The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Simmons, C. P.
Right arrow Articles by Dougan, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Simmons, C. P.
Right arrow Articles by Dougan, G.
Right arrowPubmed/NCBI databases
*Gene*GEO Profiles
*HomoloGene*UniGene
*Compound via MeSH
*Substance via MeSH
Hazardous Substances DB
*(L)-ARGININE
*L-LYSINE
The Journal of Immunology, 1999, 163: 6502-6510.
Copyright © 1999 by The American Association of Immunologists

MHC Class I-Restricted Cytotoxic Lymphocyte Responses Induced by Enterotoxin-Based Mucosal Adjuvants1

Cameron P. Simmons2,*, Pietro Mastroeni*, Ray Fowler*, Marjan Ghaem-maghami*, Nils Lycke{ddagger}, Mariagrazia Pizza{dagger}, Rino Rappuoli{dagger} and Gordon Dougan*

* Department of Biochemistry, Imperial College of Science, Technology and Medicine, South Kensington, London, United Kingdom; {dagger} The Chiron Vaccines Immunological Research Institute, Via Fiorentina, Siena, Italy; and {ddagger} Department of Medical Microbiology and Immunology, University of Goteborg, Goteborg, Sweden


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The ability of enterotoxin-based mucosal adjuvants to induce CD8+ MHC class I-restricted CTL responses to a codelivered bystander Ag was examined. Escherichia coli heat-labile toxin (LT), or derivatives of LT carrying mutations in the A subunit (LTR72, LTK63), were tested in parallel with cholera toxin (CT) or a fusion protein consisting of the A1 subunit of CT fused to the Ig binding domain of Staphylococcus aureus protein A (called CTA1-DD). Intranasal (i.n.) immunization of C57BL/6 mice with CT, CTA1-DD, LT, LTR72, LTK63, but not rLT-B, elicited MHC class I-restricted CD8+ T cell responses to coadministered OVA or the OVA CTL peptide SIINFEKL (OVA257–264). CT, LT, and LTR72 also induced CTL responses to OVA after s.c. or oral coimmunization whereas LTK63 only activated responses after s.c. coimmunization. rLT-B was unable to adjuvant CTL responses to OVA or OVA257–264 administered by any route. Mice treated with an anti-CD4 mAb to deplete CD4+ T cells mounted significant OVA-specific CTL responses after i.n. coadministration of LT with OVA or OVA257–264. Both 51Cr release assays and IFN-{gamma} enzyme-linked immunospot assays indicated that IFN-{gamma}-/- and IL-12 p40-/- gene knockout mice developed CTL responses equivalent to those detected in normal C57BL/6 mice. The results highlight the versatility of toxin-based adjuvants and suggest that LT potentiates CTL responses independently of IL-12 and IFN-{gamma} and probably by a mechanism unrelated to cross-priming.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In experimental animals, cholera toxin (CT)3 and Escherichia coli heat-labile enterotoxin (LT) are recognized as potent mucosal adjuvants (1, 2). Unfortunately, in humans, oral ingestion of microgram quantities of either LT or CT is sufficient to induce severe diarrhea. The generation of nontoxic LT and CT derivatives that retain adjuvant activity could provide a safer route to the evaluation of these toxins as mucosal adjuvants in humans. Both LT and CT are composed of distinct A and B subunits. The pentameric B subunit (LT-B) contains five identical polypeptides and targets glycosphingolipid receptors on the surface of eukaryotic cells. The A subunit (LT-A) is tightly associated with LT-B and is an ADP-ribosyltransferase, an enzymatic activity responsible for toxicity. The molecular structure of LT has served as a template to generate mutant derivatives, which retain adjuvanticity but have reduced or undetectable toxicity (3). For example, substitution of Ala72 to Arg (LTR72) or Ser63 to Lys (LTK63) in LT-A generates LT derivatives with adjuvant activity but with significantly reduced (LTR72) (4) or undetectable (LTK63) (5) enzymatic activity and toxicity. Mutagenesis of the A subunit of CT (CT-A) has similarly yielded attenuated CT derivatives which retain adjuvant activity (6, 7). In another approach, the CT-A1 subunit has been expressed attached to a different targeting domain, the Ig binding region of Staphylococcus aureus protein A. The resultant fusion polypeptide, CTA1-DD, targets Abs and B cells in vivo and has mucosal and systemic adjuvant activity following intranasal (i.n.) and parenteral administration, respectively (8).

LTR72 and LTK63 can adjuvant systemic and local humoral immune responses to coadministered Ags after vaginal, i.n., or oral immunization (4, 5). However, individual LT derivatives are associated with different levels of adjuvant activity. For example, LTR72 is as effective as LT in inducing Ab production to bystander Ags (4). LTK63 has reduced adjuvant activity, compared with LTR72 but is significantly more active than LT-B, which is a poor mucosal adjuvant (9). The usefulness of attenuated toxins based on LT and CT is highlighted by their capacity to elicit protective immune responses to Ags from Helicobacter pylori (10), Salmonella dublin (11), Streptococcus pneumoniae (12), and Candida albicans (13).

CTLs play a critical role in controlling many infections and may enhance the success of a vaccine against mucosally transmitted pathogens (14). Relatively little work has been performed on the ability of LT and CT derivatives to prime CTLs. Bowen et al. (15) reported that oral or i.v. coadministration of CT with OVA-primed mice for OVA-specific CTL. CT has also been used to generate CTLs against a HIV peptide and a peptide from OVA (16). LT and LTK63 were similarly shown to adjuvant CTL responses to a coadministered class I binding peptide after i.n. immunization (17). In this paper we compare the potential of several different derivatives of ADP-ribosylating toxins as mucosal adjuvants for CD8+ CTL induction. OVA, and the immunodominant H-2b-restricted class I binding epitope from OVA (OVA257–264), were used as model bystander Ags. The contribution of CD4+ T cells and the type I cytokines IL-12 and IFN-{gamma} to OVA-specific CTL induction was investigated in Ab depleted and gene knockout mice, respectively. The results, using a variety of immunization routes, indicated that nontoxic mutants of LT differ in their ability to adjuvant CTL responses. Furthermore the adjuvant affect of LT for CTL responses operates via a mechanism largely independent of CD4+ T cell help, IL-12, and IFN-{gamma}.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells lines and media

Mycoplasma-free EL4 cells, which only express MHC class I (18), were maintained in RPMI 1640 containing 10% FCS (Sigma, St. Louis, MO), 5 x 10-5 M 2-ME, 2 mM L-glutamine (Sigma), 100 U penicillin/ml (Sigma), and 100 µg/ml streptomycin (cRPMI)(Sigma). E.G7-OVA, a subclone of EL4, stably transfected with the gene encoding OVA (18) (kind gift from A. Mowat, University of Glasgow, Glasgow, U.K.) were maintained in cRPMI containing 200 µg/ml G418 (Life Technologies, Paisley, Scotland). All cells were cultured in humidified air with 5% CO2 at 37°C.

Ags and Abs

OVA (grade V) and wild-type CT were purchased from Sigma. Wild-type porcine LT, LTK63, LTR72, and rLT-B were purified as described (3). CTA1-DD, which consists of the ADP-ribosylating A1 subunit of CT linked to the two D repeats of S. aureus protein A, was supplied by Nils Lycke and prepared as described (8). The immunodominant OVA octapeptide (OVA257–264) with the sequence SIINFEKL was purchased from Zinsser Analytic (Maidenhead, Berkshire, U.K.) and was >95% pure. OVA257–264 is known to be a naturally processed peptide derived from OVA expressed in mouse cells in the context of Kb (19). The sequence of OVA257–264 was verified by electron spray mass spectroscopy. The GK1.5 hybridoma producing an anti-mouse CD4 mAb was a kind gift from C. Engwerda (London School of Tropical Medicine and Hygiene, London, U.K.). GK1.5 mAbs were produced as ascites in Rag-1-/- mice. Magnetic bead conjugated anti-CD4 and anti-CD8 Abs used for in vitro cell depletions were purchased from Dynal (Wirral, Merseyside, U.K.). FITC conjugated anti-CD4 (clone RM4-4), CD8 (clone 53-6.7), and anti-CD45R (B220) were purchased from PharMingen (Oxford, Oxfordshire, U.K.) and used according to the manufacturers instructions.

