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The Journal of Immunology, 1999, 163: 1654-1660.
Copyright © 1999 by The American Association of Immunologists

An Immunoadhesin Incorporating the Molecule OX-2 Is a Potent Immunosuppressant That Prolongs Allo- and Xenograft Survival1

Reginald M. Gorczynski2, Mark S. Cattral, Zhigi Chen, Jiang Hu, Ji Lei, Wei-Ping Min, Gary Yu and Jin Ni

Transplant Research Division, The Toronto Hospital, Toronto, Canada


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have established that, in mice receiving donor-specific immunization by the portal vein, the increased graft survival seen is associated with the increased expression of a molecule (OX-2) on a subpopulation of dendritic cells (DC), and polarization of cytokine production to type 2 cytokines on Ag-specific restimulation of cells from these mice. Furthermore, infusion of a mAb to OX-2 blocks both the increased graft survival and the altered cytokine production seen. We have constructed an immunoadhesin in which the extracellular domain of OX-2 is linked to the murine IgG2a Fc region, and we have expressed this molecule (OX-2:Fc) in a eukaryotic (baculovirus) expression system. Incubation of lymphocytes with 50 ng/ml OX-2:Fc inhibits a primary mixed lymphocyte reaction in vitro, as assayed by proliferation and induction of cytotoxic T cells, and also alters cytokine production with decreased IL-2 (IFN-{gamma}) production and increased IL-4 (IL-10) production. Similarly, in vivo infusion of OX-2:Fc promotes increased allo- and xenograft (both skin and renal grafts) survival and decreases the Ab response to sheep erythrocytes. Our data suggest this molecule might have clinical importance in allo- and xenotransplantation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previous publications from this laboratory have described the use of a suppression-subtractive hybridization approach to analyze differentially expressed genes in mice receiving portal vein (pv)3 donor-specific immunization as a means of promoting renal allograft survival (1). One of the differentially expressed transcripts encoded a 48-kDa molecule, OX-2, a member of the Ig supergene family that was previously described as being expressed on dendritic cells (DC) (2) and as having some homology with members of the B7 family (3). Cell surface expression of OX-2 is detected by FACS on cells simultaneously staining with the mouse DC marker, NLDC145, and its expression is increased following pv immunization (4). Abs to OX-2 abolished graft prolongation following pv donor-specific immunization in a mouse renal allograft and a rat small intestinal allograft model, and reversed the polarization to type 2 cytokine production seen in these animals after specific restimulation (4, 5). In addition, in recent studies (6) we have shown that bone marrow-derived DC expressing OX-2 can inhibit the stimulation of type 1 cytokine production by B7-1+ (and B7-2+) DC.

We hypothesized that OX-2 might be involved in the delivery of negative "tolerizing" signals to T cells simultaneously encountering Ag. This is in contrast to conventional costimulator molecules (such as CD40, CD80, and CD86) that deliver "costimulatory" signals. One prediction of such a model is that the soluble form of OX-2 (an immunoadhesin) might itself then act as a general immunosuppressant when cells are triggered with Ag. This approach has been used successfully to show that an immunoadhesin (CTLA4Ig), blocking binding of CD80,CD86 with their respective ligands, can prolong survival of vascularized grafts in a number of different models (7). We report data below on the preparation of an immunoadhesin in which the extracellular domains of OX-2 were linked to the Fc region of murine IgG2a (OX-2:Fc) and expressed in a eukaryotic expression system (baculovirus). The OX-2:Fc-expressed molecule was indeed able to promote survival of vascularized and nonvascularized allografts and xenografts in mice and to alter cytokine production in treated recipients. Inhibition of sheep erythrocyte Ab responses was also seen in OX-2:Fc-treated mice. Our data suggest this reagent may have potential in clinical situations where controlled immune suppression is required.


