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The Journal of Immunology, 1999, 162: 3851-3858.
Copyright © 1999 by The American Association of Immunologists

TCR Engagement Regulates Differential Responsiveness of Human Memory T Cells to Fas (CD95)-Mediated Apoptosis1

M. Maddalena Di Somma2,*, Francesca Somma2,*, Maria Saveria Gilardini Montani{dagger}, Rosamaria Mangiacasale{ddagger}, Enrico Cundari{ddagger} and Enza Piccolella3,*

* Department of Cellular and Developmental Biology, "La Sapienza" University, Rome, Italy; {dagger} Department of Environmental Sciences, Università della Tuscia, Viterbo, Italy; and {ddagger} Center of Evolutionary Genetics, Consiglio Nazionale delle Ricerche, Rome, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this work, we have tried to establish whether human memory T cells may be protected from Fas (CD95)-induced apoptosis when correctly activated by Ag, and not protected when nonspecifically or incorrectly activated. In particular, we wanted to investigate the molecular mechanisms that regulate the fate of memory T cells following an antigenic challenge. To address this issue, we chose an experimental system that closely mimics physiological T cell activation such as human T cell lines and clones specific for viral peptides or alloantigens. We demonstrate that memory T cells acquire an activation-induced cell death (AICD)-resistant phenotype when TCRs are properly engaged by specific Ag bound to MHC molecules. Ag concentration and costimulation are critical parameters in regulating the protective effect. The analysis of the mechanisms involved in the block of CD95 signal transduction pathways revealed that the crucial events are the inhibition of CD95-associated IL-1ß-converting enzyme (ICE)-like protease (FLICE) activation and poly(ADP)-ribose polymerase cleavage, and the mRNA expression of FLICE-like inhibitory protein. Furthermore, we have observed that TCR-mediated neosynthesis of FLICE-like inhibitory protein mRNA is suppressed either by protein tyrosine kinase inhibitors or cyclosporin A. In conclusion, the present analysis of the effects of TCR triggering on the regulation of AICD suggests that AICD could be inhibited in human memory T cells activated in vivo by a foreign Ag, but may become operative when the Ag has been cleared.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The interaction between T cells and the peptide-MHC expressed on APCs is the first essential step in the mediation of T cell activation. Adhesion and costimulatory molecules favoring cell-cell interaction strengthen this interaction (1, 2, 3). The process of TCR engagement has been described as serial triggering, in that a large number of TCRs can be serially triggered, and down-regulated (4). As a result, a variety of transcription factors are activated, leading to the synthesis of molecules involved either in T cell clonal amplification and differentiation (5) or in a process of CD95-mediated apoptosis called activation-induced cell death (AICD)4 (6, 7, 8). In the early stages of T cell activation, in fact, IL-2 (9, 10), the activator of AICD, FasL (11), and the FLICE-inhibitory protein, FLIP (12), are all produced. However, it is interesting to note that while IL-2 production is self sustained, FasL expression decreases just a few hours after activation (8), and FLIP is not detectable in lymphocytes analyzed 6 days after stimulation (12).

The same signals promoting, in T cells, clonal expansion and differentiation into effector and memory cells are also responsible for their death. This evidence prompted analysis of the pathways that allow T cells to choose one of these two opposing functional effects (13). Particular emphasis was given to the strength of the interaction between APCs and T cells, to costimulation, and to the quality and concentration of the Ag. Within this context, recent studies have evidenced that the duration of TCR signaling is one of the most crucial parameters determining whether naive or effector T cells will be activated or deleted (14). Moreover, other studies have suggested that AICD can favor the elimination of T cells specific for persistent and disseminated Ags, such as self Ags (15, 16). Since all these data were obtained in murine systems, it has not yet been defined whether the fate of human lymphocytes is regulated by the same parameters. In fact, analysis of human T cell susceptibility to apoptosis gave contradictory results. TCR-activated lymphocytes freshly isolated from peripheral blood have been described as resistant to AICD (17, 18). On the contrary, the same T cells develop an apoptosis-sensitive phenotype either upon prolonged culture in IL-2, or after repeated Ag stimulation (19, 20, 21, 22). A general susceptibility of human T cells to AICD is difficult to accept, in that it could mean that memory T cells cannot mount an efficient immune response. As a consequence, it is possible that the human experimental systems that often rely on unphysiological polyclonal activators did not resemble the Ag-specific murine systems. In fact, TCR activation is very often analyzed in humans by using either mitogens or agonistic mAbs. Mitogens do not mimic TCR serial triggering, such as anti-CD3 Abs, because of their low off-rate (23).

