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The Journal of Immunology, 2002, 168: 490-498.
Copyright © 2002 by The American Association of Immunologists

Detection of Early Changes in Autoimmune T Cell Phenotype and Function Following Intravenous Administration of Type II Collagen in a TCR-Transgenic Model1

David D. Brand2,*,{dagger}, Linda K. Myers§, Karen B. Whittington*, Kary A. Latham{ddagger}, John M. Stuart*,{dagger}, Andrew H. Kang*,{dagger} and Edward F. Rosloniec*,{dagger},{ddagger}

* Veterans Affairs Medical Center, Memphis, TN 38104; and Departments of {dagger} Medicine, {ddagger} Pathology, and § Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN 38163


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
To study the phenotypic and functional changes in naive type II collagen (CII)-specific autoimmune T cells following a tolerogenic signal, a TCR-transgenic (Tg) mouse model of collagen-induced arthritis was developed. These Tg mice express an I-Aq-restricted CII (260–267)-specific TCR that confers severe accelerated autoimmune arthritis following immunization with CII. Despite the fact that >90% of the {alpha}{beta} T cells express the Tg, these mice can be rendered completely tolerant to the induction of arthritis by i.v. administration of 200 µg of CII. As early as 24 h after CII administration, CII-specific T cells demonstrated a decreased ability to proliferate in response to the CII immunodominant peptide and phenotypically altered the expression of L-selectin to CD62Llow and of phagocytic glycoprotein-1 to CD44high, expression levels consistent with the phenotype of memory T cells. In addition, they up-regulated the expression of the activation markers CD71 and CD69. Functionally, following tolerogenic stimulation, the CII-specific T cells produced similar levels of IL-2 in comparison to controls when challenged with CII peptide, however, by 48 h after exposure to tolerogen, IL-2 production dropped and was replaced by high levels of IL-10 and IL-4. Based on their production of Th2 cytokines, these data suggest that T regulatory cells expressing activation and memory markers are induced by the tolerogen and may exert their influence via cytokines to protect the animals from the induction of arthritis.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although the majority of autoreactive T cells are deleted in the thymus, it is clear that some escape thymic selection and, once in the periphery, are capable of mediating an autoimmune response. In the periphery, these cells can also be subjected to a second level of control, termed peripheral tolerance, by a variety of mechanisms including anergy (1, 2, 3, 4), clonal deletion (5, 6, 7), or immune regulation (8, 9, 10). It has long been the goal to use these mechanisms to induce Ag-specific unresponsiveness in autoimmune diseases. Experimental approaches have included oral tolerance, nasal tolerance, and parenteral tolerance in a number of autoimmune disease models (11, 12, 13, 14, 15) as well as autoimmune diseases of man (14, 16). However, the precise mechanism by which the Ag-specific T cell function is altered by exposure to the tolerogen is poorly understood. Some of the difficulty in deciphering these mechanisms is that the frequency of the Ag-specific T cells to be targeted is very limited, estimated to be 10-4 or less (17). Thus, due to the limited frequency of the Ag-specific T cells to be targeted, it has been difficult to study the mechanism by which the T cell function is altered by the tolerogen.

Here, we describe the development of a transgenic (Tg)3 mouse that expresses a TCR specific for type II collagen (CII) in the context of I-Aq, a haplotype susceptible to the induction of collagen-induced arthritis (CIA; Ref. 18). These mice express the CII-specific TCR on >90% of the CD4+ T cells and, despite the fact that they are capable of recognizing murine CII (mCII), they are not deleted in the thymus. We have analyzed the function of these T cells with the goal of determining their role in mediating autoimmune arthritis and using the Tg TCR for the study of the early events in tolerance induction. This model has the advantage that the tolerance in vivo is directly linked to prevention of a disease process, the ultimate goal in the development of therapeutic tolerance. Our results indicate that, despite an overwhelming capacity to establish an autoimmune response and elicit disease, these cells can be tolerized and that the tolerance appears to be mediated by an active mechanism involving regulatory control. Thus, this Tg model will serve as an excellent vehicle for defining the molecular mechanisms of tolerance induction in T cells.


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

TCR transgenes were established in (C57BL/6 x C3H)F1 mice and backcrossed onto DBA/1LacJ mice (The Jackson Laboratory, Bar Harbor, ME). Mice used in these experiments were from backcross generations N7 to N9 and were heterozygous for the TCR transgenes.

