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The Journal of Immunology, 2001, 167: 6312-6320.
Copyright © 2001 by The American Association of Immunologists

The Amount of Scurfin Protein Determines Peripheral T Cell Number and Responsiveness1

Roli Khattri*, Deborah Kasprowicz{dagger}, Tom Cox*, Marty Mortrud*, Mark W. Appleby*, Mary E. Brunkow*, Steven F. Ziegler{dagger} and Fred Ramsdell*

* Celltech R&D, Inc., Bothell, WA 98021; and {dagger} Virginia Mason Research Center, Seattle, WA 98101.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the absence of the recently identified putative transcription factor scurfin, mice develop a lymphoproliferative disorder resulting in death by 3 wk of age from a pathology that resembles TGF-{beta} or CTLA-4 knockout mice. In this report, we characterize mice that overexpress the scurfin protein and demonstrate that these animals have a dramatically depressed immune system. Mice transgenic for the Foxp3 gene (which encodes the scurfin protein) have fewer T cells than their littermate controls, and those T cells that remain have poor proliferative and cytolytic responses and make little IL-2 after stimulation through the TCR. Although thymic development appears normal in these mice, peripheral lymphoid organs, particularly lymph nodes, are relatively acellular. In a separate transgenic line, forced expression of the gene specifically in the thymus can alter thymic development; however, this does not appear to affect peripheral T cells and is unable to prevent disease in mice lacking a functional Foxp3 gene, indicating that the scurfin protein acts on peripheral T cells. The data indicate a critical role for the Foxp3 gene product in the function of the immune system, with both the number and functionality of peripheral T cells under the aegis of the scurfin protein.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The X-linked recessive mouse mutant, scurfy (sf), has provided a valuable system in which to study the regulation of T lymphocyte activation (1, 2, 3, 4, 5, 6, 7). Hemizygous males succumb to a severe and rapidly fatal lymphoproliferative disease within a few weeks of birth. Carrier females are unaffected. The disease is characterized by multiorgan lymphocyte infiltration, which leads to greatly enlarged lymph nodes, hepatosplenomegaly, and exfoliative dermatitis. Other clinical features include elevated leukocyte counts, hypergammaglobulinemia, and severe anemia. The increase in expression of a number of cytokines, most notably GM-CSF, IL-2, IL-4, IL-5, IL-6, IL-7, IL-10, IFN-{gamma}, and TNF-{alpha}, are consistent with the range of pathological symptoms leading to death.

In many respects, sf/Y animals are strikingly similar to animals that lack expression of either CTLA-4 (8, 9) or TGF-{beta} (10, 11, 12). Using adoptive transfer studies, the effector cells in the disease have been shown to be CD4+ T cells (6). Flow cytometric analyses of freshly explanted sf/Y CD4+cells reveal an increased number of cells expressing activation-related cell surface markers, including CD44, CD69, CD25, CD80, and CD86 (7). Previous studies have demonstrated that purified CD4+ T cells from mutant mice are exquisitely sensitive to stimulation through the TCR. These cells however, retain their requirement for two activation signals, one through the TCR and the second through a coreceptor such as CD28, for maximal activation (7). Recent data has demonstrated that engagement of the TCR is required for pathology, as generation of mice that possess a single TCR specificity (D011.10 transgene) prevents the induction of disease in otherwise susceptible sf/Y mice (13). Thus, like CTLA-4- or TGF-{beta}-targeted mutant mice, the pathology observed in sf/Y mice appears to result from an inability to appropriately regulate T cell function.

The gene responsible for the defect in sf/Y mice has been identified recently using a positional cloning strategy. The gene encodes a novel member of the forkhead transcription factor family, designated Foxp3 (14). In scurfy mutant animals, a 2-bp insertion results in premature termination of translation and a potentially truncated protein that appears to be nonfunctional. The absence of disease in male mice expressing a wild-type Foxp3 transgene, in addition to the sf mutant Foxp3 gene, confirmed the direct relationship between this gene and the pathology seen in mutant animals (14). Our current studies show that in addition to preventing the disease in mutant mice, overexpression of the wild-type allele confers a dose-dependent decrease in the number and functional responsiveness of CD4+ T cells in otherwise normal animals. The effect of transgene expression appears limited to peripheral T cells, as thymic development in these mice is normal when the transgene is expressed under the control of its own regulatory elements. Overexpression of the gene using a promoter restricted to the thymus can result in altered development, but this thymic-specific expression is unable to prevent disease in sf/Y mutant animals. The results described here suggest that the amount of Foxp3 gene expression (and presumably the encoded scurfin protein) is directly related to the overall functional competence of peripheral CD4+ T cells.


