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* Department of Medical and Molecular Parasitology, New York University School of Medicine, New York, NY 10010;
Unité dImmunophysiologie et Parasitisme Intracellulaire, Institut Pasteur, Paris, France; and
Molecular Pathogenesis Program, Skirball Institute of Biomolecular Medicine, New York University School of Medicine, New York, NY 10016
| Abstract |
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| Introduction |
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90% of the activated cells, probably due to apoptosis. After day 8 the parasite-reactive CD8+ T cell population is stabilized, and memory populations begin to be established (7). As shown in this model, the magnitude of the resulting CD8+ T cell response is solely defined by the initial events of Ag recognition and clonal burst that occur immediately after i.v. immunization with sporozoites and the display of the SYVPSAEKI epitope bound to H2Kd, a process that takes place on the surface of Ag-presenting dendritic cells (DCs) (8, 9). In this system the in vivo Ag presentation lasts <96 h, and whereas the magnitude of the CD8+ T cell response depends on the immunizing dose, a sustained delivery of sporozoites does not enhance the magnitude of the developing CD8+ T cell clonal burst (8). This situation is quite similar to that found in normal mice that are immunized via bites of sporozoite-infected mosquitoes every 48 h, which mimics the parasite exposure experienced by humans living in certain malaria endemic areas. Under this condition of immunization, these mice develop a primary response after the first or second exposure to parasites, and the magnitude of this response does not change even after receiving multiple additional immunizations (8). The inability of CD8+ T cells to expand further, despite increased exposure to Ag during the development of primary responses, resembles the situation found in humans living in malaria-endemic areas. These individuals develop a rather limited CD8+ T cell response to plasmodial Ags expressed in sporozoites or liver stages despite being constantly exposed to parasites throughout their lifetimes (10, 11).
These findings are also consistent with observations made in an experimental model of Listeria monocytogenes infection in which the continued presence of Ag, due to bacterial survival several days after priming, does not affect the magnitude of the developing CD8+ T cell response (12, 13). Moreover, in this system once a primary CD8+ T cell response is established, it is extremely difficult to induce an in vivo expansion unless an extremely large dose of the same Ag source, reaching 50100 times the priming dose, is used for boosting (3, 14).
Taken together, the studies in mice and humans strongly suggest that immediately after the first clonal burst and together with the swift development of CD8+ T cell populations expressing effector functions, inducible regulatory mechanisms are switched on to prevent the activation of naive CD8+ T cells after additional exposure to the same TCR ligand. While these regulatory mechanisms may limit the overall magnitude of an antimicrobial primary response, they may also play a key physiological role by preventing a massive T cell activation that could overwhelm the immune system and produce deleterious effects in secondary lymphoid organs and nonlymphoid tissues infected by microorganisms.
In this report we describe studies using mouse models of infections by Plasmodium and influenza virus that are aimed at characterizing the mechanisms regulating the in vivo expansion of CD8+ T cell populations and discuss evidence indicating that this is a self-regulatory mechanism mediated by activated CD8+ T cells.
| Materials and Methods |
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Five- to 8-wk old BALB/c (Thy1.2+) or CB6F1 mice were obtained from the National Cancer Institute (Frederick, MD). The generation of TCR Tg mice specific for the H2Kd-restricted epitope SYVPSAEKI of the circumsporozoite protein of Plasmodium yoelii, or malTg, has been described previously (7). Mice were maintained in the BALB/c (Thy1.2+ and Thy1.1+) and CB6F1 backgrounds. The clone 4 TCR Tg (15) or fluTg mice specific for the H2Kd-restricted epitope IYSTVASSL of the influenza virus hemagglutinin protein (fluTg) in BALB/c (Thy1.2+) background were obtained from Dr. L. Sherman (The Scripps Institute, La Jolla, CA). Unless otherwise specified, the majority of the experiments were performed using the BALB/c (Thy1.2+) background. Normal BALB/c mice expressing Thy1.1 Ag were obtained from Dr. H. Shen (University of Pennsylvania, Philadelphia, PA).
Parasites and viruses
P. yoelii (17X NL strain) parasites were maintained, and sporozoites were dissected as previously described (16). Immunizations were performed by i.v. injection of 34 x 104 radiation-attenuated (gamma source, 20 krad) parasites or as otherwise specified in the figure legends. Wild-type influenza virus A (WSN/H1N1 strain) was provided by Dr. A. Garcia-Sastre (Mt. Sinai School of Medicine, New York, NY) and used at 12 x 103 PFU/mouse for i.v. immunizations.
