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The Journal of Immunology, 1998, 161: 5762-5771.
Copyright © 1998 by The American Association of Immunologists

Lyme Arthritis Synovial {gamma}{delta} T Cells Respond to Borrelia burgdorferi Lipoproteins and Lipidated Hexapeptides1

Michael S. Vincent*, Karen Roessner*, Timothy Sellati{dagger}, Christopher D. Huston*, Leonard H. Sigal§, Samuel M. Behar, Justin D. Radolf{dagger},{ddagger} and Ralph C. Budd2,*

* Divisions of Immunobiology and Rheumatology, Department of Medicine, University of Vermont College of Medicine, Burlington, VT 05405; Departments of {dagger} Internal Medicine and {ddagger} Microbiology, University of Texas Southwestern Medical Center, Dallas, TX 75235; § Department of Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ 08903; and Lymphocyte Biology Section, Division of Rheumatology and Immunology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lyme arthritis synovial fluid contains a large proportion of {gamma}{delta} T cells that proliferates upon stimulation with the causative spirochete, Borrelia burgdorferi. A panel of Borrelia-reactive {gamma}{delta} T cell clones was derived from synovial fluid of two patients with Lyme arthritis. Each of six {gamma}{delta} clones from one patient used the V{delta}1 TCR segment but had otherwise unique CDR3 sequences and diverse V{gamma} segment usage. Stimulation of the V{delta}1 clones was optimal in the presence of Borrelia, dendritic cells, and exogenous IL-2, which was reflected by proliferation, TCR down-modulation, as well as induction of CD25 and Fas ligand expression. Stimulation by B. burgdorferi-pulsed dendritic cells withstood chemical fixation and was not restricted to class I or class II MHC, CD1a, CD1b, or CD1c. In contrast, anti-{gamma}{delta} antibody potently inhibited proliferation. Extraction of B. burgdorferi lipoproteins with Triton X-114 enriched for the stimulatory component. This was confirmed using lipidated vs nonlipidated hexapeptides of Borrelia outer surface proteins. These observations suggest that synovial V{delta}1 T cells may mediate an innate immune response to common lipoprotein products of spirochetes.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lyme disease is the most common vector-borne disease in the United States (1). Ticks of the Ixodes ricinus complex transmit the causative spirochete Borrelia burgdorferi sensu lato by inoculation into the dermis. This is often followed by a characteristic rash, erythema migrans, at the site of the tick bite, and a nonspecific febrile illness. If untreated, a polyarticular migratory arthritis may occur that can progress to a chronic synovitis which is usually monoarticular, but can involve several joints (1). A role for T cells in Lyme arthritis is suggested by a predominant synovial T cell infiltrate (2) and by the observation that antibiotic-resistant chronic Lyme arthritis patients possess an increased frequency of HLA-DR4 (3), which is also noted in rheumatoid arthritis (4). Evidence from experimental murine borreliosis also suggests that the host immune response may be critical in determining the eventual outcome of infection. Susceptibility to murine borelliosis is partly determined by the MHC background (5). Resistance is paralleled by the propensity to mount a Th2 response, whereas susceptibility correlates with IFN-{gamma} production (6). Furthermore, administration of IL-4 can protect susceptible strains, and neutralization of IFN-{gamma} diminishes the severity of infection (6, 7, 8).

{gamma}{delta} T cells are found in increased numbers in inflamed synovial fluid from both rheumatoid (9, 10, 11) and Lyme arthritis (12) as well as at diverse idiopathic inflammatory sites (13, 14, 15, 16). The function of {gamma}{delta} T cells at these anatomically selected sites remains obscure. Whereas the predominant {gamma}{delta} cell in PBL expresses the V{gamma}9V{delta}2 TCR, it is the V{delta}1 subset that accumulates in inflamed synovial fluid (9, 10, 11) and in PBL of HIV-infected individuals (17, 18). The ligands responsible for TCR activation of the V{delta}1 subset are largely unknown, as are the Ag restriction elements, if any. Several reports suggest that activated B cells can stimulate the expansion of V{delta}1 T cells (19, 20, 21), but it is not clear whether direct TCR stimulation is required for the activation of V{delta}1 T cells in these settings. A variety of cell types is potentially available for processing and presenting Ag within the inflamed synovium, including B cells, macrophages, monocytes, and dendritic cells (DC).3 At the site of infection, an important APC appears to be the DC, which ingests B. burgdorferi by coiling phagocytosis and subsequently can present spirochetal antigens to conventional {alpha}ß T cells (22). Interestingly, degraded spirochetes can be found within the cytosol of the DC as well as in association with MHC class II compartments (22).

One proposed function of the {gamma}{delta} T cell population is as an arm of the innate immune response, making use of the limited germline {gamma}{delta} TCR repertoire to respond to Ags unique to microbial pathogens. This idea derives largely from the observation that V{gamma}9V{delta}2 PBL uniformly respond to mycobacterial prenyl pyrophosphate and similar nonproteinaceous small molecules (23, 24). In addition, an effective early protective immune response to Listeria monocytogenes (25, 26, 27), Mycobacterium tuberculosis (28), and Toxoplasma gondii (29) requires the {gamma}{delta} subset, as {gamma}{delta} depletion leads to more severe infection.

While the role of synovial {gamma}{delta} T cells in Lyme arthritis is unclear, we have previously shown that the numbers of synovial {gamma}{delta} T cells expand dramatically when stimulated with Borrelia. Furthermore, Lyme synovial fluid {gamma}{delta} cells express Fas ligand (FasL) and mediate apoptosis of the CD4+ subset of synovial {alpha}ß T cells when stimulated in vitro with B. burgdorferi (12). In the present studies we further characterize {gamma}{delta} clones from Lyme arthritis synovial fluid that express the V{delta}1 TCR chain paired with diverse V{gamma} chains. Their optimal proliferative response requires DC, B. burgdorferi, and exogenous IL-2 and occurs via the {gamma}{delta} TCR. Molecules other than traditional MHC restriction elements or group I CD1 molecules mediate the V{delta}1 response to B. burgdorferi. Finally, the stimulatory component of B. burgdorferi is enriched in the membrane lipoprotein fraction and is conferred by a minimal lipoprotein.


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

Both Lyme arthritis patients were female and from areas endemic for Lyme disease. Each had a typical history for Lyme arthritis, and Abs to B. burgdorferi in both peripheral blood and synovial fluid were demonstrated by ELISA and confirmed by immunoblot. The patients were 12 and 16 yr old, with duration of symptoms for 12 and 18 mo, respectively, and were followed at the Lyme Disease Center Clinic at the University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School (New Brunswick, NJ).

Abs and flow cytometry

Abs included anti-human class I MHC (HLA-A, -B, and -C; 3F10, Ancell Corp., Bayport, MN), anti-human class II MHC (HLA-DP, -DQ, and -DR; TDR31.1, Ancell), anti-CD1a (OKT6, American Type Culture Collection, Manassas, VA), anti-CD1b (BCD1b5.1), anti-CD1c (L161, BioSource International, Camarillo, CA), anti-FasL-biotin (A11) (30), anti-CD25-phycoerythrin (CD25-3g10, Caltag, Burlingame, CA), anti-{gamma}{delta}-FITC (5A6.E9, Endogen, Woburn, MA), and anti-HLA-DR (YE2/36, Accurate Chemical & Scientific Corp., Westbury, NY). Ascites from anti-{gamma}{delta} clone 5A6.E9 (31) was a gift from Dr. Michael Brenner (Harvard Medical School, Boston, MA). Flow cytometry was performed using a Coulter Elite flow cytometer (Coulter, Hialeah, FL) and isotypic control Abs (Caltag) to define negative staining.

