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Department of Microbiology and Immunology, Louisiana State University Medical Center, School of Medicine, Shreveport, LA 71130
| Abstract |
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-chain (CD25high). A second
activated subpopulation of CD8+ T cells expressing the
CD44high CD25low phenotype did not contain
detectable HSV-1-specific CTLp, even after the addition of
HSV-1-infected stimulator cells as a source of an exogenous Ag. These
data suggested that HSV-1-specific CD8+ T cells must
increase expression of CD25 before attaining the potential to become
CTL effector cells. These findings also indicated that the
up-regulation of CD44 alone is not sufficient to identify precisely
HSV-1-specific CD8+ T cells. | Introduction |
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plays an important role in this process, regardless
of the responsible T cell subpopulation (3). The onset of
recovery coincides with the presence of HSV-1-specific T cells in the
draining lymph node (LN) and the presence of CD4+
and CD8+ T cells and IFN-
-secreting cells
within infected skin. CD8+ T cells have been
implicated in controlling HSV-1, both at the site of a cutaneous
infection (8, 9, 10) and within the peripheral nervous system
(PNS) (11, 12). Furthermore, CD8+ T
cells have the potential to express both cytolytic activity and IFN-
production (13). The observation that HSV-specific
CD8+ T cells can be demonstrated in the
peripheral blood of HSV-1- and HSV-2-infected human patients
(14), coupled with the observation that HSV encodes a
protein, designated ICP47, whose principal function is the prevention
of the transport of immunogenic peptides from the cytosol to the
endoplasmic reticulum for normal binding to class I MHC molecules
(15, 16), suggests that the CD8+ T
cell response may be very important for the control of this
infection. In mice infected in the hind footpad (FP) with HSV-1, the draining popliteal LN (PLN) is the site of generation of the HSV-1-specific T cell response (17, 18). HSV-1 Ags from the skin are transported by Langerhans/dendritic cells, migrating to the PLN via the afferent lymphatics, and presented to circulating lymphocytes passing through the PLN (2). This process results in an increased cellularity of the PLN and the activation of naive, HSV-1-specific T cells (19). However, despite the dramatic increase in LN cellularity during the early stages of the response, HSV-1-specific CD8+ T cell-mediated CTL activity is difficult to demonstrate ex vivo from the PLN, unless the lymphocytes are cultured in vitro (17, 18). The requirement for in vitro culture appears to be associated with the rapid differentiation of already committed, activated, noncytolytic T cells to full cytolytic effector function.5 Furthermore, the relative frequency of HSV-1-specific CTL precursors (CTLp), measured against virus-infected target cells, is low compared with the frequencies observed for other acute herpesvirus infections in mice (20). Since the PLN is not a site of HSV-1 replication (21, 22), a possible explanation may be that activated CD8+ T cells do not attain full effector function at this site, but are instead programmed to attain effector function once they have migrated to the site of infection (23). Therefore, HSV-1-specific CD8+ T cells may leave the PLN rapidly after activation, rather than accumulate within this site. However, there is little direct evidence for this, and our understanding of the activation process leading to the generation of the immediate predecessors of the CD8+ T cells mediating effector function within the infected tissues is incomplete.
