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* Department of Pathology and Immunology and
Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO 63110; and
Division of Molecular Immunology, La Jolla Institute for Allergy and Immunology, San Diego, CA 92121
| Abstract |
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| Introduction |
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B, JNK, and adapter protein 1 signaling pathways (7, 8). Recent evidence suggests that BTLA-HVEM interactions serve to regulate T cell development and activation events (4, 9). These interactions remain unique as the only example of signaling cross-talk between the Ig and TNFR families of surface receptors. The cytoplasmic tail of murine BTLA contains a potential growth factor receptor-bound protein 2 binding site as well as an ITIM and an immunoreceptor tyrosine-based switch motif (10). These tyrosine-based motifs undergo phosphorylation upon colligation of BTLA with the TCR (11) and are conserved in BTLA orthologs from zebra fish to humans (12), implying a conserved biological role. In vitro studies document the ability of BTLA to act as a negative regulator, although the cytosolic factors responsible remain unclear (13, 14, 15). Ab cross-linking of BTLA inhibits IL-2 production by T cell hybridomas in response to anti-CD3 stimulation (11). Likewise, coimmobilized anti-BTLA Ab or HVEM-Fc fusion protein has been shown to reduce the proliferation and cytokine production by purified T cells in response to anti-CD3 treatment (1, 3, 16, 17, 18, 19). These results are consistent with the proposal that BTLA acts as a coinhibitory receptor, exerting its effect when clustered in proximity with the TCR. Indeed, genetic loss of BTLA leads to an increase in T cell responsiveness, providing in vivo support for an inhibitory role. Ab blockade of BTLA or HVEM promotes the rapid rejection of partially MHC class I- or class II-mismatched allografts (20). In addition, BTLA–/– mice show increased severity and duration of disease when challenged with experimentally induced autoimmune encephalomyelitis (11), and they exhibit prolonged airway inflammation when challenged with inhaled Ag (21). However, the phenotype of heightened immune responsiveness in these animals may not be a direct result of the loss of coinhibitory signal from the T cells themselves, but instead, may be due to an increase in the abundance of CD8+ memory T cells which has been reported to occur in both BTLA–/– and HVEM–/– mice (9).
The extracellular portion of HVEM consists of four cysteine-rich domains (CRDs) (22) or pseudo repeats, each
40 residues in length that are characteristic of the TNFR superfamily (22, 23, 24). HVEM binds LIGHT, a TNF-related trimeric cytokine. By analogy with related systems (e.g., TNFR1/TNFβ (25)) and from mutagenesis studies (26), it is predicted that LIGHT will contact HVEM primarily through an elongated surface spanning the CRD2 and CRD3 domains. BTLA binds HVEM on the opposite side of the receptor, in the CRD1 domain (4, 27), in a region that has come to be called the "DARC" site of HVEM (16) because it contains the attachment site for the envelope glycoprotein D of HSV-1 (22, 28). In turn, the binding site for HVEM on BTLA is targeted by UL144, a TNFR-like decoy encoded by human CMV (16). UL144 binds BTLA, but not LIGHT, and inhibits T cell proliferation, presumably by exploiting the inhibitory cosignaling function of BTLA.
A crystal structure revealing specific details of the interaction between human BTLA and HVEM was recently reported (29). BTLA recognizes, as its principal binding target, an extended β-strand located in the membrane-distal region of the HVEM CRD1 domain, specifically HVEM β-strand residues 35–39 (TVCEP). These residues form an intramolecular anti-parallel β-sheet with residues 122–128 (NLIESHS) of human BTLA. When alanine-scanning mutagenesis was used to evaluate the binding contributions of 15 individual HVEM side chains, the three most disruptive substitutions were residues involved in the formation of the β-strand, confirming the intramolecular β-sheet as a central feature of the binding interface. These results suggest BTLA uses a unique binding surface, distinct from that used by coinhibitory receptors of the related CD28 family. In this study, we demonstrate that the human BTLA-HVEM results are relevant to the mouse BTLA-HVEM system. There existed some reason for caution, since the binding specificities of the two TNFR are known to differ. Human HVEM binds the TNF-related human cytokine lymphotoxin
in addition to human LIGHT. In contrast, mouse HVEM does not bind mouse lymphotoxin
and binds only weakly to mouse LIGHT (30). From sequence comparisons, only 11 of 17 human BTLA amino acids that bury at least 25% of their surface accessible area upon HVEM binding are identically conserved in mouse BTLA (29). Similarly, only 12 of 20 HVEM residues that bury solvent accessible surface upon BTLA binding are identically conserved in mouse HVEM (29). No crystal structure yet exists for mouse HVEM; therefore, it is difficult to predict the exact configuration of the mouse BTLA-HVEM binding interface. However, we have obtained a crystal structure of the extracellular region of murine BTLA (BALB/cJ allele) and used that information to design a series of singly substituted BTLA proteins for affinity studies by Scatchard analysis. Of 26 single-site substitutions tested, we identified 4 that abolish HVEM binding and 2 others that lower binding by more than 2-fold. Our results confirm that murine and human BTLA engage HVEM using a conserved binding motif and represent the first functional characterization of individual BTLA residues involved in HVEM binding.
