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The Journal of Immunology, 2001, 167: 3577-3584.
Copyright © 2001 by The American Association of Immunologists

Redundancy of Direct Priming and Cross-Priming in Tumor-Specific CD8+ T Cell Responses1

Monika C. Wolkers, Gerd Stoetter, Florry A. Vyth-Dreese and Ton N. M. Schumacher2

Department of Immunology, The Netherlands Cancer Institute, Amsterdam, The Netherlands


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Against a subset of human cancers, vigorous tumor-specific CD8+ T cell responses can develop either spontaneously or upon allogeneic transplantation. However, the parameters that determine the induction of such pronounced anti-tumor immunity remain ill defined. To dissect the conditions required for the induction of high magnitude T cell responses, we have developed a murine model system in which tumor-specific T cell responses can be monitored directly ex vivo by MHC tetramer technology. In this model, tumor challenge of naive mice with Ag-bearing tumor cells results in a massive Ag-specific T cell response, followed by CD8+ T cell-dependent tumor rejection. We have subsequently used this model to assess the contribution of direct priming and cross-priming in the induction of tumor immunity in a well-defined system. Our results indicate that direct priming of T cells and Ag cross-priming are redundant mechanisms for the induction of tumor-specific T cell immunity. Moreover, T cell responses that arise as a consequence of Ag cross-presentation can occur in the absence of CD4+ T cell help and are remarkably robust.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The development of MHC class I tetramer technology (1) has drastically changed our understanding of the magnitude of human tumor-specific T cell immunity. T cell responses specific for tumor Ags have been detected directly ex vivo in patients with malignant melanoma and chronic myelogenous leukemia (2, 3, 4).3 Strikingly, in some individuals, >10% of the CD8+ T cell population is specific for a single tumor Ag. However, how such high magnitude T cell responses are induced in the absence of viral or bacterial infection remains poorly understood.

Two separate mechanisms have been proposed for the induction of tumor-specific T cell immunity. In the first model, tumor-specific T cell immunity is induced as a result of direct priming of naive CD8+ T cells by tumor cells that have migrated from the tumor site to the lymphoid tissue. In line with this suggestion, it was recently shown that tumor-specific T cell responses can be detected in experimental settings where viable tumor cells are present in secondary lymphoid organs (5). Furthermore, large numbers of melanoma-specific T cells are generally only observed in patients with detectable tumor infiltration to the lymphoid organs.

Alternatively, tumor-specific T cell responses may result from cross-presentation of tumor cell-derived Ags by professional APCs, such as bone marrow-derived dendritic cells (6, 7, 8). Professional APCs do not exclusively present Ags derived from endogenously produced Ags in the context of MHC class I molecules; in addition, they have the capacity to present Ags derived from exogenous sources (9, 10). This alternative pathway for priming of CD8+ T cells (also referred to as cross-priming) could play a role in the induction of tumor-specific T cell responses, either by capture of tumor Ags in the periphery or by representation of Ags from tumor cells that have migrated to the lymph node.

To determine which of these two possible pathways is sufficient for or required to induce a vigorous tumor-specific T cell response, we developed a murine tumor model that enabled us to follow the induction of Ag-specific T cell responses directly ex vivo. We introduced two virally derived Ags, the influenza A nucleoprotein epitope 366–374 (NP366)4 and the human papilloma virus (HPV) E749 epitope, into the tumor cell lines used in this model to track the T cell immunity induced upon tumor challenge. Interestingly, the resulting tumor cell lines induced massive T cell responses in naive mice, even in the absence of any further antigenic challenge. Using this model, we determined the relative contribution of direct priming and cross-priming for the induction of cytotoxic T cell responses. These results indicate that tumor cells present in the draining lymph nodes (DLNs) can contribute to T cell immunity by direct priming. In addition, when tumor cells devoid of MHC class I molecules are used, equally potent tumor-specific T cell responses are induced. Collectively, these experiments show that both direct priming and cross-priming are remarkably efficient for the induction of tumor-specific T cell responses and can act as redundant mechanisms for T cell activation. Furthermore, CD28-mediated costimulation is crucial for T cell activation through cross-priming, but the induction of Ag-specific CD8+ T cell immunity is only partially affected by CD28 deficiency when direct priming also can take place.


