The Journal of Immunology, 2002, 169: 4867-4872.
Copyright © 2002 by The American Association of Immunologists
Reduction of Antiviral CD8 Lymphocytes In Vivo with Dendritic Cells Expressing Fas LigandIncreased Survival of Viral (Lymphocytic Choriomeningitis Virus) Central Nervous System Infection1
Tom Wolfe*,
Chrystelle Asseman*,
Anna Hughes*,
Hiroyuki Matsue
,
Akira Takashima
and
Matthias G. von Herrath2,*
* Division of Immune Regulation La Jolla Institute for Allergy and Immunology 10355 Science Center Drive San Diego, CA 92121; and
Department of Dermatology University of Texas Southwestern Medical Center, Dallas, TX 75235
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Abstract
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In vivo administration of APC expressing Fas ligand
(Fas-L+ dendritic cells (DCs)) has shown promise in
dampening allergic reactions and transplant rejection. Since the effect
in these studies was mainly on CD4 lymphocytes, our goal was to
evaluate the ability of such killer DCs to eliminate antiviral CD8
lymphocytes and in this way ameliorate viral immunopathology or,
conversely, impede viral clearance. Intravenous administration of
Fas-L+ DCs resulted in a 50% reduction of lytic CD8
precursors following intracerebral infection with lymphocytic
choriomeningitis virus (LCMV), and accordingly, immunopathology and
survival of LCMV meningitis were improved, whereas viral clearance
remained unaffected. In transfer studies the effect of the
Fas-L+ DCs was only quantifiable on experienced, not naive,
CD8 lymphocytes. Importantly, loading of Fas-L+ DCs with
viral Ag before therapy was not necessary to achieve this effect,
indicating that non-LCMV-infected Fas-L+ DCs acquired viral
Ag during acute LCMV infection in vivo. Our studies delineate important
aspects for the clinical use of Fas-L+ DCs in vivo. One
should expect that they acquire viral Ags and suppress antiviral CD8
responses to some degree when given while an acute infection is
ongoing. In terms of safety it is encouraging that resolution of the
infection, at least in the case of LCMV, is not
inhibited.
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Introduction
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The
selective elimination of Ag-specific lymphocytes has long been a quest
in immunotherapy directed to ameliorate autoimmunity or virally induced
immunopathology. The interaction between professional APCs such as
dendritic cells (DCs)3
and T lymphocytes appears a suitable target, and indeed, encouraging
observations have been made with compounds that induce tolerance by
avoiding or blocking costimulation during cellular activation
(1, 2, 3, 4). Using a different strategy, so-called killer DCs
have been developed based on the hypothesis that Fas ligand (Fas-L;
CD95-L) on DCs would induce apoptosis of interacting Fas-expressing T
cells (5, 6, 7, 8, 9, 10). The Fas death pathway is well studied, and
Fas-expressing cells die by apoptosis after receiving a signal by
interacting with Fas-L (11, 12, 13, 14, 15, 16, 17). To achieve this in an
Ag-specific manner, APC and T cell have to also interact by recognizing
Ag in context with MHC, and several earlier reports indicate that this
is indeed a possibility (7). First, allergic reactions
were significantly reduced using in vivo administration of
Fas-Ltransduced APC lines. In this system the protection
was mostly Ag specific for CD4+ lymphocytes
reactive to the allergen, as evidenced by lack of suppression of
unrelated OVA-specific response (7). Similarly, in
follow-up studies naive as well as activated CD4 cells were affected by
the Fas-L-expressing DC lines (6, 18). However, to date no
information has been obtained with respect to the potential to
influence antiviral CD8 responses. This was therefore the focus of our
study.
We chose the well-established model of intracerebral (i.c.)
infection with lymphocytic choriomeningitis virus (LCMV)
(19, 20, 21). Unmanipulated mice all succumb to lethal
choriomeningitis within 7 days after LCMV i.c. inoculation. Death is
caused by excessive immunopathology due to the antiviral CD8 response
and depends on lytic effector function as well as IFN-
production.
