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The Journal of Immunology, 2000, 165: 2077-2083.
Copyright © 00 by The American Association of Immunologists

Impaired CTL Recognition of Cells Latently Infected with Kaposi’s Sarcoma-Associated Herpes Virus1

Christian Brander2,*, Todd Suscovich2,*, Yun Lee*, Phuong Thi Nguyen*, Paula O’Connor*,{dagger}, Joerg Seebach{ddagger}, Norman G. Jones*, Mark van Gorder*, Bruce D. Walker* and David T. Scadden3,*,{dagger}

* Partners AIDS Research Center and {dagger} Massachusetts General Hospital Cancer Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02129; and {ddagger} Universitaets Spital Zurich, University of Zurich, Zurich, Switzerland


    Abstract
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Kaposi’s sarcoma-associated herpes virus (KSHV) is a recently identified human {gamma}2-herpesvirus associated with Kaposi’s sarcoma, primary effusion lymphoma, and Castleman’s disease. We reasoned that CTL responses may provide host defense against this virus, and consequently, KSHV may have evolved strategies to evade the CTL-mediated immune surveillance. In this study six B cell lines latently infected with KSHV were found to express reduced levels of HLA class I surface molecules compared with B cell lines transformed by the related {gamma}-herpesvirus EBV. KSHV-infected cells also required higher concentrations of soluble peptides to induce efficient CTL-mediated lysis than control cell lines and were unable to process and/or present intracellularly expressed Ag. Incubation of the KSHV-infected cell lines with high concentrations of soluble HLA class I binding peptides did not restore the deficient HLA class I surface expression. To assess the underlying mechanisms of these phenomena, TAP-1 and TAP-2 gene expression was analyzed. While no attenuation in TAP-2 expression was observed, TAP-1 expression was significantly reduced in all KSHV cell lines compared with that in controls. These results indicate that KSHV can modulate HLA class I-restricted Ag presentation to CTL, which may allow latently infected cells to escape CTL recognition and persist in the infected host.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The immune response to viral infections includes the induction of virus-specific CTL. Many viral pathogens have evolved immunomodulatory mechanisms that can mediate evasion from this immune surveillance, including sequence variability in the targeted CTL epitope, down-regulation of MHC class I expression, and inhibition of Ag processing (1, 2, 3, 4). Although retroviruses may exploit the variability of their small genomes to escape immune surveillance, DNA viruses with typically lower genome variability but larger coding capacities can accommodate an array of genes encoding for proteins that may specifically modulate immune recognition and undermine the effectiveness of virus-specific effector cells (2, 3, 4). Such mechanisms have been well documented for EBV (5), CMV (6), HSV, and adenovirus (7), but immune modulation by Kaposi’s sarcoma-associated herpes virus (KSHV)4 has not been reported.

KSHV is a member of the {gamma}2-herpesvirus family and has been shown to be closely related to herpesvirus saimiri, rhesus monkey rhadinovirus, and EBV (8, 9, 10). Seroepidemiologic data have associated KSHV with Kaposi’s sarcoma (KS), multicentric Castleman’s disease, and primary effusion lymphomas (11), and virus-specific T cell responses in KSHV-infected individuals have recently been described (12, 13). The relationship between the degree of immunosuppression and the occurrence of KSHV-associated diseases suggests that T cell-mediated immune surveillance of KSHV may play an important role in virus control (14, 15, 16, 17). As a consequence, KSHV may be under significant immune pressure in healthy individuals and may have developed strategies to evade immune surveillance, especially the surveillance by CD8+ CTL (4).

