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The Journal of Immunology, 2000, 165: 3640-3646.
Copyright © 2000 by The American Association of Immunologists

Cellular Interactions Involved in Th Cell Memory1

Dominic van Essen2, Per Dullforce3, Thomas Brocker4 and David Gray5

Imperial College School of Medicine, Hammersmith Hospital, London, United Kingdom


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
The cellular interactions involved in maintaining CD4+ T cell memory have hitherto not been identified. In this report, we have investigated the roles played by B cells and dendritic cells (DCs) in this process. We show that long-lasting Th cell memory depends on the presence of B cells, but that direct Ag presentation by B cells is not required. Instead, Ag presentation by DCs is critical for the survival of memory Th cells. DCs presenting specific Ag can be detected in animals long after immunization. These findings support a model in which B cells provide an environment in which Ags may be trapped and retained. This Ag is periodically presented to memory CD4+ T cells by DCs, providing an essential survival signal.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Consensus on how T cell memory is generated and maintained has yet to emerge, despite intense interest of late (for reviews, see Refs. 1 and 2). Rival theories state either that memory T cells are specialized, long-lived clones (3), or that they comprise a population needing continual stimulation by Ag to persist (4, 5). In the case of CD8+ T cell memory, a number of reports suggest that persisting Ag may not be required (6, 7, 8); instead, cross-reactivity with other Ags (9, 10) and activation by cytokines (11, 12, 13) have both been suggested as means by which CD8+ memory T cells are maintained. In contrast, few studies have addressed the requirements for maintaining CD4+ T cell memory (5). Bearing in mind the differences in the nature of Ags recognized by CD8+ and CD4+ T cells (intra- vs extracellular) and in the cell types that can present them (almost all cells express MHC class I, whereas only specialized APCs express MHC class II), it seems likely that CD8+ and CD4+ T cell memory could be maintained by different mechanisms.

A number of recent reports have revealed that both naive and memory T cells require continual interactions with MHC-expressing APCs in the periphery to survive (14, 15, 16, 17). In the case of naive T cells, this process demands that the peptides that are presented be the same as those that mediated positive selection in the thymus (18). An analogous situation for memory T cells would oblige the presented peptides to be identical with those encountered during the primary immune response; indeed, it has long been suggested (19) that intermittent stimulation by persisting Ag is necessary for the survival of both memory Th cells (5) and memory B cells (20). The only known means by which nonreplicating Ags can be retained in vivo for long periods is in the form of immune complexes on the surface of follicular dendritic cells (FDCs6; Ref. 21). If these are required to maintain Th cell memory, it follows that this memory should depend on the production of Abs by B cells. We tested this directly by examining the longevity of CD4+ T cell memory in mice that lack B cells.


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

All animals were cared for in accordance with the U.K. Home Office regulations and with the guidelines of the United Federation for Animal Welfare. B6 µMT (22) B10 SCID, B6 CD11c-I-Ed (23), B6 I-A{alpha}-/- I-E+ (17), B6 Rag1-/- (24), C57BL/6, B10.D2/n, B6xB10.D2/n F1, and BALB/c mice were 6–10 wk old at the start of each experiment. B6 µMT mice were backcrossed with congenic B10.D2/n mice, and expression of H-2Kb and H-2Dd on PBLs was assessed by FACS analysis using biotinylated mAbs AF6-88 and 19-191 (both provided by A. Livingstone, Center for Vaccine Biology and Immunology, University of Rochester Medical Center, Rochester, NY), respectively, followed by PE-streptavidin (Calbiochem, La Jolla, CA). B220 expression was detected using FITC-labeled RA3-6B2 (PharMingen, San Diego, CA). Mice were maintained on sterile food and bedding in filter-topped cages.

Generation of chimeric mice and immunization

Thymi were taken from C57BL/6 fetuses at day 14 of gestation and up to six were implanted under the kidney capsules of B10 SCID mice. Six to 10 wk later, reconstitution of T cells in peripheral blood leukocytes (PBL) was confirmed by FACS analysis using FITC-labeled anti-Thy1 (clone T24 obtained from American Type Culture Collection (ATCC), Manassas, VA). B10 SCID mice and B6 µMT mice were reconstituted i.v. with 107 B cells purified (25) from nonimmune C57BL/6 mice. At the same time, these mice were immunized i.p. with 50 µg soluble keyhole limpet hemocyanin (KLH; Calbiochem, San Diego, CA). KLH, possibly due to its large size, is one of the few Ags that is immunogenic in this form.

