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*
Molecular Cardiobiology Program, Boyer Center for Molecular Medicine, and
Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06510
| Abstract |
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| Introduction |
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CD40L has functions in vivo that extend beyond humoral immunity. This possibility was originally suggested by the observation that patients with the XHIM syndrome were more susceptible to infection by microbes such as Pneumocystis carinii, normally controlled by cell-mediated immunity. The role of CD40L in protective T cell responses may be mediated through CD40L-induced maturation of dendritic cell capacity to present Ag (17), CD40L-induced cytokine production by macrophages (18), or CD40L-induced adhesion molecule expression on endothelium (19, 20, 21), a key event in immune-mediated inflammation. Interruption of this signaling system in vivo by administration of anti-CD40L mAb limits experimental autoimmune diseases such as lupus nephritis and acute or chronic graft-vs-host disease (22, 23, 24, 25). Ab to CD40L also reduces T cell-mediated allograft rejection (24, 25).
Because CD40L is absent on resting T cells, inhibition of the induction of new CD40L expression on activated T cells presents a therapeutic target for immunosuppression that could be as effective as blocking CD40L engagement of CD40 by mAb. The induction of CD40L expression on resting human peripheral blood CD4+ T cells in response to PHA appears to be biphasic with early expression observable at 46 h and a second peak of expression observable at 24 h (26). Cotreatment of T cells with PMA plus PHA can increase the early expression of CD40L without affecting the magnitude of the second peak. Indeed, many of the original studies of CD40L regulation used PMA cotreatment to measure CD40L expression at early times (1, 3, 14, 27). Human endothelial cells (EC), like PMA, also can increase CD40L expression on PHA-activated CD4+ T cells during the early phase, i.e., at 46 h after activation (26). Neither blood monocytes nor B lymphoblastoid cells are able to replace EC as a signal for early CD40L expression. The purpose of the present study was to investigate the mechanism by which EC augment early expression of CD40L on activated CD4+ T cells. We find that EC do not modulate CD40L gene transcription but instead appear to stabilize CD40L mRNA. We also show that this action of EC is largely mediated through an LFA-3:CD2 interaction. These data provide the first evidence that EC, like professional APC, can provide costimulation via mRNA stabilization and that, in humans, LFA-3, like B7 molecules, is capable of mediating this effect.
| Materials and Methods |
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Murine mAb used for FACS analysis of surface molecules used in this study were anti-CD40L PE-conjugated mAb and anti-CD25 PE-conjugated mAb (both from PharMingen, San Diego, CA). Isotype-matched FITC- and PE-conjugated irrelevant Ab (Coulter, Keenesaw, GA) were used as negative controls. Murine anti-human CD4, anti-CD8, anti-CD3, anti-CD16 (for NK cells), anti-CD56 (for NK cells), anti-CD19 (for B cells), and anti-CD14 (for monocytes) mAbs for cell purification were also purchased from Coulter. Inhibitory mouse mAb TS2/9 (anti-CD58/LFA-3) and 6E6 (anti-ICAM-1) were gifts from Dr. Paula Hochman (Biogen, Cambridge, MA) and Dr. Dario Altieri (Yale University, New Haven, CT), respectively. Anti-ICAM-2 mAb was obtained from Serotec (Oxford, England). K16/16 (nonbinding IgG1 control) was a gift from Dr. Donna Mendrick (Brigham and Womens Hospital, Boston, MA).