To better understand the early events associated with the development
of the HSV-1-specific CD8+ T cell response, the
CD8+ T cells were analyzed on the basis of the
surface expression of phenotypic markers to define the activated
lymphocyte subpopulations. Recent studies have identified several
phenotypic changes associated with the activation of T cells in
response to an Ag, including the up-regulation of CD44, CD25, CD11a,
CD11b, and CD49d, the down-regulation of the LN homing receptor, CD62L,
and the expression of a low m.w. form of CD45 (24, 25, 26, 27, 28, 29). In
this study, the appearance of activated CD8+ T
cells within the PLN coincided with the onset of viral clearance from
the skin. Functional analysis showed that activated
CD8+ CD44high T cells,
compared with their nonactivated CD8+ CD44low
counterparts, contained the majority of specific CTLp dependent upon an
exogenous source of Ag for proliferation and differentiation in vitro
(Ag-dependent HSV-1-specific CTLp), and also the specific CTLp, which
had reached a higher stage of differentiation, no longer requiring an
exogenous source of Ag for proliferation and differentiation
(Ag-independent HSV-1-specific CTLp). These functions were even more
highly enriched in the CD25high (IL-2R
-chain)
subpopulation, which also contained all Ag-dependent and -independent
HSV-1-specific CTLp. Using multicolor flow cytometric analysis, it was
determined that, while all CD8+
CD25high T cells also expressed high levels of
CD44, a substantial population was CD44high but
CD25low, suggesting that the acquisition of high
levels of the IL-2R
-chain may be a specific marker for the
immediate precursors of the effector cell population. The kinetics of
appearance of CD8+ T cells expressing defined
activation markers suggested that the acquisition of high levels of
CD25 on CD8+ CD44high T
cells represents an ordered progression of T cell activation in
response to HSV-1 infection, and that the up-regulation of CD44
expression alone was not a definitive marker for HSV-1-specific CTL
activity.
| Materials and Methods |
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Male C57BL/6 (B6, H-2b) mice were purchased from The Jackson Laboratory (Bar Harbor, ME) at 45 wk of age. Animals were used between 6 and 12 wk of age.
Cells and cell culture
Vero cells and the SV40-transformed B6 embryo fibroblast cell line B6/WT-3 (30) were maintained in DMEM (Sigma, St. Louis, MO) supplemented with 20 mM HEPES, 2 mM L-glutamine, 20 µg/ml gentamicin sulfate, and 5% (v/v) heat-inactivated FCS (Sigma).
Virus stocks
HSV-1 strain Patton, originally obtained from Dr. R. Tenser (Pennsylvania State University College of Medicine, Hershey, PA), was plaque-purified four times on Vero cell monolayers and established as a stock by infection of Vero cells at a multiplicity of infection of 0.01. Virus present in culture supernatant and virus released from infected cells by a freeze/thaw cycle and a 1-min round of sonication were pooled, titrated on Vero cell monolayers, and stored at -80°C before use.
HSV-1 immunization of B6 mice
Mice were anesthetized by i.p. injection of 60 mg/kg of sodium
pentobarbital (Butler, Columbus, OH). Mice were then given 5 x
106 PFU HSV-1 in 50 µl of TBS in each hind FP
using a modification of the previously described multiple-puncture
injection method (9, 10). Briefly, 50 µl of virus was
delivered s.c. into the hind FP, which was then repeatedly punctured
with a 30-gauge needle for
15 s. At intervals following infection,
lymphocytes within the PLN were isolated for phenotypic and functional
studies.
Quantitation of HSV-1 in FP tissues
The levels of infectious HSV-1 in FP tissue was determined as described previously (3). Briefly, the mice were euthanized by an overdose of Nembutal, the FP surface cleansed with 70% isopropyl alcohol, and the tissue removed with a 21-gauge scalpel. The tissues were stored in virus diluent (PBS supplemented with 0.6 mM CaCl2, 0.5 mM MgCl2 · H2O, 20 mg phenol red, and 50 µg gentamicin sulfate per ml) at -80°C. Tissues were disrupted by homogenization in 1 ml ground glass grinders (Wheaton, Millville, NJ), centrifuged, and the cell-free homogenate assayed at various dilutions on Vero cell monolayers in 12-well tissue culture plates overlaid with 0.5% methyl cellulose. Plaques were visualized following fixation of the monolayers with 10% buffered formalin and staining with 0.5% crystal violet.
Abs and staining reagents
The following panel of mAb and reagents were used for phenotypic
analysis of lymphocytes in the PLN: anti-CD45R/B220 (
-B220-FITC,
clone RA3-6B2; PharMingen, San Diego, CA);
IgM-PE (goat polyclonal
antiserum; Southern Biotechnology Associates, Birmingham, AL);
CD3
-FITC (clone 145-2C11; PharMingen);
-
ß-TCR-PE (clone
H57-597; PharMingen);
-CD8-FITC (
-CD8-FITC, clone 2.43, prepared
in-house) (31);
-CD8-biotin (clone 2.43, prepared
in-house);
CD8-PE (clone CT-CD8a; Caltag Laboratories, Burlingame,
CA);
-CD25-FITC (clone 7D4; PharMingen);
-CD25-PE (clone PC61;
PharMingen);
-CD44-biotin (clone IM7.8; PharMingen); and SA-670
(Life Technologies, Gaithersburg, MD). All staining steps were
performed in PBS supplemented with 2% FCS (Sigma) and 0.1% (w/v)
sodium azide (Sigma). All staining procedures were performed as
described previously (3).
