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The Journal of Immunology, 2005, 175: 1433-1439.
Copyright © 2005 by The American Association of Immunologists

Dynamic Differentiation of Activated Human Peripheral Blood CD8+ and CD4+ Effector Memory T Cells

Jochen Schwendemann, Carmen Choi, Volker Schirrmacher and Philipp Beckhove1

Department of Cellular Immunology, German Cancer Research Center, Heidelberg, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Two functionally different memory T cell subsets were originally defined based on their different CCR7 expression profile, but the lineage relationship between these subsets referred to as central memory T cells (TCM) and effector memory T cells (TEM), is not resolved. A prevalent model proposes a linear progressive differentiation from TCM to TEM. Our results demonstrate that on activation, human CCR7CD62L peripheral blood CD8+ and CD4+ TEM cells exhibit a dynamic differentiation, involving transient as well as stable changes to TCM phenotype and properties. Whereas the larger fraction of TEM cells increases expression of effector molecules, such as perforin or IFN-{gamma}, a smaller fraction first acquires CCR7 expression. We demonstrate that this acquisition of lymph node homing potential is associated with strong proliferation similar to that of activated TCM cells. After proliferation, most of these cells lose CCR7 expression again and acquire effector functions (e.g., perforin production). A small proportion (~6%), however, maintain phenotypic and functional TCM properties over a long time interval. These results suggest that TEM cells provide immediate effector function by a fraction of cells as well as self-renewal by others through up-regulation of CCR7 followed by either secondary peripheral effector function or long term maintenance of TCM-like properties.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Since the identification of memory T cell subsets, referred to as central memory T cells (TCM),2 expressing the chemokine receptor CCR7, and effector memory T cells (TEM), which lack the expression of this chemokine receptor (1), the question of their lineage relationship is not resolved. CD4+ and CD8+ T cells apparently manifest a signal strength-dependent differentiation program (2, 3, 4, 5, 6, 7), in which the strength of signals delivered by TCR and cytokine receptors drives T cells through hierarchical thresholds of differentiation (8).

According to the progressive linear differentiation hypothesis (8), differentiation involves a phase of proliferation preceding the acquisition of fitness and effector function. Because T cell stimulation is a stochastic event, not all T cells receive the identical strength of signals. Therefore, primed T cells reach a variety of differentiation stages that contain effector cells as well as cells that have been arrested at intermediate levels of differentiation. These intermediates retain expression of lymph node homing receptors such as CCR7 and CD62L and have initiated but not completed the remodeling events of genes involved in effector function (e.g., IL4, IL-5, IFN-{gamma}, perforin). They thus retain a flexible gene imprinting. Cells that may survive after the retraction phase of an immune response can be resolved into distinct subsets of either TCM representing cells at intermediate levels of differentiation or fully differentiated memory T cells with effector capacity (TEM). Reactivation of cells arrested at intermediate stages should lead to a progression of gene remodeling and imprinting. Consequently, differentiation of stimulated memory T cells was proposed to follow a linear process from TCM to TEM (1, 8, 9, 10).

There is, however, growing evidence that a differentiation pathway from TEM to TCM may also occur, given that stimulation of sorted HIV-specific CD8+ TEM cells induced their CCR7 expression (11). Similarly, stimulation of CD4+ TEM cells from healthy individuals induced a transient expression of CCR7 (12). This phenotypic change suggests a TCM conversion associated with migration to lymph nodes, but data resolving the functional implications of this change are still missing. Investigations performed in a mouse model analyzing the differentiation process of Ag-specific CD8+ TCM and TEM cells in vivo suggest a differentiation from TEM to TCM cells after adoptive transfer (13).

We decided to isolate memory subsets based on two markers, so that CCR7CD62L double-negative cells represent TEM and CCR7+CD62L+ double-positive TCM.

