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The Journal of Immunology, 2000, 164: 3554-3562.
Copyright © 2000 by The American Association of Immunologists

Polarization of Naive CD4+ T Cells Toward the Th1 Subset by CTLA-4 Costimulation1

Takuma Kato2 and Hideo Nariuchi

Department of Allergology, Institute of Medical Science, University of Tokyo, Tokyo, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we examined in vitro the role of CTLA-4 costimulation in the polarization of naive CD4+ T cells toward the Th1 subset. When CTLA-4 costimulation was blocked by the inclusion of anti-CTLA-4 Fab in cultures during priming of naive CD4+ T cells with anti-CD3 in the presence of splenic adherent cells, they were polarized toward the Th2 subset. Conversely, the engagement of CTLA-4 with immobilized anti-CTLA-4 or with CD80-P815 cells polarized naive CD4+ T cells costimulated with anti-CD3 and anti-CD28 toward the Th1 subset. The CTLA-4 costimulation during priming augmented TGF-ß1 mRNA accumulation in naive CD4+ T cells, and the inclusion of anti-TGF-ß in cultures for priming suppressed the effect of CTLA-4 costimulation on the Th1 polarization. The addition of low doses of TGF-ß1 in cultures for priming of naive CD4+ T cells enhanced the production of Th1 cytokines upon secondary stimulation, although Th2 cytokine production was not affected by the doses of TGF-ß1. The CTLA-4 costimulation was also shown to suppress IL-4 production of naive CD4+ T cells upon priming. These results indicate that the costimulation against CTLA-4 drives polarization of naive CD4+ T cells toward the Th1 subset independent of IL-12 through, at least in part, the enhancement of TGF-ß1 production, and it also hampers Th2 subset differentiation by affecting IL-4 production of naive CD4+ T cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Naive CD4+ T cells differentiate into at least two distinct subsets, Th1 and Th2, with different cytokine secretion profiles. Th1 cells secrete IL-2, IFN-{gamma}, and lymphotoxin and promote cellular immune responses, whereas Th2 cells secrete IL-4, -5, -6, and -13, and promote humoral immune responses, especially of IgE (1). Th cell subset differentiation has been well documented to be determined by cytokines, such as IL-12 and IL-4, in milieu at an early activation stage of naive CD4+ T cells (2). IL-12 secreted by APC such as macrophages and dendritic cells plays a pivotal role in the differentiation of Th1 cells, whereas IL-4 produced by naive CD4+ T cells themselves and/or NK-T cells promotes the differentiation into Th2 cells. TGF-ß has been shown to promote the differentiation of Th1 subset (3) or Th1-like cells (4) independent of IL-12 (5), although it was also reported to inhibit the differentiation of naive CD4+ T cells toward Th1 cells induced by coordination of IL-12 and IFN-{gamma} (6).

In addition to the cytokine environment, several other factors such as valency of TCR ligation, CD28-mediated costimulation, type of APC, and genetic background (1, 7) have been shown to affect Th subset differentiation. It is well established that CD4+ T cells require costimulations for their efficient activation (8). B7 family molecules, CD80 and CD86, expressed on APC are well known costimulators for CD4+ T cells (9). The interaction of B7 molecules with CD28 on naive CD4+ T cells has been shown to promote Th2 subset differentiation in vivo (10) as well as in vitro (11, 12). CTLA-4 is a molecule structurally related to CD28 and transiently expressed on activated T cells to bind B7 family molecules (13). The cross-linking of CTLA-4 with immobilized anti-CTLA-4 was shown to suppress IL-4 and IFN-{gamma} production of T cell clones (14). Engagement of CTLA-4 with anti-CTLA-4 or CD80 was shown to inhibit IL-2 production of primary CD4+ T cells (15, 16), suggesting a negative regulatory role for CTLA-4 in T cell activation. CTLA-4 was also suggested to regulate Th cell subset differentiation. CD4+ T cells in CTLA-4-deficient mice were polarized toward the Th2 subset (17). In vitro IL-4 production was shown to be augmented in CD4+ T cells from mice injected with anti-CTLA-4 (18). IL-4 production of CTLA-4-deficient mouse spleen cells was shown to be markedly enhanced, although IFN-{gamma} production was also rather enhanced (19). However, blockade of CTLA-4/B7 interaction in vivo by anti-CTLA-4 was reported to result in the exacerbation of experimental allergic encephalomyelitis (EAE),3 a classical Th1-mediated autoimmune disease (20, 21, 22). Thus, the role of CTLA-4 in the Th cell subset polarization is not yet clear. Th1/Th2 polarization or balance could be determined by a variety of events, especially in vivo. Therefore, in the present experiment, we examined the role of CTLA-4/B7 interaction in Th cell subset polarization in in vitro experiments using tumor cells expressing CD80 instead of professional APC.

Our results indicate that CTLA-4 costimulation contributes to polarize naive CD4+ T cells toward the Th1 subset through different mechanisms including augmentation of TGF-ß1 and suppression of IL-4 production.


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

Female DBA/2 mice were obtained from Japan SLC (Shizuoka, Japan) and used at 7 to 8 wk of age.

Culture media

RPMI 1640 (JRH Biosciences, Lenexa, KS) supplemented with 10% FCS (Sanko Junyaku, Tokyo, Japan), 5 x 10-5 M 2-ME, and 100 µg/ml kanamycin was used for cultures throughout the present experiments. In some procedures, MEM (JRH Biosciences) with or without FCS was also used.

