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The Journal of Immunology, 1998, 161: 5987-5996.
Copyright © 1998 by The American Association of Immunologists

Two-Domain MHC Class II Molecules Form Stable Complexes with Myelin Basic Protein 69–89 Peptide That Detect and Inhibit Rat Encephalitogenic T Cells and Treat Experimental Autoimmune Encephalomyelitis

Gregory G. Burrows1,*,{dagger},{ddagger}, Bruce F. Bebo, Jr.*,{dagger}, Kirsten L. Adlard*, Arthur A. Vandenbark*,{dagger} and Halina Offner*,{dagger}

* Neuroimmunology Research, Veterans Affairs Medical Center, Portland, OR 97201; and {dagger} Department of Neurology, {ddagger} Department of Biochemistry and Molecular Biology, and § Department of Molecular Microbiology and Immunology, Oregon Health Sciences University, Portland, OR 97201


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We designed and expressed in bacteria a single-chain two-domain MHC class II molecule capable of binding and forming stable complexes with antigenic peptide. The prototype "ß1{alpha}1" molecule included the ß1 domain of the rat RT1.B class II molecule covalently linked to the amino terminus of the {alpha}1 domain. In association with the encephalitogenic myelin basic protein (MBP) 69–89 peptide recognized by Lewis rat T cells, the ß1{alpha}1/MBP-69–89 complex specifically labeled and inhibited activation of MBP-69–89 reactive T cells in an IL-2-reversible manner. Moreover, this complex both suppressed and treated clinical signs of experimental autoimmune encephalomyelitis and inhibited delayed-type hypersensitivity reactions and lymphocyte proliferation in an Ag-specific manner. These data indicate that the ß1{alpha}1/MBP-69–89 complex functions as a simplified natural TCR ligand with potent inhibitory activity that does not require additional signaling from the ß2 and {alpha}2 domains. This new class of small soluble polypeptide may provide a template for designing human homologues useful in detecting and regulating potentially autopathogenic T cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Antigen-specific CD4+ T cells appear to be a central component in the pathogenesis of a variety of human diseases including multiple sclerosis (MS)2, rheumatoid arthritis, sarcoidosis, autoimmune uveitis, transplant rejection, and graft-vs-host disease (1, 2, 3, 4, 5). Such T cells home to the target tissue where autoantigen is present, and, after local activation, selectively produce Th1 lymphokines (6). This cascade of events leads to the recruitment and activation of lymphocytes and monocytes that ultimately destroy the target tissue (7).

Ag-driven activation of CD4+ T cells is a multistep process initiated by coligation of the TCR and CD4 by the MHC class II/peptide complex present on APC (signal 1), as well as costimulation through additional T cell surface molecules such as CD28 or OX40 (signal 2). The classic experiment by Quill and Schwartz (8) demonstrated that stimulation through the TCR by cell-associated MHC class II/peptide in the absence of costimulation, rather than being a neutral event, induced a state of unresponsiveness to subsequent optimal Ag presentation, a phenomenon termed anergy (8, 9). Thus, a direct approach toward Ag-driven immunosuppression is to present the complete ligand, Ag plus MHC, in the absence of costimulatory signals that are normally provided by specialized APCs.

MHC class II molecules are heterodimeric membrane-bound glycoproteins made up of noncovalently associated {alpha}- and ß-polypeptide subunits. Each subunit consists of a short cytoplasmic tail, a single membrane-spanning sequence, and two extracellular domains. X-ray crystallographic studies have demonstrated that peptides from processed Ag bind to MHC molecules in the membrane distal pocket formed by the ß1 and {alpha}1 domains (10, 11). Moreover, the ß2 domain contains a CD4-binding site that coligates CD4 when the ß1{alpha}1 domains with associated antigenic peptide interact with the TCR {alpha}- and ß-chains (12, 13, 14, 15), whereas the {alpha}2 domain appears to contribute to ordered oligomerization in T cell activation (16). Complexes of MHC/Ag have been purified as detergent extracts of lymphocyte membranes (17) and as associated recombinant proteins using baculovirus and bacterial expression systems (18, 19, 20, 21, 22). These two-chain, four-domain molecular complexes, after loading with selected peptide epitopes, have been demonstrated to interact with T cells in an Ag-specific manner (20, 23, 24, 25, 26, 27).

To develop a simple and effective agent that could bind selectively to the TCR, we have designed molecules consisting of the {alpha}1 and ß1 domains of the rat RT1.B MHC class II molecule genetically linked into a single polypeptide chain. Molecules with this design would be useful for studying binding specificity in vitro for exploring primary TCR signaling events independent of costimulatory input associated with the MHC II ß2{alpha}2 domains or with other molecules expressed by APCs and for treating CD4+ T cell-mediated autoimmune disease in an MHC II/epitope-specific manner.