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

C57BL/10, C57BL/6, and MHC class II-deficient mice (11) backcrossed to the C57BL/6 background were obtained from the experimental animal department of the Netherlands Cancer Institute (Amsterdam, The Netherlands). CD28-deficient mice (12) were a gift from Dr. M. A. Oosterwegel (University Medical Center, Utrecht, The Netherlands). TAP1-deficient mice (13) were crossed with recombinase-activating gene (RAG)1-deficient mice to obtain mice that completely lack CD8+ T cells (14). The absence of B/T cells and the absence of MHC class I complexes expressed on the cell surface in the double knockout was confirmed by FACS analysis. NP366-specific, TCR (F5)-transgenic mice (15) backcrossed on a RAG1-deficient background (referred to as F5 mice) were a gift from Dr. D. Kioussis (National Institute of Medical Research, London, U.K.). Mice were handled in accordance with institutional guidelines.

Generation of cell lines expressing influenza A NP366 and HPV16 E749

The H-2Db-restricted epitope NP366 (ASNENMDAM) derived from influenza A/NT/60/68 was fused to the carboxyl terminus of the green fluorescence protein (GFP) gene using the following primers: top, 5'-GGGGGATCCTAAGCCACCATGGTGAGCAAGGGCGAG-3'; and bottom,5'-CCCTTTGCGGCCGCTTACATAGCGTCCATGTTTTCGTTGGAAGCGATCTGAACACCCTTGTACAGCTCGTCCATG-3'. To ensure that the epitope could still be generated from this fusion protein, the four naturally flanking amino acid residues (GVQI) were included in the fusion protein. The H-2Db-restricted HPV16-derived epitope E749 (RAHYNIVTF) was fused to the carboxyl terminus of GFP using the bottom primer (5'-CCCTTTGCGGCCGCTTAGAAGGTCACGATGTTGTAGTGGGCCCTGATCTGAACACCCTTGTACAGCTCGTCCATG-3'). The resulting PCR products were cloned into the BamHI and NotI sites of the retroviral vector pMX (16). As a control, the unmodified GFP gene was cloned into pMX. Sequences were confirmed by sequence analysis. Plasmids containing GFP-NP366, GFP-E749, or GFP were introduced into the cell lines EL4, RMA, and RMA-S by retroviral transduction as previously described (17, 18) to generate EL4-NP, RMA-NP, RMA-S-NP, EL4-HPV, EL4-GFP, and RMA-GFP tumor cells. Briefly, Phoenix-A cells were transfected with plasmid DNA by pfx-2 lipid transfection (Invitrogen, San Diego, CA). After 2 days of culture retroviral supernatant was harvested containing the retrospective retroviruses. Nontreated Falcon petri dishes (BD Biosciences, Mountain View, CA) were precoated with recombinant human fibronectin fragment CH-296 (RetroNectin, Takara Shuzo, Otsu, Japan) for 2 h at room temperature, and blocked with 2% BSA (Sigma, St. Louis, MO) in PBS for 30 min at room temperature. Cell lines were plated on RetroNectin-coated plates (0.5 x 106 cells/plate) in 1 ml retroviral supernatant. After 24 h of culture at 37°C, cells were transferred to 25-cm2 culture flasks (BD Biosciences). Cell lines with stable and comparable gene expression were obtained after two rounds of selection by flow cytometry and single-cell cloning.

All cell lines were cultured in IMDM (Life Technologies, Rockville, MD) supplemented with 5% heat-inactivated FCS, 100 U/ml penicillin, 100 µg/ml streptomycin, and 0.5 x 10-5 M 2-ME.

Tumor challenge and analysis of tumor-specific CD8+ T cell responses

Tumor cells were washed three times with HBSS (Life Technologies) and resuspended in HBSS. Tumor cells were injected s.c. in 200 µl HBSS. Every 2–3 days after tumor inoculation, the tumor size was measured in two dimensions. In addition, ~50 µl peripheral blood was drawn for analysis of T cell responses at the same time points. Erythrocytes were removed by incubation in erylysis buffer (155 mM NH4Cl, 10 mM KHCO3, and 0.1 mM EDTA, pH 7.4) on ice for 15 min. Cells were washed twice with 1x PBS containing 0.5% BSA and 0.02% sodium azide (PBA) and stained with FITC- or PE-conjugated anti-CD8{beta} (BD PharMingen, San Diego, CA) together with PE- or allophycocyanin-conjugated NP366 or E749 tetramers (1, 19) at room temperature for 15 min in PBA. Mononuclear cells were washed twice and analyzed by flow cytometry (BD Biosciences). Live cells were selected based on propidium iodide exclusion.

