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* Laboratoire dImmunologie des Tumeurs, Université Paris-Sud, Chatenay Malabry, France; and
Aventis-Pasteur, Marcy LEtoile, France
| Abstract |
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.
Consistent with this effect on DC maturation, LAG-3Ig disables DC in
their capacity to capture soluble Ags. These events are associated with
the acquisition of professional APC function, because LAG-3Ig increases
the capacity of DC to stimulate the proliferation and IFN-
response
by allogeneic T cells. These effects were not observed when using
ligation of MHC class II by specific mAb. Class II-mediated signals
induced by a natural ligand, LAG-3, lead to complete maturation of DC,
which acquire the capacity to trigger naive T cells and drive polarized
Th1 responses. | Introduction |
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DC are sentinels of the immune system, residing in almost all
peripheral tissues (7) in an immature state to allow for
optimal Ag uptake. Upon tissue injury or stimulation by infectious
agent products such as carbohydrate, LPS, double-stranded viral RNA, or
immunostimulatory CpG oligodeoxynucleotides (8, 9, 10, 11, 12) DC
become activated, migrate to secondary lymphoid organs, and
differentiate into mature DC (13, 14). Mature DC express
high levels of class I and class II Ags, CD80, CD86, and CD83, produce
IL-12, and can prime naive CD4-helper and CD8-cytotoxic T cells
(7, 15). The maturation process may also be induced by
other stimuli, such as inflammatory cytokines (e.g., TNF-
and IL-1)
and cognate CD4+ T cell help, mediated by CD40
ligand (16). Stimulation of CD8+ T
cells by DC is achieved after a two-step process: first, DC are induced
to mature via CD40/CD40 ligand interaction or by viral infection, and
second, this "licensed" DC may directly stimulate cytotoxic T cells
(15, 16, 17, 18).
We have previously reported that the lymphocyte activation gene-3 (LAG-3), which is embedded in the CD4 locus (19, 20), encodes a protein that binds a nonpolymorphic region of human class II (21, 22) with higher affinities than CD4 (23). LAG-3 (also termed CD223) is expressed in activated NK cells (19, 24) and CD4+ and CD8+ T cells, where it is associated with the CD3/TCR complex at the cell surface (25, 26). LAG-3, like CD4 (27, 28), may oligomerize at the cell surface to interact more efficiently with class II (29). Direct, specific binding of the soluble two- or four-domain LAG-3 extracellular segment has been observed for class II using a human LAG-3Ig fusion protein (22, 29). Finally we showed that LAG-3-transfected tumors in syngeneic mice completely regressed, or their growth was markedly reduced, which was in contrast to the aggressive growth of untransfected cells (30). We also showed that murine LAG-3Ig acts as an adjuvant for Th1 responses and cytotoxic T cell responses to proteinaceous Ags (31). Because murine T cells do not express class II, it seems likely that these responses are induced via a direct effect of LAG-3Ig on class II+ APC.
In this work we study the maturation process induced by LAG-3 of human DC derived from monocytes in the presence of GM-CSF and IL-4. In this model we show that a soluble LAG-3 molecule dramatically induces the maturation of DC. These results are consistent with an important role of class II-mediated activation for the final maturation and licensing of DC.
| Materials and Methods |
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Recombinant soluble human LAG-3Ig molecules were generated by fusing the extracellular domain of hLAG-3 to a human IgG1 Fc portion (22). The resulting recombinant protein was produced in Chinese hamster ovary cells and purified as previously described (22) (M. Subramanyam and M. Tepper, Ares Advanced Technology, Randolph, MA). Preparations contained <1 EU/mg endotoxin as determined by the Limulus amebocyte lysate assay (BioWhittaker, Walkersville, MD).
The 17B4 mAb (mIgG1) specific for the LAG-3.1 extracellular domain epitope (the extra loop of Ig-like domain 1) has been previously described (21). The mouse CD32 Ab Fab used in blocking experiments were from Ancell (Bayport, MN).
