The nature of how the human gamma delta T-cell repertoire is generated duri
ng normal development is poorly understood. Unlike TCR-alpha beta(+) cells
that are almost exclusively dependent upon the thymus for their development
and maturation, gamma delta T cells can be generated in extrathymic sites.
The focus of this article is to understand how the human gamma delta T-cel
l repertoire is generated during normal human development before and after
birth. The expressed repertoire is a reflection of many mechanisms operatin
g at both the DNA and protein levels, and we describe the features of the o
bserved repertoires in various tissues in fetal and postnatal development a
nd in the adult, and the potential mechanisms that account for them. Identi
fying the site(s) of origin and understanding how the various subsets of ga
mma delta T cells are generated is important for understanding their functi
on. In addition, understanding how the gamma delta T-cell repertoire is mod
ulated during life by infection, inflammation, and cancer should also bring
us closer to understanding its function.