Thus, to clarify the mechanisms that regulate, in human memory T cells activated by an Ag, the ability to take a decision between a suicidal or a proliferative response, we chose an experimental system that closely mimics physiological T cell activation such as human T cell lines and clones specific for viral peptides or alloantigens. Using these cells activated by different APC, we observed that memory T cells, when properly activated by an Ag, developed an AICD-resistant phenotype. In particular, we demonstrated that the resistant phenotype is directly dependent on TCR recognition of a specific Ag bound to MHC molecules on the surface of the APC. This interaction is sufficient to block the CD95 signal transduction pathways in that it results in transcriptional activation of FLIP, which inhibits the activation of FLICE and the processing of death substrates.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Abs and reagents

Synthetic peptides corresponding to residues 100–115 and 307–319 of influenza hemagglutinin (HA) were used in this study (Neosystem Laboratoire, Paris, France). The anti-human Fas mAb CH11 was purchased from Upstate Biotechnology (Lake Placid, NY); the UB2 and the APO-1 were from Kamiya Biomedical (Seattle, WA). The rabbit polyclonal Ab anti-poly(ADP)-ribose polymerase (PARP) and the rIL-2 were from Boehringer Mannheim (Mannheim, Germany); the goat Ab anti-FLICE p20 (anti-Mch5) and the HRP-conjugated anti-goat IgG were from Santa Cruz Biotechnology (Santa Cruz, CA). The HRP-conjugated anti-mouse Ig and the anti-rabbit Ig were purchased from Amersham Life Science (Buckinghamshire, U.K.). The monoclonal anti-CD3 OKT3 was kindly offered by Dr. C. T. Baldari (Department of Evolutionary Biology, University of Siena, Siena, Italy). ICE-like protease inhibitor zVAD-fmk was from Bachem Peptide and Biochemical (Bubbendorf, Switzerland). Metabolic inhibitors tyrphostin (Life Technologies, Gaithersburg, MD), genistein (Life Technologies), cyclosporin A (CsA; Sigma, St. Louis, MO), and cycloheximide (Sigma) were also used in this study. PMA was purchased from Sigma, and ionomycin (I) from Calbiochem (La Jolla, CA). All of the other chemicals used were of analytical grade and were purchased from Sigma or Merck (Darmstadt, Germany).

T cell lines and clones

The alloreactive T cell line PALP was generated using DR1 homozygous PBMC as a stimulator (24). T cell clones HC3 and HC6, restricted by DRB1*0101, specific for HA100–115 and HA307–319 peptides, respectively, and the G12, DR1-specific alloreactive T cell clone have been previously described (25). The line and clones were maintained in culture by weekly stimulation with DR1-expressing PBMC, prepulsed or not with the specific peptides and rIL-2 (Boehringer Mannheim). All T cells used in these experiments were CD4+ and CD45 RO+. Moreover, CD4 phenotypes of HC3 and HC6, and G12 were Th0 and Th1, respectively.

Preparation of APC

DR1-expressing L cells (5–3.1) were generated and cultured as described (26). Monocytes and dendritic cells (DC) were purified from the freshly isolated PBMC of a DR1+ individual. The former were isolated by overnight adherence, and the latter were obtained from CD13+ cells, as described previously (27). Briefly, multistep Percoll gradient (Pharmacia Fine Chemicals, Uppsala, Sweden)-purified PBMC were cultured for 5 days in RPMI/10% FCS supplemented with 25 ng/ml of granulocyte-macrophage CSF and 1000 U/ml IL-4 (Genzyme, Cambridge, MA), and treated with 200 ng/ml of LPS. DC were removed with 0.5 M EDTA 24 h later. A DR1-homozigous EBV-B cell line was also used. Monocytes, DC, and EBV-B were pulsed with the specific Ags and then incubated with T cells.

T cell activation and analysis of apoptosis

The T cell line and clones were activated by different APCs. Briefly, T cells (5 x 105/ml) were cultured in the presence of mitomycin C (Sigma)-treated DR1-expressing L cell transfectants (5–3.1), or professional APC in 48-well plates, in a total volume of 500 µl. For HA-specific clones, the APCs were prepulsed with 10 µg/ml of peptide. For PMA/I stimulation, the cells were cultured in the presence of 0.05 µM PMA and 0.5 µM ionomycin. Apoptosis was evaluated on T cells treated with anti-Fas or rFasL and activated or not with APC or PMA + I. For anti-CD3-mediated apoptosis, CD4+ T lymphocytes were cultured in OKT3-coated wells. Apoptosis was measured using a Becton Dickinson (Mountain View, CA) FACStar flow cytometer after 18 h of culture, as described previously (28). Briefly, cells were centrifuged at 1400 rpm for 6 min and washed once with 1 ml PBS. Pellets were then carefully resuspended in PBS/0.1% Triton X-100 containing 50 µg/ml propidium iodide (PI; Sigma). The percentage of specific apoptosis was calculated as follows: percentage of specific apoptosis = (percentage of PI+ cells - percentage of spontaneous PI+ untreated cells)/(100 - percentage of spontaneous PI+ untreated cells) x 100.

