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The Journal of Immunology, 2000, 164: 5499-5507.
Copyright © 2000 by The American Association of Immunologists

Repertoire Requirements of CD4+ T Cells That Prevent Spontaneous Autoimmune Encephalomyelitis1

Danyvid Olivares-Villagómez*,{dagger}, Allen K. Wensky*,{dagger}, Yijie Wang* and Juan J. Lafaille2,*

* Division of Molecular Pathogenesis, Skirball Institute of Biomolecular Medicine, and Department of Pathology, and {dagger} Sackler Institute of Graduate Biomedical Sciences, New York University Medical Center, New York, NY 10016


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Spontaneous experimental autoimmune encephalomyelitis arises in 100% of mice exclusively harboring myelin basic protein-specific T cells, and can be prevented by a single injection of CD4+ T cells obtained from normal donors. Given the powerful regulatory effect of the transferred T cells, we further investigated their properties, and, in particular, their repertoire requirements. Transfer of monoclonal OVA-specific CD4+ T cells did not confer protection from disease even when present at very high proportions (about 80% of total lymphocytes). Lack of protection was also evident after immunization of these animals with OVA, indicating that not just any postthymic CD4+ T cells has the potential to become regulatory. However, protection was conferred by cells bearing limited TCR diversity, including cells expressing a single V{alpha}4 TCR chain or cells lacking N nucleotides. We also investigated whether coexpression of the myelin basic protein-specific TCR with another TCR in a single cell would alter either pathogenesis or regulation. This was not the case, as myelin basic protein-specific/OVA-specific recombinase activating gene-1-/- double TCR transgenic mice still developed experimental autoimmune encephalomyelitis spontaneously even after immunization with OVA. Based on this evidence, we conclude that CD4+ T regulatory cells do not express canonical TCRs and that the altered signaling properties brought about by coexpression of two TCRs are not sufficient for the generation of regulatory T cells. Instead, our results indicate that regulatory T cells belong to a population displaying wide TCR diversity, but in which TCR specificity is central to their protective function.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Self-reactive CD4+ T lymphocytes are important effectors in chronic inflammatory autoimmune diseases such as insulin-dependent diabetes mellitus, multiple sclerosis, and rheumatoid arthritis. However, the mere presence of self-specific CD4+ T cells does not ensure autoimmune disease development (1, 2, 3, 4). In fact, the frequency of self-reactive T cells in individuals afflicted with autoimmune diseases does not differ significantly from that of normal individuals (5). Furthermore, TCR transgenic mice harboring large numbers of nontolerant self-specific CD4+ T cells do not develop autoimmune disease when kept under specific pathogen-free conditions (6, 7, 8). In the presence of nontolerant self-reactive T cells, a second population of CD4+ T cells (regulatory T cells) is responsible for the prevention of disease.

The protective effect of regulatory T cells has been observed in several experimental disease models. For instance, colitis induced by adoptive transfer of CD4+CD45RBhigh T cells into SCID mice can be prevented by cotransfer of CD4+CD45RBlow T cells (9) or in vitro-generated CD4+ Tr1 cells (10). A variety of organ-specific autoimmune diseases that arise in day 3-thymectomized animals can be prevented by administration of CD4+CD25+ T cells (11, 12). In thymectomized and irradiated adult PVG.RT1u rats, the onset of autoimmune diabetes can be prevented by transfer of CD4+CD45RClowRT6+ T cells (3, 13). The role of regulatory T cells has also been established in spontaneous autoimmune disease models. For instance, in diabetes-prone BB/W rats and nonobese diabetic mice, disease can be prevented by transfer of CD4+ T cells from normal donors (14, 15). We and others have shown that CD4+ {alpha}ß T cells confer protection from spontaneous experimental autoimmune encephalomyelitis (EAE)3 (16, 17) (see below). Finally, regulatory T cells have also been shown to play a major role in transplantation tolerance (18, 19, 20). These results demonstrate the importance of the regulatory T cell populations in preventing disease in normal individuals and highlight their potential as targets for therapeutic intervention.

Despite all the studies on different aspects of regulatory T cells, little is known about their TCR usage. In myelin basic protein (MBP)1–11-induced EAE in H-2u/u mice, Vß14-expressing T cells and, to a lesser extent, Vß3-expressing T cells have been implicated in the recovery from disease. These Vß14 and Vß3-expressing cells recognize epitopes in the TCR Vß8.2 chain expressed by the vast majority of MBP-specific T cells (21, 22). However, we have previously shown that spontaneous EAE can be prevented in a fraction of animals harboring T cells that exclusively express Vß8.2 chains (16). The fact that disease can be prevented by T cells expressing neither Vß14 nor Vß3 argues against a major role for anti-MBP TCR T cell responses in the protection against spontaneous EAE in our experimental system.

NK T cells express canonical V{alpha}14-J{alpha}281 TCR chains paired with a relatively restricted pool of TCR ß-chains (23). NK T cells are diminished in nonobese diabetic mice, a defect that has been linked to the high susceptibility of spontaneous diabetes in this mouse strain (24, 25, 26). NK T cell-mediated protection from diabetes has been reported in two studies (27, 28), but a CD4+ non-NK T cell population was found to be responsible for diabetes protection in another study (29). However, we and others have shown that spontaneous EAE does not occur in MBP-specific TCR transgenic mice lacking ß2-microglobulin, which have a severe deficiency in both CD8+ T cells and the CD1-restricted NK T cells (16). Thus, if the regulatory T cells that protect from spontaneous EAE bear a canonical TCR, it is different from the one expressed by NK T cells.

