The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mirshahidi, S.
Right arrow Articles by Sadegh-Nasseri, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mirshahidi, S.
Right arrow Articles by Sadegh-Nasseri, S.
The Journal of Immunology, 2004, 172: 5346-5355.
Copyright © 2004 by The American Association of Immunologists

The Magnitude of TCR Engagement Is a Critical Predictor of T Cell Anergy or Activation1

Saied Mirshahidi, Laura C. Korb Ferris and Scheherazade Sadegh-Nasseri2

Department of Pathology, Johns Hopkins University, School of Medicine, Baltimore, MD 21205


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fast dissociation rate of peptide-MHC complexes from TCR has commonly been accepted to cause T cell anergy. In this study, we present evidence that peptides that form transient complexes with HLA-DR1 induce anergy in T cell clones in vitro and specific memory T cells in vivo. We demonstrate that similar to the low densities of long-lived agonist peptide-MHC, short-lived peptide-MHC ligands induce anergy by engagement of ~1000 TCR and activation of a similar pattern of intracellular signaling events. These data strongly suggest that short-lived peptides induce anergy by presentation of low densities of peptide-MHC complexes. Moreover, they suggest that the traditional antagonist peptides might also trigger anergy by a similar molecular mechanism. The use of short-lived peptides to induce T cells anergy is a potential strategy for the prevention or treatment of autoimmune diseases.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Induction of tolerance in self-reactive memory T cells is an important process in the prevention and treatment of autoimmune diseases. Altered peptide ligands (APLs)3 have been extensively studied as a potential means for induction of tolerance. APLs most commonly carry mutations at their TCR contact residues, creating different topologies of peptide-MHC at the TCR interface (1, 2, 3). As such, induction of anergy by APLs is commonly explained by the kinetic proofreading theory proposing that rapid TCR dissociation from a peptide-MHC ligand (4, 5, 6) leads to incomplete phosphorylation of signaling cascades directly linked to the TCR-CD3 complex. In contrast, we have recently reported, in several antigenic systems, HA308–318/HLA-DR1, HA109–120/I-Ed, OVA/I-Ad, that low densities of agonist peptide-MHC complexes cause anergy in the CD4+ T cell clones (7) and in peripheral memory CD4+ T cells (8). We suggested that low-avidity engagement of T cell receptors by low densities of agonist peptide might lead to the transduction of signals that cause T cell anergy. Hence, low numbers of peptide-MHC complexes engage fewer T cell receptors.

It is established, in several systems, that the binding of peptide ligands to MHC class II involves kinetic and structural intermediates (9, 10, 11, 12, 13). The intermediate peptide-MHC complex forms rapidly, has a flexible conformation, and is short-lived. The short-lived intermediate complex may slowly transform to a stable and rigid complex (11). Short-lived peptide-MHC complexes are important in the initiation of stable peptide binding, stabilization of empty MHC molecules, and in rescuing class II from denaturation at physiological temperatures (11). Additionally, rapid formation and dissociation of short-lived complexes yield peptide-receptive class II molecules that can readily bind peptides (14, 15). However, little is known about the role of short-lived peptide-MHC complexes in interaction with TCRs. Indeed, the prevalent view is that the class II Ag-processing pathway has evolved to select for long-lived peptides and that the formation of short-lived peptide-MHC complexes has no bearing on T cell stimulation.

We entertained the idea that short-lived variants of agonist peptides may deliver negative signals to T cells specific for the agonist peptide-MHC complexes. Because of the transient nature of the short-lived peptide-MHC complexes and Because of the structural flexibility that the peptide retains in the absence of a large anchor residue, one might predict that short-lived peptide analogues would present low net densities of the correctly positioned TCR contact residues interacting with the TCR (16).

In this study, by using variants of the HA306–318 that are identical at the TCR-contacting residues but have altered MHC class II anchor residues to allow for transient (short-lived) binding to HLA-DR1, we show that anergy can be induced in HA306–318-specific T cell clones in vitro and in vivo. Our findings demonstrate that short-lived peptide-MHC complexes and low doses of long-lived agonist peptide appear to induce anergy by similar mechanisms, supporting the notion that short-lived peptide-MHC complexes play important regulatory roles in T cell activation. The use of short-lived peptides to induce T cell anergy in an Ag-specific manner may be a potential strategy for the prevention or treatment of autoimmune diseases.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells and mice

Clone 1 (CL-1) is a CD4+ Th1 clone specific for the influenza hemagglutinin (HA)-derived peptide HA306–318 bound to HLA-DR1 (1, 17). EBV 1.24 transformed, a human HLA-DR1 (DRB1*0101)-positive B cell line was used as the APC for CL-1 stimulation. T cell clones and B cells were grown as described previously (7). IL-2-sensitive cell lines, HT-2 (American Type Culture Collection, Manassas, VA), were used. HLA-DR1 (DR B1*0101)-transgenic mice (Merck, West Grove, PA) were used at 8–10 wk of age. The chimeric HLA-DR1 molecule comprised a peptide-binding groove derived from the human DR1 sequence and a CD4-binding domain from I-Af mice (18).

Peptides

The peptides, influenza virus HA, HA306–318 (PKYVKQNTLKLAT), HAY308A (PKAVKQNTLKLAT), HAY308D (PKDVKQNTLKLAT), and HAAnchorless (PKAVKANGAKAAT), were synthesized by Peptide Express (Fort Collins, CO). Bold and/or underlining indicate substituted anchor residues. The purity of the peptides was >95% as analyzed by reverse phase HPLC.

Induction of T cell unresponsiveness in CL-1 T cells

A total of 4 x 104 CL-1 T cells with 4 x 104 irradiated EBV-transformed B cells and various concentrations of peptides were cultured for 18 h at 37°C in 5% CO2. T cells were washed. HA306–318-pulsed, irradiated EBV-transformed B cells (10,000 rad) were then added and T cells were assayed for proliferation and cytokine production. Alternatively, either 20 ng/ml PMA (Calbiochem, La Jolla, CA), to bypass stimulation of the TCR, or 20 IU/ml rIL-2, during or after induction of anergy, was added to the cultures. These compounds were washed out before initiation of the proliferation assay.

