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* Laboratory of Cellular Immunology, Ochsner Clinic Foundation, New Orleans, LA 70121;
Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN 38103; and
Department of Microbiology, Kangwon National University College of Medicine, Chunchon, Korea
| Abstract |
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| Introduction |
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Bacterial DNA has been shown to stimulate various immune cells, including B cells, macrophages/monocytes, dendritic cells (DC), and NK cells, resulting in cellular activation and induction of polyclonal Ig and pro-inflammatory cytokines (1). The immunostimulatory effect of bacterial DNA is due to the presence of unmethylated CpG dinucleotides within specific flanking bases (CpG motif) (2). Its strong stimulatory effect on DC and B cells has indicated that this CpG motif of bacterial DNA or synthetic oligodeoxynucleotides (CpG DNA) may be a potent vaccine adjuvant. Recently an optimal human CpG motif has been identified, which is a 23-mer phosphorothioate oligodeoxynucleotide (S-ODN) with higher nuclease resistance than the phosphodiester equivalent (3). However, most studies of CpG DNA with B cells have been conducted with primary or unfractionated B cells, leaving the respective effects of CpG DNA on primary and secondary humoral immune responses unknown.
The induction of immunological memory is an important feature of vaccination. We thus asked whether the optimal human CpG DNA promotes the generation of memory B cells in the in vitro culture system that mimics the GC reaction in vivo (4). Unlike its potent effect on B cell proliferation and Ig production from primary (naive B cells) and secondary B cells (memory B cells), CpG DNA did not modulate the generation of memory B cells from GC B cells. However, CpG DNA markedly augmented PC generation from GC B cells. Our findings suggest that CpG DNA displays its adjuvant effect on the humoral immune response by enhancing terminal differentiation of B cells into PC, but not by increasing memory B cell generation.
| Materials and Methods |
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S-ODNs were purchased from Operon Technologies (Alameda, CA). The following S-ODNs were used: CpG DNA (2006, TCGTCGTTTTGTCGTTTTGTCGTT), ZpG DNA (2117, TZGTZGTTTTGTZGTTTTGTZGTT; Z: methylated cytosine) (3), and control DNA (GCTTGATGACTCAGCCGGAA; AP-1) (5). ODNs were purified as previously described (6) using pyrogen-free solutions and had undetectable levels of endotoxin by Limulus assay (Gen-Probe, San Diego, CA). S-ODNs (2 µg/ml) were used based on the maximum proliferating response of tonsillar B cells by CpG DNA.
Antibodies
The Abs used include the following: FITC-conjugated anti-CD20 (L27, IgG1; BD Biosciences, San Jose, CA), PE-conjugated anti-CD38 (HIT2, IgG1; BD PharMingen, San Diego, CA), FITC-conjugated (Al 12-2; BD PharMingen) or PE-conjugated isotype controls (DAK-GO1; DAKO, Carpinteria, CA), unconjugated anti-CD38 (T16, IgG1; Immunotech, Westbrook, ME), anti-CD44 (NKI-P1, IgG1; Dr. C. G. Figdor, University Hospital Nijmegen, Nijmegen, The Netherlands), anti-IgD (HJ9, IgG1; Sigma, St. Louis, MO), unconjugated isotype control (IgG1, MOPC-21; BD PharMingen), rat anti-mouse IgG1 microbeads (Miltenyi Biotec, Auburn, CA), and FITC-conjugated goat anti-mouse Ig (BD PharMingen).
Cytokines and reagents
Soluble human CD40 ligand (CD40L) was provided by Dr. R. Armitage (Immunex, Seattle, WA). The mAb against human CD40 (G28.5) was obtained from Dr. J. A. Ledbetter (Bristol-Myers Squibb Pharmaceutical Research Institute, Seattle, WA). Rabbit anti-human IgM immunobeads (anti-µ) were purchased from Bio-Rad (Hercules, CA), anti-Ig bead suspension was purchased from Bio-Rad (Richmond, CA). Percoll and Ficoll were purchased from Pharmacia LKB Biotechnology (Uppsala, Sweden), and BSA was obtained from Sigma. IL-2 was obtained from Hoffmann-La Roche (Nutley, NJ), IL-4 was purchased from Schering Plough (Union, NJ), and IL-10 was obtained from R&D Systems (Minneapolis, MN).
