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The Journal of Immunology, 2004, 172: 4762-4769.
Copyright © 2004 by The American Association of Immunologists

Enhanced Tumor Responses to Dendritic Cells in the Absence of CD8-Positive Cells1

Antoni Ribas2,*,{dagger}, Jennifer A. Wargo{dagger}, Begonya Comin-Anduix{dagger}, Shelley Sanetti*, Lana Y. Schumacher{dagger}, Colin McLean{ddagger}, Vivian B. Dissette{dagger}, John A. Glaspy*, William H. McBride{ddagger}, Lisa H. Butterfield{dagger} and James S. Economou{dagger},§

Departments of * Medicine, Division of Hematology-Oncology, {dagger} Surgery, Division of Surgical Oncology, {ddagger} Experimental Radiation Oncology, and § Microbiology, Immunology and Molecular Genetics, University of California, Los Angeles, CA 90095


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Wild-type mice immunized with MART-1 melanoma Ag-engineered dendritic cells (DC) generate strong Ag-specific immunity that has an absolute requirement for both CD8+ and CD4+ T cells. DC administration to CD8{alpha} knockout mice displayed unexpectedly enhanced levels of protection to tumor challenge despite this deficiency in CD8+ T cells and the inability to mount MHC class I-restricted immune responses. This model has the following features: 1) antitumor protection is Ag independent; 2) had an absolute requirement for CD4+ and NK1.1+ cells; 3) CD4+ splenocytes are responsible for cytokine production; 4) lytic cells in microcytotoxicity assays express NK, but lack T cell markers (NK1.1+ {alpha}{beta}TCR CD3); and 5) the lytic phenotype can be transferred to naive CD8{alpha} knockout mice by NK1.1+ splenocytes. Elucidation of the signaling events that activate these effective cytotoxic cells and the putative suppressive mechanisms in a wild-type environment may provide means to enhance the clinical activity of DC-based approaches.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Genetic immunotherapy using tumor Ag gene-modified dendritic cells (DC)3 is one of the most powerful means of stimulating immune responses to tumor-associated Ags (1, 2). In animal models, tumor Ag-engineered DC are superior when directly compared with administration of the viral vectors alone, naked DNA immunization, peptide- or protein-pulsed DC, and GM-CSF-transduced tumor cells (for review, see Ref. 2). In this approach, DC are genetically engineered to express defined tumor Ags, which then endogenously process and present MHC-restricted peptide fragments encoded by the tumor Ag gene in an optimal immune stimulatory context. Replication-incompetent adenoviral vectors can transduce DC with high efficiency, and allows for persistent endogenous processing and loading of MHC molecules with multiple tumor Ag-derived epitopes. Although endogenous processing of proteins mainly provides epitopes for MHC class I presentation pathway, gene-modified DC have been shown to also efficiently process epitopes presented by MHC class II molecules (3, 4). As well, adenovirus transduction induces DC maturation (5, 6), enhancing their ability to present Ag and prime T cells.

Epitopes presented through MHC class I and II are recognized by CD8+ and CD4+ T cells, respectively, which work together to generate efficient Ag-specific antitumor responses. Depletion of either one of these two cellular subsets leads to complete abrogation of gene-modified DC-induced immune responses in the majority of models (reviewed in Ref. 2), confirming that both immune cell subsets are required for the response. The requirement of CD4+ T cells can be bypassed by CD40 cross-linking of the gene-modified DC, and the immune response in a CD4-null environment generated by CD40-engaged DC is abrogated when CD8+ T cells are depleted (7). Therefore, the emerging picture suggests that gene-modified DC present Ag through MHC class II to CD4+ Th cells, which engage the CD40 receptor on the DC leading to activation of effector CD8+ CTL recognizing cognate Ag presented by MHC class I molecules.

CD8{alpha} knockout (CD8{alpha}KO) mice have no detectable MHC class I-restricted responses (8, 9), and have been widely used to study the role of CD8+ T cells in immune responses. The CD8 molecule is a disulfide-linked transmembrane heterodimer of {alpha}- and {beta}-chains. The cytoplasmic tail of the CD8 {alpha}-chain associates with intracellular tyrosine kinases critically involved in TCR-mediated signaling (10). CD8 {beta}-chain lacks motifs for interacting with known signaling molecules, and in the absence of CD8 {alpha}-chains does not reach the cell surface. Therefore, the CD8 {beta}-chain cannot replace the absence of CD8 {alpha}-chains, and homodimers of CD8{beta} are not expressed in CD8{alpha}KO mice.

In our previous experience, CD8 Ab depletion completely abrogated antitumor responses induced by immunization with DC transduced using an adenovirus encoding the MART-1 melanoma Ag (AdVMART1) in wild-type C3H and C57BL/6 mice (7, 11, 12). However, when we extended these studies to CD8{alpha}KO mice, an unexpected observation of markedly improved protection to a B16 tumor challenge was consistently noted. In this work, we characterize the immunobiology of this effective antitumor response, which is mediated by an interaction between lytic NK cells and cytokine-producing CD4+ T cells. The antitumor activity of these DC-activated cells efficiently surpasses that which can be achieved in a wild-type, CD8+ environment.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines and recombinant adenoviral vectors

B16, a murine melanoma; EL4, a murine lymphoma cell line; and 3LL, a murine lung carcinoma, were obtained from the American Type Culture Collection (Manassas, VA). B16 and EL4 were maintained in vitro in DMEM (Life Technologies) and 3LL in RPMI 1640, in both cases supplemented with 10% FCS (Gemini Bio-Products, Calabasas, CA) and 1% (v/v) penicillin, streptomycin, and amphotericin (Gemini Bio-Products). Generation of EL4 and 3LL MART-1 and NeoR stable transfectants has been previously described (12). Stably transfected cells were maintained in vitro under constant G418 selection (0.5 mg/ml; Life Technologies, Rockville, MD). AdVMART1 and AdVLacZ are E1-deleted replication-deficient adenoviral vectors based on human type 5 adenoviruses. The construction and characterization of these vectors have been described previously (11, 13). The transgenes are driven by the human CMV early promoter/enhancer.

