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The Journal of Immunology, 1999, 162: 2024-2034.
Copyright © 1999 by The American Association of Immunologists

CD40 Activation Boosts T Cell Immunity In Vivo by Enhancing T Cell Clonal Expansion and Delaying Peripheral T Cell Deletion1

Joseph R. Maxwell, Jeff D. Campbell, Carol H. Kim and Anthony T. Vella2

Department of Microbiology, Oregon State University, Corvallis, OR 97331


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this report we show that activation of APC with an agonist anti-CD40 mAb profoundly alters the behavior of CD4 T cells in vivo. Stimulation of mice with anti-CD40 2 days before, but not 1 day after, administration of superantigen (SAg) enhanced CD4 and CD8 T cell clonal expansion by approximately threefold. Further, CD40 activation also delayed peripheral T cell deletion after activation. Dying, activated T cells were quantitated by detecting extracellular phosphatidylserine with concomitant staining for SAg-reactive T cells using a TCR Vß-specific mAb. Upon close examination, it was shown that CD40 activation delayed the death of the activated T cells. Additionally, it was found that enhanced survival of CD4 T cells was equally dependent on APC expression of B7-1 and B7-2. This is in contrast to CD8 T cells, which did not depend as much on B7-1 as B7-2. Thus, CD40 activation indirectly promotes T cell growth and delays the death of SAg-stimulated CD4 T cells in vivo. These data suggest that one way CD40 activation promotes a more robust immune response is by indirectly increasing the production of effector T cells and by keeping them alive for longer periods of time.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The immune system functions through a complex network of signals. This complexity is most apparent when generating a productive immune response. For an optimal T cell response, many checkpoints must be passed. At minimum, delivery of two signals is required to activate T lymphocytes against an Ag 1, 2 . The first signal involves engagement of the TCR by peptides presented by the MHC molecules. The second signal provides costimulation and involves ligation of another receptor on the T cell surface 3, 4 . This second signal is generally described as CD28 on T cells and its ligand B7-1 (CD80) or B7-2 (CD86) on APCs (APC) 5, 6, 7, 8, 9, 10 .

To mount an optimal T cell response against Ag, it is thought that APC deliver both signals to T cells. These two signals activate T cells and drive T cell clonal expansion. As a result, many T cells are generated, and, of those, many become effector T cells 11 . Normally, non-APC do not bear the B7 molecules and thus cannot deliver signal two 12 . Under such conditions, based on in vitro data with T cell clones, delivery of signal one without signal two does not activate the T cell fully, but instead directs it to a nonresponsive state known as anergy 3, 13 . Perhaps surprisingly, little is known about T cell activation in vivo. In part this is due to the complexity of APC/T cell interactions and the vast number of signals each cell can deliver to each other. These include not only "costimulatory" signals but also the variety of cytokines that are secreted.

Although in an optimal T cell response clonal expansion is important for fighting pathogens, just as important is the ability to down-regulate the T cell response after the pathogen is cleared. T cell populations must decline in number or else autoimmunity and immunopathology can occur 14, 15 . Some cells must survive, however, if T cell memory is to develop. Thus, a complex balance must be maintained between sustained immunity and tolerance in the immune system.

Efficient monitoring of the T cell response, both expansion and deletion, has been performed with the use of staphylococcal enterotoxin A (SEA)3. SEA is a SAg that binds MHC class II and selectively engages all TCRs that contain the Vß3 chain 16, 17, 18, 19, 20 . Injection of B10.Br mice with SEA promotes the clonal expansion of CD4 and CD8 T cell populations that bear Vß3; however, these cells very soon afterward decrease in number to below normal uninjected levels 21, 22 .

In this study, we set out to use the SEA model to investigate a very important molecule whose role in the immune system is only beginning to be made clear: CD40 23 . CD40 is a member of the TNF receptor family 24 . It is expressed on all APC such as B cells 24 , macrophages 25 , and dendritic cells 26 and has also been reported on T cells 27, 28 . CD40 ligand (CD40L, CD154, gp39) is a member of the TNF family as well 29, 30 . It is expressed mainly on CD4 T cells 31 but is also found on CD8 T cells 31, 32, 33 as well as other cells such as eosinophils and NK cells 34, 35 .

Ligation of CD40 has been shown to yield many effects on APC. Several groups have shown that CD40 ligation can enhance the costimulatory abilities of APC 36, 37, 38 . In fact, other studies have shown that lack of CD40 ligation can actually promote T cell tolerance as a result of poor B7 expression 39, 40 . Many groups have investigated the role this tolerance mechanism plays in autoimmunity and transplant rejection. For example, autoimmune conditions such as experimental allergic encephalomyelitis 41, 42 , collagen-induced arthritis and insulin-dependent diabetes mellitus 43, 44 are augmented by CD40 activation. Other studies have found that stimulation of CD40 plays a role in graft transplant rejection 45, 46, 47 .

Effects of CD40 activation on T cell activation have also been reported. For example, IL-12-dependent Th1 differentiation has been shown to be modulated by CD40 activation 38, 48 . Most recently, CD40 ligation has been shown to circumvent the requirement for T helper cells in the priming of CTL 49, 50, 51 . CD8 T cell responses are thus also affected by CD40 ligation. Observed effects include improved antitumor-killing abilities 52, 53 and memory CTL responses 53, 54 . Little has been reported on death susceptibility of T cells after CD40 ligation; however, recent reports have shown that CD40 activation of B cells, monocytes, and dendritic cells can block apoptosis within these populations 55, 56 .

To examine the effects of CD40 stimulation on T cell clonal expansion and deletion upon response to an Ag, an anti-CD40 agonistic mAb was used in conjunction with SEA injection. We found that activation of CD40 not only enhanced CD4 and CD8 T cell clonal expansion but also delayed, but did not prevent, their subsequent deletion. Thus, CD40 enhances an immune response in vivo by increasing the number of effector T cells and delaying their subsequent death.