Lymphocyte preparation for flow cytometric analysis and sorting
For analysis, PLN were removed into PBS containing 2% FCS and pressed through a sterile 60-gauge wire mesh (Cellector; Bellco, Vineland, NJ). Cells were counted and resuspended in PBS, 2% FCS, and 0.1% (w/v) sodium azide to give a concentration of 1 x 106 cells per well of a 96-well U-bottom microtiter plate. For sorting, PLN were processed as described above to a final concentration of 5 x 107 cells per ml for staining in conical 15 ml tubes. Analysis was performed on a Coulter (Fullerton, CA) EPICS Profile II analyzer or a Becton Dickinson (San Jose, CA) FACSCaliber analyzer. Cell sorting was performed on a Becton Dickinson FACSVantage. The purity of the sorted cells was assessed by analysis of an aliquot of the recovered cells before culture and subsequent functional analysis.
Frequency analysis of HSV-specific CTLp
Limiting dilution analyses (LDA) were performed as described
previously (32, 33). Purified LN cells were resuspended in
IMDM (Sigma) supplemented with 10% FCS, 20 mM HEPES, 2 mM
L-glutamine, 20 µg/ml gentamicin sulfate, and 2 x
10-5 M 2-ME. Graded numbers of lymphocytes were
plated into round-bottom, 96-well plates with 18 replicates for each
lymphocyte concentration. Lymphocytes obtained from B6 mice on day 5
postinfection (p.i.), resuspended in 0.1 ml, were added to 0.1 ml
supplemented IMDM containing 1 x 105
-irradiated (2000 cGy) syngeneic spleen cells as fillers, 5 U of
rIL-2 (Hoffman-LaRoche, Nutley, NJ), 10% (v/v) Rat T-Stim
(Collaborative Biomedical Research Products, Cambridge, MA), and 50 mM
-methyl mannoside (Sigma). For the analysis of Ag-independent CTLp
(34, 35), no exogenous antigenic stimulation was provided
to the cultures, to restrict analysis to CTLp activated in vivo to the
stage where they could respond to growth and differentiation factors
alone. For the analysis of Ag-dependent CTLp (34, 35),
exogenous Ag, in the form of mitomycin C-treated, HSV-1-infected
B6/WT-3 stimulator cells (9, 10), was added to the
cultures. Cultures were incubated at 37°C for 57 days and assessed
for lytic activity.
Statistical analysis of LDA cultures
Cytolytic activity in LDA cultures was determined against 2 x 103 HSV-1- or mock-infected, 51Cr-labeled target cells per well in a standard 4 h 51Cr-release assay. Cultures were considered to contain at least one CTLp if the levels of specific 51Cr release exceeded the mean release from control cultures, containing filler cells, cytokines, and Ag, but no responder cells, by at least 3 SD. Frequency estimates of CTLp were made using the minimal X2 method (36). Experiments were considered valid only if the plot of the logarithm of the fraction of negative cultures against the number of responder cells on a linear scale obeyed single order kinetics with a probability (P) > 0.05 (37).
| Results |
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Acute cutaneous HSV-1 infection was cleared rapidly from the FP
tissue between day 5 and day 8 p.i. (Fig. 1
). The infection resulted in a rapid
increase in the cellularity of the draining PLN, principally due to a
dramatic early increase in B cell content (Fig. 2
A), which resulted, on day
5 p.i., in the reversal of the B:T cell ratio observed in LN from
uninfected controls (uninfected = 1:2; HSV-1-infected = 3:1).
There was also a profound increase in the number of T cells within the
PLN (Fig. 2
A), involving both CD4+ and
CD8+ T cell subpopulations (Fig. 2
B).
