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The Journal of Immunology, 1998, 160: 5341-5346.
Copyright © 1998 by The American Association of Immunologists

Increased Threshold for TCR-Mediated Signaling Controls Self Reactivity of Intraepithelial Lymphocytes1

Sarah R. Guehler*, Rosalynde J. Finch{dagger}, Jeffrey A. Bluestone{ddagger} and Terrence A. Barrett2,*

* Department of Medicine, Section of Gastroenterology, Veterans Administration Lakeside Medical Research Center and Northwestern University Medical School, Chicago, IL 60611; {dagger} Department of Immunology, University of Washington, Seattle, WA 98195; and {ddagger} Ben May Institute for Cancer Research, Committee on Immunology and the Department of Pathology, University of Chicago, Chicago, IL 60637


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To examine the effect of self Ag on activation requirements of TCR-{alpha}ß intestinal intraepithelial lymphocytes (IELs), we utilized the 2C transgenic (Tg) mouse model specific for a peptide self Ag presented by class I MHC, H-2Ld. CD8{alpha}{alpha} and CD4-CD8- IELs from syngeneic (H-2b, self Ag-) and self Ag-bearing (H-2b/d, self Ag+) strains were examined for their ability to respond in vitro to P815 (H-2d) cell lines expressing the endogenous antigenic peptide, p2Ca. Proliferation, cytokine production, and CTL activity were elicited in IEL T cells isolated from self Ag- H-2b mice when stimulated with P815 cells expressing basal levels of self Ag. These responses were enhanced following the addition of exogenous p2Ca peptide and ectopic expression of the costimulatory molecule, B7-1. By comparison, IEL from self Ag-bearing mice failed to respond to basal levels of self Ag presented by P815 cells even in the presence of B7-1-mediated costimulation. However, the addition of increasing amounts of exogenous p2Ca peptide induced a response from the in vivo "tolerized" T cells. These results suggest that exposure to self Ag in vivo increased the threshold of TCR activation of Ag-exposed self-reactive IELs. The dependence of increased signal 1 to activate self-reactive IELs suggests a defect in TCR signaling that may maintain self tolerance in vivo. These data suggest that conditions that overcome signal 1 IEL defects may initiate autoreactive responses in the intestine.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The consequence of self tolerance for intraepithelial lymphocytes (IEL)3 is distinct from T cells in peripheral lymphoid tissue. Thymic deletion predominates for self-reactive peripheral T cells, whereas nondeletional mechanisms operate for IELs. For example, in mice expressing the minor lymphocyte stimulatory (Mls)-1a and mouse mammary tumor virus (MMTV) self Ags, a subset of potentially self-reactive Vß6+-, Vß8.1+- and Vß11+-expressing IELs is present despite the thymic deletion of peripheral T cells (1, 2). Likewise, Ag-specific self-reactive IEL are present in male H-Y TCR Tg mice (3). In both instances, potentially self-reactive CD8{alpha}ß-expressing IELs were deleted, whereas CD8{alpha}{alpha} and CD4+CD8+-expressing IELs persisted. Although the CD8{alpha}{alpha} IELs were functionally unresponsive to activating stimuli, it was unclear whether this was due to functional tolerance or developmental immaturity (4, 5, 6).

In previous studies, we showed that the 2C TCR Tg model was similar to the other Tg models. Lymphoid T cells expressing Tg+ TCR were deleted when Ag (in this case allogeneic H-2Ld plus self peptide) was expressed by the mice. By comparison, CD8{alpha}ß Tg+ IELs were not present, whereas CD8{alpha}{alpha} and CD4-CD8- Tg+ IEL persisted with the same frequency as Tg+ IELs from self Ag- mice (7). Interestingly, the exposure to self Ag induced an activated phenotype of Thy-1dul/- and CD45R/B220+, and immune deviation of Tg+ IEL from TC1- to TC2-like IEL subsets. Thus, tolerance of IELs in the 2C Tg model involved deletion of CD8{alpha}ß+ Tg T cells in the periphery and intestine. For persisting CD4-CD8- and CD8{alpha}{alpha}-expressing IEL subsets, self tolerance involved functional differentiation to less inflammatory cell types.