Importantly, mice that are harboring LCMV-specific memory
lymphocytes at the time of i.c. infection will survive, because
viral spread is limited more rapidly by memory effectors. Conversely,
mice without LCMV memory will only survive the more widespread i.c.
infection if antiviral immunity is inhibited, for example by
depleting CD8 CTL. The potential tradeoff is lack of viral
clearance and persistent infection if immunity is lowered beyond a
certain threshold. Persistent LCMV infection of the brain,
however, will cause no major clinical problems, since LCMV is a
non-lytic virus. Along this line of evidence, we reasoned that
eliminating a certain amount of anti-LCMV CD8 lymphocytes would be
beneficial and result in enhanced survival without significantly
affecting viral clearance. The use of Fas-L+ DCs
appeared an ideal tool for this task. We used the Fas-L
stable-transduced DCs that had been effective in earlier studies
(7). Our findings show that survival can be enhanced,
which is associated with a 50% reduction of activated, antiviral CD8
lymphocytes. Importantly, viral clearance is not impeded. The effect is
not dependent on the expression of LCMV viral Ags by
Fas-L+ DCs before in vivo administration,
probably because viral Ag is acquired by a significant number of such
DCs during acute infection. Thus, immunotherapy with
Fas-L+ DCs appears a clinical possibility that is
"gentle" enough to leave the host sufficiently immune-competent to
combat viral infections.
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Materials and Methods
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Virus, mouse lines, and i.c. LCMV infection model
The strain of LCMV used in all studies was strain
Armstrong. LCMV was grown, purified, and titrated as described by us
previously (21). For i.c. infection, LCMV was diluted
immediately before injection of 1000 PFU in a maximal volume in 50 µl
PBS (21). The injection depth did never exceed 3 mm, and
the detailed method, performed under general anesthesia, has been
described previously (21). All mice were (BALB/cByJ
x A/J)F1 offspring to create a congenic
environment for the transfer of the Fas-L+ DCs
and control DC lines derived originally from A/J mice.
Maintenance and in vivo administration of DC lines
The DC line XS106 that was originally generated from
the epidermis of newborn A/J mice was transfected with CD95-L plasmid
DNA (pMKIT-B6/CD95L) or with the neomycin resistance gene alone. Stable
transfected Fas-L+ DC and control DC clones were
then established by selection with G418, followed by limiting dilution
(7). Both lines were maintained in the presence of
complete RPMI with 10% FBS and G418 at 300 µg/ml, 1 ng/ml of murine
GM-CS, and 5% (volume) NS47 fibroblast-conditioned medium
(7). Cells were washed three times and resuspended at the
appropriate concentration in PBS before injection into mice.
Lytic CD8 T cell assays
CTL activity was measured in a standard 5- to 6-h in vitro
51Cr release assay as previously described
(22). In brief, BALB/Cl7, H-2d
target cells were infected with LCMV (multiplicity of infection, 1) or
coated with MHC I-restricted LCMV peptides (RPQASGVYM;
10-5 M). Assays using splenic lymphocytes ex
vivo employed E:T cell ratios of 50:1, 25:1, and 12.5:1, while those
using secondary (memory) CTL after 5-day in vitro stimulation with
irradiated syngeneic LCMV-infected peritoneal exudate cells used ratios
of 5:1 and 2.5:1. Lytic units were calculated by correlating lysis
found at different E:T cell ratios from several experiments and
defining the number of effector cells required for the respective lysis
of one target cell (23). For precursor frequency analysis
(21), spleen cells were serially diluted and
cultured in 96-well, flat-bottom plates in the presence of T cell
growth factor (primarily containing IL-2), irradiated LCMV-infected
peritoneal exudate cells, and spleen feeder cells. After 810 days,
cultures were assayed for CTL activity on LCMV-infected and uninfected
target cells. Precursor frequencies were calculated as previously
described (22).