Derivation of {gamma}{delta} T cell clones and peripheral blood DC

{gamma}{delta} T cell clones were derived as previously described (12) by limiting dilution from primary cultures of Lyme arthritis synovial fluid lymphocytes that had been stimulated for 10 days to expand the {gamma}{delta} subset using a sonicate of B. burgdorferi (10 µg/ml; strain N40) grown in BSK II medium (32). Clones were expanded in 24-well plates by weekly stimulation of 106 cells with 3 x 106 irradiated (4000 rad) allogeneic PBMC in 2 ml of serum-free AIM-V (with L-glutamine, streptomycin (50 µg/ml), and gentamicin (10 µg/ml); Life Technologies, Gaithersburg, MD), 40 U/ml recombinant human IL-2 (Cetus, Emeryville, CA), and 10 µg/ml B. burgdorferi. Cultures were split and fed with fresh medium as needed. The derivation and maintenance of the B. burgdorferi-specific {alpha}ß clone 114B have been described previously (32).

DC were derived using a detailed protocol published previously (33). Briefly, PBMC were isolated by centrifugation over Histopaque 1077 (Sigma, St. Louis, MO), and 6–10 x 106 cells were incubated for 120 min at 37°C in 35-mm plastic culture wells. Nonadherent cells were then gently removed, and fresh medium was added containing IL-4 (500 U/ml; Genzyme, Cambridge, MA) and granulocyte-macrophage CSF (800 U/ml; Genetics Institute, Cambridge, MA). After 7 days at 37°C, the DC-enriched cultures were harvested and used either unsorted or following sterile sorting by flow cytometry into a large granular cell fraction that was highly enriched for DC. These preparations were used in proliferation assays or were frozen for subsequent experiments. The purity of the crude DC preparation ranged from 10–30% as judged by light scatter properties, whereas the purity of the sorted populations averaged 90%. The contaminating smaller cells consisted of approximately equal numbers of T and B cells based on CD3 and CD19 expression. The DC population was negative for CD14, CD3, and CD19 but positive for CD1a, CD1b, and CD1c and a variety of costimulatory and adhesion molecules, including CD11a, CD11c, CD40, CD54, CD58, CD80, and HLA-A, -B, -C, -DP, -DQ, and -DR as reported previously (33, and data not shown).

TCR sequencing

cDNA was prepared from RNA extracted from six Lyme synovial {gamma}{delta} clones using reverse transcriptase, and the CDR3 regions of the {delta}-chains were amplified using previously published primer sequences (12). The CDR3 region of the {gamma}-chain was amplified using the following primers: consensus V{gamma}, 5'-AAATCTTCCAACTTGGAAGGGAGA-3'; consensus J{gamma}1/2, 5'-TGTGACAACAAGTGTTGTTCCACT-3'; or consensus C{gamma}, 5'-GTCGTTAGTCTTCATGGTGTTCCC-3'. Chain termination sequencing was performed using a sequencing kit (Applied Biosystems, Foster City, CA), a nested primer (5'-TTCACCAGACAAGCGACATT-3') in the case of the {delta}-chain, or the above C{gamma} primer for the {gamma}-chain and was analyzed by automated sequencing (Applied Biosystems model 373A).

Proliferation assays

{gamma}{delta} T cell clones (2–3 x 104) that were at least 14 days from previous Ag stimulation were incubated alone or with 3–10 x 104 allogeneic irradiated (8000 rad) crude DC in the absence or the presence of B. burgdorferi sonicate at 3 or 10 µg/ml. All assays were performed in triplicate in 96-half-well plates in 200 µl of AIM-V with 5% FBS and 4 U/ml rIL-2 unless otherwise indicated. In experiments with PBMC as stimulators, 105 irradiated cells (4000 rad) were used under otherwise identical conditions. Cells were harvested on day 3 after labeling with 1 µCi of [3H]TdR/well for the final 18 h of culture. Values were corrected for basal proliferation in the presence of medium alone, and error bars represent the SD of triplicate determinations unless otherwise indicated. Assays with the Borrelia-reactive {alpha}ß T cell clone 114B were performed similarly using 105 irradiated (4000 rad) autologous PBMC feeders. The HLA haplotypes from donors were as follows: donor 1, A2, A24, B44, B48, Cw3, Cw0704, DRB1*0101, DRB1*1301, DRB3*02, DQA1*0101, DQA1*0103, DQB1*0501, DQB1*0603; donor 2, A2, A2501, B44, B39, Cw0501, Cw1203, DRB1*01, DRB1*16, DQA1*0101, DQA1*0103, DQB1*0501, DQB1*0502; and donor 3, A1, A2, B8, B1402, Cw8, DRB1*0301, DRB1*1302, DRB3*02, DRB3*0301, DQA1*0501, DQA1*0102, DQB1*02, DQB1*0604. For Ab inhibition, ascites or purified Ab was added at the indicated dilution before the mixing of cells.

Chemical fixation of the DC preparation was performed by first incubating the cells in the presence or the absence of B. burgdorferi at 10 µg/ml overnight at 37°C, then washing with 5% FBS in RPMI (Life Technologies), and fixing by addition of either ice-cold 75 mM 1-ethyl-3-(3'-dimethyl-aminopropyl)-carbodiimide (EDCI; Sigma) in PBS for 60 min on ice or 0.5% paraformaldehyde (Ted Pella, Redding, CA) in PBS for 15 min at room temperature. Following fixation the cells were extensively washed with 5% FBS, AIM-V medium and used in proliferation assays as indicated.

Ags and fractionation of borrelial lipoproteins

Borrelia hermsii sonicate was a generous gift from Dr. Allen Steere (New England Medical Center, Boston, MA). Treponema pallidum was prepared as previously described (34). Mycobacterium tuberculosis (strain H37RA) was purchased from Difco (Detroit, MI). Candida albicans and tetanus toxoid were purchased from the University Health Center (Burlington, VT). LPS from Escherichia coli serotype 0111:B4 was obtained from Sigma. E. coli strain INV{alpha}F' (Invitrogen, Carlsbad, CA) was sonicated and spun 5 min at 13,000 x g, and the sonicate was passed through a 0.45-µm filter (Millipore, Bedford, MA). Triton X-114 (Sigma) phase separation was performed essentially as previously described (35). Briefly, B. burgdorferi (109/ml) was solubilized in 2% (v/v) Triton X-114 in PBS by end-over-end rotation overnight at 4°C. Insoluble material was removed by centrifugation (20,000 x g for 30 min), and the supernatant was heated to 37°C for 15 min. The detergent phase was separated by centrifugation (13,000 x g for 15 min at 25°C). Proteins were recovered by precipitation in 10 vol of -20°C acetone. Protein concentrations were measured using the bicinchoninic acid assay (Pierce, Rockford, IL) according to the manufacturer’s instructions. Purification of native lipidated OspA from B. burgdorferi was performed by mAb immunoaffinity chromatography as previously described (34). Purity was assessed by SDS-PAGE. Nonacylated OspA was prepared as a recombinant fusion protein with glutathione-S-transferase in Escherichia coli using the plasmid pGEX-2T (Pharmacia, Piscataway, NJ). Expression and affinity column purification were performed according to standard procedures of the manufacturer. The nonacylated OspA was cleaved and isolated from the glutathione-S-transferase moiety by thrombin cleavage of the immobilized fusion proteins bound to the glutathione resin. To remove residual E. coli LPS contaminants, protein solutions were subjected to Detoxi-Gel Endotoxin Removing Gel columns (Pierce). Proteins were tested for the presence of residual contaminating endotoxin by the Limulus amoebocyte lysate gelatin assay (E-Toxate, Sigma).