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

Male C3H/HEJ and C57BL/6 mice were purchased from The Jackson Laboratory (Bar Harbor, ME). Mice were housed five per cage and allowed food and water ad libitum. All mice were used at 8–12 wk of age. Male Lewis (LEW) rats (35–40 g) were purchased from Sprague Dawley for use as xenogeneic skin or kidney donors.

mAbs

The following mAbs, all obtained from PharMingen (San Diego, CA) unless stated otherwise, were used: anti-IL-2 (JES6-1A12; biotinylated, JES6-5H4); anti-IL-4 (11B11, American Type Culture Collection (ATCC, Manassas, VA); biotinylated, BVD6-24G2); anti-IFN-{gamma} (R4-6A2, ATCC; biotinylated XMG1.2); and anti-IL-10 (JES5-2A5; biotinylated, SXC-1). Anti-mouse and anti-rat OX-2 (3B6 and 6A3, respectively) were prepared as described elsewhere (8). Anti-B7-1 and anti-B7-2 were obtained from Dr. G. Powers (Roche Pharmaceuticals, Nutley, NJ). All noncommercial mAbs were grown as ascites in BALB/C nu/nu mice and purified by ammonium sulfate precipitation and resuspension in PBS before use. In control groups, a crude preparation of normal rat or mouse Ig (30% saturated ammonium sulfate preparation) was used. When injected i.v., 100 µg of Ig was used for each recipient, as described in individual studies; in vitro assays used 5 µg/ml of the Ig preparations. These concentrations of mAbs tested in the lymphokine assays described in vitro (see below) produced relatively equivalent amounts of inhibition (>10 units of lymphokine neutralized).

Anti-thy 1.2, L3T4, anti-Ly2.2, rabbit complement, and streptavidin HRP were obtained from Cedarlane Labs, Hornby, Ontario.

Preparation of cells

Single cell spleen suspensions were prepared aseptically from individual mice in each experiment. After centrifugation, cells were resuspended in {alpha}-MEM supplemented with 2-ME and 10% FCS ({alpha}F10).

Portal vein immunization

Portal vein immunization was performed essentially as described earlier (9). All animals were anesthetized with nembutal. Donor-specific (LEW rat or C57BL/6 mouse) bone marrow cells were injected in 0.1 ml through a superior mesenteric vein using a 30-gauge needle. After injection, the needle was rapidly withdrawn and hemostasis was secured without hematoma formation by gentle pressure using a 2-mm3 gel-foam. Complications were seen in less than 10% of mice, and these were excluded from analysis because of hemorrhage postinjection.

Renal transplantation

This procedure was performed essentially as described elsewhere (10). All recipients received i.m. injection with cefotetan (30 mg/kg) on the day of transplantation and for 2 succeeding days. All animals received i.m. cyclosporin A (15 mg/kg) daily for the first 3 days posttransplantation. The remaining host kidney was removed 2 days after transplantation, unless otherwise indicated. Pretreatment of recipients with donor-specific pv immunization with bone marrow cells, or with immunoadhesin, was as described in individual studies.

All xenogeneic transplants were performed in mice that were pretreated one day earlier by i.v. infusion of 100 µl anti-asialo-GM1 (to deplete NK cells; Ref. 11) and 250 µl of rabbit anti-mouse lymphocyte serum. In addition, these mice received 30 x 106 LEW rat bone marrow cells (treated with anti-rat lymphocyte serum and complement) via the pv on the day preceding transplantation. All other treatment was as described for renal allografts.

Ab-forming assays

Mice were immunized i.v. in 0.5 ml PBS with 4 x 108 washed sheep red blood cells (SRBC), (Cedarlane). Spleen cell suspensions were prepared 7 days following immunization, and Ab-forming-cells (AFC) to SRBC were enumerated using the Cunningham modification of the Jerne plaque assay, as described elsewhere (12). In some cases, mice also received i.v. infusions of OX-2:Fc (or control mouse Ig). See individual experiments for details.