ELISA

OVA-specific Abs were measured in sera of immunized mice. A solution of OVA (60 µg/ml) in carbonate buffer (pH 9.6) was used to coat 96-well ELISA plates (Life Technologies) (100 µl/well) which were then incubated overnight at 4°C. After washing with PBS and Tween 20, wells were blocked by addition of 1.5% (w/v) BSA in PBS for 1 h. Plates were washed twice with PBS and Tween 20 before sera from individual mice was added and serially diluted in PBS and Tween 20 containing 0.2% (w/v) BSA and incubated for 2 h at 37°C. The wells were washed with PBS and Tween 20 before addition of 100 µl of rabbit anti-mouse Ig-HRP conjugate (Dako, Buckinghampshire, U.K.) diluted 1/1000 in PBS and Tween 20 containing 0.2% (w/v) BSA for 2 h at 37°C. Finally, after washing with PBS and Tween 20, Ag-bound Ab was detected by addition of o-phenylenediamine substrate (Sigma) and the A490 read. Titers were determined arbitrarily as the reciprocal of the serum dilution corresponding to an optical density of 0.3. The minimum detectable titer was 100.

Mice and immunizations

C57BL/6 mice were purchased from Harlan Olac (Bichester, U.K.) and were used between 6 and 8 wk of age. IL-12 p40-/- (20) and IFN-{gamma} (21) gene knockout mice were purchased from The Jackson Laboratory (Bar Harbor, ME) and bred at B{alpha}K Universal (Hull, U.K.) under containment conditions. Gene knockout mice were used between 6–12 wk of age. For i.n. immunizations, groups of mice (n = 3) were lightly anesthetized with gaseous halothane, and 30 µl of Ag in PBS applied to the nasal nares. Mice were i.n. immunized on day 0 and 14 and killed on day 21–23. For s.c. immunization, groups of mice (n = 3) were injected s.c. on the left side of the abdomen with 150 µl of Ag mixture in PBS. As per i.n. immunization, mice were s.c. immunized on day 0 and 14 and killed on day 21–23. For oral immunizations, Ags were diluted in 0.1 M sodium bicarbonate and administered in a 200 µl volume directly into the stomachs of unanesthetized groups of mice (n = 4) via a gavage needle. Mice were orally immunized on day 0, 9, and 18 and killed on day 25. A group of mice (n = 3) s.c. immunized with 200 µl of an emulsion of CFA containing 20 µg of OVA257–264 7–14 days before killing served as a positive control group for the induction of OVA-specific CTL in all experiments. All mice were bled from the tail vein before being killed.

Restimulation and 51Cr release assays

Spleens and superficial cervical lymph nodes (sCLN) were aseptically removed from mice that had been killed by cervical dislocation or exsanguinated under terminal anesthesia. Single cell suspensions from pooled sCLNs (n = 3), or pooled spleens (n = 3), were prepared by passing organs through 100-µm nylon sieves (Marathon Laboratories, London, U.K.). After lysis of splenic erythrocytes with Tris-ammonium chloride, a total of 3.5 x 107 leukocytes from the spleen or sCLN were cultured for 6 days in upright T25 tissue culture flasks in 10 ml of cRPMI in the presence of 3 x 106 gamma-irradiated (20,000 rads) E.G7-OVA cells. Graded numbers of effector cells, consisting of cells which remained viable after the culture period, were harvested and cocultured in triplicate with 5,000 or 10,000 Na51CrO4-labeled EL4 or E.G7-OVA target cells for 4–5 h at the indicated E:T ratios in 200 µl cRPMI. A total of 100 µl of culture supernatant was then removed into 100 µl of OptiPhase "Hisafe" scintillation mixture (Fisher Chemicals, Leicestershire, U.K.), and the amount of Na51CrO4 was measured using a 1450 Microbeta liquid scintillation counter (Wallac, Milton Keynes, U.K.). The percentage killing was calculated using the following formula: [(experimental release - spontaneous release)/(maximum release - spontaneous release)] x 100, where spontaneous release represents the counts obtained when the target cells were incubated in culture medium without effectors and maximum release represents the counts obtained when the target cells were lysed with 1% Triton X-100. Each experiment was repeated at least twice.

Enzyme-linked immunospot (ELISPOT) assays

The ELISPOT assays were performed as previously described (22) and all Abs were purchased from PharMingen. Briefly, nitrocellulose-based 96-well microtiter plates (Multiscreen-HA, Millipore, Hertfordshire, U.K.) were coated overnight at 4°C with 50 µl/well of either 4 µg/ml anti-IFN-{gamma} (R46A2) or 4 µg/ml anti-IL-4 (BVD4-1D11) mAb diluted in carbonate buffer (pH 9.6). After washing three times with filtered PBS, all wells were blocked with 200 µl of cRPMI for 2–3 h at 37°C. Following removal of the blocking medium, spleen cells from individual mice were added to the wells in duplicate (maximum 5 x 105 cells/well in 200 µl), serially diluted, and incubated for 20 h at 37°C in 5% CO2 in the presence or absence of 1 µM OVA257–264 peptide. Cells were removed by washing three times with PBS, followed by a further three times with PBS and Tween 20 (0.05% v/v); then 50 µl of the biotinylated anti-IFN-{gamma} (XMG1.2) or anti-IL-4 (BVD6-24G2) Abs (1 µg/ml in filtered PBS and Tween 20) was added to each well for 2 h. After washing plates five times with filtered PBS and Tween 20, a 1/1000 dilution of Extravadin-alkaline phosphatase (Sigma) was added to all wells for 1–2 h at room temperature. Finally, after washing three times with PBS and Tween 20 and once with PBS alone, 5-bromo-4-chloro-3-indolyl phosphate/nitro blue tetrazolium (Fast BCIP/NBT; Sigma) dissolved in 10 ml of distilled water was added as substrate. Spots, representing single IFN-{gamma} or IL-4-producing cells, were counted using a dissecting microscope. The number of peptide-specific spot-forming cells (SFCs) was determined by subtracting the number of spots obtained with cells stimulated with medium from those stimulated with OVA257–264.

Depletion of CD4+ T cells

C57BL/6 mice, 6–8 wk old, were depleted of CD4+ T cells by i.p. administration of 0.5 mg GK1.5 mAb on day 2 and day 4 before primary immunization; depletion was maintained by administering 0.5 mg mAb on day 5, 10, and 15 after primary immunization. Control mice were administered 0.5 mg rat IgG (Sigma) on the same days. The efficiency of depletion was assessed by staining spleen and sCLN cells, with the noncompeting FITC labeled anti-CD4 mAb (clone RM4-4) (PharMingen). Appropriate FITC-labeled isotype-control Abs were used in all experiments. Stained cells were analyzed on a FACsort flow cytometer (Becton Dickinson, San Diego, CA).

