The JI Acurri Cytometers
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kumanogoh, A.
Right arrow Articles by Kikutani, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kumanogoh, A.
Right arrow Articles by Kikutani, H.
The Journal of Immunology, 2001, 166: 353-360.
Copyright © 2001 by The American Association of Immunologists

Increased T Cell Autoreactivity in the Absence of CD40-CD40 Ligand Interactions: A Role of CD40 in Regulatory T Cell Development1

Atsushi Kumanogoh2,*, Xiaosong Wang2,*, Ihnsook Lee2,*, Chie Watanabe*, Masahito Kamanaka*, Wei Shi*, Kanji Yoshida*, Takehito Sato{dagger}, Sonoko Habu{dagger}, Misako Itoh{ddagger}, Noriko Sakaguchi{ddagger}, Shimon Sakaguchi{ddagger} and Hitoshi Kikutani3,*

* Department of Molecular Immunology, Research Institute for Microbial Diseases, Osaka University, Japan; {dagger} Department of Immunology, Tokai University, Isehara, Japan; and {ddagger} Department of Experimental Pathology, Institute for Frontier Medical Sciences, Kyoto University, Kyoto, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mutations in the CD40 ligand (CD40L) gene lead to X-linked immunodeficiency with hyper-IgM, which is often associated with autoimmune diseases. To determine the contribution of defective CD40-CD40L interactions to T cell autoreactivity, we reconstituted CD40-CD40L interactions by transferring T cells from CD40-deficient mice to syngenic athymic nude mice and assessed autoimmunity. T cells from CD40-deficient mice triggered autoimmune diseases accompanied with elevations of various autoantibodies, while those from wild-type mice did not. In CD40-deficient mice, the CD25+ CD45RBlow CD4+ subpopulation which regulates T cell autoreactivity was markedly reduced. CD40-deficient APCs failed to induce T regulatory cells 1 producing high levels of an inhibitory cytokine, IL-10 in vitro. Furthermore, autoimmune development was inhibited when T cells from CD40-deficient mice were cotransferred with CD45RBlow CD4+ T cells from wild-type mice or with T regulatory cells 1 induced on CD40-expressing APCs. Collectively, our results indicate that CD40-CD40L interactions contribute to negative regulation of T cell autoreactivity and that defective interactions can lead to autoimmunity.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Immunodeficiency is often associated with autoimmune diseases, including autoimmune hemolytic anemia, thrombocytopenic purpura, Sjogren’s syndrome, systemic lupus erythematosus, thyroiditis, and myasthenia gravis (1, 2). It is also accompanied by autoantibodies against blood cells, Igs, and various tissue Ags. Such paradoxical complications were already noticed in an agammaglobulinemia case study by Bruton in 1952 (3), and it has been enigmatic how impaired immune functions paradoxically lead to increased autoreactivity. Production of autoantibodies and development of autoimmune diseases are also observed in patients with X-linked hyper-IgM syndrome (HIGM),4 a rare genetic immune disorder due to mutations in the CD40 ligand(CD40L) gene (1, 2, 4, 5, 6, 7, 8, 9, 10). These findings suggest that defects of CD40L may evoke autoreactivity. However, the precise pathological mechanisms still remain to be clarified.

Studies on CD40- or CD40L-deficient mice and analysis of HIGM have established that interactions between CD40 on B cells and CD40L on activated T cells are essential for effective humoral immune responses, including Ag-specific Ab production, Ig class switching, and germinal center formation (11, 12, 13, 14). CD40-CD40L interactions play important roles in cellular immunity as well. For example, CD40 is expressed on various APCs (15, 16), thereby CD40-CD40L interactions are critically involved in T cell priming, activation, and differentiation into Th1 cells through the expression of various costimulatory molecules such as B7-1 and B7-2 on APCs and secretion of cytokines such as IL-12 (17, 18, 19, 20). Moreover, the prevalence of autoimmune diseases in HIGM patients suggests that CD40-CD40L interactions might be involved in the control of autoreactive lymphocytes. Although CD40- or CD40L-deficient mice appear to be a suitable model to explore autoreactivity in the absence of CD40-CD40L interactions, autoimmune diseases have not been reported either in CD40- or CD40L-deficient mice so far. One of the reasons for this is that coexisting impairments of T cell activation due to the lack of CD40-CD40L interactions (17, 18, 19, 20) would conceal autoreactivity and make it difficult to detect autoimmunity in such mice maintained in pathogen-free conditions.

To maintain immunological self-tolerance and avoid autoimmunity, pathogenic self-reactive T cells are clonally deleted or rendered anergic in the thymus and periphery (21, 22, 23, 24). T cell-mediated control of self-reactive T cells also plays a significant role in self-tolerance (25). For example, transfer of T cells depleted of CD25+ cells or CD45RBlow cells causes various autoimmune diseases in recipient nude or scid mice, respectively, while CD25+ CD45RBlow CD4+ T cells can inhibit the development of autoimmunity when cotransferred (26, 27). These observations suggest that the CD25+ CD45RBlow CD4+ T cell subpopulation may include regulatory T cells that suppress autoreactive lymphocytes. Besides such regulatory T cells defined by expression levels of cell surface markers, T cells producing inhibitory cytokines may also act as regulatory T cells. A TGF-{beta}-producing T cell subset, called Th3, has been identified mainly in oral tolerance systems (28). In addition, T regulatory cells 1 (Tr1) subset has been recently identified and been generated in vitro (29). Tr1 cells produce large amounts of IL-10 but small amounts of IFN-{gamma} and IL-4. Upon stimulation, Tr1 cells immediately produce IL-10, which modulates activation of APCs and their expression of costimulatory molecules (30).

In this report, we demonstrate significant increases in T cell autoreactivity in the absence of CD40-CD40L interactions. We show that autoimmune diseases can be induced by transferring T cells from CD40-deficient BALB/c mice into BALB/c athymic nude (nu/nu) mice which lack T cells but have B cells and other APCs expressing CD40. Furthermore, we show severe reduction of CD25+ CD45RBlow CD4+ T cells in CD40-deficient mice and impaired differentiation into Tr1 cells on CD40-deficient APCs. Our results indicate that defective development of regulatory T cells leads to increased T cell autoreactivity in the absence of CD40-CD40L interactions.