Single-strand DNA ASO and scrambled control (SC) oligonucleotides were
gifts from Dr. Frank Bennett (ISIS Pharmaceuticals, Carlsbad, CA). The
sequence and composition of the oligonucleotides used in this study are
reported in Table I
. Oligonucleotides
were either partially 2'-O-methoxyethyl modified or
uniformly modified as indicated. The 2'-O-methoxyethyl
modification has previously been reported to increase binding affinity
for the target RNA and confer greater nuclease resistance (28, 29). The LFA-3 ASO inhibits LFA-3 expression by an RNase
H-dependent mechanism, while the ICAM-1 ASO inhibits ICAM-1 expression
by non-RNase H mechanism as previously reported (29). The
effects of these reagents on cultured human EC have been recently
described.5
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Human EC were isolated from umbilical veins and cultured as previously described on human plasma fibronectin (FN)- or gelatin-coated tissue culture plastic (Falcon, Lincoln Park, NJ) in 20% FBS, medium 199, 2.5 mM L-glutamine, penicillin (100 U/ml) and streptomycin (100 µg/ml) (all from Life Technologies, Grand Island, NY), and EC growth factor (Collaborative Biomedical Products, Bedford, MA) as previously described (26). Cultures were used at passage level 2 to 5, at which time the cells are 100% positive for von Willebrand factor and for CD31 but negative for CD45, indicating an absence of leukocyte contaminants.
PBMC were isolated by leukapheresis from healthy adult volunteer donors and further purified by centrifugation over lymphocyte separation medium (Oreganon Teknika, Durham, NC) according to the manufacturers instructions. The isolated PBMC were washed three times in HBSS (Mg2+, Ca2+ free) and either used immediately or suspended in 10% DMSO and 90% heat-inactivated FBS and cryopreserved in liquid nitrogen. No differences were seen in the responses of cells recovered from cryopreservation compared with freshly isolated cells.
CD4+ T cells were isolated from PBMC by negative
selection. Cells were sequentially depleted of peripheral blood
adherent cells (PBAC) by adsorption on FN-coated bacteriological
plastic and then depleted of HLA-DR+,
CD8+, and CD16+ cells by
negative panning with mAb LB3.1 (IgG2b, anti-HLA-DR monomorphic
determinant; a gift from Dr. Jack Strominger, Harvard University,
Cambridge, MA), OKT8 (anti-CD8; CRL 8014, American Tissue Culture
Collection, Manassas, VA) and 3G8 (IgG1, anti-CD16; a gift from Dr.
Jay Unkeless, Mt. Sinai School of Medicine, New York, NY) at saturating
conditions for 30 min at 4°C. The cells were then washed three times
with RPMI 1640 (Life Technologies) and 5% FBS to remove excess Ab and
enriched using goat anti-mouse IgG-bound Dynabeads (Dynal., Lake
Success, NY) according to manufacturers instruction. The purity of
the CD4+ T cell was determined by direct
immunofluorescence labeling (all Abs from Coulter) with anti-CD4,
anti-CD8, anti-CD3, anti-CD16 (for NK cells), anti-CD56
(for monocytes), anti-CD19 (for B cells), and anti-CD14 (for
monocytes) using a FACSort flow cytometer (Becton Dickinson, San Jose,
CA) and Lysis II software. The CD4+ enriched T
cell populations used in these studies were
95%
CD4+ cells and contained no detectable (<1%)
CD14+, CD16+
CD56+, or CD19+ cells and a
very small number (<2%) of CD8+ cells. Where
indicated, PBAC were recovered from FN-coated dishes by treatment with
EDTA. These populations, enriched for professional APCs, consist
largely of CD14+ monocytes (
80%) and
CD19+ B cells (010%).
ASO treatment
EC in 100-mm tissue culture plates (Falcon) were transfected with either 25 nM SC or 25 nM ASO as indicated in the text using lipofectin (Life Technologies) according to methods described elsewhere (30). Forty-eight to 72 h after transfection, cells were harvested with trypsin. LFA-3 and ICAM-1 surface expression was quantified by direct immunofluorescence labeling with FITC-conjugated anti-LFA-3 and FITC-conjugated anti-ICAM-1 (both from Coulter), respectively, and FACS analysis.
