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The Journal of Immunology, 2002, 168: 216-223.
Copyright © 2002 by The American Association of Immunologists

CD8 T Cells Inhibit IgE Via Dendritic Cell IL-12 Induction That Promotes Th1 T Cell Counter-Regulation1

Matthew J. Thomas*, Alistair Noble*, Ela Sawicka*, Philip W. Askenase{dagger} and David M. Kemeny2,*

* Department of Immunology, Guy’s, King’s, and St. Thomas’s School of Medicine, Kings College, London, United Kingdom; and {dagger} Section of Allergy and Clinical Immunology, Department of Medicine, Yale University School of Medicine, New Haven, CT 06510


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Th1 and Th2 cells are counterinhibitory; their balance determines allergic sensitization. We show here that CD8 T cell subsets break these rules as both T cytotoxic (Tc)1 and Tc2 cells promote Th1 over Th2 immunity. Using IL-12-/-, IFN-{gamma}-/-, and OVA257–264-specific V{alpha}2V{beta}5 TCR-transgenic mice, we have identified the key steps involved. OVA-specific IFN-{gamma}-/- CD8 T cells inhibited IgE responses equivalent to wild-type CD8 T cells (up to 98% suppression), indicating that CD8 T cell-derived IFN-{gamma} was not required. However, OVA-specific CD8 T cells could not inhibit IgE in IFN-{gamma}-/- recipients unless reconstituted with naive, wild-type CD4 T cells, suggesting that CD4 T cell-derived IFN-{gamma} did play a role. Transfer of either Tc1 or Tc2 V{alpha}2V{beta}5 TCR-transgenic CD8 T cells inhibited IgE and OVA-specific Th2 cells while promoting OVA-specific Th1 cell responses, suggesting a potential role for a type 1 inducing cytokine such as IL-12. CD8 T cells were shown to induce IL-12 in OVA257–264-pulsed dendritic cells (DC) in vitro. Furthermore, CD8 T cells were unable to inhibit IgE responses in IL-12-/- recipients without the addition of naive, wild-type DC, thus demonstrating a pivotal role for IL-12 in this mechanism. These data reveal a mechanism of IgE regulation in which CD8 T cells induce DC IL-12 by an IFN-{gamma}-independent process that subsequently induces Th1 and inhibits Th2 cells. Th1 cell IFN-{gamma} is the final step that inhibits B cell IgE class switching. This demonstrates a novel regulatory network through which CD8 T cells inhibit allergic sensitization.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In recent years, a number of different immunoregulatory processes have been defined. Th1 and Th2 responses are mutually inhibitory and can moderate potentially pathological allergic tissue reactions such as asthma. Inhibitory cytokines such as TGF-{beta} (1) and IL-10 (2) produced by specific subsets of regulatory T cells also inhibit inflammatory immune responses (3). The mechanism for immune regulation of IgE Ab responses has yet to be fully defined. Following parenteral immunization with soluble Ags, it has been demonstrated that IgE responses require T cell help (4). CD4 Th2 T cells provide this help in the form of CD40 ligand, which activates B cells, and IL-4, which induces Ig class switching to IgE (5, 6).

CD8 T cells also can inhibit IgE responses (7, 8). CD8 T cells that inhibit IgE are sensitive to the toxic lectin ricin (9). Depletion of these cells in vivo using ricin or anti-CD8 mAb increases the capacity of CD4 T cells to produce IL-4 and decreases IFN-{gamma} production (10, 11). Recently, these IgE inhibitory CD8 T cells have been cloned and found to express the {alpha}{beta} TCR and to be MHC class I restricted (12). Their capacity to inhibit IgE is unrelated to their ability to produce IFN-{gamma}, but paradoxically their effect on IgE can be blocked by anti-IFN-{gamma} mAb (12). CD8 T cells also regulate airway hyperresponsiveness in rats (13, 14). Presentation of soluble Ag (OVA) via MHC class I runs counter to the predominant APC pathway for soluble exogenous proteins in which Ag peptides are presented to CD4 T cells complexed with surface MHC class II molecules. However, there now is clear evidence that small but important amounts of such exogenous Ag are directed intracellularly to be presented via MHC class I (15, 16), and derived peptide MHC class I complexes can activate CD8 T cells. We have previously demonstrated that OVA-specific CD8 T cells can suppress IgE responses when adoptively transferred into wild-type recipients responding to OVA-alum immunization. We also determined that activating the regulatory potential of CD8 T cells was Ag specific, whereas their regulatory effects could influence IgE responses to coimmunized irrelevant Ag (17). This suggests a suppressive mechanism that, once activated to a single allergen, could have an impact on the generation of IgE in response to other harmful allergens.

In the current study, we have investigated the mechanisms by which OVA-specific CD8 T cells inhibit IgE responses. Using IFN-{gamma}-/- mice, we have shown that CD8 T cells do not need to produce IFN-{gamma} to inhibit IgE, but that IFN-{gamma} is required and is supplied by participating OVA-specific CD4 Th1 T cells. The immunoregulatory potential of CD8 T cells to inhibit IgE is also dependent on their ability to stimulate IL-12 production by APC that, in turn, activates Th1 cells. Thus, CD8 T cells are unable to inhibit IgE in IL-12-/- mice but can do so if IL-12-/- mice are reconstituted with wild-type (IL-12 competent) dendritic cells (DC).3