Cytotoxicity and cytokine assays

In cultures used to assess induction of cytotoxicity or cytokine production, C3H responder cells were stimulated with equal numbers of mitomycin C-treated (45 min at 37°C) spleen stimulator cells in triplicate in {alpha}F10. Supernatants were pooled at 48 h from replicate wells and assayed in triplicate in ELISA assays for lymphokine production as described below. In our hands, no reproducible differences in cytokine levels have been detected from cultures between 36 and 50 h of culture. In some experiments, the culture wells later (at 72 h) received 1 µCi/well of [3H]TdR, and proliferation was measured by harvesting the contents of the well 14 h later and counting in a well-type beta counter. When cytotoxicity was measured, cells were harvested at 5 days and pooled from replicate wells, counted, and cultured at various E:T ratios with 51Cr 72 h spleen Con A blasts as target cells. Supernatants were sampled at 4 h for assessment of specific cytotoxicity.

IL-2, IL-4, IFN-{gamma}, and IL-10 were assayed using ELISA assays. For IFN-{gamma}, the assay used flat-bottom 96-well Nunc plates (Life Technologies, Grand Island, NY) coated with 100 ng/ml R4-6A2. Varying volumes of supernatant were bound in triplicate at 4°C and washed 3x, and biotinylated anti-IFN-{gamma} (XMG1.2) was added. After washing, plates were incubated with streptavidin-HRP (Cedarlane) and developed with appropriate substrate, and OD405 was determined using an ELISA plate reader. Recombinant IFN-{gamma} for standardization was obtained from PharMingen. IL-10 was assayed using a similar ELISA system, with JES5-2A5 as the capture Ab, and biotinylated SXC-1 as developing Ab. Recombinant IL-10 for standardization of this assay was obtained from Pepro Tech (Rocky Hill, NJ). Each assay reliably detected cytokine levels in the range 0.01 to 0.1 ng/ml. ELISA assays for IL-2 and IL-4 used JES6-1A12 and 11B11 as capture Abs, with biotinylated JES6-5H4 or BVD6-24G2 as developing Abs. Sensitivity of detection was 20 pg/ml for each cytokine.

Production and large scale expression of an OX-2:Fc fusion protein in a baculovirus expression system

The Baculovirus Expression Vector System (BEVS), one of the most powerful and versatile eukaryotic expression systems available, was chosen for expression of a construct of murine OX-2 linked to a murine IgG2a-Fc region (7).

The V-C domains of OX-2 were first amplified from a mouse cDNA preparation encoding full-length OX-2 (see Ref. 1) using the following primer pairs: sense, 5'-CCGTCGACCAAGTGGAAGTG-3'; antisense, 5'-ACGGATCCTTTGTCCAGACTCTGCTT-3'.

A vector encoding the cDNA for a previously described murine IgG2a Fc was obtained from Dr. Terry Strom (Harvard University, Boston, MA) (7) and amplified using the following primer pairs: sense, 5'-ACGGATCCTGCCCAGGGATTGTGGTT-3'; antisense, 5'-AATCTAGACCCAAGGCAGTG-3'.

These two fragments were digested with BamHI and fused using T4 ligase at the corresponding BamHI sites. The product was purified by gel electrophoresis, digested with SalI and XbaI, and cloned into a pBK vector after digestion of the vector with the same enzymes. After sequencing to ensure in-frame ligation, the OX-2:Fc fragment in the pBK vector was amplified using the following primer pairs to introduce SmaI and XbaI sites for cloning into a pAcGP67A transfer vector for use in a baculovirus system: sense, 5'-GGGCCCGGGGTCGACCAAGTGGTG-3'; antisense, 5'TCTAGATCATTTACCCGGAGT-3'.