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

To generate BALB/c CD40-deficient mice, CD40-deficient mice (12) were crossed for more than 10 generations with BALB/c mice purchased from SLC (Shizuoka, Japan). BALB/c nu/nu, C57BL/6, or DBA/2 mice of 6 wk of age were also purchased from SLC. Mice expressing the transgenic OVA (OVA323–339)-specific {alpha}{beta} TCR on a BALB/c background were produced as previously described (31). All of these mice were maintained in our animal facility and cared for in accordance with institutional guidelines for animal welfare.

Preparation of T cells

Spleen cells were removed from wild-type or CD40-deficient BALB/c mice, C57BL/6, or DBA/2 mice and teased into single-cell suspensions. Erythrocytes were removed by hypotonic lysis. For enrichment of Thy-1+, CD45RBhigh or low CD4+, or CD62Lbright T cells, we isolated each fractions from the spleen cell suspensions using MACS or FACS sorting. The purity of the cells were checked using FACScan (Becton Dickinson, Mountain View, CA). The resulting purity was >95–98% in all experiments.

Titers of serum Abs

IgG anti-DNA at 12 wk after the transfer were determined by ELISA on sera diluted to 1:100, as previously described (27). Calf thymus DNA (Sigma, St. Louis, MO) was purified with a Sepa Gene kit (Nippon Gene, Toyama, Japan), and dsDNA was obtained by treating the DNA with S1 nuclease (Sigma). ssDNA was derived by boiling the DNA solution for 15 min followed by immediate immersion on ice. Wells of microtiter plates were coated with 5 µg/ml of either dsDNA or ssDNA. Similarly, serially diluted serum samples and control serum derived from MRL/lpr mice at 4 mo of age were incubated, followed by addition of AP-labeled anti-mouse IgG Abs (Southern Biotechnology Associates, Birmingham, AL). We defined serum titers of MRL/lpr mice at 4 mo of age as 1000 U/ml. Serum titers of autoantibodies specific for gastritic parietal cells were also assessed by ELISA as previously described (32). For detection of anti-CD40 Abs, wells of microtiter plates were coated with 5 µg/ml mouse CD40-human IgG Fc fusion protein (kindly provided by Dr. D. Gray (33)). Then diluted serum samples were incubated, followed by addition of AP-labeled anti-IgG Abs (Southern Biotechnology Associates).

In vivo priming of CD40-deficient mice

CD40-deficient or normal BALB/c mice were injected with splenocytes (1 x 107 cells/mouse) of CD40-deficient BALB/c, normal BALB/c, C57BL/6, or DBA/2 mice i.v. One week after priming, CD4+ T cells were purified from the primed mice and were stimulated with irradiated (3000 rad) splenocytes from CD40-deficient mice, normal BALB/c, C57BL/6, or DBA/2 mice for 3 and 5 days at a ratio of 1:5. For proliferation assays, cells were pulsed with 2 µCi of [3H]thymidine for the last 12 h. For cytokine production, culture supernatants from 3- or 5-day cultures were harvested and the levels of IFN-{gamma} and IL-10 were measured by ELISA kit (R&D Systems, Minneapolis, MN).

Induction and in vivo transfer of Tr1 cells

CD62Lbright CD4+ T cells from OVA-TCR-transgenic BALB/c mice were sorted out by FACS and 1 x 105 cells of the isolated T cells were cultured with OVA peptide (323–339; 0.6 µM) and irradiated splenic APCs (5 x 106 cells) in the presence of IL-10 (100 U/ml) (PharMingen, San Diego, CA) in 24-well plates as previously described (29). The stimulation, under the same conditions, was repeated weekly for 3 consecutive weeks. For analysis of the effect of Tr1 cells on autoimmunity, the recipient nu/nu mice were injected i.v. with 100 µl of PBS containing 2 x 105 Tr1 differentiated cells with 5 x 106 cells of T cells from CD40-deficient mice. The recipient mice were orally treated with OVA (100 ng/ml) as previously described (29).

Flow cytometry and Abs

Single-cell suspensions were prepared from wild-type BALB/c or CD40-deficient BALB/c spleens at 6 wk of age. After purification of CD4+ cells using the MACS system, flow cytometric analysis was performed using FACScan. Abs used for staining were biotinylated anti-CD25 (7D4), CD45RB (16A), and PE-conjugated streptavidin (PharMingen). Analysis of intracellular cytokines by flow cytometry was performed using Golgi-plug kits (PharMingen). Briefly, cells (105cells/ml) were activated with immobilized anti-CD3 and anti-CD28 mAbs (PharMingen) for 6 h. Golgi-plug (PharMingen), containing brefeldin A was added for the last 4 h of culture. Then cells were inoculated with the following mAbs (PharMingen): PE-conjugated anti-IL-10 (JES-16E3), FITC-conjugated anti-IL-4 (BAD-1D11), and FITC-conjugated anti-IFN-{gamma} (XMG1.2). Samples were analyzed on FACScan.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
T cells from CD40-deficient mice elicit histologically and serologically evident autoimmune diseases when transferred to syngenic nu/nu mice

To determine whether pathogenic self-reactive T cells have developed in CD40-deficient mice, we transferred T cells from CD40-deficient BALB/c mice into BALB/c nu/nu mice, thereby reconstituting CD40-CD40L interactions between CD40L on T cells derived from CD40-deficient mice and CD40 on B cells and APCs derived from the recipient nu/nu mice. Twelve weeks after cell transfer, significant titers of autoantibodies specific for ssDNA, dsDNA, or gastric parietal cell Ags were observed in the nu/nu mice inoculated with T cells from CD40-deficient mice (Fig. 1Go). In contrast, the nu/nu mice inoculated with T cells from wild-type mice did not produce these autoantibodies. Macroscopically, all of the anti-parietal cell Ab-positive mice had thick gastric mucosa from the fundus to the body of the stomach. Gastric pH was neutral to alkaline, indicating disruption and dysfunction of gastric parietal cells. Histological analysis revealed severe gastritis with loss and damage of the parietal cells and chief cells and marked infiltration of mononuclear cells into the gastric mucosa (Fig. 2GoA). In addition, histologically evident thyroiditis and sialoadenitis developed in 40–50% of mice (Fig. 2Go, B and C; Table 1Go). Some (~25%) recipients also developed oophoritis, adrenalitis, or insulitis (Fig. 2Go, D–F). No autoimmunity developed in the nu/nu mice inoculated with T cells from wild-type mice (Fig. 2Go, G–L). Furthermore, the autoimmunity could be induced by CD4+ T cells alone but not CD8+ T cells from CD40-deficient mice (data not shown), indicating that CD4+ T cells are key effector cells in the autoimmunity.