To prevent possible attack by NK cells, H-2b/d µMT mice were irradiated with 5 Gy 1 day before i.v. injection of 107 B cells from C57BL/6 or B10.D2/n mice. These mice were immunized as above 1 wk later to allow time for regeneration of T cells. Two weeks after immunization, all mice were bled, and serum Ig levels and anti-KLH IgG and IgM were measured as described (25). At the longest time point analyzed (12 wk), donor B cells were still detectable in splenocytes by FACS analysis of B220 expression (as above).

µMT mice were immunized i.p. with 50 µg soluble KLH, and 4 days later were injected i.v. with 50 µg (of Ag) soluble immune complexes; these were preformed in vitro by mixing monoclonal anti-DNP (clone DNPG1, IgG1 isotype) and DNP-KLH in a 3:1 ratio. Ten days after injection of immune complexes, serum anti-DNP and anti-KLH total Ig were measured.

B6xB10.D2/n F1 mice were irradiated with 10 Gy 1 day before i.v. injection of 107 bone marrow cells from B6 CD11c-I-Ed mice. These mice were immunized as above 8 wk later, by which time both T and B cells were present in PBL.

B6xB10.D2/n F1 mice were immunized i.p. with 50 µg KLH adsorbed to potassium alum (Sigma-Aldrich, Poole, U.K.). Six weeks later, splenocytes from these mice were depleted of dendritic cells (DCs; see below) and injected i.v. into unirradiated B6 Rag1-/- mice. These mice were injected i.v. with 5 µg soluble KLH on the following day. One week later, these mice were bled, and serum Ig levels and anti-KLH IgG and IgM were measured. BALB/c (H-2d) and C57BL/6 mice were immunized with 50 µg soluble KLH 7–9 wk before sacrifice and purification of DCs.

Limiting dilution analysis (LDA)

Frequencies of KLH-specific IL-2- and/or IL-4-producing T cells were measured in reconstituted SCID and H-2b µMT mice as described (26). All LDAs had {chi}2 probabilities of >0.05, indicating that the data was well fitted by a Poisson distribution of responder cells. To measure the frequencies of H-2b- and H-2d-restricted T cells in B cell-reconstituted H-2b/d µMT mice and B and T cell-reconstituted B6 Rag1-/- mice, and of I-Ab- and I-Eb-restricted T cells in B6 CD11c-I-Ed->B6xD10.D2 F1 bone marrow chimeras, CD4+ T cells were highly purified from responder splenocytes by depletion of MHC class II+, CD8+, CD11c+, and IgM+ cells using biotinylated mAbs M5/114 (ATCC), 53.6.72 (ATCC), and N418 (27), and goat anti-mouse IgM (Southern Biotechnology Associates, Birmingham, AL), respectively, followed by two rounds of MACS separation (Miltenyi Biotech, Bergisch Gladbach, Germany). Purity of sorted cells was routinely >99.5%, and these cells did not proliferate in response to either KLH or immobilized anti-CD3 (145.2C11) unless exogenous APCs were added. APCs used to enumerate generate I-Ab- (equivalent to H-2b- in this case), H-2d-, and I-Eb-restricted responses were derived from C57BL/6, B10D2/n, and B6 I-A{alpha}-/- I-E+ mice, respectively. Otherwise, LDA was as above. It should be noted that T cells restricted by hybrid H-2b/H-2d MHC molecules (e.g., I-Eb) will not be detected in the comparisons between H-2b- vs H-2d-restricted T cell responses.

Analysis of MHC restriction of Ag-specific T cells

Purified CD4+ T cells (2 x 106) from an H-2b/d µMT mouse given H-2d (C57BL/6) B cells were cultured with an equal number of irradiated (30 Gy) H-2d (B10.D2/n) APCs plus 100 µg/ml KLH and 100 U/ml IL-2. Two weeks later, cells were washed and recultured at 100 cells per well with 2 x 105 APCs (either H-2b or H-2d) and 100 U/ml IL-2, with and without KLH. After an additional 2 wk, wells were scored microscopically for cell growth. Numbers of positive wells/total wells: H-2b APC + KLH, 0/96; H-2b APC alone, 0/96; H-2d APC + KLH, 16/96; H-2d APC alone, 0/96 (p < 10-4, Fischer’s exact test).