Experimental autoimmune encephalomyelitis (EAE) is a paralytic, inflammatory, and sometimes demyelinating disease mediated by CD4+ T cells specific for central nervous system (CNS) myelin components including myelin basic protein (MBP). EAE shares a number of immunologic abnormalities with the human demyelinating disease MS (28) and has been a useful model for preclinical testing of therapies for the human illness (29, 30, 31, 32, 33, 34, 35). In Lewis rats, the dominant encephalitogenic MBP epitope resides in the 72–89 peptide (36). Onset of clinical signs of EAE occurs on day 10–11, and the disease lasts 4–8 days. The majority of invading T lymphocytes are localized in the CNS during this period (37). In this study, we demonstrate that ß1{alpha}1 complexed with the MBP-69–89 peptide administered in saline could successfully suppress and treat EAE by blocking the activation of encephalitogenic T cells, thereby preventing entry to the spinal cord and protecting the animals from EAE. Lymphocytes from treated rats had a reduced response to MBP-69–89, although this was reversible in vitro in the presence of IL-2. Thus, Ag-specific anergy of encephalitogenic T cells may be the mechanism of protection from EAE using this construct. By expressing the single-chain ß1{alpha}1 molecules as inclusion bodies in Escherichia coli followed by purification and refolding in vitro, we can isolate biologically active material in very high yield. In addition to demonstrating the potent biologic properties of these ß1{alpha}1 molecules, we demonstrate their utility in staining Ag-specific T cells by cytofluorometric analysis.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cloning, expression, and in vitro folding of the ß1{alpha}1 constructs

RT1B {alpha}1 and ß1 domain-encoding cDNAs were prepared by PCR amplification of cloned RT1.B {alpha}- and ß-chain cDNA-coding sequences ({alpha}6, ß118, respectively) obtained from Dr. Konrad Reske (38, 39). The primers used to generate ß1 were 5'-AATTCCTCGAGATGGCTCTGCAGACCCC-3' (XhoI 5' oligo); 5'-TCTTGACCTCCAAGCCGCCGCAGGGAGGTG-3' (3' ligation oligo). The primers used to generate {alpha}1 were 5'-CGGCGGCTTGGAGGTCAAGACGACATTGAGG-3' (5' ligation oligo); 5'-GCCTCGGTACCTTAGTTGACAGCTTGGGTTGAATTTG-3' (KpnI 3' oligo). Additional oligos used as primers were 5'-CAGGGACCATGGGCAGAGACTCCCCA-3' (NcoI 5' oligo); and 5'-GCCTCCTCGAGTTAGTTGACAGCTTGGGTT-3' (XhoI 3' oligo). Step one involved production of cDNAs encoding the ß1 and {alpha}1 domains. PCR was conducted with Taq polymerase (Promega, Madison, WI) through 28 cycles of denaturation at 94.5°C for 20 s, annealing at 55°C for 1.5 min and extension at 72°C for 1.5 min, using ß118 as template and the XhoI 5' oligo and 3' ligation oligo as primers; and {alpha}6 cDNA as template and the 5' ligation oligo and KpnI 3' oligo. PCR products were isolated by agarose gel electrophoresis and purified using Gene-Clean (Bio 101, La Jolla, CA). In step two, these products were mixed together without additional primers and heat denatured at 94.5°C for 5 min followed by two cycles of denaturation at 94.5°C for 1 min, annealing at 60°C for 2 min and extension at 72°C for 5 min. In step three, the annealed, extended product was heat denatured at 94.5°C for 5 min and subjected to 26 cycles of denaturation at 94.5°C for 20 s, annealing at 60°C for 1 min, and extension at 72°C for 1 min, in the presence of the XhoI 5' oligo and KpnI 3' oligo. The final PCR product was isolated by agarose gel electrophoresis and Gene-Cleaned. This effectively produced a cDNA encoding the novel ß1{alpha}1 molecule. The cDNA encoding the ß1{alpha}1 molecule was moved into cloning vector pCR2.1 (Invitrogen, Carlsbad, CA) using Invitrogen’s TA Cloning kit. The cDNA in pCR2.1 was used as template and PCR was conducted through 28 cycles of denaturation at 94.5°C for 20 s, annealing at 55°C for 1.5 min and extension at 72°C for 1.5 min, using the NcoI 5' oligo and XhoI 3' oligo. The PCR products were cleaved with the relevant restriction enzymes and directionally cloned into pET21d+ (Novagen, Madison, WI; see 40 . The constructs have been confirmed by DNA sequencing. The ß1{alpha}1 molecule used in these studies differs from wild-type in that it contains a ß1 domain Q12R amino acid substitution. E. coli strain BL21(DE3) cells were transformed with the pET21d+ construct containing the ß1{alpha}1-encoding sequence. Bacteria were grown in 1-liter cultures to mid-logarithmic phase (OD600 = 0.6–0.8) in Luria-Bertani broth containing carbenicillin (50 µg/ml) at 37°C. Recombinant protein production was induced by addition of 0.5 mM isopropyl ß-D-thiogalactoside (IPTG). After incubation for 3 h, the cells were centrifuged and stored at -80°C before processing. All subsequent manipulations of the cells were at 4°C. The cell pellets were resuspended in ice-cold PBS, pH 7.4, and sonicated for 4 x 20 s with the cell suspension cooled in a salt/ice/water bath. The cell suspension was then centrifuged, the supernatant fraction poured off, and the cell pellet resuspended and washed three times in PBS and then resuspended in 20 mM ethanolamine/6 M urea, pH 10, for 4 h. After centrifugation, the supernatant containing the solubilized recombinant protein of interest was collected and stored at 4°C until purification. Recombinant ß1{alpha}1 construct was purified and concentrated by fast protein liquid chromatography ion-exchange chromatography using Source 30Q anion-exchange media (Pharmacia Biotech, Piscataway, NJ) in an XK26/20 column (Pharmacia Biotech), using a step gradient with 20 mM ethanolamine/6 M urea/1 M NaCl, pH 10. The homogeneous peak of the appropriate size was collected, dialyzed extensively against PBS at 4°C, and concentrated by centrifugal ultrafiltration with Centricon-10 membranes (Amicon, Beverly, MA). For purification to homogeneity, a finish step used size-exclusion chromatography on Superdex 75 media (Pharmacia Biotech) in an HR16/50 column (Pharmacia Biotech). The final yield of purified protein varied between 15 and 30 mg/L of bacterial culture.