Abs and reagents

Culture supernatants containing anti-I-Ad (M5/114, rat IgG2b), anti-heat stable Ag (M1/69, rat IgG2b), anti-CD8 (53.6.72, rat IgG2a), and anti-Fc{gamma}RII/III (2.4G2, rat IgG2b), and ascites containing anti-Thy1.2 (HO-13.4, mouse IgM) were prepared in our laboratory using respective hybridomas obtained from American Type Culture Collection (Manassas, VA). Purified anti-CD28 (35.71, hamster IgG), anti-CTLA-4 (UC10-4F10, hamster IgG), anti-CD80 (16-10A1, hamster IgG), FITC-anti-CD44 (IM7, rat IgG2b), PE-anti-CD4 (GK1.5, rat IgG2b), -anti-IL-2Rß (TM-ß1, rat IgG2b), -anti-B220 (RA3-6B2, rat IgG2a), -anti-CD45RB (16A, rat IgG2a), -anti-CD62L (MEL-14, rat IgG2a), -anti-CTLA-4 (UC10-4F10), and purified and PE-normal hamster IgG were all purchased from PharMingen (San Diego, CA). FITC- and PE-goat IgG F(ab')2 anti-rat IgG were purchased from Biosource (Camerillo, CA) and Life Technologies (Gaithersburg, MD), respectively. Anti-CD3 (145-2C11, hamster IgG) was purified from ascites on a protein A column. Part of anti-CTLA-4, anti-CD80 and normal hamster IgG were digested into Fab with papain (Sigma, St. Louis, MO), followed by the passage through a protein A column to remove possibly remaining intact IgG and Fc fragment. These Fab preparations were confirmed to form a single band with 50 kDa on SDS-PAGE. The anti-CTLA-4 Fab was confirmed by flow cytometry to block the binding of PE-anti-CTLA-4 to L cells transfected with CTLA-4 cDNA. Fusion proteins composed of human IgG1 heavy chain constant region and extracellular region of murine CD80 (CD80-Ig) or CD86 (CD86-Ig) were generous gifts from Dr. T. Uede (Hokkaido University, Hokkaido, Japan). Anti-IL-4 (11B11, rat IgG1) with neutralizing activity was purified from ascites on a protein G column, and an isotype-matched control mAb (anti-IgE, R35-72, rat IgG1) was obtained from PharMingen. Anti-TGF-ß1, 2, 3 (code: 80-1835-03, mouse IgG1) with neutralizing activity and an isotype-matched control mAb (mouse IgG1) were obtained from Genzyme (Cambridge, MA) and PharMingen, respectively. Murine rIL-2 was purified on an anti-IL-2 affinity column from culture supernatant of Ag8.653 transfected with IL-2 cDNA (23). Porcine TGF-ß1 was purchased from R&D Systems (Minneapolis, MN).

Cells

Naive CD4+ T cells were purified as described (24). Briefly, nylon wool column-passed spleen cells were depleted of CD8+ cells, I-Ad+ cells, heat stable Ag+ cells, and Fc{gamma}RII/III+ cells on a MACS column (Miltenyi Biotech, Germany) to obtain CD4+ T cells. The CD4+ T cells were stained with FITC-anti-CD44, and CD44low cells were sorted in a FACS Vantage (Becton Dickinson, Mountain View, CA). The sorted cells were confirmed to be >99% CD4+ CD44low CD45RBhigh Mel-14high, and CD8+ cells, IL-2Rß+ NK-T cells, I-Ad+ macrophages/dendritic cells, or B220+ B cells were not detected flow cytometrically in the preparations. These sorted CD4+ T cells were used as naive CD4+ T cells. Spleen cells depleted of T cells (T-d spleen cells) by the treatment with anti-Thy1.2 and baby rabbit complement as described (24) were irradiated 35 Gy and used as accessory cells for secondary stimulation of CD4+ T cells with anti-CD3. The irradiated T-d spleen cells were confirmed not to produce detectable level of IL-2, IL-4, IL-5, or IFN-{gamma} after the stimulation with anti-CD3. Splenic adherent cells (SAC) were prepared from the T-d spleen cells by adherence to a plastic dish for 2 h as described (25) and used as accessory cells after 35 Gy irradiation for priming of naive CD4+ T cells. Fc{gamma}R+ murine mastocytoma P815 cells transfected with murine CD80 cDNA (CD80-P815) or vector alone (mock-P815) (26) and L cells transfected with CTLA-4 cDNA (CTLA-4-L cells) were generously provided by Dr. H. Yagita (Juntendo University, Tokyo, Japan). Both CD80-P815 and mock-P815 were used as accessory cells for priming of naive CD4+ T cells after fixation with 0.5% paraformaldehyde in PBS for 10 min at room temperature.

Stimulation of CD4+ T cells

Priming of naive CD4+ T cells (2 x 105 cells/1 ml/culture) was conducted using 1 µg/ml anti-CD3 with irradiated SAC (2 x 105 cells/1 ml/culture) or paraformaldehyde-fixed CD80-P815 (1 x 106 cells/1 ml/culture) in the presence or absence of 1 µg/1 ml/culture anti-CD28 in a well of 48-well plate (Iwaki Glass, Tokyo, Japan). To block the engagement of CTLA-4 molecules of these T cells, 10 µg/ml anti-CTLA-4 Fab was included in cultures. The CD4+ T cells primed for 4 days in a well were distributed into four wells with fresh medium containing 50 U/ml IL-2 and the corresponding Ab Fab to those in the first 4 days culture. In some experiments, naive CD4+ T cells were primed in a well of 48-well plate coated with 300 ng/well anti-CD3, 2 µg/well anti-CD28, and 2 µg/well anti-CTLA-4, and the cells primed for 4 days in a well were expanded into four wells with fresh medium containing 50 U/ml IL-2. Eight days after the priming as above, CD4+ T cells were recovered by a centrifugation over Ficoll. These primed T cells (5 x 104 cells/250 µl/culture) were restimulated with 1 µg/ml anti-CD3 in the presence of irradiated T-d spleen cells (5 x 105 cells/250 µl/culture) in a 96-well plate (Becton Dickinson). Supernatants of cultures for the priming were harvested for 48 h and assayed for IL-2. Supernatants of cultures restimulated as described above for 24 h were assayed for IL-2, and those restimulated for 48 h were assayed for IL-4, IL-5, and IFN-{gamma}. Results are presented as mean ± SD of triplicate cultures.