Induction of T cell unresponsiveness in transgenic mice

HLA-DR1-transgenic mice were immunized s.c. at the base of the tail with 10 nmol HA306–318 peptide emulsified at a 1:1 (v/v) in CFA (Sigma-Aldrich, St. Louis, MO). Five weeks later, mice were injected with various concentrations of HA306–318, HAY308A, HAY308D, and HAAnchorless in IFA s.c. Inguinal lymph nodes were removed and cells were used in proliferation assays 9 days later.

Proliferation assay

Cells (4 x 104 CL-1 T cells with 4 x 104 EBV-transformed B cells, or whole draining lymph node cells) were cultured either with no peptide or various concentrations of peptides at 37°C in 5% CO2 for 72 h. Each well was then pulsed with 1 µCi of [3H]thymidine (Amersham, Arlington Heights, IL) and 18 h later, the cells were harvested (Packard Micromate Cell Harvester; Packard Instrument, Meriden, CT) and the incorporated radioactivity was measured by a Packard Matrix 96 beta counter.

Cytokine assays

T cell clones were cultured with irradiated B cells in the presence of peptides for 24–48 h. IL-2 release was measured using the IL-2-sensitive cell line HT-2 as described elsewhere (7). Cell-free culture supernatants were collected after 48 h and ELISA for mouse IFN-{gamma} was performed according to the manufacturer’s (BD PharMingen, San Diego, CA) suggested protocol. All assays were performed in triplicates.

Intracellular cytokine assay

Nine days after second peptide injection, draining lymph nodes were collected and intracellular IFN-{gamma} production was investigated by analyzing unstimulated cells or cells stimulated with 0.1 and 1 µM HA306–318. After incubation in 5% CO2 at 37°C for 5 h, the protein transport inhibitor GolgiStop (BD PharMingen) was added to the cell suspension and after an additional 4 h of incubation samples were washed with staining buffer and labeled with FITC-conjugated anti-mouse CD4. Following a 30-min incubation at 4°C, cells were washed, fixed, and then permeabilized with Cytofix/Cytoperm (BD PharMingen) for 20 min at 4°C. The cells were subsequently washed twice, resuspended in 100 µl of Perm/Washing solution, and labeled with PE-conjugated anti-mouse IFN-{gamma} for 30 min at 4°C. Cells were then washed in Perm/Wash solution and resuspended in staining buffer before analysis. Flow cytometry was performed on a FACScan (BD Biosciences, Mountain View, CA) and analyses were performed using CellQuest software.

Flow cytometry

For flow cytometry, 106 CL-1 T cells, 106 B cells, and indicated concentrations of peptides were incubated in one well of a 24-well plate for 5–18 h. The cells were then stained with FITC-conjugated anti-human CD3, PE-conjugated anti-human CD4 (BD PharMingen), PE-conjugated anti-human CD25, and anti-human CD69 (eBioscience, San Diego, CA). Quantification of TCR down-regulation was assayed as previously described (7). The samples were assayed by flow cytometry using a BD Biosciences FACS.

Immunoprecipitation and Western blotting

Briefly, 107 CL-1 T cells and 107 peptide-pulsed B cells were incubated for various periods of time (1, 5, and 10 min.) at 37°C. Activation was stopped with 2x concentrated ice-cold lysis buffer (300 mM NaCl, 20 mM NaF, 2 mM Na3VO4, 20 mM sodium pyrophosphate, 3 mM EDTA, 1 mM 4-(2-aminoethyl)-bezenesulfonyl fluoride · HCl, 2 µM E-64, 2 µM each aprotinin and leupeptin, 2% Nonidet P-40, and 20 mM Tris-HCl (pH 7.6)). Cells were incubated on ice for 30 min and nuclear/cytoskeletal components were removed by centrifugation at 13,000 rpm for 20 min. Cell-free lysates were subjected to immunoprecipitation with anti-phosphotyrosine mAb (PY99), polyclonal anti-ZAP-70 (Upstate Biotechnology, Lake Placid, NY), anti-linker for activation of T cells (LAT), anti-CD3{zeta}, anti-SLP-76, anti-Vav, and anti-Cbl (Santa Cruz Biotechnology, Santa Cruz, CA), followed by the addition of protein A/G-agarose beads and agitation by a rotary shaker for 2 h at 4°C. The beads were washed and diluted with reducing Laemmli sample buffer and then were boiled for 5 min before SDS-PAGE analysis. For detection of phosphorylated extracellular signal-regulated kinase (ERK) 1/2 (phospho-p42–44 mitogen-activated protein kinase, Cell Signaling Technology, Beverly, MA), whole cell lysates were used. Proteins and molecular mass markers (15-160 kDa; Life Technologies, Rockville, MD) were separated on 10–12% SDS-PAGE gels and then transferred to polyvinylidine difluoride membranes. The membrane was blocked by incubation in PBS containing 2% gelatin (Fisher, Pittsburgh, PA) and 0.1% Tween 20 for 1 h at room temperature and subsequently probed with anti-phosphotyrosine mAb for 1 h. The membrane was then washed three times with PBS containing 0.1% Tween 20 and was incubated further for 1 h with goat anti-mouse IgG conjugated to HRP and then washed again. Proteins were visualized by the ECL detection system (ECL plus; Amersham) and exposed to film (Kodak, Rochester, NY).

Determination of cellular filamentous actin (F-actin)

Five x 105 B cells were pulsed with various concentrations of peptides for 2 h and than washed and mixed with 5 x 105 CL-1 T cells at different time points at 37°C with 5% CO2. Cells were washed and stained for surface CD4 and than fixed, permeabilized, and stained with 50 ng/ml tetratmethylrhodamine isothiocyanate (TRITC)-phalloidin (Sigma-Aldrich) and F-actin content was analyzed by flow cytometry. Fifty thousand events were measured.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Peptides that contain substitutions in anchor residues exhibit poor binding to DR1

Stable binding of HA306–318 to DR1 requires the presence of an aromatic side chain (tyrosine or phenylalanine) at position 308. To study the significance of the kinetic intermediates (9, 11), we made peptide variants that had radical substitutions at this position (alanine or aspartic acid). The altered peptides, named HAY308A and HAY308D, respectively, bind poorly to DR1 and display the characteristics of kinetic intermediate complexes and do not proceed to the stable terminal complexes (14, 19, 20, 21). At 37°C these variant peptides dissociate with the half-life of 30 min or less in contrast to HA306–318 that dissociates with a half-life of 6 days. We also designed a peptide, HAAnchorless, that has all DR1 anchor residues substituted by alanine (positions P1, 4, 7, and 9) or by glycine (position P-6) and dissociate with a half-life of 1.5 h (19).

