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*Dietary Proteins
The Journal of Immunology, 1999, 162: 5868-5875.
Copyright © 1999 by The American Association of Immunologists

Antigen-Specific T Cell Activation and Proliferation During Oral Tolerance Induction1

Jiaren Sun{dagger}, Bernadette Dirden-Kramer*, Komei Ito*, Peter B. Ernst*,{ddagger} and Nancy Van Houten2,*,{dagger}

Departments of * Pediatrics and {dagger} Internal Medicine and {ddagger} Sealy Center for Molecular Sciences, University of Texas Medical Branch, Galveston, TX 77555


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
One of several routes of achieving immunologic tolerance is through functional inactivation of Ag-specific T cells. Oral administration of Ag can allow survival of the Ag-specific T cells that are functionally anergic. The aim of this study was to investigate whether functional inactivation of Ag-specific T cells is directed through an activation process and to further define the differentiative pathways and functional characteristics of anergic T cells. Mice were transplanted with OVA-specific TCR-transgenic T cells and either fed OVA or immunized s.c. with the OVA peptide 323–339 in CFA. OVA-specific T cells from OVA-fed mice were unresponsive to restimulation in vitro within 48–72 h after treatment. In vivo, however, T cell proliferation was detected by 5,6-carboxy-succinimidyl-fluoresceine-ester intensity changes in OVA-specific T cells. The mesenteric lymph nodes (LNs) from OVA-fed mice more frequently contained OVA-specific dividing cells in vivo than those in the peripheral LNs, and the reciprocal was observed following s.c. immunization of the OVA peptide in CFA. The induction of anergy in OVA-fed mice was accompanied by rapid up-regulation of CD69 and CTLA-4, later down-regulation of CD45RB on OVA-specific T cells, and a marked decrease in T cell secretion of IL-2, IL-10, and IFN-{gamma} after OVA restimulation in vitro. Results from this study indicate that the inductive phase of oral tolerance is preceded by Ag-specific T cell activation in vivo, proliferation in the regional draining LNs, and differentiation into a memory-like state. These results indicate that Ag-directed differentiation occurs as a part of T cell tolerance through anergy.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The route by which an Ag is administered affects the type and magnitude of the ensuing immune response. Ags injected s.c. with adjuvant generally elicit strong immune responses, while those infused directly into the circulation tend to induce tolerance. Ags administered to the gastrointestinal tract, however, frequently elicit a local Ab response in the intestinal lamina propria, yet produce a state of systemic unresponsiveness. Understanding the immune consequences of administering Ag orally impacts approaches to prevention of food allergy and the development of mucosal vaccines. Ags entering the body by different routes encounter distinct types of APCs and are distributed to different lymphoid tissues. The special characteristics of regional immune systems such as the gut-associated lymphoid tissues (GALT)3 and other mucosal-associated lymphoid tissues are not yet fully defined. In mice, orally or i.v. administrated OVA results in tolerance (anergy) and deletion of T cells, whereas s.c. injection leads to vigorous T cell responses (1, 2). To date, the precise means by which the route of Ag administration controls the nature and the intensity of the response is not known.

In the present study we focused on the induction phase of peripheral tolerance resulting from orally encountered Ag. Due to a low T cell precursor frequency in vivo, T cell proliferation in response to OVA usually cannot be detected in unimmunized hosts. Therefore, we adopted a system described by Kearney et al., in which limited numbers of OVA-specific cells were transferred into syngeneic recipients (1). We transferred lymph node (LN) cells from OVA TCR-transgenic (Tg) mice into syngeneic BALB/c mice. As a result, 1–2% of the cells in the LNs of recipient mice bear the clonotypic TCR encoded by the TCR-{alpha} and -ß transgenes that together recognize OVA peptide 323–339, and their presence was easily detected by a clonotypic mAb KJ126 (1, 3). The responses of recipient mice immunized s.c. with OVA peptide in CFA were compared with responses from mice fed with OVA in PBS. At several time points after Ag encounter, lymphocytes from mesenteric and peripheral (axillary and inguinal) LNs were harvested. Changes in the expression of cell surface activation markers, proliferative responses, and lymphokine synthesis of the Tg+ T cells were measured in response to OVA stimulation. Results from this study demonstrate that during the inductive phase of oral tolerance, anergy is preceded by Ag-specific T cell activation, and that regional draining LNs participate in Ag uptake and tolerance induction.