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

Wild-type C57BL/6 mice (6–8 wk) were obtained from Harlan Olac (Bicester, U.K.). Several breeding pairs of OVA peptide-specific, class I-restricted V{alpha}2V{beta}5 TCR-transgenic mice (OT-I) were a kind gift from Dr. M. Merkenschlager (Royal Postgraduate Medical School, Imperial College, London, U.K.). Breeding colonies of IL-12 and IFN-{gamma} knockout mice were obtained from The Jackson Laboratory (Bar Harbor, ME). RPMI 1640 and AIM V culture medium were purchased from Life Technologies (Paisley, U.K.), and tissue culture flasks and microtiter plates were from Nunc (Roskilde, Denmark). Sterile PBS and HBSS were purchased from Life Technologies. FCS was purchased from Globepharm (Surrey, U.K.). Purified OVA (grade V) was purchased from Sigma-Aldrich (Poole, U.K.). Rodent lymphoprep 1.077 was purchased from Nycomed (Birmingham, U.K.), and FCS was purchased from Globepharm. Anti-mouse IgE heavy chain (LO-ME-3), anti-IgE {kappa}L chain (OX-20), and recombinant mouse IL-4 were purchased from Serotec (Oxford, U.K.), and anti-IgG1 alkaline phosphatase was purchased from The Binding Site (Birmingham, U.K.). mAbs and recombinant proteins for cell culture flow cytometry, and ELISAs for IL-12, IFN-{gamma}, IL-4, IL-10, and 70-µm nylon filters were from BD Biosciences (Oxford, U.K.). Anti-CD4 and -CD8 microbeads for MACS were purchased from Miltenyi Biotec (Bisley, U.K.). Complete medium comprised an equal mixture of AIM V serum-free medium and RPMI 1640 supplemented with L-glutamine (2 mM), nonessential amino acids (1%), streptomycin (100 ng/ml), penicillin (100 U/ml), sodium pyruvate (1 mM), and 2-ME (5 µM), which were purchased from Life Technologies. [3H]Thymidine was purchased from Amersham Biosciences (Little Chalfont, U.K.). All other reagents were purchased from Sigma-Aldrich.

Immunization procedure

Groups of five age-, sex-, and batch-matched mice were immunized with alum-precipitated OVA prepared as follows. OVA was dissolved at 10 mg/ml in sterile saline. To 10 ml of this protein solution, 4.5 ml of 1 M NaHCO3 and 10 ml of KAlSO4 were added at 20°C for 20 min. The mixture was then centrifuged at 3000 x g for 10 min. The precipitate was washed three times with sterile PBS, resuspended in 10 ml PBS, and stored at 4°C. Recipient mice were immunized i.p. with 100 µg of OVA-alum diluted in 0.1 M Al(OH)3.

Isolation of murine LN and spleen-derived CD8 T cells

OVA-specific CD8 T cells were obtained from mice immunized 21 days previously with 100 µg of OVA-alum. Mice were euthanized in CO2 and their parathymic/posterior mediastinal lymph node (LN) and spleens were excised. Leukocytes were obtained by pressing tissue through 70-µm nylon filters (BD Biosciences) into chilled PBS. Mononuclear splenocytes and LN cells were purified on lymphoprep. The cells were then immediately washed twice in PBS, and viable cell numbers were determined by trypan blue exclusion. CD8 T cells were purified using MACS separation. Cells were resuspended in MACS buffer to a concentration of ~108 cells/ml and then incubated with anti-CD8 microbeads at a concentration of 4 µl/107 total cells for 30 min at 4°C. VS+ MACS columns were prepared for use by flushing 5 ml of buffer through while in the magnetic field. The cells were then added to the column and washed three times with 5 ml of buffer. To elute the CD8-positive fraction, the column was removed from the magnetic field and a plunger was used to force through 10 ml of buffer. The CD8 cells were then spun at 200 x g for 10 min, counted to assess yield, and stained for purity using PE-labeled anti-CD3 with either CyChrome-labeled anti-CD8 or anti-CD4 for flow cytometric analysis. Purified CD8 T cells (>98%) were then resuspended in PBS at 5 x 106 cells/ml for adoptive transfer in 200 µl (106 cells/mouse) i.p.

Isolation of murine bone marrow-derived DC

DCs were isolated from bone marrow. Femurs from euthanized naive mice were placed in a petri dish with PBS and any remaining muscle tissue was removed. Holding the bone with forceps, one of the epiphyses was removed using scissors. A 5-ml syringe filled with PBS and a 21-gauge needle were used to flush out the marrow. Cells were resuspended at 2 x 105/ml in complete medium containing 20 ng/ml GM-CSF and 1 ng/ml IL-4. After 3 days, cells were stained for MHC class II (I-Ad) (PE) and CD11c (PE) to assess the number of DC present. Cells were also stained for CD3 (FITC), CD4 (CyChrome), CD8 (CyChrome), and CD22 (PE) to assess T and B cell contamination. Based on high levels of both MHC class II and CD11c staining, DCs were up to 80% pure (data not shown).

Generation of OVA-specific Tc1 and Tc2 cell populations

OVA-specific CD8 T cells were isolated from peripheral LN and spleen of V{alpha}2V{beta}5 TCR-transgenic mice and cultured at 106 cells/ml for 3 days in complete medium. To generate T cytotoxic (Tc)1 cells, activating anti-CD3 (4 µg/ml) was bound to the culture plate and recombinant mouse IL-12 (5 ng/ml) was added. To skew the cells to Tc2, IL-12 was omitted and, in addition to anti-CD3, PMA (10 ng/ml), anti-CD28 (1 µg/ml), IL-4 (100 U/ml), and blocking anti-IL-12 (10 µg/ml) were added. Phenotypic assessment was by stimulation with OVA257–264 for 5 h followed by intracellular cytokine staining for IFN-{gamma} and IL-4 and ELISA analysis of 24-h culture supernatant for secreted IFN-{gamma}, IL-4, and IL-10.