Activation of CL-1 T cell with substituted peptides

We tested the ability of short-lived variants of HA306–318 at concentrations up to 50 µM to induce proliferation and IL-2 and IFN-{gamma} production in CL-1 T cells. HAY308A induced activation of T cells, although 10-fold more HAY308A than HA306–318 was required to achieve similar levels of activation. Only low levels of activation were induced by the HAAnchorless even at high concentrations, and no detectable activation was observed with HA Y308D (Fig. 1, a–c).



View larger version (15K):
[in this window]
[in a new window]
 
FIGURE 1. Activation and induction of anergy by short-lived variants of HA306–318. CL-1 T cells were tested for activation by incubation with irradiated B cells and indicated concentrations of peptide analogues. Proliferation (a), IL-2 (b), and IFN-{gamma} (c) production was measured. To test induction of anergy by the short-lived peptides, CL-1 T cells were incubated with irradiated B cells and various concentrations of HA306–318 and its variants for 18 h. Then cells were washed and mixed with fresh irradiated B cells pulsed with HA306–318 at 10 µM. Proliferation (d) and IL-2 production (e) was measured. Results are representative of at least 10 independent experiments.

 
Induction of T cell anergy with peptides that have a low affinity for DR1

To investigate whether short-lived variants of HA306–318 are able to induce T cell anergy, CL-1 T cells were incubated with irradiated EBV-B cells (B cells) in the presence of various doses of the short-lived peptides for 18 h. A second set of irradiated EBV B cells, which were pulsed with 10 µM HA306–318 for 2 h and then washed to remove unbound peptide, was added to the culture. Proliferative response and IL-2 production were assayed (Fig. 1, d and e). Short-lived HA306–318 variants induced unresponsiveness in CL-1 T cells as determined by low levels of proliferation and lack of IL-2 production. The degree of unresponsiveness was comparable to anergy induced by low doses of HA306–318, although higher concentrations of variant peptides were necessary to induce similar effects (concentration range, 0.1–200 µM). Importantly, short-lived peptides, HAY308D and HAanchorless, did not induce any activation even at the highest doses of 100–200 µM, emphasizing their potential as effective tolerogens.

Effects of short-lived HA peptides in vivo

We have previously shown that presentation of low densities of high-affinity long-lived agonist peptide-MHC complexes induced anergy in peripheral memory CD4+ T (8). To determine whether the short-lived HA306–318 variants were able to induce anergy in vivo, memory T cells were induced by immunization with 10 nmol HA306–318 in CFA. Five weeks later, memory cells were tolerized by administration of low doses of HA306–318 and multiple doses of HAY308A, HAY308D, and HAAnchorless peptides. Cells from the draining nodes were removed and tested in proliferation assays 9 days later (Fig. 2). As shown, low peptide doses (0.0005–0.05 nmol) induced unresponsiveness to HA306–318 challenge in vitro. A 100-fold higher dose of HAY308A induced a similar level of unresponsiveness in vivo, consistent with the concentrations necessary for the induction of anergy in CL-1 cells. Administration of HAY308D and HAAnchorless peptides in IFA lead to unresponsiveness to HA306–318 peptide at all doses examined (0.0005–50 nmol).



View larger version (34K):
[in this window]
[in a new window]
 
FIGURE 2. Induction of T cell anergy by short-lived HA306–318 variants in vivo. Five weeks after immunization with HA306–318 in CFA, mice received a second peptide injection with indicated doses of HA306–318 (a), HAY308A (b), HAY308D (c), and HAAnchorless (d) in IFA. After 9 days, draining lymph nodes were collected and proliferative response to in vitro peptide restimulation was determined by [3H]thymidine incorporation. IL-2 was measured by IL-2-sensitive cell line HT-2, and IFN-{gamma} was measured by ELISA in a and by intracellular cytokine staining assay in b–d. One of three representative experiments is shown.

 
TCR is engaged by short-lived peptide-MHC complexes

TCR down-regulation upon Ag recognition has been established as a correlate of T cell activation (22). To test for possible engagement of TCR with short-lived peptides, CL-1 T cells were incubated with B cells with the indicated concentrations of peptides for 6 h. Cells were stained for CD3 and CD4. The number of TCR-CD3 complexes down-regulated by interaction with the short-lived peptide-DR1 complexes was determined by direct staining with FITC-conjugated anti-CD3, with known numbers of FITC per molecule followed by FACS analysis. Interestingly, we found that inhibitory doses of both the short-lived peptides and the HA306–318 resulted in down-regulation of similar numbers ({subseteq}1000) of TCR molecules (Fig. 3). In addition, anergy-inducing concentrations of short-lived peptides did not block CD3 down-regulation mediated by subsequent activating doses of HA306–318 (1–10 µM; data not shown). These results indicate that the anergic state is not the result of impaired TCR/CD3 down-modulation.



View larger version (10K):
[in this window]
[in a new window]
 
FIGURE 3. Inhibitory dose of HA306–318 and short-lived variant peptides trigger similar levels of TCR down-regulation. A total of 106 CL-1 T cells was incubated with 106 B cells in the presence of medium alone or the indicated concentrations of peptides for 6 h. Then cells stained with TCR-CD3 complexes were enumerated by direct staining with FITC-conjugated anti-human CD3, with known numbers of FITC per molecule; fluorescence signals were assessed with a FACScan. Results are representative of five independent experiments.

 
As shown in Fig. 4, short-lived peptides induced similar changes in surface expression of two early indicators of T cell activation, CD25 (IL-2R) and CD69, compared with that induced by tolerogenic dose of HA306–318. In addition, re-expression of CD25 and CD69 in response to subsequent stimulation with 10 µM HA306–318 was not impaired (data not shown), consistent with reversal of anergy by IL-2 (either during or after the induction phase) (Fig. 5a). Baseline expression levels were determined by incubating T and B cells without peptide during the initial incubation phase and/or the secondary activation phase. Maximal down-regulation of CD3 and up-regulation of CD25 and CD69 was determined by incubating T and B cells without peptide during the initial phase, followed by stimulation with 10 µM HA during the secondary incubation.