Here we investigate the ability of KSHV to modulate HLA class I surface expression and HLA class I Ag processing/presentation in latently infected cells. Six KSHV-infected cell lines, obtained from primary effusion lymphomas from three HIV-1-infected and three HIV-1-negative individuals, were tested for HLA class I surface expression, and their sensitivity to CTL-mediated lysis was assessed. Analyses of surface HLA class I stabilization by soluble peptides, processing and presentation of intracellularly expressed Ag, and TAP-1/TAP-2 gene expression patterns indicate a mechanism(s) by which KSHV may mediate immune regulatory effects.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines

KSHV-infected cell lines and EBV-transformed B lymphoblastoid cell lines were obtained from American Type Culture Collection (Manassas, VA) or generated in our laboratory and were maintained as previously described (18). PCR-based HLA typing of the cell lines was performed by the Massachusetts General Hospital HLA-typing laboratory, and molecular HLA-A2 subtyping was performed as described previously (19). The KSHV-infected, EBV-negative cell line VG-1 and the autologous EBV-transformed control cell line B301 were derived from a cardiac transplant patient of Haitian descent who developed KS and a primary effusion lymphoma (20). The presence or absence of the KSHV and EBV genomes in these cell lines was determined by nested PCR using primers located in the ORF26 region of KSHV (8) and EBNA-3A of EBV type 1 and type 2 (21). PCR analysis demonstrated that all the control EBV-transformed B cell lines were KSHV negative.

FACS analysis of HLA class I expression

HLA class I surface expression was analyzed using an FITC-labeled mAb (W6/32) specific for HLA class I obtained from PharMingen (San Diego, CA). Staining was performed as described previously (22). The TAP-deficient T2 cell line and its parental TAP-expressing cell line T1 (23) as well as VG-1 and B301 cells were used for an HLA class I cell surface stabilization assay (22, 24). The cells were incubated with the HLA-A*0201 binding peptide SL9 (HIV-1 Gag, p17 aa 77–85, SLYNTVATL) at concentrations from 8 to 220 µg/ml for 4 h or were incubated at 26°C overnight and then stained for HLA class I cell surface expression using mAb W6/32 (22). The experiments were conducted in duplicate and included Ig control staining as well as cells that were incubated without peptide.

Synthetic peptides and recombinant vaccinia virus constructs

The ability to present viral epitopes for CTL-mediated lysis was determined using virus-specific CTL clones and synthetic viral peptides. Peptide SLYNTVATL (SL9, HIV-1 p17, aa 77–85) was previously found to be the immunodominant HLA-A*0201-restricted, optimal CTL epitope in HIV-1 infection (19, 25). The 126E epitope is derived from HIV-1 envelope protein (557–565, RAIEAQQHL) and is restricted by HLA-B51 (26). These epitopes are also expressed by the recombinant vaccinia virus (VV) constructs, vp141 and vpe11, respectively. In addition, an hepatitis C virus (HCV)-derived, HLA-A*0201-restricted epitope located in HCV NS5B (ALYDVVTKL) was included in these analyses (27).

Cytotoxicity assays and peptide titrations

CTL-mediated killing of 51Cr-labeled KSHV-infected and uninfected control target cells was tested in standard 51Cr release assays using varying E:T cell ratios as previously described (19). In one set of experiments KSHV-infected cell lines and uninfected control cell lines were labeled with 51Cr, pulsed with peptide (200 µg/ml) for 90 min, washed three times, and used as targets for CTL clones. For the peptide titration experiments, the peptides were titrated directly into the assays at final concentrations ranging from 100 µg/ml to 10 pg/ml and incubated with previously 51Cr-labeled target cells alone for 45 min before addition of the effector cells. Specific CTL clones were used at the indicated E:T cell ratios, and the assays were run for 4 h at 37°C.