Cytokine assays

IL-2, IL-4, IL-5, and IFN-{gamma} in culture supernatants were assayed in ELISA using paired mAbs specific for the corresponding cytokine according to the manufacturer’s instruction (PharMingen). Standard curves were obtained using murine rIL-2 (Immugenex, Los Angels, CA), rIL-4 (Life Technologies), rIL-5 (Dr. T. Koro, Department of Immunology, University of Tokyo), and rIFN-{gamma} (Toray Industry, Tokyo, Japan). Lower detection limits of these assays were as follows: IL-2, 4 pg/ml; IL-4, 10 pg/ml; IL-5, 5 pg/ml; IFN-{gamma}, 150 pg/ml. TGF-ß1 in culture supernatants was assayed by the TGF-ß1 Emax ImmunoAssay System (Promega, Madison, WI), which is specific for the active form of TGF-ß1. The detection limit of this assay was 32 pg/ml.

Competitive RT-PCR

Total cellular RNA was prepared using the acid guanidinium thiocyanate-phenol-chloroform extraction method (27). Four-tenths microgram of the total RNA was reverse-transcribed into cDNA in a 50 µl reverse transcriptase reaction mixture as described (28). Semiquantitative analyses of IFN-{gamma}, IL-4, and TGF-ß1 mRNA accumulation were performed as described (29) with minor modifications. Briefly, PCR amplification of target cDNA (1 µl) was performed in the presence of competitor (1 µl) in a 10-µl reaction mixture containing 1x PCR buffer, 200 nM dNTP, 2 mM MgCl2, 400 nM primers, 50 µCi/ml [{alpha}-32P]dCTP, and 0.5 U Taq polymerase (AmpliTaq Gold, Perkin-Elmer Cetus, Norwalk, CT). The optimal competitor concentrations were determined by amplifying target cDNA in the presence of 2-fold serial dilutions of competitor. The multiple competitor PQRS used in our assay was generously given by Dr. R. M. Locksley (University of California, Los Angeles, CA) (30). The PCR product was electrophoresed through a 10–20% polyacrylamide gradient gel (Daiichi Pure Chemicals, Tokyo, Japan), and the radioactivity of the specific band was measured. The results of semiquantitation of the target molecule are presented as the ratio of target to competitor PCR products normalized with that of hypoxanthine-guanine phosphoribosyltransferase (HPRT). The PCR cycling conditions were 94°C for 1 min, 60°C for 1 min, and 72°C for 1 min for 35 cycles for IL-4 and TGF-ß1 cDNA and 28 cycles for HPRT cDNA amplification. The primers used for cDNA amplification were as described (30).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Th2 polarization of naive CD4+ T cells stimulated with anti-CD3 on SAC in the presence of anti-CTLA-4 Fab

To determine whether an interaction of CTLA-4 with B7 family molecules affects Th cell subset polarization, the interaction was blocked by the inclusion of anti-CTLA-4 Fab in cultures when naive CD4+ T cells were primed with anti-CD3 on SAC. Eight days after the priming, they were stimulated with anti-CD3 in the presence of T-d spleen cells, and their supernatants were assayed for cytokines. Although the priming in the presence of control IgG Fab polarized the Th cells toward the Th1 subset, the cells primed in the presence of anti-CTLA-4 Fab were polarized toward the Th2 subset (Fig. 1GoB). Consistent with the results published previously (15), the inclusion of anti-CTLA-4 Fab augmented IL-2 production of naive CD4+ T cells upon priming (Fig. 1GoA), suggesting that anti-CTLA-4 Fab included in cultures for priming effectively blocked CTLA-4/B7 interaction. The addition of IgG Fab, a control for anti-CTLA-4 Fab, was confirmed not to affect the cytokine production profile of the naive CD4+ T cells primed with anti-CD3 on SAC in either primary or secondary response (data not shown). The concentration of anti-CTLA-4 Fab used in this experiment was confirmed by flow cytometry to completely inhibit binding of CD80-Ig or CD86-Ig to L cells expressing CTLA-4 (data not shown).



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FIGURE 1. Effect of anti-CTLA-4 Fab on the Th subset differentiation of naive CD4+ T cells primed with anti-CD3 on SAC. Naive CD4+ T cells (2 x 105 cells/culture) were primed with anti-CD3 (1 µg/ml) together with irradiated syngeneic SAC (2 x 105 cells/culture) in the presence of 10 µg/ml anti-CTLA-4 Fab or control IgG Fab in a 48-well plate. The primed cells were expanded as described in Materials and Methods, and 8 days after the priming viable T cells were restimulated at 5 x 104 cells/culture with 1 µg/ml anti-CD3 in the presence of irradiated syngeneic T-d spleen cells (5 x 105 cell/culture) in a 96-well plate. Supernatants of culture for priming were harvested at 48 h and assayed for IL-2 (A), and those after secondary stimulation were harvested at 24 and 48 h, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} (B) by ELISA. The data shown are representative of two experiments with similar results.