View larger version (21K):
[in this window]
[in a new window]
 
FIGURE 4. Short-lived variants of HA306–318 peptide induce expression of activation parameters. CL-1 T cells were incubated with B cells in the absence of peptide or presence of the indicated concentrations of peptides for 5–18 h. Cells were stained with FITC-conjugated anti-human CD4 followed by PE-conjugated anti-human CD25 and anti-human CD69. Results are representative of three independent experiments.

 


View larger version (19K):
[in this window]
[in a new window]
 
FIGURE 5. Induction of anergy by short-lived peptides is reversed/prevented in the presence of IL-2 and PMA. CL-1 cells were incubated with irradiated B cells pulsed with inhibitory doses of HA306–318 or short-lived peptides for 18 h. Subsequently cells were washed and restimulated with HA306–318 (10 µM)-pulsed B cells in the absence ({square}) or presence () of either (a) IL-2 (20 IU/ml) or (b) PMA (20 ng/ml). Proliferation was assessed by [3H]thymidine incorporation. Results are representative of three independent experiments.

 
IL-2 and PMA prevents/reverses the induction of anergy by short-lived peptides

We investigated the effects of IL-2 and PMA on the induction of anergy by short-lived peptides. The addition of 20 IU/ml rIL-2, or 20 ng/ml PMA, which bypasses early signaling defects, to the anergized cells restored responsiveness, suggesting that lack of IL-2 production is responsible for anergy (Fig. 5). Addition of PMA or IL-2 during the induction phase prevented induction of anergy (data not shown).

Effects of short-lived peptides on TCR-induced tyrosine phosphorylation

Ligation of the TCR leads to mobilization of the tyrosine kinases and a cascade of phosphorylation events (23) and to the expression of gene products crucial for T cell activation. To investigate the tyrosine phosphorylation in T cells stimulated with inhibitory doses of HA306–318 and short-lived peptide variants, T cells were incubated with peptide-pulsed B cells for 1, 5, or 10 min. Cells were then lysed and subjected to immunoprecipitation with specific Abs, followed by immunoblotting with anti-phosphotyrosine. Stimulatory doses of peptides (10 µM HA306–318 and 50 µM HAY308A) led to complete phosphorylation of the multiple immunoreceptor tyrosine-based activation motifs in the TCR-associated {zeta}-chains and of Syk family kinase ZAP-70, LAT, and cytosolic adaptor molecule SLP-76. The phosphorylation pattern was consistently detected up to 10 min after T cell stimulation. In contrast, stimulation of T cells with inhibitory doses of either HA306–318 or short-lived peptides caused only a partial phosphorylation of CD3{zeta} and failed to induce tyrosine phosphorylation of ZAP-70 and downstream molecules, LAT and SLP-76 (Fig. 6, a–d). These observations held true at all three time points tested. We then examined tyrosine phosphorylation of ERK1/2 mitogen-activated protein (MAP) kinases (pp44 and pp42, respectively) and found that anergy-inducing doses of peptides led to a significant increase in phosphorylation of ERK1/2, although not at the same level of intensity to that induced by activating doses of peptides (Fig. 6e). ERK1/2 can be activated either by Lck/ZAP-70 or phosphorylation of Fyn (24, 25). We observed that tolerizing treatment of T cells led to full tyrosine phosphorylation of Fyn (Fig. 6f), suggesting that the observed pERK1/2 might be initiated by activation of Fyn.



View larger version (46K):
[in this window]
[in a new window]
 
FIGURE 6. Tyrosine phosphorylation pattern of TCR-induced signaling molecules. Briefly, 107 CL-1 T cells were stimulated with B cells pulsed with HA306–318 or short-lived peptides for various periods of time (1–10 min). Lysates were immunoprecipitated with anti-CD3{zeta} (a), anti-ZAP-70 (b), anti-LAT (c), anti-SLP-76 (d), anti-Fyn (f), anti-Cbl (g), anti-SLAP (h), and anti-Vav (i). For phosphorylation of ERK1/2 (44/42), whole cell lysates (e) were used. Proteins from immunoprecipitates, or whole cell lysates were resolved by reducing SDS-PAGE and transferred to membranes for immunoblotting with anti-phosphotyrosine. Immunoreactivity was detected by ECL. a–d, Five-minute stimulation and e–h, 10-min stimulation. Results are representative of two to five independent experiments.

 
Cbl has been shown to play a role in T cell anergy and its activation is dependent upon Fyn. Since anergic cells showed full phosphorylation of Fyn but undetectable pZAP-70, one might expect that lack of observed pZAP-70 could be due to interaction of Cbl with the negative regulatory tyrosine of ZAP-70 (26, 27). We tested whether induction of anergy could affect Cbl phosphorylation at different time points of up to 20 min. Immunoprecipitation with anti-Cbl demonstrated an increase in the tyrosine phosphorylation of Cbl in cells that were stimulated by 10 µM HA306–318 or 50 µM HAY308A but not in those treated with inhibitory doses of peptides (Fig. 6g). Also, we tested whether another negative regulator of TCR signaling, the so-called Src-like adaptor protein (SLAP), which associates with CD3{zeta}, ZAP-70, and SLP-76 in T cells and blocks NF-AT function (28, 29) would be involved in induction of anergy by short-lived peptides. Fig. 6h shows no significant differences in tyrosine phosphorylation of SLAP between groups. Our data did not reveal involvement of these two negative regulatory molecules in induction of anergy by these treatments.

Vav phosphorylation is controlled by both the Ag receptor and costimulatory molecules. A preferential role of Fyn in the phosphorylation of Vav after CD28 ligation is well known (30, 31). It has been shown that Vav promotes activation of ERK, up-regulates CD69 (32, 33), and is associated with induction of anergy by APL (30). Thus, we next examined the tyrosine phosphorylation of Vav in response to tolerogenic treatment of cells. Fig. 6i shows that Vav phosphorylation persisted up to 10 min in cells treated with stimulatory doses of peptides. Interestingly, tolerogenic treatments of T cells led to detection of phosphorylation of Vav only up to 1 min poststimulation. Reprobing of the stripped membranes with Abs specific for Vav verified that similar amounts of Vav protein were immunoprecipitated and loaded in all wells (Fig. 6).