PCR amplification

The gene expression was determined by RT-PCR (29). The PCR mixture contained 50 mM KCl, 10 mM Tris-HCl, 2.5 mM MgCl2, 0.2 mM dNTPs, and 0.2 µM 5' and 3' oligonucleotide primers, and 2.5 U Taq polymerase (Perkin-Elmer, Cetus, Norwalk, CT) was amplified in 0.5 ml Gene Amp tubes in a final volume of 50 µl. PCR reactions were amplified by 35 cycles at 94°C for 1 min, 60°C for 30 s, and 72°C for 30 s. PCR was conducted in the automated DNA Thermal Cycler GeneAmp PCR System 2400 (Perkin-Elmer, Cetus). The primer sequences were the following: ß-actin, 5'-GTGGGGCGCCCCAGGCACCA and ß-actin, 3'-CTCCTTAATGTCACGCACGATTTC; CD95, 5'-ATGCTGGGCATCTGGACCCT and CD95, 3'-GCCATGTCCTTCATCACACAA; Bcl-2, 5'-GGAAAGGCTCGAAATACAAGC and Bcl-2, 3'-ATTGTTCCTCCCTCCCACCC; Bcl-xL, 5'-ATTGGTGAGTCGGATCGCAGC, and Bcl-xL, 3'-AGAGAAGGGGGTGGGAGGGTA; FasL, 5'-CAAGTCCAACTCAAGGTCCATGCC and FasL, 3'-CAGAGAGAGCTCAGATACGTTGAC; FLIP, 5'-GGGAGAAGTAAAGAACAAAG and FLIP, 3'-CGTAGGCACAATCACAGCAT. PCR products were size fractionated by agarose electrophoresis and normalized according to the amount of ß-actin detected in the same mRNA sample.

Transfection of COS cells and preparation of soluble human FasL

Monkey COS cells (2 x 106 cells), kindly supplied by Dr. A. M. Guerrini, (Department of Cellular and Developmental Biology, "La Sapienza" University of Rome, Rome, Italy) were transiently transfected in 100-mm petri plates with 5 µg of the mammalian expression plasmid pEX-hFL1 carrying the full-length human FasL cDNA using the DEAE-dextran method, as reported previously (30). After 72 h, the soluble FasL was concentrated from the supernatant with Centriprep columns (Amicon, Beverly, MA), and was tested in an apoptosis induction assay.

FLICE and PARP analysis by Western blotting

A total of 107 T cells, either APC activated or not, was treated with 2 µg/ml anti-APO-1 for 10 min at 37°C and then lysed in lysis buffer (30 mM Tris-HCL, pH 7.5, 150 mM NaCl, 1 mM Pefabloc-SP and small peptide inhibitors, 1% Nonidet P-40). CD95 was then precipitated for 3 h at 4°C with protein A-Sepharose (Amersham). After immunoprecipitation, the beads were washed five times with 10 vol of lysis buffer. For Western blotting, immunoprecipitates or cytosolic extracts were separated by 12.5% or 8% SDS-PAGE, transferred to Hybond nitrocellulose membrane (Amersham), blocked with 10% milk in PBS/Tween (PBS + 0.1% Tween-20) for at least 1 h, and washed and incubated with the primary Ab in blocking buffer for 16 h at 4°C. Blots were developed with HRP-conjugated secondary Ab in PBS/Tween. After washing with PBS/Tween, blots were developed with the chemoluminescence method (ECL) according to the manufacturer’s instructions (Amersham).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Differential responsiveness of human memory T cells to different types of activation

CD4+ T cell clones (HC3, HC6, and G12) were activated with plastic-bound anti-CD3 mAb OKT3 or with murine fibroblasts expressing the specific Ag to evaluate the effect of TCR/CD3 cross-linking by Abs or TCR serial triggering by MHC-peptide complexes on AICD induction in T cells repeatedly stimulated by an Ag and expanded with IL-2. The artificial APCs were used for their lack of costimulatory molecules, thus making it possible to dissect the role of Ag activation and costimulation in AICD. Apoptosis was measured after 18 h of activation. We found that anti-CD3 stimulation was able to induce a massive apoptosis of T cells, whereas APC activation did not show any detectable apoptotic effect (Fig. 1GoA). These observations were confirmed by the results of proliferation assays showing that APC-stimulated T cells proliferated, whereas OKT3 stimulation was unable to induce DNA synthesis (data not shown).