We have previously shown that while MBP-specific TCR transgenic mice (referred to as T/R+) do not develop EAE spontaneously, 100% of MBP-specific TCR transgenic/recombinase activating gene-1 (RAG1)-/- mice (referred to as T/R-) as well as 100% of MBP-specific TCR transgenic mice/TCR{alpha}-/-/TCRß-/- mice (referred to as T/{alpha}-ß-) develop EAE spontaneously by the age of 3 mo in the C57BL genetic background (7, 16, 17). Thus, crossing T/R+ mice with RAG1-/- mice or with TCR{alpha}-/- and TCRß-/- mice blocks the development of regulatory CD4+ T lymphocytes, which express TCRs encoded by the endogenous TCR{alpha} and TCRß loci. Furthermore, a single administration of as few as 2 x 105 splenic or thymic CD4+ T cells from normal mice into T/R- or T/{alpha}-ß- is sufficient to confer life-long protection from EAE.

Taking advantage of this spontaneous EAE experimental system, we demonstrate in this report that while a strictly monoclonal OVA-specific T cell population was unable to confer protection, regulatory cells were effectively generated in mice expressing a restricted T cell repertoire. CD4+ T cells lacking N nucleotides as well as T cells exclusively expressing the V{alpha}4 TCR chain protected from EAE. In addition, MBP-specific transgenic T cells expressing a second TCR did not acquire protective capacity. We conclude that T cell specificity, and not space filling, is required for effective protection and that regulatory T cells do not express canonical TCR chains.


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

MBP-specific trangenic mice with a disrupted RAG1 gene (T/R-) and TCR{alpha}-/- mice have been described previously (16). T/R- mice in the B10.PL background were crossed with B10.D2 RAG1-deficient mice to yield B10.H-2d/u mice. T/R- mice used in all experiments were younger than 31 days old and EAE free. DO11.10 anti-OVA TCR transgenic mice (30) backcrossed into B10.D2 were obtained from Dr. Dan Littman (New York University), with permission from Drs. Kenneth Murphy and Dennis Loh, and crossed to RAG1-/- mice (31) in the B10.PL background to obtain B10 H-2d/u mice. TdT-/- mice were generated in Dr. Diane Mathis’ laboratory (32) and were kindly supplied by Dr. Mark M. Davis (Stanford University) and backcrossed with B10.PL mice. The TCR V{alpha}4 transgenic mouse line was generated with the same TCR {alpha}-chain construct used to generate the MBP-specific TCR transgenic mice, as described (7). MHC H-2u and TCR{alpha}-/- was introduced by crossing with B10.PL TCR{alpha}-/- mice (33). All mice were backcrossed into the C57BL genetic background (N6 to N10 generation). Mice were kept under specific pathogen-free conditions in individually ventilated cages (Thoren) at the Skirball Institute Central Animal Facility, New York University Medical Center.

Disease evaluation

EAE was scored as previously described (34): level 1, limp tail; level 2, weak or partial leg paralysis; level 3, total hind leg paralysis; level 4, hind leg paralysis and weak or partial front leg paralysis. All protocols involving mice handling were approved by New York University’s Institutional and Animal Care Use Committee.

Generation of bone marrow chimeras

Bone marrow precursors cells were obtained from the tibia and femur bones by conventional procedures. Bone marrow precursors were incubated for 45 min at 4°C in the presence of anti-Thy 1.2 99TIB hybridoma supernatant (American Type Culture Collection, Manassas, VA), followed by 30 min incubation at 37°C with Low-Tox guinea pig complement (Cederlane, Hornby, Ontario, Canada). As indicated, 1 x 106 or 1 x 107 cells were transferred i.v. into sublethally irradiated recipient mice (a total of 500 rad; 100 rad/min).

Adoptive transfer experiments and immunizations

Donor splenocytes from TdT-/- and V{alpha}4 TCR transgenic/TCR{alpha}-/- mice were obtained by conventional procedures. Total splenocytes (107/mouse) were transferred i.v. into <31-day-old, disease-free T/R- H-2u/u. Donor splenocytes and mesenteric lymph node cells from anti-OVA TCR transgenic/RAG1-/- mice were collected, and the proportion of CD4+ KJ1-26+ cells was determined by FACS analysis. Total splenocytes and lymph node preparations containing 3–5 x 106 CD4+ KJ1-26+ cells were transferred i.v. into <31-day-old, disease-free T/R- H-2d/u. Two and 12 days after adoptive transfer, mice were immunized i.p. with 100 mg of OVA (Sigma, St. Louis, MO) adsorbed in aluminum hydroxide (EM Science, Gibbstown, NJ). Aluminum hydroxide resuspended in PBS was used as control for the immunizations.

Abs and FACS analysis

Anti-MBP TCR clonotypic Ab (3H12) was generated in our laboratory as described (16). Anti-OVA TCR Ab (KJ1-26) was purchased from Caltag (Burlingame, CA). Anti-CD3 and anti-CD4 Abs were obtained from PharMingen (San Diego, CA). To determine the proportion of CD4+ KJ1-26+ cells in anti-OVA transgenic/RAG1-/- mice, splenocytes were stained with anti-CD4 and KJ1-26 Abs. For reconstitution analysis, peripheral blood was stained 45 min with the Ab mixture, lysed and fixed with FACS lysis solution (Becton Dickinson, San Jose, CA), and subsequently washed twice with PBS. Samples were analyzed in a FACScalibur instrument (Becton Dickinson). Up to 5000 lymphocytes were acquired. Splenocytes were stained similarly with incubation at 4°C, not lysed, and resuspended in propidium iodide to gate out dead cells. Up to 20,000 cells were acquired.

Infiltrating cells from the CNS were prepared as described (35). Briefly, anesthetized mice were perfused through the left ventricle of the heart with PBS/EDTA. Discoloration of the liver was a good indication of a successful perfusion. After dissection of the brain and spinal cord, single-cell suspensions were prepared mechanically, resuspended in 38% in Percoll (Pharmacia, Piscataway, NJ), and spun for 20 min at 1750 rpm in a benchtop centrifuge (Sorvall RT7). The pellet was washed twice and stained as described above for live splenocytes.