Effects of short-lived peptides on actin polymerization

Specific interaction of T cell and APC results in formation of spatially segregated supramolecular activation clusters or immunological synapses at the cellular interface (34, 35) that are enriched in F-actin (36). A critical signaling molecule involved in the formation of the membrane synapse is Vav (30, 31, 37). To address whether a transient phosphorylation of Vav observed in T cells treated with inhibitory doses of peptides affects polymerization of cellular actin, T cells were mixed with peptide-pulsed B cells for 1, 3, 5, 10, and 20 min, and an intracellular polymeric form of actin (F-actin) was detected by staining with phalloidin-TRITC and analyzed by flow cytometry. We observed that T cells stimulated with tolerogenic doses of peptides did not promote F-actin polymerization even up to 20 min poststimulation (Fig. 7). In contrast, immunogenic doses of peptides led to a significant increase in F-actin content as early as 1 min poststimulation and remained at that high level up to the latest time point tested.



View larger version (16K):
[in this window]
[in a new window]
 
FIGURE 7. TCR ligation by inhibitory doses of peptides does not promote polymerization of cellular actin. CL-1 T cells were incubated with peptide-pulsed B cells for various lengths of time (1–20 min). Cells were then stained with FITC-conjugated anti-human CD4, followed by TRITC-phalloidin, and intracellular F-actin content was analyzed by FACS. Results are representative of four independent experiments.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Induction of tolerance in self-reactive T cells is unquestionably a highly desirable goal. Altered peptide ligands have been used either in combination with agonist peptide (1) or in preculture (2) to induce anergy in clonal T cells and for understanding the mechanisms of T cell activation. Most of these studies have focused on APLs that carry mutations at their TCR contact residues creating different topologies of peptide-MHC for interaction with specific TCR. As such, induction of anergy by APLs is generally explained by the kinetic proofreading theory, which proposes that rapid dissociation of TCR from a peptide-MHC ligand (4, 5) leads to generation of incomplete phosphorylation of the cascade of signaling molecules downstream from the TCR. However, the kinetic proofreading theory does not consistently explain the effects seen by all APLs studied (38, 39, 40, 41) and thus the molecular mechanism of APL function has remained a mystery.

We have previously demonstrated that presentation of low densities of agonist peptide-MHC complexes induces T cell anergy. Fewer than 10 complexes of peptide-MHC per APC down-regulated 205 1000 TCR/CD3 and induced anergy in T cell clones (7) and in memory CD4+ T cells in vivo (8) in several antigenic systems. We explained those finding by postulating that an overall avidity of peptide-MHC:TCR, rather than the dissociation rate of the ternary complex, is a determining factor for induction of anergy or response. To test this theory, we considered designing peptides that form short-lived complexes with MHC and might mimic intermediates in the formation of stable peptide-MHC complexes (9, 42, 43). An agonist peptide such as HA306–318 can be converted to a peptide that can only form short-lived complexes with HLA-DR1 by substituting tyrosine (Y) 308, the main anchor residue for binding to HLA-DR1 (44), with a small or polar amino acid (19, 45). Because of rapid dissociation, complexes of substituted peptides HLA-DR1 would be displayed at low densities on the APCs. Additionally, because of a poor fit in the pocket 1, the main chain of the substituted peptides would be expected to be more flexible than the wild-type peptide, thus reducing the overall density of the complexes that are suitably displayed (perfectly aligned) for TCR engagement (16). Consequently, short-lived complexes might behave similarly to the agonist ligands at low densities and send tolerogenic signals to the T cells. Thus, we designed short-lived peptides, such as HAY308A, HAY308D, and HAAnchorless, and used them for the induction of anergy.

We compared short-lived peptides to agonist peptides in induction of early and late activation markers, i.e., TCR down-regulation and CD25 and CD69 up-regulation. Surprisingly, we observed that both categories of peptides induced similar activation markers at doses that induced anergy and/or activation. Among the short-lived peptides, HAY308A triggered both activation and anergy but at 10- to 100-fold higher doses than HA306–318, whereas HAY308D and HAAnchorless induced only anergy. Consistent with the above prediction, HAY308D and HAAnchorless were more efficient in induction of anergy than HAY308A and HA306–318 perhaps attributable to a higher flexibility due to less conserved, and/or extensive alterations at the peptide anchor residues. The major findings from these experiments were that: 1) short-lived complexes can induce anergy in T cell clones and in multiple specific clonal CD4 memory T cells in vivo, 2) anergy-inducing doses of agonist peptide and the short-lived variants stimulated similar patterns of activation markers, and 3) some short-lived peptides, despite having effective tolerizing effects, did not show any immunogenic activities even at the highest doses tested (Fig. 1d), emphasizing their advantage over the agonist peptide or traditional APL (46, 47) in the induction of anergy.

A parallel comparison of phosphorylation patterns of TCR signaling components indicated similar degrees of phosphorylation initiated by inhibitory doses of both categories of peptides. T cells pretreated with inhibitory doses of short-lived peptides or low doses of HA306–318 exhibited partial phosphorylation of CD3{zeta} and below detection levels of pZAP-70, pLAT, and pSLP-76. However, Fyn was fully phosphorylated (Fig. 6), consistent with the phosphorylation pathway seen in anergy induced by traditional APLs (30, 48, 49)

Anergy in this system is defined by lack of IL-2 synthesis. IL-2 gene transcription is initiated by formation of an active (c-Fos and c-Jun) AP-1:NF-AT and NF-{kappa}B complexes, each an end product of different TCR/CD3-linked signaling modules. A low level of signaling transmitted by the engagement of 1000 TCR/CD3 might be sufficient to activate some but not all of the components of this transcription complex and consequently may lead to a failure in IL-2 transcription. Recent data are consistent with this explanation by showing that a constitutively active NF-AT that fails to interact with AP-1 induces expression of several anergy-associated genes in T cells (50).

Vav, a known regulator of rearrangement of the actin cytoskeleton and capping of TCR, is required for formation of the immunological synapse and for T cell activation (30, 31, 37). Vav-deficient T cells were shown to be defective in TCR-induced actin polymerization (46, 51). We observed a transient phosphorylation of Vav in T cells treated with inhibitory doses of peptides, but accompanied with no detectable actin polymerization. One might envision that anergy might occur because of formation of an immunological synapse that fails to mature (47).

