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* Division of Rheumatology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226; and
Division of Immunology, Allergy and Rheumatology, Department of Pediatrics, David Geffen School of Medicine at the University of California at Los Angeles, Los Angeles, CA 90095
| Abstract |
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| Introduction |
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-chain (CD25) and a number of other surface markers that are not specific for TR cells (1, 7). Lack of specific markers has complicated the in vivo identification and analysis of TR cells. The mechanisms by which the smaller subset of TR cells regulate the responses of the much larger subset of conventional T cells are of considerable interest. The essential function of TR cells in the maintenance of tolerance to self-Ags is established, with dominant, contact-dependent suppression of autoimmune responses emerging as a central feature of TR cell activity (8). Indeed, the absence of TR cells due to Foxp3 deficiency results in a fatal lymphoproliferative disease marked by autoimmunity and inflammation in multiple organs (4, 9, 10, 11, 12, 13, 14, 15).
More problematic is the role of TR cells in the control of immune responses to foreign Ags. This dilemma is due to the minimal overlap of their TCR repertoire with that of conventional T cells and their decided bias toward self-reactivity (16, 17, 18). Consistent with such regulation, TR cell depletion and/or blocking of TR cell activity by means of an anti-CD25 mAb enhances the immune response to infectious agents and to immunization (19, 20, 21, 22). This process is postulated to involve increased APC function, an enhanced expansion phase or a prolonged contraction phase of the primary immune response (23, 24). Although control of immune responses is beneficial in most settings, TR cell inhibition of effector T cell responses to infections may allow for persistence of pathogens such as parasites, viruses, and indolent bacterial species (25). Therefore, a detailed understanding of mechanisms involved in TR cell control of immune responses to foreign Ags is essential to the rational manipulations of these responses.
Given the fact that in vitro TR cells are generally viewed as anergic, the stimulatory effects of anti-CD25 mAb treatment on the immune response to foreign Ags could be interpreted as the result of overcoming a tonic, basal inhibitory effect by TR cells. However, adoptive transfer studies with TCR transgenic TR cells demonstrate that TR cells can proliferate in vivo in response to primary immunization with cognate Ag and that they suppress the expansion of TCR transgenic conventional T cells (26, 27). These data suggest that Ag-driven proliferation of TR cells occurs in vivo. However, two caveats limit a broad interpretation of these results. The first is the forced expression of the same transgenic TCR on both conventional and TR cells. This condition is not likely to occur in normal mice, because these two populations have largely distinct TCR repertoires. The second issue is the inflated frequencies of Ag-specific conventional and TR cells used in these experiments. This approach does not replicate the stoichiometry of the interaction between conventional and TR cells seen in a normal polyclonal response.
Attempts to study the more physiological in vivo polyclonal TR cell response to foreign Ags have yielded conflicting results and are subject to the same difficulties in interpretation noted above. Although some adoptive transfer studies demonstrate suppression by polyclonal TR cells of primary and memory immune responses (19), others show lack of suppression by the same population in the context of a strong stimulus (28). In the latter study, proliferation of polyclonal TR cells was not observed under either weak or strong stimuli. Even assuming equal frequencies of precursor Ag-specific cells in both populations, these findings suggest that in a primary immune response, the emergence of an effective Ag-specific TR cell response might lag behind that of effector T cells, simply due to the much smaller size of the TR cell pool (one-tenth that of effector T cells).
In this study, we investigated the mechanisms by which polyclonal TR cells regulate the immune responses to foreign Ags. To facilitate the accurate identification and tracking of Foxp3+ TR cells in vivo, we derived mice with a bicistronic Foxp3 locus (Foxp3EGFP) that coexpresses the enhanced GFP (EGFP) under control of the endogenous Foxp3 promoter/enhancer elements. These Foxp3EGFP mice were immunized with CFA to generate a strong Th1 immune response to mycobacterial Ags. Our studies reveal that TR cells proliferate vigorously in vivo after immunization. The kinetics of TR cell expansion and contraction parallel that of conventional T cells. The extent of cell division within the TR cell population is significantly greater, leading to a relative increase in TR cells in the draining lymph nodes. Manipulating the TR:conventional T cell ratio by adoptive transfer of TR cells before immunization, or blocking TR cell function alters the magnitude of the primary immune response. These data establish a dynamic and quantitative mechanism by which TR cells control the magnitude of the primary responses to foreign Ags, and they implicate degenerate TR cell Ag specificity as a central feature of this mechanism.
| Materials and Methods |
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Foxp3 genomic DNA was isolated from a bacterial artificial chromosome clone (Genome Systems) and subcloned into the plasmid vector pKO (Lexicon). A DNA cassette composed of an internal ribosomal entry sequence (IRES) linked to downstream EGFP and SV40 poly-A sequences (BD Clontech) was inserted by blunt-end ligation at the SSPI restriction site immediately downstream of the Foxp3 translational stop codon and upstream of the endogenous polyadenylation signal. A PGK-neo cassette was also inserted at the EcoRI site in intron 9 of Foxp3 in the same orientation as Foxp3 and was flanked (floxed) by two LoxP sites to allow excision by Cre-mediated recombination. The targeting construct also included a diphtheria toxin gene (DT) for negative selection against randomly inserted targeting constructs.