Cell sorting and proliferation assay

Single-cell suspensions of splenocytes and mesenteric lymph nodes from MBP-specific/OVA-specific TCR H-2d/u/RAG1-/- mice were obtained following conventional procedures. Stained cells were sorted in a Coulter EPICS Elite cell sorter (Palo Alto, CA). Sorted populations from the double TCR transgenic mice were washed with PBS, analyzed by FACScalibur for purity (>99%), and counted. CD4+ cells (1.25 x 104 per well) were incubated in 96-well plates in the absence or presence of the peptides OVA323–339 (1 µM) or MBPAc1–17 (5 µM). Proliferation to anti-CD3 Ab was used as control. Irradiated nontransgenic H-2d/u/TCR{alpha}-/- splenocytes (2 x 105 cells per well) were added as APCs. After 48 h, the plates were pulsed for 6 h with [3H]thymidine (1 µCi per well; NEN, Boston, MA), cells were harvested, and the radioactivity was counted in a Betaplate (Wallac, Gathersburg, MD). Each sample was done in triplicate.

Generation of OVA-specific Tr1-like and Th2 cells

Anti-OVA CD4+ cells were obtained from spleen cells from anti-OVA TCR transgenic/RAG1+ mice. Spleen cells (2 x 106/ml) were cultured in the presence of OVA323–339 peptide and either 200 U/ml of IL-4 (PharMingen) and 10 µg/ml anti-IFN-{gamma} (PharMingen) to generate Th2 cells (36, 37) or 100 U/ml IL-10 (PharMingen) and 10 µg/ml anti-IL-4 (PharMingen) to generate Tr1-like cells. Cultures set in the absence of anti-IL-4 yielded cells with a Th2 cytokine profile. Cultures were restimulated weekly with irradiated syngeneic APCs.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A monoclonal OVA-specific CD4+ T cell repertoire does not confer protection from spontaneous EAE

We and others have previously reported that {alpha}ß CD4+ T cells are capable of protecting monoclonal anti-MBP TCR trangenic mice with a disrupted RAG1 gene (T/R- mice) from developing spontaneous EAE (16, 17), whereas TCR transgenic mice carrying at least one functional copy of the RAG1 gene (T/R+ mice) are resistant to spontaneous EAE. It is not yet known whether the protective CD4+ TCR {alpha}ß+ cells present in T/R+ mice require a particular TCR specificity for their function or if they protect from spontaneous EAE nonspecifically, for instance by competing with the effector cells for growth factors and/or space.

To address this issue, we generated mice in which MBP-specific T cells developed alone (T/R- mice) or together with three different sources of CD4+ T cells: CD4+ T cells bearing a fully diverse T cell repertoire (from normal mice), CD4+ T cells bearing a repertoire dominated by OVA-specific T cells (from anti-OVA TCR transgenic/RAG1+ mice), and CD4+ T cells bearing exclusively OVA-specific T cells (from anti-OVA TCR transgenic/RAG1-/- mice).

RAG1-/- mice were reconstituted with T cell-depleted bone marrow cells from T/R- mice in the absence or presence of bone marrow precursors from mice carrying the three different CD4+ T cell repertoires. Bone marrow from DO11.10 TCR transgenic mice (30) was used as a source of OVA-specific T cells. As the MBP-specific T cells are restricted by I.Au, and the OVA-specific T cells are restricted by I.Ad, all recipient and donor mice used throughout this set of experiments bore MHC H-2d/u. In addition, to avoid potential minor histocompatibility effects, all mouse strains were repeatedly backcrossed onto a C57BL background (N6 to N10 generations).

Recipient mice reconstituted with bone marrow cells from T/R- mice started to develop signs of EAE around 35 days after transplantation, reaching an incidence of 100% ~20 days later (Fig. 1GoA and data not shown). Mice reconstituted with T/R- and anti-OVA TCR transgenic/RAG1-/- bone marrow cells developed EAE with a similar incidence and severity as control mice that received only T/R- cells (Fig. 1GoA). Disease was also observed when recipient mice received T/R- cell precursors together with bone marrow cells from TCR{alpha}-/- mice, which generate cells capable of occupying and competing for space in the bone marrow and thymic cortex, but cannot generate mature T cells (Fig. 1GoA). In contrast, disease development was controlled when recipient mice were reconstituted with T/R- and normal bone marrow or T/R- and anti-OVA TCR transgenic/RAG1+ bone marrow (Fig. 1GoC).



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FIGURE 1. OVA-specific T cells do not protect from EAE in a mixed chimera system. A, Sublethally irradiated 5- to 8-wk-old RAG1-/- mice were reconstituted with 106 T cell-depleted bone marrow precursors from T/R- donors alone ({diamond}; n = 6) or in the presence of 107 bone marrow cells from OVA-specific transgenic/RAG1-/- mice ({blacksquare}; n = 6) or 107 from TCR{alpha}-/- mice ({triangleup}; n = 4). Mice were observed for a period of 80 days and EAE was scored as described in Materials and Methods. Data represent the average of each group. All mice are B10.H-2d/u. B, Donor cell reconstitution from the three groups in A was analyzed 42 days after bone marrow transplantation. Peripheral blood was stained for CD3, CD4, anti-OVA TCR (KJ1-26), and anti-MBP TCR (3H12). Plots show a representative mouse from each group and indicate CD3+CD4+ gated cells. Five thousand lymphocytes were acquired. C, Recipient mice, as in A, were reconstituted with 106 T cell-depleted bone marrow cells from T/R- donors alone ({diamond}; n = 5) or in the presence of 107 bone marrow cells from OVA-specific transgenic/RAG1+ ({blacksquare}; n = 4) or 107 from normal mice ({triangleup}; n = 7). Mice were observed for a period of 80 days, and EAE was scored as described in Materials and Methods. Data represent the average of each group. All mice are B10.H-2d/u. D, Reconstitution from the three groups in C was performed as in B. Plots show a representative mouse from each group and indicate CD3+CD4+ gated cells. E, Recipient mice were reconstituted with 106 T cell-depleted bone marrow precursors from T/R- donors and 107 bone marrow cells from OVA-specific transgenic/RAG1-/- mice. CD3+/CD4+ gated PBL (left) or CNS-infiltrating cells (right) were obtained from the same animal 2 mo after bone marrow transfer.

