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,
*
Institute of Medical Science and
Department of Immunology, University of Toronto; and
Research Institute, Program in Infection, Immunity, Injury, and Repair, The Hospital for Sick Children, Toronto, Canada
| Abstract |
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1/
2 domains linked to the
H-2Kb
3, transmembrane, and cytoplasmic domains (i.e.,
to maintain possible species-specific interactions). Comparison of each
as xeno- (i.e., by non-TgM) vs allo- (i.e., by TgM carrying an
alternate HLA allele) transplantation Ags revealed the following: 1)
Although HLAhyb molecules induced stronger
xeno-CD8+ T cell responses in vitro, additional effector
mechanisms must be active in vivo because HLAnat skin
grafts were rejected faster by non-TgM; 2) gene knockout recipients
showed that xenorejection of HLAnat and, unexpectedly,
HLAhyb grafts doesnt depend on CD8+ or
CD4+ T cells or B cells; 3) each HLAhyb strain
developed tolerance to "self" but rejected allele-
(-B27 vs -B7) and locus-
(-B vs -A) mismatched grafts, the former
requiring CD8+ T cells, the latter by CD8+ T
cell-independent mechanisms. The finding that recognition of
xeno-HLAhyb does not require CD8+ T cells while
recognition of the identical molecule in a strictly allo context does,
demonstrates an
1/
2 domain-dependent difference in effector
mechanism(s). Furthermore, the CD8+ T cell-independence of
locus-mismatched rejection suggests the degree of similarity between
self and non-self
1/
2 determines the effector mechanism(s)
activated. The HLA Tg model provides a unique approach to characterize
these mechanisms and develop tolerance protocols in the context of
human transplantation Ags. | Introduction |
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Although conventional T cell recognition of foreign (i.e., viral) Ag is self-MHC- restricted (7), CD8+ and CD4+ T cells also respond vigorously when confronted with allogeneic cells expressing non-self class I and II molecules, respectively. This potent cell-mediated immune response is believed to be the primary event involved in allograft rejection, and results from the high frequency of T cells that are alloreactive (i.e., 110% of the T cell repertoire) (8, 9). Although it was long believed that such cells directly recognized polymorphic differences between MHC alleles, now known to reside largely within the Ag-binding cleft (10, 11, 12), more recent evidence also suggests an important role for indirect recognition of donor MHC (or non-MHC) Ag-derived peptides in association with recipient MHC (13, 14, 15). In addition, the finding that different MHC alleles have different peptide-binding specificities (16) suggests that some alloreactive T cells may be influenced by the distinct array of self-peptides presented by foreign MHC molecules at the surface of transplanted tissues (9). Although both the direct and indirect pathways are now generally believed to be important, the relative contribution of each to allograft rejection in vivo is not clear.
In contrast to allografts, the role of the T cell response in rejection of grafts between species (i.e., xenografts) is much less characterized, in part because it occurs only after two earlier stages of rejection, namely, hyperacute rejection and delayed acute vascular rejection (17, 18, 19, 20, 21, 22). Studies conducted in vitro circumvent these earlier events and have generally detected a very low T cell response to xenogeneic cells (21, 23). This could be interpreted as resulting from either a low frequency of T cells bearing TCRs able to interact with the polymorphic domains of xenogeneic MHC and/or inefficient cross-species interactions involving coreceptor, costimulatory or accessory molecules, or other incompatibilities between species that influence T cell responsiveness. Given the multiple molecular interactions necessary for T cell activation to foreign Ag, it has been difficult to distinguish which of these is correct. This is important to resolve because, although progress has been made toward eliminating the hyperacute response (22), successful in vivo xenotransplantation protocols will require overcoming all three barriers.
Most investigations of the mechanisms of allograft rejection have been conducted with mouse strains differing at multiple major (class I and II) and/or minor MHC loci. With the exception of the nonallelic (i.e., mutant) class I (e.g., Kbm1) or class II molecules (24) and a limited number of H-2 transgenes (25, 26), few studies have addressed the influence of individual natural class I or II alleles on their own to mediate rejection. It is also unclear whether individual mouse or human alleles are functionally equivalent as transplantation Ags or whether a hierarchy exists. There are also a number of questions that need to be clarified about the cellular response to xenografts, including how complex the xenoreactive T cell population is and whether anti-xeno-MHC T cells respond to the same types of allelic polymorphisms seen by alloreactive T cells or whether there are other species-specific nonallelic differences that dominate. It will also be important to determine whether xeno-MHC molecules induce additional non-T cell effector mechanisms that contribute to rejection.
With these issues in mind, and because current mouse models are limited in what they can reveal about T cell recognition in the context of the human MHC molecules, we and others have explored the possibility that HLA class I and II molecules expressed in transgenic (Tg) mice might provide a useful model for studying HLA-dependent immune function in vivo (5, 27, 28, 29, 30, 31, 32, 33). For instance, characterization of the non-Tg mouse T cell response to human MHC expressed in tissues of otherwise genetically identical HLA Tg mice (TgM) should make it possible to identify the specific immune mechanisms involved in xeno-MHC recognition and rejection as well as the importance of MHC-dependent vs -independent interactions in the apparent reduced xenogenic cellular response detected in vitro. Furthermore, comparison of the non-Tg (i.e., xeno-) and HLA Tg (i.e., allo-) T cell responses to alternate (non-self) HLA Tg alleles could provide a unique approach to compare the structures recognized by T cells that respond to xeno- vs allo-MHC. However, despite some efforts in these directions, the extent to which Tg HLA molecules are functionally recognized by non-TgM or TgM T cells remains relatively unclear. Some reports suggest that fully human (native) HLA class I molecules are recognized only inefficiently at best by the mouse immune system as either xeno- or alloantigens, or as restriction elements (30, 31, 34, 35, 36, 37, 38, 39). In contrast, other reports, often using apparently similar alleles and strains of mice, suggest that Tg HLA class I molecules are recognized by the mouse immune system and T cells much the same as alternate mouse class I alleles (28, 29, 32, 33, 40, 41, 42, 43, 44, 45, 46, 47, 48).
