The Journal of Immunology, 2001, 166: 3107-3113.
Copyright © 2001 by The American Association of Immunologists
Functional Expression of a Costimulatory B7.2 (CD86) Protein on Human Salivary Gland Epithelial Cells that Interacts with the CD28 Receptor, but Has Reduced Binding to CTLA41
Efstathia K. Kapsogeorgou,
Haralampos M. Moutsopoulos and
Menelaos N. Manoussakis2
Laboratory of Immunology, Department of Pathophysiology, School of Medicine, National University of Athens, Athens, Greece
 |
Abstract
|
|---|
B7 molecules expressed on classic APC play a critical role in the
regulation of immune responses by providing activation or inhibitory
signals to T cells, through the ligation with CD28 or CTLA4 receptors,
respectively. We have recently described the expression of B7 molecules
by the salivary gland epithelial cells (SGEC) of patients with
Sjögrens syndrome (also termed autoimmune epithelitis). The
role of such expression needs to be clarified. Thus, in the present
study, we sought to address the existence and function of B7.2 proteins
on cultured nonneoplastic SGEC lines derived from Sjögrens
syndrome patients. The occurrence of B7.2 proteins on SGEC was verified
by flow cytometry, immunocytochemistry, immunoprecipitation, and
immunoblotting. The assessment of several cell lines in costimulation
assays had revealed that the constitutive expression of B7.2 molecules
is sufficient to provide costimulatory signals to
anti-CD3-stimulated T cells. SGEC-derived costimulation induced
IL-2-dependent proliferation of CD4+ T cells, which was
associated with low production of IL-2, but probably also with the
secretion of yet undefined autocrine T cell growth factor(s). B7.2
proteins expressed by SGEC were found to display distinctive binding
properties denoted by the functional interaction with CD28 receptor and
reduced binding to CTLA4. Finally, the detection of a functional
soluble form of B7.2 protein in cell-free culture supernatants of both
SGEC and EBV-transformed B cell lines is demonstrated. These findings
imply a critical role for epithelial cells in the regulation of local
immune responses in the salivary glands.
 |
Introduction
|
|---|
The
interaction of B7 proteins on classical APC, such as dendritic cells,
macrophages, and B cells, with their counterreceptors CD28 and CTLA4 on
T lymphocytes, induces critical regulatory signals for T cell
activation (1, 2, 3). This represents the most extensively
characterized pathway of costimulation with significant clinical
implications in the pathogenesis and treatment of human disease
(4, 5, 6, 7). The B7 family consists of at least two distinct
but functionally interrelated glycoprotein molecules, namely the B7.1
(CD80) and the B7.2 (CD86) (8, 9, 10), whereas the existence
of a third one (termed BB1/B7.3) has been elusive
(11, 12, 13). Recently, an additional costimulatory homologue
of B7.1 and B7.2 (termed B7H1) has been described, which apparently
interacts with receptors distinct from CD28 or CTLA4 (14, 15). The B7.1 and B7.2 proteins appear to bind similarly to
counterreceptors; however, their affinity for CD28 is reportedly lower
than for CTLA4 (16, 17, 18). The engagement of CD28 receptor
by the B7 proteins has been shown to elicit strong costimulatory
signals for T cell activation, whereas their interaction with CTLA4
molecules is down-regulatory (10, 19, 20).
During the recent years, on the basis of reactivity with various
anti-B7 mAbs, multiple cell types other than classical APC have
been regarded as candidate populations for the delivery of
costimulatory signals, such as activated T cells (21, 22),
epithelial (23, 24), and endothelial cells (25, 26). In addition, the increased expression of B7 proteins by
nonimmune tissues has been associated with the development of various
inflammatory disorders, including autoimmune diseases (27, 28). More recent data, however, have cast doubt upon the actual
occurrence of B7 proteins on the surface of these cells. The BB1 mAb
was recently shown to recognize dually the CD74 (MHC II-associated
invariant chain) and B7.1 proteins (12), a finding that
probably dictates the reconsideration of several studies that applied
the above mAb for the detection of B7.1. In addition, B7 protein
expression by itself may not signify the capacity of nonclassic APC to
deliver optimal costimulatory signals (22, 29, 30).
Therefore, the presence and function of the native B7 proteins in such
cells need to be elucidated.
Recently, using biopsy specimens and cultured nonneoplastic cell lines
derived from patients with Sjögrens syndrome
(SS),3 we have
presented evidence for the expression of B7.1 and B7.2 molecules by
salivary gland epithelial cells (SGEC) at both the mRNA and the protein
level (31). In fact, increased spontaneous expression of a
BB1 mAb-reactive protein was demonstrated in SGEC lines. In subsequent
experiments, however, the assessment of several SGEC lines by flow
cytometry had failed to show reactivity with another anti-B7.1 mAb
(L307.4), but revealed a low to moderate constitutive B7.2 protein
expression in all cell lines. Thus, we aimed to further establish the
presence of B7.2 molecules on cultured nontransformed SGEC lines and to
determine their plausible costimulatory function. The study of B7.2
protein was facilitated by the availability of anti-B7.2 mAbs that
were found suitable for protein detection by immunoprecipitation and
immunoblotting as well as for the blocking of function in costimulation
assays. By this approach, we presently demonstrate that cultured SGEC
are capable to express functional T cell costimulatory B7.2 protein
molecules that possess distinctive binding properties to CD28 and CTLA4
receptors, as indicated by its preferential binding to CD28. The
costimulatory influence of epithelial B7.2 was found to lead to
IL-2-dependent proliferation of CD4+ T cells.
Such proliferation is probably associated with the production of an
autocrine T cell growth factor distinct from IL-2, but which acts in
synergy with this IL. In addition, this is the first study to
demonstrate the production of a soluble form of B7.2 protein by
cultured SGEC as well as EBV-transformed B cells. Our findings indicate
the B7 expression capacity of SGEC and possibly attest to the potential
of these cells to act as APC.
 |
Materials and Methods
|
|---|
Reagents
The mAbs against human CD86/B7.2 (clones IT2.2 and FUN.1), CD28
(clone CD28.2), CD3 (clone HIT3a), CD14 (clone M5E2), and CD1a (clone
MT102) were purchased from PharMingen (San Jose, CA). The mAbs against
human CD80/B7.1 (clone L307.4), CD4 (clone SK3), CD8 (clone SK1), and
to human cytokeratins 8 and 18 (clone CAM 5.2) were obtained from
Becton Dickinson (San Jose, CA). The BB1 mAb against human CD80/B7.1
was a generous gift from Becton Dickinson Hellas (Athens, Greece).