Intracellular cytokine and other FACS analyses
For surface stains, single-cell suspensions prepared
from lymphatic organs were treated with FcBlock (BD PharMingen, San
Diego, CA) to block Fc receptors before using the following FITC-, PE-,
CyChrome-, PerCP-, or allophycocyanin-conjugated, biotinylated, and/or
purified Abs (BD PharMingen, unless noted otherwise): CD4, CD8
,
CD95, CD95L, CD40, CD80, CD86, MHCI, CD11b, CD11c, MHC II, CD54, and
TNF-
. In some experiments propidium iodide incorporation (5 µg/ml)
(22) was used to analytically exclude dead cells. For
intracellular stains, single-cell suspensions were restimulated for
57 h with 1 µg/ml MHC class I-restricted viral peptides in the
presence of 1050 U/ml of recombinant human IL-2 (BD PharMingen) and 1
µg/ml brefeldin A (Sigma, St. Louis, MO). In some cases polyclonal
stimulation was provided by anti-CD3 and anti-CD28 (BD
PharMingen). Staining of cell surface Ag and intracellular Ags was
performed as previously described (22, 23). Cells were
acquired with a FACSort or FACSCalibur flow cytometer (BD Biosciences,
San Jose, CA) using CellQuest software (BD Biosciences). For five- and
six-color analyses, a FACSVantage SE flow cytometer (BD Biosciences)
was used.
In vivo labeling and tracking of lymphocytes
For identification of naive vs LCMV-activated transferred
splenocyte populations, cells were labeled in vitro by CFSE as
described below. Naive BALB/cByJ x A/J spleens were incubated for
10 min at 37°C with 5 µM CFSE in PBS (5 x
106 cells/ml). In contrast, spleens from
LCMV-infected donors were harvested on day 7 and labeled with 0.5 µM
CFSE. The reaction was stopped before in vivo transfer (together with
DC lines) with 5% FCS (final concentration). FACS analysis was
performed using CD4 (FL-3), CD8 (FL-4), and B220 (FL-2) staining as
described above, CFSE was detected on FL-1.
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Results
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In vivo administration of Fas-L+ DCs increases survival
of lymphocytic choriomeningitis: acquisition of viral Ag in vivo
Before or after i.c. LCMV infection with 50 PFU (>10
LD50), mice received 5 x
105 Fas-L-transduced killer DCs that were LCMV
infected or coated with LCMV CD8 peptides. A syngeneic DC line that was
transduced with vector alone was used as a control. The two DC lines
expressed similar levels of CD11b, MHC
class II, MHC class I, B7.1, B7.2, and CD40 (Table I
and Fig. 1
). As shown in Fig. 2
A, i.v. injection of
Fas-L-expressing DCs 2 days before LCMV infection significantly
(p = 0.04) improved survival compared with the
effect of treatment with non-Fas-L-expressing regular DCs and
marginally, but significantly, improved survival compared with that of
the untreated control group (p < 0.05).
Interestingly, this effect was not at all dependent on the expression
of LCMV Ags by the DCs. Whereas untreated mice succumbed to lethal LCMV
precisely 7 days after LCMV i.c. infection, 20% of the mice treated
with LCMV-infected, peptide-coated, or uninfected
Fas-L+ DCs survived, and death in at least 40%
of the animals occurred 1 day later. These differences are not
dramatic, but they are significant in the particular model system that
we chose. After i.c. LCMV infection all mice always die within 7 days.
Therefore, any survival is noteworthy, and a 20% survival rate is
never seen in control groups. In addition, Fas-L-expressing DCs have a
clinical effect that is independent of the Ag they were engineered to
express in vitro, indicating that they either acquire LCMV Ags in vivo
or affect all lymphocytes that express Fas equally. In
significant contrast to Fas-L+ DCs, treatment
with regular DCs accelerated death in all mice by 1 day (Fig. 2
A). This was probably due to increased immunopathology
caused by increased numbers of DCs system-wide. Importantly, if
Fas-L+ DCs were given in any of the groups >23
days after or >2 days before LCMV i.c. infection, no effect was noted
(Fig. 2
B). This indicated that Fas-L+
DCs had much better efficacy early during the systemic activation of
LCMV CTL and that their period of in vivo efficacy was limited. Lastly,
viral clearance of LCMV was not affected by the
Fas-L+ DCs treatment, since the survivors of i.c.
infection did not exhibit live virus in their brains (average,
104 PFU/g brain tissue on day 3 postinfection in
Fas-L+ DC-treated mice; no PFU detectable in
survivors day 14 postinfection; PFU assessed by plaque assays)
(21).

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FIGURE 1. Similar phenotypic features of Fas-L+ and control DC lines.
The Fas-L+ and control DC lines were generated and
propagated as described in Materials and Methods.