SDS-PAGE and Western blot analysis of recombinant ß1{alpha}1 molecules

Aliquots of purified protein were electrophoresed by the method of King and Laemmli (41). After electrophoresis, the gels were stained with Coomassie blue for 15 min followed by destaining overnight. Photos of the Coomassie-stained proteins were taken at this point, and then the same gels were processed for Western blot analysis (42). Protein was transferred to Immobilon-P membranes (Millipore, Bedford, MA), blocked with powdered milk, and then incubated for 1 h in a 1:500 dilution of mAb OX-6 (mouse-anti-RT1.B; PharMingen, San Diego, CA), washed and then incubated with a 1:1000 dilution of {alpha}-Mu IgG-alkaline phosphatase conjugate (Sigma, St. Louis, MO) for 1 h and washed again. The blot was developed using an aqueous stabilized alkaline phosphatase substrate (Promega, Madison, WI) and stopped by rinsing in water.

Synthetic peptides

MBP-69–89 peptide (GSLPQKSQRSQDENPVVHF), MBP-55–69 peptide (SGKDSHHAARTTHYG), MBP-87–99 peptide (VHFFKNIVTPRTP), and cardiac myosin peptide CM-2 (KLELQSALEEAEASLEH) (43) were prepared by solid-phase techniques (44). The MBP peptides are numbered according to the bovine MBP sequence (35, 45). Peptides were loaded onto ß1{alpha}1 at a 1:10 protein:peptide molar ratio by mixing at room temperature for 24 h, after which all subsequent manipulations were performed at 4°C. Free peptide was then removed by centrifugal ultrafiltration with Centricon-10 membranes, serially diluting and concentrating the retained solution until the free peptide concentration was less than 2 µM.

Cell lines and the A1 hybridoma

Short-term T-lymphocyte lines were selected with MBP-69–89 peptide from lymph node (LN) cells of naive rats or from rats immunized 12 days earlier with Gp-MBP/CFA or CM-2 peptide/CFA. Details of this procedure have been described previously (46). The rat Vß8.2+ T cell hybridoma C14/BW12–12A1 (A1) used in this study has been described previously (47). Briefly, the A1 hybridoma was created by fusing an encephalitogenic LEW(RT1l) T cell clone specific for Gp-MBP-72–89 (48, 49) and strongly cross-reactive with Rt-BP-72–89 with a TCR ({alpha}/ß)-negative thymoma, BW5147 (50). Wells positive for cell growth were tested for IL-2 production after stimulation with Ag in the presence of APCs (irradiated Lewis rat thymocytes) and then subcloned at limiting dilution. The A1 hybridoma secretes IL-2 when stimulated in the presence of APCs with whole Gp-MBP or Gp-MBP-69–89 peptide, which contains the minimum epitope, MBP-72–86.

Flow cytometry

Two-color immunofluorescent analysis was performed on a FACScan instrument (Becton Dickinson, Mountain View, CA) using CellQuest software (Becton Dickinson). Quadrants were defined using non-relevant isotype-matched control Abs. ß1{alpha}1 molecules with and without loaded peptide were incubated with the A1 hybridoma (10 µM ß1{alpha}1/peptide) for 17 h, 4°C, washed three times, stained with fluorochrome (FITC or phycoerythrin (PE))-conjugated Abs specific for rat class II (OX6-PE) and TCR Vß8.2 (PharMingen) for 15 min at room temperature and analyzed by flow cytometry. The CM-2 cell line was blocked for 1 h with unconjugated OX6, washed, and then treated as the A1 hybridoma. Staining media was PBS containing 2% FBS and 0.01% azide.

Animals

Female Lewis rats (Harlan Sprague-Dawley, Indianapolis, IN), 8–12 wk of age, were used for clinical experiments in this study. The rats were housed under germfree conditions at the Veterans Affairs Medical Center Animal Care Facility (Portland, OR) according to institutional guidelines.

Induction of EAE

Active EAE was induced in rats by s.c. injection of 25 µg guinea pig MBP or 200 µg MBP-69–89 peptide or 200 µg MBP-87–99 peptide in CFA supplemented with 100, 400, or 150 µg Mycobacterium tuberculosis strain H37Ra (Difco, Detroit, MI), respectively. The clinical disease course induced by the two emulsions was essentially identical, with the same day of onset, duration, maximum severity, and cumulative disease index. The rats were assessed daily for changes in clinical signs according to the following clinical rating scale: 0, no signs; 1, limp tail; 2, hind leg weakness, ataxia; 3, paraplegia; and 4, paraplegia with forelimb weakness, moribund condition. A cumulative disease score was obtained by summing the daily disability scores over the course of EAE for each affected rat, and a mean cumulative disease index was calculated for each experimental group.

Analysis of CNS mononuclear cell infiltrates from control and protected animals

Spinal cord mononuclear cells were isolated by a discontinuous Percoll gradient technique and counted as previously described (51). The cells were stained with fluorochrome (FITC or PE)-conjugated Abs specific for rat CD4, CD8, CD11b, CD45ra, TCR Vß8.2, and CD134 (PharMingen) for 15 min at room temperature and analyzed by flow cytometry. The number of positive-staining cells per spinal cord was calculated by multiplying the percent staining by the total number of cells per spinal cord.

