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The Journal of Immunology, 1999, 163: 1809-1816.
Copyright © 1999 by The American Association of Immunologists

IL-2-Independent Activation and Proliferation in Human T Cells Induced by CD281

George Boulougouris, Julie D. McLeod, Yusuf I. Patel, Claire N. Ellwood, Lucy S. K. Walker and David M. Sansom2

Department of Pharmacology, University of Bath, Bath, United Kingdom; and Bath Institute for Rheumatic Diseases, Bath, United Kingdom


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although the role of CD28 in T cell costimulation is firmly established, the mechanisms by which it exerts its costimulatory actions are less clear. In many circumstances it is difficult to distinguish the effects of CD28 from subsequent actions of cytokines, such as IL-2, on T cell proliferation. Here, we report a model of CD28 costimulation using PMA plus the natural ligand CD80 that resulted in very limited stimulation of IL-2, as evidenced by both cytokine production and IL-2 promoter stimulation. Promoter assays revealed CD28-dependent effects on both NF-{kappa}B and AP-1, but not on NF-AT or the intact IL-2 promoter. In addition, T cell proliferation was completely resistant to the actions of the immunosuppressant cyclosporin A (CsA). Moreover T cell proliferation was unaffected by the addition of blocking Abs to both IL-2 and the IL-2 receptor, demonstrating that this form of costimulation by CD28 was independent of IL-2. We also investigated the effects of stimulating T cell blasts with CD80 alone and found that there was a limited requirement for IL-2 in this system. We conclude that CD28 costimulation can cause substantial T cell proliferation in the absence of IL-2, which is driven by a soluble factor independent of NF-AT transactivation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In addition to signals initiated following engagement of the TCR by foreign Ags in complex with MHC molecules, other pathways are important for T cell proliferation. These pathways include the delivery of costimulation through the CD28 receptor as well as the subsequent production of cytokines, such as IL-2, and signals through the IL-2 receptor. Studies using mice deficient for CD28 and IL-2 demonstrate a number of defects reflecting the importance of these receptors to both T cell and B cell immune responses (1, 2). Intriguingly, however, rather than the predicted immunodeficient phenotype, IL-2-deficient mice suffer from T cell lymphoproliferation and a syndrome reminiscent of inflammatory bowel disease (2). This clearly indicates that cytokines other than IL-2 may be important in T cell proliferation.

CD28 is a surface glycoprotein expressed on the majority of T cells that interacts with two known natural ligands (CD80 and CD86) (3). Both ligands are expressed by professional APCs, and both are capable of costimulating responses via CD28. One of the most striking features associated with CD28 costimulation is the ability of this pathway to prevent the induction of a tolerant state known as T cell anergy, an ability closely linked with the induction and secretion of a number of cytokines (3, 4, 5, 6), of which IL-2 appears to be the most important. One interpretation is, therefore, that costimulation of T cell proliferation and prevention of anergy by CD28 is mediated largely by IL-2 production and that IL-2 is responsible for many CD28 effects.

A major feature of signals initiated by CD28 costimulation is the resistance of this pathway to the calcineurin inhibitor, CsA, although the degree of resistance observed has been variable. This may relate to the fact that Abs to CD28 can generate a calcium signal (7, 8) that is dependent on the degree of cross-linking, which then leads to an apparently CsA-sensitive signal. In contrast, it appears that natural ligands do not stimulate calcium elevation. Whether or not CD28 is sensitive to CsA has considerable implications for the interpretation of costimulatory signals, since CsA is known to inhibit nuclear entry of the transcription factor NF-AT that is required for IL-2 gene transcription (9). Thus, if CD28 signals are resistant to CsA, this would suggest that CD28 has either NF-AT-independent effects on IL-2 production, or IL-2-independent costimulatory functions that would therefore dissociate CD28 costimulation from the effects of IL-2-driven proliferation. Attempts to understand the signaling mechanisms of CD28 have identified several pathways, including activation and recruitment of the enzyme phosphoinositide-3-kinase (PI3K)3, as well as a pathway via acidic sphingomyelinase (10, 11, 12). Nonetheless, the involvement of these pathways in costimulation of IL-2 production is still unclear (11, 13, 14).