We undertook this study to investigate the potential functional implications of CCR7 up-regulation in TEM cell subsets. We show that human peripheral blood CD8+ and CD4+ TEM cells activated by high signal strength through anti-CD3/CD28 stimulation exhibit a dynamic differentiation. Whereas a majority of the cells immediately produced perforin or IFN-{gamma} but showed little proliferation, a smaller subset acquired phenotypic and functional characteristics of TCM cells characterized by expression of CCR7 and associated with strong proliferation and little effector potential. After proliferation, most of these cells lost CCR7 expression again and reacquired a TEM-like functional capacity characterized by low proliferation but strong perforin production. A proportion of ~6% of the CCR7+ TEM, however, maintained TCM properties (CCR7 expression and high proliferative potential) for the long term.

These data suggest a flexible differentiation of activated TEM cells that in parallel allows execution of immediate effector function, extensive expansion followed by a secondary effector phase, as well as stable maintenance of self-renewing capacity.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Donors

Peripheral blood of healthy normal donors was used after informed consent.

Monoclonal Abs

The following mouse anti-human mAbs were used: allophycocyanin-Cy7- or PE-Cy5-CD8 (clone 3B5; Caltag; clone HIT8a, BD Biosciences); allophycocyanin-Cy7-CD4 (clone S3.5; Caltag Laboratories); allophycocyanin-CD45RA (clone MEM-56; Caltag Laboratories); FITC-CD62L (clone Dreg56; BD Biosciences); IFN-{gamma}-FITC (clone 4S.B3; BD Biosciences); biotin-CCR7 (clone 3D12; BD Biosciences) together with streptavidin-PE (BD Biosciences) or streptavidin-PE-Cy7 (Caltag Laboratories); FITC- or PE-Ki-67 (clone B56; BD Biosciences); and FITC- or PE-perforin (clone {delta}G9; BD Biosciences).

Isolation of TEM and TCM cells

Mononuclear cells from peripheral blood of healthy donors were separated by Ficoll gradient (Biochrom) centrifugation. Endobulin (Baxter)-treated PBMCs were then stained with mouse anti-human mAbs against CD8, CD4, CD45RA, CD62L, and CCR7. TEM cells (CD8+CD4+CD45RACD62LCCR7) and TCM cells (CD8+CD4+CD45RACD62L+CCR7+) were isolated using a FACSVantage SE (BD Biosciences) with CellQuest Pro software (version 4.0.2; BD Biosciences). Sorted memory T cell subsets were subsequently analyzed for CCR7 and CD62L expression without restaining using the same FACS and settings as during cell separation. Only such cell preparations that exhibit a purity of at least 98% were selected.

Separation of CCR7+ TEM cells

Either 2 or 28 days after anti-CD3/CD28 stimulation, cultured TEM cells were stained with mouse anti-human mAbs against CCR7. CCR7+ TEM cells were then isolated using a FACSVantage SE with CellQuest Pro software.

Cell culture

Isolated TEM and TCM cells were transferred into 24- or 48-well plates (TPP and Corning Costar) and cultured in X-VIVO 20 (Cambrex) supplemented with 10% human AB serum (Sigma-Aldrich), 100 U/ml recombinant human IL-2 (Promocell), 50 ng/ml Zienam (MSD), 50 ng/ml Erythrocin (Abbott), 50 ng/ml vancomycin (Abbott), and 2.5 µg/ml amphotericin B (Invitrogen). The medium was changed every 2 days.

Polyclonal stimulation of TEM and TCM cells

Separated memory T cells (4 x 106) were activated by 18 h of incubation with anti-human CD3/CD28 Dynabeads (Dynal Biotech) in a ratio of 1:1–2:1. After stimulation, Dynabeads were extracted from the cells using a magnetic particle concentrator (Dynal Biotech).