In the present study, we determined the activation requirements for IELs from self Ag-bearing 2C Tg+ mice. P815 or B7-1-bearing P815 mastocytoma cells were used as APCs to examine the functional responses to antigenic peptide (signal 1) as opposed to costimulatory signals (signal 2). The results suggest that signal 1, not signal 2, defects controlled self reactivity in self Ag+ mice.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

Adult H-2b and H-2b/d Tg mice (self Ag- and self Ag+, respectively) were generated by breeding a 2C Tg+ H-2b male (a gift from Dr. Dennis Loh, Nippon Research Center, Kanagawa, Japan) to either C57BL/10 or BALB/c females obtained from National Cancer Institute (Frederick, MD) animal stock. Animals were raised under specific pathogen-free conditions in the Veterans Administration Lakeside Medical Center, Medical Science Building (Chicago, IL).

Culture medium

Culture medium consisted of DMEM, 10 mM HEPES, 5% FCS, 2-ME, glutamine, antibiotics, and nonessential amino acids, as previously described (8).

Cell isolation

Intestines were removed from 6- to 8-wk-old mice and IELs isolated as previously described (8) with minor modifications. Briefly, small intestines were removed and flushed with cold PBS. Intestines were opened longitudinally and cut into 1-cm pieces. After brief vortexing and multiple rinses with cold PBS, the pieces were resuspended in 50 ml digestion buffer containing 10% newborn calf serum (Life Technologies, Grand Island, NY), 0.3 mg/ml dithioerythritol (Life Technologies), with 5 mM EDTA in PBS. Pieces, suspended in this buffer, were gently agitated at 40 to 50 revolutions/min in a closed 75-ml digestion flask (Fisher Scientific, Itasca, IL) with a stir bar at 37°C for 40 min. Pieces were washed with cold PBS and the supernatant collected and pelleted. Pellets were resuspended in 5% DMEM and kept at 4°C for over 2 h. The cells were resuspended in 50% Percoll (Pharmacia, Piscataway, NJ) and 0.3 mg/ml DTT, layered onto a discontinuous Percoll gradient (75% density) and centrifuged for 20 min at 20°C at 400 x g. The cells concentrated at the interface of the 50% and 75% layers were then pipetted off and washed in 4 vol of PBS. The purity of Tg IELs within preps was assessed by FCM on the basis of forward angle and 90° light scatter, as well as using fluorochrome-coupled Tg clonotypic mAb, 1B2.

Abs, three-color immunofluorescence, and immunofluorescence analysis

The following mAbs coupled to FITC, phycoerythrin, or biotin were used: anti-CD8{alpha}, anti-CD8ß (PharMingen, San Diego, CA) and anti-Tg TCR mAb, 1B2 (a gift from Dr. Dennis Loh) (9). Biotin-labeled Abs were followed by streptavidin-CyChrome or streptavidin-phycoerythrin (PharMingen). Dead cells were excluded from analysis on the basis of forward and side angle scatter and in some cases by propidium iodide (Sigma Chemical Co., St. Louis, MO). Approximately 5 x 105 cells were stained per sample for 20 min with a concentration of mAb titered to maximize specific staining and limit background. A total of 10,000 gated events were collected for analysis. Acquisition of FCM data was performed on a FACScan, and cell sorting was performed on a FACStarPlus (Becton Dickinson, Mountain View, CA). Data were analyzed using the CellQuest program (Becton Dickinson).

Negative depletion of CD8{alpha}ß IELs

H-2b IELs were incubated at 4°C with anti-CD8ß (53–5.84) (10, 11) for 30 min, washed three times with cold DMEM, and resuspended with sheep anti-rat IgG Ab-coated magnetic beads at a 3:1 ratio following the manufacturer’s directions (Dynal, Lake Success, NY). After a 30-min incubation at 4°C with slow mixing, beads were collected by magnet, negatively selecting the CD8{alpha}ß population. Any remaining CD8ß+ cells were depleted a second time with fresh beads and magnetic separation. Purity was assessed by FCM goat anti-rat IgG FITC (Kirkegaard and Perry Laboratories, Gaithersburg, MD).

Generation of murine B7-1 expression construct, stable transfection of murine B7-1 into P815 cells

Murine B7-1 was cloned into the eukaryotic expression vector pNA' (12), a modified form of pHbAPr-neo (13) that contains the human ß-actin promoter and confers resistance to neomycin. The cDNA sequence for murine B7-1 was initially removed as an EcoRI fragment and inserted into the EcoRI site of pcDNA3(Invitrogen, Carlsbad, CA). A subclone containing B7-1 sequence in the correct orientation was selected; B7-1 was removed with a KpnI, XbaI digest, and ligated into pNA' that had been digested with KpnI and XbaI. Resulting subclones were screened for correct orientation relative to the ß-actin promoter, and one subclone was selected for transfection into P815. pNA'/B7-1 was linearized with ScaI and transfected into P815 cells by electroporation. pNA'/B7-1 transfectants were selected on 1 mg/ml G418 (Gemini Bioproducts, Calabasa, CA). Resulting antibiotic-resistant cells were screened for B7-1 expression by FCM using FITC-conjugated CD80 (1G10) Ab (PharMingen). To select for high expression of surface B7-1 by P815 cells, bulk populations of transfected cells were sorted by FCM and plated at a density of 1 cell/well. Wells with growth after 2 wk were then rescreened by FCM, and subclones with the desired levels of B7-1 and expression were selected.