Semiquantitative RT-PCR for TAP1 and TAP2

Total RNA was isolated from the KSHV- and EBV-infected control B cell lines using RNA STAT-60 (Tel-Test, Friendswood, TX) as recommended by the manufacturer. Five micrograms of RNA was used to generate cDNA using the Superscript preamplification kit (Life Technologies, Gaithersburg, MD). Following termination of the RT, the RNA was digested with 2 U of RNase H (Life Technologies) at 37°C for 30 min, and the cDNA was purified using a Qiaquick PCR purification column (Qiagen, Chatsworth, CA). PCR reaction conditions were as follows: 50 mM KCl, 10 mM Tris-HCl (pH 8.3), 1.5 mM MgCl2, 0.001% (w/v) gelatin, 0.5 U AmpliTaq Gold (Perkin-Elmer, Norwalk, CT), 0.4 mM dNTP, 0.1 µM of each primer, and 1.5 µl of 1/10 diluted cDNA/25 µl of reaction. The following primers were used: TAP1–5', CGCCTCTCGCTGTTCCTG; TAP1–3', GAGTTGACTGCATAGGCCACA; TAP2–5', CACGGCTGAGCTCGGATACCAC; TAP2–3', CAGCTCAGCATCAGCATCTGC; GAPDH-5', CATAGTGGGGTGGTGAATAC; and GAPDH-3', CCCAATACGACCAAATCTAA. The positions of these primers were chosen to rule out potential artifacts due to the presence of genomic DNA in the RNA preparation (28). Cycle numbers were optimized to be in the exponential phase of the PCR amplification. PCR conditions were as follows: 94°C for 5 min; 30 cycles of 94°C for 30 s, 50°C for 1 min, and 72°C for 2 min; and 72°C for 10 min for all three primer pairs. Products were visualized on a 2% (w/v) agarose gel and stained with ethidium bromide. Pictures were taken with Polaroid type 665 film (Polaroid, Bedford, MA). Negatives were scanned using an HP 6200C/6250C scanner (Hewlett-Packard, Palo Alto, CA), and bands were quantitated using National Institutes of Health Image software (http://rsb.info.nih.gov/nih-image). Each gel was analyzed three times for calculation of the TAP/GAPDH ratios. Statistical analysis used two-sided Student’s t test and was based on four and three independent experiments for TAP-1 and TAP-2, respectively.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HLA class I surface expression by KSHV-infected cell lines

Human herpesviruses such as EBV and CMV have been shown to profoundly affect the recognition of virus-infected cells by HLA class I-restricted, CD8+ CTL. To investigate whether KSHV also has the potential ability to impair CTL recognition, latently KSHV-infected cells were assessed for their HLA class I surface expression and the ability to process and present Ag. Five KSHV-infected cell lines obtained from American Type Culture Collection and one cell line (designated VG-1) established in our laboratory (Table IGo) were examined by FACS analysis for cell surface HLA class I expression. The mean fluorescence intensity of stained cells was compared with the intensity of HLA class I stained B cells transformed by the closely related {gamma}-herpesvirus EBV. In all cases, KSHV-infected cell lines expressed consistently lower levels of surface HLA class I than BLCL controls (Fig. 1Go). The most profound down-regulation of HLA class I expression was observed in the VG-1 cell line, which exhibited <10% of the FACS intensity seen in the autologous, KSHV-negative, EBV-positive cell line B301. The consistently lower HLA class I surface expression by KSHV-infected cell lines was not affected by EBV coinfection, as the dually infected BC-1 and BC-2 cell lines showed class I levels comparable to those in KSHV-infected, EBV-negative cell lines.


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Table I. HLA types of KSHV- and EBV-infected cell lines

 


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FIGURE 1. Reduced HLA class I expression by KSHV-infected cell lines. KSHV-infected cell lines as well as cells transformed by the related {gamma}-herpesvirus EBV were compared for HLA class I surface expression. The inserted numbers indicate the mean fluorescence intensity of cells stained with the HLA class I-specific mAb W6/32. They gray lines indicate staining with the Ig control mAb.

 
CTL-mediated killing of peptide-pulsed, KSHV-infected target cells

To test whether the reduced HLA class I surface expression on latently KSHV-infected cell lines decreases their susceptibility to CTL-mediated lysis, HLA-A*0201-expressing cell lines were pulsed with a high concentration of the soluble, HLA-A*0201-restricted, HIV-1 Gag-derived SL9 peptide (200 µg/ml) and incubated with an SL9 peptide-specific CTL clone. All the HLA-A*0201-expressing cell lines were killed by this CTL clone, whereas HLA-A*0201-negative cell lines (BCBL-1) and HLA-A*0201-positive cell lines pulsed with control peptides were not lysed (Fig. 2Go). The same was seen when the HLA-B51-expressing BCBL-1 cell line was pulsed with an HLA-B51-restricted CTL epitope and incubated with a peptide-specific, HLA-B51-restricted CTL clone (data included in Fig. 4Go). Since the CTL clones used in these studies can be inhibited by EGTA, indicating that they may lyse target cells by the perforin pathway (29) (C. Brander, unpublished observations), these data suggest that latently KSHV-infected cell lines are susceptible to perforin mediated lysis, at least when high concentrations of soluble peptides are used.