Anti-CD86/B7.2 mAb (clone BU63) was from Serotec (Oxford, U.K.), and
neutralizing anti-IL-2 mAb (clone 5334.21) was from R&D Systems
(Minneapolis, MN). The mAb to human dendritic reticulum cell (clone
R4/23) was obtained from Dako (Glostrup, Denmark). The mAbs against
human IL-2R
(CD25, clone 7G7B6), CD20 (clone 2H7), and the CD28-Ig
fusion protein (human CD28 protein fused with mouse Ig) were purchased
from Ancell (Bayport, MN). The CTLA4-Ig fusion protein (human CTLA4
protein fused with human Ig) was a kind gift from Repligen (Cambridge,
MA). PE-conjugated F(ab')2 fragments of Abs
against mouse and human IgG F(c) were from Rockland (Gilbertsville,
PA). For use in immunoprecipitation and proliferation assays, mAbs were
bound to sheep anti-mouse IgG-coated Dynabeads M450 (Dynal, Oslo,
Norway) at a concentration of 1 µg mAb/107
beads, according to manufacturers instructions. Human rIFN-
was
from Boehringer Ingelheim (Ingelheim, Germany).
Human EBV-transformed B cell and B7-transfected CHO cell lines
B7.1-, B7.2-, and mock-transfected Chinese hamster ovary (CHO)
cell lines (CHO-B7.2, CHO-B7.1, and CHO-mock, respectively, kindly
provided by V. Boussiotis, Dana-Farber Cancer Institute, Boston, MA)
were maintained in complete RPMI 1640 medium supplemented with 400
µg/ml Geneticin (G418; Life Technologies, Grand Island, NY). The
EBV-transformed B cell line JY, which expresses B7.1 and B7.2 (kindly
provided by G. Thyphronitis, University of Athens, Greece), was
cultured in RPMI 1640 (Life Technologies) supplemented with 10% FBS,
5 x 10-5 M 2-ME, 2 mM
L-glutamine, 100 U/ml penicillin, and 100 µg/ml
streptomycin.
Salivary gland epithelial cells
Labial minor salivary gland biopsies were obtained with informed
consent from patients undergoing diagnostic evaluation for sicca
symptoms indicative for SS. SS was diagnosed on the basis of the
European SS classification criteria (32). Nonneoplastic
long-term SGEC cultures were developed, characterized, and maintained,
as previously described (31). Briefly, primary cultures
were established by explant outgrowth technique in a medium consisting
of a 3:1 mixture Hams F12 and DMEM (Life Technologies) supplemented
with 2.5% FBS (Life Technologies), 0.4 µg/ml hydrocortisone (Upjohn,
Kalamazoo, MI), 0.125 U/ml insulin (Novo, Bagsvaerd, Denmark), 10 ng/ml
epidermal growth factor (Promega, Madison, WI), 2 mM glutamine, 100
U/ml penicillin, and 100 µg/ml streptomycin. At 80% confluency,
primary cultures were trypsinized and serially passaged in bovine
collagen type I (Sigma, St. Louis, MO)-coated culture vessels in
keratinocyte basal medium (KBM; Clonetics, Walkersville, MD)
supplemented with 0.4 µg/ml hydrocortisone, 0.125 U/ml insulin, 10
ng/ml epidermal growth factor, and 25 µg/ml bovine pituitary extract
(Sigma) at a density of 3 x 104
cells/cm2 (33). All cultures were
incubated at 37°C, 5% CO2, and 99% humidity.
The epithelial origin of SGEC lines was routinely verified
immunocytochemically by the expression of epithelial-specific cell
markers such as cytokeratins, as previously described
(31). SGEC cultures were free of T and B cells,
macrophages, and dendritic cells, as indicated by the absent expression
of such cell type-specific markers (data not shown).
Preparation of SGEC-conditioned medium
Samples of culture supernatants were collected from subconfluent
B7.2-expressing SGEC cultivated in serum-free KBM medium and
immediately hypercentrifuged and filtered through a 0.2-µm filter
(Millipore, Bedford, MA). Subsequently, supernatants were concentrated
by ultrafiltration using a YM-30 membrane (Amicon, Danaverts, MA) and
stored at -80°C until use. Before application in T cell
proliferation assays, the concentrated CMs were appropriately diluted
with the appropriate volume of complete RPMI medium to obtain 5-fold
final concentration of the initial volume.
Flow cytometry
SGEC were harvested and resuspended in ice-cold PBS containing
2.5% FBS and 0.3% NaN3. About 5 x
104 cells were stained directly using FITC- or
PE-conjugated mAbs to membranous B7 proteins, or isotype-matched
control mAbs. Cell surface staining with CD28-Ig or CTLA4-Ig fusion
proteins (50 µg/ml) was visualized by incubation with appropriate
PE-conjugated IgG F(c)-specific secondary Ab. Analyses were performed
using a FACSCalibur flow cytometer and CELLQuest software (Becton
Dickinson), with appropriate forward and side scatter adjustments for
epithelial cells. Mean fluorescence intensity (MFI) values obtained by
staining with specific mAbs were corrected by the subtraction of
background values (isotype control mAb).
Immunoprecipitation and immunoblotting
Cytoplasmic extracts of JY cells or SGEC were prepared by lysis
in ice-cold buffer (2 x 106 cells/ml)
containing 1% Nonidet P-40, 50 mM Tris-HCl (pH 7.5), 5 mM
MgCl2, 20 µg/ml aprotinin, 0.5 µg/ml
leupeptin, 0.7 µg/ml pepstatin A, and 0.1 mM PMSF (all from Sigma).
The nuclei and the insoluble cell debris were removed by centrifugation
at 14,000 x g for 10 min at 4°C. Immunoprecipitation
was performed using magnetic beads coated with anti-B7.2 FUN.1 mAb
or the isotype control (2 x 107
beads/2 x 106 cells), according to the
manufacturers instructions. Samples of total cytoplasmic cell
extracts or immunoprecipitated proteins (corresponding to 2 x
106 cells/lane) were subjected to 10% SDS-PAGE
and transferred to polyvinylidene difluoride membrane (Millipore).
Immunoblotting was performed with anti-B7.2 (FUN.1 or BU63) or
isotype control mAbs in 1% skim milk in TBS/0.1% Tween 20. Proteins
were visualized by enhanced chemiluminescence using alkaline
phosphatase-conjugated rabbit anti-mouse Igs (Dako) and CDP-star
substrate (Boehringer Mannheim). For the detection of soluble B7.2
molecules, cell-free culture supernatants from subconfluent SGEC and JY
cells were subjected to hypercentrifugation (100,000 x
g for 1 h) for the removal of cellular elements and
immediately analyzed by immunoprecipitation and immunoblotting, as
above.
Immunocytochemistry
Cultured SGEC grown in multichamber slides were analyzed by
immunocytochemistry using the avidin-biotin immunoperoxidase technique,
as previously described (31).