Hexapeptides corresponding to the N-termini of OspA (Cys-Lys-Gln-Asn-Val-Ser) or OspC (Cys-Asn-Asn-Ser-Gly-Lys) were synthesized on an Applied Biosystems model 430A peptide synthesizer (Foster City, CA). Inasmuch as palmitate is the principal long chain fatty acid of native spirochetal lipoproteins (34), lipohexapeptide analogues corresponding to the acylated N-termini of the lipoproteins were synthesized as tripalmitoyl derivatives as previously described (34). Tripalmitoyl-S-glycerylcysteine (i.e., acylated cysteine lacking the pentapeptide) was also synthesized. All synthetic peptides and lipopeptides were assayed for contaminating endotoxin by the Limulus amoebocyte lysate assay after being dissolved or suspended in sterile endotoxin-free water.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lyme arthritis synovial {gamma}{delta} clones are diverse and of the V{delta}1 subset

Stimulation of Lyme arthritis synovial fluid lymphocytes with B. burgdorferi leads to an expansion of the {gamma}{delta} subset to as much as 50% of the total cultured cells (12). To better characterize the {gamma}{delta} T cell response in Lyme arthritis, bulk cultures of Borrelia-stimulated synovial fluid lymphocytes were cloned by limiting dilution using autologous feeders and borrelial sonicate. As expected from the predominant phenotype of the bulk culture assessed by flow cytometry, most {gamma}{delta} clones were CD4-CD8- and expressed the V{delta}1 TCR (data not shown). To determine whether the V{delta}1 clones were simply daughter cells, the CDR3 segments of the {gamma}- and {delta}-chains were PCR amplified and sequenced from six {gamma}{delta} clones from one patient. As shown for the {delta}-chain in Fig. 1GoA, no duplicate sequences existed among the clones, ruling out expansion of a single clone. There was no similarity in either CDR3 length or junctional nucleotide sequence among the clones, and use was made of both the J{delta}1 (four clones) and J{delta}2 (two clones) segments. The {gamma} TCR chain CDR3 sequences are shown in Fig. 1GoB and again are notable for the lack of similarity at the nucleotide and amino acid levels as well as the use of a several V{gamma} regions, including V{gamma}2, V{gamma}3, and V{gamma}4. Despite the heterogeneity of the CD3 region of the {delta}-chain and of V{gamma} usage, all six synovial V{delta}1 clones proliferated in response to B. burgdorferi (data not shown).



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FIGURE 1. CDR3 region nucleotide sequences of the TCR {delta}-chain (A) and the TCR {gamma}-chain (B) for six {gamma}{delta} clones from a Lyme arthritis synovial fluid sample. Germline sequences are underlined. J{delta}, V{gamma}, and J{gamma} usage is indicated adjacent to the nucleotide sequences. The data do not allow discrimination between the J{gamma}1 and J{gamma}2 segments.

 
B. burgdorferi activates V{delta}1 {gamma}{delta} clones

Without preceding knowledge of a restriction element or Ag processing requirements, we elected to use as accessory cells DC prepared from adherent blood monocytes as previously described (33). These DC express a large complement of adhesion and costimulatory molecules as well as the MHC-like molecules, CD1a, CD1b, and CD1c (33) (data not shown), which have been suggested to play a role in TCR restriction of certain {gamma}{delta} cells (36). For the {gamma}{delta} clones shown in Fig. 2GoA, the typical stimulation in response to B. burgdorferi and DC is severalfold over background proliferation of {gamma}{delta} cells alone, and the proliferative response to DC alone is intermediate between the two. The Borrelia-induced proliferation was very reproducible in both clones and was absolutely dependent on exogenous IL-2, which could not be omitted from cultures without complete loss of viability (Fig. 2GoB). This is consistent with the lack of IL-2 production by the {gamma}{delta} clones in response to B. burgdorferi/DC stimulation (data not shown). The necessary use of exogenous IL-2 probably accounted for the elevated backgrounds with DC alone, resulting in a decreased stimulation index in the presence of Borrelia. We have observed a similar decreased stimulation index using a B. burgdorferi-specific {alpha}ß T cell clone when IL-2 was added to the cultures. In this case the increased background proliferation with IL-2 caused the stimulation index to decrease from 7.8 in the absence of exogenous IL-2 to 2.2 in its presence (M. S. Vincent, unpublished observations). Thus, the absolute requirement for IL-2 by the {gamma}{delta} clones partially diminished the magnitude of the stimulation index due to increased background proliferation rather than poor responsiveness to Borrelia. Other reports have also described the requirement for exogenous IL-2 in the propagation of human V{delta}1 T cells (37, 38).



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FIGURE 2. Borrelia sonicate induces IL-2-dependent proliferation of Lyme {gamma}{delta} T cell clones. A, Two {gamma}{delta} T cell clones (Bb1-3 and Bb1-16) were incubated at 3 x 104 cells/well with medium alone or with 1 x 105 DC in the absence or the presence of Borrelia sonicate (Bb) at 10 µg/ml. B, Clone Bb1-3 (1 x 104 cells/well) was incubated with medium alone or with 3 x 104 DC and B. burgdorferi at 10 µg/ml in the presence of increasing concentrations of rIL-2. Error bars represent the SD of triplicate determinations.

 
As an alternative to proliferation as a measure of activation of the {gamma}{delta} clones, we characterized the down-modulation of surface TCR following stimulation with B. burgdorferi as well as the induction of cell surface CD25 and FasL. Fig. 3Go illustrates the expression of surface TCR-{gamma}{delta} and CD25 by a representative {gamma}{delta} clone that was stimulated with Borrelia and irradiated PBMC (APC) 2 days previously. Compared with stimulation with PBMC alone, the addition of B. burgdorferi considerably increased the proportion of CD25+ {gamma}{delta} cells. Furthermore, the CD25+ cells manifested down-modulated surface TCR-{gamma}{delta} relative to the {gamma}{delta}+ cells that lacked CD25 expression. The addition of cyclosporin A partially blocked the induction of CD25 and TCR down-modulation, further suggesting that this change in phenotype with Borrelia was due to a signaling pathway known to be activated by TCR engagement. This finding was very consistent in a second experiment.



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FIGURE 3. B. burgdorferi induces TCR down-modulation and CD25 expression by V{delta}1 clones. Shown is the expression of TCR-{gamma}{delta} vs CD25 for clone Bb1-3 stimulated 2 days previously with irradiated PBMC alone (APC), APC plus B. burgdorferi (Bb), or APC, Bb, plus cyclosporin A (CsA). Number inserts indicate the percentage of cells in the quadrant. The large proportion of cells lacking expression of {gamma}{delta} or CD25 represent the APC that were present at a fourfold excess over the {gamma}{delta} clone at the start of the culture.

 
Fig. 4GoA depicts a more complete time course of CD25 expression by a representative {gamma}{delta} clone following stimulation with B. burgdorferi and irradiated PBMC. CD25 expression peaked 3 days following stimulation, consistent with previous reports of CD25 induction on human {gamma}{delta} clones (39). In contrast to the proliferative response, the induction of surface CD25 was threefold higher than the levels in the presence of PBMC alone, consistent with the view that Borrelia provided a specific activation signal. A second marker of activated T cells is FasL, which we have previously observed at high levels on {gamma}{delta} cells from Lyme arthritis synovial fluid stimulated with B. burgdorferi (12). Fig. 4GoB shows that up-regulation of FasL also peaked on day 3 in the presence of B. burgdorferi and PBMC. Thus, the up-regulation of CD25 and FasL on V{delta}1 clones by B. burgdorferi is consistent with TCR signaling to the {gamma}{delta} clones and can be used to corroborate findings obtained using proliferation. The minimal background induction of these cell surface molecules demonstrates that measurement of surface activation markers provides a higher stimulation index than proliferation. As such, these parameters may be more useful in investigating the fine specificity of the borrelial components involved.



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FIGURE 4. B. burgdorferi stimulates expression of activation markers CD25 and FasL on {gamma}{delta} cells. CD25 expression of {gamma}{delta} clone Bb1-16 (A) or FasL expression of {gamma}{delta} clone Bb1-3 (B) was monitored following stimulation of {gamma}{delta} cells with irradiated PMBC as APCs and 20 U/ml rIL-2 in the absence or the presence of 10 µg/ml Borrelia sonicate (Bb). The ratio of PBMC to {gamma}{delta} cells was 3:1. At the times indicated wells were harvested and stained for CD25 (A) or FasL (B). Electronic gating on the blast population allowed analysis of the {gamma}{delta} clonal population, which was confirmed by two-color staining for the TCR-{gamma}{delta} (data not shown). Values represent the percentages of {gamma}{delta} T cell blasts staining positively for the indicated marker relative to isotypic controls.

