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The Journal of Immunology, 1999, 163: 5535-5543.
Copyright © 1999 by The American Association of Immunologists

Naive, Effector, and Memory CD8 T Cells in Protection Against Pulmonary Influenza Virus Infection: Homing Properties Rather Than Initial Frequencies Are Crucial1

Adelheid Cerwenka2, Tammy M. Morgan and Richard W. Dutton

Trudeau Institute, Saranac Lake, NY 12983


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The goal of adoptive immunotherapy is to target a high number of persisting effector cells to the site of a virus infection or tumor. In this study, we compared the protective value of hemagglutinin peptide-specific CD8 T cells generated from the clone-4 TCR-transgenic mice, defined by different stages of their differentiation, against lethal pulmonary influenza infection. We show that the adoptive transfer of high numbers of Ag-specific unprimed, naive CD8 T cells failed to clear the pulmonary virus titer and to promote host survival. The same numbers of in vitro generated primary Ag-specific Tc1 effector cells, producing high amounts of IFN-{gamma}, or resting Tc1 memory cells, generated from these effectors, were protective. Highly activated CD62Llow Tc1 effectors accumulated in the lung with rapid kinetics and most efficiently reduced the pulmonary viral titer early during infection. The resting CD62Lhigh naive and memory populations first increased in cell numbers in the draining lymph nodes. Subsequently, memory cells accumulated more rapidly and to a greater extent in the lung lavage as compared with naive cells. Thus, effector cells are most effective against a localized virus infection, which correlates with their ability to rapidly distribute at the infected tissue site. The finding that similar numbers of naive Ag-specific CD8 T cells are not protective supports the view that qualitative differences between the two resting populations, the naive and the memory population, may play a major role in their protective value against disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The CD8 T cells in viral infections are mainly directed against conserved viral proteins (1, 2), whereas B cell epitopes are more variable. Thus, the adoptive transfer of virus-specific CD8 T cells is likely to be effective not only during the acute phase of the virus infection, but might also protect against the reinfection with the same or a related virus strain. Indeed, the adoptive transfer of influenza virus-immune CD8 T cells (3) or CD8 T cell clones (4) into lethally influenza-infected hosts resulted in a reduction of the pulmonary virus titer and the prevention of death. In the absence of CD8 T cells, however, CD4 T cells and B cells were also shown to be protective (5, 6).

The cellular basis for CD8 T cell-mediated protection against a localized viral infection is only partially known. In particular, the relative effectiveness of CD8 T cell populations during different stages of their differentiation in adoptive transfer models has not been previously defined. In an unprimed animal, the frequencies of cells specific for a defined Ag are very low (7, 8), but very high frequencies of virus-specific cells are generated during infection (5, 9, 10), which in most cases protect against reinfection. High frequencies of naive CD8 T cells present in TCR-transgenic mice specific for the nuclear protein peptide from influenza virus did not clear influenza virus from the lungs when infected with a high viral dose, and a second role for CD8 T cells causing immunopathology was implicated (11). A recent study suggested that qualitative differences rather than quantitative differences were responsible for a more efficient memory CD8 response against a localized tumor (12). Highly activated T effector cells, however, have been shown to undergo rapid activation-induced cell death when restimulated with their specific Ag in vitro (13), and thus might not be thought to be effective in promoting host recovery when adoptively transferred in vivo.

Previous studies addressing the protective value of memory populations were often complicated by the complexity of the experimental models used and the heterogeneity of the memory populations studied. To date, most investigators have determined memory responses in disease models in which primary and secondary infections were conducted in the same hosts. In these studies, several components of the cellular and humoral immune system played together and resulted in a more efficient memory immune response. When the CD8 memory T cell response during lymphocytic choriomeningitis virus (LCMV)3 (14) or influenza virus infection (8) was determined, the primary and secondary infection had to be conducted with different but related virus strains to circumvent strong neutralizing recall Ab responses. In addition, differences in the localization of memory cells presumably dependent on the route of immunization in the primed host might influence the memory response of the primed animal (15), and in most models studied, the impact of locally persisting Ag is largely unknown. The issue of locally persisting Ag is of particular importance, since it was previously suggested that after LCMV infection, only activated cells extravasated efficiently to a peripheral site of infection and provided protection, and continuous Ag exposure was found to be effective in keeping CD8 T cells in an activated stage (16, 17). When CD8 memory cells in LCMV-immune animals were studied, subpopulations of CD8 memory cells were phenotypically and functionally defined (18, 19, 20). In addition to a resting memory cell population, a highly activated memory cell population consisting of blast-like CD25positive cells, which were cytolytic immediately ex vivo of the animal, was described. These subpopulations might differ profoundly in their activation requirements and protective value against disease.

In our study, we addressed the question of how equal numbers of three defined populations, naive CD8 T cells, in vitro generated effector Tc1 CD8 T cells, and resting Tc1 memory CD8 T cells, differed in their protective value against pulmonary influenza virus infection. The CD8 memory cells, generated by the injection of in vitro generated Tc1 effectors into adult thymectomized, irradiated, and bone marrow-reconstituted hosts, were defined operationally as long-lived, Ag-reactive, resting CD44high, CD62high, Ly-6Chigh T cells, as previously described (21). The experimental model utilized the adoptive transfer of Thy-1.2-positive CD8 T cells from the clone-4 TCR-transgenic mice specific for the HA peptide of influenza virus (A/PR/8/34) into congenic Thy-1.1 BALB/c hosts. Ag-specific naive, effector, and memory populations were transferred into unprimed age-matched recipients to minimize differences between different groups of recipients.