 
In the above experiments, SAC were used as accessory cells for priming of naive CD4+ T cells with anti-CD3. IL-12 and IL-6 produced by APC during interaction with CD4+ T cells were shown to promote differentiation of T cells into Th1 (31, 32) and Th2 subsets (33), respectively.

Therefore, in the next experiment, naive CD4+ T cells were primed with anti-CD3 together with paraformaldehyde-fixed CD80-P815 cells in the presence of anti-CTLA-4 Fab or control IgG Fab. IL-2 produced by naive CD4+ T cells upon priming was significantly enhanced in amount by the presence of anti-CTLA-4 Fab (Fig. 2GoA), and they were apparently polarized toward the Th2 subset, although naive CD4+ T cells were polarized toward the Th1 subset without CTLA-4 blocking (Fig. 2GoB). Naive CD4+ T cells were confirmed to express CTLA-4 within 24 h following the stimulation with anti-CD3 on CD80-P815 cells (data not shown).



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FIGURE 2. Suppression of Th1 subset differentiation of naive CD4+ T cells primed with anti-CD3 on CD80-P815 cells by blocking of CTLA-4/B7 interaction. Naive CD4+ T cells (2 x 105 cells/culture) were primed with anti-CD3 (1 µg/ml) together with fixed CD80-P815 cells (1 x 106 cells/culture) in the presence of 10 µg/ml anti-CTLA-4 Fab or control IgG Fab in a 48-well plate. The primed cells were expanded and restimulated as described in Fig. 1Go. Supernatants of culture for priming were harvested at 48 h and assayed for IL-2 (A), and those after secondary stimulation were harvested at 24 and 48 h, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} (B) by ELISA. The data shown are representative of three experiments with similar results.

 
Taken together, these results suggest that the blockade of CTLA-4/B7 interaction effectively suppressed the polarization of naive CD4+ T cells costimulated with anti-CD3 and B7 toward the Th1 subset.

Polarization of naive CD4+ T cells into the Th1 subset by CTLA-4 engagement

CD28-mediated costimulation has been shown to promote Th2 subset differentiation of naive CD4+ T cells (10, 11, 12). Therefore, in the above experiments, it is possible that anti-CTLA-4 Fab promoted Th2 subset differentiation by blocking the binding of CTLA-4 to B7 to increase the number of B7 to stimulate CD28 on naive CD4+ T cells. To directly examine the effect of CTLA-4 engagement on Th1 subset polarization, naive CD4+ T cells were primed with anti-CD3 on CD80-P815 or mock-P815 cells in the presence of anti-CD28. The CD4+ T cells primed in the presence of CD80-P815 cells were polarized toward the Th1 subset, although the cells primed using mock-P815 cells were polarized toward the Th2 subset (Fig. 3GoB). The effect of CD80-P815 cells on the induction of Th1 subset polarization was abrogated by the inclusion of anti-CTLA-4 Fab or anti-CD80 Fab in cultures during priming (Fig. 3GoB). The dose of anti-CD28 was confirmed in preliminary experiments to be enough to inhibit the binding of CD80-Ig or CD80-P815 cells treated with anti-Fc{gamma}RII/III to naive CD4+ T cells (data not shown). IL-2 production of naive CD4+ T cells during priming was significantly suppressed by the presence of CD80-P815 cells (Fig. 3GoA), indicating that CD80 actually engaged CTLA-4. When anti-CTLA-4 Fab or anti-CD80 Fab was included in cultures for priming, the suppressive effect of CD80-P815 cells on IL-2 production was abrogated (Fig. 3GoA), indicating that the CD80 molecules on P815 cells predominantly costimulate naive CD4+ T cells via CTLA-4 in our system.



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FIGURE 3. Th1 subset differentiation by the CTLA-4 costimulation with CD80 during priming of naive CD4+ T cells. Naive CD4+ T cells (2 x 105 cells/culture) were primed with anti-CD3 (1 µg/ml) and anti-CD28 (1 µg/ml) in the presence of 1 x 106 cells/culture CD80-P815 or mock-P815 cells. Anti-CTLA-4 Fab, anti-CD80 Fab, or control hamster IgG Fab was included in these cultures to a concentration of 10 µg/ml. The primed cells were expanded and restimulated as described in Fig. 1Go. Supernatants of culture for priming were harvested at 48 h and assayed for IL-2 (A), and those after secondary stimulation were harvested at 24 and 48 h, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} (B) by ELISA. The data shown are representative of five experiments with similar results.

 
To confirm above results, naive CD4+ T cells were primed in a well coated with anti-CD3, anti-CD28, and anti-CTLA-4 or control IgG. IL-2 production of naive CD4+ T cells upon priming in the well coated with anti-CTLA-4 was suppressed (Fig. 4GoA). Cross-linking of CTLA-4 during priming promoted the polarization of naive CD4+ T cells toward the Th1 subset and suppressed Th2 subset polarization (Fig. 4GoB).



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FIGURE 4. Promotion of Th1 subset differentiation by cross-linking of CTLA-4 with immobilized anti-CTLA-4 during priming of naive CD4+ T cells. Naive CD4+ T cells (2 x 105 cells/culture) were primed in a well coated with anti-CD3 (300 ng/well), anti-CD28 (2 µg/well), and 2 µg/well anti-CTLA-4 or control hamster IgG. The primed cells were expanded and restimulated as described in Fig. 1Go. Supernatants of culture for priming were harvested at 48 h and assayed for IL-2 (A), and those after secondary stimulation were harvested at 24 and 48 h, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} (B) by ELISA. The data shown are representative of three experiments with similar results.

 
Taken all together, these results indicate that CTLA-4 engagement during priming polarized naive CD4+ T cells toward the Th1 subset.