Statistical analysis

Mean IFN-{gamma} ELISPOT numbers were compared using the nonparametric Mann-Whitney t test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ADP-ribosylating toxins adjuvant OVA-specific CTL responses after i.n. immunization

Previous studies showed that LT and CT can adjuvant CTL responses to i.n. coadministered peptides (16, 23). To establish whether this observation extended to i.n. coadministered whole proteins and to facilitate a direct comparison of LT and CT as adjuvants for CTL, whole OVA, or OVA257–264 were used as model bystander Ags in immunization experiments. Standard 51Cr release assays were used to detect CTL activity from splenocytes and cells from the sCLN. In preliminary single dose i.n. immunization experiments, inconsistent OVA-specific CTL responses were elicited using LT and CT as adjuvants. This was overcome by boosting mice 14 days after the initial immunization.

Mice i.n. immunized twice, 14 days apart, with 1 µg of LT or CT mixed with 100 µg of OVA or 40 µg of OVA257–264, mounted OVA-specific CTL responses which were consistently detected in the spleens and sCLNs of immunized animals (Fig. 1Go). Mice immunized with 1 µg of LT mixed with 2 µg of OVA257–264 (an equimolar amount of OVA257–264 epitope to that present in 100 µg of whole OVA) also mounted OVA-specific CTL responses, which were detected in spleens (data not shown).



View larger version (23K):
[in this window]
[in a new window]
 
FIGURE 1. ADP-ribosylating molecules adjuvant OVA specific CTL responses after i.n. coimmunization. C57BL/6 mice (groups of 3) were i.n. immunized on day 0 and day 14 and killed on day 21 when pooled spleen cells and cells from the sCLNs were cocultured with irradiated E.G7-OVA cells for 6 days. Restimulated spleen cells were assayed against 51Cr-labeled EL4 ({square}) and E.G7-OVA (•) cells. Coimmunization of 1 µg of LT with 100 µg of OVA or 40 µg of OVA257–264 elicited OVA-specific CTLs in spleens (A) and sCLNs (B). Splenic CTLs were also detected when 1 µg of CT (C) or 20 µg of CTA1-DD (D) was used to adjuvant whole OVA; however, only CT adjuvanted OVA257–264. Immunization of mice with OVA alone or OVA257–264 alone failed to elicit detectable OVA-specific CTLs (E). The results are representative of two to four separate experiments.

 
CTA1-DD is a novel ADP-ribosylating molecule with affinity for B cells. CTA1-DD has been shown to possess mucosal adjuvanting activity following i.n administration with bystander Ags (8). CTA1-DD adjuvanted weak OVA-specific CTL responses and only when coadministered with whole OVA (Fig. 1Go). Intranasal immunization of mice with 100 µg of OVA alone or 40 µg of OVA257–264 alone consistently failed to elicit a detectable CTL response in either the spleen (Fig. 1Go) or the sCLN (data not shown).

LT adjuvants MHC class I restricted CD8+ CTL responses

To identify the T cell population with cytotoxic activity, either CD8+ or CD4+ T cells were depleted from restimulated spleen cell populations prepared from mice i.n. immunized with 1 µg of LT mixed with OVA or OVA257–264. Depletion of CD8+ T cells, but not CD4+ T cells, immediately before coculturing them with chromium-labeled targets abrogated all lytic activity (data not shown).

LTR72 and LTK63 but not rLT-B adjuvant OVA-specific CTL responses after i.n. immunization

The adjuvant properties attributed to LT are reportedly enhanced by the ADP-ribosyltransferase activity associated with the A subunit (4). The role of this enzymatic activity and LT-A itself in promoting CD8+ CTL responses to OVA or OVA257–264 was assessed in immunization studies using attenuated LT derivatives with reduced (LTR72) or absent (LTK63 and rLT-B) enzymatic activity. Initial experiments using 1 µg of mutant toxin as adjuvant in i.n. immunization experiments failed to consistently elicit OVA-specific CTL responses. However, i.n. immunization of mice with 10 µg of LTK63 or 10 µg of LTR72 mixed with 100 µg of OVA or 40 µg of OVA257–264 elicited OVA-specific CTL responses which were reproducibly detected by 51Cr release assay (Fig. 2Go). In contrast, i.n. coimmunization of mice with 10 µg of rLT-B mixed with 100 µg of OVA or 40 µg of OVA257–264 failed to elicit significant CTL responses (Fig. 2Go).



View larger version (23K):
[in this window]
[in a new window]
 
FIGURE 2. A, Mutants of LT with reduced or undetectable ADP-ribosyltransferase activity adjuvant OVA-specific CTL responses after i.n. coimmunization. Groups of C57BL/6 mice (n = 3) were i.n. immunized on day 0 and day 14 and killed on day 21 when pooled spleen cells were cocultured with irradiated E.G7-OVA cells for 6 days. Restimulated spleen cells were assayed against 51Cr-labeled EL4 ({square}) and E.G7-OVA (•) cells. OVA-specific CTLs were detected in the spleens of mice i.n. immunized with 100 µg of OVA or 40 µg of OVA257–264 mixed with 10 µg of LTR72 (a) or 10 µg of LTK63 (b), but not when mixed with 10 µg of LT-B (c). The results are representative of two separate experiments. d, Quantitative IFN-{gamma} ELISPOT assays using splenocytes from i.n. immunized mice were used to complement results obtained by conventional 51Cr release assay. Splenocytes from individual immunized mice were stimulated with media or OVA257–264 (1 µM) on nitrocellulose plates for 20 h and the number of IFN-{gamma} positive SFCs detected as described in Materials and Methods. The data depicts the mean number (±SD) of IFN-{gamma}-positive SFCs per million splenocytes obtained from mice i.n. immunized with OVA ({blacksquare}) or OVA257–264 ({square}) mixed with LT, LTK63, rLT-B or PBS.

 
OVA257–264 peptide-specific IFN-{gamma} ELISPOTs were performed in parallel with 51Cr-release assays using splenocytes from selected groups of i.n. immunized mice. The results (Fig. 2GoD) demonstrated that i.n. coadministration of OVA or OVA257–264 with LT or LTK63, but not rLT-B, elicited OVA257–264-specific T cells which produced IFN-{gamma} upon secondary restimulation in vitro.

LT, CT, and LTR72, but not LTK63 or LT-B, adjuvant OVA-specific CTL responses after oral immunization

The capacity of LT derivatives to adjuvant OVA-specific CTL responses by the oral route of immunization was explored. LT, and to a lesser extent a CT control, adjuvanted splenic CTL responses after oral coimmunization of 10 µg of toxin with 5 mg of OVA (Fig. 3Go). The OVA-specific CTL responses elicited using 10 µg of LTR72 as adjuvant was comparable to that elicited by 10 µg of wild-type LT (Fig. 3Go). In contrast, oral administration of LTK63 or rLT-B with 5 mg of OVA failed to elicit detectable CTL responses (Fig. 3Go). Oral immunization of mice with 5 mg of OVA alone failed to elicit a CTL response (Fig. 3Go).



View larger version (23K):
[in this window]
[in a new window]
 
FIGURE 3. LT, CT and attenuated mutants of LT adjuvant OVA-specific CTL responses after oral coimmunization. C57BL/6 mice were orally immunized on days 0, 9, and 18 and killed on day 25 when pooled spleen cells were cocultured with irradiated E.G7-OVA cells for 6 days. Restimulated spleen cells were assayed against 51Cr-labeled EL4 ({square}) and E.G7-OVA (•) cells. OVA-specific CTLs were detected in the spleens of mice orally immunized with 5 mg of OVA mixed with 10 µg of LT (A), 10 µg of CT (B), or 10 µg of LTR72 (C). Oral immunization of mice with 5 mg of OVA mixed with 10 µg of LTK63 (D), 10 µg of LT-B (E), or 5 mg of OVA alone (F) failed to elicit OVA-specific CTLs in the spleens of immunized animals.