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

Female B10.Br/SgSnJ and B10.A/Cr mice were purchased from The Jackson Laboratory (Bar Harbor, ME) and the National Cancer Institute (Frederick, MD), respectively, and maintained in our animal facility under specific pathogen-free conditions. In all experiments, mice between the ages of 6 and 12 wk were used.

Reagents, experimental protocols, and Abs

SEA was purchased from Toxin Technology (Madison, WI) and administered to mice as i.p. injections of 0.15 or 0.30 µg. The anti-CD40-producing hybridoma FGK45.5 was a kind gift from Dr. Ton Rolink (Basel Institute, Switzerland) 57 . The Ab was purified from hybridoma supernatants over protein G columns (Pharmacia, Piscataway, NJ). As a control, rat IgG (Sigma, St. Louis, MO) was injected in doses equal to the anti-CD40.

In experiments designed to block interactions between CD28 and B7-1/B7-2, CTLA4IG 58 or an isotype-matched control chimeric Ab, L6, was injected i.p. at 0.50 mg/injection. These were both kind gifts from Dr. Peter Linsley (Bristol Myers-Squibb, Seattle, WA). Alternatively, Abs directed against B7-1 (16-10A1; 59 or B7-2 (GL1; 6 were used at doses of 1 mg/injection. These hybridomas were obtained from ATCC (Manassas, VA), and the resulting Abs were purified separately from hybridoma supernatants over protein G columns (Pharmacia).

Anti-TCR Vß3 (KJ25-607.7; 59 and anti-IEk (14.4.4; 61 were purified separately from hybridoma supernatants over protein G columns (Pharmacia). These Abs were FITC conjugated by us. FITC-conjugated annexin V, FITC-conjugated anti-Vß14, PE-conjugated anti-CD4, PE-conjugated streptavidin, and biotinylated anti-TCR Vß3 were all purchased from PharMingen (San Diego, CA). PE-conjugated anti-B7-1, PE-conjugated anti-B7-2, PE-conjugated anti-macrophage Ab (F4/80), and PE-conjugated anti-CD45R (B220) were all purchased from Caltag (Burlingame, CA). Red 613-conjugated anti-CD4 and Red 613-conjugated anti-CD8 were purchased from Life Technologies (Grand Island, NY).

Injection schedule

Injection of SEA was at time 0 h, and all other injections were done in relation to SEA. Injections before SEA injection were designated as negative days, while injections after SEA were designated as positive days. The anti-CD40 Ab was injected on day -2 before SEA unless otherwise stated. Rat IgG was always given to a control group at the same time as anti-CD40 was given to an experimental group. The molecules L6, CTLA4IG, anti-B7-1, and anti-B7-2 were all given 2 h before SEA. All injections were i.p.

Cell processing and flow cytometry

Spleens were removed and teased through nylon mesh (Falcon, Becton Dickinson, Franklin Lakes, NJ) and subjected to ammonium chloride to lyse red blood cells. Peripheral LNs (inguinal, axillary, and bronchial) were teased into single cell suspensions and washed with balanced salt solution (BSS). T cells from spleen or LN populations were purified on nylon wool columns as described previously 60 . Briefly, 3-cc syringes were filled with 0.12 to 0.15 g of washed and brushed nylon wool. The columns were prepared with warm BSS 5% FBS, after which the cells were loaded in a 0.5-ml volume and incubated for 30 min at 37°C. After draining 0.5 ml away, the columns were incubated an additional 30 min, followed by elution with BSS 5% FBS.

For two- and three-color staining, cells were incubated on ice with the primary Abs in the presence of 5% normal mouse serum, culture supernatant from hybridoma cells producing an anti-mouse Fc receptor mAb (24.G2; 61 and 10 µg/ml human {gamma}-globulin (Sigma) to block nonspecific binding. After a 30-min incubation on ice in staining buffer (BSS, 3% FBS, 0.1% sodium azide) with primary Abs, the cells were washed twice and analyzed by flow cytometry, or, if a second staining step was necessary, the incubation and wash procedures were repeated. Flow cytometry was conducted on an EPICS XL flow cytometer (Coulter Electronics, Miami, FL). Greater than 5000 viable cells were analyzed with WinList software (Verity Software House, Topsham, ME).

Histochemistry

The mesenteric LN and spleen from each mouse were fixed in PBS 4% paraformaldehyde. They were transferred into OmniSette tissue cassettes (Fisher Scientific, Pittsburgh, PA) and washed with distilled water for 2–3 h and then soaked in 70% ethanol overnight. The tissues were embedded in paraffin after a 1-h wash in 85% ethanol, three 1-h washes in 95% ethanol, three 1-h washes in 100% ethanol, and three 1-h washes in xylene. Paraffin-embedded tissues were sectioned and baked onto Superfrost/Plus microscope slides (Fisher Scientific) overnight. Tissues were stained using the Apoptosis Detection System, Fluorescein from Promega (Madison, WI), which uses the TdT-mediated dUTP Nick-End Labeling (TUNEL) assay 62 . Briefly, tissues were deparaffinized with organic solvents and permeabilized with proteinase K. The tissues were then incubated with TdT enzyme and a nucleotide mixture containing FITC-labeled dUTP. This was done in a humidified chamber for 1 h at 37°C. Tissues were then washed, counterstained with propidium iodide, and then sealed under a cover slip. Confocal images were captured at x20 magnification using a Leica TCS 4D confocal microscope (Heidelberg, Germany) and combined using Adobe Photoshop software (Mountainview, CA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Activation of CD40 inhibits Ag-induced T cell deletion in lymph nodes and spleen

Initial studies sought to examine the effects CD40 activation would have on T cell populations in the presence of stimulating Ag. To examine this issue, mice were treated with SEA. SEA is a SAg that stimulates T cells bearing TCR Vß3 chains 16 ; therefore, SAg-stimulated T cells can be directly analyzed after SEA treatment. Mice were injected either with SEA alone or with SEA and anti-CD40. As a control for the SEA/anti-CD40 group, a third group was injected with SEA and rat IgG. A final group was left uninjected (normal) as a negative control. Fourteen days after SEA injection, the peripheral (inguinal, axillary, and bronchial) LN and the mesenteric (mucosal) LN, as well as the spleen, were removed, and the T cells were isolated by nylon wool fractionation separately from each tissue. The T cells were stained for CD4 Vß3 and CD8 Vß3 expression and analyzed by flow cytometry.

