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Trudeau Institute, Saranac Lake, NY, 12983
| Abstract |
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| Introduction |
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During the generation of local immune responses, epithelial tissues in the nasal mucosa become principal effector sites (2), and the associated NALT are regarded as mucosal induction sites (3). The functional relationship of these induction and effector sites parallels that of the Peyers patch and lamina propria, respectively, of gut-associated lymphoid tissue (GALT). In the absence of Ag, the NALT is predominantly a naive immunological site, lacking germinal center formation and consisting of unswitched IgM+ and IgD+ B cells (4) and naive Th0 T cells (2). Following infection, the generation of an Ag-specific mucosal IgG and IgA isotype-specific humoral response in the NALT and nasal mucosa suggest that localized regulatory mechanisms involving CD4 T cells and B cells at these induction and effector sites are continually active (4). In contrast, the generation and regulation of an Ag-specific cell-mediated immune response at these sites in the upper airways following infection are far less understood.
The CTL responses directed against respiratory viruses are involved in
the clearance of viruses from the lung (5, 6). Fas- and
perforin-mediated mechanisms are the primary means by which
viral-specific CTL attack and destroy infected target cells
(7). To date, all the
H-2Db-restricted influenza-specific CD8 T cells
recognize specific peptide sequences derived from the internal proteins
of the virus (8). The H-2Db
nucleoprotein epitope
(DbNP366) is recognized by
12% of the CD8 T cells recovered from the bronchoalveolar lavage
during the response to primary influenza virus infection (9, 10). The frequency of these
DbNP366-specific CD8 T
cells increases to >60% in secondary responses (9). A
second H-2Db-restricted virus-specific epitope
derived from the polymerase 2 protein
(DbPA224) has recently been
shown to account for
1215% of the CD8 T cells in the lungs
following a primary influenza infection (8). The frequency
of the DbPA224-specific CD8
T cells is diminished relative to the
DbNP366-specific CD8 T
cells in a secondary response within the lungs (8).
The kinetics of the influenza-specific CTL response in the nose remains to be determined, despite the fact that the first susceptible tissue that this pathogen comes into contact with is the nasal mucosa. In this study, we present a kinetic analysis of the virus-specific CTL response at the mucosal effector sites and in the associated lymphoid induction sites of the nasal mucosa following both a primary influenza virus infection and a secondary infection by a heterosubtypic influenza virus strain. Development of influenza-specific cell-mediated resistance and establishment of the corresponding memory response in the mucosal effector sites and associated lymphoid induction sites of the upper respiratory tract (URT) were examined in detail for the first time using viral epitope-specific MHC class I tetramers. The data in this study show that the recruitment of DbPA224- and DbNP366-specific CD8 T cells into the nasal mucosa following a primary intranasal infection was analogous to the recruitment of these same effector cells into the lung following pulmonary influenza infection (10). In addition, these DbNP366-specific CD8 T cells persisted in the nasal mucosa and were the dominant subset of virus-specific CD8 T cells responding to the secondary heterosubtypic influenza challenge. In both the primary and secondary infections, CD8 T cells were found to localize in the lamina propria and the intraepithelial lymphocyte compartment of the respiratory epithelium in the nasal mucosa. The results of this study encourage the continual evaluation of the ability of the CD8 T cell-mediated response in the nasal mucosa to limit the transmission of an influenza infection of the URT into the lungs.
| Materials and Methods |
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Male and female C57BL/6 mice, 68 wk of age, were used for all experiments in this study. These animals were obtained from the Trudeau Institute animal breeding facility (Saranac Lake, NY).
Virus
Influenza viruses A/PR/8/34 (PR8; H1N1) and A/HKx31 (X31; H3N2) were grown in the allantoic fluid of 10-day-old embryonated chicken eggs. The infected eggs were incubated for 48 h at 35°C. The allantoic fluid was then harvested and stored at -70°C until use.
Immunization and challenge of mice
Infectious influenza virus was used for immunization and challenge doses. Primary responses were induced by inoculating the mice with 5 µl/nostril of allantoic fluid containing 5 x 106 PFU X31 influenza virus. The mice were lightly anesthetized with halothane and allowed to inhale the inoculum directly into each nostril. For challenge experiments, the mice were given the same primary immunization and then challenged 35 days later. The mice were challenged with 5 µl/nostril of allantoic fluid containing 2 x 106 PFU PR8 influenza virus. The PR8 (H1N1) and X31 (H3N2) influenza strains share the same internal proteins, whereas their surface hemagglutinin and neuraminidase proteins are different serotypes (9).