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FIGURE 1. Anti-CD3- or Ag-mediated activation induced AICD-sensitive or resistant phenotypes. A, HC6 clone was activated either by DR1-transfected murine fibroblasts prepulsed (pAPC) or not (APC) with 10 µg/ml of HA306–318 peptide or by immobilized anti-CD3 mAb OKT-3 (10 µg/ml) for 24 h. After incubation, apoptosis was evaluated by FACS analysis of PI-stained T cells. The graphs report DNA content measured by fluorescence-2 versus cell granularity measured by side scatter. The percentages of apoptotic cells are indicated in the squares. B, RT-PCR detection of CD95, FasL, Bcl-2, and Bcl-xL is reported. Total cellular RNA extracted from unstimulated T cells (CTR), activated by DR1+ murine fibroblasts Ag pulsed (pAPC) or not (APC), or treated with OKT-3 (OKT3) was reverse transcribed and amplified for 30 cycles with CD95 (lanes 1–4), FasL (lanes 5–8), Bcl-2 (lanes 9–12), and Bcl-xL primers (lanes 13–16). ß-actin primers were added in the same tubes. The reported results are representative of similar results obtained with T cells G12, HC3, and PALP presenting different Ag specificities.

 
The lack of apoptosis in Ag-stimulated cells prompted us to investigate whether these cells expressed CD95 and FasL molecules and could be susceptible to AICD, and to investigate the expression of antiapoptotic genes, such as bcl-2 and bcl-xL (31). Analysis by RT-PCR revealed that both the activation protocols, anti-CD3 and Ag-pulsed APC, were able to induce FasL and bcl-2 expression on the clones that were already CD95 and bcl-xL positive (Fig. 1GoB). These results are the first evidence that memory T cells become resistant to AICD when they are physiologically activated by an Ag.

CD95-mediated apoptosis is blocked in Ag-activated memory T cells

Depending on the activation signals, both CD95- and FasL-positive T cells displayed a sensitive and a resistant phenotype to AICD. As a consequence, CD95 transduction pathways in Ag-activated AICD-resistant T cells were analyzed. The T cell clones were cultured in the presence or absence of Ag-pulsed APC and each time one of the three agonistic anti-Fas mAbs, APO-1, CH11, and UB2, was added simultaneously (see Fig. 2Go, AC). As shown, all of the agonistic anti-Fas mAbs induced apoptosis in a dose-response manner in T cells alone in culture. However, when APCs were present, a significant decrease of apoptosis induction was observed. To confirm these data, we treated the same T cells, activated or not by the Ag with rFasL, and we observed the same result (Fig. 2GoD). Further evidence of the resistance to CD95-mediated apoptosis of Ag-activated T cells derives from the experiments in which the cleavage of the ICE cascade substrate, PARP, in whole cell lysates, was analyzed in Western blot by using an anti-PARP-specific Ab. The ICE family protease inhibitor z-VAD-fmk was also included. We observed that although CD95 ligation induced PARP proteolysis from a 116-kDa form to a cleaved 85-kDa form, the simultaneous APC activation of anti-Fas-treated T cell clones or the presence in culture of z-VAD-fmk leads to the complete disappearance of p85 PARP (Fig. 2GoE). The above experimental evidences suggest that Ag-mediated TCR engagement protects T cells from CD95-mediated cell death.



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FIGURE 2. Ag stimulation rescues memory T cells from anti-CD95-mediated apoptosis and inhibits PARP proteolysis. HC6 clone activated ({square}) or not ({blacksquare}) by peptide-pulsed DR1+ murine fibroblasts was treated with different concentrations of CH11 (A), UB2 (B), APO-1 (C) anti-Fas agonistic mAbs, and soluble rFasL (D), for 24 h. Apoptosis was evaluated by FACS analysis, and the values are expressed as a percentage of specific apoptosis. The percentage of hypodiploid cells in unstimulated cultures was less than 15%. Data are representative of five independent experiments performed with both HC6 and G12 T cell clones. PARP proteolysis is reported in E. Alloreactive G12 clone was incubated with DR1-transfected murine fibroblasts (APC) or with wild-type fibroblasts (CTR). Anti-Fas mAb CH11 (100 ng/ml) was added to unactivated (CH11) or to APC-activated T cells (APC + CH11). The caspase inhibitor zVAD-fmk at 40 µM was added to unactivated CH11-treated T cells (zVAD). After 8 h of incubation, the cells were lysed and the lysates were subjected to 8% SDS-PAGE. Western blot analysis with rabbit anti-PARP Ab revealed the full-length PARP, p116, and its proteolysed fragment p85. The results are representative of four independent experiments performed with both APO-1 and CH11 mAbs.