Intracellular cytokine staining

CD8 T cell cultures were washed thoroughly with PBS/1% FCS then resuspended in complete medium containing 5 µg/ml OVA peptide and 3 µM monensin at 106/ml for 5 h at 37°C. Cells were then washed and stained for FACS at 106/tube. Anti-CD4 or CD8 CyChrome-labeled surface marker Abs were then added and incubated for 15 min. Cells then were washed, incubated for 15 min with 250 µl of Perm/Fix solution (BD PharMingen, San Diego, CA), then washed twice with 2–4 ml of Perm/Wash buffer (PBS/0.5% BSA/0.1% saponin; BD PharMingen). Anti-IFN-{gamma} FITC and anti-IL-4 PE were added at 1 µl/tube, mixed, and then incubated for 30 min at 18°C. Cells were then washed with Perm/Wash buffer as before and resuspended in 500 µl of 1% PFA. Cells were then analyzed using a BD Biosciences FACSCalibur flow cytometer.

Cytokine ELISAs

CD8 T cell cultures were washed thoroughly with PBS then resuspended in complete medium containing 5 µg/ml OVA257–264 at 106/ml for 24 h at 37°C. Supernatant from each well was stored at -30°C for ELISA analysis. Throughout, 50-µl volumes were used, and the assay was performed at 25°C. IFN-{gamma}, IL-4, IL-10, and IL-12 (p40 chain) were measured using capture and detector Ab pairs. Microtiter plates (Maxisorb; Nunc) were coated with detector Ab at 1 µg/ml in carbonate/bicarbonate (pH 9.6, 0.1 M) coating buffer overnight at 4°C and washed three times with PBS/0.05% Tween 20. Duplicate supernatant samples diluted 1/50 or greater in assay diluent (PBS/1% rat serum/0.5% Tween 20) were added. After 2 h, the plates were washed and biotinylated detector Ab at 1 µg/ml was added. After 2 h, the plates were washed and streptavidin-conjugated alkaline phosphatase was added at 1 µg/ml. After 2 h, the plates were washed, and p-nitrophenyl phosphate substrate diluted to 1 mg/ml in diethanolamine buffer (0.1 M) was added. After 1 h, absorbance was read at 405 nm in a plate reader (Molecular Devices, Crawley, U.K.), and the results were expressed as nanograms per milliliter by reference to a standard curve constructed using dilutions of recombinant cytokine.

Measurement of OVA-specific IgE by PCA

Passive cutaneous anaphylaxis (PCA) was used to measure IgE Abs, as this is the most reliable and reproducible method. It has been demonstrated that the only reaginic Ab active at the site of injection 48 h after skin transfer is IgE (18). Furthermore, the method correlates well with in vitro sensitization using rat basophil leukemia cells and monoclonal IgE. In addition, it provides evidence that the Abs measured are functional. PCA is not affected by high IgG Ab titers or changing Ab affinity as can be ELISA. Mouse serum OVA-specific IgE titers were measured by PCA in Wistar rats (Harlan Olac). Serial 4-fold dilutions of serum from 1/8 to 1/2048 in PBS were made, and 50 µl of up to 50 diluted samples were injected intradermally into the shaved back of an anesthetized rat. After 48 h, the rat was again anesthetized and 500 µl of 10 mg/ml OVA/1% Evans blue dye was injected into the tail vein. After 30 min, without regaining consciousness, the rat was euthanized and the skin response was recorded. OVA-specific IgE Ab titers were measured at day 7 and are represented as the mean ± SE of the highest dilution of test serum that produced a positive mast cell-dependent PCA reaction (skin blueing).

Statistics

Group comparisons were made using a two-tailed Student’s t test for independent samples.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of OVA-specific Tc1 (IFN-{gamma}+) and Tc2 (IL-4+) V{alpha}2V{beta}5 TCR CD8 T cell lines

Because IgE responses are inhibited by IFN-{gamma} and because CD8 T cells are strongly biased to produce IFN-{gamma}, we investigated the contribution of IFN-{gamma} to CD8 T cell inhibition of IgE Ab responses by adoptive transfer of polarized Tc1 and Tc2 OVA-specific cell lines. Tc1 and Tc2 lines were generated in vitro with CD8 T cells from C57BL/6 (H2Kb) mice that have a transgenic V{alpha}2V{beta}5 TCR that specifically binds the OVA peptide 257–264 when complexed to MHC class I H2Kb (19). Tc1 lines were polarized by culture of V{alpha}2V{beta}5 TCR CD8 T cells for 3 days with plate-bound anti-CD3 and IL-12, Tc2 lines with plate-bound anti-CD3, anti-CD28, PMA, IL-4, and anti-IL-12. When analyzed for intracellular cytokine production following stimulation with OVA257–264 for 5 h, 56% of Tc1 cells were found to produce IFN-{gamma} alone, 0.2% produced both IFN-{gamma} and low levels of IL-4, and no cells were detected that produced IL-4 alone. Conversely, 36% of Tc2 cells produced IL-4 alone, 0.3% produced both IL-4 and low levels of IFN-{gamma}, and 0.1% produced IFN-{gamma} alone (data not shown). The cytokine profile of both subsets was confirmed by stimulation of the polarized Tc1 and Tc2 cells with OVA257–264 for 24 h and analysis of secreted cytokines in supernatants by ELISA. Tc1 cells produced 276 ng/ml IFN-{gamma} with no detectable IL-4 or IL-10, whereas Tc2 cells produced 5.5 ng/ml IL-4, 14 ng/ml IL-10, and very low levels of IFN-{gamma} at 1.4 ng/ml.