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

DO11.10 (OVA-TCR) breeders were obtained from D. Y. Loh (4). They were maintained under specific pathogen-free conditions in the Animal Resource Facility at the University of Texas Medical Branch (Galveston, TX) and were fed an OVA-free diet. BALB/c mice (6–10 wk old from Harlan Sprague-Dawley, Indianapolis, IN) were used as recipients of Tg+ LN cells. The university animal use and care committee approved all procedures.

Adoptive transfer and 5,6-carboxy-succinimidyl-fluoresceine-ester (CFSE) labeling of donor cells

Peripheral (axillary, inguinal, and popliteal) and mesenteric LN lymphocytes from DO11.10 (OVA-TCR) Tg mice were isolated and washed in sterile PBS containing 1% normal mouse serum. An aliquot of cells was analyzed by flow cytometry to determine the percentage of CD4+ and Tg+ cells. Tg+ cells (3 x 106 in 100 µl of PBS) were transplanted into each recipient BALB/c mouse by tail vein injection. To directly follow the donor cells in recipient mice, CFSE (Molecular Probes, Eugene, OR) labeling was performed as previously described (5, 6). Briefly, lymphocytes from OVA TCR-Tg mice were resuspended in PBS containing 0.1% BSA (Sigma, St. Louis, MO) at 107 cells/ml and were incubated in a final concentration of 10 µM CFSE for 10 min at 37°C. Labeled cells were washed twice with PBS containing 0.1% BSA before they were resuspended in PBS for tail vein injection.

Feeding and immunization

Mice transplanted with Tg+ cells were divided into three groups. One day following the transfer, one group of mice was fed 100 mg of OVA (Sigma) in 250 µl of PBS. The second group was immunized s.c. with 125 µg of OVA peptide 323–339 in CFA. The peptide was synthesized by the Protein Chemistry Laboratory of the Sealy Center for Molecular Science (Galveston, TX). The control group received neither OVA preparation. Mice from each group were sacrificed at the indicated time intervals following Ag administration.

Proliferation assay

To quantify the in vitro proliferative response to OVA peptide 323–339, 105 lymphocytes from peripheral and mesenteric LNs were cultured in 200 µl of complete medium with 10% FCS (HyClone, Logan, UT), 50 µM 2-ME, 10 mg/ml folate, and 2 mM glutamine with the indicated concentrations of OVA peptide. Cells were cultured for 3 days, and 1 µCi of [3H]thymidine was added to the wells for the last 18 h of culture. Statistical analysis was performed by calculation of SDs, and p values were calculated by Student’s t test.

Determination of anergy was performed as described previously (2). Since [3H]thymidine uptake per input cell reflects the intensity of proliferation rather than the total number of Tg+ cells, the counts per minute per input Tg+ cell was calculated to assess the level of anergy in T cells. For each individual mouse, the percentage of Tg+ T cells, based on FACS analysis (KJ126+ CD4+) was multiplied by the number of cells per well (105) to give the total number of Tg+ cells per well. The specific [3H]thymidine incorporation (average of triplicate wells) was divided by the number of Tg+ T cells per well to give the counts per minute per Tg+ cell for each animal: {Delta}cpm/(% Tg+/100) x 105] = cpm/Tg+ T cell.

mAbs and FACS analysis

Anti-transgene (Tg+) clonotypic mAb (KJ126) (3) was prepared from hybridoma cells. IgG purified by protein G chromatography (Pharmacia, Uppsala, Sweden) was FITC conjugated. Affinity-purified mouse IgG-FITC was used as a control for KJ126-FITC. Anti-CD4-Tricolor (clone CT-CD4) and control Rat-IgG2a Tricolor were purchased from Caltag (South San Francisco, CA). Anti-CD69 (clone H1.2F3), CD45RB (clone 16A), and CTLA-4 (clone UC10-4F10-11) were purchased from PharMingen (San Diego, CA). Hamster IgG-PE (clone A19-3) was used as an isotype control for intracellular staining of CTLA-4.

Most cell surface molecules were detected by staining 106 viable cells with the indicated conjugates for 20 min at 4°C in PBS/0.1% azide/1% BSA. Intracellular CTLA-4 (along with an isotype control mAb) was detected following 0.3% saponin permeabilization (7). Data from 50,000 size-gated lymphocytes were acquired on a FACScan (Becton Dickinson, Mountain View, CA) and analyzed with CellQuest software from Becton Dickinson.