The results show that the presence of Ag alone causes significant deletion of both CD4 and CD8 T cells bearing Vß3 in each tissue examined 14 days after SEA (Fig. 1Go). Percentages of each T cell population were two- to fourfold lower in SEA-injected mice than in uninjected controls. In contrast, injection of anti-CD40 in SEA-treated mice potently inhibited Ag-induced T cell deletion in every tissue examined. CD4 Vß3 and CD8 Vß3 percentages in these mice were generally as high as, if not higher than, those in the uninjected control, and in all cases higher than those in the mice injected with SEA alone.



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FIGURE 1. CD40 activation blocks Ag-specific T cell deletion in peripheral and mucosal LN and spleen populations. Two groups of B10.Br mice were injected with either 0.5 mg of anti-CD40 or rat IgG 24 h before, and concurrent with, injection of 0.15 µg of SEA. Two other groups received no injection or SEA only. Fourteen days after SEA injection, T cells were isolated from the inguinal, bronchial, axillary, and mesenteric LN, as well as the spleen. These cells were stained for CD4 Vß3 (left panel) and CD8 Vß3 (right panel) and analyzed by flow cytometry. These data represent the mean percentages ± SEM from three or four mice over two separate experiments combined.

 
To test whether T cell rescue from deletion was due to CD40 stimulation, and not to a nonspecific effect from the injected Ab, rat IgG was injected with SEA (Fig. 1Go). The results showed the same amount of T cell deletion that was observed with SEA alone, strongly suggesting that CD40 activation blocks SAg-induced T cell deletion. Percentages can be misleading due to migratory effects and bystander T cell death, so it was important to examine the absolute number of T cells in the various lymphoid organs. Data shown in Table IGo confirm that deletion was inhibited, since CD4 Vß3 numbers are elevated in the anti-CD40- and SEA-treated mice compared with SEA alone. An additional control experiment was performed where anti-CD40 alone was injected. The results showed no differences in T cell percentages when compared with an uninjected control (data not shown). Furthermore, staining of the T cells from each tissue for TCR Vß14 chains, a subset of T cells that does not respond to SEA, showed no significant difference in their percentages when compared with the uninjected control (data not shown).


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Table I. Absolute numbers of CD4 Vß3 T cells in various lymphoid tissues

 
Optimization of anti-CD40 injection

To standardize future experiments with anti-CD40, the optimal conditions for anti-CD40 injection were determined. Experiments were set up in which B10.Br mice were injected with 1 mg of anti-CD40 at different times in relation to SEA. Anti-CD40 injections were performed at 5 days before SEA injection (day -5) and up to 1 day after (day +1). Eight days after SEA injection, T cells from the LN (Fig. 2Go) and spleen (not shown) were counted, stained for CD4 Vß3 and CD8 Vß3, and analyzed by flow cytometry.



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FIGURE 2. The optimal day for anti-CD40 injection is 2 days before SEA administration. Female B10.Br mice were injected with 0.15 µg of SEA at time 0. At various times relative to SEA injection, 1 mg of anti-CD40 was injected. Control groups were also set up that received no injections or SEA only. LN T cells were isolated 8 days after SEA injection and were stained and counted for CD4 Vß3 (A and B) and CD8 Vß3 (C and D). Each bar represents data from four or five mice, collected over five separate experiments, except the day -5 bar, which was collected from one mouse. Except for day -5, these data represent mean percentages, as determined by flow cytometry, and numbers ± SEM.

 
T cell percentages declined after SEA injection in comparison with uninjected control mice (Fig. 2Go, A and C). Most injections of anti-CD40 were effective at preventing the deletion, regardless of the day injected relative to SEA. Deletion was most efficiently prevented when anti-CD40 was injected before SEA. For example, when anti-CD40 was injected on day +1, the percentage of CD4 Vß3 T cells was 3.8 ± 0.9%; when anti-CD40 was injected on days -2, -3, and -4, however, this rose to 11.6 ± 2.4%, 9.0 ± 2.5%, and 9.1 ± 3.1%, respectively (Fig. 2GoA). The percentages of CD8 Vß3 T cells were above normal in every case, except when anti-CD40 was injected 5 days before SEA (Fig. 2GoC). The CD4 Vß3 percentages were near or above normal, except when anti-CD40 was given on day -5 and day +1. All SEA/anti-CD40 injections consistently led to greater Vß3 T cell percentages than those observed with SEA alone. Based on percentages, day -2 was the best day for anti-CD40 injection. On this day, CD4 Vß3 percentages rose to 11.6 ± 2.4%, almost six times the level observed in SEA alone-treated mice (2.1 ± 0.5%) (Fig. 2GoA). CD8 Vß3 percentages rose from a 1.5 ± 0.6% population found in SEA injected mice to 9.4 ± 1.6% (Fig. 2GoC).

The total numbers of CD4 Vß3 (Fig. 2GoB) and CD8 Vß3 (Fig. 2GoD) T cells were calculated. Days -2, -3, and -4 had the highest total numbers of Vß3 T cells after SEA/anti-CD40 treatment. Day -2 was still the best, providing counts of 9.4 x 105 ± 4.0 and 4.9 x 105 ± 1.9 CD4 and CD8 T cells bearing Vß3, respectively (Fig. 2Go, B and D). Based on these results, day -2 was chosen as the standard day of injection of anti-CD40, since it gave the most consistently high percentages and numbers of both CD4 Vß3 and CD8 Vß3 T cells.

Once the timing of anti-CD40 injection was determined, the dose of anti-CD40 was titrated. One mg of anti-CD40 was injected into each mouse for the timing experiments. We tested whether lower doses would still be effective at preventing Ag-specific T cell deletion. Experiments were set up in B10.Br mice, which were injected with anti-CD40 two days before receiving SEA. Anti-CD40 was injected at 1 mg, 0.5 mg, 0.25 mg, or 0.125 mg. An uninjected control mouse and a mouse receiving SEA only were also included. Seven days after SEA was injected, the LN and spleen T cells were isolated, counted, and stained for CD4, CD8, and Vß3. T cell analysis was done by flow cytometry.