Proliferation assays

For each condition, 3 x 104 irradiated P815 mastocytoma cells were cocultured with 1 x 105 responder Tg IELs. Tg numbers were determined by flow cytometry analysis, to normalize for Tg+ expression in culture, in 96-well round-bottom microtiter plates in triplicate. Exogenous p2Ca peptide (sequence LSPFPFDL (14, 15) (Bio-Synthesis, Lewisville, TX)) was added to some experiments using H-2d APC. Unless otherwise noted, p2Ca peptide was used at 1.0 µg/ml concentration. Exogenous human rIL-2 (50 U/ml) (Genzyme, Cambridge, MA) was added when indicated on day 1 of culture. At 48 h, cultures were pulsed for 16 to 18 h with [3H]-labeled thymidine (1 mCi/well). Cells were harvested and analyzed with a liquid scintillation counter (Packard International, Meriden, CT).

Lymphokine assays

Isolated IELs were cultured in 96-well plates as described above. After 48 h, supernatants were harvested and analyzed for IL-2 and IFN-{gamma}, using murine cytokine ELISA MiniKits (Endogen, Cambridge, MA). The sensitivities of these ELISAs were as follows: <10 pg/ml for IL-2, and <100 pg/ml for IFN-{gamma}.

Measurement of cytolytic activity

Cytolytic activity of IEL was measured using a standard lysis assay as previously described (16) with minor modifications. Purified IELs obtained from the isolation procedure were assayed for cytolytic activity against (51Cr)sodium chromate-labeled P815 (DBA/2 mastocytoma) target cells alone or in the presence of 1.0, 0.1, or 0.01 µg/ml p2Ca peptide. Target cells were labeled for 1.5 h, washed, then plated with serial dilutions of effector cells in 96-well round-bottom microtiter plates for 4 or 15 h at 37°C. Effector/target ratios were based on 2 x 103 target cells/well. Percent specific lysis was determined as 100 x [(c.p.m. test released - c.p.m. control released)/(c.p.m. maximum released - c.p.m. control released)]. Spontaneous release was less than 25% for all experiments.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Proliferative responses of IEL populations

To compare the activation requirements for IEL from self Ag-bearing (self Ag+, H-2b/d) mice and the corresponding CD4-CD8- and CD8{alpha}{alpha} subsets from syngeneic (self Ag-, H-2b) Tg+ IELs, proliferative responses were assessed. In previous studies, we have shown that similar populations (CD8ß-depleted) of Tg+ IELs from self Ag+ mice proliferated at lower levels compared with self Ag- mice in response to H-2d splenic APC. This defect could be a result either of defective signaling via the TCR complex or of altered costimulation. Thus, the IELs were examined for their ability to proliferate in the presence of increased signal 1 (TCR-mediated) by adding additional Ag, p2Ca peptide, to the Ld-bearing APCs or increasing signal 2 by the addition of additional CD28 signaling or exogenous IL-2. As shown in Figure 1Go, IEL responses from self Ag- mice were induced by basal levels of self Ag expressed on P815 cells and were enhanced with added peptide self Ag, B7-1-mediated costimulation (Fig. 1GoA), or IL-2 (Fig. 1GoB). Potential transcostimulation by B7 expression on IELs did not influence their response, since inclusion of CTLA4Ig with P815 plus peptide self Ag did not diminish IEL proliferative response (data not shown). In contrast, IELs from self Ag+ mice did not respond to basal levels of self Ag but required the presence of increased peptide self Ag to proliferate (Fig. 1GoA). Addition of IL-2 and p2Ca self Ag to parental P815 cells induced significant proliferative responses for Tg+ IEL from self Ag+ mice, although addition of IL-2 without peptide self Ag did not induce proliferation (Fig. 1GoB)(stimulation index (SI) = 21 compared with 3 respectively, p < 0.05). No specific synergistic effects of IL-2 were detected with added costimulation, although proliferative responses were increased overall. Thus, Tg+ IEL from self Ag- mice responded to increased signal 2, whereas increased costimulation had no effect on Tg+ IEL responses from self Ag+ mice unless TCR signaling was enhanced with p2Ca peptide.