Generation of TCR Tg mice

TCR constructs encoding a CII-specific receptor were made by RT-PCR amplification of V{alpha} and V{beta} gene segments expressed by an I-Aq-restricted CII (260–267)-specific T cell hybridoma, qCII85.33 (19), and subcloned into TCR{alpha}-2B4 and TCR{beta}-3A9 expression vectors as described by Sakaguchi et al. (20). The endogenous V{alpha}J{alpha} and V{beta}D{beta}J{beta} segments of these expression vectors were removed by digestion with XhoI/NotI and ClaI/NotI, respectively. The 5' and 3' ends of V{alpha}11.1-J{alpha}17 (TCRAV11S1J17) cDNA and the V{beta}8.3-Db1-J1.4 (TCRBV8S3D1J1S4) cDNA were modified by PCR to include these restrictions sites for insertion into their respective expression vectors and to incorporate intronic splicer donor and acceptor sites for recombination to the genomic leader domains and the C{alpha} and C{beta} domains (20). Tg mice were established by coinjection of linearized constructs (SalI and ClaI for TCR{alpha} and PvuI and SalI for TCR{beta}) into the pronuclei of F1(C57BL/6 x C3H) eggs. Resulting progeny were screened by PCR amplification of genomic DNA using PCR primers specific for the rearranged V{alpha}11.1-J{alpha}17 and the V{beta}8.3-D{beta}1-J{beta}1.4 gene segments. PCR-positive mice were subsequently backcrossed to DBA/1LacJ mice and offspring were screened for the presence of the transgenes by PCR and by immunofluorescence using the V{beta}8.3-specific Ab, 1B3.3. No Ab is available for detecting the V{alpha}11.1 genetic allele used by this TCR.

Antibodies

The Abs used for flow cytometry were: PerCP-conjugated anti-CD4 (clone RM4-5), PE-conjugated anti-CD8 (clone 53-6.7), APC-conjugated anti-CD44 (clone 1 M7), PE-conjugated anti-CD62L (clone Mel-14), PE-conjugated anti-CD69 (clone H1.2F3), PE-conjugated anti-CD71 (clone C2), and FITC-conjugated anti-V{beta}8.3 (clone 1B3.3). All Abs were purchased from BD PharMingen (San Diego, CA) and used according to the manufacturer’s recommendations.

Flow cytometry

Spleens were minced in cold RPMI and RBC were lysed with Gey’s solution. Splenocytes were stained with specific Abs in PBS at 4°C for 30 min. Flow cytometry was performed on a FACSCaliber (BD Biosciences, Mountain View, CA) and analyzed using CellQuest version 3.3 (BD Biosciences, Mountain View, CA).

Collagen preparation

Native bovine CII was solubilized from articular cartilage and native mCII was solubilized from the sternal cartilage of young mice. CII was extracted by limited proteolysis with pepsin and purified by repeated differential salt precipitation as described (21, 22).

Immunizations and arthritis induction

Six- to 8-wk-old mice were immunized with CII for the induction of arthritis. CII was dissolved in 10 mM cold acetic acid by stirring overnight at 4°C and emulsified at a 1:1 (v/v) ratio with CFA (Life Technologies, Gaithersburg, MD), as previously described (23). Mice were immunized s.c. at the base of the tail with 100 µg of CII. Each paw was evaluated and scored for the degree of inflammation on a scale of 0–4 (18, 22). The average severity per arthritic mouse was calculated by adding the score of all four paws of the arthritic animals and dividing by the number of arthritic mice.

Tolerization induction

For the study of early events following administration of a tolerogen in the TCR Tg mice, a single dose of 200 µg of tolerogen was administered i.v. via the sinus at the retro-orbital plexus. Ags were dissolved at 2 mg/ml in PBS. For the experiments in which arthritis incidence was measured, animals were challenged with bovine CII (see Immunizations and arthritis induction) 1 wk following i.v. administration of Ag.

Peptide synthesis

Peptides were synthesized by F-moc chemistry using an Applied Biosystems automated peptide synthesizer (model 430; Foster City, CA) and were purified by HPLC.

Proliferation assays

Spleen cells were cultured in 96-well plates at 4.5 x 105/well in 300 µl of HL-1 medium supplemented with 50 µM of 2-ME and 0.1% BSA (fraction V, IgG free, low endotoxin; Sigma-Aldrich, St. Louis, MO) at 37°C, 5% humidified CO2 for 4 days. Eighteen hours before the termination of the cultures, 1 µCi of [3H]thymidine (New England Nuclear, Boston, MA) was added to each well. Cells were harvested onto glass fiber filters and counted on a Matrix 96 direct ionization beta counter (Packard Instrument, Meriden CT). Results were confirmed by replicate experiments and all data are expressed as dpm. Some proliferation assays included the addition of human rIL-2 (PeproTech, Rocky Hill, NJ).

