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* Gladstone Institute of Virology and Immunology, University of California, San Francisco, CA 94141; and
Department of Medical Biochemistry, University of Oslo, Oslo, Norway
| Abstract |
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| Introduction |
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The second model for human T cell differentiation is based on the down-regulation of the costimulatory molecules CD27 and CD28 which, along with CD45RA, define three subsets of human CD8 T cells: naive cells (CD45RA+CD27+CD28+), memory cells (CD45RA-CD27+CD28+), and effector cells (CD45RA+CD27-CD28-) (7, 9, 10, 11). These definitions of effector and memory subsets were also recently questioned (12). Although Appay et al. (12) challenge the current concept of human CD8 T cell differentiation patterns based on the CD27 and CD28 surface phenotype, their study was limited to chronic viral infections in which there is a persistent antigenic presence.
In this study, we analyzed how the expression pattern of the costimulatory molecule CD7 correlates with CD8 T subset cell surface markers and cellular function. CD7 is a transmembrane glycoprotein which appears early in T cell ontogeny and is expressed by most T cells in the periphery (13). A subset of CD4 T cells which do not express CD7 has previously been described (14, 15, 16, 17), but the role of CD7 in CD8 T cell differentiation and maturation is unknown. Although the ligand is yet not identified, CD7 has been recognized as a costimulatory molecule (18). CD7 activates phosphatidylinositol 3-kinase which is involved in CD7-mediated regulation of integrin adhesiveness (19, 20, 21). Furthermore, it has been reported that the
-galactoside-binding lectin galectin-1 binds CD7, leading to induction of apoptosis of thymocytes and T cells, with implications for certain autoimmune diseases and T cell lymphomas (22, 23, 24, 25, 26).
By examining levels of CD7 expression on CD8 T cells, we identified three phenotypically and functionally distinct cell populations. The CD7high subset contains naive cells and memory cells, and the CD7low and CD7neg subsets contain effector cells. However, the CD7low population appears to have a rapid turnover, whereas the CD7neg population seems to be a more persistent and stable population of effector cells. Furthermore, the CD7low and CD7neg populations can each be divided into two separate populations of effector cells based on their expression of cytokines vs perforin into cytokine-secreting effector CD8 T cells (TCC) and lytic effector CD8 T cells (TCL).
| Materials and Methods |
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Blood samples were obtained from healthy blood donors under approved University of California, San Francisco Committee on Human Research Institutional Review Board protocols (n = 23). PBMC were isolated from heparinized whole blood by Ficoll-Paque PLUS density gradient centrifugation (Amersham Pharmacia Biotech, Uppsala, Sweden) and washed twice in RPMI 1640 (Life Technologies, Grand Island, NY) with 15% FCS. When used, cryopreserved samples were washed and cultured overnight before use in functional assay or analysis by flow cytometry.
Reagents
Staphylococcal enterotoxin B (SEB) and brefeldin A were purchased from Sigma-Aldrich (St. Louis, MO). The anti-CD3 Ab used in functional assays was clone 12F6 (provided by Dr. J. Wong, Massachusetts General Hospital, Boston, MA). A control peptide pool containing 23 CMV, EBV, and influenza viral peptides (catalogue no. 6747) was obtained through the National Institutes of Health AIDS Research and Reference Reagent Program (Rockville, MD). Anti-CD3 (FITC) and PerCP, anti-CD8 (FITC and allophycocyanin), anti-CD7 (FITC and PE), anti-CD27 (FITC and PE), anti-CD28 (FITC and PE), anti-IFN-
(PE), anti-TNF-
(PE), anti-IL-2 (PE), anti-perforin (FITC), anti-granzyme (FITC), anti-CD45RO (FITC and APC), and anti-CD62L (FITC) Abs were purchased from BD PharMingen (San Diego, CA). CFSE was purchased from Molecular Probes (Eugene, OR). The influenza M1 HLA-A*0201 tetramer (allophycocyanin) and the CMV PP65 HLA-A*0201 tetramer (allophycocyanin) were both purchased from Immunomics (San Diego, CA). Annexin V (BD PharMingen) staining and TUNEL (Roche Diagnostics, Indianapolis, IN) staining was performed according to the instructions from the manufacturer.