It is unclear whether these inconsistencies are actually due to
differential function of distinct HLA alleles in the mouse background,
as opposed to other quantitative or qualitative aspects of expression,
or possibly differences in specific functional assays. To distinguish
between these possibilities, with the longer-term objective being
development of this model as an accurate reflection of HLA function in
humans, we have established a panel of TgM that express the class I
alleles HLA-A2, -B7, or -B27. One set
of mice expresses the fully human native heavy chain in conjunction
with human ß2m (hß2m),
whereas the other set expresses a hybrid form of each allele,
consisting of the exons encoding the human
1 and
2 polymorphic
domains (i.e., the peptide binding cleft) linked to the
3,
transmembrane, and cytoplasmic domains of the mouse
H-2Kb protein. Development of the
HLA/H-2Kb hybrid TgM was based on results of our
own and others, which suggested the possibility that species-specific
molecular interactions may influence how efficiently a human class I
molecule expressed in Tg cells is able to undergo intracellular
interactions (i.e., with ß2m, chaperones) and
transport, have access to a suitable array of self and foreign
peptides, or interact with the T cell coreceptor CD8 at the cell
surface (6, 27, 30, 36, 37, 49, 50). As at least some of
these interactions are known to depend partly or completely on class I
domains outside the Ag-binding
1/
2 domains (i.e.,
ß2m-
3; CD8-
3), the rationale for the
HLA/H-2 hybrid construct was that the encoded molecule should retain
the peptide-binding specificity of the human allele and be able to
efficiently undergo these other interactions when expressed in a mouse
background.
The studies in this paper investigate the immune mechanisms activated in vitro and in vivo by non-TgM and TgM in response to these three well-characterized human MHC class I alleles expressed as fully native HLA (HLAnat) vs HLA/H-2 hybrid (HLAhyb) Tg xeno- or allotransplantation Ags. The results demonstrate that distinct effector mechanisms are involved in recognition of, first, the identical HLA allele as a xeno- vs an allo-MHC molecule, and second, different locus-matched alleles (HLA-B7 vs -B27) vs locus-mismatched products (HLA-B vs HLA-A).
| Materials and Methods |
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(B6/SJL)F1 (H-2b/s), C57BL/6J (BL/6) (H-2b), DBA/2J (H-2d), B6.CH-2bm1 (H-2Kbm1) (24), and IgM-/- (H-2b) (51) mice were obtained from The Jackson Laboratory (Bar Harbor, ME). CD8-/- (52), CD4-/- (53), and CD4-/-CD8-/- (54) mice were obtained from Dr. Tak Mak (Amgen Institute and Ontario Cancer Institute, Toronto, Ontario, Canada).
The DNA constructs used to generate the HLA TgM are shown in Fig. 1
.
For each construct, multiple founder mice were generated by
microinjection of (B6/SJL)F2 embryos (5, 55, 56), bred with non-Tg C57BL/6J mates to establish lines, and
characterized with respect to Tg expression by RNA blot hybridization
of tissue RNAs and by flow cytometry (5, 56). The HLA Tg
lines used for these studies were selected on the basis of a normal
breeding and transgene transmission rate, an appropriate tissue
distribution of Tg HLA RNA (5, 56), and cell
surface expression at a level similar to each other and to endogenous
H-2 class I (5, 39). All constructs were genomic clones
containing MHC class I exons, introns, and 5' and 3' flanking DNA in
the genomic configuration. Each construct contained several hundred
base pairs of HLA gene 5' flanking DNA, which we and others have shown
previously to include all MHC class I cis-active
transcriptional regulatory information sufficient to direct appropriate
HLA class I Tg expression in TgM (55, 56). The
HLA-B7native (B7nat) mice
carried a 6.0-kb EcoRI-BamHI fragment encoding
the fully human HLA-B7 molecule (5). The
HLA-B7nat/hß2m
(B7nat/hß2m) double TgM
were derived by breeding the B7nat mice above
with TgM carrying a 14-kb PvuI-SaII fragment encoding
hß2m as described (5). The
HLA-B27nat/hß2m
(B27nat/hß2m) and
HLA-A2nat/hß2m
(A2nat/hß2m) mice were
derived by coinjecting the human ß2m gene
together with either a 6.5-kb EcoRI fragment encoding
HLA-B27 (57) or a 6-kb EcoRI fragment encoding
HLA-A2 (58). For both the
B27nat/hß2m and
A2nat/hß2m Tg lines used
here, the hß2m and HLA genes were cotransmitted
to offspring, indicating that both genes were cointegrated at a single
chromosomal site.
|
1 and
2 domains of HLA-B7, -B27, or -A2,
respectively, and the mouse exons for the
3, transmembrane, and
cytoplasmic domains of H-2Kb. Each hybrid
construct was made by linking a 2.35-kb 3' fragment of the genomic
H-2Kb gene (beginning at a midpoint in intron 3
and containing exons 48 and 3' flanking DNA) to a 5' fragment of the
specific HLA gene containing several hundred base pairs of 5' flanking
DNA and exons 13 up to a midpoint in intron 3.