Preparation of HK cells and B cell subsets
HK cells were established as described previously (7). Tonsillar B cells were prepared as described previously (8). Naive and memory B cells were purified from high density tonsillar B cells by magnetic cell separation (Miltenyi Biotec) (9). Their purity was >98% when analyzed by flow cytometry after staining with anti-IgD and anti-CD38. GC B cells were obtained from low density B cells by depleting CD44+ cells (4). The purity of GC B cells was >98% by expressing CD20+CD38high.
Culture of B cell subsets with HK cells
The culture medium was IMDM (Irvine Scientific, Santa Ana, CA) supplemented with 10% FCS (Life Technologies, Grand Island, NY), 2 mM L-glutamine, 100 U/ml penicillin G, and 100 µg/ml streptomycin (Irvine Scientific). GC B cells or memory B cells were cultured with HK cells (2 x 104 cells/well, irradiated with 3000 rad), CD40L (400 ng/ml), IL-2 (50 U/ml), IL-4 (50 U/ml), or IL-10 (30 µg/ml) in a 24-multiwell plate for 6 days. Naive B cells were cultured with or without HK cells (2 x 104 cells/well, irradiated with 3000 rad) in a 24-multiwell plate in the presence of anti-µ (10 µg/ml), anti-CD40 mAb (100 ng/ml), IL-2 (50 U/ml), IL-4 (50 U/ml), or IL-10 (30 µg/ml) for 5 days. The optimal concentrations of these reagents were determined by their ability to support the proliferation of high density B cells or GC B cells.
Proliferation assay
Tonsillar B cells (1 x 105 cells/well) were cultured in triplicate for 72 h in 96-well flat-bottom microtiter plates with or without CpG DNA in the presence of IL-2 (50 U/ml), IL-4 (50 U/ml), and IL-10 (30 µg/ml) together with anti-Ig (10 µg/ml) and/or anti-CD40 Ab (100 ng/ml). Cells were pulsed with 0.5 µCi [3H]thymidine (DuPont NEN, Boston, MA) during the last 16-h culture period. The cultures were harvested onto glass-fiber filters, and [3H]thymidine incorporation was measured by a liquid scintillation counter (Rackbeta; LKB Instruments, Houston, TX).
Flow cytometry and ELISA
Cells were stained with a panel of Abs unconjugated or directly conjugated with PE or FITC as previously described (4). Briefly, cells were incubated with the appropriate concentration of Ab for 15 min at 4°C. Unconjugated mAbs were detected by FITC-labeled goat anti-mouse Ig. After washing with PBS containing 0.2% BSA and 0.1% sodium azide, cells were fixed with 1% paraformaldehyde and analyzed by FACS. Large HK cells were excluded during cytometric analysis according to the forward and side scatter parameters. Flow cytometric analysis was conducted on a FACSCalibur (BD Biosciences) with CellQuest software. The amount of IgM or IgG in the culture supernatant was measured by ELISA as described previously (10).
RT-PCR
RT-PCR was performed using cDNA from both HK and GC B cells with primers specific for Toll-like receptor 9 (TLR9) and GAPDH. Total RNAs from HK and GC B cells were isolated with Purescript (Gentra System, Minneapolis, MN) according to the manufacturers instructions. Isolated RNA (1 µg from each sample) was treated with DNase (Life Technologies, Gaithersburg, MD) and then reverse transcribed with oligo(dT) primer using Superscript II reverse transcriptase (Moloney murine leukemia virus reverse transcriptase; Life Technologies). One tenth of the cDNA product was then amplified with the following gene-specific primers (5' and 3' primers, respectively): TLR9 (5'-ACAACAACATCCACAGCCAA-3' and 5'-AAGGCCAGGTAATTGTCACG-3') and GAPDH (5'-CCCTCCAAAATCAAGTGGGG-3' and 5'-CGCCACAGTTTCCCGGAGGG-3'). Forty cycles of PCR were conducted with a temperature profile of 1 min at 94, 57, and 72°C. PCR products (250 bp for TLR9 and 347 bp for GAPDH) were separated by 2% agarose gel electrophoresis and visualized.