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FIGURE 2. CTL lysis and HLA class I surface expression of HLA-A*0201-positive KSHV cell lines. Three KSHV-infected cell lines (VG-1, BC-1, BC3) and two KSHV-free, HLA-A*0201-expressing cell lines (115, T1) were pulsed with the HLA-A*0201-restricted HIV-Gag p17-derived peptide SL9 for 90 min and labeled with 51Cr. These target cells were then used in a standard chromium release assay to assess the susceptibility to CTL-mediated lysis by an HLA0A*0201 restricted, SL9-specific CTL clone. In parallel, the same cell lines were analyzed for HA class I surface expression by FACS analysis as described in Fig. 1Go.

 


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FIGURE 4. Impaired Ag processing by KSHV-infected cell lines. A, HLA-B51 expressing BCBL-1 and EBV LWS cells were pulsed without ({square}) or with ({blacksquare}) 200 µg/ml of the HIV envelope-derived peptide 126E or were infected with control NYCBH ({square}) or HIV-1 Env-expressing ({blacksquare}) VV and tested for recognition by the HLA-B51-restricted CTL clone SE7. B, Cell lines were pulsed with SL9 peptide (data not shown) or were infected with VV-HIV-1-Gag ({blacksquare}) or control NYCBH ({blacksquare}) and incubated with CTL clone XA14 specific for the HIV-1 Gag-derived SL9 epitope. After 4 h supernatant was harvested, and the amount of released 51Cr was determined. One experiment representative of three is shown.

 
To analyze whether the reduced HLA class I expression is a limiting factor at lower Ag concentrations, peptide titration assays were performed using the BCBL-1 and VG-1 cell lines and partially HLA-matched control B-LCL. VG-1, B301, 115 B-LCL, and 161j B-LCL all express HLA-A*0201 and were thus tested for recognition by HLA-A*0201-restricted CTL clones in the presence of decreasing amounts of the cognate HLA-A*0201-restricted peptides. Similarly, BCBL-1 and the EBV LWS cell lines both express HLA-B51 and were thus tested for recognition by the HLA-B51-restricted clone SE7 (26) after incubating the cells with the HLA-B51-restricted peptide 126E. The data in Fig. 3Go show that the control target cells (B301, 115, 161j, and LWS) were readily lysed by peptide-specific CTL at low peptide concentrations. The peptide concentrations required for half-maximal lysis of the control targets varied significantly in these assays, most likely reflecting different peptide and TCR affinities (19). In contrast, the KSHV-infected cell lines were either weakly killed at highest peptide concentrations (Fig. 3Go, A and B) or reached only lower levels of maximal killing compared with the control cell lines despite similar peptide concentrations required for half-maximal lysis (Fig. 3Go, C and D). These results demonstrate that KSHV-infected cells can be killed by CTL, but that they present soluble antigenic peptide less efficiently than KSHV-negative B-LCL, indicating that the decreased HLA class I expression has functional consequences at limiting peptide concentrations.



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FIGURE 3. Reduced susceptibility of KSHV-infected cell lines to CTL-mediated lysis. 51Cr-labeled KSHV-infected cell lines and partially HLA-matched KSHV-negative control cell lines were incubated with soluble peptides at decreasing concentrations for 45 min before addition of peptide-specific CTL at the indicated E:T ratio. Supernatant was harvested after 4 h and assayed on a gamma counter. All the target cell lines used in A, B, and C express HLA-A*0201 and were tested for recognition by HLA-A*0201-restricted CTL clones specific for peptide SL9 (HIV-1 Gag; A and C) or the HCV-derived peptide 97AP1- 1 (B). D, Both target cell lines express HLA-B51 and were tested for recognition by the HLA-B51-restricted, HIV-1 Env-specific CTL clone SE7.

