Granzyme K CD8⁺ T cells with tissue-resident features promote intestinal inflammation in patients with Crohn’s disease

Experimental and Molecular Medicine · Published 2026-07-06 · DOI 10.1038/s12276-026-01763-7

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Authors (17)

Yoonho Lee, Tae-Young Kim, Yongjae Kim, Jiwon Baek, Hwan Park, Do Kyung Yoon, Sung Wook Hwang, Jong Lyul Lee, Sang Hyoung Park, Jihun Kim, Suk-Kyun Yang, Buhm Han, Mi-Na Kweon, Kyuyoung Song, Yong Sik Yoon, Byong Duk Ye, Ho-Su Lee

Abstract

Abstract The role of CD8+ T cells in Crohn’s disease (CD) pathogenesis remains incompletely understood. This study aimed to characterize CD8+ T cells in CD and elucidate their potential contribution to intestinal inflammation. T cells from blood and intestinal tissues of 15 patients with CD were analyzed using single-cell RNA and T cell receptor sequencing. Spatial transcriptomics was conducted on inflamed intestinal tissues from two patients. Analysis of 41,699 CD8+ T cells identified distinct subsets characterized by differential granzyme expression: granzyme B (GZMB+) CD8+ T cells, predominantly in blood with high cytotoxic potential, and granzyme K (GZMK+) CD8+ T cells, enriched in intestinal tissue with lower cytotoxic potential. In the small intestine, GZMK+CD8+ T cells displayed enhanced tissue residency signatures (for example, CXCR6) and downregulated egress-related genes (S1PR1and S1PR5). GZMK+CD8+ T cells displayed robust interactions with myeloid cells via the CXCR3–CXCL9/10 axis, coupled with notable colocalization in the small intestine. Pharmacological inhibition of GZMK alleviated intestinal inflammation and tissue damage in a murine model of intestinal injury, supporting its role in modulating inflammatory responses. Together, these findings highlight GZMK as a potential modulator of intestinal inflammation and a candidate for further therapeutic investigation.

Abstract from DOAJ. Public domain (CC0 1.0).

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Publication details

Year
2026

Citation

Lee, Y., Kim, T., Kim, Y., et al. (2026). Granzyme K CD8⁺ T cells with tissue-resident features promote intestinal inflammation in patients with Crohn’s disease. Experimental and Molecular Medicine. https://doi.org/10.1038/s12276-026-01763-7

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