 
To assess the effectiveness of T cell reconstitution by the different bone marrow sources, blood samples were obtained from all experimental animals at 21, 40, and 60 days posttransfer and stained with anti-CD3, anti-CD4, KJ1-26 (anti-clonotypic Ab against the DO11.10 TCR), and 3H12 (anti-clonotypic Ab against the MBP-specific TCR). As shown in Fig. 1GoD, as few as 13% of clonotype-negative CD4+ T cells were sufficient to confer protection from EAE in mice reconstituted with bone marrow from T/R- and anti-OVA TCR transgenic/RAG1+ mice. In these recipient mice, anti-MBP T cells constituted about 40% of the total CD4+ T cell population. In contrast, as many as 43% of anti-OVA CD4+ T cells from OVA-specific TCR transgenic/RAG1-/- animals were not capable of preventing disease in mixed chimeras with T/R- bone marrow (Fig. 1GoB). The lack of protective capacity of monoclonal OVA-specific T cells is not due to their inability to reach the CNS. Fig. 1GoE shows that >5% of the T cells obtained from a perfused CNS preparation are OVA specific, whereas the blood of the same mouse contains about 25% OVA-specific T cells. The fact that OVA-specific T cells are able to migrate into the CNS is in accordance with published observations (34, 38, 39). According to those studies, persistence in the CNS but not immigration from the blood require Ag specificity.

However, it is possible that the capacity to control EAE may be acquired early during ontogeny. For instance, it has been shown that certain T cell populations such as the first two waves of {gamma}{delta} T cells only develop from fetal liver precursors and not from bone marrow precursors (40), and other lymphocytes such as B-1A cells are better generated from fetal liver precursors than from bone marrow precursors (41). In addition, the fetal thymus provides a unique environment that may be required for the development of regulatory T cells, as is the case for the development of early {gamma}{delta} T cells (40). To assess whether OVA-specific T cells could acquire regulatory properties if they could be generated from the earliest possible developmental stages, we used anti-OVA TCR transgenic RAG1-/- and RAG1+ as recipients for MBP-specific T cell precursors. This experimental system also enabled us to obtain mice that displayed very high ratios of OVA-specific T cells to MBP-specific T cells.

As shown in Fig. 2GoA, reconstitution of sublethally irradiated anti-OVA TCR transgenic/RAG1-/- mice with bone marrow from T/R- mice resulted in EAE development, whereas reconstitution of sublethally irradiated normal or anti-OVA TCR transgenic/RAG1+ mice did not result in EAE (Fig. 2GoA). Disease developed in anti-OVA TCR transgenic/RAG1-/- harboring as few as 20% of the cells expressing the anti-MBP TCR, but was prevented in normal or anti-OVA transgenic/RAG1+ recipient mice even when 32% of the total CD4+ T cells were specific for MBP (Fig. 2GoB).



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FIGURE 2. TCR transgenic mice with a monoclonal OVA-specific T cell repertoire do not control EAE development. A total of 106 T cell-depleted T/R- bone marrow precursors were transferred into sublethally irradiated 5- to 12-wk-old normal ({diamond}; n = 6), OVA-specific transgenic/RAG1+ ({blacksquare}; n = 6), and OVA-specific transgenic/RAG1-/- mice ({triangleup}; n = 4). Mice were observed for a period of 80 days and EAE was scored as described in Materials and Methods. Data represent the average of each group. All mice are B10.H-2d/u. B, Donor cell reconstitution from the three groups in A was analyzed 42 days after bone marrow transplantation. Peripheral blood was stained for CD3, CD4, anti-OVA TCR (KJ1-26), and anti-MBP TCR (3H12). Plots show a representative mouse from each group and indicate CD3+CD4+ gated cells. Five thousand lymphocytes were acquired.

 
These results clearly demonstrate that a CD4+ T cell repertoire consisting of monoclonal OVA-specific T cells is unable to confer protection from EAE, even when these cells are present in large numbers and throughout development. However, when the CD4+ T cell repertoire is increased, as in the case of anti-OVA TCR transgenic/RAG1+ recipient mice, disease is prevented.

In vivo-activated OVA-specific CD4+ T cells do not confer protection from spontaneous EAE

In the previous section we demonstrated that a monoclonal OVA-specific CD4+ T cell population cannot confer protection from spontaneous EAE. However, the regulatory potential of this monoclonal T cell population may not be realized in the absence of its cognate Ag. Because OVA is not present in the environment of our mouse colony, most OVA-specific T cells remain naive throughout life. To assess whether activation of OVA-specific T cells renders them regulatory, we activated them through immunization. Toward this end, we chose to transfer mature OVA-specific CD4+ T cells into T/R- mice and immunize the transferred animals. This system enables us to clearly visualize the expansion of the OVA-specific T cells brought about by immunization.

Mice were immunized i.p. with OVA adsorbed to alum 2 and 12 days after transfer of OVA-specific T cells. The effects of immunization are evident by the marked expansion of circulating OVA-specific T cells 5 days after immunization (Fig. 3GoB). Control animals were left untreated or received cells but were not immunized, or were given alum without OVA. As shown in Fig. 3GoA, spontaneous EAE developed in all immunized and control animals. A modest delay in disease onset was observed in all alum-treated animals, including animals receiving no cells and was more pronounced in animals receiving OVA-specific cells and immunized with OVA adsorbed to alum. The observed delay in disease onset can be attributed to Th2 priming of MBP-specific T cells in the presence of alum, as this adjuvant is known to induce Th2 responses (42, 43, 44). Because all alum-treated animals eventually develop severe EAE, this effect is clearly different from the protection conferred by regulatory T cells, which is long lasting even after a single administration. Furthermore, MBP-specific Th2 cells have been shown to cause a delayed form of EAE in immunodeficient recipient mice (35) (see below).