Augmentation and suppression of mRNAs for TGF-ß1 and IL-4 in naive CD4+ T cells by CTLA-4 engagement

Engagement of CTLA-4 on CD4+ T cells has been reported to induce TGF-ß1 (34). Therefore, culture supernatants of naive CD4+ T cells costimulated with anti-CD3 and anti-CD28 in the presence of CD80-P815 or mock-P815 cells were assayed for TGF-ß1 and also for IL-4, which is well known to play critical role in the differentiation of the Th2 subset. The cells in these cultures were also assayed for the accumulation of mRNAs for these cytokines. The active form of TGF-ß1 was not detected in ELISA (lower detection limit; 32 pg/ml) in any culture supernatant of naive CD4+ T cells stimulated for 4 days. However, TGF-ß1 mRNA accumulation was detected in naive CD4+ T cells stimulated in the presence of mock-P815 cells, and it was enhanced by the presence of CD80-P815 cells in cultures (Fig. 5Go). In contrast, 163 pg/ml IL-4 in average was detected in the culture supernatants of naive CD4+ T cells primed for 4 days in the presence of mock-P815. However, IL-4 was not detected in culture supernatants of these T cells primed for 4 days in the presence of CD80-P815 cells. In accordance with these results in ELISA, IL-4 mRNA was accumulated in CD4+ T cells primed in the presence of mock-P815 cells, and the accumulation was suppressed by the presence of CD80-P815 cells (Fig. 5Go). The effects of CD80-P815 cells on the accumulation of mRNAs for both cytokines in the CD4+ T cells were abrogated by the inclusion of anti-CTLA-4 Fab (data not shown). Furthermore, we obtained similar results to those described above in IL-4 and TGF-ß1 mRNA accumulation in naive CD4+ T cells stimulated with immobilized anti-CD3, anti-CD28, and anti-CTLA-4 or control mAb (data not shown).



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FIGURE 5. Effect of CTLA-4 costimulation on the accumulation of mRNAs for IL-4 and TGF-ß in naive CD4+ T cells. Naive CD4+ T cells (2 x 105 cells/culture) were stimulated with anti-CD3 (1 µg/ml) and anti-CD28 (1 µg/ml) in the presence of 1 x 106 cells/culture fixed CD80-P815 () or mock-P815 cells ({square}). They were harvested at indicated times after the stimulation and assayed for accumulation of mRNAs by semiquantitative RT-PCR. Radioactivities of the specific band in the gel were measured, and the ratios of target to competitor PCR products normalized with those HPRT products were shown. The data shown are representative of three experiments with similar results.

 
These results suggest that the production of TGF-ß1 by naive CD4+ T cells costimulated with anti-CD3 and anti-CD28 is enhanced by the engagement of CTLA-4 and that of IL-4 is suppressed.

Roles of endogenous TGF-ß and IL-4 in the Th1 subset polarization induced by CTLA-4 engagement

We next examined the effects of neutralization of TGF-ß1 and IL-4 during priming on the polarization of naive CD4+ T cells toward the Th1 subset. The addition of anti-TGF-ß during priming of naive CD4+ T cells with anti-CD3 and anti-CD28 in the presence of CD80-P815 cells suppressed the polarization toward the Th1 subset, although the suppression was not complete even with 40 µg/ml anti-TGF-ß (Fig. 6Go). The addition of anti-TGF-ß to naive CD4+ T cells stimulated in the presence of mock-P815 cells did not affect the Th cell subset polarization even at 20 µg/ml (Fig. 6Go).



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FIGURE 6. Effect of anti-TGF-ß on the Th1 subset differentiation induced by CTLA-4 ligation with CD80. Naive CD4+ T cells (2 x 105 cells/culture) were primed with anti-CD3 (1 µg/ml) and anti-CD28 (1 µg/ml) in the presence of 1 x 106 cells/culture CD80-P815 or mock-P815 cells. In these cultures, anti-TGF-ß or control IgG was included as indicated during priming. The primed cells were expanded and restimulated as described in Fig. 1Go. Cultures supernatants were harvested 24 and 48 h after the secondary stimulation, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} by ELISA. The data shown are representative of three experiments with similar results.

 
Next, the effect of IL-4 neutralization on Th cell subset polarization was examined. The addition of 5 µg/ml anti-IL-4 to naive CD4+ T cells during priming with anti-CD3 and anti-CD28 without costimulation with CD80 apparently reduced the Th2-type cytokine production upon secondary stimulation, but it did not affect the Th1-type cytokine production of these cells (Fig. 7Go). These results indicate that the promotion of Th1 subset polarization by CTLA-4 engagement with CD80 is not simply due to the suppression of IL-4 production, although the reduction of IL-4 production may impair the generation of the Th2 subset.



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FIGURE 7. Failure in Th1 subset polarization of naive CD4+ T cells primed with anti-CD3 and anti-CD28 by neutralization of IL-4. Naive CD4+ T cells (2 x 105 cells/culture) were primed with anti-CD3 (1 µg/ml) and anti-CD28 (1 µg/ml) in the presence of mock-P815 cells (1 x 106 cells/culture). In these cultures, 5 µg/ml anti-IL-4 or control IgG was included during priming. Naive CD4+ T cells were also primed with anti-CD3 and anti-CD28 in the presence of CD80-P815 cells as control. The primed cells were expanded and restimulated as described in Fig. 1Go. Culture supernatants were harvested 24 and 48 h after the secondary stimulation, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} by ELISA. The data shown are representative of three experiments with similar results.

 
Taken together, these results suggest that a small amount of TGF-ß1 produced by naive CD4+ T cells by CTLA-4 costimulation is responsible, at least in part, for the promotion of Th1 subset polarization and, in addition, the reduced IL-4 production also negatively regulates differentiation of the Th2 subset.