T cell hybridomas and Ag presentation assays

T cell hybridomas were established by polyethylene glycol (Boehringer Mannheim, Indianapolis, IN)-induced fusion of lymph node cells with TCR {alpha}-{beta}- BW5147 thymoma cells (24, 25). Lymph node cells were obtained from DBA/1LacJ mice immunized 10 days previously with bCII/CFA. The recovered T cells were cultured with bovine {alpha}1(II) for 4 days, followed by IL-2 for 3 days before fusion. Resulting hybridomas were screened for their ability to recognize bovine {alpha}1(II) chains and the CII (256–273) peptide presented by I-Aq. Ag presentation experiments were performed in 96-well microtiter plates in a total volume of 0.3 ml containing either 105 M12.Aq cells (19) or 4 x 105 syngeneic spleen cells as APC and 105 T hybridoma cells. Cell cultures were maintained at 37°C in 5% humidified CO2 for 20–24 h, after which 2-fold serial dilutions were made for determination of IL-2 titers using the IL-2-addicted cell line HT-2 (26, 27). HT-2 cell viability was assessed by cleavage of MTT and quantitation of OD650 (28, 29). IL-2 titers were quantified by the reciprocal of the highest 2-fold serial dilution maintaining HT-2 cell viability >2-fold over control cultures. Results are presented as units of IL-2 per milliliter of undiluted supernatant as described by Kappler et al. (30).

ELISA

Ab titers specific for mCII were determined using a solid-phase ELISA as previously described (31). Briefly, microtiter plates were coated with 500 ng of mCII at 4°C overnight. After extensive washing with 0.15 M saline, 0.05% Tween 20, dilutions of sera ranging from 1/4,000 to 1/24,000 in 2% normal goat sera were added to each well and incubated overnight at 4°C. After washing with saline and Tween 20, a goat anti-mouse Ig (1/5,000) was added for 2 h. The plates were then washed and developed by the addition of o-phenyldiamine (Sigma-Aldrich). After stopping the reaction with 2.5 N H2SO4, the degree of color development was measured at 490 nm with the background OD650 subtracted. The quantity of specific Ab was measured for each animal and data are expressed as mean relative units of activity based on a standard anti-CII serum.

Cytokine analysis

Cytokine analyses were performed using the R&D Systems Quantikine M ELISA (Minneapolis, MN) according to the manufacturer’s protocol. Splenocytes were harvested from tolerized animals at the times indicated and were cultured in HL-1 with 33 µg/well of CII (245–270) peptide as described for Proliferation assays using 2-ml cultures of 2 x 106 cells/well in 24-well plates. Cultures were incubated according to the conditions listed below. Supernatants from each culture were collected at 24 h for IL-2 measurement, 48 h for IFN-{gamma} and IL-4 measurement, and 72 h for IL-10 measurement. These time points have been found to be optimal for the detection of these cytokines. Culture supernatants were stored frozen at -20°C until analyzed by ELISA. Cytokine quantities were calculated based on a standard curve generated by SoftMaxPro version 2.1 software on a SpectroMax (Molecular Devices, Sunnyvale, CA) using recombinant standards supplied by the manufacturer. Results are based on the mean of two individual wells of each supernatant and the data are representative of at least two individual experiments.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of TCR Tg mice