Tc1 cells are more effective inhibitors of IgE responses than Tc2 cells

To determine the relative IgE inhibitory potential of OVA-specific Tc1 vs Tc2 cells, numbers varying from 102 to 106 were adoptively transferred into wild-type recipients immunized simultaneously with OVA in alum (Fig. 1Go). Control groups received naive, unpolarized V{alpha}2V{beta}5 CD8 T cells or OVA-alum immunization alone. Both control groups made an OVA-specific IgE response that peaked at day 7 with a titer of over 1/512, declining to basal levels (1/8) by day 21. However, transfer of in vitro polarized 106 OVA257–264-specific Tc1 or Tc2 cells inhibited the IgE response 64- and 32-fold at day 7 (Fig. 1Goa) (p < 0.01). Dose response showed that transfer of 10-fold less (105) Tc1 or Tc2 cells also inhibited IgE by 12- (p < 0.01) and 8-fold (p < 0.05) at day 7. A difference in the inhibitory abilities of Tc1 and Tc2 cells was observed when 104 cells were given (Fig. 1Gob). At this cell number, Tc1 cells still inhibited IgE responses 16-fold (p < 0.01), whereas Tc2 cells could only exert an ~2-fold reduction in IgE (p > 0.05). Adoptive transfer of 103 and 102 anti-OVA Tc1 or Tc2 cells did not result in significant inhibition (p > 0.05). Importantly, significant inhibition was still observed from 105 Tc2 cells that barely produced detectable levels of IFN-{gamma}. Further, levels of OVA-specific IgG1 were unaffected by adoptive transfer of all doses of Tc1 or Tc2 CD8 T cells, showing that CD8 cell inhibition was isotype specific for these two Th2-dependent Ab classes (data not shown).



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FIGURE 1. Inhibition of IgE by Tc1 and Tc2 CD8 T cells. a, In vitro primed V{alpha}2V{beta}5 TCR Tc1 ({blacktriangleup}) or Tc2 ({triangleup}) cells were transferred to groups of five wild-type (C57BL/6) mice (106 per recipient) immunized i.p. concurrently with 100 µg of OVA-alum. Control mice (n = 5) were given 106 unstimulated OVA257–264-specific V{alpha}2V{beta}5 TCR CD8 T cells and were immunized with 100 µg of OVA-alum i.p. ({circ}) or were immunized with OVA-alum alone (•). The results are representative of three independent experiments. b, Different numbers (102–106) of in vitro primed V{alpha}2V{beta}5 TCR Tc1 ({blacktriangleup}) and Tc2 ({triangleup}) cells were adoptively transferred i.p. to groups of five wild-type (C57BL/6) mice immunized concurrently with 100 µg of OVA-alum i.p. Control mice were given 106 CD8 T cells from unstimulated OVA257–264-specific V{alpha}2V{beta}5 TCR-transgenic mice and were immunized with 100 µg of OVA-alum i.p. (filled bar), or were immunized with OVA-alum alone (open bar). The time of immunization and cell adoptive transfer are indicated by the arrow. IgE Ab levels compared with controls are represented: *, p < 0.05; **, p < 0.005.

 
OVA-specific CD8 T cells promote Th1 and inhibit Th2 OVA-specific CD4 T cell responses

Because CD8 T cells inhibited IgE, we also determined their effect on the concomitant CD4 T cell response using a similar adoptive transfer protocol using 106 Tc1 or Tc2 cells. CD4 T cells and APC were purified from day 7 mice immunized with OVA-alum to induce IgE that had received V{alpha}2V{beta}5 Tc1 (Fig. 2Goa) or V{alpha}2V{beta}5 Tc2 CD8 T cells (Fig. 2Gob), or no CD8 T cells (Fig. 2Goc), and were cultured with 100 µg/ml OVA. The generation of intracytoplasmic cytokines (IL-4 and IFN-{gamma}) in the CD4 T cells was determined 6 days later following restimulation with PMA and ionomycin. In the positive control animals that received OVA-alum without CD8 T cells, the percentage of OVA-specific LN CD4 Th2 cells (IFN-{gamma}-IL-4+) and Th1 cells (IFN-{gamma}+IL-4-) following culture with OVA were 23 and 0.4% respectively (Fig. 2Goc). In recipients of Tc1 cells, the percentage of Th2 cells was reduced to 1.1%, while Th1 cells were increased to 35% (Fig. 2Goa). Similarly, although not as dramatically, the percentage of Th2 cells was reduced to 3.7% in recipients of Tc2 cells, while the percentage of Th1 cells was increased to 11% (Fig. 2Gob). Thus, both Tc1 and Tc2 OVA-specific CD8 regulatory T cells, when given at the induction of the IgE response with OVA-alum, promoted development of specific Th1 cells in recipients that may have been involved in the inhibition of the CD4 Th2 (IL-4)-dependent responses, perhaps by producing IFN-{gamma}, that lead to a decrease in IgE production by B cells.