We show that depending on their stage of differentiation, identical numbers of CD8 T cells were very different in their protective value against pulmonary influenza virus infection, despite the fact that they bore identical receptors specific for the Ag. The protective value of CD8 T cell populations was correlated with their ability to distribute at the infected tissue site early during infection. Adoptive transfer of either effector or memory cells, but not naive cells, promoted host survival, but only effectors accumulated in the lung with rapid kinetics and reduced the pulmonary virus titer early during infection. Donor cells derived from memory cells entered the lung later than effectors, but slightly earlier than cells derived from naive cells, and subsequently accumulated in the lung lavage in high numbers.


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

Mice were purchased from the Animal Breeding Facility at the Trudeau Institute. The clone-4 Vß8.2/V{alpha}10 TCR-transgenic mice were kindly provided by Dr. Linda Sherman (The Scripps Research Institute, La Jolla, CA) (22). T cells from the clone-4 TCR-transgenic mice are Thy-1.2 positive and bear the {alpha}- and ß-chains of the clone-4 CTL specific for the transmembrane peptide, residues 518–528 (IYSTVASSL) of HA2 on H-2Kd. The clone-4 TCR-transgenic mice were backcrossed for at least 12 generations with BALB/c mice. BALB/c Thy-1.1 mice were a gift from Dr. Jon Sprent (The Scripps Research Institute).

Cell preparations

Naive CD8 T cells from the spleens and lymph nodes of clone-4 TCR-transgenic mice were enriched by passing through nylon wool and treating with anti-CD4 (RL172.4), and anti-heat-stable Ag (J11D), anti-class II MHC (D3.137, M5114, CA4) mAbs, and complement. Small resting CD8 T cells were harvested from the bottom interface of a four-layer Percoll gradient (Sigma, St. Louis, MO). The freshly isolated T cell populations were 90–95% CD8+Vß8+ T cells and were phenotypically naive, as described (21). For effector generation, CD8 T cells from the clone-4 transgenic mice (2 x 105 cells/ml) were stimulated with HA peptide-loaded APCs (2 x 105 cells/ml) in the presence of IL-2 (100 U/ml, supernatant from the X63Ag.IL-2 murine cell line), IL-12 (9.2 U/ml, kindly provided by Dr. Stanley Wolf, Genetics Institute, Cambridge, MA), and anti-IL-4 mAb (10 µg/ml, 11B11) for Tc1 cultures. T cell-depleted APCs were prepared using anti-Thy-1.2 (HO13.14 and F7D5), anti-CD4 (RL172.4), anti-CD8 (3.155) mAbs, and complement and stimulated with LPS (25 µg/ml) and dextran sulfate (25 µg/ml) for 48 h. APC blasts were loaded with the HA peptide (11 µM) at 37°C for 30 min, treated with mitomycin C (50 µg/ml; Sigma) at 37°C for 40 min, and washed three times before use. CD8 T cells were cultured in RPMI 1640 (Irvine Scientific, Santa Ana, CA) supplemented with penicillin, streptomycin, glutamine, 2-ME, HEPES, and 10% FCS (HyClone Laboratories, Logan, UT). On day 4 of culture, effectors were 99% CD8+Vß8+. Tc1 memory cells were generated as described (21): briefly, sex-matched BALB/c mice were thymectomized at 5 wk of age, and 2–4 wk later irradiated with 8.5 Gy and reconstituted with 107 syngeneic T-depleted bone marrow cells plus 107 Tc1 CD8 effector cells i.v. within 8 h. The adoptively transferred mice were sacrificed typically 8–10 wk after transfer, and cells were prepared from spleens and easily accessible lymph nodes. Memory cells were enriched by passing through nylon wool and Ab and complement depletion, as described above, for the preparation of naive cells and were typically 80–90% CD8+Vß8+-positive cells.

Virus infections and cell transfers

The influenza virus preparation (A/PR/8/34) grown in the allantoic cavity of 10-day-old embryonated hens’ eggs was a kind gift of Drs. David Morgan and Linda Sherman (The Scripps Research Institute). Each mouse was inoculated with a 10 LD50 dose of virus (corresponding to a 10-3 dilution of stock virus in 100 µl PBS) intranasally during light halothane (Halocarbon, River Edge, NY) anesthesia. Before adoptive transfer, CD8 cell populations were washed twice in HBSS, and 107 CD8 T cells, if not indicated otherwise, were injected in 0.5 ml PBS via the tail vein within approximately 1 h after intranasal virus infection.