Downstream of PI3K, the effects of CD28 stimulation include activation of the ser/thr kinase protein kinase B (PKB) and subsequently p70S6 kinase (15, 16, 17) indicating a possible role for PI3K in cell cycle progression. In addition, the PI3K pathway also appears to be involved in CD28 receptor recycling (18), and it is clear that CD28 costimulation has other functions, such as protection from cell death and increasing longevity of T cell responses (19, 20, 21, 22). CD28 costimulatory signals are also thought to converge with signals from the TCR, resulting in the activation of the c-Jun N-terminal kinase (JNK), which is required for the generation of the transcription factor AP-1 (23). This, along with the influence of transcription factors NF-{kappa}B and NF-AT, provides the basis for transcriptional activation of IL-2 gene transcription (24). Consequently, much of the interpretation of CD28 costimulation has been based on analysis of IL-2 transcription and production.

To address the role of IL-2 production as a component of CD28 costimulation and to investigate the effects of CsA on CD28 responses triggered by the natural ligand CD80, we compared two distinct T cell stimulation protocols, using either PMA and ionomycin or PMA plus CD80 ligand for their ability to stimulate T cells and support IL-2 production. These experiments revealed that T cells proliferated strongly to both stimuli; however, PMA plus CD80-stimulated proliferation occurred in a completely CsA-resistant fashion whereas PMA plus ionomycin was sensitive to CsA. Strikingly, irrespective of whether CsA was used, PMA- and CD80-stimulated cells displayed a highly impaired ability to produce IL-2, and, using neutralizing Abs to IL-2 and IL-2 receptor, we observed that proliferation was independent of IL-2. Consistent with this observation, studies on the IL-2 gene promoter indicated that PMA plus CD80 could stimulate activity of NF-{kappa}B and AP-1 elements, but not NF-AT or the intact IL-2 promoter activity, while PMA plus ionomycin stimulated all elements. Finally, using activated T cells stimulated with CD80 alone, we also observed similar CD28-mediated proliferative responses that also proceeded in a largely IL-2-independent manner. These data suggest that CD28 is capable of T cell costimulation independently of IL-2 and NF-AT in a CsA-resistant manner.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
T cell purification

Purified resting T cells were isolated from peripheral blood of healthy human donors. PBMC were isolated by density gradient centrifugation at 800 x g for 30 min (Nycomed 1.077 g/ml), and the buoyant layer was isolated. Following two washes with medium, the cells were further purified by adhering to plastic for 1 h at 37°C in complete medium (RPMI 1640 + 10% FCS and antibiotics). Nonadherent cells containing the T cell population were recovered and incubated with mAbs against CD14 (UCHM1), HLA-DR (L243), and CD19 (BU12). Stained cells were magnetically removed using sheep anti-mouse IgG magnetic beads (Dynal, Oslo, Norway). The remaining cells, which comprised the resting T cell population, were used in subsequent experiments. For experiments using T cell blasts, PBMCs were taken following density gradient centrifugation and washing. These were then cultured with superantigen SEA (10 ng/ml) in complete medium. After 4–6 days, blasts were washed and utilized.

Transfectants

Chinese hamster ovary (CHO) cells were transfected with the CD80 cDNA expressed under the control of a CMV promoter, generated as previously described (25). Cells were maintained in glutamine-free DMEM containing 10% FCS, plus penicillin and streptomycin. Before use, cells were trypsinized and washed in PBS and then fixed with 0.025% glutaraldehyde in PBS for 2–3 min. Cells were washed extensively with medium containing 10% FCS, counted, and utilized.