Purification of human monocytes and culture of monocyte-derived DC
Human PBMCs were isolated from venous blood of voluntary healthy donors by Ficoll-Paque density gradient centrifugation (Pharmacia Biotech, Uppsala, Sweden). Monocytes were enriched by aggregation in the cold at a concentration of 50 x 106 cells/ml in complete culture medium (RPMI 1640 (BioWhittaker) supplemented with 10% FCS (Life Technologies, Paisley, U.K.), 2 mM glutamine, and 1 mM pyruvate) for 40 min under rotation. The aggregates were separated by sedimentation through 1 ml FCS and depleted of T cells by rosetting on 2-aminoethylisothiouronium bromide (Sigma-Aldrich, St. Louis, MO)-treated SRBC (BioMerieux, Marcy lEtoile, France). For this treatment, 2.5 ml SRBC were incubated with 30 ml 5% 2-aminoethylisothiouronium bromide (w/v) for 15 min at 37°C, thoroughly washed, and resuspended in 17.5 ml complete culture medium. Enriched monocytes were then resuspended at 3 x 106 cells/ml with 10% of the SRBC suspension and centrifuged on Ficoll-Paque for 25 min at 500 rpm and for 20 min at 2000 rpm to separate the monocyte fraction from SRBC and bound T cells. The resulting preparations were consistently >90% CD14+ as determined by FACS (Elite; Coulter, Miami, FL).
To prepare human immature DC, the purified monocytes were incubated in six-well culture plates (5 x 106 cells/3 ml/well) in serum-free RPMI 1640 for 1 h in a humidified incubator at 37°C and 5% CO2. Nonadherent cells were removed, and adherent cells were cultured in 3 ml/well complete culture medium supplemented with 100 ng/ml GM-CSF (Novartis, Rueil-Malmaison, France) and 50 ng/ml IL-4 (R&D Systems, Minneapolis, MN). On days 2 and 4 two-thirds of the culture medium was replaced by fresh medium containing GM-CSF and IL-4, and nonadherent cells were harvested on day 6.
DC stimulation
For maturation experiments, immature DC were resuspended at
1 x 106 cells/ml in complete culture medium
with cytokines containing either human IgG1 (10 µg/ml; Chemicon,
Temecula, CA), human LAG-3Ig (10 µg/ml), LPS (5 µg/ml;
Sigma-Aldrich), or different MHC class II Abs (I3, mIgG2a; TÜ39,
mIgG2a; TDR31.1, mIgG1). After 48 h of culture cells were
harvested and analyzed. In some experiments immature DC were cultured
on a monolayer of mouse fibroblasts transfected with human CD32
(provided by C. E. Demeure, Institut Pasteur, Paris, France).
Fibroblasts were previously loaded with human IgG1, hLAG-3Ig, or an
anti-MHC II Ab (I3) for 30 min at 4°C, thoroughly washed, and
fixed with 2% formaldehyde. Treatment with methyl-
-cyclodextrin (10
mM; Sigma-Aldrich) was performed in serum-free medium for 20 min at
37°C before FACS analysis.
Cytofluorometric analysis
To asses the purity and phenotype of cellular preparations, mAbs specific for CD1a, CD3, CD11c, CD14, CD16, CD19, CD54, CD83, MHC I (w6/32), MHC II (I3) (all from Coulter), CD32, CD40, CD64, CD80, CD86 (all from BD PharMingen, San Diego, CA), and isotype-matched negative controls (Coulter) were used. Cells were incubated with the respective Ab at 10 µg/ml for 30 min at 4°C in PBS/1% BSA and then stained for 30 min at 4°C with FITC-labeled goat anti-mouse F(ab)'2 (Coulter). Stained cells were analyzed by FACS using an EPICS Elite cytometer (Coulter).
Assessement of Ag capture
For equilibration 0.5 x 106 DC were incubated at 1 x 106 cells/ml in complete culture medium for 15 min at 4 or 37°C. FITC-labeled BSA (Sigma-Aldrich) was added at a final concentration of 50 µg/ml, and the cells were incubated for another 30 min to allow capture of the Ag. After thorough washing of the cells with cold medium, fluorescence was measured by FACS analysis. Fluorescence in this assay is indicative of BSA uptake.
Cytokine measurement
Culture supernatants were collected at 48 h and frozen.