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FIGURE 1. Differential proliferative response of H-2b and H-2b/d IELs. IEL responses were compared without (A) and with (B) 50 U/ml IL-2. Proliferative responses were measured for CD8{alpha}{alpha} and CD4-CD8- Tg+ IELs from both H-2b (solid bars) and H-2b/d (hatched bars) mice in response to P815 or B7-1-transfected P815 (P815/B7-1) APC alone or with added antigenic p2Ca peptide. All measurements were performed in triplicate and the data expressed as the mean, with an SE < 15%. Data shown are representative of four experiments.

 
Effect of signal 1 and signal 2 on IEL survival

Costimulation has been shown to enhance survival of activated CD8+ T cells, when examined relatively late (96 h) after activation, likely through prolonged cell survival by CD28-mediated up-regulation of the survival gene Bcl-xL (17). Thus, the effects of costimulation may not be enhanced activation but prolonged expansion. Therefore, the effects of enhanced signal 1 and/or signal 2 on IEL survival were examined for Tg+ IEL from self Ag- and self Ag+ mice by assessing the number of live Tg+ cells after stimulation with control or transfected P815 cells with or without added p2Ca peptide. Stimulation of Tg+ IEL from self Ag- mice with B7-transfected P815 cells increased Tg+ IEL survival in the presence or absence of exogenous peptide (10-fold and 5-fold, respectively (Fig. 2Go). As predicted by the proliferation results, fewer viable Tg+ T cells were recovered from cultures of IEL from self Ag+ mice activated with P815 as compared with IELs from self Ag- mice or cultured in the absence of Ag-pulsed APC. Although addition of B7 increased self Ag+ Tg+ IEL survival, numbers failed to reach "baseline" levels detected in unstimulated wells. Interestingly, addition of p2Ca in combination with the additional costimulatory signal increased self Ag+ Tg+ IEL survival by 10-fold compared with cells cultured with P815 alone. Thus, Tg+ IEL survival in self Ag+ mice depended largely on increasing signal 1 and pointed to a defect in the TCR pathway.



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FIGURE 2. Increased TCR signaling enhances IEL recovery. Initial stimulation of 5 x 105 CD8{alpha}{alpha} and CD4-CD8- Tg+ IELs from H-2b (A) and H-2b/d (B) mice were cultured with P815, P815 + p2Ca peptide, P815/B7-1, or P815/B7-1 + p2Ca peptide. Live Tg+ IELs recovery on day 4 is shown. All conditions were performed in triplicate and the data are expressed as a mean, with SE < 10%.

 
Cytokine response of fresh IEL populations

IL-2 and IFN-{gamma} levels were assessed for Tg+ IEL from self Ag+ and self Ag- mice to determine whether the TCR and costimulatory signals could affect the differentiation of the compromised less-responsive IEL. Activation requirements for IL-2 production (Fig. 3GoA) paralleled proliferative responses of Tg+ IEL in primary and restimulated cultures. 2C IELs produced IL-2 in response to basal levels of p2Ca self Ag expressed by P815 cells, while increasing B7-mediated costimulation or the addition of exogenous peptide self Ag enhanced this response (IL-2 production: 377 (P815) compared with 502 (P815 + B7-1) and 1415 (P815 + p2Ca) pg/ml, respectively). In comparison, Tg+ IELs from self Ag+ mice made insignificant levels of IL-2 in response to P815 cells with or without B7-1 expression. Addition of p2Ca induced relatively low levels of IL-2, which were enhanced with expression of B7-1 by P815 cells (IL-2 production: 165 (P815 + p2Ca) vs 902 (P815/B7-1 + p2Ca)). IFN-{gamma} production was not detected for self Ag+ mice, suggesting that proliferation correlated with IL-2 production. Results of IFN-{gamma} production correlated with IL-2 levels for self Ag- mice, suggesting that the activation threshold was lower for Tg+ IELs from self Ag- compared with self Ag+ mice, and that signal 2 effects were detectable only after the threshold for signal 1 was met.



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FIGURE 3. Cytokine response of fresh IEL populations. IELs were cultured with P815 + p2Ca peptide, P815/B7-1, or P815/B7-1 + p2Ca peptide. Culture supernatant was collected at 48 h for the conditions indicated, and levels of IL-2 (A) and IFN-{gamma} (B) protein measured by ELISA.