| Results |
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To investigate the functional role of CpG DNA in the Ab response,
we performed dose titration of CpG DNA to determine the optimum doses
in various activating conditions of human B cells. As shown in Fig. 1
, the optimum dose appears to be in the
range of 0.52 µg/ml whether B cells were activated with
anti-CD40 or anti-Ig. There was no significant donor variation
(data not shown). Hence, we used 2 µg/ml CpG DNA in the following
experiments.
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CpG DNA dramatically increased viable cell recovery in the cultures
with IL-2 plus IL-4 (193 vs 753%) or with IL-2 plus IL-10 (67 vs
1055%; Fig. 2
A). It also
remarkably increased IgM secretion in the culture with IL-2 plus IL-10
(2.3 vs 40.2 µg/5 x 105 cells; Fig. 2
B). Although CpG DNA increased IgM secretion in the culture
with IL-2 plus IL-4, considering the comparable cell recoveries (753 vs
1055%), the amount of IgM secreted in the culture with IL-2 plus IL-4
was much smaller than that with IL-2 plus IL-10 (6.8 vs 40.2
µg/5 x 105 cells). To examine the
specificity of CpG DNA, naive B cells were cultured with ZpG DNA, which
has the same sequence as CpG DNA except a substitution of cytosine with
5-methylcytosine, or with control DNA. ZpG DNA induced slight increases
in viable cell recovery and IgM production in the culture containing
IL-2 plus IL-10, while the addition of control DNA resulted in no
significant change (Fig. 2
, A and B). Neither
viable cell recovery nor IgM secretion was significantly altered by ZpG
DNA or control DNA in the culture with IL-2 and IL-4. These results
indicate that CpG DNA enhances both IL-4- and IL-10-induced
proliferation and IgM production of naive B cells. The enhanced
response of cellular proliferation and IgM secretion was observed in
similar experiments with three different donors.
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Taken together, these data suggest that in the primary immune response, CpG DNA expands the pool of Ag-specific B cells in the presence of IL-2 and IL-4 and enhances the generation of PC in the presence of IL-2 and IL-10.
CpG DNA enhances PC, but not memory B cell, generation from GC B cells
Using an in vitro experimental system that mimics GC reaction during the secondary immune responses in vivo, we have previously demonstrated that the FDC-like cell line, HK, and CD40L are essential for GC B cell growth and survival (4). At the same time, T cell-derived cytokines determine the differentiation pathway of GC B cells; CD20+CD38high GC B cells differentiate into CD20+CD38low memory B cells in the presence of IL-2 and IL-4 and into CD20-CD38high PC in the presence of IL-2 and IL-10 (4, 14, 15).
To explore the effect of CpG DNA on the proliferation and
differentiation of GC B cells, we cultured
CD20+CD38high GC B cells
for 6 days in the presence or the absence of CpG DNA. Unlike naive B
cells, CpG DNA did not have an effect on GC B cell recovery in the
presence of IL-2 and IL-4 (283 vs 252%; Fig. 3
A). CpG DNA synergizes with B
cell receptor stimulation (2). However, CpG DNA, even with
the signals delivered through the Ag receptor, did not affect the
recovery (data not shown). The cells recovered at the end of a 6-day
culture with IL-2 plus IL-4 were memory B cells, as indicated by the
induction of CD44 expression (16, 17) (data not shown).
The addition of CpG DNA to the culture containing IL-2 and IL-10,
however, resulted in a 5-fold increase in viable cell recovery (310 vs
1530%; Fig. 3
A). There was a remarkable increase in IgG
production in the presence of CpG DNA (11 vs 39 µg/2 x
105 cells; Fig. 3
B). The control ZpG
DNA had modest effects, while control DNA did not modulate either
viable cell recovery or IgG production (Fig. 3
, A and
B). Flow cytometric analysis revealed that enhanced IgG
secretion by CpG DNA resulted from the increased generation of
CD20-CD38high PC from
CD20+CD38high GC B cells.