LN-dosing experiments are shown in Fig. 3Go, and spleen data are similar, but not shown. The resulting percentages show the deletion of CD4 Vß3 (Fig. 3GoA) and CD8 Vß3 (Fig. 3GoC) T cells in the LN upon injection of SEA alone. All doses of anti-CD40 were effective at preventing deletion, as shown by the percentages (Fig. 3Go, A and C) and numbers (Fig. 3Go, B and D). The highest dose tested (1 mg) was the most effective at generating high T cell numbers, but even an eightfold lower dose of anti-CD40 provided some T cell rescue. Both percentages and numbers show that the CD8 Vß3 T cells were rescued more effectively by lower doses of anti-CD40 than were CD4 Vß3 T cells. A dose of 0.25 mg yielded equivalent numbers of CD8 Vß3 T cells as the 1-mg dose (5 x 105 ± 0.6) (Fig. 3GoD). In contrast, CD4 Vß3 T cell deletion was less inhibited by lower doses of anti-CD40 (Fig. 3GoB) but was still very effective. Based on these data, 0.25 mg of anti-CD40 was chosen as the standard dose in future experiments.



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FIGURE 3. Low doses of anti-CD40 are effective at blocking Ag-specific T cell deletion. Five groups of mice were injected with 1.0 mg, 0.5 mg, 0.25 mg, 0.125 mg, or 0 mg of anti-CD40, and then 2 days later, injected with 0.15 µg of SEA. An uninjected control group was also set up. Seven days after SEA injection, LN T cells were purified, stained, and enumerated for CD4 Vß3 (A and B) and CD8 Vß3 (C and D). Each bar represents four mice over two separate experiments combined. These data represent mean percentages, as determined by flow cytometry, and numbers ± SEM. Comparable data were obtained from the spleens of these mice.

 
Activation of CD40 enhances the expansion and delays the deletion of SAg-specific T cells

Since anti-CD40 inhibited the deletion of Ag-specific T cells exposed to SEA ( Figs. 1–3GoGoGo), we next investigated whether anti-CD40 affected the expansion and long-term deletion of Vß3 T cells by conducting a detailed time course. In this experiment, mice were injected with 0.25 mg of anti-CD40 or, as a control, 0.25 mg of rat IgG. Two days later, SEA was injected into each group. On days 2, 5, 7, 12, and 21 after SEA injection, LN and spleens from both groups of mice were obtained. T cells were purified from these tissues, counted, stained for CD4 Vß3 and CD8 Vß3, and analyzed by flow cytometry.

The control mice injected with SEA and rat IgG (squares) show some CD4 Vß3 T cell expansion (day two), and significant deletion by day five (Fig. 4Go). Examination of numbers shows a small degree of expansion in the LN (Fig. 4GoC) but a greater than twofold increase in the spleen (Fig. 4GoD). The degree of expansion is quite variable depending on dose and batch to batch variation of SEA (our unpublished observations). After clonal expansion, T cell populations deleted quickly. By day 5, both percentages (Fig. 4Go, A and B) and numbers (Fig. 4Go, C and D) fell below normal and stayed there until day 21. The slight rise in T cell numbers at the end of the time course is most likely due to repopulation of deleted T cells from the thymus.



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FIGURE 4. Time course of SEA-stimulated CD4 T cell deletion with and without CD40 activation. Mice were injected with 0.25 mg of anti-CD40 ({diamond}) or rat IgG ({square}) 2 days before receiving 0.15 µg of SEA. T cells were purified after SEA injection on days 2, 5, 7, 12, and 21 from the LN (A and C) and spleen (B and D). T cells were stained for CD4 Vß3 and analyzed by flow cytometry. Each point represents the mean percentages (A and B) and numbers (C and D) ± SEM from three mice from one representative experiment of two separate experiments.

 
The idea that CD40 activation enhances T cell clonal expansion and prevents their deletion was tested in mice injected with anti-CD40 and SEA (diamonds). The percentages of CD4 Vß3 T cells show a small decrease in the LN (Fig. 4GoA) and a large increase in the spleen (Fig. 4GoB) to about three times starting levels on day 2. By day 5, both tissues were showing T cell expansion to about three times control levels. T cell percentages stayed above the rat IgG control levels throughout the time course but did decline to control levels as day 21 approached. Based on numbers, the LN show about a fourfold expansion of the CD4 Vß3 T cells by day 5, only to decline to near control levels by day 12 (Fig. 4GoC). Spleen numbers were not much greater than controls on day 2, but T cell deletion was greatly inhibited until day 21 (Fig. 4GoD).

The CD8 Vß3 time course results closely resembled the CD4 Vß3 data (Fig. 5Go). The percentages and numbers of CD8 Vß3 LN or spleen T cells from SEA/rat IgG-injected mice slightly increased on day 2, followed by deletion starting after day 2. SEA/anti-CD40-injected mice again showed increased expansion and delayed deletion. Both percentages (Fig. 5Go, A and B) and numbers (Fig. 5Go, C and D) showed greater than fourfold increases over the levels seen in SEA/rat IgG-injected mice on days 5 and 7 but came back down to control levels by day 21. It is important to note that, as a negative control, Vß14 T cells were also examined during this time course. There was little variation in Vß14 T cell populations when compared with uninjected mice (data not shown).



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FIGURE 5. Time course of SEA-stimulated CD8 T cell deletion with and without CD40 activation. These data are from the experiments described in Fig. 4Go, except the cells were stained (A and B) and enumerated (C and D) for CD8 Vß3. LN (A and C) and spleen (B and D) data are presented.

 
Two important conclusions can be made from the data presented thus far. First, CD40 activation enhances the clonal expansion of both CD4 and CD8 T cells in the presence of Ag. Second, the Ag-specific T cell deletion normally observed after clonal expansion is delayed when CD40 has been stimulated.