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FIGURE 2. CD8 Tc1 and Tc2 CD8 T cells prepared from V{alpha}2V{beta}5 TCR-transgenic mice were adoptively transferred i.p. (106/mouse) to wild-type (C57BL/6) mice (n = 5) that were concurrently immunized with 100 µg of OVA-alum i.p. and sacrificed on day 7. CD8-depleted LN cells from the recipients were cultured in vitro for 6 days with 100 µg/ml OVA, restimulated with PMA/ionomycin, and stained for intracellular IL-4 and IFN-{gamma}. a, OVA-immunized recipients of Tc1 cells. b, OVA-immunized recipients of Tc2 cells. c, OVA-immunized positive control mice. The results are representative of three independent experiments. The percentage of Th2 cells generated varied between 5 and 23%, and the number of Th1 cells generated was consistent between experiments.

 
CD8 T cells inhibit OVA-specific serum IgE responses in wild-type but not IFN-{gamma}-/- mice

Although IFN-{gamma} is noted for its ability to inhibit IgE responses, the capacity of Tc2 CD8 T cells to suppress IgE suggests that IFN-{gamma} may not be required for inhibition by CD8 T cells because Tc2 cells made practically no IFN-{gamma}. However, this small amount of IFN-{gamma} could have inhibited IgE, or IL-12 that was produced by APC could have induced IFN-{gamma} in the Tc2 CD8 T cells after transfer. Therefore, we determined whether CD8 T cells from IFN-{gamma}-/- mice could inhibit the OVA-specific IgE response. We previously showed that CD8 T cells collected at day 21 from mice immunized with 100 µg of OVA-alum inhibited IgE responses when adoptively transferred to naive mice that were then similarly immunized (17). These will henceforth be called "OVA-primed day 21 CD8 T cells." OVA-primed day 21 CD8 T cells from IFN-{gamma} mice inhibited the OVA-specific IgE response as effectively as CD8 cells from wild-type mice (Fig. 3Goa). However, promotion of OVA-specific Th1 and inhibition of OVA-specific Th2 cells suggested that there might be a role for IFN-{gamma} in the regulatory process. Indeed, a requirement for IFN-{gamma} was demonstrated when day 21 OVA-primed CD8 T cells were unable to inhibit IgE in IFN-{gamma}-/- mice (Fig. 3Gob), but could do so in IFN-{gamma}-/- mice that were constituted with CD4 T cells isolated from naive wild-type mice that may have produced essential IFN-{gamma} (Fig. 3Goc). Thus, CD8 T cell inhibition of IgE is independent of CD8 T cell-derived IFN-{gamma} but does require IFN-{gamma} production by CD4 T cells.



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FIGURE 3. The contribution of CD8 T cell IFN-{gamma} to IgE inhibition in wild-type (a), IFN-{gamma}-/- (b), and IFN-{gamma}-/- (c) mice transferred with 2 x 106 wild-type naive CD4 T cells. a, A total of 106 OVA-primed day 21 CD8 T cells from wild-type mice (C57BL/6) ({blacksquare}) or from IFN-{gamma}-/- mice ({square}) were transferred to wild-type mice i.p. This experiment is representative of three independent experiments. b, A total of 106 OVA-primed day 21 CD8 T cells from wild-type mice ({blacksquare}) or from IFN-{gamma}-/- mice ({square}) were transferred to IFN-{gamma}-/- mice i.p. This experiment is representative of two independent experiments. c, A total of 106 day 21 OVA-primed CD8 T cells from wild-type mice ({blacksquare}) or from wild-type mice plus 2 x 106 wild-type naive CD4 T cells (half-closed squares) were transferred to IFN-{gamma}-/- mice. All recipient mice were immunized concurrently with 100 µg of OVA-alum i.p. Control mice were given 106 CD8 T cells from naive mice ({circ}). The time of immunization and cell adoptive transfer are indicated by the arrow. This experiment is representative of two independent experiments. IgE Ab levels compared with controls are represented: *, p < 0.05; **, p < 0.005.

 
OVA-specific CD8 T cell-mediated induction of IL-12 in DCs

Because CD8 T cell-derived IFN-{gamma} was not required for the inhibition of IgE responses but Th1 IFN-{gamma} was involved, and because IL-12 is known to favor Th1 responses, we postulated that CD8 regulatory T cells could enhance production of IL-12. We first established whether OVA-specific CD8 T cells could induce IL-12 in APCs by culture of naive OVA257–264-specific V{alpha}2V{beta}5 TCR CD8 T cells with DC pulsed with either OVA257–264, an irrelevant OVA peptide, or with medium alone for 72 and 144 h. Supernatants were collected and IL-12 (p40 chain) content was determined by ELISA (Fig. 4Go). OVA257–264 peptide-pulsed DC cultured with V{alpha}2V{beta}5 TCR CD8 T cells caused a 3-fold increase in IL-12 p40 levels to 6 and 7 ng/ml at 72 and 144 h respectively. No IL-12 p40 was detected above the limit of detection of the assay (0.8 ng/ml) in supernatants from unpulsed DC, and <2 ng/ml was detected at either time point in supernatants from V{alpha}2V{beta}5 T cells cultured with irrelevant peptide-pulsed DC. Thus, inhibitory Ag-specific CD8 T cells can induce IL-12 production in DC following stimulation with specific Ag.



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FIGURE 4. CD8 T cell induction of DC IL-12. CD8 T cells isolated from peripheral LNs of unimmunized V{alpha}2V{beta}5 TCR-transgenic mice were cultured with DCs isolated from naive wild-type mice for 72 (filled bars) or 144 h (open bars) at a ratio of 20:1. DC were pulsed for 2 h before culture with either medium alone, V{alpha}2V{beta}5-specific OVA peptide (257–264), or an irrelevant OVA peptide (277–294). At each time point, supernatants were removed and secreted IL-12 (p40 chain) measured by ELISA. This experiment is representative of four independent experiments.