All Tg strains were maintained by backcrossing to C57BL/6J
(H-2b) mates. The strains used in the experiments
described here had been backcrossed at least 810 generations. The
HLA-B7hyb/CD8-/- and
HLA-B27hyb/CD8-/- TgM
were generated by breeding the corresponding
HLAhyb+/-/CD8+/+ line
(-B7hyb or -B27hyb) with
CD8
-/- (H-2b)
(52) mice and subsequently breeding the
HLAhyb+/-/CD8
+/-
heterozygous offspring with CD8
-/- mice. All
inbred, KO, and Tg mice were housed in a pathogen-free animal facility
at The Hospital For Sick Children in accordance with the current
regulations and standards of the Canadian Council of Animal
Care.
Transfection of P815 cells
The DBA/2 (H-2d)-derived mastocytoma cell
line P815 (59) was cotransfected by electroporation of the
bacterial neomycin (G418) resistance gene
pHußpr-Neo (60) with individual
HLAnat or
HLAhyb gene constructs using a Bio-Rad gene
pulser (Bio-Rad, Richmond, CA). Electroporated cells were cultured and
selected in
MEM supplemented with 5% newborn calf serum (Sigma, St.
Louis, MO) and 200 µg/ml G418 (Life Technologies, Rockville, MD) at
37°C and 5% CO2. Clones expressing high
comparable levels of cell surface HLA for each transfected population
were isolated by limiting dilution and characterized by flow
cytometry.
Flow cytometry
The mAbs used, their specificities, and their sources were as follows: ME-1 (specific for HLA-B7, -B27, and -Bw22) was obtained from American Type Culture Collection (ATCC; Manassas, VA) (5, 61); MA2.1 (specific for HLA-A2 and -B17) was purchased from ATCC (62); B9.12.1 (pan-HLA class I-specific) was a generous gift of F. Lemmonier (Pasteur Institute, Paris, France; Ref. 63); and 28-14-8S (specific for Db, Ld, and Dq) (64) was obtained from ATCC. For flow cytometry, single cell suspensions from lymph nodes were prepared, and 1 x 106 cells were stained with the primary mAb for 45 min at 4°C in 75 µl of staining buffer (1x PBS containing 5% BSA and 0.1% sodium azide). Then, cells were washed and incubated for 30 min with FITC-conjugated F(ab')2 goat anti-mouse IgG (Fc-specific) (Accurate Chemical and Scientific, Westbury, NY). Cells were fixed in 1% paraformaldehyde in PBS containing 0.1% sodium azide and then analyzed on a Becton Dickinson FACScan flow cytometer (Mountain View, CA).
Cell-mediated lympholysis (CML) assay
CML assays were performed essentially as described
(65). Mouse responder lymph node cells (LNCs) (1 x
104 to 3 x 105
cells/well) were cultured in 96-well round-bottom microtiter plates
(Nunc, Naperville, IL) with 3 x 105
irradiated (2000 rad) stimulator cells for 5 days at 37°C and 5%
CO2 in
MEM supplemented with 10% FCS (Sigma),
10 mM HEPES, 5 x 10-6 M 2-ME, and
penicillin/streptomycin (Life Technologies). Stimulator cells were
obtained from the spleens of (B6/SJL)F1
(H-2bs), C57BL/6 (H-2b),
H-2Kbm1, and DBA/2J (H-2d)
mice or HLAnat or HLAhyb
class I TgM. Targets were either spleen cells that had been stimulated
for 3 days with Con A (see below) or HLA-transfected P815 cells. After
5 days of in vitro stimulation, 100 µl of the culture supernatant was
removed from each well and 51Cr-labeled targets
(3 x 103) were added to the effector cells
at the ratios indicated in a 200-µl final volume for 4 h at
37°C. Subsequently, 100 µl of supernatant was removed from each
well and counted on a Wallac gamma counter (Gaithersburg, MD). Specific
lysis was calculated as [(experimental - spontaneous
release)/(maximal - spontaneous release)] x 100%. Spontaneous
release was estimated by adding 3 x 103
51Cr-labeled target cells to 100 µl of media
containing stimulator but not responder cells. Maximal release was
estimated by adding 3 x 103
51Cr-labeled target cells to 100 µl of media
containing 1% acetic acid.
51Cr labeling of target cells
Con A-stimulated lymphoblasts were generated by incubating
1 x 107 spleen-derived cells at 37°C, 5%
CO2 for 23 days in a vertical T-25 flask in 10
ml of
MEM containing 10% FCS (Sigma), 10 mM HEPES, 5 x
10-6 M 2-ME, penicillin/streptomycin, and 2
mg/ml Con A (generously provided by Dr. R. Miller, Ontario Cancer
Institute). HLA-transfected P815 cells were cultured in T-25 Falcon
flasks (Becton Dickinson, Franklin Lakes, NJ) at 37°C and 5%
CO2 in
MEM containing 5% newborn calf serum
(Life Technologies) and penicillin/streptomycin. Cells were passed over
Lympholyte-M (Cedarlane, Hornby, Ontario, Canada), washed three times,
resuspended in 10 ml of medium, and counted. Con A lymphoblasts (1
x 106) or HLA-transfected P815 cells were
centrifuged, resuspended in 200 µl FCS, and labeled with 150 µCi of
Na51CrO4 (NEN, Boston, MA)
at 37°C, 5% CO2 for 1.5 h.
Skin grafts
Skin grafting was conducted essentially as described (66). Briefly, recipients were anesthetized and shaved. Two graft beds were prepared with a skin bridge between them by removing two sections of skin from the posterior chest wall of each recipient. Full-thickness skin grafts (11.5 cm) harvested from the tails of donor and syngeneic control mice were engrafted onto the graft beds. Collodian was applied at the junction of the skin graft and donor skin to secure the grafts in place. Graft sites were covered with petroleum jelly gauze and a circumferential bandage, following which the mice were allowed to recover for 7 days. On day 7, the bandages were removed and the skin grafts were evaluated daily for redness, hair growth, hemorrhagic spots, presence of scales, and status of graft borders. Grafts were considered rejected when <10% of the graft bed contained viable grafted skin (66).