Preparation of DC and adenoviral transduction

DC were differentiated from bone marrow progenitor cells derived from C57BL/6 or CD8{alpha}KO mice by in vitro culture in GM-CSF and IL-4, as described previously (14) with modifications (13). DC were harvested as loosely adherent cells and transduced in RPMI 1640 with 2% FCS transduction medium at a multiplicity of infection of 100 viral PFU per each DC when the final volume was 1 ml, and a multiplicity of infection of 200 when the final volume was 2 ml. Transduction was conducted for 2 h at 37°C, after which time 5 vol of 10% FCS RPMI 1640 medium was added to neutralize free virus, and then the AdV-transduced DC were washed twice in PBS and resuspended in 0.2 ml of PBS per animal for injection. Transduction efficiency of murine DC using these procedures is >70% (11, 13). After assessment of the lack of contribution of the MART-1 Ag or the adenoviral transduction to the protective phenotype generated by DC administration, groups of mice receiving DC with or without adenoviral vector transduction were pooled for data analysis.

Mice and confirmation of CD8{alpha} deficiency in CD8{alpha}KO mice

C57BL/6 and CD8 {alpha}-chain KO mice in a C57BL/6 background (B6.129S2-Cd8{alpha}tm1Mak, backcrossed >28 generations) were purchased from The Jackson Laboratory (Bar Harbor, ME) and were bred and kept under specific pathogen-free conditions at the Animal Facility of the Division of Experimental Radiation Oncology, University of California. Mice were handled in accordance with the University of California animal care policy. Five- to 8-wk-old female or male mice were used, with each study using mice from only one gender and close birth dates. CD8{alpha}KO mice used in the current studies were confirmed to be genetically deficient of CD8{alpha} by flow cytometry. To rule out the possibility of being leaky for the CD8 {alpha}-chain or that CD8 {beta}-chain homodimers substituted the genetic deficient in CD8 {alpha}-chains, splenocytes from 4-wk- to 4-mo-old, unimmunized or DC-immunized CD8{alpha}KO mice were stained with CD8 {alpha} (clone 53-6.7; BD PharMingen, San Diego, CA)- and CD8 {beta} (clone 53-5.8; BD PharMingen)-chain Abs by flow cytometry. This was compared with splenocytes from wild-type C57BL/6 mice.

Skin graft transplantation

Mice were anesthetized with i.p. ketamine (200 mg/kg) and xylazine (10 mg/kg). Full-thickness (0.5 x 0.5 cm) skin was harvested from a shaved area of the dorsal skin. The graft was fixed to the recipient mouse with sutures of 6-O silk thread. Rejection was defined as a totally necrotic graft.

Animal studies

Mice were immunized on days 1 and 8 with 1–5 x 105 DC/mouse administered s.c. in the right flank, and challenged on the left flank 10–14 days after the last immunization with B16 or 3LL stably transfected with MART-1 or NeoR mock-transfected cells (7–10 x 104 cells/animal). B16 cells used for tumor challenge were obtained from single cell suspensions of progressively growing tumors in syngeneic mice to avoid the confounding effects of the presentation of medium- and serum-derived epitopes. To generate single cell suspensions, tumors were surgically removed, decapsulated, and minced. Minced tumors underwent enzymatic digestion for 1–2 h with DNase I (0.1 mg/ml; Sigma-Aldrich, St. Louis, MO) and collagenase D (1 mg/ml; Boehringher Mannheim, Indianapolis, IL) in 50 ml of AIM-V medium (Life Technologies). Viable cells were washed three times in PBS and resuspended in 0.2 ml of PBS per animal to be injected s.c. into the left flank. Injected cells were >70% viable, as determined by trypan blue exclusion (11, 12, 13). There was no difference in protection when using B16 tumors harvested from CD8aKO or C57BL/6 mice (data not shown), and tumors for passage were always harvested from non-DC-administered mice. Each treatment group typically contained five mice for in vivo tumor challenge studies and one mouse to obtain splenocytes for in vitro studies (ELISPOT, 51Cr release assays).

In vivo Ab treatment

In vivo mAb ablation of CD8+ (clone 2.43), CD4+ (clone GK1.5) T cell subsets, and NK1.1+ (clone PK136) cells was performed by i.p. injection of 100 µg of purified endotoxin-free Ab/mouse/injection (BD PharMingen) on days −5, −3, and −1 before tumor inoculation, and every 6 days thereafter. Monitoring of successful depletion was performed by flow cytometry on splenocytes harvested on the day of tumor inoculation for CD4- and CD8-depleting Abs. NK depletion was confirmed by NK cell activity microcytotoxicity assays using the NK-sensitive Yac-1 cell line as target cells (Yac-1 assay).

Cytotoxicity assays

For in vitro microcytotoxicity assays, splenocytes were harvested 14 days after the last immunization, depleted of RBC by hypotonic lysis, cultured in vitro with or without irradiated EL4 or EL4(MART-1) at a 25:1 ratio, or no stimulator cells (as indicated) for 96 h, in all cases in the presence of 10 U/ml IL-2, and assayed in a standard 4-h chromium release test. After assessment of the lack of contribution of the restimulator cells or the MART-1 Ag in the generation of lytic effector cells, subsequent studies were performed with RBC-depleted splenocytes kept in complete medium in the presence of 10 U/ml IL-2 for 96 h.

Cytokine profile by ELISPOT

RBC-depleted splenocytes, cultured in vitro for 48 h at the same conditions described above for cytotoxicity assays, were added in duplicate 3-fold dilutions to 96-well mixed cellulose plates (Multiscreen filtration system; Millipore, Bedford, MA) precoated with anti-IFN-{gamma} Ab (BD PharMingen) and incubated for 24 h at 37°C, as previously described (12, 15, 16, 17). Spots were developed using a secondary biotin-labeled Ab and counted under a dissecting microscope.

In vitro cellular subset selection

In selected studies, splenocytes were positively or negatively selected for CD3+, CD4+, NK1.1+, and {alpha}{beta}TCR+ cells using magnetic columns (Miltenyi Biotec, Auburn, CA), following the manufacturer’s instructions. Successful cell subset isolation or depletion was monitored by flow cytometry comparing pre- and postcolumn samples.