 
LT, CT, LTR72, LTK63, and CTA1-DD, but not rLT-B, adjuvant OVA-specific CTL responses after s.c. immunization

Mice immunized s.c. with 100 µg of OVA mixed with 1 µg of the ADP-ribosylating molecules LT or CT, or 20 µg of CTA1-DD, all mounted OVA-specific CTL responses that were detected in the spleen (Fig. 4Go). Similarly, mice immunized s.c. with 100 µg of OVA mixed with 1 µg of the attenuated toxins LTR72 or LTK63 also mounted OVA-specific CTL responses. Conversely, immunization of mice with 1 µg of rLT-B mixed with 100 µg of OVA, or 100 µg of OVA alone, failed to elicit a CTL response (Fig. 4Go). Immunization of mice with LT, CT, or CTA1-DD alone (data not shown) did not elicit OVA-specific CTL responses.



View larger version (20K):
[in this window]
[in a new window]
 
FIGURE 4. LT, CT, and attenuated mutants of LT adjuvant OVA-specific CTL responses after s.c. immunization. Groups of mice (n = 3) were injected s.c. on the abdomen on days 0 and day 14 and killed on days 21–23 when pooled spleen cells were cocultured with irradiated E.G7-OVA cells for 6 days. Restimulated spleen cells were assayed against 51Cr-labeled EL4 ({square}) and E.G7-OVA (•) cells. The data depicts OVA-specific CTL responses detected in the spleens of mice immunized s.c. with 100 µg of OVA mixed with 1 µg of LT (A), 1 µg of CT (B), or 20 µg of CTA1-DD (C). CTL responses were also detected in mice immunized s.c. with 100 µg of OVA mixed with 1 µg of LTR72 (D) or LTK63 (E). Injection s.c. of 100 µg of OVA with 1 µg of rLT-B (F) or 100 µg of OVA alone (G) failed to elicit a CTL response. The results are representative of two to three separate experiments

 
The OVA-specific CD8+ CTL responses elicited using LT as adjuvant are independent of CD4+ T cell help

CD4+ T cell help is a common but not universal requirement for CTL responses (24). The role of CD4+ T cells in the induction of OVA-specific CD8+ CTL responses using LT as an adjuvant was assessed by depleting mice of CD4+ T cells with the mAb GK1.5. Mice were injected twice with 0.5 mg of GK1.5 or rat IgG (control group) before being i.n. immunized twice, 14 days apart, with 1 µg of LT mixed with 100 µg of OVA or 40 µg of OVA257–264. Mice were injected again with 0.5 mg of the GK1.5 mAb or rat IgG on day 5, 10, and 15 postprimary immunization. The efficiency of CD4+ T cell depletion was assessed on day 0, 10, and 21 by flow cytometric analysis (using a noncompeting anti-CD4 mAb) of lymphocytes recovered from the spleens and sCLNs of randomly selected mice. In two separate experiments, between 93 and 96% of CD4+ T cells were depleted from both the spleen and sCLN at the time points studied.

Depletion of CD4+ T cells did not prevent the induction of an OVA-specific CD8+ CTL response in mice i.n. immunized with LT mixed with OVA or OVA257–264 (Fig. 5Go). In contrast, the serum Ab response to OVA, which in rat IgG-treated mice exceeded a titer of 105, was completely abrogated in CD4-depleted mice (Fig. 5GoK). Mice administered GK1.5 or rat IgG and i.n. immunized with 100 µg of OVA alone or 40 µg of OVA257–264 alone failed to mount significant OVA-specific CTL responses (Fig. 5Go). As previously described (25), OVA-specific CTL responses resulting from s.c. immunization of mice with OVA257–264 emulsified in CFA were independent of CD4+ T cell help (Fig. 5Go).



View larger version (20K):
[in this window]
[in a new window]
 
FIGURE 5. A, LT adjuvants OVA-specific CD8+ CTL responses independently of CD4+ T cell help. Groups of C57BL/6 mice (n = 3) were treated with 0.5 mg of the CD4+ T cell depleting mAb GK1.5 or an equivalent amount of rat IgG before and during the immunization protocol. Mice were i.n. immunized on days 0 and day 14 with 1 µg of LT mixed with 100 µg of OVA or 40 µg of OVA257–264. Control mice were i.n. immunized with 100 µg of OVA alone, 40 µg of OVA257–264 alone, or 20 µg of OVA257–264 emulsified in CFA s.c. All mice were killed on day 21, and pooled spleen cells were cocultured with irradiated E.G7-OVA cells for 6 days. Restimulated spleen cells were assayed against 51Cr-labeled EL4 ({square}) and E.G7-OVA (•) cells. Mice i.n. immunized with 40 µg of OVA257–264 alone (A and B) or 100 µg of OVA alone (C and D) did not mount strong OVA-specific CTL responses. OVA-specific CTLs were detected in the spleens of mice immunized with 1 µg of LT mixed with 40 µg of OVA257–264 (E and F) or 100 µg of OVA (G and H), irrespective of whether they had been depleted of CD4+ T cells or not. Mice s.c. immunized with 20 µg of OVA257–264 emulsified in CFA mounted OVA-specific CTLs (I and J) as previously described (25 ). K, Depletion of CD4+ T cells abrogates the serum Ab response to OVA after i.n. coadministration with LT. Anti-OVA Ab titers in sera of mice i.n. immunized with 1 µg of LT mixed with 100 µg of OVA or 100 µg of OVA alone were analyzed on day 21. The data depict the anti-OVA serum Ab titers of individual mice. Mice treated with rat IgG before and during immunization had high anti-OVA serum Ab titers (K). In contrast the serum anti-OVA Ig response was abrogated in mice depleted of CD4+ T cells (K). The results shown were pooled from two separate experiments.

 
OVA-specific CD8+ CTL responses elicited using LT as mucosal adjuvant are independent of IL-12 and IFN-{gamma}

IL-12 and IFN-{gamma} play central roles in the development of Th1-type immune responses and, potentially, in Th cell-independent CTL generation (26). The contribution of IL-12 and IFN-{gamma} to the induction of OVA-specific CD8+ CTL responses was assessed in mice deficient in the IL-12 p40 subunit and IFN-{gamma} gene respectively. C57BL/6 mice (H-2b), IL-12 p40-/- mice (H-2b) and IFN-{gamma}-/- mice (H-2b) were immunized i.n. with 1 µg of LT mixed with 100 µg of OVA or 40 µg of OVA257–264. Additional groups of normal and gene knockout mice were immunized i.n. with 100 µg of OVA alone or 40 µg of OVA257–264 alone.

In multiple experiments, i.n. immunization of IL-12 p40-/- and IFN-{gamma}-/- mice elicited OVA-specific CTL responses that were similar in magnitude, as shown by 51Cr release assay, to that detected in C57BL/6 control mice (Fig. 6Go). The induction of OVA-specific T cell responses in IL-12 p40-/- mice was also assessed by IFN-{gamma} and IL-4 ELISPOT. The IFN-{gamma} ELISPOT results indicated that IL-12 p40-/- mice, i.n. immunized with LT mixed with OVA or OVA257–264, had fewer numbers of OVA257–264 peptide-specific IFN-{gamma} SFCs when compared with normal control mice. However, these differences were not statistically different (Fig. 7Go). In contrast, IL-12 p40-/- mice immunized with OVA257–264 emulsified in CFA had significantly fewer peptide-specific splenic T cells producing IFN-{gamma} when compared with similarly immunized normal control mice (p < 0.05) (Fig. 7Go).