ELISA for cytokines

IL-2 and IL-10 were measured by ELISA using paired mAbs specific for corresponding cytokines according to the manufacturer’s recommendations (PharMingen). Paired mAb clones specific for IL-2 and IL-10 were JES6-1A12/JES6-5H4 and JES5-2A5/SXC-1, respectively. IFN-{gamma} was determined as follows: 96-well microtiter plates (Dynatech, Chantilly, VA) were coated overnight at 4°C with 5 µg of purified anti-IFN-{gamma} (HB170) from PharMingen in 100 µl of carbonate buffer, pH 8.0. The plates were washed with PBS containing 0.5% Tween-20, blocked with 5% FBS in PBS, washed, and then incubated with culture supernatants or rIFN-{gamma} standard (PharMingen) overnight at 4°C. The plates were washed again and incubated with rabbit anti-IFN-{gamma} Ab (1/1000) for 1 h followed by peroxidase-conjugated goat-anti-rabbit IgG (1/5000) for 45 min at 37°C. The enzyme activity was determined colorometrically using O-phenylenediamine dihydrochloride reagent (Sigma) and was read at 492 nm.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lymphocytes from OVA-fed mice are responsive to restimulation at 18 h after feeding, but are anergic by 48 h

When T cells from OVA TCR-Tg mice were transferred into normal histocompatible BALB/c mice, a small population of transgenic donor cells (CD4+ KJ126+) persisted in the LNs of recipient animals for an extended period (2, 8). We previously observed the induction of anergy following oral OVA feeding of the recipient mice. In the present study, we explored the early differentiative events and the role of regional draining LNs in the development of anergy.

BALB/c mice received 3 x 106 Tg+ cells from OVA TCR-Tg mice (DO11.10) and were divided into groups that were OVA/CFA immunized as positive controls, OVA-fed, or untreated. Mice from each group were sacrificed at the indicated time intervals following antigenic exposure, and their responses to antigenic restimulation in vitro were determined using proliferation assays. Mice from all three groups responded initially to OVA peptide restimulation 18 h after antigenic exposure (Fig. 1Go). Lymphocytes from OVA-immunized mice proliferated vigorously in response to antigenic exposure in vitro. By 72 h after antigenic stimulation, lymphocytes from OVA-immunized mice were significantly more responsive than LN cells from animals receiving OVA orally. No significant differences between OVA-fed and control lymphocytes were observed until 96 h, when lymphocytes from the OVA-fed mice were significantly less responsive to restimulation in vitro than lymphocytes from untreated mice (p < 0.05). The lack of response in the OVA-fed group persisted despite increases in the proportion of Tg+ T cells following feeding (Fig. 2GoA). The percentages of Tg+ cells from pooled peripheral and mesenteric LNs in all three groups were relatively uniform before cellular expansion (18 h). The proportion increased steadily in OVA-immunized mice thereafter. In OVA-fed animals, however, the proportion of Tg+ cells peaked at 72 h and then began to decline (Fig. 2GoA).



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FIGURE 1. Proliferative responses of lymphocytes from BALB/c mice that were reconstituted with 3 x 106 Tg lymphocytes from OVA-TCR Tg mice (DO11.10). Recipient mice were immunized with 125 µg of OVA peptide 323–339 in CFA or were fed 100 mg of OVA in PBS. Lymphocytes from the axillary, inguinal, popliteal, and mesenteric LNs were collected at 18, 48, 72, and 96 h after the treatment. Each data point represents an average of three mice, and error bars represent SEMs. Student’s t test was performed on all groups stimulated by 1 µM peptide. Asterisks denote those groups with a significance of p < 0.05 compared with their respective control groups.

 


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FIGURE 2. Measurement of OVA-specific anergy following OVA stimulation. OVA-TCR-reconstituted BALB/c mice were immunized with 125 µg of OVA peptide 323–339 in CFA or were fed 100 mg of OVA in PBS as described in Fig. 1Go. Each data point represents an average of three mice. A, Proportion of OVA-TCR Tg cells detected by flow cytometry in LNs. Error bars represent SDs. B, Proliferative response to 1 µM peptide as a function of the input of OVA-TCR Tg T cells. Error bars represent SEMs. Asterisks denote those groups with a significance of p < 0.05 compared with their respective control groups.

 
Unresponsiveness following antigenic priming may occur through different mechanisms, including clonal deletion and anergy (Fig. 1Go). During the early priming phase T cells were not significantly deleted in OVA-fed animals (Fig. 2GoA). To help elucidate the mechanism(s) involved in the OVA-tolerance model, we devised a method for measuring anergy by normalizing the T cell proliferation for the number of Tg+ cells in each well (total counts per minute/total number of Tg+ cells) (2). We reasoned that the reduced proliferation per input Tg+ T cells should indicate a state of anergy.