| Materials and Methods |
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A cDNA fragment encoding the mature N-terminal ectodomain of BTLA was inserted between the NcoI and XhoI sites of the bacterial expression vector pET-21a (EMD Biosciences) (aa 30 through 121, as numbered in accession no. AAP44002). This plasmid was introduced into BL21(DE3)-RIL codon (+) Escherichia coli cells (Stratagene) for expression. Recombinant protein was recovered as an insoluble inclusion body pellet, solubilized in guanidine hydrochloride, and then renatured by rapid dilution in refolding buffer consisting of 1 M arginine, 100 mM Tris-HCl, 2 mM EDTA, 200 µM PMSF, 5 mM reduced glutathione, and 0.5 mM oxidized glutathione at a final pH of 8.3. After 24 h, the soluble refolded protein was collected in a stirred cell concentrator using YM10 membrane (Millipore), passed through a 0.45-µm filter, and subjected to sizing on Superdex 200 (GE Health Sciences). The resulting native protein eluted from size exclusion chromatography at
14 kDa, the position predicted for the BTLA monomer. The final recombinant fragment contained no extraneous tags. Its identity was confirmed by electrospray mass spectrometry (ESMS), the observed mass being consistent with two disulfide bonds in each molecule. Fractions containing mono-disperse protein were pooled and kept at 4°C in sizing buffer (25 mM HEPES (pH 7.5) and 150 mM sodium chloride with 0.01% sodium azide). Mutagenesis of the pET-21-BTLA plasmid was performed using a QuickChange site-directed mutagenesis kit (Stratagene).
To prepare a sample for ESMS, 10 µg of protein was diluted to 100 µl in water and mixed with 100 µl of 20% trichloroacetic acid. This mixture was held on ice for 30 min. The sample was spun in a microfuge at 16,000 x g at 4°C for 20 min. The precipitate was washed with 300 µl of cold acetone and spun again at 16,000 x g at 4°C for 5 min. The protein pellet was air dried and resuspended in 20 µl of 60% acetonitrile with 0.1% formic acid for analysis. ESMS of the protein used for the crystallization trials (BALB/cJ) yielded an observed Mr 14,428 Da. The sequence (M)-EKAT... QNSS* predicts a Mr 14126.89 Da. The observed weight indicates two disulfide bonds per monomer with the fifth cysteine capped by glutathione (14,428.00 Da = 14,126.89 fragment – 5.04 Da for 5 hydrogens plus 306.3 Da for oxidized glutathione).
Crystallization conditions
The crystals were grown at 293°K in hanging drops by mixing an equal volume of BTLA protein at 9.6 mg/ml in 20 mM HEPES (pH 7.4) with well solution containing 10 mM cadmium chloride, 100 mM citric acid/sodium hydroxide (pH 5.8), 220 mM ammonium acetate, 26% polyethylene glycol 4000, and 10 mM trimethylamine-HCl.