Tissue sampling
Following primary immunization or secondary challenge, five mice were taken for each time point. These mice were placed under deep halothane anesthetization and exsanguinated by perforation of their abdominal aorta. The spleen, left and right superficial cervical lymph nodes (CLN), NALT tissue, and the nasal mucosa region were taken for FACS analysis. The superficial CLN are located beneath the skin on the surface of the superficial portion of the masseter muscle (11). These lymph nodes have also been referred to as the mandibular lymph nodes (12). To reach the NALT and nasal mucosa, the head was removed from the body, and the skin was pealed off the head. The lower jaw and associated muscle and connective tissue were cut off to reveal the soft palette of the upper jaw. The NALT was obtained by pealing off the soft palette from the upper jaw. The bilateral straps of NALT tissue lay on the nasal or posterior surface of the soft palette. Separation of the rostrum from the head posterior to the eyes and removal of the front incisors were performed to isolate the nasal mucosa region. Each tissue was passed through a mesh screen to obtain a single-cell suspension. The cells were counted, washed, and resuspended at 107/ml. A 100-µl aliquot was used for FACS analysis of each tissue.
Virus quantification assay
On days 0, 5, 7, 10, 13, and 31 after primary infection or secondary challenge (day 3 was included for the secondary infections), the amount of influenza virus present in the nasal mucosa and lungs of the infected animals was quantified by plaque assay on Madin-Darby canine kidney cells as previously described (13). Viral recovery was calculated as the total amount of virus recovered from the nasal mucosa or lungs. The limit of detection in this assay was 20 PFU.
DbNP366 and DbPA224 tetramers and FACS analysis
H-2Db-restricted, virus-specific CD8 T
cells that recognize the influenza nucleoprotein peptide,
NP366374 (ASNENMETH), or the influenza
polymerase-2 peptide, PA224233 (SSLENFRAYV),
were detected by FACS analysis using PE-conjugated tetrameric
complexes. These tetrameric complexes were synthesized by the Molecular
Core Unit at the Trudeau Institute according to previously described
procedures (14). T lymphocytes were also stained with
FITC-conjugated anti-mouse CD4 and CyChrome-conjugated
anti-mouse CD8
(BD PharMingen, San Diego, CA). The data were
acquired on a FACScan and then analyzed using CellQuest software (BD
PharMingen).
Immunohistochemical staining of nasal passage
Nasal tissue sections were cut from the rostrum of infected and
noninfected mice. The rostrum was cut from the head of the animal,
fixed in periodate-lysine paraformaldehyde for 24 h at 4°C, and
then decalcified over a 10- to 12-day period at -5°C in an
EDTA/glycerol (12/15%, w/v) solution as described by Mori et al.
(15). Once the tissues were sufficiently decalcified, they
were sequentially rinsed in PBS/glycerol solutions of 15, 10, 5, and
0% glycerol over 8 h. The rostrums were then impregnated with
Tissue-Tek OCT embedding medium (Miles, Elkhart, IN) at increasing
concentrations of 10, 25, 50, 70, and 100% under a vacuum. The tissues
were then frozen in 100% OCT over liquid NO2 and
stored at -70°C. Tissue sections of 5 µm were cut from the frozen
blocks, placed on silane (Sigma, St. Louis, MO)-coated slides, and
air-dried. The sections were blocked with an avidin-biotin blocking kit
(Vector Laboratories, Burlingame, CA), followed by rat serum. The
sections were then incubated with biotinylated anti-mouse CD8
(TIB210, Trudeau Institute). The location of the bound Ab was revealed
with the avidin-biotin-peroxidase kit with 3,3'-diaminobenzidine as a
substrate (Vector Laboratories). The sections were then counterstained
with methyl-green.
| Results |
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We have previously observed in our intranasal infection models
(data not shown) and those of others (16) that the use of
a small volume of inoculum reduced the direct deposition of the
inoculum into the lung and thereby more closely mimicked the descent of
the infection into the lower respiratory tract. In our model,
detectable levels of virus were recovered from the nasal mucosa of most
mice up to 13 days after primary infection with the X31 influenza
strain (Fig. 1
). Although detectable
levels of virus were found in the lungs of four of five mice at day 5
postinfection (p.i.), these levels were 12
log10 less than those recovered from their nasal
mucosa. Only one animal had a detectable level of virus in its lung by
day 7 p.i. Before the secondary PR8 influenza challenge, no virus
was detected in either the lungs or nasal mucosa of any of the
mice.