Spodoptera frugiperda (Sf9) cells for transfection were grown in IPL-41 medium (Life Technologies) as a monolayer culture at 27°C without CO2 supplement. BaculoGold linearized wild-type virus DNA (0.5 µg) was mixed with 5 µg recombinant transfer vector containing the OX-2:Fc fragment and used for transfection of Sf9 cells. After 4–5 days of infection, the supernatant was collected from this cotransfection plate, virus was grown to high titer in fresh cultures, and Sf9 was infected at a high multiplicity of infection. Supernatant containing OX-2:Fc fusion protein was eluted from a protein G Sepharose 4 Fast Flow gel column (Pharmacia Biotech, Toronto, Canada) with 0.1 M glycine buffer (pH 3.0) and fractionated on SDS-PAGE, and samples containing the OX-2:Fc fusion protein were combined and dialyzed against 1x PBS without Ca2+. A typical yield of OX-2:Fc fusion protein (nonoptimized) from supernatant collected after 4 days of infection was of the order of 1 µg/ml. Characterization of OX-2:Fc in the respective samples prepared relied on an ELISA in which rat anti-murine OX-2 (3B6; Ref. 8) was bound to the wells of microtiter plate (incubation overnight at a concentration of 100 ng/well), followed by blocking with Tween buffer, incubation with test reagent, and development using a secondary alkaline-phosphatase-coupled goat anti-mouse Fc (Cedarlane) and substrate.

Statistical analysis

Comparison of skin graft survival in different groups relied on a nonparametric, Mann-Whitney U test. For comparison of cytokine production in different groups assayed in vitro, initial ANOVAs were performed, followed by pair-wise comparison of relevant groups using a Student t test (see legends to Figures and Tables).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of OX-2:Fc on in vitro MLR response, induction of CTL, and cytokine production

Mixed lymphocyte cultures were set up in triplicate using equal numbers of responder C3H mouse or LEW rat spleen cells and mitomycin C-treated allogeneic stimulator cells (see footnotes to Tables I and II). Some cultures received titrated amounts of OX-2:Fc or normal mouse Ig. Supernatants were harvested and tested at 48 h for cytokine production. Cultures received 1 µCi/well of [3H]TdR at 72 h and were harvested 14 h later to assess proliferation. In other replicate cultures, cells were pooled at day 5 and assayed for CTL using 51Cr-labeled, 72 h Con A spleen cell targets. Data pooled from three studies of this type are shown in Tables I and II.

These data demonstrate that OX-2:Fc at a concentration of 50 ng/ml inhibits induction of CTL, proliferation, and IL-2 (or IFN-{gamma}) production in responder allostimulated cells of either mouse or rat origin. These results are in keeping with our earlier data using mAb to rat OX-2 to detect the murine molecule, which had suggested a cross-reactivity between murine and rat OX-2 (4).

Role of OX-2:Fc in promotion of graft survival in vivo

Spleen adherent cells taken from C3H mice receiving donor-specific pv immunization with bone marrow cells showed increased numbers of OX-2+ cells (4, 8). Under these conditions, allogeneic graft survival was increased (13), while administration of anti-OX-2 mAbs could reverse this increased graft survival (4). To assess whether passive administration of soluble OX-2:Fc would also produce increased graft survival, we performed the following study.

Groups of six per group C3H/HEJ mice received C57BL/6 skin allografts or renal transplants as described in Materials and Methods. Control groups received i.v. infusions of saline alone at 2-day intervals, or crude mouse Ig (10 µg/mouse). An experimental group received 10 µg/mouse OX-2:Fc i.v. at daily intervals. All groups received injections for 10 days. Graft survival was followed daily with data pooled from two such studies shown in Figs. 1Go and 2.



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FIGURE 1. Inhibition of skin allograft rejection in mice receiving i.v. infusion of OX-2:Fc immunoadhesin. See text for more details. Groups of six C3H mice received C57BL/6 skin allografts along with i.v. infusions of saline, mouse Ig, or OX-2:FC (for the two latter, 10 µg/mouse/injection was used). Daily injections were given from the day of transplantation for 10 days. Data show mean survival/group pooled over two studies (12 mice/group).

 
Infusion of OX-2:Fc led to increased survival of both skin and renal allografts in these mice, consistent with a role for OX-2 in the regulation of graft rejection in these models. In a separate study (see Fig. 3Go), mice received daily i.v. infusion of OX-2:Fc, followed by anti-OX-2 mAb (3B6; see Ref. 8) at 2-day intervals from the time of transplantation for 12 days. A further control group in this study received donor-specific pv immunization followed by renal allotransplantation. In this study (Fig. 3Go), treatment with anti-OX-2 Ab abolished both the increased survival following pv immunization, as described elsewhere (4), and the increased survival following infusion of OX-2:Fc.