Data collection and processing
Diffraction data were collected at the Advanced Light Source (ALS) synchrotron (beamline 4.2.2) using a charge-coupled device detector (Noir-1). Because cadmium ions were required for crystal growth, we attempted to derive experimental phase from their anomalous and dispersive scattering differences. Two datasets were collected from a single crystal. A quick pass (to minimize the effects of radiation damage in the single-wavelength anomolous dispersion phasing) was collected at 2.06637 Å wavelength to a resolution of 2.25 Å and a slow pass (for model refinement) was collected at 1.54978 Å wavelength to a resolution of 1.8 Å. Although both occur on the high-energy side of the absorption edge (LI
3.0857 Å), a solution was feasible because of the relatively large f'' and small f' inherent in the 2.06637 Å dataset. Data processing with d*Trek (31) revealed that the crystal belonged to orthorhombic space group P212121 (a = 36.67 Å, b = 37.54 Å, and c = 90.15 Å). The asymmetric unit of the crystal contained a single BTLA monomer. The total solvent content was
44% with a Matthews coefficient of 2.20 Å (3)/Da.
Model building and refinement
An analysis of the anomalous differences in the 2.06637 Å dataset, using the heavy atom search program from the crystalography and NMR system software suite (32), revealed two relatively strong cadmium peaks per molecule. The initial phases were calculated from these positions using both datasets. Phases were further improved in SHARP (33) by solvent flattening and histogram matching. The map calculated from the improved phases (40.0-2.25 Å) was sufficient to trace the backbone structure of the protein. A partial model was generated by the autobuild feature of ARP/wARP (34) spanning 95 of 122 residues in three chains with a connectivity index of 0.92. This model was inspected in the program O (35). Only minor corrections were required before refinement in the crystalography and NMR system software suite. Both 2Fo-Fc and Fo-Fc maps were used between refinement cycles for manual building and to locate solvent molecules. All reflections (40.0-1.8 Å) from the 1.54978 Å dataset were included throughout the refinement calculations, except those set aside for free R factor cross-validation (5%). The final model yielded an Rfree of 20.6% and Rwork of 26.9%; additional refinement statistics are summarized in Table I. The first 10, and last 7, residues of the 121 aa BTLA ectodomain are disordered in the crystal structure. Removal of the first 10 residues had no significant effect on HVEM binding. The quality of the model was checked with PROCHECK (36). Solvent accessibilities were calculated with NACCESS (probe radius, 1.4 Å) (37). Molecular diagrams were drawn using the programs GRASP (38) and Pymol (39).
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The atomic coordinates and structure factors (accession code 1XAU) have been deposited, in the Protein Data Bank, Research Collaboratory for Structural Bioinformatics (Rutgers University, New Brunswick, NJ).
Surface plasmon resonance (SPR) equilibrium-binding assay
A BIAcore 2000 instrument (GE Health Sciences) was used to determine the affinity of soluble BTLA for murine HVEM-Fc. Between 400 and 1000 resonance units of murine HVEM-Fc, containing CRD1–3, were immobilized to the dextran matrix of a CM5 sensor chip through amine coupling in 10 mM sodium phosphate buffer at pH 5.2 and 5 µl/min. The flow cell had previously been activated with a 1:1 mixture of 0.1 M N-hydoxysuccinimide and 0.1 M 3-(N,N-dimethylamino)-propyl-N-ethylcarbondimide at a flow rate of 5 µl/min. A related murine TNFR family receptor, RANK, was coupled to an adjacent flow cell as a control for nonspecific binding. The coupling reaction was stopped by injection of 1 M ethanolamine at pH 8.5 for 5 min. Monovalent BTLA was injected over the chip at a flow rate of 20 µl/min. Binding analysis was performed at 25°C in a running buffer of 20 mM sodium HEPES (pH 7.4), 150 mM sodium chloride, and 0.01% Tween 20. All data were analyzed at equilibrium and fit to a simple bimolecular reaction model. The same buffer without added BTLA was flowed past the sensor surface to allow complete dissociation between injections. The production of the murine HVEM ectodomain and the Fc region of human IgG1 as a fusion protein has been described in detail (40).
| Results |
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The N-terminal domain of murine BTLA (BALB/cJ) was expressed in E. coli for oxidative refolding by rapid dilution (see Materials and Methods). Crystals were obtained in hanging drops of buffered polyethylene glycol 4000. The x-ray diffraction data were collected at the Advance Light Source Synchrotron Radiation Facility (Molecular Biology Consortium Collaborative Access Team, beamline 4.2.2), and extend to a resolution of 1.80 Å. During the crystallization trials, we observed that cadmium ions were required for crystal growth. Indeed, analysis of the anomalous differences in the diffraction data indicated that at least two cadmium ions were associated with each BTLA monomer in the crystal. These ions were sufficient to phase the data by single-wavelength anomolous dispersion methods (41). Data collection and refinement statistics are given in Table I. No density was observed in the model for the first 10 residues of the mature protein, suggesting the region is disordered. Neither was density observed for the last seven residues, likely to form part of a connecting stalk tethering the protein to the cell membrane.
