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*
Xcyte Therapies, Seattle, WA 98104; and
Department of Medical Microbiology and Immunology, Cell Cybernetics Laboratory, The Panum Institute, University of Copenhagen, Copenhagen, Denmark
| Abstract |
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| Introduction |
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, IL-1, IL-6, and IL-8) and chemokines (including
RANTES, macrophage-inflammatory protein-1
, macrophage-inflammatory
protein-1ß, and mannose chemoattractant protein-1), which have
important effects on both APC and T cell activation and maturation
(1, 2). Humans with a genetic defect in the CD154 gene and
knockout mice lacking either CD40 or CD154 have emphasized the crucial
role of CD40-CD154 interactions for generation of a thymus-dependent
humoral immune response and major parts of the cellular immune response
(3). Not surprisingly, subsequent studies have
demonstrated a central role of CD40-CD154 interactions for generation
of protective T cell-mediated tumor immunity, conversion of tolerant
tumor-specific CD4 and CD8 cells, efficient clearance of viral
infections, and generation of CD8 effector CTLs (4, 5, 6, 7, 8, 9, 10).
Thus, the CD40-CD154 interaction is vital for the initiation and
duration of the delicate process where T cells and APCs undergo
mutually beneficial interactions leading to activation of the acquired
immune system. | Materials and Methods |
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PBMC were obtained from healthy human volunteer donors using
standard procedures. Phagocytic cells were depleted by incubation with
uncoated Dynal beads, two beads per cell for 2 h at 37°C,
followed by magnetic depletion (monocytes and macrophages efficiently
phagocytose the beads). Cells were stimulated with Dynal beads coupled
to anti-CD3 (OKT-3) and anti-CD28 (9.3) Abs (11),
three beads per cell. Pure CD4 T cells were obtained by reacting cells
with Abs against human CD8 (10 µg/ml), CD14 (1 µg/ml), CD16 (1
µg/ml), and CD20 (10 µg/ml) followed by two rounds of magnetic
depletion with sheep anti-mouse-coated Dynal beads, six beads per
cell. Neutralizing anti-human IL-2, IL-4, and IFN-
Abs were used
at 10 µg/ml and obtained from PharMingen (San Diego, CA). IL-2 was
obtained from Boehringer Mannheim (Indianapolis, IN).
Flow cytometry
Cells were labeled with PE-coupled anti-human CD154 Ab (Becton Dickinson, Mountain View, CA) or PE-coupled IgG1 isotype control Ab and FITC-coupled anti-human CD4 (Immunotech, Westbrook, ME), washed, and resuspended in 1% paraformaldehyde. For intracellular CD154 staining, cells were first surface labeled as described above, but with a nonconjugated anti-human CD154 Ab or control Ab. Cells were then fixed and permeabilized using a Becton Dickinson intracellular staining kit and labeled with PE-conjugated anti-human CD154 Ab or isotype control Ab. Data acquisition and flow cytometric analysis were performed on a Becton Dickinson FACSCalibur using CellQuest software.
RT-PCR
RNA was purified from 106 cells using Trizol. RT-PCR was run with a CD154 primer set: (CTGCAAGGTGACACTGTTC;CACAGCATGATCGAAACATAC) or (GGTGATTCTAGACACAGCATGATCGAAACATACAAC;GGTGATTCTAGAAGGTGACACTGTTCAGAGTTTGAG) and a GADPH primer set: (CGCTGAGTACGTCGTGGAGTCCAC;GACATCAAGAAGGTGGTGAAGCAG) using Titan one-step RT-PCR (Boehringer Mannheim) with 35 PCR cycles: 94°C for 30 s, 56°C for 60 s, and 68°C for 180 s.