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FIGURE 3. Reversal of increased renal graft survival following pv immunization or OX-2:Fc infusion by injection of anti-OX-2 mAbs. See text for further details. Groups of five mice received daily i.v. infusion of 10 µg/mouse OX-2:Fc (for 10 days), followed by 50 µg/mouse of 3B6 anti-OX-2 mAb at 2-day intervals from the time of transplantation for a total of 7 injections. Data shown are pooled from two studies (10 mice/group).

 
In one other study of this type, we asked whether survival of renal xenografts in mice would be prolonged by infusions of OX-2:Fc. Groups of C3H mice received LEW rat renal xenografts after pretreatment as described in Materials and Methods. Control groups subsequently received only saline or mouse Ig, while an experimental group received OX-2:Fc as in Figs. 2Go and 3Go. Data pooled from six mice/group are shown in Fig. 4Go. Once again, infusion of OX-2:Fc resulted in significant prolongation of xenografts in this combination, suggesting that OX-2:Fc delivers an immunoregulatory signal(s) effective in preventing both xeno- and allograft rejection.



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FIGURE 2. Inhibition of renal allograft rejection in groups of five C3H mice receiving i.v. infusion of OX-2:Fc. Data as for Fig. 1Go, except that C57BL/6 renal allografts were used. Data are pooled for 10 mice/group.

 


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FIGURE 4. Inhibition of renal xenograft rejection in groups of five C3H mice receiving i.v. infusion of OX-2:Fc and LEW renal xenografts. Data are pooled for six mice/group. Auxiliary treatment in this case (including the use of asialo-GM1 Ab and rabbit anti-mouse lymphocyte serum) was as described in Materials and Methods. A control group ({diamondsuit}) received no asialo-GM1 or anti-mouse lymphocyte serum.

 
Altered cytokine production in mice receiving renal allografts and OX-2:Fc immunoadhesin

Increased survival following pv immunization is associated not only with elevated expression of OX-2 but also with altered cytokine production (increased IL-4 and IL-10, and decreased IL-2 and IFN-{gamma}) in stimulated cells from grafted mice (4). To assess the potential changes in cytokine production in mice receiving renal grafts as well as OX-2:Fc, we performed the following study.

Groups of three per group C3H mice received C57BL/6 renal allografts as above, along with mouse Ig or OX-2:Fc daily (for 10 days). Thereafter, all mice/group were sacrificed (day 11), spleen cell suspensions were prepared, and cells were stimulated in vitro with mitomycin C-treated C57BL/6 spleen cells. Cytokines were measured in the supernatant of these cultures as before. Data pooled from two such studies (six individual spleen cell preparations tested/group) are shown in Table IIIGo. It is clear that infusion of OX-2:Fc not only increased graft survival (Figs. 1Go and 2Go) but also altered polarization in cytokine production away from type 1 cytokines (IL-2, IFN-{gamma}) toward type 2 cytokines (IL-4 and IL-10), in a similar fashion to data we have reported earlier following pv immunization (4).


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Table III. Altered cytokine production in spleen cells of mice receiving OX-2:Fc in vivo

 
Infusion of OX-2:Fc in vivo inhibits Ab production to SRBC

We postulated that engagement of OX-2 with its ligand (OX-2L) leads to a physiological immunosuppression of immune responses (6). Accordingly, we next asked whether mice immunized with SRBC to produce anti-SRBC AFC would also be inhibited (for AFC production) by in vivo infusion of OX-2:Fc. As before, mice received i.v. infusion of 10 µg/mouse OX-2:Fc or control mouse Ig beginning on the day of SRBC immunization (with 4 x 108 SRBC i.v.). Spleen cells were harvested at 7 days, and IgM and IgG AFC were assayed using plaque assays described in Materials and Methods. Data in Table IVGo show pooled results from two studies (a total of 12 mice/group). Infusion of OX-2:Fc led to a 2.5- to 3-fold inhibition of the anti-SRBC AFC response in this study, consistent with a generalized immunosuppressive effect induced by this molecule.


