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The Journal of Immunology, 1998, 160: 1701-1707.
Copyright © 1998 by The American Association of Immunologists

CD40 Ligand/CD40 Stimulation Regulates the Production of IFN-{gamma} from Human Peripheral Blood Mononuclear Cells in an IL-12- and/or CD28-Dependent Manner

John F. McDyer1,*, Theresa J. Goletz{dagger}, Elaine Thomas§, Carl H. June{ddagger} and Robert A. Seder*

* Lymphokine Regulation Unit, Laboratory of Clinical Investigation, National Institute of Allergy and Infectious Diseases, and {dagger} Metabolism Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892; {ddagger} The Henry M. Jackson Foundation for the Advancement of Military Medicine, U.S. Military HIV Research Program, Bethesda, MD 20889; and § Immunex Corp., Seattle, WA 98191


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD40 ligand (CD40L)/CD40 costimulation is an important regulator of Th1 responses. Two mechanisms by which CD40L/CD40 stimulation may enhance IFN-{gamma} are via direct induction of IL-12 and augmentation of the expression of costimulatory molecules such as B7 from APCs. We examined the ability of CD40L/CD40 stimulation to regulate the production of IFN-{gamma} through IL-12 and/or CD28 costimulation from human PBMCs stimulated with T cell-specific stimuli. The roles of exogenous and endogenous CD40L/CD40 stimulation were evaluated using a trimeric soluble CD40L agonist (CD40T) and an anti-CD40L Ab, respectively. The presence of CD40T in cultures increased the production of IL-12 and IFN-{gamma} from PBMCs stimulated with varying amounts of PHA. The mechanism, however, by which CD40T enhanced IFN-{gamma} varied according to the level of T cell activation. Under maximal stimulatory conditions (PHA, 1/100), an IL-12-dependent pathway was dominant. At relatively low levels of T cell stimulation (PHA, 1/500 and 1/1000), however, an additional IL-12-independent CD28-dependent pathway was elucidated. We further studied the role of exogenous CD28 stimulation in regulating the production of IFN-{gamma}. The enhancement of IFN-{gamma} production induced by direct CD28 stimulation was primarily dependent on endogenous IL-12 or CD40L/CD40 stimulation. Together, these data suggest that the production of IFN-{gamma} involves a complex interaction between two interdependent, yet distinct, costimulatory pathways and provide evidence that CD40T may be an effective adjuvant for the enhancement of responses.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD40L2/CD40 costimulation has been shown to play a major role in regulating both humoral and cellular immune responses (1). In assessing the role that CD40L/CD40 stimulation has in regulating T cell responses in vivo, previous work has shown that this interaction is critical for T cell activation and production of IFN-{gamma} (2, 3). The role that CD40L/CD40 stimulation has in regulating Th1 responses could occur through at least two mechanisms: the first through direct induction of IL-12 from APCs such as macrophages and dendritic cells (4, 5, 6, 7), and the second through the ability of CD40L/CD40 stimulation to enhance the expression of cell surface molecules such as B7–1, B7–2, intercellular adhesion molecule-1, and CD44H on APCs, leading to increased T cell stimulation and production of IFN-{gamma} (8, 9, 10, 11, 12). The potential importance of CD40L/CD40 interactions in regulating T cell responses through this latter pathway was shown in a study in which the induction of B7–2 provided by direct stimulation of CD40 was able to induce an effective immune response in CD40L-/- mice (13). Moreover, in a related study, CD40L-/- mice were induced to produce substantial amounts of IFN-{gamma} if B7-expressing APCs were adoptively transferred to these mice (14). Taken together, these results suggest that in the absence of CD40L/CD40 stimulation, a B7-dependent costimulatory pathway can mediate a functional Th1 response. It should be noted, however, that in the aforementioned studies, it was not determined whether the B-7-directed enhancement of IFN-{gamma} production was directly through CD28 and/or required endogenous IL-12 production.