In the BTLA structure, 10 β-strands are arranged in two sheets to form a compact β sandwich of dimensions 44 x 36 x 31 Å (Ref. 3 and Fig. 1A). The individual sheets consist of the ABED and A'G0GFCC' β-strands, respectively (Fig. 1B). This folding arrangement places BTLA within the Ig I-set family (12). Like all I-set domains, the A strand of BTLA starts out antiparallel with B and crosses between the two sheets to finish in parallel with the G strand. The C' strand is not the equivalent of the C' strand found in V and V-like Ig domains but instead cuts across the edge of the β sandwich in what has come to be called a CD transversal strand (12, 42). BTLA contains a disulfide bond linking the B and F strands (connecting the ABED and A'G0GFCC' β-sheets), which is a feature common in Ig domains. A second disulfide, unique to BTLA, functions to pin the beginning of the A strand to the end of the B strand. The sequence alignment also suggests that most alleles of BTLA contain a third disulfide, linking the strands at the base of the C-C' loop (Fig. 1C). In this murine BTLA structure (BALB/cJ strain), one half of the disulfide has been replaced by a tryptophan (residue W56 for C56). The hydrophobic tryptophan side chain is completely buried packing against the cysteine residue at position 49. Although a C-C' disulfide linkage is uncommon among Ig domains, similar linkages have been observed in the surface receptors of the NKp44 family (43).
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We set out to determine the binding affinity and kinetic rate constants for the interaction between murine BTLA (BALB/cJ and C57BL/6 strains) and HVEM by SPR analysis. Soluble recombinant BTLA proteins were injected over HVEM-Fc (CRDs 1 through 3) immobilized on a BIAcore sensor chip (Fig. 2A). The BALB/cJ and C57BL/6 BTLA proteins differ by 11 of 108 ectodomain residues. The majority of these polymorphisms (6 of 11) occur on the same face of the molecule falling within the A-A' and B strands (Fig. 1C). When the respective equilibrium dissociation constants were measured at steady state, BALB/cJ BTLA yielded a value of KD = 0.97 ± 0.19 µM (n = 4) whereas the C57BL/6 BTLA bound slightly better, yielding a value of KD = 0.42 ± 0.06 µM (n = 3; Fig. 2B). Both values are slightly higher than that reported for the binding of soluble gD to human HVEM (KD = 3.2 µM) (44). Although the BALB/cJ BTLA protein binds with slightly lower equilibrium affinity, this is primarily attributable to a decreased on-rate because the half-life of the BALB/cJ BTLA complex is
4 s compared with 2 s for C57BL/6 BTLA. It is important to note that these experiments were done with C57BL/6 HVEM. Although the sequences currently available indicate that polymorphism of murine HVEM is very limited, the sequence of BALB/cJ HVEM has not been reported and therefore it is not known whether the BALB/cJ and C57BL/6 HVEM proteins are identical at the BTLA interaction site.
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From these initial studies, we judged that single amino acid substitutions might be sufficient to disrupt these low- affinity interactions. In selecting residues for analysis, we began with a comparison of the available BTLA sequences from different species. Assuming these proteins make similar contacts with HVEM, then the binding surface should be detectable as a patch of conserved residues. Conservation scores for the BTLA sequence alignment (Fig. 1C) were calculated and mapped onto the surface of the BTLA structure to identify contiguous patches (Fig. 1D). In addition, BTLA is known to be glycosylated in vivo and potential binding sites were selected to avoid steric interference by carbohydrate. We were also aided by the software program QUILT which identifies hydrophobic patches on protein surfaces (45), such patches have proven useful in predicting protein-protein interaction sites.