Targeting plasmids were introduced by electroporation into SCC10 embryonic stem cells and subjected to G418 selection. Resistant clones were screened by Southern blotting. Successfully targeted clones were injected into C57BL/6 blastocysts, and chimeric males were mated with wild-type (WT) BALB/c females to derive N1 females that have transmitted the bicistronic allele together with the PGK-neo cassette insert (Foxp3EGFPneo) in the germline. The PGK-neo cassette was removed by mating founder males with Cre-deleter female mice that harbor a constitutive, ubiquitously expressed Cre recombinase allele (29). Male offspring hemizygous for Foxp3EGFP allele (minus the PGK-neo cassette) developed normally and were free of disease. Foxp3EGFP+ mice were further backcrossed for up to seven generations on the BALB/c background. The mice were housed under specific pathogen-free conditions and used according to the guidelines of the institutional Animal Research Committees at the University of California in Los Angeles and at the Medical College of Wisconsin. The Foxp3EGFP mice have been deposited in the induced mutant resource repository at The Jackson Laboratory. The stock numbers and designations of the Foxp3EGFP strains are stock no. 006769 and C.Cg-Foxp3
tm1Tch
/J mice on the BALB/c background, and stock no. 006772 and B6.129X1-Foxp3
tm1Tch
/J for mice on the C57BL/6J background.
PCR screening of the mutant allele was also achieved by PCR amplification using genomic DNA and the following EGFP-specific primers: forward sense 5'-CGGCAAGCTGACCCTGAAGT-3' and reverse 5'-GGATGTTGCCGTCCTCCTTG-3'. PCR-based discrimination between WT and mutant alleles was conducted by analyzing for the presence of the residual LoxP-sequence retained in the mutant allele following Cre-mediated excision of the PGK-neo cassette. The following primers were used: sense 5'-GCGTAAGCAGGGCAATAGAGG-3' and antisense 5'-GCAT GAGGTCAAGGGTGATG-3'.
Quantitative real-time PCR analysis
Real-time PCR for Foxp3 expression was performed as described previously (15). Samples were run in triplicate, and the relative expression was determined by normalizing expression of each target to the endogenous reference, hypoxanthine phosphoribosyltransferase (Hprt) transcripts. Primers and internal fluorescent probes were as follows: Foxp3 exon7, sense 5'-CCCAGGAAAGACAGCAACCTT-3, antisense 5'-TTCTCACAACCAGGCCACTTG-3', and probe, 5'-FAM-ATCCTACCCACTGCTGGCAAATGGAGTC-TAMRA-3'; Foxp3 exon 11, sense 5'-GGA GGC AAG TCC TAC GTG TAC C-3', antisense 5'-CTA GAT AGG GAG CAG AGG CCC-3', and probe 5'-FAM-TGG AAA CCG GGC GAT GAT GTG C-TAMRA-3'.
Antibodies
PE anti-mouse Thy1.2, allophycocyanin anti-mouse Thy1.1, allophycocyanin anti-mouse CD44, allophycocyanin BrdU Flow Kit, and PE anti-mouse CD4 were obtained from BD Biosciences. Pacific Blue anti-mouse CD4, Pacific Orange anti-mouse CD8, biotin anti-DO11.10 TCR, PE-Texas Red anti-mouse CD62L, allophycocyanin Cy5.5 anti-mouse CD19, and streptavidin-PE Cy5.5 were obtained from Invitrogen Life Technologies. Pacific Blue anti-mouse Foxp3 was purchased from eBioscience and used following the manufacturers instructions. The clone PC61 was purchased from the American Tissue Culture Collection, and the Abs were generated and purified in the laboratory.
Flow cytometry
For cell surface markers, single-cell suspensions of lymphocytes were stained as previously described (30). Intracellular Foxp3 staining was conducted using an anti-murine Foxp3-Pacific Blue Ab (15). Samples were analyzed on an LSRII using a live cell gate, and a minimum of 1 x 106 live cell events were collected per sample.
Suppression assays
Plates were coated with anti-CD3 mAb at 2.5 µg/ml in PBS for 6 h at 37°C. CD4+ T cells were enriched from whole splenocytes using mouse CD4 columns (R&D Systems), and CD4+EGFP+ and CD4+EGFP cells were further purified by cell sorting. Purified cell populations were suspended in culture medium containing RPMI 1640, 10% FBS, 5 x 105 M 2-ME, 1 mM glutamine, and 1 µg/ml anti-CD28 mAb. Cells were added to coated wells, and the number of responder cells (R) was kept constant at 5 x 104 cells per well. The number of suppressor cells (S) was titrated to achieve the R:S ratios as indicated (see Fig. 2D). Triplicate wells were set at each R:S ratio. Cultures were incubated for 48 h at 37°C with 5% CO2, pulsed with 0.4 µCi/well [3H]TdR for an additional 18 h, harvested onto fiber filtermats using a Micro96 harvester (Skatron), and counted.
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Foxp3EGFP mice were immunized s.c. with CFA emulsified 1:1 with PBS (100 µl per mouse). At various times after immunization, the draining lymph nodes were removed and the total number of lymphocytes and those of the respective subsets were determined by counting with a hemocytometer and by flow cytometric analysis, respectively.
Immunocytochemistry
Tissues were fixed in 4% formaldehyde in PBS for 1 h at 4°C, transferred to 20% sucrose in PBS, and incubated 1 h at 4°C, embedded in the OCT reagent, and frozen in liquid nitrogen. Sections were cut at a thickness of 7 µm, fixed with acetone for 10 min at 4°C, and blocked with 5% BSA in PBS for 30 min in a humidified chamber. Abs and secondary reagents were diluted in the blocking buffer to a final concentration of 2 µg/ml. Primary reagents were applied to the sections, and incubated for 12 h in a humidified chamber at 4°C. In the case of biotinylated primary Abs (anti-I-Ad), blocking reagents (Vector Laboratories) were each applied for 15 min at room temperature before applying the primary Ab. Following incubation with primary Abs, the slides were washed and secondary reagents were applied as appropriate for 1 h at 4°C. The slides were then mounted in Prolong Gold antifade reagent with 4',6'-diamidino-2-phenylindole (Molecular Probes). Sections were visualized by laser scanning confocal microscopy with a Leica TCS SP II microscope equipped with 488, 568, and 633 nm lasers. Images were collected using Leica acquisition software at x10, x20, x40, and a x63 objective with a x4 optical zoom for close-up pictures. The Abs and emissions collected were as follows: Alexa 488 rabbit-anti-GFP IgG fraction (Molecular Probes), collected at 500545 nm; PE-Texas Red anti-B220, collected at 615700 nm; biotinylated anti-I-Ad with streptavidin-Alexa 568 (Molecular Probes), collected at 615700 nm; and allophycocyanin-anti-CD4, -anti-CD8, and -anti-CD11c, all collected at 650740 nm.
Image analysis
Layered images were aligned in Adobe Photoshop version 8.0. The conversion ratio was determined to be 0.53 µm2/pixel. T cell zones were arbitrarily delineated in regions away from B cells and B cell follicles using the lasso function and were subsequently outlined with the Adobe Photoshop stroke command. The borders of B cell follicles were similarly delineated using the lasso function, but they were both contracted and expanded by 22 pixel lengths (16 µm) from the original selection before being outlined with the stroke command. This 32-µm area between the contracted/expanded selections was considered to be the B/T cell border, and the region within the contracted selection was considered the to be the B cell zone. The absolute pixel count of each outlined region was determined using the histogram function, and the density of cells in each zone was determined using the following equation: D = (x)(109)(n3.71)1mm3, where x = cell count and n = pixel count. TR cells were counted after subtracting other fluorochromes to simplify the identification of cells.
It should be noted that in calculating the number of conventional T cells, we subtracted the number of EGFP+ TR cells from the total number of CD4+ T cells. Although this partial correction still slightly overestimates the number of conventional CD4+ T cells seen in Foxp3EGFP+/ female mice, only the calculation of conventional CD4+ T cells is affected. Importantly, both the baseline values and the experimental values for TR densities would increase proportionally in hemizygous male mice, and there would be no change in the observed effect.
Isolation of EGFP+ and EGFP T cells
CD4+ T cells from lymph nodes and spleens were purified by negative selection using mouse CD4 columns following the manufacturers recommendations (R&D Systems). Purified CD4+ T cells were stained with anti-CD4-PE mAb and sorted into CD4+EGFP+ and CD4+EGFP populations using a FACSAria or a FACSVantage SE cell sorter (BD Biosciences).
In vivo suppression
A total of 2 x 105 CD4+EGFP+ T cells was adoptively transferred into BALB/c mice. Mice were immunized the following day with CFA. At 10 days after immunization, the draining lymph nodes were analyzed by cell count and FACS.
For suppression of Ag-specific T cells, 2.5 x 105 CD4+Rag/ DO11.10+ T cells were adoptively transferred i.v. into BALB/c mice. Two to 3 h later, 5 x 105 CD4+EGFP+ T cells were also adoptively transferred i.v. into the same mice. Mice were immunized s.c. with 2 nmol of OVA (323339) peptide emulsified in CFA. At the peak of the immune response, draining lymph nodes were analyzed by cell count and by FACS.
Antagonizing TR cell function with a blocking anti-CD25 mAb
Mice were given 250 µg of PC61 mAb i.p. at day 4 and day 1. Mice were immunized with CFA s.c. on day 0. Lymphocytes from draining lymph nodes were analyzed by cell count and by FACS.
BrdU treatment and detection
Mice were given a single i.p. injection of 1 mg BrdU, followed by continuous administration of BrdU (0.8 mg/ml) in the drinking water. On the same day as the i.p. injection, mice were immunized s.c. with CFA. The water containing BrdU was changed on a daily basis. At various times after immunization, the draining lymph nodes were analyzed by cell count and by FACS. Unimmunized mice were used as controls. Single-cell suspensions from the draining lymph nodes were subject to cell surface staining for CD4, CD8, CD62L, and CD44 followed by intranuclear staining for BrdU incorporation using a BrdU Flow Kit (BD Pharmingen) following the manufacturers protocol. Analysis was based on sequential gating using live cells followed by a CD4+ gate.
Conversion of polyclonal and monoclonal T cells
A total of 5 x 106 CD4+EGFP T cells were adoptively transferred into BALB/c Thy1.1 mice. Transfer recipients were immunized s.c. the following day with CFA. Ten days after immunization, the draining lymph nodes were analyzed by cell count and flow cytometry. In similar experiments, 5 x 105 CD4+DO11.10+ T cells from DO11.10 RAG/ mice were adoptively transferred into BALB/c recipients. In some experiments, cells were labeled with CFSE before adoptive transfer as described previously (31). Mice receiving DO11.10 T cells were immunized the following day with 2 nmol OVA (323339) peptide emulsified in CFA. Five days after immunization, the draining lymph nodes were examined by cell count and flow cytometry.
Statistical analysis
Comparisons involving different T cell populations derived from the same mice were performed by the Students two-tailed paired t test. For other studies comparing populations between mice the Students two-tailed unpaired t test was used.
| Results |
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A cassette encoding an IRES followed the EGFP, and the polyadenylation signal from SV40 (SV40 poly-A) was inserted into the 3' untranslated region of Foxp3 to generate a bicistronic locus encoding both Foxp3 and EGFP under the control of the Foxp3 promoter (Foxp3EGFP) (Fig. 1). Both male and female mice harboring the Foxp3EGFP allele were phenotypically indistinguishable from their WT littermates, were fertile, and exhibited normal T and B cell development. EGFP expression was found restricted to the T cell lineage, primarily to the CD4+ T cell population (see below). The number of EGFP+CD4+ T cells found in the peripheral blood of heterozygous females was on average roughly half that of hemizygote males, consistent with random X-inactivation in females (Fig. 2A). Real-time PCR analysis of Foxp3 mRNA expression from EGFP+ and EGFPCD4+ T cells that were purified by cell sorting revealed that Foxp3 mRNA localized (>70-fold enrichment) to EGFP+CD4+ T cells (Fig. 2B). Analysis of Foxp3 expression by intracellular staining with anti-murine Foxp3 revealed that
97.5% of Foxp3+ T cells detected were EGFP+, with the remainder being EGFP dim (Fig. 2C). A rare population of Foxp3+EGFP+CD8+ T cells was also detected (Fig. 2C). The percentage and total number of EGFP+CD4+ and CD8+ T cells in the thymus, inguinal lymph nodes, and spleen is shown in Table I. Finally, CD4+EGFP+ cells suppressed the proliferation CD4+EGFP effector T cells in response to stimulation with anti-CD3 and anti-CD28 mAb (Fig. 2D). These results confirmed that EGFP accurately and specifically identifies Foxp3+ TR cells, consistent with other mice expressing fluorescent proteins under the control of the Foxp3 promoter (32, 33).
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To study the role of Foxp3+ TR cells in the immune responses to foreign Ags, Foxp3EGFP+/ female mice were immunized with CFA. The draining lymph nodes were examined at the times indicated by cell count and analytical flow cytometry. The results were compared with those of unimmunized control mice.
Expansion of the total lymphocyte compartment as well as individual CD4+ and CD8+ conventional T cell populations peaked at day 10, as expected, before contracting again back to baseline levels by day 20 (Fig. 3, AC). Individual CD4+EGFP+ and CD8+EGFP+ TR cell populations followed a similar time course of expansion and contraction. In the early stages of the primary response, the EGFP and EGFP+ T cell populations accumulated in the draining lymph nodes at a similar rate. For example, on day 5, a 1.2-fold expansion is seen in both the CD4+EGFP (conventional) and CD4+EGFP+ (regulatory) T cell populations. However, by day 10, the conventional CD4+ T cell population expanded by an average of 2.3-fold, whereas the CD4+EGFP+ TR cells expanded by an average of 3.3-fold (Fig. 3D). Thus, the ratio of CD4+EGFP+ T cells:CD4+EGFP T cells increased by 43%, demonstrating a significant and preferential accumulation of TR cells at the peak of the primary immune response (p = 0.005, two-tailed paired t test) (Fig. 3D). Similarly, by day 10, the comparatively much smaller CD8+EGFP+ T cell population had expanded
3.5-fold compared with a 2-fold increase in the CD8+EGFP T cell population (p = 0.006, two-tailed paired t test) (Fig. 3D). The differences in fold expansion between the CD4+EGFP+ and CD8+EGFP+ TR cell populations and their respective conventional counterparts narrowed by day 15 postimmunization, and both populations approached their baseline status by day 20 postimmunization. These data suggested that the ratio of TR:conventional T cells in the course of a primary immune response is tightly controlled, implicating TR cells in the control of these responses.
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TR cells are hypothesized to regulate both T and B cell responses, implying that they will be found within both T and B cell zones. Therefore, we determined the location and density of EGFP+ cells within the draining lymph nodes during the primary response by immunocytochemistry. Analysis using hemizygous male mice revealed large clusters of EGFP+ cells in their draining lymph nodes that made it difficult to accurately count the number of cells in a given area. Heterozygous female mice were therefore selected for this analysis, because only half of their TR cell population expresses EGFP due to random X chromosome inactivation (Fig. 2 and data not shown). Restricting analysis to heterozygous females minimized the TR cell clustering effect.
One draining lymph node from each heterozygous female mouse used in Fig. 3 was sectioned and stained with conjugated Abs specific for CD4, CD8, B220, CD11c, and EGFP. Lymphocytes were visualized by scanning confocal laser microscopy, and the images were aligned to create a composite of each lymph node. Anti-EGFP Ab was used to enhance image quality and to accurately detect these cells. Representative data from each time point at x20 and x40 magnification are shown in Fig. 4A. At early time points (day 2 and day 5), most EGFP+ cells are localized in T cell areas. By day 10, EGFP+ cells are found within B cell zones, but relatively few cells are seen within the germinal centers from day 15 and day 20 lymph nodes.
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At baseline, the density of EGFP+ cells in the T cell zones was 254 x 103 cells/mm3. The TR cell density increased on the 10th day after immunization to 354 x 103 cells/mm3 (p = 0.038), and remained near this level at day 15 and day 20 (Fig. 4B). Examination of EGFP+ cells found at the B/T borders under high-power magnification revealed direct contact between EGFP+ cells and CD4+ T cells, CD8+ T cells, B cells, and CD11c+ APCs (Fig. 4C). Furthermore, clusters of EGFP+ cells are seen, suggesting the possibility of TR cell-cell interaction. Together, the data in Figs. 3 and 4 demonstrate that both the number and relative concentration of TR cells increase in the draining lymph nodes following immunization, consistent with a role in regulating both B and T cell primary responses.
TR cells control the magnitude of the primary response
To investigate the influence of TR cells on primary responses, we antagonized TR cell function by pretreating Foxp3EGFP+/ female mice with an anti-CD25 mAb. This approach, which takes advantage of the high level of expression of CD25 on TR cells and the critical function of IL-2 in TR cell function, blocks TR cell activity while sparing the expansion of conventional T and B cells (34). Accordingly, mice were treated with anti-CD25 mAb (clone PC61) on days 4 and 1 before their immunization with CFA. Ten days after immunization, draining lymph nodes were harvested and analyzed for lymphocyte cell numbers and phenotype (Fig. 5A). The total number of lymphocytes per draining lymph node was increased after treatment with anti-CD25 mAb (13.54 vs 8.45 x 106; n = 14 and 15 respectively; p = 0.001), primarily due to the expansion of CD4+ T cell and CD19+ B cell populations (Fig. 5B). Analysis of EGFP expression in the CD4+ T cell compartment showed a decrease in the percentage of CD4+EGFP+ T cells in anti-CD25 mAb-treated mice as compared with sham-treated mice (4.4 vs 6.8%; p = 0.007). Simultaneous staining for CD25 also showed a similar decrease in the CD25+EGFP+ population (Fig. 5C). This reflected the expansion of CD4+EGFP cell population in the anti-CD25 mAb treated mice, because the total number of CD4+EGFP cells was increased after treatment with anti-CD25 mAb as compared with the sham treatment (3.77 vs 2.72 x 106; p = 0.02). The total number of CD4+EGFP+ T cells was not significantly changed due to the 55% increase in lymph node size after PC61 treatment (Fig. 5D).
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500 cells/lymph node) were identified in the lymph nodes of transfer recipients at the peak of the response.
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The increase in TR cells after immunization is associated with heightened cell division
Several mechanisms were possible for the relative expansion of EGFP+ TR cells in the draining lymph nodes following immunization. First, the increase in TR cells might be attributed to a nondividing TR cell population that accumulated due to increased trafficking and/or preferential retention. Second, the observed increase might largely involve the local expansion of TR cells by means of cell division. Finally, TR cells could be generated by in situ conversion of conventional T cells.
To determine the proliferative activity of TR cells in the draining lymph nodes, the DNA precursor BrdU was administered to immunized mice and unimmunized controls. BrdU incorporation into DNA and the cell surface phenotype were determined by FACS after 5 and 10 days of continuous BrdU labeling. In these experiments, CD4+ T cells were divided into four main groups (Fig. 7A): TR cells that have divided (EGFP+BrdU+); TR cells without recent cell division (EGFP+BrdU); conventional T cells that have divided (EGFPBrdU+); and conventional T cells without recent cell division (EGFPBrdU). As expected, a small percentage (1.9%) of the resident lymph node conventional T cells in unimmunized mice have undergone cell division within the time frame of the experiment (Fig. 7B). A majority of these cells were CD44highCD62Lhigh/low, consistent with the homeostatic proliferation of memory T cells (35) (Fig. 7D). In contrast, 6.6% of the TR cell population divided, representing a 3-fold increase in the baseline cell division (n = 10; p = 0.0054, two-tailed paired t test). Nearly all of the dividing TR cells also had an activated phenotype (CD44highCD62Lhigh/low), in agreement with previous reports (Fig. 7D) (36). After immunization, the percentage of TR cells that divided was increased 3-fold compared with TR cells in unimmunized mice, suggesting extensive cell division (20.1 vs 6.5%; n = 10 per group; p = 0.007) (Fig. 7B, left panel). These values were used to calculate the total number of TR cells per lymph node that had divided, and the results were compared with unimmunized controls (0.46 x 105 vs 0.068 x 105 BrdU+ cells per lymph node on day 10; p = 0.0001) (Fig. 7C, left panel), confirming heightened cell division within the TR cell pool. After immunization, virtually all TR cells that had divided exhibited an activated phenotype (CD44highCD62Lhigh/low) (Fig. 7D).
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3-fold 5 and 10 days after immunization, compared with unimmunized controls (day 5, p = 0.013 and day 10, p = 0.012) (Fig. 7B, right panel). Consistent with this observation, the number of dividing conventional T cells was also significantly increased at these time points (day 5, p = 0.022 and day 10, p < 0.0001) (Fig. 7C, right panel). Similar to their TR cell counterparts, dividing conventional T cells had an activated phenotype (CD44highCD62Lhigh/low) (Fig. 7D). Importantly, whereas the number of dividing conventional T cells was greater than the number of dividing TR cells, the percentage of dividing TR cells was nearly 3-fold greater than that seen within the conventional CD4+EGFP population (20.1 vs 7.3%; p = 0.0006). These data demonstrated that at the peak of the primary immune response,
20% of the TR cell pool in the draining lymph nodes is dividing, a much higher frequency of cell division than in the conventional T cell population. However, they also show the same 3-fold expansion in both the conventional and TR cell populations, implying that the rates of cell division in the two types of cells are equivalent. Thus, the preferential accumulation of TR cells described in the preceding section involves both cell division and other mechanisms. Possibilities include selective retention/survival of TR cells, efflux of conventional CD4+ effector T cells, or both. In situ TR cell conversion contributes marginally to TR cell expansion
Conventional CD4+Foxp3 T cells can be converted to express Foxp3 after activation in the presence of TGF-
(37). The extent of conversion in vivo and the role of converted cells in regulating immune responses is controversial. Repertoire studies comparing TCR CDR3 regions have identified limited overlap between the conventional and TR cell pools, suggesting that in vivo conversion has a minimal role in generating long-lived TR cells. To determine the contribution of conventional T cell conversion to the observed expansion of TR cells after immunization, a polyclonal population of Thy1.2+CD4+EGFP T cells was adoptively transferred into Thy1.1+BALB/c recipients. The Thy1.2+CD4+EGFP population was isolated by cell sorting to >99% purity, hence EGFP expression marked only those transferred cells that up-regulated Foxp3. Recipient mice were immunized the following day with CFA. The composition of the draining lymph nodes was analyzed at the peak of the T cell response on day 10. Live cells were sequentially gated on CD4 and Thy1.2 to identify the transferred population, and CD4+Thy1.2+ cells were analyzed for EGFP fluorescence (Fig. 8A). Thy1.2+ cells represented 0.9% of the CD4+ compartment found in the draining lymph nodes. Within this transferred population, 1.5% of the CD4+ T cells were also EGFP+. When corrected for lymph node size, these percentages result in
270 CD4+Thy1.2+EGFP+ and 20,270 CD4+Thy1.2+EGFP cells per draining lymph node. These data suggest that in vivo conversion is a very limited process that cannot explain the large number of proliferating TR cells shown in Fig. 7.
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(data not shown). Recipient mice received 0.5 x 106 CD4+DO11.10+ T cells and were immunized with OVA (323339) peptide emulsified in CFA. Control mice received the adoptively transferred T cells but were not immunized. After immunization, 3% of the total CD4+DO11.10+ T cells express Foxp3 (Fig. 8B). DO11.10+Foxp3+ T cells were not seen in unimmunized mice.
Although all adoptively transferred DO11.10 T cells were potentially available to participate in the immune response, it was possible that a large number of these cells were not activated. This situation would result in underestimating the contribution of conversion to TR cell expansion. To determine the extent and the rate of cell division for both conventional and converted DO11.10 T cells, the cells were labeled with CFSE before adoptive transfer. At the peak of DO11.10 expansion, lymphocytes from the draining lymph nodes were stained for CD4, the DO11.10 TCR, and Foxp3. Results confirm that 99% of DO11.10 T cells have undergone cell division, and that the number of converted TR cells remains at
2% (Fig. 8C). A small but measurable population of DO11.10 T cells expresses Foxp3 before cell division. These results demonstrated that only a small percentage of conventional T cells undergoing Ag-driven proliferation converted into TR cells and, consequently, that conversion did not contribute substantially to the expanding TR cell pool.
| Discussion |
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Adoptive transfer experiments may not faithfully reproduce the normal kinetics of Ag-specific responses (38, 39). Nevertheless, they illustrate that the dynamic relationship between TR cells and conventional CD4+ T is particularly sensitive to perturbations early in the response. Experiments using intravital microscopy to track transferred TR cells have demonstrated reduced CD4-dendritic cell interaction times and a reduction in the half-life of affected dendritic cells (40). Thus, one way that TR cells may work is by decreasing dendritic cell maturation and function. This mechanism certainly does not preclude TR cell regulation at later time points in the course of the immune response. For example, stimulated TR cells can kill activated targets, including T cells, B cells, and dendritic cells (41, 42, 43). Importantly, the adoptive transfer experiments also show that matched Ag specificity between conventional T cells and TR cells is not a prerequisite for effective regulation of the primary response.
Previous studies tracking TR cells in vivo have frequently identified TR cells using CD25, a strategy that fails to recognize up to 30% of TR cells and does not distinguish between TR cells and activated conventional T cells (33). In contrast, our data demonstrate that >20% of the TR cell population is dividing in the draining lymph nodes at the peak of the primary response, clearly indicating activation of TR cells after immunization. Activation of TR cells requires TCR engagement by Ag/MHC complexes and is essential for TR cell function (5, 6). Once activated, TR suppression of conventional T and B cell responses is thought to be independent of TR cell Ag specificity (41, 42, 43, 44). Our data is consistent with the interpretation that TR cell regulation of primary immunity depends upon activation of a sizable portion of the TR cell pool. Several mechanisms could contribute to this extensive activation, including the propensity of TR cells for self-reactivity, increased TR cell repertoire diversity, and reduced TR cell TCR specificity.
The BrdU data also provides comparative information on TR cells and conventional T cells at steady state in the absence of stimulation by foreign Ag. We found that
7% of TR cells had divided during the 10 days of continuous BrdU labeling, while only 2% of conventional T cells had incorporated BrdU during the same time period. Cell division of conventional CD4+ T cells at steady state depends upon lower affinity interactions between the TCR and self-peptide MHC complexes than those required for T cell activation (45, 46). In the absence of foreign Ag, broadened TCR specificity and a TR cell bias toward self-recognition may also account for the relatively higher rates of TR cell division. Blocking steady-state TR cell proliferation with an anti-IL-2 Ab results in accelerated and multiorgan autoimmune disease in NOD mice, consistent with the activation of TR cells on self-peptide/MHC complexes (47). Previous BrdU studies show that most conventional CD4+ T cells that divide at steady state are CD44high, and homeostasis in lymphocyte-replete animals has therefore been postulated to largely involve the memory pool (35). A rapidly dividing CD44+ TR cell pool was observed in another study, and our data demonstrated a similar population (36). Importantly, we find that
25% of the cells that divided in the draining lymph nodes were TR cells. These cells were exclusively CD44high, suggesting an activated/memory TR cell phenotype. No cells in the dividing TR cell pool have a naive phenotype (CD62LhighCD44low), although such cells can be seen in the conventional EGFPBrdU+ population. The extensive contribution of TR cells to steady-state cell division within the CD4+ T cell compartment implicates continual TR cell activation as an important mechanism in controlling spontaneous autoimmune responses generated by conventional T cells (47).
In the thymus, agonist-mediated selection of TR cells has been observed in a TCR transgenic model (48). Although this point has been debated, most experiments examining TR cell development demonstrate that TR cells are relatively resistant to negative selection (48, 49, 50). In the absence of efficient negative selection, positive selection of TR cells might result in a TCR repertoire that is highly peptide degenerate and biased toward MHC recognition, analogous to the model that has been developed for the selection of conventional T cells (51, 52, 53). Our data demonstrating a significant increase in TR cell division at steady state and after immunization are arguably most consistent with a TR cell pool characterized by degenerate TCR recognition and activation largely on self-Ags. We propose a model whereby TR cells are progressively enlisted to regulate immune responses based on the level of conventional T cell activation and the local amount of IL-2 produced. Constitutive expression of the high-affinity IL-2R (CD25) and the dependence on exogenous IL-2 enforce TR cell participation commensurate with the conventional T cell response. The postulated degenerate nature of TR cell TCR recognition then allows for recruitment of a sufficient number of TR cells to control the magnitude of the response.
In contrast, in situ generation of TR cells did not appear to play a role in the accumulation of TR cells during the course of the primary immune response to CFA immunization. Previous studies have demonstrated that TR cells may arise from activation of conventional T cells, either by stimulation with low doses of Ag in the absence of professional APC stimulation (54), or by TCR cross-linking in the presence of TGF-
(37). This conversion results in the expression of Foxp3 and the acquisition of a regulatory phenotype (32, 37, 55, 56). Converted TR cells exhibit suppressor function and are capable of down-regulating Ag-specific immune responses in a manner similar to that of thymus-derived or "natural" TR cells. Recent studies have documented the production of converted TR cells in the context of an adjuvant (aluminum hydroxide)-driven immune response (57). We also find that conversion can occur in vivo. However, our adoptive transfer experiments revealed that in situ TR conversion contributed little to the increase in TR cells in draining lymph nodes of CFA-immunized mice, making a measurable regulatory role for these cells less likely. These data do not rule out more extensive conversion at later time points, as has been seen in other systems (58).
Whereas the TR cell expansion in the course of a primary immune response may take advantage of degenerate TCR recognition and a more diverse TCR repertoire, chronic antigenic stimulation, such as that seen with parasitic infections, can be associated with a more focused, Ag-specific TR cell response. This is demonstrated in the recent reports examining mouse models of Leishmania infection where Leishmania Ag-responsive TR cells were prominently represented at the infection site and suppressed the in situ action of effector T cells, allowing for parasite persistence (59). In both acute and chronic responses to foreign Ags, TR cells regulate the development of conventional T cell effector function. However, the differential dependence on foreign Ag specificity displayed by TR cells in the course of chronic vs acute responses may be the consequence of the manipulation of the local environment by pathogens leading to Ag persistence. Such divergence in TR cell response may explain some of the detrimental effects associated with fixing TR cell Ag specificity during chronic antigenic stimulation, which may allow the persistence of pathogens such as parasites in the face of an ongoing immune response (25).
In addition to CD4+EGFP+ TR cells, we also observed a small population of CD8+EGFP+ cells that follow the same kinetics as the CD4+EGFP+ population. Expansion and contraction of this Foxp3+ population during the primary response suggests a regulatory role, although this is not confirmed by our studies. The small number of these cells makes their potential effects more difficult to dissect. We have used the neonatal transfer of purified CD4+ T cells to rescue Foxp3 mice, suggesting that CD8+Foxp3+ cells are not essential for preventing autoimmunity (D. Haribhai, unpublished results). However, CD8+EGFP+ cells arise in the thymus and form a distinct lineage, making it likely that they play some role in regulating certain cell populations or immune responses. Assuming that CD8+Foxp3+ TR cells require activation via their MHC class I-restricted TCR for their function, targets might include cells of the innate immune system, APCs, and CD4+ TR cells.
In summary, this study provides new data about TR cell proliferation, localization, and Ag independence during the primary immune response. This study also confirms related observations in the literature using suboptimal markers. Collectively, the data raise many questions about the specific factors that drive a large fraction of the TR cell pool to divide in naive and immunized animals. Why is the baseline frequency of TR cell division so high? Are there specific APC populations or cytokines that modulate TR cell division? What is the role of TCR signal strength and of TLR signaling? How degenerate is TR cell TCR specificity, and might this impact TR cell function? The Foxp3EGFP mice provide a useful tool designed to answer these and other aspects of the biology of TR cells.
| Acknowledgments |
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1 This work was supported by National Institutes of Health Grants 2R01AI065617 (to T.A.C.) and R01 AI47154 (to C.B.W.), and by the Nickolett Family Foundation and the D.B. and Marjorie Reinhart Family Foundation (to C.B.W.). ![]()
2 Address correspondence and reprint requests to Dr. Talal A. Chatila, Division of Immunology, Allergy and Rheumatology, Department of Pediatrics, The David Geffen School of Medicine at the University of California at Los Angeles, MDCC 12-430, 10833 Le Conte Avenue, Los Angeles, CA 90095; E-mail address: tchatila{at}mednet.ucla.edu or Dr. Calvin B. Williams, Division of Rheumatology, Department of Pediatrics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226; E-mail address: cwilliam{at}mcw.edu ![]()
3 Abbreviations used in this paper: TR, regulatory T; EGFP, enhanced GFP; IRES, internal ribosomal entry sequence; WT, wild type; R, responder cell; S, suppressor cell. ![]()
Received for publication October 25, 2006. Accepted for publication December 27, 2006.
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