Statistical analysis
Statistical significance was determined with unpaired Students t test for the comparison of means with unequal variances (Microsoft Excel software; Redmond, WA). Differences between groups were considered to be significant if p < 0.05.
| Results |
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To further characterize and develop the HLA Tg model for studies
of human MHC-dependent T cell recognition and responsiveness, we
established a panel of TgM that expresses the HLA class I alleles
HLA-A2, -B7, or -B27 in either the
fully native form (i.e., HLAnat) together with
hß2m or as a hybrid molecule of the human
peptide-binding
1/
2 domains linked to the mouse
H-2Kb
3, transmembrane, and cytoplasmic
domains (HLAhyb). Fig. 1
gives a schematic representation of the
three HLAnat (Fig. 1
A) and three
HLAhyb (Fig. 1
B) gene constructs. Of
multiple founder mice generated and characterized, one representative
line was selected for each construct for further detailed analysis and
the studies reported here. Lines were selected on the basis of
displaying an appropriate tissue distribution of expression at levels
similar to each other and to endogenous H-2 class I.
Expression of HLAnat and HLAhyb transgenes in TgM
Cell surface expression of Tg HLAnat and
HLAhyb class I was analyzed for LNCs by flow
cytometry with several anti-HLA class I mAbs, including B9.12.1
(reacts with all HLA class I alleles) (63), ME-1 (reacts
with HLA-B7, -B27, and -Bw22) (61), and MA2.1 (reacts with
HLA-A2 and -B17) (62). Endogenous H-2 class I expression
was examined with the H-2Db-reactive mAb 28-14-8S
(64). Following analysis of all Tg lines, single
representative lines for each construct were selected for the studies
described in this article on the basis of the most similar levels of Tg
HLA expression to each other and to endogenous H-2 class I. As already
described (5), surface expression of
HLA-B7nat increased
10-fold in LNCs of mice
coexpressing hß2m
(B7nat/hß2 m), indicating
suboptimal interaction of the human heavy chain with mouse
ß2m in mice Tg for the
HLAnat class I gene alone. As a result, and to
ensure the appropriate conformation of the Tg
HLAnat heavy chains, the
HLA-A2nat and HLA-B27nat
TgM were derived by coinjection of fertilized eggs of the heavy chain
gene along with the hß2m gene. Fluorescent in
situ hybridization analyses (67), as well as
cotransmission of both the coinjected HLA and
hß2m genes to offspring, demonstrated that both
genes were cointegrated at a single chromosomal site (results not
shown). The
HLA-B7nat/hß2m mice were
derived from the breeding of singly Tg parental
HLA-B7nat and hß2m lines
(5). The HLAhyb gene constructs
(Fig. 1
B) were designed such that the encoded molecules
would associate much more efficiently than the
HLAnat class I proteins with endogenous mouse
ß2m, thereby obviating the need for
coexpression of hß2m.
Fig. 2
A shows flow cytometry
staining results for LNCs from
HLA-A2nat/hß2m and
HLA-A2hyb TgM, whereas Fig. 2
B shows
similar analyses for HLA-B7nat,
-B7nat/hß2m,
-B7hyb,
-B27nat/hß2m, and
-B27hyb TgM. Relative to the background levels of
fluorescence observed for non-Tg LNCs stained with the same
anti-HLA-A2.1 (Fig. 2
A), anti-HLA-B7/B27 (Fig. 2
B), or anti-pan-HLA class I (Fig. 2
C) mAbs,
significant surface expression of both the native and hybrid molecules
for each allele was detected on Tg cells (Fig. 2
). A high level of
hß2m was also detected at the surface of cells
from HLA-A2nat/hß2m,
-B7nat/hß2m, and
-B27nat/hß2m TgM (not
shown). The level of endogenous H-2Db (and
Kb, not shown) class I expression was similar in
all HLA Tg strains compared with non-TgM (Fig. 2
A, and not
shown).
|
4 x 105 and 2 x
105
KbDb binding sites per
cell, respectively, the levels of HLA-B7nat,
-B7hyb, and -B27nat/hß2m
expression in the lines shown in Fig. 2
30% of this level. Enhanced recognition of Tg HLAhyb class I molecules in vitro
To evaluate the ability of non-Tg H-2-matched T cells to recognize
and respond to Tg HLAnat and
HLAhyb class I molecules as transplantation Ags
in vitro, CML assays were performed. As the immune system of the
responder strain used in these initial assays had not previously been
exposed to the HLA molecule during immune development (i.e., in vivo),
we consider this situation to represent a mouse anti-human MHC
class I xenoresponse. Following a 5-day primary in vitro stimulation of
non-Tg LNCs from (B6/SJL)F1 mice with spleen
cells from each of the three HLAhyb or three
HLAnat/hß2m TgM,
51Cr release assays were performed using Con
A-stimulated spleen cells from various non-TgM and TgM strains as
targets. Fig. 3
, A and
D, shows the results obtained for the
anti-HLAnat and
anti-HLAhyb responses, respectively. For all
alleles, the hybrid molecule (Fig. 3
D) induced a higher
level of killing than its native counterpart (Fig. 3
A). This
increase was most apparent for B7 and B27 because the native forms of
these induced only very weak responses (Fig. 3
A). The
elevated anti-HLAhyb response was not due
simply to higher cell surface expression because flow cytometry (Fig. 2
), quantitative measurements (39), and RNA analyses (not
shown) showed that each of the HLAnat molecules
in HLAnat/hß2m TgM was
expressed at similar or greater levels than the corresponding
HLAhyb molecule (Fig. 2
, A and
B). In contrast to the very low level of killing detected
for HLA-B7nat or -B27nat,
the A2nat molecule induced a stronger response,
which was further increased when A2 was expressed as a hybrid molecule
(Fig. 3
, A and D). The higher response to
HLA-A2nat compared with
-B7nat or -B27nat was not
due to differences in expression level because
B7nat/hß2m was expressed
at a higher level on the cell surface than
A2nat/hß2m, and
B27nat/hß2m expression
was only slightly less (Fig. 2
, A and B, and not
shown). The magnitude of the anti-HLAhyb
response for all alleles was close to that generated against the strong
mouse class I allotransplantation Ag H-2Kbm1
(68, 69), whereas the response to
HLA-A2nat was only slightly less (Fig. 3
, A and D).