 
CD8 T cell-mediated IgE inhibition depends on DC production of IL-12

IL-12-/- mice were used (20) to determine the possible contribution of IL-12 in the inhibition of IgE responses by CD8 T cells in vivo. Adoptive transfer of 106 Tc1 and Tc2 V{alpha}2V{beta}5 TCR CD8 T cells failed to inhibit IgE responses in IL-12-/- compared with wild-type mice (Fig. 5Go, group B). The importance of DC-derived IL-12 was indicated further by reconstitution of IL-12-/- mice in a dose-dependent fashion with DC (102–105 DC per mouse) from naive (IL-12-competent) mice (Fig. 5Gob, groups C–F). An important control was adoptive transfer of 105 DC from naive (IL-12-competent) mice with 106 naive CD8 T cells (Fig. 5Gob, group A) to IL-12-/- mice. No inhibition was observed in this group, demonstrating that DC alone could not inhibit the IgE response. These data show that IL-12 is an essential element of the regulatory CD8 T cell pathway.



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FIGURE 5. Inhibition of IgE in IL-12-/- mice. In vitro primed CD8 Tc1 (106) and Tc2 (106) cells from V{alpha}2V{beta}5 TCR-transgenic mice were adoptively transferred to groups (n = 5) of IL-12-/- mice ({diamondsuit} and {diamond}, respectively) or wild-type mice ({blacktriangleup} and {triangleup}, respectively) immunized concurrently with 100 µg of OVA-alum i.p. Control IL-12 knockout mice were similarly immunized and given 106 CD8 T cells from naive donors ({blacktriangleup}). The time of immunization and cell adoptive transfer are indicated by the arrow. b, OVA-specific IgE levels 7 days following simultaneous immunization with OVA-alum and the adoptive transfer of 106 CD8 T cells from OVA-primed wild-type mice into IL-12-/- recipient mice reconstituted with varying numbers of naive, or IL-12-competent, DC from wild-type mice (hatched bars). Control groups received 106 naive CD8 T cells and 105 naive DC (filled bar) or naive CD8 T cells alone (open bar). The time of immunization and cell adoptive transfer are indicated by the arrow. IgE Ab levels compared with controls are represented: *, p < 0.05; **, p < 0.005. This experiment is representative of two independent experiments.

 
The role of CD4 T cells in CD8 T cell-mediated IgE regulation

Although we had shown that OVA-specific CD8 T cells induced IL-12 and that a shift from a Th2 to a Th1 dominant response was associated with inhibition of IgE, the relationship among DC, CD4 T cells, and the cytokines they produce in CD8 T cell suppression of IgE was unclear. For this purpose, IFN-{gamma}-/- and wild-type mice were used to generate Th1-like cells. Intracellular cytokine analysis of Th1 cells from wild-type mice revealed that 50% stained positive for IFN-{gamma}, 1.2% stained positive for IL-4, and 19% stained positive for IL-2 (Fig. 6Goa). In contrast, of Th1-like cells from IFN-{gamma}-/- mice, only 0.4% stained positive for IFN-{gamma} and 1.7% stained positive for IL-4, but more (32%) were positive for IL-2 (Fig. 6Goa). We then adoptively transferred IFN-{gamma}-/- and IL-12-/- recipient mice with either naive CD4 T cells (Fig. 6Gob, groups C and D), OVA-primed day 21 wild-type (Fig. 6Gob, groups E and F), or IFN-{gamma}-/- (Fig. 6Gob, groups G and H) Th1 cells. As before (Fig. 3Goc), coadoptive transfer of naive wild-type CD4 T cells, with day 21 OVA-primed CD8 T cells, into IFN-{gamma}-/- recipient mice reconstituted inhibition of the IgE response by up to 16-fold (Fig. 6Gob, groups C and D). However, inhibition of IgE did not occur in IL-12-/- recipients. This finding demonstrated that the mechanism by which CD8 T cells inhibit the CD4 Th2 response is dependent on IL-12. Coadoptive transfer of OVA-specific Th1 cells with day 21 OVA-primed CD8 T cells resulted in suppression in both IFN-{gamma}-/- and IL-12-/- recipient mice by between 8- and 16-fold (Fig. 6Gob, groups E and F), demonstrating that, if generated before transfer, Th1 cell inhibition of IgE was independent of IL-12. In other words, IL-12 was only required to generate Th1 cells. However, suppression was not observed in either IFN-{gamma}-/- or IL-12-/- recipient mice adoptively transferred with day 21 OVA-primed CD8 T cells together with IFN-{gamma}-/- Th1 cells (Fig. 6Gob, groups G and H), suggesting that DC-derived IL-12 was the induced factor that was vital for IgE suppression.



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FIGURE 6. The role of CD4 T cells in CD8 IgE regulatory pathway. a, Generation of OVA-specific IFN-{gamma}-/- Th1-like CD4 T cells. CD4 T cells isolated from OVA-primed day 21 wild-type or IFN-{gamma}-/- mice were cultured for 3 days in Th1 polarizing conditions. Intracellular cytokine production was measured for IFN-{gamma} and IL-4 and IL-2 and IL-4. b, The ability of CD4 T cells to regulate IgE was dependent on their ability to make IFN-{gamma}. Mice received 106 CD8 T cells from OVA-primed day 21 wild-type mice, together with either 2 x 106 naive CD4 T cells from wild-type mice (groups C and D), 2 x 106 OVA-specific Th1 cells from wild-type mice (groups E and F), or 2 x 106 OVA-specific Th1 cells from IFN-{gamma}-/- mice (groups G and H). OVA-specific IgE were measured levels 7 days following simultaneous immunization and adoptive transfer into either IFN-{gamma}-/- (hatched bars) or IL-12-/- (filled bars) recipient mice. Control groups received OVA-alum immunization only (groups A and B). c, CD4 T cells are unable to activate the same pathway as CD8 T cells. Mice received 1 x 106 OVA-specific Th1 cells from wild-type (group C) or IFN-{gamma}-/- mice (group D). Control groups received OVA-alum immunization only (group A) or 106 CD8 T cells from OVA-primed day 21 wild-type mice (group B). IgE Ab levels compared with controls are represented: *, p < 0.05; **, p < 0.005. This experiment is representative of two independent experiments.