Polarization toward the Th1 subset of naive CD4+ T cells primed in the presence of low concentrations of TGF-ß1

To examine whether such a low dose of TGF-ß1 as produced by naive CD4+ T cells in response to CTLA-4 engagement promotes Th1 subset polarization, various concentrations of exogenous TGF-ß1 were included in cultures of naive CD4+ T cells during priming with anti-CD3 and anti-CD28 in the presence of mock-P815 cells. These T cells were restimulated with anti-CD3 on T-d spleen cells, and culture supernatants were assayed for cytokines. The production of Th1 cytokines was augmented by the addition of 0.4 or 2 pg/ml TGF-ß1 but it was decreased with more TGF-ß1. The addition of exogenous TGF-ß1 did not completely substitute for the effect of CTLA-4 engagement with CD80 on P815 cells in terms of enhancement of Th1 cytokine production in secondary response (Fig. 8GoA). In addition, Th2 cytokine production was not affected by the addition of 0.08–2 pg/ml TGF-ß1. When >10 pg/ml TGF-ß1 was added, both Th1- and Th2-type cytokine production was suppressed in secondary response. Because CTLA-4 engagement suppressed IL-4 production of naive CD4+ T cells, it is possible that IL-4 produced by naive CD4+ T cells during priming in the absence of CTLA-4 engagement interferes with the effect of exogenous TGF-ß1 on the Th1 subset polarization. Therefore, anti-IL-4 was included in cultures when naive CD4+ T cells were primed as above in the presence of various concentrations of TGF-ß1, and culture supernatants of these cells restimulated as above were assayed for cytokines. Although the inclusion of anti-IL-4 reduced the production of Th2 cytokines, the production of Th1 cytokines was not augmented any more in the presence of exogenous TGF-ß1 (Fig. 8GoB). The dose of TGF-ß1 required for the optimal augmentation of Th1 cytokine production was reduced to 0.4 pg/ml. The doses of TGF-ß1 that augmented Th1-type cytokine production in secondary culture did not significantly affect IL-2 production during priming. Cytokine production profiles in secondary response of T cells primed in the presence of control mAb were confirmed to be essentially the same to those of the T cells primed in the absence of mAb (data not shown).



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FIGURE 8. Effect of exogenous TGF-ß1 on the cytokine production profiles in secondary response of CD4+ T cells primed without CTLA-4 costimulation. Naive CD4+ T cells (2 x 105 cells/culture) were primed with anti-CD3 (1 µg/ml) and anti-CD28 (1 µg/ml) in the presence of mock-P815 cells (1 x 106 cells/culture). In these cultures, TGF-ß1 was included as indicated with (B) or without (A) 5 µg/ml anti-IL-4 during priming. Naive CD4+ T cells were also primed with anti-CD3 and anti-CD28 in the presence of CD80-P815 cells as control. The primed cells were expanded and restimulated as described in Fig. 1Go. Supernatants of culture for priming were harvested at 48 h and assayed for IL-2 and those after secondary stimulation were harvested at 24 and 48 h, and the former were assayed for IL-2 and the latter for IL-4, IL-5, and IFN-{gamma} by ELISA. The primed cells were expanded and restimulated as described in Fig. 1Go. The data shown are representative of two experiments with similar results.

 
These results, together with the results shown in Fig. 6Go, indicate that a small amount of TGF-ß1 produced by naive CD4+ T cells in response to CTLA-4 engagement promotes the differentiation of the Th1 subset.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present experiments, engagement of CTLA-4 with CD80 or anti-CTLA-4 was shown to polarize naive CD4+ T cells costimulated by ligations of CD3 and CD28 toward the Th1 subset, and the Th1 polarization was inhibited by blocking of CTLA-4/B7 interaction with anti-CTLA-4 Fab. Naive CD4+ T cells were polarized toward Th1 by the CTLA-4 costimulation in in vitro culture without inclusion of professional APC, indicating that the Th1 polarization was induced independent of IL-12. Our results also indicate that the Th1 polarization caused by the CTLA-4 engagement is, at least in part, mediated through TGF-ß1 produced by naive CD4+ T cells.

Consistent with our present results, CD4+ T cells in anti-CTLA-4-treated (18) or in CTLA-4-deficient mice (17) were shown to be polarized toward the Th2 subset. In these mice, it is possible that blocking or a deficiency of the CTLA-4 molecule made the reaction of CD80/CD86 to CD28 more efficient to promote Th2 subset differentiation, because CD28-mediated costimulation was well demonstrated to polarize CD4+ T cells toward the Th2 subset (10, 11, 12). Quite recently, CTLA-4 was also shown to be a potent inhibitor of Th2 subset differentiation induced by the CD28 costimulation using CTLA-4-/-CD80/CD86-/- mice (35), indicating a reciprocal regulation of CD4+ T cell differentiation by CD28 and CTLA-4 as well as of IL-2 production (15, 36).