 
DC possess potent stimulatory activity that is resistant to chemical fixation following pulsing with B. burgdorferi

Because the DC preparations were not homogeneous, it was not clear whether the contaminating T and B cells or the DC were stimulating proliferation in the presence of B. burgdorferi. In fact, a number of reports have suggested that activated B cells are a principal costimulatory cell for the V{delta}1 subset of {gamma}{delta} T cells (19, 20, 21). When the DC were sorted flow cytometrically by light scatter properties for large granular cells, essentially all the stimulatory activity segregated with the DC population (Fig. 5Go). For this analysis, the absolute number of sorted cells used as accessory cells was intentionally set based on the proportion of a given cell subset that was in the unsorted DC culture. It is clear that DC provided a potent stimulus for the {gamma}{delta} clones, which were active using as few as 8000 DC/well. The non-DC population (including the B and T subsets), by contrast, induced no Borrelia-specific response, even though they were used at a 7.5-fold excess relative to DC (Fig. 5Go).



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FIGURE 5. Borrelia-induced proliferation segregates with the presence of purified DC. The cytokine-expanded accessory cell mixture was separated on the basis of light-scattering properties into DC (large, granular cells) and non-DC (small, nongranular) subsets. The final concentrations of APCs for the crude DC mixture, purified DC, and non-DC were, respectively, 1 x 105, 8 x 103, and 6 x 104/well in proportion to their numbers in the unsorted population. The conditions of the assay were otherwise as described in Fig. 2Go and Materials and Methods, using clone Bb1-16.

 
Proliferation of the {gamma}{delta} clones in the presence of B. burgdorferi and DC could be related to a number of factors. Stimulation may occur directly by traditional Ag presentation or indirectly through Borrelia-induced expression of costimulatory molecules or cytokines by DC, either of which would require metabolically active DC. Alternatively, {gamma}{delta} activation by DC plus B. burgdorferi could involve a type of superantigen response that would not require metabolically active accessory cells or Ag processing (40). To distinguish between these possibilities chemical fixation of DC was performed with either EDCI or paraformaldehyde to preclude further metabolic activity, including cytokine production and Ag processing (41). As shown in Fig. 6Go, fixation of DC with either reagent after an initial overnight incubation with B. burgdorferi did not diminish DC stimulatory activity. In contrast, addition of B. burgdorferi following fixation of accessory cells prevented {gamma}{delta} stimulation beyond background levels. These findings are consistent with the view that the activation of the V{delta}1 clones by Borrelia does not involve secreted molecules from DC or a traditional superantigen effect of B. burgdorferi on {gamma}{delta} cells, but does require a metabolically active accessory cell.



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FIGURE 6. Activation {gamma}{delta} clones by B. burgdorferi (Bb)-pulsed DC is resistant to subsequent chemical fixation. Background proliferation was initially established for {gamma}{delta} clone Bb1-16 using medium alone or DC that had been fixed with either EDCI or paraformaldehyde (PFA) but not exposed previously to B. burgdorferi (Fixed DC). This was compared with proliferation using DC that had been pulsed overnight with B. burgdorferi sonicate (10 µg/ml) before fixation (Bb-pulsed, Fixed DC) vs DC that were fixed before addition of Borrelia sonicate (Fixed DC + Bb).

 
Proliferation of {gamma}{delta} clones lacks conventional MHC restriction but is inhibited by anti-{gamma}{delta} Ab

To determine whether the TCR was required for the activation of V{delta}1 clones by Borrelia, blocking studies were performed using a specific {gamma}{delta} TCR Ab (31). Fig. 7Go shows that a control Borrelia-specific {alpha}ß T cell clone, 114B (32), proliferated in the presence of soluble pan-{gamma}{delta} Ab, whereas V{delta}1 clone Bb1–3 was markedly inhibited in a dose-dependent manner across a broad range of Ab concentrations.



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FIGURE 7. Inhibition of B. burgdorferi-induced proliferation by anti-{gamma}{delta} TCR Ab. Ascites at the indicated concentrations was added to clone Bb1-3 followed by irradiated DC and B. burgdorferi.

 
The contribution of MHC or MHC-like molecules was examined in two ways. In the first instance, PBMC from several donors of known HLA haplotypes were tested for their capacity to promote proliferation of the same {gamma}{delta} clone in the presence of B. burgdorferi. If the response of the {gamma}{delta} clones were restricted by conventional Ag-presenting molecules, one would expect disparate HLA haplotypes to differ in their Borrelia-induced stimulatory capacity. As shown in Fig. 8Go, PBMC from each of three donors displayed the same ability to induce proliferation of the {gamma}{delta} clone Bb1-16. Clone Bb1-3 responded similarly to the same panel of donors (data not shown). Although we cannot exclude a role for classical MHC Ag presentation on the basis of these experiments, at a minimum the data indicate a departure from the pattern of Ag restriction typically observed with {alpha}ß T cell clones. In fact, we have previously shown that a panel of Borrelia-specific {alpha}ß T cell clones is indeed activated only by autologous PBMC (32). As a separate measure of MHC restriction of the B. burgdorferi response, Abs to class I and class II molecules were used in blocking studies. As shown in Fig. 9Go, neither blocking Ab inhibited specific proliferation of {gamma}{delta} cells to Borrelia. The class I Ab was nonspecifically toxic to the {gamma}{delta} clones (Fig. 9GoA) at a concentration of 1.0 µg/ml or greater as evidenced by its inhibition of a class II-restricted CD4+ TCR-{alpha}ß clone (114B) that is specific for B. burgdorferi (Fig. 9GoB). The class II Ab produced no inhibition of the {gamma}{delta} clones (Fig. 9GoC) but did specifically inhibit the TCR-{alpha}ß clone 114B (Fig. 9DGo). It was still possible that Borrelia presentation occurred through nonpolymorphic MHC-like molecules such as those in the CD1 family. However, Fig. 10Go shows no evidence of {gamma}{delta} inhibition by Abs to CD1a, CD1b, or CD1c. This was corroborated by lack of specific lysis of target C1R cells transfected with CD1a, CD1b, or CD1c (data not shown).



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FIGURE 8. PBMC of diverse haplotypes can stimulate {gamma}{delta} clones in the presence of B. burgdorferi. Clone Bb1-16 was incubated with irradiated PBMC from HLA disparate donors in the absence or the presence of Borrelia sonicate. The complete HLA profile of each donor is listed in Materials and Methods.

 


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FIGURE 9. The responses of V{delta}1 clones are not inhibited by Abs to class I or class II MHC. Anti-class I Ab was added at the concentrations indicated to Borrelia-stimulated V{delta}1 clone Bb1-3 (A) or CD4+ class II-restricted Borrelia-specific {alpha}ß T cell clone 114B (B). As is apparent, there was no more inhibition of the {gamma}{delta} clone than of the {alpha}ß clone. At 1.0 µg/ml or more, the anti-class I Ab was toxic to the cells despite the absence of any azide. A similar analysis of class II inhibition was performed on V{delta}1 clone Bb1-16 (C) or {alpha}ß clone 114B (D). In this instance, anti-class II blocked the proliferation of clone 114B but not that of Bb1-16.

 


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FIGURE 10. B. burgdorferi-induced proliferation of {gamma}{delta} T cell clones is not blocked by Abs to CD1 family members. Ab at the indicated concentrations was added to {gamma}{delta} clone Bb1-3, stimulated by irradiated DC and B. burgdorferi. Proliferation was measured after 3 days.