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Kinetics of the primary and secondary CD4 and CD8 T cell responses
To determine the kinetics of the T cell response to primary and
secondary intranasal influenza virus infection, tissues of the URT
corresponding to induction and effector sites were assessed for the
presence of CD4 and CD8 T cells. Following the primary X31
infection, a small peak in the accumulation of CD4 and CD8 T cells
occurred in the nasal mucosa on day 7 p.i. (Fig. 2
A, inset). At this
time, the accumulation of CD8 T cells at this effector site was
slightly greater than that of CD4 T cells. Before and after day 7
p.i., the level of CD8 T cell accumulation in the nasal mucosa was
equal to or less than that of the CD4 T cells in this tissue. At the
time of the PR8 challenge, the levels of CD4 and CD8 T cells in the
nasal mucosa were equivalent and not substantially different from those
during the later stages of the primary response. Five days after the
secondary PR8 challenge the peak accumulation levels of CD8 and CD4 T
cells were 10 and 20 times greater than their respective peak
accumulation levels during the primary response. By day 7 p.c. and
beyond, the accumulation of CD4 and CD8 T cells in the nasal mucosa
diminished to and remained at levels equivalent to or only slightly
greater than those at the time of the secondary PR8 challenge.
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During the primary response to X31 influenza infection, the
accumulation of CD4 and CD8 T cells in the CLN reached a maximum level
on day 5 p.i. and then gradually diminished to a level slightly
greater than that seen before the infection (Fig. 2
C).
Throughout the primary response, CD4 levels remained higher than CD8
levels. Following the secondary PR8 challenge, CD4 and CD8 T cell
accumulation peaked at equivalent levels on day 5 p.c. The
accumulation of both T cell subsets diminished rapidly to day 7
p.c. and then at a more gradual rate until it reached a level slightly
greater than seen at the time of challenge.
Kinetics of the primary and secondary DbNP366- and DbPA224-specific CD8 T cell responses
The specificity of the anti-viral CD8 T cell
response in the lung is known to evolve in favor of a
DbNP366-specific CD8 T cell
response that subsequently dominates the memory pool of viral-specific
effector CD8 T cells (9). To determine whether this also
held true for the nasal mucosa, we evaluated the CD8 T cell population
at this effector site by tetramer staining. In the nasal mucosa the
recruitment rate of
DbNP366- and
DbPA224-specific CD8 T
cells was almost identical before their maximum accumulation on day
7 p.i. following primary X31 influenza infection (Fig. 3
A). At day 7 p.i., the
level of DbNP366-specific
CD8 T cells was slightly greater than that of
DbPA224-specific CD8 T
cells, and it remained this way for the duration of the primary
response. The nasal mucosa was the only tissue in which a substantial
increase in the accumulation of
DbPA224-specific CD8 T
cells was observed during the secondary response to PR8 challenge. This
increase occurred on day 5 p.c. and then returned to and remained
at the prechallenge level for the remainder of the response. The
accumulation of
DbNP366-specific CD8 T
cells during the secondary response to the PR8 challenge spiked to a
maximum at this same time. Two days later, the number of
DbNP366-specific CD8 T
cells had rapidly diminished to a level slightly greater than that of
DbPA224-specific CD8 T
cells and remained at this level for the duration of the secondary
response.
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Early in the primary response to X31 infection, the accumulation of
DbNP366- and
DbPA224-specific CD8 T
cells in the CLN were identical (Fig. 3
C). After day 5
p.i., the accumulation of
DbNP366-specific CD8 T
cells increased to a small peak on day 7 p.i. whereas the
accumulation of
DbPA224-specific CD8 T
cells diminished. For the remainder of the response, the accumulation
of DbNP366-specific CD8 T
cells was slightly greater than that of
DbPA224-specific CD8 T
cells. Following the secondary PR8 challenge, only
DbNP366-specific CD8 T
cells showed a significant level of accumulation in the CLN. The
accumulation of these cells reached a maximum level on day 5 p.c.
and continually decreased thereafter.
In the spleen, the accumulation of the
DbNP366- and
DbPA224-specific CD8 T
cells was equivalent up to 7 days after the primary infection with X31
(Fig. 3
D).