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

Animal studies were conducted following Public Health Service guidelines, and all mice were maintained under specific pathogen-free (SPF)2 conditions. The original breeding stocks for scurfy mice were obtained from Oak Ridge National Laboratory (Oak Ridge, TN), with mice subsequently derived by cesarean section into SPF conditions. Transgenic mice were generated by oocyte microinjection by DNX Transgenic Services (Cranbury, NJ), as described previously (14). For the 2826 mouse line, a 30.8-kb cosmid construct was generated from mouse BAC K60 for injection. This cosmid contains the entire Foxp3 gene along with ~18 kbp of 5' sequence and 4 kbp of 3' sequence. Expression of the gene parallels that of the endogenous gene with respect to tissue distribution (14). For construction of the lck-Foxp3 transgene, a Foxp3 cDNA fragment containing BglII sites at each end was generated by RT-PCR from 10-day thymus RNA using 5'-GCAGATCTCCTGACTCTGCCTTC-3' and 5'-GCAGATCTGACAAGCTGTGTCTG-3' and cloned into the BamHI site of p1017, which contains the lck proximal promoter (15). Both transgenic and scurfy mice were backcrossed onto the C57BL/6 background (Jackson) for from four to six generations for all studies. No differences in responsiveness or phenotype were noted during backcrossing. Northern blot analysis was performed as described previously (14).

Flow cytometry and cell sorting

Thymus, lymph node, and splenic tissues were collected as described previously (7) and were resuspended in staining buffer (1% BSA, 0.1% sodium azide in PBS) at a cell density of 20 x 106/ml. Cell aliquots were treated with 2% normal mouse serum (Sigma, St. Louis, MO) to block nonspecific binding and then stained by incubation on ice for 30 min with combinations of the following fluorochrome-conjugated anti-mouse mAbs: CD3, CD8{beta}, CD4, CD25, IgG2a control (Caltag Laboratories, Burlingame, CA); and CD28, CD45RB, CD44, CD62L, CD69, CD95 (BD PharMingen, San Diego, CA). The fluorescence intensity of ~105 cells was examined using a MoFlo flow cytometer (Cytomation, Fort Collins, CO) with dead cell exclusion by addition of propidium iodide (10 µg/ml).

CD4+ T lymphocytes were sort purified from tissues for functional assays by positive selection using the MoFlo. Sort purities as determined by postsort analysis were typically greater than 95%.

Functional analyses

Thymus, lymph node, and splenic tissues were removed from appropriate animals, macerated between sterile microscope slides, filtered through a sterile 70-µm nylon mesh, and collected by centrifugation. Cells were cultured at 37°C in complete RPMI 1640 (10% FBS, 0.05 mM 2-ME, 15 mM HEPES, 100 U/ml penicillin, and 100 µg/ml each streptomycin and glutamine) in 96-well round-bottom tissue culture plates. Culture wells were prepared for T cell activation by preincubation with the indicated concentrations of purified Ab to CD3 (clone 2C11) in sterile PBS for 4 h at 37°C. Purified anti-mouse CD28 (clone 37.51) or anti-mouse KLH (control Ab) was coimmobilized at 1 µg/ml final concentration.

T cells were cultured at a cell density of 1–5 x 104 cells/well in 200 µl of complete RPMI 1640 for 72 h. Supernatant (100 µl) was removed at 48 h for analysis of cytokine production. Wells were pulsed with 1 µCi/well of [3H]thymidine (Amersham Life Science, Arlington Heights, IL) for the last 8–12 h of culture and then harvested (Tomtec, Hamden, CT). Proliferation data reported are based on mean value of triplicate wells and represent a minimum of three experiments. Cytokine levels were determined by ELISA according to the manufacturer’s directions (Biosource International, Camarillo, CA).

Histology

Tissues for histological analysis were removed from mice ~8 wk after birth and immediately fixed in buffered 10% formalin. Paraffin-embedded sections were processed for H&E staining, and comparative histopathology was performed on representative mice (Applied Veterinary Pathobiology, Bainbridge, WA).

