Through a combination of comprehensive cellular and molecular characterisation, in vivo turnover and functional analysis by 3D in vivo reaggregate organ culture and our newly described in vitro culture system, we have for the first time identified an adult thymic epithelial progenitor population contained within a subset of phenotypically immature cortical epithelium. We have demonstrated their self-renewal, colony forming potential and importantly, the generation of mature cortical and medullary cell lineages, including the autoimmune regulator (Aire)+ medullary subset. We have also demonstrated for the first time that generation of adult thymic epithelial cell lineages shows a similar hierarchy to fetal thymus, with medullary lineages differentiating from cortical precursors.
The identification of adult thymic epithelial progenitor cells will provide an important catalyst for the field to progress investigations into the molecular regulation of these critical cells during homeostasis, differentiation and regeneration following damage, and degeneration with age. In the longer term, this will enable more strategically targeted approaches for therapeutic thymic regeneration.