In the experiments described here, the mechanism(s) by which both endogenous and exogenous CD40L/CD40 stimulation were able to regulate the production of IL-12 and IFN-{gamma} from human PBMCs stimulated with T cell-specific stimuli was studied. A soluble CD40L agonist (CD40T) was used to examine whether exogenous CD40L/CD40 stimulation could enhance the production of IFN-{gamma} at varying levels of T cell activation (15, 16). We subsequently evaluated whether CD40T-mediated enhancement of IFN-{gamma} was through an IL-12- and/or a CD28-dependent pathway. Finally, we showed that direct CD28 stimulation led to an increase in the production of IFN-{gamma} that was highly dependent on endogenous IL-12 or CD40L/CD40 stimulation. Overall, these results provide additional insight into the interplay between CD40L/CD40 and CD28 costimulatory pathways in regulating IFN-{gamma} production. Additionally, these data support using exogenous CD40L stimulation as a possible vaccine adjuvant in situations that require a Th1 cellular immune response.


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

Complete medium consisting of RPMI 1640 supplemented with 10% heat-inactivated human AB sera (Sigma Chemical Co., St. Louis, MO), penicillin (100 U/ml), streptomycin (100 U/ml), and L-glutamine (2 mM) were used for all stimulations. PHA was purchased from Life Technologies (Grand Island, NY). Tetanus toxoid was purchased from Connaught Laboratories (Swiftwater, PA). Lymphocyte separation medium was purchased from Organon Teknika Corp. (Durham, NC).

Subjects

Buffy coat fractions were obtained from apheresed subjects from the National Institutes of Health normal donor pool. All specimens were processed and plated into the appropriate cultures immediately or within 16 h of collection.

Recombinant cytokines

Human rIL-12 with a sp. act. of 5 x 106 U/mg was purchased from R&D Systems, Inc. (Minneapolis, MN). Soluble CD40L (CD40T) was a gift from Immunex Corp. (Seattle, WA).

Antibodies

Goat anti-human IL-12 Ab was purchased from R&D Systems. Mouse anti-human CD40L (M91) Ab was provided by Immunex Corp. Rat anti-human IL-10 and mouse anti-human IFN-{gamma} were purchased from PharMingen (Torrance, CA). Mouse anti-human CD28 Ab (9.3) and mouse anti-human anti-CD28 Fab were used as previously described (17).

Induction of cytokine production by PBMCs

PBMCs were isolated from apheresed buffy coat fractions by lymphocyte separation medium using the density gradient centrifugation method. PBMCs (2.5 x 105 cells/250 µl) were added to round-bottom 96-well plates (Nunc, Copenhagen, Denmark) and stimulated with PHA and tetanus toxoid in the presence of various cytokines and/or anticytokines. Supernatants were collected after 4 days of culture for IFN-{gamma} and stored at -70°C until used. Supernatants were collected at 40 h to measure the production of IL-12. Time-course experiments were performed to determine the optimal time for each cytokine.

Measurement of cytokine production

An IL-12-specific ELISA that detects p70 heterodimer was used (R&D Systems; lower limit of detection, 7.8 pg/ml). IFN-{gamma} content was determined by a two-step ELISA assay (lower limit of detection, 185 pg/ml). There was no background production of IFN-{gamma} detectable in medium control wells with or without cytokine adjuvants. Results for all cytokines represent the mean of triplicate wells. The SEM was <10% for all experiments.

Flow cytofluorometric analysis

PBMCs were cultured with PHA (1/500 or 1/1000) in the presence or the absence of CD40T or anti-IL-10 (10 µg/ml). At 48 h, cells were dual stained with anti-CD80 PE (Becton Dickinson, Mountain View, CA), CD14 FITC (PharMingen), and isotype control Abs according to the manufacturer’s suggestions. Stained cell populations were analyzed on a FACScan (Becton Dickinson).

Statistical analysis

Normally distributed continuous variable comparisons were performed employing Student’s t test using Microsoft Excel (Redmond, WA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD40L/CD40 stimulation enhances production of IL-12 from PBMCs stimulated with PHA

In previous work, it has been shown that CD40L/CD40 stimulation and IL-10 are critical mediators in regulating the production of IL-12 (5, 18).3 In these initial experiments, the roles of both CD40L/CD40 stimulation and endogenous IL-10 in regulating the production of IL-12 from PBMCs in response to T cell-specific stimuli were studied. In assessing the role of exogenous CD40L stimulation, a trimeric soluble CD40L agonist (CD40T) was used. As shown in Figure 1Go, addition of CD40T resulted in a 4-fold increase in IL-12 production (p < 0.05) from cells stimulated with an optimal amount of PHA (1/100) compared with that from cells in medium alone. The addition of CD40T to cultures stimulated with a suboptimal amount of PHA (1/500) led to a >10-fold increase in IL-12 production (p < 0.05). The ability of CD40T to enhance the production of IL-12 was markedly inhibited by addition of anti-IFN-{gamma} to the cultures. These data suggest that IFN-{gamma}, in addition to its role in priming monocytes for increased IL-12 transcription, is important in enhancing the responsiveness to CD40L stimulation, possibly by increasing expression of CD40 on APCs (19). Finally, addition of anti-CD40L Ab to cultures completely inhibited the induction of IL-12, consistent with previous studies showing that CD40L/CD40 interaction is critical for induction of IL-12 in response to T cell-specific stimuli (20).