Mixed lymphocyte culture

A single-cell suspension of BALB/c spleen cells was generated to use as stimulator cells. These cells were irradiated (3300 rad) and incubated a 10:1 ratio (stimulator:effector) with scurfin-transgenic or normal littermate control (NLC) spleen cells. To some cultures, IL-2 was added at 100 U/ml. For proliferation assays, cells were pulsed after 5 days and harvested as above. For generation of CTL, splenic T cells were stimulated in a similar manner in the presence of 100 U/ml IL-2. After 5 days, cells were either assayed in the "just another method" assay (16) or restimulated on a new stimulator layer. Cells were ~95% CD8+.

Cytotoxicity assay

BALB/c spleen cells were stimulated with PMA (10 ng/ml) in the presence of ionomycin (250 ng/ml) for 24 h to allow for efficient loading of cells with [3H]thymidine. After 24 h, [3H]thymidine (5 µCi/ml) was added to PMA and ionomycin-stimulated BALB/c spleen cells. Cell were incubated at 37°C for 18 h and then washed. CD8+ effector cells were plated with target BALB/c cells at increasing ratios ranging from 1.5:1 to 50:1 (E:T) in a 96-well flat-bottom plate (experimental) in a final volume of 100 µl. The cells were pelleted by centrifugation and incubated at 37°C for 4 h. A plate containing labeled BALB/c cells alone was harvested immediately and used to determine total counts (TC). A second plate containing labeled BALB/c cells alone also was incubated at 37°C for 4 h to determine spontaneous release (SR). After 4 h of incubation, cells were harvested onto glass fiber and counted in a scintillation counter. Percent lysis was determined as follows: [(TC - SR) - (experimental - SR)/(TC - SR)] x 100 = percent lysis.

Contact sensitivity response

Age-matched animals were treated on the left ear with 2% oxazalone (diluted in olive oil/acetone), using a final volume of 25 µl. After 7 days, ear thickness was measured using spring-loaded calipers, and mice were challenged on the right ear with 2% oxazalone (8 µl per ear). Ear thickness was measured at 24 h and is reported as change in ear thickness compared with prechallenge. Control mice were challenged only (no priming). Thickness of ears after initial priming (before challenge) was no different from untreated ears. Mice were subsequently treated with PMA (10 ng/ml; 8 µl/ear) on the priming ear. Ear thickness was measured at 18 h and is reported as thickness compared with pretreatment.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Overexpression of the wild-type Foxp3 gene results in decreased numbers of peripheral T cells

Initial experiments involving the Foxp3-transgenic mice demonstrated that in five of five lines generated from distinct founder animals, the expression of the wild-type Foxp3 transgene prevented disease in sf/Y mutant mice (14). Further analysis demonstrated that the copy number of the transgene was directly correlated to the expression of the gene at the mRNA level (14). This is likely due to the fact that the transgene construct consisted of a large genomic fragment including a substantial portion of 5' sequence and much of the regulatory region. In analyzing the various transgenic lines, it also became clear that there was a direct relationship between the expression of the Foxp3 gene and the number of lymph node cells (14). The relationship between transgene copy number and cell number is shown for three of the founder lines, with the scurfy mutant animal (sf/Y) and NLC for comparison (Table IGo). Although there is a less dramatic, but consistent, difference in the number of splenic cells in the transgenic mice as well, the number of thymocytes is not significantly affected. For reasons of simplicity, except where noted, the remainder of the studies in this report focus on the 2826 transgenic line. Animals from this line are generally healthy and survive for greater than 1 year under SPF conditions. The line has ~16 copies of the transgene and by Northern blot analysis is expressed at 10 to 20 times the level of the endogenous gene in lymphoid tissues (14). The transgene, like the endogenous gene, is only poorly expressed in nonlymphoid tissues, a likely consequence of its expression under the control of its endogenous promoter. Lymph node cell number in mice from this line range from 15–50% of normal, with the number of cells accumulating with age. Splenic cell number is less dramatically affected although generally decreased, with a range of 25–90% of normal.


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Table I. Increased expression of the Foxp3 gene results in decreasing peripheral T cell number1

 
Thymic phenotype of scurfin-transgenic mice

The role of the Foxp3 gene in thymic selection remains unclear. Deletion of superantigen-specific V{beta}-bearing thymocytes appears normal in both sf/Y and 2826 transgenic mice (F. Ramsdell, unpublished results). Consistent with this, overexpression of the Foxp3 gene using its own endogenous promoter (2826 line) also does not appear to result in any gross changes in thymic development or selection. The number of thymocytes (Table IGo) and their distribution among the major phenotypic subsets (Fig. 1Go) is indistinguishable from littermate control animals. A more detailed examination of the CD4-8- subset also reveals a normal distribution of {gamma}{delta} cells (not shown) and CD25+ cells. Importantly, the fraction of CD4+8- thymocytes expressing the maturation markers CD69 and HSA (not shown) is identical in 2826 and control animals, suggesting that the maturation process is normal.