Flow cytometry
Purified PBMC were fixed in paraformaldehyde and washed in PBS with 1% BSA before incubation with a panel of fluorochrome-conjugated Abs. Intracellular staining was performed by permeabilization of cells in FACS permeabilization buffer (BD PharMingen) for 10 min before staining with Abs. The samples were analyzed using a FACSCalibur Instrument (BD PharMingen).
Cytokine flow cytometry
Freshly isolated PBMC were stimulated with Ag as noted. The cells were then incubated for 1 h before addition of brefeldin A at a final concentration of 10 µg/ml and incubated for another 5 h. The cells were then washed, fixed, permeabilized, and stained for cell surface markers and intracellular cytokines and analyzed by flow cytometry.
CFSE proliferation assay
Fresh PBMC were resuspended at a concentration of 107 cells/ml in RPMI 1640 and labeled with CFSE by incubation for 10 min in 37°C in 5% CO2 at a final concentration of 2 µM. Labeling was quenched with RPMI 1640 supplemented with 15% FCS, and the cells were washed twice before culturing in flat-bottom 96-well plates. The cells were then stimulated with SEB (100 ng/ml) or immobilized anti-CD3 (clone 12F6) combined with pure anti-CD28 (1/200 dilution; BD PharMingen). FACS analysis was performed after 96 h of incubation.
| Results |
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In the first sets of experiments, we identified three subsets of CD8 T cells based on levels of CD7 expression, termed CD7 high (CD7high), CD7 low (CD7low), and CD7 negative (CD7neg) (Fig. 1a). The CD7low subset was not present in the CD4 T cell population. The mean distribution of CD8 T cells in a population of healthy adult donors (n = 23) was 69.6% ± 3.0 CD7high cells, 27.5% ± 2.7 CD7low cells, and 1.9% ± 0.3 CD7neg cells. To examine the expression pattern of CD7 on CD8 T cells, we studied CD7 expression in relation to previously described subsets of T cells. CD27 and CD28 are costimulatory molecules that, along with CD45RA, have been used as cell surface markers to identify naive, memory, and effector cells (9, 10, 11, 27). The CD7high subset consists of cells which are CD27+CD28+ (Fig. 1b). CD7low and CD7neg subsets, however, are more heterogeneous with respect to CD27 and CD28 expression.
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Staining for CD62L provides further support for two phenotypically distinct CD7high populations. Although the CD7low and CD7neg subsets are both CD62L-, the CD7high subset is split into CD62L+ and CD62L- populations (Fig. 1d). This defines four subsets of CD8 T cells: CD7highCD62L+, CD7highCD62L-, CD7lowCD62L-, and CD7negCD62L-.
CD62L and CCR7, surface molecules essential for lymphocyte migration to lymph nodes (1, 2), have been used to discriminate between subsets of memory T cells (3). When analyzing the levels of CCR7 expression in the four subsets identified by CD7 and CD62L, we observed that the CD7highCD62L+ subset is clearly positive for CCR7. The CD7highCD62L- subset, however, is heterogeneous for CCR7, whereas the CD7lowCD62L- and CD7negCD62L- subsets are both CCR7 negative (Fig. 1d).
To investigate whether the CD7low and CD7neg subsets represent stable differentiation stages rather than transient and reversible down-regulation of CD7 cell surface expression, we sorted the CD7high, CD7low, and CD7neg CD8 T cell subsets and stimulated the cells in culture with anti-CD3/anti-CD28 and IL-2 for up to 4 days. Although the CD7high subset transiently up-regulated CD7 expression during in vitro stimulation, the CD7low and CD7neg subsets did not appear to re-express CD7 in vitro (data not shown). This is consistent with previous observations of the CD7neg subset of CD4 T cells which were reported to represent a stable differentiation state occurring late in the immune response (15).
The CD7high subset contains both naive cells and memory cells
To further investigate the two CD7high populations, we first compared the phenotype of CD8 T cells from cord blood and maternal blood (Fig. 2). Because the fetus is normally not exposed to any pathogens intrauterine, T cells in cord blood are naive cells. The majority of the CD8 T cells in the cord blood were CD7high and CD28+ (Fig. 2). This strongly suggests that the CD7high population contains naive cells.