 
To understand whether the duration of TCR signaling might influence the TCR-mediated protective mechanism, the addition of anti-Fas mAbs was delayed. As shown in Fig. 3Go, a more pronounced protection was observed when the anti-Fas was added 4 h after APC activation, suggesting that a more sustained TCR stimulation increases the protective phenomenon.



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FIGURE 3. A more pronounced protection of memory T cells is obtained by delaying Fas agonistic mAb addition. HC6 clone activated with DR1+ murine fibroblasts prepulsed (pAPC) or not (APC) with the specific peptide, was treated with the agonistic anti-Fas mAb CH-11 at time 0 or 4 h after stimulation. The results are from one of five independent experiments.

 
Following this hypothesis, we assumed that a better inhibition of apoptosis could be observed following the potentiation of T cell activation, either by increasing the peptide dose or by using APC, providing survival signals such as those mediated by costimulatory molecules (13). We therefore analyzed anti-Fas-treated T cells for their capacity to escape from apoptosis in response to various concentrations of peptide presented by either DR1+ fibroblasts or EBV-B APC (Fig. 4GoA). The results showed that a better protective effect was reached by increasing peptide concentration. However, fibroblast-stimulated T cells required much higher peptide concentrations compared with EBV-B.



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FIGURE 4. A, The professional APC reduce the peptide concentration necessary to rescue memory T cells from AICD. HC3 clone incubated with 50 ng/ml of the agonistic anti-Fas mAb CH-11 was activated either with the DR1+ fibroblasts or with DR1+ EBV-B, prepulsed with the indicated concentrations of HA100–115 peptide. B, Analysis of protective effects from CD95-mediated AICD by different APC. HC6 cells treated with 50 ng/ml of agonistic anti-Fas mAb CH11 (none) were activated with APC: monocytes (Mø), EBV-B, and DC prepulsed with 10 µg/ml of HA306–318 peptide. Apoptosis was evaluated by FACS analysis after 24 h. The reported results represent the mean ± SD of the percentage of specific apoptosis from three independent experiments. Statistical analysis of the differences between APC types was performed using Student’s t test. Differences between DC and Mø or DC and EBV-B are significant (p < 0.001 and p < 0.002, respectively).

 
The evidence that EBV-B allowed T cells to respond to lower levels of TCR occupancy suggested verifying whether other professional APC were able to protect T cells from CD95-mediated AICD even better. We used monocytes and DC to activate anti-Fas-treated T cells and compared the effect with that obtained with EBV-B (Fig. 4GoB). As expected, all APC used were effective in protecting T cell clones, and the DC, the most efficient APC (32), almost completely rescued CD4+ T cells from anti-Fas-mediated apoptosis. These results evidence that TCR engagement with peptide-MHC complexes is able to protect T cells from apoptosis, although secondary signals including costimulation systems decrease the level of TCR occupancy required for optimal activation.

TCR signaling suppresses the activation of CD95 death pathway executioners

To investigate the reason that CD95 molecules failed to mediate apoptotic pathways in TCR-stimulated T cells, we analyzed the CD95 signaling pathway (33) in our system. CD95 can trigger two apoptotic pathways: the sphingomyelin-ceramide pathway and the IL-1ß-converting enzyme (ICE)/ICE-like protease cascade (34, 35). Moreover, it has recently been observed that ceramide generation during CD95 activation is blocked by ICE protease inhibitors: this suggests that ceramide production is downstream of the ICE-like protease cascade (36). We therefore concentrated our investigation on the caspase cascade. All caspases are released as inactive proenzymes that have to be activated by proteolytic cleavage after specific aspartate residues (37). The first ICE-like protease involved in the CD95-mediated signaling pathway is FLICE, which is activated after CD95 engagement by recruitment in the CD95 death-inducing signaling complex, DISC (38, 39). The active subunits p20 and p10 of FLICE are released in the cytosol, where in its activated form FLICE cleaves PARP (40). The impaired recruitment of FLICE in the DISC from mitogen-activated T cells transiently resistant to AICD has recently been described (17). Therefore, we analyzed whether FLICE recruitment and processing were inhibited in Ag-activated T cells. To examine the recruitment and the activation of FLICE, we immunoprecipitated CD95 upon stimulation with anti-APO-1 mAb from cell lysates of either activated or nonactivated T cells. The Western blot analysis with goat anti-FLICE p20 Ab revealed that FLICE is not CD95 associated in the anti-Fas-treated Ag-activated T cells, but is recruited in the DISC of CD95-induced apoptosis-susceptible cells. Therefore, the processed form of FLICE p20 was observed only in the latter (Fig. 5Go).