 
Processing and presentation of intracellularly synthesized Ag by KSHV-infected cell lines

The decreased surface expression of class I molecules by KSHV-infected cells may have multiple causes, including deficient TAP function or impaired Ag-processing capacity which, alone or in concert, may limit the peptide supply to the endoplasmic reticulum (ER) and thereby reduce the transport rate of HLA class I molecules to the cell surface (3). To investigate possible defects in the Ag-processing machinery in KSHV-positive cell lines, the cell lines were infected with a recombinant VV construct to express viral Ag intracellularly and were analyzed for the presentation of antigenic peptide on HLA class I. Specifically, the HLA-B51-matched BCBL-1 (KSHV-positive) and EBV LWS (KSHV-negative) cell lines were infected either with the VV construct vpe-11 expressing the HIV-1 envelope protein or with a control VV construct (VV-NYCBH) and were subsequently tested for recognition by the HLA-B51-restricted CTL clone SE7, specific for the envelope-derived peptide 126E. Fig. 4GoA demonstrates that EBV LWS control cells were efficiently killed when presenting the HIV-1 envelope-derived 126E peptide, either added as a soluble peptide or expressed by the vpe-11 VV construct. EBV LWS cells without the peptide or infected with the control VV construct were not killed. In contrast, BCBL-1 cells were lysed only when pulsed with the soluble peptide, but not when infected with the vpe-11 VV construct.

These experiments were also performed with cell lines expressing the HLA-A*0201 allele, including the KSHV+ VG-1 and BC-1 cell lines, a negative control cell line (the TAP-deficient T2 cell line), and positive control cell lines B301, 221L, and the TAP-expressing T1 cell line (23). These cell lines were infected with a control VV construct (NYCBH) or an HIV-1 Gag-expressing VV construct (VV-vp141) and used as targets in cytotoxicity assays together with CTL clones specific for the HIV-1 Gag-derived, HLA-A*0201-restricted SL9 peptide. An aliquot of target cells was removed before 51Cr labeling and stained for intracellular HIV-1 Gag expression to demonstrate successful infection with the VV constructs. The KSHV-infected cell lines VG-1 and BC-1 as well as the TAP-deficient cell line T2 were not killed after infection with the Gag-expressing VV construct vp141 (Fig. 4GoB), whereas control cell lines were lysed. The simultaneous FACS analyses showed that at least BC-1 cells expressed the VV-encoded Gag protein in amounts comparable to control cell lines T1, 221L, and B301, which were readily killed (Fig. 5Go). No specific killing was observed for the TAP-deficient T2 cell line, although it expressed significant amounts of p24. The expression of p24 in VG-1 cells was weak, making it difficult to interpret the relative contribution of low Ag concentration (Fig. 5Go) and reduced HLA class I expression (Fig. 1Go) to the absence of cell killing.



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FIGURE 5. Intracellular expression of HIV-1 Gag p24 in target cell lines. HLA-A*0201-expressing, KSHV-positive cell lines, VG-1 and BC-1; two KSHV-negative EBV cell lines, B301 and 221L; and the T1/T2 cell line pair were infected with VV-Gag and stained for intracellular p24 production by intracellular FACS analysis. Black curves show staining with the PE-labeled, HIV-Gag p24-specific mAb; gray curves indicate the staining using a isotype control Ab.

 
Together, these data demonstrate that although KSHV-infected cell lines are susceptible to CTL-mediated lysis and are infectable with VV constructs and synthesize VV-encoded antigenic proteins, they do not present the immunogenic peptide efficiently to Ag-specific CTL.