ELISPOT assay
The in vivo IFN-
ELISPOT assay for the quantification of the number of SYVPSAEQI-specific CD8+ T cells in immunized mice was performed as previously described (17, 18). MHC-compatible A20.2J target cells were loaded with the SYVPSAEQI peptide and were incubated with mouse lymphocytes for 2024 h. Anti-mouse IFN-
(R4) and biotinylated anti-mouse IFN-
(XMG1.2) were obtained from BD PharMingen (San Diego, CA).
Flow cytometric analysis
SYVPSAEQI-specific H2Kd tetramers (subsequently designated Tetramer) were either obtained from the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Tetramer Facility or prepared as previously described (3, 19). In the absence of a reliable tetramer system to detect activated fluTg CD8+ T cells, Thy1.2+ fluTg CD8+ T cells were used for adoptive transfer into normal Thy1.1+ mice. These cells were detected by gating on CD8+Thy1.2+ T cells. FITC-, PE-, and allophycocyanin-labeled mAbs to mouse CD8 (53-6.7), Thy1.1 (OX-7), and Thy1.2 (53-2.1) were obtained from BD PharMingen. Stained cells were analyzed using FACSCalibur and CellQuest software (BD Immunocytometry Systems, San Jose, CA).
CFSE staining
Staining of Tg cells with CFSE was performed based on the manufacturers instructions (Molecular Probes, Eugene, OR). The number of CFSE-labeled CD8+Tetramer+ or CD8+Thy1.2+ cells undergoing division in the spleen was calculated following the methodology described previously (20).
Adoptive transfer
Spleen cells from Tg mice (malTg or fluTg), unlabeled or CFSE-labeled, containing
2 x 106 naive Ag-specific CD8+ T cells, were injected i.v. into syngeneic recipient mice. For experiments in which primed spleen cells were used for adoptive transfer, Plasmodium parasite-primed spleen cells were obtained from mice that received 2 x 106 malTg CD8+ T cells and 34 x 104 sporozoites 48 h earlier. Influenza virus-primed spleen cells were obtained from mice that received
2 x 106 fluTg CD8+ T cells and 12 x 103 PFU influenza virus 72 h earlier. For experiments in which a particular subset was either depleted or purified from primed spleens, dissociated spleens were stained with FITC-conjugated mAbs (CD8 (53-6.7), CD4 (RM4-4), NK1.1 (PK136), 
TCR (GL4), or CD45R/B220 (RA3-6B2; all from BD PharMingen)), followed by anti-FITC-conjugated magnetic beads. Depletion by negative selection or enrichment by positive selection was then performed following the instructions of the manufacturer (Miltenyi Biotec, Auburn, CA). Depletion of NK1.1+ cells was performed using spleens from primed CB6F1 mice.
Preparation of DCs
Mature DCs were prepared as previously described (21). Briefly, bone marrow was removed from the leg bones of normal mice, and the precursors were cultured in conditioned medium containing 30% of the supernatant from the myeloma cell line Ag8653 (provided by Dr. A. Rodriguez, New York University, New York, NY), as a source of murine GM-CSF. The conditioned medium was replaced every 2 days. Seven or 8 days later, maturation of the DCs was induced by addition of 1 µg/ml Salmonella enterica LPS (Sigma-Aldrich, St. Louis, MO) to the cultures. Twenty-four hours after LPS addition, DC maturation was verified by flow cytometry based on the expression and up-regulation of mouse CD11c (HL3), CD40 (3/23), CD80 (16-10A1), CD86 (GL-1), and MHC class I (SF1-1.1; all from BD PharMingen) compared with noninduced cells. Mature DCs were then washed thoroughly and incubated with the SYVPSAEQI peptide (10 µg/ml) for 2.5 h. After incubation, the SYVPSAEQI-loaded DCs were washed again before transfer at 2.5 x 106 cells/mouse.
| Results and Discussion |
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Previous studies using Tg CD8+ T cells specific for an H2Kd-restricted epitope (SYVPSAEQI) expressed in sporozoite and liver stages of P. yoelii (malTg CD8+ T cells) indicated that the CD8+ T cell response induced by immunization with sporozoites is the result of a single clonal burst induced by a short term Ag presentation that lasts <96 h. The supply of additional Ag does not enhance the magnitude of the CD8+ T cell response, indicating the development of a state of refractoriness (8).