When proliferation was expressed as a function of input Tg+ cells in the in vitro cultures restimulated with 1 µM OVA peptide 323–339, Tg+ cells from immunized mice responded to a greater extent than those of control and OVA-fed animals throughout the study (Fig. 2GoB). While the proliferative responses of cells from all three groups of animals gradually declined after the initial antigenic priming, proliferation in OVA-fed mice decreased more quickly than that in the immunized animals. These data suggest that oral priming alone is sufficient to induce anergy as early as 48 h after priming.

OVA-specific T cells undergo Ag-specific activation and proliferation in vivo in response to OVA feeding

Since activated T lymphocyte blasts are larger than resting T lymphocytes, we examined the distribution of forward light scatter (FSC) by T cells from recipient chimeric mice. Donor T cells that were CD4+ Tg+ demonstrated a considerable increase in frequency of large cells in response to OVA (Fig. 3GoA). Most lymphocytes from the LNs that were derived from the recipient animal (Tg-) did not respond with an increase in size whether they were CD4+ or CD4- (Fig. 3GoA). Kinetic analysis revealed that the FSC increased in donor T cells (CD4+ Tg+) at 18, 48, and 96 h following antigenic exposure (Fig. 3GoB). Recipient cells did not exhibit these changes at those time points.



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FIGURE 3. Activation of T cell subsets in recipient mice following administration of OVA. A, The top plot illustrates three gates drawn based on their CD4 and Tg TCR intensities. The lower panels are histograms demonstrating the size, based on FSC profiles, of lymphocytes from CD4+ Tg+, CD4+ Tg-, and CD4- Tg- compartments 96 h post-OVA-exposure. CD4+ Tg TCR+ T cells in recipient mice were donor cells, and those from Tg TCR- compartments were mostly of recipient origin. Only CD4+ Tg TCR+ cells in OVA-immunized and OVA-fed mice developed to activated T blasts. B, Proportion of activated T cell blasts from donor and recipient origins on sequential days following OVA- exposure. Each data point represents an average of two or three mice.

 
To directly monitor the expansion of transplanted donor cell in the recipient mice, we labeled donor (DO11.10) lymphocytes with a fluorescent chloromethyl derivative, CFSE, and then transferred them into recipient (BALB/c) mice (5, 6). Upon Ag-stimulated proliferation, the two daughter cells contain approximately one-half of the original fluorescence, and their progeny contain one-quarter, and so on. Thus, cells that divide a number of times exhibited proportionally reduced fluorescence intensity, as detected by flow cytometry. In these experiments, only Tg+ cells from either OVA-immunized or OVA-fed animals exhibited evidence of cell division by their reduced CFSE fluorescence intensity (Fig. 4Go and Table IGo). Transgene-negative donor cells in both immunized and fed groups served as internal controls and failed to show cell division. Unprimed control mice did not respond to the Ag with cell division. Thus, using both ex vivo and in vivo approaches in this study, we were able to show that T cell activation and proliferation accompanied functional unresponsiveness and was highly specific to OVA (Figs. 3Go and 4Go and Table IGo).



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FIGURE 4. In vivo proliferation of OVA-TCR transgene-positive cells in recipient BALB/c mice following OVA priming. Lymphocytes from donor OVA-TCR Tg mice were labeled with a fluorescent chloromethyl derivative, CFSE. Labeled cells were transplanted into each recipient BALB/c mouse. Recipient mice were divided into untreated, OVA-immunized, and OVA-fed groups. Mice in each group were sacrificed at 3 days postantigenic exposure, and cells from peripheral, axillary and inguinal (top row), and mesenteric (bottom row) LNs were analyzed by flow cytometry. Results from one representative animal in each group are shown. Peripheral LNs pair with mesenteric LNs in the figure. Data from two similar experiments are summarized in Table IGo.

 

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Table I. In vivo proliferation of OVA-TCR Tg cells in recipient BALB/c mice following OVA priming1

 
The results from this study further suggest a regional difference in the response of cells in the draining LNs during tolerance induction, depending on the route and form of Ag introduced. In this case OVA or OVA peptide was introduced either orally or s.c. CFSE-labeled donor cells migrated to both peripheral (axillary and inguinal) and mesenteric LNs in all animals (Fig. 4Go and Table IGo). Subcutaneous OVA peptide stimulation caused T cells from peripheral LNs to divide vigorously in all (six of six) immunized mice (Table IGo); this robust proliferation was not found in the mesenteric LNs of any of these animals. In contrast, T cells from OVA-fed mice proliferated preferentially in mesenteric LNs (five of six) over their peripheral LNs (two of six). The local Ag concentration may have an influence on the degree of expansion in the different sites. However, tolerance is achieved in the peripheral LNs as well as in mesenteric LNs in OVA-fed animals.