Commercially available ELISA kits were used according to the
manufacturers instructions to detect IL-12p40, IL-12p70, and TNF-
in DC culture (R&D Systems) or IFN-
and TNF-
in allostimulation
experiments (BioSource, Neville, Belgium). For allostimulation, T
cells/DC ratios were 5/1, i.e., 0.5 million T cells/ml for 0.1 million
DC/ml. Data were analyzed by the nonparametric Mann-Whitney
U rank test.
Proliferation assay
Human T cells were purified from PBMC by magnetic separation using CD4+ microbeads (Miltenyi Biotec, Bergisch Gladbach, Germany). T cells (1 x 105) were mixed in 96-well plates with increasing concentrations of DC (300104 cells) in 200 µl culture medium. On day 4, 1 µCi/well of [3H]thymidine was added, and incorporation of radioactivity was measured after 15 h of incubation (Topcount; Packard Instrument, Meriden, CT). All tests were performed in triplicate.
| Results and Discussion |
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The soluble LAG-3Ig molecule (22) binds class
II-positive cells with high affinity
(Kd = 60 nM at 37°C on Daudi B
cells, as defined by Scatchard analysis) (23). As
expected, LAG-3Ig strongly labels EBV-transformed B cells at 10
µg/ml, as assessed here by measuring mean fluorescence intensity
(Fig. 1
A). Under these
conditions no labeling is observed with 10 µg CD4Ig, a low-affinity
binder (23). Despite high surface expression of class II,
immature DC were weakly labeled with the same concentration of LAG-3Ig
(Fig. 1
A). DC matured for 48 h with LPS were 10 times
more reactive with LAG-3Ig, and this increase could not be simply
explained by an increase in class II surface expression upon
maturation, as the latter was only 2.5 times higher. Similar
observations were made when using higher (30 µg/ml) or lower (1
µg/ml) LAG-3Ig concentrations (data not shown).
|
-cyclodextrin, a compound
that disrupts protein association with lipid rafts by extracting
cholesterol from the plasma membrane (34, 35),
dramatically reduced LAG-3Ig binding (Fig. 1LAG-3 induces morphological changes in immature DC
In previous studies LAG-3Ig was found to act as a vaccine adjuvant
for the induction of T cell responses to nominal Ag in mice and to
induce in vitro cytokine production by monocyte-derived human DC
(31, 36). To further analyze the role of LAG-3,
monocyte-derived human DC cultured with IL-4 and GM-CSF for 6 days were
incubated with soluble LAG-3Ig. After 4 h the cells adhered
strongly and exhibited an elongated fibroblast-like morphology (Fig. 2
B). Following longer
incubation times it was revealed by confocal microscopy that regions of
the cells detached from the plastic and acquired veils and fine
dendrites typical of mature DC (data not shown). In contrast an
isotype-matched IgG1 mAb control did not induce morphological changes
(Fig. 2
A). Interestingly, the purified class II-specific I3
mAb did not have the same effect, but, rather, induced homotypic cell
aggregation (Fig. 2
C).
|
These preliminary results prompted us to investigate the capacity
of LAG-3Ig to induce DC maturation. DC without any stimulus or cultured
with human IgG1 for 48 h as a control showed the typical phenotype
of immature DC (Fig. 3
A): low
expression of CD40, CD80, and CD86; high levels of class II; and no
CD83. As expected, 5 µg/ml LPS induced maturation of DC, with an
increase in the expression of cell surface markers CD40, CD80, CD86,
and class II and the expression of CD83. LAG-3Ig reproducibly induced
similar maturation effects (Fig. 3
), with an increase in CD40, CD83,
and class II expression comparable to LPS and a somewhat lower increase
in CD80 and CD86. On the average, the mean percentage of
CD83+ cells with the control IgG1 molecule was
5% at 48 h, while LAG-3Ig and LPS increased this to 73 and 87%,
respectively. The maturation effect of LAG-3Ig was seen by 24 h
after stimulation and lasted for >3 days until the cells died (data
not shown). Interestingly, the class II-specific I3 mAb (IgG2a) did not
induce any shift in the expression level of maturation markers, not
even after further cross-linking with a secondary goat anti-mouse
Ab (data not shown). Similar observations were obtained with two other
pan MHC class II Abs, TÜ39 (mIgG2a) and TDR31.1 (mIgG1),
suggesting that the inability of a given class II Ab to induce DC
maturation is not related to a specific class II epitope.