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FIGURE 1. CD40T enhances the production of IL-12 from PBMCs stimulated with PHA. Fresh PBMCs (2.5 x 105/250 µl) added in triplicate to 96-well plates were stimulated with 1/100 PHA (3 µg/ml; A) and 1/500 PHA (0.6 µg/ml; B) in the presence or the absence of CD40T (2 µg/ml), anti-IL-10 Ab (10 µg/ml), and/or anti-IFN-{gamma} Ab (10 µg/ml). Supernatants were assayed 40 h later for IL-12 p70 content by ELISA (limit of detection, 7.8 pg/ml). Results are represented as the mean ± SE of six separate experiments. Starred values indicate statistical significance compared with stimulated cells in medium alone. The triangle indicates statistical significance compared with cells stimulated in the presence of CD40T or anti-IL-10 alone.

 
Since IL-10 is a potent cross-regulatory cytokine for limiting IL-12 production, we also assessed the role of endogenous IL-10 in regulating IL-12 production from PBMCs stimulated with PHA. PBMCs stimulated with PHA (1/100) in the presence of anti-IL-10 had a significant increase in IL-12 production (p < 0.05) that was further enhanced by the presence of CD40T. By contrast, anti-IL-10 in the presence or the absence of CD40T did not affect IL-12 production from PBMCs stimulated with PHA (1/500). These data are consistent with the observation that less IL-10 is produced from PBMCs stimulated with PHA (1/500; 199 ± 87 pg) vs PHA (1/100; 477 ± 100 pg) in these experiments.

CD40L/CD40 stimulation and endogenous IL-10 exert differential effects on the production of IFN-{gamma} from PBMCs depending on the degree of T cell-specific stimulation

In the next series of experiments, the ability of CD40T and endogenous IL-10 to regulate the production of IFN-{gamma} in response to varying doses of PHA and tetanus toxoid was assessed. As shown in Figure 2Go, PBMCs stimulated with an optimal amount of PHA (1/100) in medium alone produced 10 ng/ml of IFN-{gamma}, while cells stimulated with a suboptimal amount of PHA (1/1000) or tetanus toxoid produced substantially less. As a positive control, addition of IL-12 resulted in a 2- to 3-fold increase in IFN-{gamma} production from PBMCs stimulated with PHA (1/100; p < 0.05) or tetanus toxoid (p < 0.02) and a 10-fold increase in response to PHA (1/1000; p < 0.01). Furthermore, addition of CD40T resulted in a 2-fold increase in IFN-{gamma} production in cultures stimulated with PHA (1/100) and tetanus toxoid (p < 0.05) and a 10-fold increase in IFN-{gamma} production from cells stimulated with PHA (1/1000; p < 0.02), consistent with the findings shown in Figure 1Go.



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FIGURE 2. CD40T enhances the production of IFN-{gamma} from PBMCs stimulated with PHA or tetanus toxoid. Fresh PBMCs (2.5 x 105/250 µl) added in triplicate to 96-well plates were stimulated with 1/100 PHA (3 µg/ml), 1/1000 PHA (0.3 µg/ml), and tetanus toxoid (0.3 Lf/ml) in the presence or the absence of rIL-12 (0.5 ng/ml), CD40T (2 µg/ml), or anti-IL-10 Ab (10 µg/ml). Supernatants were assayed 4 days later for IFN-{gamma} content by ELISA. The sensitivity of the assay was 185 pg/ml. Results are represented as the mean ± SE of six separate experiments. Starred values indicate statistical significance compared with stimulated cells in medium alone.