The absolute number of PC was increased by 5.5-fold when CpG DNA was
present in the culture (39 vs 223 x 104
cells; Fig. 3
C).
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Memory B cells are generated in GC of secondary lymphoid organs
(19). They either undergo terminal differentiation into PC
or re-enter GC for accumulation of somatic hypermutation
(20). Since CpG DNA did not have any enhancing effect on
the generation of memory B cells from GC B cells (Fig. 3
A),
and generation and re-activation of memory B cells are different
processes, we investigated the effect of CpG DNA on the proliferation
and differentiation of memory B cells freshly isolated from tonsil.
IgD-CD20+CD38low
memory B cells were cultured with either IL-2 plus IL-4 or IL-2 plus
IL-10 in the culture system containing HK cells and CD40L for 6 days.
In the culture containing IL-2 plus IL-4, memory B cells maintained
their phenotype of
CD20+CD38low (Fig. 5
A). CpG DNA enhanced the
proliferation of these cells, resulting in an increase in viable cell
recovery from 248 to 563% (Fig. 5
B). The presence of IL-2
and IL-10, in contrast, directed memory B cells to differentiate into
CD20-CD38high PC (Fig. 5
A). The addition of CpG DNA gave rise to an enhanced
recovery of viable cells from 962 to 2135% (Fig. 5
B)
accompanied by significantly increased IgG secretion in the culture
supernatants (Fig. 5
C). These findings suggest that the
proliferation and Ig production of memory B cells, similarly to those
of naive B cells, are enhanced by CpG DNA.
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Since the above experiments were performed with synthetic
oligonucleotides, we performed the similar experiments with bacterial
DNA to establish a physiological relevance in the CpG effect on the
host defense mechanism. When different doses of Escherichia
coli and calf thymus DNA were added to anti-IgM activated B
cells, E. coli DNA increased cellular proliferation in a
dose-dependent manner, whereas the control mammalian DNA (e.g., calf
thymus) did not increase (Fig. 6
). These
data suggest that bacterial DNA stimulates anti-IgM-activated B cells,
similar to that observed with oligonucleotides.
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| Discussion |
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In the primary immune response, naive B cells undergo proliferation and differentiation along two different pathways following the Ag stimulation. B cells can either differentiate into IgM-secreting PC, thus providing a rapid source of neutralizing Abs with low affinity, or become GC B cells. When naive B cells were activated by anti-µ and T cell-derived cytokines, the condition that mimicked the primary immune response in vivo, CpG DNA significantly enhanced cellular proliferation. These proliferating cells can initiate GC formation or undergo the terminal differentiation into PC secreting IgM. In the presence of IL-10, CpG DNA enhanced PC generation dramatically, suggesting that CpG DNA first expands pathogen-reactive B cell pools and then promotes their differentiation into PC at the extrafollicular areas. This mechanism would provide an efficient means of initiating early protective immunity when a low dose of bacteria enters the body. This hypothesis is consistent with the recent report that polyclonal IgM is essential for the resistance of mice to a systemic bacterial infection (21).
Strong augmenting effects of CpG DNA on B cells have suggested that it can be used as an efficient vaccine adjuvant. Indeed, Davis et al. (22) showed that CpG DNA was a potent immune enhancer when mice were injected with recombinant hepatitis B surface Ag. It induced a remarkably increased IgG Ab response against the surface Ag. However, it is not clear how CpG DNA enhances the secondary immune response, which is an important feature of vaccination. In the secondary immune responses, GC reaction is pivotal to the production of specific Abs with high affinity and memory B cells. In GC, where Ag-activated B cells recycle through cellular proliferation in the presence of activated T cells and FDC, B cells have two fates: either to become memory B cells with a potential to produce high affinity Abs or to differentiate to PC. PC generated in the GC migrate to the bone marrow where they secrete Abs with high affinity. Our study shows that CpG DNA, in contrast to its effect on cellular proliferation of naive B cells, did not influence the cellular expansion of GC B cells leading to memory B cell generation, but significantly augmented PC generation. This result suggests that the immune system, through recognition of CpG DNA, maximizes the clearance of pathogens by producing large amounts of high affinity Abs. CpG DNA exhibits its selective or regulatory effect on B cell subpopulations in extrafollicular areas and in the GC.