In vivo depletion of CD8+ T cells by Ab treatment

On days -7, -5, and -3 before tumor challenge, 200 µg purified anti-CD8 Ab (hybridoma 2.43) was injected i.p. Depletion of CD8+ T cells was confirmed by flow cytometric analysis of peripheral blood samples with anti-CD8{beta} and was shown to be >98%. To maintain efficient depletion of the CD8+ T cell population, Ab treatment was continued three times a week after tumor challenge.

Detection of tumor cells in the DLN

Viable tissue sections were prepared as described previously (20). Briefly, C57BL/10 mice were inoculated s.c. with 1 x 106 EL4-NP tumor cells. On day 8 after tumor inoculation, DLN (inguinal) were excised and embedded in 4% low melting temperature agarose (NuSieve GTC; FMC Bioproducts, Rockland, MA) in PBS. Two hundred- to 500-µm tissue sections were cut using a Leica VT 1000s microtome (Leica Instruments, Nussloch, Germany). Tissue sections were incubated overnight at 4°C with anti-CD8-allophycocyanin or with anti-CD8{beta}-FITC (BD PharMingen) together with allophycocyanin-conjugated MHC tetramers in PBS, 0.5% BSA, and 10% normal mouse serum. Sections were washed three times with ice-cold PBS-0.5% BSA and were analyzed by confocal microscopy.

For semiquantitative analysis of tumor cells present within the DLN, mice were challenged s.c. with 1 x 106 EL4-NP cells, and inguinal lymph nodes were excised 1, 2, 4, 6, and 8 days after tumor challenge. Lymph nodes were meshed and washed once with PBA, and single-cell suspensions were resuspended at a density of 20 x 106 cells/ml. Green fluorescent tumor cells were monitored and counted by fluorescence microscopy.

Purification and CFSE labeling of NP-specific TCR-transgenic F5 cells

Naive F5 spleen cells were labeled with anti-CD8{beta}-PE (BD PharMingen), and MACS purification of CD8+ T cells with anti-PE MACS beads was performed according to the manufacturer’s protocol (Miltenyi Biotec, Bergisch Gladbach, Germany). CD8+ T cells were shown to be >98.5% pure by FACS analysis with Db-NP tetramers. Purified F5 cells were labeled with CFSE as described previously (21). Briefly, 5 x 107 cells/ml were incubated with 5 µM CFSE in RPMI medium without FCS for 10 minat 37°C. Cells were washed once with RPMI 1640 supplemented with 10% FCS and twice with HBBS before adoptive transfer into TAP/RAG-deficient mice.

Intracellular cytokine staining

Spleen cells (1 x 106) were cultured for 5 h in complete medium supplemented with 50 U/ml human rIL-2 and 1 µl/ml brefeldin A (GolgiStop, BD PharMingen) in the presence or the absence of 0.1 µg/ml NP366. Cells were stained with anti-CD8{beta}-PE and washed twice, and subsequently intracellular cytokine stains were conducted using a CytofixCytoPerm kit (BD PharMingen) according to the manufacturer’s protocol. Intracellular staining was performed with FITC-conjugated anti-IFN-{gamma} (clone XMG 1.2).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Strong T cell responses against virus-derived neo-tumor Ags quantified by MHC tetramer staining

It has previously been shown that upon influenza A infection of mice, a rapid and prominent CD8+ T cell response against NP366 (ASNENMDAM) develops (19, 22). In this viral infection model, peak values >10% of NP366-specific CD8+ T cells in peripheral blood, spleen, and lung have been observed. To evaluate whether viral infection is a prerequisite for the development of this pronounced T cell response, we introduced the NP366 epitope as a COOH-terminal fusion with enhanced GFP into the murine tumor cell line EL4 (EL4-NP, Fig. 1GoA). Remarkably, when naive mice are inoculated with EL4-NP cells, very high percentages of NP366-specific CD8+ T cells can be detected in both peripheral blood and secondary lymphoid organs (Fig. 1Go, B and C; data not shown). Ag-specific CD8+ T cells are detectable in peripheral blood and DLN starting from day 6 and in the spleen from day 9 after tumor challenge (data not shown). NP366-specific CD8+ T cells infiltrate efficiently into the EL4-NP tumor, with a percentage of Ag-specific T cells comparable to that observed in peripheral blood. Tumors that express the NP366 neo-Ag are rejected 12–14 days after inoculation, whereas control tumors expressing GFP, but lacking the NP366 epitope (EL4-GFP) grow progressively (Fig. 1GoD). Furthermore, when naive mice are inoculated with the Ag-bearing EL4-NP tumor at one flank and with the control tumor EL4-GFP at the contralateral flank, EL4-NP tumors are rejected, whereas EL4-GFP tumors grow out (Fig. 2GoA). To directly establish whether this epitope-dependent tumor rejection is due to CD8+ T cell recognition, the EL4-NP tumor growth pattern was studied in mice that were depleted of CD8+ T cells by in vivo Ab treatment. In these mice the EL4-NP tumors grow out with comparable kinetics as EL4-GFP control tumors (Fig. 2GoB), providing direct evidence for the contribution of CD8+ T cells to the rejection of NP366-expressing tumors.