 
Activation of prestimulated IEL populations

It remained possible that the T cell unresponsiveness observed in self Ag+ mice was due to chronic suppression in vivo by other cells or by chronic exposure to low levels of self Ag. To address this concern, cells were activated under optimal conditions and then retested after resting in vitro in the absence of self Ag-bearing APC. P815 cells were lysed in initial cultures by IELs, as confirmed by flow cytometric analysis as well as lack of response of IELs to p2Ca peptide in secondary culture without added APC (data not shown). To examine whether prestimulation of IELs altered the activation requirements of Tg+ IEL from self Ag- and self Ag+ mice, proliferative responses were assessed 7 days after stimulation in vitro with P815 plus B7-1, p2Ca, and IL-2. Upon restimulation in vitro, both self Ag- and self Ag+ IEL responded at relatively low levels to P815 cells (Fig. 4Go) and B7-transfected P815 cells (data not shown). Proliferative responses of Tg+ IEL from both strains were enhanced with addition of IL-2. Addition of p2Ca induced fivefold greater proliferative responses for Tg+ IEL from self Ag- compared with self Ag+ mice (stimulation index = 80 vs 15, respectively). Proliferative responses for Tg+ IEL from self Ag- mice were also greater than IEL from self Ag+ mice when T cells were cultured with p2Ca plus B7-1 transfectants even in the presence of IL-2 (data not shown). Thus, the proliferative defect in the T cells isolated from the self Ag+ mice could not be restored by activation and expansion in vitro.



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FIGURE 4. Differential activation threshold for prestimulated H-2b and H-2b/d IELs. Transgenic IELs from H-2b (solid) and H-2b/d mice (hatched) were prestimulated with P815 + p2Ca peptide + 20 U/ml IL-2. After 7 to 10 days in culture, cells were harvested and stimulated. All measurements were performed in triplicate and the data expressed as the mean, with an SE < 15%. Data shown are representative of three experiments.

 
In restimulated cultures Tg+ IELs from self Ag- but not self Ag+ mice made IL-2 in response to P815 cells (Fig. 5Go). Addition of B7-1 expression increased IL-2 production for Tg+ IEL from self Ag- mice by 73% (IL-2 for P815/B7 compared with P815: 455 and 262 pg/ml respectively). However, no effect of B7-1 was detected for prestimulated Tg+ IELs from self Ag+ mice cultured with P815 transfectants without p2Ca. Interestingly, expression of B7-mediated costimulation by P815 cells enhanced cytokine production for IELs from self Ag+ mice when activated with p2Ca peptide but otherwise had little or no effect on other IELs tested. Taken together these data suggested that the increased requirement for signal 1 levels exhibited by fresh IEL from self Ag+ mice was not reversible.



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FIGURE 5. Cytokine response of preactivated IEL populations. IELs were activated under optimal conditions and then retested for cytokine production after resting in vitro in the absence of self Ag-bearing APC. Culture supernatant was collected at 48 h for the conditions indicated, and levels of IL-2 and IFN-{gamma} measured by ELISA.

 
Cytolytic response of hyporesponsive IEL populations

To assess whether exposure to self Ag altered IEL cytolytic responses, Tg+ IELs from self Ag+ mice were compared with self Ag- mice. Tg+ IEL from self Ag- mice lysed P815 cells without added peptide; however, Tg+ IEL from self Ag+ mice required added p2Ca to lyse P815 targets (Fig. 6Go, A and B). Interestingly, both the titration curve and the maximal lytic activity were greater for cells from self Ag+ compared with self Ag- mice (percent specific lysis: 42% vs 22%, respectively).



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FIGURE 6. Enhanced signal 1 requirement for CTL response of IEL populations from self Ag+ mice. Cytolytic responses of freshly isolated (A, B) and prestimulated (C, D) Tg+ IEL from H-2b (A, C) and H-2b/d (B, D) mice are shown against 51Cr-labeled P815 targets ± p2Ca peptide. Effector:target ratios are indicated, and results converted to percent specific lysis of target cells. Data shown are representative of three experiments.