T cell proliferation assays

Proliferation assays were performed in triplicate in 96-well plates in a final volume of 200 µl per well in RPMI 1640 medium containing 10% FCS and antibiotics. T cells (5 x 104) were cultured either alone or stimulated as specified in figure legends or incubated with either CHO or CHO-CD80 cells at a ratio of 3:1 T cell to transfectants. Proliferation was measured by thymidine incorporation after a further 72 h. Where anti-CD28 Abs were used, the Ab 9.3 was added at 1 µg/ml and cross-linked using sheep anti-mouse IgG (5 µg/ml). Assays were incubated at 37°C for 72 h, at which time 50-µl aliquots were removed for IL-2 analysis (DuoSet-ELISA, Genzyme, Boston, MA), and the cells were incubated for a further 18 h with the addition of 1 µCi [3H]thymidine per well. Cells were harvested onto 96-well filter plates using a Packard (Meriden, CT) 96-well harvester, and [3H]thymidine uptake was determined via liquid scintillation counting. Blocking Abs were added at the start of culture in 50-µl volumes to the final concentrations indicated in the figures. Data are plotted as mean values of triplicate wells. SEs were always less than 10% of the mean value.

Carboxy fluorescein diacetate succinimidyl ester labeling

To determine cell division of T cells, resting T cells were labeled with carboxy fluorescein diacetate succinimidyl ester (CFSE) (Molecular Probes, Leiden, NL). T cells were labeled using 2.5 µM CFSE in PBS for 3 min and then washed twice in complete medium. Cells were then subjected to stimulation as described in the figure legends, using PMA, PMA +CD80, and PMA + ionomycin, and fluorescence was monitored by FACS at various times after stimulation.

Luciferase Assays

Plasmids encoding multimerized NF-AT, NF-{kappa}B, or AP-1 or the complete IL-2 promoter were used as previously described (26). Jurkat cells (5 x 106) were transiently transfected by electroporation at 320 V, 960 µF in 1 ml of complete medium. After 24 h, Jurkat cells were stimulated for 8 h as detailed in figure legends or with CHO transfectants at a 1:3 ratio. Cytoplasmic extracts were performed using luciferase assay kit (Promega, Madison, WI). Briefly, cells were resuspended in lysis buffer and incubated at room temperature for 15 min. Two freeze and thaw cycles in liquid nitrogen aided the cytoplasmic extraction, and after a brief centrifugation 20 µl of the supernatant was used with 100 µl of luciferase assay reagent. Luminescence was measured immediately for 10 s with the TD-20/20 Luminometer or using a Packard Top Count.

FACS analysis

FACS analysis was undertaken using the following Abs at 1 µg/ml: anti-CD2 (OKT11; American Type Culture Collection (ATCC), Manassas, VA), anti-CD25 (HB8784; ATCC), anti-CD69 (55.3.1; Serotec, Oxford, U.K.), and anti-CD28 (YTH913.12; Serotec) The primary Abs were added for 30 min at 4°C, cells were washed in PBS, and the secondary anti-mouse polyvalent FITC (Sigma, St. Louis, MO) was added for 30 min at 4°C. Five thousand events were analyzed by flow cytometry on a Becton Dickinson (Mountain View, CA) FACStarPlus using a 488-nm 100-mW laser.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PMA plus CD80 induces proliferation in a completely CsA-resistant fashion

Several studies have used PMA in synergy with Abs to CD28 to investigate the role of CD28 as a costimulatory receptor in T cell activation (7, 27). However, few of these studies have used the natural ligands of CD28, and confusion has arisen over the sensitivity of CD28 costimulation to CsA. Since stimulation via the TCR is inherently CsA sensitive, we utilized the ability of PMA and the natural ligand CD80 to costimulate proliferative responses to clarify the effect of CsA on the CD28 pathway. As shown in Fig. 1Go, purified T cells proliferated well in the presence of PMA and CHO-CD80 cells together, although not to either stimulus alone. Moreover, this type stimulation was resistant to the immunosuppressive drug CsA, and in a large number of experiments we did not observe any CsA sensitivity in using this system. In contrast, stimulation of T cells with PMA and ionomycin was highly sensitive to CsA. To establish that both forms of stimulation resulted in expansion of T cells with similar phenotypes, we also performed flow cytometric analysis of the T cells activated by P + I and PMA + CD80. These results (Fig. 2Go) confirmed that the responding T cells was phenotypically similar in each case and displayed typical activation markers such as CD69 and CD25. The only difference observed was that those cells that received CD80 stimulation expressed a lower level of CD28, which occurs as a result of ligand engagement and is due to receptor internalization (18, 28). Overall, however, these experiments clearly demonstrated that costimulation with the natural ligand CD80 resulted in proliferation of phenotypically normal cells via a CsA-resistant pathway.