Up-regulation of HLA class I surface expression by incubation with soluble peptides and IFN-{gamma}

Several mechanisms of viral evasion from CTL recognition have been described (3, 4). These include impaired assembly and transport of HLA class I molecules, but many of these strategies also involve the TAP-mediated translocation of processed peptide into the ER (6, 7, 30, 31, 32). Retention of HLA class I molecules in the ER and rapid degradation of HLA class I heavy chain mediated by viral proteins have been described previously (6, 30, 31, 32, 33). Alternatively, impaired TAP function can be achieved by reduced TAP expression (34) or physical blockade of the TAP molecule (31, 32). Subsequently, if no processed peptide is transported into the ER, as is the case in the TAP-deficient T2 cell line (35), the few class I molecules that reach the cell surface are empty and decay rapidly. However, they can be stabilized when HLA class I binding peptides are added at high concentration or when the cells are incubated at reduced temperature (24).

To investigate the potential contribution of such a mechanism(s) to immune evasion by KSHV, several hypothesis were tested: KSHV-infected cells were incubated with IFN-{gamma} to up-regulate HLA class I gene expression; HLA class I stabilization assays were performed to see whether empty HLA class I molecules reach the cell surface, and TAP1 and TAP-2 gene expression was assessed in a semiquantitative approach.

To test whether IFN-{gamma} treatment of VG-1 cells (the KSHV-infected cell line with the most profound HLA down-regulation) could restore surface HLA class I expression, these cells were incubated with IFN-{gamma} for 72 h and analyzed by FACS for surface HLA class I expression. A consistent 3-fold increase in HLA class I staining was observed for IFN-{gamma}-treated VG-1 cells (data not shown), suggesting that in VG-1 cells at least a partial restoration of HLA class I surface expression can be achieved by IFN-{gamma} treatment.

To indirectly assess TAP function in these cells, VG-1 and the TAP-deficient T2 cells were either incubated with high concentrations of the HLA-A*0201-binding SL9 peptide at reduced (26°C) temperature for 4 h or were kept overnight at 26°C and analyzed by FACS for surface HLA class I expression (22, 24). T2 cells showed a peptide concentration-dependent increase in HLA class I surface expression, but this treatment had no effect on the class I expression by VG-1 cells (Fig. 6Go). Overnight incubation at 26°C was also ineffective in up-regulating class I expression on VG-1 (data not shown). These data demonstrate that VG-1 cells differ from T2 cells as they do not transport unstable HLA class I molecules to the surface, suggesting that if TAP function is involved in the reduced HLA class I expression on KSHV-infected cells, it is not the only factor responsible for this effect.



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FIGURE 6. Up-regulation of HLA class I after incubation with soluble peptide. T2 and VG-1 cells were incubated for 4 h at 26°C with the indicated amount of the HIV-1 Gag-derived SL9 peptide and stained for HLA class I surface expression using the FITC-labeled W6/32 mAb (filled symbols) or a FITC-labeled Ig control Ab (open symbols). The mean fluorescence intensities from three different experiments conducted in duplicate were averaged, and the SD is shown.

 
To further address whether TAP function/expression may be impaired by KSHV infection, TAP-1 and TAP-2 gene expression was compared between latently KSHV-infected and KSHV-negative cell lines. To this end, RT-PCR for the TAP-1, TAP-2, and GAPDH genes were performed, and the amount of PCR products was assessed by quantitative densitometry. Ratios of the amount of TAP-1/GAPDH and TAP-2/GAPDH specific PCR amplification were used to calculate the relative abundance of the gene-specific mRNAs in the different cell lines (Table IIGo). TAP-1 gene expression was significantly lower in the KSHV-infected cells than in the five cell lines transformed with the related {gamma}-herpesvirus EBV (p = 0.0005, average of four independent experiments, by Student’s t test). TAP-1/GAPDH ratios ranged from 0.95 to 2.18 (average, 1.37 ± 0.4) in the KSHV cell lines compared with a range of 2.33 to 2.80 (average, 2.51 ± 0.17) for the EBV-transformed control cell lines. TAP-2 gene expression did not vary significantly between the different cell types (p = 0.8), and the ratios were similar for KSHV cell lines (average, 1.13 ± 0.5) and the EBV cell lines (1.28 ± 0.55). TAP-2/GAPDH ratios were determined from three independent experiments, and the TAP-deficient T2 cell line was included in all experiments as a negative control and did not show any PCR amplification products for TAP-1 or TAP-2. These data indicate that TAP-1 gene expression is reduced in KSHV-infected cells, which may be part of the KSHV-mediated immune modulation.