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To explore the functional significance of the three CD8 T cell subsets identified by CD7 expression, we measured the frequency of cells expressing lytic molecules and cytokines within each subpopulation. Although 22.6 ± 2.0% of the cells in the CD7high subset were granzyme A+, the frequency was significantly higher in the CD7low and CD7neg subsets (76.2 ± 2.7% and 81.6 ± 2.0%, respectively). Similarly, only 2.1 ± 0.7% of the cells in the CD7high subset were perforin+, while 26.9 ± 6.4% of the CD7low and 29.5 ± 5.6% of the CD7neg subsets contained perforin (Fig. 3).
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To further characterize the functional potential of these three subsets, the frequency of cytokine-expressing cells was measured by intracellular cytokine flow cytometry after 6 h of stimulation with SEB. The fraction of cells expressing IFN-
, TNF-
, and IL-2 was significantly higher in the CD7low and CD7neg subsets as compared with the CD7high subset (Fig. 4a). Similar results were obtained with anti-CD3/anti-CD28 stimulation (data not shown). Thus, down-regulation and loss of CD7 expression identify two populations of CD8 T cells with a high content of cytolytic effector molecules and high level of cytokine production.
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-expressing cells were positive for perforin. IFN-
expression was predominantly found in perforin-negative cells, although the segregation was less clear than that observed between IL-2 and perforin (data not shown). These data indicate that both the CD7low and the CD7neg subsets of CD8 T cells can be subdivided into cytokine-producing effector T cells (TCC) and cytolytic effector T cells (TCL). The CD7low and CD7neg CD8 T cells subsets do not proliferate
To further examine the functional properties of the three CD8 T cell subsets, we assessed proliferative capacity with CFSE. Although the CD7high population readily proliferated in response to polyclonal stimuli (SEB or anti-CD3/anti-CD28, only SEB stimulation is shown, Fig. 5), the CD7low and CD7neg subsets were not proliferating. This is consistent with previous studies showing that effector cells have reduced proliferative capacity (3, 11)
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To explore the functional significance of the three populations based on CD7 expression, the presence of Ag-specific cells was assessed by using a pool of 23 peptides spanning immunodominant epitopes from viruses present in the population (CMV, EBV, and influenza virus). Ag-specific cells are present in all three CD8 T cell subsets (Fig. 6a). However, when specifically studying the phenotype of influenza-specific cells by tetramer staining, these cells were mainly CD7highCD28+ (Fig. 6b). In contrast to influenza, CMV establishes a chronic infection. CMV-specific cells therefore most likely constitute a heterogeneous pool of memory and effector cells. The majority of the CMV tetramer+ cells are CD7lowCD28- while a smaller fraction are CD7highCD28+. These represent effector and memory cells, respectively (Fig. 6b). The distribution of CMV-specific cells between these two subsets may be dynamic so that a larger fraction of cells is recruited from the CD7high memory subset to the CD7low effector subset in phases of active, ongoing viral replication.
Low frequency of apoptotic cells in the CD7neg subset
CD7 seems to be involved in the induction of apoptosis (22). Thus, the turnover might be different for the CD7high, CD7low, and CD7neg subsets. Annexin V binds to phosphatidylserine exposed in the outer layer of the cell membrane associated with early apoptotic events and the TUNEL assay identifies late apoptotic cells after DNA fragmentation has been initiated. We consistently observed a higher proportion of annexin V-positive cells in the CD7low subset than in the CD7high subset (Fig. 7), indicating a higher elimination rate in the CD7low population. In contrast, the frequency of annexin V-positive cells in the CD7neg population was nearly absent. Similar findings were observed using the TUNEL assay.
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| Discussion |
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The differentiation sequence of T cells in mice occurs in a linear manner with rapid proliferation and acquisition of effector functions after Ag stimulation, followed by a contraction phase, and finally a stabilization of the number of surviving virus-specific cells in the memory phase (28, 29, 30, 31). However, a parallel differentiation model has also been suggested in which memory cells develop without passing through an effector cell stage (32, 33, 34), reviewed by Kaech et al. (35). In humans, it is believed that naive T cells differentiate into memory cells directly and that the memory cells seed the effector cell population (3, 4, 11). Our findings support the latter model because both the naive cells and the memory cells are CD7high, whereas the effector cell populations have down-regulated CD7 expression. A linear model would only be possible if the down-regulation of CD7 was reversible. This appears not to be the case, at least as observed in cultures of sorted cells (data not shown).