 
The ability of CD8 T cells to inhibit IgE was not shared by CD4 T cells, as day 21 OVA-primed CD4 T cells from wild-type or IFN-{gamma}-/-mice (Fig. 6Goc, groups C and D) transferred to wild-type recipients were unable to suppress the IgE response compared with control animals (Fig. 6Goc, group A) or mice that received day 21 OVA-primed CD8 T cells (Fig. 6Goc, group B), thereby confirming that the IgE regulatory pathway described here is a unique property of the CD8 T cell.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have investigated the mechanism of CD8 T cell regulation of IgE using OVA257–264-specific V{alpha}2V{beta}5 TCR-transgenic T cells and IFN-{gamma}-/-and IL-12-/- mice. At the outset, CD8 T cell IFN-{gamma} was considered the most likely candidate for CD8 T cell inhibition of IgE, because IFN-{gamma} inhibits Th2 T cell growth (21) and B cell IgE class switching (6). However, the experiments described in this work suggest that this is not the case. Our results show that OVA-specific CD8 inhibitory T cells interact with DC independently of IFN-{gamma} to induce IL-12 that, in turn, promotes the generation of OVA-specific Th1 cells that inhibit Th2-dependent IgE class switching via production of IFN-{gamma}. The ability of CD8 T cells to activate this pathway is unique and is not shared by CD4 T cells.

Surprisingly, Tc2 V{alpha}2V{beta}5 TCR CD8 T cells also inhibited IgE. That a type 2 cell could induce a type 1 response runs counter to our view of immune regulation. Tc1 and Tc2 cells both promoted Th1 cell development and inhibited generation of Th2 CD4 T cells. Thus, this is the first time that a type-2 T cell has been shown to promote a Th1-type response. The significance of these observations is that activation, possibly of any CD8 T cell possessing the appropriate TCR, has the potential to influence the differentiation of co-responding CD4 T cells, and therefore the development of the ensuing immune response. This finding may have potential application to targeted vaccination to prevent allergies.

OVA257–264-specific V{alpha}2V{beta}5 TCR-transgenic mice (15) had the same down-regulatory function as day 21 OVA-primed CD8 T cells, confirming that these inhibitory CD8 T cells operate via the same rules of peptide/MHC recognition as wild-type {alpha}{beta} CD8 T cells. Interestingly, although these V{alpha}2V{beta}5 cells were specific for a single OVA epitope, they inhibited the IgE response to whole OVA. This agrees with previous experiments in rats (12) and mice (17) where IgE inhibitory CD8 T cells from OVA-primed mice inhibited the keyhole limpet hemocyanin or BSA-specific IgE response, provided that these animals had been immunized with both Ags, thus allowing OVA-specific activation of the regulatory CD8 T cell.

Because Tc2 cells made small amounts of IFN-{gamma} and might have been induced to make IFN-{gamma} in vivo, we determined whether CD8 T cell IFN-{gamma} was important in IgE inhibition by using IFN-{gamma}-/- mice (22). Our results clearly show that CD8 T cells do not need to secrete IFN-{gamma} to inhibit IgE responses in vivo. However, IFN-{gamma} was involved, because CD8 T cells were unable to inhibit IgE responses when adoptively transferred to IFN-{gamma}-/- mice. This finding suggests that CD8 T cells do not directly suppress IgE via their production of IFN-{gamma}, but indirectly via IFN-{gamma} produced by Th1 cells. Accordingly, inhibition of IgE could be restored by reconstitution of IFN-{gamma}-/- mice with naive, IFN-{gamma}-competent, CD4 T cells, confirming that IgE inhibitory CD8 T cells indirectly inhibit IgE responses by promoting Th1 cells.

The relationship of CD8 T cell activation and prevention of IgE responses is consonant with the infection model of allergic sensitization (23) in which exposure to pathogens in early life reduces the risk of subsequent allergy. CD8 T cells are activated early in the immune responses by many pathogens. For example, infection with Listeria monocytogenes (24, 25) rapidly induces CD8 T cells, and even heat-killed Listeria can stimulate a protective CD8 response (26). CD8 T cells have been shown to promote Th1 responses in response to respiratory syncytial virus where F-protein activates CD8 T cells, leading to a protective Th1 response (27). The model described in this paper may serve as a useful system to study CD8 regulatory mechanisms relevant to infection and has the advantage that it is free of pathogen-induced effects.