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FIGURE 3. In vivo-activated OVA-specific T cells do not protect from spontaneous EAE. A, Total splenocytes from OVA-specific transgenic/RAG1-/- mice containing 3–5 x 106 CD4+KJ1-26+ T cells were adoptively transferred into T/R- mice. Mice were immunized at 2 and 12 days after transfer with OVA in alum ({diamond}; n = 10), alum alone ({blacksquare}; n = 11), or left unimmunized ({triangleup}; n = 13). Adoptive transfer was omitted in some mice that were immunized with alum alone ({diamondsuit}; n = 4), or left unimmunized ({square}; n = 6). Mice were observed for a period of 12 wk, and EAE was scored as described in Materials and Methods. Data represent the average of each group. All mice are B10.H-2d/u. B, Donor cell expansion from nonimmunized, alum-immunized, or OVA/alum-immunized mice was analyzed 5 days after the first immunization. Peripheral blood was stained for CD3, CD4, anti-OVA TCR (KJ1-26), and anti-MBP TCR (3H12). Plots show a representative mouse from each group and indicate CD3+CD4+ gated cells. Seven thousand lymphocytes were acquired.

 
In other experiments, we immunized animals expressing both MBP-specific and OVA-specific T cells with OVA through a variety of routes, including gastric, s.c., and i.v. Activation of OVA-specific T cells using these different immunization protocols did not protect animals from development of spontaneous EAE (data not shown). Overall, these experiments indicate that in vivo activation of anti-OVA CD4+ T cells does not convert them into a regulatory population.

In vitro-generated OVA-specific Tr1-like or Th2 cells do not confer protection from spontaneous EAE

It has recently been shown that anti-OVA CD4+ T cells with a Tr1 phenotype (i.e., slow growing cells with high IL-10/low IL-4 production) prevent the development of inflammatory bowel disease in mice (10). In contrast, the role of Th2 cells in the protection from Th1-mediated autoimmune diseases such as EAE is controversial (reviewed in Refs. 45, 46, 47, 48, 49). Therefore, we decided to assess the protective capacity of Tr1 and Th2 cells by transferring in vitro-generated OVA-specific Tr1 and Th2 cells into T/R- mice. Using the published procedure with the addition of neutralizing anti-IL-4 Abs (see Materials and Methods), we generated OVA-specific Tr1-like cells that share with bona fide Tr1 cells their growth properties and bear similarities in the cytokine secretion pattern. However, the most conspicuous difference between the reported cytokine secretion profile of Tr1 cells and the cells we obtained is a lower level of IL-10 secretion in our Tr1-like T cells (data not shown).

Following established procedures, we generated OVA-specific Th2 cells. H-2d/u Tr1-like and Th2 cells were transferred into H-2d/u T/R- mice, and the progression of spontaneous EAE was monitored in the injected mice. OVA was added to the drinking water to keep the antigenic stimulation of the injected cells. As shown in Fig. 4Go, neither the Tr1-like nor the Th2 population was capable of controlling disease development.



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FIGURE 4. In vitro-generated Th2 or Tr1-like cells do not protect from spontaneous EAE. Young (<31 days old) EAE-free H-2d/u T/R- mice were adoptively transferred with 5 x 106 in vitro-generated OVA-specific Tr1-like ({diamond}; n = 5), OVA-specific Th2 cells ({blacksquare}; n = 4), or left untreated ({triangleup}; n = 2). OVA was included in the drinking water at 100 ng/ml. Mice were observed over a period of 70 days, and EAE was scored as described in Materials and Methods. Data represent the average of each group. All mice are B10.H-2d/u.

 
Expression of a second TCR on MBP-specific T cells does not prevent spontaneous EAE

One of the differences between the disease-free T/R+ strain of mice and the disease-prone T/R- mice is the presence in the former of B cells, {gamma}{delta} T cells, and {alpha}ß T cells bearing TCRs not encoded by the TCR transgenes. We have previously shown that among those cells, only CD4+ {alpha}ß T cells can confer protection from EAE (16, 17). Another difference between the T/R+ and T/R- strains is the presence of cells bearing two TCRs in the T/R+ mouse strain. In the nonselecting H-2b/b MHC background, all MBP-specific cells on the same RAG1+ TCR transgenic mouse line express two TCRs (50). In the selecting H-2u/u MHC background, we have estimated that about 10% of the MBP-specific T cells in T/R+ mice express two TCRs (16). Because a fraction of T cells from normal mice also expresses two TCRs, it is possible that this cell type could be important in the control of autoimmune disease.

To investigate the role of cells expressing two TCRs in the regulation of EAE, we generated double TCR transgenic RAG1-/- mice expressing both the anti-OVA and the anti-MBP TCRs. Peripheral blood staining with the anti-clonotypic Abs KJ1-26 and 3H12 (anti-OVA and anti-MBP TCR, respectively) revealed that double transgenic H-2d/u/RAG1-/- mice harbor a large CD4+ T cell population (40%) with high expression of anti-OVA TCR and intermediate levels of anti-MBP TCR (OVAhighMBPint) (Fig. 5GoA). However, this population decreased to 2% in H-2u/u mice, which lack I.Ad, the MHC molecule restricting the transgenic OVA-specific T cells. Another population expressing preferentially the anti-MBP TCR with low to intermediate levels of anti-OVA TCR (OVAintMBPhigh) was present in both the H-2d/u and the H-2u/u mice (32% and 47%, respectively). A third population, which only expresses the anti-MBP TCR, was present in both types of mice. The percentage of this population was, expectedly, higher in H-2u/u than in H-2d/u mice (40% and 16%, respectively). Finally, a small population expressing only the anti-OVA TCR (0.12%) was exclusively observed in H-2d/u mice.



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FIGURE 5. Analysis of CD4+ T cells expressing two TCRs. A, Peripheral blood from anti-OVA TCR and anti-MBP TCR/RAG1-/- mice was stained for CD4, OVA-specific TCR (KJ1-26), and MBP-specific TCR (3H12). Plots show a representative mouse from each group and indicate CD4+ gated cells. Five thousand lymphocytes were acquired. B, Proliferative response to OVA and MBP Ag of sorted and unsorted populations of spleen cells from double TCR transgenic animals. Sorted and unsorted spleen responder cells were stimulated to proliferate with 1 µM OVA323–339 or 5 µM MBPAc1–17 as indicated. After 48 h of stimulation, cultures were pulsed with tritiated thymidine.