MDCK virus plaque assay

Viral titers of infected lungs were determined using MDCK cell plaque assay modified from the methods described by Lukacher et al. (4). Briefly, at the indicated time points after influenza virus infection, lungs were snap frozen in liquid nitrogen and stored at -70°C until ready for titration. MDCK monolayers were grown in DMEM supplemented with 10% FCS, 0.01 mM nonessential amino acids, 1 mM sodium pyruvate, and PSG (200 IU/ml penicillin, 200 µg/ml streptomycin, and 4 mM glutamine). Ten-fold dilutions of the lung homogenates were prepared in DMEM supplemented with 0.2% BSA, 2 mg/ml NaHCO3, 2 mM HEPES, and PSG. A total of 100 µl of each dilution was added to confluent monolayers of MDCK cells in 12-well plates in duplicates for 1 h at 37°C, 7% CO2. Each well received 1 ml of an agar overlay medium containing DMEM, 0.2% BSA, 2 mg/ml NaHCO3, 2 mM HEPES, PSG, 0.5% agar (Sigma), 0.01% DEAE dextran, and 0.5 mg/ml trypsin. After a 3-day incubation at 37°C, cells were fixed with 0.5 ml Carnoy’s fixative (3:1, methanol:glacial acetic acid) for at least 20 min. The agar overlay was then removed and fixed monolayers were stained by adding a 1/10 dilution of crystal violet prepared in 20% ethanol. The results are presented as PFU/ml = (mean number of plaques/0.1) x (1/dilution factor).

Flow cytometry

The following mAbs were used for immunofluorescent staining: Cy-chrome anti-CD8 (PharMingen, San Diego, CA), FITC anti-CD62L (PharMingen; clone Mel-14), FITC anti-CD44 (PharMingen; clone IM7), FITC anti-CD25 (PharMingen; IL-2R, {alpha}-chain, clone 3C7), FITC anti-Ly-6C (PharMingen; clone AL-21), and PE anti-CD90 (Thy-1.2) (PharMingen). After staining with the appropriate mAbs, FACS analysis was conducted on a FACScan (Becton Dickinson, San Jose, CA) by using the Cell Quest software.

Tissue sampling

Tissues were sampled by bronchoalveolar lavage performed as follows. Mice were anesthetized and bled out from the axilla. The trachea was then exposed, and a disposable plastic cannula with a syringe attached was then inserted through an incision immediately posterior to the larynx. The respiratory tract was washed out in a reproducible manner using four separate 1-ml aliquots of PBS containing 3 mM EDTA. Subsequently, the lavaged cells were centrifuged and live cell counts were performed by excluding trypan blue-positive dead cells.

Intracellular cytokine staining

For assessment of IFN-{gamma} cytokine production by intracellular staining, cell populations from the bronchoalveolar lavage, spleens, and TBLN (1 x 106 cells/ml) were restimulated with mitomycin C-treated P815 cells (1 x 106/ml) loaded with the HA peptide (11 µM) or unloaded. Four hours after the initiation of culture, 10 µM/ml Brefeldin (Sigma) was added and restimulation was continued for another 10 h. The staining procedure was performed as previously described (23). Briefly, cells were harvested from Brefeldin-treated restimulation cultures, washed with PBS, treated with normal mouse serum to block FcR interactions, and stained with Thy-1.2 PE (PharMingen) and CD8 Cy-chrome mAbs (PharMingen). After washing, cells were fixed for 20 min at room temperature with 75 µl 4% freshly prepared paraformaldehyde (Fisher, Pittsburgh, PA). Following one wash in PBS, cells were resuspended in a saponin-containing permeabilization buffer containing FITC-conjugated anti-IFN-{gamma} mAb (1 µg/ml; PharMingen) or the respective isotype control, stained for 30 min at room temperature, washed in PBS, and analyzed immediately on a FACScan. No positive staining was detected when cells were incubated with the respective isotype control mAb.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Protective value of Ag-specific naive CD8 T cells, Tc1 CD8 effector cells, and Tc1 memory cells against lethal pulmonary influenza virus infection

First, we tested whether adoptive transfer of titrated doses of defined populations of naive, effector, and memory CD8 T cells from the clone-4 TCR-transgenic mice provided protection against pulmonary infection with a lethal dose of influenza virus. Naive CD8 T cells were isolated from the clone-4 TCR-transgenic mice (22) carrying the V{alpha}10/Vß8.2 TCR specific for a hydrophobic peptide sequence (amino acids 518–528, IYSTVASSL) from the transmembrane region of the HA2 molecule from influenza virus (A/PR/8/34) (22). Naive CD8 T cells were CD44low, CD62Lhigh, CD25negative, and were heterogeneous with regard to the expression of Ly-6C, as described (21). Effector cells, primed to produce high amounts of IFN-{gamma} upon restimulation, were prepared in vitro as previously described (21). Effector cells were CD44high, CD25high, CD62Llow, and Ly-6Clow highly activated blast-size cells. The resting CD8 memory cells were generated by adoptive transfer of in vitro generated Tc1 effectors from the clone-4 TCR-transgenic mice into adult-thymectomized, irradiated, bone marrow-reconstituted animals, as described previously (21). Similar numbers of highly enriched CD8+Vß8+ populations, as defined, were adoptively transferred into hosts infected intranasally with 10 LD50 influenza virus (Fig. 1Go), and survival was monitored for 21 days. In all experiments, hosts, which did not receive passive cell transfer, died between day 7 and day 10 after infection and cell transfer. When 107 naive CD8 T cells from the clone-4 TCR-transgenic mice were adoptively transferred into influenza-infected hosts, recipient animals died between days 6 and 8, and a slightly accelerated death rather than protection of the adoptive hosts was observed (Fig. 1Goa). In contrast, Tc1 effectors protected very efficiently against influenza virus infection at 107 effector cells transferred (Fig. 1Gob), and so did 107 resting Tc1 CD8 memory cells (Fig. 1Goc). The observed protection was cell dose dependent, because when 106 CD8 T cells were transferred, only one animal survived when Tc1 effector was transferred, and all recipients of 106 Tc1 memory cells died. Thus, the adoptive transfer of naive CD8 T cells was detrimental for lethally influenza-infected hosts, whereas the same transferred numbers of effectors or memory cells promoted host survival.