Histology

Control and ß1{alpha}1/MBP-69–89-protected rats were sacrificed at peak and recovery of clinical disease, and spinal cords were dissected and fixed in 10% buffered formalin. The spinal cords were paraffin-embedded and sections were stained with luxol fast blue-periodic acid Schiff-hematoxylin for light microscopy.

Delayed-type hypersensitivity (DTH) reactions

DTH reactions were measured by the ear swelling assay using a pressure sensitive micrometer (35) before and 24 h after intradermal injection of 50 µg MBP-69–89 peptide or 20 µg purified protein derivative (PPD) into the ear pinna.

Ag-specific proliferation assays

Proliferation assays were performed in 96-well plates as described previously (46). Briefly, 4 x 105 cells in 200 µl/well (for organ stimulation assays) or 2 x 104 T cells and 1 x 106 irradiated APCs (for short-term T cell lines) were incubated in RPMI 1640 and 1% rat serum in triplicate wells with stimulation medium only, Con A, or Ag with or without supplemental IL-2 (20 U/ml) at 37°C in 7% CO2. The cultures were incubated for 3 days, the last 18 h in the presence of [3H]thymidine (0.5 µCi/10 µl/well). The cells were harvested onto glass fiber filters and [3H]thymidine uptake assessed by liquid scintillation.

In some experiments, the T cells were pretreated 24 h with ß1{alpha}1 constructs (with and without loaded peptides), washed, and then used in proliferation assays with and without IL-2, as above. Mean cpm ± SD were calculated from triplicate wells and differences between groups determined by Student’s t test.

Computer modeling and graphics

The programs MidasPlus (52) and Sybyl (Tripos Associates, St. Louis, MO) and coordinates deposited in the Brookhaven Protein Data Bank (Brookhaven National Laboratories, Upton, NY) were used to generate graphic images using an O2 workstation (Silicon Graphics, Mountain View, CA). Structure-based homology modeling was based on the refined crystallographic coordinates of human DR1 (53), murine I-Ek molecules (54), and scorpion toxins (55, 56, 57) using side-chain substitution followed by local energy minimization.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Design of ß1{alpha}1 constructs

Genes were constructed encoding a single polypeptide chain with the amino terminus of the {alpha}1 domain genetically linked to the carboxyl terminus of the ß1 domain (Fig. 1Go). Molecular modeling studies of rat MHC class II RT1.B and its Ag-binding domain were conducted based on the crystal structures of human DR (53, 58) and murine I-Ek with covalently bound single peptides (54) (Fig. 2Go). Our analysis of these structures focused on the solvent accessible surface of the ß-sheet platform/anti-parallel {alpha} helix Ag-binding domain. The crystal structure of MHC class II I-EK showed a number of water molecules between the membrane proximal surface of ß-sheet and the membrane distal surfaces of the {alpha}2 and ß2 Ig-fold domains (54). The {alpha}1 and ß1 domains of class II molecules showed an extensive hydrogen-bonding network and a tightly packed and buried hydrophobic core similar to the molecular interactions that provide structural integrity and thermodynamic stability to the {alpha} helix/ß-sheet scaffold characteristic of scorpion toxins (55, 56, 57). These modeling studies predicted that the Ag-binding domain would remain stable in the absence of the {alpha}2 and ß2 Ig-fold domains.



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FIGURE 1. Nucleotide and protein sequence of the prototypic ß1{alpha}1 construct. Unique NcoI, PstI, and XhoI restriction sites are in bold. The end of the ß1 domain and start of the {alpha}1 domain are indicated.

 


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FIGURE 2. Structure-based design of the ß1{alpha}1 molecule. A, Rat class II RT1.B, loaded with the encephalitogenic MBP-69–89 peptide. B, The single-chain ß1{alpha}1 molecule, loaded with MBP-69–89. Color scheme: {alpha}1 domain genomic sequence is red; ß1 domain genomic sequence is blue. The {alpha}2 and the ß2 domains are cyan. The MBP-69–89 peptide is green.

 
Expression and production of ß1{alpha}1 constructs

Protein expression was tested in a number of different E. coli strains, including a thioredoxin reductase mutant, which allows disulfide bond formation in the cytoplasm (37). With such a small molecule, it became apparent in our studies that the greatest yield of material could be readily obtained from inclusion bodies, refolding the protein after solubilization and purification in buffers containing 6 M urea. This procedure avoided problems with proteases associated with large scale production of recombinant protein in bacteria. Pure ß1{alpha}1 protein was obtained by fast protein liquid chromatography using a combination of ion exchange and size-exclusion chromatography. After purification and refolding, the protein was dialyzed against PBS at 4°C for our in vitro and in vivo studies. The final yield of ß1{alpha}1 protein was approximately 15–30 mg/L culture. Conformational integrity of the molecules was demonstrated by the presence of a disulfide bond between cysteines ß15 and ß79 (Fig. 3Go; compare lanes 2 and 3) and authenticity of the purified protein was verified using the OX-6 mAb specific for RT1.B (Fig. 3Go, lanes 4 and 5).



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FIGURE 3. Purified and refolded ß1{alpha}1 molecules have native disulfide bond and can be detected with mAb OX-6. Samples of ß1{alpha}1 molecule were boiled for 5 min in Laemmli sample buffer ± the reducing agent ß-mercaptoethanol (ß-ME) and then analyzed by SDS-PAGE and Western blot analysis. Nonreduced ß1{alpha}1 molecules (- lane) have a smaller apparent m.w. than reduced ß1{alpha}1 molecules (+ lane), indicating the presence of a disulfide bond. Lane 1, m.w. standards. Lanes 2 and 3, 12% SDS-PAGE; proteins stained with Coomassie blue. Lanes 4 and 5, immunoblot of the same gel lanes 2 and 3 using mAb OX-6 (µ-{alpha}-RT1.B) followed by anti-murine IgG-alkaline phosphatase.