Adoptive transfer studies

Splenocytes from AdVMART1/DC-immunized CD8{alpha}KO mice were harvested, depleted of RBC, and prepared for reinjection without an ex vivo stimulation step. In selected studies, splenocytes underwent NK1.1 selection using magnetic columns (Miltenyi Biotec). Splenocytes were washed twice in PBS, and 5 x 106 cells/mouse in 0.2 ml of PBS were injected i.v. One week later, spleens of host mice receiving splenocyte adoptive transfer were harvested and used in microcytotoxicity assays.

Statistical analysis

Results of in vivo studies are presented as the mean and SEM of tumor volumes in each treatment group, or as the time to first tumor development. In tumor volume graphs, mice completely protected from a tumor challenge are presented separate from mice that did develop tumors to allow correct assessment of the rate of tumor growth (13). Treatment groups divided into mice with and without tumors in a tumor volume plot are noted with the number of mice with (or without) tumor from that group over the total number of mice in the group, which is shown in parentheses in the graph. Significance in tumor volume graphs, number of IFN-{gamma}-producing cells in ELISPOT assays, and lytic activity in microcytotoxicity assays is calculated using the t test. Graphs of tumor development over time are presented using Kaplan-Meier plots, with the significance calculated using the log-rank test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Superior protection to B16 in CD8{alpha}KO mice

Protective B16-specific antitumor responses after immunization with AdVMART1 gene-modified DC in C57BL/6 wild-type mice are abrogated by Ab-mediated depletion of either CD8+ or CD4+ T cell populations (7, 12, 18). The contribution of CD4+ Th cells can be bypassed by DC maturation through CD40 cross-linking; depletion of CD8+ T cells in this setting abrogates the response (7), indicating that MHC class I-restricted CD8+ T cells are the critical effectors in the wild-type environment.

We decided to immunize CD8{alpha}KO mice with the goal of studying pure CD4 responses to AdVMART1/DC vaccination. CD8{alpha}KO and wild-type C57BL/6 mice were immunized with two weekly s.c. injections of DC-based vaccines and then challenged 10–14 days later with the MART-1-positive murine melanoma B16. Cells for tumor challenge were obtained from progressively growing s.c. tumors in syngeneic mice, and therefore not exposed to xenoantigens derived from bovine serum. Fig. 1 shows a representative tumor growth experiment, with unimmunized C57BL/6 wild-type and CD8{alpha}KO mice all developing rapidly progressing B16 tumors. Consistent with what we have previously described (7, 12, 17, 18), wild-type C57BL/6 mice immunized with AdVMART1/DC had partial or complete protection to a B16 tumor challenge, which was abrogated by CD8 Ab-mediated depletion. CD8{alpha}KO mice immunized with AdVMART1/DC actually had superior levels of protection to B16 tumor challenge compared with wild-type mice. Moreover, the administration of CD8-depleting Ab had no effect on protection (p = 0.01 compared with control mice). Thus, cells expressing the CD8 phenotypic marker, essential for protection in wild-type mice, are neither present nor required in CD8{alpha} genetically deficient mice. A cumulative analysis of 17 independent studies using a total of 139 wild-type and 187 CD8{alpha}KO mice confirmed higher levels of protection to B16 in CD8{alpha}KO compared with wild-type mice after DC administration (70 vs 30.5%, p < 0.0001).



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FIGURE 1. CD8{alpha}KO mice immunized with DC have superior protection to B16 compared with C57BL/6 mice. Tumor volume over time in C57BL/6 wild-type (A) and CD8{alpha}KO (B) mice immunized with AdVMART1/DC and challenged with B16 (5 mice per group). Subgroups of mice received CD8-depleting Ab i.p. and successful (>95%) cell subset depletion were confirmed before B16 tumor challenge (data not shown). This study has been repeated twice with similar results.

 
Confirmation of CD8{alpha} deficiency in CD8aKO mice and lack of minor histocompatibility mismatch between wild-type and CD8{alpha}KO mice

CD8{alpha}KO mice were generated by Mak and colleagues (8, 9) by targeted disruption in D3 embryonic stem cells from 129/sv mice, which were injected into C57BL/6 blastocysts to generate the chimeric mice. Mice backcrossed for >28 generations were obtained from The Jackson Laboratory. To confirm their CD8{alpha}KO phenotype, splenocytes were stained for flow cytometry. There were no detectable surface CD8 {alpha}- or CD8 {beta}-chains on splenocytes from CD8{alpha}KO mice at any age tested (the CD8 {beta}-chain requires the presence of CD8 {alpha}-chains to make functional heterodimers), while splenocytes from wild-type mice were positive for both CD8 {alpha}- and CD8 {beta}-chains (data not shown). Because the original embryonic cell line was derived from 129/sv mice, there was the possibility of residual minor histocompatibility mismatch between C57BL/6 mice and CD8{alpha}KO mice despite the extensive backcrossing. This was ruled out by the acceptance of reciprocal skin grafts between wild-type and CD8{alpha}KO mice in C57BL/6 background (data not shown).

Ag nonspecificity of protection

This protection in CD8{alpha}KO mice appears to be an Ag-independent and transduction-independent phenomenon. Mice receiving DC transduced with AdVLacZ or untransduced DC exhibited the same degree of protection to a B16 tumor challenge (Fig. 2A; p = 0.008 when comparing any of the three DC-administered groups with the control group). Ag nonspecificity was reinforced in experiments in which mice received AdVMART1/DC and were also challenged with the Lewis lung carcinoma (3LL) cell line stably transfected with MART-1 or a control selectable marker (Neo). Cumulative tumor development curves from two independent studies in mice challenged with 3LL(MART1) or 3LL(Neo) demonstrate that there was no difference in in vivo protection (Fig. 2B). Therefore, DC administration, and not adenoviral vector transduction nor the engineering with a defined tumor Ag, is responsible for the protective phenotype.



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FIGURE 2. Ag-nonspecific protection to a B16 challenge by DC administration in CD8{alpha}KO mice. A, Tumor volume graph of B16 growth in CD8{alpha}KO receiving DC transduced with AdVMART1, AdVLacZ, or untransduced DC compared with unimmunized mice (control). This study has been repeated five times with similar results. B, CD8{alpha}KO mice received AdVMART1/DC vaccines and were challenged with either 3LL(Neo) or 3LL(MART1) (10 mice per group). Unimmunized mice all developed progressive 3LL tumors, while no difference in antitumor protection was noted comparing MART-1-positive or mock-transfected 3LL cells. This study has been repeated twice with similar results.