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FIGURE 1. Thymic development appears normal in 2826 transgenic mice. Thymi from normal littermate controls (top) or 2826 transgenic (bottom) were analyzed for the expression of various cell surface markers, including CD4 and CD8 (left). The expression (log10 fluorescence) of CD69 on CD4+8- thymocytes (center) and the expression of CD25 on CD4-8- thymocytes (right) were determined after electronic gating for the relevant subsets. These histograms are representative of at least 5 different mice from independent breedings, and animals were analyzed at 4 wk of age.

 
Overexpression of the Foxp3 gene in the thymus alone has a significantly different phenotype from the 2826 mice noted above. Intriguingly, transgenic animals that express the Foxp3 gene exclusively in thymus (under the control of the lck proximal promoter) are unable to rescue sf/Y mice from disease (Table IIGo). Two separate founder animals were crossed to scurfy carrier females in an attempt to prevent disease. In each case sf/Y mice carrying the lck proximal promoter–Foxp3 transgene developed an acute lymphoproliferative disease that was identical both in severity and time course to that seen in nontransgenic sf/Y siblings. In each case, expression of the transgene was seen predominantly in the thymus with no detectable expression in peripheral organs, including spleen (Fig. 2GoA). Furthermore, thymic expression of the lck-driven transgene was substantially greater than that of the gene in 2826 transgenic animals or of the endogenous gene in normal littermate control mice. Hence, it appears that the fatal lymphoproliferative disease seen in sf/Y mice does not arise as a consequence of scurfin-mediated developmental defects in the thymus.


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Table II. Expression of Foxp3 in the thymus is insufficient to prevent disease in sf/Y micea

 


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FIGURE 2. Expression of Foxp3 exclusively in the thymus alters thymic development. A, Northern blot analysis for Foxp3 mRNA from liver, spleen, and thymus of NLC, lck-Foxp3 (16.5, 8.3), and cosmid-Foxp3 (2826) transgenic mice (top). Ethidium bromide staining to visualize 18S and 28S rRNA as an indication of amounts of RNA loaded onto the gel (bottom). B, Thymi from 8-wk-old NLC (top) or lck-Foxp3-transgenic (8.3) mice (bottom) were analyzed by flow cytometry for CD4, CD8, CD69, and CD25 fluorescence (log10) as in Fig. 1Go.

 
Although transgenic (non-sf) animals carrying the lck-driven transgene appear generally normal, high-level expression of the transgene within the thymus does have phenotypic consequence in normal (non-sf) animals. Significantly increased expression of the transgene in otherwise normal mice leads to a relative decrease in the percentage of double-positive thymocytes and a corresponding increase in the percentage of double-negative cells, as well as a decrease in overall thymic cell number (Fig. 2GoB, Table IIGo). T cell development still occurs in these animals, as assessed by the generation of CD4 and CD8 single-positive cells and by the presence of relatively normal numbers of peripheral T cells in both lymph node and spleen (Table IIGo). CD69 expression on CD4+8- cells from the thymus is similar in transgenic and wild-type littermates, suggesting positive selection likely proceeds normally, whereas within the double-negative compartment, the fraction of cells expressing CD25 is diminished relative to wild-type animals (Fig. 2GoB). These transgenic animals indicate that overexpression of the Foxp3 gene within the thymic compartment specifically can alter thymic development, but this appears to have no affect on regulating peripheral T cell activity.

Altered phenotype of peripheral T cells from scurfin-transgenic mice

In addition to a decrease in the number of peripheral T cells in 2826 mice, there are several phenotypic alterations in these transgenic mice as well. There is a slight reduction in the percentage of CD4+ cells in both the lymph node and spleen relative to NLC (Fig. 3GoA). Whereas the CD3 levels appear normal on peripheral T cells (data not shown), there are a number of other surface markers with altered expression levels. For CD4+ cells in the transgenic mice, the most consistent changes are a small decrease in the expression of CD62L and CD45RB as well as an increase in the expression of CD95 (Fig. 3GoB, top). However, analysis of Fas-L expression (by quantitative RT-PCR) does not show any significant differences between sf mutant, transgenic, or NLC (data not shown). By comparison, cells from sf mutant animals have a very different phenotype. CD4+ cells from these mice are large and clearly activated. They are predominantly CD44high, CD45RBlow, CD62Llow, and partially CD69+ (7).