Stimulation of CD40 delays T cell death

In each of the previous experiments, it was shown that injection of anti-CD40 inhibited the Vß3 T cell deletion characteristic of SEA stimulation. These data raise the possibility that CD40 activation delays the death of the SEA-stimulated T cells.

To determine whether T cell death was inhibited by CD40 activation, mice were treated as follows: injected with SEA alone, anti-CD40 alone, SEA and anti-CD40, or left as uninjected controls. On days 3 and 9 after SEA injection, the mesenteric LN and spleen from each mouse were fixed in PBS containing 4% paraformaldehyde and stained for apoptotic cells as described in Materials and Methods. Confocal microscopy was used to generate images of each stained tissue.

Fig. 6Go, A-D, shows LN results 3 days after SEA injection, while Fig. 6Go, E-H, shows the results from day 9. On day 3, SEA alone led to significant apoptosis (Fig. 6GoB), some of which was still observed 9 days later (Fig. 6GoF). Injection of anti-CD40 alone yielded low levels of apoptosis on both days 3 and 9 (Fig. 6Go, C and G, respectively). Injection of SEA and anti-CD40 led to low levels of death on day 3 (Fig. 6GoD) but enhanced apoptosis by day 9 (Fig. 6GoH). These data show that injection of anti-CD40 and SEA does delay cell death, but they do not indicate whether the dead cells are Ag-stimulated T cells or not.



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FIGURE 6. Apoptosis is delayed by CD40 activation in the presence of foreign Ag. Four B10.A mice were set up as follows. One mouse was left as an uninjected control (A and E). One mouse was injected with 0.30 µg of SEA (B and F). One mouse was injected with 0.25 mg of anti-CD40 on day -2 (C and G). One mouse was injected with 0.25 mg of anti-CD40, and 2 days later injected with SEA (D and H). On days 3 and 9 after SEA injection, the mesenteric LN and spleen from each mouse were collected and fixed in PBS 4% paraformaldehyde. The tissues were stained and examined as described in Materials and Methods. Images from the LN on day 3 (A-D) and day nine (E-H) are shown here. Spleen images were taken and are comparable to the LN images, but are not shown. These data are similar to one other experiment.

 
To test whether the dying cells were Ag-stimulated T cells, the peripheral LNs from the mice used to generate the data in Fig. 6Go were crushed, and the T cells were isolated and stained for CD4, Vß3, Vß14, and extracellular phosphatidylserine (PS). PS is displayed extracellularly on dying cells and can be detected by staining with its natural ligand, annexin V, and analyzed by flow cytometry (Fig. 7Go) 63 .



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FIGURE 7. CD40 activation delays, but does not prevent, Vß3 T cell death. Four B10.A mice were set up as follows. One mouse was left as an untreated control (dotted line). One mouse was injected with 0.30 µg of SEA (open bar). One mouse was injected with 0.25 mg of anti-CD40 on day -2 (dark bar). One mouse was injected with anti-CD40 2 days before receiving SEA (striped bar). LN T cells were isolated on days 3 and 9 after SEA injection. T cells were stained for CD4 Vß3 and CD4 Vß14 and were also stained with annexin V to detect extracellular phosphatidylserine (PS). Percentages of CD4 Vß3 (A) and CD4 Vß14 (B) T cells displaying PS were analyzed by flow cytometry. Data represent mean percentages ± SEM from four mice (three mice for untreated) over three combined experiments.

 
On day 3, the percentage of CD4 Vß3 T cells with extracellular PS was 19.3 ± 6.0% in mice injected with SEA alone (Fig. 7GoA); thus, significant death was occurring at this early time point in comparison with uninjected animals (8.5 ± 0.5%). Mice injected with anti-CD40 alone, or with SEA and anti-CD40, remained about 2.5-fold lower (6.8 ± 2.7% and 7.1 ± 2.8%, respectively). On day 9, death had more than doubled in SEA-injected mice to 40.2 ± 3.9%; however, it should be kept in mind that these mice contained far fewer Vß3 T cells on day 9 than on day 3 (see time course data in Figs. 4Go and 5Go). Mice injected with anti-CD40 alone showed only a slight increase (Fig. 7GoA). The percentage of death in mice injected with SEA and anti-CD40 after 9 days (39.1 ± 3.3%) was nearly equal to that in mice injected with SEA alone, rising about sixfold from day 3. The day 9 mice treated with SEA and anti-CD40 also contained a greater number of Vß3 T cells than the SEA alone group (Figs. 4Go and 5Go). As a control, CD4 Vß14 T cells were also examined for extracellular PS expression (Fig. 7GoB), and no major changes above normal percentages were observed in any of the groups.

These data suggest that SAg-stimulated T cells begin to die early after injection with SEA and will continue along that path for days afterward. Activation of CD40 delayed the death of those SAg-specific T cells.

B7-1 and B7-2 play different roles in CD4 and CD8 T cell stimulation in the presence of SEA and CD40 activation

Since CD40 activation delayed SAg-specific T cell death, we sought to test the mechanism by which CD40 was acting. One possibility was that CD40 activation altered APCs. To examine this hypothesis, three separate experiments were performed in which one mouse was injected with anti-CD40 and another mouse was given rat IgG. Two days later, the LNs and spleens were isolated, and the cells were stained to identify B cells and macrophages. Expression of MHC class II, B7-1, and B7-2 on these cells was examined by flow cytometry.

Mean channel fluorescence (MCF) of MHC class II expression increased approximately fourfold on both macrophages and B cells obtained from the LN and spleen of mice injected with anti-CD40 compared with rat IgG (data not shown). Both B cells and macrophages also up-regulated B7-1 and B7-2 in the spleen (Fig. 8Go) as well as the LN (data not shown) of mice treated with anti-CD40 compared with mice treated with rat IgG. Specifically, splenic MHC class II+ B220+ B cell MCF of B7-1 (16.7) and B7-2 (18.0) increased by more than 2.5-fold over control cells (6.6 and 5.5, respectively). MCF MHC class II+ F4/80+ macrophage expression of B7-1 (17.6) and B7-2 (22.0) in anti-CD40-treated mice increased by more than fivefold over control levels (3.5 and 3.9, respectively). These data are similar to those previously reported 64 . Thus, one possibility was that CD40 activation was assisting T cell expansion by increasing expression of B7-1 and/or B7-2 on APC.