 
The role of endogenous IL-10 production in regulating the production of IFN-{gamma} was also studied. Addition of anti-IL-10 to cultures stimulated with PHA (1/100) resulted in a significant increase in IFN-{gamma} (p < 0.01), whereas those cultures stimulated with PHA (1/1000) or tetanus toxoid had no enhancement. These data underscore the ability of endogenous IL-10 to limit an already substantial Th1 response under maximal T cell stimulatory conditions. Finally, we assessed the role of CD40T in regulating IL-4 production from PBMCs stimulated with the same doses of PHA. In these experiments, CD40T did not affect the production of IL-4 from PBMCs at any of the PHA doses tested (data not shown).

Role of endogenous IL-12 and CD28 costimulation in regulating the production of IFN-{gamma} from PBMCs stimulated with PHA

The ability of CD40T to enhance IFN-{gamma} production in response to PHA could occur by at least two mechanisms. As noted in Figure 1Go, CD40L/CD40 stimulation leads to enhancement of IL-12 production from PBMCs stimulated with PHA. A second mechanism could result from a CD40L/CD40-mediated increase in the expression of B7, which could subsequently enhance T cell activation, leading to an increase in the production of IFN-{gamma}. Thus, we first defined the roles that endogenous IL-12 and CD28 played in the production of IFN-{gamma} from PBMCs stimulated with varying doses of PHA. We then determined whether the increase in IFN-{gamma} mediated by the addition of exogenous CD40T was due to enhancement of IL-12 and/or CD28 costimulation.

As shown in Table IGo, addition of anti-IL-12 alone to cultures resulted in a two- to fourfold reduction of IFN-{gamma} in response to PHA (1/100). By contrast, there was no appreciable inhibition of IFN-{gamma} production from PBMCs stimulated with PHA (1/500) in the presence of anti-IL-12. These results suggest that as the amount of PHA used for stimulation is decreased, there is an IL-12-independent pathway capable of supporting IFN-{gamma} production. To assess the role of endogenous CD28 costimulation on the production of IFN-{gamma}, anti-CD28 Fab Ab was added to PBMCs stimulated with PHA. Addition of anti-CD28 Fab resulted in modest inhibition from cells stimulated with PHA at 1/100 and complete inhibition of IFN-{gamma} production from cells stimulated with PHA at 1/500. Similar results were also seen in several experiments using CTLA-4 Ig to inhibit CD28/B7 costimulation (data not shown). Thus, these results suggest that when using suboptimal amounts of PHA (1/500 or 1/1000) for stimulation, CD28 costimulation may be a critical mechanism supporting IL-12-independent production of IFN-{gamma}.


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Table I. CD40T enhances IFN-{gamma} production from PBMCs stimulated with varying doses of PHA in an IL-12- and/or CD28-dependent mannera

 
CD40L/CD40 stimulation increases IFN-{gamma} through enhancement of IL-12 and/or CD28 costimulation

Since the production of IFN-{gamma} could be induced from PBMCs by different mechanisms depending on the degree of PHA stimulation, the ability of CD40T to enhance IFN-{gamma} via IL-12 and/or the CD28 costimulation pathway was evaluated. As shown in Table IGo, PBMCs stimulated with suboptimal amounts of PHA (1/500 or 1/1000) in the presence of CD40T plus anti-IL-12 produced two- to threefold more IFN-{gamma} than cells stimulated in the presence of anti-IL-12 alone and two- to fivefold less IFN-{gamma} than cells stimulated with CD40T alone. These data suggest that CD40T at these concentrations of PHA could enhance IFN-{gamma} production in both IL-12-dependent and -independent manners. By contrast, there was no appreciable increase in the amount of IFN-{gamma} produced from cells stimulated with PHA (1/100) in the presence of CD40T plus anti-IL-12 compared with that from cells given anti-IL-12 alone. Thus, using an optimal amount of PHA (1/100) for stimulation, the ability of CD40T to enhance IFN-{gamma} is predominantly through an IL-12-dependent mechanism, consistent with the data shown in Figures 1Go and 2Go.