Surface molecule levels were assessed by FACS analysis (see
Materials and Methods). Note that both lines express
similar levels of MHC molecules and costimulators, indicating that the
differential in vivo effects we observed are not due to altered
immunological properties other than the expression of CD95L
(Fas-L).
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FIGURE 2. A, Increased survival of (BALB/cByJ x
A/J)F1 mice infected i.c. with LCMV and treated with
Fas-L+ DCs or regular (control) DCs. Groups of 10 (A/J
x BALB/cByJ)F1 mice received 2 x 106 DCs
i.v. on day -2 before i.c. LCMV infection with 50 PFU in 50 ml PBS. As
expected and observed in many investigations by different laboratories
previously (21 ), mice that had not received any DCs all
died 7 days later. Controls injected with PBS alone all survived (not
shown). Injection of 2 x 106 regular DCs consistently
accelerated death by 1 day. In contrast, Fas-L+ DCs (2
x 106) prolonged survival in >40% of the mice, and
one-fifth did not succumb to LCMV at all. The difference between Fas-L-
and non-Fas-L-expressing DC-treated groups is significant
(p = 0.04, by log-rank survival analysis). If
Fas-L+ DCs were given >3 days after i.c. LCMV infection or
more frequently, no enhancement of survival was observed (not shown).
The overall study was repeated once with comparable results, and LCMV
infection (multiplicity of infection, 1:1; 48 h in vitro) was
replaced by a 4-h coating step with LCMV CD8 peptide NP118
(RPQASGYMG). The experimental outcome was similar regardless of which
Ag source was used (peptide or virus) in that improvement of survival
only correlated with Fas-L, but not Ag, expression by DC lines. The
preparation and maintenance of DC lines are described in
Materials and Methods and previously (7 ).
B, Fas-L+ DCs are only effective in
enhancing survival of i.c. LCMV infection when given immediately prior
to or concomitantly with the viral inoculation. The inoculation of
mice, DC administration, and other experimental details were identical
with those described in A, except that the
Fas-L+ DCs were given either i.v. or i.p. at different time
points in relation to LCMV i.c. infection. Note that in none of the
experiments was there any survival in those groups of mice injected
with no DCs or control DCs. In these groups death occurred on day 7 or
earlier in all mice, as shown in A. A total of >20
control mice were used in all groups combined, which makes the observed
survival in the groups receiving Fas-L+ DCs on day -2 or 0
significant.
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Reduction of antiviral CD8 lymphocytes after
Fas-L+ DC administration
We wanted to further examine the issue of how
Fas-L+ DC treatment affected LCMV-specific and
overall CD8 cell effector functions. Lytic precursors (1, 21, 24) and lytic units (25) of CD8 CTL were determined
7 days after i.c. LCMV infection. Both assessments constitute a precise
measurement of LCMV-specific CTL activity, whereby lytic units are
better reflective of systemically activated CTL and pCTL measure
precursors destined or capable of becoming effector CTL. In correlation
with the enhanced survival following Fas-L+ DCs
treatment, lytic CTL and precursors were reduced by a factor of
2
(p < 0.05, by paired t test; Table II
). This decrease was observed
independently of LCMV infection of Fas-L+ DCs
before injection into recipients, which indicates that the effect on
systemic CTL and survival is not specific for the initial Ag expressed
by the Fas-L+ DCs and implies that any injected
DC (including the Fas-L+ DCs) will acquire LCMV
Ags during acute viral infection in vivo. Interestingly, there was no
quantifiable effect on overall CD8 lymphocyte numbers capable of
producing IFN-
after
CD3/CD28 activation, which demonstrates that
the Fas-L+ DCs act Ag-specifically on the LCMV
population and do not eliminate overall CD8 lymphocytes. In accordance
with this finding, the absolute numbers of CD8 cells in spleens
comparing Fas-L+ and control DC treated mice at 7
days after i.c. LCMV infection were similar (1.2 x
107 ± 15 vs 1.35 x
107 ± 12%). This observation also indicates
that the Fas-L+ DCs do not affect overall CD8
cell expansion significantly.