View larger version (35K):
[in this window]
[in a new window]
 
FIGURE 6. LT adjuvants OVA-specific CD8+ CTL responses independently of IL-12 and IFN-{gamma}. C57BL/6J control mice, IL-12 p40-/- mice and IFN-{gamma} gene knockout mice (groups of three to four) were i.n. immunized on day 0 and day 14 with 1 µg of LT mixed with 100 µg of OVA or 40 µg of OVA257–264. Additional groups of normal and knockout mice were immunised i.n. with 100 µg of OVA alone, 40 µg of OVA257–264 alone or s.c. with 20 µg of OVA257–264 emulsified in CFA. All mice were killed on day 21 when spleen cells from individual mice were removed for coculture with irradiated E.G7-OVA cells for 6 days. Restimulated spleen cells were assayed against 51Cr-labeled EL4 ({square}) and E.G7-OVA (•) cells. The data depicts the CTL activity of restimulated spleen cells from individual control or gene knockout mice. For clarity, only two to three representative mice are shown from each group. The results are representative of two separate experiments.

 


View larger version (21K):
[in this window]
[in a new window]
 
FIGURE 7. IL-12 deficiency does not significantly affect the numbers of OVA257–264-specific IFN-{gamma}-secreting T cells elicited by i.n. immunization with LT mixed with OVA or OVA257–264. Quantitative IFN-{gamma} ELISPOT assays using splenocytes from control and gene knockout mice were used to complement results obtained by conventional 51Cr release assay. Ex vivo splenocytes from individual, immunised C57BL/6 control mice and IL-12 p40-/- mice were stimulated with media or OVA257–264 (1 µM) on nitrocellulose plates for 20 h and the number of IFN-{gamma}-positive SFCs detected as described in Materials and Methods. The data depict the mean number (±SD) of IFN-{gamma}-positive SFCs per million splenocytes. Following peptide restimulation, there were significantly fewer IFN-{gamma}-positive SFCs recovered from IL-12 p40-/- mice immunized with OVA257–264 emulsified in CFA compared with similarly immunized C57BL/6J control mice (*, p < 0.05; Mann-Whitney t test).

 
The frequency of IL-4 positive SFCs obtained with unstimulated splenocytes from i.n. immunized IL-12 p40-/- (80 ± 32 SFCs per 106 splenocytes), or IFN-{gamma}-/- mice (58 ± 46 SFC/106 splenocytes), was not significantly different to that found in i.n. immunized C57BL/6 mice (86 ± 34 SFC/106 splenocytes). The frequency of IL-4 SFCs did not increase when spleen cells from immunized IL-12 p40-/- mice, IFN-{gamma}-/- mice, or normal C57BL/6 mice were restimulated with OVA257–264 (data not shown).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CTLs represent an important immune effector mechanism for resistance and protection against many viral and some bacterial infectious agents. The induction of CTL responses to appropriate Ags from relevant pathogens is therefore an aim of many novel immunization approaches. The results of this study suggest that i.n. codelivery of peptides or protein Ags with attenuated LT mutants represents a viable CTL immunization strategy. In this report, we showed that LT mutants with reduced (LTR72) or undetectable (LTK63) levels of ADP-ribosyltransferase activity adjuvanted OVA-specific CTL responses after i.n. coimmunization with either whole OVA or OVA257–264. Both LTR72 and LTK63 also adjuvanted OVA-specific CTL responses after s.c. coimmunization with OVA, but only LTR72 elicited CTL responses after oral coimmunization. LT-B was unable to adjuvant CTL activity following immunization by any route. Further, it was demonstrated that LT-mediated OVA-specific CTL responses were independent of CD4+ T cell help, IL-12, and IFN-{gamma}. This represents the first comparative study of LT, rLT-B and nontoxic LT mutant derivatives as adjuvants for CTL responses and the first attempt at delineating the immunological mechanisms through which wild-type LT adjuvants whole Ag and peptide-specific CTL responses.

The availability of recombinant derivatives of LT which are either devoid or reduced in enzymatic activity (LTK63 and LTR72), or which lack the enzymatic A domain (rLT-B) has facilitated a dissection of the properties of this toxin which endow it with adjuvant activity. The inability of rLT-B to adjuvant CTL responses to i.n., orally, or s.c. codelivered OVA suggests that the A subunit of LT endows the toxin with characteristics essential for promoting CTL responses. The ADP-ribosyltransferase activity associated with the A subunit in wild-type LT appears to enhance the adjuvant potential of the toxin, but is nevertheless nonessential for adjuvanticity because LTK63, which is devoid of ADP-ribosyltransferase activity, adjuvants mucosal and systemic Ab (5), and CTL responses to i.n. or s.c. coadministered OVA. The function of the mutated A subunit in LTK63 may be to enhance the half-life of the holotoxin in vivo and thereby increase the hosts exposure to the affects mediated by LTK63 binding its ubiquitously found glycosphingolipid receptors. These effects may include up-regulated expression of MHC class II and co-stimulatory molecules on B cells (27) or stimulating cellular synthesis of arachidonic acid metabolites (e.g., PGE2) (28). Alternatively, the A subunit in LTK63 may possess other immunomodulating properties which, in addition to affects mediated by toxin ligation of receptor, are critical for adjuvanting CTL responses to bystander proteins or peptides. These immunomodulatory properties could potentially be mediated through binding of the A subunit to ADP-ribosylation factors (ARFs), an interaction that has been shown to occur outside the NAD binding cleft (29). While speculative, ARF binding to the A subunit may lead to alterations in vesicular membrane trafficking in both endocytic and exocytic pathways of host cells, because ARFs are recognized as being essential mediators of these events (30, 31).

The results of this study indicated that LTK63 was unable to adjuvant splenic CTL responses after oral coimmunization with OVA. It is unclear whether this represents a definitive inability to adjuvant CTL responses perorally, or whether a CTL response may be elicited by increasing the amount of LTK63 coadministered with the bystander Ag. In any case, the result suggests that toxins with either partial (e.g., LTR72) or wild-type levels (e.g., LT, CT) of ADP-ribosyltransferase activity are better oral adjuvants for CTL responses.

The novel finding that CTA1-DD and CT can adjuvant CTL responses after i.n. and s.c. coimmunization with whole OVA highlights the immunological potency of molecules with ADP-ribosyltransferase activity. CTA1-DD is a potent activator of B cells and strongly up-regulates costimulatory molecules, in particular B.7, on their surface (8). That the CTA1-DD adjuvant fails to prime CD4+ T cells in B cell-deficient mice, whereas it is highly effective in wild-type mice (N. Lycke, unpublished observation), indicates that this targeted adjuvant appears to act via B cells to induce naive CD4+ T cells. This mechanism of T cell induction may also apply to CTA1-DD in its effect as an adjuvant for OVA-specific MHC class I-restricted CTL responses.

The capacity of CT to augment CTL responses to OVA257–264 after i.n. immunization, or whole OVA after oral coimmunization, concurs with previous studies of this toxin (15, 16). Interestingly, although numerous studies have described CT as a potent inducer of Th2-type immune responses (6, 32), this study, like others (15, 16, 33), showed CT to be a useful adjuvant for CTL responses; a response not normally associated with strong Th2-type immune responses.