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FIGURE 1. NP366-expressing tumors elicit vigorous T cell responses in naive mice. A, GFP expression of EL4-NP cells (continuous line) and EL4-GFP cells (dotted line) compared with EL4 cells (striped line). B–D, Naive C57BL/10 mice were challenged s.c. with 1 x 106 EL4-NP cells (n = 6) or with EL4-GFP control cells (n = 6). On the indicated days after tumor challenge, peripheral blood was drawn to determine the frequency of NP366-specific CD8+ T cells by MHC tetramer staining, and tumor size was determined. B, Dot plot of MHC class I tetramer/anti-CD8b staining from peripheral blood from mice challenged with EL4-NP (left) or EL4-GFP control tumor cells (right). C, The percentage of NP366-specific CD8+ T cells of each individual mouse is presented, and the average is depicted as a line. D, The sizes of EL4-NP (•) and EL4-GFP ({circ}) tumors were measured in two dimensions, and the average of these two values is presented. The mice were sacrificed when tumors became necrotic or reached a diameter of >15 mm. The results are representative of three experiments.

 


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FIGURE 2. Tumors bearing the NP366 Ag are rejected by tumor-specific CD8+ T cells. A, Naive C57BL/10 mice (n = 5) were challenged s.c. with 1 x 106 EL4-NP tumor cells at the left flank (•) and with 1 x 106 EL4-GFP control tumor cells at the right flank ({circ}). At the indicated time points after tumor challenge, tumor size was determined. B, Before and following challenge with EL4-NP cells, mice (n = 5 for each group) were ({blacktriangleup}) or were not (•) depleted of CD8+ T cells by i.p. administration of anti-CD8 Ab. Alternatively, naive mice were injected with EL4-GFP control tumor cells ({circ}). Tumor size was measured at indicated time points.

 
To establish whether the induction of such massive Ag-specific T cell responses is a more generalizable phenomenon rather than associated with an intrinsic property of the EL4 cell line, we introduced this Ag into the cell line RMA and the Friend virus-induced leukemia cell line FBL3 (23). Tumor challenge of mice with both cell lines also induces a strong Ag-specific T cell response (on the average, 8.5 and 8% of NP366-specific CD8+ T cells, respectively; data not shown). In addition, consistent with the vigorous induction of CD8+ T cell immunity to NP366, the HPV16-derived E749 Ag (RAHYNIVTF; Fig. 3Go) and the LCMV-derived gp33 Ag (KAVYNFATC; N. Brouwenstijn and T. N. M. Schumacher, unpublished observations) induce equally potent Ag-specific T cell responses when introduced into tumor cells. Thus, viral Ags are capable of inducing very strong T cell immunity independent of their viral environment. When the kinetics of tumor growth and tumor-specific T cell expansion are compared, it is apparent that in all cases tested (see also below) maximal numbers of tumor-specific T cells are observed shortly after the tumor has started to regress. This suggests that the increased liberation of Ag or endogenous adjuvants upon tumor cell death may provide a further stimulus for the expansion of the Ag-specific T cell repertoire, as shown previously for TCR-transgenic T cells (24, 25). Taken together, these results indicate that murine tumor cell lines can induce a readily detectable tumor-specific CD8+ T cell response provided that sufficiently immunogenic epitopes are present. By virtue of this fact, this murine model system provides the means to dissect some of the relevant parameters that determine the induction of T cell immunity to solid tumors or the lack thereof.



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FIGURE 3. HPV16 E749-expressing tumor cells induce a significant tumor-specific T cell response in naive mice. A, C57BL/10 mice (n = 5 for each group) were challenged s.c. with 1 x 106 EL4-HPV cells (left panel) or EL4-GFP control tumor cells (right panel). Peripheral blood was obtained several days after tumor challenge to check for tumor-specific CD8+T cells. B, Growth of EL4-HPV (•) and EL4-GFP ({circ}) tumors was followed as indicated in Fig. 1Go.

