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Exhausted CD8
T (T
) cells in chronic infections and cancer have limited effector function, high co-expression of inhibitory receptors and extensive transcriptional changes compared with effector (T
) or memory (T
) CD8
T cells. T
cells are important clinical targets of checkpoint blockade and other immunotherapies. Epigenetically, T
cells are a distinct immune subset, with a unique chromatin landscape compared with T
and T
cells. However, the mechanisms that govern the transcriptional and epigenetic development of T
cells remain unknown. Here we identify the HMG-box transcription factor TOX as a central regulator of T
cells in mice. TOX is largely dispensable for the formation of T
and T
cells, but it is critical for exhaustion: in the absence of TOX, T
cells do not form. TOX is induced by calcineurin and NFAT2, and operates in a feed-forward loop in which it becomes calcineurin-independent and sustained in T
cells. Robust expression of TOX therefore results in commitment to T
cells by translating persistent stimulation into a distinct T
cell transcriptional and epigenetic developmental program.