 
Prestimulated IELs exhibited a similar pattern of cytolytic responses. Both self Ag- and self Ag+ IELs lysed P815 targets when exogenous p2Ca peptide was added, but only self Ag- IELs lysed P815 cells expressing endogenous levels of self Ag (Fig. 6Go, C and D). These data suggested that a similarly increased threshold for T cell activation existed for induction of proliferation, cytokine production, and cytolysis for Tg+ IEL in self Ag+ mice.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The goal of this study was to assess the activation status and signaling capability of the residual IELs present in Ag-bearing TCR Tg mice. The results demonstrated that indeed the hyporesponsive IEL from Ag-bearing mice were defective in Ag-mediated stimulation. However, increases in TCR-mediated signal transduction via the addition of exogenous antigenic peptide could, at least, partially correct the defect. Although IEL responses to self Ag were enhanced by the addition of B7-1-mediated costimulation (signal 2), signaling was unable to correct the functional defect of the hyporesponsive IEL isolated from the Ag-bearing animals. Rather, H-2b/d IEL responses, detected after signal 1 levels were supplemented with added p2Ca peptide, could be enhanced by expressing B7-1 on the P815 stimulator cells. Together, these results suggested that the defect in H-2b/d IEL responses was primarily related to an increased threshold for signal 1 but not signal 2.

Interestingly, chronic exposure to self Ags in vivo induced a functional defect in H-2b/d IELs similar to that induced by stimulation with partial TCR agonists, such as altered peptide ligands (APLs) or soluble anti-CD3 mAbs. Previous studies have shown that stimulation of T cells by partial agonists induces cytolytic function and some cytokine production (e.g., IL-4 or IFN-{gamma}) without proliferation or IL-2 production (18, 19, 20, 21, 22, 23). This pattern of response parallels results of Tg+ IEL from self Ag+ mice where cytolytic response, IL-4, and IFN-{gamma} production were retained but IL-2 production and proliferation were down-regulated compared with Tg+ IEL responses in self Ag- mice. In vitro stimulation of T cells with APLs suggests that partial agonists provide a qualitatively distinct signal to T cells. Partial agonist stimulation of T cells leads to partial phosphorylation of the TCR-{zeta} chains and fails to fully activate ZAP-70 tyrosine kinase (22, 24) or induce a sustained intracellular Ca2+ flux (25). Based on the findings of the present in vivo model, we speculate that signaling in Tg+ IELs in self Ag+ mice may be similarly altered, resulting in the requirement for elevated levels of signal 1 to overcome the hyporesponsive state created by chronic exposure to self Ag.

It is possible that disorders such as inflammatory bowel disease are begun with events that increase TCR-mediated signaling. These results suggested that autoimmunity in the intestine may be initiated by elevated levels of TCR signaling that overcome partial agonist effects induced by self Ag. For example, increased expression and peptide loading of class I MHC molecules with high affinity immunogenic Ag (self Ag or Ag mimics) may be enhanced in the setting of viral infections (26, 27, 28). Likewise, superantigens may induce TCR signaling that exceeds activation requirements. Activation of self-reactive IELs may induce cytolytic responses against epithelial cells. Disruption of the mucosal barrier may lead to widespread activation of mucosal immune cells with proinflammatory enteric Ags. Once activation of self-reactive T cells occurs, the extent of tissue inflammation may depend on persistent expression of immunogenic TCR agonists and signal 2-mediated costimulation. In this setting, increased costimulation expressed by APC may not be sufficient to initiate responses but may enhance IEL expansion, survival, and cytokine production induced by TCR signaling. Thus, these data suggest that increased levels of immunogenic TCR agonists (high levels of self Ag, high affinity Ag, mimics, superantigens, etc.) initiate autoreactivity in the intestine, whereas enhanced costimulation potentiates the severity of tissue damage.


    Acknowledgments
 
We thank Pat Fields for his help in generating the P815-B7-1 transfectant. We are grateful for the technical support of Yifat Bar-Dagan and Dr. Michael Abecassis for the CTL studies.


    Footnotes
 
1 This work was funded by U.S. Public Health Service (USPHS) Grants AI35294-03 and DK47073. J.A.B. is the Charles B. Huggins Professor and Director of the Ben May Institute. T.A.B. is an American Gastroenterological Association Industry Scholar. S.R.G. was supported by Training Grant T32GM08061. R.J.F. was supported by the Benaroya Foundation Training Grant. Back

2 Address correspondence and reprint requests to Dr. Terrence A. Barrett, Northwestern University, Med/GI S208, 303 East Chicago Avenue, Chicago, IL 60611. E-mail address: Back

3 Abbreviations used in this paper: IEL, intestinal intraepithelial lymphocyte; Tg, transgenic; FCM, flow cytometry. Back

Received for publication October 17, 1997. Accepted for publication February 4, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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