The increase in lymphocyte numbers appeared as two waves, an early peak
on day 5 p.i., corresponding to the onset of viral clearance, and
a second, higher peak on day 8 p.i., when infectious HSV-1 is no
longer detectable in the skin (Ref. 3 , Fig. 1
). Analysis
of the CD8+ T cell subpopulation for CD44 and
CD25 expression confirmed the predominant involvement of activated
CD8+ T cells during the early phase of the
infection. CD8+ CD44high T
cells increased dramatically between day 4 and day 5 p. i., and
then diminished slowly with time (Fig. 3
A). The presence of
CD8+ CD25high T cells
exhibited a single peak in numbers on day 5 p. i., disappearing
rapidly thereafter to essentially baseline levels by day 7 p.i.
(Fig. 3
B). Three-color analysis of the
CD8+ T cell subpopulation, based upon these two
activation parameters, revealed two distinct subpopulations on day
5 p.i. (Fig. 4
); a majority
CD8+ CD44high
CD25low T cell subpopulation, and a minority
CD8+ CD44high
CD25high T cell subpopulation. It is the latter
population that presumably leaves the PLN rapidly between day 5 and day
6 p. i. (Fig. 3
B).
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CD8+ T cells have been implicated in the
control and clearance of HSV-1 in both the skin (3) and
the PNS (9, 10, 12). However, although HSV-1-specific
CD8+ CTLp are detected in the PLN at the time of
onset of viral clearance from the skin, their relative frequency is low
compared with the response to other viral pathogens (19, 38). To determine the distribution of HSV-1-specific CTLp within
the CD8+ T cell subpopulations defined above,
lymphocytes were isolated on day 5 p.i. and purified by flow
cytometric sorting. In initial experiments, the
CD8+ T cells were sorted on the basis of CD44
expression into "activated" (CD8+
CD44high) and "nonactivated"
(CD8+ CD44low)
subpopulations. Pre- and postsort analysis indicated that the desired
populations were obtained at >90% purity (data not shown). Sorted
cells were cultured under LD conditions (see Materials and
Methods) in the absence of exogenous Ag to assess the frequency of
the most differentiated, Ag-independent CTLp (34, 35). The
relative frequency of Ag-independent HSV-1-specific CTLp in unsorted
PLN lymphocytes ranges from 1 in 30,000 to 1 in 13,000 (Refs. 32, 33 , and data not shown). In HSV-1-infected mice,
CD8+ T cells represent
15% of the total
cellularity of the PLN. Therefore, Ag-independent HSV-1-specific CTLp
are present at a frequency between 200 and 500 per
106 CD8+ T cells. Analysis
of the CD8+CD44high T cell
subpopulation resulted in frequencies ranging from 1 in 1500 to 2000
(Table I
), representing 500700 CTLp per
106 cells in this subpopulation. The
CD8+ CD44low T cell
subpopulation contained relatively few HSV-1-specific CTLp, but
appeared to retain a subpopulation that was cytolytic toward
mock-infected target cells (Table I
). Based on this analysis, the
Ag-independent HSV-1-specific CTLp were found exclusively in the
CD44high subpopulation, but the frequency is low
and not greatly enriched for the more differentiated Ag-independent
CTLp subpopulation.
|
1 in
600 of the total CD44high
CD8+ T cells, or
1 in 1400 of total
CD8+ T cells. These numbers correspond well with
the frequencies determined following sorting on the basis of CD44
expression (see above).
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| Discussion |
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Infection in the hind FP of B6 mice resulted in a 30-fold increase in PLN cellularity by day 5 p.i., followed by a second, higher wave peaking on day 8 p.i. Both CD4+ and CD8+ T cell subpopulations increased within the PLN with similar kinetics, with an early peak around day 5 p.i., followed by a second peak on day 8 p.i. The kinetics analysis of the CD8+ T cell population revealed that the peak in cellularity of these cells was focused around the onset of recovery from infection. This was confirmed by analyzing the expression of CD44 and CD25 as a measure of T cell activation. CD8+ CD44high T cells demonstrated a rapid rise to peak on day 5 p.i. and gradually diminished with time. In contrast, the CD8+ CD25high T cells showed a sharp peak on day 5 p.i., and then dropped rapidly to normal levels by day 7 to day 9 p.i. These temporal characteristics suggested a cell population that was intimately associated in the elimination of infectious HSV-1, and the continued presence of activated CD8+ T cells was highly dependent upon infection.