 
Tumor-specific T cell response induced by direct priming and cross-priming

We next investigated the underlying mechanism responsible for the induction of these readily detectable tumor-specific T cell responses. The activation and subsequent expansion of naive NP366-specific T cells may either result from direct activation of this T cell population by Ag-presenting tumor cells or alternatively through cross-presentation of the NP366 epitope by professional APCs. For the direct priming pathway it is hypothesized that tumor cells need to be present within the lymph nodes where naive T cells reside. To determine whether in this model tumor cells are able to migrate to secondary lymphoid tissues, we analyzed draining lymph nodes for the presence of EL4-NP tumor cells based on GFP gene expression by confocal microscopy of viable tissue sections (Fig. 4Go, A and B). These experiments directly demonstrate the presence of small but measurable numbers of tumor cells within the lymph node tissue, supporting recent observations by Zinkernagel and colleagues (5). Furthermore, simultaneous staining of these sections with Db-NP366 tetramers indicates that MHC tetramer-positive CD8+ T cells can colocalize with tumor cells present within the draining lymph node. Semiquantitative analysis of tumor cells present within the draining lymph node reveals 1–10 tumor cells/lymph node in the first 4 days after tumor challenge. At later time points (days 6 and 8), when tumor-specific T cell immunity was already initiated (see above), the number of tumor cells expanded by 5- to 10-fold. These findings indicate that the neo-tumor Ag is accessible to the immune system as a result of migrating tumor cells by early time points following tumor inoculation.



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FIGURE 4. Tumor cells are present in DLNs and can directly prime tumor-specific T cells. A and B, Mice were inoculated s.c. with 1 x 106 EL4-NP cells, and on day 8 after tumor challenge, DLNs were excised, and viable tissue sections were prepared. A, Tissue sections were stained with anti-CD8 and NP366 MHC class I tetramers (green and red, respectively). Subsequently, DLNs were analyzed for green GFP-expressing tumor cells by confocal microscopy (left, overlay; middle, green channel; right, red channel; single channel pictures are depicted in black and white). B, Same as A, but tissue sections were stained with anti-CD8 (red) and subsequently analyzed for GFP-expressing tumor cells. Original magnification: A, x630; B, x800. C, TAP/RAG-deficient mice were reconstituted with 3 x 106 naive CFSE-labeled NP366-specific F5 cells. Two days later, mice were challenged s.c. with 1 x 105 RMA-NP or 2 x 106 RMA-S-NP tumor cells or were used as controls. Five days after tumor challenge, DLNs were excised and analyzed for CFSE content of F5 cells by flow cytometry. Results are representative of five (RMA-NP) and four (RMA-S-NP) mice.

 
To functionally address the role of the tumor cells located within the lymph nodes, we used mice that lack the peptide transporter protein TAP associated with Ag processing. TAP deficiency causes a block of peptide transport from the cytosol to the endoplasmic reticulum (13). Consequently, professional APC of TAP-deficient mice cannot present endogenously or exogenously derived Ags that depend on TAP-mediated transport. This provides us with a setting where induction of T cell immunity can only occur through direct priming by tumor cells. TAP/RAG-deficient mice were injected with naive, CFSE-labeled TCR-transgenic F5 T cells specific for NP366. Three days after T cell transfer, the mice were challenged with RMA-NP tumor cells. On day 5 after tumor challenge, DLN were analyzed for T cells that had undergone cell division. As shown by the loss of CFSE signal, tumor-specific T cells proliferate strongly upon induction of RMA-NP tumors (Fig. 4GoC). In contrast, no proliferation of NP366-specific F5 T cells was observed in mice that did not receive tumor cells. As a further control, TAP/RAG-deficient mice were challenged with NP366-expressing RMA-S tumor cells. RMA-S cells have a strongly reduced capacity to present endogenously produced Ags to Ag-specific T cells compared with wild-type RMA cells as a result of their TAP deficiency (26) (data not shown). Even upon inoculation of high numbers of TAP-deficient RMA-S-NP cells, only limited proliferation of NP-specific T cells was induced (Fig. 4GoC). Collectively, these experiments show that MHC class I-proficient tumor cells present within the draining lymph nodes can induce activation of Ag-specific CD8+ T cells in a setting where TAP-dependent Ag cross-presentation is prevented. Furthermore, the observation that this T cell activation is largely abolished when Ag-expressing, but TAP-deficient, RMA-S tumor cells were used points to direct priming of T cells rather than TAP-independent cross-presentation as the mechanism involved.