Rapid induction of T cell activation and memory markers after feeding OVA

Since the state of anergy is induced during the early priming phase, we examined the initial events associated with tolerance. Phenotypic changes in cell activation markers were determined on OVA-specific T cells by flow cytometric analysis of the cell surface expression of CD69 and CD45RB. Intracellular CTLA-4 levels in T cells were also determined by flow cytometry (Fig. 5GoA).



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FIGURE 5. Flow cytometric analysis of CD69, CD45RB, and CTLA-4. A, Cells were pooled from axillary, inguinal, and mesenteric LNs in BALB/c recipient mice at 48 h following OVA exposure. FACS analysis was performed on gated CD4+ and Tg TCR+ cells. CD45RB and CD69 on the cell surface were stained with PE-conjugated mAbs and are shown as dark overlays. The isotype control Ab is shown as gray overlays. Intracellular CTLA-4, shown as dark overlays (along with an isotype control mAb as gray overlays), was detected following saponin permeabilization. B, Kinetic analysis of the early T cell activation marker CD69 on OVA-TCR-gated lymphocytes. Cells of axillary and inguinal LNs (•) and mesenteric LNs ({circ}) from recipient mice were measured 0–6 h after feeding. CD69 expression was detected on OVA-TCR+ lymphocytes in both peripheral and mesenteric LNs 3–6 h after feeding OVA. Analyses from individual mice are paired vertically.

 
We found, based on CD69 expression, that activation of the OVA-specific T cells occurred in both peripheral and mesenteric LNs within 3–6 h after oral administration of OVA (Fig. 5GoB). The expression of this early T cell marker subsided gradually after 18 h in OVA-immunized and OVA-fed mice (Table IIGo). A subsequent decrease in the CD45RB level also suggested a prior activation of T cells in both groups of OVA-primed mice. Changes in CD69 and CD45RB in control animals were not significant. These data suggest that T cells from both OVA-fed and OVA-immunized animals were progressing to a phenotype of memory-like T cells.


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Table II. Kinetic analysis of T cell activation marker on OVA-specific cells

 
CTLA-4 is known to be a negative regulator of cell-mediated immune responses (9, 10, 11, 12, 13) and is normally expressed on activated T cells. Since a large proportion of CTLA-4 is expressed intracellularly, Ag detection was enhanced when saponin-permeabilized cells were stained with an anti-CTLA-4 mAb. An isotype-matched mAb was used as a control. CTLA-4 intensities were measured on gated OVA-specific, Tg+ cells (Fig. 5GoA). Intracellular CTLA-4 levels were near background in all three groups 18 h after antigenic exposure (Table IIGo). While CTLA-4 remained undetectable in control animals, its levels were markedly increased in OVA-immunized and OVA-fed animals at 48 h after priming. Kinetic analysis of CTLA-4 expression indicated that the up-regulation of CTLA-4 was transient and returned to its initial level 96 h following antigenic exposure in all groups. In summary, data from these experiments revealed rapid T cell activation shortly after feeding. Sustained, but regulated, T cell activation led these cells to progress to a memory-like phenotype. No phenotypic differences between the OVA-immunized and OVA-fed mice were detected that would aid in differentiation between the early events in oral tolerance and systemic immunization.

Production of cytokines during anergy induction

Since the proliferation and differentiation of resting T cells are driven by IL-2 and are also influenced by many other cytokines (e.g., IFN-{gamma}), the most important change in anergic T cells is their inability to produce IL-2 when they encounter an Ag. To further examine the early events after antigenic stimulation, we compared the cytokine production by lymphocytes from OVA-immunized and -fed mice. T cells from peripheral and mesenteric LNs (or pooled) were restimulated in vitro with the OVA peptide. The production of IL-2, IFN-{gamma}, and IL-10 was detected by sandwich ELISA and was sensitive down to approximately 32 pg/ml for IL-2, 45 pg/ml for IFN-{gamma}, and 120 pg/ml for IL-10.

T cells from peripheral LNs in OVA-primed mice secreted large amounts of IL-2 18 h following in vitro restimulation (Fig. 6GoA) whether fed OVA or immunized s.c. with the peptide in CFA. In OVA/CFA-immunized animals, IL-2 reached its peak concentration 72 h after priming and then declined. By comparison, cells from OVA-fed mice produced much less IL-2 at 72 h, resulting in levels no more than those in control animals. While the kinetics of IL-2 secretion in mesenteric LNs (Fig. 6GoB) were reminiscent of those in peripheral LN responses, mesenteric T cells from OVA-fed animals were more responsive to restimulation at 72 and 96 h following feeding compared with their peripheral counterpart. When T cells were pooled from peripheral and mesenteric LNs, reduced IL-2 production upon restimulation was also observed in OVA-fed mice compared with that in OVA/CFA-immunized mice (data not shown).



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FIGURE 6. IL-2 production in vitro upon restimulation with 1 µM OVA peptide. OVA-TCR-reconstituted BALB/c mice were immunized with 125 µg of OVA peptide 323–339 in CFA or were fed 100 mg of OVA in PBS as described in Fig. 1Go. A, IL-2 concentration from peripheral LN cells. B, IL-2 concentration from mesenteric LN cells. Each data point represents an average of three mice, and vertical bars denote SEMs. No statistically significant differences were found at any time points by Student’s t test (p > 0.05).

 
At 48 h following immunization, T cells from OVA/CFA-immunized mice were able to secrete IFN-{gamma} after in vitro restimulation, reaching a peak concentration at 72 h, after which IFN-{gamma} production declined (Fig. 7Go). LN cells from OVA-fed mice produced much less IFN-{gamma} than the immunized mice, although the kinetics of IFN-{gamma} production in the OVA-fed mice was similar to that of their immunized counterparts.



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FIGURE 7. Production of IFN-{gamma} in vitro upon restimulation with 1 µM OVA peptide. OVA-TCR-reconstituted BALB/c mice were immunized with 125 µg of OVA peptide 323–339 in CFA or were fed 100 mg of OVA in PBS. Cells were pooled from peripheral and mesenteric LNs in BALB/c recipient mice at several time points following OVA exposure as described in Fig. 1Go. Data from an independent experiment with comparable results are not shown.

 
T cells from peripheral LNs in OVA-immunized mice produced significantly increased amounts of IL-10 4 days after immunization (Fig. 8Go). T cells from control and OVA-fed mice did not secrete or accumulate great amounts of IL-10 in response to restimulation. While mesenteric T cells in OVA-immunized and fed animals appeared to secrete slightly more IL-10, the difference between these groups and the control group was not significant by Student’s t test. In another experiment lymphocytes were pooled from peripheral and mesenteric LNs. In that case, again, only OVA-immunized animals produced increased amounts of IL-10 (data not shown).



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FIGURE 8. In vitro IL-10 production upon restimulation with 1 µM OVA peptide on day 4 following priming. OVA-TCR-reconstituted BALB/c mice were immunized with 125 µg of OVA peptide 323–339 in CFA or were fed 100 mg of OVA in PBS. Each data point represents an average of three mice, and vertical bars denote SEMs. Statistical significance of differences between groups was tested by Kruskull-Wallis analysis, as the distribution of the population violated variance analysis by ANOVA. The differences among peripheral LNs were significant (p < 0.05). The differences among mesenteric LNs were not significant (p > 0.05).

 
These experiments demonstrate that T cells from systemically immunized mice secrete a transient, but substantial, amount of IL-2, IFN-{gamma}, and IL-10 upon in vitro restimulation. While both OVA-immunized and -fed animals underwent T cell activation and proliferation shortly upon priming, LN T cells from OVA-fed mice secreted much less IL-2, IFN-{gamma}, and IL-10 than immunized mice ( Figs. 6–8GoGoGo). Normalization for variations in the proportions of Tg+ T cells prior to restimulation did not alter the results (data not shown).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
When a T cell first expresses a high affinity, self-reactive receptor during intrathymic development, it will be programmed to die. Thus, central tolerance is mainly achieved through clonal deletion (14). Although clonal deletion readily explains tolerance to ubiquitous self Ags, tolerance to Ags that are expressed uniquely in a particular tissue or introduced from the environment, such as food Ags, is less well understood.