 
NK1.1+ and CD4+ cells are required for the in vivo protection in CD8{alpha}KO mice

We then studied the contribution of immune cell subsets in the response observed in CD8{alpha}KO mice. Depletion of NK1.1+ cells (PK136 hybridoma; Fig. 3A) or CD4+ T cells (GK1.5 hybridoma; Fig. 3B) led to abrogation of protection to B16. NK1.1 depletion led to a complete loss of the protective phenotype (p = 0.014; Fig. 3A), while depletion of CD4+ T cells still allowed a 1-wk delay in tumor outgrowth (p = 0.006; Fig. 3B). Splenocytes from DC-sensitized CD8{alpha}KO mice produced IFN-{gamma} in ELISPOT assays and were cytotoxic for B16 in microcytotoxicity assays (see Figs. 4a and 6a), but could not be demonstrated in NK1.1- nor CD4-depleted mice (data not shown). These reproducible findings suggest to us that cells bearing the NK1.1 marker can provide only partial tumor suppression by themselves in DC-sensitized CD8{alpha}KO mice, and collaborate in some manner with CD4+ cells to effect complete protection. The steady state or after DC administration numbers of CD4+ and NK1.1+ splenocytes were the same in CD8{alpha}KO and C57BL/6 mice, evaluated by flow cytometry (data not shown), suggesting that the number of responsive cells was not responsible for the difference in protection.



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FIGURE 3. Critical involvement of NK1.1+ and CD4+ cells in the in vivo protective response to DC in CD8{alpha}KO mice. A, CD8{alpha}KO mice received DC, and subgroups of these mice were then depleted of NK1.1+ cells using PK136 hybridoma. Cell subset depletion was confirmed before B16 tumor challenge. B, CD8{alpha}KO mice received DC, and subgroups of these mice were then depleted of CD4+ cells using GK1.5 hybridoma. Cell subset depletion was confirmed before B16 tumor challenge (data not shown). These studies have been repeated three times with similar results.

 


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FIGURE 4. Ag-nonspecific IFN-{gamma}-producing splenocytes after DC activation are CD4+. A, Wild-type and CD8{alpha}KO mice received DC administrations with or without AdVMART1 transduction. The presence of IFN-{gamma}-producing cells was assessed in ELISPOT assays with splenocytes cultured in vitro for 48 h in the presence of EL4(MART-1), untransduced EL4, or in the absence of restimulator cells. B, NK1.1 or CD4 positively or negatively selected splenocytes derived from DC-activated CD8{alpha}KO mice were cultured without restimulator cells and added to an ELISPOT plate. This study has been repeated twice with similar results.

 


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FIGURE 6. Successful splenocyte adoptive transfer to naive CD8{alpha}KO, but not naive C57BL/6 wild-type mice, without detectable inhibition by CD8+ cells from wild-type mice adoptively transferred to CD8{alpha}KO mice. A, Adoptive transfer of splenocytes (5 x 106 RBC-depleted splenocytes injected i.v., without ex vivo activation) from DC-activated CD8{alpha}KO mice confers lytic activity in naive CD8{alpha}KO, but not wild-type mice. Microcytotoxicity assay using B16 as tumor target. This study has been repeated three times with similar results. B and C, Lack of detectable suppressive effect of CD8+ T cells from wild-type mice administered to CD8{alpha}KO mice. CD8{alpha}KO mice received adoptive transfer of CD8+ or CD8 splenocytes (5 x 106 injected i.v.) from naive C57BL/6 mice, followed 4 days later by s.c. DC administration. Two weeks later, splenocytes were harvested and assayed for the number of IFN-{gamma}-producing cells by ELISPOT (B) or lytic activity in microcytotoxicity assay using B16 as tumor target (C).

 
CD4+ cells produce IFN-{gamma} in an Ag-independent manner after DC administration to CD8{alpha}KO mice

Splenocytes from CD8{alpha}KO mice receiving DC s.c. administrations were restimulated in 10 U/ml IL-2 with MART-1-transfected or negative EL4 cells, or without restimulator cells, and cells producing IFN-{gamma} were enumerated using ELISPOT assays. In a series of seven studies, wild-type and CD8{alpha}KO mice received DC with or without MART-1 gene modification and were cultured in the presence or absence of restimulator cells. Wild-type mice immunized with AdVMART1/DC generated an Ag-specific response, with significant differences when splenocytes were restimulated with MART-1-positive or -negative EL4 (p = 0.00012; Fig. 4A), while the number of IFN-{gamma}-producing cells in the absence of restimulator cells was close to background. On the contrary, DC-sensitized splenocytes from CD8{alpha}KO mice produced the same level of IFN-{gamma} production regardless of the presence or absence of MART-1-expressing restimulator cells (p not significant; Fig. 4A), again suggesting that this is an Ag-independent response. Depletion of CD4+ T cells before adding the splenocytes to the ELISPOT plate removed the IFN-{gamma}-producing cells. Addition of purified CD4+ T cells completely restored the ability to produce IFN-{gamma} in this assay. No difference in the number of cytokine-producing cells was noted when NK1.1+ cells were depleted (Fig. 4B). In summary, the IFN-{gamma} response in CD8{alpha}KO mice was Ag nonspecific, and production of this cytokine is entirely dependent on CD4+ T cells.

Cells with an NK phenotype are responsible for the lytic activity in vitro

We attempted to define the contribution of NK1.1+ lytic cells in vitro by subset isolation before microcytotoxicity assays. NK1.1+ cells may be true NK cells, CD1-restricted NKT cells, Qa-1-restricted NK-CTLs, or TCR-restricted CTL with constitutive or acquired NK1.1 expression (NK1.1+ CD8 wannabes) (19, 20, 21, 22). For these assays, splenocytes obtained from DC-administered CD8{alpha}KO mice were run through NK1.1, CD3, and {alpha}{beta}TCR magnetic isolation columns before mixing with chromated B16 cells. Successful depletion and cell isolation were monitored by flow cytometry (data not shown). NK1.1+ cells alone were sufficient to lyse B16 in vitro, while the NK1.1-negative cell fraction had decreased lytic activity (Fig. 5A). When cells were separated using CD3 and {alpha}{beta}TCR columns (Fig. 5, B and C), only cells without these two T cell markers maintained lytic activity. Therefore, lytic cells in vitro have a NK1.1+ {alpha}{beta}TCR CD3 phenotype.