CpG DNA augments the proliferation of ex vivo memory B cells as it does of naive B cells to expand the cellular pool. This would result in a further increased number of effector cells with much higher affinity for the re-encountered Ag. In addition, CpG DNA significantly increased PC generation from memory B cells. Therefore, our observation that CpG DNA increases both cellular proliferation and IgG secretion of memory B cells appears to reinforce the characteristic prompt and robust Ab production during the secondary immune response. Furthermore, our findings on the effects of CpG DNA on resting B cells (naive and memory) are in line with a recent report about the increased proliferation of peripheral blood B cells after CpG DNA stimulation (5).
Of note, there was a modest, but significant, enhanced response of cellular proliferation and Ig production by ZpG DNA. The phosphorothioate backbone has been reported to induce moderate stimulation of human B cells in a CpG-independent manner (23). However, at 2 µg/ml no significant stimulation by ODN with phosphorothioate backbone (control DNA) was found, suggesting that the observed synergistic effect by ZpG DNA was not due to the phosphorothioate backbone. The moderate stimulatory effect, especially with regard to the culture containing IL-2 and IL-10, may be explained by the nonspecific effects of the methylated CpG motifs as observed by other investigators (24).
Despite its promising clinical use as an adjuvant, the molecular
mechanism by which CpG DNA activates immune cells remains less well
defined. A recent study by Takeshita et al. (25) showed
that the CpG DNA response of PBMC correlates with TLR9 expression. Krug
et al. (26) also showed that TLR expression on DC of
different origins was required for the recognition to innate immune
signals such as CpG DNA and LPS. Since GC B cells express TLR9, CpG DNA
may act through this receptor in GC B cells. TLR9 appears to use the
myeloid differentiation factor 88/IL-1R-associated
kinase/TNFR-associated factor 6 signaling pathway, which leads
finally to the activation of NF-
B and stress kinase pathways. In the
course of GC B cell differentiation, T cells in GC play pivotal roles
by regulating cytokine expression. IL-4 is a growth factor for memory B
cells, while IL-10 is essential for PC generation. Since cytokines
regulate TLR gene expression (27), TLR9 expression could
be changed during the GC B cell differentiation pathway. However, there
was no change in TLR9 gene expression by IL-4 or IL-10 during GC B cell
differentiation (data not shown), suggesting that regulation of the CpG
DNA receptor may not be involved in the selective effect of CpG DNA in
the differentiation pathway of GC B cells. Further comparative studies
of the CpG DNA signaling pathway in naive, GC, and memory B cells must
be performed to understand how B cells respond to CpG DNA at different
stages of differentiation.
The comparative studies of synthetic phosphorothioate ODN and bacterial DNA in their immunostimulation effects have been reported previously (2, 3, 5, 6). However, we have undertaken similar studies to address the physiological significance of our experimental results with ODN. First, we determined the optimum dose of bacterial DNA in stimulating human B cells and then investigated its effect on the differentiation of GC B cells. Although it is difficult to access the CpG concentration in bacterial DNA, the result has essentially confirmed the experimental data obtained with ODN. Bacterial DNA enhanced GC B cell differentiation significantly more than did the calf thymus DNA used.
In conclusion, our findings suggest that CpG DNA potentiates the B cell adaptive immune response very efficiently in an appropriate cytokine milieu and reinforce the concept of CpG DNA as a promising and potent vaccine adjuvant.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Yong Sung Choi, Laboratory of Cellular Immunology, Ochsner Clinic Foundation, New Orleans, LA 70121. E-mail address: ychoi{at}ochsner.org ![]()
3 Abbreviations used in this paper: PC, plasma cell; GC, germinal center; CD40L, CD40 ligand; DC, dendritic cell; FDC, follicular DC; S-ODN, phosphorothioate oligodeoxynucleotide; TLR, Toll-like receptor. ![]()
Received for publication December 14, 2001. Accepted for publication June 24, 2002.
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