To verify whether the increase in the production of IFN-{gamma} from PBMCs stimulated with CD40T was due to CD28 stimulation, anti-CD28 Fab Ab was added to cultures. As shown in Table IGo, addition of anti-CD28 Fab in the presence of CD40T markedly inhibited the production of IFN-{gamma} from PBMCs stimulated with suboptimal amounts of PHA (1/500 or 1/1000) compared with that from cultures stimulated with CD40T alone. It should be pointed out that anti-CD28 Fab had a more demonstrable effect than anti-IL-12 on inhibiting the enhancement of IFN-{gamma} induced by CD40T from cells stimulated with PHA (1/500 or 1/1000). Moreover, additional evidence to support CD28 costimulation having a role in the ability of CD40T to enhance the production of IFN-{gamma} under lower stimulatory conditions was evaluated by assessing the expression of CD80 on CD14+ cells following stimulation with PHA (1/500 or 1/1000) in the presence or the absence of CD40T. As shown in Figure 3Go, cells cultured with PHA 1/500 or 1/1000 had a three- or sixfold increase in CD80 expression, respectively. Of interest, the expression of CD86 was not substantially increased by the presence of CD40T in cultures (data not shown). Thus, these data support the concept that under lower stimulatory conditions (1/500 or 1/1000 PHA), addition of CD40T leads to enhanced production of IFN-{gamma} via increased B7/CD28 costimulation.



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FIGURE 3. CD40T and endogenous IL-10 regulate B7–1 expression on PBMCs stimulated with limiting amounts of PHA. B7–1 expression on CD14+ cells was assessed from PBMCs cultured for 48 h with PHA (1/500 or 1/1000) in the presence or the absence of CD40T (3 µg/ml) or anti-IL-10 (10 µg/ml). Numbers in the right upper quadrant represent the percentage of gated double-positive cells.

 
Finally, since IL-10 has been shown to inhibit the expression of B7 (21), we also examined the role of endogenous IL-10 in CD80 expression from cells stimulated with limiting amounts of PHA. As shown in Figure 3Go, addition of anti-IL-10 to cultures stimulated with PHA (1/500 or 1/1000) resulted in a twofold increase in CD80 expression. These data demonstrate that endogenous IL-10 can influence B7/CD28 costimulation even at lower levels of T cell activation. It should be noted, however, that neutralization of endogenous IL-10 did not significantly enhance the production of IFN-{gamma} from cells stimulated with PHA (1/1000; Fig. 2Go). Thus, at lower stimulatory doses of PHA (1/1000), endogenous IL-10 appears to have a less demonstrative role in regulating IFN-{gamma}, in contrast to using optimal amounts of PHA (1/100). This further underscores the role of B7/CD28 costimulation in regulating CD40T-mediated enhancement of IFN-{gamma} under low stimulatory conditions.

Direct CD28 stimulation can induce IFN-{gamma} production from PBMCs in response to PHA in the absence of endogenous IL-12 and/or CD40L/CD40 costimulation

In a recent study by Grewal and colleagues (14), it was shown that IFN-{gamma} could be induced from CD40L-/- mice by adoptively transferring APCs expressing B7, suggesting that a functional IFN-{gamma} response could be achieved in the absence of CD40L/CD40 stimulation. In that study, however, it was not determined whether IFN-{gamma} induced by the B7-transfected cells was due to a direct effect on T cells or required an IL-12-dependent positive feedback loop. Therefore, in the results presented in Table IIGo, we were interested in determining whether direct CD28 costimulation induced the production of IFN-{gamma} and whether this was dependent on endogenous IL-12 and/or CD40L/CD40 stimulation.


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Table II. Anti-CD28 enhances IFN-{gamma} production from PBMCs stimulated with varying doses of PHA independent of CD40L or IL-12a

 
The role that exogenous CD28 costimulation has on IFN-{gamma} production was evaluated by adding a stimulatory Ab against CD28 to the cultures. Under maximal stimulatory conditions (PHA, 1/100), addition of anti-CD28 alone induced a one- to twofold increase in the production of IFN-{gamma}. By contrast, the presence of anti-CD28 Ab caused a fivefold enhancement of the production of IFN-{gamma} from cells stimulated with suboptimal amounts of PHA (1/1000). To determine whether the enhancement of IFN-{gamma} induced by anti-CD28 Ab was a direct effect or was IL-12 dependent, anti-IL-12 was added to cultures stimulated with anti-CD28 Ab. As shown in Table IIGo, PBMCs stimulated with PHA at 1/1000 in the presence of anti-CD28 and anti-IL-12 produced amounts of IFN-{gamma} similar to those produced with anti-CD28 alone, suggesting that CD28 stimulation induces a direct, IL-12-independent enhancement of IFN-{gamma} at very low stimulatory conditions. By contrast, in Expt. 1, CD28 stimulation enhanced IFN-{gamma} production from cells stimulated with PHA (1/500) both directly and through an IL-12-dependent pathway.