A crucial effect of regulatory CD8 T cells that leads to counter-regulation by OVA-specific CD4 T cells to inhibit IgE responses was enhancement of IL-12 p40 production from DC. It is well recognized that IL-12 promotes Th1 responses (28, 29, 30) and that this can be induced by IFN-{gamma} (31). Indeed, drugs such as sulfasalazine that inhibit Th1 responses do so by inhibiting IL-12 (32). The mechanism for CD8 cell induction of IL-12 is presently unknown, but a potential candidate is macrophage-inflammatory protein-1{alpha}, a CD8 cell chemokine that induces IL-12 synthesis by stimulation of the CCR5 on DC (33). CD8 T cells too produce RANTES during allograft rejection (34). We used IL-12-/- mice (20) to investigate the importance of IL-12 in IgE down-regulation. A crucial finding was that neither Tc1 nor Tc2 CD8 T cells could inhibit IgE responses in IL-12-/- mice. Further, transfer of titrated doses of naive, IL-12-competent DC, together with OVA-primed day 21 CD8 T cells, into IL-12-/- mice restored their capacity to inhibit IgE. In addition to IL-12, IFN-{gamma}-inducing factor (IL-18) may also be involved. The IFN-{gamma}-inducing activity of IL-18 requires expression of the IL-18R, and IL-18R expression depends on IL-12. Thus, IL-12-/- mice are de facto also IL-18 deficient. Both IL-18-dependent (LPS-induced shock) and -independent (in vivo Staphylococcus aureus, enterotoxin-B) induction of IFN-{gamma} have been described (35).

Our results demonstrate that Ag-specific, cognate communication between the CD8 T cell and DC is essential (17) for inhibition of IgE. The molecules induced by this cognate interaction that actually inhibit the IgE B cell response (IL-12 and IFN-{gamma}) have yet to be defined but are not Ag specific. This contrasts with earlier descriptions of IgE regulatory factors before the {alpha}{beta} TCR was discovered, which appeared to be Ag specific (36, 37). CD8 T cells require OVA peptide-MHC activation on DC to stimulate IL-12, but because IL-12 acts nonspecifically, if other Ag also are present and are stimulating a primary IgE response, they too will be inhibited (17). This has important consequences for therapy of allergic disease, because it should only be necessary to stimulate CD8 T cells that recognize a single peptide to inhibit the IgE response not only to this peptide but also to other peptides generated from that Ag, and even to other Ag that are also present.

In contrast to CD4 T cells, CD8 T cells can be activated by TCR ligation alone (38, 39) and do not require costimulation for priming (40, 41). Indeed, CD8 T cells primed in vivo with low affinity peptides could kill efficiently in vitro (42). Strategies for facilitating such presentation of Ag to TCR, for example as an approach to treating allergies, could include DNA immunization (43, 44) and cationic lipid encapsulation of antigenic peptide that directly fuses with the APC cell membrane, thus introducing Ag into the cytosol and therefore the MHC class I processing pathway. Cross-priming in which soluble Ag enters the MHC class I pathway has been well established by a number of investigators (15, 45, 46, 47). Indeed, as whole OVA was able to induce IgE inhibitory CD8 T cells in both rats (12) and in mice as shown in this study, it is possible that one of the contributing factors to the genetic predisposition of an individual to allergies (atopy) are defects in MHC class I cross-priming, leading to a reduced ability to activate IgE-inhibiting CD8 T cells. The pathway of IL-12 activation described may be crucial for determining the apparent constitutive set point of the immune response that ensures dominance of protective immunity to newly encountered Ag by promoting Th1 over Th2 responses. This would prevent allergic sensitization by inhibiting Th2 responses and thus consequent IgE production. This pathway may contribute to outgrowing allergies in childhood. We predict that this pathway may be involved in ongoing allergies. Thus, targeting this pathway might inhibit allergic sensitization in infants and could attenuate allergic immune responses in adults.

Our findings on the CD8 T cell-DC IL-12 pathway of inhibiting IgE responses bring molecular definition to the important processes that down-regulate IgE. Investigation of immune regulation has long focused on mechanisms of inducing IgE responses, such as Th2 cells, their cytokines IL-4 and IL-13, and cell surface costimulatory CD40:CD40-ligand-dependent signaling processes. By contrast, down-regulation of IgE, which has immense potential clinical application, has received less attention. Although it was known that CD8 T cells and IFN-{gamma} were involved, the precise steps were unclear. This study details a novel mechanism of such immune down-regulation, explaining the role of the inhibitory CD8 T cell, which stimulates DC to produce IL-12 that activates CD4 Th1 cells to produce IFN-{gamma}, which inhibits IgE-producing B cells.


    Acknowledgments
 
We thank Dr. S. Constant for critically reading this manuscript.


    Footnotes
 
1 This work was supported by grants from the Wellcome Trust and the Medical Research Council. P.W.A. was supported by a Traveling Fellowship from the Wellcome Foundation and by grants from the National Institutes of Health (AI-43371 and HL-56389). Back

2 Address correspondence and reprint requests to Dr. David M. Kemeny, Department of Immunology, Guy’s, King’s, and St. Thomas’s School of Medicine, Kings College, Rayne Institute, 123 Coldharbour Lane, London, SE5 9NU, U.K. E-mail address: david.kemeny{at}kcl.ac.uk Back

3 Abbreviations used in this paper: DC, dendritic cell; Tc, T cytotoxic; PCA, passive cutaneous anaphylaxis; LN, lymph node. Back

Received for publication August 22, 2001. Accepted for publication November 1, 2001.


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Y. Yan, T. Devos, L. Yu, G. Xia, O. Rutgeerts, J. Goebels, C. Segers, Y. Lin, M. Vandeputte, and M. Waer
Pathogenesis of Autoimmunity After Xenogeneic Thymus Transplantation
J. Immunol., June 15, 2003; 170(12): 5936 - 5946.
[Abstract] [Full Text] [PDF]


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