Coculture experiment
Purified CD4 T cells were stained with 5-(and 6)-carboxyfluorescein diacetate succinimidyl ester (CFDA-SE)3 (Molecular Probes, Eugene, OR) for 10 min in PBS, at 25°C, washed, and fixed in 0.5% paraformaldehyde for 15 min at 25°C. After extensive washing, cells were cultured along with the Daudi B cell lymphoma line at a 1:1 ratio for 24 h. Cells were subsequently stained with PE-coupled anti-human CD54 (Coulter, Palo Alto, CA). CD54 expression on Daudi cells was measured by excluding CFDA-SE-positive cells. CD40-Ig fusion protein was used at 10 µg/ml.
| Results |
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Expression of CD154 on CD4 T cells has mainly been studied after TCR or ionomycin/PMA stimulation, which has revealed a very transient expression of CD154 (<24 h) that is dependent on calcineurin/NF-AT activation (12, 13, 14). To study CD154 expression under more physiological conditions, we used Abs against CD3 and CD28 coupled to beads (3x28 beads) as a form of surrogate APC. These beads are more potent than soluble or plate-bound Abs, probably due to their topological resemblance to cells, facilitating polarized interactions; an important factor in cell activation that has recently emerged from several excellent studies (15, 16, 17).
Fig. 1
A shows primary/naive
human PBLs stimulated with 3x28 beads. As expected, there was a rapid
induction of surface CD154 expression on CD4 T cells. The level of
surface CD154 was comparable or slightly higher than previously
reported with plate-bound anti-TCR Abs with or without
anti-CD28 costimulation (13, 18, 19). Effector cells,
generated by 1214-day expansion of cultures stimulated with 3x28
beads at day 0, also rapidly induced CD154 expression on CD4 cells upon
restimulation with 3x28 beads; however, the level of induction was
substantially higher than in naive cells (Fig. 1
A). CD154
expression on both activated naive and effector CD4 cells did not
decline as expected and was still expressed at high levels 4 days after
the initial stimulation (Fig. 1
A). Fig. 1
B shows
a schematic representation of CD154 expression on CD4 cells from PBL
cultures stimulated with 3x28 beads at day 0 and restimulated at day
14. A similar CD154 profile was seen when purified CD4 cells were
stimulated (data not shown), suggesting that CD8 T cells, B cells, or
NK cells are not positively involved in the regulation of CD154 surface
expression. It has previously been shown that large numbers of
CD40-positive cells can induce down-modulation of CD154 on CD4 cells
(20, 21); however, we did not see this effect in our PBL
cultures, possibly due to the low amount of B cells present
(311%).
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IL-2 and IL-15 induce CD154 expression on previously activated CD4 cells
One of the main responses to CD28 costimulation of T cells is autocrine production of IL-2; intriguingly, TCR engagement without CD28 costimulation does not activate T cells to produce IL-2 (22). The 3x28 bead-stimulated T cells produce up to 150 U/ml of free IL-2 as measured by ELISA (data not shown).
To investigate the influence of IL-2 on the sustained CD154 expression,
naive or effector cell populations were cultured for 3 days with 3x28
beads to induce CD154 expression, and cells were then washed and
cultured an additional 24 h with 1) 3x28 beads and 100 U/ml IL-2;
2) 3x28 beads and a blocking anti-IL-2 Ab; 3) without the 3x28
beads but with 100 U/ml IL-2; and 4) without the 3x28 beads and with
the blocking anti-IL-2 Ab. Fig. 2
A shows the results of this
experiment. Combined removal of the 3x28 beads and blocking of IL-2
completely inhibited CD154 expression on activated naive CD4 cells.