To assess whether CD28-mediated enhancement of IFN-{gamma} production was dependent on CD40L/CD40 stimulation, PBMCs were stimulated with anti-CD28 Ab in the presence of anti-CD40L Ab. In all the experiments in which anti-CD28 Ab led to increased production of IFN-{gamma}, addition of anti-CD40L Ab resulted in a substantial, but not complete, reduction in the production of IFN-{gamma}. Similarly, addition of anti-IL-12 also abrogated the increase in IFN-{gamma} induced by CD28 stimulation, albeit to a lesser extent than anti-CD40L Ab.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Th1 responses play an important role in mediating protective immunity against certain intracellular infections as well as in initiating or exacerbating specific autoimmune diseases (22). Since IL-12 is a central regulator of these responses, understanding the factors governing its regulation may have important clinical application. Initial studies examining IL-12 regulation showed that the induction of IL-12 is a highly regulated process, controlled by cytokines and/or the type of antigenic stimulus. Recently, it has been demonstrated that one of the major regulators of IL-12 induction and Th1 responses is through the CD40L/CD40 costimulatory pathway (1). In this report, we assess the mechanism(s) by which endogenous and exogenous CD40L/CD40 stimulation regulated IL-12 and IFN-{gamma} production. With regard to the role of endogenous CD40L/CD40 stimulation in regulating Th1 responses, previous work from both in vitro (20) and in vivo (2, 3) murine models demonstrated that CD40L/CD40 stimulation is essential for a functional Th1 response to a T cell-specific stimulus. In these studies, using human PBMCs stimulated with PHA, we also show that the induction of IL-12 and IFN-{gamma} is highly dependent on CD40L/CD40 stimulation.

Using a soluble CD40L agonist (CD40T), we focused on the ability of exogenous CD40L/CD40 stimulation to enhance the production of IFN-{gamma} from human PBMCs in response to varying levels of T cell activation. In particular, we studied the roles of IL-12 and/or CD28 costimulation in mediating the enhancement of IFN-{gamma} induced by CD40T. Our data show that when cells are stimulated with an optimal amount of Ag (PHA, 1/100), the CD40T enhancement of IFN-{gamma} was predominantly through an IL-12-dependent mechanism. This was consistent with the idea that under maximal stimulatory conditions a high level of endogenous B7/CD28 costimulation is likely to be already present. When PBMCs were stimulated with suboptimal amounts of PHA (1/500 or 1/1000), the presence of CD40T increased IFN-{gamma} through both IL-12 and B7/CD28 mechanisms. These more limited stimulatory conditions might approximate what occurs in vivo at the initiation of a primary T cell response in which the initial interaction of CD40L/CD40 between T cells and APCs leads to a relatively modest induction of IFN-{gamma} through a CD28-dependent, IL-12-independent pathway (23, 24, 25). The availability of this IFN-{gamma} may then help enhance subsequent IL-12 induction (26, 27, 28) as well as IL-12 responsiveness (29). Finally, it is important to note that endogenous IL-10 production has a major influence on the regulation of IFN-{gamma} production. Using optimal amounts of PHA (1/100), both IL-12 and IL-10 were induced, with the net effect being the production of IFN-{gamma} (Fig. 1Go). Moreover, as shown in Figure 2Go, the production of IFN-{gamma} was further enhanced by addition of anti-IL-10 at PHA 1/100, but not at PHA 1/1000. In separate studies, we have noted that the production of IL-10 from PBMCs occurs in a PHA dose-dependent manner (data not shown). Thus, the paucity of endogenous IL-10 at low levels of T cell activation may allow the B7/CD28 costimulation pathway to support the production of IFN-{gamma} in the absence of IL-12.

Given these data, which demonstrated a role for CD28 stimulation in regulating the production of IFN-{gamma}, we studied the underlying mechanism by focusing on the role of IL-12 and CD40L/CD40 stimulation. First, with regard to the role of endogenous CD28 stimulation in regulating IFN-{gamma} production, it was shown that addition of anti-CD28 Fab to cultures stimulated with PHA caused varying degrees of inhibition of IFN-{gamma} depending on the amount of PHA used for stimulation. Furthermore, it was shown that addition of IL-12 to cultures stimulated in the presence of anti-CD28 Fab led to an increase in the production of IFN-{gamma} compared with that by cells stimulated with anti-CD28 Fab alone; however, it should be noted that the IFN-{gamma} produced under these conditions was still substantially less than that produced in response to IL-12 alone (Table IIGo, Expt. 2). Taken together, these results suggest that endogenous CD28 stimulation is important in maintaining IL-12 responsiveness, consistent with a recent report showing that direct CD28 stimulation increases the expression of IL-12Rß1 chain and IL-12 binding (30) and would provide a mechanism for the synergy between IL-12 and CD28 stimulation noted in earlier reports (31, 32).