Induction of CD40L and flow cytometry
CD4+ T cells were cultured in the presence or absence of optimal concentrations of PHA-L (3 µg/ml; Sigma, St. Louis, MO) or PHA plus PMA (10 ng/ml; Sigma) on human plasma FN-coated wells either alone or in the presence of accessory cells (EC or PBAC) at a ratio of 5:1 T cells to accessory cells. All cultures were maintained in RPMI 1640, supplemented with 10% FBS, 2.5 mM glutamine, and penicillin (100 U/ml)/streptomycin (100 µg/ml). At indicated times, T cells were recovered from the cultures in two steps. First, nonadherent cells were collected by washing with Dulbeccos PBS (Mg2+, Ca2+ free). Second, the cultures were incubated for 30 min with PBS/5 mM EDTA at 37°C to recover the adherent T cells. Both populations were pooled and washed once with PBS/1% BSA before incubation with a directly conjugated mAb for 30 min at 4°C. After immunofluorescence labeling, cells were washed once in PBS/1% BSA, followed by two washes in PBS and then fixed with 1% paraformaldehyde before analysis by FACS. Corrected mean fluorescence intensities (MFI) were calculated by subtracting the MFI for the isotype-matched control Ab from the MFI for the specific Ab for each treatment condition. Percent inhibition of the corrected mean fluorescence of control were calculated as follows: {1 - [corrected MFI (in the presence EC with mAb) - corrected MFI (in the absence of EC)]/[corrected MFI (in the presence of EC with control mAb) - corrected MFI (in the absence of EC)]} x 100.
Inhibition of costimulator signals
Freshly isolated CD4+ T cells (2 x 106/ml) were added to FN-coated 24-well tissue culture plate containing ASO or SC-pretreated EC plus PHA (3 µg/ml) or to empty wells in the presence of PHA (3 µg/ml). Alternatively, costimulator function was blocked by inclusion of 10 µg/ml of inhibitory mAb (TS 2/9, 6E6, or K16/16 control) in cocultures using untreated EC. After 6 h of cultivation, CD4+ T cells were collected and CD40L expression on CD4+ T cells was examined by FACS.
Transfection of promoter-reporter gene and transcriptional analysis
A human CD40L promoter-reporter gene that includes the transcriptional start site was constructed by cloning a 550-bp segment (-495 to +67) into the HindIII site of the pGL3 promoter vector (Promega, Madison, WI). This promoter includes both previously identified NF-AT binding motifs, located at 259 to 265 and at 62 to 69 relative to the transcription start site, and is sufficient to confer activation-dependent transcription of reporter gene constructs in either a transformed T cell line or normal peripheral T cells (27, 31). A human IL-2 promoter-reporter gene, previously described (32), was used as positive control. Adult human PBMC (3 x 106/ml) were primed for transfection by culturing in RPMI 1640 medium containing 10% FBS, 2.5 mM glutamine, and penicillin (100 U/ml)/streptomycin (100 µg/ml) in the presence of a low concentration (1 µg/ml) of PHA for 19.5 h to induce transfection competence. After washing, cells were resuspended in fresh medium at 2 x 107/ml. Aliquots of 0.25 ml were electroporated in a Bio-Rad Gene Pulser at 250 V and 960 µF at room temperature in the presence of 60 µg/ml reporter gene DNA. The gap width of the cuvettes was 0.4 cm. Transfected human CD4+ T cells were then isolated from the whole PBMC population by negative selection using mAbs. Purified CD4+ T cells (2 x 106/ml) were stimulated in the presence of EC and PHA (3 µg/ml) or PHA in the absence EC or unstimulated for 3 or 6 h. Cells were harvested and lysed in 100 µl of reporter lysis buffer (Promega). Lysates (40 µl for each determination) were analyzed in triplicate for luciferase activity by using a luciferase assay kit following the manufacturers protocol (Promega) and a Lumat LB9501 luminometer (EG&G, Gaithersburg, MD). Data are reported as mean relative light units (RLU).