|
To investigate the basis of the apparent weak
anti-HLAnat response further (Fig. 3
, A and B), cultures derived from stimulating
non-Tg (B6/SJL)F1 LNCs with
HLA-B7nat Tg spleen cells were tested on
HLA-B7hyb- vs
HLA-B7nat-expressing P815 target cells (Fig. 3
C). As in Fig. 3
B, the killing of
B7nat-P815 was very low and only slightly above
the background level of lysis observed for parental P815 (not shown).
In contrast, these same HLA-B7nat-stimulated
cultures gave a much higher level of killing of
HLA-B7hyb-P815 cells (Fig. 3
C).
Similar experiments conducted with cultures derived from stimulating
(B6/SJL)F1 LNCs with
HLA-A2nat or -B27nat Tg
spleen cells also showed a significantly increased level of killing of
allele-matched HLAhyb-P815 compared with
HLAnat-P815 targets (i.e., specific lysis
increased from 34.6% for HLA-A2nat-P815 to
77.3% for A2hyb-P815 at an E:T ratio of 100:1
(p = 0.03), and from <10% for
HLA-B27nat-P815 to 71.3% for
B27hyb-P815 at an E:T ratio of 100:1
(p = 0.001)). This increased killing of
allele-matched HLAhyb-expressing targets by
HLAnat-stimulated
(B6/SJL)F1 LNCs indicates that the low level of
killing of HLAnat-expressing targets is not due
to the absence of xenoreactive T cells in the normal non-Tg mouse
repertoire able to recognize and be stimulated by the
HLAnat molecule. Rather, the results suggest that
some aspect of the structure of each HLAnat
molecule on target cells important for mediating lysis is suboptimal
compared with the HLAhyb molecule. This
observation implies differential HLA domain-dependent interactions
occurring at the induction vs effector phases of these in vitro CML
assays.
Rapid xenorejection of both HLAhyb and HLAnat class I Tg skin grafts
To extend assessment of the relative immunogenicity of each of the
HLAhyb and HLAnat class I
alleles in vivo, tail skin from each Tg strain was grafted onto non-Tg
H-2-matched ((B6/SJL)F1;
H-2b/s) recipients, and the mean survival time
(MST) was determined (Fig. 4
). Although
grafts from HLAhyb- or
HLAnat-Tg-negative offspring (HLA
Tgneg) or from mice Tg solely for
hß2m
(hß2m+) were indefinitely
accepted (Fig. 4
A and Table I
), grafts from
HLA-A2hyb, -B7hyb, or
-B27hyb TgM were rejected after 11.5 ± 2.4,
16.4 ± 1.8, and 17.2 ± 1.3 days, respectively (Fig. 4
B and Table I
). These rates of rejection were similar to
that for skin from mice carrying the known strong mouse class I
alloantigen H-2Kbm1 (13.8 ± 1.5 days, Fig. 4
A), whereas a full MHC class I/class II strain mismatch
(DBA/2; H-2d) was rejected slightly faster at
about 9.4 ± 0.5 days (Fig. 4
A).
|
|
In the case of the HLAhyb alleles, these results
demonstrate that the immune system of non-TgM is able to recognize and
respond to the xenogeneic human
1/
2 polymorphic domains of
all three alleles such that graft rejection occurs at a similar rapid
rate as for the strong allotransplantation Ag
H-2Kbm1. In the case of the
HLAnat alleles, despite only being recognized
weakly in cytotoxicity assays in vitro, these molecules are equal or
more potent than the corresponding HLAhyb alleles
as xenotransplantation Ags in vivo.
Rejection of HLAhyb or HLAnat class I Tg xenoskin grafts does not depend on CD8+ T cells, CD4+ T cells, or B cells
Given the apparent discrepancy between the in vitro and in vivo
results on recognition of Tg HLAnat vs
HLAhyb class I molecules as transplantation Ags,
we wished to examine the role of conventional cellular and humoral
immune effector mechanisms in HLA Tg skin graft rejection.
Therefore, HLAhyb or HLAnat
class I Tg skin for each allele was grafted onto
H-2b-matched gene-KO recipient mice that were
deficient for either CD8+ T cells
(CD8-/-KO) (52) (Fig. 5
A),
CD4+ T cells (CD4-/-KO)
(53) (Fig. 5
B), CD4+ and
CD8+ T cells
(CD8-/-CD4-/- double
KO) (54) (Fig. 5
C), or B cells
(IgµM-/-KO) (51) (Fig. 5
D). Although five of seven CD8-/-KO
recipients retained mouse class I disparate
H-2Kbm1 allografts for longer than 200 days (Fig. 5
A), grafts from TgM for all three
HLAnat alleles as well as two of the three
HLAhyb alleles (A2hyb and
B7hyb) were rejected at rates (Fig. 5
A) very similar to those observed for the non-KO recipients
(i.e., as in Fig. 4
; see Table I
). The only exception was that
rejection of B27hyb skin was somewhat delayed to
29.9 ± 8.1 days compared with wild-type recipients
(p = 0.01) (Fig. 5
A).