To study the role of CII (260–267)-specific T cells in the development of CII autoimmune arthritis and the mechanism by which these T cells are rendered tolerant, a TCR Tg mouse was developed. cDNA encoding a CII (260–267)-specific TCR was cloned by RT-PCR from an I-Aq-restricted T cell hybridoma (qCII85.33; Fig. 1GoA) that recognizes both bovine CII (immunogen) and mCII (autoantigen). This TCR uses V{alpha}11.1-J{alpha}17 gene segments (TCRAV11S1J17) and V{beta}8.3-D{beta}1-J{beta}1.4 gene segments (TCR{beta}V8S3D1J1S4; Fig. 1GoB), similar to other CII (260–267)-specific I-Aq-restricted TCR previously described (32, 33). The V{alpha} and V{beta} cDNA were cloned into the TCR {alpha} and {beta} transgenesis vectors described by Sakaguchi et al. (20). Following coinjection, two founders were identified by PCR and immunofluorescence and backcrossed to DBA/1LacJ mice. Initially, the TCR Tg expression could not be detected in the founders and first generation offspring (H-2q/b). This appeared to be the result of negative selection by the I-Ab molecule, as expression was easily detectable in the H-2q/q second generation backcrosses (N2) but still remained undetectable in the H-2q/b littermates. As shown in Fig. 1GoC, the V{beta}8.3 transgene was expressed by ~90% of the CD4+ T cell population of the spleen and >95% of the CD4+ T cells in the lymph nodes, which is significantly higher than the 8% CD4+ cells that express the endogenous V{beta}8.3+ in the non-Tg littermates. Similarly, >90% of the {alpha}{beta}+ T cells expressed the Tg TCR (data not shown). In the thymus, CD4+/V{beta}8.3+ cells predominated while the percent of CD4+/CD8+ and CD4+ T cells were unchanged, although a decrease in the percent of CD8+ T cells was evident. Similar data for TCR Tg expression were obtained with a second founder, 27 (see Fig. 3Go) with the exception of the Tg being expressed by only 25% of the {alpha}{beta} T cell population (data not shown).



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FIGURE 1. Development of a CII-specific TCR Tg mouse model of autoimmune arthritis. A, The Tg TCR was cloned from the T cell hybridoma, qCII85.33, that recognizes the immunodominant determinant in both bovine CII and mCII, in contrast to the qCII92.33 hybridoma that only recognizes the bovine CII determinant. T hybridoma stimulation was evaluated by measuring IL-2 production using culture supernatants and HT-2 cells as described in Materials and Methods. B, TCR{alpha} and TCR{beta} transgene constructs. V{alpha} and V{beta} gene segments were amplified by RT-PCR using total RNA isolated form the T cell hybridoma qCII85.33. Gene segments were cloned into Tg expression vectors as described in Materials and Methods and coinjected to establish the Tg mouse. C, Expression of the Tg CII-specific TCR. Founders were backcrossed onto DBA/1LacJ mice and expression of the I-Aq-restricted CII-specific TCR was measured by immunofluorescence using the V{beta}8.3 specific Ab, 1B3.3. Spleen and lymph node cells were stained with a combination of anti-V{beta}8.3-FITC and anti-CD4-PE. Thymus cells were stained with either a combination of anti-V{beta}8.3-FITC and anti-CD4-PE or anti-CD4-PE and anti-CD8-PerCP. Data are based on the analysis of 10,000 gated events with the gate set on forward vs side scatter to exclude nonlymphoid cells and dead cells.

 


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FIGURE 3. Disease incidence and severity in TCR Tg mice. The severity (A) and incidence (B) of disease in mice derived from two different founders, 27 V{alpha}/V{beta} Tg+({blacksquare}) and 24 V{alpha}/V{beta} Tg+ (•), is compared with Tg- littermate controls ({circ}). All animals were challenged with a dose of 100 µg of CII emulsified in CFA for the induction of disease. Mice were scored for arthritis incidence and severity as described in Materials and Methods.

 
Expression of disease in TCR Tg mice

The TCR Tg is fully functional as measured by the ability of the T cells to proliferate specifically in response to peptide presentation by I-Aq and by their ability to mediate the development of autoimmune arthritis. When naive Tg T cells were stimulated in vitro with either native CII or a CII peptide containing the immunodominant determinant, CII (260–267), the cells proliferated vigorously (Fig. 2Go). No response was observed to irrelevant Ags, nor when using T cells from non-Tg littermates. When the Tg mice were immunized with an emulsion containing CII and CFA, they developed a strong T cell-dependent Ab response to both the immunogen and the autoantigen, mCII (Table IGo), and developed a severe accelerated autoimmune arthritis (Fig. 3Go). The Tg mice developed arthritis as early as 11 days after immunization and generally reached their maximum incidence and severity by day 35. In comparison, non-Tg littermates first developed arthritis around day 20 and did not reach their maximum incidence until around day 50, a rate similar to that observed with normal DBA/1 mice (34). Offspring from both Tg founders exhibited accelerated kinetics of response, but those from founder 24 appeared to have a more severe form of disease as compared with the negative littermates and those derived from founder 27 (Fig. 3GoA). As might be predicted from the data in Fig. 3Go, the anti-CII Ab levels (Table IGo) were higher in the Tg mice at day 19, but by day 34 when the disease was equally well established in both groups, the Ab levels were high in both Tg and negative littermate groups. We have not observed spontaneous arthritis in Tg mice up to 9 mo of age, despite the overwhelming numbers of CII-specific T cells.



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FIGURE 2. Naive spleen cells from V{alpha}11.1/V{beta}8.3 TCR Tg mice proliferate in response to culture with CII. Spleen cells from naive TCR Tg+ mice (•) and Tg- littermates ({circ}) were cultured for 96 h with denatured CII, hen egg lysozyme (as a negative control), or CII (257–270) peptide. Proliferation was measured by incorporation of [3H]thymidine and is expressed as the mean dpm of triplicate cultures.

 

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Table I. Production of Ab specific for mCII by TCR Tg and non-Tg mice

 
i.v. tolerance induction

Based on the overwhelming T cell response and accelerated arthritis development following CII immunization, we were initially concerned that it may be difficult to tolerize these mice and prevent the development of CIA. However, as shown in Fig. 4GoB, i.v. administration of a single dose of 200 µg of CII was capable of significantly reducing the incidence of arthritis in the Tg mice. Tg mice tolerized with OVA developed arthritis at an expected accelerated rate, reaching 100% by day 24, whereas only two of the CII tolerized mice developed arthritis by day 42. The severity of the disease exhibited by the two CII-tolerized mice that did develop arthritis was indistinguishable from that exhibited by control (OVA-tolerized) animals (Fig. 4GoA). When the protocol was changed to a regimen of i.v. administration of three consecutive daily doses of 200 µg of CII or OVA (a total of 600 µg), disease was completely prevented in all 10 of the animals tolerized with CII, whereas all 10 of the OVA-tolerized animals had disease by day 13 (Fig. 4GoD). This protection was afforded for at least 8 wk after the challenge with CII + CFA.



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FIGURE 4. Disease severity (A, C) and incidence (B, D) in OVA ({circ})- and CII (•)-tolerized TCR Tg mice. The incidence and severity of disease in TCR Tg mice was determined following tolerization with CII or OVA. All animals were challenged with 100 µg of CII emulsified in CFA for the induction of disease. Tg+ mice were i.v. tolerized with a single dose of 200 µg of either CII or OVA i.v. in PBS (A and B) or with three consecutive daily doses of 200 µg for a total dose of 600 µg (C and D), 1 wk before immunization with CII/CFA. Mice were observed for arthritis incidence and severity as described in Materials and Methods.

 
Suppressed proliferation

To determine how CII-specific T cell function had been altered following exposure to the CII tolerogen, TCR Tg mice were treated i.v. with a tolerizing dose of CII, and T cell function, phenotype, and cytokine production were analyzed. As early as 24 h after a single dose of 200 µg of Ag, a clear effect on T cell proliferation could be observed. T cells from CII tolerized mice had a greatly reduced capacity to be stimulated to proliferate by CII peptide in comparison to Tg T cells from OVA-treated mice (Fig. 5Go). At 48 h after exposure to tolerogen, these cells were consistently refractory to stimulation by peptide concentrations ranging from 130 nM to 130 µM. However, by 72 h after tolerization, some proliferative capacity was restored, although the quantity of peptide required to stimulate the CII-tolerized T cells was >2 logs higher than that required to stimulate the Tg T cells from the OVA-tolerized mice. This suppressed proliferative response could still be observed at 7 days post CII treatment (data not shown).



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FIGURE 5. The proliferative capacity of spleen cells from CII-tolerized V{alpha}11.1/V{beta}8.3 TCR Tg mice (•) is reduced compared with that of OVA-tolerized controls ({circ}). At the indicated times after a single 200 µg i.v. dose of the tolerizing Ag, spleens were removed and cultured with CII (245–270) peptide at the indicated concentrations. Each curve represents splenocytes taken from an individual Tg+ mouse, with two individual mice per treatment, except for the 24 h time point (one mouse each treatment). Data are representative of multiple experiments.

 
Addition of exogenous IL-2

To determine whether the lymphocytes that were refractory to stimulation by peptide were exhibiting signs of anergy, we assayed the ability of CII-tolerized lymphocytes to proliferate when various concentrations of exogenous rIL-2 were added to cultures containing a concentration of CII (245–270) peptide known to optimally stimulate the TCR Tg lymphocytes. The data in Fig. 6Go demonstrate that the addition of exogenous IL-2 can restore the ability of CII-tolerized lymphocytes to proliferate in response to CII (245–270) peptide, but only at very high concentrations of IL-2. Concentrations exceeding 100 U/ml were required to bring the level of proliferation of the CII-tolerized lymphocytes up to that of the control (OVA-tolerized) lymphocytes. The addition of exogenous IL-2 to cultures containing lymphocytes from OVA-tolerized animals had little effect on these highly stimulated lymphocytes.