 
To assess the functionality of T cells expressing both the anti-OVA TCR and the anti-MBP TCR, we sorted OVAintMBPhigh and OVAhighMBPint fractions from H-2d/u mice and determined their proliferative capacity in vitro. As shown in Fig. 5GoB, both OVAintMBPhigh and OVAhighMBPint proliferated in response to OVA peptide 323–339 and to MBP peptide Ac1–17. However, when compared with equal numbers of OVAintMBPhigh T cells, the OVAhighMBPint cells responded better to OVA than to MBP, a predictable result based upon the expression levels of both TCRs as well as the diminished frequency of OVAhighMBPint T cells in H-2u/u mice. Our results indicate that OVA-specific, MBP-specific double TCR transgenic/RAG1-/- mice bear CD4+ T cells coexpressing two functional TCRs.

However, the presence of numerous double TCR-expressing cells did not affect the outcome of disease, as 100% of OVA-specific, MBP-specific double TCR transgenic/RAG1-/- H-2d/u mice developed spontaneous EAE (average score of 2.0 ± 0.3 at 60 days of age; n = 9). Moreover, in vivo activation of the doubleTCR-expressing cells by immunization with OVA adsorbed in alum before disease onset did not prevent spontaneous EAE (data not shown). These results demonstrate that, in this spontaneous EAE system, the presence of lymphocytes expressing two TCRs does not confer protection from disease.

TCR on regulatory T cells do not require N nucleotides or a canonical TCR {alpha}-chain

T/R+ mice are resistant to spontaneous EAE due to expression of TCR {alpha}- and ß-chains encoded by the endogenous loci. Expression of these TCR chains confers some diversity to an otherwise strongly biased MBP-specific T cell repertoire. In contrast, as shown above, OVA-specific CD4+ T cells do not prevent disease, suggesting that TCR specificity is important for regulatory cell function. To determine what kind of repertoire restrictions can be tolerated by regulatory T cells without loss of activity, we adoptively transferred T cells displaying two different repertoire limitations, one caused by the disruption of the TdT gene (from TdT-/- mice), and the other caused by the usage of a single TCR {alpha}-chain (from TCR{alpha}-/- V{alpha}4 Tg mice, see below).

Splenocytes from adult TdT-/- mice lack N nucleotides in the joining regions of the TCR and Ig genes, thus displaying an embryonic-type T and B cell repertoire (32). Splenocytes from TCR{alpha}-/- V{alpha}4 Tg mice contain CD4+ T cells expressing TCRs consisting of ß-chains that pair exclusively with the transgene-encoded V{alpha}4 chain. The V{alpha}4 chain is the same used by the MBP-specific T cells, and the exclusive usage of the transgene-encoded TCR {alpha}-chain on all {alpha}ß T cells was ensured by the cross with TCR{alpha}-/- mice (33).

Adoptively transferred splenocytes from TdT-/- or TCR{alpha}-/- V{alpha}4 Tg mice prevented the development of spontaneous EAE in T/R- mice as effectively as splenocytes from normal donors (Fig. 6Go, A and B). These results demonstrate that the generation of regulatory cells is possible in mice expressing a single TCR V{alpha}4 chain or in mice lacking N nucleotides.



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FIGURE 6. Total splenocytes from TdT-/- or TCR{alpha}-/- V{alpha}4 TCR transgenic mice protect T/R- mice from spontaneous EAE. A, T/R- H-2u/u mice were adoptively transferred with 107 total splenocytes from TdT-/- ({diamond}; n = 5), normal mice ({blacksquare}; n = 5), or treated with PBS ({triangleup}; n = 5). Mice were observed over a period of 90 days, and EAE was scored as described in Materials and Methods. Data represent the average of each group. All donor mice are B10.H-2u/u. B, T/R- H-2u/u mice were adoptively transferred with 107 total splenocytes from TCR{alpha}-/- V{alpha}4 TCR transgenic mice ({diamond}; n = 6), normal mice ({blacksquare}; n = 5), or treated with PBS ({triangleup}; n = 4). Mice were observed over a period of 90 days, and EAE was scored as described in Materials and Methods. Data represent the average of each group. All donor mice are B10.H-2u/u.

 
Expression of the same V{alpha}4 chain does not confer protection to mice that also express the Vß8.2 TCR chain used by the MBP-specific T cells, as spontaneous EAE occurs in MBP-specific TCR transgenic mice crossed with TCR{alpha}-/- mice (16, 17). Regarding the TCR ß-chain, we have previously shown that approximately one-third of the mice bearing T cells that exclusively express the Vß8.2 TCR chain from MBP-specific T cells remain EAE free. This result indicated that, at least in those disease-free animals, the Vß8.2 TCR chain from MBP-specific T cells was able to pair with TCR {alpha}-chains encoded by the endogenous loci, thus generating regulatory T cells (16). Taken together, our experiments show that the regulatory CD4+ T cells that are able to prevent EAE in T/R+ mice do not express canonical {alpha} or ß TCR chains.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The existence of T lymphocytes capable of protecting their hosts from autoimmune disease, or capable of inducing transplantation tolerance, has been acknowledged by many laboratories in the past. One of the main unanswered questions regarding regulatory T lymphocytes is whether there is a distinctive characteristic that is unique to regulatory cells or if any postthymic T cell could become regulatory if it encounters the appropriate set of signals. In one extreme, regulatory T cells would belong to a defined cell lineage characterized by a narrow T cell repertoire recognizing a defined set of ligands, a situation analogous to the NK T cell population (23). In the other extreme, the effect of regulatory cells could be completely nonspecific and mediated by competition for space/growth factors with the effector cells.