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FIGURE 1. Survival of lethally influenza-infected hosts after adoptive transfer of naive CD8 T cells, Tc1 effector cells, and Tc1 memory cells. Naive CD8 T cells (a), Tc1 effector CD8 T cells (b), and Tc1 memory populations (c) from the clone-4 TCR-transgenic mice were prepared as described in Materials and Methods. Results obtained with groups of five (a) or four (b and c) animals are shown, which are representative for three (a and b) or two (c) independently performed experiments. A total of 107 (dashed line) or 106 CD8 T cells (black solid thin line) or no cells (gray thick solid line) was adoptively transferred into recipient BALB/c animals, which were infected with 10 LD50 influenza virus PR8 intranasally before the cell transfer. In all experiments, influenza-infected animals, which had not received passive cell transfer (gray thick lines), died. Host survival was monitored for 21 days.

 
Tc1 effector cells, but not naive CD8 T cells, reduce the pulmonary viral titer on day 4 after infection and passive cell transfer

To further investigate the relative effectiveness of naive, effector, and memory cells to protect against pulmonary influenza virus infection upon adoptive transfer, we determined the pulmonary virus titer (Tables I and II). Lungs of recipients of 107 naive CD8 T cells, 107 Tc1 memory cells, or from hosts, which had not received passive cell transfer, were assayed on day 4 after pulmonary virus infection and cell transfer (Table IGo). On day 4, Tc1 memory cells had only slightly reduced the pulmonary virus titer, whereas no obvious differences were seen between viral titers in lungs of the adoptive hosts of naive CD8 T cells and of hosts without passive cell transfer. At this time point, Tc1 effector cells, however, had already reduced the pulmonary virus titer (Table IIGo). When kinetics experiments were conducted, the adoptive transfer of naive CD8 T cells did not decrease, but even slightly increased the pulmonary viral titer on day 5 as compared with the mice, which had not received transferred cells (data not shown), and most recipients of naive cells were already dead on day 7 after infection (Fig. 1Goa). Adoptive transfer of effector cells, however, resulted in virus clearance at day 5 after virus infection (data not shown). We also determined the amount of the viral Ag H1N1 by immunohistochemistry in recipients of Ag-specific naive or memory cells (data not shown). On day 3 after infection and adoptive transfer, still similar amounts of positive staining were detected in recipients of naive or memory cells, and there was still no significant difference between them on day 5. On day 7, however, there was almost no viral H1N1 protein detectable in recipients of memory cells, all of which had survived. In contrast, a high intensity of viral protein was detectable in the few recipients of naive cells that had survived to day 7. No H1N1 protein was detectable in sections from noninfected animals or in isotype control-stained sections. Thus, viral clearance mediated by CD8 memory cells occurs between days 5 and 7, later than by effector cells, which occurs between days 3 and 5. A high viral load is found in the recipients of naive cells at all time points (days 3, 5, and 7) until they die, which occurs at about day 7.


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Table I. Pulmonary virus titer in recipients of naive, memory cells, or no cells on day 4 after virus infection and cell transfer1

 

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Table II. Only Tc1 effectors reduce the pulmonary virus titer on day 4 after pulmonary influenza virus infection and cell transfer1

 
Donor cell numbers of naive, effector, and memory cells in the bronchoalveolar lavage in influenza virus-infected or not infected hosts

Since contact-dependent lysis at the site of infection has been shown to be the main effector mechanism of CD8 T cells during influenza virus infection (24), homing of high numbers of cytotoxic effectors to the infected lung epithelium might be crucial for their protective value. We adoptively transferred 107 naive CD8 T cells, Tc1 effectors, or Tc1 memory cells (donor cells were Thy-1.2 positive) into influenza-infected Thy-1.1 BALB/c recipients and determined the percentages of donor cells on days 1, 3, 4, 5, and 7 in the bronchoalveolar lavage by staining for Thy-1.2 and CD8 expression and subsequent FACS analysis (Fig. 2Go). The day 1 time point was conducted approximately 15 h after virus infection and cell transfer, and it is likely that at this time point, most donor cells might have still been in the circulation and have not yet homed to the harvested organs. The absolute cell numbers of recovered donor cells from influenza-infected and not infected recipients were assessed by calculating the percentages from the FACS profiles and multiplying by the total number of cells per organ (Fig. 3Go). Effector cells were found in high numbers in the bronchoalveolar lavage already on day 3 after infection (350 times more as compared with donor cell numbers of naive cells, and 72 times more as compared with donor cell numbers of memory cells), and at this time point, recipients of Tc1 effector cells had a lower viral titer in their lungs than infected animals without cell transfer. Donor cells derived from Tc1 memory cells, however, started to increase in numbers in the bronchoalveolar lavage on day 4, and subsequently were found in high numbers on days 5 and 7 after influenza virus infection. On day 4, donor cells derived from naive CD8 T cells from the clone-4 TCR-transgenic mice had entered the lung in small numbers, and 7-fold lower donor cell numbers as compared with memory cells were found on day 5. In all experiments, several infected animals that had received naive CD8 T cells had already died by day 7 (Fig. 1Go), and at this time point, only the few surviving animals could be analyzed. Interestingly, when donor cell numbers were determined in the absence of infection, only cells derived from effector cells were found in the bronchoalveolar lavage in the absence of other inflammatory cells (Fig. 3Go).