Intracellular staining

Intracellular staining with mouse anti-human mAbs against Ki-67, perforin or IFN-{gamma} were performed after permeabilization and fixation of sorted cells with a Cytofix/Cytoperm Kit (BD Biosciences) according to the manufacturer’s protocol. Isotype controls were performed for all applied intracellular stainings as suggested by the mAb suppliers.

FACS

Sorted TEM and TCM cells (5 x 105) were first treated with human Ig (Endobulin) to block unspecific binding sites. Staining was performed using the above listed mouse anti-human mAbs. Cells were measured by using a FACScan (BD Biosciences) or FACSVantage SE with CellQuest software (version 3.3 or version 4.0.2). Analysis of data was performed using FlowJo software (version 4.3; Tree Star).

CFSE staining

For CFSE staining, cells were washed in PBS (Biochrom) supplemented with 0.1% BSA (Sigma-Aldrich). Afterward, cells were incubated with 2 µM CFSE (Invitrogen) for 10 min at room temperature; then the cells were washed in X-VIVO 20 medium containing 10% AB serum and cultured as described above.

Proliferation assay

For thymidine incorporation assay, cells were activated by incubation on petri dishes coated with 1µg/ml anti-CD3 (clone OKT3; American Type Culture Collection) and 1 µg/ml anti-CD28 (clone 9.3; DKFZ-Heidelberg)mAbs for 18 h. Afterward, triplicates of the cells were transferred into 96-well plates and cultured for 17 h as described above. The medium was supplemented with 1 µCi/well [3H]thymidine. Thymidine incorporation by proliferating cells was measured using a 1205 liquid scintillation counter (PerkinElmer).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Isolation and characterization of TEM and TCM cell subsets

Gated CD8+ and CD4+ memory T cells from the peripheral blood of healthy donors were analyzed for CCR7 and CD62L expression to define CCR7CD62L TEM and CCR7+CD62L+ TCM cell subsets (Fig. 1, A-C). Blood samples were then sorted for TEM and TCM cell fractions. Only cell preparations of at least 98% purity were used for the experiments (mean purity, 98.9%; Fig. 1A). To ensure that activated CD8+ and CD4+ TEM and TCM cells have access to required survival signals in form of produced cytokines or cell-cell interactions, CD8+ and CD4+ memory T cells were cocultured. Within the CD8+ population, a strong majority of cells belonged to the TEM pool, whereas the proportion of CD8+ TCM cells was low (Fig. 1D). In CD4+ T cells, the proportion of TCM cells was higher than in the CD8+ population. Importantly, significant proportions of memory T cells did not belong to the defined TCM or TEM subsets but were either CD62L+CCR7 or CCR7+CD62L (Fig. 1D).



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FIGURE 1. Definition and characterization of TEM and TCM cell subsets from peripheral blood of healthy donors. CD45RA memory T cells from PBMCs of healthy donors were analyzed for CCR7 and CD62L expression on gated CD4+ and CD8+. A, whole T cell population; B, CD4+ population; C, CD8+ population. Defined CCR7, CD62L TEM cells, and CCR7+, CD62L+ TCM cells were isolated by FACS. One representative dot plot of 14 experiments is shown (A). D, Proportions of TCM ({square}), TEM ({blacksquare}), and other memory subsets (CD62L+CCR7, or CD62L/CCR7+; {cjs2108}) among CD8+ or CD4+ memory T cell populations from PBMCs ex vivo displayed as means and SD of 14 healthy donors.