However, the severity of EAE, a classical Th1-mediated autoimmune disease model, was shown to be exacerbated through CTLA-4 blockade by anti-CTLA-4 administration (20, 21, 22) in association with the enhancement of IFN-{gamma} and IL-2 production (20, 21). In addition, T cells from mice immunized with GM-CSF-producing tumor cell vaccine in combination with anti-CTLA-4 treatment were shown to be enhanced in IFN-{gamma} production (37). These results suggest the enhancement of Th1 response by CTLA-4 blockade. CTLA-4 seems to regulate the effector phase of EAE, because the disease was markedly exacerbated by the anti-CTLA-4 administration after the onset of clinical symptoms (20) or in mice transferred with T cells primed with epitope peptide of myelin protein (21). IL-12 was well documented to play an important role in the pathogenesis of EAE (38). To induce EAE, mice are primed with myelin basic protein or related peptide emulsified with CFA. A Mycobacterium cell wall glycopeptide in CFA was shown to stimulate IL-12 production (39). IL-12 is known to drive naive CD4+ T cells toward the Th1 subset. GM-CSF, which plays a critical role in tumor cell vaccination as mentioned above, was also shown to promote IL-12 production of macrophages (40). CD28 costimulation was shown to play an important role in maintaining T cell response by inducing expression of anti-apoptotic genes such as Bcl-xL (41). In contrast, CTLA-4 costimulation inhibited clonal expansion of CD4+ T cells in vivo (42). Therefore, it is possible that CTLA-4 blockade in mice with EAE and the tumor cell vaccine mentioned above promoted the expansion of Th1 cells already polarized in the presence of IL-12, although it remains a possibility that CTLA-4 blockade in vivo polarized a Th1/Th2 balance into a Th1 dominance by an unknown mechanism in complex events in autoimmunity or tumor immunity.

CD28 costimulation was shown to be required for optimal CTLA-4 expression of naive CD4+ T cells (43). CD28-/- CD4+ T cells expressed a low density of CTLA-4 (44). In our present experiments, naive CD4+ T cells stimulated with anti-CD3 alone did not express detectable level of CTLA-4; however, they apparently expressed CTLA-4 by the stimulation with anti-CD3 on CD80-P815 (data not shown), confirming that CD28 costimulation plays an important role in sufficient CTLA-4 expression for its function. In our experiments, costimulatory conditions during priming that induced a lower amount of IL-2 production of naive CD4+ T cells induced polarized toward the Th1 subset, and those that induced higher amounts of IL-2 production induced the Th2 subset differentiation. These results could be explained as following: CD4+ T cells effectively costimulated against CD3 and CD28 expressed sufficient density of CTLA-4 to drive them to the Th1 subset, but the engagement of a high density of CTLA-4 also inhibits IL-2 production independent of the Th1 differentiation, while the cells produced higher amount of IL-2 were polarized toward the Th2 subset due to the efficient CD28 costimulation and insufficient CTLA-4 engagement. IL-2 was also reported to be required for Th2 subset differentiation, because the Th2 subset could not be differentiated even in the presence of IL-4 when IL-2 in cultures was neutralized with mAb (45). However, in our experiments the addition of 50–200 U/ml exogenous IL-2 did not affect the Th1/Th2 balance polarized by the ligation of CTLA-4 with CD80 (data not shown). In addition, exogenous IL-2 did not recover the Th2 subset development of CD28-/- CD4+ T cells (12). These results suggest that IL-2 does not play a critical role, if any, in Th2 subset differentiation.

Recently, the interaction of ICAM-1 or ICAM-2 with LFA-1, either of which is on APC, has been reported to promote the development of Th1 subset through suppression of Th2 subset differentiation (46). ICAM-1 expressed on accessory cells was also shown to suppress Th2 cytokine production of naive CD4+ T cells (47). Because costimulation of T cells with ICAM-1 was shown to augment CTLA-4 expression (48), the effect of ICAM-1/-2 on the suppression of Th2 differentiation or of Th2 cytokine production mentioned above could be mediated by the augmentation of CTLA-4 expression on CD4+ T cells.

In our experiments, CTLA-4 costimulation augmented the accumulation of TGF-ß1 mRNA and suppressed IL-4 production of naive CD4+ T cells during priming. However, the active form of TGF-ß1 was not detected in ELISA in culture supernatants of the CD4+ T cells costimulated against CTLA-4. Although the active form of TGF-ß1 was reported to be detected in culture of CD4+ T cells (34), their T cell preparations contained memory CD4+ T cells. Memory CD4+ T cells produced TGF-ß1 more than did naive CD4+ T cells. Naive CD4+ T cells were shown not to produce levels of the active form of TGF-ß1 detectable in ELISA (49). The lower detection limit of our ELISA system was 32 pg/ml, and concentrations of exogenous TGF-ß1 in cultures effectively polarizing the Th subset toward Th1 were as low as 0.4–2 pg/ml. Taken together with the result that the inclusion of anti-TGF-ß1 in cultures for priming of naive CD4+ T cells partially reversed the effect of CTLA-4 costimulation on Th1 subset differentiation, these results indicate that TGF-ß1 produced by naive CD4+ T cells contributes in part to the Th1 polarization induced by CTLA-4 costimulation. TGF-ß1 was shown to play a role in the development of the Th1 subset or Th1-like cells from freshly isolated CD4+ T cells stimulated with staphylococcal enterotoxin B (3) or Con A (4), respectively. Our results also suggest that a low dose of TGF-ß1 promotes the Th1 differentiation without affecting Th2 subset development (Fig. 8Go), although CTLA-4 costimulation was reported to inhibit Th2 subset differentiation (35). TGF-ß was also reported to suppress Th1 subset development of naive CD4+ T cells even in the presence of IL-12 and IFN-{gamma} (6). However, the doses of TGF-ß1 they added in their culture were very high, and in our present experiments the high dose of TGF-ß1 (50 pg/ml or more) suppressed the development of both Th1 and Th2 subsets (Fig. 8Go).

FCS used in our experiments contained a biologically inactive form of TGF-ß1 (data not shown). However, the inclusion of Ab specific for the active form of TGF-ß1 in cultures for priming of naive CD4+ T cells without CTLA-4 costimulation did not affect their Th subset polarization, indicating that TGF-ß1 in FCS remains inactive during cultivation.