View larger version (10K):
[in this window]
[in a new window]
 
FIGURE 1. Titers of autoantibodies in nu/nu mice inoculated with T cells from CD40-deficient or wild-type mice. Thy-1+ cells were separated from splenocytes of CD40-deficient or wild-type mice from the same litter using the MACS system. A total of 1 x 107 cells of the separated Thy-1+ cells was transferred to BALB/c nu/nu mice. Titers of anti-ssDNA autoantibodies (A), anti-dsDNA autoantibodies (B), and anti-parietal cell autoantibodies (C) were determined by ELISA 12 wk after the transfer. Vertical bars indicate mean ± SD from 12 mice in each group.

 


View larger version (74K):
[in this window]
[in a new window]
 
FIGURE 2. Development of autoimmune diseases in the recipient nu/nu mice. Autoimmune diseases developed in the recipient nu/nu mice inoculated with T cells from CD40-deficient mice (A–F) but not from wild-type mice (G–L) (hematoxylin and eosin) 12 wk after the transfer. A and G, Gastric mucosa (original magnification, x250); B and H, thyroid (original magnification, x500); C and I, sialoadenoid (original magnification, x250); D and J, ovary (original magnification, x100); E and K, adrenal grand (original magnification, x500); and F and L, pancreatic islet (original magnification, x500).

 

View this table:
[in this window]
[in a new window]
 
Table I. Induction of autoimmune diseases by T cell transfer

 
These autoimmunities cannot be attributed to a graft-versus-host (GVH) reaction which might be elicited by the responses of T cells from CD40-deficient mice to CD40 molecules in the recipient nu/nu mice, since there were no differences in the titers of anti-CD40 Abs between the nu/nu mice inoculated with T cells from either CD40-deficient or wild-type mice (Fig. 3GoA). In addition, to determine whether or not T cells from CD40-deficient mice respond to CD40 molecules, we primed CD40-deficient BALB/c mice with splenocytes from CD40-positive BALB/c, CD40-deficient BALB/c, C57BL/6, or DBA/2 mice. One week later, we examined MLR of T cells from the primed mice against each priming lymphocyte (Fig. 3GoB). T cells from CD40-deficient mice that were primed with BALB/c CD40-positive cells neither proliferate nor produce IFN-{gamma} in response to BALB/c CD40-positive cells, indicating that CD40-deficient T cells did not show MLR against CD40-positive cells. However, they reacted to H-2d-matched or -mismatched allogenic splenocytes of DBA/2 or C57BL/6 mice. Taken together, these results suggest that a T cell response against CD40 molecules did not take place in the present experimental system.



View larger version (17K):
[in this window]
[in a new window]
 
FIGURE 3. The autoimmunity was not due to GVH reactions. A, Titers of anti-CD40 Abs in the sera of the recipient nu/nu mice inoculated with T cells from CD40-deficient or wild-type mice. To quantify CD40-specific Abs, serum samples of recipient mice 12 wk after the transfer of T cells from CD40-deficient (•) or wild-type mice ({circ}) from the same litter were added to microtiter plates coated with mouse CD40-human IgG Fc fusion proteins, and bound Abs were detected using ELISA. B, T cells from CD40-deficient mice did not respond to CD40-positive cells. CD40+/+ BALB/c, and CD40-/- BALB/c mice were primed with splenocytes of CD40-/- ({blacksquare}), CD40+/+ ({square}) BALB/c mice, C57BL/6 (•), or H-2d-matched DBA/2 ({circ}) mice. One week after priming, CD4+ T cells from the primed mice were cultured for 3 or 5 days in the presence of irradiated splenocytes from the mice of the strain used for each priming. For proliferation assays, cells were pulsed with [3H]thymidine for the last 12 h. For the production of IFN-{gamma} and IL-4 assays, the culture supernatants of the 3- and 5-day cultures were harvested and measured by ELISA. As positive controls, T cells from either CD40-/- or CD40+/+ BALB/c mice exhibited marked MLR responses against splenocytes of C57BL/6 or DBA/2 mice.

 
The number of CD25+ CD45RBlow CD4+ T cells is significantly reduced in CD40-deficient mice

It has been shown that autoimmune diseases similar to those produced in our experiments can be induced by simply transferring CD25+ cell- or CD45RBlow cell-depleted T cell suspensions from normal mice into recipient nu/nu mice (25, 27, 34). This autoimmune induction can be prevented by cotransfer of the eliminated population, suggesting that the CD25+ or CD45RBlow T cell subpopulation may contain regulatory T cells capable of controlling autoreactive T cells (25, 27, 34, 35). The CD25+ CD45RBlow CD4+ T cell subpopulation was significantly reduced in CD40-deficient mice compared with wild-type mice (Fig. 4Go), although the lymphocytes from the former did not display any abnormality in the phenotype of other surface markers, as previously described (data not shown) (12). The CD25+ CD4+ T cells were included in CD45RBlow CD4+ T cell populations (data not shown) (27). To determine whether or not the reduction of such subpopulations is responsible for the increased autoreactivity, CD45RBlow CD4+ T cells were purified from wild-type mice and mixed with T cells from CD40-deficient mice at a physiological ratio (1:5), and then transferred into nu/nu mice. Cotransfer of the CD45RBlow CD4+ T cells from wild-type mice almost completely suppressed elevations in the titers of autoantibodies, including anti-ssDNA, anti-dsDNA, anti-parietal cell autoantibodies, and histologically evident gastritis development driven by T cells from CD40-deficient mice (Fig. 5Go).



View larger version (16K):
[in this window]
[in a new window]
 
FIGURE 4. Reduction of CD25+ CD45RBlow CD4+ T cells in CD40-deficient mice. CD4+ T cells were separated from splenocytes of CD40-deficient or wild-type mice using the MACS system. The separated cells were stained with biotinylated-anti-CD25 plus FITC-conjugated-streptavidin or biotinylated-anti-CD45RB plus FITC-conjugated-streptavidin. All of the CD25+ T cells were included in CD45RBlow T cells as previously described (27 ).