Since it was first described as a phenotypic characteristic defining a
population of CD8+ T cells that had been
activated by Ag (41), the up-regulation of CD44 expression
has been used extensively to study recently activated T lymphocytes
(28, 29) and long-term memory T lymphocytes
(42, 43, 44). Therefore, it was not surprising that
HSV-1-specific CTLp activity was found exclusively within the
CD8+ CD44high T cell
subpopulation. However, while
45% of CD8+ T
cells within the PLN were defined as CD44high,
the functional analysis revealed that <0.1% of the
CD8+ CD44high T cells were
HSV-1-specific CTLp. This may be explained by the observation that
CD8+ CD44high T cells were
further subdivided on the basis of CD25 expression, and that
HSV-1-specific CTLp activity was found exclusively within the
CD8+ CD44high
CD25high T cell subpopulation, even in the
presence of an exogenous source of Ag to drive the less differentiated,
Ag-dependent CTLp through the maturation process (34, 35).
Nevertheless, although the CD25high subpopulation
represents about 35% of the CD8+
CD44high T cells within the PLN on day 5
p.i., only 0.50.7% of these cells expressed HSV-1-specific CTLp
activity. This suggested that a vast majority of the activated
CD8+ T cells are not specific for HSV-1, but are
nonspecifically activated, either by bystander activation
(45) or by cross-reactive recognition (46, 47).
There are a number of potential explanations for the relatively low
frequency of HSV-1-specific CTLp. While HSV-1 replicates within
epithelial and neural tissues (1), there is strong
evidence to suggest that little or no infectious HSV-1 is present in
the draining lymphoid tissues (20, 21). Ag presentation
within the PLN is likely due to the trafficking of Langerhans/dendritic
cells, expressing processed HSV-1 Ags, via the afferent lymphatics to
the PLN (2). If no infectious HSV-1 is present within the
PLN, there is no requirement for the activated T cells to remain within
the PLN, but greater importance for the rapid migration to the sites of
infection. The rapid exit of activated CD8+ T
cells from the PLN is exemplified by the disappearance of
CD8+ CD44high
CD25high T cells after day 5 p.i. Therefore,
the relative frequency of HSV-1-specific CTLp at any given time may
appear low, but the cumulative total generated during the inductive
phase of the response may be quite high, and be present in circulation,
within other lymphoid tissues or within the infected tissues. In
addition, the quantitation of HSV-1-specific CTLp, whether Ag-dependent
or -independent, represents a minimal estimate of the true frequency of
specific CD8+ T cells. The culture and assay
systems employed require that the CTLp both proliferate and
differentiate and express cytolytic function against HSV-1-infected
fibroblast target cells. Therefore, CD8+ T cells
that have not expanded sufficiently have low affinity for the target
cell, are predisposed toward cytokine production rather than cytolytic
function, or have over-expanded and become exhausted in culture, will
not be detected. Cultures assayed for cytolytic activity against target
cells pulsed with synthetic peptide corresponding to the
immunodominant, Kb-binding epitope derived from
HSV-1 gB (48), and therefore expressing a higher target
density than would be found on HSV-1-infected cells, give frequency
estimates that are 3- to 4-fold higher (C. T. Nugent and J.
M. McNally, unpublished observations). Similarly, CD8+ T
cells stained for the presence of intracellular IFN-
, in combination
with markers for T cell activation, also give higher frequency
estimates for the commitment to the HSV-1-specific CD8+ T
cell response. Importantly, CD8 T cells identified by this method also
express high levels of CD25 (H. A. Cope, R. Chervenak, and S.