B7 mRNA expression
The expression of B7.1 and B7.2 mRNA in cultured cell lines was
detected by RT-PCR, as previously described (31). The
integrity of all cDNA samples was tested by RT-PCR for
-actin
mRNA.
Isolation of CD4+ T cells
PBMC from healthy donors were separated by density-gradient
centrifugation (lymphocyte separation medium; Life Technologies). The T
cell population was enriched by sequential depletion of B cells by
immunomagnetic anti-CD19-coated Dynabeads M450 (Dynal), and of
adherent mononuclear cells by two successive rounds of incubation on
plastic (for 2 and 24 h). Subsequently, CD4+
T cells were isolated from the remaining population by immunomagnetic
positive selection using Dynabeads M450 coated with anti-CD4
(Dynal). The purity of CD4+ T cell population
yielded by this procedure was routinely >99.3%, as assessed by flow
cytometry. The purified CD4+ T cells were not
expressing B7.2, were less than 5% positive for CD25 (IL-2R
), and
were unresponsive to stimulation by anti-CD3 mAb only.
Costimulation assays
The capacity of B7.2-expressing cells to provide costimulatory
signals to anti-CD3-activated allogeneic CD4+
T cells was assessed by a previously established assay
(26).
For these studies, SGEC lines were selected on the basis of definitive
constitutive expression of B7.2 (but not B7.1) mRNA and protein. In
brief, 96-well microtiter plates (Costar, Cambridge, MA) were seeded
with SGEC (at second passage, 2 x 104
cells/well in KBM), CHO transfectant cells (2 x
104 cells/well in G418 medium), or KBM medium
alone. Upon confluency, the monolayers of epithelial cells were washed
three times with PBS and fixed with 1% paraformaldehyde (Merck,
Darmstadt, Germany) in PBS for 10 min at room temperature.
Subsequently, wells were washed (seven times) with complete RPMI medium
and received CD4+ T cells (2 x
104 cells/well, 200 µl/well in complete RPMI
1640) in the presence or the absence of anti-CD3-coated magnetic
beads (three beads/CD4+ cell), anti-CD28 mAb
(1 µg/ml), anti-IL-2-neutralizing mAb (1 µg/ml), anti-B7.2
mAb (IT2.2; 10 µg/ml), CTLA4-Ig (10 or 50 µg/ml), CD28-Ig (10
µg/ml), or control mAbs (10 µg/ml), in triplicates for each
combination. The optimal conditions of the assay, including the
concentration of added mAbs, were determined in preliminary
experiments. All neutralizing reagents used in cultures (including mAbs
and fusion proteins) were found nontoxic for T cells, SGEC, or CHO
transfectants. The proliferative responses of
CD4+ T cells were estimated after 5 days of
culture by [3H]thymidine incorporation, except
for CHO transfectant cell-costimulated T cell cultures, which were
assayed at the third day (induction of maximal proliferation). Cells
were pulsed with [3H]thymidine (1 µCi/well;
ICN, Costa Mesa, CA) for the last 18 h of culture. Subsequently,
cells were collected onto glass fiber filters (Skatron Instruments,
Suffolk, U.K.), and radioactivity incorporation was measured in a
liquid scintillation analyzer (Packard Instruments, Downers Grove, IL).
The capacity of 5-fold concentrated SGEC-conditioned medium to
costimulate the proliferation of anti-CD3-activated
CD4+ T cells (105
cells/well) was also assessed, as above.
Assessment of cytokine production
Cell-free supernatants obtained from the cocultures of
anti-CD3-activated CD4+ T cells with SGEC,
CHO-B7.2, or CHO-neo transfectants in the presence or the absence of
blocking mAbs were collected at different time points (12, 24, 48, and
72 h) and kept at -80°C until assayed. The occurrence of
soluble T cell growth factor(s) was assessed by the induction of
proliferation in anti-CD3 T cell blasts (see below). IL-2
production was measured in duplicates by an ELISA (Diaclone, Besancon,
France), according to the manufacturers instructions.
Anti-CD3 blasts
Anti-CD3 blasts were generated by stimulation of purified
CD4+ T cells with anti-CD3-coated magnetic
beads (three beads/CD4+cell). Anti-CD3 blasts
(5 x 104 cells/well) were cultured either
in supernatants obtained by differentially costimulated
CD4+ T cells, as described above in the presence
or absence of a neutralizing anti-IL-2 mAb (1 µg/ml) for 5 days.
Anti-CD3 blasts cultured with 2 ng/ml human rIL-2 (R&D Systems) were
used as the positive control. In preliminary experiments, this
concentration of human rIL-2 (rhIL-2) was found to induce submaximal
proliferation of anti-CD3 T cell blasts under standard conditions.
Proliferation was estimated in triplicate cultures by the measurement
of [3H]thymidine incorporation.
 |
Results and Discussion
|
|---|
The main scope of this study was to address the actual presence
and function of B7 proteins on nonneoplastic SGEC. The expression of B7
proteins on SGEC was initially examined by flow cytometry analysis of
several SGEC lines utilizing various mAbs to B7.1 and to B7.2 proteins.
To date, our data cannot establish the expression of typical B7.1
protein molecules by SGEC. Despite reactivity to BB1 mAb and positivity
for B7.1 mRNA in approximately one-third of cell lines, no positive
reactions could be demonstrated with a well-established anti-B7.1
mAb (clone L307.4) by flow cytometry or immunocytochemistry (data not
shown). Further studies are necessary to elucidate whether this
discrepancy is due to novel BB1 mAb-reactive B7 molecules
(13), or shared reactivity to non-B7 proteins
(12). On the other hand, however, we were able to confirm
the occurrence of low to moderate constitutive B7.2 protein expression
in all cell lines (Fig. 1
A),
which was up-regulated by IFN-
(data not shown). Parallel
experiments had demonstrated that B7.2 is significantly more
sensitively detected on cultured SGEC by flow cytometry than
immunocytochemistry (data not shown), which is in line with its more
rare detection by the latter method (31). In fact,
approximately one-fifth of SGEC lines (7 of 32 tested, 21.9%) had
discernible amounts of surface B7.2 (mean MFI ± SD, 26 ±
3), albeit at significantly lower levels compared with EBV-transformed
JY B cells (MFI, 125 ± 11) or CHO-B7.2 transfectant cells (MFI,
280 ± 18) (Fig. 1
A). Taking in account the
approximately 10-fold larger size of SGEC compared with JY B cells, it
appears that the density of surface B7.2 expression is far lower on
SGEC compared with B cells. B7.2 is a glycoprotein that runs with an
apparent molecular mass of 65100 kDa on SDS-PAGE. To verify its
presence on epithelial cells, we utilized the well-characterized
anti-B7.2 mAbs FUN.1 (Fig. 1
B) and BU63 (data not shown)
for detection by immunoprecipitation and immunoblotting. In this
manner, B7.2 proteins were readily demonstrated in cytoplasmic extracts
from both SGEC and JY B cells (Fig. 1
B). In both cell types,
immunoprecipitated B7.2 presented as multiple protein bands covering a
relatively wide range of size, which is most likely consistent with the
presence of variably glycosylated proteins. It is noteworthy that B7.2
proteins from SGEC run at a higher range of molecular mass size
(75110 kDa) compared with that from JY B cells (65110 kDa; Fig. 1
B), probably suggestive of differences in their
glycosylation status. In addition, a soluble form of B7.2 of similar
molecular mass size to cell-associated form was also found in culture
supernatants derived from both SGEC and JY cells (Fig. 1
B).