 
Response of the V{delta}1 clones is specific for spirochetes and mycobacteria, is enriched in the membrane lipoprotein fraction of Borrelia, and is conferred by a minimal lipopeptide

Certain {gamma}{delta} T cells are known to recognize microbial components common to a variety of organisms. This was examined for the synovial V{delta}1 clones using a panel of microbial preparations and purified Ags (Fig. 11GoA). Interestingly, two other spirochetes, B. hermsii and Treponema pallidum, induced levels of proliferation nearly identical with those seen with B. burgdorferi. In addition, M. tuberculosis also stimulated the V{delta}1 clones. This is in contrast to the organisms, Candida albicans and E. coli, or the bacterial products tetanus toxoid and LPS, none of which increased proliferation above background levels. These findings were also substantiated using CD25 induction (Fig. 11GoB).



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FIGURE 11. B. burgdorferi-responsive {gamma}{delta} T cell clones also respond to other spirochetes and M. tuberculosis, but not to unrelated microbial Ags. A, The panel of Ags was tested at 3 µg/ml in the presence of irradiated DC and {gamma}{delta} clone Bb1-3. Proliferation was measured after 3 days. B, {gamma}{delta} clone Bb1-16 was incubated with irradiated PBMC in the absence or the presence of the indicated Ags at 10 µg/ml. CD25 levels were measured on day 3 following stimulation. Percentages represent the level of positive staining in the {gamma}{delta}+ gate above the background level (5%) in the presence of PMBC alone.

 
A common feature of spirochetal membranes is a large complement of lipoproteins characterized by lipid modification of the N-terminal cysteine consisting predominantly of three palmitoyl residues (34, 42). These lipoproteins can be extracted following solubilization of the spirochetes with the nonionic detergent Triton X-114, whereas the bulk of cytoskeletal proteins forms a precipitate. Warming the solubilized proteins induces a phase separation, and the resultant detergent phase is enriched in the hydrophobic lipoproteins (35). When B. burgdorferi was fractionated by this method, a considerable enrichment in {gamma}{delta} proliferative capacity was observed in the lipoprotein extract compared with the unfractionated sonicate (Fig. 12GoA). This was further substantiated using a series of lipidated vs nonlipidated variants of Osp determinants from B. burgdorferi. Fig. 12GoB shows the proliferative responses of two {gamma}{delta} clones in response to lipidated and nonlipidated versions of full-length OspA or N-terminal hexapeptides of OspA or OspC. As is evident, both {gamma}{delta} clones responded only to the lipidated forms of these proteins/peptides. These findings were extremely consistent in two other experiments. Furthermore, if the hexapeptide was further truncated down to only the single cysteine to which the tripalmitoyl residue was attached, the {gamma}{delta} response was also lost (Fig. 12GoC). Thus, the minimal stimulatory unit of B. burgdorferi was a hexapeptide tripalmitoyl residue.



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FIGURE 12. The responses of {gamma}{delta} T cell clones to B. burgdorferi are enriched in the lipoprotein fraction. A, Crude B. burgdorferi sonicate was compared with the Triton X-114-extracted B. burgdorferi lipoproteins at the indicated protein concentrations in the presence of irradiated DC and {gamma}{delta} T cell clone Bb1-16. B, V{delta}1 clones respond to lipidated, but not delipidated, components of B. burgdorferi. Shown is the proliferative response of two V{delta}1 clones to APC alone, APC plus Borrelia sonicate (Bb), delipidated variants of full-length native OspA or N-terminal hexapeptides of OspA or OspC, or the lipidated normal versions of the same molecules (indicated by an L suffix). C, Proliferation of V{delta}1 clones to lipidated hexapeptide OspL is lost when the peptide is truncated to a single cysteine (3PalC).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The observation that the V{delta}1 subset of {gamma}{delta} cells was expanded in fresh Lyme arthritis synovial fluid, and even further during in vitro cultivation of synovial fluid lymphocytes with Borrelia, suggested that synovial {gamma}{delta} cells might respond to borrelial components. V{delta}1 clones from Lyme patients proliferate in vitro in the presence of B. burgdorferi, DC, and IL-2. This response is not restricted by known classical or nonclassical HLA molecules. Furthermore, the stimulatory component of Borrelia is tripalmitoyl-hexapeptide whose lipid modification is common to lipoproteins of other spirochetes. In this regard synovial V{delta}1 cells may function in an innate immune response.

Characterization of the V{delta}1 T cell response to Ag by proliferation is complicated somewhat by its dependence on exogenous IL-2, which has been noted for other {gamma}{delta} cell populations (37, 38, 43). The absolute requirement for exogenous IL-2 as well as the constitutive expression of IL-2Rß found on the majority of resting {gamma}{delta} T cells (44) and the failure of development of {gamma}{delta} subsets in IL-2Rß-deficient mice (45) suggest that synovial V{delta}1 cells may require the presence of Th cells to provide IL-2. Further support for the idea that there are differences in trophic requirements for {gamma}{delta} cells is found in mice genetically deficient for IL-7R{alpha}, which are devoid of only the {gamma}{delta} T cell subset (46). We have not observed augmented proliferation of V{delta}1 clones in the presence of IL-7 (K. Roessner, unpublished observations). Despite these differences, activation of {gamma}{delta} T cells, even in response to unconventional ligands, clearly does reflect engagement of the TCR (47).

Other measures of activation, such as CD25 expression (39, 48, 49) and cytolytic activity (36), have been used to characterize the specificity of {gamma}{delta} T cells. Up-regulation of the cell surface markers of activation used here, CD25 and FasL, was in close agreement with the proliferative responses observed and showed greater indexes of stimulation than did proliferation.

The contribution of accessory cells in human {gamma}{delta} activation has been controversial, with data supporting a requirement for T cells (43, 50), B cells (51), and mononuclear phagocytes (52). For our {gamma}{delta} clones, DC derived from PBMC clearly serve as efficient accessory cells as has previously been noted for allostimulation of naive {gamma}{delta} T cells (53).

The responsiveness of the {gamma}{delta} clones following fixation of Borrelia-pulsed DC and the potent inhibition by specific anti-TCR Ab suggest that V{delta}1 cells recognize Ag via the TCR. While consistent with the idea that the V{delta}1 clones respond to B. burgdorferi via their TCR, we cannot rule out the possibility that the observed inhibition by anti-{gamma}{delta} Ab results from a negative signal delivered to the {gamma}{delta} T cell clone rather than mere blocking. However, the down-modulation of surface TCR by the responding (CD25+) {gamma}{delta} cells further supports the view that Borrelia activation of {gamma}{delta} cells is via the TCR.

The current findings do not distinguish whether the synovial V{delta}1 cells respond directly to a component of B. burgdorferi or whether activation is indirect through up-regulation of another molecule on APCs. Either result would be interesting. We found no evidence for restriction of the V{delta}1 response by either classical MHC molecules or group I CD1 molecules. Despite a decade of intensive study, the characterization of {gamma}{delta} TCR ligands and restriction elements has yet to yield a conserved molecular pattern of recognition as is seen for the majority of {alpha}ß T cells. The best described members of the human {gamma}{delta} population are V{gamma}9V{delta}2 T cells that recognize mycobacterial prenyl pyrophosphates, synthetic alkyl pyrophosphates, and nucleoside phosphates (24). Although the precise restriction element involved is unknown, activation is dependent on cell-cell contact (54). In contrast, for the remainder of the human {gamma}{delta} repertoire, the TCR ligands are not well characterized. A number of studies have noted expansions of the V{delta}1 and other subsets of {gamma}{delta} T cells in infectious (37) and autoimmune diseases (13, 14, 15, 16) without formally identifying the relevant ligands or the requirement for TCR signaling. Studies using cloned T cells have in some cases identified restriction elements for {gamma}{delta} TCR recognition, which include MHC class I and class II molecules (55), and the nonpolymorphic CD1c molecule (56), but the majority of {gamma}{delta} clones, like those from Lyme synovial fluid, are without classical MHC restriction. More recently, the class I MHC-like molecules, MICA and MICB, have been demonstrated to be recognition units for human intestinal V{delta}1 cells (57). We are currently examining whether our synovial V{delta}1 cells are responsive to MICA and MICB. If similar to intestinal V{delta}1 cells, then conceivably Borrelia may stimulate synovial V{delta}1 cells indirectly by up-regulating surface MICA and MICB. The observed lack of specificity for the hexapeptide moiety among the synovial V{delta}1 clones would be consistent with this possibility.