 


View larger version (11K):
[in this window]
[in a new window]
 
FIGURE 5. Cotransfer of CD45RBlow CD4+ T cells from wild-type mice suppressed the development of autoimmunity driven by T cells from CD40-deficient mice. CD45RBlow CD4+ T cells were sorted out from splenocytes of wild-type mice. T cells from CD40-deficient mice (5 x 106 cells/mouse) were injected alone or coinjected with CD45RBlow CD4+ T cells from wild-type mice (1 x 106 cells/mouse) into BALB/c nu/nu mice. Titers of anti-ssDNA autoantibodies (A), anti-dsDNA autoantibodies (B), and anti-parietal cell autoantibodies (C) were determined by ELISA 12 wk after the transfer. Filled circles represent histologically evident gastritis, and open circles represent histologically intact gastric mucosa.

 
There is a possibility that the CD45RBhigh T cell population of CD40-deficient mice may contain more aggressive autoreactive T cells. To test this possibility, CD45RBhigh T cells were purified from wild-type mice or CD40-deficient mice and then transferred into nu/nu mice, respectively. As shown in Fig. 6Go, we could not detect any significant differences in the ability of CD45RBhigh T cells to induce autoimmunity between wild-type and CD40-deficient mice. Collectively, CD40-CD40L interactions appear to be required for generating regulatory T cells that negatively regulate T cell autoreactivity.



View larger version (11K):
[in this window]
[in a new window]
 
FIGURE 6. The pathogenic activity of CD45RBhigh T cells of wild-type or CD40-deficient mice. CD45RBhigh T cells (2 x 106 cells/mouse) sorted out from wild-type or CD40-deficient mice were transferred into nu/nu mice, respectively. Titers of anti-ssDNA autoantibodies (A), anti-dsDNA autoantibodies (B), and anti-parietal cell autoantibodies (C) were determined by ELISA 12 wk after the transfer. All of recipient mice developed gastritis.

 
CD40-deficient APCs cannot induce a regulatory T cell subset, Tr1

A recent study established a regulatory T cell subset, Tr1, which produces high levels of an inhibitory cytokine, IL-10, but not IFN-{gamma} or IL-4 (29). Tr1 cells were induced in vitro by Ag stimulation in the presence of IL-10 and inhibited CD45RBhigh cell-induced colitis. To determine the ability of CD40-deficient APCs to induce Tr1, CD62Lbright CD4+ naive T cells of OVA-specific TCR-transgenic mice were stimulated with an OVA peptide plus CD40-deficient or wild-type APCs in the presence of IL-10. After 3 wk of consecutive stimulation, T cells were harvested, restimulated with anti-CD3 and anti-CD28 Abs, and stained for detection of intracellular cytokines. Fig. 7Go shows that wild-type APCs could predominantly induce the Tr1 subset characterized by high levels of IL-10 and low levels of IFN-{gamma} or IL-4, as previously described (29). On the other hand, instead of the Tr1 subset, Th2-like cells secreting high levels of IL-4 and IL-10 predominantly developed on CD40-deficient APCs. Even 1 wk after stimulation, CD40-deficient APCs induced a significant number of Th2 cells (data not shown). This preferential induction of Th2 cells on CD40-deficient APCs is in accord with the previous observations that CD40- or CD40L-deficient mice mount Th2 responses instead of Th1 responses because of a lack of IL-12 production by APCs (18, 19). Cytokine secretion of Tr1-differentiated cells on the wild-type APCs showed a typical Tr1-type cytokine profile (IL-10, 1080 ± 110 pg/ml; IL-4, <50 pg/ml; IFN-{gamma}, <8 pg/ml; and TGF-{beta}, 660 ± 110 pg/ml). In contrast, Th2-differentiated cells on CD40-negative APCs showed a Th2-type cytokine profile (IL-10, 520 ± 100 pg/ml; IL-4, 1280 ± 125 pg/ml; IFN-{gamma}, <8 pg/ml; and TGF-{beta}, 768 ± 100 pg/ml).



View larger version (28K):
[in this window]
[in a new window]
 
FIGURE 7. Intracellular cytokine analysis of Tr1 cells. CD62Lbright CD4+ naive T cells from BALB/c mice transgenic for OVA-TCR were cultured with OVA (0.6 µM) plus CD40-deficient or wild-type irradiated (3300 rad) splenic APCs in the presence of IL-10 (100 U/ml). The stimulation was repeated weekly for 3 consecutive wk. Cells were collected, washed, and restimulated with anti-CD3 (10 µg/ml) and anti-CD28 mAb (10 µg/ml) with brefeldin A. The cells were fixed and stained for detection of intracellular cytokines using FACScan. The purity of CD4+ remained <99% after 3 wk of culture. The isotype-matched controls (x-axis; rat IgG2a, y-axis; rat IgG1 plus rat IgG2b) were also shown. A representative result of five independent experiments is shown.

 
To determine whether or not in vitro-induced Tr1 cells can suppress autoimmunity elicited by T cells from CD40-deficient mice, we cotransferred OVA-specific Tr1 cells and T cells from CD40-deficient mice into nu/nu mice and treated the recipient mice with OVA. As shown in Fig. 8Go, OVA-specific Tr1 cells inhibited the elevations of autoantibodies against ssDNA, dsDNA, and parietal cells and histological development of gastritis only when the recipients received OVA. These results collectively suggest that this failure to induce Tr1 might contribute to elevated T cell autoreactivity in CD40-deficient mice.



View larger version (9K):
[in this window]
[in a new window]
 