View larger version (49K):
[in this window]
[in a new window]
|
FIGURE 1. Demonstration of constitutive B7.2 protein expression by SGEC.
A, Flow cytometric analysis illustrating representative
examples of constitutive B7 expression by cell lines utilized in the
study, including human nonneoplastic SGEC (top panel),
EBV-transformed B cells (JY, middle panel), and CHO-B7.2
transfectants (lower panel). SGEC lines studied were
selected on the basis of definitive constitutive expression of B7.2
protein (FUN.1 mAb), but not B7.1, as demonstrated by lack of
reactivity to anti-B7.1 mAbs (BB1 and L307.4). Filled and open
curves represent the staining with the specific mAbs (indicated on
top) and isotype control mAbs, respectively.
B, Immunoprecipitation and immunoblotting analysis of
cell-associated and soluble B7.2 proteins from SGEC and JY EBV-B cells.
Cytoplasmic cell extracts (CE) and cell-free culture supernatants (Spn)
derived from JY B cells (lanes 1 and 2)
and SGEC (lanes 35) were subjected to
immunoprecipitation and subsequently to immunoblotting using the
anti-B7.2 mAb FUN.1 (lanes 14) or an isotype
control mAb (lane 5; negative control). The 55-kDa bands
correspond to Ig heavy chains, which are derived from the Abs used in
immunoprecipitation and are recognized by the secondary Ab applied in
immunoblotting. Lanes 6 and 7, Direct
anti-B7.2 immunoblotting of JY and SGEC cytoplasmic cell extracts,
respectively. Results are representative of four experiments with
similar results.
|
|
CHO-B7.2 cells, but not CHO-mock transfectant cells, were fully capable
of transmitting costimulatory signals to anti-CD3-stimulated
CD4+ T cells (Fig. 2
A) in a costimulation assay.
To investigate the costimulatory function of B7.2 proteins expressed by
SGEC, epithelial cell lines that displayed definitive constitutive
expression of B7.2 mRNA and protein (but not B7.1/BB1) were similarly
assessed, using anti-CD3-stimulated allogeneic
CD4+ T cells (Fig. 2
B). Accordingly, T
cell proliferative responses as well as cytokine production were
estimated in the presence or absence of B7.2-blocking reagents, such as
neutralizing anti-B7.2 mAb (IT2.2), CTLA4-Ig or CD28-Ig fusion
proteins, or control Abs. B7.2-expressing SGEC were found capable of
providing significant costimulation for CD4+ T
cell proliferation (Fig. 2
B). The SGEC-assisted T cell
proliferation was specifically inhibited by the addition of
anti-B7.2 mAb (mean percentage inhibition ± SD of four
experiments, 94.3 ± 5.6), but not by the isotype control mAb
(percentage of inhibition, 0.8 ± 0.7; Fig. 3
B). Surprisingly, the
addition of CTLA4-Ig, even in high amounts (50 µg/ml), had limited
inhibitory influence for SGEC-derived costimulation (percentage of
inhibition, 21.9 ± 1), while it blocked completely the T cell
proliferation costimulated by CHO-B7.2 cells (percentage of inhibition,
98.1 ± 0.3; Fig. 3
B, lower panel). In
contrast, the addition of CD28-Ig fusion protein in cocultures of SGEC
and CD4+ T cells effectively blocked T cell
proliferation assisted by SGEC (percentage of inhibition, 92.4 ±
3.9; Fig. 3
B, upper panel), as well as by
CHO-B7.2 (data not shown). The results from the above inhibition
experiments were directly consistent with the binding profile of
CD28-Ig and CTLA4-Ig to SGEC and CHO-transfectant cells, as assessed by
flow cytometry. CD28-Ig, but not CTLA4-Ig, manifested binding to
constitutively B7.2-expressing SGEC (Fig. 3
A). In contrast
to SGEC, both these fusion proteins reacted with CHO-B7.2
transfectants, and in absolute agreement with the differential affinity
of these receptor proteins for B7.2 (16), the binding of
CTLA4-Ig was stronger than CD28-Ig (Fig. 3
A). Our data
suggest that B7.2 protein expressed by SGEC can transmit costimulatory
signals to T cells and is able to bind to CD28, but has reduced binding
for CTLA4, the negative regulator of T cell activation.

View larger version (25K):
[in this window]
[in a new window]
|
FIGURE 2. Induction of proliferative responses in purified CD4+ T
cells by costimulation with anti-CD3 and CHO transfectants (CHO-tx,
in A) or B7.2-expressing SGEC (in B).
Triplicate cultures of 2 x 105 CD4+ T
cells activated by anti-CD3-coated magnetic beads (three beads/T
cell) and 1% paraformaldehyde-fixed CHO transfectants (CHO-mock or
CHO-B7.2) or SGEC were set up in the presence or absence of blocking
mAbs (10 µg/ml). Maximal proliferation of CD4+ T cells
was measured by [3H]thymidine incorporation. Note the
different scale of proliferation of CD4+ T cells
costimulated by CHO-B7.2 and SGEC. Results involving the costimulation
of CD4+ T cells by CHO transfectants or SGEC are
representative of 4 and 10 experiments, respectively.
|
|

View larger version (18K):
[in this window]
[in a new window]
|
FIGURE 3. The B7.2 protein expressed on SGEC binds functionally to CD28 receptor,
but has reduced binding for CTLA4. A, The flow cytometry
assessment of B7.2-expressing (but BB1/B7.1-negative) SGEC reveals the
surface staining of cells by CD28-Ig fusion protein, but not by
CTLA4-Ig. In contrast, CHO-B7.2 transfectant cells display reactivity
to both these fusion proteins. Filled curves represent staining with
anti-B7.2 mAb (FUN.1) or the indicated fusion protein. Control
staining (open curves) was performed by isotype control mAb or control
Igs. Results are representative of five experiments. B,
The SGEC-assisted proliferation of anti-CD3-activated
CD4+ T cells is completely blocked by anti-B7.2 mAb or
CD28-Ig fusion protein, but not by CTLA4-Ig (10 µg/ml, upper
panel). In contrast, CTLA4-Ig is capable of blocking
CHO-B7.2-mediated costimulation, whereas the poor inhibitory effect of
CTLA4-Ig for SGEC-costimulated T cell proliferation was evident even
when high amounts (50 µg/ml) were used (lower panel).