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FIGURE 1. CD28 costimulation is CsA resistant. Purified T cells were stimulated with PMA (5 ng/ml) in the presence of control CHO cells, CD80 transfectants, anti-CD28 Abs (1 µg/ml), or 1 µM ionomycin. Stimulations were conducted in the absence (filled bars) or presence (hatched bars) of CsA (1 µg/ml). Proliferation was measured at 72 h by the incorporation of tritiated thymidine. Results are representative of three experiments.

 


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FIGURE 2. PMA/CD80 or P + I give rise to similar activated T cell phenotypes. T cells were stimulated with PMA alone (A), PMA plus CD80 (B), or stimulated with PMA plus ionomycin (C). Flow cytometric analysis of activated T cells was performed after 72 h with Abs to the surface markers shown. Cells were analyzed for FITC fluorescence at 520 nm.

 
PMA and CD80 is an insufficient signal for IL-2 production

Given that proliferation of T cells to PMA plus CD80 was completely CsA resistant, we next tested whether IL-2 production was similarly unaffected by CsA, as has been suggested previously (27). We therefore measured the effect of CsA on IL-2 production in response to PMA plus CD80 stimulation. Interestingly, we observed that resting human T cells stimulated in this manner produced very limited amounts of IL-2 (Fig. 3Go), and this small increase was sensitive to CsA. In contrast, we observed substantial production of IL-2 after stimulation with PMA and ionomycin, which was completely inhibited by CsA. These results were surprising not only because of the ability of T cells to proliferate to PMA and CD80 despite extremely limited amounts of IL-2 (most notably in the presence of CsA) but also because previous studies have suggested that CD28 Abs synergized with PMA to induce IL-2, which was CsA resistant. Interestingly, when we performed similar experiments using cross-linked anti-CD28 Abs (Fig. 3Go), we also observed substantial IL-2 production, which was not evident using natural ligand. Moreover, this level of cytokine was sensitive to CsA, indicating that it derived from a calcineurin-dependent pathway, most likely due to calcium signals elicited from cross-linking CD28. However, the IL-2 production stimulated by anti-CD28, while mainly sensitive to CsA, did reveal some residual CsA-resistant IL-2 production, which may be a feature of anti-CD28 stimulation. Thus, our results clearly demonstrated an obvious disparity between the ability of T cell to proliferate to PMA and CD80 stimulation and their ability to produce IL-2. This suggested several possibilities; either small amounts of IL-2 could sustain high levels of proliferation, the T cells consumed IL-2 more rapidly when stimulated by PMA and CD80, or that T cell proliferation may not be IL-2 dependent in this system. In addition, these data highlighted substantial differences between the results obtained using anti-CD28 Abs and natural ligands.



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FIGURE 3. Purified T cells were stimulated with PMA (5 ng/ml) in the presence of control CHO cells, CD80 transfectants, anti-CD28 Abs (1 µg/ml), or 1 µM ionomycin. Stimulations were conducted in the presence (hatched bars) or absence (filled bars) of CsA (1 µg/ml). IL-2 production was measured at 72 h by ELISA. Results are representative of three experiments.

 
PMA and CD80 stimulate NF-{kappa}B and AP-1 transactivation but not NF-AT or the intact IL-2 promoter

To further understand the differences in signaling between PMA and CD80 compared with PMA and ionomycin and their differential effects on IL-2 production, we next examined the effects of these stimuli on the transcription factors NF{kappa}B, AP-1, NF-AT and on the intact IL-2 promoter.