The work presented here addresses the induction phase of peripheral tolerance resulting from orally encountered OVA. By 48 h, OVA-specific T cells from Ag-fed animals no longer responded in vitro, and T cell proliferation became virtually undetectable by 96 h. The reduced proliferative capacity of T cells from OVA-fed animals cannot be attributed to a lack of priming, since sufficient priming was indicated by activation and proliferation of Tg+ T cells in tolerized animals ( Figs. 2–5GoGoGoGo and Tables I and II). This was not due to a lack of OVA-specific T cells, but rather resulted from the failure of Tg+ T cells to actively proliferate in response to Ag in vitro (Fig. 2Go). This observation is supported by a study in which T cell tolerance was induced by i.v. injections of OVA peptide (8) as well as by our own findings with oral tolerance challenged with OVA/CFA immunization (2). OVA-specific T cells persisted for extended periods of time in tolerized mice, and the poor accumulation of T cells in the LNs correlated with reduced DNA synthesis, pointing to the functional impairment rather than the death of proliferating T cells. In our previous study we found that both clonal deletion and anergy contributed to Ag-specific nonresponsiveness 12 days after initial OVA feeding (2).

The initial stages of tolerance induction of CD4+ T cells involve a primary activation state, characterized by CD69 expression in 3–6 h as well as increases in cell size and cell division. A similar finding of CD69 induction has been observed in an elegant system using class II MHC/cytochrome c (Cyt c) tetramers to detect Cyt c-specific T cells in TCR transgenic mice (5C.C7) (15). Most transgenic T cells expressed CD69 within 6 h of a single fed dose of Cyt c. Both studies showed rapid up-regulation of CD69 in all lymphoid sites tested. We further demonstrate by CFSE labeling of transferred T cells that activation accompanied by cell division occurred primarily in the mesenteric LNs after feeding OVA, while functionally, lymphocytes in both peripheral and mesenteric LNs became tolerized. Results from this study suggest that anergy is preceded by Ag-specific T cell activation during the inductive phase of oral tolerance, supporting the view that the unresponsive state is more likely to be associated with an inherent response defect than with immune deviation or suppression.

Evidence of activation led to the question of the sustained phenotype of the remaining anergic T cells. CD45RB is a cell surface phosphatase expressed at high levels on naive T cells. Expression is decreased on memory and effector CD4+ T cells compared with that on their naive progenitors (16, 17). In our study OVA-activated T cells progress to a memory phenotype by virtue of the reduced CD45RB expression (17). Costaining of CFSE with CD45RB on Tg+ gated T cells from OVA-fed mice suggested that the loss of CD45RB expression is due to dilution during cell division, as cells with the least CFSE intensity exhibited concomitantly lower CD45RB expression (not shown).

The results from this study also reflect on the site where T cell tolerance takes place after OVA administration to the gastrointestinal tract. While the specific site of tolerance induction has not been clearly defined, the GALT, specifically Peyer’s patches (PP) and lamina propria, has been proposed (18). PP of OVA TCR-Tg mice have increased synthesis of Th2 cytokines IL-4, IL-10, and TGF-ß, indicating a predominately Th2-type response rather than unresponsiveness in GALT (19). However, these studies were performed in animals that had a high precursor frequency of OVA-specific T cells and thus differ from the environment in the DO11.10-BALB/c chimeras, which have only about 1% Tg+ T cells in lymphoid organs and even fewer in PP. In a normal precursor environment, tolerance induction may instead occur within local draining (mesenteric) LNs. We previously found no evidence of trafficking of OVA-specific CD4+ T cells to the small intestine intraepithelial or lamina propria compartments (2) or to PP (N. Van Houten unpublished observations). In the present study antigenic priming clearly took place in both mesenteric and peripheral LNs shortly after OVA feeding. Yet, T cell activation and proliferation in these sites were not accompanied by the production of IL-2 and IL-10 upon restimulation. This observation is consistent with the report that orally administered Ag can travel systemically (20) and induce tolerance at sites other than the GALT. Recent work using Cyt c TCR transgenic mice demonstrated that the orally administered Cyt c enters the bloodstream and is rapidly distributed to secondary lymphoid organs (mesenteric LNs and the spleen), where it can trigger T cell responses (15). Peripheral tolerance that is induced by orally administered OVA could also be explained by split tolerance, where Ags introduced solely to the gastrointestinal tract have distinctive local effects. Oral Ag frequently elicits a local Ab response in the intestinal lamina propria while at the same time producing a state of systemic tolerance manifest as a diminished response to the same Ag if it is administrated in immunogenic form elsewhere in the body. This unique antigenic tolerance may be important in avoiding allergy to Ags in food, while the inhibition of systemic response prevents self destruction of the host tissues processing Ag.