Results represent the mean percentage of inhibition (±SD) of four
different experiments.
|
|
The nature and physiological significance of the differential binding
of SGEC-derived B7.2 to its receptors are unclear. In this context, the
increased molecular mass of B7.2 molecules that we found in SGEC is
intriguing. We are currently investigating whether these features owe
to distinctive biochemical characteristics of B7.2 expressed on our
cultured epithelial cells. Alternatively spliced B7.2 mRNA isoforms
have been described in mouse (34). On the other hand,
posttranslational modification(s) of B7.2 proteins (e.g., in the
glycosylation status) may have a regulatory effect in the function of
B7.2 by favoring its preferential association with one of two
receptors. Interestingly, the occurrence of a hypoglycosylated form of
B7.2 on human T cells has been previously associated with inability to
bind to CD28 receptor and to provide costimulatory signals
(22).
To examine whether the SGEC-derived costimulatory function results in
the production of a soluble growth factor, a T cell blast proliferation
assay was employed. Thus, T cell blasts were exposed to cell-free
supernatants obtained from costimulation assays, and the induction of
proliferation was examined. In this manner, the supernatants obtained
from the costimulation of CD4+ T cells by either
SGEC or CHO-B7.2 (but not CHO-mock) were found to induce comparable
proliferation (Fig. 4
A), which
confirms the production of a soluble T cell growth factor. This factor
is presumably of T cell origin, as indicated by the lack of T cell
blast proliferation by culture supernatants derived from fixed
epithelial cells cultivated alone or together with unstimulated T cells
(data not shown). In addition, consistent with the results from the
costimulation assays, the production of this T cell growth factor was
found dependent on B7.2, since the proliferative activity was
diminished in supernatants obtained from cultures in which
anti-B7.2 mAb was added (Fig. 4
A).

View larger version (33K):
[in this window]
[in a new window]
|
FIGURE 4. The proliferation of CD4+ T cells costimulated by
B7.2-expressing SGEC is dependent on the presence of IL-2.
A, The proliferation of anti-CD3 blasts that is
induced by culture supernatants derived from SGEC-assisted
costimulation assays ( ) is blocked by a neutralizing anti-IL-2
mAb ( ). Bars (±SD) represent the proliferative response of T cell
blasts exposed to medium only (no addition), or culture supernatants
derived from the 48-h stimulation of CD4+ T cells by
anti-CD3 alone (anti-CD3), or the costimulation of
CD4+ T cells by anti-CD3 and CHO-B7.2 cells (designated
as CHO-B7.2), or anti-CD3 and B7.2-expressing SGEC, in the presence
or absence of anti-B7.2-blocking mAb. Anti-CD3 blasts cultured with
rhIL-2 were used as the positive control. Results are representative of
three experiments. B, IL-2 measurements by ELISA in
culture supernatants obtained from costimulation assays (48 h) of
CD4+ T cells in the presence or absence of anti-CD3,
the indicated epithelial cell types, and/or blocking anti-B7.2 mAb.
Although SGEC-assisted costimulation drives an IL-2-dependent
proliferation (as shown in A), IL-2 is undetectable by
ELISA (detection limit, 30 pg/ml) in culture supernatants at various
time points (from 24 to 72 h). In contrast, costimulation by
CHO-B7.2 cells is associated with the production of significant amounts
of IL-2. Results are representative of nine experiments with similar
results. For incomprehensible reasons, significant IL-2 production (624
pg/ml) was detected in one additional SGEC-assisted costimulation
assay, which is not included in analysis.
|
|
Signaling and costimulation through CD28 have been shown to lead to the
induction and secretion of various cytokines (35).
Although the role of IL-2-independent pathways has been considered
(36, 37, 38), the increased secretion of IL-2 appears
critically involved in CD28-mediated T cell proliferation
(39, 40, 41). We therefore examined the involvement of IL-2
production in the proliferative responses of CD4+
T cells costimulated by B7.2-expressing SGEC. In such costimulation
assays, T cell proliferation was found largely dependent on IL-2, as
demonstrated by its almost complete block by the addition of a
neutralizing mAb against human IL-2 (mean percentage of inhibition
± SD of four experiments, 89.9 ± 2.4), but not the control mAb
(0.7 ± 0.6). Similarly, the proliferation-inducing activity of
culture supernatants derived from the above costimulation assays was
also found to be IL-2 dependent, as illustrated by the abrogation of T
cell blast growth following the addition of anti-IL-2 mAb (Fig. 4
A). These findings strongly indicate the occurrence and
importance of IL-2 production in the course of
CD4+ T cell costimulation by B7.2-expressing
SGEC. Using an ELISA assay, we failed to reveal detectable amounts of
IL-2 in samples of culture supernatants obtained from SGEC-assisted
costimulation assays (in 9 of 10 experiments performed), possibly due
to low production and/or consumption of the cytokine to levels below
the detection limit of the assay (30 pg/ml). In contrast, costimulation
of CD4+ T cells by anti-CD28 mAb or CHO-B7.2
cells always resulted in significant amounts of IL-2 (167.5 ± 8.5
and 3.4 ± 0.2 ng/ml, respectively, and Fig. 4
B).
Despite the apparently low IL-2 concentration in the culture
supernatants from SGEC-supported costimulation assays, these were able
to support comparable proliferation of T cell blasts to 2 ng/ml rhIL-2
and to supernatants collected from CHO-B7.2-costimulated
CD4+ cells (which as mentioned above contained
approximately 3.4 ng/ml IL-2, as judged by ELISA) (Fig. 4
B).
From these data, we can conclude that SGEC-derived costimulatory
signals lead to the production of relatively low amounts of IL-2,
which, however, appear quite essential for the induction of T cell
proliferation. This low IL-2 production seems unlikely to support T
cell proliferation on its own. Thus, we speculate that SGEC-assisted
proliferation owes largely to the co-secretion of additional T cell
growth factor(s) distinct from IL-2, but whose action is virtually
dependent on the presence of this IL. At present, the nature of such T
cell growth factor is obscure. Certain cytokines, such as IL-4, have
been previously shown to act in an IL-2-dependent fashion
(42). In fact, the secretion of IL-4 has been associated
with signaling through B7.2-CD28 molecules (43). However,
this T cell growth cytokine is unlikely to correspond to the factor in
question, as it was not detected by ELISA assays in culture
supernatants of CD4+ T cells costimulated by SGEC
(data not shown).