That this refractory state is established just a few hours after priming was indicated when we compared the CD8+ T cell response in groups of normal BALB/c mice that received malTg CD8+ T cells and were immunized with 2 x 104 P. yoelii parasites. Groups of mice received an additional dose of 8 x 104 parasites 24, 48, 72, or 96 h after priming, and the resulting CD8+ T cell response was evaluated by ELISPOT 14 days later. The magnitudes of the responses in mice receiving two immunization doses was almost identical with that in mice receiving only the initial 2 x 104 parasite dose (Fig. 1). The response levels in mice receiving two doses were all lower than that in mice that received 1 x 105 parasites in a single initial dose. Therefore, a regulatory mechanism that inhibits the additional activation of CD8+ T cells is established as early as 24 h after priming, and the magnitude of the immune response depends on the initial dose. The immunizations were performed using radiation-attenuated sporozoites, which are capable of invading hepatocytes, but are unable to proliferate and generate blood stage parasites.
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The existence of a mechanism limiting the development of secondary clonal bursts also became evident in experiments in which we studied the in vivo proliferative activity of naive CD8+ T cells. In these experiments CFSE-labeled naive malTg CD8+ T cells were transferred into normal BALB/c mice that were subsequently immunized i.v. with sporozoites. Seventy-two hours after immunization, flow cytometric analysis was performed to evaluate the dilution of the CFSE stain in CD8+Tetramer+ T cells as previously described (7, 20). As expected, in the absence of sporozoite delivery, these T cells do not proliferate (Fig. 2Ai), while in mice immunized with sporozoites, they display a strong proliferative response, with at least eight identifiable cell division cycles (Fig. 2Aii). However, CFSE-labeled malTg CD8+ T cells did not proliferate when they were coinjected with parasites into mice already undergoing a T cell response induced 48 h earlier by transfer of naive malTg CD8+ T cells and immunization with sporozoites (Fig. 2Aiii). Quantitative estimation of the proliferative activity of malTg CD8+ T cells under the different experimental conditions (20) confirmed that in sporozoite-primed mice the proliferation of naive CD8+ T cells was severely limited (Fig. 2B). Taken together with the results of the ELISPOT assay (Fig. 1), analysis of the proliferative activity of CFSE-labeled cells indicates that a mechanism that severely inhibits the activation and proliferation of naive CD8+ T cells is developed 2448 h after immunization. Experiments in which CFSE-labeled malTg CD8+ T cells together with parasites were injected into mice immunized 1 or 2 wk earlier yielded identical results (data not shown).
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To further characterize the nature of this inhibitory mechanism, we performed adoptive transfer experiments using primed spleen cells obtained from mice that had received malTg CD8+ T cells and sporozoites. In these experiments spleen cells obtained 48 h after priming were transferred into normal mice that subsequently received naive CFSE-labeled malTg CD8+ T cells and were then immunized with parasites. The CFSE dilution profile of the labeled cells, evaluated by flow cytometry 72 h later, revealed a major inhibition of proliferation of naive malTg CD8+ T cells when primed spleen cells were transferred into mice (Fig. 3A). In contrast, no effect was observed when normal spleen cells were transferred into mice. These results clearly indicated that the mechanism inhibiting the activation of naive CD8+ T cells was transferable and mediated by primed spleen cells. Quantification of the CFSE proliferation peaks further confirmed the inhibitory effect of primed spleen cells on the proliferation of labeled CD8+ T cells (Fig. 3B).
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To identify the inhibitory cell population, spleen cells from parasite-immunized mice were systematically depleted of different T cell populations before transfer into normal mice. The recipient mice then received CSFE-labeled naive malTg CD8+ T cells and parasites, and the dilution profile of labeled cells was evaluated at 72 h by flow cytometry. Depletion of NK cells, 
T cells, or CD4+ T cells did not affect the inhibitory capacity of the primed spleen compared with controls (Fig. 6, iv). However, depletion of CD8+ T cells allowed for a normal proliferative profile by the malTg CD8+ T cells (Fig. 6vi). Confirmatory evidence that these CD8+ T cells were indeed mediating the inhibitory activity was obtained in adoptive transfer experiments. CD8+ T cells purified from spleens of parasite-immunized mice inhibited the activation of naive malTg CD8+ T cells as efficiently as the whole primed spleen (Fig. 6vii). Similar results were obtained in the influenza system wherein purified activated influenza-specific CD8+ T cells inhibited the activation of naive fluTg CD8+ T cells (data not shown).