We have addressed this issue by studying the incidence and course of EAE in a biclonal T cell experimental system. Using TCR transgenic RAG1-/- mice, we combined different proportions of disease-causing MBP-specific T cells with OVA-specific T cells. Both MBP-specific and OVA-specific T cells are positively selected in H-2d/u mice, therefore the endogenous peptide(s) required for thymic selection are present in these mice. However, OVA-specific T cells did not prevent EAE caused by MBP-specific T cells, even when they largely outnumbered the effector T cells. OVA-specific T cells were found in the CNS, lymph nodes, thymus, and spleen of animals that developed EAE, indicating that the absence of protection is not due to lack of access of OVA-specific T cells to the target tissue. Therefore, we conclude that a monoclonal population of OVA-specific CD4+ T cells is unable to regulate self-reactive T cells despite its ability to compete for space. The same conclusion was previously reached by Suri-Payer et al. (12) using an experimental system in which autoimmune gastritis is induced after neonatal thymectomy and can be prevented by the transfer of CD4+CD25+ T cells. It is noteworthy that CD4+CD25+ T cells do not appear to play a role in the protection of T/R+ mice, as depletion of CD25+ T cells does not diminish the protective capacity of spleen cells injected into T/R- mice (D. Olivares-Villagómez and J. J. Lafaille, unpublished observations).

Further demonstration that regulatory T lymphocytes do not act simply by expanding and occupying available niches comes from experiments in which T/R- mice were protected from EAE using 5- (and 6-)carboxyfluorescein diacetate succinimidyl ester-labeled CD4+ T cells from normal donors. Among donor-derived T cells, those which expanded the most in the recipient mice (thus becoming 5- (and 6-)carboxyfluorescein diacetate succinimidyl ester low-negative) exhibited lower disease-protective capacity in secondary T/R- recipients than the original unsorted populations (D. Olivares-Villagómez and J. J. Lafaille, unpublished observations). Therefore, the capacity to expand in T/R- recipients is not a requirement for the protective function of regulatory T cells.

While monoclonal OVA-specific T cells were unable to protect from EAE, a small number of T cells bearing TCR {alpha}- and ß-chains encoded by the endogenous TCR loci, which are present in OVA-specific TCR transgenic RAG1+ mice, was sufficient to confer protection. However, the lack of protection by space-filling OVA-specific T cells and the need for specific recognition by regulatory T cells does not rule out that regulatory T cells act by preventing expansion of MBP-specific T cells. For example, either TCR-mediated recognition of expanding T cells (for instance, recognition of activation markers) or unique properties of a putative regulatory cell lineage (for instance, overexpression of growth factor receptors) could lead to an impaired peripheral T cell expansion of potentially effector T cells and, consequently, lack of disease. In the latter instance, TCR specificity is required at least at the time of thymic selection, when the T cells become committed to a regulatory lineage.

The regulatory mechanisms that operate in T/R+ mice do not permanently inactivate MBP-specific T cells. First, disease-free T/R+ mice harbor at least as many MBP-specific T cells as disease-prone T/R- mice, indicating that the regulatory mechanism is nondeletional (7). Second, T cells from either mouse readily proliferate to MBP in vitro, and a virulent disease can be induced in T/R+ mice by administration of MBP, adjuvants, and pertussis toxin (6, 7). Finally, adoptive transfer experiments have also shown that MBP-specific T cells from T/R+ mice retain the potential to cause EAE in RAG1-/- recipients (D. Olivares-Villagómez and J. J. Lafaille, unpublished observations).

Activation of OVA-specific T cells in vivo or in vitro failed to render monoclonal OVA-specific T cells protective. While the inability to protect was observed using several immunization protocols (s.c., i.p., i.v., and gastric), we cannot formally eliminate the possibility that OVA-specific T cells could protect from spontaneous EAE if primed in different ways than the ones we attempted here.

T/R- mice injected with alum (with or without OVA-specific T cells) showed a delay in EAE onset; however, all mice eventually succumbed to EAE. Alum has been shown to be an effective adjuvant for the induction of IgE (42) as well as other Th2-mediated responses (43, 44). We have previously shown that MBP-specific Th2 cells do not protect from EAE, but instead cause a delayed disease in T cell-deficient animals (35). A further contributing factor to the generation of a Th2 environment could be the presence of Ag-stimulated OVA-specific Th2 cells, themselves generated in the presence of alum. Such bystander effects have been described in a number of experimental systems, including Ag-induced EAE (51). Thus, OVA-specific T cells do not behave like regulatory T cells even after they encounter their cognate Ag.

Postthymic OVA-specific T cells primed in vitro in the presence of IL-10 were able to prevent colitis (10). In contrast, in autoimmune disease caused by neonatal thymectomy, OVA-specific T cells failed to confer protection (12). These discrepancies indicate that CD4+ regulatory T cells are heterogeneous, and different experimental systems reveal the predominant effect of regulatory T cells displaying different properties. In spontaneous EAE, our data supports a model in which regulatory T cells display regulatory properties upon leaving the thymus, as has been previously proposed for transplantation tolerance models (52).

A major difference between spontaneous EAE-susceptible T/R- or T/{alpha}-ß- mice and spontaneous EAE-resistant T/R+ mice is the presence, in the latter, of a proportion of T cells expressing two TCRs (16). One of the hallmarks of double TCR-expressing cells is that each TCR is expressed on the cell surface at lower levels than the level of the same TCR in single TCR-expressing cells, presumably due to competition for limiting CD3 components. Cells expressing two TCRs may be important in regulation, because the presence of a second TCR may alter the amount of signaling transduced inside the cells, particularly under suboptimal stimulatory conditions. This quantitative change, in turn, may lead to qualitative changes in effector functions, for instance, alterations of cytokine production. Such signaling effects in cells with two TCRs could be analogous to those demonstrated when T cell responses to nominal Ags or altered Ags were studied (53, 54), or when T cell responses in mice lacking CD4 (55, 56) or Itk (57) were analyzed.