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Table IV. Inhibition of anti-SRBC AFC response after infusion of OX-2:Fc in vivo

 
Kinetics of induction of unresponsiveness in vitro with OX-2:Fc

In the next series of studies, we asked whether the decreased response to allogeneic stimulation, as assessed by inhibition of CTL or IL-2 cytokine production, required the continual presence of OX-2:Fc or only transient incubation in the presence of OX-2:Fc. In this study, bulk cultures of responder C3H and C57BL/6 stimulator cells were incubated for 4, 24, 48, or 96 h with OX-2:Fc (50 ng/ml), before washing and replating in large 24-well culture plates. In this study, supernatants were harvested at 60 h from all cultures for assay of IL-2 production, while CTL activity was measured at 6 days of culture. In other experiments, OX-2:Fc was added only after 24, 48, or 96 h of culture, and cytokine production/CTL activity measured. Data pooled from three studies of each type are shown in Table VGo.


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Table V. Kinetics of induction of unresponsiveness to alloantigens by OX-2:Fc

 
Inhibition of allostimulation was seen even when OX-2:Fc was present for only the first 24–48 h of culture (see lower half of Table VGo). However, delaying addition until beyond 48 h of culture resulted in a failure to inhibit the induction of CTL/production of IL-2 (upper half of Table VGo). These data suggest that OX-2 delivers its immunoregulatory signal(s) during the first phase of T cell activation and that it is required throughout this phase for optimal inhibition.

Inhibition of allostimulation in vitro by combined treatment with OX-2:Fc and anti-B7 Ab

A large body of data suggests that T cell activation itself requires costimulation following engagement of, among others, the costimulator molecules B7-1 and B7-2 expressed on APC (14, 15). We thus investigated whether simultaneous blockade of costimulation (by anti-B7 Ab) along with provision of a tolerizing signal (using OX-2:Fc) would lead to more profound allosuppression. In the first of such studies in vitro, responder spleen cells were incubated with spleen stimulator cells in triplicate in the presence of OX-2:Fc, F(ab')2 fragments of anti-B7-1 or anti-B7-2, or a combination of these reagents. Supernatants were harvested for assay of cytokine production, and CTL were measured at day 5. Data pooled from three such studies are shown in Table VIGo.


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Table VI. Inhibition of mouse MLR in vitro using OX-2:Fc and anti-B7

 
As already noted in Tables I and II, incubation of allostimulated cells in the presence of OX-2:Fc alone led to some 75% inhibition of generation of CTL, proliferation, and cytokine production. A lesser degree of inhibition (generally <50%) was seen when cells were incubated in the presence of F(ab')2 Abs to the costimulator molecules B7-1 and B7-2, alone or in combination. However, simultaneous blockade of costimulation (by anti-B7 Abs), along with provision of signaling via OX-2:Fc, led to a profound synergy in the immunosuppression seen (>95% inhibition of proliferation and generation of allospecific CTL).

Graft survival is enhanced by infusion of OX-2:Fc along with anti-B7-1 and anti-B7-2 Abs

In a final study we asked whether the synergism in inhibition of allostimulation seen in Table VIGo was mimicked in vivo in a renal allograft model. Groups of C3H mice received renal allografts (see Materials and Methods) along with i.v. infusion of OX-2:Fc alone (10 µg/mouse daily x five doses), a mixture of F(ab')2 anti-B7-1 and anti-B7-2 (100 µg/mouse daily x five doses), or a combination of OX-2:Fc and the mAbs. A control group received saline injections only. Graft/animal survival is shown for the individual groups in Fig. 5Go.



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FIGURE 5. Synergism in inhibition of renal allograft rejection in groups of five C3H mice receiving i.v. infusion of OX-2:Fc (10 µg/mouse daily for 5 doses) along with F(ab')2 anti-B7 mAbs (100 µg/mouse daily for five doses). Control groups received OX-2:Fc or mAbs alone. Data are for six mice/group.

