%0 Journal Article %T Stem-like T cells are associated with the pathogenesis of ulcerative colitis in humans. %A Li Y %A Ramírez-Suástegui C %A Harris R %A Castañeda-Castro FE %A Ascui G %A Pérez-Jeldres T %A Diaz A %A Morong C %A Giles DA %A Chai J %A Seumois G %A Sanchez-Elsner T %A Cummings F %A Kronenberg M %A Vijayanand P %J Nat Immunol %V 25 %N 7 %D 2024 Jul 19 %M 38898157 %F 31.25 %R 10.1038/s41590-024-01860-7 %X To understand the role of T cells in the pathogenesis of ulcerative colitis (UC), we analyzed colonic T cells isolated from patients with UC and controls. Here we identified colonic CD4+ and CD8+ T lymphocyte subsets with gene expression profiles resembling stem-like progenitors, previously reported in several mouse models of autoimmune disease. Stem-like T cells were increased in inflamed areas compared to non-inflamed regions from the same patients. Furthermore, TCR sequence analysis indicated stem-like T cells were clonally related to proinflammatory T cells, suggesting their involvement in sustaining effectors that drive inflammation. Using an adoptive transfer colitis model in mice, we demonstrated that CD4+ T cells deficient in either BCL-6 or TCF1, transcription factors that promote T cell stemness, had decreased colon T cells and diminished pathogenicity. Our results establish a strong association between stem-like T cell populations and UC pathogenesis, highlighting the potential of targeting this population to improve clinical outcomes.