The mechanisms of oral tolerance induction are probably due to the nature of Ag presentation. Although dendritic cells are generally accepted as immunostimulatory APCs in the initiation of immune responses, the role of these cells in T cell sensitization and tolerization remains controversial. OVA-specific T cells can be sensitized by exposure to adoptively transferred OVA-loaded dendritic cells (21, 22). However, in situ expansion of dendritic cells in mice after administration of Flt3 ligand enhances tolerance induction (23). There is accumulating evidence that it is the qualitative nature of the interaction between APC and T cells that determines whether tolerance is induced. The role of B cells in T cell sensitization has also been examined (24). OVA-specific T cells can be sensitized by HEL-specific B cells supplied with Ag containing both T and B cell epitopes (OVA/HEL); however, this T/B interaction does not occur when Ags are administered in separate soluble forms (24). The form, site, and dose of the Ag dictate the fine microenvironmental influence of T cell migration and sensitization.

The two-signal theory of T cell stimulation (25) has led to the investigation of CD28 and its counterpart CTLA-4 in the induction of T cell signaling and tolerance (9). Given the immunosuppressive role of CTLA-4 engagement in T cell stimulation (26, 27), we hypothesized that the kinetics or quantity of expression of CTLA-4 would differ between anergic and sensitized T cells. Although blockage of CTLA-4 signaling prevents tolerance induction in i.v. and oral tolerance (28, 29), we found that the expression of CTLA-4 on OVA-specific T cells after in vivo exposure was similar in groups of animals that were fed OVA or sensitized with the Ag in adjuvant. Thus, it appears that the decision between anergy and sensitization in vivo depends on the level of the signal delivered and not on variation in the expression of the molecule receiving the signal.

It has not been established exactly how cytokines participate in the decision of T cells to become anergic or sensitized in vivo. The differentiated anergic or sensitized T cells may express differential cytokine gene products or cytokine receptors once the functional commitment has been made. Although IL-10 has been associated with immunosuppressive activity in some systems (30, 31, 32, 33), it can also restore proliferative responses in tolerized T cells (34). IL-10 is synthesized in the spleens of OVA-TCR recipient mice that were fed low, but not high, doses of OVA (35). It can also be expressed in PP in OVA TCR-Tg mice fed OVA (19). Conversely, oral tolerance has been achieved in mice treated with anti-IL-10 (36). Thus, our findings that IL-10 is not induced in peripheral LNs upon restimulation in lymphocytes from orally tolerized mice are consistent with its potential immunostimulatory role in immune responses (37, 38).

The most remarkable difference in lymphocytes between OVA-fed and -immunized animals was the production of IFN-{gamma} after restimulation in vitro. Lymphocytes from OVA-immunized animals produced considerable levels of IFN-{gamma} upon restimulation in vitro, while those from OVA-fed animals produced significantly less. In a study of splenocytes from OVA-TCR recipient mice (35), IFN-{gamma} was detected at 2 days after feeding but was at much lower levels at 10 and 20 days. Their most striking finding was the production of TGF-ß in the spleens of animals fed both high and low doses of Ag.

We have found that the mechanism of oral tolerance induction is parallel in many way to that of i.v. induced tolerance. This finding provides a potential opportunity to draw from the results of other studies of i.v. tolerance in further defining oral tolerance. However, it should be appreciated that oral exposure is routine for dietary Ags and is being explored extensively for protective immunizations and potential tolerance against autoantigens and transplantation Ags (39, 40, 41, 42). Thus, further studies of the mechanisms of induction of oral tolerance have extensive practical implications in the development and application of mucosal vaccines and in the treatment of inflammation.


    Acknowledgments
 
We thank Dr. Dennis Loh for the DO.11 mice and KJ126 mAb, Dr. Rolf Konig for sharing the peptide for these studies, Drs. Marc K. Jenkins and Randall M. Goldblum for critical review of this manuscript, and Mardelle Susman for helping to prepare the manuscript.


    Footnotes
 
1 This work was supported in part by grants from the Texas Affiliate of the American Heart Association, National Institutes of Health Grants AI041579 (to N.V.) and DK50980 (to P.B.E.), and the Claribel and Saul Simkin Research Scholar Award in Crohn’s Disease of the American Digestive Health Foundation and the Crohn’s and Colitis Foundation of America (to N.V.). Back

2 Address correspondence and reprint requests to Dr. Nancy Van Houten, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0366. E-mail address: Back

3 Abbreviations used in this paper: GALT, gut-associated lymphoid tissue; LN, lymph node; Tg, transgenic; Tg+, OVA specific as identified by KJ1-26 mAb binding; CFSE, 5,6-carboxy-succinimidyl-fluoresceine-ester; OVA-TCR, DO11.10 OVA-transgenic mice; FSC, forward light scatter; Cyt c, cytochrome c; PP, Peyer’s patch. Back

Received for publication September 28, 1998. Accepted for publication March 1, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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