RNA preparation and Northern blot analysis for mRNA expression and stability
RNA preparation (using a guanidinium isothiocyanate lysis method, Trizol, Life Technologies), electrophoresis, transfer to nitrocellulose, hybridization, and washing were performed as previously described (32). EC may also contain mRNA for CD40L (33). To ensure that only T cell RNA was analyzed, EC were fixed in 1% paraformaldehyde/2% FBS in PBS at 37°C for 12 min, washed three times in medium 199 containing 5% FBS, and then treated with 10 µg/ml RNase A for 30 min at 37°C before initiation of coculture with CD4+ T cells as described above. This treatment results in a complete loss of detectable EC mRNA (data not shown and Ref. 34). Equivalence of loading was estimated by monitoring the 18S and 28S ribosomal RNA bands on the formaldehyde gel by ethidium bromide staining and UV illumination. Probes were labeled with [32P]dCTP (New England Nuclear, Boston, MA) by random priming using a kit according to the manufactures instructions (Pharmacia Biotech, Piscataway, NJ). Probes used were as follows: the EcoRI fragment of the human CD40L clone (15), the PstI fragment of the human IL-2 clone pTCGF-11 (American Type Culture Collection no. 39673), and the HpaI and SalI fragment of a human HLA-A2 clone (35). The levels of CD40L and IL-2 mRNA were normalized to that of a stable mRNA species (HLA-A2) by densitometric analysis of autoradiographs using a computing densitometer and Imagequant program (Molecular Dynamics, Sunnyvale, CA).
Northern blotting was also used to measure mRNA decay. In this case, CD4+ T cells were stimulated with PHA (3 µg/ml) in the presence or absence of fixed EC. After 4 h, the cultures were treated with 200 nM of 5,6-dichloro-1-ß-D-ribobenzimidazole (DRB; Sigma) to stop further gene transcription. Total RNA was harvested for Northern blot analysis at the indicated time points (15, 30, and 60 min) following DRB addition. For quantitation, the intensity of the specific mRNA hybridization signal for CD40L was compared with that of HLA-A2 as described above. For decay measurements, the time point 0 min values of CD40L signals were taken as 100%. Where indicated, 10 µg/ml of blocking mAbs were included in the culture system to assess the role of costimulator molecules on mRNA stabilization.
| Results |
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Although incubation of resting CD4+ T cells
with EC does not result in detectable CD40L up-regulation (data not
shown and Ref. 26), previous studies from our laboratory
demonstrated that human EC provide contact-dependent signals that
augment the level of CD40L expressed on PHA-activated
CD4+ T cells at early times (e.g., 46 h)
compared with T cells activated by PHA in the presence of conventional
APC (e.g., PBAC or B lymphoblastoid cells) or by PHA alone
(26). We confirm this result in Fig. 1
and further demonstrate that in this
assay EC are as potent as PMA, a pharmacological T cell activator
commonly used to boost CD40L expression (1, 3, 14, 27).
Also as reported previously, the enhanced expression of CD40L induced
by EC compared with PBAC is less striking at 24 h, when T cells
activated in the presence of conventional APCs catch up
(26). In other words EC augment early but not late CD40L
expression. The superiority of EC as accessory cells is not seen for
all T cell activation markers because EC are no better at increasing
CD25 expression on PHA-activated CD4+ T cells
than are PBAC or even PHA alone (Fig. 1
).
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Increased steady-state levels of CD40L mRNA could arise from an
increased rate of transcription or from a decreased rate of mRNA
degradation or both. Previous studies from our laboratory have shown
that EC increase IL-2 synthesis by PHA-activated
CD4+ T cells primarily by increasing the rate of
gene transcription as measured by nuclear run off (34).
However, nuclear run off assays in normal T cells are technically
difficult to perform, and therefore we optimized conditions for
introduction of promoter-reporter genes into normal T cells
(32). The capacity of EC to increase the rate of IL-2
transcription is readily observed by this approach (32),
and our method has been employed by others to study CD40L transcription
in normal T cells (27). To investigate whether
transcription of CD40L is also increased in CD4+
T cells by EC, we examined transcription of a CD40L promoter-reporter
gene. This CD40L construct is functional in normal peripheral blood
CD4+ T cells as demonstrated by an increase in
luciferase activity in response to PHA (Fig. 4
). As previously observed, EC increase
the transcription of an IL-2 promoter-reporter gene in normal
CD4+ T cells over that of the response to PHA
alone at 3 and 6 h (32). However, EC fail to increase
the response of the CD40L promoter-reporter gene in replicate cultures.