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FIGURE 8. CD40 activation enhances expression of B7-1 and B7-2 on B cells and macrophages. These results represent one experiment of three conducted. In each, three B10.A mice were used. One mouse was left untreated, one mouse was injected i.p. with 0.25 mg of rat IgG (dotted line), and one mouse was injected with 0.25 mg of anti-CD40 (solid line). Two days later, LN and spleens were analyzed by three-color flow cytometry. MHC class II+ B220+ B cells were stained for B7-1 (A) and B7-2 (C) expression, as were MHC class II+ F4/80+ macrophages (B and D). Only spleen data are shown here. Uninjected mice were comparable to rat IgG injected mice (data not shown).

 
Based on Fig. 8Go and previous reports 64, 65 , we next tested the hypothesis that CD40 mediated T cell activation in vivo through B7. We first sought to inhibit the CD28-B7 interaction using CTLA4IG. One group of mice received SEA only; one received SEA, anti-CD40 and CTLA4IG; and another group received SEA, anti-CD40, and the control chimeric Ab L6. Five days after SEA injection, T cells from the LN and spleen of each mouse were isolated, counted, and stained for CD4 Vß3 and CD8 Vß3. The cells were analyzed by flow cytometry.

Mice injected with SEA alone showed the expected decrease in CD4 Vß3 and CD8 Vß3 expansion in the LN and spleen (Table IIGo). Injection of SEA, anti-CD40, and L6 led to significant expansion over normal levels in both CD4 and CD8 T cell populations in the LN and spleen, similar to that shown in Figs. 4Go and 5Go. When CTLA4IG was injected with SEA and anti-CD40, however, CD4 Vß3 percentages were lowered in both tissues, although never to the level of mice injected with SEA alone. CD4 T cell populations in the spleen and LN decreased twofold, (22.1 ± 0.6% to 11.1 ± 0.6%, and 16.0 ± 0.9% to 7.9 ± 1.2%, respectively). CD8 Vß3 percentages differed from the CD4 percentages in that they were only slightly inhibited by CTLA4IG injection. Spleen percentages decreased from 17.8 ± 0.9% to 15.1 ± 1.4%, while the LN percentages dropped from 13.7 ± 0.6% to 11.7 ± 1.1% (Table IIGo).


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Table II. CTLA4Ig inhibits SEA-specific CD4 T cell survival more than SEA-specific CD8 T cell survival in the presence of {alpha}-CD40 and SEA1

 
Total numbers of CD4 and CD8 Vß3 T cells were also calculated (Table IIIGo). The splenic CD4 Vß3 T cell numbers in SEA/anti-CD40/L6-injected mice (30.6 x 105 ± 2.5) dropped to uninjected levels (8.9 x 105 ± 0.4) when CTLA4IG was given. CD8 Vß3 T cell numbers did show more of a decline than the percentages did, especially in the spleen, falling from 22.3 x 105 ± 1.6 in SEA/anti-CD40/L6-treated mice to 14.9 x 105 ± 1.7 in mice treated with CTLA4IG. The numbers of T cells, however, was still almost fourfold greater than uninjected or SEA-injected (4.2 x 105 ± 0.3) mice (Table IIIGo).


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Table III. Total number of SEA-reactive T cells that CTLA4Ig inhibits in the presence of {alpha}-CD40 and SEA1

 
These data led us to hypothesize that costimulation through B7 was important for expansion, as others have shown 66, 67, 68 ; however, a role for B7-1 vs B7-2 had yet to be discerned in this model. To this end we injected antagonistic Abs to B7-1 and B7-2. Six groups of mice were set up as follows: one group received no injection, one group received SEA alone, and one group received SEA and anti-CD40. The remaining three groups all received SEA and anti-CD40 but also received anti-B7-1, anti-B7-2, or both Abs, respectively. Five days after SEA injection, the LN and spleens were removed from each mouse. T cells were isolated, enumerated, and stained for CD4, CD8, and Vß3. Analysis of the stained cells was done by flow cytometry.

Both percentages and numbers of CD4 Vß3 T cells showed the expected deletion of SEA-activated T cells and the expected enhanced expansion of those Vß3 T cells upon CD40 stimulation, both in the LN (Fig. 9Go A and C) and spleen (Fig. 9Go, B and D). Injection of anti-B7-1 led to a modest drop in both percentages and numbers, while injection of anti-B7-2 led to a slightly greater decrease. When both anti-B7-1 and anti-B7-2 were injected, CD4 Vß3 T cell populations dropped below uninjected control levels, close to SEA-injected levels. For example, in the LN-uninjected mice there were 2.7 x 105 ± 0.2 CD4 Vß3 T cells, while in mice treated with both Abs there were 2.0 x 105 ± 0.3 T cells.



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FIGURE 9. Neutralizing B7-1 and B7-2 inhibit Ag-specific CD4 T cell survival in the presence of CD40 activation. Six groups of B10.A mice were treated as follows: One group was left untreated; a second group was given 0.15 µg of SEA at time 0; a third group was given 0.25 mg of anti-CD40 2 days before receiving SEA at time 0; a fourth group was given anti-CD40 2 days before, and 1 mg of anti-B7-1 2 h before, SEA; a fifth group was injected like the fourth, except 1 mg of anti-B7-2 was injected in the place of anti-B7-1; the last group was injected like the previous two, but simultaneously received 1 mg of both anti-B7-1 and anti-B7-2 2 h before SEA. Five days after SEA injection, LN (A and C) and spleen (B and D) T cells were isolated, counted, and stained for CD4 Vß3. Stained cells were analyzed by flow cytometry. Each bar represents the mean percentages and numbers ± SEM from 5–10 mice over four separate experiments combined.

 
Perhaps the most interesting results were found with the CD8 Vß3 subpopulation (Fig. 10Go). The decrease and increase of CD8 percentages and numbers upon SEA injection and SEA/anti-CD40 injection, respectively, were still noted in both the LN (Fig. 10Go, A and C) and spleen (Fig. 10Go, B and D). Injection of anti-B7-1 did little to inhibit anti-CD40-mediated T cell expansion. Anti-B7-2 consistently dropped the percentages and numbers, suggesting that it was the dominant molecule for CD8 Vß3 T cell clonal expansion. These data show that B7-1 costimulation in the context of SAg and CD40 activation is less important for CD8 T cells than it is for CD4 T cells. Additionally, the increased drop in CD8 T cell expansion observed when blocking B7-1 and B7-2 may be due to the low levels of CD4 T cell help available.



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FIGURE 10. Neutralizing B7-2, but not B7-1, inhibits Ag-driven CD8 T cell expansion in the presence of CD40 activation. The T cells from Fig. 9Go were stained and enumerated for CD8 Vß3. Flow cytometric data from the LN (A and C) and spleen (B and D) are shown here.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we set out to understand how SAg-induced T cell immunity is affected by ligation of CD40. Our results showed that activation of CD40, in the presence of SAg, enhanced CD4 and CD8 SEA-specific T cell clonal expansion. We further showed that CD40 activation delays SAg-induced peripheral T cell death.

Initial timing experiments provided many important clues as to the mechanism by which CD40 activation enhances a T cell response. The timing data show that stimulation of CD40 before SAg exposure creates the conditions for an optimal T cell response to foreign SAg (Fig. 2Go). Conversely, CD40 activation does not enhance SAg-induced T cell clonal expansion when it occurs after SAg exposure. One explanation for the latter result is that the T cells have already interacted with SAg/MHC and, thus, APC are unable to costimulate activated T cells outside the context of SAg in vivo. Therefore, it is likely that stimulating CD40 before Ag injection helps create a better costimulatory environment on APC, as evidenced by the enhanced expression of B7-1 and B7-2 on B cells and macrophages (Fig. 8Go) as well as increased MHC class II expression (data not shown). These primed APC can enhance T cell stimulation. We have, however, recently found B cells to be unessential for the increased T cell expansion in this model, since a similar response occurs in B cell knockout mice (our unpublished observations).

Without stimulation of CD40, the SEA-activated T cells clonally expand to peak levels within 2 days and delete to below starting levels after about day 5 (Figs. 4Go and 5Go). Activation through CD40 in the presence of SAg, however, enhances the clonal expansion observed on day 2 and delays the time it takes for the T cell populations to delete to control levels to about 21 days. Additionally, we show that low doses of anti-CD40 worked very well at enhancing clonal expansion and delaying SAg-specific T cell deletion (Fig. 3Go). Collectively, the results in this study show that acute activation of CD40 is sufficient to enhance T cell clonal expansion in peripheral and mucosal lymphoid tissue.

One of the most intriguing effects of CD40 activation was its ability to delay SAg-specific T cell deletion. We hypothesized that the observed deletion was due to death. Deletion during negative selection in the thymus has recently been shown to be due to apoptosis 69 . Likewise, in the periphery, reports have shown that peptides presented by MHC promote apoptosis of TCR transgenic T cells 70 .

Tissue sections from mice in which apoptotic cells were detected showed that there was indeed a greater level of apoptosis observed in SEA/anti-CD40-treated mice 9 days after SEA injection (Fig. 6Go). Without anti-CD40, SEA induced death by 72 h in vivo. Because cell death occurred, it was determined whether the dying cells were indeed SEA-specific T cells. We confirmed this by examining Vß3 T cell populations for extracellular PS expression by staining with annexin V (Fig. 7Go). Not only did CD40 activation enhance T cell clonal expansion, but, additionally, the stimulated T cells were viable for longer periods of time. Ligation of CD40, however, does not keep the T cells alive indefinitely; it only delays death. B cells have also been reported to receive a "life" signal when CD40 is activated 55 . Collectively, these data suggest that CD40 activation increases the lifespan of effector T cells by delaying their death.

Once the effects of CD40 activation on T cell responses to SAg had been examined, a role for costimulation in this response was addressed. CD28 is a costimulatory molecule found on T cells that binds B7-1 and B7-2 molecules on APC. CD28 knockout mice show several T cell deficiencies, including poor T cell proliferation and IL-2 production 71, 72, 73 . Thus, the importance of CD28 ligation in the SEA/anti-CD40 model was studied.

Using CTLA4IG to block the ligation of CD28 by B7 molecules, we found a decrease in SEA-specific T cell expansion in vivo (Tables II and III). This, taken along with the time course data, suggests that CD28 ligation is important for T cell expansion, but not for long term survival, since the cells still go on to die even with CD28 ligation. Because CD8 T cell responses were less inhibited by CTLA4IG, it became interesting to examine the roles of B7-1 and B7-2 separately in this model to begin uncovering the costimulatory dependence of each T cell subpopulation.

B7-1 and B7-2 both bind CD28 and CTLA4 6, 7, 10 . Since B7-1 and B7-2 behave in a similar manner, extensive work has been conducted to determine what different functions B7-1 and B7-2 may have. To date, results have been contradictory. It has been held that ligation of B7-1 can skew CD4 T cell development in the Th1 direction, while ligation of B7-2 promotes Th2 development 74, 75 . However, others have found no differential effects in T cell proliferation or cytokine production depending on the B7 molecule ligated 76, 77 . Data showing contrasting effects between B7-1 and B7-2 stimulation in CD8 T cell development are also contradictory 76, 78, 79 ; however, Xu et al. have found less of a dependence on B7-1 in CTL activation 80 . Currently, B7-2 appears to be a more important molecule in that it is often found expressed earlier in an immune response 81, 82 and is expressed on murine memory CD4 T cells 83 . These latter data suggest that memory cells may be able to costimulate other T cells, resulting in quicker responses to Ag. Although our data do not resolve these issues, they do provide in vivo evidence that CD8 T cells depend more on B7-2 for clonal expansion than B7-1.