However, the definition of effector cells on the basis of down-regulation of CD7 expression is not fully compatible with previously described models for human CD8 T cell differentiation and maturation. The CD7high population contains both naive and memory cells that are CD27+CD28+, in agreement with earlier reports (11). However, the CD7low and CD7neg cells, which both represent effector cell subsets, each contain CD27+CD28+ and CD27-CD28- subpopulations. This is not consistent with the model of Hamann et al (11) in which effector cells were defined as CD27-CD28- CD8 T cells that had re-expressed CD45RA. On the other hand, the CD7low and CD7neg subsets are CD62L- and CCR7- in line with the definition of effector memory and terminally differentiated effector cells initially introduced by Sallusto et al. (3) and others (4). Effector memory cells and terminally differentiated effector cells in this model were attributed to the re-expression of CD45RA in the terminally differentiated subset (3, 4). Recently, it was suggested that the re-expression of CD45RA does not correlate with the acquisition of effector cell properties in the final differentiation stage because cells expressing CD45RA appear earlier in the differentiation process as well and a significant proportion of CD45RA- cells contain perforin (12). This is further supported by our data showing that the CD7low and CD7neg subsets were mixed with regard to CD45 isoform expression and that the frequency of CD45RO+ cells vs CD45RO- cells within these subsets varied between individuals and did not appear to have any functional consequences.
The level of CD7 expression defines three populations of CD8 T cells. Each of these populations contains two subsets of phenotypically and functionally distinct cells. A putative model of human CD8 T cell segregation based upon the level of CD7 expression is shown in Fig. 8. As defined by the phenotype of CD8 T cells in cord blood, the CD7high population contains naive cells. In addition, the CD7high population contains long-lived influenza-specific memory cells identified by tetramer staining. However, the phenotypic and functional heterogeneity within the CD7low and CD7neg populations is intriguing as it indicates the presence of functionally distinct effector cell populations. Functional segregation of cytokines and cytolytic effector molecules has previously been reported when analyzing the whole CD8 T cell population (36), but this study provides data supporting a functional segregation of the effector cell populations into cytokine-secreting effector cells (TCC) and lytic effector cells (TCL). Thus, the immune system may operate at a highly refined level during the active immune response where TCC primarily secrete inflammatory and antiviral cytokines and contribute to the local immune response through autocrine and paracrine signaling, while TCL lyse and induce apoptosis in infected cells by secretion of perforin and granzymes. It is not clear whether these two subsets of CD7low and CD7neg cells develop independently or whether there is a sequential differentiation from TCC to TCL. Such a differentiation step could be supported by our observations that most of the TCC are CD27+CD28+ and most of the TCL are CD27-CD28- (data not shown) and that CD27 cannot be re-expressed once down-regulated (37). CD28, on the other hand, may be re-expressed to a limited extent (10).
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In conclusion, our data show that CD7 expression identifies three subsets of CD8 T cells. Each of these three subpopulations contain two functionally distinct subsets. The CD7high subset contains naive and memory cells. The CD7low and CD7neg subsets are both effector cell populations, but each contains a population of cytokine-secreting effector cells (TCC) and a population of lytic effector cells (TCL). These findings both support and challenge several of the current concepts of human CD8 T cell differentiation and maturation.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Einar Martin Aandahl, Gladstone Institute of Virology and Immunology, P.O. Box 419100, San Francisco, CA 94141-9100. E-mail address: maandahl{at}gladstone.ucsf.edu ![]()
3 Abbreviations used in this paper: CD62L, L-selectin; SEB, staphylococcal enterotoxin B; TCC, cytokine-secreting effector CD8 T cell; TCL, lytic effector CD8 T cell. ![]()
Received for publication October 17, 2002. Accepted for publication December 11, 2002.
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-Galactoside-binding protein secreted by activated T cells inhibits antigen-induced proliferation of T cells. Eur. J. Immunol. 28:2311.[Medline]
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