As demonstrated above, we were able to immunoprecipitate a native
soluble form of B7.2 protein in cell-free culture supernatants derived
from JY EBV-transformed B cells and B7.2-expressing SGEC (Fig. 1
B). Although the existence of native human and porcine
soluble B7.1 molecules (44, 45) as well as soluble porcine
B7.2-like mediators of CD28 activation (26) has been
previously described, to our knowledge, the occurrence of native
soluble B7.2 protein has not yet been reported. The precise nature of
this protein, including whether it represents shed or secreted forms of
original molecules or an alternatively spliced product of B7.2, needs
to be clarified. Soluble molecules generated by such mechanisms would
be expected to have reduced size compared with the cell-bound protein,
owing to the lack of the transmembrane or of both the transmembrane and
cytoplasmic domains. In this context, the observed molecular mass
similarity of the two B7.2 forms is noticeable, and may be attributed
to posttranslational modification(s) of the soluble protein, such as
increased glycosylation. Soluble B7.2 molecules may have agonistic or
inhibitory (45) function for T cell costimulation, by
acting as substitutes or competitors of cell-bound B7 molecules for
their ligands. To examine whether soluble B7.2 proteins are capable of
providing costimulatory signals to T cells, samples of 5-fold
concentrated culture supernatants obtained from B7.2-expressing SGEC
were assessed in costimulation assays, as above. Evidence of
consistently low but definite costimulation of
CD4+ T cell proliferation was thus obtained. The
costimulatory activity in these supernatants was B7.2 mediated, as
illustrated by blocking with anti-B7.2 mAb (mean percentage of
inhibition ± SD of two experiments, 69.7 ± 3.1), but not an
isotype control mAb (4.3 ± 0.9) (Fig. 5
). Therefore, the soluble B7.2 protein
molecules appear to retain some costimulatory activity, and thus, they
may have a role in the modulation of immune responses.

View larger version (19K):
[in this window]
[in a new window]
|
FIGURE 5. Soluble B7.2 molecules appear capable of providing costimulatory
signals to CD4+ T cells. The costimulatory activity of
serum- and cell-free culture supernatants of B7.2-expressing SGEC
(SGEC-SPN) was assessed in CD4+ T cell costimulation
assays, as described in Materials and Methods. Prior to
assaying, the occurrence of soluble B7.2 proteins in SGEC-SPN was
verified by immunoprecipitation. The results are representative of two
experiments.
|
|
In conclusion, the data presented in this study support the notion that
SGEC hold a role in the regulation of T cell responses. On the basis of
expression of MHC molecules and functional B7.2 costimulatory proteins,
these epithelial cells appear suitably equipped for the presentation of
antigenic peptides and the transmittance of activation signals to T
cells. The capacity of SGEC to act as nonclassical APC most likely
indicates the implication of these cells in the pathogenesis of various
disorders of the salivary glands, and particularly in the induction
and/or maintenance of autoimmune epithelitis or SS (46, 47). Most probably, SGEC are less competent providers of T cell
activation signals compared with dendritic cells, monocytes, or B
cells. Nevertheless, the functional expression of B7.2 molecules by
SGEC may be critical for the regulation of local immune responses in
salivary glands. This is probably also implied by the characteristic
binding features of epithelial B7.2 to its receptors on T cells.
Although their biologic significance needs to be further assessed, our
findings appear to unfold an important immunoregulatory potential of
SGEC, and probably other types of epithelial cells.
Note added in proof.
Since the submission of the present work, the existence of functional
soluble CD86 molecules produced by resting monocytes was described
(48).
 |
Footnotes
|
|---|
1 This work was supported by grants from the Hellenic Secretariat for Research and Technology, the Lilian Voudouri Foundation, and the Hellenic Association of Immunology (to M.N.M.). 
2 Address correspondence and reprint requests to Dr. Menelaus N. Manoussakis, Department of Pathophysiology, School of Medicine, National University of Athens, Athens 115 27, Greece. 
3 Abbreviations used in this paper: SS, Sjögrens syndrome; CHO, Chinese hamster ovary; KBM, keratinocytes basal medium; MFI, mean fluorescence intensity; rhIL-2, human rIL-2; SGEC, salivary gland epithelial cell. 
Received for publication September 21, 2000.
Accepted for publication December 22, 2000.
 |
References
|
|---|
-
Lenschow, D. J., T. L. Walunas, J. A. Bluestone. 1996. CD28/B7 system of T cell costimulation. Annu. Rev. Immunol. 14:233.[Medline]
-
Boussiotis, V. A., G. J. Freeman, J. G. Gribben, L. M. Nadler. 1996. The role of B7-1/B7-2: CD28/CLTA-4 pathways in the prevention of anergy, induction of productive immunity and down-regulation of the immune response. Immunol. Rev. 153:5.[Medline]
-
McAdam, A. J., A. N. Schweitzer, A. H. Sharpe. 1998. The role of B7 co-stimulation in activation and differentiation of CD4+ and CD8+ T cells. Immunol. Rev. 165:231.[Medline]
-
Schwartz, R. H.. 1992. Costimulation of T lymphocytes: the role of CD28, CTLA-4, and B7/BB1 in interleukin-2 production and immunotherapy. Cell 71:1065.[Medline]
-
Yang, G., K. E. Hellstrom, I. Hellstrom, L. Chen. 1995. Antitumor immunity elicited by tumor cells transfected with B7-2, a second ligand for CD28/CTLA-4 costimulatory molecules. J. Immunol. 154:2794.[Abstract]
-
Tivol, E. A., A. N. Schweitzer, A. H. Sharpe. 1996. Costimulation and autoimmunity. Curr. Opin. Immunol. 8:822.[Medline]
-