Several groups have recently reported that CD40 activation can actually bypass the helper T cell requirement in CTL activation 49, 50, 51 . Their in vivo and in vitro data have found that CTL killing activity was normally dependent on CD4 T cell function, yet this requirement for T cell help could be circumvented by CD40 ligation. Interestingly, we show that CD40 activation enhances CD8 T cell expansion and delays their subsequent death in vivo. Thus, it may be that more CTLs are active when CD40 is activated, which will thus generate a greater CTL activity due to the higher numbers of CTLs. Additionally, our data suggest that one way CD40 activation may bypass the T helper cell requirement for CTL function is by keeping the activated CTL alive for longer periods of time so that a greater number of cellular targets can be destroyed. Ridge et al. further found that signaling via B7-1 or B7-2 was necessary, but not sufficient for CTL activity 49 . We observed a minor requirement for CD28 ligation in driving CD8 T cell clonal expansion. It may be that the CD28-B7 interaction is less important for SAg-driven CD8 T cell clonal expansion than it is for actual killing activity.

An important question in immunology today is centered around identifying factors that are important in overriding tolerogenic responses. This is important not only as a basic immunological question, but also as a method to achieve better vaccination protocols and prevention of autoimmunity. The use of SAg to study central and peripheral tolerance is widely accepted. Injection of SAg into mice leads to clonal expansion of the reactive T cells followed by profound deletion 16 . Here, it is shown that SEA does induce death and that this death can be delayed by coactivating CD40-bearing cells. Ultimately, the frequency of SEA-specific cells was not increased by day 21, regardless of whether anti-CD40 was injected with SEA (Figs. 4Go and 5Go). The significance of these data is underscored when one considers that the CD40-bearing APC were indeed well activated since they bore large quantities of B7 and MHC class II, well over that of mock-activated cells (Fig. 8Go and data not shown). Thus, these data suggest that APC activation is not enough to permanently override a tolerogenic response. The mechanistic data in this report show unequivocally that CD40 activation drives T cell activation through ligation of CD28. Therefore, the data show that CD28 ligation is not sufficient to force a long term T cell response in this model. Hence, tolerance induction is the default pathway, and overriding this type of a response cannot be accomplished through Ag stimulation in conjunction with CD28 ligation.

For the most part these data are dissimilar to much of the data that have been garnered in vitro. For years it has been suggested that the difference between long term immunity and tolerance is ligation of CD28 84 . Many laboratories have shown that Ag stimulation in the absence of CD28 ligation led to anergy, whereas TCR and CD28 stimulation broke this tolerogenic response 85, 86 . These data are almost exclusively from in vitro studies and have been very difficult to test in vivo. Recent studies have shown that CD28 ligation occurred when SAg alone was injected into mice 66 . Those studies raised several issues that were not addressed until now. First, it was unclear whether B7-1 and/or B7-2 was involved, and the response of CD8 T cells was not addressed in those studies. Moreover, it was unclear whether the amount of CD28 ligation was sufficient. This is an important point since it is known that APC up-regulate B7 after activation. Thus, activated APC may be able to deliver a qualitatively and quantitatively different signal to cognate T cells. For example, it is possible that ligation of CD28 in response to SAg alone was minimal in the absence of APC activation. In the present study we tested this idea more directly by activating APC with a potent agonist mAb specific for CD40. Under these circumstances it is clear that APC activation was profound, and, based on the data shown in Figs. 4Go, 9Go and 10, CD28 was ligated significantly over that when SEA alone was injected. Perhaps surprisingly, this treatment was still unable to break tolerance even though clonal expansion was far greater when CD40 was activated. Therefore, CD28 ligation, be it minimal or presumably maximal, with TCR stimulation in vivo does not promote long-term T cell survival but only enhances expansion and delays subsequent death in this model.

These data raise the question of what can block T cell deletion. As shown previously, coinjection of bacterial LPS is capable of inhibiting Ag-induced deletion 87 . This response was shown to occur independently of CD28 ligation but was profoundly dependent on TNF-{alpha} production 66, 87 . In contrast, the CD40 mAb response shown here drives CD4 responses almost entirely through CD28 ligation. One possibility is that CD40 activation does not induce as much TNF-{alpha} as LPS. Also it is possible that a different pattern of cytokines is produced when comparing the two types of responses. Ultimately, it may be that the combination of TNF-{alpha} and CD40 activation may synergize to yield an optimal response. For example, CD40 may drive the clonal expansion phase, and TNF-{alpha} may prevent death by delivering a survival signal to the activated cells. These ideas are currently being tested by our laboratory. Nevertheless, these data suggest that vaccine development should rely not only on CD28 ligation or APC activation through CD40, but also on treatments that prime for long term T cell survival.


    Acknowledgments
 
We thank Dr. Barbara Smith and Bill Amberg of Animal Laboratory Resources facility for care of animals and the Environmental Health Sciences Center for flow cytometry use. The authors would also like to thank Drs. Andrew Weinberg (Earle A. Chiles Research Institute, Portland, OR) and David Parker (OHSU, Portland, OR) for critically evaluating this manuscript and for encouragement.


    Footnotes
 
1 This work was supported by the Oregon Medical Foundation, The Linus Pauling Institute, and the Laboratory of Animal Resources of Oregon State University. J.R.M. is a recipient of a National Science Foundation predoctoral fellowship. Back

2 Address correspondence and reprint requests to Dr. Anthony T. Vella, 220 Nash Hall, Department of Microbiology, Oregon State University, Corvallis, OR 97331. E-mail address: Back

3 Abbreviations used in this paper: SEA, staphylococcal enterotoxin A; SAg, superantigen; LN, lymph node; PE, phycoerythrin; PS, phosphatidylserine; MCF, Mean channel fluorescence. Back

Received for publication August 31, 1998. Accepted for publication November 5, 1998.


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 Introduction
 Materials and Methods
 Results
 Discussion
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