 
Fractions of TEM cells acquire a stable CCR7 expression after activation

It has been shown that activated TEM cells acquire CCR7 expression (11) or exhibit a transient expression of this chemokine receptor (12). However, there are as yet no data available concerning the precise kinetics and maintenance of CCR7 expression of separated CD8+ TEM cells of healthy individuals after stimulation. Therefore, we tested the CCR7 expression profile of purified TEM cell populations during a course of 28 days after a single bead-mediated anti-CD3/CD28 stimulation (Fig. 2, A and B). The proportion of CCR7 expressing TEM cells continuously increased, peaked at day 3, and declined to ~5% at day 7 after activation. CCR7 up-regulation was induced by TCR stimulation, because nonstimulated TEM subsets showed only little CCR7 induction after 1–2 days (Fig. 2, A and B) or 4–7 days of culture (data not shown). Similar to an up-regulation of CCR7, a concomitant induction of CD62L was detected in 70–80% of CCR7+ TEM cells until day 4 after stimulation (Fig. 2, C and D). The decline of CCR7 expression was due to CCR7 down-regulation rather than to loss of CCR7+ cells, because CCR7+ TEM cells sorted 2 days after activation adjusted the proportion of CCR7+ cells until day 7 to levels similar to those detected in the peripheral blood without major loss of cell numbers (Fig. 2E). A fraction of ~6% CCR7+ cells within the TEM population was detectable up to 28 days after stimulation (mean, 5.8 ± 0.6%). Their proportion was similar to that of CCR7+ cells obtained 28 days after activation of purified TCM (mean, 16.4 ± 7.6%; data not shown). These results suggest that fractions of TEM cells acquire a stable CCR7 expression profile after activation.



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FIGURE 2. CCR7 and CD62L expression profile of stimulated CD8+ and CD4+ TEM cells. Anti-CD3/CD28 stimulated TEM cells were gated on CD8+ (A) and CD4+ (B) populations and analyzed for CCR7 expression. {blacksquare}. Cumulative data of CCR7 expression of CD8+CCR7+ TEM cells at various time points after stimulation. CCR7 expression of unstimulated populations is depicted as control ({square}). Proportions of CCR7+ TEM cells are shown as means and SD of healthy donors (n ≥ 3). C and D, CD62L expression by stimulated TEM 4 days after stimulation. C, One representative dot plot; D, Cumulative data of three donors. E, CCR7+ TEM cells were isolated by FACS 2 days after anti-CD3/CD28 stimulation (blue-outlined square; cells referred to as d2-TEMCCR7+). Cumulative data of CD8+, CCR7+, and CCR7 d2-TEMCCR7+ cells 7 days after stimulation are shown. Proportions of CCR7+ and CCR7 d2-TEMCCR7+ cells are shown as means and SD of healthy donors (n = 2). To check the purity of isolated memory T cell subsets, CD8+ TEM cells were analyzed for CCR7 expression immediately after cell separation (day 0). SSC, Side scatter.

 
CCR7+ TEM cells acquire a TCM-like proliferative capacity

It was shown that TCM cells exhibit a higher proliferative capacity than TEM cells (1, 10, 11). We examined this observation with respect to our experimental setting. After polyclonal stimulation of sorted TCM and TEM cells, we similarly detected a higher proliferative potential of TCM cells. However, TEM cells also showed a marked and prolonged expansion compared with unstimulated populations (Fig. 3) when tested 2 days (Fig. 3A) and 7 days (Fig. 3B) after stimulation. Thus, TEM posses a certain expansive potential. We now compared the proliferative response of CCR7+ TEM cells to anti-CD3/CD28 stimulation with that of CCR7 TEM and TCM cells using the proliferation marker Ki-67 (Fig. 3, C and D) and analysis of CFSE dilution (Fig. 3E). Because activated TCM cells lose CCR7 expression and differentiate into TEM cells (1), gated CCR7+ TCM cells were used for comparison. As shown in Fig. 3, C and D, direct ex vivo analysis revealed that TEM and TCM cells from peripheral blood do not proliferate. After stimulation, the three subsets of isolated memory T cells became positive for Ki-67 on days 2 and 3. The proliferative capacity of CCR7 TEM cells was lower than that of the two CCR7+ memory subsets. At day 5 after stimulation, Ki-67 expression within all three subsets dropped to similar levels marking the end of the proliferation phase. Similarly, CFSE dilution was found predominantly in CCR7+ TCM and TEM subsets starting at day 2–3 after stimulation and decreased until day 7 (Fig. 3E). These results indicate that CCR7 expressing TEM cells acquire a TCM-like proliferative capacity.



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FIGURE 3. Comparison of proliferation in stimulated CD8+ TEM and TCM cell subsets. Short term anti-CD3/CD28 stimulated or unstimulated TEM and TCM cells were tested for proliferation in [3H]thymidine uptake assay after 48 h (A) or by counting of viable cells after 7 days (B). Anti-CD3/CD28-stimulated TEM and TCM cells were gated on CD8+ (C) or CD4+ (D) populations and analyzed for CCR7 and Ki-67 expression. As control, Ki-67 expression of CD8+ TEM and TCM cells from PBMCs were assessed ex vivo. Histograms show Ki-67 expression of CD8+CCR7 TEM, CCR7+ TEM, and TCM cells at various time points after activation. Dashed lines represent isotype controls. Values are given as percent. Representative dot plots are shown (n = 3–4). E, Polyclonally stimulated CFSE-labeled TCM and TEM cells were gated for CD8+ and CD4+ subsets and analyzed for CFSE dilution with respect to CCR7 expression up to 7 days after stimulation. One representative of three experiments is shown.

 
CCR7+ TEM cells exhibit a weak effector capacity characteristic for TCM cells

A characteristic attribute of CD8+ TEM cells is their ability to express perforin. In contrast, CD8+ TCM cells show marginal perforin expression levels (1, 11). To characterize the effector capacity of CCR7+ TEM cells, their perforin expression after anti-CD3/CD28 stimulation was compared with that of CCR7 TEM, and CCR7+ TCM cells (Fig. 4, A and B). The ex vivo analysis of TEM and TCM cells from peripheral blood indicated that TEM cells, in contrast to TCM cells, express prestored perforin granula. The perforin expression of CCR7 TEM cells showed a strong increase at days 1 and 2 and then slightly decreased to 60% at day 7 after activation. In contrast, the perforin expression of CCR7+ TEM cells did not rise after stimulation but dropped to 15% at day 7 (Fig. 4A). As shown by the dot blot of Fig. 4B, the majority of perforin-expressing TEM cells were CCR7 at day 1 after stimulation. Interestingly, CCR7 up-regulation was detected in both perforin TEM and perforin+ TEM cells. (Fig. 4B). This suggests that CCR7 expression is regulated independently from the presence or absence of prestored perforin granules. Similar to CCR7+ TEM cells, CCR7+ TCM cells showed a marginal perforin expression with a maximum proportion of 11% at day 7 after stimulation.



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FIGURE 4. Comparison of perforin expression in stimulated CD8+ TEM and TCM cell subsets. A, Anti-CD3/CD28-stimulated TEM and TCM cells were gated on CD8+ populations and analyzed for CCR7 and perforin expression. As control, perforin expression of CD8+ TEM and TCM cells from PBMCs were assessed ex vivo. Histograms show perforin expression of CD8+CCR7 TEM, CCR7+ TEM, and TCM cells at various time points after activation. Dashed lines represent isotype controls. Values are given as percent. Representative dot plots are shown (n > 3). B, Anti-CD3/CD28-stimulated TEM cells were gated on CD8+ populations and analyzed for CCR7 and perforin expression. Dot plot show CCR7 and perforin expression profile of CD8+ TEM cells 1 day after activation. A representative dot plot is shown (n = 3). C, Anti-CD3/CD28-stimulated TEM and TCM cells were analyzed for CCR7 and intracellular IFN-{gamma} expression 1 day after stimulation. One representative of four experiments is shown. D, Cumulative data of four experiments showing the proportion of IFN-{gamma}-expressing gated CD4+ (light gray bars) and CD8+ (dark gray bars) memory T cell subsets 1 day after polyclonal stimulation. Labeled histograms shown in A correspond to the quadrants marked with asterisks in B. *, CCR7+ TEM; **, CCR7 TEM.