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FIGURE 2. Kinetics of accumulation of three defined CD8 T cell populations into the lung of infected and not infected hosts. A total of 107 naive CD8 T cells (left panel), 107 effector cells (middle panel), or 107 Tc1 memory cells (right panel) expressing Thy-1.2 was adoptively transferred into 10 LD50 influenza-infected BALB/c Thy-1.1 hosts. On days 1, 3, 4, 5, and 7, bronchoalveolar lavages were conducted, and the donor cells were identified by the expression of Thy-1.2 and CD8 by FACS analysis. Dot plots were gated on the live propidium iodide-negative live cell population. Percentages of donor cells are indicated in the upper right-hand corner. The results are representative of three independently performed experiments. The day 1 time point was conducted approximately 15 h after host infection and cell transfer.

 


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FIGURE 3. Donor cell numbers in the bronchoalveolar lavage of influenza-infected or not infected hosts. Absolute donor cell numbers recovered from the bronchoalveolar lavage on days 1, 3, 5, and 7 of influenza-infected hosts (upper panel) or not infected hosts (lower panel). Percentages of donor cells were determined as described in Fig. 2Go, and the total number was calculated by taking the total number of trypan blue-negative cells in the bronchoalveolar lavage multiplied by the percentage of donor cells. The absolute cell donor cell numbers (log10 values ± SEM) of two animals per group are shown, and the results are representative of three independently performed experiments.

 
Donor cell numbers of naive, effector, and memory cells in the TBLN and spleens in the presence or absence of influenza virus infection

Next, we established, whether naive, Tc1 effector, and Tc1 memory CD8 T cells had distinct distribution patterns in the draining TBLN and the spleen. In the experimental protocol that we used, however, we could not distinguish between proliferation, cell death, and cell migration, and could only calculate the absolute donor cell numbers per organ. We analyzed the donor cell numbers in the TBLN (Fig. 4Goa) and spleen (Fig. 4Gob) in parallel to the bronchoalveolar lavage shown in Figs. 2Go and 3Go. Donor cells derived from memory or effector cells recovered from the draining lymph node of influenza-infected recipients increased over time. Memory cells started to expand by day 3 after infection, and on day 7 ten times more donor cells were derived from memory cells compared with naive cells. In the draining lymph nodes, only low cell numbers of all populations were found in the absence of influenza virus infection (Fig. 4Goa). Interestingly, only low numbers of effector cells were found in the lymph nodes at early time points, presumably due to the fact that at the time of adoptive transfer, effectors did not express the lymph node homing receptor CD62L (21). Effector cells, however, were found in the spleens (Fig. 4Gob) in high cell numbers, regardless of whether the recipients were infected or not, whereas naive cells and memory cells were found in comparably low cell numbers in the sampled organs in not infected animals. To investigate the contribution of proliferation of the adoptively transferred cell populations on the absolute donor cell recoveries in uninfected mice, we adoptively transferred CFSE dye-labeled cell populations. CFSE fluorescence intensity is lost by half upon cell division, and thus we could monitor cell division. We found that only effector CD8 T cells, but not naive and to a minor extent memory populations went through multiple divisions after adoptive transfer (data not shown).



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FIGURE 4. Donor cell numbers in the TBLN and spleen of influenza-infected or not infected hosts. Percentages and absolute cell numbers of donor cells in the TBLN (a) or spleens (b) of infected (upper panels) or not infected (lower panels) hosts were determined as described in Fig. 2Go. The absolute cell donor cell numbers (log10 values ± SEM) of two animals per group are shown, and the results are representative of three independently performed experiments.

 
Memory cells, but not naive cells, produce high levels of IFN-{gamma} in vivo

We have reported previously that Tc1 memory cells, but not naive CD8 T cells, produced high amounts of IFN-{gamma} after restimulation with specific Ag in vitro (21). To compare the quality of the transferred naive or memory CD8 T cells with regard to their potential to produce IFN-{gamma} in vivo, we stained for intracellular IFN-{gamma} when donor cells derived from naive, effector, and memory cells were harvested from different organs on day 3 of influenza virus infection and cell transfer (Fig. 5Go). After stimulation with HA peptide-loaded APCs overnight, donor cells derived from memory cells were not only found in higher numbers, but already made high amounts of IFN-{gamma} when harvested from the draining lymph nodes and spleens. In contrast, donor cells derived from naive CD8 T cells stained only slightly positive for intracellular IFN-{gamma} at this time point. On day 3, only effector cells producing high amounts of IFN-{gamma} were found in the bronchoalveolar lavage. The capacity to produce IFN-{gamma} by effectors was even more pronounced when the 5-day time point was analyzed (data not shown). On day 5, donor cells derived from memory cells still stained more positive for intracellular IFN-{gamma} than donor cells derived from naive cells (data not shown) and were found in higher numbers in the bronchoalveolar lavage (Fig. 2Go).