 
ß1{alpha}1 Molecules bind T lymphocytes in an epitope-specific manner

Epitope-specific binding was evaluated by loading the ß1{alpha}1 molecule with various peptides and incubating ß1{alpha}1/peptide complexes with the A1 hybridoma derived from an encephalitogenic T cell clone that recognized both guinea pig and rat sequences of the MBP-69–89 peptide (59), or with a cardiac myosin CM-2-specific cell line. As is shown in Fig. 4GoA, the ß1{alpha}1 construct loaded with MBP-69–89 peptide (ß1{alpha}1/MBP-69–89) specifically bound to the A1 hybridoma, with a mean fluorescence intensity (MFI) of 800 U, whereas the ß1{alpha}1 construct loaded with CM-2 peptide (ß1{alpha}1/CM-2) did not stain the hybridoma (MFI = 10–20 U). Conversely, ß1{alpha}1/CM-2 specifically bound to the CM-2 line (MFI = 1, 800 U), whereas the ß1{alpha}1/MBP-69–89 complex did not stain the CM-2 line (MFI = 10 U). The ß1{alpha}1 construct without exogenously loaded peptide did not bind to either the A1 hybridoma (Fig. 4GoA) or the CM-2 line (data not shown). Thus, bound epitope directed the specific binding of the ß1{alpha}1/peptide complex.



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FIGURE 4. Direct detection of Ag-specific ß1{alpha}1/peptide molecules binding rat T cells. The A1 T cell hybridoma (BV8S2 TCR+) and the CM-2 cell line (BV8S2 TCR-) were incubated 17 h at 4°C with various ß1{alpha}1 constructs, washed, stained for 15 min with OX6-PE ({alpha}-RT1.B) or a PE-isotype control and then analyzed by FACS. Background expression of I-A on the CM-2 line was blocked with unlabeled OX-6. A, Histogram showing staining of the A1 hybridoma. B, Histogram showing staining of the CM-2 cell line. The ß1{alpha}1 complexes used are indicated.

 
Epitope-specific in vitro inhibition of T cell proliferation using ß1{alpha}1 constructs loaded with peptides

To evaluate the effect of the constructs on T cell activation, a range of concentrations (10 nM to 20 µM) of peptide-loaded ß1{alpha}1 complexes were preincubated with an MBP-69–89-specific T cell line before stimulation with the MBP-69–89 peptide plus APC. As is shown in Fig. 5Go, pretreatment of MBP-69–89-specific T cells with 10 nM ß1{alpha}1/MBP-69–89 complex significantly inhibited proliferation (>90%), whereas preincubation with 20 µM ß1{alpha}1/MBP-55–69 complex produced a nominal (27%) but insignificant inhibition. Of mechanistic importance, the response inhibited by the ß1{alpha}1/MBP-69–89 complex could be fully restored by including 20 U/ml of IL-2 during stimulation of the T cell line (Fig. 5Go).



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FIGURE 5. The ß1{alpha}1/MBP-69–89 complex blocks Ag specific proliferation in an IL-2-reversible manner. Short-term T cell lines selected with MBP-69–89 peptide from LN cells from rats immunized 12 days earlier with Gp-MBP/CFA were pretreated for 24 h with ß1{alpha}1 constructs, washed, and then used in proliferation assays in which the cells were cultured with and without 20 U/ml IL-2. Cells were incubated for 3 days, the last 18 h in the presence of [3H]thymidine (0.5 µCi/10 µl/well). Values indicated are the mean cpm ± SEM. Background was 210 cpm. A, Control proliferation assay without IL-2. B, Pretreatment with 20 µM ß1{alpha}1/MBP-55–69. C, Pretreatment with 10 nM ß1{alpha}1/MBP-69–89. D, Treatment with 10 nM ß1{alpha}1/MBP-69–89 plus IL-2 during the proliferation assay. Addition of IL-2 alone did not induce responses above background (not shown). A single representative experiment is shown; the experiment was done twice. *, Significant (p < 0.001) inhibition with ß1{alpha}1/MBP-69–89 vs control cultures.

 
Suppression and treatment of EAE using ß1{alpha}1 constructs loaded with MBP-69–89 peptide

The ß1{alpha}1/MBP-69–89 complex was evaluated for its ability to suppress the induction, as well as to treat existing signs of EAE in Lewis rats. Intravenous injection of 300 µg of the ß1{alpha}1/MBP-69–89 complex in saline on days 3, 7, 9, 11, and 14 after injection of Gp-MBP/CFA or MBP-69–89 peptide/CFA suppressed the induction of clinical (Fig. 6Go and Table IGo) and histologic (not shown) signs of EAE. Injection of as little as 30 µg of the ß1{alpha}1/MBP-69–89 complex following the same time course was also effective, completely suppressing EAE in four of six rats, with only mild signs in the other two animals. All of the control animals that were untreated, that received 2 µg MBP-69–89 peptide alone (the dose of free peptide contained in 30 µg of the complex), or that received 300 µg of the empty ß1{alpha}1 construct developed a comparable degree of paralytic EAE (Table IGo). Interestingly, injection of 300 µg of a control ß1{alpha}1/CM-2 peptide complex produced a mild (about 30%) suppression of EAE (Fig. 6Go and Table IGo). In parallel with the development of clinical signs, rats with EAE showed a 15% loss in body weight (Fig. 6Go), whereas animals treated with the ß1{alpha}1/MBP-69–89 complex showed no significant loss of body weight throughout the course of the experiment. In contrast to the epitope-dependent effect of ß1{alpha}1/MBP-69–89 vs ß1{alpha}1/CM-2 for inhibiting EAE induced by MBP-69–89/CFA, there was no difference between these two constructs (cumulative disease index = 2.8 ± 1.7 and 2.7 ± 1.5, respectively) in treating rats developing EAE induced with MBP-87–99/CFA, a secondary encephalitogenic determinant for Lewis rats (35). These data indicate that the ß1{alpha}1/MBP-69–89 complex did not exert an epitope-dependent inhibition of clinical EAE induced by a different MBP determinant.