 
We also tested the capacity of TEM cells to secrete IFN-{gamma} with respect to CCR7 expression. Interestingly, early cytokine secretion was restricted to low proportions of CCR7 cells in both populations (Fig. 4C) and exerted by CD4+ as well as CD8+ T cells (Fig. 4D). The results indicate that CCR7-expressing TEM cells exhibit a weak effector capacity, which is characteristic for TCM cells.

CCR7+ TEM and TCM acquire functional capacity characteristic for TEM cells on loss of CCR7 expression

Consistent with the model of progressive differentiation, fractions of activated TCM cells lose CCR7 expression after proliferation and differentiate into TEM cells (1, 8). Similarly, when we analyzed the perforin expression of CCR7+ or CCR7 TCM cells 7 days after anti-CD3/CD28 stimulation, cells that had lost CCR7 exhibited a significantly higher perforin expression than CCR7+ TCM cells (Fig. 5A). These data indicate that TCM cells losing their CCR7 expression acquire effector capacity. As already shown, CCR7+ TEM cells exhibit a weak effector capacity, which is characteristic for TCM cells. CCR7 expression of TEM cells peaks at day 3, and most of these cells lose their chemokine receptor expression after proliferation. To analyze whether CCR7+ TEM cells losing their CCR7 expression acquire effector capacity, CCR7-expressing TEM cells were separated 2 days after anti-CD3/CD28 stimulation (cells referred to as d2-TEMCCR7+). Seven days after activation, we measured the perforin expression of CCR7+ or CCR7 d2-TEMCCR7+ cells (Fig. 5B). Similar to TCM cells, CCR7 d2-TEMCCR7+-derived cells showed significantly higher perforin expression than CCR7+ d2-TEMCCR7+-derived cells. This suggests that CCR7+ TEM cells losing their chemokine receptor expression acquire effector capacity.



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FIGURE 5. Analysis of effector capacity in stimulated CCR7+ and CCR7CD8+ TCM and TEM cell subsets. CCR7+ TEM cells were isolated by FACS 2 days after anti-CD3/CD28 stimulation (cells referred to as d2-TEMCCR7+). Anti-CD3/CD28 activated TCM (A) as well as d2-TEMCCR7+ cells (B) were gated on CD8+ populations and analyzed for CCR7 and perforin expression. Cumulative data of perforin expression of CD8+CCR7+ and CCR7 TCM (A) as well as d2-TEMCCR7+ cells (B) at various time points after stimulation are shown. Proportions of perforin+ memory T cells are shown as means and SD of healthy donors (day 2, d2-TEMCCR7+; day 1, CCR7+ TCM (n = 5); day 7, CCR7+ d2-TEMCCR7+; day 7, CCR7+ TCM; day 7, CCR7 TCM (n = 4); day 7, CCR7 d2-TEMCCR7+ (n = 3)). *, Significant differences of perforin expression of CCR7+ vs CCR7 TCM (p = 0.01) and CCR7+ vs CCR7 d2-TEMCCR7+ cells (p = 0.04) assessed by Student’s t test.

 
TEM cells with stable CCR7 expression conserve a functional capacity characteristic for TCM cells