Furthermore, the massive CD154 expression on effector cells was
radically reduced; however, not to baseline levels. Interestingly,
blocking of IL-2 in the presence of beads inhibited CD154 expression on
naive cells by
55% and on effector cells by
70%. The effect was
specific, as blocking Abs against IL-4 or IFN-
had no influence
(data not shown). In the absence of 3x28 bead stimulation, IL-2 induced
approximately half of the CD154 expression on activated naive CD4 cells
and induced CD154 expression on the majority of activated effector CD4
cells. Furthermore, 6090% of the IL-2-induced CD154 expression was
maintained for 2 days in the absence of 3x28 stimulation (data not
shown). To rule out that withdrawal of IL-2 for 24 h was directly
toxic for the cells, we took the activated naive or effector CD4 cells
previously cultured without 3x28 beads and IL-2 and restimulated them
with 100 U/ml IL-2 for 24 h. This could readily reinduce CD154
expression, an effect not seen with 50 ng/ml IL-4 or 1000 U/ml IFN-
(Fig. 2
B). Beyond emphasizing the functional integrity of
the IL-2-deprived cells, this also demonstrates that IL-2 by itself
could induce, and not only sustain, CD154 expression on activated CD4 T
cells. Reactivation with IL-2 did not change the constitutive high
HLA-DR expression or induced expression of 4-1BB or CCR5 (data not
shown), demonstrating that IL-2 restimulation did not unspecifically
alter expression of other surface molecules. Subsequent titration
showed that 510 U/ml of IL-2 was necessary for maximal CD154
reinduction on naive or effector cells and that 12 U/ml induced half
the maximal CD154 expression (Fig. 2
C and data not
shown).
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-chain, but have individual
-chains (23). In
contrast to IL-2, IL-15 is mainly produced by activated professional
APCs including monocytes, macrophages, and dendritic cells; it is
therefore tempting to speculate that IL-15 produced during T cell-APC
interaction might also participate in the regulation of CD40L
expression in vivo.
It is well known that resting CD4 cells have virtually no CD25 (IL-2R
-chain) and low CD122 (IL-2R ß-chain) expression. Furthermore, our
in vitro generated effector CD4 cells had low, but significant, CD25
expression and low IL-2R ß-chain before restimulation (Table I
). To investigate the relative
importance of 3x28 beads and IL-2 at different intervals after
activation, we incubated cells in the presence or absence of 3x28 beads
and/or IL-2 (as described in Fig. 2
A) from
days 0 to1, 1 to 2, 2 to 3, and 3 to 4. As seen in Fig. 2
, D
and E, IL-2, without prior 3x28 bead stimulation, had no
effect on CD154 expression on naive cells and only a limited effect on
effector cells. In line with this, the 3x28 bead activation accounted
for nearly all CD154 expression after 24 h, as the CD154 level was
only very weakly affected by withdrawal of IL-2. However, gradually the
3x28 bead response weakened and IL-2 took over, most strikingly seen in
effector CD4 cells where IL-2 induced 90% of the CD154 expression
after 34 days of activation. Subsequent analysis showed that
induction of IL-2 receptor
- and ß-chain expression correlated
with the ability of IL-2 to induce CD154 expression (Table I
). However,
there were no significant differences between IL-2 receptor levels on
activated naive and effector CD4 cells, suggesting that the notable
higher CD154 expression on effector cells may be due to enhanced
responsiveness.
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To investigate how IL-2 regulates CD154 expression, we reinduced
CD154 expression on effector CD4 cells previously rested for 24 h
as described in Fig. 2
B, but in the presence of various
inhibitors. CD154 expression was measured after 6 h of 3x28 bead
or IL-2 stimulation to limit the toxic effects of the inhibitors. Fig. 3
A shows that pretreatment
with actinomycin D, cyclohexamide, or brefeldin A, inhibitors of
transcription, translation, and transport through the Golgi complex,
respectively, blocked IL-2-induced re-expression of CD154 on previously
activated effector CD4 cells, clearly demonstrating that IL-2 induces
CD154 expression by de novo synthesis. Further analysis showed that
rapamycin, an inhibitor of the IL-2-induced p70s6 kinase,
significantly, but not dramatically, inhibited IL-2-induced CD154
expression (Fig. 3
A). Rapamycin had only a limited effect on
3x28 bead-induced CD154 expression (when a blocking anti-IL-2 Ab
was included to neutralize the effect of newly produced IL-2). As
expected, CsA completely inhibited 3x28 bead-induced CD154 expression;
however, IL-2-induced CD154 expression was also affected to some degree
(Fig. 3
A). Current knowledge in the field suggests that CsA
does not inhibit IL-2-induced signal transduction. Thus, the most
likely explanation would be that a basal level of calcineurin activity
is involved in IL-2-induced CD154 expression. In conclusion, these
results show that IL-2 induces de novo CD154 production by a distinct
and until now unrecognized signal pathway.