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FIGURE 6. The proliferative capacity of spleen cells from CII-tolerized V{alpha}11.1/V{beta}8.3 TCR Tg mice is restored with high levels of IL-2. At 48 h after a single 200 µg i.v. dose of the tolerizing Ag, spleens were removed and cultured with CII (245–270) peptide at 12.5 µg/well. Human rIL-2 was titrated from 0 to 450 U/ml. The [3H]thymidine incorporation in the absence of exogenous rIL-2 was 18,941 and 52,645 dpm for the CII-tolerized mice (•) and 166,365 and 182,020 dpm for the OVA-tolerized mice ({circ}). Each curve represents splenocytes taken from an individual Tg+ mouse. Data are representative of multiple experiments.

 
Phenotype of CII-tolerized lymphocytes

In addition to a reduced proliferative capacity of the Tg T cells from i.v.-tolerized mice, significant phenotypic changes also occurred shortly after CII tolerization. Following tolerization as described above, spleen cells were recovered and subjected to four-color immunofluorescent analysis focusing on activation and memory marker expression by the CD4+/V{beta}8.3+ Tg T cells. These analyses revealed that as early as 24–48 h post treatment, two cell surface markers associated with the activation state of the cell, CD69 and CD71, were significantly elevated in the splenocytes from CII-tolerized animals as compared with those from OVA or PBS (control)-tolerized mice (Fig. 7Go). CD69 was expressed by 62% of the CII-treated Tg T cells in comparison with only 11% on the Tg T cells from the OVA-treated control mice. CD71 expression was also induced on the majority of the Tg T cells from CII-treated mice, while only 5% of the T cells from the control mice expressed this marker. In addition to activation markers, changes in expression of two cell surface proteins associated with the memory phenotypes of CD44high and CD62low were also observed. CD44 expression levels shifted from the majority of the cells expressing CD44low (OVA-and PBS-treated groups) to the vast majority of the CII-tolerized T cells expressing CD44high. Thus, using this model, changes in T cell proliferation and phenotype were detected very early after the tolerogenic administration of CII. These changes suggest that the CII-tolerized T cells enter a period of activation before the loss of ability to proliferate in response to challenge with the CII immunodominant peptide and that they also acquire a memory phenotype.



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FIGURE 7. CII-tolerized splenocytes from TCR Tg mice exhibit a reduced level of CD62-L expression and increased expression of CD69, CD71, and CD44. Four-color flow cytometric analyses revealed that ex vivo splenocytes from CII-tolerized TCR Tg mice exhibit a reduced level of the lymphoid homing marker CD62-L (L-selectin) and increased expression of the very early marker of T cell activation CD69, the transferrin receptor CD71, and CD44 (P-Gp 1) as compared with control animals tolerized with PBS or OVA. Spleen cells were recovered 24 h (48 h for CD71and CD44 staining) after i.v. administration of the indicated Ag. All histograms are gated on CD4+/V{beta}8.3+ lymphocytes and represent a minimum of 3000 gated events. The percentages of total gated cells that fall within the limits of the marker are indicated at the upper right of each histogram.

 
Cytokine analysis

To determine whether CII-specific T cell function had also been altered shortly after i.v. administration of CII, spleen cells were recovered 24, 48, and 72 h after treatment with CII or OVA and tested for their ability to produce IL-2, IL-4, and IL-10 and IFN-{gamma}. When the CII-or OVA-tolerized lymphocyte cultures were examined without stimulation of any kind, we determined that the levels of cytokines secreted were below our level of detection. However, following an overnight stimulation with the CII peptide, CII-specific T cells from CII-treated mice were found to produce similar amounts of IL-2 as OVA-treated mice, but by 48 h after tolerization the IL-2 response was significantly reduced, achieving less than half the response of those from the control mice (Fig. 8GoC). In contrast to the IL-2 response, the production of the Th2 cytokines IL-4 and IL-10 by the CII-specific T cells was enhanced (Fig. 8Go, A and B). By 48 h after tolerance induction, when the IL-2 production had dropped significantly, the CII-specific T cells from the CII-treated mice produced high levels of IL-10 and IL-4, whereas the T cells from the OVA-treated mice produced very little of either these Th2 cytokines. In contrast, IFN-{gamma} production was elevated in cultures containing spleen cells from animals treated with CII (Fig. 8GoD). In the absence of stimulation with the CII peptide, no cytokines could be detected (data not shown).