Our data demonstrate that short-lived peptide-MHC complexes and low densities of long-lived agonist peptides both induce T cell anergy through engagement of fewer T cell receptors. Thus, a common trigger for the induction of anergy could be engagement of a limited number of T cell receptors by a variety of ligands. It is tempting to propose the traditional antagonist peptide ligands, having a high affinity for class II and presence in high excess relative to the agonist ligand, might simply function by occupying the majority of the available MHC molecules on the APC and reducing the number of active agonist peptide-MHC complexes to the levels just sufficient for the induction of anergy.

Use of short-lived peptides for induction of anergy is advantageous over the traditional APL: 1) because of discrimination at the level of MHC rather than at the level of TCR and the availability of many crystal structures for peptide-MHC complexes, rational design of short-lived peptide-MHC complexes is more readily attainable and 2) unlike APL that is strictly specific for a single clonal TCR, short-lived peptides can anergize several T cell clones specific for a given peptide-MHC complex in vivo. Multiple T cell clones specific for the same pair of peptide-MHC could be tolerized by this treatment as shown in HLA-DR1-transgenic mice (Fig. 2). Although APLs tolerize single T cell clones, their clinical relevance is limited when used for the treatment of pathological self-reactivity in vivo. Indeed, recent clinical trials with APLs have raised important considerations for their use for immunotherapy (52, 53). Overall, our model for the induction of anergy is an attractive approach for immunoregulation in autoimmune diseases and transplantation, and further studies should be performed in clinical situations for the purpose of immunotherapy.


    Acknowledgments
 
We thank Gladys Tan for preliminary characterization of the TCR initiated signaling events, Dr. Denis Zaller for providing HLA-DR1-transgenic mice, Dr. Sadighi Akha for scientific advice, Isamu Hartman and Kedar Narayan for critical reading of this manuscript, and all members of the Sadegh-Nasseri laboratory for discussions.


    Footnotes
 
1 This work was supported by grants from the National Institutes of Health R01-A6 (GM53549) and the Division of Defense (to S.S.-N.). Back

2 Address correspondence and reprint requests to Dr. Scheherazade Sadegh-Nasseri, Department of Pathology, Johns Hopkins University, School of Medicine, Ross Building, Room 664E, 720 Rutland Avenue, Baltimore, MD 21205-2191. E-mail address: ssadegh{at}jhmi.edu Back

3 Abbreviations used in this paper: APL, altered peptide ligand; HA, hemagglutinin; CL-1, clone 1; LAT, linker for activation of T cells; F-actin, filamentous actin; ERK, extracellular signal-regulated kinase; TRITC, tetramethylrhodamine isothiocyanate; MAP, mitogen-activated protein; SLAP, Src-like adaptor protein. Back