To establish the effect of CD80 on the transactivation of the IL-2 promoter and its components, we used luciferase reporters transiently transfected into Jurkat cells. As shown in Fig. 4GoA, PMA alone was unable to induce substantial NF-{kappa}B activity without the addition of ionomycin, and as expected this activation was fully blocked by CsA. In contrast, CD80 was also able to partially activate NF-{kappa}B, increasing the response ~2-fold over PMA alone, but, notably, this enhancement was resistant to CsA, suggesting that pathways leading from CD28 to NF{kappa}B stimulation could be partially responsible for the CsA-resistant costimulatory effect of CD28. Similar experiments were also performed using AP-1 reporter constructs. In examining the transactivation of AP-1 (Fig. 4GoB), PMA was found to strongly induce AP-1 luciferase activity, which was enhanced by the addition of ionomycin and blocked by CsA. Significantly, CD80 stimulation also enhanced the PMA-driven response, and like NF{kappa}B this was completely resistant to CsA. Thus, both NF{kappa}B and AP-1 responses were stimulated by CD28 in a CsA-resistant manner.



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FIGURE 4. IL-2 promoter activity is poorly stimulated by PMA/CD80. Luciferase assays were performed in Jurkat cells using reporters linked to NF-{kappa}B (A), AP-1 (B), NF-AT (C), and the intact IL-2 promoter (D). Experiments comparing CD80 and anti-CD28 are shown for NF-AT (E) and IL-2 (F). Stimulations (8 h) were performed 24 h following transfection, and luciferase activity was detected using a luminometer. Data are representative of three experiments.

 
We also investigated the effects of PMA and CD80 stimulation of the transcriptional activity of both NF-AT and the whole IL-2 promoter (Fig. 4Go, C and D, respectively). The NF-AT transcription factor is known to be dependent on calcium signaling, and specifically calcineurin, for its translocation to the nucleus, an event that is blocked by CsA (9). However, a partially calcineurin-independent mechanism has been suggested to be initiated by CD28 Abs (29). Using luciferase assays, we observed a strong NF-AT response to stimulation by PMA and ionomycin that, as predicted, was completely blocked by CsA. However, in contrast to our results for NF{kappa}B and AP-1, we were unable to significantly activate the NF-AT reporter construct with the PMA and CD80. In addition, using a reporter construct containing the whole IL-2 promoter (Fig. 4GoD), similar results were obtained to those with NF-AT. In this case, however, CD80 was able to slightly enhance IL-2 activation induced by PMA, although this effect was blocked by CsA, suggesting it could not account for the CsA-resistant CD28 effect on T cell proliferation. However, we did observe that, in the presence of P + I, CD80 stimulation was able to further stimulate the IL-2 promoter, suggesting that CD28 could only significantly augment activation of the IL-2 promoter in the context of calcium-dependent signals (data not shown).

In addition to these experiments, we also directly compared the abilities of CD80 and anti-CD28 mAb for their abilities to stimulate NF-AT (E) and the IL-2 promoter (F) constructs. These results showed similar findings for both constructs in that both PMA/CD80 and PMA plus CD28 Abs (not cross-linked) were poor stimulators of the constructs. However, cross-linking of the anti-CD28 Ab using a sheep anti-mouse Ig consistently gave a 2- to 3-fold stimulation of both NF-AT and IL-2, suggesting that cross-linking CD28 Abs provides different signals to the natural ligand. This observation was consistent with our observations in Fig. 3Go, suggesting that cross-linked anti-CD28 Ab and CD80 ligand had different effects on IL-2 transcription. However, it was notable that the levels of luciferase activity seen with cross-linked anti-CD28 were at least 10-fold lower than those with PMA and ionomycin in the same assay.

Overall, however these results indicated that both NF{kappa}B and AP-1 responses were stimulated by CD28 ligation and that the pathways leading to activation of these transcription factors were CsA resistant. In contrast, PMA and CD80 did not effectively stimulate NF-AT or the IL-2 promoter in the absence of a calcium flux, consistent with our data from normal T cell stimulations, indicating that IL-2 transcription was poorly stimulated in response to PMA and CD80. In addition, these assays further revealed differences in the ability of anti-CD28 to stimulate the IL-2 promoter, depending on whether or not the Ab was cross-linked.