Purification and depletion of DCs

DCs were purified from splenocytes as described (28) and were additionally depleted of T cells using anti-Thy-1 (T24)-coated dynabeads (Dynal, Oslo, Norway). In some cases, 50 µg/ml soluble KLH was included during the overnight culture. Their purity was ascertained by FACS analysis using biotinylated anti-MHC class II followed by PE-streptavidin and FITC-conjugated anti-CD11c Abs, and was typically {approx}80%. DCs were depleted from total splenocytes by a single round of MACS separation using biotinylated anti-CD11c. After depletion, contaminating CD11c+ cells comprised <0.1%.

T cell stimulation by DCs

Graded numbers of purified DCs cultured either with or without KLH were incubated overnight with 5 x 104 E2-10HA cells, in 200 µl, in round bottom wells. The following day, 100 µl of supernatant was harvested from each well and IL-2 was measured (29).


    Results and Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 
Persistence of Th cell memory requires the presence of B cells

SCID mice have neither T nor B cells, but T cells can be regenerated in these mice by implantation of fetal thymi from wild-type mice. We immunized mice treated in this way with soluble KLH and injected half of them at the same time with syngeneic B cells. Soluble Ag was used to minimize the possibility of forming any artificial deposits in vivo; thus, retention of Ag should occur solely by the trapping of immune complexes on FDCs. The KLH preparation used in these experiments is not mitogenic for B or T cells, elicits no response in nude mice, and is dependent upon MHC class II presentation, as T cells in class II knockout mice do not respond (B. McManus and D. Gray; unpublished data). Our measure of memory in these experiments is the frequency of responding T cells in LDAs, and so it is worth noting that although this method may underestimate "memory" cells compared with MHC tetramer staining, it does provide a readout of memory cell function and a valid comparison of frequency between groups. The nature of the assay ensures that we are measuring memory cells and not effector cells, as the cultures required for the analysis extend over at least 3 wk. Our studies indicate that effector cells will be picked up in short-term but not in such long-term cultures. Two weeks after immunization with KLH, all of the mice that had received B cells had produced serum anti-KLH IgM and IgG Abs, indicating successful T and B cell priming (data not shown). Ten weeks after immunization, we measured the frequencies of KLH-specific Th cells in each mouse. At this stage, the primary immune response has long since finished, and the continued presence of elevated numbers of Ag-specific cells is indicative of immunological memory. We found that those mice that had received B cells had significantly higher numbers of KLH-specific Th cells than those that had not (Fig. 1Go). This demonstrates that CD4+ T cell memory is impaired in the absence of B cells.



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FIGURE 1. CD4+ T cell memory is impaired in T cell-reconstituted SCID mice without B cells. Frequencies of KLH-specific Th cells in SCID mice, assayed by LDA of IL-2-producing cells 10 wk after immunization with KLH. SCID mice were grafted with fetal thymi, and half were reconstituted with B cells at the same time as immunization ({diamondsuit}). The remainder did not receive any B cells ({blacktriangleup}). Each point represents the frequency in one mouse. Geometric mean frequencies (lines): SCID + T cells and B cells, 1.8 x 10-4; SCID + T cells only, 1.2 x 10-5; p = 0.012, two-tailed, unpaired Student’s t test. Unimmunized mice typically exhibit frequencies of <2 x 10-6 (data not shown). This result is representative of three similar experiments.

 
There are two alternative explanations for the above result. B cells could be needed 1) for the maintenance of Th cell memory, or 2) for the initial clonal expansion of Ag-specific T cells. We investigated the latter possibility by measuring the frequencies of Ag-specific T cells at the peak of the primary response, 2 wk after immunization. The experimental protocol was essentially as above, except that µMT mice were used in place of SCID mice. µMT mice have a disrupted Ig Cµ gene, resulting in the complete absence of mature B cells in the periphery (22). Again, mice were immunized with soluble KLH, and half were injected with syngeneic B cells. Two weeks later, only those mice that had received B cells had produced serum anti-KLH Abs (data not shown). We measured the frequencies of KLH-specific Th cells after 2 wk to assess their initial clonal expansion, and again after 12 wk to test for T cell memory. As shown in Fig. 2Go, 2Go wk after immunization there was no difference in the level of T cell priming between mice that had, and that did not have, B cells. This is in line with another report on T cell priming in B cell-deficient mice (30). After 12 wk, as with the SCID mice, the number of Ag-specific T cells had decayed more rapidly in µMT mice that had not been given B cells (Fig. 2Go). These data confirm that although B cells are not needed for the initial expansion of Ag-specific T cells, they are vital for the maintenance of Th cell memory.