DbPA224-specific CD8 T
cells reached their maximum accumulation level at this time and then
gradually decreased to their preinfection levels at the time of PR8
challenge. The
DbNP366-specific CD8 T
cells continued to accumulate and reached a peak level by day 13
p.i., after which the accumulation of these cells decreased to slightly
greater the preinfection level. Following the secondary PR8 challenge,
the rate of accumulation of
DbNP366-specific CD8 T
cells in the spleen was similar to that in the CLN, except that greater
cell numbers were involved in the spleen. Following the day-5 p.c.
maximum, the
DbNP366-specific CD8 T
cells in the spleen stabilized at the level found on day 7
p.c.
CD8 T cell localization within the nasal passages
CD8 T cells recruited into the infected nasal mucosa localize at
the level of the respiratory epithelium and lamina propria in the nasal
passages (Fig. 4
, BD). In
addition, CD8 T cells were detected in the respiratory epithelium of
the Vulmers organ, associated nasal sinuses, and NALT following
infection (not shown). The presence of CD8 T cells in the nasal mucosa
of uninfected animals was negligible (Fig. 4
A). The CD8 T
cell recruitment at the peak of the primary response (Fig. 4
B) was significantly less than that observed at the peak of
the secondary response (Fig. 4
C). No CD8 T cells were
detected in the transition area into and throughout the sensory
epithelium of the nasal passages and Vulmers organ (data not shown).
Within the respiratory epithelium, CD8 T cells were detected in the
intraepithelial lymphocyte compartment (Fig. 4
D, arrows) and
in the lamina propria (Fig. 4
D, arrowhead).
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| Discussion |
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The presence of persistent DbPA224-specific and particularly DbNP366-specific CD8 T cells within the nasal mucosa may well be responsible for the accelerated clearance of the secondary PR8 challenge. DbNP366-specific CD8 T cells isolated from the lungs well after the clearance of influenza Ag acquire strong cytolytic activity only after re-exposure to Ag (17). This is in contrast to vesicular stomatitis virus-specific CD8 T cells, which were found to possess constitutive cytolytic activity upon isolation from the intestinal lamina propria (18) and other nonlymphoid sites (19) following clearance of a vesicular stomatitis virus infection. Nonetheless, in both models these in situ virus-specific CD8 T cells are poised to rapidly respond to the presence of virus in the tissue. The evidence in our study, in conjunction with the findings of others, suggest that the DbNP366-specific CD8 T cells found in the nasal mucosa could rapidly respond to the heterosubtypic challenge. These cells may be responsible for the level of protection observed in the nasal mucosa and, by extension, for the reduced transmission into the lungs of immunized mice. The possibility of non-neutralizing cross-reactive Abs contributing to heterosubtypic cross-protection has been demonstrated in a mucosal vaccine model that uses an inactivated influenza virus (20). However, whether such Abs play a role in our model is not known.
The maximum T cell accumulation levels in the nasal mucosa were greater during the secondary response (day 5 p.c.) than at the peak of the primary response (day 7 p.i.) to influenza infection. This augmented accumulation of T cells at effector sites following secondary infections has been observed in the lung (21). However, in the NALT, the accumulation of T cells was greater during the primary response than during the secondary response to PR8 challenge. The maximum T cell accumulation levels in the NALT 10 days after primary infection were concomitant with a substantially reduced viral load and a diminished level of T cell accumulation in the nasal mucosa. Similarly, T cell accumulation did not peak in the spleen until after clearance of the primary infection from the nasal mucosa (data not shown). In a similar manner, the maximal accumulation of DbNP366-specific CD8 T cells in the NALT following the PR8 challenge occurred as the accumulation of these cells in the nasal mucosa was diminishing and at a time when the viral burden was very low in the nasal mucosa. This suggests that the NALT may not act as an initial induction site for Ag-specific proliferation of T cells after influenza infection of the nose. It is possible that as the virus load is reduced in the nasal mucosa, the subsequent reduction of recruitment signals from the nasal mucosa could cause T cells recruited from the CLN to accumulate in the NALT. This recruitment pattern of T cells to the nasal mucosa via the NALT would support earlier ideas that the NALT is an important staging area for lymphocyte recirculation into the nasal mucosa (1). In contrast, the delayed accumulation of these T cells in the NALT may be associated with the reduced availability of viral Ag that would normally provide the necessary proliferative signals to induce clonal expansion of the viral-specific CD8 T cells. However, the CLNs, which are more distal from the nasal mucosa than the NALT, exhibited a CD8 T cell accumulation pattern similar in kinetics to that of the nasal mucosa. It would appear unlikely that the availability of viral Ag was responsible for the delayed accumulation of these viral-specific CD8 T cells in the NALT and did not cause a similar delay in a more distal lymphoid tissue.