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FIGURE 5. The activation of FLICE is impaired in T cells stimulated via APC. PALP T cell line was incubated with 2 µg/ml of the agonistic anti-Fas mAb APO-1 for 10 min at 37°C in the absence (APO-1) or in the presence (APC + APO-1) of DR1-transfected murine fibroblasts. The cells were harvested, washed, and lysed in 1% Nonidet P-40 lysis buffer. CD95 was immunoprecipitated with protein A-Sepharose. The immunoprecipitate (IP) was run on 12.5% SDS-PAGE and subjected to Western Blot analysis (WB) with goat anti-FLICE Ab. Pro indicates the position of Pro-Flice, and p20 the active proteolysed fragment.

 
CD95-mediated apoptosis is inhibited by the TCR-signaling pathway

The evidence that Ag activation interfered with the CD95 death pathway prompted us to investigate which step (or steps) in the TCR pathway was responsible for this interference. The effect of a panel of different inhibitors of early, intermediate, and late events of TCR signal transduction on the protection from CD95-induced apoptosis (Fig. 6Go) was tested. Both the PTK inhibitors tyrphostin and genistein were effective in blocking the Ag-pulsed APC-protective effect, suggesting that the "TCR rescue step" was downstream of PTKs. Moreover, APC-activated T cells acquire sensitivity to CD95-mediated AICD in the presence of CsA and cycloheximide. CsA is an antagonist of the Ca2+/calmodulin-dependent serine/threonine protein phosphatase calcineurin, which regulates translocation of NF-ATc proteins to the nucleus in a Ca2+-dependent way (41, 42). Cycloheximide acts as translation inhibitor. Taken together, these results suggest that the TCR-dependent activation-signaling pathway could result in the neosynthesis of some antiapoptotic proteins, and that calcium mediators can play a role in this transcriptional activation.



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FIGURE 6. Effects of TCR-signaling inhibitors on memory T cells displaying AICD-resistant phenotypes. The PALP T cell line was first preincubated for 30 min with the metabolic inhibitors at the indicated final concentrations: 80 µM genistein (Gen), 30 µM tyrphostin (Trph), 0.5 µM CsA, and 0.1 µg/ml cycloheximide (CHX), and then activated with DR1-transfected murine fibroblasts in the presence of 50 ng/ml of APO-1 for 24 h. CTR is the APC-activated, Fas-treated T cell line. Apoptosis was assayed by FACS analysis. Unstimulated T cells treated with APO-1 gave 87% of specific apoptosis. The results are representative of five independent experiments also performed with the G12 T cell clone.

 
T cell activation induces transcription of FLIP

Recently, several groups have reported that FLIP is a FLICE inhibitor that has a main role in regulating sensitivity to AICD (12, 43, 44). We therefore examined whether the TCR protection from CD95-mediated AICD was due to FLIP induction in our model. APC-activated T cells in the presence or absence of anti-Fas agonistic mAb APO-1 were cultured for 18 h. RNA was extracted and assayed for FLIP mRNA expression by RT-PCR. As shown in Fig. 7GoA, APC activation leads to a strong induction of FLIP expression that is completely maintained in activated cells treated with APO-1. It is interesting to note that unstimulated T cells, grown for 7 days in the presence of IL-2, did not show any FLIP expression, supporting the recent evidence that IL-2 down-regulates FLIP expression (44). To confirm that FLIP induction was responsible for the resistance to apoptosis of T cells properly activated by the Ag, T cells stimulated by OKT3 were analyzed for FLIP expression. T cells stimulated by specific Ag were used as control of FLIP expression. The results in Fig. 7GoB show that the activation of T cells by unphysiological polyclonal activators results in the lack of FLIP expression. These results demonstrate that the TCR-protective effect on CD95-mediated AICD is due to the induction of the specific FLICE inhibitor FLIP, and that during a correct activation process the CD95 transduction pathway is specifically blocked also when CD95 is triggered. To confirm this conclusion, we assayed the CD95-treated activated T cells for FLIP mRNA expression in the presence of the same panel of metabolic inhibitors shown above in Fig. 6Go. We were able to demonstrate that both genistein and tyrphostin inhibited FLIP mRNA. Moreover, CsA completely blocked the TCR-mediated induction of FLIP mRNA (Fig. 7GoC). Taken all together, these results evidence that the ability of TCR triggering to transform memory T cells in AICD-resistant phenotypes is associated with the neosynthesis of FLIP.