To study a possible contribution of the cross-priming pathway to the induction of tumor-specific T cell immunity, we again made use of the Ag-positive, TAP-deficient RMA-S-NP cells. Remarkably, upon tumor challenge of wild-type mice with RMA-S-NP, a tumor-specific T cell response is induced that is quantitatively similar to the response induced by TAP-proficient tumors (Figs. 5Go and 6GoA). Furthermore, the NP366-specific CD8+ T cells that are induced by cross-priming produce IFN-{gamma} in an Ag-dependent fashion, indicating that these tumor-specific T cells are also functional (see below). T cell induction by cross-priming was first demonstrated by Bevan (9) by injection of Ag-containing cells that do not express the relevant MHC restriction element into mice that do express this MHC allele. In line with this, significant NP366-specific T cell responses are induced when NP366-expressing H-2d tumor cells are inoculated into H-2d/b mice (M. C. Wolkers, unpublished observations). These experiments indicate that tumor cells can directly activate tumor-specific T cells in a setting where measurable numbers of tumor cells are present within the lymphoid tissue. In addition, equally dramatic tumor-specific T cell responses can be elicited through Ag cross-presentation. Based on these findings, it may be concluded that CD8+ T cell activation through direct priming and cross-priming can act as redundant mechanisms.



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FIGURE 5. High magnitude tumor-specific T cell responses induced by cross-priming. C57BL/10 mice were inoculated with 1 x 105 RMA-NP cells (left panel), 2 x 106 RMA-S-NP cells (middle panel), or 1 x 105 RMA-GFP control tumor cells (right panel). The expression levels of GFP in all three cell lines were comparable as determined by FACS analysis (data not shown). Note that different amounts of tumor cells were used to obtain similar tumor growth kinetics in vivo, as the MHC class I-deficient cells are less malignant than wild-type RMA cells after low-dose inoculation, presumably because of NK cell activity (42 ). On day 13 after tumor challenge, peripheral blood samples were analyzed for NP366-specific CD8+ T cells. The percentage of Ag-specific CD8+ T cells was 14.3% (RMA-NP), 17.4% (RMA-S-NP), and 0.1% (RMA-GFP). Results are representative of five mice for each group and for three independent experiments.

 


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FIGURE 6. Contribution of CD4+ T cell help and CD28 costimulation to tumor-specific T cell responses induced by cross-priming. A, RMA-S-NP cells (2 x 106) were inoculated s.c. into wild-type C57BL/6 mice (left panel), MHC class II-deficient mice (middle panel), and CD28-deficient mice (right panel; n = 5 for each group). At the indicated time points after tumor challenge, peripheral blood samples were analyzed for NP366-specific CD8+ T cells. B, On day 17 after tumor challenge, spleens of C57BL/6 mice (left), MHC class II-deficient (middle), and CD28-deficient (right) mice were excised and analyzed for IFN-{gamma}-producing CD8+ T cells. The amount of NP366-specific spleen cells was determined by MHC class I tetramer staining (left panel). Right panel, Spleen cells were stimulated with () or without ({square}) NP366 for 5 h in the presence of brefeldin A, and the percentage of IFN-{gamma}-producing CD8+ T cells was determined. C, Dot plot of MHC class I tetramer/anti-CD8b staining of peripheral blood cells drawn from CD28-deficient mice that were challenged with RMA-S-NP (left) or RMA-GFP tumor cells (right) on day 13 after tumor challenge.

 
Cross-priming is independent of Th cells, but requires CD28-mediated costimulation

The current data demonstrate that MHC class I-deficient tumors are able to induce massive tumor-specific T cell responses by cross-priming, and that these polyclonal T cell responses can be directly monitored ex vivo. This provides a straightforward experimental system in which the contributions of different cellular interactions to Ag cross-priming can be studied in a setting that is not affected by confounding factors such as a requirement for in vitro restimulation or functional assays.

To further dissect the pathway of cross-priming, we analyzed whether Th cells are required for the induction of tumor-specific CD8+ T cells. To this purpose we challenged MHC class II-deficient mice with the Ag-positive, TAP-deficient RMA-S-NP tumor. In this setting the tumor-specific CD8+ T cell response is completely intact and may even be slightly enhanced in MHC class II-deficient mice compared with that in wild-type mice, with respect to both the kinetics and the magnitude of the response (Fig. 6GoA). Furthermore, these NP366-specific CD8+ T cells are fully functional despite the CD4+ T cell deficiency, as judged from their ability to produce IFN-{gamma} upon antigenic stimulation (Fig. 6GoB). Notably, the total independence of CD4+ T cell help for the induction of tumor immunity through cross-priming is not an intrinsic property of the GFP-NP366 fusion protein, as the induction of CD8+ T cell immunity with the identical fusion gene by means of DNA vaccination shows an absolute dependence on CD4+ T cell help (M. C. Wolkers, M. Toebes, J. B. A. G. Haanen, and T. N. M. Schumacher, manuscript in preparation).