Received for publication December 16, 2003. Accepted for publication February 26, 2004.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. De Magistris, M. T., J. Alexander, M. Coggeshall, A. Altman, F. C. Gaeta, H. M. Grey, A. Sette. 1992. Antigen analog-major histocompatibility complexes act as antagonists of the T cell receptor. Cell 68:625.[Medline]
  2. Sloan-Lancaster, J., B. D. Evavold, P. M. Allen. 1993. Induction of T-cell anergy by altered T-cell-receptor ligand on live antigen-presenting cells. Nature 363:156.[Medline]
  3. Madrenas, J., R. L. Wange, J. L. Wang, N. Isakov, L. E. Samelson, R. N. Germain. 1995. {zeta} Phosphorylation without ZAP-70 activation induced by TCR antagonists or partial agonists. Science 267:515.[Abstract/Free Full Text]
  4. Lyons, D. S., S. A. Lieberman, J. Hampl, J. J. Boniface, Y. Chien, L. J. Berg, M. M. Davis. 1996. A TCR binds to antagonist ligands with lower affinities and faster dissociation rates than to agonists. Immunity 5:53.[Medline]
  5. Kersh, G. J., E. N. Kersh, D. H. Fremont, P. M. Allen. 1998. High- and low-potency ligands with similar affinities for the TCR: the importance of kinetics in TCR signaling. Immunity 9:817.[Medline]
  6. Germain, R. N., I. Stefanova. 1999. The dynamics of T cell receptor signaling: complex orchestration and the key roles of tempo and cooperation. Annu. Rev. Immunol. 17:467.[Medline]
  7. Korb, L. C., S. Mirshahidi, K. Ramyar, A. A. Sadighi Akha, S. Sadegh-Nasseri. 1999. Induction of T cell anergy by low numbers of agonist ligands. J. Immunol. 162:6401.[Abstract/Free Full Text]
  8. Mirshahidi, S., C. T. Huang, S. Sadegh-Nasseri. 2001. Anergy in peripheral memory CD4+ T cells induced by low avidity engagement of T cell receptor. J. Exp. Med. 194:719.[Abstract/Free Full Text]
  9. Sadegh-Nasseri, S., H. M. Mcconnell. 1989. A kinetic intermediate in the reaction of an antigenic peptide and I-Ek. Nature 337:274.[Medline]
  10. Sadegh-Nasseri, S., R. N. Germain. 1991. A role for peptide in determining MHC class II structure. Nature 353:167.[Medline]
  11. Sadegh-Nasseri, S., L. J. Stern, D. C. Wiley, R. N. Germain. 1994. MHC class II function preserved by low-affinity peptide interactions preceding stable binding. Nature 370:647.[Medline]
  12. Sadegh-Nasseri, S., R. N. Germain. 1992. How MHC class II molecules work: peptide-dependent completion of protein folding. Immunol. Today 13:43.[Medline]
  13. Sadegh-Nasseri, S.. 1994. Peptide, invariant chain, or molecular aggregation preserves class II from functional inactivation. H. Pierce, ed. Antigen Processing and Presentation 171. Academic, San Diego.
  14. Natarajan, S. K., M. Assadi, S. Sadegh-Nasseri. 1999. Stable peptide binding to MHC class II molecule is rapid and is determined by a receptive conformation shaped by prior association with low affinity peptides. J. Immunol. 162:4030.[Abstract/Free Full Text]
  15. Rabinowitz, J. D., M. Vrljic, P. M. Kasson, M. N. Liang, R. Busch, J. J. Boniface, M. M. Davis, H. M. Mcconnell. 1998. Formation of a highly peptide-receptive state of class II MHC. Immunity 9:699.[Medline]
  16. Kersh, G. J., M. J. Miley, C. A. Nelson, A. Grakoui, S. Horvath, D. L. Donermeyer, J. Kappler, P. M. Allen, D. H. Fremont. 2001. Structural and functional consequences of altering a peptide MHC anchor residue. J. Immunol. 166:3345.[Abstract/Free Full Text]
  17. Wedderburn, L. R., S. J. Searle, A. R. Rees, J. R. Lamb, M. J. Owen. 1995. Mapping T cell recognition: the identification of a T cell receptor residue critical to the specific interaction with an influenza hemagglutinin peptide. Eur. J. Immunol. 25:1654.[Medline]
  18. Rosloniec, E. F., D. D. Brand, L. K. Myers, K. B. Whittington, M. Gumanovskaya, D. M. Zaller, A. Woods, D. M. Altmann, J. M. Stuart, A. H. Kang. 1997. An HLA-DR1 transgene confers susceptibility to collagen-induced arthritis elicited with human type II collagen. J. Exp. Med. 185:1113.[Abstract/Free Full Text]
  19. Natarajan, S. K., L. J. Stern, S. Sadegh-Nasseri. 1999. Sodium dodecyl sulfate stability of HLA-DR1 complexes correlates with burial of hydrophobic residues in pocket 1. J. Immunol. 162:3463.[Abstract/Free Full Text]
  20. Chou, C.-L., S. Sadegh-Nasseri. 2000. HLA-DM recognizes the flexible conformation of major histocompatibility complex class II. J. Exp. Med. 192:1697.[Abstract/Free Full Text]
  21. Sato, A. K., J. A. Zarutskie, M. M. Rushe, A. Lomakin, S. K. Natarajan, S. Sadegh-Nasseri, G. B. Benedek, L. J. Stern. 2000. Determinants of the peptide-induced conformational change in the human class II major histocompatibility complex protein HLA-DR1. J. Biol. Chem. 275:2165.[Abstract/Free Full Text]
  22. Valitutti, S., S. Muller, M. Cella, E. Padovan, A. Lanzavecchia. 1995. Serial triggering of many T-cell receptors by a few peptide-MHC complexes. Nature 375:148.[Medline]
  23. Samelson, L. E., R. D. Klausner. 1992. Tyrosine kinases and tyrosine-based activation motifs: current research on activation via the T cell antigen receptor. J. Biol. Chem. 267:24913.[Free Full Text]
  24. Denny, M. F., H. C. Kaufman, A. C. Chan, D. B. Straus. 1999. The lck SH3 domain is required for activation of the mitogen-activated protein kinase pathway but not the initiation of T-cell antigen receptor signaling. J. Biol. Chem. 274:5146.[Abstract/Free Full Text]
  25. Shan, X., R. Balakir, G. Criado, J. S. Wood, M. C. Seminario, J. Madrenas, R. L. Wange. 2001. Zap-70-independent Ca2+ mobilization and Erk activation in Jurkat T cells in response to T-cell antigen receptor ligation. Mol. Cell. Biol. 21:7137.[Abstract/Free Full Text]
  26. Ota, Y., L. E. Samelson. 1997. The product of the proto-oncogene c-cbl: a negative regulator of the Syk tyrosine kinase. Science 276:418.[Abstract/Free Full Text]
  27. Rao, N., M. L. Lupher, Jr, S. Ota, K. A. Reedquist, B. J. Druker, H. Band. 2000. The linker phosphorylation site Tyr292 mediates the negative regulatory effect of Cbl on ZAP-70 in T cells. J. Immunol. 164:4616.[Abstract/Free Full Text]
  28. Sosinowski, T., A. Pandey, V. M. Dixit, A. Weiss. 2000. Src-like adaptor protein (SLAP) is a negative regulator of T cell receptor signaling. J. Exp. Med. 191:463.[Abstract/Free Full Text]
  29. Sosinowski, T., N. Killeen, A. Weiss. 2001. The Src-like adaptor protein downregulates the T cell receptor on CD4+CD8+ thymocytes and regulates positive selection. Immunity 15:457.[Medline]
  30. Huang, J., D. Tilly, A. Altman, K. Sugie, H. M. Grey. 2000. T-cell receptor antagonists induce Vav phosphorylation by selective activation of Fyn kinase. Proc. Natl. Acad. Sci. USA 97:10923.[Abstract/Free Full Text]
  31. Villalba, M., K. Bi, F. Rodriguez, Y. Tanaka, S. Schoenberger, A. Altman. 2001. Vav1/Rac-dependent actin cytoskeleton reorganization is required for lipid raft clustering in T cells. J. Cell Biol. 155:331.[Abstract/Free Full Text]
  32. Miranti, C. K., L. Leng, P. Maschberger, J. S. Brugge, S. J. Shattil. 1998. Identification of a novel integrin signaling pathway involving the kinase Syk and the guanine nucleotide exchange factor Vav1. Curr. Biol. 8:1289.[Medline]
  33. Villalba, M., J. Hernandez, M. Deckert, Y. Tanaka, A. Altman. 2000. Vav modulation of the Ras/MEK/ERK signaling pathway plays a role in NFAT activation and CD69 up-regulation. Eur. J. Immunol. 30:1587.[Medline]
  34. Monks, C. R., B. A. Freiberg, H. Kupfer, N. Sciaky, A. Kupfer. 1998. Three-dimensional segregation of supramolecular activation clusters in T cells. Nature 395:82.[Medline]
  35. Grakoui, A., S. K. Bromley, C. Sumen, M. M. Davis, A. S. Shaw, P. M. Allen, M. L. Dustin. 1999. The immunological synapse: a molecular machine controlling T cell activation. Science 285:221.[Abstract/Free Full Text]
  36. Penninger, J. M., G. R. Crabtree. 1999. The actin cytoskeleton and lymphocyte activation. Cell 96:9.[Medline]
  37. Wulfing, C., A. Bauch, G. R. Crabtree, M. M. Davis. 2000. The Vav exchange factor is an essential regulator in actin-dependent receptor translocation to the lymphocyte-antigen-presenting cell interface. Proc. Natl. Acad. Sci. USA 97:10150.[Abstract/Free Full Text]
  38. Rosette, C., G. Werlen, M. A. Daniels, P. O. Holman, S. M. Alam, P. J. Travers, N. R. Gascoigne, E. Palmer, S. C. Jameson. 2001. The impact of duration versus extent of TCR occupancy on T cell activation: a revision of the kinetic proofreading model. Immunity 15:59.[Medline]
  39. Baker, B. M., S. J. Gagnon, W. E. Biddison, D. C. Wiley. 2000. Conversion of a T cell antagonist into an agonist by repairing a defect in the TCR/peptide/MHC interface: implications for TCR signaling. Immunity 13:475.[Medline]
  40. Ding, Y. H., B. M. Baker, D. N. Garboczi, W. E. Biddison, D. C. Wiley. 1999. Four A6-TCR/peptide/HLA-A2 structures that generate very different T cell signals are nearly identical. Immunity 11:45.[Medline]
  41. Rudolph, M. G., J. G. Luz, I. A. Wilson. 2002. Structural and thermodynamic correlates of T cell signaling. Annu. Rev. Biophys. Biomol. Struct. 31:121.[Medline]
  42. Beeson, C., H. M. Mcconnell. 1994. Kinetic intermediates in the reactions between peptides and proteins of major histocompatibility complex class II. Proc. Natl. Acad. Sci. USA 91:8842.[Abstract/Free Full Text]
  43. Springer, S., K. Doring, J. C. Skipper, A. R. Townsend, V. Cerundolo. 1998. Fast association rates suggest a conformational change in the MHC class I molecule H-2Db upon peptide binding. Biochemistry 37:3001.[Medline]
  44. Stern, L. J., J. H. Brown, T. S. Jardetzky, J. C. Gorga, R. G. Urban, J. L. Strominger, D. C. Wiley. 1994. Crystal structure of the human class II MHC protein HLA-DR1 complexed with an influenza virus peptide. Nature 368:215.[Medline]
  45. Jardetzky, T. S., J. C. Gorga, R. Busch, J. Rothbard, J. L. Strominger, D. C. Wiley. 1990. Peptide binding to HLA-DR1: a peptide with most residues substituted to alanine retains MHC binding. EMBO J. 9:1797.[Medline]
  46. Holsinger, L. J., I. A. Graef, W. Swat, T. Chi, D. M. Bautista, L. Davidson, R. S. Lewis, F. W. Alt, G. R. Crabtree. 1998. Defects in actin-cap formation in Vav-deficient mice implicate an actin requirement for lymphocyte signal transduction. Curr. Biol. 8:563.[Medline]
  47. Sims, T. N., M. L. Dustin. 2002. The immunological synapse: integrins take the stage. Immunol. Rev. 186:100.[Medline]
  48. Fields, P. E., T. F. Gajewski, F. W. Fitch. 1996. Blocked Ras activation in anergic CD4+ T cells. Science 271:1276.[Abstract]
  49. Clements, J. L., N. J. Boerth, J. R. Lee, G. A. Koretzky. 1999. Integration of T cell receptor-dependent signaling pathways by adapter proteins. Annu. Rev. Immunol. 17:89.[Medline]
  50. Macian, F., F. Garcia-Cozar, S. H. Im, H. F. Horton, M. C. Byrne, A. Rao. 2002. Transcriptional mechanisms underlying lymphocyte tolerance. Cell 109:719.[Medline]
  51. Penninger, J. M., K. D. Fischer, T. Sasaki, I. Kozieradzki, J. Le, K. Tedford, K. Bachmaier, P. S. Ohashi, M. F. Bachmann. 1999. The oncogene product Vav is a crucial regulator of primary cytotoxic T cell responses but has no apparent role in CD28-mediated co-stimulation. Eur. J. Immunol. 29:1709.[Medline]
  52. Bielekova, B., B. Goodwin, N. Richert, I. Cortese, T. Kondo, G. Afshar, B. Gran, J. Eaton, J. Antel, J. A. Frank, et al 2000. Encephalitogenic potential of the myelin basic protein peptide (amino acids 83–99) in multiple sclerosis: results of a phase II clinical trial with an altered peptide ligand. Nat. Med. 6:1167.[Medline]
  53. Kappos, L., G. Comi, H. Panitch, J. Oger, J. Antel, P. Conlon, L. Steinman. 2000. Induction of a non-encephalitogenic type 2 T helper-cell autoimmune response in multiple sclerosis after administration of an altered peptide ligand in a placebo-controlled, randomized phase II trial: the altered peptide ligand in relapsing MS study group. Nat. Med. 6:1176.[Medline]