CD4+ T cell lymphocytes play a central role in the regulation of the immune response. The role of CD4+ T cells in the induction and maintenance of CD8+ CTL responses appears to depend on the system in which they are studied. CD8+ CTL responses which result from cross priming, as occurs after DNA vaccination (34), or injection of cell associated Ags (25, 35), is clearly dependent on CD4+ T cell help. Elegant studies indicate that this CD4+ T cell help is mediated through CD154 signaling of CD40 on the host APC (35, 36, 37). In studies of CTL responses to certain viruses however, CD4+ T cell help is not critical for the induction of CD8+ CTL, but they may contribute to maintenance of memory CTL responses (38, 39). Similarly, induction of CD8+ CTL responses by injection of class I binding peptides in strong adjuvants is not dependent on CD4+ T cell help (25), but their long-term maintenance can require CD4+ T cells (40). The results of this study showed that LT, like CFA, can elicit CTL responses to OVA or OVA257–264 independently of CD4+ T cell help. This result suggests that LT directly or indirectly activates host APCs (thereby obviating the need for this activation to occur via CD4+ T cells), such that they are now competent to prime an OVA-specific CD8+ T cell response. The identity of the APC which primes the CD8+ T cell response after i.n immunization with CT and OVA257–264 has been suggested in a previous study. Porgador et al. (41) showed that following intranasal coimmunization of OVA257–264 with CT, only dendritic cells (DCs) from the nasal associated lymphoid tissue could present OVA257–264 to OVA-specific T cells in vitro, suggesting that DCs may also be the APC responsible for the presentation of OVA257–264 in vivo. Whether DCs can also present antigenic peptides from soluble OVA has not been determined, although previous studies have established that DCs can take up OVA via macropinocytosis in vitro and subsequently prime an Ag-specific CTL response following adoptive transfer in vivo (42).

The rationale for examining the role of IL-12 in the induction of OVA-specific CTL responses stems from previous reports indicating that IL-12 is essential for CTL responses to mucosally delivered peptide immunogens (33) and contributes to OVA-specific CTL responses induced by immune stimulating complexes (43). Further, a role for IL-12 in CTL induction is implied by the observation that supply of exogenous IL-12 at the time of immunization, either in the form of recombinant protein (44) or encoded in a DNA vaccine (45, 46), enhances Ag-specific CTL responses. Conversely, however, IL-12 p40 gene knockout mice have no defect in allogeneic CTL responses (47) or in the CTL response that develops following a viral infection (48). Interestingly, the adjuvanticity of CT has also been reported to be unaffected in IL-12-deficient mice (49), although CTL induction was not examined. Our data suggest that IL-12 is unimportant or redundant for the induction of OVA-specific CTL responses when LT is used as an i.n. adjuvant or when CFA is used as a parenteral adjuvant (Fig. 6Go). Furthermore, our IFN-{gamma} ELISPOT results suggests the presence of an IL-12-independent mechanism through which CD8+ T cells expressing IFN-{gamma} (but not IL-4) can be elicited (Fig. 7Go). IL-12-independent mechanisms of inducing Th1 CD4+ T cell responses have also been described (48, 50), and together these results imply that the requirement for IL-12 in priming T cells which express IFN-{gamma} is dependent on the nature and composition of the Ag and the cytokine environment in which Ag is presented to naive CD8+ T cells.

Like IL-12, IFN-{gamma} has also variously been described as essential (51) and alternatively, dispensable for the induction of CTL in vivo (52). Our data, using IFN-{gamma}-/- mice, suggests that LT (and CFA) potentiate OVA-specific CTL responses independently of IFN-{gamma}, and also imply that the cytotoxic function of these T cells is not impaired by their inability to make IFN-{gamma}. IFN-{gamma}-/- mice with acute viral infections (53, 54) also mount normal CTL responses, suggesting IFN-{gamma} may be unimportant or redundant for CD8+ CTL responses when Ag is presented in an environment rich in inflammatory cytokines and mediators. Interestingly, following immunization of IFN-{gamma}-/- mice, the number of OVA257–264-specific CD8+ T cells making IL-4 did not increase, suggesting that despite the absence of IFN-{gamma}, the cytokine profile of the responding OVA257–264-specific CD8+ T cells was not biased toward expression of a typical type II cytokine.

There exist many experimental strategies that can be used to elicit Ag-specific CTL responses in model systems. The attractiveness of using molecularly defined, nontoxic adjuvants based on LT lies in their capacity to elicit CTL responses by mucosal immunization. That mucosally elicited CTL mediates more effective resistance to a mucosal pathogen than systemically elicited CTL has already been demonstrated in one system (14). The authors are currently extending this area of research using nontoxic derivatives of LT.


    Footnotes
 
1 This work was supported by a Wellcome Trust program grant to G.D. Back

2 Address correspondence and reprint requests to Dr. Cameron Simmons, Department of Biochemistry, Imperial College of Science, Technology and Medicine, South Kensington, London SW7 2AZ, U.K. E-mail address: Back

3 Abbreviations used in this paper: CT, cholera toxin; LT, E. coli labile-toxin; i.n., intranasal; sCLN, superficial cervical lymph nodes; ELISPOT, enzyme-linked immunospot; SCF, spot-forming cell. Back