Similarly, the allele-specific rejection rates of all
HLAnat and HLAhyb grafts on
CD4-/- and IgµM-/-KO
recipients (Fig. 5
, B and D; Table I
) were
virtually identical with those observed in the non-KO recipients.
Grafts from TgM for all three HLAhyb alleles as
well as HLA-A2nat/hß2m
were rejected by
CD4-/-CD8-/-
double KO recipients at rates similar to non-KO mice, whereas
rejection of
HLA-B7nat/hß2m and
-B27nat/hß2m grafts were
slightly delayed to 27.2 ± 12.5 days (p =
0.02) and 22.0 ± 5.2 days (p < 0.001)
(Fig. 5
C and Table I
). Taken together, these data suggest
that although the relative contribution of CD8- and CD4-dependent T
cell mechanisms to HLAhyb or
HLAnat class I Tg skin graft rejection
demonstrate some variability depending on the allele, neither
CD8+ or CD4+ T cells
or B cells are absolutely required for graft rejection. This lack of
dependence on CD8+ T cells for rejection of
HLAhyb grafts was particularly surprising in view
of the in vitro CML results above as well as previous results of others
(30, 36, 37).
|
The above results show that rejection of
HLAhyb-expressing grafts in vivo does not depend
on CD8+ T cells. This contrasts to the clear CD8
dependence of rejection of grafts expressing a single mouse class I
alloantigen (i.e., H-2Kbm1, Fig. 5
A).
These observations may indicate that even when the "xeno" component
of the foreign MHC molecule is limited to only the
1/
2 domains as
in the HLAhyb molecules, there is still an
inherent difference between the immune effector mechanisms that respond
to this molecule compared with those that respond to an allo-MHC class
I molecule. The HLA Tg model provides a unique opportunity to
investigate this issue directly because it is possible to compare
recognition of a given HLAhyb class I allele as a
xenotransplantation Ag (i.e., by the immune system of non-TgM) with
recognition of the identical molecule as an allotransplantation Ag
(i.e., by the immune system of mice that are Tg for an alternate
HLAhyb class I allele and thus developed in this
human MHC-expressing environment). To this end, in vitro CML and in
vivo graft rejection studies similar to the above were conducted, but
rather than the responder LNCs and recipient mice being non-Tg,
responder LNCs and graft recipients that expressed an alternate
HLAhyb class I Tg allele relative to the
stimulator and donor strain were used.
Following primary in vitro stimulation with
HLA-B7hyb Tg spleen (Spl) cells, LNCs from
HLA-matched B7hyb TgM did not lyse
HLA-B7hyb-P815 targets above the background
levels observed for P815 parental cells (Fig. 6
A). Compared with the strong
xenogeneic anti-HLA-B7hyb response generated
by non-Tg LNCs (Fig. 3
, D and E), this lack of
killing by B7hyb Tg LNCs indicates that CTL in
these mice are tolerant to the HLA-B7hyb
molecule. When LNCs from these same mice were stimulated with spleen
cells from H-2Kbm1 mice and assayed on
H-2Kbm1 targets, a high level of lysis was
observed (Fig. 6
A) similar to that seen with non-Tg
H-2b responders (Fig. 3
A). Following
stimulation with HLA-B27hyb Tg spleen cells, LNCs
from HLA-B7hyb TgM gave a significant level of
lysis of both B27hyb Tg spleen Con A blast
targets (B27hyb Tg Spl
(H-2b)) and B27hyb-P815
targets (Fig. 6
B). This lysis appeared to be allele-specific
as these same B27hyb-stimulated responders did
not lyse HLA-A2hyb-expressing P815 cells (or
A2hyb Tg spleen Con A-blasts; not shown) above
background levels observed for parental P815 or C57BL/6J Con A blast
targets (Non Tg Spl (H-2b); Fig. 6
B).
These results demonstrate that the peripheral T cell repertoire of
HLA-B7hyb TgM has become tolerant to the
self-B7hyb allele but is alloreactive to
alternate related human alleles such as
HLA-B27hyb. Additional experiments of the
peripheral repertoire of HLA-B27hyb TgM yielded
similar results, demonstrating tolerance to the
self-HLA-B27hyb allele and allele-specific
alloreactivity to related non-self HLA alleles (i.e.,
B7hyb; not shown).
|
1/
2 domains as in the HLAhyb molecules, or
rather reflects certain allele-specific and/or species-specific
functional differences, or possibly other limitations of the HLA Tg
model. To examine the role of CD8+ T cells in
recognition of HLAhyb class I molecules as allo-
vs xenotransplantation Ags, primary in vitro CML experiments were
conducted as before but with responder LNCs from
HLA-B7hyb TgM bred to homozygosity for the CD8
KO mutation and thus deficient for CD8+ T
lymphocytes. Compared with the strong response of
B7hyb/CD8+/+ LNCs (Fig. 6
Although CD8+ T cells from non-Tg (xeno) and
HLAhyb Tg (allo) mice are able to respond in
vitro to Tg cells expressing a foreign HLAhyb
allele, CD8+ cells are not required for the rapid
xenorejection by non-TgM of grafts from HLAhyb
TgM in vivo. To examine whether expression of the HLA class I molecule
as a self-MHC allele influences the mechanisms by which the immune
system responds in vivo to grafts from mice expressing alternate HLA
class I alleles (i.e., human allo-MHC Ags), a series of skin-grafting
experiments were conducted (Fig. 7
).