Anti-IL-2 and anti-IL-2R Abs do not inhibit PMA + CD80 proliferation

Taking the above results together, it did not appear that IL-2 was likely to be responsible for T cell proliferation to PMA and CD80 stimulation. Nonetheless, since it was still formally possible that PMA- and CD80-stimulated T cells produced small amounts of IL-2 sufficient to drive proliferation, we examined this possibility using blocking Abs to IL-2 and the IL-2R. As shown in Fig. 5Go, A and B, proliferation of the cells stimulated with PMA and CD80 was not inhibited by blocking Abs to either IL-2 or the IL-2R, demonstrating that IL-2 was not responsible for the proliferative response to PMA and CD80. In fact, if anything, these Abs caused slight enhancement of responses. This lack of inhibition was not due to the inability of the Abs to block since substantial inhibition was observed in T cell responses stimulated by either anti-CD3 plus CD80 or with P + I. However, these Abs only partially inhibited proliferation to PMA and ionomycin, indicating that, like PMA + CD80, this response was also only partially IL-2 dependent. Nonetheless, it was clear from these experiments that IL-2 was not required to sustain proliferation to PMA and CD80.



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FIGURE 5. PMA/CD80 costimulation does not depend on IL-2. The effects of blocking Abs to IL-2 (A) and IL-2R (B) were tested on T cell proliferation. Cells were stimulated with either PI (circles), PMA and CD80 (triangles), or CD3 and CD80 (squares). The effects on cell proliferation were measured by tritiated thymidine incorporation at 72 h.

 
Activated T cells can be stimulated by CD80 in a largely IL-2-independent manner

The above situation, where T cells proliferated well despite their inability to generate significant quantities of IL-2 or activate components of the IL-2 promoter, was reminiscent of our previous studies using activated T cells that were capable of responding to CD80 ligation alone (12). Given that PMA stimulation is not a physiologically relevant stimulus, we wondered whether CD80 stimulation of T cell blasts might represent a similar situation where IL-2 was not required. We therefore investigated the effects of CD80 stimulation on SEA-activated T cell blasts. Accordingly, 5-day-old blasts were washed and then recultured with either CD80 or CHO control cells, and the effects of anti IL-2 Abs were tested. As shown in Fig. 6Go, the CD80-stimulated cells continued to proliferate whereas the control cells did not. Furthermore, the addition of blocking anti-IL-2 Abs revealed that this inhibited only ~20% of the response, indicating that IL-2 was also not essential for T cell proliferation under these circumstances. Thus, these experiments confirmed the possibility that IL-2-independent T cell proliferation may also occur under more physiological circumstances.



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FIGURE 6. CD80 stimulation of activated T cells is substantially IL-2 independent. SEA-activated T cell blasts were stimulated for 5 days and then rechallenged with either CHO cells (hatched bars) or CHO-CD80 (filled bars). The effect of anti-IL-2 was tested at the doses shown, and proliferation was measured by thymidine incorporation 36 h after stimulation. Data are representative of two similar experiments.

 
PMA + CD80-stimulated cells undergo cell division

Finally, given that tritiated thymidine incorporation represents DNA labeling in S phase, but not necessarily actual cell division, we tested whether PMA- and CD80-stimulated cells divided similarly to cells from P + I-stimulated cultures. This was done using both cell counting (data not shown) and assessment of cell division using CFSE labeling (30). By labeling T cells before cell division with CFSE, cell division can then be monitored by the decrease in dye content of the cells as the dye is divided between daughter cells. The data shown in Fig. 7Go indicated that, over a 7-day period, the CFSE content of the cells decreased over 10-fold in the PMA + CD80 (Fig. 7GoB) and the P + I cultures (Fig. 7GoC). In contrast, the cells stimulated with PMA alone did not show any decrease in cell staining. In addition, viable cell numbers increased in the PMA + CD80 and P + I cultures by ~6-fold over the same period. Taken together, these data provided unequivocal evidence that the T cells were undergoing cell division in response to PMA + CD80 in a manner that was IL-2 independent.



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FIGURE 7. PMA + CD80 causes T cell division. Resting T cells were labeled with 2.5 µM CFSE and stimulated with PMA (A), PMA + CD80 (B), or PMA + ionomycin (C). Cells were analyzed for fluorescence by FACS on the day of labeling (d.1) or on days 3, 5, and 7 as shown.

 
PMA + CD80-dependent T cell proliferation is mediated by a soluble factor

Whereas we had established that IL-2 was not responsible for T cell responses to PMA and CD80, we wished to establish whether proliferation was dependent on a soluble factor or whether CD28 signals were driving proliferation directly. To test this, we transferred supernatants from cultures stimulated with various treatments onto previously activated day 5 T cell blasts. As shown in Fig. 8Go, this revealed that treatment with PMA and CD80 resulted in the secretion of a soluble factor that could cause proliferation when transferred to T cell blasts. Likewise, the supernatant from PMA + ionomycin stimulation could also transfer a proliferative stimulus; however, in keeping with our other observations, CsA strongly inhibited PMA + ionomycin- but not PMA + CD80-derived supernatants. Interestingly, these effects were of similar potency as the addition of IL-2. Thus, this experiment indicated that cytokines were involved in both forms of proliferation although it raised the possibility that different cytokines may be involved, depending on the stimulation conditions.



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FIGURE 8. PMA and CD80 stimulates production of a CsA-resistant proliferative factor. Resting T cells were stimulated with PMA + CHO, PMA + CD80, or PI in the absence (filled bars) or presence of CsA (hatched bars). Supernatants were removed and applied to 3-day-old T cell blasts with IL-2 as a positive control. Proliferation was measured 36 h after the transfer of supernatant by tritiated thymidine incorporation.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this paper, we report a CD28-dependent form of T cell stimulation that is resistant to CsA and independent of IL-2. Using the natural ligand CD80 transfected into CHO cells, we have shown that CD80 synergizes with the phorbol ester PMA to induce proliferation of purified resting T cells despite being severely compromised in their ability to produce IL-2.

We observed that this form of stimulation was completely CsA resistant, suggesting it did not depend on the phosphatase activity of calcineurin, an enzyme known to be critical for nuclear entry of the transcription factor NF-AT and control of IL-2 gene transcription (31, 32). This lack of effect of CsA on CD28 costimulation is similar to that reported by others (7, 27); however, there are several differences between our observations and those previously. In our experiments we did not observe any sensitivity of CD80-stimulated CD28 to CsA; this contrasts to the observations of Linsley (7), who suggested that a CsA-sensitive pathway may also derive from CD28. We believe these differences may be explained by the use of Abs vs natural ligands. Indeed, our own data using cross-linked anti-CD28 Abs indicate that this type of stimulation does lead to an apparent CsA sensitivity in the CD28 pathway, which while inhibiting IL-2 production does not affect T cell proliferation.

Our findings also contrast somewhat with the findings of June et al. (27), who observed that CD28-costimulated IL-2 mRNA induction was not inhibited by CsA. In our experiments, we observed either limited IL-2 production using ligand or CsA-sensitive IL-2 production from cross-linked Ab. There are several possible explanations for this. One possibility may be that mRNA analysis by Northern blotting does not correlate well with actual IL-2 production, as measured by ELISA. A second alternative is that their autoradiographic exposures were nonlinear, resulting in possible differences not being detected. A third possibility is that there are genuine differences between Ab and ligand stimulation of this pathway; indeed, several differences have been previously reported (33, 34). Overall, however, despite these differences, consistent concepts do emerge from these various studies. Clearly much, if not all, of the CD28 pathway is unaffected by CsA, and in all studies T cell proliferation is not inhibited. In the absence of calcium signaling, as seen using PMA and CD80, we observed that IL-2 induction was significantly impaired. However, IL-2 production generated by Ab cross-linking appears to be sensitive to CsA, in keeping with the known effects of calcium stimulation on NF-AT. Nonetheless, a residual CsA-resistant IL-2 signal was detected using Ab stimulation. Overall, our interpretation of these various data is that the CsA resistance associated with CD28 costimulation is not due to the fact that IL-2 production is unaffected by CsA but that the CD28 pathway responsible for costimulation of T cell proliferation is unaffected and may ultimately be IL-2 independent.

Our findings at the functional level are supported by luciferase assays of IL-2 gene transcriptional activation. These demonstrated that both NF-AT and intact IL-2 promoter responses were either not stimulated by CD80 or stimulated in a manner that was CsA sensitive (Fig. 4Go, C and D). While there are reports that suggest an NF-AT response in the presence of CsA (29), these clearly represented only a minor fraction of NF-AT activation and were observed using anti-CD28 Abs. Thus, whereas it is possible using Abs to detect CsA-resistant NF-AT and IL-2 responses, these are not easily observed using natural ligands. In comparing CD28 Abs and CD80 ligands directly in luciferase assays in Jurkats, we observed that cross-linked anti-CD28 stimulated NF-AT and IL-2 luciferase activity to a greater degree than either soluble anti-CD28 or the CD80 ligand. This is consistent with our data (Fig. 3Go), which demonstrated similar differences between anti-CD28 and CD80 ligand in IL-2 production by normal T cells. Taken together, these data support the view that cross-linked CD28 Abs are significantly more potent stimuli for IL-2 production than the natural ligand under some conditions of T cell stimulation.

In contrast to the NF-AT and IL-2 promoter, we observed CD80 stimulation of NF{kappa}B and AP-1-driven luciferase reporters in keeping with other studies implicating CD28 in AP-1 and NF{kappa}B signaling (12, 23, 35, 36). In addition we could only observe substantial effects on IL-2 luciferase by CD80 ligation in the presence of PI stimulation. Given that CD80 was ineffective with PMA alone, this suggests that CD28 signals are effective on the whole IL-2 promoter only in the presence of a calcium-dependent stimulus. These results would be consistent with a possible effect of CD28-stabilizing mRNA (37).

Given the apparent discrepancy between proliferation and IL-2 production, we investigated directly the influence of IL-2 on PMA and CD80 stimulation. Here again, our findings supported the view that IL-2 was not critical to T cell proliferation in this model. Strikingly, neither anti-IL-2 nor anti-IL2R Abs could inhibit T cell proliferation, indicating that IL-2 was not involved in T cell proliferation driven by PMA and CD80. In contrast, these Abs were able to significantly inhibit proliferation by CD3 and CD80 and P + I. Despite these surprising findings, our data are similar to those of at least two previous studies using IL-2 knockout mice. In particular, studies by Razi-Wolf evaluated the effect of B7 costimulation on CD4+ T cells in vitro in IL-2-deficient mice (38). This established that B7 costimulation was still effective, and furthermore it appeared that this proliferation was independent of other cytokines, including IL-4 and other common {gamma}-chain-utilizing cytokines. Our own preliminary experiments concur with this finding in that we are unable to detect IL-4 by RT-PCR analysis. More recently similar findings were reported by Khoruts et al. (39), which revealed a CD28-dependent IL-2-independent function triggered by LPS. Thus, despite our use of nonphysiological stimuli to reveal a discrete CD28 function, it appears that this model is very similar to functions of CD28 seen in vivo and in vitro on CD28 ligation using T cell blasts.

Given that T cell proliferation in the absence of IL-2 appears to be responsible for inflammatory bowel disease in mice, these studies may provide a useful and manipulable model for understanding the functional behavior of T cells that are able to operate in the absence of IL-2 and in which the negative regulatory influences of IL-2 may be studied.


    Acknowledgments
 
We thank Dr. D. Williams for the gift of luciferase constructs.


    Footnotes
 
1 This work was supported by a Yamanouchi Research Studentship (to G.B.) and by the Wellcome Trust (J.D.M., Y.I.P., and L.S.K.W.) and the Arthritis Research Campaign (D.M.S. and C.N.E.). D.M.S. is an Arthritis Research Campaign Senior Research Fellow. Back

2 Address correspondence and reprint requests to Dr. David M. Sansom, Department of Pharmacology, University of Bath, Bath, BA2 7AY, U.K. E-mail address: Back

3 Abbreviations used in this paper: PI3K, phosphoinositide-3-kinase; CsA, cyclosporin A; CHO, Chinese hamster ovary; iono, ionomycin; CFSE, carboxy fluorescein diacetate succinimidyl ester; P + I, PMA + ionomycin. Back

Received for publication October 22, 1998. Accepted for publication June 2, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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