Received for publication August 5, 1999. Accepted for publication October 6, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Clements, J. D., N. M. Hartzog, F. L. Lyon. 1988. Adjuvant activity of Escherichia coli heat-labile enterotoxin and effect on the induction of oral tolerance in mice to unrelated protein antigens. Vaccine 6:269.[Medline]
  2. Lycke, N., J. Holmgren. 1986. Strong adjuvant properties of cholera toxin on gut mucosal immune responses to orally presented antigens. Immunology 59:301.[Medline]
  3. Pizza, M., M. R. Fontana, M. M. Giuliani, M. Domenighini, C. Magagnoli, V. Giannelli, D. Nucci, W. Hol, R. Manetti, R. Rappuoli. 1994. A genetically detoxified derivative of heat-labile Escherichia coli enterotoxin induces neutralizing antibodies against the A subunit. J. Exp. Med. 180:2147.[Abstract/Free Full Text]
  4. Giuliani, M. M., G. Del Giudice, V. Giannelli, G. Dougan, G. Douce, R. Rappuoli, M. Pizza. 1998. Mucosal adjuvanticity and immunogenicity of LTR72, a novel mutant of Escherichia coli heat-labile enterotoxin with partial knockout of ADP-ribosyltransferase activity. J. Exp. Med. 187:1123.[Abstract/Free Full Text]
  5. Di Tommaso, A., G. Saletti, M. Pizza, R. Rappuoli, G. Dougan, S. Abrignani, G. Douce, M. T. De Magistris. 1996. Induction of antigen-specific antibodies in vaginal secretions by using a nontoxic mutant of heat-labile enterotoxin as a mucosal adjuvant. Infect. Immun. 64:974.[Abstract]
  6. Yamamoto, S., Y. Takeda, M. Yamamoto, H. Kurazono, K. Imaoka, K. Fujihashi, M. Noda, H. Kiyono, J. R. McGhee. 1997. Mutants in the ADP-ribosyltransferase cleft of cholera toxin lack diarrheagenicity but retain adjuvanticity. J. Exp. Med. 185:1203.[Abstract/Free Full Text]
  7. Douce, G., M. Fontana, M. Pizza, R. Rappuoli, G. Dougan. 1997. Intranasal immunogenicity and adjuvanticity of site-directed mutant derivatives of cholera toxin. Infect. Immun. 65:2821.[Abstract]
  8. Agren, L. C., L. Ekman, B. Lowenadler, N. Y. Lycke. 1997. Genetically engineered nontoxic vaccine adjuvant that combines B cell targeting with immunomodulation by cholera toxin A1 subunit. J. Immunol. 158:3936.[Abstract]
  9. Douce, G., M. M. Giuliani, V. Giannelli, M. G. Pizza, R. Rappuoli, G. Dougan. 1998. Mucosal immunogenicity of genetically detoxified derivatives of heat labile toxin from Escherichia coli. Vaccine 16:1065.[Medline]
  10. Marchetti, M., M. Rossi, V. Giannelli, M. M. Giuliani, M. Pizza, S. Censini, A. Covacci, P. Massari, C. Pagliaccia, R. Manetti, et al 1998. Protection against Helicobacter pylori infection in mice by intragastric vaccination with H. pylori antigens is achieved using a nontoxic mutant of E. coli heat-labile enterotoxin (LT) as adjuvant. Vaccine 16:33.[Medline]
  11. Chong, C., M. Friberg, J. D. Clements. 1998. LT(R192G), a non-toxic mutant of the heat-labile enterotoxin of Escherichia coli, elicits enhanced humoral and cellular immune responses associated with protection against lethal oral challenge with Salmonella spp. Vaccine 16:732.[Medline]
  12. Yamamoto, M., D. E. Briles, S. Yamamoto, M. Ohmura, H. Kiyono, J. R. McGhee. 1998. A nontoxic adjuvant for mucosal immunity to pneumococcal surface protein A. J. Immunol. 161:4115.[Abstract/Free Full Text]
  13. Cardenas-Freytag, L., E. Cheng, P. Mayeux, J. E. Domer, J. D. Clements. 1999. Effectiveness of a vaccine composed of heat-killed Candida albicans and a novel mucosal adjuvant, LT(R192G), against systemic candidiasis. Infect. Immun. 67:826.[Abstract/Free Full Text]
  14. Belyakov, I. M., J. D. Ahlers, B. Y. Brandwein, P. Earl, B. L. Kelsall, B. Moss, W. Strober, J. A. Berzofsky. 1998. The importance of local mucosal HIV-specific CD8+ cytotoxic T lymphocytes for resistance to mucosal viral transmission in mice and enhancement of resistance by local administration of IL-12. J. Clin. Invest. 102:2072.[Medline]
  15. Bowen, J. C., S. K. Nair, R. Reddy, B. T. Rouse. 1994. Cholera toxin acts as a potent adjuvant for the induction of cytotoxic T-lymphocyte responses with non-replicating antigens. Immunology 81:338.[Medline]
  16. Porgador, A., H. F. Staats, B. Faiola, E. Gilboa, T. J. Palker. 1997. Intranasal immunization with CTL epitope peptides from HIV-1 or ovalbumin and the mucosal adjuvant cholera toxin induces peptide-specific CTLs and protection against tumor development in vivo. J. Immunol. 158:834.[Abstract]
  17. Partidos, C. D., M. Pizza, R. Rappuoli, M. W. Steward. 1996. The adjuvant effect of a non-toxic mutant of heat-labile enterotoxin of Escherichia coli for the induction of measles virus-specific CTL responses after intranasal co-immunization with a synthetic peptide. Immunology 89:483.[Medline]
  18. Moore, M. W., F. R. Carbone, M. J. Bevan. 1988. Introduction of soluble protein into the class I pathway of antigen processing and presentation. Cell 54:777.[Medline]
  19. Rotzschke, O., K. Falk, S. Stevanovic, G. Jung, P. Walden, H. G. Rammensee. 1991. Exact prediction of a natural T cell epitope. Eur. J. Immunol. 21:2891.[Medline]
  20. Magram, J., S. E. Connaughton, R. R. Warrier, D. M. Carvajal, C. Y. Wu, J. Ferrante, C. Stewart, U. Sarmiento, D. A. Faherty, M. K. Gately. 1996. IL-12-deficient mice are defective in IFN-{gamma} production and type 1 cytokine responses. Immunity 4:471.[Medline]
  21. Dalton, D. K., S. Pitts-Meek, S. Keshav, I. S. Figari, A. Bradley, T. A. Stewart. 1993. Multiple defects of immune cell function in mice with disrupted interferon-{gamma} genes. Science 259:1739.[Abstract/Free Full Text]
  22. Murphy, M. L., C. R. Engwerda, P. M. Gorak, P. M. Kaye. 1997. B7-2 blockade enhances T cell responses to Leishmania donovani. J. Immunol. 159:4460.[Abstract]
  23. Partidos, C. D., P. Vohra, M. W. Steward. 1996. Induction of measles virus-specific cytotoxic T-cell responses after intranasal immunization with synthetic peptides. Immunology 87:179.[Medline]
  24. Carbone, F. R., C. Kurts, S. R. Bennett, J. F. Miller, W. R. Heath. 1998. Cross-presentation: a general mechanism for CTL immunity and tolerance. Immunol. Today 19:368.[Medline]
  25. Bennett, S. R., F. R. Carbone, F. Karamalis, J. F. Miller, W. R. Heath. 1997. Induction of a CD8+ cytotoxic T lymphocyte response by cross-priming requires cognate CD4+ T cell help. J. Exp. Med. 186:65.[Abstract/Free Full Text]
  26. Chouaib, S., J. Chehimi, L. Bani, N. Genetet, T. Tursz, F. Gay, G. Trinchieri, F. Mami-Chouaib. 1994. Interleukin 12 induces the differentiation of major histocompatibility complex class I-primed cytotoxic T-lymphocyte precursors into allospecific cytotoxic effectors. Proc. Natl. Acad. Sci. USA 91:12659.[Abstract/Free Full Text]
  27. Nashar, T. O., T. R. Hirst, N. A. Williams. 1997. Modulation of B-cell activation by the B subunit of Escherichia coli enterotoxin: receptor interaction up-regulates MHC class II, B7, CD40, CD25 and ICAM-1. Immunology 91:572.[Medline]
  28. Peterson, J. W., R. A. Finkelstein, J. Cantu, D. L. Gessell, A. K. Chopra. 1999. Cholera toxin B subunit activates arachidonic acid metabolism. Infect. Immun. 67:794.[Abstract/Free Full Text]
  29. Stevens, L. A., J. Moss, M. Vaughan, M. Pizza, R. Rappuoli. 1999. Effects of site-directed mutagenesis of Escherichia coli heat-labile enterotoxin on ADP-ribosyltransferase activity and interaction with ADP- ribosylation factors. Infect. Immun. 67:259.[Abstract/Free Full Text]
  30. Rothman, J. E.. 1994. Mechanisms of intracellular protein transport. Nature 372:55.[Medline]