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FIGURE 2. CD4+ T cell memory, but not priming, is impaired in µMT mice without B cells. Frequencies of KLH-specific Th cells in µMT mice, 2 wk (upper panel) and 12 wk (lower panel) after immunization with KLH. Mice were reconstituted with B cells and immunized at the same time. Geometric mean frequencies: 2 wk, µMTs + B cells ({diamondsuit}) 1.4 x 10-4, µMTs without B cells ({blacktriangleup}), 1.3 x 10-4 (p = 0.81); 12 wk, µMTs + B cells, 6.3 x 10-5, µMTs without B cells, 5.1 x 10-6 (p = 2.6 x 10-4). The results shown are representative of two similar experiments.

 
Topham et al. (31) have previously studied CD4+ T cell memory to influenza virus infection in µMT and wild-type mice. In contrast to the results presented above, they concluded that B cells were not required for long lasting Th cell memory. However, the use of live virus as an immunogen makes it difficult to exclude the possibility of incomplete viral clearance, thereby bypassing any need for Ag localization on FDCs. This is particularly relevant in immunocompromised animals; indeed, several reports suggest that B cells are important for the elimination of influenza viruses (32, 33, 34, 35). Although the authors found it to be effectively cleared from the site of infection (lungs), these viruses are able to infect all cell types, as their receptor, sialic acid, is ubiquitously expressed. Furthermore, one recent study has revealed that genetic material from RNA viruses may persist for long periods in vivo in DNA form (36).

Ag presentation by B cells is not required for the maintenance of Th cell memory

Although FDCs can bind and retain immune complexes on their surface for long periods of time, they are unable to endocytose and process them for presentation to T cells (37, 38). For this, an intermediary APC is needed. Previous studies have shown that B cells are able to acquire Ag by endocytosis of bead-like, immune complex-coated bodies (iccosomes) derived from the dendrites of FDCs (37), and that they can present this Ag to CD4+ T cells in vitro (38, 39). Therefore, we investigated the requirement for Ag presentation by B cells to maintain Th cell memory. Because mice that lack B cells not only cannot form immune complexes, but also cannot support the development of FDCs (40, 41), we generated chimeric mice that contained B cells, in which half of the T cells could not recognize Ag presented by them. We backcrossed µMT mice (H-2b) onto the H-2d genetic background and generated F1 mice expressing both b and d alleles at the H-2 locus (H-2b/d µMT mice). These mice contain T cells that recognize Ag presented on either H-2b or H-2d MHC molecules. We then reconstituted these mice with H-2b B cells; the resulting chimeric animals generated serum Ab responses when immunized (data not shown), but only H-2b-restricted T cells could recognize Ag presented by B cells. We reconstituted a second group of mice in the reverse fashion, using H-2d B cells. All mice were then immunized as before, with soluble KLH. Two and 12 wk later, we performed LDAs of the CD4+ T cell from these mice, using either H-2b- or H-2d-expressing APCs. In this way, we were able to independently determine the frequencies of H-2b- and H-2d-restricted KLH-specific T cells.

Fig. 3Go illustrates that 2 wk after immunization, there was no difference in the level of T cell priming between these two populations. This corroborates our earlier finding that clonal expansion proceeds normally in the absence of B cells. Twelve weeks after immunization, we found, to our surprise, that Ag-specific T cells that could not recognize Ag presented by B cells were still present at elevated levels, which were comparable to the levels of Ag-specific T cells that could do so (Fig. 3Go). Thus, it seems that although B cells are required for the survival of CD4+ memory T cells (Figs. 1Go and 2Go), they are not needed as APCs (Fig. 3Go). It remained possible that the same T cell could recognize KLH-derived peptides presented on both H-2b and H-2d MHC molecules. This is unlikely in view of the differences in structure and in peptide-binding preferences (42) between I-Ab and I-Ad molecules. Nevertheless, we verified that this did not occur by stimulating bulk cultures of CD4+ T cells from an H-2b/d µMT mouse given H-2d B cells, using H-2d-expressing APCs. After 2 weeks, we purified and restimulated these T cells under limiting dilution conditions using either H-2d- or H-2b-expressing APCs. Whereas clones of T cells were readily stimulated by APCs expressing H-2d, none were stimulated by APCs expressing H-2b (see Materials and Methods). This confirms that H-2d-restricted T cells in this mouse could not recognize Ag presented on H-2b MHC molecules, thereby strengthening the notion that CD4+ T cell memory does not depend on Ag presentation by B cells.