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CD154 induced by IL-2 is functionally active
To verify the functional capability of IL-2-induced CD154 on CD4
cells, a 24-h coculture experiment with Daudi B lymphoma cells was
done. Daudi cells markedly up-regulate CD54 (ICAM-1) expression in
response to CD40 engagement. Effector CD4 cells were purified by
negative selection, stained with the fluorescent cell dye CFDA-SE, and
fixed in 0.5% paraformaldehyde before coculture. As seen in Fig. 4
, activated effector CD4 cells
previously cultured for 24 h in the presence of 100 U/ml IL-2
alone strongly up-regulated CD54 expression on the Daudi cells, which
could be blocked by inclusion of a CD40-Ig fusion protein. Conversely,
activated effector CD4 cells previously cultured without IL-2 or 3x28
beads for 24 h induced very weak CD54 expression on the Daudi
cells. Essentially, the same results were observed with activated naive
CD4 cells, but their weaker CD154 expression corresponded to a weaker
induction of CD54 expression (data not shown). Control experiments
showed that unstimulated naive CD4 cells had no significant effect on
CD54 expression; in contrast anti-CD40 Abs coupled to beads induced
robust CD54 expression on the Daudi cells (data not shown). These
results demonstrate that the CD154 induced by IL-2 is functionally
active.
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| Discussion |
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In this study, we demonstrate that efficient Ag activation and CD28 costimulation of CD4 cells has a dual function in connection with CD154 regulation: 1) induction of transient CD154 expression by NF-AT-dependent signals, and 2) production of IL-2 and up-regulation of its high affinity receptor, which maintains CD154 expression by IL-2-dependent signals. IL-15 produced by activated APC might furthermore enhance CD154 expression. This will produce a highly regulated feedback mechanism and underscores the interdependence of CD28 and CD40 signal pathways during T cell-APC interaction.
These findings might be of possible clinical interest, since the serum level of IL-15 is elevated in patients with rheumatoid arthritis, a disease characterized by elevated CD40L expression on CD4 cells (25, 26). Furthermore, a previous study has shown a strong correlation between diminished CD154 and IL-2 mRNA levels in a large fraction of patients with common variable immunodeficiency (27). Given the present study, it is likely that the diminished CD154 is caused by the lack of IL-2, in particular since these patients have a normal CD154 gene.
With regard to regulation of CD154 expression on activated CD4 T cells
in vivo, future studies with knockout mice lacking either CD25, IL-2,
or IL-15R
may give insights into the relative contribution and
importance of IL-2 and IL-15, although interpretation of data obtained
in knockout models may be complicated by the multitude of functions
performed by IL-2 and IL-15.
One of the hallmarks of anergic T cells is their inability to produce IL-2 even after appropriate costimulation. Furthermore, anergic T cells have been shown to express significantly reduced levels of CD154 after activation (28), which is not surprising given the data in the current report. We would like to propose that anergic CD4 cells lack the ability to activate APC, at least in part, due to poor CD154 expression. Since CD40-activated APC have the ability to activate otherwise anergic/tolerant T cells, this establishes a sort of "catch 22," which potentially is of fundamental importance for regulation of anergy/tolerance vs immunity.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Søren Skov, Department of Medical Microbiology and Immunology, Cell Cybernetics Laboratory, The Panum Institute, Blegdamsvej 3, Building 22-5, University of Copenhagen, 2200 Copenhagen N, Denmark. E-mail address: ![]()
3 Abbreviations used in this paper: CFDA-SE, 5-(and 6)-carboxyfluorescein diacetate succinimidyl ester; CsA, cyclosporin A; CD40L, CD40 ligand; MFI, mean fluorescence intensity. ![]()
Received for publication October 18, 1999. Accepted for publication January 14, 2000.
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