may play a crucial role in the early inflammatory defense against Lyme disease.
  • Non-immune cells in the skin actively contribute to orchestrating the immune response by recruiting T cells.