 
Infusion of OX-2:Fc alone produced increased graft survival beyond that seen in saline controls, as was shown earlier in Fig. 2Go. The mixture of anti-B7-1 and anti-B7-2 also produced some increase in renal graft survival in this model. However, the most striking effect seen was in the group receiving combined treatment with mAbs and OX-2:Fc, where a profound increase in survival beyond that seen with any treatment alone was observed (p < 0.05, Mann-Whitney U test). Note that in this experiment the cumulative dose of OX-2:Fc given was less (50 µg) that that given in the study shown in Fig. 2Go, further emphasizing the synergy in inhibition of graft rejection brought about by combinations of OX-2:Fc and anti-B7 mAbs.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have shown previously that unresponsiveness to vascularized and nonvascularized allografts and xenografts following Ag-specific portal vein pre- or peritransplant immunization is associated with a preferential activation of type 2 rather than type 1 cytokine-producing cells (16, 17, 18). Appropriate activation of T cells depends on cross-linking the TCR by an Ag-MHC complex expressed on APC, on the delivery of auxiliary costimulatory signals (19), and on the cytokine milieu in which stimulation occurs. In the model we have used, IL-12 and/or IFN-{gamma}, and conversely IL-4, IL-10, and/or IL-13 regulate in a reciprocal fashion the activation of type 1 and type 2 cytokine-producing cells (17). It has recently been found that this in turn is reflected in the differential expression on the surface of those T cells of two distinct molecules, each belonging to the IL-1R family, namely IL-18R (on Th1 cells) and ST2L (on Th2 cells) (20).

Using a PCR-based subtraction hybridization method we reported evidence that implicated a novel molecule, OX-2, in the regulation of graft rejection following pv immunization (4). Our preliminary data used an Ab directed to the rat OX-2 molecule and thus depended upon an unexplained cross-reactivity between mouse and rat OX-2 (4). However, more recently we have confirmed that a mAb to murine OX-2, 3B6, which detects a molecule on the surface of DCs, plays a role in regulating cytokine production after allostimulation (8). Borriello et al. also recently reported that OX-2 expression was not a costimulator for induction of IL-2 and IFN-{gamma} synthesis (3). We hypothesized, based on these data, that engagement of OX-2 on the surface of DCs would be a negative signal for type 1 cytokine production (1, 4).

The data in this manuscript are from results of experiments designed to test this hypothesis, using an immunoadhesin in which the extracellular domains of the OX-2 molecule were linked to the Fc region of murine IgG2a. The gene encoding the latter had in turn been modified to eliminate the Fcr binding region and the complement binding region (7). After expression in a baculovirus system, we could show that addition of OX-2:Fc to allostimulated cells in vitro led to significant inhibition of proliferation, CTL induction, and type 1 cytokine (IL-2, IFN-{gamma}) production (see Tables I and II). Furthermore, this inhibition was seen using both murine and rat responder cells (Table IIGo), in keeping with our hypothesis that there was cross-reactivity between the murine and rat molecules (in this case presumably at the level of their natural binding ligands). Infusion of this reagent into animals receiving renal or skin allografts produced significantly increased graft survival, parallel to the levels seen after pv immunization (see Figs. 1Go and 2Go), an effect that was itself abolished after simultaneous infusion of mAb to OX-2 (3B6; see Fig. 3Go). Furthermore, cells taken from grafted mice receiving OX-2:Fc infusions showed a reversal in polarization of cytokine production after restimulation in vitro, with an increase in IL-4 and IL-10 production, and concomitant decreases in IL-2 and IFN-{gamma} production (Table IIIGo).