Although that the DbNP366- and DbPA224-derived viral epitopes represent only two of a known number of H-2Db influenza virus-specific CD8 T cell epitopes, (10), they are useful for the purpose of studying the recruitment of virus-specific CD8 T cells within effector and induction sites. At the peak of the primary response in the nasal mucosa, the DbPA224- and DbNP366-specific CD8 T cells accounted for 3040% of the CD8 T cells recovered from this tissue. This is similar to the recovery levels of DbPA224- and DbNP366-specific T cells from the airways of the lungs of mice with primary influenza pneumonia (8). Although the recruitment of DbPA224-specific CD8 T cells was equivalent or slightly greater at an early stage of the primary response in the nasal mucosa and CLN, the DbNP366-specific CD8 T cell response became increasingly dominant after day 5 p.i. and remained so for the duration of the primary response in our study. This aspect of the URT response differed somewhat from that found in the lung and mediastinal lymph node. Following primary infection of the lung, the DbPA224-specific CD8 T cells were more dominant relative to the DbNP366-specific CD8 T cells over the course of the response (8) (R. J. Hogan, unpublished observations).
Although the dominance of the
DbPA224 CD8 T cell-specific
response seemed to differ between those of lung and nasal mucosa, the
ability to establish a
DbPA224-specific memory CD8
T cell response in these two tissues did not. As the primary response
in the nasal mucosa waned, the
DbNP366-specific CD8 T cell
component accounted for an increasingly greater percentage of the
virus-specific CD8 T cells. This facilitated a more efficient
establishment of a
DbNP366-specific memory CD8
T cell response in the URT. The preferential establishment of a
DbNP366-specific memory CD8
T cell pool has been attributed to a number of possibilities, including
the avidity and/or affinity of each peptide for its MHC, the engagement
by MHC:peptide complexes of a spectrum of TCR
pairs
ranging in their affinity and/or avidity for the complexes
(8), the nature of the naive T cell repertoire, and the
extent of the precursor CTL pool (9). The preponderance of
DbNP366 and
DbPA224 epitopes within the
virus and within the infected cell during the infection process may
also influence the development of the virus-specific memory CD8
pool.
The evidence in this study demonstrates that the dominance of the DbNP366-specific CD8 T cell response extends beyond the lung to the tissues of the nasal mucosa. The similar kinetics of the T cell responses of the mucosa and CLN suggest that T cells produced in the CLN transit through the NALT on their way to the nasal mucosa. That the T cell accumulations of the NALT and spleen were more delayed and protracted suggest that these lymphoid tissues play a different role in the mucosal response than does the CLN. The rapid clearance of the secondary heterosubtypic infection from the nasal mucosa was associated with a minimal level of infection of the lung. This suggested that the establishment and persistence of the local DbNP366-specific CD8 T cell response in the nasal mucosa may be capable of providing a substantial level of protection against transmission of an URT influenza infection into the lungs. These results encourage the continual investigation of peptide-based aerosol vaccines as a means of eliciting protective CTL-mediated immunity against heterosubtypic influenza infections at the level of the nasal mucosa.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. James Wiley, Trudeau Institute, P.O. Box 59, Saranac Lake, NY 12983. E-mail address: jwiley{at}trudeauinstitute.org ![]()
3 Abbreviations used in this paper: NALT, nasal-associated lymphoid tissue; URT, upper respiratory tract; GALT, gut-associated lymphoid tissue; mCD8, memory CD8; NP, nucleoprotein; PA, polymerase; p.i., postinfection; p.c., postchallenge; CLN, cervical lymph node. ![]()
Received for publication May 1, 2001. Accepted for publication July 9, 2001.
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L.-Y. Kwok, H. Miletic, S. Lutjen, S. Soltek, M. Deckert, and D. Schluter Protective Immunosurveillance of the Central Nervous System by Listeria-Specific CD4 and CD8 T Cells in Systemic Listeriosis in the Absence of Intracerebral Listeria J. Immunol., August 15, 2002; 169(4): 2010 - 2019. [Abstract] [Full Text] [PDF] |
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