The recently recognized ability of certain {alpha}ß T cells to recognize lipids (58) and glycolipids (59) in the context of CD1b has provided a possible explanation for the difficulty in characterizing {gamma}{delta} TCR specificity and restriction by conventional means for studying {alpha}ß T cells. Like the majority of {gamma}{delta} T cells, CD1-restricted {alpha}ß cells are often CD4-CD8-. In this regard, it is interesting that the minimal component of Borrelia to which the clones respond is a lipohexapeptide, although we did not find evidence supporting restriction of the Borrelia response by the group I CD1 molecules. Another suggestion, based on the similarity of the {gamma}{delta} CDR3 length distribution to that of Abs, is that {gamma}{delta} TCR may not require a restriction element, but, rather, may recognize aggregated Ag, as in the case of a murine {gamma}{delta} clone specific for a herpesvirus glycoprotein, gI (60). This seems unlikely for our synovial {gamma}{delta} clones because their activation requires the presence of both Borrelia and APCs and also because fixation before the addition of Borrelia abrogates the response. Additionally, we have not observed a response to B. burgdorferi sonicate when coated onto plastic (M. S. Vincent, unpublished observations). Our findings also argue against a superantigen effect accounting for the Borrelia stimulatory activity.

{gamma}{delta} T cells have also been noted in synovial fluid from rheumatoid arthritis (9, 10, 11), but their function there is unknown. Given that these synovial {gamma}{delta} cells are also of the V{delta}1 subset, their function in rheumatoid arthritis may parallel their role in Lyme arthritis synovium. In Lyme arthritis synovial fluid, the expansion of the {gamma}{delta} subset correlates with apoptosis of CD4+ synovial lymphocytes when cultured in vitro with B. burgdorferi (12). The expanded {gamma}{delta} subset in synovial fluid expresses high and sustained levels of FasL, which mediates the apoptosis of Fas-bearing CD4+ cells. We have observed pronounced FasL expression on these {gamma}{delta} clones for up to 6 days following Borrelia stimulation (M. S. Vincent, unpublished observations). The current findings demonstrate that the up-regulation of FasL on V{delta}1 clones is actually a consequence of activation by B. burgdorferi. This places the spirochete at the initiation of a circuit that would result in the elimination of Fas-sensitive T cells at the inflammatory site via {gamma}{delta} activation. In this way the {gamma}{delta} T cell infiltrate could play a regulatory role in the immune response by suppressing the CD4+ T cell expansion. Consistent with this model are the reports of two groups that collagen-induced arthritis (61) and adjuvant-induced arthritis (62) are exacerbated when {gamma}{delta} T cells are depleted.

Our observations suggest a potential role for the V{delta}1 subset of synovial T cells in response to conserved spirochetal lipoproteins that contain tripalmitoyl residues that are also known to activate macrophages and monocytes (34). Although B. burgdorferi is devoid of LPS (63), the lipoprotein N-terminal modifications in the cell membrane contain similar broad immunostimulatory properties (64). The minimal structures necessary for the induction of TNF-{alpha}, IL-1ß, IL-6, and IL-12 production by mononuclear phagocytes are the same hexapeptide derivatives of N-terminal palmitoylated cysteine that stimulate the synovial V{delta}1 clones (34). The conservation of these structures in other spirochetes suggests that V{delta}1 cells may participate in an innate immune response. As such, this may have parallels with the recognition of nonprotein components of Mycobacteria by V{gamma}9V{delta}2 cells (23, 24) or of glycosylceramides by NK1.1+ T cells (65).


    Acknowledgments
 
We gratefully acknowledge the excellent technical skills of Colette Charland in performing flow cytometry, and the excellent secretarial assistance of Roberta Christie.


    Footnotes
 
1 This work was supported by grants from the National Institutes of Health (AR43520 to R.B.C., AI38894 to J.D.R., and AR01996 to M.S.V.) and the Arthritis Foundation. Back

2 Address correspondence and reprint requests to Dr. Ralph C. Budd, Immunobiology Program, University of Vermont College of Medicine, Burlington, VT 05405-0068. Back

3 Abbreviations used in this paper: DC, dendritic cells; EDCI, 1-ethyl-3-(3'-dimethyl-aminopropyl)-carbodiimide; FasL, Fas ligand; OspA, outer surface protein A; MIC, MHC Class I chain-related genes. Back