IL-4 is well known to support Th2 subset development. IL-4 production of naive CD4+ T cells costimulated with anti-CD3 and anti-CD28 was suppressed by the engagement of CTLA-4 in terms of both ELISA and RT-PCR (Fig. 5Go), suggesting that the CTLA-4 costimulation also contribute to the suppression of Th2 subset development by reducing IL-4 production of CD4+ T cells. CTLA-4 may inhibit CD28-mediated signals to preferentially activate Th2 cytokine genes. Cross-linkage of CTLA-4 was indicated to activate SHP-2, resulting in dephosphorylation of signaling proteins of which phosphorylation was enhanced by CD28-cross-linkage (50, 51, 52, 53). Therefore, it is possible that the CTLA-4 engagement merely inhibits the CD28-mediated signal, causing a reversion to a default Th1 phenotype.

Taken all together, our present results indicate that the engagement of CTLA-4 on naive CD4+ T cells costimulated by ligations of CD3 and CD28 contributes to their polarization toward the Th1 subset through different mechanisms. Some of these mechanisms might contribute to the polarization of the Th subset in vivo dependent upon the microenvironment around individual CD4+ T cells.


    Acknowledgments
 
We thank Dr. H. Yagita for providing mock- and CD80-P815 cells and also for CTLA-4-L cells, Dr. T. Koro for murine rIL-5, and Dr. T. Uede for fusion proteins CD80-Ig and CD86-Ig.


    Footnotes
 
1 This work was supported in part by a Grant-in-Aid for Scientific Research on Priority Areas and by a Grant-in-Aid for Scientific Research (B) from the Ministry of Education, Science, Sports, and Culture, Japan. Back

2 Address correspondence and reprint requests to Dr. Takuma Kato, Department of Allergology, Institute of Medical Science, University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo 108-8639, Japan. E-mail address: Back

3 Abbreviations used in this paper: EAE, experimental allergic encephalomyelitis; CD80-P815 cells; P815 cells transfected with CD80 cDNA; CTLA-4-L cells, L cells transfected with CTLA-4 cDNA; HPRT, hypoxanthine-guanine phosphoribosyltransferase; SAC, splenic adherent cells; T-d spleen cells, T cell-depleted spleen cells. Back

Received for publication September 15, 1999. Accepted for publication January 26, 2000.


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CD152 (CTLA-4) Determines the Unequal Resistance of Th1 and Th2 Cells against Activation-induced Cell Death by a Mechanism Requiring PI3 Kinase Function
J. Exp. Med., March 15, 2004; 199(6): 831 - 842.
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J. Immunol.Home page
V. M. Jovasevic, L. Gorelik, J. A. Bluestone, and M. B. Mokyr
Importance of IL-10 for CTLA-4-Mediated Inhibition of Tumor-Eradicating Immunity
J. Immunol., February 1, 2004; 172(3): 1449 - 1454.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
R. Hakamada-Taguchi, Y. Uehara, K. Kuribayashi, A. Numabe, K. Saito, H. Negoro, T. Fujita, T. Toyo-oka, and T. Kato
Inhibition of Hydroxymethylglutaryl-Coenzyme A Reductase Reduces Th1 Development and Promotes Th2 Development
Circ. Res., November 14, 2003; 93(10): 948 - 956.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
F. Maszyna, H. Hoff, D. Kunkel, A. Radbruch, and M. C. Brunner-Weinzierl
Diversity of Clonal T Cell Proliferation Is Mediated by Differential Expression of CD152 (CTLA-4) on the Cell Surface of Activated Individual T Lymphocytes
J. Immunol., October 1, 2003; 171(7): 3459 - 3466.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
C. Steel and T. B. Nutman
CTLA-4 in Filarial Infections: Implications for a Role in Diminished T Cell Reactivity
J. Immunol., February 15, 2003; 170(4): 1930 - 1938.
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J. Leukoc. Biol.Home page
S. Mukherjee, P. K. Maiti, and D. Nandi
Role of CD80, CD86, and CTLA4 on mouse CD4+ T lymphocytes in enhancing cell-cycle progression and survival after activation with PMA and ionomycin
J. Leukoc. Biol., November 1, 2002; 72(5): 921 - 931.
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J. Immunol.Home page
H. Schneider, D. A. Mandelbrot, R. J. Greenwald, F. Ng, R. Lechler, A. H. Sharpe, and C. E. Rudd
Cutting Edge: CTLA-4 (CD152) Differentially Regulates Mitogen-Activated Protein Kinases (Extracellular Signal-Regulated Kinase and c-Jun N-Terminal Kinase) in CD4+ T Cells from Receptor/Ligand-Deficient Mice
J. Immunol., October 1, 2002; 169(7): 3475 - 3479.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
C. P. M. Broeren, G. S. Gray, B. M. Carreno, and C. H. June
Costimulation Light: Activation of CD4+ T Cells with CD80 or CD86 Rather Than Anti-CD28 Leads to a Th2 Cytokine Profile
J. Immunol., December 15, 2000; 165(12): 6908 - 6914.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
S. Oh and M. C. Eichelberger
Polarization of Allogeneic T-Cell Responses by Influenza Virus-Infected Dendritic Cells
J. Virol., September 1, 2000; 74(17): 7738 - 7744.
[Abstract] [Full Text]


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J. Immunol.Home page
A. Kitani, K. Chua, K. Nakamura, and W. Strober
Activated Self-MHC-Reactive T Cells Have the Cytokine Phenotype of Th3/T Regulatory Cell 1 T Cells
J. Immunol., July 15, 2000; 165(2): 691 - 702.
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