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FIGURE 7. A and B, Ag stimulation rescues memory T cells from apoptosis by inducing the FLICE inhibitor, FLIP, while OKT3 stimulation fails to do so. RNA was isolated from PALP T cells either unstimulated (CTR), or activated by DR1+ fibroblasts (APC) or by 50 ng/ml PMA and 500 ng/ml ionomycin (PMA/I) in the presence or absence of APO-1 (50 ng/ml) for 24 h (lanes 1–6). RNA isolated from G12 T cells unstimulated (CTR) or stimulated by APC or OKT3 was also extracted (lanes 7–9). C, FLIP expression is blocked by the metabolic inhibitors of the TCR-signaling pathway. TCR-signaling molecule inhibitors, genistein (Gen), tyrphostin (Trph), and CsA, were added to PALP T cells at the same concentrations reported above. After 30 min, the cells were Ag activated and Fas treated (lanes 10–13). CTR are Ag-activated, Fas-treated PALP cells. Total RNA was extracted, reverse transcribed, and amplified for 35 cycles with FLIP and ß-actin primers.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The goal of this study was to establish whether human memory T cells may be protected from CD95-induced apoptosis when correctly activated by an Ag, and not protected when nonspecifically or incorrectly activated. The need for this information derived from the large amount of evidence that human T cells are protected from AICD when activated for the first time by an Ag, but once amplified they rapidly become susceptible to Ag-driven cell death (19, 20, 21, 22). Paradoxically, it seems easier to eliminate than to activate memory T cells, and their function in maintaining an effective immune response may be suppressed. However, the necessity to reduce the number of activated T cells after they have accomplished their task cannot be excluded. Thus, a balance between T cell amplification and apoptosis must be envisaged. Our results clearly demonstrate that antigenic stimulation is a critical parameter determining the fate of memory T cells. We demonstrate that Ag stimulation results in the early development of an AICD-resistant phenotype, characterized by the block of CD95-mediated apoptotic pathways and the presence of the CD95-activation inhibitor, FLIP. Although Ag stimulation represents the most important parameter in the development of the AICD-resistant phenotype, Ag dose and costimulation also play an important role. In fact, we obtained the same protection from AICD either by increasing the Ag dose or by adding costimulation. In the absence of Ag, but in the presence of IL-2 to sustain T cell growth and viability, memory T cell phenotypes are characterized by susceptibility to CD95-mediated apoptosis and lack of FLIP.

Although Ag stimulation rapidly up-regulates both CD95 and FasL expression and their interaction triggers AICD, the presence of CD95 and FasL on the cell membrane does not characterize the T cell phenotype sensitive to AICD. In fact, activated naive T cells in mice (45) and freshly isolated lymphocytes in humans (17, 18) have been described as resistant to AICD even though they are CD95 and FasL positive. This suggested that other factors must control the susceptibility to CD95-mediated apoptosis, and particular importance has been given to CD95-mediated pathways. It is worth noting that the main difference observed between CD95-susceptible and CD95-resistant phenotypes in the same cell lines concerns the ability of a functional DISC to recruit FLICE (17). The resistance to AICD has more recently been attributed to high levels of intracellular FLIP, which, interacting with the adaptor protein FADD (Fas-associated death domain protein) and the protease FLICE, blocks CD95 signaling (12). No data are available on the ability of Ag recognition to mediate the activation of FLIP expression in human memory T cells. Our evidence that AICD-resistant phenotypes expressing CD95 and FasL are also positive for FLIP represents a novel and interesting observation. In fact, what emerges from our data is that TCR triggering results in a steady state in which the synthesis rates of apoptotic molecules (CD95 and FasL) are balanced by the synthesis rate of antiapoptotic molecules (FLIP). Therefore, our evidence that in potentiating activation signals, either increasing Ag concentration or adding costimulation, an increase of the protection from CD95-mediated apoptosis is observed, makes it possible to speculate that FLIP synthesis also may be influenced. A correlation between TCR-induced expression of molecules involved in either AICD or T cell activation has already been reported (11). In fact, it has been shown that CD45-dependent PTK events and subsequent Ras and calcineurin activation are required for optimal expression of FasL following TCR ligation. The presence of a NF-AT binding site in the promoter of FasL has also been demonstrated, reinforcing the previous observation that CsA inhibited FasL expression (46). The regulation of FLIP expression still remains unknown. However, our experiments with PTK and calcineurin inhibitors, performed to assess which biochemical signaling mechanisms the lymphocytes use to couple TCR stimulation to FLIP expression, suggest that FasL and FLIP expression may use common regulatory pathways. Furthermore, the evidence that PMA/I up-regulates FasL (47) and FLIP expression in our system supports this hypothesis.