A series of singly substituted BALB/cJ BTLA mutants were constructed and the resulting proteins were analyzed for HVEM binding. Fourteen alanine substitutions (Q14>A, N16>A, K18>A, S21>A, K22>A, H23>A, S24>A, P36>A, K38>A, Y39>A, S74>A, V113>A, F99>A, V113>A, and R114>A), five bulky additions (L15>H, S68>H, N98>F, S101>H, and S108>H), and seven charge substitutions (R19>D, A25>E, H42>D, T47>R, E71>R, V75>E, and H107>D) were tested. The identity of each mutant was confirmed by electrospray mass spectrometry. Each refolded easily, migrated as a monomeric protein on size exclusion chromatography, and ran as a single band on native SDS-PAGE. Two other mutants failed to refold by these criteria and were omitted from the analysis (R73>A and R43>D).
The majority of substitutions tested had little effect (shown in gold, Fig. 2C). However, four substitutions (shown in dark magenta, P36>A, L15>H, R19>D, and H107>D) resulted in a greatly diminished affinity of BTLA for HVEM, failing to display detectable binding at concentrations exceeding 10 mM. Two other substitutions (shown in light magenta, Q14>A and S108>H) yielded proteins displaying a greater than 2-fold drop in affinity. These six affected residues cluster close together on BTLA (shown in magenta, Fig. 3, A and B). These six are invariantly conserved in the sequences of available mammalian species (Fig. 1C). Three residues, Q14, L15, and R19, fall within the A strand and the A-A' bulge. Residue R19 is a prominent feature, forming a positively charged projection that juts out from the protein surface. Residue P36 is located close to one side of these three residues on the B strand with its ring also pointing outward. The final two residues H107 and S108 represent part of the G0-G bulge and lay at the base of the R19 projection. These results confirm that the HVEM binding site is on the membrane distal face of the BTLA molecule and contains residues from the A strand, the A-A' bulge, and the G0-G bulge.
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| Discussion |
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Sequence alignments suggest that most BTLA domains contain an additional disulfide bridge, connecting residues C49 and C56. This disulfide bond is found in members of the NKp44 family where it stabilizes a β hairpin built from the C and C' strands and the intervening loop. In some NKp44 family members, a surface groove is formed between the two β hairpin loops (C-C' and F-G), which extend out from the face of the molecule. In the case of NKp44, this groove has been shown to bind influenza virus hemagglutinin in the presence of sialic acid (43). In BTLA, the additional disulfide serves to stabilize the C-C' loop which forms one side of the HVEM binding site.
We used the murine BTLA structure to design a mutagenesis study aimed at characterizing the HVEM-binding surface. Solution affinity measurements were obtained between 26 soluble variants of murine BTLA and immobilized HVEM. While this work was in progress, a crystal structure between human BTLA and HVEM was reported (29) (accession no. 2AW2). We have modeled the murine BTLA-HVEM complex based on these results. This could be done with some confidence because the human and mouse HVEM sequences are 62% identical (50 of 80 residues) throughout their CRD1 and CRD2 domains. Still, such analysis can yield only an approximation, although murine HVEM binds human BTLA, human HVEM does not bind murine BTLA (16). Nonetheless, superposition of murine BTLA over the human BTLA coordinates predicts 20 aa within 4.5 Å of HVEM. The majority of these residues can be placed in three groups: seven within the A strand and first part of the following β bulge (E12, Q14, L15, N16, I17, K18, and R19), four at the end of the C-C' loop (H51, G53, T54, and W56), and eight centered on the G0 strand (S101, Q102, V103, I104, N105, S106, H107, and S108). Five of the six residues implicated by our mutagenesis study (Q14, L15, R19, H107, and S108) fall within this contact region. The sixth residue, P36, falls just outside; even so, it supports the contact region by propping up the A strand.
The proteins encoded by the two most commonly studied murine BTLA alleles (BALB/cJ and C57BL/6) were found to bind murine HVEM with slightly differing affinities (0.94 and 0.42 mM, respectively), with the lower affinity BALB/cJ interactions exhibiting both slower on-rates and off-rates. Theses differences may be related to the polymorphic tissue distribution of BTLA expression on lymphoid cells in these mice. For example, BTLA in C57BL/6 mice is expressed on T cells, B cells, macrophages, NK cells, and dendritic cells (2). In contrast, BALB/cJ do not express detectable levels of BTLA on macrophage or NK cells. The basis of this expression polymorphism is still unclear. It may represent genetic differences in the regulatory elements controlling BTLA expression or alternately differences in the basal level of lymphoid cell activation. Only 2 of the 11 polymorphic differences between these strains are predicted to fall within the HVEM binding site. Neither could account for the slightly lower affinity of BALB/cJ when examined by alanine substitution (N16>A, K18>A). The small but reproducible difference is probably due to either long-range electrostatic effects or an indirect structural effect on the binding interface. For example, the allelic variation of W56 for C56 may subtly alter the position of the C-C' loop and therefore the HVEM contact interface.