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FIGURE 6. Clinical protection from EAE with the ß1{alpha}1/MBP-69–89 complex. Groups of Lewis rats (n = 6) were injected with 25 µg of Gp-MBP/CFA to induce clinical EAE. On days 3, 7, 9, 11, and 14 after disease induction, rats were given ß1{alpha}1/peptide complex, peptide alone, or were left untreated, as indicated. A, No treatment or 2 µg MBP-69–89 peptide alone, as indicated. B, Treatment with 300 µg of ß1{alpha}1/(empty) complex in saline. C, Treatment with 300 µg of ß1{alpha}1/CM-2 complex in saline. D, Treatment with 300 µg of ß1{alpha}1/MBP-69–89 complex in saline. Daily body weight (grams, right-hand y-axis) is plotted for the 300 µg ß1{alpha}1/peptide complex treatments. A single representative experiment is shown; the experiment was done three times. Values indicate mean clinical score ± SEM on each day of clinical disease.

 

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Table I. Effect of ß1{alpha}1/peptide complexes on EAE in Lewis rats

 
To evaluate the effect of the construct on established disease, Lewis rats were treated with 300 µg of the ß1{alpha}1/MBP-69–89 complex on the first day of disease onset, with follow-up injections 48 and 96 h later. EAE in the control rats progressed to complete hind limb paralysis, whereas no progression of the disease occurred in any of the treated animals (Fig. 7Go). The mild course of EAE (mean cumulative index, 3 ± 0.13) in the treated group was significantly less than the severe course of EAE in the control group (mean cumulative index, 11.2 ± 2.7, p = 0.013), although the duration of disease (6 days) was the same in both groups.



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FIGURE 7. Treatment of established EAE with ß1{alpha}1/MBP-69–89 complex. Groups of Lewis rats (n = 6) were injected with 25 µg of Gp-MBP/CFA to induce clinical EAE. On the day of onset of clinical signs (day 11), day 13, and day 15, rats were given 300 µg of ß1{alpha}1/MBP-69–89 complex (indicated by arrows) or were left untreated. A single representative experiment is shown; the experiment was done twice. Values indicate mean clinical score ± SEM on each day of clinical disease.

 
Consistent with the complete lack of inflammatory lesions in spinal cord histologic sections (not shown), suppression of EAE with the ß1{alpha}1/MBP-69–89 complex essentially eliminated the infiltration of activated inflammatory cells into the CNS. Mononuclear cells were isolated from the spinal cords of control and protected animals at peak and recovery of clinical disease and examined by FACS analysis. The total number of mononuclear cells isolated from spinal cords of control animals at peak of clinical disease (day 14) was 40-fold higher than from protected animals evaluated at the same time point (Table IIGo). Moreover, protected animals had 72% fewer activated (OX40+) Vß8.2+ T cells in the spinal cord when compared with control animals (Table IIGo). CD4+ and CD8+ T cells, macrophages, and B cell numbers were also significantly reduced in protected animals (not shown). The number of mononuclear cells isolated after recovery from EAE was reduced 4.5-fold in protected animals (0.64 x 105 cells/spinal cord) compared with control animals (2.9 x 105 cells/spinal cord). Protected animals also had 10-fold fewer activated (OX40+), Vß8.2+ T cells in the spinal cord than control animals after recovery from disease.


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Table II. Characterization of infiltrating spinal cord cells at the peak of EAE in control and ß1{alpha}1/MBP-69-89-protected rats

 
Specific inhibition of DTH and LN proliferation responses

In addition to inhibiting clinical EAE, treatment with ß1{alpha}1/MBP-69–89 complex specifically inhibited DTH response to MBP-69–89, as measured by changes in ear thickness 24 h after i.d injection of Ag into the ear pinna. As is shown in Fig. 8GoB, treatment of MBP-69–79/CFA-immunized rats with the "empty" construct or ß1{alpha}1 complexed with the CM-2 peptide had no effect on the DTH response, whereas treatment with the ß1{alpha}1/MBP-69–89 complex reduced the DTH response to MBP-69–89 by 80%. In contrast, the DTH response to PPD, evaluated on the other ear in the same rats, was not affected by any of the constructs, including ß1{alpha}1/MBP-69–89 (Fig. 8GoA). This result strongly corroborates the Ag specificity of the inhibition induced by the ß1{alpha}1/MBP-69–89 construct in vivo.



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FIGURE 8. The ß1{alpha}1/MBP-69–89 complex specifically inhibits the DTH response to MBP-69–89. A, Change in ear thickness 24 h after challenge with PPD. B, Change in ear thickness 24 h after challenge with MBP-69–89. Values indicate mean score ± SEM. *, Significant difference between control and treated rats (p = 0.01). A single representative experiment is shown; the experiment was done twice.