FIGURE 8. Cotransfer of Tr1 cells prevented the development of autoimmunity. BALB/c nu/nu mice were reconstituted with T cells (5 x 106 cells) from CD40-deficient mice either alone or in the presence of 2 x 105 OVA-specific Tr1-differentiated cells. One-half of the Tr1-injected mice were orally treated with OVA (29 ). Titers of anti-ssDNA autoantibodies (A), anti-dsDNA autoantibodies (B), and anti-parietal cell autoantibodies (C) were determined by ELISA 12 wk after the transfer. •, Histologically evident gastritis; {circ}, histologically intact gastric mucosa.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The paradoxical complications of autoimmune diseases in immunodeficiency have been a classical enigma (1, 2, 3). By employing the nu/nu mice transfer system, we showed here that T cell autoreactivity is significantly increased in the absence of CD40-CD40L interactions. For the following reasons, abnormal T cell autoreactivity which elicits autoimmune diseases in the recipient nu/nu mice could be attributed to severe impairments in the generation of regulatory T cells due to the absence of CD40-CD40L interactions. First, CD40-deficient mice have few CD25+ CD45RBlow CD4+ T cells, which are engaged in regulating T cell autoreactivity (25, 26, 27). Moreover, the autoimmunity observed here exhibited almost the same phenotype as that induced in recipient mice inoculated with CD25+ CD45RBlow-depleted T cells (27). Second, cotransfer of the CD45RBlow CD4+ T cells from wild-type mice could suppress the development of autoimmunity in our experimental system. Third, although wild-type APCs are capable of inducing the Tr1 subset in the presence of IL-10, CD40-deficient APCs failed to induce such Tr1 cells in our experiments. Instead, CD40-deficient APCs predominantly induced the Th2-type subset as previously reported (18, 19). Furthermore, in vivo transfer of Tr1 cells significantly inhibited the autoimmunity elicited by T cells from CD40-deficient mice. Our results, thus, indicate that defective CD40-CD40L interactions impair generation of these regulatory T cell subpopulations.

The Tr1 subset has been functionally characterized by their secretion of high levels of IL-10. Although there is substantial data that regulatory CD25+ CD45RBlow CD4+ T cells control other T cells by a cognate cellular interaction on APCs (25, 36, 37), the relationship between the CD25+ CD45RBlow CD4+ T cell subpopulation and the Tr1 population remains to be determined. The Tr1 subset can be induced by in vitro stimulation with APCs and specific Ags in the presence of IL-10 and can inhibit CD45RBhigh CD4+ T cell-induced autoimmunity (29). Unlike Th1 or Th2 cells that emerged from 1-wk in vitro culture without IL-10 (data not shown), development of Tr1-like cells required at least 3 wk on CD40-positive APCs in the presence of IL-10, as reported previously (29). Moreover, Tr1 cells proliferate poorly presumably due to their IL-10 production (29). This delayed induction and poor proliferative capacity of Tr1 cells may allow autoreactive T cells from CD40-deficient mice to expand rapidly, to differentiate into Th1 or Th2 effector cells, and thereby to cause autoimmune responses in nu/nu recipients. Thus, our results indicate that CD40-CD40L interactions are required for generation of regulatory T cells. However, a very small number of CD25+ CD45RBlow CD4+ T cells could be detected in CD40-deficient mice. At present, it is unclear whether or not these residual CD25+ CD45RBlow CD4+ T cell subpopulations in CD40-deficient mice contain functional regulatory T cells because of difficulty in enrichment of enough numbers of these populations from CD40-deficient mice for the in vivo functional analysis. Further studies will be necessary to address this question.

In addition to defects in generating regulatory T cells presented here, there are two other possible mechanisms that may underlie the ability of T cells from CD40-deficient mice to induce autoimmunity. First, autoimmune diseases observed here may be due to responses of T cells which are not tolerant to the CD40 molecule. However, there were no differences in the titers of anti-CD40 Abs between the nu/nu mice inoculated with T cells from either CD40-deficient or wild-type mice T cells. In addition, T cells from CD40-deficient mice failed to react with CD40-positive cells even when in vivo primed (Fig. 3Go). These results suggest that T cell responses against CD40 molecules did not take place in our experiments. Second, impaired clonal deletion and peripheral anergy might be the cause of autoimmunity. A previous report has shown that the lack of CD40-CD40L interactions affects thymic deletion of T cells reactive to several endogenous Ags (38). However, there was no significant abnormality in deletion of T cells expressing V{beta}11 and V{beta}12 TCR reactive to endogenous Mls in CD40-deficient BALB/c mice. T cells expressing V{beta}8 TCR were also eliminated in CD40-deficient mice when staphylococcal enterotoxin B was systemically injected (our unpublished results). A recent study has shown that CD40 deficiency only affects negative selection of T cells reactive to weakly stimulating superantigens presented by B cells but not to strongly stimulating Ags (39). As for peripheral anergy, it has been shown to require adequate activation of autoreactive T cells (40). Autoreactive T cells may not undergo activation before clonal anergy in CD40-deficient mice because of impaired CD40-CD40L interactions, resulting in accumulated nontolerized T cells. However, severity and pathological features of autoimmune diseases induced by unfractionated T cells or CD45RBhigh T cells of CD40-deficient mice were very similar to those of diseases induced by CD45RBhigh T cells from normal BALB/c mice (Fig. 6Go) (27, 34). Thus, autoimmune diseases induced by T cells of CD40-deficient mice may not be further modified or enhanced by GVH reactions against CD40 molecules or by enhanced production of autoreactive T cells due to impaired clonal deletion or anergy.

Patients with HIGM not only produce various autoantibodies, but also succumb to various autoimmune diseases (1, 2). Thus, CD40- and CD40L-deficient mice may be expected to be susceptible to autoimmune diseases. However, autoimmune diseases have not been detected in CD40-deficient mice possibly because activation of autoreactive T cells is severely affected in CD40- or CD40L-deficient mice (41, 42, 43). In CD40-deficient mice, therefore, reactive T cells may fail to differentiate into pathogenic effector cells. HIGM patients frequently suffer from persistent infections by various kinds of pathogens, some of which might stimulate T cells without CD40-CD40L interactions, resulting in accumulated autoreactive T cell responses. In fact, several pathogens such as lymphocytic choriomeningitis virus and murine CMV have been reported to induce fully functional CD4+ effector T cells without CD40-CD40L interactions (44, 45), suggesting that the lack of CD40-CD40L interactions in T cell activation might be compensated by other stimuli. Since CD40- or CD40L-deficient mice maintained in pathogen-free conditions cannot be stimulated by these pathogens, it may be difficult to trigger autoimmunity in these mice. Alternatively, production of high-affinity IgG autoantibodies may be necessary for full-blown autoimmune diseases mediated by T cells. For instance, CD40-dependent Ab production has been shown to be involved in tissue-specific infiltration of autoreactive T cells in the autoimmune arthritis model (46). Thus, defective Ab production might also conceal T cell-mediated autoimmune diseases in CD40-deficient mice.

In conclusion, we have presented evidence that the lack of CD40-CD40L interactions can cause increased autoreactivity despite immunodeficiency. The relationship between immunodeficiency and autoimmunity has been a paradoxical phenomenon. It is difficult to treat patients of immunodeficiency accompanied by autoimmune diseases because immunosuppressive drugs must be used despite immunodeficiency (1). The present study will provide clues for understanding the pathogenesis of autoimmune complications in immunodeficiency and contribute to developing better treatments.