Although the induction of APC maturation through cognate CD4+ T cell help is clearly not required for efficient cross-priming, costimulation by the APC does play an essential role. CD28-deficient mice not only show a 10-fold reduction of the Ag-specific T cell population compared with the response observed in wild-type mice, but the onset of the CD8+ T cell response is also significantly delayed (Fig. 6GoA). However, the small population of tumor-specific T cells that is induced is capable of producing IFN-{gamma} with a similar efficiency as Ag-specific T cells derived from wild-type mice (Fig. 6GoB), indicating that the difference is quantitative rather than qualitative. Previous studies have revealed that continuous TCR stimulation by repetitive peptide vaccination can overcome T cell unresponsiveness in CD28-deficient mice (27). Increased and continuous liberation of Ag upon tumor cell death in larger tumors could explain why cytokine-producing CD8+ T cells are detectable to some extent in CD28-deficient mice, and why the onset of the CD8+ T cell response is delayed in the absence of costimulation via CD28. Importantly, when CD28-deficient mice are inoculated with MHC class I-proficient RMA-NP cells, vigorous T cell responses comparable in magnitude to T cell responses in wild-type mice are observed in three of five mice tested (at the peak of the response (day 15), 2.6, 2.2, and 23.0% NP366-specific CD8+ T cells in peripheral blood; representative FACS plots in Fig. 6GoC). Consistent with our findings that direct priming and cross-priming are redundant pathways for the induction of T cell immunity, these data suggest that direct priming can partially compensate in the induction of tumor-specific T cell responses when cross-priming is defective due to the lack of costimulation.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Here we present a tumor model that enables us to monitor tumor-specific T cell responses directly ex vivo. We show for several viral Ags that upon introduction into tumor cell lines, a remarkably efficient T cell response to these Ags can be induced in the absence of viral infection. Recent studies have suggested that activation of the innate immune system through Toll-like receptors may contribute to the development of virus-specific T cell responses (28). Our data demonstrate that recognition of this type of viral patterns is clearly not a prerequisite for the development of strong T cell immunity. In view of this observation, it would be interesting to establish whether in the current setting innate immunity does contribute to the development of Ag-specific T cell immunity by other mechanisms, for instance through the release of endogenous adjuvants by the death of tumor cells (25). When the magnitude of the T cell responses against the same Ag are compared between viral infection and tumor challenge models, it is apparent that the variation observed between individual mice is significantly larger after tumor challenge (Figs. 1Go, 2Go, and 6Go) (19, 22, 29). This higher variation in tumor-specific T cell immunity vs virus-specific T cell immunity is likely to reflect the variability of parameters such as tumor growth or vascularization. Nevertheless, for three different Ags tested, detectable tumor-specific T cell responses have been observed in all mice tested to date, rendering this system highly suitable for the dissection of tumor and Ag requirements in the induction of tumor-specific T cell immunity.

A number of studies have provided evidence for a role for either direct priming or cross-priming in the induction of tumor-specific CD8+ T cell responses in different model systems (5, 6, 30, 31). Here, we have assessed the capacity of these two processes to induce T cell immunity in one well-defined model system by direct quantification of the Ag-specific CD8+ T cell response. These studies demonstrate that a low, but significant, number of tumor cells can be directly visualized in the draining lymph nodes of mice carrying s.c. growing tumors. Furthermore, we show that such tumor cells can directly prime Ag-specific T cells when TAP-dependent cross-presentation is prevented (Fig. 4GoC).

In addition to the role of direct priming in the induction of tumor-specific T cell immunity, we show that tumor-specific T cell responses can likewise be induced through cross-presentation of tumor Ags derived from MHC class I-deficient tumors (Fig. 5Go). Tumor-specific T cell responses induced by cross-priming are equally pronounced as tumor-specific T cell responses induced against MHC class I-proficient tumors, indicating that cross-priming can be a pathway of equal merit in the induction of T cell responses to tumor Ags. In MHC class I-deficient TAP/RAG-deficient mice, a small percentage of NP366-specific T cells divide when stimulated with tumors devoid of MHC class I (Fig. 4GoC). Recent studies have suggested that Ags can be cross-presented independently of TAP, albeit with reduced efficiency, which may provide an explanation for this observation (31, 32, 33).