Received for publication January 20, 1998. Accepted for publication July 13, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Nocton, J. J., A. C. Steere. 1995. Lyme disease. Adv. Intern. Med. 40:69.[Medline]
  2. Steere, A. C., P. H. Duray, E. C. Butcher. 1988. Spirochetal antigens and lymphoid cell surface markers in Lyme synovitis: comparison with rheumatoid synovium and tonsillar lymphoid tissue. Arthritis Rheum. 31:487.[Medline]
  3. Steere, A. C., E. Dwyer, R. Winchester. 1990. Association of chronic Lyme arthritis with HLA-DR4 and HLA-DR2 alleles. N. Engl. J. Med. 323:219.[Abstract]
  4. Stastny, P.. 1978. Association of the B-cell alloantigen DRw4 with rheumatoid arthritis. N. Engl. J. Med. 298:869.[Abstract]
  5. Schaible, U. E., M. D. Kramer, R. Wallich, T. Tran, M. M. Simon. 1991. Experimental Borrelia burgdorferi infection in inbred mouse strains: antibody response and association of H-2 genes with resistance and susceptibility to development of arthritis. Eur. J. Immunol. 21:2397.[Medline]
  6. Matyniak, J. E., S. L. Reiner. 1995. T helper phenotype and genetic susceptibility in experimental Lyme disease. J. Exp. Med. 181:1251.[Abstract/Free Full Text]
  7. Keane-Myers, A., S. Nickell. 1995. Role of IL-4 and IFN-{gamma} in modulation of immunity to Borrelia burgdorferi in mice. J. Immunol. 155:2020.[Abstract]
  8. Keane-Myers, A., C. R. Maliszewski, F. D. Finkelman, S. P. Nickell. 1996. Recombinant IL-4 treatment augments resistance to Borrelia burgdorferi infections in both normal susceptible and antibody-deficient susceptible mice. J. Immunol. 156:2488.[Abstract]
  9. Bucht, A., K. Soderstrom, T. Hultman, M. Uhlen, E. Nilsson, R. Kiessling, A. Gronberg. 1992. T cell receptor diversity and activation markers in the V{delta}1 subset of rheumatoid synovial fluid and peripheral blood T lymphocytes. Eur. J. Immunol. 22:567.[Medline]
  10. Jacobs, M. R., B. F. Haynes. 1992. Increase in TCR {gamma}{delta} T lymphocytes in synovia from rheumatoid arthritis patients with active synovitis. J. Clin. Immunol. 12:130.[Medline]
  11. Shen, Y., S. Li, A. J. Quayle, O. J. Mellbye, J. B. Natvig, O. Forre. 1992. TCR {gamma}{delta}+ cell subsets in the synovial membranes of patients with rheumatoid arthritis and juvenile rheumatoid arthritis. Scand. J. Immunol. 36:533.[Medline]
  12. Vincent, M. S., K. Roessner, D. Lynch, D. Wilson, S. M. Cooper, J. Tschopp, L. H. Sigal, R. C. Budd. 1996. Apoptosis of Fashigh CD4+ synovial T cells by Borrelia-reactive Fas-ligandhigh {gamma}{delta} T cells in Lyme arthritis. J. Exp. Med. 184:2109.[Abstract/Free Full Text]
  13. Stinissen, P., C. Vandevyver, R. Medaer, L. Vandegaer, J. Nies, L. Tuyls, D. A. Hafler, J. Raus, J. Zhang. 1995. Increased frequency of {gamma}{delta} T cells in cerebrospinal fluid and peripheral blood of patients with multiple sclerosis: reactivity, cytotoxicity, and T cell receptor V gene rearrangements. J. Immunol. 154:4883.[Abstract]
  14. Catalfamo, M., C. Roura-Mir, M. Sospedra, P. Aparicio, S. Costagliola, M. Ludgate, R. Pujol-Borrell, D. Jaraquemada. 1996. Self-reactive cytotoxic {gamma}{delta} T lymphocytes in Graves’ disease specifically recognize thyroid epithelial cells. J. Immunol. 156:804.[Abstract]
  15. White, B., V. V. Yurovsky. 1995. Oligoclonal expansion of V{delta}1+ {gamma}{delta} T-cells in systemic sclerosis patients. Ann. NY Acad. Sci. 756:382.[Medline]
  16. Hohlfeld, R., A. G. Engel, K. Ii, M. C. Harper. 1991. Polymyositis mediated by T lymphocytes that express the {gamma}{delta} receptor. N. Engl. J. Med. 324:877.[Abstract]
  17. Poccia, F., S. Boullier, H. Lecoeur, M. Cochet, Y. Poquet, V. Colizzi, J. J. Fournie, M. L. Gougeon. 1996. Peripheral V{gamma}9/V{delta}2 T cell deletion and anergy to nonpeptidic mycobacterial antigens in asymptomatic HIV-1 infected persons. J. Immunol. 157:449.[Abstract]
  18. Boullier, S., M. Cochet, F. Poccia, M. L. Gougeon. 1995. CDR3-independent {gamma}{delta} V{delta}1+ T cell expansion in the peripheral blood of HIV-infected persons. J. Immunol. 154:1418.[Abstract]
  19. Orsini, D. L., P. C. Res, J. M. Van Laar, L. M. Muller, A. E. Soprano, Y. M. Kooy, P. P. Tak, F. Koning. 1993. A subset of V{delta}1+ T cells proliferates in response to Epstein-Barr virus-transformed B cell lines in vitro. Scand. J. Immunol. 38:335.[Medline]
  20. Orsini, D. L., M. van Gils, Y. M. Kooy, L. Struyk, G. Klein, P. van den Elsen, F. Koning. 1994. Functional and molecular characterization of B cell-responsive V{delta}1+ {gamma}{delta} T cells. Eur. J. Immunol. 24:3199.[Medline]
  21. Hacker, G., S. Kromer, M. Falk, K. Heeg, H. Wagner, K. Pfeffer. 1992. V{delta}1+ subset of human gamma delta T cells responds to ligands expressed by EBV-infected Burkitt lymphoma cells and transformed B lymphocytes. J. Immunol. 149:3984.[Abstract]
  22. Filgueira, L., F. O. Nestle, M. Rittig, H. I. Joller, P. Groscurth. 1996. Human dendritic cells phagocytose and process Borrelia burgdorferi. J. Immunol. 157:2998.[Abstract]
  23. Burk, M. R., L. Mori, G. De Libero. 1995. Human V{gamma}9V{delta}2 cells are stimulated in a cross-reactive fashion by a variety of phosphorylated metabolites. Eur. J. Immunol. 25:2052.[Medline]
  24. Tanaka, Y., C. T. Morita, Y. Tanaka, E. Nieves, M. B. Brenner, B. R. Bloom. 1995. Natural and synthetic non-peptide antigens recognized by human {gamma}{delta} T cells. Nature 375:155.[Medline]
  25. Mombaerts, P., J. Arnoldi, F. Russ, S. Tonegawa, S. H. Kaufmann. 1993. Different roles of {alpha}ß and {gamma}{delta} T cells in immunity against an intracellular bacterial pathogen. Nature 365:53.[Medline]
  26. Hiromatsu, K., Y. Yoshikai, G. Matsuzaki, S. Ohga, K. Muramori, K. Matsumoto, J. A. Bluestone, K. Nomoto. 1992. A protective role of {gamma}{delta} T cells in primary infection with Listeria monocytogenes in mice. J. Exp. Med. 175:49.[Abstract/Free Full Text]
  27. Skeen, M. J., H. K. Ziegler. 1993. Induction of murine peritoneal {gamma}{delta} T cells and their role in resistance to bacterial infection. J. Exp. Med. 178:971.[Abstract/Free Full Text]
  28. Ladel, C. H., C. Blum, A. Dreher, K. Reifenberg, S. H. Kaufmann. 1995. Protective role of {gamma}{delta} T cells and {alpha}/ß T cells in tuberculosis. Eur. J. Immunol. 25:2877.[Medline]
  29. Hisaeda, H., H. Nagasawa, K. Maeda, Y. Maekawa, H. Ishikawa, Y. Ito, R. A. Good, K. Himeno. 1995. {gamma}{delta} T cells play an important role in hsp65 expression and in acquiring protective immune responses against infection with Toxoplasma gondii. J. Immunol. 155:244.[Abstract]
  30. French, L. E., M. Hahne, I. Viard, G. Radlgruber, R. Zanone, K. Becker, C. Muller, J. Tschopp. 1996. Fas and Fas ligand in embryos and adult mice: ligand expression in several immune-privileged tissues and coexpression in adult tissues characterized by apoptotic cell turnover. J. Cell Biol. 133:335.[Abstract/Free Full Text]
  31. Band, H., F. Hochstenbach, J. McLean, S. Hata, M. S. Krangel, M. B. Brenner. 1987. Immunochemical proof that a novel rearranging gene encodes the T cell receptor {delta} subunit. Science 238:682.[Abstract/Free Full Text]
  32. Roessner, K., E. Fikrig, J. Q. Russell, S. M. Cooper, R. A. Flavell, R. C. Budd. 1994. Prominent T lymphocyte response to Borrelia burgdorferi from peripheral blood of unexposed donors. Eur. J. Immunol. 24:320.[Medline]