    Acknowledgments
 
We gratefully acknowledge Dr. T. Yoshimura for advice concerning intracellular cytokine staining. We also thank K. Kubota for excellent secretarial assistance.


    Footnotes
 
1 This study was supported by research grants from the Ministry of Education, Science and Culture, Japan (to H.K. and A.K.). Back

2 A.K., X.W., and I.L. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. Hitoshi Kikutani, Department of Molecular Immunology, Research Institute for Microbial Diseases, Osaka University, 3-1 Yamada-oka, Suita, Osaka 565-0871, Japan. Back

4 Abbreviations used in this paper: HIGM, X-linked hyper-IgM syndrome; CD40L, CD40 ligand; Tr1, T regulatory cells 1; GVH, graft-versus-host. Back

Received for publication May 31, 2000. Accepted for publication October 6, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. A WHO Scientific Group. 1992. Primary immunodeficiency diseases. Immunodefici. Rev. 1:195.
  2. Notarangelo, L. D., M. Duse, A. G. Ugazio. 1992. Immunodeficiency with hyper-IgM (HIM). Immunodefic. Rev. 3:101.[Medline]
  3. Bruton, O. C.. 1952. Agammaglobulinemia. Pediatrics 9:722.[Abstract/Free Full Text]
  4. Banchereau, J., F. Bazan, D. Blanchard, F. Briere, J. P. Galizzi, C. van Kooten, Y. J. Liu, F. Rousset, S. Saeland. 1994. The CD40 antigen and its ligand. Annu. Rev. Immunol. 12:881.[Medline]
  5. Fuleihan, R., N. Ramesh, R. Loh, H. Jabara, R. S. Rosen, T. Chatila, S. M. Fu, I. Stamenkovic, R. S. Geha. 1993. Defective expression of the CD40 ligand in X chromosome-linked immunoglobulin deficiency with normal or elevated IgM. Proc. Natl. Acad. Sci. USA 90:2170.[Abstract/Free Full Text]
  6. Allen, R. C., R. J. Armitage, M. E. Conley, H. Rosenblatt, N. A. Jenkins, N. G. Copeland, M. A. Bedell, S. Edelhoff, C. M. Disteche, D. K. Simoneaux, et al 1993. CD40 ligand gene defects responsible for X-linked hyper-IgM syndrome. Science 259:990.[Abstract]
  7. Aruffo, A., M. Farrington, D. Hollenbaugh, X. Li, A. Milatovich, S. Nonoyama, J. Bajorath, L. S. Grosmaire, R. Stenkamp, M. Neubauer, et al 1993. The CD40 ligand, gp39, is defective in activated T cells from patients with X-linked hyper-IgM syndrome. Cell 72:291.[Medline]
  8. DiSanto, J. P., J. Y. Bonnefoy, J. F. Gauchat, A. Fischer, G. de Saint Basile. 1993. CD40 ligand mutations in X-linked immunodeficiency with hyper-IgM. Nature 361:541.[Medline]
  9. Korthauer, U., D. Graf, H. W. Mages, F. Briere, M. Padayachee, S. Malcolm, A. G. Ugazio, L. D. Notarangelo, R. J. Levinsky, R. A. Kroczek. 1993. Defective expression of T-cell CD40 ligand causes X-linked immunodeficiency with hyper-IgM. Nature 361:539.[Medline]
  10. Facchetti, F., C. Appiani, L. Salvi, J. Levy, L. D. Notarangelo. 1995. Immunohistologic analysis of ineffective CD40-CD40 ligand interaction in lymphoid tissues from patients with X-linked immunodeficiency with hyper-IgM: abortive germinal center cell reaction and severe depletion of follicular dendritic cells. J. Immunol. 154:6624.[Abstract]
  11. Castigli, E., F. W. Alt, L. Davidson, A. Bottaro, E. Mizoguchi, A. K. Bhan, R. S. Geha. 1994. CD40-deficient mice generated by recombination-activating gene-2-deficient blastocyst complementation. Proc. Natl. Acad. Sci. USA 91:12135.[Abstract/Free Full Text]
  12. Kawabe, T., T. Naka, K. Yoshida, T. Tanaka, H. Fujiwara, S. Suematsu, N. Yoshida, T. Kishimoto, H. Kikutani. 1994. The immune responses in CD40-deficient mice: impaired immunoglobulin class switching and germinal center formation. Immunity 1:167.[Medline]
  13. Renshaw, B. R., W. C. Fanslow, R. J. Armitage, K. A. Campbell, D. Liggitt, B. Wright, B. L. Davison, C. R. Maliszewski. 1994. Humoral immune responses in CD40 ligand-deficient mice. J. Exp. Med. 180:1889.[Abstract/Free Full Text]
  14. Xu, J., T. M. Foy, J. D. Laman, E. A. Elliott, J. J. Dunn, T. J. Waldschmidt, J. Elsemore, R. J. Noelle, R. A. Flavell. 1994. Mice deficient for the CD40 ligand. Immunity 1:423.[Medline]
  15. Alderson, M. R., R. J. Armitage, T. W. Tough, L. Strockbine, W. C. Fanslow, M. K. Spriggs. 1993. CD40 expression by human monocytes: regulation by cytokines and activation of monocytes by the ligand for CD40. J. Exp. Med. 178:669.[Abstract/Free Full Text]
  16. Galy, A. H., H. Spits. 1992. CD40 is functionally expressed on human thymic epithelial cells. J. Immunol. 149:775.[Abstract]
  17. Grewal, I. S., J. Xu, R. A. Flavell. 1995. Impairment of antigen-specific T-cell priming in mice lacking CD40 ligand. Nature 378:617.[Medline]
  18. Kamanaka, M., P. Yu, T. Yasui, K. Yoshida, T. Kawabe, T. Horii, T. Kishimoto, H. Kikutani. 1996. Protective role of CD40 in Leishmania major infection at two distinct phases of cell-mediated immunity. Immunity 4:275.[Medline]
  19. Campbell, K. A., P. J. Ovendale, M. K. Kennedy, W. C. Fanslow, S. G. Reed, C. R. Maliszewski. 1996. CD40 ligand is required for protective cell-mediated immunity to Leishmania major. Immunity 4:283.[Medline]
  20. Soong, L., J. C. Xu, I. S. Grewal, P. Kima, J. Sun, Jr B. J. Longley, N. H. Ruddle, D. McMahon Pratt, R. A. Flavell. 1996. Disruption of CD40-CD40 ligand interactions results in an enhanced susceptibility to Leishmania amazonensis infection. Immunity 4:263.[Medline]
  21. Robey, E., B. J. Fowlkes. 1994. Selective events in T cell development. Annu. Rev. Immunol. 12:675.[Medline]
  22. Kisielow, P., H. von Boehmer. 1995. Development and selection of T cells: facts and puzzles. Adv. Immunol. 58:87.[Medline]
