- Sen, Debattama R;
- Kaminski, James;
- Barnitz, R Anthony;
- Kurachi, Makoto;
- Gerdemann, Ulrike;
- Yates, Kathleen B;
- Tsao, Hsiao-Wei;
- Godec, Jernej;
- LaFleur, Martin W;
- Brown, Flavian D;
- Tonnerre, Pierre;
- Chung, Raymond T;
- Tully, Damien C;
- Allen, Todd M;
- Frahm, Nicole;
- Lauer, Georg M;
- Wherry, E John;
- Yosef, Nir;
- Haining, W Nicholas
Exhausted T cells in cancer and chronic viral infection express distinctive patterns of genes, including sustained expression of programmed cell death protein 1 (PD-1). However, the regulation of gene expression in exhausted T cells is poorly understood. Here, we define the accessible chromatin landscape in exhausted CD8+ T cells and show that it is distinct from functional memory CD8+ T cells. Exhausted CD8+ T cells in humans and a mouse model of chronic viral infection acquire a state-specific epigenetic landscape organized into functional modules of enhancers. Genome editing shows that PD-1 expression is regulated in part by an exhaustion-specific enhancer that contains essential RAR, T-bet, and Sox3 motifs. Functional enhancer maps may offer targets for genome editing that alter gene expression preferentially in exhausted CD8+ T cells.