The next series of experiments studied the mechanism by which exogenous CD28 stimulation could influence IFN-{gamma} production, again focusing on the role of IL-12 and CD40L/CD40 stimulation in mediating this effect. In a previous report, adoptive transfer of B7.1-transfected APCs into CD40L-/- mice resulted in a functional Th1 response, providing evidence that CD40L/CD40 stimulation was not essential for IFN-{gamma} production provided B7 costimulation was present (14). In our studies, addition of CD28 Ab to cultures enhanced IFN-{gamma} in response to varying amounts of PHA. Moreover, partial enhancement of IFN-{gamma} induced by exogenous CD28 stimulation was still maintained even when anti-CD40L or anti-IL-12 were added to the cultures. These results are complementary to those obtained by Grewal and co-workers (14) and provide direct evidence that CD28 stimulation can enhance IFN-{gamma} in the absence of CD40L/CD40 stimulation. In addition, they show that direct CD28 stimulation can enhance IFN-{gamma} production independent of IL-12. Finally, it was of interest that in most experiments the enhancement of IFN-{gamma} observed by exogenous CD28 stimulation was inhibited more extensively by addition of anti-CD40L than by addition of anti-IL-12. This observation could be explained by two mechanisms. The first is that direct CD28 stimulation enhances the expression of CD40L (33), leading to induction of IL-12, which mediates most of the increase in IFN-{gamma}. Second, CD40L up-regulates other costimulatory molecules, e.g., intercellular adhesion molecule-1 and CD44H along with B7 (10, 34), providing an additional mechanism to enhance the production of IFN-{gamma} independent of IL-12.

Based on the results presented above, our data indicate a hierarchy among CD40L/CD40 and CD28 costimulatory pathways in regulating the production of IFN-{gamma} by PBMCs and suggest that CD40L/CD40 stimulation may be more important than B7/CD28 stimulation in regulating the production of IFN-{gamma} at the population level. This premise is consistent with in vivo experiments demonstrating that CD40L-/- mice derived on a resistant background are highly susceptible to Leishmania major infection as a result of impaired production of IFN-{gamma} (35, 36, 37). In contrast, CD28-/- mice on a resistant background infected with L. major exhibit relatively normal Th1 responses and are able to control infection (38). Moreover, DeKruyff et al. showed that anti-gp39, but not CTLA4-Ig, inhibited IL-12 p40 production from splenic adherent cells stimulated in vitro with Th1 clones plus OVA, providing additional evidence that CD40L/CD40 stimulation has a greater effect on Th1 regulation than does B7/CD28 stimulation (20).

In conclusion, these experiments provide additional insight regarding the role of CD40L/CD40 stimulation in regulating cellular immune responses. In addition, this study shows the potent effects that a soluble CD40L agonist (CD40T) can exert on the production of IL-12 and IFN-{gamma} from cells stimulated with T cell-specific Ags. Thus, these data in conjunction with evidence that CD40L/CD40 stimulation also has a central role in regulating T cell-dependent Ab production (39, 40) make CD40T a promising vaccine adjuvant through its ability to enhance both cellular and humoral immunities.


    Acknowledgments
 
We thank Brenda Rae Marshall for editorial assistance, and Nancy Craighead for technical assistance.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. John F. McDyer, Laboratory of Clinical Investigation, National Institute of Allergy and Infectious Diseases, Building 10, Room 11C215, National Institutes of Health, Bethesda, MD 20892. Back

2 Abbreviations used in this paper: CD40L, CD40 ligand; CD40T, trimeric soluble CD40 ligand agonist. Back

Received for publication July 11, 1997. Accepted for publication October 29, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Noelle, R. J.. 1996. CD40 and its ligand in host defense. Immunity 4:415.[Medline]
  2. van Essen, D., H. Kikutani, D. Gray. 1995. CD40 ligand-transduced co-stimulation of T cells in the development of helper function. Nature 378:620.[Medline]
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