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LAG-3Ig contains part of the constant region (hinge-CH2-CH3) of a human IgG1 to dimerize the two LAG-3 exodomains. This Fc region could bind to the low-affinity FcR CD32, the only FcR present on the surface of immature DC (revealed via FACS analysis), and interfere with class II signaling. To rule out any involvement of Fc signaling in the maturation induced by LAG-3Ig, we specifically blocked the FcR on DC with 5 µg/ml anti-CD32 Fab, a concentration shown to block the binding of LAG-3Ig on murine fibroblast cells expressing high levels of human CD32 molecules following transfection (data not shown). Under these conditions, LAG-3Ig was still capable of inducing full maturation of DC, indicating that the Fc region of the molecule has no major influence on the maturation effect of LAG-3Ig (data not shown). Note that neither CD32 Fab alone nor whole Ig coated on plastic had any effect on DC maturation.
Furthermore, we stimulated immature DC with cell-bound LAG-3Ig, to
avoid any binding of the Fc part of LAG-3Ig to DC. Human IgG1, LAG-3Ig,
or the MHC II Ab I3 was bound via their Fc part to human CD32 receptors
on the surface of CD32-transfected murine fibroblasts and used to
stimulate immature DC. To exclude any release of bound molecules, we
fixed fibroblasts with formaldehyde before stimulation. Confirming our
previous observations, membrane-bound LAG-3Ig was fully capable of
inducing DC maturation, as measured by CD83 surface expression (Fig. 3
B). Neither IgG1 nor the I3 Ab induced any increase in CD83
expression compared with DC cultured with fibroblasts alone. Therefore,
we conclude that LAG-3Ig-induced maturation of immature DCs is
accomplished by class II ligation with its binding domain without any
significant involvement of its Fc part. In mouse DC engagement of
either Fc
RI or Fc
RIII induces maturation in an FcR-associated
-dependent manner (37, 38). However, Fc
R-mediated
induction of DC maturation has not been observed in humans, except for
FcR specific for IgA, which does induce maturation of human
monocyte-derived DC (39). This discrepancy could be due to
species differences in Fc
R function in mouse and human DC.
Taken together, these data suggest that LAG-3 specifically induces a strong maturation of human DC by binding to its physiological ligand, class II, and that this effect cannot be mimicked by simple aggregation of MHC class II molecules with an Ab.
DC matured by LAG-3Ig secrete IL-12 and TNF-
Next we examined whether LAG-3 induced functional changes in DC in
addition to phenotypic maturation. Maturation is known to induce the
secretion of inflammatory cytokines in DC, such as IL-12 and TNF-
.
Low concentrations of cytokines were detected in the supernatant of
immature DC cultured for 2 days with human IgG1 (Table I
), but with no difference compared with
the negative control (data not shown). Also, a CD1a or class
II-specific (I3) mAb did not induce levels of cytokine secretion
greater than the negative control (data not shown). In contrast,
LAG-3Ig induced the secretion of high levels of both IL-12 (26 ng/ml
IL-12p40 (p < 0.01), 400 pg/ml IL-12p70
(p < 0.01), and 3.5 ng/ml TNF-
(p < 0.05)) that could be blocked by addition
of LAG-3-specific 17B4 mAb. However, LAG-3 induced secretion was less
than that induced by high dose (5 µg/ml) LPS (98 ng/ml IL-12p40
(p < 0.01), 1573 pg/ml IL-12p70
(p < 0.01), and 36 ng/ml TNF-
(p < 0.05)).