Compared with rejection of (xeno) HLA-B27hyb skin
grafts by non-TgM at about 17.2 ± 1.3 days (Fig. 4
B,
Table I
), HLA-B27hyb TgM accepted
HLA-B27hyb (i.e., syngeneic) Tg skin
indefinitely (Fig. 7
A, Table II
). However, these same animals rejected
grafts from both HLA-B7hyb and
-A2hyb TgM at rates similar to those for non-Tg
recipients (i.e., 17.2 ± 4.0 and 11.7 ± 2.9 days for
HLA-B27hyb recipients (Fig. 7
A,
Table II
) vs 16.4 ± 1.8 and 11.5 ± 2.4 days for non-Tg
recipients (Table I
)). A similar pattern was seen for
HLA-B7hyb TgM in that, compared with non-TgM,
which rejected B7hyb grafts at 16.4 ± 1.8
days (Table I
), B7hyb recipients indefinitely
accepted these grafts (Table II
) but rejected
HLA-B27hyb and -A2hyb Tg
skin after 17.3 ± 3.4 and 13.3 ± 2.9 days (Fig. 7
B, Table II
) (compared with 17.2 ± 1.3 and 11.5
± 2.4 days, respectively, for non-Tg recipients).
|
|
1 and
2 domains of the self-Tg HLA allele but are reactive to the
corresponding domains in alternate class I HLA-B alleles (are
alloreactive) as well as in alternate locus products (i.e.,
HLA-A2hyb). To evaluate the requirement for
CD8+ T cells in rejection of these
HLAhyb-expressing Tg allografts,
HLA-B27hyb and -B7hyb mice
that were bred to be deficient for CD8 expression were transplanted
with HLA-B27hyb, -B7hyb, or
-A2hyb Tg skin.
HLA-B27hyb/CD8-/-
recipients did not reject allele-matched (B27hyb)
or allele-mismatched (B7hyb) grafts but did
reject locus-mismatched (A2hyb) grafts at a rate
similar to that for
B27hyb/CD8+/+ TgM and
non-TgM (i.e., 12.4 ± 1.7 vs 11.7 ± 2.9 vs 11.5 ± 2.4
days). Similarly,
HLA-B7hyb/CD8-/-
recipients did not reject skin expressing either self (i.e.,
B7hyb) or non-self (B27hyb)
HLA-B Tg alleles but did reject skin from
HLA-A2hyb TgM (Fig. 7| Discussion |
|---|
|
|
|---|
Despite physiological surface levels of Tg
HLAnat class I, the in vitro cytotoxicity studies
in Fig. 3
, A and B, together with previous
results of our own and others, implied a limitation at some level in
the efficiency of recognition of fully human MHC class I molecules by
non-Tg cytotoxic T cells. To investigate this issue, a number of
groups, including ours, have studied TgM expressing
HLAhyb Tg constructs to distinguish whether
inefficient xenorecognition of HLAnat class I was
due to the low frequency of mouse TCRs able to interact with the HLA
class I
1/
2 domains (i.e., "holes" in the repertoire) as
opposed to other species-specific molecular incompatibilities involving
interactions outside the peptide-binding
1/
2 domains. The results
in Fig. 3
, D and E, demonstrate that the in vitro
primary xenoresponse of non-TgM T cells to HLA class I molecules is
enhanced for all three alleles when cells from
HLAhyb rather than HLAnat
TgM are used as stimulators and targets. In the
HLAhyb form, all alleles induced levels of
killing that were close to that against the strong mouse class I
transplantation Ag H-2Kbm1 (68, 69).
In the HLAnat form, only HLA-A2 induced a
reproducibly significant level of killing. It is unclear why this
HLAnat allele induces a stronger response than
the others but, given the similar cell surface expression levels, it
must be due to structural polymorphic differences. This type of
HLAnat allelic difference may explain some of the
differing results reported by groups working with various
HLAnat class I Tg strains.
With regard to the non-Tg response against HLAhyb class I, it is important to recognize that the strong lysis of H-2-mismatched HLAhyb-transfected P815 targets indicates that killing is due largely to direct recognition of intact MHC molecules. The induced responses were also allele-specific, indicating that they were directed primarily at the polymorphic regions as opposed to shared human-specific determinants. Together, these results imply that the weak anti-HLAnat response detected in vitro is not due to a low frequency of xeno-MHC reactive mouse T cells in the non-Tg repertoire, but rather mainly to species-specific interactions outside of the Ag-binding cleft. A similar conclusion was reached previously by others studying HLA-A2 (30, 37) and -B27 (36), but not for -B7 (41).
Although HLAnat-stimulated non-Tg
responders were unable to give significant levels of killing of
HLAnat allele-matched targets, these same
responders gave much higher levels of killing of
HLAhyb allele-matched targets for HLA-B7 (Fig. 3
C), -A2, and -B27 (not shown). These results suggest that
the low killing observed in the experiments of Fig. 3
, A and
B, is not necessarily because the
xeno-HLAnat molecules are unable to induce a
cellular response but rather may be due in part to a suboptimal ability
of the induced cells to recognize the HLAnat
molecule on target cells. In studies of the anti-influenza T cell
response in analogous strains of HLA-A2nat and
A2/Kb TgM, Sherman et al. (37)
observed that A2nat-restricted effectors from
HLA-A2nat TgM could lyse
A2Kb (A2hyb) targets in the
presence or absence of flu peptide. The interpretation of this result
was that the A2nat-restricted CTLs had only low
affinity for the A2nat molecule but an increased
affinity for the A2Kb
(A2hyb) molecule as a result of incorporating
mouse CD8 in the interaction by inclusion of the mouse
3 domain in
the A2hyb molecule. Although our studies have
examined the non-Tg T cell response to xeno-HLA-A2 rather than the
usage of HLA-A2 as a restriction element by Tg T cells, the killing of
HLA-A2hyb targets by
HLA-A2nat-induced T cells may also be the result
of an increased affinity of interaction resulting from involvement of
mouse CD8 with the A2hyb vs
A2nat molecule during the killing of
HLA-A2hyb vs A2nat
targets.