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Table II. TAP-1 and TAP-2 expression in KSHV- and EBV-infected cell lines

 

    Discussion
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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study evidence is presented indicating impaired CTL recognition of KSHV-infected cell lines. The examination of six KSHV-infected cell lines shows that these cells 1) have a reduced level of HLA class I surface expression compared with a related {gamma}-herpesvirus, EBV; 2) are subject to CTL-mediated cell lysis, but require high peptide concentrations to trigger lysis; and 3) have impaired ability to process/present intracellularly expressed Ag. The mechanism(s) responsible for the reduced class I expression and impaired Ag processing involves in part deficient TAP-1 expression, but may well be multifactorial and may include the synthesis or maturation of HLA class I molecules.

Reduced HLA class I surface expression by virus-infected cells has been described for a number of viruses, including human herpesviruses (2). The mechanisms leading to this reduction are variable, but often involve the assembly, peptide loading, and transport of HLA class I molecules. These mechanisms may be an adaptive response to the host immune response and allow the virus to evade tight immune surveillance to persist in the host (2). Although clinical evidence suggests that KSHV is under immune pressure, no reports have been published to date that describe immune evasion strategies in latently KSHV-infected cell lines.

We analyzed six KSHV-transformed cell lines by FACS and found low levels of HLA class I expressed on the cell surface. Comparison was made to EBV-transformed B cell lines, as both viruses are {gamma}-herpesviruses, and revealed this to be significant. Unfortunately, there are currently no applicable models to study in vitro KSHV infection of cells, and thus direct comparison of the same cell line pre- and postinfection with KSHV could not be made. Nevertheless, for one KSHV cell line generated in our laboratory (VG-1), an autologous EBV-transformed B cell line was available (B301). The comparison of these two cell lines showed marked differences in HLA class I surface expression (Fig. 1Go), for which individual genetic differences can be ruled out. Furthermore, cell lines coinfected with KSHV and EBV (BC-1 and BC-2) reveal degrees of HLA down-regulation similar to EBV-negative KSHV-infected cell lines, suggesting that EBV coinfection does not revert the KSHV-mediated defect in HLA class I surface expression.

Latent KSHV-infected cell lines were subsequently used to investigate whether the reduced HLA class I expression had functional consequences for CTL-mediated lysis. Although all cell lines tested were killed by CTL, they all required much higher concentrations of soluble peptide to achieve efficient lysis than are typically observed (19). Although peptide- and clone-dependent differences in the half-maximal lysis were observed, the use of different peptides and various CTL clones rules out that the observed differences between KSHV and EBV cell lines were due to peptide- or clone-specific effects.

When Ag was expressed intracellularly instead of added as soluble peptide, KSHV and EBV cell lines differed even more dramatically in their susceptibility to CTL-mediated lysis. None of the three KSHV cell lines tested was able to process and present intracellular Ag for CTL-mediated lysis, which was in strong contrast to the control EBV cell lines, which were all readily killed by Ag-specific CTL. These results suggest that Ag processing by the proteasome, translocation of the processed peptide into the ER, or assembly and maturation of the HLA class I molecules could be defective. Alternatively, the synthesis of HLA class I molecules could be abrogated in KSHV-infected cells. However, semiquantitative RT-PCR analysis for HLA-A, -B, and -C alleles revealed no differences between KSHV- and EBV-transformed B cell lines (T. Suscovich et al., manuscript in preparation).