Earlier descriptions of cells with two TCRs highlighted the potential hazard of activation of a self-reactive cell through a second TCR recognizing, for instance, a foreign pathogen (58, 59). More recent work has demonstrated that cells with two TCRs can escape tolerance through low-level expression of the self-reactive receptor (60, 61). Although cells with two TCRs have been shown to be more pathogenic than their single TCR-autospecific T cells in the absence of immunization (61, 62, 63), we have previously shown that spontaneous autoimmune disease arises at high frequency in the absence of double TCR-expressing T cells (7). Therefore, expression of two TCRs is not required for autoimmune disease development. In contrast, it has been shown that cells with two TCRs can become protective upon immunization in a double TCR transgenic system (63).

By crossing OVA-specific and MBP-specific TCR transgenic mice in the RAG1-/- background, we have generated mice in which a large proportion of the T cells expresses two TCRs. No protection from EAE was observed in this system even when the mice were immunized with OVA. These results indicate that the presence of a second TCR is not sufficient to generate regulatory T cells.

The reasons for the discrepancy regarding the protective role of double TCR-expressing lymphocytes are presently not clear. One of the main differences between the two experimental systems is that in the system of Fossatti et al. (63), all T cells exhibit a uniform double TCR staining, whereas in our double transgenic system we can identify four T cells populations that express different levels of each TCR (Fig. 5GoA). It is also possible that mixed TCRs are formed in one experimental system more than the other, but no data is available for either system. Given the fact that only about 10% of the T cells in EAE-free T/R+ mice express two TCRs, it is unlikely that the lack of protection that we observed in the double TCR transgenic system is due to a lower proportion of double TCR-expressing cells.

Spontaneous EAE occurs in all T/R- and T/{alpha}-ß- mice, and in the vast majority of T/{alpha}-ß+ mice, but not in T/R+ mice (16). Having shown that a monoclonal OVA-specific T cell population lacked protective capacity, we wished to test the protective capacity of T cells bearing a limited but not monoclonal T cell repertoire. In one case, we used cells lacking N nucleotides obtained from TdT-/- mice, because N nucleotides account for a very significant portion of TCR diversity in adult animals (64). One of the possible explanations for the occurrence of organ-specific autoimmune disease in neonatally thymectomized animals is that regulatory CD4+CD25+ T cells are generated in the thymus after birth (65), and, consequently, their V(D)J junctions contain N nucleotides. According to this scenario, the removal of the thymus soon after birth would lead to a repertoire hole that includes the specificity of regulatory cells, thereby leaving the animals unprotected from disease. However, T cells from TdT-/- mice effectively protected T/R- mice from EAE, indicating that a fetal-type repertoire has the potential to generate regulatory T cells.

In the other case, we used T cells that could only express a single TCR {alpha}-chain, obtained from MBP-specific TCR {alpha}-only transgenic mice crossed with TCR{alpha}-/- mice. These T cells also exhibited a protective capacity that was not significantly different from that of cells of normal mice.

The elimination of TCR {alpha} diversity from T/R+ mice leads to EAE in the vast majority of the mice, whereas the elimination of TCR ß diversity leads to both protected and diseased animals (16). However, the data presented in this manuscript argues against the existence of regulatory T cells expressing canonical TCR {alpha}-chains. Instead, our results showed that protection from EAE can be mediated by T cells expressing the same TCR {alpha}-chain as the effector MBP-specific cells, as long as the diversity of the TCR ß-chain is constrained only by pairing with the single TCR {alpha}-chain. In contrast, the same single MBP-specific TCR {alpha}-chain is ineffective in the generation of regulatory cells when the diversity on the TCR ß-chain is further constrained by the presence of a rearranged transgene-encoded MBP-specific TCR ß-chain.

In this manuscript, we have shown that control of spontaneous EAE by CD4+ T cells does not rely on niche occupancy, but instead depends on regulatory T cells that require ligand specificity to exert their protective function. However, the nature of ligand(s) that trigger regulatory cell activity remains a major unresolved issue. While in two reports it was described that regulatory T cells recognize the same target organ as the effector T cells (66, 67), another publication refuted this idea (68). Interestingly, the EAE susceptibility of T/R- mice and resistance of T/R+ mice were observed even when animals are kept under germ-free conditions (J. J. Lafaille, F. Van de Keere, and S. Tonegawa, unpublished observations), suggesting that the ligands recognized by T regulatory cells are self-Ags. A better knowledge of regulatory T cell repertoire and specificity will greatly enhance our capacity to prevent or treat chronic inflammatory autoimmune diseases.


    Acknowledgments
 
We thank Dr. Kenneth Murphy and Dr. Dennis Loh for giving permission to use the DO11.10 TCR transgenic mice, Dr. Diane Mathis and Dr. Mark M. Davis for kindly providing TdT-/- mice, Dr. Maria Cecilia Marcondes and Dr. Glaucia C. Furtado for help with histology and in vitro assays, respectively, Dr. Maria A. C. Lafaille for numerous suggestions during the preparation of the manuscript, and Dr. Dan R. Littman, Dr. Jeanette Thorbecke, and Dr. Glaucia C. Furtado for critically reading the manuscript.


    Footnotes
 
1 Work performed in the J.J.L. laboratory is supported by the National Institutes of Health, National Multiple Sclerosis Society, Christopher Reeve Paralysis Foundation, and The Hirschl-Caulier Trust. J.J.L. is a recipient of the Bernard B. Levine investigatorship in Allergy and Immunology. Back

2 Address correspondence and reprint requests to Dr. Juan J. Lafaille, Skirball Institute of Biomolecular Medicine, New York University School of Medicine, 550 First Avenue, New York, NY 10016. Back

3 Abbreviations used in this paper: EAE, experimental autoimmune encephalomyelitis; MBP, myelin basic protein; RAG1, recombinase activating gene-1; T/R-, MBP-specific TCR transgenic mice with mutated RAG1 genes; T/R+, MBP-specific TCR transgenic mice with at least a normal RAG1 gene; int, intermediate. Back

Received for publication December 15, 1999. Accepted for publication March 3, 2000.


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 Introduction
 Materials and Methods
 Results
 Discussion
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