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FIGURE 5. NK1.1+ {alpha}{beta}TCR CD3 cells are responsible for in vitro target cell lysis of B16. Microcytotoxicity assay with B16 as tumor target using DC-activated splenocytes from CD8{alpha}KO mice with NK1.1 (A), CD3 (B), and {alpha}{beta}TCR (C) column isolation before being added to the chromated target cells.

 
NK1.1+-activated splenocytes from CD8{alpha}KO mice maintain lytic activity when transferred to naive CD8{alpha}KO mice, but not to naive C57BL/6 mice

To further define the population responsive for the protective phenotype, splenocytes from DC-activated CD8{alpha}KO mice were adoptively transferred into naive host CD8{alpha}KO or C57BL/6 wild-type mice. These splenocytes could transfer lytic activity to B16 when injected into naive CD8{alpha}KO mice, but not to C57BL/6 wild-type mice (p = 0.0004; Fig. 6A), suggesting that wild-type mice have a negative regulatory mechanism that inhibits the lytic activity of the transferred cells. To determine whether CD8+ splenocytes from wild-type mice were a suppressive population inhibiting the stimulatory actions of DC in CD8{alpha}KO mice, CD8{alpha}KO mice received i.v. adoptive transfer of CD8+ or CD8 splenocytes from wild-type mice (5 x 106 cells/mouse) and then received DC s.c. 4 days later. Spleens were harvested 2 wk later and assayed by ELISPOT and 51Cr release assays. There was no difference in the number of IFN-{gamma}-producing cells (Fig. 6B; p nonsignificant comparing addition of CD8+ or CD8 splenocytes from wild-type mice) or lytic activity to B16 (Fig. 6C; p nonsignificant) regardless of receiving or not receiving CD8+ splenocytes from wild-type mice i.v. Therefore, we were unable to detect a suppressive effect of CD8+ T cells from wild-type mice at the tested conditions.

To determine which cell subset was responsible for IFN-{gamma} production and lytic activity in recipient CD8{alpha}KO mice, splenocytes from DC-activated CD8{alpha}KO mice were positively or negatively selected for NK1.1+ cells by passage through magnetic columns and then adoptively transferred i.v. to naive CD8{alpha}KO mice. The flow through and eluted cell populations were confirmed to contain the relevant subpopulation by flow cytometry, routinely with <5% contaminating cells (data not shown). Depletion of NK1.1+ cells from the donor splenocytes decreased the number of IFN-{gamma}-producing cells in the recipient mouse splenocytes assessed by ELISPOT assays, while reconstitution with DC-activated NK1.1+ cells alone was sufficient to adoptively transfer the ability to generate IFN-{gamma} to host CD8{alpha}KO mice (Fig. 7A). Adoptive transfer of NK1.1+ cells alone also resulted in transfer of in vitro lytic activity to B16, at levels equivalent to the transfer of whole splenocytes from DC-administered CD8{alpha}KO mice (Fig. 7B). In agreement with the results of ELISPOT assays, depletion of NK1.1+ from splenocytes derived from DC-immunized CD8{alpha}KO mice into naive CD8{alpha}KO host mice had lower lytic activity (p = 0.01 when comparing lytic activity from NK+ vs NK splenocytes). In conclusion, adoptive transfer of DC-activated NK1.1+ cells was able to transfer splenic IFN-{gamma}-producing ability and lytic activity to B16 in host CD8{alpha}KO mice.



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FIGURE 7. NK1.1+ splenocyte adoptive transfer is sufficient to transfer the ability to generate IFN-{gamma} and B16 lysis to host CD8{alpha}KO mice. A, ELISPOT analysis of IFN-{gamma}-producing splenocytes after adoptive transfer of splenocytes from DC-activated CD8{alpha}KO donor mice to naive CD8{alpha}KO recipient mice, with or without NK1.1 depletion. B, Microcytotoxicity assay with B16 as tumor target and splenocytes from host CD8{alpha}KO mice as effector cells, with or without adoptive transfer of NK1.1+ or NK1.1 splenocytes from DC-immunized CD8{alpha}KO mice. These studies have been repeated twice with similar results.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Administration of DC to CD8{alpha}KO mice induces an effective Ag-independent protective response to B16, which suggests that CD8{alpha} genetically deficient mice have developed a DC-stimulated compensatory mechanism that efficiently bypasses the need for CD8+ CTL. The in vivo protection is independent of FCS-mediated epitopes, because the cells used for tumor challenge were derived from syngeneic mice and not exposed to culture medium. Our data suggest that cells with an NK phenotype play a major role in the antitumor response in CD8{alpha}KO mice, and in collaboration with CD4+ Th cells they provide complete protection in most animals. We have also confirmed these findings of increased protection in a CD8 genetically deficient environment using {beta}2-microglobulin KO mice (23), which lack MHC class I molecules (24).

Murine studies showed that DC can stimulate NK cells, leading to in vivo antitumor activity to NK-preferred (MHC low) tumor cells (25). The NK-DC interaction was shown to be contact dependent and resulted in activation of both NK lytic activity and IFN-{gamma} production (25). Subsequent studies have confirmed these observations in human in vitro cell cultures (26, 27, 28, 29, 30). Additional studies focused on the possible role of NK cells in the activation of Ag-specific CTL responses generated by tumor Ag-loaded DC. Studies in both murine and human model systems showed that NK cells contributed to CTL generation (31, 32). The majority of reports on the immunological mechanism of response to tumor Ag gene-modified DC vaccines have shown that both CD4+ and CD8+ T cells are critically involved (reviewed in Ref. 2). Protection in the absence of CD8+ T cells has been reported in one model, although there has been no observation of enhanced immunity in the CD8 genetically null environment (33). Similarly, the contribution of NK cells to the protective response after tumor Ag gene-modified DC vaccines has been infrequently reported, although it has been reported that NK1.1 depletion partially abrogated protective responses in two models (33, 34). Therefore, a two or three cell interaction may be involved in the antitumor response generated by gene-modified DC in the wild-type environment.