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These results indicated that activated CD8+ T cells regulated the activation of naive CD8+ T cells, suggesting the possible existence of a competitive relationship between these two cell populations of identical epitope specificity. This possible competitive relationship was further characterized in experiments that measured the in vivo Ag-driven expansion of naive CD8+ T cells in the presence of increasing numbers of activated cells. For this purpose, mice received a constant number (1.5 x 104) of naive Thy1.1+ malTg CD8+ cells plus different numbers of activated Thy1.2+ malTg CD8+ T cells, ranging from 180400,000. These mice were then immunized with parasites. Seven days later, the expansion of naive CD8+ T cells was assessed by flow cytometry with gating on CD8+Tetramer+Thy1.1+ T cells to measure the expansion of transferred naive cells and not that of transferred activated cells that bear the Thy1.2 marker. The expansion of Thy1.1+ CD8+ T cells diminished proportionally as the numbers of transferred Thy1.2+ activated cells increased (Fig. 7). It is noteworthy that activated cells are highly efficient in competing for APCs, as indicated by the results obtained when transferring equal numbers of naive and activated CD8+ T cells. In this situation the proliferation of naive CD8+ T cells is inhibited by 90% or more, thus supporting the idea that activated/memory T cells have higher avidity for Ag presented by APCs (23).
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Taken together, the results of this study revealed the existence of a self-regulatory mechanism controlling the magnitude of CD8+ T cell responses against microbial pathogens before any pathogenic effect of the microbes was detectable. This mechanism could also serve to prevent an excessive activation and expansion of CD8+ T cells that might overwhelm the immune system, leading to undesirable effects and potential pathological sequelae. This self-regulatory activity is likely to represent one of the earliest mechanisms induced in the course of an immune response, developed to control the magnitude of the CD8+ T cell response. It is worth emphasizing that the inability of an established CD8+ T cell response to expand after repeated Ag exposure is not a phenomenon observed only in experimental systems using Tg cells. Indeed, the first evidence indicating the presence of early self-regulatory T cell-mediated mechanisms was strongly suggested in previous studies using normal mice (8). However, the low precursor frequency of Ag-specific T cells in normal mice does not permit the labeling of Ag-specific T cells to perform flow cytometric analyses as described in the present study.
It is striking that the time needed to develop this self-regulatory capacity is quite rapid, i.e., within 2472 h after delivery of the source of antigenic peptides. However, it is noteworthy that previous studies in mice immunized with Plasmodium sporozoites indicated that CD8+ T cells displayed clear differentiation signs and development of effector mechanisms as early as 24 h after priming (7). In the influenza system there is also evidence indicating that influenza-specific CD8+ T cells become activated 2472 h after immunization with the virus (28). An important issue that remains to be elucidated is the effect that factors such as virulence, tissue specificity, and ability to replicate may have on the development of these self-regulatory mechanisms.
While the present study establishes that competition between naive and activated CD8+ T cells at the level of APCs is an early regulatory mechanism, it is nevertheless likely that additional regulatory mechanisms are subsequently developed as the immune response evolves. In fact, CD4+ T cells have been shown to be important in sustaining the development of CD8+ T cell responses after clonal expansion. In Plasmodium and influenza systems, mice depleted of or lacking CD4+ cells have very diminished or compromised responses against the microbes (29, 30, 31).
Finally, our findings indicating the existence of Ag-specific CD8+ T cells that exert an inhibitory effect on the immune responses raise the issue of whether this represents the activity of a specialized T cell subset, similar to the CD8+ T suppressor cells that many years ago were the subject of extensive studies and were proposed to be regulators of the immune response. While some of the inhibitory phenomena described in those early studies may concur with the regulatory activity of CD8+ T cells described here, our present findings suggest that there is no need to postulate the existence of a specialized class of suppressor CD8+ T cells. Therefore, we favor the idea of a dual function for effector CD8+ T cells, wherein activated CD8+ T cells both perform their antimicrobial functions and also regulate the magnitude of the CD8+ T cell response, using the same or similar effector mechanisms.
| Acknowledgments |
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| Footnotes |
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2 Address correspondence and reprint requests to Dr. Fidel Zavala, Department of Medical and Molecular Parasitology, New York University School of Medicine, 341 East 25th Street, New York, NY 10010. E-mail address: fz5{at}nyu.edu ![]()
3 Abbreviations used in this paper: Tg, transgenic; DC, dendritic cell. ![]()
Received for publication March 31, 2003. Accepted for publication May 16, 2003.
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