 
Consistent with inhibition of DTH and EAE in vivo, treatment with the ß1{alpha}1/MBP-69–89 complex also specifically inhibited proliferation responses of LN T cells cultured ex vivo. As is shown in Fig. 9Go, LN cells from MBP-69–89/CFA-immunized rats treated with ß1{alpha}1/MBP-69–89 were inhibited two- to fourfold in response to MBP or the MBP-69–89 peptide compared with control rats. In contrast, response to PPD (stimulated by the CFA injection) was not affected by treatment with ß1{alpha}1/MBP-69–89.



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FIGURE 9. T cell responses to MBP-69–89 were inhibited in Lewis rats treated with 300 µg ß1{alpha}1/MBP-69–89 complex. LN cells were collected from control and treated rats after recovery of controls (day 17) from EAE and stimulated with optimal concentrations of Gp-MBP, MBP-69–89 peptide, or PPD. There was significant difference between control and treated rats (*, p < 0.05; **, p < 0.001). Note inhibition to Gp-MBP and MBP-69–89 peptide but not to PPD in treated rats.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have constructed a soluble single-chain molecule derived from Ag-binding ß1 and {alpha}1 domains of MHC class II. These molecules lack the {alpha}2 domain, the ß2 domain known to bind to CD4, and transmembrane and intracytoplasmic sequences. The reduced size and complexity of the ß1{alpha}1 construct gave us the ability to express and purify the molecules from bacterial inclusion bodies in high yield (15–30 mg/L cell culture). The ß1{alpha}1 molecules refolded in a manner that allowed binding of allele-specific peptide epitopes and had excellent solubility in aqueous buffers. The specificity of the ß1{alpha}1/peptide complexes for the TCR could be visualized directly by FACS, with the specificity of binding determined by the peptide Ag. The ß1{alpha}1/69–89 complex exerted powerful and selective inhibitory effects on T cell activation in vitro and in vivo. Because of its simplicity, biochemical stability, biologic properties, and structural similarity with human class II homologues, the ß1{alpha}1 construct represents a template for producing a novel class of TCR ligands. Moreover, development of this construct separates for the first time the peptide-binding ß1{alpha}1 domains from the platform ß2{alpha}2 domains that may provide additional signaling through CD4 or other cell surface molecules.

Direct binding studies using the A1 hybridoma specific for MBP-72–89 showed distinct staining with ß1{alpha}1/MBP-69–89, with a 40- to 80-fold increase in MFI over background or cells stained with either ß1{alpha}1/CM-2 or the "empty" ß1{alpha}1 construct (Fig. 4Go). In a reciprocal manner, binding studies using a CM-2 specific T cell line showed strong staining with ß1{alpha}1/CM-2 but background staining with ß1{alpha}1/MBP-69–89 or the "empty" construct. Thus, bound epitope directed specific interaction of the ß1{alpha}1/peptide complexes with TCR. Identification of Ag-specific T cells has been possible in a few systems, using labeled anti-idiotypic TCR Abs as specific markers (60, 61, 62, 63), but the general approach of staining specific T cells with their ligand has failed because soluble peptide-MHC complexes have an inherently fast dissociation rate from the TCR (64, 65, 66). Multimeric peptide-MHC complexes containing four-domain soluble MHC molecules have been used to stain Ag-specific T lymphocytes (67), with the ability to bind more than one TCR on a single T cell presumably giving the multimeric molecules a correspondingly slower dissociation rate. Staining with ß1{alpha}1/peptide complexes, while specific, did take an incubation period of approximately 10 h to saturate (data not shown). The distinct staining pattern of the A1 hybridoma with the ß1{alpha}1/MBP-69–89 complex and the CM-2 line with ß1{alpha}1/CM-2 (Fig. 4Go), coupled with the length of time it takes to achieve binding saturation, suggests that this molecule might have a very slow off-rate once bound to the TCR. An evaluation of binding constants is currently in progress. These complexes, perhaps with some modifications, may be unusually well suited to directly label Ag-specific T cells for purposes of quantification and recovery.

The ß1{alpha}1/peptide complex was highly specific in its ability to bind to and inhibit the function of T cells. In vitro proliferation of MBP-specific T cells was inhibited >90% with the ß1{alpha}1/MBP-69–89 complex (Fig. 5Go), and in vivo there was a nearly complete peptide-specific inhibition of clinical and histologic EAE, DTH response, and proliferation of cultured LN cells. However, there was a nominal (but not statistically significant) decrease in T cell proliferation with a much higher concentration of the ß1{alpha}1 molecule loaded with MBP-55–69 (Fig. 5Go) and a small but significant in vivo inhibition of EAE using the control ß1{alpha}1/CM-2 complex (Fig. 6Go; Table IGo). These data suggest a contribution to overall binding affinity of the ß1{alpha}1/peptide complexes for the TCR by the allele-specific residues on the solvent exposed ridges of MHC II that may interact with any TCR that was selected intrathymically with the same MHC. Thus, besides the antigenic peptide-directed binding indicated by FACS analysis (Fig. 4Go), the ß1{alpha}1 construct loaded with any antigenic peptide might be expected to bind weakly to any RT1.B-restricted T cell, possibly with some associated inhibitory activity. In a concurrent study, we observed a similar peptide-independent inhibition of Th1 but not Th2 cell activation by ethyl carbodiimide-cross-linked APC (75), indicating that MHC loaded with any compatible peptide may deliver a degree of negative signaling to effector Th1 cells.