  33. Romani, N., S. Gruner, D. Brang, E. Kampgen, A. Lenz, B. Trockenbacher, G. Konwalinka, P. Fritsch, R. Steinman, G. Schuler. 1994. Proliferating dendritic cell progenitors in human blood. J. Exp. Med. 180:83.[Abstract/Free Full Text]
  34. Radolf, J. D., L. L. Arndt, D. R. Akins, L. L. Curetty, M. E. Levi, Y. Shen, L. S. Davis, M. V. Norgard. 1995. Treponema pallidum and Borrelia burgdorferi lipoproteins and synthetic lipopeptides activate monocytes/macrophages. J. Immunol. 154:2866.[Abstract]
  35. Brusca, J. S., J. D. Radolf. 1994. Isolation of integral membrane proteins by phase partitioning with Triton X-114. Methods Enzymol. 228:182.[Medline]
  36. Porcelli, S., M. B. Brenner, J. L. Greenstein, S. P. Balk, C. Terhorst, P. A. Bleicher. 1989. Recognition of cluster of differentiation 1 antigens by human CD4-CD8-cytolytic T lymphocytes. Nature 341:447.[Medline]
  37. Munk, M. E., B. Schoel, P. Anding, N. W. Brattig, S. H. Kaufmann. 1996. Low-molecular-weight protein ligands from Onchocerca volvulus preferentially stimulate the human {gamma}{delta} T cell V{delta}1+ subset. J. Infect. Dis. 174:1309.[Medline]
  38. Kersten, C. M., R. T. McCluskey, L. A. Boyle, J. T. Kurnick. 1996. Escherichia coli and Pseudomonas aeruginosa induce expansion of V{delta}2 cells in adult peripheral blood, but of V{delta}1 cells in cord blood. J. Immunol. 157:1613.[Abstract]
  39. Schoel, B., M. Welzel, S. H. Kaufmann. 1996. Rapid determination of {gamma}{delta} T-cell stimulation by microfluorimetry. Immunol. Lett. 53:135.[Medline]
  40. Legaard, P. K., R. D. LeGrand, M. L. Misfeldt. 1991. The superantigen Pseudomonas exotoxin A requires additional functions from accessory cells for T lymphocyte proliferation. Cell. Immunol. 135:372.[Medline]
  41. Jenkins, M. K., R. H. Schwartz. 1987. Antigen presentation by chemically modified splenocytes induces antigen-specific T cell unresponsiveness in vitro and in vivo. J. Exp. Med. 165:302.[Abstract/Free Full Text]
  42. Brandt, M. E., B. S. Riley, J. D. Radolf, M. V. Norgard. 1990. Immunogenic integral membrane proteins of Borrelia burgdorferi are lipoproteins. Infect. Immun. 58:983.[Abstract/Free Full Text]
  43. Pechhold, K., D. Wesch, S. Schondelmaier, D. Kabelitz. 1994. Primary activation of V{gamma}9-expressing {gamma}{delta} T cells by Mycobacterium tuberculosis: requirement for Th1-type CD4 T cell help and inhibition by IL-10. J. Immunol. 152:4984.[Abstract]
  44. Kjeldsen-Kragh, J., A. J. Quayle, B. S. Skalhegg, M. Sioud, O. Forre. 1993. Selective activation of resting human {gamma}{delta} T lymphocytes by interleukin-2. Eur. J. Immunol. 23:2092.[Medline]
  45. Suzuki, H., G. S. Duncan, H. Takimoto, T. W. Mak. 1997. Abnormal development of intestinal intraepithelial lymphocytes and peripheral natural killer cells in mice lacking the IL-2 receptor ß chain. J. Exp. Med. 185:499.[Abstract/Free Full Text]
  46. He, Y. W., T. R. Malek. 1996. Interleukin-7 receptor {alpha} is essential for the development of {gamma}{delta}+ T cells, but not natural killer cells. J. Exp. Med. 184:289.[Abstract/Free Full Text]
  47. Bukowski, J. F., C. T. Morita, Y. Tanaka, B. R. Bloom, M. B. Brenner, H. Band. 1995. V{gamma}2V{delta}2 TCR-dependent recognition of non-peptide antigens and Daudi cells analyzed by TCR gene transfer. J. Immunol. 154:998.[Abstract]
  48. Hernandez-Caselles, T., G. Rubio, M. R. Campanero, M. A. del Pozo, M. Muro, F. Sanchez-Madrid, P. Aparicio. 1993. ICAM-3, the third LFA-1 counterreceptor, is a co-stimulatory molecule for both resting and activated T lymphocytes. Eur. J. Immunol. 23:2799.[Medline]
  49. Rubio, G., J. Aramburu, J. Ontanon, M. Lopez-Botet, P. Aparicio. 1993. A novel functional cell surface dimer (kp43) serves as accessory molecule for the activation of a subset of human {gamma}{delta} T cells. J. Immunol. 151:1312.[Abstract]
  50. Vila, L. M., H. M. Haftel, H. S. Park, M. S. Lin, N. C. Romzek, S. M. Hanash, J. Holoshitz. 1995. Expansion of mycobacterium-reactive {gamma}{delta} T cells by a subset of memory helper T cells. Infect. Immun. 63:1211.[Abstract]
  51. Hacker, G., S. Adam, H. Wagner. 1995. Interaction between {gamma}{delta} T cells and B cells regulating IgG production. Immunology 84:105.[Medline]
  52. Boom, W. H., K. A. Chervenak, M. A. Mincek, J. J. Ellner. 1992. Role of the mononuclear phagocyte as an antigen-presenting cell for human {gamma}{delta} T cells activated by live Mycobacterium tuberculosis. Infect. Immun. 60:3480.[Abstract/Free Full Text]
  53. Takamizawa, M., F. Fagnoni, A. Mehta-Damani, A. Rivas, E. G. Engleman. 1995. Cellular and molecular basis of human {gamma}{delta} T cell activation: role of accessory molecules in alloactivation. J. Clin. Invest. 95:296.
  54. Morita, C. T., E. M. Beckman, J. F. Bukowski, Y. Tanaka, H. Band, B. R. Bloom, D. E. Golan, M. B. Brenner. 1995. Direct presentation of nonpeptide prenyl pyrophosphate antigens to human {gamma}{delta} T cells. Immunity 3:495.[Medline]
  55. Haas, W., P. Pereira, S. Tonegawa. 1993. {gamma}/{delta} cells. Annu. Rev. Immunol. 11:637.[Medline]
  56. Faure, F., S. Jitsukawa, C. Miossec, T. Hercend. 1990. CD1c as a target recognition structure for human T lymphocytes: analysis with peripheral blood {gamma}{delta} cells. Eur. J. Immunol. 20:703.[Medline]
  57. Groh, V., A. Steinle, S. Bauer, T. Spies. 1998. Recognition of stress-induced MHC molecules by intestinal epithelial {gamma}{delta} T cells. Science 279:1737.[Abstract/Free Full Text]
  58. Beckman, E. M., S. A. Porcelli, C. T. Morita, S. M. Behar, S. T. Furlong, M. B. Brenner. 1994. Recognition of a lipid antigen by CD1-restricted {alpha}ß+ T cells. Nature 372:691.[Medline]
  59. Sieling, P. A., D. Chatterjee, S. A. Porcelli, T. I. Prigozy, R. J. Mazzaccaro, T. Soriano, B. R. Bloom, M. B. Brenner, M. Kronenberg, P. J. Brennan, et al 1995. CD1-restricted T cell recognition of microbial lipoglycan antigens. Science 269:227.[Abstract/Free Full Text]
  60. Sciammas, R., R. M. Johnson, A. I. Sperling, W. Brady, P. S. Linsley, P. G. Spear, F. W. Fitch, J. A. Bluestone. 1994. Unique antigen recognition by a herpesvirus-specific TCR-{gamma}{delta} cell. J. Immunol. 152:5392.[Abstract]
  61. Peterman, G. M., C. Spencer, A. I. Sperling, J. A. Bluestone. 1993. Role of {gamma}{delta} T cells in murine collagen-induced arthritis. J. Immunol. 151:6546.[Abstract]
  62. Pelegri, C., P. Kuhnlein, E. Buchner, C. B. Schmidt, A. Franch, M. Castell, T. Hunig, F. Emmrich, R. W. Kinne. 1996. Depletion of {gamma}{delta} T cells does not prevent or ameliorate, but rather aggravates, rat adjuvant arthritis. Arthritis Rheum. 39:204.[Medline]
  63. Takayama, K., R. J. Rothenberg, A. G. Barbour. 1987. Absence of lipopolysaccharide in the Lyme disease spirochete, Borrelia burgdorferi. Infect. Immun. 55:2311.[Abstract/Free Full Text]
  64. Radolf, J. D., M. V. Norgard, M. E. Brandt, R. D. Isaacs, P. A. Thompson, B. Beutler. 1991. Lipoproteins of Borrelia burgdorferi and Treponema pallidum activate cachectin/tumor necrosis factor synthesis. Analysis using a CAT reporter construct. J. Immunol. 147:1968.[Abstract]
  65. Kawano, T., J. Cui, Y. Koesuka, I. Toura, Y. Kaneko, K. Motoki, H. Ueno, R. Nakagawa, H. Sato, E. Kondo, et al 1997. CD1d-restricted and TCR-mediated activation of V{alpha}14 NKT cells by glycosylceramides. Science 278:1626.[Abstract/Free Full Text]



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