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Table II. Numbers of LCMV primary CD8 CTL with lytic effector
function 7 days after i.c. infection is reduced following in vivo
administration of FAS-L+
DCsa
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Fas-L+ DCs selectively affect activated LCMV-specific
lymphocytes
To better understand which cell types were affected in vivo
following Fas-L+ DC administration, we
hypothesized that the Fas-L-transduced DCs had to act on recently
activated, LCMV-specific lymphocytes. Since overall numbers of naive or
Ag-specific lymphocytes are difficult to directly quantitate ex vivo,
we chose to use a transfer system in which naive splenocytes are
labeled with high amounts of CFSE dye, and LCMV-activated splenocytes
(day 7 postinfection) are labeled with low amounts of CFSE before
transfer into syngeneic recipients. At the same time,
Fas-L+ or regular DC lines were given (both
infected with LCMV), and CD4, CD8, and B lymphocytes labeled with low
or high amounts of CFSE were quantitated 20 h later by FACS. As
shown in Fig. 2
and Table III
, the only
cell type that was significantly (p < 0.05)
affected by Fas-L+ DC administration was
activated CD8 lymphocytes (day 7 LCMV infection), and an
50%
reduction was observed relative to overall CD8 numbers. Naive CD4, CD8,
or B cells or LCMV-activated (day 7) CD4 or B-lymphocytes were not
decreased or increased in number (Table III
). Importantly, this
reduction of activated CD8 cells was not observed when lymphocytes had
been activated with an irrelevant vaccinia virus before adaptive
transfer (not shown) (21). Thus, the
Fas-L+ DC treatment acted Ag specifically in
vivo.
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Discussion
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Based on our present findings one has to recognize some
limitations for the potential use of Fas-L-expressing DC lines in vivo.
It appears that it will be technically challenging to completely
eliminate antiviral T cell responses that are inherently more robust
than allergic or autoimmune reactions (27). Along these
lines, we observed a 50% reduction of antiviral CD8 lymphocytes
(Tables II
and III
and Fig. 3
) and
prolonged survival following the usually lethal LCMV i.c. infection
(Fig. 2
, A and B). Importantly, administration of
Fas-L+ DCs later during infection or more
frequent injections did not improve the effect on the antiviral immune
response. We propose that in viral infections, because of the magnitude
of the response and possibly related changes in lymphocyte activation
states and profiles, enhancement of Fas-mediated T cell death by
externally added DCs is more difficult to achieve. The most likely
explanation is that lymphocyte turnover involving Fas-mediated death
mechanisms is already increased to a level where additional Fas-L
signals may only marginally augment this activation-induced T cell
death.

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FIGURE 3. Fas-L-expressing DCs affect LCMV-activated lymphocytes. FACS analysis
is shown for two representative (A/J x BALB/cByJ)F1
mice that were irradiated with a low dose (300 rad) and received
transfer of naive (CFSEhigh) and LCMV-activated
(CFSElow) splenocytes (2 x 106 cells
i.p., respectively). Before transfer, labeling with CFSE was performed
for 10 min in vitro on either naive (CFSEhigh) or
LCMV-activated (day 7 postinfection, CFSElow) splenocytes
(see Materials and Methods). At the same time, recipient
mice received an injection of either 2 x 106 control
or Fas-L+ DCs i.v. After 20 h the numbers of naive
(CFSEhigh) or LCMV-activated (CFSElow)
lymphocytes in spleens were assessed by FACS analysis, and comparisons
between groups were made. Overall data from all experiments including
statistical analysis are shown in Table III . The percentages given in
the figure are: R2, percentage of naive CD8 lymphocytes of overall
gated splenocytes; R3, percentage of LCMV day CD8 lymphocytes of
overall gated splenocytes; and R4, percentage of overall CD8
lymphocytes of overall gated splenocytes.
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Why did we observe a clear reduction of antiviral CD8, but not CD4,
cells (Table III
)? This observation seems at first glance
counterintuitive, because Fas is known to play a role in CD4 cell death
(11, 12, 26), whereas its role for CD8 lymphocytes is less
clear. Possibly, CD4 death is already occurring at a near-maximum rate
in LCMV infection, and again in this setting, providing additional
Fas-L on DCs will not further enhance their elimination. Indeed, the
ratio of naive over activated CD4s is slightly, but not significantly,
increased (Table III
), which might indicate that death of activated CD4
lymphocytes is marginally increased by systemic therapy with
killer DCs.