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FIGURE 3. Phenotype of peripheral T cells from 2826 transgenic mice is altered relative to NLC. A, Lymph node cells from littermate controls (left) or 2826 transgenic mice (right) were examined for the expression of CD4 and CD8 fluorescence. B, CD4+ cells (top) and CD8+ cells (bottom) were analyzed for the fluorescence of a variety of other markers after electronic gating. Expression of specific markers on NLC cells (open histograms) and on 2826 transgenic cells (hatched histograms) are overlayed, and data is representative of six individual mice examined.

 
CD8+ cell numbers are also reduced in both the spleen and lymph nodes of scurfin-transgenic mice (Fig. 3GoA). This decrease is typically more dramatic (50–75%) than the decrease in the CD4+ compartment (25–50%). CD8+ T cells display relatively minor and variable changes in the level of CD62L, CD45RB, and CD95 on the cell surface in comparison to NLC. In contrast to CD4+ T cells, there is a more pronounced increase in the percentage of CD8+ T cells that were also CD44high. Overall, the CD8+ cells do not express surface markers at levels that characterize them as specifically naive, activated, or memory.

Histological analyses of scurfin-transgenic mice

Whereas peripheral T cells in 2826 mice are clearly decreased in number, we also sought to determine whether the architecture of the lymphoid organs was also perturbed. Histological examination of the major lymphoid organs (thymus, lymph node, and spleen) indicated that the most significant changes were found in the mesenteric and peripheral lymph nodes (Fig. 4Go). As expected, the thymus appears relatively normal, with a well-defined corticomedullary junction, although there appears to be a slight reduction in the size of the thymic medulla. Transgenic animals have smaller peripheral lymph nodes, lack robust and normally distributed lymphoid follicles, lack distinct margins between follicular and interfollicular areas, and have more obvious sinuses than those found in the lymph nodes of the NLC mice. Even though the spleen and Peyer’s patches appear approximately normal in size and microarchitecture, there is a moderate decrease in total cell number and no or minimal evidence of germinal centers in these tissues. The changes noted here reflect a hypocellular state distinct from a number of other targeted mutations in which the lymph nodes fail to develop. Thus, although T cells are capable of development in an apparently normal manner, their representation within the peripheral lymphoid tissues, particularly the lymph nodes, is substantially decreased.



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FIGURE 4. Decreased follicle and germinal center formation in lymph nodes in Foxp3-transgenic mice. Lymph node (AD) and spleen (E–H) from age-matched animals were fixed in formalin, sectioned, and processed for H&E staining. A, B, E and F, 2826 transgenic mice. C, D, G and H, NLC.

 
Decreased functional responses of CD4+ cells from scurfin-transgenic mice

The phenotypic and cell number data suggest that there are specific defects in the biology of CD4 T cells from 2826 transgenic animals. Therefore, we evaluated the functional responses of T cells from these animals to several stimuli, including anti-CD3 and anti-CD28. Lymphocytes were isolated from various tissues from NLC, 2826 transgenic, or scurfy (mutant) mice, and CD4 cells were purified by cell sorting. Proliferation (Fig. 5Go) and IL-2 production (Fig. 6Go) are significantly diminished in cells from the transgenic animals compared with their littermates. This difference is maintained at later time points after stimulation. Although transgenic animals increase their responsiveness with increasing stimulation, they rarely reach the levels achieved by NLC. This is particularly true for IL-2 production, in which cells from 2826 mice consistently produce low to undetectable amounts of this cytokine. Similar results are seen whether the cells are derived from the spleen or the lymph nodes. As expected, cells from scurfy animals are hyperresponsive to stimulation and produce increased amounts of IL-2. The effect of the transgene is independent of strain and has remained constant during the backcrossing of the animals onto C57BL/6 through at least generation N6. T cells from transgenic mice remain responsive to anti-CD28 in this assay, whereas stimulation with anti-CD3 and control Ig results in generally poor responses that were lower than but similar to NLC responses. Interestingly, addition of high doses of IL-2 is able to partially overcome the proliferative defect in CD4+ T cells from 2826 mice, but generally fails to restore the response to that of wild-type animals (Fig. 5Go, C and D). To assess whether reduced responsiveness of transgenic T cells was due to increased activation induced cell death, apoptosis was measured in primary cultures by annexin V and propidium iodide staining. No significant differences were seen between CD4+ T cells from transgenic or NLC (data not shown). Similar results were found with cell cycle analysis. The CD4+ T cells from transgenic animals were not arrested at any stages of cell cycle (data not shown). At specific time points, there were slightly reduced percentages of transgenic CD4+ T cells in S or G2-M phase, but these differences were not significant enough to account for reduced proliferative responses.



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FIGURE 5. Proliferative responses of Foxp3-transgenic CD4+ T cells are diminished relative to NLC cells. Purified CD4+ cells from lymph node (left) or spleen (right) were stimulated with varying concentrations of anti-CD3 and a fixed concentration of anti-CD28 (1 µg/ml) or control hamster Ig. Cells from NLC ({blacksquare}), 2826 transgenic mice ({blacktriangleup}), or scurfy mice ({circ}) were plated in the absence of IL-2 (A and B). C and D, cells from NLC or 2826 transgenic mice were cultured in the absence (open symbols) or presence (filled symbols) of 20 U/ml rIL-2. Similarly diminished responses are noted when cells are stimulated with PMA and ionomycin (not shown).

 


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FIGURE 6. Foxp3-transgenic cells fail to make IL-2 on stimulation. CD4+ lymph node T cells from NLC (), scurfy mice (), or 2826 mice ({blacksquare}) were cultured with medium alone or anti-CD3 plus anti-CD28 at optimal concentrations. After 48 h, supernatants were collected and assayed for IL-2 content. Data represent one experiment of six performed.

 
In contrast to peripheral T cells, but consistent with the phenotypic data above, the proliferative response of thymic CD4+ cells is approximately comparable between transgenic and NLC mice (Fig. 7GoA). However, IL-2 production by thymic CD4+ cells is reduced substantially from the transgenic animals (Fig. 7GoB). The reduction in IL-2 production by thymocytes is somewhat more variable than that seen in lymph node or spleen and may suggest that the IL-2 produced is also consumed during the culture. Alternatively, thymocytes may produce other growth factors less affected by the expression of the Foxp3 gene. Nevertheless, the data generally support the view that a major defect in the transgenic animals is in the ability of both thymic and peripheral T cells to produce IL-2.



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FIGURE 7. Foxp3-transgenic thymocytes proliferate but fail to make normal amounts of IL-2. A, Thymic CD4+8- cells were isolated from NLC (squares) and 2826 transgenic animals (triangles) and stimulated as for Fig. 5Go. Cells were plated in the absence (open symbols) or presence (filled symbols) of rIL-2 (20 U/ml). B, CD4+8- thymocytes from NLC () or 2826 mice () were stimulated as for Fig. 6Go. Supernatants were collected after 48 h, and IL-2 content was determined.

 
Altered functional responses of scurfin-transgenic CD8+ T cells

We next determined the ability of transgenic T cells to generate and function as cytotoxic T cells in an in vitro assay. Transgenic T cells were stimulated in a mixed-lymphocyte culture containing increasing numbers of irradiated allogeneic stimulator cells in the presence or absence of IL-2. We then measured the proliferative response of either transgenic or NLC effector cells (Fig. 8GoA). T cells from the transgenic animals responded poorly in the absence of exogenous IL-2, consistent with the data for purified CD4+ cells (above). In the presence of exogenous IL-2, transgenic T cells displayed an increased proliferative response but still required a higher number of stimulator cells to reach a similar level of proliferation as control cells. The ability of mixed T cell populations to respond to stimulation in this assay may reflect the presence of both CD4+ and CD8+ T cells in these cultures.



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FIGURE 8. Functional activity of CD8+ T cells from Foxp3-transgenic mice is altered. A, The indicated number of lymph node cells from NLC (squares) or 2826 transgenic mice (triangles) were cultured with allogeneic BALB/C spleen cells (2 x 105/well). Cells were cultured in the absence (open symbols) or presence (closed symbols) of rIL-2, and proliferation was determined after 5 days. B, Cytolytic activity of NLC (squares) and 2826 transgenic mice (triangles) was determined after mixed lymphocyte culture. Varying numbers of effector cells were incubated with 1 x 104 labeled BALB/c target cells, and cytolytic activity was determined after 4 h.

 
As a direct indicator of CD8+ activity, we assayed the cytotoxic ability of T cells in a standard target cell lysis assay. We generated CD8+ T cells using allogeneic feeder cells in the presence of IL-2 and assayed the ability of these cells to lyse target cells. At higher E:T ratios (50:1 and 25:1), scurfin-transgenic CD8+ cells were as effective at lysing target cells as cells generated from NLC, whereas at the intermediate ratios (12.5:1–3:1), transgenic cells were significantly reduced in their cytolytic function in comparison to NLC (Fig. 8GoB). However, the transgenic cells were still effective, with 50–60% lysis at these intermediate ratios. Overall, these data suggest that scurfin-transgenic T cells possess cytolytic activity but are less effective than NLC. In addition, exogenous IL-2 was required to generate functional CD8+ T cells, presumably due to the poor endogenous production of this cytokine.

As a further indicator of T cell responsiveness, we have addressed the functional responsiveness of 2826 transgenic animals to Ag in vivo. Contact sensitivity responses using oxazalone as the challenging agent were conducted on 2826 mice and their littermate controls. In these studies, transgenic animals made a consistently poor response to oxazalone at all times examined, whereas control animals responded normally (Fig. 9Go). However, the transgenic animals responded normally to challenge with PMA, indicating that they were capable of generating an inflammatory reaction to a strong, non Ag-specific challenge. Further studies using animals transgenic for both a TCR and Foxp3 will examine in vivo responses in greater detail.



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FIGURE 9. Contact sensitivity response is attenuated in Foxp3-transgenic animals. NLC or 2826 mice were primed with vehicle ({square}) or oxazalone ({blacksquare}), and then both groups were challenged with oxazalone on day 7. Ear thickness was determined at 24 h after challenge. Mice were separately treated with PMA (10 ng/ml), and ear thickness was measured at 6 h ().

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although many years of study have helped to define various aspects of the cellular and biochemical pathways associated with the activation of T cells and the initiation of immune responses, less effort has been expended in examining the mechanism(s) by which these responses are controlled. However, in recent years, mutant mice, either spontaneous or induced, have proven to be useful for dissecting a number of pathways clearly involved in T cell regulation and immune system homeostasis. Mice with spontaneous mutations in CD95 or CD95-ligand (17, 18) or induced (targeted) mutations in CTLA-4 (8, 9) or TGF-{beta} (10, 11) have profoundly altered immune responses, which may be attributed to a failure to control T cell function. The latter two types of mice dramatically demonstrate the critical role for these proteins in regulation of immune function, as these animals die from lethal immune pathology within weeks of birth. We have focused our studies on a spontaneous mutant, scurfy, that displays many of the characteristics of CTLA-4- or TGF-{beta}-targeted mice.

The gene that is mutated in scurfy mice has recently been identified as a novel member of the forkhead/winged-helix family of transcription factors and has been designated Foxp3 (14). The protein product of this gene, scurfin, has been further shown to bind DNA (19), thus suggesting that the protein indeed regulates transcription. The identity of the target genes affected has yet to be determined. The functional activity of scurfin is largely conserved between mouse and man as evidenced by the high level of amino acid identity between these species (86%) and, more importantly, the existence of mutations in the human gene that result in a phenotype similar to the mouse mutant (20, 21). Additionally, the absolutely critical role of this protein in immune function is suggested by the fact that, to date, there are no polymorphisms in the gene other than those that result in overt disease.

In the course of confirming that Foxp3 was the gene responsible for the phenotype in scurfy mice, we generated transgenic animals that overexpress the wild-type gene from a large genomic construct. This resulted in a copy number-dependent, tissue-specific expression pattern such that the resulting animals expressed 2–70 times the amount of RNA found in normal mice, but in a tissue pattern similar to that of normal mice (14). We have studied these transgenic lines in more detail and shown that with increasing amounts of Foxp3 gene expression, peripheral T cell number is significantly reduced and that this excess expression of Foxp3 results in dramatically decreased responsiveness of CD4+ T cells.

Although Foxp3 transgenic mice appear generally healthy and remain viable for greater than 1 year, their immunological responses are significantly muted and the number of peripheral T cells is substantially reduced. This effect on cell number is more apparent in the lymph nodes than the spleen, and not evident in the thymus. Histological examination of these tissues indicates a marked hypocellularity of the peripheral lymphoid organs. This is substantially different from several other gene-targeted animals that fail to properly develop lymph nodes. The relatively minimal alterations in the thymi of animals expressing the Foxp3 transgene under the control of its own promoter suggest that under normal circumstances, the gene acts primarily on peripheral T cells. This is supported by the finding that when expression is restricted to the thymus, transgenic Foxp3 animals are unable to prevent disease in sf/Y mice. Furthermore, in these lck-driven transgenic mice, peripheral T cells appear normal in number and function. The thymic phenotype of sf/Y mutant mice (lacking scurfin) also appears normal soon after birth, with no obvious defects in selection or development (13 and our unpublished results). A more detailed analysis of selection in TCR-transgenic-Foxp3-transgenic mice will be required to address this issue more fully. However, the results to date suggest that scurfin functions primarily within peripheral T cells.

In all five Foxp3-transgenic lines generated, we observed a reduction in both proliferation and, even more strikingly, IL-2 production by purified CD4 cells from the transgenic animals. Addition of IL-2 can partially overcome the proliferative defect in cells from the 2826 line. Whether the decreases in peripheral T cell number reflect an inability to produce cytokine such as IL-2 family members or result from a distinct aspect of altered signaling is unclear at present. However, it should be noted that although endogenous scurfin expression is largely restricted to CD4 cells, there is a significant effect on CD8 cells within the transgenic mice. Analysis of scurfin expression within the CD8 cells of transgenic animals indicates an increased amount of expression relative to that seen in NLC, although substantially below that seen in 2826 transgenic CD4 cells (not shown). This may suggest that the effects on CD8 cells could be directly mediated via scurfin activity within this subset, although an indirect effect via CD4 cells cannot be ruled out. Nevertheless, the dramatic alterations in CD8 cell number, percentage, and functionality in the transgenic animals indicate that the amount of scurfin expression can significantly alter CD8 T cell biology.

The precise mechanism by which the scurfin protein controls immune responses is not yet understood. The ability of the protein to bind DNA and its sequence similarity to other transcription factors suggests that the mechanism of action involves regulation of gene expression. Scurfin lacks an obvious transcriptional activation domain and so may require binding to another factor to induce transcription. Alternatively, scurfin may act primarily by preventing the transcription of specific genes. In transient assays, transfection of the human Foxp3 gene into Jurkat cells with a luciferase reporter driven by a multimer of NFAT site in IL-2 promoter lead to decrease in activation-induced promoter activity, consistent with an inhibitory function (19). In addition to any effect(s) on gene transcription, the mechanism by which scurfin itself is regulated is unclear. Whether the scurfin protein is regulated in a manner similar to other forkhead family members, such as by phosphorylation, remains to be determined (22). However, there is no PKB/AKT consensus site within the protein for serine/threonine phosphorylation.

Because the phenotype of scurfy mice is similar to that of CTLA-4 and TGF{beta} knock-out animals, we considered that scurfin might directly regulate expression of these gene products. However, this does not appear to be the case, as T cells from scurfy mutant mice express CTLA-4 and TGF{beta} as well as the ligands/receptors for these molecules (data not shown). There was an additional possibility that scurfin regulates the expression of receptors involved in apoptosis. Our analysis showed no difference in expression of Fas (FACS analysis) or Fas-L, TNFRI, and TNFRII (RT-PCR analysis). A potential role for scurfin in the downstream signaling from these receptors is under study.

The present data indicate that the amount of Foxp3 message, and presumably scurfin protein, is directly correlated with the responsiveness of peripheral T cells and in their overall number. Although scurfin can have effects on T cell development, but not disease modification, when highly expressed using the proximal lck promoter, expression of the gene under its own promoter does not seem to alter thymic selection, but does prevent disease in sf/Y mice. This is consistent with the hypothesis that scurfin exerts its effects primarily within the peripheral T cell compartment. Whereas the lack of functional scurfin activity leads to a hyperactive immune state and death within 3 wk of birth, excessive scurfin activity leads to a hypoactive immune state characterized by decreased numbers and activity of peripheral T cells. This indicates that the Foxp3 gene and its protein product scurfin acts as a central regulator of T cell activity.


    Acknowledgments
 
We gratefully acknowledge Angie Snell, Donald Walker, and Sue-Ann Yasayko for technical assistance.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Fred Ramsdell at the current address: Celltech R&D Inc., 1631 220th Street SE, Bothell, WA 98021. E-mail address: fredramsdell{at}celltechgroup.com Back

2 Abbreviations used in this paper: SPF, specific pathogen-free; NLC, normal littermate control. Back

Received for publication June 26, 2001. Accepted for publication September 28, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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