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FIGURE 8. The Th2 cytokines IL-10 and IL-4 are elevated and the Th1 cytokine IL-2 is reduced in cultures of spleen cells from CII-tolerized V{alpha}11.1/V{beta}8.3 TCR Tg mice ({blacksquare}) compared with that of OVA tolerized controls ({square}), but IFN-{gamma} is also elevated. At the indicated times following a single i.v. dose of 200 µg of CII or OVA, spleen cells were harvested from tolerized animals and cultured with bovine CII (245–270) peptide. IL-2, IL-4/IFN-{gamma}, and IL-10 supernatants were harvested after 24, 48, and 72 h in culture, respectively. Supernatants were assayed using commercial ELISA as described in Materials and Methods. Values are expressed as picograms per milliliter and are calculated using recombinant standards. Results are based on analyses of duplicate wells (error bars) and are representative of at least two separate tolerance induction experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
An understanding of the mechanisms of tolerance induction is critical if Ag-specific therapies are to be successfully implemented in treating autoimmune diseases. Tolerance via Ag-specific administration has been shown to function by exerting its effects either directly on the Ag-specific T cell via anergy (17) or clonal deletion (7), or via T regulatory (Tr) cells that function through the secretion of cytokines that alter T cell function (35). However, some of the distinctions between these groups are beginning to blur. Anergy, which has been associated with a down-regulation of TCR expression (36), is usually associated with the inability of a mature T cell to proliferate and secrete IL-2. Our studies also demonstrate that anergy may indeed be playing an early role in the tolerance we observe, because the addition of exogenous rIL-2 to cultures containing apparently anergic lymphocytes from CII-tolerized mice can restore the ability of those cells to proliferate vigorously to CII (245–270) peptide when provided in very high concentrations. However, this does not mean that these anergized T cells are dormant. Many experiments have established that functionally anergic T cells can go through a period of activation in vivo (17, 37) and our data support this notion. We found that as early as 24 h after treatment with bovine CII, Ag-specific T cells were refractory to challenge with the immunodominant peptide of CII and by 48 h had greatly reduced the secretion of IL-2. However, our flow cytometric data clearly demonstrated that these cells exhibited CD69 and CD71 markers of activation and had acquired a CD44high and CD62Llow memory phenotype. Furthermore, the distinction between anergic T cells and Tr cells is also unclear. There is ample evidence for the role of IL-10 secreted by Tr cells that inhibit disease in murine models of inflammatory bowel disease (38), experimental autoimmune encephalomyelitis (39), and diabetes (40). However, these studies indicate that cells rendered functionally anergic in vivo may have in fact become the Tr cells that influence immune responses through the release of IL-10 (40) and our data also support this concept. We found that cultures of cells that do not respond to challenge with a broad range of peptide at 48 h after treatment with CII are capable of secreting IL-4 and IL-10 and have reduced their secretion of IL-2, indicating that they may be developing into Tr cells with a Th2 phenotype. It is clear that to make claims about the functional mechanisms involved in the induction of tolerance, especially in models of autoimmunity, a careful analysis of the functional and phenotypic characteristics of the Ag-specific T cells is necessary.

Th1 and Th2 cell types are defined by the spectrum of cytokines that they produce, with Th1 cells producing IFN-{gamma}, but not IL-4, and Th2 cells producing IL-4 and IL-10, but not IFN-{gamma} (41). Our data suggest that based on their changing cytokine profiles by 48–72 h after tolerization with CII, the Ag-specific T cells have acquired a Th2 phenotype. It has been hypothesized that several factors can influence the fate of the precommitted Th0 cell during its primary encounter with Ag, driving it toward the expression of a Th1 or Th2 phenotype (42). These factors include the strength of the signal received through the TCR (43), specific costimulatory signals (37), and the cytokine milieu in which the cells encounter their Ag (44, 45). Some of the studies pertaining to differentiation via specific costimulatory signals include the concept of B7 binding with high affinity to CTLA-4 instead of to CD28, thereby down-regulating T cell activation (46). Using CTLA-4 knockout mice, Oosterwegel et al. (47) were able to determine that the B7-CD28/CTLA-4 pathway plays a critical role in determining the phenotype of the Th0 cell. They found that CD28 promotes Th2 differentiation while CTLA-4 limits Th2 differentiation. Although, we have not yet tested the ability of the CTLA-4 Ig fusion protein to modulate the induction of tolerance in this TCR Tg model, it has been used successfully to prevent CIA disease in DBA/1 mice (48) and rats (49). An understanding of the role of negative costimulation such as that supplied through CTLA-4 would be important to understanding the signals driving the differentiation of CII-specific T cells toward the Th2 pathway as we have observed.

It has also been suggested that the cytokine milieu present when the Ag-specific cell encounters its Ag can influence its future differentiation. For instance, autoimmune T cells which encounter IL-12 when they are activated with Ag are likely to differentiate toward the pathogenic Th1 phenotype (50), whereas those that encounter Ag in the presence of IL-4 may differentiate into suppressive IL-4- and IL-10-secreting Th2 cells (51). The characteristics of these specific cytokine environments have a large influence over the series of events leading to the induction of disease in the CIA model and also have important implications for its prevention through tolerance. Studies using the CIA model have suggested that the Mycobacterium, the key component in CFA, stimulates the dendritic cells found in the intradermal site of injection to produce IL-12 (50, 52). It is this IL-12 and a combination of IFN-{gamma}-inducing factor and IFN-{gamma} (53, 54, 55) that are suspected to drive the differentiation of the precommitted CII-specific CD4+ T cell toward the Th1 phenotype so critical for the precipitation of the inflammatory response that defines the disease state. However, the converse situation is not as well understood. The initial source of IL-4 that is suspected to be important to furthering the differentiation of Ag-specific T cells toward the Th2 pathway has not yet been determined (56). Le Gros et al. (57) suggest that the initial production of IL-4 by naive murine T cells is dependent on the in situ secretion of IL-2 . It is possible that an initial spike in IL-2 secretion such as we have observed at 24 h posttolerance may supply the environment necessary for the differentiation of the nascent Th2 response toward the production of enough IL-4 to initiate a cascade of Th2 development. The high levels of IL-4 we detected at 48 h post-CII treatment suggest that our cultures were, in fact, becoming biased in the Th2 direction. Although IFN-{gamma} is traditionally classified as a Th1 cytokine, there is some evidence to suggest that IFN-{gamma} is often elevated in cultures of lymphocytes from tolerized mice and that its presence is required for the induction of tolerance (58, 59). This would support our observations of the elevated Th2 cytokines IL-4 and IL-10 and the concurrent presence of elevated levels of IFN-{gamma}. In addition, IFN-{gamma} has been shown to be a negative regulator in several autoimmune disease models (60, 61, 62, 63, 64).

As mentioned previously, because the distinctions between the categories described for mechanisms hypothesized to be at work in immune tolerance are not as clear as was once believed, it becomes important to clearly define the functional and phenotypic attributes of the Ag-specific cells during tolerance induction. Analysis of the early events in the tolerance of our CII TCR Tg mouse model suggest that several of these mechanisms may be functioning to some degree. The proliferative responses suggest the appearance of anergy in the cultures of lymphocytes from CII-tolerized TCR Tg animals, yet the T cells express activation markers. However, our cytokine analyses indicate the emergence of Tr cells that exhibit a Th2 phenotype. Taken together, these data support the notion by Lanoue et al. (17) that functionally anergic cells may be early stages of Tr cells that will eventually exert their influence through immune deviation.


    Footnotes
 
1 This work was supported in part by grants from the Office of Research and Development, Medical Research Service, Department of Veterans Affairs, Memphis, TN (to D.D.B., J.M.S., A.H.K., and E.F.R.) and U. S. Public Health Service Grants AR43589 (to L.K.M.), AR45987 (to A.H.K.), and AR45201 (to E.F.R.) from the National Institute for Arthritis and Musculoskeletal Diseases. Back

2 Address correspondence and reprint requests to Dr. David D. Brand, Veterans Affairs Medical Center, 1030 Jefferson Avenue, Memphis, TN 38104. E-mail address: dbrand{at}utmem.edu Back

3 Abbreviations used in this paper: Tg, transgenic; CII, type II collagen; CIA, collagen-induced arthritis; mCII, murine CII; Tr, T regulatory cells. Back

Received for publication March 5, 2001. Accepted for publication October 22, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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