R. Jennings, manuscript in preparation). Further evidence to support
the likelihood of a higher commitment of the CD8+
T cell response to HSV-1 comes from the analysis of the TCR elements
associated with the response. Carbone and colleagues (49)
have shown that HSV-1-specific CTL specific for the
Kb/gB target structure predominantly express the
Vß10 element, and that
40% of the CD8+ T
cell blasts in the PLN at the peak of the response express Vß10
(19). Analysis of the TCR utilization by
CD8+ T cells based upon the activation markers
used in this study revealed that
35% of the
CD8+ CD44high
CD25high T cells express Vß10, while only 6%
of the CD8+ CD44high
CD25low T cells express the same TCR element
(S. R. Jennings, H. A. Cope, and R. Chervenak, manuscript in
preparation). The use of more sensitive methods, such as TCR Vß
utilization, intracellular IFN-
staining, and class I MHC
tetramer/peptide reagents to identify Ag-specific
CD8+ T cells (50, 51, 52), may help to
clarify this issue.
Regardless of the sensitivity of the assay system, the findings of this
study indicated that the separation of CD8+ T
cells on the basis of CD44 expression does not clearly identify the
HSV-1-specific subpopulation, but that further subdivision based upon
CD25 expression is required. If more sensitive techniques confirm the
finding that HSV-1-specific CD8+ T cells are
segregated exclusively to the CD44high
CD25high subpopulation, the characteristics of
the "activated" CD8+
CD44high CD25low T cells
remain to be elucidated. It is still a possibility that some of these
cells do represent earlier stages of CTLp development and that a more
potent presentation of HSV-1 Ag, such as in the context of DC APC
(53), may reveal this feature. The modest 2-fold increase
in frequency in the presence of HSV-1-infected B6/WT-3 cells, compared
with 4- to 5-fold increases in other studies (34, 35), may
reflect the requirement for additional costimulatory signals that are
not provided by these fibroblast cells. Nevertheless, although this
subpopulation may not contribute to the primary HSV-1-specific
CD8+ T lymphocyte response, analysis has revealed
that many of these cells are proliferating and are typical blast cells
(data not shown). These cells may represent a subpopulation of
CD8+ T cells that has become nonspecifically
activated, and may be in the process of undergoing activation-induced
cell death (54). Alternatively, the
CD8+ CD44high
CD25low T cell subpopulation may represent a
stage undergoing expansion in response to a proliferative cytokine
other than IL-2, such as IL-15 (55), which may result in
expanded numbers but failure to differentiate into effector cells. A
population with this characteristic would not be identified using mAb
to CD25. Analysis of the surface expression of CD122 (common ß-chain)
and CD132 (common
-chain) in conjunction with CD44 and CD25
expression will be important to address this question.
In conclusion, this study has demonstrated an increase in CD8+ T cells coexpressing high levels of CD44 and CD25 on their surface in response to an acute HSV-1 infection of B6 mice. The finding that all HSV-1-specific CTLp activity was restricted to the CD8+ CD44high CD25high T cell subpopulation should allow a more precise evaluation of the characteristics of the immediate predecessors of the effector cells migrating to the site of infection, and to determine the relationship between this defined subpopulation and HSV-1-specific CD8+ memory T cells.
| Acknowledgments |
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| Footnotes |
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2 Current address: Department of Pathology, University of Massachusetts Medical Center, Worcester, MA 01655. ![]()
3 Address correspondence and reprint requests to Dr. Stephen R. Jennings, Department of Microbiology and Immunology, Louisiana State University Medical Center, School of Medicine in Shreveport, 1501 Kings Highway, P.O. Box 33932, Shreveport, LA 71130. E-mail address: ![]()
4 Abbreviations used in this paper: HSV-1, herpes simplex virus type 1; LN, lymph node; PNS, peripheral nervous system; FP, footpad; PLN, popliteal LN; CTLp, CTL precursors; LDA, limiting dilution analysis; p.i., postinfection. ![]()
5 J. M. McNally, H. A. Cope, R. Chervenak, and S. R. Jennings. Phenotypic characteristics associated with the acquisition of HSV-specific, CD8 T lymphocyte-mediated cytolytic function in culture. Submitted for publication. ![]()
Received for publication January 29, 1999. Accepted for publication April 29, 1999.
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