Guinan, E. C., V. A. Boussiotis, D. Neuberg, L. L. Brennan, N. Hirano, L. M. Nadler, J. G. Gribben. 1999. Transplantation of anergic histoincompatible bone marrow allografts. N. Engl. J. Med. 340:1704.[Abstract/Free Full Text]
-
Freeman, G. J., A. S. Freedman, J. M. Segil, G. Lee, J. F. Whitman, L. M. Nadler. 1989. B7, a new member of the Ig superfamily with unique expression on activated and neoplastic cells. J. Immunol. 143:2714.[Abstract]
-
Azuma, M., D. Ito, H. Yagita, K. Okumara, J. H. Phillips, L. L. Lanier, C. Somoza. 1993. B70 antigen is a second ligand for CTLA-4 and CD28. Nature 366:76.[Medline]
-
Freeman, G. J., J. G. Gribben, V. A. Boussiotis, J. W. Ng, V. A. Restivo, L. A. Lombard, G. S. Gray, L. M. Nadler. 1993. Cloning of B7-2: a CTLA-4 counter-receptor that costimulates human T cell proliferation. Science 262:909.[Abstract/Free Full Text]
-
Boussiotis, V. A., G. J. Freeman, J. G. Gribben, J. Daley, G. Gray, L. M. Nadler. 1993. Activated human B lymphocytes express three CTLA-4 counterreceptors that costimulate T-cell activation. Proc. Natl. Acad. Sci. USA 90:11059.[Abstract/Free Full Text]
-
Freeman, G. J., A. A. Cardoso, V. A. Boussiotis, A. Anumanthan, R. W. Groves, T. S. Kupper, E. A. Clark, L. M. Nadler. 1998. The BB1 monoclonal antibody recognizes both cell surface CD74 (MHC class II-associated invariant chain) as well as B7-1 (CD80), resolving the question regarding a third CD28/CTLA-4 counterreceptor. J. Immunol. 161:2708.[Abstract/Free Full Text]
-
Behrens, L., M. Kerschensteiner, T. Misgeld, N. Goebels, H. Wekerle, R. Hohlfeld. 1998. Human muscle cells express a functional costimulatory molecule distinct from B7.1 (CD80) and B7.2 (CD86) in vitro and in inflammatory lesions. J. Immunol. 161:5943.[Abstract/Free Full Text]
-
Swallow, M. M., J. J. Wallin, W. C. Sha. 1999. B7h, a novel costimulatory homolog of B7.1 and B7.2, is induced by TNF
. Immunity 11:423.[Medline]
-
Dong, H., G. Zhu, K. Tamada, L. Chen. 1999. B7H1, a third member of the B7 family, co-stimulates T-cell proliferation and interleukin-10 secretion. Nat. Med. 5:1365.[Medline]
-
Linsley, P. S., W. Brady, M. Urnes, L. S. Grosmaire, N. K. Damle, J. A. Ledbetter. 1991. CTLA-4 is a second receptor for the B cell activation antigen B7. J. Exp. Med. 174:561.[Abstract/Free Full Text]
-
Linsley, P. S., J. L. Greene, W. Brady, J. Bajorath, J. A. Ledbetter, R. Peach. 1994. Human B7-1 (CD80) and B7-2 (CD86) bind with similar avidities but distinct kinetics to CD28 and CTLA-4 receptors. Immunity 1:793.[Medline]
-
Van der Merwe, P. A., D. L. Bodian, S. Daenke, P. Linsley, S. J. Davis. 1997. CD80 (B7-1) binds both CD28 and CTLA-4 with a low affinity and very fast kinetics. J. Exp. Med. 185:393.[Abstract/Free Full Text]
-
Krummel, M. F., J. P. Allison. 1995. CD28 and CTLA-4 have opposing effects on the response of T cells to stimulation. J. Exp. Med. 182:459.[Abstract/Free Full Text]
-
Walunas, T. L., C. Y. Bakker, J. A. Bluestone. 1996. CTLA-4 ligation blocks CD28-dependent T cell activation. J. Exp. Med. 183:2541.[Abstract/Free Full Text]
-
Azuma, M., H. Yssel, J. H. Phillips, H. Spits, L. L. Lanier. 1993. Functional expression of B7/BB1 on activated T lymphocytes. J. Exp. Med. 177:845.[Abstract/Free Full Text]
-
Hollsberg, P., C. Scholz, D. E. Anderson, E. A. Greenfield, V. K. Kuchroo, G. J. Freeman, D. A. Hafler. 1997. Expression of a hypoglycosylated form of CD86 (B7.2) on human T cells with altered binding properties to CD28 and CTLA-4. J. Immunol. 159:4799.[Abstract]
-
Ye, G., C. Barrera, X. Fan, W. K. Gourley, S. E. Crowe, P. B. Ernst, V. E. Reyes. 1997. Expression of B7-1 and B7-2 costimulatory molecules by human gastric epithelial cells: potential role in CD4+ T cell activation during Helicobacter pylori infection. J. Clin. Invest. 99:1628.[Medline]
-
Nakazawa, A., M. Watanabe, T. Kanai, T. Yajima, M. Yamazaki, H. Ogata, H. Ishii, M. Azuma, T. Hibi. 1999. Functional expression of costimulatory molecule CD86 on epithelial cells in the inflamed colonic mucosa. Gastroenterology 117:536.[Medline]
-
Maher, S. E., K. Karmann, W. Min, C. C. Hughes, J. S. Pober, A. L. Bothwell. 1996. Porcine endothelial CD86 is a major costimulator of xenogeneic human T cells: cloning, sequencing, and functional expression in human endothelial cells. J. Immunol. 157:3838.[Abstract]
-
Davis, T. A., N. Craighead, A. J. Williams, A. Scadron, C. H. June, K. P. Lee. 1996. Primary porcine endothelial cells express membrane-bound B7-2 (CD86) and a soluble factor that co-stimulate cyclosporin-A-resistant and CD28-dependent human T cell proliferation. Int. Immunol. 8:1099.[Abstract/Free Full Text]
-
Harlan, D. M., R. Abe, K. P. Lee, C. H. June. 1995. Potential roles of the B7 and CD28 receptors families in autoimmunity and immune evasion. Clin. Immunol. Immunopathol. 75:99.[Medline]
-
Daikh, D., D. Wofsy, J. B. Imboden. 1997. The CD28B7 costimulatory pathway and its role in autoimmune disease. J. Leukocyte Biol. 62:156.[Abstract]
-
Greenfield, E. A., E. Howard, T. Paradis, K. Nguyen, F. Benazzo, P. McLean, P. Hollsberg, G. Davis, D. A. Hafler, A. Sharpe, et al 1997. B7.2 expressed by T cells does not induce CD28-mediated costimulatory activity but retains CTLA4 binding: implications for induction of antitumor immunity to T cell tumors. J. Immunol. 158:2025.[Abstract]
-
Dorfman, D. M., J. L. Schultze, A. Shahsafaei, S. Michalak, J. G. Gribben, G. J. Freeman, G. S. Pinkus, L. M. Nadler. 1997. In vivo expression of B7-1 and B7-2 by follicular lymphoma cells can prevent induction of T-cell anergy but is insufficient to induce significant T-cell proliferation. Blood 90:4297.[Abstract/Free Full Text]
-
Manoussakis, M. N., I. D. Dimitriou, E. K. Kapsogeorgou, G. Xanthou, S. Paikos, M. Polichronis, H. M. Moutsopoulos. 1999. Expression of B7 costimulatory molecules by salivary gland epithelial cells in patients with Sjögrens syndrome. Arthritis Rheum. 42:229.[Medline]