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FIGURE 5. Intracellular staining for IFN-{gamma} from donor cells on day 3 after infection and cell transfer. Cells were harvested from the TBLN (left panel), bronchoalveolar lavage (middle panel), and spleen (right panel) on day 3 after infection and cell transfer and stimulated with HA peptide-loaded P815 cells for 14 h, and Brefeldin was added 4 h after the initiation of culture. Cells were stained with Thy-1.2 PE and intracellular anti-IFN-{gamma} FITC, as described in Materials and Methods, and the percentages of IFN-{gamma}-positive donor cells are indicated in the right-hand corner of the dot plots. No intracellular IFN-{gamma} was detected when cells were restimulated with P815 cells in the absence of the HA peptide and when cells were stained with the respective isotype control (data not shown).

 
Kinetics of the expression of surface markers on naive and memory cells: only CD62Llow donor cells are found in the bronchoalveolar lavage

Next, we investigated the change of expression of CD44 (Fig. 6GoA) and CD62L (Fig. 6GoB), both of which were suggested to play a role in cell migration into inflamed tissues (25, 26), on donor cells derived from naive and memory CD8 T cells over time in influenza-infected animals. In the spleen, naive CD8 T cells started out as CD44low cells, as described (21), and up-regulated expression of CD44 over time. The expression of CD44 and CD62L on day 1 in the animal was similar to the expression at t0 before adoptive transfer (data not shown). Similar kinetics results were obtained when donor cells harvested from the draining lymph nodes were analyzed (data not shown). No up-regulation of CD44 was observed when naive CD8 T cells were parked in hosts in the absence of influenza infection (data not shown). In contrast, memory cells were CD44high to start and did not change levels of CD44 during infection. Both naive and memory donor CD8 T cells started out as mostly CD62Lhigh cells and down-regulated CD62L over time in infected animals. In the bronchoalveolar lavage, however, all donor cells, regardless of whether derived from naive and memory CD8 T cells, were CD44high and CD62Llow on day 5 after infection (Fig. 7Go). Effector CD8 T cells were CD62Llow on transfer and remained CD62Llow in the adoptive host (data not shown).



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FIGURE 6. Kinetics of surface molecule expression on donor cells. A total of 107 naive (left panel) or memory cells (right panel) was transferred into influenza-infected hosts. At the indicated time points, cells were isolated from spleens, and stained with Thy-1.2 PE and CD8 Cy-chrome to identify donor-derived cells, and with CD44 FITC (A), CD62L FITC (B) mAbs, respectively. Histograms are gated on live donor cells (CD8, Thy-1.2). Specific staining is shown as filled histogram; the respective isotype control as open histogram.

 


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FIGURE 7. Expression of activation markers on donor cells from the bronchoalveolar lavage. On day 5 after infection and cell transfer, cells were isolated from the bronchoalveolar lavage of recipients of naive (upper panel) or memory cells (lower panel). Cells were stained with Thy-1.2 PE and CD8 Cy-chrome to identify donor-derived cells, and with CD44 FITC and CD62L FITC mAbs, respectively. Histograms are gated on donor cells (CD8, Thy-1.2). Specific staining is shown as filled histogram; the respective isotype control as open histogram.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we used an adoptive transfer model to study function, distribution, and protective value of defined populations of HA peptide-specific CD8 T cells from TCR-transgenic mice against a localized pulmonary influenza virus infection. The three populations that we compared were naive, effector, and memory CD8 T cells. We show that CD8 Tc1 effectors and resting Tc1 memory cells promoted host recovery during lethal pulmonary influenza virus infection, whereas similar frequencies of naive CD8 cells were not protective upon adoptive transfer. When the cell distribution of naive, effector, and memory CD8 T cells was studied, we found that in vitro stimulated effector cells entered the lung in high numbers and reduced the pulmonary virus titer very efficiently with rapid kinetics. In the absence of influenza virus infection, somewhat lower numbers of effectors still entered the lung and were found there even in the absence of lung inflammation. Memory cells entered the lung later than effector cells, but slightly earlier than naive cells, and subsequently higher numbers of donor cells derived from memory cells than naive cells were recovered from the bronchoalveolar lavage (7 times more donor cells derived from memory cells than from naive cells on day 5). In addition, Tc1 memory cells rapidly produced high amounts of IFN-{gamma} upon restimulation early during infection.