  31. Moss, J., M. Vaughan. 1995. Structure and function of ARF proteins: activators of cholera toxin and critical components of intracellular vesicular transport processes. J. Biol. Chem. 270:12327.[Free Full Text]
  32. Xu-Amano, J., R. J. Jackson, K. Fujihashi, H. Kiyono, H. F. Staats, J. R. McGhee. 1994. Helper Th1 and Th2 cell responses following mucosal or systemic immunization with cholera toxin. Vaccine 12:903.[Medline]
  33. Belyakov, I. M., M. A. Derby, J. D. Ahlers, B. L. Kelsall, P. Earl, B. Moss, W. Strober, J. A. Berzofsky. 1998. Mucosal immunization with HIV-1 peptide vaccine induces mucosal and systemic cytotoxic T lymphocytes and protective immunity in mice against intrarectal recombinant HIV-vaccinia challenge. Proc. Natl. Acad. Sci. USA 95:1709.[Abstract/Free Full Text]
  34. Maecker, H. T., D. T. Umetsu, R. H. DeKruyff, S. Levy. 1998. Cytotoxic T cell responses to DNA vaccination: dependence on antigen presentation via class II MHC. J. Immunol. 161:6532.[Abstract/Free Full Text]
  35. Schoenberger, S. P., R. E. Toes, E. I. van der Voort, R. Offringa, C. J. Melief. 1998. T-cell help for cytotoxic T lymphocytes is mediated by CD40-CD40L interactions. Nature 393:480.[Medline]
  36. Bennett, S. R., F. R. Carbone, F. Karamalis, R. A. Flavell, J. F. Miller, W. R. Heath. 1998. Help for cytotoxic-T-cell responses is mediated by CD40 signalling. Nature 393:478.[Medline]
  37. Ridge, J. P., F. Di Rosa, P. Matzinger. 1998. A conditioned dendritic cell can be a temporal bridge between a CD4+ T-helper and a T-killer cell. Nature 393:474.[Medline]
  38. von Herrath, M. G., M. Yokoyama, J. Dockter, M. B. Oldstone, J. L. Whitton. 1996. CD4-deficient mice have reduced levels of memory cytotoxic T lymphocytes after immunization and show diminished resistance to subsequent virus challenge. J. Virol. 70:1072.[Abstract]
  39. Cardin, R. D., J. W. Brooks, S. R. Sarawar, P. C. Doherty. 1996. Progressive loss of CD8+ T cell-mediated control of a gamma-herpesvirus in the absence of CD4+ T cells. J. Exp. Med. 184:863.[Abstract/Free Full Text]
  40. Sauzet, J. P., H. Gras-Masse, J. G. Guillet, E. Gomard. 1996. Influence of strong CD4 epitope on long-term virus-specific cytotoxic T cell responses induced in vivo with peptides. Int. Immunol. 8:457.[Abstract/Free Full Text]
  41. Porgador, A., H. F. Staats, Y. Itoh, B. L. Kelsall. 1998. Intranasal immunization with cytotoxic T-lymphocyte epitope peptide and mucosal adjuvant cholera toxin: selective augmentation of peptide-presenting dendritic cells in nasal mucosa-associated lymphoid tissue. Infect. Immun. 66:5876.[Abstract/Free Full Text]
  42. Norbury, C. C., B. J. Chambers, A. R. Prescott, H. G. Ljunggren, C. Watts. 1997. Constitutive macropinocytosis allows TAP-dependent major histocompatibility complex class I presentation of exogenous soluble antigen by bone marrow-derived dendritic cells. Eur. J. Immunol. 27:280.[Medline]
  43. Smith, R. E., A. M. Donachie, D. Grdic, N. Lycke, A. M. Mowat. 1999. Immune-stimulating complexes induce an IL-12-dependent cascade of innate immune responses. J. Immunol. 162:5536.[Abstract/Free Full Text]
  44. Ahlers, J. D., N. Dunlop, D. W. Alling, P. L. Nara, J. A. Berzofsky. 1997. Cytokine-in-adjuvant steering of the immune response phenotype to HIV-1 vaccine constructs: granulocyte-macrophage colony-stimulating factor and TNF-{alpha} synergize with IL-12 to enhance induction of cytotoxic T lymphocytes. J. Immunol. 158:3947.[Abstract]
  45. Iwasaki, A., B. J. Stiernholm, A. K. Chan, N. L. Berinstein, B. H. Barber. 1997. Enhanced CTL responses mediated by plasmid DNA immunogens encoding costimulatory molecules and cytokines. J. Immunol. 158:4591.[Abstract]
  46. Irvine, K. R., J. B. Rao, S. A. Rosenberg, N. P. Restifo. 1996. Cytokine enhancement of DNA immunization leads to effective treatment of established pulmonary metastases. J. Immunol. 156:238.[Abstract]
  47. Magram, J., S. E. Connaughton, R. R. Warrier, D. M. Carvajal, C. Y. Wu, J. Ferrante, C. Stewart, U. Sarmiento, D. A. Faherty, M. K. Gately. 1996. IL-12-deficient mice are defective in IFN {gamma} production and type 1 cytokine responses. Immunity 4:471.
  48. Oxenius, A., U. Karrer, R. M. Zinkernagel, H. Hengartner. 1999. IL-12 is not required for induction of type 1 cytokine responses in viral infections. J. Immunol. 162:965.[Abstract/Free Full Text]
  49. Grdic, D., R. Smith, A. Donachie, M. Kjerrulf, E. Hornquist, A. Mowat, N. Lycke. 1999. The mucosal adjuvant effects of cholera toxin and immune-stimulating complexes differ in their requirement for IL-12, indicating different pathways of action. Eur. J. Immunol. 29:1774.[Medline]
  50. Schijns, V. E., B. L. Haagmans, C. M. Wierda, B. Kruithof, I. A. Heijnen, G. Alber, M. C. Horzinek. 1998. Mice lacking IL-12 develop polarized Th1 cells during viral infection. J. Immunol. 160:3958.[Abstract/Free Full Text]
  51. Wille, A., A. Gessner, H. Lother, F. Lehmann-Grube. 1989. Mechanism of recovery from acute virus infection. VIII. Treatment of lymphocytic choriomeningitis virus-infected mice with anti-interferon-{gamma} monoclonal antibody blocks generation of virus-specific cytotoxic T lymphocytes and virus elimination. Eur. J. Immunol. 19:1283.[Medline]
  52. Graham, M. B., D. K. Dalton, D. Giltinan, V. L. Braciale, T. A. Stewart, T. J. Braciale. 1993. Response to influenza infection in mice with a targeted disruption in the interferon {gamma} gene. J. Exp. Med. 178:1725.[Abstract/Free Full Text]
  53. Sarawar, S. R., R. D. Cardin, J. W. Brooks, M. Mehrpooya, A. M. Hamilton-Easton, X. Y. Mo, P. C. Doherty. 1997. {gamma}-Interferon is not essential for recovery from acute infection with murine gammaherpesvirus 68. J. Virol. 71:3916.[Abstract]
  54. Bot, A., S. Bot, C. A. Bona. 1998. Protective role of {gamma} interferon during the recall response to influenza virus. J. Virol. 72:6637.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J. Immunol.Home page
J. Dietrich, C. Andersen, R. Rappuoli, T. M. Doherty, C. G. Jensen, and P. Andersen
Mucosal Administration of Ag85B-ESAT-6 Protects against Infection with Mycobacterium tuberculosis and Boosts Prior Bacillus Calmette-Guerin Immunity
J. Immunol., November 1, 2006; 177(9): 6353 - 6360.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. Luci, C. Hervouet, D. Rousseau, J. Holmgren, C. Czerkinsky, and F. Anjuere
Dendritic Cell-Mediated Induction of Mucosal Cytotoxic Responses following Intravaginal Immunization with the Nontoxic B Subunit of Cholera Toxin.
J. Immunol., March 1, 2006; 176(5): 2749 - 2757.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. E. Applequist, E. Rollman, M. D. Wareing, M. Liden, B. Rozell, J. Hinkula, and H.-G. Ljunggren
Activation of Innate Immunity, Inflammation, and Potentiation of DNA Vaccination through Mammalian Expression of the TLR5 Agonist Flagellin
J. Immunol., September 15, 2005; 175(6): 3882 - 3891.
[Abstract] [Full Text] [PDF]


Home page
Ann. N. Y. Acad. Sci.Home page
N. LYCKE
ADP-Ribosylating Bacterial Enzymes for the Targeted Control of Mucosal Tolerance and Immunity
Ann. N.Y. Acad. Sci., December 1, 2004; 1029(1): 193 - 208.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. M. Gherardi, E. Perez-Jimenez, J. L. Najera, and M. Esteban
Induction of HIV Immunity in the Genital Tract After Intranasal Delivery of a MVA Vector: Enhanced Immunogenicity After DNA Prime-Modified Vaccinia Virus Ankara Boost Immunization Schedule
J. Immunol., May 15, 2004; 172(10): 6209 - 6220.
[Abstract] [Full Text] [PDF]