TEM cells that show stable CCR7 expression >28 days after activation were further tested for their capacity to express perforin after renewed activation. For this, CCR7+ TEM cells were isolated 28 days after anti-CD3/CD28 stimulation (cells referred to as d28-TEMCCR7+) and compared with ex vivo isolated memory subsets. Because fractions of activated TCM cells lose CCR7 expression after proliferation and differentiate into TEM cells (1), the perforin expression profile of d28-TEMCCR7+, CCR7+ TEM and CCR7+ TCM as well as of CCR7 TEM cells was analyzed 7 days after secondary (in case of d28-TEMCCR7+ cells) or primary anti-CD3/CD28 stimulation, respectively (Fig. 6A). Isolated, d28-TEMCCR7+ cells showed no changes in their perforin expression profile after reactivation (compare perforin expression of d28-TEMCCR7+ and CCR7+ TEM cells). The additional comparison with CCR7+ TCM and CCR7 TEM cells indicated that TEM cells with stable CCR7 expression exhibit a perforin expression profile characteristic for TCM cells. We also tested the proliferative capacity of d28-TEMCCR7+ cells (Fig. 6B). For this purpose, the cells were labeled with CFSE and analyzed for loss of CFSE due to proliferation, 7 days after activation. d28-TEMCCR7+ cells maintained a strong proliferative potential. In contrast, sorted and activated d28-TEMCCR7- cells showed no proliferative potential (Fig. 6B). Taken together, the results demonstrate that TEM cells with long term stable CCR7 expression maintain TCM-like functional capacity.



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FIGURE 6. Analysis of effector capacity in stimulated CD8+ d28-TEMCCR7+, TEM, and TCM cell subsets. CCR7+ and CCR7 TEM cells were isolated by FACS 28 days after primary anti-CD3/CD28 stimulation (cells referred to as d28-TEMCCR7+ or d28-TEMCCR7-). A, Memory T cells were gated on CD8+ populations and analyzed for CCR7 and perforin expression. Cumulative data of perforin expression of CD8+ d28-TEMCCR7+ (blue bar), CCR7+ TEM (black bar), and TCM (hatched bar) as well as CCR7 TEM cells (white bar) 7 days after secondary (in the case of d28-TEMCCR7+) or primary anti-CD3/CD28 stimulation are shown. As control, cumulative data of CD8+ perforin-expressing CCR7 (white bar) and CCR7+ TEM cells (black bar) 28 days after primary anti-CD3/CD28 activation are depicted. Proportions of perforin+ memory T cells are shown as means and SD of healthy donors (day 28, CCR7 TEM; day 28, CCR7+ TEM, CCR7+ TCM (n = 4); d28-TEMCCR7+, day 7, CCR7+ TEM, CCR7 TEM (n = 3)). *, Significant differences of perforin expression of d28-TEMCCR7+ vs CCR7 TEM (p = 0.004), CCR7+ TEM vs CCR7 TEM (p = 0.0001), and CCR7+ TCM vs CCR7 TEM cells (p = 0,003) assessed by Student’s t test. B, Additionally, proliferation of CFSE stained d28-TEMCCR7- and d28-TEMCCR7+ cells were assessed 7 days after reactivation. Cells were gated on CD8+ populations and analyzed for CFSE expression. Cumulative data of CFSE diminished CD8+ d28-TEMCCR7– (red bar) and d28-TEMCCR7+ (blue bar) 7 days after secondary anti-CD3/CD28 stimulation are shown. Proportions of CFSE diminished memory T cells are shown as means and SD of healthy donors (n = 2).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
Because different memory T cell subsets were originally defined in human T cells based on their CCR7 expression profile (1), the lineage relationship of populations referred to as TCM and TEM cells is under discussion. One model proposes a linear differentiation process from TCM to TEM (8), but there are studies indicating a reverse phenotypic differentiation of these cells (11, 12). Also, investigations performed within a mouse model suggested a differentiation from TEM to TCM cells (13). The isolation of memory T cell subsets in the latter studies, however, differed from the original definition (1) based on the expression of the cell adhesion molecule CD62L. It is still unclear whether memory T cell subsets defined through either CCR7 or CD62L represent identical populations.

Studies analyzing the maintenance of CCR7 expression after activation of separated TEM cells as well as the functions of CCR7+ TEM cells are important for the characterization of the differentiation potential of TEM cells. On the basis of the expression of CCR7 and CD62L, we isolated TEM cells of high purity and analyzed their phenotype and function during a period of up to 4 wk after polyclonal stimulation in vitro.