In fact, EC may slightly inhibit transcriptional activity of the CD40L
promoter-reporter gene compared with PHA alone (Fig. 4
). These data
suggest that the effect of EC on CD40L expression is not mediated by
enhanced transcription, although we cannot exclude a transcriptional
action on the endogenous CD40L gene through an element not contained in
our promoter-reporter constructs.
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To determine whether the EC-mediated increase in CD40L mRNA could
be attributed to mRNA stabilization, we stimulated
CD4+ T cells with PHA alone or PHA in the
presence of fixed EC for 4 h, and then treated the cultures with
the RNA synthesis inhibitor DRB to follow mRNA decay. Replicate samples
were harvested immediately at 15 min, 30 min, or 60 min of DRB
treatment and CD40L mRNA was quantitated by Northern blotting. The
results were normalized to MHC class I mRNA (HLA-A2) on the same blot,
a long-lived mRNA whose level of expression is unaffected by short-term
DRB treatment. As shown in Fig. 5
, EC
prolong the half-life of CD40L mRNA to >60 min, whereas the half-life
of this transcripts in the absence of EC is <30 min. Taken in
combination with the promoter-reporter gene studies, these data suggest
that the primary effect of EC on early CD40L expression is mediated by
mRNA stabilization.
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To identify the costimulator molecules involved in the
interactions between EC and CD4+ T cells that
augment CD40L expression, we used both ASOs and inhibitory mAbs for
LFA-3 and ICAM-1. We targeted these molecules because they had each
been shown to participate in T cell interaction with EC (26, 36)5 and because human EC lack B7
molecules (36, 37), previously shown to influence CD40L
mRNA stabilization (38). As shown in Table II
, mAb to LFA-3 block the EC effect on
CD40L expression by 50% or more, whereas mAb to ICAM-1 do not block
this effect and actually appear to enhance expression. In the same
experiments, LFA-3 ASO pretreatment also blocks the effect of EC by
about 40%, whereas ICAM-1 ASO, like ICAM-1 mAb, is actually
stimulatory. The combination of anti-LFA-3 and anti-ICAM-1 mAb
is no more effective than anti-LFA-3 mAb alone. These data suggest
that the blockade of the EC LFA-3/T cell CD2 interaction can markedly
reduce the degree of EC-mediated augmentation of early CD40L expression
on CD4+ T cells, whereas EC ICAM-1 signals are
not important for this effect.
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| Discussion |
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LFA-3 appears to play a central role in a variety of T cell interactions with EC. For example, anti-LFA-3 mAb inhibits cytolytic T lymphocyte killing of allogeneic EC (39). LFA-3 may stimulate increased T cell adhesion to EC (40), an action that may recruit circulating T cells into an inflammatory site in vivo (41). Inhibition of LFA-3 also blocks EC augmentation of cytokine synthesis (36, 42) and IL-2 transcription (32). The regulation of early CD40L expression by this pathway is one more example of the importance of the LFA-3 molecule as a costimulator of T cell activation by human EC.
Increased mRNA stabilization is an important mechanism of costimulation
provided by professional APCs. A variety of protooncogene,
transcription factor, and lymphokine genes encode mRNAs that display
extreme liability (half-life <30 min) (43). T cell
surface effector molecules may also be regulated by mRNA stabilization
(44). These effects are generally thought to be rendered
through a CD28 signal, because agonistic anti-CD28 mAb stabilizes
mRNAs of several cytokines in activated T cells, including the mRNA for
IL-2, IFN-
, TNF, and GM-CSF (45). Indeed, anti-CD28
mAb can also stabilize CD40L mRNA in the presence of anti-CD3 mAb
(38). EC, unlike professional APCs, do not express
CD80/CD86 (B7-1/B7-2) (36, 37). Therefore, EC must be able
to stabilize CD40L mRNA in CD4+ T cells by some
alternative to the B7/CD28 pathway. Recently, Wang et al.
(44) reported that T cell LFA-1 engagement was able to
stabilize mRNA for the urokinase plasminogen activator receptor.
However, the EC augmentation of CD40L expression is not inhibited by
blockade of the EC ligands for LFA-1, namely ICAM-1 and ICAM-2. Our
data instead implicate the LFA-3/CD2 pathway. To the best of our
knowledge, this is the first example of a CD2 signal causing mRNA
stabilization.
The biochemical basis of mRNA stabilization is currently under
intensive investigation. Many short-lived mRNAs contain reiterations of
a specific sequence (AUUUA) in their 3'-untranslated region (UTR)
called AU-rich elements (AREs) (43, 46). The first direct
evidence that AREs can function as a potent mRNA destabilizing element
came from a study in which a conserved region of 51 nt containing AUUUA
motifs from the 3'-UTR of human GM-CSF mRNA was inserted into the
3'-UTR of ß-globin mRNA; the otherwise stable ß-globin mRNA was
destabilized (46). Several experiments have shown that a
number of AREs from the c-fos, c-myc, nur77,
junB, IFN-
, and IL-3 mRNAs also function as RNA destabilizing
elements (46, 47, 48, 49, 50). Two types of motifs, coupled to or
located in U-rich regions, have been characterized and may be
differentially regulated. Type I motifs have multiple copies of AUUUA,
whereas the sequence UUAUUUA(U/A)(U/A) defines type II motifs and
facilitates binding of specific protein factors to AREs
(51). The decameric sequence UUAUUUUAUU is also thought to
be a functional degradation motif (52). CD40L mRNA
includes four type I motifs and one type II motif in its 3'-UTR
(53). Signals that influence mRNA lifetimes are thought to
alter protein binding to these motifs; studies are in progress to
determine whether CD2 signals can regulate the mRNA binding activity of
such proteins.
What might be the biological significance of early CD40L expression in response to signals produced by EC? Recent studies point to a crucial role for CD40L on T cells either as an inducer of costimulator expression (e.g., B7 molecules) on professional APCs such as dendritic cells or monocytes or as a receptor for outside-in signals that directly costimulate T cells (17). Regardless of mechanism, CD40L-negative T cells are less effectively activated by APCs and may even be inactivated by Ag. Circulating memory T cells, newly recruited into an immune reaction, could encounter Ag before their expression of CD40L. Early induction of CD40L in response to signals received during attachment to and transmigration through the endothelial lining of the microvasclulature could reduce the time window during which T cells are susceptible to inactivation by Ag. This may be one more mechanism by which blockade of an LFA-3 signal through Ab or ASO prevents immune injury in vivo (54).
| Acknowledgments |
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| Footnotes |
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2 Current address: National Institute of Animal Health, 3-1-1 Kannon dai, Tsukuba, Ibaraki 305, Japan. ![]()
3 Address correspondence and reprint requests to Dr. Jordan S. Pober, Molecular Cardiobiology Program, Boyer Center for Molecular Medicine, Yale University School of Medicine, 295 Congress Avenue, New Haven, CT 06536-0812. E-mail address: ![]()
4 Abbreviations used in this paper: CD40L, CD40 ligand; ARE, AU-rich element; ASO, antisense oligonucleotides; DRB, 5,6-dichloro-1-ß-D-ribobenzimidazole; EC, endothelial cells; FN, fibronectin; MFI, mean fluorescence intensity; PBAC, peripheral blood adherent cells; RLU, relative light units; SC, scrambled control oligonucleotides; UTR, untranslated region; XHIM, X-linked hyperIgM. ![]()
5 W. Ma, S. Flournoy, T. P. Condon, C. F. Bennett, and J. S. Pober. Antisense reduction of LFA-3 and ICAM-1 expression on cultured human endothelial cells inhibits allogeneic CD4+ T cell activation and sensitization without induction of anergy. Submitted for publication. ![]()
Received for publication April 16, 1999. Accepted for publication June 15, 1999.
| References |
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