Overall numbers of CD8 cells in spleens of control and
Fas-L+ DC-treated mice were comparable. These
findings strengthen the argument that there really is a reduction of
LCMV-specific CD8 precursors and lytic CTL in the
Fas-L+ DC-treated group (Table II
); they do not
show, however, whether this is due to a lack of expansion or
elimination of CTL. We believe, based on the data presented in Table III
(mapping the Fas-L+ DC effect to
LCMV-activated effectors and not naive lymphocytes) and Fig. 2
B (demonstrating that DCs have to be given early), that the
Fas-L+ DC effect is due to an early elimination
of some LCMV-specific activated, but not naive, lymphocytes. This
results consequently in a 2-fold lower number of LCMV effectors at 7
days postinfection and a reduction of immunopathology in 20% of the
mice. It is very clear from data shown in Fig. 2
B that the
Fas-L+ DCs have no prolonged in vivo effect,
since the window of therapeutic opportunity abruptly closes 3 days
after LCMV infection. Based on this observation, one can argue that
only in the very early stages of CTL activation will the elimination of
some LCMV-specific lymphocytes have an effect that becomes clinically
visible in 20% of the mice. Additionally, the biological activity of
Fas-L+ DCs in vivo is rather short-lived
(maximally 4 days for their majority), because pretreatment of mice
with APCs 4 days before infection did not result in any protection
(Fig. 2
B). Thus, strategies to enhance the in vivo efficacy
of Fas-L+ DCs could be of value in the
future.
An interesting question is where do the Fas-L-transfected
DC lines exert their effect in vivo? We know that they can act
systemically, affecting transferred, LCMV-activated CD8 lymphocytes
(Table III
and Fig. 3
) and therefore are unlikely to just operate at
the site of i.c. infection. Quantitatively, they lose their potential
several days after injection (Fig. 2
B), which indicates that
no long term effects on the immune system should be expected. To use
short-lived APCs in vivo might be important, because one has to realize
that Ag specificity cannot necessarily be maintained in vivo in the
presence of an ongoing systemic viral infection when injecting
Fas-L-transduced DCs. This is true even if the
Fas-L+ DCs were matured in vitro and express
predominantly the desired Ag, as was the case for the Fas-L-transfected
DC lines used in our study once they were infected with LCMV in vitro.
Our study provides an important example for a scenario where a
replicating agent such as LCMV is present in vivo. In this situation,
one can assume that the probability that the transferred DC cell lines
will become infected in vivo is high, and therefore control of the
precise Ag specificity will be difficult to maintain. The positive
aspect of these observations is that the effect of
Fas-L+ DCs on antiviral responses in vivo is
limited (Table II
), and as a consequence, viral clearance is not
impaired, although immunopathology can be improved (Fig. 2
). Therefore,
safety concerns are minimal if such DC lines were to be used in vivo to
lower certain allergen-specific or autoimmune responses, because they
would be unlikely to have a profound effect on resolution of a
simultaneously occurring virus infection even if they became infected
in vivo.
Thus, in conclusion, engineered Fas-L-expressing DC lines are likely to
have minor effects on antiviral systemic responses. This is probably of
value if such cells are used to target other Ag-specific responses, for
example in allergy or autoimmunity. From our present data it seems that
their early, prophylactic use might be more efficacious than their
administration after an immune response has already been fully
activated. In this respect we were able to improve viral
immunopathology without affecting viral clearance, which opens up a
novel therapeutic avenue for Fas-L+ DCs. The
dampening antiviral responses in vivo might be of value in certain
clinical situations where immunity to the virus is more harmful than
the virus itself.
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Acknowledgments
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We thank Diana Frye for assistance with the manuscript preparation.
 |
Footnotes
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1 This work was supported by Grants DK51091 and U-19AI51973 (to M.G.v.H.). This is Publication 505 from the La Jolla Institute for Allergy and Immunology. 
2 Address correspondence and reprint requests to Dr. Matthias G. von Herrath, Division of Immune Regulation, La Jolla Institute for Allergy and Immunology, 10355 Science Center Drive, San Diego, CA 92121. E-mail address: matthias{at}liai.org 
3 Abbreviations used in this paper: DC, dendritic cell; Fas-L, Fas ligand; i.c., intracerebral; LCMV, lymphocytic choriomeningitis virus. 
Received for publication June 24, 2002.
Accepted for publication August 19, 2002.
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