Another feature of apoptosis-resistant phenotype is the expression of some molecules of the Bcl-2 family, such as Bcl-2 and Bcl-xL (48). Despite the fact that these proteins have been described to inhibit the proteases involved in CD95-derived apoptotic pathways and that an increase of Bcl-xL has been correlated with T cell resistance to CD95-mediated apoptosis (17), the molecular and functional interactions between the CD95 and Bcl-2 pathways have not been clarified, even though a physical interaction has been excluded (49). However, a pronounced role of Bcl-2 and Bcl-xL has been demonstrated in another apoptotic process called passive cell death, in which T cells undergo cell death when they are deprived of activation stimuli and/or growth factors. Our evidence that Bcl-2 and Bcl-xL are expressed in both AICD-sensitive and resistant phenotypes further supports the evidence that Bcl-2 is not involved in the regulation of AICD (50). However, we cannot exclude that Bcl-2 posttranslational modifications occur and modify the role of this protein in T cell AICD (51).

If we assume that memory T cells express an AICD-resistant phenotype every time that they encounter an Ag, when do these cells express a susceptible phenotype? We can find the answer to this question by analyzing the time course of CD95, FasL, and FLIP expression. Both FasL and FLIP disappear after Ag recognition in just a few hours or days, respectively (8, 12), while CD95 expression is quite permanently expressed on memory T cells (52). This means that AICD protection is a transient phenomenon triggered to permit the activation and amplification of cells properly stimulated by an Ag. Once the Ag-mediated activation is exhausted, the CD95 pathways become operative once again, as demonstrated by the susceptibility of T cells maintained in culture with IL-2 to anti-Fas- and FasL-mediated apoptosis. This suggests that in vivo, those cells susceptible to CD95-mediated apoptosis can be lysed by FasL expressed on Ag-activated bystander T cells.

Different factors have been shown to play a role in regulating the development of AICD-sensitive phenotypes, such as the duration and the quality of antigenic signaling, and costimulation. The importance of the signals mediated by TCR engagement is underlined in the literature, and the authors stress the importance of using physiological stimuli in dealing with this issue (15, 16, 18). A hypothesis that greatly supports this theory is suggested by the results of the Lanzavecchia group. It is shown that while ligands with appropriate off-rates such as peptide-MHC complexes or bacterial superantigens on APC can serially trigger TCR, high affinity anti-CD3 Abs are incapable of serial triggering because their low off-rate does not allow multiple engagements to occur (23). Our present data on apoptosis induction by OKT3 strongly support the importance of antigenic stimulation as the major factor determining the development of an AICD-sensitive phenotype. Selective induction of apoptosis by altered TCR ligands further supports this concept. Variants of pigeon cytochrome c, able to induce FasL expression and TCR aggregation on the cell surface but unable to elicit a common pattern of tyrosine phosphorylation of the TCR-associated signal transduction chains, have been described to favor cell death (53). The importance of partial T cell signaling in apoptosis induction also emerges from our recent paper on Ag recognition displayed by human MHC class II-expressing T cells. Using this system of T:T Ag presentation, we demonstrated that T cells, despite being unable to produce IL-2, became FasL+ and susceptible to CD95-mediated apoptosis (52).

In conclusion, our data allowed us to design a scenario of the regulation of human memory T cell number, which agrees with that observed in vivo in mice (16). In particular, we have demonstrated that AICD is not operative in Ag-activated memory T cells, unless Ag concentration decreases. This means that these cells are no longer protected and may be easily eliminated by FasL+ bystander T cells. Thus, our experimental system, in which the signals that regulate CD95 transduction pathways are well defined, may represent a good model for thoroughly examining the molecules responsible for the mechanisms in memory T cells regulating the susceptibility or the resistance of AICD.


    Acknowledgments
 
We thank Dr. S. Nagata for having kindly provided us with plasmid pEX-hFL1. We thank A. Monizio for his assistance in applying the polymerase chain reaction technique. We also thank Dr. L. Tuosto for her helpful discussion and accurate revision of the manuscript.


    Footnotes
 
1 This work was supported by a grant from the National Health Ministry research project on AIDS (1997) and Ministero dell’Universitá e della Ricerca Scientifica eTechnologica (ex 40%) (MURST COFIN 97). Back

2 M.M.D. and F.S. have equally contributed to this work. Back

3 Address correspondence and reprint requests to Dr. Enza Piccolella, Dipartimento di Biologia Cellulare e dello Sviluppo, Università "La Sapienza," Via degli Apuli 1, 00185 Rome, Italy. E-mail address: Back

4 Abbreviations used in this paper: AICD, activation-induced cell death; CsA, cyclosporin A; DC, dendritic cell; DISC, death-inducing signaling complex; FasL, Fas ligand; FLICE, IL-1ß-converting enzyme-like protease; FLIP, IL-1ß-converting enzyme-like protease-like inhibitory protein; HA, hemagglutinin; HRP, horseradish peroxidase; I, ionomycin; ICE, IL-1ß-converting enzyme; PARP, poly(ADP)-ribose polymerase; PI, propidium iodide; PTK, protein tyrosine kinase. Back

Received for publication August 17, 1998. Accepted for publication December 23, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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