In this study, we investigated the performance of three homogenous Ag-specific CD8 T cell populations during different stages of their differentiation highly defined with regard to function and phenotype. Since contact-dependent lysis was shown to be the main effector mechanism of CD8 effector cells during influenza virus infection (24), homing of high numbers of cytotoxic T cells to the influenza virus-infected lung epithelium to get in close contact with their targets seems crucial. A number of studies (reviewed in Refs. 5, 10, 27), including our own previous studies (9, 21), have described phenotypic features of naive, effector, and memory CD8 T cells. The differences in the expression levels of activation and adhesion surface molecules could make a major contribution to the function and migration of these cell populations. In our previous study (21), naive cells from the clone-4 TCR-transgenic mice were found to be CD44low, CD62Lhigh, and CD25negative cells. Effectors, primed in vitro for high IFN-{gamma} production, up-regulated CD44, down-regulated CD62L, and expressed high levels of CD25. Resting memory cells generated in this study, however, were CD44high, CD62Lhigh, and CD25negative. In addition, LFA-1 (21) and certain carbohydrates (28) were found to be differentially expressed on naive and memory CD8 T cells. The surface molecules, which enable a cell population to enter the lung, are not well defined. In the experimental system we used, we determined absolute donor cell numbers recovered from different organs, but could not distinguish between cell proliferation, cell death, and migration. We found that only effector CD8 T cells entered the lung with rapid kinetics and appeared there in high cell numbers, whereas naive CD8 T cells and resting memory CD8 T cells were first seen to increase in cell numbers in the draining lymph node, and subsequently entered the lung as CD62Llow, blast cells (Figs. 3Go and 7Go). In other studies, activated memory cells were protective, while resting memory cells failed to combat infection at a local site (17). Under the conditions we used, resting memory cells were able to protect, even though they had to be activated before they entered the lung. Only CD62Llow cells were found in the lung lavage (Fig. 7Go), and we speculate that the expression of CD62L, which was shown to be the lymph node-homing receptor (29, 30), directed cells to the lymph node, where they stayed until down-regulation of CD62L had taken place. In some studies, CD8 memory cells were found to be more heterogeneous with regard to CD62L expression (20), and it is likely that these subpopulations might differ with regard to their recirculation patterns. In contrast, most CD4 memory cells generated after priming with keyhole limpet hemocyanin from the spleen were found to express low levels of CD62L (31), and lymph node entry of CD4 cells was shown to depend on CD62L expression (29). Thus, CD4 and CD8 memory cells might differentially enter the lymph node, depending on their expression levels of CD62L.

Recently, the requirement for CD44 on activated T cell extravasation into the inflamed peritoneal cavity after injection of SEB was demonstrated (26), and CD44-mediated extravasation was found to depend on its interaction with hyaluronate. No hyaluronate binding was seen with resting CD69negative cells expressing CD44, suggesting that CD44-mediated hyaluronate binding was a feature of activated and not resting cells. In our study, both effectors and memory cells expressed high levels of CD44; however, only effectors, but not memory cells, were activated, CD69-expressing cells. Whether CD44 expression on activated CD8 T cells might also mediate extravasation into the lung during inflammation has to be determined. In addition to adhesion molecules such as selectins and integrins, certain chemokines were shown to attract lymphocytes expressing chemokine receptors, and chemokine gradients might influence directions of lymphocyte migration. CD4 lymphocytes were shown to differentially express patterns of chemokine receptors, depending on their stages of differentiation and on the cytokines they produce (32, 33). When we tested for the mRNA expression of five CCR (1, 2, 3, 4, 5) and two C-X-C chemokine (2, 4) receptors, we found that Tc1 and Tc2 CD8 effector cells expressed a distinct pattern of chemokine receptors (34). In contrast, naive CD8 T cells did not constitutively express any of the chemokine receptors tested (A.C., unpublished observation), and the significance of this finding has to be determined.

Memory cells, but not naive cells, can secrete a wide variety of cytokines, and do so with rapid kinetics (21, 35). The patterns of cytokines produced by Th1 and Th2 CD4 effectors (35) and Tc1 and Tc2 CD8 effectors (21) remain stable upon memory generation. CD4 memory cells were found to up-regulate cytokine mRNA within 2 h (our unpublished observation), and CD8 memory T cells were shown to stain positive for intracellular IFN-{gamma} 6 h after influenza infection (7, 8). In the present study, we have only studied effector and resting memory Tc1 cells, which were primed in vitro to produce high amounts of IFN-{gamma}. We show that resting Tc1 memory cells, but not naive cells, readily produced high amounts of IFN-{gamma} upon restimulation in vitro (21) and in vivo (Fig. 5Go). Upon stimulation in vivo, naive CD8 T cells developed into IFN-{gamma}-producing cells, but needed prolonged stimulation and differentiation (Fig. 5Go). Effectors, however, which had entered the lung on day 3, already stained brightly positive for intracellular IFN-{gamma}. Although IFN-{gamma} has been shown to up-regulate MHC I expression on APC and to facilitate Ag presentation (36), IFN-{gamma} -/- mice were found to successfully clear the pulmonary influenza virus infection (37), indicating a less important role of IFN-{gamma} for influenza virus clearance. It was also suggested, however, that neutralizing IFN-{gamma} during onset of viral infection in the F5-RAG-1-/- TCR-transgenic animals actually ameliorated disease (11). In our model, the protective value of the Tc1 effector population did not require the production of high amounts of IFN-{gamma} because Tc1 effectors protected regardless whether they were generated from the clone-4 TCR transgenics on the wild-type (Fig. 1Go) or from the IFN-{gamma} -/- background (34). The significance of the ability of Tc1 memory cells to produce IFN-{gamma} early during influenza virus infection (Fig. 5Go) has yet to be determined.