The most profound biologic activity demonstrated for ß1{alpha}1/MBP-69–89 was its ability to almost totally ablate the encephalitogenic capacity of MBP-69–89 specific T cells in vivo. Injection of this complex after initiation of EAE nearly completely suppressed clinical and histologic signs of EAE (Fig. 6Go, Table IGo), apparently by directly inhibiting the systemic activation of MBP-69–89-specific T cells (Fig. 8Go) and preventing recruitment of inflammatory cells into the CNS (Table IIGo). Moreover, injection of ß1{alpha}1/MBP-69–89 after onset of clinical signs arrested disease progression (Fig. 7Go), demonstrating the therapeutic potential of this molecular construct. On the other hand, the ß1{alpha}1/MBP-69–89 complex did not exert peptide-dependent effects on EAE induced with MBP-87–99 or on DTH or proliferation responses to PPD.

Mechanistically, the powerful and selective inhibitory effects of the ß1{alpha}1/MBP-69–89 complex on T cell activation appeared to be reversible with IL-2 (Fig. 5Go). This stands in sharp contrast to the mechanism of Fas-mediated cell death (apoptosis) that is known to be induced by pretreating T cells with four-domain MHC class II/peptide complexes before TCR stimulation (68), cross-linking CD3 with Abs before TCR stimulation, or cross-linking CD4 with Abs before binding the HIV glycoprotein (gp) 120 (69). The unique feature that distinguishes the ß1{alpha}1 construct from its progenitor class II molecule is the deletion of the ß2 and {alpha}2 domains. The ß2 domain of MHC class II contains a solvent-exposed loop necessary for binding CD4 and for eliciting CD4 coreceptor activity (12, 13, 14, 70) and an {alpha}2 domain that allows ordered oligomerization in T cell activation (13, 71).

CD4 is a membrane glycoprotein on T lymphocytes that binds to MHC class II and TCR, promoting the localization of the scr family tyrosine kinase p56lck into the receptor complex (72). The novel class II-derived ß1{alpha}1 molecule described here (Fig. 2Go) remained stable in the absence of the {alpha}2 and ß2 Ig-fold domains (Fig. 3Go and 4Go) and clearly still interacted with the TCR in an Ag-directed manner (Fig. 4Go). While it has been clearly demonstrated that there are zones of molecular contact with CD4 located on the ß2-domain of class II (12, 13, 14, 15, 16, 70), the data does not exclude a priori the existence of other sites of CD4 interaction on class II molecules. Early work showed that chimeric class I/class II MHC molecules containing only the class II ß1 domain could interact with T cells whose function could be blocked by anti-CD4 Ab (50). Whether this indicated the existence of a direct interaction between CD4 and the ß1 domain is still unknown.

Thus, a plausible explanation for the mechanistic differences observed with ß1{alpha}1/peptide treatment is that the ß1{alpha}1/MBP-69–89 complex may not bind CD4, and recruitment of the CD4 coreceptor into the TCR signaling complex may be critical for Fas-mediated signaling, which, in the absence of costimulatory inputs, leads to cell death. Experiments are in progress to explore the contribution of ß1{alpha}1/peptide complexes in combination with coreceptors and costimulatory molecules in the ultimate development of anergy (8, 9), activation-induced cell death/apoptosis (68, 69) and Ag-specific activation.

From a drug engineering and design perspective this prototypic molecule represents a major breakthrough. The demonstrated biologic efficacy of the ß1{alpha}1/MBP-69–89 complex in EAE raises the possibility of using this construct as a template for engineering human homologues for treatment of autoimmune diseases such as MS that likely involves inflammatory T cells directed at CNS proteins. One candidate molecule would be HLA-DR2/MBP-84–102, which includes both the disease-associated class II allele (73) and a known immunodominant epitope that has been reported to be recognized more frequently in MS patients than controls (74). However, because of the complexity of T cell response to multiple CNS proteins and their component epitopes, it is likely that a more general therapy may require a mixture of several MHC/Ag complexes. The precision of inhibition induced by the novel ß1{alpha}1/MBP-69–89 complex reported herein represents an important first step in the development of potent and selective human therapeutic reagents. With this new class of reagent, it may be possible to directly quantify the frequency and prevalence of T cells specific for suspected target autoantigens, and then to selectively eliminate them in affected patients. Through this process of detection and therapy, it may then be possible for the first time to firmly establish the pathogenic contribution of each suspected T cell specificity.


    Acknowledgments
 
We thank Dr. Konrad Reske for the generous contribution of cDNA coding sequences for the Lewis rat MHC class II RT1.B {alpha}- and ß-chains. We also acknowledge the expert technical assistance of Dr. Keith Wegmann, Dr. Botond Siklodi, and Jeff Stevens. Finally, we thank Eva Niehaus for assistance in preparing the manuscript.


    Footnotes
 
1 Correspondence should be addressed to Dr. Gregory G. Burrows, Neuroimmunology Research R&D-31, Veterans Affairs Medical Center, Portland, OR 97201; E-mail address: Back

2 Abbreviations used in this paper: MS, multiple sclerosis; EAE, experimental autoimmune encephalomylitis; CNS, central nervous system; MBP, myelin basic protein; PE, phycoerythrin;; DTH, delayed-type hypersensitivity; PPD, purified protein derivative; MFI, mean fluorescence intensity; LN, lymph node. Back

Received for publication March 16, 1998. Accepted for publication August 6, 1998.


    References
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 Introduction
 Materials and Methods
 Results
 Discussion
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