CD8{alpha}KO mice have a homologous recombination in the CD8{alpha} locus, leading to absent intracellular and surface expression of CD8 molecules, which has allowed the study of the role of this surface molecule in CTL function (8, 9). These mice provided evidence that the major role of the CD8 molecule is the stabilization of the interaction between the TCR and MHC class I molecules (35). We confirmed that mice used in the current studies were deficient in CD8{alpha} and {beta} surface expression; we were unable to detect even small numbers of CD8+ cells that could conceivably play a role in this protective phenotype. No significant expression of CD4 TCRhigh T cells with lytic activity is observed in CD8{alpha}KO mice compared with wild-type mice (8), suggesting that the CD8{alpha} molecule is critically required for CTL generation, and CD8 wannabes (cells with the same function as CD8+ CTL, but only missing CD8 molecules on their surface) are not efficiently generated in these mice (19). This is in contrast to the detection of MHC class II-restricted responses in CD4KO mice, which are mediated by CD4 CD8 TCRhigh T cells (CD4 wannabes) (36). However, when the role of the CD8 molecule in thymocyte development was studied using strong xenoantigens, a population of CD4 TCRhigh T cells with intracellular CD8{beta} (thereby demonstrating a clear CD8 lineage commitment) could be generated under nonphysiologic conditions of high affinity agonistic heteroclictic epitopes (19). Our data suggest that DC are able to stimulate a population of Ag-independent NK1.1+ cells, leading to a very effective antitumor protective response, thereby suggesting that CD8{alpha}KO mice may allow the direct study of DC-stimulated innate immune responses.

A number of immune effector populations in CD8{alpha}KO mice may bear the NK1.1 marker. These include CD1-restricted NKT cells, Qa-1-restricted NK-CTLs, atypical CD8-negative CTL with NK1.1 expression (CD8 wannabes), and classical NK cells (19, 20, 21, 22). NKT and NK-CTLs coexpress {alpha}{beta}TCR and CD3 (characteristic of T cells) and the NK1.1 receptor (characteristic of NK cells), a phenotype distinct from the effector cells in our model (21, 22). The lack of T cell markers in the lytic cells in this model and the Ag nonspecificity also rule out a major contribution by MHC class I-restricted CD8 CTL with NK1.1 expression. The functional phenotype of DC-induced lytic cells in this model suggests that these cells are closely related to NK cells.

CD4+ cells are required in the induction phase of this response, but not in adoptive transfer studies using splenocytes from DC-sensitized mice. The CD4 response is detected by suboptimal protection in their absence in in vivo depletion studies, and the Ag-independent production of stimulatory cytokines in ELISPOT assays. Therefore, CD4+ T cells are likely to have a helper role for NK activation after DC administration in this model, although we cannot formally exclude the participation of CD4+ NK1.1+ double-positive NK or NKT cells (20, 21, 37). NK activity requires cytokines that can be produced by CD4+ T cells (IFN, IL-2, IL-15). However, these cytokines can also be produced by other cell subsets, and a direct helper role of CD4+ T cells on NK activation has not been established (37). Our observations of a NK- and CD4-dependent protection in this CD8-deficient environment may allow further study of the CD4-NK interactions after DC stimulation.

AdVMART1/DC-immunized wild-type C57BL/6 mice have inferior protection to B16 compared with CD8{alpha}KO mice, which suggests that the DC-responsive cells in CD8{alpha}KO mice are not subjected to the same regulatory control as those in wild-type mice. Adoptive transfer of DC-activated CD8{alpha}KO splenocytes into naive CD8{alpha}KO mice replicates the surrogate immunological marker of lytic activity, but not when transferred to naive wild-type mice. The difference between these mice is CD8{alpha} cells, which implicates them as a regulatory/inhibitory population in a wild-type setting. These inhibitory cells are likely to be CD8+ T cells or inhibitory CD8+ APC. A subpopulation of alloreactive T suppressor cells with a CD8+/CD28 phenotype has been described, and their suppressor effect has been attributed to inhibition of CD40-dependent signaling pathways in APC (38). Also, a subset of IL-10-producing CD8+ T cells activated by DC has immune-suppressive functions (39). However, addition of putative CD8+ splenocytes from wild-type mice to CD8aKO mice, at the conditions tested in Fig. 6, B and C, failed to define a suppressive role of these cells. Further investigation in the mechanism of suboptimal response to DC in wild-type mice and lack of function of adoptively transferred DC-activated splenocytes from CD8{alpha}KO mice is ongoing.

It has been long recognized that T cell-deficient mice have enhanced NK responses, and this has been casually linked to T cell-produced TGF-{beta}1, which has the role of limiting innate responses, while adaptive responses become active after certain viral infections (40). Full characterization of the putative CD8+-suppressive cell population in wild-type mice might provide insight on the critical negative regulatory pathway that prevents the development of the same level of strong anti-B16-protective immunity in wild-type mice compared with CD8{alpha}KO mice, thereby providing new clues in how to enhance the activity of DC.

In conclusion, we report remarkable tumor protection in response to DC in mice congenitally deficient in CD8+ T cells. Our data support a multicellular response to DC administration in CD8{alpha}KO mice, which consist of lytic cells with an NK phenotype and cytokine-producing CD4+ T cells. This is an Ag and adenoviral transduction-independent response. Understanding the mechanism of NK cell activation by DC, the implication of CD4+ T cells, their mechanism of target cell recognition and killing, and the nature of the suppressive cells in wild-type environments may allow enhancement of the benefits of DC-based immunotherapy.