Naive, effector, and memory cells were shown to differ profoundly in their activation requirements. Naive CD4 T cells and CD8 T cells require additional signals to TCR ligation to become properly activated (38) (our unpublished observations). CD4 effector T cells and CD4 memory cells, however, become activated by a TCR-delivered signal in the absence of costimulation (39, 40). Resting CD8 memory cells were also shown to respond to lower peptide concentrations presented on APC as compared with unprimed cells (41). We find that CD8 effector and memory cells, but not naive cells, protected against influenza virus infection (Fig. 1Go). When expansion over time was monitored, Tc1 memory cells started to increase in cell numbers slightly before the donor cells derived from naive cells, and subsequently higher numbers of donor memory cells were recovered from the draining lymph nodes and from the bronchoalveolar lavage (Figs. 3Go and 4Go). In this context, it is important to mention that pulmonary influenza infection is highly localized to the airway epithelium, and naive and memory cells, which did not enter the lung early, were likely to wait till APC-presenting viral Ags had reached the lymph nodes to encounter the Ag. It is thus tempting to speculate that the more rapid and more pronounced expansion of the memory population reflects its less stringent activation requirements. Throughout the study, a lethal dose (10 LD50) of the highly virulent influenza virus (A/PR8/8/34) was used. We believe that a lower, sublethal dose of this virus or infections with a less virulent strain of influenza virus might require lower numbers of adoptively transferred Ag-specific CD8 T cells for clearance and might be cleared with faster kinetics. The cellular requirements for viral clearance at a sublethal virus dose are currently under investigation.

Resting Ag-specific Tc1 memory cells generated in our model were found to be noncytolytic when isolated straight out of the animal, but could be restimulated for cytolytic activity upon restimulation in vitro (21). Upon stimulation with specific Ag in vitro, however, naive CD8 T cells from the clone-4 TCR-transgenic mice were also found to develop into cytolytic killers with slightly delayed kinetics as compared with memory cells (data not shown). Whether naive and memory cells differed with regard to the kinetics to develop into cytolytic killers in vivo is not known. When memory cells in LCMV-immune animals were studied, a subpopulation of CD8 blast-size memory cells with cytolytic activity against the peptide-loaded RAM-S cell line was demonstrated (19). The protective value of this subpopulation has not been established, but we assume that these activated cells might resemble effector cells rather than resting memory cells.

During pulmonary influenza virus infection, CD8 T cells expressing either type 1 or type 2 cytokines were described (42), and in general the cytokines produced during influenza virus infection cannot be rigidly categorized into a type 1 or a type 2 response (42, 43). When we dissected the protective value of in vitro polarized Tc1 and Tc2 effectors from the clone-4 TCR-transgenic mice, we found that Tc1 protected more efficiently as compared with Tc2 effectors (34). Thus, the cytokines present in vivo might prime the adoptively transferred naive CD8 T cells into not only Tc1, but also Tc2 cells, which differ in their protective value. Adoptively transferred memory cells, however, were already primed and committed to produce the type 1 pattern of cytokines, and we have shown that cytokine production profiles were remarkably stable during different stages of differentiation (21). Thus, it is likely that the beneficial presumably stable Tc1 profile of memory cells might have contributed to their protective value.

All transferred populations, including activated effector cells, flourished and expanded in cell numbers upon adoptive transfer in vivo into infected animals (Figs. 3Go and 4Go). This is in contrast to in vitro results showing that in most cases restimulation of effector cells with specific Ag resulted in rapid activation-induced cell death (13) (our unpublished observation). We found that naive cells stimulated in vitro with HA peptide-loaded APCs expanded rapidly, whereas effectors underwent rapid activation-induced cell death (data not shown). Interestingly, when we restimulated the resting memory cell populations with APCs loaded with a high dose of the HA peptide in vitro, we found that memory cells responded with rapid kinetics, but were also highly susceptible to activation-induced cell death (A.C., manuscript in preparation). Thus, in vivo during viral infections, potent rescue mechanisms might operate to block the activation-induced cell death seen in vitro at least at the population level, and we are currently attempting to identify factors involved in this process.

We demonstrate that, upon adoptive transfer, CD8 effector cells are most efficient in the protection against a localized pulmonary virus infection. This finding is correlated with rapid accumulation of high effector cell numbers at the infected tissue site. Memory cells require activation before they enter the lung, but are still effective. Naive cells respond too slowly to provide protection. The results presented in this study have considerable relevance for the design of successful immunotherapy protocols using Ag-specific CD8 T cell populations (44).


    Acknowledgments
 
We thank Drs. Linda Sherman and David Morgan for initially providing the clone-4 TCR-transgenic mice and the virus preparation, and Dr. Allen Harmsen for helping with influenza virus infections and valuable scientific advice. We are grateful to Joyce Reome for excellent technical assistance and Debbie Duso for performing the thymectomies.


    Footnotes
 
1 This work was supported in part by National Institutes of Health Grants AI7935 and AI36263. A.C. was supported by the Schroedinger Stipendium (Project JO111-MED) from the Austrian Government. Back

2 Address correspondence and reprint requests to Dr. Adelheid Cerwenka at the current address: DNAX Research Institute, 901 California Avenue, Palo Alto, CA 94304. E-mail address: Back

3 Abbreviations used in this paper: LCMV, lymphocytic choriomeningitis virus; HA, hemagglutinin; MDCK, Madine Derby canine kidney; TBLN, tracheal bronchial lymph node; Tc1, Tc2, CTL-producing type 1 or type 2 cytokines; CFSE, 5-(and-6)-carboxy-fluorescein diacetate succinimidyl ester. Back

Received for publication February 9, 1999. Accepted for publication September 1, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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