|
production by
monocytes (36). In addition, a soluble LAG-3Ig fusion
protein was reported to directly stimulate monocyte-derived DC for the
production of up to 2 ng/ml TNF-
and IL-12 when using 10 µg/ml
LAG-3Ig (36). In the present study the concentration of
IL-12, but not that of TNF-
, in supernatants collected at 48 h
was >10 times greater (26 ng/ml) and was one-third of the IL-12
concentration that we obtained with high dose LPS. This difference in
the level of IL-12 production by monocyte-derived DC in the two studies
may be related to differences in differentiation/activation states of
immature DC preparations derived from different donors. Our data
suggest that this human LAG-3Ig construct may be potentially useful as
a vaccine adjuvant, because it induces IL-12 production with
rather low levels of TNF-
compared with LPS. Indeed, we reported
that a similar mlAG-3Ig fusion protein acted as an adjuvant for Th1
responses and cytotoxic T cell responses in mice immunized with
either a particulate (HBsAg) or a soluble (albumin) Ag
(31), with no toxicity when up to 100 µg LAG-3Ig were
injected s.c. at the site of the vaccine. Maturation by LAG-3Ig inhibits Ag capture of DC
Because mature DC lose their capacity for uptake and
processing of Ag, we examined the capture of FITC-labeled BSA by LAG-3
matured DC (Fig. 4
). At 4°C
cytoskeletal rearrangements and cell metabolism are inhibited such that
DC are incapable of capturing Ag. However, at 37°C the two control
populations (no stimulus or human IgG1) showed significant uptake of
the BSA-FITC test Ag revealed by an increase in green fluorescence.
Cross-linking of class II with specific mAb did not alter Ag uptake
(data not shown). In contrast, LPS induced a loss of this capacity
(Fig. 4
). DC that were matured by LAG-3Ig also completely lost the
ability to capture Ag and did not take up more Ag than the control
population at 4°C (Fig. 4
). This inhibitory effect on Ag capture was
reversed by preincubation of LAG-3Ig for 30 min with saturating amounts
of 17B4 LAG-3-specific mAb (data not shown). Therefore, LAG-3Ig is a
potent maturation stimulus for DC functions such as cytokine secretion
and Ag uptake, which cannot be replicated by simply cross-linking class
II with specific mAb.
|
Maturation and activation of DC are associated with
the acquisition of professional APC function. Mature DC migrate to the
lymph nodes, where they are potent simulators of T cell responses.
Therefore, we examined the efficiency of LAG-3Ig-matured DC to activate
T cells in a MLR with purified CD4+ T cells from
a different donor. Clearly, LAG-3 matured DC were potent inducers of T
cell proliferation, as the response was as intense as with positive
control cells incubated with TNF-
, IL-1
, and LPS (Fig. 5
A), while immature DC or
cells incubated with the negative control human IgG1 were poor
activators. Indeed, 10-fold more immature DC were required to activate
T cells compared with LAG-3-matured DC (Fig. 5
A).
These results were confirmed by evaluating IFN-
and TNF-
secretion by ELISA. LAG-3Ig-matured DC secreted cytokine levels
comparable to LPS maturation (Fig. 5
, B and C).
These data indicate that LAG-3Ig is capable of inducing a fully
functional maturation of human monocyte-derived DC.
|
Our in vitro data demonstrate that a human LAG-3Ig protein causes maturation/activation of monocyte-derived DC, converting them into professional APC able to initiate productive T cell immune responses. These findings are in line with our previous in vivo experiments with immunized mice and represent a further step toward the use of this protein as an adjuvant for subunit vaccines. It also indicates that class II plays an important role as a signal-transducing receptor on immature DC.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Frédéric Triebel, Laboratoire dImmunologie des Tumeurs, Université Paris-Sud, 5 rue Jean-Baptiste Clément, 92296 Chatenay Malabry, France. E-mail address: frederic.triebel{at}cep.u-psud.fr ![]()
3 Abbreviations used in this paper: class II, MHC class II molecule; DC, dendritic cell; LAG-3, lymphocyte activation gene-3. ![]()
Received for publication June 18, 2001. Accepted for publication February 20, 2002.
| References |
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and IL-12 production by monocytes and dendritic cells. J. Immunol. 162:2748.
receptor-mediated induction of dendritic cell maturation and major histocompatibility complex class I-restricted antigen presentation after immune complex internalization. J. Exp. Med. 189:371.
receptor-mediated endocytosis is regulated in dendritic cells. Eur. J. Immunol. 30:848.[Medline]
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