It is generally accepted that in vitro CML assays used above are
an in vitro correlate of MHC class I disparate graft rejection in vivo
(72, 73, 74, 75). Based on this, it would be expected that if
recognition of HLA Tg class I molecules as xenotransplantation Ags by
the non-TgM immune system is similar to that of mouse H-2 class I
molecules, then the mechanisms mediating HLA Tg and H-2 class I
disparate graft rejection should be similar and be reflected by these
assays. However, based on our skin graft rejection studies, we believe
that some of the previous inconsistencies among studies using this type
of model result from the apparent breakdown of this correlation. For
example, given the very low level of killing observed following
stimulation with each Tg HLAnat product (Fig. 3
),
the rapid rejection of skin grafts from these same
HLAnat TgM was not expected (Fig. 4
C).
However, although Van Twuyver et al. (76) also reported
rapid rejection of skin grafts from mice Tg for
HLA-B27nat, others appear to have limited their
analyses to in vitro primary CML assays with the assumption that the in
vitro results reflected in vivo graft recognition and rejection
(36).
The mechanisms underlying the very rapid rejection of
HLAnat Tg grafts are not obvious. Clearly, it is
not due to the influence that coexpressing hß2m
has on either the quantitative level of expression or the conformation
of the HLAnat class I heavy chain as skin grafts
from singly Tg HLA-B7nat mice (i.e.,
hß2m-negative) are also rapidly rejected (Fig. 4
C) and those from singly Tg hß2m
mice (i.e., HLA-negative/hß2m-positive) are
indefinitely accepted (Fig. 4
A). Also, the use of gene KO
graft recipient mice deficient for either CD8+ or
CD4+ T cells or B cells showed that these
populations on their own were not responsible for rejection of Tg
HLAnat grafts. Either other effector mechanisms
(i.e., NK cells), or multiple mechanisms as suggested by the somewhat
prolonged survival of grafts from two of the three
HLAnat Tg strains in
CD4-/-CD8-/- double KO
recipients, are operative in the rapid rejection of these grafts.
Studies to investigate these possibilities are in progress.
The second instance in which there is a discrepancy between
results obtained from in vitro CML vs in vivo graft rejection assays
was with xenorecognition of the HLAhyb class I
molecules. The in vitro CML assays shown here, together with results
from others (36), demonstrate that each
HLAhyb class I allele is recognized as
efficiently as the mouse class I alloantigen bm1, presumably due to
improved interaction of the HLAhyb, compared with
the HLAnat class I molecule, with mouse CD8 as a
result of including the mouse
3 domain (36, 37).
However, our results showed that when CD8-/- KO
mice were engrafted with donor HLAhyb Tg skin,
the allele-specific rejection rates (Fig. 5
A) were very
similar to those observed for wild-type (CD8+/+)
recipients. Thus, despite the differences detected in vitro for the
HLAnat and HLAhyb xeno-MHC
molecules, these effects are of no significance in vivo in at least two
respects: first, despite poor recognition in vitro,
HLAnat grafts are rejected very rapidly in vivo
at rates that are equal to or faster than those for the
corresponding HLAhyb grafts or even bm1 grafts;
and second, despite improved recognition in vitro of
HLAhyb class I molecules by non-TgM
CD8+ T cells, this effect is completely
irrelevant to rejection of HLAhyb grafts in vivo.
In contrast, the absence of CD8+ T cells had a
significant effect on the survival of H-2Kbm1
skin grafts. This finding of prolonged survival of mouse class I
allogeneic, but not HLAhyb class I Tg, skin
grafts in CD8-/- KO recipients argues that
CD8+ T cells play an important role in the
rejection of murine allografts disparate at a single MHC class I
molecule but not in class I-disparate xenografts. A similar
independence of HLAhyb Tg graft rejection on
CD4+ T cells was revealed when
CD4-/- KO recipients were grafted with HLA Tg
skin (Fig. 5
B). Thus, similar to
HLAnat grafts, these data indicate that neither
CD8+ or CD4+ T cells on
their own are necessary for rejection of
xeno-HLAhyb Tg grafts and that either other or
multiple mechanisms must be involved. As the only difference between
the HLAhyb molecules and the "self"
H-2Kb class I molecule is in the
1/
2
domains, our results show that although the human (xeno)
1/
2
domains are sufficient for recognition as a very strong major
histocompatibility transplantation Ag, the immune mechanisms induced by
this xeno-MHC class I molecule are distinct from those induced by an
allo-MHC (mouse) class I molecule.
The strong non-Tg anti-HLAhyb
xenoresponses detected in vitro and in vivo were not detected when
immune cells from HLAhyb TgM were stimulated with
HLAhyb allele-matched cells (Fig. 6
A)
or grafts (Fig. 7
, A and B). In contrast,
stimulation of HLAhyb Tg cells with
HLAhyb allele-mismatched (i.e., allogeneic) Tg
cells led to strong lysis of target cells expressing the mismatched
HLAhyb allele but not the
HLAhyb self allele or an alternate third party
allele (Fig. 6
, A and B). Similarly, although
HLAhyb TgM were tolerant to grafts expressing
their self-HLAhyb allele, they rapidly rejected
grafts from mice expressing a HLAhyb
allele-mismatched (rejection of B7hyb grafts by
B27hyb TgM, Fig. 7
A; rejection of
B27hyb grafts by B7hyb TgM,
Fig. 7
B) as well as locus-mismatched grafts (rejection of
HLA-A2hyb grafts by -B27hyb
TgM, Fig. 7
A; and by -B7hyb TgM, Fig. 7
B). Thus, given that the non-Tg response to
HLAhyb class I molecules as xeno-MHC Ags involves
both a CD8+ T cell-dependent component (based on
the in vitro CML assays) and a
non-CD8+/non-CD4+