  23. Mueller, J. F., M. K. Jenkins, R. H. Schwartz. 1989. Clonal expansion versus functional clonal activation: a costimulatory signaling pathway determines the outcome of T cell antigen receptor occupancy. Annu. Rev. Immunol. 7:445.[Medline]
  24. Schwartz, R. H.. 1990. A cell culture model for T lymphocyte clonal anergy. Science 248:1349.[Abstract/Free Full Text]
  25. Sakaguchi, S.. 2000. Regulatory T cells: key controllers of immunologic self-tolerance. Cell 101:455.[Medline]
  26. Powrie, F., M. W. Leach, S. Mauze, S. Menon, L. B. Caddle, R. L. Coffman. 1994. Inhibition of Th1 responses prevents inflammatory bowel disease in scid mice reconstituted with CD45RBhi CD4+ T cells. Immunity 1:553.[Medline]
  27. Sakaguchi, S., N. Sakaguchi, M. Asano, M. Itoh, M. Toda. 1995. Immunologic self-tolerance maintained by activated T cells expressing IL-2 receptor {alpha}-chains (CD25): breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. J. Immunol. 155:1151.[Abstract]
  28. Chen, Y., V. K. Kuchroo, J. Inobe, D. A. Hafler, H. L. Weiner. 1994. Regulatory T cell clones induced by oral tolerance: suppression of autoimmune encephalomyelitis. Science 265:1237.[Abstract/Free Full Text]
  29. Groux, H., A. O’Garra, M. Bigler, M. Rouleau, S. Antonenko, J.E. de Vries, M. G. Roncarolo. 1997. A CD4+ T-cell subset inhibits antigen-specific T-cell responses and prevents colitis. Nature 389:737.[Medline]
  30. Moore, K. W., A. O’Garra, R. de Waal Malefyt, P. Vieira, T. R. Mosmann. 1993. Interleukin 10. Annu. Rev. Immunol. 11:165.[Medline]
  31. Sato, T., T. Sasahara, Y. Nakamura, T. Osaki, T. Hasegawa, T. Tadakuma, Y. Arata, Y. Kumagai, S. Habu. 1994. Naive T cells can mediate delayed-type hypersensitivity response in T cell receptor transgenic mice. Eur. J. Immunol. 24:1512.[Medline]
  32. Sakaguchi, S., N. Sakaguchi. 1990. Thymus and autoimmunity: capacity of the normal thymus to produce pathogenic self-reactive T cells and conditions required for their induction of autoimmune disease. J. Exp. Med. 172:537.[Abstract/Free Full Text]
  33. van Essen, D., H. Kikutani, D. Gray. 1995. CD40 ligand-transduced co-stimulation of T cells in the development of helper function. Nature 378:620.[Medline]
  34. Sakaguchi, S., K. Fukuma, K. Kuribayashi, T. Masuda. 1985. Organ-specific autoimmune diseases induced in mice by elimination of T cell subset. I. Evidence for the active participation of T cells in natural self-tolerance; deficit of a T cell subset as a possible cause of autoimmune disease. J. Exp. Med. 161:72.[Abstract/Free Full Text]
  35. Powrie, F., D. Mason. 1990. OX-22high CD4+ T cells induce wasting disease with multiple organ pathology: prevention by the OX-22low subset. J. Exp. Med. 172:1701.[Abstract/Free Full Text]
  36. Takahashi, T., Y. Kuniyasu, M. Toda, N. Sakaguchi, M. Ito, M. Iwata, J. Shimizu, S. Sakaguchi. 1998. Immunologic self-tolerance maintained by CD25+CD4+ naturally anergic and suppressive T cells: induction of autoimmune disease by breaking their anergic/suppressive state. Int. lmmunol. 10:1969.
  37. Thornton, A. M., E. M. Shevach. 1998. CD4+CD25+ immunoregulatory T cells suppress polyclonal T cell activation in vitro by inhibiting interleukin 2 production. J. Exp. Med. 188:287.[Abstract/Free Full Text]
  38. Foy, T. M., D. M. Page, T. J. Waldschmidt, A. Schoneveld, J. D. Laman, S. R. Masters, L. Tygrett, J. A. Ledbetter, A. Aruffo, E. Claassen, et al 1995. An essential role for gp39, the ligand for CD40, in thymic selection. J. Exp. Med. 182:1377.[Abstract/Free Full Text]
  39. Ozaki, M. E., B. A. Coren, T. N. Huynh, D. J. Redondo, H. Kikutani, S. R. Webb. 1999. CD4+ T cell responses to CD40-deficient APC: defects in proliferation and negative selection apply only with B cells as APC. J. Immunol. 163:5250.[Abstract/Free Full Text]
  40. Perez, V. L., L. Van Parijs, A. Biuckians, X. X. Zheng, T. B. Strom, A. K. Abbas. 1997. Induction of peripheral T cell tolerance in vivo requires CTLA-4 engagement. Immunity 6:411.[Medline]
  41. Balasa, B., T. Krahl, G. Patstone, J. Lee, R. Tisch, H. O. McDevitt, N. Sarvetnick. 1997. CD40 ligand-CD40 interactions are necessary for the initiation of insulitis and diabetes in nonobese diabetic mice. J. Immunol. 159:4620.[Abstract]
  42. Gerritse, K., J. D. Laman, R. J. Noelle, A. Aruffo, J. A. Ledbetter, W. J. Boersma, E. Claassen. 1996. CD40-CD40 ligand interactions in experimental allergic encephalomyelitis and multiple sclerosis. Proc. Natl. Acad. Sci. USA 93:2499.[Abstract/Free Full Text]
  43. Grewal, I. S., H. G. Foellmer, K. D. Grewal, J. Xu, F. Hardardottir, J. L. Baron, Jr C. A. Janeway, R. A. Flavell. 1996. Requirement for CD40 ligand in costimulation induction, T cell activation, and experimental allergic encephalomyelitis. Science 273:1864.[Abstract/Free Full Text]
  44. Oxenius, A., K. A. Campbell, C. R. Maliszewski, T. Kishimoto, H. Kikutani, H. Hengartner, R. M. Zinkernagel, M. F. Bachmann. 1996. CD40-CD40 ligand interactions are critical in T-B cooperation but not for other anti-viral CD4+ T cell functions. J. Exp. Med. 183:2209.[Abstract/Free Full Text]
  45. Karupiah, G., T. E. Sacks, D. M. Klinman, T. N. Fredrickson, J. W. Hartley, J. H. Chen, H. C. Morse. 1998. Murine cytomegalovirus infection-induced polyclonal B cell activation is independent of CD4+ T cells and CD40. Virology 240:12.[Medline]
  46. Korganow, A-S., H. Ji, S. Mangialaio, V. Duchatelle, R. Pelanda, T. Martin, C. Degott, H. Kikutani, K. Rajewsky, J.-L. Pasquali, C. Benoist, D. Mathis. 1999. From systemic T cell self-reactivity to organ-specific autoimmune diseases via immunoglobulins. Immunity 10:451.[Medline]