Existing biophysical data indicate that the ectodomains of both BTLA and HVEM are monomeric and that they engage one another with a 1:1 stoichiometry (29). In contrast to previous investigations, we set out to quantitate the monotypic interactions of BTLA with HVEM. For example, Gonzalez et al. (3) used radiolabeled human HVEM-Fc or BTLA-Fc to bind human BTLA- on HVEM-expressing AD-293 cells, obtaining apparent affinities of 5.5 and 15 nM, respectively. Similar studies of bivalent human HVEM-Fc binding to human BTLA expressed on 293T cells gave an apparent affinity of 112 nM, while human HVEM-Fc failed to bind murine BTLA, although murine HVEM-Fc did bind both human (27 nM) and murine (24 nM) BTLA (16). We note that the low equilibrium affinity of the direct monotypic BTLA-HVEM interaction that we have measured here (KD
1 µM) is more commonly observed for cell surface proteins that are involved in cell surface multimerization or clustering (48), issues that may well be important in BTLA/HVEM signaling.
The response of immune cells, particularly T, B, and NK cells is determined by a constant integration of the activating and inhibitory signals received from their surface receptors. The ability of an Ig-like surface protein to interact with a TNFR superfamily member greatly complicates our understanding of these systems. Until recently, BTLA has been considered strictly an inhibitory regulator of T cell responses, but recent evidence suggests that it may also act in forward signaling to HVEM (49, 50). In the nonirradiated parent-into-F1 graft-versus-host disease (GVHD) model, recent evidence showed a parental cell requirement for HVEM in sustaining reactivity of parental donor cells against the host (49). Surprisingly, BTLA-deficient donor cells showed the same failure to sustain GVHD as shown by HVEM-deficient donor cells (50). BTLA-deficient donor cells underwent initial activation and expansion in vivo following transfer, but failed to survive past 10–11 days, undergoing cell death and exhibiting failure to re-express IL-7R (50). Cotransfer of wild-type donor cells rescued the survival of BTLA-deficient donor cells, indicating a non-cell autonomous action of BTLA in this model. Conceivably, this could be mediated either by a secreted factor produced by wild-type but not BTLA-deficient cells. However, we suggest a mechanism whereby BTLA expression may be required to allow sufficient positive signaling to provide for donor cell survival, a process that may involve additional BTLA interacting partners. Our work in this study identifies variants of BTLA that lack the capacity to interact with HVEM, thus establishing a framework for the investigation of additional BTLA functions in GVHD as well as other experimental models.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 This work was supported by Midwest Center for Structural Genomics, National Institutes of Health Grant GM62414-04 (to D.H.F.). ![]()
2 Address correspondence and reprint requests to Dr. Daved H. Fremont, Department of Pathology and Immunology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8118, St. Louis, MO 63110. E-mail address: fremont{at}wustl.edu ![]()
3 Abbreviations used in this paper: BTLA, B and T lymphocyte attenuator; HVEM, herpesvirus entry mediator; CRD, cysteine-rich domain; PD-1, programmed death receptor 1; ESMS, electrospray mass spectrometry; SPR, surface plasmon resonance; GVHD, graft-versus-host disease. ![]()
Received for publication September 4, 2007. Accepted for publication October 28, 2007.
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are ligands for herpesvirus entry mediator. Immunity 8: 21-30. [Medline]This article has been cited by other articles:
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T. C. Cheung, M. W. Steinberg, L. M. Oborne, M. G. Macauley, S. Fukuyama, H. Sanjo, C. D'Souza, P. S. Norris, K. Pfeffer, K. M. Murphy, et al. Unconventional ligand activation of herpesvirus entry mediator signals cell survival PNAS, April 14, 2009; 106(15): 6244 - 6249. [Abstract] [Full Text] [PDF] |
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