Our data demonstrate that direct priming and cross-priming can act as redundant mechanisms in the induction of tumor-specific T cell responses to solid tumors in a murine model system. However, it remains to be evaluated which of these mechanisms is predominantly involved in the induction of CD8+ T cell responses to different types of human tumors. Some of the factors that are likely to influence the relative contributions of these two processes are the efficiency with which the tumor environment results in APC maturation and the efficiency of tumor cell migration to the draining lymph nodes, possibly through the expression of chemokine receptors (34). In this regard, it is noted that the presence of pronounced CD8+ T cell immunity to human tumor Ags often correlates with the presence of tumor cells in the lymphoid organs, providing at least some support for a contribution of direct priming in the human setting. The relative contribution of Ag cross-presentation in the induction of human tumor-specific T cell responses is challenging to estimate. However, very large tumor-specific CD8+ T cell expansions have been observed in patients with seemingly MHC class I-deficient metastases, suggesting that Ag cross-presentation may at least suffice to maintain tumor-specific T cell responses in cancer patients.

The current data show that T cell help is not a prerequisite for CD8+ T cell responses induced by cross-priming (Fig. 6Go). This may appear contradictory with other studies that have indicated an essential role for CD4+ T cells in the maturation and activation of professional APCs before CD8+ T cell priming (35). Maturation and activation, however, can also be induced in the process of Ag cross-presentation (36, 37, 38, 39). Therefore, it may be speculated that CD4+ T cell help is required for efficient T cell activation through cross-priming for Ags that are cross-presented with lower efficiency, e.g., as a consequence of low MHC affinity or suboptimal Ag processing. However, the current results directly demonstrate that the requirement for T cell help is conditional rather than absolute. Importantly, costimulation via CD28 is clearly essential for the induction of high magnitude CD8+ T cell responses through cross-priming. An interesting observation is that tumor-specific T cell immunity induced by MHC class I-proficient RMA-NP tumor cells is only affected to a limited extent by CD28 deficiency. Thus, whereas T cell activation by cross-priming does require CD28 costimulation, the T cell response against the very same Ag can occur in the absence of costimulation when activation occurs through direct priming. These findings are compatible with the idea that costimulation does not provide an essential danger signal, but rather serves as a signal amplifier (27). The observation that the small residual T cell population induced through cross-priming in CD28-deficient mice is fully functional is also consistent with the hypothesis that costimulation functions as a facilitator of T cell responses rather than a factor that controls T cell activation vs T cell tolerance or anergy.

The data we have presented in this paper show that direct priming and cross-priming can function as fully redundant mechanisms for the induction of vigorous tumor-specific T cell responses. Several factors, including affinity of the epitope for MHC class I complexes and tumor cell apoptosis, have previously been suggested to significantly affect the efficiency of CD8+ T cell activation through direct priming or cross-priming (40, 41). The tumor model system described here provides us with the tools to directly assess the contributions of such factors in one well-defined setting.


    Acknowledgments
 
We thank Dr. M. A. Oosterwegel for her kind gift of CD28-deficient mice, Dr. D. Kioussis for his kind gift of TCR-transgenic F5 mice, Dr. T. Kitamura for the pMX retroviral vector, and Dr. G. Nolan for the Phoenix-A cell line. We thank M. Toebes for preparation of MHC tetramers, M. van den Boom and D. Fontijn for technical assistance, and E. Noteboom and A. Pfauth for help with flow cytometry.


    Footnotes
 
1 This work was supported by the Dutch Cancer Society (NKI 99-2036). Back

2 Address correspondence and reprint requests to Dr. Ton N. M. Schumacher, Department of Immunology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands. E-mail address: tschum{at}nki.nl Back

3 M. G. C. T. van Ooijen, S. G. Elias, G. C. de Gast, M. P. W. Gallee, T. N. M. Schumacher, and J. B. A. G. Haanen. Melanoma-specific CD8+ T lymphocytes correlate with poor clinical outcome in advance stage melanoma patients. Submitted for publication. Back

4 Abbreviations used in this paper: NP366, influenza A nucleoprotein epitope 366–374; HPV, human papilloma virus; DLN, draining lymph node; RAG, recombinase-activating gene; GFP, green fluorescent protein. Back

Received for publication May 16, 2001. Accepted for publication July 18, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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