This article has been cited by other articles:


Home page
J. Leukoc. Biol.Home page
A. Dolganiuc and G. Szabo
T cells with regulatory activity in hepatitis C virus infection: what we know and what we don't
J. Leukoc. Biol., September 1, 2008; 84(3): 614 - 622.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
T. N. Golovina, T. Mikheeva, M. M. Suhoski, N. A. Aqui, V. C. Tai, X. Shan, R. Liu, R. R. Balcarcel, N. Fisher, B. L. Levine, et al.
CD28 Costimulation Is Essential for Human T Regulatory Expansion and Function
J. Immunol., August 15, 2008; 181(4): 2855 - 2868.
[Abstract] [Full Text] [PDF]


Home page
LupusHome page
A Tulunay, S Yavuz, H Direskeneli, and E Eksioglu-Demiralp
CD8+CD28-, suppressive T cells in systemic lupus erythematosus
Lupus, July 1, 2008; 17(7): 630 - 637.
[Abstract] [PDF]


Home page
J. Immunol.Home page
H. Jin, Y. Kang, L. Zhao, C. Xiao, Y. Hu, R. She, Y. Yu, X. Du, G. Zhao, T. Ng, et al.
Induction of Adaptive T Regulatory Cells That Suppress the Allergic Response by Coimmunization of DNA and Protein Vaccines
J. Immunol., April 15, 2008; 180(8): 5360 - 5372.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Z. U. A. Mollah, S. Pai, C. Moore, B. J. O'Sullivan, M. J. Harrison, J. Peng, K. Phillips, J. B. Prins, J. Cardinal, and R. Thomas
Abnormal NF-{kappa}B Function Characterizes Human Type 1 Diabetes Dendritic Cells and Monocytes
J. Immunol., March 1, 2008; 180(5): 3166 - 3175.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. Hanig and M. B. Lutz
Suppression of Mature Dendritic Cell Function by Regulatory T Cells In Vivo Is Abrogated by CD40 Licensing
J. Immunol., February 1, 2008; 180(3): 1405 - 1413.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
P. J. Spence and E. A. Green
Foxp3+ regulatory T cells promiscuously accept thymic signals critical for their development
PNAS, January 22, 2008; 105(3): 973 - 978.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Med.Home page
M. Herve, I. Isnardi, Y.-s. Ng, J. B. Bussel, H. D. Ochs, C. Cunningham-Rundles, and E. Meffre
CD40 ligand and MHC class II expression are essential for human peripheral B cell tolerance
J. Exp. Med., July 9, 2007; 204(7): 1583 - 1593.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
Y. Zhan, D. Bourges, J. A. Dromey, L. C. Harrison, and A. M. Lew
The origin of thymic CD4+CD25+ regulatory T cells and their co-stimulatory requirements are determined after elimination of recirculating peripheral CD4+ cells
Int. Immunol., April 1, 2007; 19(4): 455 - 463.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
S. A. Huber, A. M. Feldman, and D. Sartini
Coxsackievirus B3 Induces T Regulatory Cells, Which Inhibit Cardiomyopathy in Tumor Necrosis Factor-{alpha} Transgenic Mice
Circ. Res., November 10, 2006; 99(10): 1109 - 1116.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Med.Home page
C. Chiodoni, M. Iezzi, C. Guiducci, S. Sangaletti, I. Alessandrini, C. Ratti, F. Tiboni, P. Musiani, D. N. Granger, and M. P. Colombo
Triggering CD40 on endothelial cells contributes to tumor growth
J. Exp. Med., October 30, 2006; 203(11): 2441 - 2450.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
A. Toda and C. A. Piccirillo
Development and function of naturally occurring CD4+CD25+ regulatory T cells
J. Leukoc. Biol., September 1, 2006; 80(3): 458 - 470.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
R. Lesley, L. M. Kelly, Y. Xu, and J. G. Cyster
Naive CD4 T cells constitutively express CD40L and augment autoreactive B cell survival
PNAS, July 11, 2006; 103(28): 10717 - 10722.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. Veldhoen, H. Moncrieffe, R. J. Hocking, C. J. Atkins, and B. Stockinger
Modulation of Dendritic Cell Function by Naive and Regulatory CD4+ T Cells
J. Immunol., May 15, 2006; 176(10): 6202 - 6210.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
H. Akiba, K. Takeda, Y. Kojima, Y. Usui, N. Harada, T. Yamazaki, J. Ma, K. Tezuka, H. Yagita, and K. Okumura
The Role of ICOS in the CXCR5+ Follicular B Helper T Cell Maintenance In Vivo
J. Immunol., August 15, 2005; 175(4): 2340 - 2348.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. Verginis, H. S. Li, and G. Carayanniotis
Tolerogenic Semimature Dendritic Cells Suppress Experimental Autoimmune Thyroiditis by Activation of Thyroglobulin-Specific CD4+CD25+ T Cells
J. Immunol., June 1, 2005; 174(11): 7433 - 7439.
[Abstract] [Full Text] [PDF]