    Footnotes
 
1 This work was supported in part by National Institutes of Health/National Cancer Institute Grants RO1 CA77623, RO1 CA79976, T32 CA75956, and K12 CA76905 (all to J.S.E.); the Stacy and Evelyn Kesselman Research Fund; and the Monkarsh Fund. A.R. is a recipient of an American Society of Clinical Oncology Career Development Award, a Stop Cancer Career Development Award, and K23 CA93376. L.H.B. is a recipient of a University of California Human Gene Medicine Seed Grant and American Heart Association Career Development Award 0330102N. Back

2 Address correspondence and reprint requests to Dr. Antoni Ribas, Division of Hematology-Oncology, 11-934 Factor Building, University of California Medical Center, 10833 Le Conte Avenue, Los Angeles, CA 90095-1782. E-mail address: aribas{at}mednet.ucla.edu Back

3 Abbreviations used in this paper: DC, dendritic cell; AdVMART1, replication-deficient adenoviral vector encoding MART-1 melanoma Ag; KO, knockout. Back

Received for publication August 22, 2003. Accepted for publication January 28, 2004.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Kirk, C. J., J. J. Mule. 2000. Gene-modified dendritic cells for use in tumor vaccines. Hum. Gene Ther. 11:797.[Medline]
  2. Ribas, A., L. H. Butterfield, J. A. Glaspy, J. S. Economou. 2002. Cancer immunotherapy using gene-modified dendritic cells. Curr. Gene Ther. 2:57.[Medline]
  3. Perez-Diez, A., L. H. Butterfield, L. Li, N. G. Chakraborty, J. S. Economou, B. Mukherji. 1998. Generation of CD8+ and CD4+ T cell responses to dendritic cells genetically engineered to express the MART-1/Melan-A gene. Cancer Res. 58:5305.[Abstract/Free Full Text]
  4. Zum Buschenfelde, C. M., J. Metzger, C. Hermann, N. Nicklisch, C. Peschel, H. Bernhard. 2001. The generation of both T killer and Th cell clones specific for the tumor-associated antigen HER2 using retrovirally transduced dendritic cells. J. Immunol. 167:1712.[Abstract/Free Full Text]
  5. Arthur, J. F., L. H. Butterfield, M. D. Roth, L. A. Bui, S. M. Kiertscher, R. Lau, S. Dubinett, J. Glaspy, W. H. McBride, J. S. Economou. 1997. A comparison of gene transfer methods in human dendritic cells. Cancer Gene Ther. 4:17.[Medline]
  6. Morelli, A. E., A. T. Larregina, R. W. Ganster, A. F. Zahorchak, J. M. Plowey, T. Takayama, A. J. Logar, P. D. Robbins, L. D. Falo, A. W. Thomson. 2000. Recombinant adenovirus induces maturation of dendritic cells via an NF-{kappa}B-dependent pathway. J. Virol. 74:9617.[Abstract/Free Full Text]
  7. Ribas, A., L. H. Butterfield, S. N. Amarnani, V. B. Dissette, D. Kim, W. S. Meng, G. A. Miranda, H. J. Wang, W. H. McBride, J. A. Glaspy, J. S. Economou. 2001. CD40 cross-linking bypasses the absolute requirement for CD4 T cells during immunization with melanoma antigen gene-modified dendritic cells. Cancer Res. 61:8787.[Abstract/Free Full Text]
  8. Fung-Leung, W. P., M. W. Schilham, A. Rahemtulla, T. M. Kundig, M. Vollenweider, J. Potter, W. van Ewijk, T. W. Mak. 1991. CD8 is needed for development of cytotoxic T cells but not helper T cells. Cell 65:443.[Medline]
  9. Koh, D. R., W. P. Fung-Leung, A. Ho, D. Gray, H. Acha-Orbea, T. W. Mak. 1992. Less mortality but more relapses in experimental allergic encephalomyelitis in CD8−/− mice. Science 256:1210.[Abstract/Free Full Text]
  10. Miceli, M. C., J. R. Parnes. 1993. Role of CD4 and CD8 in T cell activation and differentiation. Adv. Immunol. 53:59.[Medline]
  11. Ribas, A., L. H. Butterfield, W. H. McBride, V. B. Dissette, A. Koh, C. M. Vollmer, B. Hu, A. Y. Chen, J. A. Glaspy, J. S. Economou. 1999. Characterization of antitumor immunization to a defined melanoma antigen using genetically engineered murine dendritic cells. Cancer Gene Ther. 6:523.[Medline]
  12. Ribas, A., L. H. Butterfield, B. Hu, V. B. Dissette, A. Y. Chen, A. Koh, S. N. Amarnani, J. A. Glaspy, W. H. McBride, J. S. Economou. 2000. Generation of T-cell immunity to a murine melanoma using MART-1-engineered dendritic cells. J. Immunother. 23:59.
  13. Ribas, A., L. H. Butterfield, W. H. McBride, S. M. Jilani, L. A. Bui, C. M. Vollmer, R. Lau, V. B. Dissette, B. Hu, A. Y. Chen, et al 1997. Genetic immunization for the melanoma antigen MART-1/Melan-A using recombinant adenovirus-transduced murine dendritic cells. Cancer Res. 57:2865.[Abstract/Free Full Text]
  14. Inaba, K., M. Inaba, N. Romani, H. Aya, M. Deguchi, S. Ikehara, S. Muramatsu, R. M. Steinman. 1992. Generation of large numbers of dendritic cells from mouse bone marrow cultures supplemented with granulocyte/macrophage colony-stimulating factor. J. Exp. Med. 176:1693.[Abstract/Free Full Text]
  15. Butterfield, L. H., A. Koh, W. Meng, C. M. Vollmer, A. Ribas, V. Dissette, E. Lee, J. A. Glaspy, W. H. McBride, J. S. Economou. 1999. Generation of human T-cell responses to an HLA-A2.1-restricted peptide epitope derived from {alpha}-fetoprotein. Cancer Res. 59:3134.[Abstract/Free Full Text]
  16. Butterfield, L. H., W. S. Meng, A. Koh, C. M. Vollmer, A. Ribas, V. B. Dissette, K. Faull, J. A. Glaspy, W. H. McBride, J. S. Economou. 2001. T cell responses to HLA-A*0201-restricted peptides derived from human {alpha} fetoprotein. J. Immunol. 166:5300.[Abstract/Free Full Text]