Our results show that on activation of TEM cells, fractions of at least 6% acquire stable CCR7 expression for at least 4 wk (Fig. 2). This change to stable CCR7 expression is unlikely to be an in vitro artifact, because the proportions of peripheral blood TCM cells in vivo are also not much higher (Figs. 1, B and C, and 2, A and B), and proportions of CCR7+ cells 28 days after activation are similar in cultures of sorted TCM and TEM cells (our unpublished observations). Additionally, the functional properties of d28-TEMCCR7+ are very similar to those of freshly isolated TCM cells (Fig. 6). It should therefore be taken into consideration that studies on human TCM cells can deal with mixed populations of both primary TCM cells and secondary TCM-like cells derived from activated TEM cells.

A comparison of CCR7+ TEM and TCM cells revealed that both subsets possess a high proliferative capacity after stimulation, which declines at day 5, marking the end of the proliferation phase. In contrast, TEM cells that remain CCR7 proliferate only marginally (Fig. 3). These data indicate that CCR7+ TEM cells acquire a proliferative capacity that is characteristic for TCM cells, most likely representing cells at intermediate stages of differentiation.

Almost 30% of CD8+ TEM cells, tested directly ex vivo, expressed perforin. On activation, TEM cells showed diverse differentiation processes. Fractions of perforinCD8+ TEM cells became perforin+. These cells remained CCR7. In contrast, in stimulated TEM cells that acquired the expression of CCR7, perforin expression dropped to a TCM-like level 7 days after activation (Fig. 4A). These data indicate that fractions of stimulated TEM cells acquire a functional capacity that is characteristic for TCM cells.

When TEM cells were activated, during the first days CCR7 cells increased expression of perforin or IFN-{gamma}, thus indicating immediate effector capacity, whereas a fraction of cells first became CCR7+ (peak at day 3), then expressed Ki-67, and acquired proliferative activity as seen by CFSE dilution. Until day 7, many of the CCR7+ TEM cells reverted to a CCR7 phenotype with effector function, whereas ~6% remained CCR7+ with TCM properties. Thereby, activation of TEM cells provides a sequence of two effector phases: an immediate phase provided by a limited number of nonproliferating TEM cells; and a second phase provided by a high number of clonally expanded TEM cells. The acquisition of TCM-like phenotypic, proliferative, and functional characteristics of fractions of activated TEM cells indicates that not only TCM cells as proposed (8) but also TEM cells contain populations at intermediate stages of differentiation. The acquisition of a stable CCR7 expression profile and a TCM-like functional capacity of fractions of activated TEM cells could assure a self-renewal potential and long term maintenance of TEM cells.

Our results demonstrate that upon activation CD8+ TEM cells exhibit a dynamic differentiation. Fractions of TEM cells acquire phenotypic and functional characteristics of TCM cells. After proliferation, most of these cells lose CCR7 expression and acquire effector capacity. In contrast, a proportion of at least 6% maintained TCM properties, suggesting that fractions of TEM cells retain a flexible imprinting of genes characteristic of cells at intermediate stages of differentiation possibly associated with a self-renewal potential of these cells.


    Acknowledgments
 
We express our gratitude to Klaus Hexel, Manuel Scheueman, and Gordon Barkowsky for relentless support with cell sorting.


    Disclosures
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 
The authors have no financial conflict of interest.


    Footnotes
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 Address correspondence and reprint requests to Dr. Philipp Beckove, Department of Cellular Immunology, German Cancer Research Center, Im Neuenheimer Feld 280, 69120 Heidelberg, Germany. E-mail address: p.beckhove{at}dkfz.de Back

2 Abbreviations used in this paper: Cy, cyanlne; TCM, central memory T cells; TEM, effector memory T cells. Back

Received for publication February 1, 2005. Accepted for publication May 18, 2005.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 Disclosures
 References
 

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