This article has been cited by other articles:


Home page
J. Immunol.Home page
S. K. Dalai, S. Mirshahidi, A. Morrot, F. Zavala, and S. Sadegh-Nasseri
Anergy in Memory CD4+ T Cells Is Induced by B Cells
J. Immunol., September 1, 2008; 181(5): 3221 - 3231.
[Abstract] [Full Text] [PDF]


Home page
J. Virol.Home page
U. Malhotra, F. Li, J. Nolin, M. Allison, H. Zhao, J. I. Mullins, S. Self, and M. J. McElrath
Enhanced Detection of Human Immunodeficiency Virus Type 1 (HIV-1) Nef-Specific T Cells Recognizing Multiple Variants in Early HIV-1 Infection
J. Virol., May 15, 2007; 81(10): 5225 - 5237.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
F. Monneaux, J. Hoebeke, C. Sordet, C. Nonn, J.-P. Briand, B. Maillere, J. Sibillia, and S. Muller
Selective Modulation of CD4+ T Cells from Lupus Patients by a Promiscuous, Protective Peptide Analog
J. Immunol., November 1, 2005; 175(9): 5839 - 5847.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
C. Scotta, L. Tuosto, A. M. Masci, L. Racioppi, E. Piccolella, and L. Frasca
Hypervariable region 1 variant acting as TCR antagonist affects hepatitis C virus-specific CD4+ T cell repertoire by favoring CD95-mediated apoptosis
J. Leukoc. Biol., August 1, 2005; 78(2): 372 - 382.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mirshahidi, S.
Right arrow Articles by Sadegh-Nasseri, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mirshahidi, S.
Right arrow Articles by Sadegh-Nasseri, S.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS