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Department of Immunology, University Medical Center, Utrecht, The Netherlands
| Abstract |
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| Introduction |
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Additional evidence for the importance of Nef in development of AIDS comes from a transgenic (tg)3 mouse model in which constitutive expression of the whole HIV genome in CD4 T cells and in cells of the monocyte/macrophage lineage leads to severe AIDS-like pathology (5). Further dissection of this mouse model leads to the conclusion that Nef alone was the major disease determinant (5, 6). Yet, the mechanism of Nef causing this severe phenotype in mice is still not understood.
Nef is a small protein of 27 kDa that is expressed abundantly in the early stages of viral replication. It is posttranslationally modified by myristilation of the N terminus, which targets Nef to the plasma membrane (reviewed in Ref. 7). Nef enhances viral replication (3). The best documented functions of Nef in vitro are down-regulation of CD4 and MHC class I cell surface expression via the endocytosis machinery (8, 9) and interference with TCR signaling (reviewed in Ref. 7). Simmons et al. (10) have demonstrated that Nef expression in Jurkat T cells induces a very similar gene expression profile as TCR signaling. Other groups have shown that Nef leads to enhanced activation after stimulation of the TCR and CD28, resulting in increased IL-2 production (11, 12). Two recent studies showed an effect of Nef on the threshold of T cell activation either by influencing formation of the immunological synapse or by down-regulation of the TCR-CD3 complex (13, 14). Numerous proteins have been reported to interact with Nef, many of which are part of the TCR signaling cascade, which is compatible with the effects of Nef expression on T cell activation in cell lines (reviewed in Ref. 7). Yet, functional evidence for such effects of Nef in primary T cells is very limited.
To study the consequence of Nef expression in primary cells in vivo, various Nef tg murine models have been generated (6, 15, 16, 17). All, except one, which expresses Nef in CD4 T cells as well as in cells of the monocyte/macrophage lineage (6), express Nef specifically in the T cell compartment. In all of these tg mouse strains, depletion of the T cell compartment is observed. In addition, T cells derived from secondary lymphoid organs showed increased activation (15, 18, 19). Upon viral challenge with vesicular stomatitis virus and lymphocytic choriomeningitis virus, it appeared that Nef tg T cells were less capable of inducing virus-specific CTL responses and to clear the virus (15). In line with this finding, Nef tg T cells had decreased in vitro proliferative capacities compared with wild-type (wt) T cells (15, 18, 19).
Altogether, these models show that Nef expression in the T cell compartment leads to T cell activation, decreased functional capacity of T cells, and thymic atrophy, all features of the T cell compartment of HIV-infected humans. These studies suggest that Nef expression in peripheral T cells of tg mice leads directly to HIV-like hyperactivation of T cells and thereby implies a dominant role for Nef on peripheral T cell functioning during HIV infection.
During HIV infection, T cells are chronically activated and have high proliferation rates (20, 21, 22, 23). Different causes for this activation have been proposed, varying from the presence of HIV viral load, which continuously drives immune activation (20), to particular activating effects of HIV proteins including Nef (20, 21, 22, 23).
We studied whether the T cell activation seen in Nef tg mice is indeed due to direct effects of Nef expression on T cells, compatible with HIV-induced hyperactivation, or whether this activation is lymphopenia induced, secondary to Nef-mediated thymic atrophy and T cell depletion. Adoptive transfer and chimeric mouse models demonstrated that in Nef tg mice peripheral T cell turnover results from lymphopenia, which is caused by Nef-mediated thymic atrophy.
| Materials and Methods |
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The CD2 Nef tg mice have been described previously (17) and were a gift from E. Dzierzak (Department of Cell Biology, Erasmus MC, Rotterdam, The Netherlands). Experiments were performed with mice 612 wk of age. Transgenic mice were compared with non-tg littermates. C57BL/6.SJL (Ly5.1) and C57BL/6 (Ly5.2) mice were obtained from The Jackson Laboratory and were maintained as a breeding colony in our animal facility. Ly5.1/Ly5.2 mice were bred by crossing (C57BL/6.SJL Ly5.1 x C57BL/6-Ly5.2). All mice were kept under specific pathogen-free conditions and housed in accordance with institutional guidelines of American Association of Accreditation of Laboratory Animal Care, in the mouse facility of the Central Laboratory Animal Institute Utrecht University (Utrecht, The Netherlands). The Institutional Animal Ethics Committee approved all experiments.
Abs and reagents
(BrdU)-APC flow kit, annexin V, mAbs (CD4 (RM4-5), CD8 (53-6.7), CD16/32 (2.4G2), CD44 (IM7), CD45.1 (A20), CD45.2 (104), and CD62L (MEL-14)), and streptavidin, unlabeled or labeled with appropriate fluorochromes, were all purchased from BD Biosciences.
CFSE labeling and adoptive transfer
Single-cell suspensions were prepared from peripheral lymph nodes (PLN). Cells were labeled with CFSE (Molecular Probes) as described previously (24). Briefly, cells were washed twice in PBS and resuspended at 107 cells/ml in PBS. CFSE was added to a final concentration of 0.5 µM, and cells were incubated for 10 min at 37°C. Unbound CFSE was quenched by washing labeled cells twice with RPMI 1640 medium supplemented with 10% FBS (Integro). A total of 5 x 106 cells was resuspended in 200 µl of PBS and injected i.v. into the tail vein of the mice.
Bone marrow transplantations
Bone marrow was obtained by the passage of iced RPMI 1640 through the tibias and femurs. T cells were depleted by use of CD90.2 (Thy12)-labeled magnetic beads and LD columns (Miltenyi Biotec), following the manufacturers instructions. Recipient mice were irradiated with a single sublethal dose of 7.0 Gy from an x-ray source. Within 6 h, the recipient mice were injected i.v. with a total number of 5 x 106 bone marrow cells.
Measurement of BrdU incorporation in vivo
BrdU (1 mg/mouse; Sigma-Aldrich) was injected three times i.p. with a time interval of 4 h, and mice were sacrificed 24 h after the first injection. Single-cell suspensions of lymphoid organs were prepared and cells were labeled with the appropriate Abs. Next, cells were fixed, permeabilized, and stained for BrdU with a BrdU-APC flow kit according to the manufacturers instructions.
Flow cytometry
Thymus, spleen, and PLN were forced through cell strainers (Falcon; BD Biosciences) in the presence of RPMI 1640 with 10% FCS to obtain single-cell suspensions. Erythrocytes were lysed by incubation of the cells in 0.15 M NH4Cl, 0.01 M KHCO3, and 0.1 mM EDTA (pH 7.4) for 2 min on ice. Cells were preincubated with Fc-block (mAb to CD16/32, 2.4G2; BD Biosciences) and washed in staining buffer (PBS, 0.5% BSA and 0.01% sodium azide). Afterward, cells were incubated with Abs and/or annexin V. Stained cells were analyzed using a FACSCalibur or BD LSR II and analyzed by CellQuest or BD FACSDiva software (BD Biosciences).
Statistical analysis
Results were analyzed using a Students t test (two-tailed). Differences between groups were considered statistically significant at p < 0.05.
| Results |
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To determine the cause of peripheral T cell activation in vivo, we studied a Nef tg mouse model as described earlier by Dzierzak and coworkers (17, 18) (founder line F). In these mice, HIV-1BRU Nef gene expression is under control of the CD2 promoter and locus control region resulting in constitutive transgene expression in all T cells, starting during the earliest stages of T cell development. The most striking phenotype in these mice is a dramatic depletion of thymocytes (17). Total thymocyte cellularity of Nef tg mice was 10-fold reduced compared with wt littermates (Fig. 1A) as shown before (17). Nef expression disturbs thymocyte development, as evidenced by changes in thymic subset distribution, resulting in low numbers of single-positive thymocytes (17, 18) (data not shown).
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300 vs Nef tg
135) and peripheral CD4 T cells (wt MFI of
900 vs Nef tg
650) (Fig. 1B), indicative for the presence of functional Nef protein. Analysis of peripheral lymphoid organs revealed a marked decrease in T cell numbers in both PLN and spleen (17) (Fig. 1C). Phenotypical analysis of tg peripheral T cells in previous studies using these Nef tg mice showed enhancement of T cell activation as evidenced by increased expression of the cell surface molecules CD25, CD69, and CD44 (17). Next to induction of these activation markers, we determined the composition of the peripheral T cell pool. Ag-inexperienced naive T cells can be distinguished from Ag-experienced effector and memory T cells on basis of their CD62L and CD44 expression levels. Although T cells expressing CD44mediumCD62Lhigh are defined as naive, CD44highCD62Llow and CD44highCD62Lhigh are defined as effector/memory (E/M/) cells (25, 26, 27).
Phenotypical analysis of spleen-derived T cells showed that in wt mice
77% of all CD4 T cells and
57% of all CD8 T cells were naive, compared with
22% naive CD4 and
12% naive CD8 T cells in Nef tg mice (Fig. 1D). Calculation of absolute T cell number showed a reduction of all T cell subsets in the Nef tg mice, which was most pronounced for naive T cells (Table I). Expression of activation markers was increased in Nef-expressing mice as was shown before.
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Increased T cell turnover in Nef tg mice
Once we had observed low thymic cellularity and an activated peripheral T cell compartment, we examined the dynamics of the T cell pool. The proliferation of tg vs wt T cells was examined in vivo by measuring BrdU incorporation in DNA of dividing cells. Analysis of CD4 and CD8 T cells revealed a 6-fold increase in BrdU incorporation in both CD4 and CD8 T cells derived from the PLN of tg mice (as depicted in Fig. 2A), showing a 6-fold increase in cell proliferation compared with wt littermates. As a measure for cell death, we determined the fraction of annexin V-positive cells ex vivo by FACS analysis. A >7-fold increase in the percentage of death CD4 T cells vs a 3-fold increase among CD8 T cells derived from the PLN was measured in the tg mice (Fig. 2B). The fraction of dividing cells in the various T cell subsets did not differ between tg and wt mice. Increased overall turnover in T cells from tg mice was thus due to the increased proportion of E/M cells, which have a larger fraction of dividing cells compared with the naive T cell subset (data not shown) (26, 28).
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Activation of normal T cells in Nef tg mice
We studied whether activation of the T cells was caused by an intrinsic Nef effect on peripheral T cells or was brought about by the strongly reduced thymic output and the concomitant T cell-depleted environment in Nef tg mice. Wild-type T cells, which could be distinguished from host cells by Ly5 allele expression, were adoptively transferred into Nef tg or wt mice of similar age. Before transfer, PLN-derived Ly5.1-expressing lymphocytes were labeled with CFSE, to monitor their proliferative behavior. The fate and phenotype of the transferred cells was determined in blood at day 3 and 6 after transfer and in spleen at day 10 after transfer (for overview experiment, see Fig. 3A). At day 3 after injection of the wt Ly5.1 T cells, no CFSE dilution was observed in either of the acceptor mice. Yet 6 days after injection proliferation was detectable in Nef tg mice (Fig. 3B). In wt recipients, proliferation was only detected at day 10 after transfer. At this time point, a fraction of
85% of the transferred wt donor Ly5.1 CD4 T cells had not divided when transferred to wt mice, compared with
54% when transferred to Nef tg mice (Fig. 3B). Of the transferred wt Ly5.1 CD8 T cells,
87% had not divided in wt recipients vs
63% in Nef tg recipients by day 10 (Fig. 3B). Based on the CFSE profiles, it seemed that the cell cycle progression of transferred wt Ly5.1 T cells was similar in wt and Nef tg mice; however, the number of cells entering the cell cycle seemed to be increased in Nef tg mice.
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Normal phenotype of Nef tg T cells developing in a full T cell compartment
To dissect the effect of the T cell-depleted environment from the effect of expression of Nef on division and activation of Nef tg T cells, we examined the T cell activation status of tg cells in a nonlymphopenic environment. Therefore, we generated mixed bone marrow chimeras, where cotransfer of Nef tg and wt bone marrow resulted in Nef tg T cells in a normally developed T cell compartment of a mostly wt origin. Host and donor cells could be distinguished on the basis of Ly5 allele expression. Wild-type bone marrow-recipient mice of 1012 wk old, which expressed both Ly5.1 and Ly5.2 on their hemopoietic cells, were sublethally irradiated and reconstituted with wt Ly5.1 bone marrow in combination with either Ly5.2 wt (wt/wt group) or Ly5.2 Nef tg (wt/tg group) bone marrow, in a ratio of 1:10 (Ly5.1:Ly5.2).
Blood analysis revealed that after 3 wk naive T cells numbers had increased, indicative of de novo thymic output. Six weeks after bone marrow transplantation, lymphocyte numbers in blood had stabilized and mice were sacrificed for ex vivo analysis of lymphoid organs (for overview experiment, see Fig. 4A).
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80 x 106 thymocytes, whereas thymi derived from mice of the wt/tg group contained
50 x 106 thymocytes (Fig. 4B). Thymi derived from mice of the wt/wt group were composed of
90% Ly5.2 thymocytes, due to the administered ratio of Ly5.1 and Ly5.2 bone marrow (1:10). The thymus of mice from the wt/tg group, however, contained
15% thymocytes of the Ly5.2 lineage; the remaining 85% was predominantly from the Ly5.1 wt donor lineage (Fig. 4C). To substantiate functionality of the thymus, subset distribution within the thymus was determined by analyzing CD4 and CD8 expression profiles for the different Ly5 subsets in the thymus of mice from both wt/wt- and wt/tg-reconstituted groups. CD4 and CD8 single-positive thymocytes of all Ly5 subtypes were present (Fig. 4D), which indicated normal thymic development and an efflux of mature CD4 and CD8 T cells into the peripheral T cell compartment. Examination of total cellularity of the secondary lymphoid organs demonstrated rather normal T cell numbers among PLN and spleens of both the wt/wt and the wt/tg group (data not shown). The PLN-derived T cells from wt/wt-reconstituted mice consisted of
50% of wt Ly5.2 T cells, whereas the wt/tg-reconstituted group contained only 12% of Nef tg Ly5.2 T cells in their PLN-derived T cells (Fig. 4E). This poor outgrowth of tg Ly5.2 T cells is compatible with the Nef-mediated block in T cell development.
To confirm Nef expression in peripheral T cells, the CD4 level on wt Ly5.1 and Nef tg Ly5.2 cells was measured in the wt/tg group. Wild-type cells expressed CD4 at MFI of
124, whereas Nef tg cells expressed CD4 at MFI of
73. This CD4 down-regulation is typical for a functional Nef protein being present in tg peripheral T cells (Fig. 4F). To study the activation state of the Nef tg T cells that developed in a full T cell compartment, the subset distribution of the different Ly5 populations in the wt/wt and wt/tg group were examined by measuring CD44 and CD62L expression by flow cytometry. As expected, no significant difference was found between the percentage of naive wt Ly5.1 and wt Ly5.2 T cells within the wt/wt group. This result was observed in both CD4 and CD8 T cells (Fig. 4G). Strikingly, the Ly5.2 Nef tg T cells had the same naive phenotype as the wt Ly5.1 T cells, which had developed together in the wt/tg group. This was observed for CD4 as well as for CD8 T cells (Fig. 4G). These data showed that when Nef tg T cells developed in a T cell-repleted normal environment, their behavior was similar to wt cells and they had a predominantly naive phenotype. We conclude that the T cell activation seen in Nef tg mice is mediated by lymphopenia-induced mechanisms rather than by an intrinsic effect of Nef expression on T cell activation and division.
| Discussion |
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Based on the in vitro interference of Nef with TCR signaling, many of the in vivo effects of Nef in tg mice models have been ascribed to effects on T cell activation (7, 10). Studies by Jolicoeur and coworkers (19) in CD4C/HIV-Nef tg mice have shown similar thymic depletion and increased peripheral T cell activation and proliferation as we report here. To test whether this increased activation was TCR dependent, these investigators crossed their Nef tg mice with TCR tg mice (AD10). Also in these double-tg mice CD4 T cells had an activated E/M phenotype, suggesting an intrinsic Ag-independent effect of Nef on T cell activation (19). However, it was shown that under lymphopenic conditions TCR tg CD4 T cells can proliferate in the absence of their cognate Ag, resulting in the acquisition of an E/M-like phenotype (27), thereby questioning the former interpretation of their results.
Correlation between the expression levels of activation markers and the amount of Nef protein expressed in CD4 T cells in Nef tg mice further suggests an in vivo role for Nef in T cell activation (19). In these Nef tg mice, different CD4 populations, designated as CD4high and CD4low, with respectively low and high Nef expression have been described previously (19). In agreement with a direct effect of Nef on T cell activation, these two subpopulations also differed in their activation status, i.e., the more Nef protein expressed, the lower the CD4 expression, the more the cells appeared to be activated. However, when we evaluated the activation status of low and high CD4-expressing T cells derived from wt mice, expression of activation markers was also found to be unevenly distributed. Even in these wt mice, the CD4low-expressing T cells contained a higher fraction of cells expressing activation markers (our unpublished data). Apparently, this inverse correlation of CD4 and activation marker expression levels is a general phenomenon independent of Nef effects on T cell activation.
Next to TCR-dependent effects of Nef, in vitro studies have shown effects of Nef on CD28-mediated costimulation (11, 12). Crossing of our Nef tg mice on a B7-deficient background did not lead to any changes in the observed phenotype or in vitro characteristics of Nef tg T cells (our unpublished data), which questions the effect of Nef on CD28-mediated costimulation. Recently, it was proposed that two different mechanisms drive proliferation in a lymphopenic environment: homeostatic proliferation, which is slow, and IL-7 dependent and endogenous proliferation, which is fast and depends on competition of TCRs for stimulatory self-peptide/MHC interactions. It has been reported that CD28-mediated signals are not required for homeostatic proliferation but are necessary for endogenous proliferation. Although in our mice absence of CD28-mediated costimulation did not result in any change in the observed phenotype, this effect would point to homeostatic proliferation as the driving mechanism in our model (31).
Taken together, our data show that Nef expression in the T cell lineage of tg mice does not directly activate primary peripheral T cells. Instead, Nef expression severely affects T cell development in the thymus, resulting in lymphopenia and causing lymphopenia-induced division and differentiation of the remaining Nef tg T cells.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 This work was funded by Grant Number 6011 from Aids Fonds Netherlands. ![]()
2 Address correspondence and reprint requests to Dr. Kiki Tesselaar, Department of Immunology, University Medical Center, Lundlaan 6, Room KC02.085.2, 3584 EA Utrecht, The Netherlands. E-mail address: k.tesselaar{at}umcutrecht.nl ![]()
3 Abbreviations used in this paper: tg, transgenic; wt, wild type; PLN, peripheral lymph node; MFI, mean fluorescence intensity; E/M, effector/memory. ![]()
Received for publication June 28, 2006. Accepted for publication February 20, 2007.
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