-
Vitali, C., S. Bombardieri, H. M. Moutsopoulos, G. Balestrieri, W. Bencivelli, R. M. Bernstein, K. B. Bjerrum, S. Braga, J. Coll, S. de Vita, et al 1993. Preliminary criteria for the classification of Sjögrens syndrome: results of the EEC prospective concerted action. Arthritis Rheum. 36:340.[Medline]
-
Chopra, D. P., I. C. Xue-Hu. 1993. Secretion of
-amylase in human parotid gland epithelial cell culture. J. Cell. Physiol. 155:223.[Medline]
-
Borriello, F., J. Oliveros, G. J. Freeman, L. M. Nadler, A. H. Sharpe. 1995. Differential expression of alternate mB7-2 transcripts. J. Immunol. 155:5490.[Abstract]
-
Thompson, C. B., T. Lindsten, J. A. Ledbetter, S. L. Kunkel, H. A. Young, S. G. Emerson, J. M. Leiden, C. H. June. 1989. CD28 activation pathway regulates the production of multiple T-cell-derived lymphokines/cytokines. Proc. Natl. Acad. Sci. USA 86:1333.[Abstract/Free Full Text]
-
Razi-Wolf, Z., G. A. Hollander, H. Reiser. 1996. Activation of CD4+ T lymphocytes from interleukin-2-deficient mice by costimulatory B7 molecules. Proc. Natl. Acad. Sci. USA 93:2903.[Abstract/Free Full Text]
-
Khoruts, A., A. Mondino, K. A. Pape, S. L. Reiner, M. K. Jenkins. 1998. A natural immunological adjuvant enhances T cell clonal expansion through a CD28-dependent IL-2-independent mechanism. J. Exp. Med. 187:225.[Abstract/Free Full Text]
-
Boulougouris, G., J. D. McLeod, Y. I. Patel, C. N. Ellwood, L. S. K. Walker, D. M. Sansom. 1999. IL-2-independent activation and proliferation in human T cells induced by CD28. J. Immunol. 163:1809.[Abstract/Free Full Text]
-
June, C. H., J. A. Ledbetter, M. M. Gillespie, T. Lindsten, C. B. Thompson. 1987. T-cell proliferation involving the CD28 pathway is associated with cyclosporine-resistant interleukin 2 gene expression. Mol. Cell. Biol. 7:4472.[Abstract/Free Full Text]
-
Gimmi, C. D., G. J. Freeman, J. G. Gribben, K. Sugita, A. S. Freedman, C. Morimoto, L. M. Nadler. 1991. B-cell surface antigen B7 provides a costimulatory signal that induces T cells to proliferate and secrete interleukin-2. Proc. Natl. Acad. Sci. USA 88:6575.[Abstract/Free Full Text]
-
Linsley, P. S., W. Brady, L. Grosmaire, A. Aruffo, N. K. Damle, J. A. Ledbetter. 1991. Binding of the B cell activation antigen B7 to CD28 costimulates T cell proliferation interleukin 2 mRNA accumulation. J. Exp. Med. 173:721.[Abstract/Free Full Text]
-
Seder, R. A., R. N. Germain, P. S. Linsley, W. E. Paul. 1994. CD28-mediated costimulation of interleukin 2 (IL-2) production plays a critical role in T cell priming for IL-4 and interferon
production. J. Exp. Med. 179:299.[Abstract/Free Full Text]
-
Freeman, G. J., V. A. Boussiotis, A. Anumanthan, G. M. Bernstein, X. Y. Ke, P. D. Rennert, G. S. Gray, J. G. Gribben, L. M. Nadler. 1995. B7-1 and B7-2 do not deliver identical costimulatory signals, since B7-2 but not B7-1 preferentially costimulates the initial production of IL-4. Immunity 2:523.[Medline]
-
McHugh, R. S., W. D. Ratnoff, R. Gilmartin, K. W. Sell, P. Selvaraj. 1998. Detection of a soluble form of B7-1 (CD80) in synovial fluid from patients with arthritis using monoclonal antibodies against distinct epitopes of human B7-1. Clin. Immunol. Immunopathol. 87:50.[Medline]
-
Faas, S. J., M. A. Giannoni, A. P. Mickle, C. L. Kiesecker, D. J. Reed, D. Wu, W. L. Fodor, J. P. Mueller, L. A. Matis, R. P. Rother. 2000. Primary structure and functional characterization of a soluble, alternatively spliced form of B7-1. J. Immunol. 164:6340.[Abstract/Free Full Text]
-
Moutsopoulos, H. M.. 1994. Sjögrens syndrome: autoimmune epithelitis. Clin. Immunol. Immunopathol. 72:162.[Medline]
-
Manoussakis, M. N., H. M. Moutsopoulos. 2000. Sjögrens syndrome: autoimmune epithelitis. Baillieres Clin. Rheumatol. 14:73.
-
Jeannin, P., G. Magistrelli, J. P. Aubry, G. Caron,
J. F. Gauchat, T. Renno, N. Herbault, L. Goetsch,
A. Blaecke, P. Y. Dietrich, J. Y. Bonnefoy, and Y. Delneste.
Soluble CD86 is a costimulatory molecule for human T lymphocytes.
Immunity 13:303.
This article has been cited by other articles:

|
 |

|
 |
 
M. Sisto, S. Lisi, D. D. Lofrumento, M. A. Frassanito, L. Cucci, S. D'Amore, V. Mitolo, and M. D'Amore
Induction of TNF-alpha-converting enzyme-ectodomain shedding by pathogenic autoantibodies
Int. Immunol.,
October 23, 2009;
(2009)
dxp103v1.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Le Pottier, V. Devauchelle, A. Fautrel, C. Daridon, A. Saraux, P. Youinou, and J.-O. Pers
Ectopic Germinal Centers Are Rare in Sjogren's Syndrome Salivary Glands and Do Not Exclude Autoreactive B Cells
J. Immunol.,
March 15, 2009;
182(6):
3540 - 3547.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Sisto, M. D'Amore, D. D. Lofrumento, P. Scagliusi, S. D'Amore, V. Mitolo, and S. Lisi
Fibulin-6 expression and anoikis in human salivary gland epithelial cells: implications in Sjogren's syndrome
Int. Immunol.,
March 1, 2009;
21(3):
303 - 311.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. I. Christodoulou, E. K. Kapsogeorgou, N. M. Moutsopoulos, and H. M. Moutsopoulos
Foxp3+ T-Regulatory Cells in Sjogren's Syndrome: Correlation with the Grade of the Autoimmune Lesion and Certain Adverse Prognostic Factors
Am. J. Pathol.,
November 1, 2008;
173(5):
1389 - 1396.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. K. Kapsogeorgou, H. M. Moutsopoulos, and M. N. Manoussakis
A Novel B7-2 (CD86) Splice Variant with a Putative Negative Regulatory Role
J. Immunol.,
March 15, 2008;
180(6):
3815 - 3823.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D I Mitsias, E K Kapsogeorgou, and H M Moutsopoulos
The role of epithelial cells in the initiation and perpetuation of autoimmune lesions: lessons from Sjogren's syndrome (autoimmune epithelitis)
Lupus,
May 1, 2006;
15(5):
255 - 261.
[Abstract]
[PDF]
|
 |
|