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FIGURE 3. CD4+ T cell memory does not require Ag presentation by B cells. Frequencies of H-2b- and H-2d-restricted KLH-specific Th cells in H-2b/d µMT mice 2 wk (upper panels) and 12 wk (lower panels) after immunization with KLH. H-2b/d µMT mice were lightly irradiated and reconstituted with B cells from congenic H-2b (left), or H-2d (right) donors. One week later they were immunized with KLH. The boxes at the bottom of the figure indicate the H-2 haplotypes of the B cells used to reconstitute the mice (B cells), and of the APCs used in vitro for LDA (APC). Geometric mean frequencies: 2-wk H-2b B cells, H-2b-restricted ({diamondsuit}), 1.1 x 10-4, H-2d-restricted ({blacktriangleup}), 7.9 x 10-5 (p = 0.41, two-tailed, paired Student’s t test); 2-wk H-2d B cells, H-2b-restricted, 6.2 x 10-5, H-2d-restricted, 3.4 x 10-5 (p = 0.40); 12-wk H-2b B cells, H-2b-restricted, 3.2 x 10-5, H-2d-restricted, 2.3 x 10-5 (p = 0.53); 12-wk, H-2d B cells, H-2b-restricted, 9.1 x 10-5, H-2d-restricted, 1.2 x 10-4 (p = 0.66).

 
How, then, does the presence of B cells affect the persistence of Th cell memory? The data outlined above are consistent with the role of B cells to provide an environment in which long-term retention of Ag may occur, presumably in the form of immune complexes on FDCs. Presentation of this Ag to memory CD4+ T cells must then occur on cells other than B cells. An alternative explanation is that the presence of specific Abs during the primary response facilitates uptake of Ag, resulting in qualitatively different Ag presentation, which is necessary for the generation of memory CD4+ T cells. We tested whether Abs alone could substitute for B cells in the maintenance of Th cell memory by immunizing µMT mice as above and injecting them with preformed immune complexes (see Materials and Methods). Because B cells are absent from these animals, they are unable to support the development of FDCs, a process that requires the presence of B cells (40, 41) and has recently been shown to depend on their production of lymphotoxin-{alpha} (43, 44). As a result, no Ag retention on FDCs can take place in these mice. µMT mice injected with immune complexes had Ag-specific serum Ab levels after 2 wk comparable to those of µMT mice reconstituted with B cells. However, the presence of specific Abs did not augment the clonal expansion of Ag-specific Th cells after 2 wk; neither did it prevent their disappearance by 12 wk after immunization (data not shown). These data indicate that without the presence of B cells, specific Ag-Ab complexes alone are insufficient to maintain Th cell memory.

Ag presentation by DCs is required for the maintenance of Th cell memory

Because Ag presentation by B cells is not needed, we wondered whether Ag presentation by other cell types is required for the survival of memory CD4+ T cells. Although FDCs themselves bear MHC class II molecules on their surface, they do not synthesize these molecules; rather, they are acquired from neighboring B cells (38). Moreover, as mentioned earlier, FDCs are unable to endocytose and process native Ag. Thus, in the above experiments using H-2b/d µMT mice, the MHC class II molecules on FDCs are of the same haplotype as those on the donor B cells, indicating that direct recognition of Ag on the surface of FDCs is also unnecessary for the survival of memory CD4+ T cells. It has recently been shown that noncognate recognition of MHC class II molecules on DCs can sustain naive CD4+ T cells, which are otherwise short-lived in vivo (17). Therefore, we examined the ability of DCs to promote memory CD4+ T cell survival. To this end, we generated mice in which half of the T cells could recognize Ag in the periphery only when presented by DCs. CD11c-I-Ed mice contain a transgene encoding the {alpha}-chain of I-Ed under the control of the DC-specific CD11c promoter (23). As the transgene was injected into eggs from C57BL/6 mice, in which the endogenous I-Eb {alpha}-chain is nonfunctional, surface expression of I-E molecules (which are hybrid I-E{alpha}d/I-Eßb, hereafter termed I-Eb) is restricted to DCs (23). To ensure positive selection of I-Eb-restricted T cells, we reconstituted lethally irradiated wild-type H-2b/d recipients with bone marrow from these mice. This produced mice in which I-Eb is expressed in the thymus and on DCs, but not on B cells or other bone marrow-derived APCs. I-Ab molecules are expressed in the same pattern as in wild-type animals. After immunization with soluble KLH, all mice produced specific serum Abs (data not shown).

As before, 2 and 12 wk later, we measured the frequencies of KLH-specific CD4+ T cells restricted either by I-Ab or by I-Eb. After 2 wk, we found that both I-Ab- and I-Eb-restricted CD4+ T cells had undergone clonal expansion; however, T cells restricted by I-Ab were about three times more numerous than those restricted by I-Eb (Fig. 4Go). This contrasts with the situation in wild-type H-2b/d mice, in which both populations of T cells expand equally following immunization (data not shown). This may reflect the fact that the transgene-encoded I-E{alpha}d is expressed on only 70% of DCs (23). Nonetheless, 12 wk after immunization, I-Eb-restricted KLH-specific Th cells (which can recognize Ag only when presented by DCs) were still present at elevated levels, no lower than were those of I-Ab-restricted cells (which can recognize Ag presented by all cell types). This illustrates that recognition of Ag on DCs is sufficient to promote the survival of memory Th cells.



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FIGURE 4. Ag presentation by DCs is sufficient to maintain CD4+ T cell memory. Frequencies of I-Ab- and I-Eb-restricted KLH-specific Th cells in B6 CD11c-I-Ed->B6xB10D2/n F1 bone marrow chimeras, 2 wk (upper panel) and 12 wk (lower panel) after immunization with KLH. The boxes at the bottom of the figure indicate the MHC class II molecules expressed by the APCs used in vitro for LDA (‘APC’). Geometric mean frequencies: 2 wk, I-Ab-restricted ({diamondsuit}), 2.9 x 10-4, I-Eb-restricted ({blacktriangleup}), 9.3 x 10-5 (p = 8.9 x 10-3, two-tailed, paired Student’s t test); 12 wk, I-Ab-restricted, 3.8 x 10-5, I-Eb-restricted, 2.8 x 10-5 (p = 0.16).

 
To find out whether Ag presentation by DCs is essential for the persistence of memory CD4+ T cells, we explored the fate of these T cells when presentation by DCs was prevented. We immunized wild-type H-2b/d mice with KLH to prime Ag-specific B cells and H-2b- and H-2d-restricted T cells. Six weeks after immunization, we depleted DCs from the splenocytes of these mice and transferred the remaining cells into H-2b Rag1-knockout mice. One day later, we injected the recipient mice with a small dose of soluble KLH, as a source of Ag. Rag1-knockout mice are unable to rearrange their Ig or TCR genes, and therefore, contain no mature B or T cells, but DCs are present in increased numbers. Consequently, H-2b-restricted donor T cells are able to recognize Ag presented by both donor and recipient APCs, including DCs, whereas H-2d-restricted donor T cells can recognize Ag only on donor APCs, which contain no DCs. We enumerated Ag-specific H-2b- and H-2d-restricted CD4+ T cells in the donor inocula and in recipient mice at various times after transfer. At the time of transfer, the numbers of H-2b- and H-2d-restricted Th cells were approximately equal (Fig. 5Go), in accord with our earlier experiments. Neither population increased in frequency during the first week after transfer, although recipient mice did produce detectable serum Abs (data not shown). At subsequent times, though, Ag-specific H-2d-restricted CD4+ T cells, which cannot recognize Ag presented by DCs, were rapidly lost, whereas H-2b-restricted cells remained present at high frequencies (Fig. 5Go). By 10 wk after transfer, Ag-specific T cells restricted by H-2d were ~20-fold less numerous than those restricted by H-2b. Similar decay in H-2d-restricted memory has been observed in a separate experiment in which the chimeras were immunized with a different Ag, alum-precipitated OVA (data not shown). Presentation of Ag by DCs, then, provides a vital survival signal for memory Th cells. With this result "bystander" activation by cytokines, as reported for CD8+ T cells (11, 12, 13), appears to be ruled out as means of maintaining CD4+ T cell memory, at least in response to a simple protein Ag.



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FIGURE 5. Ag presentation by DCs is necessary to maintain CD4+ T cell memory. Frequencies of H-2b- and H-2d-restricted KLH-specific Th cells in H-2b Rag1-/- mice at various times after transfer of KLH-primed B and T cells. Geometric mean frequencies: donor inoculum, H-2b-restricted ({diamondsuit}), 1.3 x 10-3, H-2d-restricted ({blacktriangleup}), 7.4 x 10-4; 7 wk, H-2b-restricted, 1.0 x 10-3, H-2d-restricted, 1.9 x 10-4; 10 wk, H-2b-restricted, 6.4 x 10-4, H-2d-restricted, 3.5 x 10-5 (p = 0.029, 7- and 10-wk data combined, two-tailed, paired Student’s t test). The result shown is representative of two similar experiments.

 
It should be noted that in this experiment memory T cells do not have to compete with the continual output of naive T cells from the thymus, which is the case in normal animals. This may explain why the H-2b-restricted memory T cells show little sign of decline, even 10 wk after transfer. Bearing this in mind, the disappearance of the H-2d-restricted memory T cells is even more striking. From the above experiments, the half-lives of memory CD4+ T cell populations can be calculated. In wild-type mice immunized with soluble KLH, this is ~10 wk (data not shown), which agrees well with the values calculated from µMT mice reconstituted with B cells (8.7 wk), and Rag1-knockout mice reconstituted with wild-type splenocytes (10.2 wk). This half-life is severely shortened in the absence of B cells or when Ag presentation by DCs is prevented (2.1 and 2.3 wk, respectively). Tough and Sprent (45) found that the intermitotic half-life of "memory-phenotype" CD4+ T cells in thymectomized mice is ~1.7–1.9 wk, although they made no distinction between true memory cells and recently activated effector cells. Regardless, the closeness of these figures tempts one to speculate that this is the intrinsic lifespan of a memory Th cell, and that within this period such a cell must either be stimulated to divide or die of neglect.

Superficially, the results described in this paper appear to disagree with recent reports in which memory CD4+ T cells survive for long periods in the absence of Ag and even MHC class II (46, 47). Both of these studies performed adoptive transfer of TCR transgenic T cells into mice that were deficient of T cells (RAG-1 or MHC class II knockouts). In normal mice in the face of emigration from the thymus and of Ag-driven expansion of multiple T cell clones in a polyclonal environment, a homeostatic mechanism must act very stringently to limit clone size and memory cell lifespan. In lymphopenic mice, competition for "niches" is less intense, and homeostasis may well be relaxed. An illustration of the changes that can occur in T cell physiology in lymphopenic, mice was given by recent studies; in the periphery of lymphopenic, but not intact hosts, T cell proliferation was driven by the low affinity peptide ligands (18, 48). Our data suggest that memory CD4+ T cells are not exempt from selection pressures, and that under normal circumstances intermittent Ag stimulation can protect memory cells from homeostatic deletion. Whether this is an absolute Ag dependence is not addressed here, but we suggest that the period of influence of Ag on CD4+ memory cells is a long one. Swain et al. (47) may be correct in stating that excessive antigenic stimulation during a primary response can impair the efficient development of memory T cells (leading to clonal exhaustion?); however, their suggestion that absence of antigenic stimulation enhances survival is not borne out by the experience of vaccination, where several boosts are required for long-term protection.

Long-term Ag presentation by DCs in vivo

If Ag presentation by DCs is needed for the survival of memory Th cells, it follows that in immune animals there must be DCs actively presenting Ag long after immunization. Therefore, we sought to detect these cells directly ex vivo. We immunized mice with KLH, and 7–9 wk later purified DCs from these and naive controls, in the presence or absence of exogenous KLH. We then cultured these cells in vitro with the KLH-specific T cell hybridoma E2-10HA (49). The next day, we measured the IL-2 production by the T cell hybridoma, as an indirect measure of presentation of KLH by the DCs. Fig. 6GoA shows that DCs from both naive and immune mice were able to stimulate the T cell hybridoma when provided with exogenous KLH. However, only DCs isolated from immune mice were able to elicit a response in the absence of added Ag, demonstrating that at least some of these cells bear MHC class II molecules presenting KLH peptides.



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FIGURE 6. Ex vivo DCs present Ag long after immunization. A, Presentation of KLH peptides, assayed by measurement of IL-2 production by a KLH-specific T cell hybridoma, by DCs purified from unimmunized mice (left), or mice 7 wk after immunization with KLH (right). T cell hybridomas were cocultured with DCs that had ({diamondsuit}) or had not ({blacktriangleup}) previously been pulsed with KLH, or without DCs ({circ}). B, Ag presented by ex vivo DCs is acquired in vivo. Presentation of KLH peptides by DCs purified from BALB/c (first row) or C57BL/6 (second row) mice 9 wk after immunization with KLH, purified from a mixture of splenocytes from unimmunized BALB/c and immunized C57BL/6 mice (third row), or purified from unimmunized BALB/c mice and pulsed with KLH (fourth row). The bottom row shows the IL-2 production by the KLH-specific T cell hybridoma in the absence of any DCs. The data are representative of three separate experiments.

 
It remained possible that these DCs acquired Ag during the purification procedure, and not in vivo. To exclude this, we prepared DCs from mixtures of cells derived from H-2b and H-2d mice. The T cell hybridoma E2-10HA is H-2d restricted, and is thus unable to respond to Ag presented by APCs expressing only H-2b molecules. As shown in Fig. 6GoB, DCs from immune H-2d, but not H-2b mice were able to stimulate the T cell hybridoma, as expected. When DCs were purified from a mixed population of cells from immune H-2b and naive H-2d mice, no response was seen, testifying that Ag is not acquired during the in vitro purification procedure. The same H-2d-expressing DCs generated a strong response when exogenous KLH was added to the cultures (Fig. 6GoB). These data imply that DCs are able to present Ag in vivo long after that Ag is originally encountered.

Are these long-lived DCs that encountered Ag during the original immune response, or are they newly formed cells that have recently acquired Ag? We favor the latter idea. Recent experiments by Garcia et al. (46), in which purified DCs were injected into Rag1-/- recipients, suggest that mature DCs do not survive for longer than 3 wk in vivo. It is possible that some DC precursors may be able to capture Ag and wait for a considerable time before differentiating and presenting it to memory CD4+ T cells. However, this too seems unlikely as DC precursors have been shown to rapidly mature in response to tissue injury (50) or to inflammatory stimuli (51, 52). There are a number of possible mechanisms by which newly formed DCs could acquire Ag and present it to memory CD4+ T cells. FDCs, on which long-term Ag retention takes place (21), are located in B cell follicles, and a small population of DCs has lately also been shown to be present at this site (53, 54). The simplest scenario, then, is that memory CD4+ T cells periodically traffic through B cell follicles, and there they encounter specific Ag presented by resident DCs. In accordance with this, most T cells found in B cell follicles are CD4+ and express ‘memory-phenotype’ surface markers (55, 56, 57). It is conceivable, though, that DCs obtain Ag from FDCs and subsequently migrate out of the B cell follicle into the T cell zone, where there is a much larger audience of T cells. It is also unclear whether DCs can directly acquire Ag from FDCs or whether an intermediary cell is involved. Both B cells (37, 38, 39) and macrophages (37) are able to endocytose FDC-derived iccosomes in vivo, but this process has so far not been demonstrated for DCs (possibly because they have only recently been found in B cell follicles). In contrast, Townsend and Goodnow (58) have demonstrated extremely efficient transfer of Ag from B cells to other (unidentified) APCs, and subsequent presentation to CD4+ T cells in vivo.

Concluding remarks

We have shown that CD4+ T cell memory decays in the absence of B cells. This is markedly different from the published reports on CD8+ T cell memory (59, 60), implying that CD4+ and CD8+ memory T cells are not maintained by the same mechanism. Notably, Ag presentation by B cells is not required for their prolongation of CD4+ T cell memory. This argues that they may act by enabling the development of FDCs, and by the formation of immune complexes, together allowing long-term Ag storage. Although the exact role of B cells is not clarified, the results do stress the importance of including B cell, as well as T cell epitopes when designing novel vaccines. We have also found that Ag presentation by DCs takes place long after immunization, and that this is essential for the survival of memory CD4+ T cells. The exact means by which DCs obtain Ag, and the location of their interaction with memory CD4+ T cells, remain to be elucidated.


    Acknowledgments
 
We thank Dr. Polly Matzinger for useful discussions and for providing thymus-grafted SCID mice. We are also grateful to Dr. Klaus Karjalainen for critical reading of the manuscript.


    Footnotes
 
1 This work was funded by grants from the Wellcome Trust, the U.K. Medical Research Council, and the Basel Institute for Immunology. Back

2 Address correspondence and reprint requests to Dr. Dominic van Essen at the current address: Basel Institute for Immunology, Grenzacherstrasse 487, Postfach, Basel 4005, Switzerland. Back

3 Current address: Division of Genetic and Molecular Medicine and Sheffield Institute for Vaccine Studies, University of Sheffield Medical School, Sheffield S10 2RX U.K. Back

4 Current address: Institute fur Immunologie, University of Munich, Germany. Back

5 Current address: Institute of Cell, Animal, and Population Biology, University of Edinburgh, Ashworth Laboratories, King’s Buildings, West Mains Road, Edinburgh EH9 3JT U.K. Back

6 Abbreviations used in this paper: FDC, follicular dendritic cell; PBL, peripheral blood leukocytes; KLH, keyhole limpet hemocyanin; ATCC, American Type Culture Collection; LDA, limiting dilution analysis; DC, dendritic cell. Back

Received for publication May 3, 2000. Accepted for publication July 13, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results and Discussion
 References
 

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