To further define the immune modulatory mechanism(s) employed by KSHV, the effects of IFN-{gamma} and high concentrations of soluble peptide on surface HLA class I expression were studied. The IFN-{gamma} treatment of VG-1 cells, but not B301 control cells, led to a 3-fold increase in HLA class I surface expression. These data suggest that the expression of HLA class I, TAP-1, or any other component of the HLA class I Ag processing pathway was at least partly restored upon IFN-{gamma} treatment, leading to enhanced assembly, peptide loading, and export of HLA class I molecules. In addition, IFN-{gamma} could have a direct or indirect anti-viral effect and change KSHV gene expression, reverting the KSHV-mediated effect. Further investigation of gene expression patterns will be necessary to understand the IFN-{gamma}-mediated effect on HLA class I expression. Furthermore, additional analyses will be required to investigate whether all HLA class I alleles are subject to KSHV-mediated down-regulation or whether HLA-C and HLA-E alleles, which are the primary regulatory molecules for NK cell activity, remain stably expressed at the cell surface (36).

The incubation of VG-1 cells with high concentrations of soluble, HLA-A*0201 binding peptide or the incubation of these cells at reduced temperature failed to enhance surface HLA class I expression. This is in contrast to the TAP-deficient T2 cell line, which transports empty class I molecules to the cell surface where soluble peptide or reduced temperature can stabilize them, leading to enhanced HLA class I surface expression (22, 24). These findings indicate that in VG-1 cells, no significant amounts of empty HLA class I molecules reach the cell surface. This also suggests that peptide loading of class I molecules, and therefore TAP function, may not be the sole factor leading to the reduced HLA class I expression observed in these cells. However, reduced TAP function could contribute to impaired assembly of class I molecules by limiting the supply of processed Ag. Similar mechanisms have been reported for other herpesviruses, which have been shown to modulate Ag processing at several critical steps by partly redundant mechanisms (2). It is therefore possible that KSHV can impair multiple levels of the HLA class I Ag presentation pathway by modulating the assembly and transport of HLA class I molecules and efficient TAP function.

TAP function can be limited by several mechanisms, including steric hindrance or reduced TAP gene expression (1, 37). We therefore analyzed the TAP expression in KSHV-infected cell lines and compared TAP/GAPDH mRNA levels in these cells to the TAP/GAPDH ratios in EBV-transformed B cell lines. TAP-1 expression was significantly reduced in KSHV cell lines, whereas TAP-2 expression was unaltered. The magnitude of differences in TAP-1 expression was 2- to 3-fold between the two cell types, similar to what was observed after IL-10 treatment of murine tumor cells and to what is known to result in negative functional consequences on Ag presentation (38). No difference between EBV-positive (BC-1, BC-2) and EBV-negative KSHV cell lines was observed with regard to TAP-1 expression, arguing against an effect of coinfection with EBV as an explanation for the observed phenomenon. Rather, it is reasonable to hypothesize that KSHV is directly responsible for altered TAP-1 levels.

The basis for differences in expression of TAP and HLA class I molecules between KSHV cell lines is at present unknown. It is possible that epidemiologically different KSHV strains may use distinct immune modulatory mechanisms. For instance, the unusual phenotype of VG-1, which was derived from a non-AIDS patient of Haitian descent, may be characteristic of certain KSHV strains. Or alternatively molecular attenuation of viral gene products capable of affecting Ag presentation accounts for such differences. The latent membrane protein-1 (LMP-1) gene product of EBV, for example, has been described to restore HLA class I Ag expression in type III Burkitt’s lymphoma cells (39, 40, 41). Finally, since KSHV does not encode homologues to proteins in CMV and EBV that are known to interfere with HLA class I-restricted Ag processing, entirely novel mechanisms may be used by KSHV. Focusing on unique KSHV-derived coding sequences in Ag-processing/presentation assays may yield insights into unique viral strategies for eluding host defense.


    Footnotes
 
1 This work was supported by National Institutes of Health Grants CA73580 and CA78378 and the Richard Saltonstall Charitable Trust. Back

2 C.B. and T.S. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. David T. Scadden, AIDS Research Center, Massachusetts General Hospital, 149 13th Street, #5212, Boston, MA 02129. Back

4 Abbreviations used in this paper: KSHV, Kaposi’s sarcoma-associated herpes virus; KS, Kaposi’s sarcoma; VV, vaccinia virus; ER, endoplasmic reticulum; HCV, hepatitis C virus. Back

Received for publication April 10, 2000. Accepted for publication May 23, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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