  17. Ribas, A., L. H. Butterfield, B. Hu, V. B. Dissette, W. S. Meng, A. Koh, K. J. Andrews, M. Lee, S. N. Amar, J. A. Glaspy, et al 2000. Immune deviation and Fas-mediated deletion limit antitumor activity after multiple dendritic cell vaccinations in mice. Cancer Res. 60:2218.[Abstract/Free Full Text]
  18. Ribas, A., S. N. Amarnani, G. M. Buga, L. H. Butterfield, V. B. Dissette, W. H. McBride, J. A. Glaspy, L. J. Ignarro, J. S. Economou. 2002. Immunosuppressive effects of interleukin-12 coexpression in melanoma antigen gene-modified dendritic cell vaccines. Cancer Gene Ther. 9:875.[Medline]
  19. Goldrath, A. W., K. A. Hogquist, M. J. Bevan. 1997. CD8 lineage commitment in the absence of CD8. Immunity 6:633.[Medline]
  20. Lanier, L. L.. 1998. NK cell receptors. Annu. Rev. Immunol. 16:359.[Medline]
  21. Porcelli, S. A., R. L. Modlin. 1999. The CD1 system: antigen-presenting molecules for T cell recognition of lipids and glycolipids. Annu. Rev. Immunol. 17:297.[Medline]
  22. Moretta, L., C. Romagnani, G. Pietra, A. Moretta, M. C. Mingari. 2003. NK-CTLs, a novel HLA-E-restricted T-cell subset. Trends Immunol. 24:136.[Medline]
  23. Wargo, J. A., A. Ribas, L. H. Butterfield, V. Dissette, J. A. Glaspy, W. H. McBride, J. S. Economou. 2003. Genetic immunotherapy using melanoma antigen engineered dendritic cells generates potent immunity in MHC class I-knock out mice. Ann. Surg. Oncol. 10:S25.
  24. Lamouse-Smith, E., V. K. Clements, S. Ostrand-Rosenberg. 1993. {beta}2M−/− knockout mice contain low levels of CD8+ cytotoxic T lymphocyte that mediate specific tumor rejection. J. Immunol. 151:6283.[Abstract]
  25. Fernandez, N. C., A. Lozier, C. Flament, P. Ricciardi-Castagnoli, D. Bellet, M. Suter, M. Perricaudet, T. Tursz, E. Maraskovsky, L. Zitvogel. 1999. Dendritic cells directly trigger NK cell functions: cross-talk relevant in innate anti-tumor immune responses in vivo. Nat. Med. 5:405.[Medline]
  26. Cayeux, S., G. Richter, C. Becker, A. Pezzutto, B. Dorken, T. Blankenstein. 1999. Direct and indirect T cell priming by dendritic cell vaccines. Eur. J. Immunol. 29:225.[Medline]
  27. Zitvogel, L.. 2002. Dendritic and natural killer cells cooperate in the control/switch of innate immunity. J. Exp. Med. 195:F9.
  28. Gerosa, F., B. Baldani-Guerra, C. Nisii, V. Marchesini, G. Carra, G. Trinchieri. 2002. Reciprocal activating interaction between natural killer cells and dendritic cells. J. Exp. Med. 195:327.[Abstract/Free Full Text]
  29. Piccioli, D., S. Sbrana, E. Melandri, N. M. Valiante. 2002. Contact-dependent stimulation and inhibition of dendritic cells by natural killer cells. J. Exp. Med. 195:335.[Abstract/Free Full Text]
  30. Ferlazzo, G., M. L. Tsang, L. Moretta, G. Melioli, R. M. Steinman, C. Munz. 2002. Human dendritic cells activate resting natural killer (NK) cells and are recognized via the NKp30 receptor by activated NK cells. J. Exp. Med. 195:343.[Abstract/Free Full Text]
  31. Tanaka, F., W. Hashimoto, H. Okamura, P. D. Robbins, M. T. Lotze, H. Tahara. 2000. Rapid generation of potent and tumor-specific cytotoxic T lymphocytes by interleukin 18 using dendritic cells and natural killer cells. Cancer Res. 60:4838.[Abstract/Free Full Text]
  32. Schnurr, M., C. Scholz, S. Rothenfusser, P. Galambos, M. Dauer, J. Robe, S. Endres, A. Eigler. 2002. Apoptotic pancreatic tumor cells are superior to cell lysates in promoting cross-priming of cytotoxic T cells and activate NK and {gamma}{delta} T cells. Cancer Res. 62:2347.[Abstract/Free Full Text]
  33. Wan, Y., J. Bramson, A. Pilon, Q. Zhu, J. Gauldie. 2000. Genetically modified dendritic cells prime autoreactive T cells through a pathway independent of CD40L and interleukin 12: implications for cancer vaccines. Cancer Res. 60:3247.[Abstract/Free Full Text]
  34. Miller, G., S. Lahrs, V. G. Pillarisetty, A. B. Shah, R. P. DeMatteo. 2002. Adenovirus infection enhances dendritic cell immunostimulatory properties and induces natural killer and T-cell-mediated tumor protection. Cancer Res. 62:5260.[Abstract/Free Full Text]
  35. Garcia, K. C., C. A. Scott, A. Brunmark, F. R. Carbone, P. A. Peterson, I. A. Wilson, L. Teyton. 1996. CD8 enhances formation of stable T-cell receptor/MHC class I molecule complexes. Nature 384:577.[Medline]
  36. Locksley, R. M., S. L. Reiner, F. Hatam, D. R. Littman, N. Killeen. 1993. Helper T cells without CD4: control of leishmaniasis in CD4-deficient mice. Science 261:1448.[Abstract/Free Full Text]
  37. Miller, J. S.. 2001. The biology of natural killer cells in cancer, infection, and pregnancy. Exp. Hematol. 29:1157.[Medline]
  38. Ciubotariu, R., A. I. Colovai, G. Pennesi, Z. Liu, D. Smith, P. Berlocco, R. Cortesini, N. Suciu-Foca. 1998. Specific suppression of human CD4+ Th cell responses to pig MHC antigens by CD8+CD28 regulatory T cells. J. Immunol. 161:5193.[Abstract/Free Full Text]
  39. Gilliet, M., Y. J. Liu. 2002. Generation of human CD8 T regulatory cells by CD40 ligand-activated plasmacytoid dendritic cells. J. Exp. Med. 195:695.[Abstract/Free Full Text]
  40. Su, H. C., R. Ishikawa, C. A. Biron. 1993. Transforming growth factor-{beta} expression and natural killer cell responses during virus infection of normal, nude, and SCID mice. J. Immunol. 151:4874.[Abstract]



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