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Table II. Murine OX-2:Fc immunoadhesin inhibits rat mixed leukocyte reactions in vitro

 
As evidence that increased expression of OX-2 has a general immunoregulatory role in vivo, we were also able to show that infusions of OX-2:Fc resulted in decreased SRBC-specific AFC after immunization of mice with SRBC (Table IVGo). This effect was more pronounced in terms of IgG AFC than IgM AFC, which may reflect the greater T dependence of the former and a mechanism of action of OX-2:Fc that encompasses a functional inhibition of Th cell function. Similarly, infusion of OX-2:Fc produced significantly increased survival of renal xenografts in C3H mice receiving LEW grafts along with pv immunization of LEW bone marrow cells (Fig. 4Go). As assayed by kinetic studies using an allogeneic MLR reaction in vitro, delivery of this immunoregulatory signal occurs within the first 24–48 h following Ag encounter, although, once cells have been activated, addition of exogenous OX-2:Fc did not produce as significant a decrease in the resulting immune response (Table VGo).

We proposed initially that OX-2 may represent a (member of a family of) molecule(s) that, in contrast to the B7 family, provides not costimulation but instead delivers an immunoregulatory signal to activated T cells (4, 6). Based on the lack of immunoreceptor tyrosine-based inhibitory motif (ITIM)/immunoreceptor tyrosine-based activation motif (ITAM) signaling motifs in the cytoplasmic domain of OX-2 (1), we suggested that the natural ligand of OX-2 might deliver this signal, although the cell(s) expressing this putative ligand has not been definitively identified. However, using a similar approach with a solubilized form of OX-2, Preston et al. suggested that macrophages may express a counterreceptor for OX-2 (21). There are no data, to our knowledge, indicating binding of OX-2 directly to T cells themselves. If indeed OX-2 modifies T cell signaling indirectly, by acting on macrophages (or APC in general), one mechanism for immunosuppression might involve OX-2-mediated regulation of expression of the costimulatory molecules B7-1 (B7-2) and/or CD40. We recently found that OX-2+ bone marrow-derived DC could inhibit the allostimulation induced by other B7-1+ (and B7-2+) DC (6). However, even these data do not address the issue of whether the inhibition seen reflects a direct action on T cells or an indirect one mediated by an altered stimulatory function of DC.

Based on a model in which OX-2 delivers an immunoregulatory signal independent of any effect mediated by B7-1 (or B7-2) expression, we hypothesized that there would be a synergy for immunosuppression if blockade of costimulation was coupled with signaling via OX-2. The data in Table VIGo and Fig. 5Go provide some support for such a model. Profound immunosuppression both in vitro (as measured by proliferation and CTL and cytokine production) and in vivo (renal allograft survival) was seen in a situation where encounter with alloantigen occurred in the presence of both OX-2:Fc and F(ab')2 anti-B7-1 and anti-B7-2. We believe these data are best explained by considering that the two strategies (blockade of costimulation and presentation of OX-2 immunoadhesin) act independently to reduce or prevent allostimulation in these models.

Taken together our data support a hypothesis that increased expression of OX-2 on the surface of DC following pv immunization provides an important negative signal that results in decreased graft rejection and an alteration in the polarization of cytokine production in such animals. More generally, it seems that engagement of its natural ligand (which we have referred to as OX-2L), results in a profound suppression of responses to nominal Ag, alloantigen, and xenoantigen, which may have relevance in a number of human diseases, including infection, autoimmunity, transplantation, and malignancy.


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Table I. Murine OX-2:Fc immunoadhesin inhibits mouse MLR in vitro

 

    Footnotes
 
1 This work was supported by the Medical Research Council (MRC) of Canada and Physicians’ Services Inc. Foundation (PSI). Back

2 Address correspondence and reprint requests to Dr. Reginald Gorczynski, CCRW 2-855, The Toronto Hospital, 200 Elizabeth Street, Toronto, M5G2C4, Ontario, Canada. E-mail address: Back

3 Abbreviations used in this paper: DC, dendritic cells; OX-2:Fc, immunoadhesin linking extracellular region of OX-2 to murine IgG2a Fc; pv, portal venous immunization; AFC, Ab-forming cell; LEW, Lewis; BN, Brown Norway. Back

Received for publication January 19, 1999. Accepted for publication May 11, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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